Sepia sep.

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

Venous circulation: Digestive tract. Portal system. FEMALE PELVIC ORGANS. Nerves. Skin.

Worse

COLD: AIR; North wind. Wet. Snowy. Sexual excesses. Before menses. Pregnancy. Abortion. Morning and evening. After first sleep.

Better

VIOLENT MOTION. Warmth. Cold drinks.

General

Draggy, relaxed females -lithæmic, plethoric, - subject to prolapses or easy dislocations. Uterine reflexes. Symptoms settle in back; shoot up, < rectum, vagina, etc.; backward, head (l), ileo-cæcal region, ovary, etc., or cause shuddering. AS OF A LUMP or a rolling over internally. Weak, empty, hollow feeling; in epigastrium, chest, muscles, lumbar back, hips, knees, etc., or fulness. Milky discharges. Bleedings.

Particulars

Angry, sensitive and irritable and miserable. Sensitive to pain. Anxious fear; over trifles. Averse, to one's own; to sympathy; to company; yet dreads solitude. Stifled affections. Poor memory. Sad irritability, alternating with indifference or sulkiness. Sexually minded. Sad over her health and domestic affairs. Indifference. Stupid, wants to go away. Headache; over l. eye; alternate sides of occiput; < lying on it; heavy on vertex; shootings; bursting. Hemicrania. Jerks head back and forth. Drooping eyelids. Red, itching tarsi. Falling out feeling in eyes. Sees motes, flashes, zigzags, photopsies; then collapse. Odors are repulsive. NOSE; BROWN STRIPE ACROSS (Menis.); pressive pain at root; foul plugs or green crusts from. Dark circles under eyes. Changing of color of face. Chloasma. Numb malar bones. Swollen, cracked lower lip. Mouth feels burnt. Hawks mucus or foul, cheesy grains in A.M. Taste cheesy, fishy or bitter-sour. Ascending throat colds. Eructates tough, foamy mucus. Nausea at tought or smell of food; in A.M. Vomits; solids only; milky. Gnawing hunger. Craves acids. FAINT SINKING AT EPIGASTRIUM, not > eating, or a lump in. Griping in gall-bladder, < stooping. Falling out or heavy bearing down feeling in hypogastrium; holds it or crosses legs. Pot belly. Stool, then gelatinous mucus. Diarrhœa, from boiled milk. Rectum constricted and powerless; no urging for days. Obstipation. As of a ball in anus. Piles, prolapsing; sticking; of pregnancy. Oozing from anus. Slow urination; cutting before. Enuresis, during first sleep; < coughing, sneezing, etc. THICK, FOUL URINE; ADHERENT, RED, SANDY SEDIMENT, or white, gritty. Menses absent; at puberty; after weaning, etc. Grasping, burning or sticking in uterus (os). Sub-involution. WEAK, DRAGGING OR BEARING DOWN FEELING; must sit close or hold parts. Tends to abort. Labia swelled; abscessed. Leucorrhœa; in large lumps; foul; gonorrhœal. Stomach cough; < rapid change of temperature; with foul sputum. Circulation, irregular; seems to stagnate. Palpitation; visible; ascends to occiput. General pulsation. Ebullitions at night. Overful blood-vessels. Collar feels tight. Aching; inter-scapular; LUMBAR-paralytic-wants it pressed. Purple hands. Cold knees or heels. Skin blotched; raw, rough, hard or cracked, < flexures. Herpes. Ringworm. Itching vesicules. Boils in axillæ. Thick crust on elbows. Ulcers, on small joints. Epithelioma of eyelids, lips, etc. Skin; wine colored. Spots on the skin. Loud talking in sleep. Dreams if lies on l. side. Easily chilled. Chilly, with air-hunger. Cold; in spots; on vertex; between scapulæ; feet, in bed. Sudden weakness; then anxious, hot flushes. Hot hands, with cold feet or vice versa. Sweat, easy; with orgasms; on genitals, axillæ or back. Irregular fevers.

Related

Complementary: Nat-m. Pho. Related: Caus. Gel. Lil-t. Nat-m. Pul.

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

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

Keynote

Adapted to persons of dark hair, rigid fibre, but mild and easy disposition (Puls.). Diseases of women: especially those occurring during pregnancy, child- bed and lactation; or diseases attended with sudden prostration and sinking faintness (Murex, Nux m.); "the washerwoman's remedy." complaints that are brought on by or aggravated after laundry work. Pains extend from other parts to the back (rev. of Sab.); are attended with shuddering (with chilliness, Puls.). Particularly sensitive to cold air, "chills so easily;" lack of vital heat, especially in chronic diseases (in acute diseases, Led.). Sensation of a ball in inner parts; during menses, pregnancy, lactation; with constipation, diarrhoea, haemorrhoids, leucorrhoea and all uterine affections. Faints easily: after getting wet; from extremes of heat or cold; riding in a carriage; while kneeling at church. Coldness of the vertex with headache (Ver. - heat of vertex, Calc., Graph., Sulph.). Anxiety: with fear, flushes of heat over face and head; about real or imaginary friends; with uterine troubles. Great sadness and weeping. Dread of being alone; of men; of meeting friends; with uterine troubles. Indifferent: even to one's family; to one's occupation (Fl. ac., Phos. ac.); to those whom she loves best. Greedy, miserly (Lyc.). Indolent: does not want to do anything, either work or play; even an exertion to think. Headache: in terrific shocks; at menstrual nisus, with scanty flow; in delicate, sensitive, hysterical women; pressing, bursting < motion, stooping, mental labor, > by external pressure, continued hard motion. Great falling of the hair, after chronic headaches or at the climacteric. Yellowness: of the face; conjunctiva; yellow spots on the chest; a yellow saddle across the upper part of the cheeks and nose; a "tell tale face" of uterine ailments. All the coverings of the neck felt too tight and were constantly loosened (Lach.). Herpes circinatus in isolated spots on upper part of body (in intersecting rings over whole body, Tell.). Pot-belliness of mothers (of children, Sulph.). Painful sensation of emptiness, "all-gone" feeling in the epigastrium, relieved by eating (Chel., Mur., Phos.). Tongue foul, but becomes clear at each menstrual nisus, returns when flow ceases; swelling and cracking of lower lip. Constipation: during pregnancy (Alum.); stool hard, knotty, in balls, insufficient, difficult; pain in rectum during and long after stool (Nit. ac., Sulph.); sense of weight or ball in anus, not > by stool. Urine: deposits in a reddish clay-colored sediment which adheres to the vessel as if it has been burned on; fetid, so offensive must be removed from the room (horribly offensive after standing, Indium). Enuresis: bed is wet almost as soon as the child goes to sleep (Kreos.); always during the first sleep. Gleet: painless, yellowish, staining linen; meatus glued together in morning; obstinate, of long standing (Kali iod.); sexual organs, weak and exhausted. Violent stitches upward in the vagina; lancinating pains from the uterus to the umbilicus. Prolapsus of uterus and vagina; pressure and bearing down as if everything would protrude from pelvis; must cross limbs tightly to "sit close" to prevent it; with oppression of breathing (compare Agar., Bell., Lil., Murex, Sanic.). Irregular menses of nearly every form - early, late, scanty, profuse, amenorrhoea or menorrhagia - when associated with the above named symptoms. Morning sickness of pregnancy: the sight or thought of food sickens (Nux); the smell of cooking food nauseates (Ars., Coch.). Dyspnoea: < sitting, after sleep, in room, > dancing or walking rapidly. Erythism; flushes of heat from least motion; with anxiety and faintness; followed by perspiration over whole body; climacteric (Lach., Sang., Sulph., Tub.); ascends, from pelvic organs. Itching of skin; of various parts; of external genitalia; is > scratching; and is apt to change to burning (Sulph.).

Relations

Complementary: Natrum mur. Inimical: to, Lach., should not be used before or after; to, Puls, with which it should never be alternated. Similar: to, Lach., Sang., Ustil., in climacteric irregularities of the circulation. Frequently indicated after: Sil., Sulph. A single dose often acts curatively for many weeks.

Aggravation

In afternoon or evening; from cold air or dry east wind; sexual excesses; at rest; sultry moist weather; before a thunderstorm (Psor.).

Amelioration

Warmth of bed, hot applications; violent exercise. Many symptoms, especially those of head, heart and pelvis, are both < and > by rest and exercise. It antidotes mental effects of overuse of tabacco, in patients of sedentary habits who suffer from over-mental exertion.

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)

Mental

Great indifference to all surroundings; comprehension difficult; affections of the intellect.

Nose

Smelling too sensitive; too feeble, yellow saddle across the bridge of the nose.

Skin

Skin yellow, like jaundice; chapping of the skin, or cracks may extend deeply into the tissues, and this is aggravated by washing in water; corns with jerking or darting pains; exanthema in general, particularly when it is disposed to crack; dry itch, often finding bad effects where the itch has been suppressed by Mercur. or Sulphur; eruptions peeling off; ulceration of the exanthema; bed sores; brown sphacelus. Tetters in general especially if they chap; tetters circular in form. Ulcers suppurating; pus too copious; swollen; with proud flesh. Salt rheum.

Sleep

Falling asleep late; complaints preventing sleep; sleeping late in the morning; waking frequently during the night; very sleepy in the morning; sleeplessness before midnight; sleepiness without sleep.

Fever

Coldness of single parts; perspiration in general; perspires too easily; single parts perspire profusely; perspiration with anxiety; with restlessness; sour-smelling. Internal chilliness with external heat.

Gastric

Sensation of emptiness in the pit of the stomach, just below the ensiform cartilage; this is a very weak, "gone" feeling, which nothing can satisfy--this symptom may appear in any complication of troubles, in disordered menstruation, etc. Want of appetite. Taste bitter, saltish; eructations. Vomiting of bile.

Chest

Cough with expectoration in the morning, no expectoration in the evening; or with expectoration at night, none in the day; very severe cough in the morning on rising, and expectoration of a great quantity of badly tasting substance; expectoration purulent; with saltish taste.

Sexual

Male: Discharge of prostatic juice; nocturnal pollutions. In either sex, complaints from coition. Female: Complaints generally of all kinds of the female organs of generation, internally and externally; labor-like pains which are felt chiefly in the back, accompanied with a feeling as though she must cross the legs and "sit close" to keep something from coming out through the vagina; threatened abortion; tendency to abort fifth to seventh month. Menses too late; flowing only in the morning; complaints before menstruation; yellow leucorrhœa which stings and burns.

Stool and Anus

Great difficulty in voiding stool, which seems to stick in the anus or rectum as if a ball or a "potato" were there; bloody stool; affections of the anus; rectum, particularly where there are sharp, shooting, needle-like, or lancinating pains running up into the abdomen; hæmorrhoids with the same pain; difficult stool with sensation of weight in the abdomen.

Urine

Sediment to the urine like clay, as if clay were burnt on the bottom of the vessel; urine very offensive--can't endure to have it in the room; reddish; bloody.

Sensations

Of emptiness in the pit of the stomach, etc. (see Gastric); of a ball in inner parts; pain as if parts would burst, were pressed or pushed asunder; cramping, or drawing pains in inner or outer parts; sensations of emptiness or hollowness in any part, especially when accompanied by a fainting sensation; jerking in the muscles, or elsewhere, as they may be felt in the head when talking, etc.; knocking, throbbing, or pulsation in inner parts; pressing as of a heavy load; vibration like dull tingling or buzzing in the body.

Generalities

Affections in general appearing in the left side; right upper and right lower extremities; eyelids; internal ear; hearing very sensitive; region of the liver; inner lower belly; left shoulder-blade; back and small of the back: axilla; axillary glands, especially where there are darting pains through them; upper and lower extremities, and joints; lumbar region, with a violent pressing or bearing-down pain; nails turn yellow. Dark hair; pale face, exanthema on the face, lips, nose, forehead. Bleeding from inner parts. Spasms clonic; tonic; cataleptic; great restlessness of the body, can't keep still; great aversion to washing. Debility in general, or of particular parts.

Worse

In early morning; in forenoon; in evening, particularly before falling asleep; on waking; stooping; during inspiration; while in company; while coughing; after cohabitation; after eating; from exertion of the mind; during fever; female complaints generally; from loss of fluids; from masturbation; from music; from milk; fat pork; during and after perspiration; during pregnancy; riding in a car; from riding horseback: in a swing, etc.; from sexual excesses; during first hours of sleep: in snow air; from stretching the affected part; while nursing a child; from water and washing; from getting wet; females having leucorrhœa; during confinement especially.

Better

From drawing up the limb; from moving; from exertion of the body; in solitude; from drinking cold water; when walking quickly.

Remedies following

Bellad., Calc. carb., Conium, Lycop., Nux vom., Pulsat., Rhus tox., Silic., Sulphur.

Antidotes

Sweet Spirits of Nitre, Dulcam.

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

Yellow saddle across the nose; also yellow spots on the face. Brown liver spots on the skin, especially on the chest and abdomen. Sensation as if everything would come out on the vagina; she has to cross her limbs to prevent it. Leucorrhoea; yellow like milk or pus; or of bad smelling fluids; excoriating. Weakness and pain in back; grows worse on sitting still. Especially suited to persons with dark hair; for women, and particularly during pregnancy, in child-bed and while nursing.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Inky Juice of Cuttlefish (SEPIA)

General

Acts specially on the portal system, with venous congestion. Stasis and thereby ptosis of viscera and weariness and misery. Weakness, yellow complexion, bearing-down sensation, especially in women, upon whose organism it has most pronounced effect. Pains extend down to back, chills easily. Tendency to abortion. Hot flashes at menopause with weakness and perspiration. Upward tendency of its symptoms. Easy fainting. "Ball" sensation in inner parts. Sepia acts best on brunettes. All pains are from below up. One of the most important uterine remedies. Tubercular patients with chronic hepatic troubles and uterine reflexes. Feels cold even in warm room. Pulsating headache in cerebellum.

Mind

Indifferent to those loved best. Averse to occupation, to family. Irritable; easily offended. Dreads to be alone. Very sad. Weeps when telling symptoms. Miserly. Anxious toward evening; indolent.

Head

Vertigo, with sensation of something rolling round in head. Prodromal symptoms of apoplexy. Stinging pain from within outward and upward mostly left, or in forehead, with nausea, vomiting; worse indoors and when lying on painful side. Jerking of head backwards and forwards. Coldness of vertex. Headache in terrible shocks at menstrual nisus, with scanty flow. Hair falls out. Open fontanelles. Roots of hair sensitive. Pimples on forehead near hair.

Nose

Thick, greenish discharge; thick plugs and crusts. Yellowish saddle across nose. Atrophic catarrh with greenish crusts from anterior nose and pain at root of nose. Chronic nasal catarrh, especially post-nasal, dropping of heavy, lumpy discharges; must be hawked through the mouth.

Eyes

Muscular asthenopia; black spots in the field of vision; asthenic inflammations, and in connection with uterine trouble. Aggravation of eye troubles morning and evening. Tarsal tumors. Ptosis, ciliary irritation. Venous congestion of the fundus.

Ears

Herpes behind ears on nape of neck. Pain as if from sub-cutaneous ulceration. Swelling and eruption of external ear.

Face

Yellow blotches; pale or sallow; yellow about mouth. Rosacea; saddle-like brownish distribution on nose and cheeks.

Mouth

Tongue white. Taste salty, putrid. Tongue foul, but clears during menses. Swelling and cracking of lower lip. Pain in teeth from 6 pm till midnight; worse on lying.

Stomach

Feeling of goneness; not relieved by eating (Carb an). Nausea at smell or sight of food. Nausea worse lying on side. Tobacco dyspepsia. Everything tastes too salty (Carbo beg; Chin). Band of pain about four inches wide encircling hypochondria. Nausea in morning before eating. Disposition to vomit after eating. Burning in pit of stomach. Longing for vinegar, acids, and pickles. Worse, after milk, especially when boiled. Acid dyspepsia with bloated abdomen, sour eructations. Loathes fat.

Abdomen

Flatulent, with headache. Liver sore and painful; relieved by lying on right side. Many brown spots on abdomen. Feeling of relaxation and bearing-down in abdomen.

Rectum

Bleeding at stool and fullness of rectum. Constipation; large, hard stools; feeling of a ball in rectum, cannot strain; with great tenesmus and pains shooting upward. Dark-brown, round balls glued together with mucus. Soft stool, difficult. Prolapsus ani (Pod). Almost constant oozing from anus. Infantile diarrhœa, worse from boiled milk, and rapid exhaustion. Pains shoot up in rectum and vagina.

Urinary

Red, adhesive, sand in urine. Involuntary urination, during first sleep. Chronic cystitis, slow micturition, with bearing-down sensation above pubis.

Male

Organs cold. Offensive perspiration. Gleet; discharge from urethra only during night; no pain. Condylomata surround head of penis. Complaints from coition.

Female

Pelvic organs relaxed. Bearing-down sensation as if everything would escape through vulva (Bell; Kreoso; Lac c; Lil t; Nat c; Pod); must cross limbs to prevent protrusion, or press against vulva. Leucorrhœa yellow, greenish; with much itching. Menses Too late and scanty, irregular; early and profuse; sharp clutching pains. Violent stitches upward in the vagina, from uterus to umbilicus. Prolapse of uterus and vagina. Morning sickness. Vagina painful, especially on coition.

Respiratory

Dry, fatiguing cough, apparently coming from stomach. Rotten-egg taste with coughing. Oppression of chest morning and evening. Dyspnœa; worse, after sleep; better, rapid motion. Cough in morning, with profuse expectoration, tasting salty (Phos; Ambr). Hypostatic pleuritis. Whooping-cough that drags on. Cough excited by tickling in larynx or chest.

Heart

Violent, intermittent palpitation. Beating in all arteries. Tremulous feeling with flushes.

Back

Weakness in small of back. Pains extend into back. Coldness between shoulders.

Extremities

Lower extremities lame and stiff, tension as if too short. Heaviness and bruised feeling. Restleness in all limbs, twitching and jerkings night and day. Pain in heel. Coldness of legs and feet.

Fever

Frequent flushes of heat; sweat from least motion. General lack of warmth of body. Feet cold and wet. Shivering, with thirst; worse, towards evening.

Skin

Herpes circinatus in isolated spots. Itching; not relieved by scratching; worse in bends of elbows and knees. Chloasma; herpetic eruption on lips, about mouth and nose. Ringworm-like eruption every spring. Urticaria on going in open air; better in warm room. Hyperidrosis and bromidrosis. Sweat on feet, worse on toes; intolerable odor. Lentigo in young women. Ichthyosis with offensive odor of skin.

Modalities

Worse, forenoons and evenings; washing, laundry-work, dampness, left side, after sweat; cold air, before thunder-storm. Better, by exercise, pressure, warmth of bed, hot applications, drawing limbs up, cold bathing, after sleep.

Relationship

Complementary: Nat mur; Phosph. Nux intensifies action. Guaiacum often beneficial after Sepia.

Inimical: Lach; Puls.

Compare: Lil.; Murex; Silica; Sulph; Asperula-Nacent oxygen. Distilled water charged with the gas--(leucorrhœa of young girls and uterine catarrh); Ozonum (sacral pain; tired feeling through pelvic viscera and perineum); Dictamnus--Burning Bush--(Soothes labor pains); (metrorrhagia, leucorrhœa, and constipation; also somnambulism). Lapathum (Leucorrhœa with constriction and expulsive effort through womb and pain in kidneys).

Dose

Twelfth, 30th and 200th potency. Should not be used too low or be repeated too frequently. On the other hand Dr. Jousset's unique experience is that is should be continued for some time in strong doses. 1x twice a day.

Leaders in Homoeopathic Therapeutics

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

Leaders

Bearing down pains, must sit close and cross her legs to keep something from coming down out of the vagina. Sense of fullness in the pelvic organs, and pressure down into the anus, as if a ball or weight; oozing of moisture.

Flushes of heat and perspiration at the climacteric.

Painful sense of emptiness or goneness at the pit of the stomach.

General relaxation, weak, faints while kneeling at church; falling womb and pelvic organs; drooping eyelids, weak back < on walking.

Cachectic, yellow face, with yellow saddle across face and nose; moth patches; ringworms.

Sensation of a ball in inner parts; during menses, pregnancy, lactation, great sadness and weeping. Dread of being alone; of meeting friends, indifferent, even to one's family, to one's occupation; to those whom she loves.

Headache: in terrific shocks; pressing, bursting < motion, stooping mental labor, > by pressure, continued fast motion.

Urine: deposits a reddish clay sediment, which adheres to the vessel; fœtid, offensive, must be removed from room.

Enuresis: bed wet almost as soon as the child goes to sleep; during first sleep, violent stitches upward in the vagina.

Dyspnœa; < sitting, after sleep, in room, > dancing or walking rapidly.

This is another of our wonderful remedies of which the dominant school knows nothing, except they have learned it from us. Its chief sphere of action seems to be in the abdomen and pelvis, especially in women. No remedy produces stronger symptoms here. We quote from different but equally good observers.

"Sensation of bearing down in the pelvic region, with dragging pains from the sacrum; or feeling of bearing down of all the pelvic organs." (Hahnemann).

"Labour-like pains accompanied with a feeling as though she must cross her legs and 'sit close' too keep something from coming out through the vagina." (Guernsey).

"Pain in uterus, bearing down, comes from back to abdomen, causing oppression of breathing; crosses limbs to prevent protrusion of parts."(Hering).

"Prolapsus of the uterus, of the vagina, with pressure as if everything would protrude." (Lippe).

"Experience has shown its value in cases of ulceration and congestion of the os and cervix uteri. Its use supercedes all local applications." (Dunham).

No higher authority than the united testimony of these five of our best observers could be brought to show the action of Sepia upon the pelvic organs.

Now when we come to examine the provings in Allen's Encyclopædia, we find that these symptoms were mainly produced by Hahnemann and his provers, and Hahnemann advocated proving remedies in the 30th, and some of them were produced by the 200th, especially those most strongly verified by black-faced type.

We confess that we cannot understand how so many question the value of potencies for proving or curing, and most of all do we wonder at Dr. T. F. Allen himself "going back" on potencies above the 12th. Such a course looks very much to us like "kicking against the pricks" or, in other words, trying to fight the truth. But we must be charitable.

Sepia, like Sulphur, affects the general circulation in a very marked manner. Flashes of heat with perspiration and faintness is almost as characteristic of this remedy as of Sulphur. But there are, with Sepia, more apt to be associated with them the pelvic symptoms already given, and they are also more apt to occur in connection with the climacteric. Indeed, these flashes often seem with Sepia to start in the pelvic organs and from thence to spread over the body.

But this irregularity of circulation extends as far as that of Sulphur. The hands and feet are hot alternately, that is, if the feet are hot, the hands are cold, and vice versa. There is not so much sensation of burning with Sepia as with Sulphur, but there is actual heat, and the venous congestion, which seems to be the real state of the organs where the pressive bearing down et cetera is left, is also accompanied with much throbbing and beating.

This local congestion to the pelvic organs is not simply sensational. There are actual displacement in consequence of it, and the long continued congestion results in inflammations, ulcerations, leucorrhœas and even malignant or cancerous disorganizations. Induration with a painful sense of stiffness in the uterine region is characteristic.

This pelvic congestion also affects the rectum in a marked degree. The rectum prolapses, there is a sensation of fullness, or of a foreign substance as of a ball or weight, and oozing of moisture from the rectum. Indeed, the rectal and anal symptoms are almost as strong as the uterine and vaginal. It is impossible to enumerate all the symptoms connected with the circulatory disturbances of Sepia in such a work as this, only a general study of the Materia Medica can do it.

The urinary organs come in for their share of symptoms. The same pressure and fullness consequent upon the portal congestion reaches here. We will now proceed to give what we have found to be particularly valuable symptoms under the various organs in this region, "Pressure on bladder and frequent micturition with tension in lower abdomen." "Sediment in the urine like clay; as if clay was burnt on the bottom of the vessel; urine very offensive (Indium), can't endure to have it in the room, it is reddish or may be bloody." This is found mostly with women. With children there is one peculiar symptom which has often been verified. "The child always wets the bed during its first sleep."

Upon the male organs I have found it particularly useful in chronic gleet. There is not much discharge, but a few drops, perhaps, which glue up the orifice of the urethra in the morning; but it is so persistent and the usual remedies will not "dry it up." In my early practice I used to use a weak injection of Sulphate of Zinc, but it used to annoy me that I could not do it without resorting to local measures. Sepia does it in the majority of cases and Kali iodatum will do it in the rest. I have, where there was a thick discharge of long standing and the smarting and burning on urinating continued, several times finished the case with Capsicum.

As a rule, this long continued slight, passive gleety discharge is a result of weakness of the male genitals, as is shown by a flaccidity of the organs and frequent seminal emissions. The emissions are thin and watery. Sepia covers all of this and often sets all to rights in a short time.

The mental symptoms of Sepia are like Pulsatilla, in that she is sad and cries frequently without knowing the reason why. So if in a tearful mind with uterine disturbances Pulsatilla should fail you, the next remedy to be studied is Sepia. But there is another condition of mind not found under Pulsatilla or any other remedy in the same degree, and that is, that, notwithstanding there is no sign of dementia from actual brain lesion, the patient, contrary to her usual habit, becomes indifferent to her occupation, her house work, her family or their comfort, even to those whom she loves the best. This a very peculiar symptom and a genuine keynote for the exhibition of Sepia.

Upon the head Sepia is one of our best remedies in hemicrania of women of the Sepia temperament, and who are suffering from uterine trouble which we have already described. Another peculiar headache is, that the pain comes in terrific shocks, so as to jerk the head in spite of the patient.

There are three remedies that have prominently drooping eyelids (Causticum, Gelsemium and Sepia). of course, the other symptoms must decide which is the one indicated in the case at hand. So far as the nose is concerned Sepia is often of use in chronic catarrh. I had a case in which the discharge was thick, bland and in large quantities. Pulsatilla would relieve the catarrhal trouble but would, at the same time, increase the menstrual flow too much, but Sepia cured both. The chronic will sometimes have to be made between Kali bichromicum and Sepia in these chronic catarrhs, but it is generally easy, although the local symptoms are much alike.

"Yellow saddle across upper part of cheeks and nose, and yellow spots on the face," is a characteristic of great value, but the yellowness and yellow spots do not always stop here.

You may find them in abundance on the abdomen. The whole surface of the body may be yellow like jaundice. The face of the Sepia patient is the most "tell tale" face I know, and if you find it upon a woman you may always find her leading symptoms in connection with her menstrual and uterine functions.

There is one symptom of Sepia upon the stomach that is also very characteristic, viz., a "painful sensation of emptiness, goneness or faintness." The patient will call it an "all gone" feeling. Of course you remember that Ignatia and Hydrastis Canadensis have this symptom very strongly. Other remedies also have it in more or less marked degree but none so strongly in connection with uterine symptoms as Sepia, unless perhaps it be Murex purpurea, and you will not often have much difficulty in choosing between these last two if you carefully examine all the symptoms. I have often thought that this symptom, so persistent and severe, might be due to the actual emptying of the upper abdomen by the prolapsed womb, dragging everything after itself into the pelvic cavity. It is so in Stannum and Lilium tigrinum, and the weakness of the natural supports (ligaments) of the uterus being remedied (not supplanted by the pessaries and artificial supports of various kinds) the distressing symptoms disappear. Vomiting in pregnancy with this "all gone" feeling is often cured by Sepia; also the thought or smell (Colch.) of food sickens her. I mentioned the "sense of weight or a ball in the rectum" when writing of the pelvic congestion of Sepia. This sensation is not relieved by stool. Sepia is a remedy for constipation, and that of a very obstinate character. Like Selenium it has great straining; but manual aid is necessary to accomplish the stool. This is mostly in children.

I once cured a very obstinate case of entero-colitis (so-called cholera infantum), after the complete failure of two eminent allopaths, with Sepia, the leading symptom being, "always worse after taking milk." Oozing of moisture from the anus finds its remedy here sometimes, but oftener in Antimonium crudum. The Sepia patient is very weak. "A short walk fatigues her very much." She faints easily from extremes of cold or heat, after getting wet, from riding in a carriage, while kneeling at church, and on other trifling occasions. This fainting, or sense of sinking faintness, may be found in pregnancy, child bed, or during lactation; or, again, it may come on after hard work, such as "laundry work;" so it has come to be called the "washer woman's" remedy. Phosphorus have washer woman's toothache.

SKIN. "Itching often changes to burning when scratching" (Sulph.) "Soreness of skin; humid places in bend of knees." "Brown spots in face, chest, abdomen; chloasma" Herpes circinates "Large suppurating pustules constantly renewing themselves." "Acarus itch, pruritus; tettery eruptions, etc." Sepia, like Sulphur, has many forms of eruption on the skin, and indeed there is great general resemblance between these two antipsorics. They follow each other well. Of course that is always providing they are indicated by the symptoms, which is often the case. I do not believe in the so-called incompatibles as some do. I should give Causticum after Phosphorus, Silicea after Mercury, or Rhus tox. after Apis mel. if I found them indicated.

Modalities

Modalities: < standing, mental labor, sexual excess, jar, after sleep, laundry work; milk (diarrhœa), climacteric kneeling at church, > sitting with legs crossed, loosening clothes, open air.

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

Sadness with weeping. Great indifference, even to one's family. Restlessness, fidgety. Great excitability in company. Dread of being alone. Is easily offended and inclined to be vehement. Sadness about one's health and her domestic affairs. Anxiety, with flushes of heat. Aversion to one's occupation. Heavy flow of ideas. Weak memory.

Head

Stupefaction in the head (which disables him from performing any mental labor). Vertigo ; when walking in the open air, as if all the objects were moving around one, or as if suspended in the air, with unconsciousness ; when rising from the bed ; in the afternoon. Paroxysms of hemicrania, stinging pain as from within to without, in one side of the forehead or side of the head (mostly in the left side), with nausea (and vomiting) and contraction of the eye ; worse in the room and when walking fast, better in the open air and when lying on the painful side. Boring headache from within to without, from the forenoon till evening, worse from motion and stooping, relieved by rest, when closing the eyes, from external pressure, and sleep. Pressing headache, as if the head should burst and the eyes fall out, with nausea. Sensation of coldness on the vertex ; worse from moving the head and stooping, better when at rest and in the open air. Pulsating headache in the cerebellum, beginning in the morning, worse in the evening, from the least motion, when turning the eyes, when lying on the back, better when closing the eyes and when at rest. Headache, as from commotion of the brain when stepping or when shaking the head, better when sitting up or from slow exercise. Shooting pains, especially over the left eye, extorting cries. External coldness of the head. Eruptions on the vertex and back part of the head dry, offensive stinging, itching and tingling, with cracks, extending behind the ears, feeling sore when scratching them. Swelling on one side of the head above the temple, with itching ; sensation of coldness and tearing in it ; worse when touching it ; better when lying on it, or after rising from the bed. Involuntary jerking of the head backwards (or forward), principally in the forenoon and when sitting. Sensitiveness of the roots of the hair ; worse in the evening, to contact, cold north wind, when lying on the painless side, and burning after scratching. Fontanelles remain open, with jerking of the head, pale bloated face, stomacace, green diarrhœic stools. Perspiration on the head, smelling sour, with faintish weakness ; worse in the evening before going to sleep. Disposition to take cold on the head from dry, cold wind, and if the head gets wet. Itching on the head (nose and eyes). Falling off of the hair. Small red pimples on the forehead ; rough forehead.

Eyes

Pressure on the eyeballs. Inflammation of the eyes, with redness and stinging pain. Burning of the eyes in the morning. Lachrymation in the morning and evening. The eyelids pain in the morning when awaking, as if they were too heavy, and as if he could not keep them open. Inability to open the eyelids at night. Heaviness and falling down of the upper eyelids as if they were paralyzed. Inflammation of the eyelids ; nightly agglutination of the eyes. Eyelids red, swollen ; styes on them. Great sensitiveness of the eyes to the light of day. Yellow color of the white of the eyes. Black spots hovering and swimming before the eyes. Sparks before the eyes. Green halo around the light of the candle. Pustules or fungus hæmatodes on the cornea.

Ears

Stinging in the (left) ear. Discharge of thin matter from the ear. Much itching in the affected ear. Over-sensitiveness to music. Swelling of and eruptions on the external ear. Tetters on the lobe of the ear, behind the ear (and on the neck).

Nose

Nose swollen and inflamed, especially on the tip. Tip of the nose scurfy. Ulcerated nostrils. Stoppage of the nose ; dry coryza. Violent bleeding of the nose, and blowing of blood from the nose. Loss of smell, or fetid smell before the nose. Ozœna ; blowing of large lumps of yellow green mucus or yellow green membranes, with blood, from the nose.

Face

Pale yellow puffiness of the face, with blue margins around the eyes. Yellow color of the face (and of the white of the eyes). Yellow saddle across the nose and face. Yellowness around the mouth. Tetters around the mouth. Moist, scaly eruptions in the red parts of the lips and on the chin. Swelling of the under lip. Erysipelas and swelling of one side of the face from the root of a decayed tooth. Herpes, scurfs and black pores in the face. Neuralgic pains in the face (left side, from abuse of tobacco).

Mouth and Throat

Toothache ; stinging, pulsating, extending to the ear during pregnancy, with shortness of breath, with swelled face and swelling of the submaxillary glands, aggravated from every cold draft of air, when touching the teeth, and when talking. The teeth are dull, loose, bleed easily and decay rapidly. Gums painfully swollen, bleeding without any cause. Bad smell from the mouth. Tongue and cavity of the mouth feel as if scalded. Tongue coated white. Soreness of the tip of the tongue. Dryness of the throat, with tension and scraping. Soreness and stinging in the throat, with swelling of the submaxillary glands. Sensation as of a plug in the throat. Hawking up of mucus in the morning.

Stomach and Abdomen

Taste putrid or sour. Food tastes too salt. Canine hunger and sensation of emptiness in the stomach. Thirst in the morning or thirstlessness. After eating, acidity in the mouth and bloatedness of the abdomen. Aversion to meat and milk, which cause diarrhœa. Eructations, sour or like rotten eggs, or bitter. Eructations which cause blood to rise in the mouth. Water-brash after drinking or eating. Acidity of the stomach (with disgust for life). Nausea, especially in the morning and while fasting or when riding in a carriage. Nausea and vomiting after eating. Vomiting of pregnant women, sometimes of milky water. Vomiting, of bile and food, in the morning, with headache. Painful sensation of emptiness in the stomach and abdomen. Pain in the stomach after eating. Pressure in the stomach, as from a stone, especially after eating or at night. Cutting, boring, from the region of the stomach towards the spine. Burning in the stomach. Pulsation in the pit of the stomach. Rumbling in the abdomen, especially after eating. Soreness of the abdomen in pregnant women in the abdomen, pressing, cutting, stinging burning, coldness. Stitches in the liver and left hypochondrium. Pot-belliedness of mothers. Brown spots on the abdomen.

Stool and Anus

Constipation ; urging to stool ineffectual, with discharge of mucus or flatulence only. Stool insufficient, retarded, like sheep-dung. Insufficient stool, with straining and tenesmus. Constipation during pregnancy. Difficult discharge even of the soft stool. Diarrhœa ; stools green, smelling sour, very debilitating ; after eating boiled milk. Small jelly-like stools, with tenesmus. Discharge of blood with the stool. Prolapsus ani (during stool). Pain in the rectum, as from contraction. In the rectum and anus, itching, burning and stinging. Oozing from the rectum. Discharge of mucus, with stinging and tearing. Prolapsus of the hæmorrhoidal tumor.

Urinary Organs

Frequent urging to urinate, from pressure on the bladder. Frequent micturition ; even at night he has to rise frequently. Involuntary discharge of urine at night, especially in the first sleep. Burning in the bladder and in the orifice of the urethra. Smarting in the urethra when urinating. Urine : turbid, with sediment of red sand ; blood-red, with white sediment and a cuticle on the surface ; very offensive, with much white sediment.

Sexual Organs

Men. Continued erections at night. The prepuce ulcerates and itches continually. Weakness of the genitals ; they perspire profusely, especially the scrotum. Scrotum swollen. Cutting in the testes. After coition great weakness in the knees. Women. Pressure, as if every thing would protrude (with oppression of breathing). Prolapsus of the uterus, of the vagina. Induration of the neck of the uterus. Violent stitches in the vagina, upwards. Redness, swelling and itching humid eruption on the labiæ. Catamenia too early and too profuse, or too scanty, or suppressed. During menstruation, depression, toothache, headache, bleeding of the nose, and soreness in the limbs. Leucorrhœa, of yellow or greenish water, like pus, or of bad-smelling fluids. Inclination to miscarriages.

Respiratory Organs

Roughness and soreness of the larynx and throat. Hoarseness, with coryza and dry cough from titillation in the throat. Sensation of dryness in the larynx. Dry cough, especially in the evening, in bed till midnight, frequently with nausea and bitter vomiting. Cough, especially evening and morning, with salty expectoration ; with rattling of mucus in the chest ; with expectoration only in the morning, or only during the night ; cough only during the day, or cough which wakens one at night. Expectoration, profuse, purulent, offensive, whitish, green, tasting salt. Cough, with soreness in the chest ; stitches in the chest or back. Expectoration difficult, or being obliged to swallow again what had been raised. Attacks of spasmodic cough, like hooping-cough ; coughs in frequent succession, caused by tickling in the chest or from tickling extending from the larynx to the abdomen, with expectoration only in the morning, evening and at night of yellow, greenish-gray pus, or of milk-white, tough mucus, tasting salt, bitter, putrid or disagreeably sweet, which has to be swallowed again. Cough worse when at rest, when lying on the (left) side ; from acids. Itching and tickling in the chest. Sensation of emptiness in the chest. Stitch in the left side of the chest and scapula when breathing and coughing. Dyspnœa ; oppression of the chest and shortness of breath when walking. Congestion of blood to the chest, with violent palpitation of the heart. Brown spots on the chest. Soreness of the nipples. The chest symptoms cease and are relieved by pressure of the hand on the thorax.

Back and Neck

Pressure and stitches in the right shoulder-blade. Stiffness in the small of the back and neck. Stitches posteriorly above the right hip ; she could not lie on the right side, and when touched it felt sore. Weakness in the small of the back when walking. Pulsation in the small of the back. Stitches in the back when coughing. Perspiration in the back and arm-pit. Humid tetter in the arm-pit.

Extremities

Upper. Paralytic drawing and tearing in the arm and arm-pit to the fingers. Pain as from dislocation in the shoulder-joint. Stiffness of the elbow-joint. Stitches in the joints of the arm, hands and fingers. Swelling and suppuration of the axillary glands. Burning in the palms of the hands. Cold perspiration on the hands. Cold hands (and feet). Herpes (scaling off) on the elbows. Painless ulcers on the joints and tips of the fingers. Itch and scabs oil the hands (soldiers' itch). Lower. Cramp pain ill the hip-joint. Pain as if bruised in the right hip-joint. Stiffness of the legs up to the hip-joint, after sitting for a short time. Swelling of the limbs and feet ; worse when sitting or standing, better when walking. Stiffness of the knee-joint and ankle. Spasms in the buttocks at night, in bed, when stretching out the limb. Restlessness in the legs every evening, with formication in them. Coldness in the legs and feet, especially in the evening in bed. Burning in the feet. Profuse perspiration of the feet. Stinging in the heels and in the corns. Tension in the tendo-Achilles. Ulcer on the heel from a spreading blister. Painless ulcers on the joints and tips of the toes.

Generalities

Heaviness in the body. Stiffness of the joints (hands, knees and feet). Arthritic pains in the joints. Tearing in the muscles. Excessive sensitiveness of the body to pain. Sensation of contraction in outer parts. Sore pain in inner and outer parts. Burning pain, especially in inner parts. Bleeding from inner parts. Congestions at night, with palpitation of the heart and pulsation all over. Jerking and twitching of the head and limbs during the day. Twitching in the muscles. Inflammatory swellings. Stinging pains in the limbs, inner parts, bones. Tingling in outer parts. The limbs go to sleep easily after manual labor. Vibrations like dull tingling in the body. Sensation as of a ball in inner parts. Fainting, after getting wet ; from riding in a carriage, and while kneeling in church. A short walk fatigues much. Aversion to the open air. Want of natural heat. Weakness of the joints. Hysterical spasms.

Sleep

Great sleepiness in day-time. Frequent awaking from sleep without cause. Talks aloud during sleep. Twitching of the limbs during sleep. Awakens in the morning at 3 o'clock and cannot go to sleep again. Ebullitions at night, with restlessness. Nightly delirium.

Fever

Pulse full and quick during the night and then intermitting, during the day slow. The pulse is accelerated by motion and being angry. Pulsation in all the blood-vessels. Chill frequently setting in after previous heat. Chilliness in the open air, in the evening, and from every movement. During the chill more thirst than during the heat. Chilliness with the pains. Flushes of heat at intervals during the day, especially in the afternoon and evening, while sitting or in the open air, generally with thirst and redness of the face. Profuse perspiration, more after than during exercise. Continuous, debilitating sweats. Continuous night and morning sweats. Perspiration only on the upper part of the body. Perspiration smelling sour or offensive. Intermittent fever, with thirst during the chill ; pain in the limbs ; hands and feet icy cold ; the fingers feel as if they were dead ; followed by violent heat and inability to collect one's senses ; this is followed by profuse perspiration.

Skin

Itching in the face, on the arms, hands, hips, feet, abdomen and genitals, changing to burning when scratching. Soreness of the skin and humid places in the bends of the joints. Brown spots, or claret-colored, tetter-like spots on the skin. Pemphigus ; ring-worms ; boils ; blood-boils. Ulcers, painless (knuckles, finger-joints, tips of the fingers, joints and tips of the toes), or itching, stinging and burning. Humid tetters, with itching and burning. Lymphatic swellings. Crippled nails.

Conditions

The pains extend from other parts to the back. Especially suitable for persons with dark hair and for women, especially during pregnancy, in childbed, and while nursing. Aggravation in the forenoon and evening ; from mental exertion, from washing in water, from stretching the affected limb, when at rest, sitting, on bending down, after sexual excesses, after eating. Amelioration from warm air, on and after rising from the bed or seat and drawing up the limbs ; from violent exercise, except riding on horseback. Bad effects from masturbation. Sepia follows well after Pulsatilla.

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

Sepia officinalis. Cuttle Fish. N. O. Cephalopoda. Trituration of dried liquid contained in the ink-bag. [I have found a preparation made from the fresh ink-bag, given to me by Dr. Swallow, of Ningpo, in every way superior to the official preparation, which I now rarely use. The provings and recorded cures were, however, made with the dried ink preparations.]

Clinical

Alcohol, effects of. Amenorrhœa. Anus, pressure of. Apoplexy. Appetite, depraved . Ascarides. Baldness. Bladder, irritable. Cancer. Change of life . Chloasma. Chorea. Condylomata. Cystitis. Dandriff . Dysmenorrhœa. Dyspepsia. Eczema . Epistaxis. Eyes, affections of. Face, yellow. Freckles . Gleet. Gonorrhœa. Gravel. Herpes; circinatus. Hysteria. Irritation . Jaundice. Leucorrhœa. Liver-spots. Liver, torpid. Menstruation, disordered. Mind, affections of. Nails, pains under . Neuralgia. Nose, inflamed; swollen. Ozæna. Phimosis. Pityriasis versicolor . Pleurisy. Pregnancy, disorders of ; vomiting of. Pruritus. Psoriasis. Ptosis. Pylorus, induration of. Quinsy. Rectum, cancer of; fissure of. Ringworm. Sacrum, pain in. Sciatica. Seborrhœa. Smell, sense of, too acute; disordered. Spermatorrhœa. Stye. Toothache. Urine, incontinence of. Uterus, bearing down in . Varicose veins. Warts. Whooping-cough.

Characteristics

The present use of Sepia in medicine is due to Hahnemann. Some among the ancient physicians (Dioscorides, Plinius, and Marcellus, says Teste) used either the flesh, the eggs, or even the only bone which constitutes the skeleton of this animal, for "leucorrhœa, gonorrhœa, catarrh of the bladder, gravel, spasms of the bladder, baldness, freckles and certain kinds of tetters " ─ which is sufficiently remarkable in the light of the provings. Sep . is one of the remedies of the Chronic Diseases , and was proved by Goullon, von Gersdorff, Gross, Hartlaub, and Wahle. Sep . is predominantly, but by no means exclusively, a woman's remedy. It affects the generative organs of both sexes, and a large number of the symptoms occurring in other organs have some relation thereto. Teste describes the type to where Sep . is suited as follows: Young people of both sexes, or, rather, persons between pubescence and the critical period of life; of delicate constitutions, with pure white skins, or skins having a rosy tinge; blonde or red hair; nervous or lymphatico-nervous temperaments; exceedingly excitable and anxious for emotions; and, lastly, particularly such as are disposed to sexual excitement, or have been exhausted by sexual excesses. Hering gives these types: ( 1 ) Persons of dark hair, rigid fibre, but mild and easy disposition. ( 2 ) Women during pregnancy, in childbed and while nursing. ( 3 ) Children who take cold readily when the weather changes. ( 4 ) Scrofulous persons. ( 5 ) Men who have been addicted to drinking and sexual excesses. ( 6 ) Pot-bellied mothers, yellow saddle across nose, irritable, faint from least exertion, leuco-phlegmatic constitutions. Bähr gives: "Sanguine, excitable temperaments inclined to congestions." Farrington adds that the Sep . patient is sensitive to all impressions, and that the dark hair is not by any means a necessity. He gives a more complete description: Puffed, flabby persons (less frequently emaciated) with yellow or dirty yellow brown blotched skin; inclined to sweat, especially about genitals, axillæ, and back; hot flushes; headache in morning; awaken stiff and tired; subject to disease of sexual organs; the general attitude is never one of strength and healthful ease, but of lax connective tissue, languor, easily produced paresis. Sep . acts on the vital forces as well as on organic tissues. The sphincters are weakened and all non-striated muscles. Sep . disturbs the circulation, causing flushes and other irregularities ─ throbbings all over; hands hot and feet cold, or vice versâ . The flushes run upward and end in sweat with faint, weak feeling. Epistaxis may occur either from a blow, from being in a warm room, or from suppressed menses. The upward direction of the Sep . symptoms is one of its keynotes. The pains of the head shoot upward; and so do the pains in anus, rectum, and vagina. Also coldness as well as the flushes travels from below up. On the other hand night-sweat proceeds from above downward. The head pains proceed from within out. Sep . is one of the remedies which have the "ball" sensation in inner parts. There is vertigo with sensation of something "rolling round" in the head. There is sensation of a ball in inner parts generally; but the most notable one is sensation of a ball in rectum. It may be described as an apple or a potato, and it is not relieved by stool. I have cured both constipation and diarrhœa when that symptom was present. The upward stitches in rectum and vagina, when present, are equally good indications for Sep . in cases of hæmorrhoids, prolapse of rectum, and for prolapse or induration of uterus and cervix. As with Murex the chief incidence of Sep . is on the female sexual organs, though with Sep . the menses are generally scanty, as with Murex they are the reverse. Sep . causes engorgement of the uterus going on to induration. There is either prolapse or retroversion. Yellowish green leucorrhœa somewhat offensive. The bearing-down pains of Sep . are of great intensity. They are felt in abdomen and back; and sometimes even seem to interfere with breathing. The bearing down is < standing or walking. The bearing down extends into thighs. There is a constant sense of pressing into vagina, which compels the patient to cross the limbs to prevent prolapse. Connected with the uterine symptoms are: hysteria, erethism, palpitation, orgasm of blood, faintness. The sensation of "goneness" and emptiness, which is one of the characteristics of Sep ., is sometimes connected with the pelvic bearing down. The empty sensation is felt in the epigastrium and throughout the abdomen. It is analogous to the great relaxing effect of Sep . on connective tissues. This sinking is common in pregnancy; and Sep . corresponds to many of the troublesome affections of the pregnant state, as ─ "morning sickness, vomiting of food and bile in morning; of milky fluid; strains so that blood comes up." "The thought of food sickens her; with sense of great weight in anus." Tendency to abortion is met by Sep .; Hering is reported to have said: "All women prone to abortion should take Sep . and Zinc ." But Sep . meets many cases of dyspepsia not originating in uterine disorders. It has cured dyspepsia from injury by overlifting. Portal stasis is part of the Sep . action. There is fulness, soreness, and stitches in liver region; as well as stitches in left hypochondrium. The whole urinary tract is irritated, and catarrh of bladder and urethra may be, set up. There is frequent strong urging to urinate. Stitches along the urethra. The relaxed sphincters of Sep . favour enuresis, and the type which it cures is well defined: "The bed is wet almost as soon as the child goes to sleep, always during the first sleep." It meets the enuresis of light-complexioned boys and onanists. In cases of irritable bladder, although the desire is urgent, the discharge of urine may be difficult, and the patient may have to wait a long time. Gonorrhœa after the acute stage has subsided. Gleet and gonorrhœal warts have been cured with it. Hering gives, "condylomata completely surrounding head of penis." I have cured a crop of small velvety warts completely encircling the mouth of the prepuce. Thuja had failed in the case. In reference to warts, I cured with Sep . 3x trit. a large horn-like wart on the abdomen of a woman. It was as large as a crown-piece but shaped like a bean, and raised a quarter of an inch from the surface. The skin symptoms of Sep . are among its most characteristic features. The skin is delicate, the least injury tends to ulceration. Itching which often changes to burning when scratched. Soreness of skin, humid places on bends of knees. Chloasma. Painful eruption on tip of nose. Herpetic eruption on lips and about mouth. Ringworm-like eruptions every spring on different parts of body. Ringworm on face. Herpes circinatus. Roundness and yellowness of the spots. The nettle-rash of Sep . appears ongoing into open air. It is > in warm room. The itching of Sep . may be desperate, especially when it affects the genitals and anus. The action of Sep . on connective tissues is again exemplified in the selection of the finger-joints as a seat of ulceration. The sweat is pungent in odour, offensive in axillæ and soles of feet, causing soreness. The skin and the eyes are near akin, and Sep . causes all kinds of inflammation of eyes and lids, with impaired vision, black spots, green halo, fiery redness. The eye-symptoms are < by rubbing; < pressing lids together; < morning and evening; > bathing in cold water. Sep . is a chilly remedy from lack of vital heat, "chills, so easily"; this is especially the case in chronic diseases. Sep . is often required in chronic nasal catarrh. Nash had a case in which the discharge was thick, bland, and copious. Puls . relieved the catarrh but increased the menstrual flow too much. Sep . cured both. Sep . is also useful where colds inflame the tonsils and tend to cause suppuration. The characteristic sensations in the throat are: Dryness; pressure as if neck-cloth too tight; plug sensation; stinging; stitching pains on swallowing; contraction of throat without swallowing; sensation of plug when swallowing with feeling of constriction. There are some peculiarities about the mental state of Sep . which must be borne in mind: ( 1 ) Anxiety: with fear, flushes of heat over face and head; about real or imaginary evils; towards evening. ( 2 ) Great sadness and weeping; dread of being alone, of men, of meeting friends; with uterine troubles. ( 3 ) Indifferent: even to one's family one's occupation; to one's nearest and dearest. ( 4 ) Greedy, miserly. ( 5 ) Indolent. The Sep . patient weeps when asked about her symptoms. She is very sensitive, and must not be found fault with. Faints easily" is a note of the Sep . weakness: after getting wet from extremes of heat and cold; riding in a carriage; kneeling at church. Lorbacher (quoted H. M ., xxxi. 142) refers to three important indications for Sep . not generally known: ( 1 ) Prodromal symptoms of apoplexy; ( 2 ) whooping-cough that drag., on interminably; ( 3 ) hypostatic pleuritis. The symptoms of Sep . corresponding to the first are: Stiffness of back of neck; staggering vertigo ( < exercising in open air); anxiousness and a feeling of fear of severe sickness; intermitting heart beats; torpor and sleepiness. Lorbacher gives this case: A thick-set farmer, 50, inclined to hypochondriasis, troubled from time to time with piles, without being an habitual drinker was addicted to "nips," Gradually abdominal prominence developed; stiffness of neck; vertigo; occasional throbbing headache; slight transient loss of consciousness; anxiety; fear of apoplexy; piles less pronounced and less frequently troublesome than usual. Venesection, performed several times, only partially relieved. Abstinence from alcohol had no decided influence. Sep . 12x was given, four drops twice daily at first, then every other day, and later at increasing intervals. In two months the symptoms were reduced, and gradually passed away. The man lived eight years after this, and had no apoplexy, though he did not give up his "nips." Sep . is indicated in whooping-cough when it has lasted eight weeks or longer, and the paroxysms, though reduced in number and virulence, do not disappear, and occur especially before midnight. The patients are reduced in strength, dyspeptic, irritable, tearful, easily angered or apathetic. Kunkel reports (quoted H. M ., xxix. 670) this case of pulmonary affection: A boy, 14, had been under treatment five weeks for cough and hoarseness. Hoarseness < evening; during the day cough with purulent sputa. Slept well but dreamed when he lay on left side. Emaciated. Phos . 10x produced little change. It was now ascertained that there was remarkable tightness of the chest on breathing, with inclination to take a deep breath; this was > in open air, on motion, while at work; < while in the house and at rest. Though the weather was bad he had constant desire to be out of doors. Sep . 10x made a rapid cure. Bœnninghausen recommended Sep . in cases of cough, either with or without expectoration, with bloody, blood-streaked, purulent, yellow greenish or stinking sputa, and especially in consumption. Nash mentions a case of cholera infantum which he cured with Sep . on the indication "always < after taking milk." In moisture oozing from the anus he compares it with Ant. c ., which has the first place. Sep ., says Bähr (i. 359), "affords considerable help in a certain condition of the system which we have so far only noticed in females. After the exacerbation of a chronic gastric catarrh has lasted a few days with intolerable burning pains, the renal region, more particularly the left side, becomes painful, a violent burning pain is felt in this region, and a quantity of saturated, highly-coloured urine is discharged, which deposits copious quantities of urates, or else a clear urine with copious sandy sediment, coated with uric acid. After the discharge the pains generally abate, and only return if the stomach has not been restored to its normal condition." Peculiar Sensations of Sep . are: As if every object were in motion. As if suspended in air. Vertigo as if intoxicated. As if brain crushed. As if head would burst. As if waves of pain rolling up and beating against frontal bone. As if something rolling around in head, with vertigo. Stitches as from needles in head. As if roots of hair were sore; as if cut short near roots. As if eyes would fall out. As of a weight over eyes. As if eyes were gone and a cool wind blew out of sockets. Eyes as if bruised. As if a grain of sand in eye. As if lids too heavy to open. Eyes as if balls of fire. As if lids too tight and did not cover eyeballs. Hollow molar tooth as if swollen and elongated. Gums, as if burned; as if beginning to suppurate. Tongue and cavity of mouth as if scalded. As of plug in throat. Throat as if raw. As if something twisting in stomach and rising to throat. As if viscera turning inside out. As if stomach sore internally. As if something remained lodged in stomach. As if stomach were being scraped. As if a strap as wide as her hand drawn tightly round her waist. Liver as if bursting. As if everything in abdomen turning around. As of a load in abdomen. As if intestines were drawn into a lump. As of something adherent in abdomen. As of something alive in abdomen. Weight or ball in anus. As if bladder full and contents would fall out over pubes. As if drops came out of bladder. As if bladder and urinary organs would be pressed out. As of everything would issue through vulva. As if everything would fall out of uterus. Uterus as if clutched. As if vulva enlarged. As if something heavy would force itself from vagina. As from a weight in sides. As if ribs were broken and sharp points were sticking in flesh. As if cough came from stomach and abdomen. Chest as if hollow; as if sore. Throat as if filled with phlegm. As if breasts were enlarged. As if heart stood still. Back as if she could not turn or raise herself, or as if she had been in a wrong position, almost as if parts had gone to sleep. Sudden pain in back as if struck by a hammer. Pain in back as from subcutaneous ulceration. As if something were going to break in back. As if limbs would refuse to act. As if shoulder dislocated. Feet as if asleep. Right hip-joint as if bruised. Lower limbs as if beaten. As of a mouse running in lower limbs. As if bones of legs were decaying. As if she could feel every muscle and fibre of her right side from shoulder to feet. As of a ball in inner parts. As of an icy hand between scapulæ. As if she would suffocate. As if feet stood in cold water up to ankles. As of hot water poured over one. "Stiffness" is a prominent feature of Sep .: stiffness of limbs < after sleep; stiffness of uterine region. A peculiar symptom of Sep . is: "Involuntary jerking of head backward and forward, especially forenoons when sitting." This may occur in hysteria. Open fontanelles in children is an indication for Sep . The symptoms are < by touch (except pain in back, which is > by touch). Pressure > . (Pressing eyelids together < .) Binding head tightly > . Loosening clothes > . Rubbing; and scratching < . < jar; mis-step; slightest blow; overlifting. Many symptoms are both < and > by rest and motion. < Moving arms. Lying on side, and on right side > . Lying on left side < . Lying on back < . Sitting < many symptoms. Faint sitting erect or kneeling. ( < Kneeling is characteristic.) Sitting with legs crossed > . Stooping < . Standing < . Hard motion > headache. A short walk fatigues much. Going upstairs < . Dancing and running = no shortness of breath. < Mental labour. < From sexual excesses. < Afternoon and evening. ("Dyspnœa in evening" is characteristic.) < From cold air or during east wind. < In sultry, moist weather. < Before a thunderstorm. < By laundry work. ( Sep . is the "washerwoman's remedy." ─ H. C. Allen.) Stormy weather = suffocating feeling. < After sleep (stiffness of legs). < On failing to sleep or in first sleep. > In open air. (Also ─ warmth of natural bodily heat; very sensitive to cold air.) Cold water > eyes and teeth. > Warmth of bed or hot applications. Cough < in church. < During and immediately after eating. Milk, fat food, acids < . While eating pulsation in pit of stomach, the more he eats the < it becomes. Empty feeling ceases at supper. < From coitus. I have confirmed the experience of Dr. Swallow, who found the fresh preparation of Sep . (which I prescribe as Sep. fr .) to possess a wider range than the ordinary preparation and to act as an "organ remedy" in a great variety of uterine affections not definitely indicated by the pathogenesis. I have used it in attenuations from the 5th to 30th.]

Relations

Antidoted by: Smelling Nit. sp. d., by Vegetable acids, Aco., Ant. c., Ant. t., Rhus. It antidotes: Calc., Chi., Merc., Nat. m., Nat. ph., Pho., Sars., Sul. Incompatible: Lach. (but in one case in which Lach. in very high potency had caused intensely distressing rectal tenesmus with alternate inversion and eversion of the anus, Sep . high proved to be the antidote). Complementary: Nat. m. (the cuttle-fish is a salt-water animal), Nat. c., and other Natrum salts; Sul. Followed well by: Nit. ac. Compare: Vesicular eruptions and ulcers about joints, Brx., Mez. Psoriasis, Ars., Ars. i. Chloasma, Lyc., Nux, Sul., Curar. Ringworm, Bac., Calc., Tell. Sadness, Caust., Puls. Mild, easy disposition, Puls. Weeps when asked about her symptoms (Puls., weeps when telling her symptoms). Diseases with sudden prostration and sinking faintness, Murex, Nux m. Washerwoman's remedy, Pho. (Pho., headache after washing). Pains extend from other parts to back (Sabi. the reverse). Pains with shuddering (Puls., with chilliness). Lack of vital heat, especially in chronic diseases ( Led . in acute diseases). Coldness of vertex with headache, Ver. (heat of vertex, Calc., Graph., Sul.). Indifferent to his occupation, Fl. ac., Ph. ac. Greedy, miserly, Lyc. Must loosen neckband, Lach. Sensation of ball in inner parts, Lach. Herpes circinatus in isolated spots (Tell. in intersecting rings). Empty feeling > eating, Chel., Pho. Constipation during pregnancy, Alm. Pain in rectum long after stool, Nit. ac., Sul. Urine so offensive must be removed from room (Indium, horribly offensive after standing). Bed wet almost as soon as child goes to sleep, Kre. Old-standing gleet, K. iod. Bearing down as if everything would protrude from pelvis, Agar., Bell., Lil. t., Murex, Sanic. Sight or thought of food sickens, Nux. Smell of cooking food nauseates, Ars., Colch. Itching turns to burning by scratching, Sul. Spine pain < sitting than walking, Cob., Zn., Puls., Can. i. Indurated uterus; vaginismus, Plat. Bearing down, Bell. (Bell. < lying down, Sep. > ; Bell. > standing, Sep. < ). Cannot expectorate, Caust., Dros., K. ca., Arn. Spurting of urine with cough, Caust., Nat. m., Fer. Eczema of backs of hands, Nat. c. Prolapsus uteri, Nux. (Sep. follows when Nux ceases to act). Ptosis, Gels. (Gels., sluggish mind; suffused red face). Urticaria < in open air, Rx. c. Urticaria, Ast. fl., Nat. m., Apis, Chloral., Urtica. Eye affections of tea-drinkers, Thuj. Dyspepsia with thick urine, Lyc. Indurated uterus, melancholy, Aur. Bearing down, sadness, K. fcy. Bearing down, congestion, aching distress, prolapse, Ust., Sec., Vib. o., Vib. t., Inula., Hedeo, Ziz. Uncontrollable fits of laughter, Croc., Ign. Terrible sadness during menses, Lyc., Nat. m, Nit. ac. (Nat. m. is < or > 10 a.m.) Irritable during menses (Nux, Cham., Mg. m. before and during; Lyc . before). < Kneeling, Coccul., Mg. c. Anxious about health, Calc., Pho. Ozæna, clinkers, Pul., Syph., Pso. Fetid urine, Calc. (Benz. ac. and Nit. ac., strong ). Burning, shooting, stitching pains in cervix, Murex. Hot, burning eructations, Pet., K. ca., Hep. Delay in passing water, Ars. (ineffectual desire, Nux). Fear of ghosts, Pho., Pul. Phimosis, Can. s., Merc., Sul., Nit. ac., Thuj. With exhausted feeling in bowels after stool, Plat. Movements of head, Lyc. < From coitus; remedy for women, relaxation of tissue, K. ca. As if struck by a hammer in the back (Naj. in nape). Tongue and mouth as if scalded, Sang. Turning round in abdomen, Nit. ac. (as if machinery working in abdomen). Pain as of subcutaneous ulceration, Puls., Ran. b. Badly healing skin, Hep. Eyes > bathing in cold water, Asar. Sensitiveness, Asar. Apoplexy, Ast. r. (a sea animal). < From milk, Homar. (a sea animal). Chest, Pho.

Causation

Anger and vexation. Blows. Falls. Jar. Injury. Overlifting (dyspepsia). Snowy air. Tobacco (neuralgia). Laundry work. Wetting. Alcohol. Milk, boiled (diarrhœa). Fat Pork.

Mind

Sadness and dejection, with tears. ─ Melancholy and moroseness. ─ Anguish and inquietude, sometimes with flushes of heat, generally in evening (when walking in open air), and sometimes in bed. ─ Restlessness, fidgety. ─ Dread of being alone. ─ Excessively nervous; sensitive to least noise. ─ Great uneasiness respecting the health; and about her domestic affairs. ─ Pensiveness. ─ Timorous disposition. ─ Discouragement, often to such an extent as to be disgusted with life. ─ Indifference to everything (to all surroundings), even to relations. ─ Repugnance to customary business. ─ Great disturbance caused by vexation. ─ Great excitability in company. ─ Susceptibility and peevishness, with great irascibility. ─ Quarrelsome and caustic disposition. ─ Weakness of memory. ─ Distraction. ─ Aptness to make mistakes in speaking and writing. ─ Unfitness for intellectual labour. ─ Slowness of conception. ─ Comprehension difficult; heavy flow of ideas. ─ Language coming slowly.

Head

Confusion of the head, which disables him from performing any mental labour. ─ Fits of vertigo, esp. when walking in open air, or when writing, or even on least movement of arms. ─ Vertigo, during which all objects appear to be in motion, or with sensation as of something rolling round in head. ─ Vertigo in morning, on rising, or in afternoon. ─ Sensation of coldness on vertex; < from moving head and stooping, > when at rest and in the open air. ─ Fits of headache, with nausea, vomiting, and shooting or boring pains, which extort cries. ─ Headache every morning. ─ Headache, which does not permit the eyes to be opened. ─ Headache, with excessive desire for coition. ─ Headache, on shaking or moving head, and also at every step, as if brain were shaken about. ─ Semilateral headache, sometimes in the evening, after lying down, preceded by heaviness of head. ─ Paroxysms of hemicrania, stinging pain as from within to without, in one side of head (mostly l.) with nausea (and vomiting) and contraction of eye; < in room and when walking fast, > in open air and when lying on painful side. ─ Boring headache from within to without, from forenoon till evening, < from motion and stooping, > by rest, when closing the eyes, from external pressure, and sleep. ─ Heaviness of head. ─ Pressive cephalalgia above eyes, in the clear daylight; as if the head should burst and the eyes fall out, with nausea. ─ Expansive pressure in head, sometimes when stooping, as if it were about to burst. ─ Contraction in head. ─ Drawing and tearing in and on head, sometimes semilateral. ─ Lancinating cephalalgia, often semilateral or frontal. ─ Shooting pains, esp. over l. eye, extorting cries. ─ Headache at menstrual nisus; with scanty flow. ─ Headache in terrific shocks. ─ Involuntary jerking of head backward and forward, esp. in forenoon and when sitting. ─ Fontanelles remain open, with jerking of the head, pale, bloated face; stomacace, green diarrhœic stools. ─ Perspiration on the head, smelling sour, with faintish weakness; < in evening before going to sleep. ─ Rush of blood to the head. ─ Throbbing cephalalgia, esp. in occiput (beginning in the morning, < in evening, from least motion, when turning eyes, when lying on back, > when closing eyes and when at rest). ─ Violent congestion of blood in head, with heat, esp. when stooping. ─ Coldness of exterior of head. ─ Disposition to take cold on head from dry, cold wind, and if head gets wet. ─ Involuntary trembling, and shocks in head. ─ Mobility of scalp. ─ Scalp and roots of hair very sensitive to touch. ─ Itching on head (nose and eyes). ─ Eruptions on vertex and back part of head, dry, offensive, stinging, itching and tingling, with cracks, extending behind ears, feeling sore when scratching them. ─ Swelling on one side of head above the temple, with itching; sensation of coldness and tearing in it; < when touching it; > when lying on it, or after rising from bed. ─ Humid scabs on the head. ─ (Bald spots on scalp, porrigo decalvans. ─ R. T. C.). ─ Falling off of the hair. ─ Small red pimples on forehead; rough forehead. ─ Swelling of head, esp. forehead.

Eyes

Heaviness and depression of upper lids. ─ Pressure on eyeballs. ─ Itching and smarting in eyes and lids. ─ Pricking in eyes, by candle-light in evening. ─ Burning sensation in eyes, esp. in morning on waking. ─ Inflammation of eyes, with redness of sclerotica, and shooting pains. ─ Inflammation, redness, and swelling of eyelids, with styes. ─ Pustules in the cornea. ─ Scabs in eyebrows. ─ Glassy, watery eyes, in evening. ─ Fungus hæmatodes in cornea. ─ Dry scabs on lids, esp. on waking in morning. ─ Yellow colour of sclerotica. ─ Eyelids pain in morning when awaking as if too heavy, and as if he could not keep them open. ─ Eyelids red, swollen; styes on them. ─ Lachrymation, esp. in the morning or nocturnal agglutination of lids. ─ Quivering and jerking of lids. ─ Paralysis of the lids, and inability to open them, esp. at night (and evening). ─ Confused sight, when reading and writing. ─ Presbyopia. ─ Weakness of sight, as from amaurosis, with contracted pupils. ─ Appearances of a veil, black spots, points, sparks, and streaks of lights, before eyes. ─ Intolerance of reflected light from bright objects. ─ Green reflection round candle in evening. ─ Great sensitiveness of eyes to daylight. ─ Sight vanishes during the menses, > on lying down.

Ears

Otalgia. ─ Shootings in ears. ─ Stinging in the l. ear. ─ Pain in ear, as from excoriation. ─ Swelling, and purulent eruption, in external ear. ─ Herpes on lobe of ear, behind the ear and on nape of neck. ─ Discharge of liquid pus from ear, with itching. ─ Hearing extremely sensitive, esp. to music. ─ Hardness of hearing. ─ Sudden deafness, as if caused by a plug in ears. ─ Buzzing and roaring before ears.

Nose

Swelling and inflammation of nose, esp. at tip. ─ Scabs on tip of nose. ─ Scabby and ulcerated nostrils. ─ Hardened mucus in nose. ─ Epistaxis, and discharge of blood, frequently, on blowing nose, after being in the slightest degree overheated, or when the nose has been struck by any thing, even lightly. ─ Violent bleeding of nose, esp. during menses. ─ Anosmia. ─ Smelling too sensitive; too feeble, yellow saddle across the bridge of nose. ─ Fetid smell in nose. ─ Ozæna; blowing of large lumps of yellow green mucus or yellow green membranes, with blood, from the nose. ─ Dry coryza. ─ Dry coryza, esp. of l. nostril. ─ Dry mucus, which causes an obstruction in nose. ─ Violent fluent coryza, with sneezing, pain in occiput, and drawing in limbs.

Face

Paleness and puffiness of face, with blue circles round the eyes, which are red and dull. ─ Yellowness of face (and of the whites of eyes). ─ Face emaciated. ─ Yellow streak on nose, and cheeks, in form of a saddle. ─ Violent heat in face. ─ Pale bloatedness of face. ─ Erysipelatous inflammation, and swelling of one side of face (arising from a carious tooth). ─ Inflammatory swelling of face, with yellow scurfy pimples, thickly grouped. ─ Herpes, scurf on face. ─ Warts on face. ─ Black pores on face. ─ Acne < before menses. ─ Itching, and eruption on face and on forehead; sometimes merely like redness and roughness of skin. ─ Skin swollen on forehead. ─ Tumours on the forehead. ─ Drawing facial pains. ─ Spasmodic pain and tearing in bones of face. ─ Neuralgic pains (l. side, from abuse of tobacco). ─ Dryness and exfoliation of lips. ─ Tension of lower lip. ─ Swelling of under lip. ─ Yellow colour and herpetic eruption round mouth. ─ Moist and scabious eruptions on the red part of lips, and on chin. ─ Painful ulcer on internal surface of lips. ─ Engorgement and painful sensitiveness of submaxillary glands.

Teeth

Toothache, on compressing or touching teeth, and on speaking, also from slightest current of cold air. ─ Nocturnal toothache, with extreme excitement. ─ Pulsative shooting, or drawing toothache, extending sometimes into ear (esp. after eating, drinking, or taking anything cold into mouth) or into arms and fingers. ─ Toothache during the menses. ─ Toothache; stinging, pulsating, extending into ear during pregnancy, with shortness of breath, with swelled face and swelling of submaxillary glands, < from every cold draught of air, when touching teeth and when talking. ─ Toothache with violent ebullition of blood, and pulsation in whole body. ─ Tearing shocks in teeth. ─ Bluntness, looseness, easy bleeding, and caries of teeth. ─ Gums dark red. ─ Swelling, excoriation, ulceration, and easy bleeding of gums.

Mouth

Fetid breath. ─ Swelling of interior of mouth. ─ Dryness of the mouth, lips and tongue. ─ Saline salivation. ─ Taste bitter, sour, slimy, foul, mostly in morning. ─ Pain in tongue and palate, as if they had been burnt. ─ Tip of tongue feels as if scalded. ─ Excoriation of tongue. ─ Vesicles on tongue. ─ Tongue loaded with a white coating. ─ Soreness of tip of tongue.

Throat

Sore throat, with swelling of glands of neck. ─ Pressure, as from a plug in throat, or pain as from excoriation, and shootings during deglutition. ─ Pressure in throat in region of tonsils, as if neck. ─ cloth were too tight. ─ Jerking in throat. ─ Swelling and inflammation of the gullet. ─ Inflammation, swelling, and suppuration of tonsils. ─ Dryness in throat, with tension and scraping. ─ Clammy sensation in throat. ─ Accumulation of mucus in throat, and on velum palati. ─ Roughness and burning in fauces; < by hawking. ─ Hawking up of mucus, esp. in morning. ─ Expulsion of sanguineous mucus on hawking.

Appetite

Putrid or sour taste. ─ Too salt taste of food. ─ Adipsia or excessive thirst, esp. in morning and in evening, sometimes with anorexia. ─ Great voracity. ─ Bulimy, with sensation of emptiness in stomach. ─ Eager desire for wine; for vinegar. ─ Creates aversion to beer. ─ Repugnance and dislike to food, esp. to meat, and milk, which produces diarrhœa. ─ Tobacco smoke disagrees. ─ Disagreeable risings, with nausea, after eating fat food. ─ Weak digestion. ─ After a weal: acidity in mouth, frequent risings, scraping and burning sensation in throat, pulsation in scrobiculus, hiccough, inflation of abdomen, sweat, feverish heat, palpitation of heart, cephalalgia, nausea, vomiting, pains in stomach, &c.

Stomach

Sensation of emptiness in pit of stomach, just below ensiform cartilage; this is a very weak, "gone" feeling, which nothing can satisfy; this symptom may appear in any complication of troubles, in disordered menstruation, &c. ─ Frequent risings, generally sour or bitter, or else like rotten eggs, or with taste of food. ─ Painful risings, during which blood comes into mouth. ─ Acidity, with disgust to life. ─ Nausea, sometimes when fasting in morning, > by eating a little. ─ Nausea, with bitter taste and risings. ─ Nausea from motion of a carriage. ─ Nausea and vomiting after a meal. ─ Vomiting of bile and of food (in morning, with headache). ─ Vomiting of bile and food during pregnancy; straining so hard that blood comes up. ─ Pains in stomach after a meal, sometimes in evening. ─ Violent pain in cardia, when food passes into stomach. ─ Pain in the scrobiculus while walking. ─ Pressure in stomach, as from a stone, esp. during or after a meal, or else at night. ─ Contractive spasm in stomach. ─ Waterbrash, esp. after drinking or eating, or preceded by a whirling sensation in stomach. ─ Vomiting of milky serum (in pregnant women). ─ Nocturnal vomiting, with headache. ─ Cramps in stomach and chest. ─ Tearing boring in cardiac region, extending to loins. ─ Cutting boring from stomach towards spine. ─ Pressive shootings in scrobiculus, and in region of the stomach. ─ Burning sensation in pit of stomach and scrobiculus. ─ Throbbing in pit of stomach. ─ Painful sensation of emptiness in stomach.

Abdomen

Pains in the liver, when riding in a carriage. ─ Aching, throbbing, and shooting in hepatic region. ─ Boring or tensive shootings in hypochondria, esp. during movement. ─ Shootings in l. hypochondrium. ─ Attacks of contractive pain in r. hypochondrium. ─ Pain across hypochondrium at night on lying down, > from micturition. ─ Pain in abdomen, in bed in morning. ─ Pressure and heaviness in abdomen, with sensation of expansion, as if it were about to burst. ─ Excessive distension of abdomen. ─ Heaviness and hardness in abdomen. ─ Hardness in pyloric region. ─ Soreness of abdomen in pregnant women. ─ Enlargement of abdomen (in women who have had children). ─ Dropsical swelling of abdomen. ─ Abdominal spasms, with a clawing pain, as if intestines were twisted. ─ Incisive colic, esp. after corporeal exercise, or at night, with desire to evacuate. ─ Digging, cuttings, and aching in the abdomen. ─ Pain, as from a bruise in intestines. ─ Coldness in abdomen. ─ Burning sensation and shootings in abdomen, esp. in l. side, and sometimes extending into thigh. ─ Sensation of emptiness in abdomen. ─ Lancinations in groins. ─ Brownish spots on abdomen. ─ Movements and borborygmi in abdomen, esp. after a meal. ─ Excessive production and incarceration of flatus.

Stool and Anus

Constipation during pregnancy. ─ Ineffectual want to evacuate, or only with emission of slime and flatus. ─ Slow, inefficient evacuations, like sheep dung. ─ Scanty evacuations, with straining and tenesmus. ─ Fæces too soft. ─ Difficult discharge even of soft stool. ─ Great difficulty in discharging stool, which seems to stick in anus or rectum as if a ball or potato was there. ─ Difficult stool with sensation of weight in abdomen. ─ Gelatinous evacuations (small), with gripings (and tenesmus). ─ Debilitating diarrhœa. ─ Greenish diarrhœa, often of a putrid or sour smell, esp. in children. ─ Diarrhœa after boiled milk. ─ Whitish or brownish colour of stools. ─ Discharge of blood during the evacuation. ─ Contractive pain and tension, itching, tingling, burning, and shooting in anus and rectum. ─ Oozing from rectum. ─ Slimy discharge from rectum, with shooting and tearing pains. ─ Affections of anus and rectum where there are sharp, shooting, lancinating pains running up into abdomen. ─ Prolapsus recti, esp. during an evacuation. ─ Weak feeling in rectum in bed. ─ Congestion, of blood in anus. ─ Inactivity of the bowels. ─ Protrusion of hæmorrhoids from rectum (when walking; bleeding when walking). ─ Bleeding hæmorrhoids. ─ Excoriation between the buttocks. ─ Contractive pain in perinæum. ─ Ring of condylomata round anus.

Urinary Organs

Frequent (and ineffectual) want to urinate (from pressure on bladder and tension in hypogastrium). ─ Aching in bladder. ─ Feeling as if bladder were greatly distended. ─ Emission of urine at night (has to rise frequently). ─ Involuntary discharge of urine at night, esp. in first sleep. ─ Deep-coloured urine, red like blood. ─ Turbid urine, with red, sandy, or brick-coloured sediment. ─ With white sediment and a cuticle on surface. ─ Profuse fetid urine, with white sediment. ─ Urine with a sanguineous deposit. ─ Sediment to the urine like clay, as if clay were burnt on the bottom of the vessel. ─ Urine very offensive; cannot be endured in room. ─ Cramp in bladder, burning sensation in bladder and urethra. ─ Smarting in urethra, esp. when urinating. ─ Incisive pains and shootings in urethra. ─ Discharge of mucus from the urethra, as in chronic gonorrhœa.

Male Sexual Organs

Profuse perspiration of genitals, and esp. of scrotum. ─ Itching round the genital organs. ─ Itching eruption on the glans and prepuce. ─ (Crop of small, velvety gonorrhœal warts round margin of prepuce). ─ Pseudo-gonorrhœa of an acid salt smell. ─ Ulcers on glans and prepuce. ─ Pains in the testes. ─ Cutting in testes. ─ Swelling of scrotum. ─ Weakness of genital organs. ─ Increased sexual desire, with frequent erections (continued erections at night). ─ Frequent pollutions. ─ Discharge of prostatic fluid, after urinating, and during a difficult evacuation. ─ Intellectual, moral, and physical fatigue after coition, and pollutions. ─ In either sex, complaints from coition.

Female Sexual Organs

Excoriation in vulva, and between thighs, sometimes before menses (soreness and redness of labia and perinæum). ─ Great dryness of vulva and vagina, esp. after menses; painful to touch. ─ Internal and external heat in genitals. ─ Con tractive pain in vagina. ─ Swelling, redness, and moist itching eruption on labia minora. ─ Bearing down in uterus, which obstructs respiration. ─ Pressure as if everything would protrude through the vulva (with oppression of breathing). ─ Pains in both groins and bearing down, with constipation but no leucorrhœa; sleep heavy and non-refreshing, coldness all over, tongue flabby (cured in stout woman, 35. ─ R. T. C.). Prolapsus of the vagina. ─ Violent stitches in the vagina upwards. ─ Prolapsus uteri, with congestion, with yellow leucorrhœa. ─ Prolapsus, with inclination of fundus to l., causing numbness in l. lower half of body, with pain, > when lying, esp. on r. side, tenderness of os uteri. ─ Induration of cervix; burning, shooting, sticking pains. ─ Metrorrhagia; during climaxis or during pregnancy. ─ Menses too profuse. ─ Menses suppressed, or too feeble, or else too early (appearing only in morning). ─ When menses fail to appear in mothers who do not nurse, with inflation of abdomen. ─ Colic before menses. ─ During menses: irritability, melancholy, toothache, headache, nose-bleed, and painful weariness in limbs, or spasmodic colic and pressure towards the parts. ─ Must cross her limbs to prevent protrusion of the parts. ─ Dull, heavy pain in ovaries; esp. l. ─ Sterility. ─ Leucorrhœa, or a yellow or greenish red water, or purulent and fetid, sometimes with inflation of abdomen, or shootings in vagina. ─ Leucorrhœa in place of menses. ─ Leucorrhœa like milk, with soreness of pudenda. ─ Itching, corrosive leucorrhœa. ─ Inclination to miscarriages. ─ Abortion after the fifth month. ─ tendency to abort fifth to seventh month. ─ Shootings in mammæ. ─ Excoriation of nipples (which bleed and seem about to ulcerate). ─ Nipples cracked across the crown. ─ Induration of breasts; scirrhus, stitches, tender, burning pains. ─ Excoriation in children. ─ Sudden hot flushes of climaxis, with momentary sweat, weakness and great tendency to faint. ─ Retained placenta after miscarriage. ─ Soreness of abdomen, feels motions of child too sensitively. ─ During pregnancy yellow brown spots on face. ─ Terrible itching of vulva causing abortion. ─ Offensive excoriating lochia, very long lasting.

Respiratory Organs

Roughness and soreness of larynx and throat. ─ Sensation of dryness in larynx. ─ Hoarseness with coryza. ─ Sensation of dryness in trachea. ─ Cough, excited by a tickling in larynx or chest. ─ Dry cough, which seems to arise from stomach, esp. when in bed in evening (till midnight), and often with nausea and bitter vomiting. ─ Moist cough, after a chill. ─ Cough only during day, or which wakens one at night. ─ Expectoration profuse and whitish. ─ Cough, with copious expectoration of mucus, generally putrid, or of a salt taste, often only in morning or evening, and frequently accompanied by noise, weakness, and pains as from excoriation in chest (as if it were raw). ─ Cough with expectoration in morning, no expectoration in evening, or with expectoration at night, none in day; very severe cough in morning on rising, and expectoration of a great quantity of badly tasting substance. ─ Nocturnal cough, with cries, suffocation, and retching. ─ Cough, like whooping-cough. ─ Attacks of spasmodic cough, like whooping-cough, caused by tickling in chest or from tickling extending from larynx to abdomen, with expectoration only in morning, evening and at night of greenish-grey pus, or of milk-white, tough mucus, sometimes disagreeably sweet, which has to be swallowed again. ─ Cough < when lying on l. side; from acids. ─ Cough excited by a tickling sensation, and accompanied by constipation. ─ Difficult expectoration (or being obliged to swallow again what had been raised). ─ Yellow-greenish purulent expectoration during the cough. ─ Expectoration of blood while lying down. ─ Sanguineous expectoration, when coughing, morning and evening, with expectoration of mucus by day. ─ Lancinations in chest or back during cough.

Chest

Dyspnœa, oppression of chest, and shortness of breath, when walking and ascending, as well as when lying down in bed, in evening, and at night. ─ Pain in sides of chest, when inspiring or coughing. ─ Stitch in l. side of chest and scapula when breathing and coughing. ─ Oppression on chest produced by an accumulation of mucus, or by too profuse expectoration. ─ Pain in chest from movement. ─ Pressure in chest, esp. when in bed in evening. ─ Heaviness, fulness, and tension in chest. ─ (Hepatisation of middle and lower lobes of r. lung. ─ Skinner). ─ Pain in chest, as from excoriation. ─ Cramps in chest. ─ Itching and tickling in chest. ─ Sensation of emptiness in chest. ─ Shootings and prickings in chest, and sides of chest, sometimes during an inspiration, and when coughing, as well as from intellectual exertion. ─ Brown spots on chest. ─ The chest symptoms cease, or are > by pressure of hand on thorax.

Heart

Ebullition (congestion) of blood in chest, and violent palpitation of heart. ─ Intermittent palpitation of heart. ─ Palpitation: in evening in bed with beating in all arteries; during digestion; with stitches in l. side of chest. ─ Heart gives an occasional hard thump. ─ Wakes up with violent beating of heart. ─ Nervous palpitation > by walking fast.

Neck and Back

Tetters on nape, and behind ears. ─ Claret-coloured spots on neck, and under chin. ─ Furunculus on neck. ─ Perspiration on back, and under axillæ. ─ Swelling and suppuration of axillary glands. ─ Humid tetters under axillæ. ─ Pressure and stitches in r. shoulder-blade. ─ Stiffness in small of back and neck. ─ Pains in loins and back, with burning tearing. ─ Throbbing in loins. ─ Weakness in loins when walking. ─ Incisive pains, pressure, digging and spasmodic tearings in back. ─ Rigidity of back and nape. ─ Pain in the back, and small of back particularly with stiffness; > by walking. ─ Tearing in back during menses, with chills, heat, thirst and contraction of chest. ─ Aching and dull pain in lumbar and sacral regions, extending to thighs and legs. ─ Sprained pain over hips, in evening in bed, and in afternoon. ─ Shivering in back. ─ Brownish spots on back. ─ Reddish herpetic spots above hip, and both sides of neck. ─ Stitches posteriorly above r. hip; she could not lie on r. side, and when touched it felt sore. ─ Stitches in back when coughing. ─ Itching eruption on back.

Limbs

Drawing in all the limbs. ─ Drawing and tearing (paralytic pains) in, limbs and joints (with weakness). ─ Heaviness of the limbs. ─ Arthritic pains in joints. ─ Tension in limbs as if they were too short. ─ Easy going to sleep of limbs, esp. after manual labour. ─ Stiffness and want of flexibility in joints. ─ Easy dislocation and spraining of limbs. ─ Commotions and jerks in limbs night and day. ─ Restlessness and throbbing in all the limbs, which admits of no rest in any place. ─ Frequent stretchings. ─ Want of stability in limbs. ─ Coldness of hands and feet; but moist.

Upper Limbs

Wrenching pain (as from dislocation) in shoulder-joint, esp. on lifting or holding anything. ─ Lassitude in arms. ─ Sensation of stiffness or coldness in arms, as if paralysed. ─ Drawing, paralytic pain in arm and shoulder-joint, extending to fingers. ─ Swelling and suppuration of axillary glands. ─ Shootings in arms, wrist, and fingers on fatiguing or moving them. ─ Painful tension in arms, and joints of elbow and fingers, as if caused by contraction. ─ Inflammatory, deep red, hard, marbled swelling in middle of arms. ─ Pustules on arms, with violent itching. ─ Stiffness of joints of elbow and hands. ─ Brownish spots, herpetic skin, and itching scabs an elbow (scaling off). ─ Itching vesicles on back of hand, and tips of fingers. ─ Itch and scabs on hands (soldiers' itch). ─ Herpes on backs of hands. ─ Swelling of hand, with eruption of vesicles, like pemphigus. ─ Shootings in wrist on moving the hand. ─ Burning heat in palms. ─ Cold sweat on hands. ─ Malignant scabies, and scabs on hands. ─ Arthritic drawing and shootings in joints of fingers. ─ Distortion of fingers. ─ Painless ulcers on joints, and on tips of fingers. ─ (Tingling in tips of fingers, which wakes her up on going to sleep, after which sleeps well all night. ─ R. T. C.). ─ Warts on hands and fingers; on sides of fingers; horny. ─ Flaws on fingers. ─ Deformed nails. ─ Panaritium, with throbbing and shooting pains.

Lower Limbs

Pain as if bruised in r. hip-joint. ─ Pain in hips, with tearing shootings. ─ Pain in buttocks and thighs, after having been seated for some time. ─ Spasms in buttocks at night, in bed, when stretching out the limb. ─ Paralytic weakness of legs, esp. after a paroxysm of passion. ─ Stiffness of legs, as far as hip-joint, after having been seated a short time. ─ Coldness in legs and feet (esp. in evening in bed). ─ Swelling of legs and feet ( < when sitting or standing, > when walking). ─ Cramp in thighs when walking. ─ Tearing lancinations, or shocks in thighs and tibia, so as to extort cries. ─ Furunculi on thigh and in hams. ─ Drawing and tearing shootings in knees, hams, and heels. ─ Painful swelling of knees. ─ Synovitis of knee-joints in housemaids (R. T. C.). ─ Stiffness in joints of knee and ankle. ─ Cramps in Calves, sometimes at night. ─ Restlessness of legs every evening (with formication in them). ─ Itching pimples on legs and instep. ─ Drawing pain in legs and great toes. ─ Shootings in tibia and instep. ─ Sensation in legs, as if a mouse were running over them. ─ Jerking in feet when sleeping. ─ Ulcers on instep. ─ Stiffness in heels and joints of feet, as from contraction. ─ Pricking and burning sensation of feet. ─ Tingling and numbness in soles of feet. ─ Profuse, or else suppressed (offensive) perspiration of feet (causing soreness between toes). ─ Stinging in the heels. ─ Tension in tendo-Achillis. ─ Ulcers on heel, arising from corrosive vesicles. ─ Indolent ulcers on joints and tips of toes. ─ Corns on feet, with shooting pain. ─ Deformity of toenails.

Generalities

[Affections in general appearing in l. side; r. upper and r. lower extremities; eyelids internal ear; hearing very sensitive; region of liver; inner lower belly l. shoulder-blade; back and small of back; axilla; axillary glands, esp. where there are darting pains through them; upper and lower extremities and joints; r. lumbar region, with a violent pressing or bearing-down pain; nails turn yellow. ─ Dark hair; pale face; exanthema on face, lips, nose, forehead. ─ Bleeding from inner parts. ─ Spasms: clonic; tonic; cataleptic; great restlessness of the body; great aversion to washing. ─ Debility in general or of particular parts. ─ Sensations: of a ball in inner parts; pain as if part would burst, were pressed or pushed asunder; cramping or drawing pains in inner or outer parts; sensations of emptiness or hollowness in any part, esp. when accompanied by a fainting sensation; jerking in the muscles or elsewhere, as they may be felt in the head when talking, &c.; knocking, throbbing, or pulsation in inner parts; pressing as of a heavy load; vibration like dull tingling or buzzing in the body. ─ < In early morning; forenoon; evening, particularly before falling asleep; on waking; stooping; during inspiration; while in company; while coughing; after coitus; after eating; from exertion of the mind; during fever; female complaints generally; from loss of fluids; masturbation; music; milk; fat pork; during and after perspiration; during pregnancy; riding in a car; from riding on horseback, in a swing, &c.; from sexual excesses; during first hours of sleep; in snow air; from stretching the affected part; while nursing a child; from water and washing; from getting wet; females having leucorrhœa; during confinement esp. ─ > From drawing up the limb; moving; exertion of body; drinking cold water; in solitude; when walking quickly. ─ H. N. G.]. ─ Shooting and pricking pains in the limbs, and other parts of the body. ─ Burning pains in different parts of the body. ─ Pains, which are > by external heat. ─ Pains, by fits, with shuddering. ─ Wrenching pain, esp. on exerting the parts affected, and also at night, in heat of bed. ─ Rheumatic pains, with swelling of the parts affected, perspiration easily excited, chilliness or shivering, alternately with heat. ─ Great disturbance, caused by vexation. ─ Easy benumbing of the limbs (arms and legs) esp. after manual labour. ─ Stiffness and want of flexibility in the joints. ─ Easy dislocation and spraining of the limbs. ─ Tendency to strain the back. ─ Commotions and jerks in the limbs night and day. ─ Jerking in the muscles. ─ Fits of uneasiness, and of hysterical spasms. ─ Swelling and suppuration of the glands. ─ Renewal or < of several sufferings, during and immediately after a meal. ─ The symptoms disappear during violent exercise, except when taken on horseback, and are < during repose, also in the evening, at night, in the heat of the bed (and in the forenoon). ─ Painful sensibility of the whole body. ─ Violent ebullition of blood, even at night, with pulsation throughout the body. ─ Great swelling of body, with shortness of breath, without thirst. ─ Heaviness, and physical indolence. ─ Paroxysms of weakness, and hysterical or other forms of syncope. ─ Fainting fits. ─ Lassitude, with trembling. ─ Want of energy, sometimes only on waking. ─ The patient is soon fatigued, when walking in the open air. ─ Great tendency to take cold, and sensibility to cold air, esp. in a north wind. ─ Feverish shivering, syncope, and afterwards coryza, after getting wet.

Skin

Skin yellow, like jaundice; chapping of the skin, or cracks may extend deeply into the tissues, and this is < by washing in water; exanthema in general, particularly when it is disposed to crack. ─ Ulceration of the exanthema; bed sores; brown sphacelus. ─ Tetters in general. ─ Ulcers suppurating; pus too copious; swollen; with proud flesh. ─ Salt rheum. ─ Excessive sensibility of the skin. ─ Soreness of skin and humid places in bends of joints. ─ Itching in different parts (face, arms, hands, back, hips, abdomen and genitals) which changes to a burning sensation. ─ Itching and eruption of pimples in the joints. ─ Excoriation, esp. in the joints. ─ Dry and itching eruptions, like scabies. ─ Dry itch; bad effects where itch has been suppressed by Merc . or Sul . ─ Brown, or vinous, or else reddish, and herpetic spots on skin. ─ Annular desquamation (annular herpes). ─ Moist, scabious herpes, with itching and burning sensation. ─ Boils and blood-boils. ─ Engorged glands. ─ Scirrhous indurations. ─ Eruptions of vesicles, like pemphigus. ─ Itching, stinging, lancinating, burning, or sometimes indolent ulcers (knuckles, finger-joints, tips of fingers, joints and tip of toes). ─ Corns, with shooting pain. ─ Deformity of nails. ─ Hepatic spots. ─ Warts: on neck with horny excrescences in centre; small, itching, flat on hands and face; large hard seed warts; dark colour and painless; (large horny wart on abdomen).

Sleep

Strong disposition to sleep during day, and early in evening. ─ Attacks of coma, returning in a tertian type. ─ Falling asleep late; complaints preventing sleep; sleeping late in the morning; waking frequently during the night; very sleepy in the morning; sleeplessness before midnight; sleepiness without sleep. ─ Awakens at 3 a.m. and cannot go to sleep again. ─ Sleeplessness from over-excitement. ─ Early waking, and lying awake for a long time. ─ Frequent waking, without apparent cause. ─ Agitated sleep, with violent ebullition of blood, continued tossing, fantastic, anxious, frightful dreams, and frequent starts (screaming), with fright. ─ The sleeper fancies himself called by name. ─ Unrefreshing sleep; sensation in morning, as from insufficient sleep. ─ Lascivious dreams. ─ Talking, cries, and jerking of limbs, during sleep. ─ Nightly delirium. ─ Wanderings, anguish, feverish heat, and agitation in the body, toothache, colic, cough, and many other sufferings at night.

Fever

Pulse full and quick during night and then intermitting; during day slow. ─ Pulse accelerated by motion and being angry. ─ Pulsation in all the blood-vessels. ─ Shuddering (chilliness) during pains. ─ Coldness of single parts. ─ Want of vital heat. ─ Frequent shivering, esp. when out of doors in evening, and from every movement. ─ Flushes of heat at intervals during day, esp. afternoon and evening, while sitting or in open air, generally with thirst or redness of face. ─ Paroxysm of heat (transient), esp. when seated, and walking in open air, also when angry, or engaged in important conversation. ─ Paroxysm of heat (and of shivering) with thirst. ─ During chill more thirst than during heat. ─ Continued heat, with redness of face and violent thirst. ─ Fever, with thirst, during shivering, pains in the limbs, icy coldness of the hands and feet, and deadness of the fingers. ─ Perspiration in general; perspires too easily; single parts perspire too easily; perspiration with anxiety; with restlessness; sour-smelling or offensive. ─ Internal chilliness with external heat. ─ Perspiration while seated. ─ Profuse perspiration on the slightest movement (more after than during exercise). ─ Perspiration only on upper part of body. ─ Nocturnal perspiration, sometimes cold (on breast, back, and thighs). ─ Perspiration in morning, sometimes of an acid smell. ─ Intermittent fever, followed by violent heat and inability to collect one's senses; this is followed by profuse perspiration.

The Guiding Symptoms of Our Materia Medica

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

Mind

Weak memory.
Heavy flow of ideas ; inability for mental activity ; it is an exertion to think.
Felt all day as if he did not care what happened ; no desire to work, inattentive, absent-minded ; indolent mood.
Language comes very slowly, has to drag out the words to express ideas ; forget the chief points.
Uses wrong words when writing.
Great indifference to everything ; no proper sense of life.
Every few minutes inclined to cry, without knowing the cause.
Great sadness and frequent attacks of weeping which she can scarcely suppress.
Very sad with unusual lassitude.
Sad and gloomy mood, mostly when walking in open air and in evening.
Sad about her health and domestic affairs, discontented with everything.
Gloominess ; she feels unfortunate without cause.
Dark forebodings about his disease in regard to the future.
Felt that unless he held on to something he should scream.
Depression on awaking in morning.
Very nervous ; great excitability in company ; restless, fidgety ; wants to go from one bed to another.
Nerves very sensitive to the least noise.
Fits of involuntary weeping and laughter.
Aversion to one's occupation and family.
Dread of being alone.
Anxiety : with fear, flushes of heat over face ; about real or imaginary evils ; toward evening.
Great indifference to one's family, to those they love best.
Is easily offended and inclined to be vehement.
Great irritability alternating with indifference.
Greedy, miserly.
After overexertion of mind, bookkeepers, etc.
Quiet, introspective, rarely speaks a word voluntarily, sits for hours occupied with her knitting, her answers are intelligent but curt.
Propensity to suicide from despair about his miserable existence.
Fears to starve, is peevish, and feels mortified, easily frightened and full of evil forebodings.
After metrorrhagia oversensitive, exalted nervous state ; hasty speech accompanied by quick gestures ; eyes fiery and glistening ; pulse 110 ; her movements were like those of a passionate person ; if she could not talk her friends had to relate stories
continually in a quick way ; at times in the opposite state, gave short answers and desired to be alone ; was then moody and feigned sleep ; the nights became more and more anxious and restless ; she could not describe how terrible they were.
Contradictory, quarrelsome, complaining about others.
Passionate, irritable.
Fretful and out of humor for all business.
Greatest irritability from slightest causes ; very easily offended.
Vexed and disposed to scold.
Impatience when sitting, like an uneasiness in bones.
Violent bursts of anger with furious gestures.
Great nervous irritability, with sadness, despondency and absentmindedness ; everything seems strange to her ; least exertion seems a great effort ; it seems as if she could not understand anything and would have to learn anew everything she wished
to do ; greatest indifference to everything, the death of a near relative, or some happy occurrence, leaves her equally unaffected ; no trace of her former love for friends or even for her child ; aversion for social intercourse amounting to contempt ; constant
ill-humor ; at times headache with anxiety, < lying down ; head also hurts externally ; confusion and throbbing in head ; constant pains in occiput, < lying ; oversensitive to noise ; frequent pains in back extending down into legs and feet ;
circulation and action of heart weak, sensation as if heart stood still ; menses irregular ; at times nervous twitchings ; screams on least provocation ; strength and general condition good ; > in a warm climate, also after nosebleed ; < after coffee and
opium.

Sensorium

Stupefaction of head, mental weakness or dulness, can scarcely think.
Painful confusion in head, particularly in forehead.
Momentary attacks of giddiness when walking in open air or while writing.
Vertigo : while walking, as if every object were in motion ; with staggering ; when drinking ; as if objects were moving around one ; as if suspended in air, with unconsciousness ; when rising from bed in afternoon ; after losses of fluids.
Congestion of blood to head ; heaviness of head.

Inner head

Drawing pain seeming to be external on forehead back to occiput, in single drawings.
Single, violent, undulating jerks of pressing headache in forehead.
Tearing in upper part of right side of forehead.
Tearing in left frontal eminence.
Violent stitches outward over left orbit, with complete drawing together of eye, for three successive days, after rising in morning, continuing until noon, somewhat < in open air.
Stitches in forehead with nausea (she cannot eat), > from lying down.
Fulness in temples and forehead and throbbing of carotids.
Tearing in left temple to upper part of left side of head.
Pressure on vertex, < after mental labor.
Beating, very painful headache in vertex, in morning, soon after rising.
Dull aching frontal headache.
Headache in forehead and vertex, followed by anxiety in pit of stomach with trembling, afterward violent nosebleed.
Heavy pressing pain over left eye extending toward side of head about 3.30 P. M. ; sensation of great fulness deep in l. orbit at 4 P. M. ; headache confined to left side, > in evening and in open air ; < by shaking head.
Shooting pains from within out, especially over left eye, extorting cries, with vomiturition.
Occasionally darting pains extending from left eye over side of head toward occiput.
Headache > after meals, < by mental labor.
Severe pressure in forehead during menses, with discharge of hardened offensive matter from nose.
Stitching, pressive headache continuous in lower part of forehead just over eye, < from motion, in house, > when walking in open air.
Headache : all day with great mental depression ; in forenoon as if brain were crushed ; as from pressure from within outward ; as if head would burst ; also from coughing ; in morning, with nausea, until noon ; most severe toward evening, especially
when shaking head ; following perspiration on right side of head and face, with a surging in forehead, like waves of pain rolling up and beating against frontal bone.
Headache as from commotion of brain when stepping or when shaking head, > when sitting up or from slow exercise.
Pressing or bursting headache as if eyes would fall out, or head burst, < from stooping, motion, coughing or shaking head ; continued hard motion relieves headache.
Pulsating headache in cerebellum, beginning in morning and lasting till noon or sometimes till evening ; < from least motion, when turning eyes, when lying on back ; >. when lying on side, when closing eyes, when at rest and in a dark room.
Painful cracking in occiput.
Jerking pain upward like electric shocks in head.
Beating : in head ; in occiput.
Paroxysms of hemicrania, stinging pain from within outward, in one (mostly left) side of head or forehead, with nausea, vomiting and contraction of pupils ; < indoors and when walking fast ; > in open air and when lying on painful side.
Boring headache from within outward, forenoon till evening, feels as if he would die ; < from motion and stooping ; > by rest when closing eyes, from external pressure and sufficient sleep.
Sensation of coldness on vertex.
Headache with aversion to all food.
Hemicrania in hysterical women ; pains stitching, pressing, tearing or twitching with passive congestion of head ; in chronic cases where the nervous system has long been disordered ; leucorrhœa between menses ; sudor hystericus, peculiar sweet-smelling sweat,
particularly in axillæ and about soles of feet ; face pale, dirty yellow, slender built.
Nervous, rheumatic or gouty pains in head, particularly in delicate, sensitive women.
Frequently recurring tearing, stitching pains in right side of head, during pregnancy.
Hemicrania, right side ; drawing, tearing pains and now and then stitches as if from needles ; < morning and evening ; menses scanty and of too short duration.
Severe pressure in occiput with heat and redness of face ; eyes painful ; lassitude and tiredness of limbs ; inclination to cry ; is not disposed to do anything.
Sore pain in left eye and temple ; throbbing, tearing and stitching pains in left temple extending downward ; stitching, like in an ulcer, in left zygoma and teeth ; hair of head sensitive to touch ; pains < in paroxysms, with fainting ; shivering ;
coldness of feet ; transient heat ; thirst ; anxiety ; despair of recovery.
Migraine after catching least cold ; tearing, boring pains and at times stitches ; must lie down and keep very quiet ; closes eyes and presses head firmly to painful part ; exposure to rough wind brings on an attack ; aversion to food ; stools pappy ;
menses too early.
Severe headaches, left side, hysterical in character ; tearing, drawing pains beginning at left parietal region and becoming a pressing, throbbing pain in occiput, accompanied by nausea and vomiting ; could not open eyes or move them ;
photophobia ; obstinate constipation ; violent desire for an embrace during attack.
Subject to headaches for five or six years ; the pain is shooting, at a fixed point over eyebrow, generally right, but to-day over left ; pain causes twitching of eyebrow and desire to close eyes ; headache is < on moving eyes, also on walking, every step seemed to
jar ; attacks come on suddenly and are intolerable first day, but always leave him very weak and dreading a return for a day or two ; attacks excited by overfatigue, anxiety and vexation or overwork in school ; occasionally severe sexual excitement with emission, not always
with dreams, during sleep ; this precedes but seldom accompanies headache ; during headache there is inability to read, think or study ; a more frequent attack of bowels, nausea, dislike to any food except toast or biscuits and tea ; urine increased, nearly
colorless ; tenderness of bone of side of head affected and under corresponding supraorbital ridge.
Vertigo as if intoxicated ; tension in forehead and pressure as from a weight over eyes ; pressure and burning in eyes and fog before right eye (is blind in left eye), lassitude ; leucorrhœa, milky white, < during day.
Violent stitches in forehead, cries out ; they distort his face ; stitches return every five minutes during the day and night with unabating force, and extend into left eye and ear ; lachrymation ; painfulness of scalp ; cannot find an easy position for his
head ; every noise aggravates his symptoms ; talking in the room is unbearable, cannot sleep.
Headache every Saturday for several years ; boring pain from within outward, accompanied by nausea and vomiting ; > binding head up tightly and after a good sleep.
Periodical headache coming on at 2 P. M., lasting till bedtime.
Headache in terrific shocks.
Dull, stupid headache, with great mental depression ; anemia.
Shooting from forehead to vertex and both sides of face.
Chronic congestive headaches with photophobia and impossibility to open eyes on account of weight on upper lid.
Gouty, or nervous headaches, from abdominal plethora or menstrual disturbances.
Headache with aversion to all food.
Chronic paroxysmal headaches in women during climaxis ; disorders of digestion, abdominal plethora and leucorrhœa.
Attacks of sick headache and sudden obscuration of sight with each attack.
Every time she goes shopping she has a severe nervous headache.
Attacks of gouty pains in head, boring in character, causing patient to scream with pain, accompanied by vomiting.
Congestive, gastric, hysteric, nervous and rheumatic headaches.
Clavus hystericus.
Headache with aversion to all kinds of food, a feeling of emptiness and goneness in pit of stomach, very distressing ; headache occurring every morning with nausea, vertigo, epistaxis ; in women who have mothpatches on their foreheads, of
sallow complexion, or who have a yellow streak across bridge of nose and under eyes ; smell of food repulsive.
Hemicrania from an affection of reproductive system ; especially in young women in whom the cerebral nerves have excited the sympathetic, producing a long train of hysterical symptoms.
Boring stinging over right eye, < in a thunderstorm, in cold air, north wind, taking cold on head, etc.
Losing hair after chronic headaches.
Chronic meningitis, headache < when lying down ; > by remaining in a sitting position ; when pain increased a sensation like globus hystericus ; all coverings of neck felt too tight ; fulness, pulsation and beating in
head ; had her fingers continually on dress covering neck even when it was wide, the very touch of it distressed her.
Meningitis ; the child is in a torpid condition, with great depression of vital power ; urine has a putrid odor and deposits a clay-colored sediment which adheres to vessel or diaper.
Rush of blood to head.
Apoplexy : in men addicted to drinking and sexual excesses, with a disposition to gout and hemorrhoids ; in women from affections of reproductive system ; venous form ; headache coming on in terrific shocks ; dizziness in walking, with staggering ;
forgetfulness ; coldness of feet ; intermitting pulse.
Threatening apoplexy in dissipated, middle-aged men who are plethoric, have a large fat abdomen, and are subject to arthritic and hemorrhoidal complaints ; they have usually passed through several slight attacks of apoplexy and are frequently visited by the prodromic symptoms.

Outer head

Involuntary jerking of head backward and forward, especially forenoons and when sitting.
Fontanelles remain open, with jerking of head, pale bloated face, stomacace, green diarrheic stools.
Sensation of coldness on vertex, < when moving head and stooping ; > when at rest and in open air.
Disposition to take cold from dry, cold wind or getting head wet.
External coldness of head.
Swelling on forehead.
Swelling on one side of head above temple, with itching ; sensation of coldness and tearing in it, < when touching it ; > when lying on it or after rising from bed.
Sweat on head smelling sour, with faintish weakness in evening before sleep or in morning.
Scalp pains when touched as if roots of hair were sore.
Itching of scalp.
Violent itching, like from insects, on occiput or behind ears.
Small red pimples on forehead, roughness.
Eruption on vertex and back part of head dry, offensive, stinging, itching and tingling with cracks ; feeling sore when scratching ; falling off of hair.
Sensitiveness of roots of hair, < in evening, to contact, to cold north winds ; burning after scratching.
Dandruff comes in circles, like ringworm. θ Herpes.
Great falling out of hair. θ Climacteric period.
Scurfs very moist, almost constantly discharging puslike fluid.
Much scurf on head ; moist scalp ; tinea tonsurans.
Sensitiveness of roots of hair, < in evening, to contact, to cold north winds ; burning after scratching.
A boy, æt. 9, had a bald spot on front part of head as large as a silver twenty-five cent piece, of glossy smoothness, hair around appeared as if cut short near roots, place covered with dry, crusty scales ; soon after a similar spot on right
side of head ; finally four bald spots differing in size from a dollar to a quarter.
The large coils of hair, for a distance of about two inches from head, became kinky so as to make combing of this part of hair an impossibility ; there was no moisture about scalp on these places, nor was the hair itself tangled ; the smaller coils at sides of head showed this
condition also in the lower third of their length ; menses absent ; congestion of blood to head and chest ; face red ; headache.

Sight and eyes

Vanishing of sight ; vision impeded by fiery zigzags or sparks (whooping cough) ; flickering before eyes when looking into light ; green halo around candlelight ; black spots .
Candlelight fatigues eyes when reading or writing by causing a contractive sensation.
Cannot bear reflected light from bright objects.
Gauze, black spots, or stripes before eyes.
Dulness of sight ; when writing ; sees only one-half of object clearly, the other half is obscured.
Great sensitiveness to light of day.
Prickling of eyes, evening by candlelight.
Asthenopia : associated with exhaustion dependent upon loss of semen ; dependent upon reflex irritation from uterus (kopiopia hysterica).
Mr. B., æt. 32, sick several months ; has abused eyes by reading, writing, sewing ; trouble began in right eye, which is the worse ; sensation as if eye were gone and a cool wind blew out of socket ; severe pains and itching around
back of eye, when closing eyes flashes of light ; mist like a veil or cloud before eye ; < in strong light ; using eyes causes intense headache over them ; desire to spasmodically close eyes, which gives relief ; menses regular, accompanied by severe bearing-down
pain, with pain in hips and back and sexual excitement ; feeling of weight and heaviness of upper lids as if she could not raise them, < in morning. θ Asthenopia.
Obscuration of vision dependent upon hepatic derangement.
Astigmatism from granular lids, on reading, black seemed grey ; sight > when looking out from under brows, pain on using eyes by artificial light.
A lady, æt. 67, was suddenly attacked after taking cold, with pressing pain around eyes, < in open air ; constantly sees dark figures before eyes, like spider-web or lace, of size of a hand ; acute pain in orbit of a pressive character, < in open air ; right eye
only so affected ; sight had been gradually failing for a long time ; has been subject to sick headaches all her life. θ Incipient cataract.
Keratitis pust. ; lashes of left eye gone and edges of lids raw and sore, considerable purulent discharge from eyes, face covered with an eruption, child cries on washing.
Very large pustules around cornea with much redness, no pain or photophobia, < in evening, corners of mouth cracked.
Keratitis parenchymatosa, with uterine troubles.
Pustules on cornea, also fungus hematodes.
Trachoma, with or without pannus, especially in tea drinkers.
The eyes feel tired and look injected ; tendency to keep them closed.
Eyes feel sore as if bruised.
Pressure in right eye as from a grain of sand, < by rubbing ; < when pressing eyelids together.
Pressure in eyes at night.
Great burning of eyes and lachrymation.
Aching over eyes if he goes into bright daylight.
Lids pain on waking as if too heavy to open.
Itching of internal canthus morning after waking ; after rubbing, biting and severe lachrymation and sore sensation in external canthus, which is agglutinated.
Biting in right eye evenings, with inclination of lids to forcibly close.
Sticking in left eye.
Smarting pain in both eyes.
Burning of eyes mornings with weakness afternoons.
Eyes hot and dry ; feel like balls of fire.
Redness of conjunctivæ.
Inflammatory affections of asthenic character, conjunctiva a dull red, some photophobia and swelling of lids, < in mornings.
Acute catarrhal conjunctivitis, with drawing in external canthus and smarting in eyes, > by bathing in cold water, < morning and evening.
Conjunctivitis with muco-purulent discharge in morning and great dryness in evening.
Inflammation of eyes, with stitching and pressure.
Right eye inflamed ; heat, vessels much enlarged, with a patch of congestion ; sometimes feeling of grit in it ; eyeball aches at back, smarts when reading ; subject to faceache and indigestion, weight after food and spasmodic
flatulent pains.
Right side of face much swollen, deep red, covered with pimples filled with pus and covered with yellow crusts ; during day did not open eyes, only raised lids for an instant in the dark ; rubbed and scratched cheeks and eyes ; lids glued together in morning by thick
matter ; no appetite ; much thirst ; little sleep ; right eye seemed much smaller than left ; right angle of mouth drawn upward.
Stitches in eyes ; lids swollen ; photophobia, can hardly open eyes ; profuse lachrymation ; sensation of heat in eyes ; stuffiness of left nostril ; head confused, dull.
Coryza with ophthalmia and photophobia recurring often without apparent cause ; lids red ; spots on cornea. θ Scrofulous ophthalmia.
Eyes agglutinated in morning ; great photophobia and pains in eyes ; pustules form on cornea which suppurate and burst, leaving long-lasting maculæ ; recurring attacks since a year.
Conjunctivitis ; photophobia < in morning ; dull redness of conjunctiva ; lachrymation ; swelling of lids and great heat in them.
Pustular inflammation, dependent on uterine troubles, especially when cornea is affected and inflammation is not confined to conjunctiva ; drawing, aching, piercing pains, < rubbing, pressing lids together or pressing upon eye ; light of day dazzles and causes head to
ache ; conjunctiva swollen ; eyes agglutinated, morning and evening ; considerable purulent discharge ; edges of lids raw and sore ; feeling as if lids were too tight and did not cover ball ; eruption on face. θ Conjunctivitis.
Conjunctiva palp. injected in morning on awaking ; discharge of purulent mucus ; toward evening gradually increasing dryness of eye ; biting-excoriating sensation in lids ; photophobia ; later burning pain ; blepharospasmus ; lachrymation
suppressed ; pulse hard, rapid ; dull pain in forehead ; during paroxysm cries aloud, and is greatly agitated ; toward midnight spasm of lids ceases, pain decreases and arrested secretions reappear ; brown spots in face ; sediment in urine like brickdust. θ Conjunctivitis.
Severe conjunctivitis, every Summer for twenty years, from beginning of warm weather in Spring until its close in the Fall ; much enlargement of papillæ ; marked aggravation in morning and usually in evening.
Phlyctenular conjunctivitis.
Follicular conjunctivitis, or a mixed form of follicular and trachomatous conjunctivitis, which is observed only during the Summer, or always < in hot weather.
Soreness in internal canthi with entropium, eyes < at night and at any time during day on closing them, the lids feel as if they were too tight and did not cover eye ; scratching in eyes.
Amaurosis : with contracted pupils ; after violent headaches.
Yellow color of whites of eyes. θ Jaundice.
Drawing sensation in external canthi, smarting in eyes > by bathing in cold water, < night and morning.
Drooping of lids with dull headache ; feels as if he had not sense enough left to lift them.
Heat and dryness of margins of lids.
Eyelids pain on awaking as if too heavy, and as if he could not hold them open.
Lachrymation morning and evening, and in open air.
Redness of eyelids, with styes.
Nightly agglutination of eyes or dry scurf on lids on awaking.
Great itching on margins of lids.
Granulated lids, especially in tea drinkers.
Chronic ciliary blepharitis ; scaly condition of lid margins ; small pustules (acne ciliaris) on ciliary border.
Tarsal tumors.
After repeated styes, hard, indurated tarsal tumor as large as a pea, hindering motion of lid ; of two years' standing.
Heaviness and falling of under lids as if they were paralyzed.
Difficulty of opening eyes in morning ; paralyzed condition of lids. θ Ptosis.
Spasmodic entropion, with soreness of internal canthi and scratching in eyes, < at night and at any time during day on closing them ; lids feel as if too tight and did not cover eyes.
A boy, æt. 12, had many little tumors on lower lids, the result of styes, which impeded movement of lids.
Brown-yellowish color of eyelids.

Hearing and ears

Oversensitive to noise, and particularly to music.
Loud sounds and humming in ears followed by loss of hearing.
Sudden attacks of brief deafness.
Dragging pain or stitches in ears.
Chronic otalgia, one-sided, with toothache, returns after every slight cold.
Discharge of thin matter from ear.
Much itching in affected ear.
Swelling of and eruptions on external ear.
Tetter on lobes of ear, behind ears and on nape of neck.
Stitches in parotid glands, which swell, with tensive pain on turning head.
Stitches into right ear, going into brain, commenced several days ago, at 9 A. M., while working in field, left ear affected first ; stitches < at night ; small pustules on left wrist, which, when opened, discharge a milky fluid ; before this had panaritia of
left thumb and middle finger ; since typhoid fever has been more sensitive to changes of weather, for the last few years bee-stings bother him more than they used to do.

Smell and nose

Great sensitiveness to odors.
Loss of smell, or fetid, subjective smell.
Nosebleed : during menses ; during menses, in young girls ; during pregnancy and with hemorrhoids ; after slightest blow or when becoming overheated in slightest degree.
Nose dry ; every symptom of cold in head ; stuffed nose.
Dry feeling in nose and fauces.
Frequent sneezing without coryza.
Dry coryza, especially of left nostril.
Fluent coryza with sneezing, early morning.
Blowing of large lumps of yellow-green mucus, or yellowgreen crusts, with blood from nose.
Dry coryza ; nostrils sore, swollen, ulcerated and scabby ; discharging large green plugs.
Swollen, inflamed nose ; nostrils sore, ulcerated and scabby.
Tip of nose : inflamed, swelled, scurfy ; painful eruption.
Extremely offensive smell from nose, profuse greenish-yellow discharge ; menses scanty, preceded by yellow, excoriating leucorrhœa, < from motion.
Large, offensive-smelling plugs from nose, often so large that they had to be drawn back into mouth and expectorated, causing vomiting ; offensive-smelling, greenish discharge from left nostril ; severe throbbing pains in forehead (relieved by
Bellad.) ; of thirteen years' standing. θ Ozæna.
Catarrh : pressive pain in root of nose ; sore feeling in nose on drawing air through ; nose swollen and inflamed, nostrils angry and ulcerated ; small ulcers in nostrils ; scurfy nostrils ; discharge of yellow water from nose,
with cutting pains in forehead ; dryness in nose and throat ; dryness in choanæ (though there is much mucus in mouth) with involuntary urging to swallow ; catarrhs arising from a retrocession of an eruption.
The smell of cooking nauseates.
Yellow saddle across bridge of nose.

Upper face

Face : puffed ; pale ; yellow, earthy ; in morning red, in evening pale ; red and flushed.
Yellow saddle across upper part of cheeks and nose, and yellow spots on face ; yellow around mouth.
Pale, sallow, puffiness, with margins around eyes.
Yellowish face with dyspepsia.
Small red pimples on forehead ; rough forehead.
Circular spots on face and under chin from quarter to half an inch in diameter ; several appeared in rapid succession ; spots at first bright red, later covered with a white scurf, then returning to original red color ; spots are very
slightly raised above the skin and attended with but little itching or sensibility ; neuralgic pains shifting about in various parts of body, but more persistently located in occipital region, < remaining long in one position, at night in bed, in morning on rising ; >
changing position, and from slight exertion ; constant feeling of languor and weariness, making least exertion disagreeable ; complete anorexia. θ Psoriasis.
Eczema narium.
Herpes, scurfs and black pores on face.
Tetters around mouth, with itching of face.
Swelling of under lip.
Inflammation and swelling on one side of face, from root of a decayed tooth.
Intermittent prosopalgia, with congestion of eyes and head, jerking pains like electric shocks.
Faceache : intermittent, with congestion of eyes and head ; during pregnancy ; jerking, like electric shocks upward ; pain appears in morning immediately on awaking, none in daytime but severe at night, spreading over lower and upper maxillæ, radiating to
vertex, occiput, neck, arms and fingers ; tearing, drawing pains in face and nose, with swelling of cheeks ; pains frequently extend through ear, especially left ; < by taking either hot or cold things into mouth ; in delicate, sensitive, nervous women, especially when
uterine functions are disturbed.
Paroxysms of facial neuralgia brought on by riding in wind and from excitement ; menstrual nisus nearly always attended with neuralgic pains of greater or less severity ; when wind is the exciting cause the paroxysm comes on with a chill, and when excitement, it begins
with trembling ; pains > from pressure, being in a warm room and lying quiet ; paroxysms manifest themselves by a slight chill or trembling ; cold chills running down spine ; neuralgic pains commence in left temple and run over left side of face and down ramus of left
jaw ; pains are throbbing and digging ; noise and odors from cooking make her < ; attacks last about a day, usually < in evening ; > from sleep ; menses last two or three days, are dark, scanty, somewhat stringy ; pain and heaviness in right ovarian region,
> by leaning forward ; costive ; stool alternately hard and soft with straining ; emission of urine on coughing, walking or standing on her feet ; urine light-colored and frequent ; abdomen distended ; appetite good ; pain running down right leg ;
< from northeasterly winds, damp weather and excitement. θ Facial neuralgia.
Neuralgic pains in face, left side, from abuse of tobacco.
Jerking of muscles of face when talking.

Lower face

Yellowness around mouth.
Great dryness of lips.
Moist scaly eruptions on red part of lips and on chin.
Swelling and cracking of lower lip. θ Herpes.
Fistula in left cheek in region of lower molars, with ulcerating circumference, size of a ten-cent piece ; painless, discharges blood and pus, has lasted about a year ; cough, at times with hoarseness, bloody expectoration ; has lasted
about two years ; fine vesicular rales at left apex ; cough < in a dry east wind much more than in damp air or by getting wet ; < in morning ; is not so well on Sundays, being then at rest and in room, > while at work ; < when lying on left side ;
appetite good, thirsty in evening, sleeps well ; his feet are sweaty and have an offensive odor.
Suspicious tubercle on lower lip as large as a bean, of cartilaginous appearance, with a broad base and frequently bleeding, looking very much like a scirrhus.
An epithelial cancer of lower lip far developed, had been excised ; the wound healed kindly ; after a few months the patient began to emaciate and to exhibit every sign of cancer cachexy ; the decline was alarmingly rapid ; eminent surgeons diagnosticated internal
cancer ; no hope of recovery was entertained.
Swelling and soreness of lower lip, burning pain and a prickling as from a splinter of wood. θ Epithelioma of lip.
Carcinoma of lower lip was removed three times in the course of six months ; it had again grown and was of size of a walnut, stony hard, etc. ; tendency to reappearance every Spring for three years, i. e., painful cracks in scars left by the
operations.
Appearance of warts on face, one after another, until there were twelve about mouth and chin ; they were rather long, quite roughed at the top, somewhat pedunculated, and speedily returned after ligation.
Swelling of submaxillary glands.

Teeth and gums

Toothache : drawing in upper molars ; in a hollow tooth, extending to ear ; throbbing ; stitching ; all teeth painful, particularly in hollow molar, which pains as if elongated and swollen, with swelling of gums and cheeks, with which
the pain ceases ; drawing < if anything hot or cold is taken into mouth ; during menses drawing from teeth into cheek, which becomes swollen ; tearing out through left ear, during and after eating ; sticking, she could have cried ; stitches in teeth and jaw
extending to ear, she could not sleep at night on account of it and during day had to tie a cloth over it ; with rapid decay of teeth ; and throbbing in gums during menses ; during pregnancy with shortness of breath, worse from every cold draft of air, when touching teeth,
when talking ; biting teeth together.
Paroxysmal, beating throbbing toothache ; can feel beating of pulse all over body ; pains > from cold water, returning as soon as water gets warm ; walks about crying ; when pain is at its height, tingling in fingers of left
hand, becoming a tearing pain as it extends up arm and is ended by a spasmodic attack of asthma ; eyelids red, burning ; blowing of blood from nose ; anxious, despondent, lachrymose ; during pregnancy.
Toothache starts from carious teeth of lower jaw, then spreads over whole left side, with tearing pains ; nausea with waterbrash ; > in fresh air, < from cold water and at night ; no intermissions, difficulty of speaking or chewing ; fear of trismus ; no
swelling or abscess ; hot flashes with cold feet ; during climaxis.
Severe pains in teeth for several days, on one side only, extending to right side of head ; great internal heat ; obliged to keep her mouth half open to cool the mouth, hence great dryness in it ; afraid of tetanus.
Long-continued severe toothache, caries ; left sided, tearing, drawing pain ; waterbrash during pain ; < during night, especially before midnight, in bed, by cold and eating ; nervousness ; migraine ; leucorrhœa ; climaxis.
Chronic throbbing in teeth.
The teeth feel dull, are loose, bleed easily and decay rapidly.
Swelling of gums, dark red, painful bleeding from slightest touch.
Gums painful as if burned.
Swollen dark red gums, with painful throbbing, as if beginning to suppurate, so severe that it was scarcely endurable.
Sore ulcerated gums.
Dentition : grinding teeth ; dry ringworms make their appearance, or seem to brighten up at evolution of every fresh group of teeth ; bad smell from mouth ; aggravation of diarrhœa after taking boiled milk ; very exhausting diarrhœa.

Taste, speech, tongue

Taste : bitter ; saltish ; putrid or offensive ; sour in morning on waking ; disagreeably bitter in morning ; bitterish sour ; unpleasant in morning, mouth dry and slimy ; foul, as from an old catarrh ; slimy,
putrid ; food tastes too salt ; like manure ; metallic ; sour after eating.
Tongue and cavity of mouth feel as if scalded.
Tip of tongue feels scalded.
Soreness of tip of tongue, little blisters, sore edges.
Tongue painful as if sore.
Tongue pale, flabby and indentated. θ Atonic dyspepsia.
Blister on tongue and pain as if burned.
Vesicles on tongue.
Tongue coated : white ; with mucus ; dirty yellow ; brown, with red edges.
Talking is only a stammering.
Tongue stiff.

Inner mouth

Offensive smell from mouth.
Sour smell from mouth.
Rinsing mouth sets her to vomiting.
Dryness of mouth, throat and tongue, which in the morning were quite rough.
Profuse flow of saliva.
Dryness in fauces ; roughness and burning < by hawking.

Palate and throat

Dryness and soreness in throat at night, it feels quite parched.
Dryness in posterior nares, yet much mucus in mouth with involuntary urging to swallow.
Pressure in throat in region of tonsils, as if neckcloth were tied too tight.
During first sleep she often imagines she has swallowed something, which wakes her up in a fright, with a sensation as if it had lodged in her throat, sensation remains after waking.
Sensation of a plug in throat.
Much mucus in throat ; hawking of mucus in morning.
Burning of pharynx.
Sore throat, with swelling of cervical glands.
Soreness and stinging in throat, with swelling of submaxillary glands.
Pain in throat as if raw, when swallowing ; also stitching and scraping from empty deglutition.
Inflammation of throat ; < on left side ; with stitching pain on swallowing ; mucous membrane much swollen, but only slightly red ; sensation of a lump in throat ; secretion of tough, sticky phlegm causing constant hemming, with feeling of dryness in throat.
Chronic swelling of tonsils ; sensation like a plug when swallowing.
Contraction of throat without swallowing.
Disposition to inflammation of tonsils, usually ending in suppuration.
Chronic pharyngitis ; pharynx dark-red ; sensation of a plug in throat, particularly when swallowing and frequently accompanied by feeling of constriction in throat ; stasis of portal circulation.

Appetite, thirst. desires, aversions

Canine hunger, or no appetite, nothing tastes well.
Sudden craving, sudden satiety.
Thirstlessness ; or much thirst in morning.
Desire : for vinegar ; for wine.
Aversion to food : particularly meat and fat ; to bread, during pregnancy ; to milk, which causes diarrhœa ; loathing.

Eating and drinking

Disordered stomach after bread, milk, fat food or acids.
During and immediately after eating, pains are renewed and aggravated.
After eating : acidity in mouth ; eructations, empty or bitter ; bloatedness of abdomen.
It creates an aversion to drinking beer.

Hiccough, belching, nausea and vomiting

Hiccough after a meal, lasting a quarter of an hour.
Eructations : frequent, with efforts to vomit ; bitter ; sour ; taste like rotten eggs or manure ; after eating but little ; cause blood to rise in mouth.
Heartburn extending from stomach to throat.
Waterbrash after eating or drinking.
Nausea : after eating, also in morning, fasting ; from smell of food or cooking ; when riding in carriage ; with anxiety when exerting eyes ; with weakness.
Morning nausea as if everything in abdomen were turning round.
Morning sickness of pregnancy.
The thought of food sickens her, with sense of great weight in anus.
Nausea as if viscera were turning inside out ; inclination to vomit in morning when rinsing mouth.
Vomiting : of food and bile in morning ; of milky fluid ; during pregnancy ; frequently strains her so that blood comes up ; of mucus, caused by taking even simplest food.

Scrobiculum and stomach

Sensitiveness of pit of stomach to touch.
Peculiar faint, sinking emptiness or goneness at pit of stomach.
Pressure in stomach : as from a stone ; as if it were sore internally ; after a meal and from touch.
Beating at pit of stomach ; sour stomach ; fiery zigzag before eyes ; metallic taste in mouth ; cracking in knee and ankle joints, and painful cracking in occiput.
Painful sensation of emptiness in stomach and abdomen.
Uneasy sensation in stomach, cannot describe sensation.
Slight pressure on region of stomach causes great pain.
Painful sensation of hunger in stomach ; has to eat something in night or early morning.
Violent pressure under left ribs passing off when lying down.
Pain in stomach after simplest food.
Cramp in stomach.
Stitches or burning in stomach.
Beating in pit of stomach.
Twisting in stomach and rising in throat, tongue becomes stiff, speechless, body rigid. θ Hysteria.
Pain in stomach < by vomiting ; extends to back, with anxiety.
Dyspepsia from injury by overlifting.
Cutting, boring, from region of stomach toward spine.
Hardness in pyloric region.
Attacks of a severe cramping pain commencing in pit of stomach, pain goes to right side, under short ribs, comes in paroxysms and when at its height is almost continuous until she vomits a sour and then a thick fluid substance ; generally no
nausea, nor does she vomit until she takes something to make her vomit ; countenance a dirtyyellow, with distinct eruptions near hair on forehead ; dark urine becomes clear as soon as pain leaves ; after an attack of pain, is very hungry and eats enormously ; the attacks
last about six hours or until relieved by vomiting ; no day passes without an attack ; when at its neight pain goes through to back, between shoulders ; at times pain commences between shoulders ; thirst after spell passes off ; breath offensive ;
constipation ; stool in hard, green lumps.
Acute catarrh of stomach, especially in young people ; pain in forehead ; violent fever heat ; inclination to sleep, with restless tossing about ; complete anorexia ; white or yellow fur on tongue, without lustre ; small blisters on edges, sometimes
red spots on surface.
Vertigo at night with vomiting of bile and food ; shivering, heat with great thirst ; gums sore behind incisors ; pressure in stomach ; stitches in right hypochondrium on touch ; constipation, stools hard, difficult, followed by burning in anus ;
oppression of chest ; sleeplessness ; itching eruption on hands and thighs. θ Gastric fever.
Since several days fever ; drowsiness ; vomiting of green slime ; lips dry ; smell from mouth as of sour milk ; urine and perspiration have same smell ; perspiration only partial. θ Catarrh
of stomach.
Digestion poor, frequently disordered ; loss of appetite ; pressure in stomach ; diarrhœa alternating with constipation ; hemorrhoids bleed profusely ; menses too profuse, lasting eight to ten days ; tearing pains in head, teeth and limbs on change of
temperature ; gums swollen, bleeding ; frequent pains in throat ; at times itching all over body and eruption of small pimples ; eyes red, inflamed ; earthy-colored face ; despondency.
Vomits all her food ; painful sensation of emptiness in stomach ; sleep broken and unrefreshing ; costive, stools knotty and difficult, has scarcely been moved for two years without an injection ; urine cloudy, offensive, a hard crust difficult to scrape from vessel.
For some time pressure in stomach, and drawing from stomach through right chest into shoulder, one hour after eating ; > by loosening her dress and eructating ; appetite good ; no thirst ; hypochondriasis ; falls asleep late ; dreams constantly and feels
unrefreshed in morning ; tires easily ; feels < in snowy weather.
Digestion excites heat and palpitation of heart.
Beating at pit of stomach ; sour stomach ; fiery zigzag before eyes ; metallic taste in mouth ; cracking in knee and ankle joints and painful cracking in occiput.

Hypochondria

In region of liver : fulness ; pressing ; sore pain ; dull stitches ; frequent stitches ; stitches when riding.
Stitches in left hypochondrium.
Pain in liver after moving.
Sensation in hypochondria as if ribs were broken and sharp points were sticking in flesh.
Sensation as of a strap as wide as her hand drawn tightly around her waist, in evening, after supper.
Dull, aching pain all around body and feeling of something hard boring through liver ; spasms in liver, which catch breath ; fulness as if bursting, > by urination.
Hepatic neuralgia, with great depression of spirits ; weight, fulness and tightness in region of liver.
Stitching, pressing pains in hepatic region, extending thence to region of right shoulder ; vesical tenesmus ; yellow spots on forehead and over bridge of nose ; urine reddish-brown, containing a thick, whitish-yellow mucus ; heaviness over eyes and in nape of
neck ; uterus anteflexed.
Persistent febrile condition ; very weak, keeping his bed ; extreme depression of spirits and irritability of temper ; occipital headache ; sudden excessive desire for food, but eats only a small quantity ; two or three stools daily and one or two at night, of
normal consistency, but clay-colored and offensive ; successive outbreaks of furuncles on nates ; on right side of abdomen, just below arch of ribs, a very tender spot which is the seat of constant pain ; whole right hypochondrium tender and heavy ; aching in right
shoulder ; restless sleep ; urine has a pink deposit ; heavy sweats at night. θ Functional derangement of liver.
Remittent febrile condition with evening exacerbations, no chills, pulse at 11 A. M. 96 ; aching weight and soreness in right hypochondrium, and distress and aching in r. shoulder and scapula ; cheeks flushed ; forehead and conjunctivæ yellow ; irregular yellow
patches on forehead ; lassitude ; limbs and back ache ; obstinate constipation ; occipital headache ; anorexia, loathes fat and milk ; thirst ; tongue flabby and indented ; great flatulence after food ; restless sleep ; dry, hot skin ;
urine scanty and loaded with urates. θ Functional derangement of liver.
A woman subject to gall-stones, two attacks of shivering, the last at 3 A. M., followed at 7 A. M. by pain in liver, afterward going across to stomach and spleen and around back ; liver > by lying on it ; pain > by eructations, she feels it would be better if she could
pass flatus downward.
Jaundice, with pain in hepatic region.
Jaundice, with stitching pains in forehead, epigastrium and small of back ; tearing pains in knees and feet ; cannot sleep at night, must constantly change position of legs ; lassitude ; great thirst ; urine stains yellow.
Mrs. R., æt. 51, black hair and thin, has had jaundice for three months ; has been for some weeks confined to bed ; when pregnant seventeen years before had same illness for several months ; appetite poor ; no thirst ; stool every day, whitish ; urine like
dark tea, with greenish sediment ; sleeps badly and has difficulty in falling asleep ; heat, sweat and twitchings, especially in bed ; liver much enlarged, smooth and not sensitive ; about every two weeks has an attack of gall-stone colic ; she lies upon her
back ; looks wretched, face yellowishgrey, apathetic and silent.

Abdomen and loins

In abdomen : sensation of emptiness ; lax feeling, after stool ; soreness and pain as if menses would appear ; pain and weight on rising in morning ; pain and tenderness ; heaviness ; sensation of a load, during
motion ; drawing tensive pressure ; bearing down with menses ; feeling of crowding and pressing downward ; pressure as if everything would issue through vulva ; pressing ; cutting ; stinging ; burning ; coldness.
Feeling of bearing down of all pelvic organs.
Pelvic distress through night, > by lying on either side, with legs flexed on thighs and thighs on abdomen.
Distress in hypogastric region as of overdistended bladder ; < sitting and lying, > on walking about.
Severe pelvic pain, commencing in sacrum, passing forward and down to right knee.
Bearing down in pelvic region, with dragging pain from sacrum ; pain extending into loins and down thighs.
Frequent attacks of contractive pain in right side of abdomen, < in morning ; following this, more constrictive pain in stomach ; thence the pain extends to chest ; > by eructation.
In right side of abdomen ; severe stitches ; pressing pain.
Distension of abdomen ; puffed after dinner ; loud rumbling noises ; distension of lower portion.
Feeling as of something adherent in abdomen, with hiccough.
Spasmodic contractions in abdomen, with terrible bearing down.
Flatulence from lack of bile ; abdomen very much distended after least bit of food ; constipation.
Colic : with great distension and sensitiveness of abdomen ; recurring toward evening ; colic and faintness before menses.
Pot-belliedness of mothers.
Soreness of abdomen in pregnant women.
Many brown spots on abdomen ; chloasma.
Neuralgia of plexus mesogastricus ; burning, boring pains ; abdomen greatly swollen and very sensitive to touch ; terrible anxiety ; attacks came on in evening.
Pain in abdomen, > by hot flannels ; loss of appetite ; cannot always swallow solid food, must take it out of mouth ; riding causes pain in hypochondria, abdomen and lumbar region, with desire to lie down ; full feeling from
abdomen to throat ; comes on from 11 A. M. to 1 P. M., and then lasts all day ; > by resting.
Supposed tænia ; complains several times a day of rolling in abdomen, as if something alive were there, with spasmodic griping in precordial region ; it then rises upward in her throat ; tongue becomes stiff ; she loses her voice, and whole body becomes
stiff ; no appetite ; abdomen always tense ; stools irregular ; menses painful, scanty, irregular.
Empty, gone feeling in epigastrium, common to patients with tapeworm.

Stools and rectum

Stools : jelly-like, with colic and tenesmus ; green mucus ; sour-smelling ; debilitating ; bloody ; oozing almost constantly from anus ; expelled quickly ; frequent ; not profuse ; fetid ; sour ;
putrid ; whitish ; grey.
Diarrhœa, < after drinking milk ; rapid exhaustion.
Discharge of blood with stool.
Before loose stool : nausea ; colic.
During loose stool : prolapsus ani ; jerking pains from anus upward through rectum.
After loose stool : exhaustion ; debility ; prolapsus ani.
Feeling as of a weight in anus, during stool and for an hour after.
Stool has a putrid, sourish, fetid smell, expelled suddenly and the whole of it at once.
Summer complaint, sunken eyes and face ; emaciation ; heat of palms of hands and soles of feet, green stools, but little pain.
Painless diarrhœa, of three weeks' standing, four or five stools in twenty-four hours ; evacuations dark brown, pappy, very offensive, coming very suddenly ; loss of appetite, tongue thickly coated ; frequent belching, particularly after eating ; meteorism.
Painful diarrhœa of several years' duration, extreme emaciation ; great disturbance of digestive organs ; whole nervous system greatly prostrated.
Chronic diarrhœa in women who suffer from leucorrhœa, hysteria, hysterical hemicrania, sudor hystericus, transient flushes of heat, frequent chilliness, particularly when at stool, and whole facial expression indicates uterine disturbance.
Stool insufficient, retarded, like sheep-dung.
Pain in rectum during and long after stool ; involuntary straining.
Constipation : during pregnancy ; slow and difficult discharge even of soft stool ; stools hard, knotty, insufficient, scanty, like sheep-dung ; stools difficult, covered with mucus ; stool retarded with discharge of
blood ; in pregnant women and in children where manual assistance must be rendered in consequence of excessive straining ; with dyspepsia and chronic affections of stomach ; chronic or obstinate, especially after failure of Nux vom. and Sulph. ; especially in women, or
persons subject to rheumatism ; discharge of blood with stools.
During constipated stool : pain in rectum extending to perineum and vagina ; shooting and tearing in rectum and at anus ; prolapse of anus ; sense of weight at anus ; terrible straining to pass stool, which is covered with
mucus ; bloody discharge.
After constipated stool : sensation of weight at anus ; hemorrhoids.
Chronic constipation of forty years' standing, in a lady æt. 76, had become so inveterate that she never had a natural evacuation.
No stools excepting under influence of purgatives ; no movement for several days ; abdomen swollen ; congestion to head ; great torpidity of intestinal canal.
Hemorrhoids : painful sensation of emptiness in epigastric region ; delicate and sensitive skin ; protrusion of varices and of rectum, with difficult micturition ; heat, burning and swelling of anus when piles do not protrude,
defecation excessively painful, stool being rather small, narrowed by diminished calibre of anus ; sometimes fecal mass is triangular and very painful ; constant oozing of moisture from anus ; stitches and jerkings from anus upward into rectum and abdomen.
Pain in rectum : extending to genitals ; as from contraction ; burning, the entire day ; soreness ; stitches.
Itching in rectum and anus.
Prolapse of rectum, < from smoking.
Cancer of rectum.
Sense of weight or ball in anus, not > by stool.
Soreness in anus.
Congestion to anus soon after dinner.
Heat, burning and swelling of anus.
Constrictive pain in rectum extending to perineum and into vagina ; pain in rectum on going to stool, persists a long time after sitting down, and finally an imperfect stool is voided, with sore, smarting pain, weight in anus, like a constant drag. θ Fissure
of anus.
Anus encircled by a ring of condylomata.
Expulsion of ascarides.
Oozing of moisture from rectum ; soreness between buttocks.

Urinary organs

Feeling as if bladder were full and contents would fall out over pubes, with constant desire to push them back.
Pressure on bladder ; with burning after micturition, in evening ; in morning, and urging to urinate, urine passing only after waiting several minutes ; and frequent micturition with tension of lower abdomen.
Burning in bladder and forepart of urethra.
Smarting in urethra.
Frequent and strong urging to urinate, with painful bearing down in pelvis, in morning ; sensation referred to neck of bladder ; must rise frequently at night.
Urine : clear like water ; thick, slimy, offensive, depositing a yellowish, pasty sediment ; with much white sediment, fetid ; cloudy and dark, as if mixed with mucus ; scanty, red deposit ; sour-smelling ; high-colored,
looks like powdered brick ; dark-red ; deposit of a white, adherent film ; turbid, clay-colored, with reddish sediment ; blood-red, with white sediment and a cuticle on surface ; with dark-brown admixture ; lithiasis.
Occasional stitches along urethra.
Urging to urinate from pressure on bladder.
Involuntary discharge of urine at night, especially during first sleep. θ Enuresis.
Mucous discharge periodical, not at each micturition ; sometimes pieces of coagulated mucus clog up urethra.
Smarting in urethra, when urinating.
Difficulty of urinating especially in morning, a feeling as if drops came out of bladder.
Pressure on bladder and frequent micturition with tension in lower abdomen.
Annoying itching sensation in region of bladder, with urging to urinate, especially in night.
Only through night a drop or so discharges from urethra, staining linen yellowish.
Stitching pain in female urethra.
Discharge of mucus from urethra, not at each evacuation of urine, but periodically.
During and after micturition chilliness and heat in head.
Intense burning and cutting pain when urinating.
Difficulty of urinating, especially in morning.
The bed is wet almost as soon as child goes to sleep, always during first sleep.
Urine passed within space of two hours after going to bed, during first sleep.
Nocturnal enuresis : boys of light complexion ; with onanists.
Constant pressure on bladder with urgent inclination to pass water ; sensation as if bladder and urinary organs would be pressed out, > by standing or sitting with legs crossed or by lying down ; if desire to pass water is not immediately
complied with, urine passes involuntarily ; urine scanty, sometimes only a few drops, sometimes clear, generally thick and muddy, with a very adhesive brickdust sediment ; no pain before or during passage of water, but immediately after, a sharp, shooting pain passes from left side
of urethra to a spot half way between sternum and shoulder on a level with the second rib on l. side, a sore pain constantly remaining in that spot, sensitive to touch or pressure ; sleep very much disturbed at night from having to urinate as often as every half hour ; dreams of
urinating, and finds on waking an urgent desire to do so ; weakness and aching in small of back. θ Irritable bladder.
Very urgent desire to urinate and difficult discharge throughout day and several times each night, but particularly for some hours after rising in morning, with a feeling of bearing down in region of bladder, above os pubis ; constant soreness throughout urethra, bladder and
vagina ; sore spot to left of pubis, above Poupart's ligament, near ovarian region, especially tender on pressure ; soreness disappears suddenly for a day or two, returns and is most violent during menses, when entire vesical and uterine region burns and aches ; constant
tickling in bladder ; something seems to move in bladder like a worm and causes tickling ; sensation of enlargement of bladder (subjective) which seems to fall from side to side ; menses appear regularly but very painful, with bearing down ; discharge is profuse, blood
light-red without clots ; pains resemble labor pains, is obliged to brace her feet ; this condition lasts two days, after which soreness reappears in left side mostly ; depressed in spirits, owing to tormenting desire to pass water, which prevents her leaving home ;
sleeps well but has bad dreams ; feels bright on awaking till she rises only to be tormented by constant desire to void urine ; appetite good but food causes pressure in stomach, with frequent fulness in epigastrium ; later, thirst ; oppression of respiration, which is
sometimes sighing. θ Chronic cystitis and irritability of bladder.

Male sexual organs

Increased sexual desire with weakness of genitals ; profuse sweat particularly on scrotum ; itching around genitals.
Continued erections at night.
After coition : great weakness ; weakness in knees ; urethra burns.
Nightly emissions with sexual dreams ; great despondency ; sensitive to cold, damp air, it chills him through and through.
During coition insufficient erection and but little thrill ; after it great weakness.
Weak and watery pollutions.
After emission burning in forepart of urethra, languid and drowsy.
Emissions after onanism ; despondency, relaxation of body.
Very debilitating seminal emissions nearly every night ; frequent one-sided stitches in forehead ; constant offensive sweet taste in mouth, which is always dry, but without much thirst ; stools hard ; pain in abdomen as soon as
inclination is felt for stool ; feeling of tiredness and restlessness in legs, particularly calves.
Cutting in testes.
Swelling in scrotum.
Prepuce ulcerates and itches continually ; cracks on foreskin.
Indolent chancres ; on glans and prepuce.
Burning, itching, humid or scurfy herpes præputialis ; chappy herpes, with a circular desquamation of skin.
Eruption on glans.
Itching and dry eruption on genitals.
Profuse yellowish white discharge from urethra. θ Gonorrhœa.
Gonorrhœa after acute symptoms have subsided ; urine is loaded with urates, staining everything red and often excoriating and very fetid, associated with prostatitis.
Gleet : no pain, discharge only during night, a drop or so staining linen yellowish ; yellowish discharge, no burning on urinating ; painless, of a year and a half's standing, orifice of urethra stuck together in the morning ; particularly
where sexual organs are debilitated by long continuance of disease or through frequent seminal emissions ; of two years' duration.
Condylomata completely surrounding head of penis.

Female sexual organs

Sterility.
Sexual intercourse is intolerable.
Jerking pains in vagina from below upward in morning on waking.
Contractive pain or almost continuous stitches in vagina.
Tenderness of sexual parts to touch.
Redness, swelling and itching eruption of inner labia.
Married fourteen years without conceiving, irregular and scanty menses, followed by leucorrhœa ; nausea, disgust for food ; frequent desire to urinate ; a bearing down or drawing pain in lumbar region ; pain in left side of face,
disposed to weep and think married life a blank.
Pressure and heavy weight or dull, heavy pain in ovaries.
Congestion ; stinging in ovary ; pain in ovarian region running outward and backward.
Neuralgia of ovaries and appendages ; stitching or burning pains.
Indurated ovaries.
Induration of neck of uterus.
Dropsy of uterus.
Ulceration and congestion of os and cervix uteri.
Induration of cervix uteri, with stitching pains extending upward.
For three or four months previous to last confinement, suffered from great distension of abdomen with pain and soreness ; one month previous to confinement labor-like pains with discharge of serous fluid ; pains subsided and returned again
every three or four days until her confinement ; thinks she must have discharged at least three gallons of fluid during four weeks ; child was alive, after seven months, great distension of abdomen with pressure and bearing down, especially when standing or sitting a long time, a
feeling as if contents would issue through external organs ; general soreness through bowels ; occasional discharges of serous fluid, similar to those before confinement, gushing out with force ; feeling of soreness in uterus and external organs ; urine scanty,
high-colored, with frequent inclination and involuntary discharge when coughing or sneezing ; darting pricking pains through hips and sides, sometimes shooting down to bones of pelvis ; pains in back and extremity of sacrum ; general debility ; easy perspiration from
least exercise ; night sweats ; sometimes flushes of heat at night followed by chill ; poor appetite ; bowels loose, several thin evacuations daily ; neck of uterus low in pelvis, nearly as large as at eighth month of gestation. θ Hydrometra.
Burning, shooting, stitching pains in neck of uterus.
Constant sense of pressing into vagina ; crossing limbs to prevent prolapsus.
Painful stiffness in uterine region.
Pressure in uterus, causing oppression of breath ; pressure downward is as if everything would fall out, accompanied by pain in abdomen ; she must cross her limbs in order to prevent protrusion of vagina, yet nothing protrudes, increase of gelatinous leucorrhœa.
Prolapsus uteri, with inclination of fundus to left side, producing a numb feeling in lower half of left side of body ; dull aching pain ; aching in pelvic region somewhat > by recumbent posture, especially when lying on right side ; tenderness of os uteri.
Acne on face < before menses ; perspires easily, hands moist, perspiration of strong odor, not removed by bathing ; urine of very disagreeable odor and depositing sediment adhering to vessel ; almost constant severe backache with pains through
both ovarian regions, < on left ; frequent headache and stitching pain in vagina. θ Displacement of uterus.
Frequent urging to urinate, with scanty discharge ; stools tardy although soft ; fulness and pressure in pelvis ; pressure toward genitals as if everything would fall out ; abdomen bloated, as if pregnant ; uterus prolapsed, vaginal portion lying between external
labia ; os uteri open.
Vaginal portion of uterus swollen, dry, protruding from between labia ; os uteri open, admitting point of index finger, internal os closed ; body of uterus fills up pelvis ; efforts at manual replacement futile ; during twelfth week of pregnancy.
Confined two months ago ; womb at vulva ; unable to sit up, on attempting it violent bearing down ; emaciation ; loss of appetite ; empty, deathly sensation in epigastrium ; feeling of weight in anus not > by stool ; claylike sediment in urine ;
fever in afternoon.
Face pale ; yellow spots on face and saddle across nose ; throbbing headache every morning on waking and lasting all day ; desire to urinate very frequently ; abdomen naturally was very large and she was greatly annoyed by rumbling in abdomen ; all kinds of food
disagreed, causing bitter eructations ; full feeling after eating ; complete procidentia with dreadful bearingdown sensation, > crossing limbs.
For two years cough and pains in left lung ; discouraged, sad, thinks she will not recover, feels cross and irritable, especially in morning ; alternate sensation of burning and coldness (like ice) on vertex ; constant dull frontal headaches, has been subject to
sick-headaches, usually pain centres over left eye ; empty, gone sensation at pit of stomach ; loss of appetite, even smell of cooking disagrees ; constipation ; cutting and burning during micturition ; urine deposits a claylike sediment, which adheres tenaciously to
vessel ; menses irregular as to time and quantity ; leucorrhœa most profuse before and after menses, of a yellowish color ; stitches in cervix uteri ; bearing-down pain, as if everything would protrude, must lie down or cross her limbs ; cough dry and hacking, most
in morning, no expectoration ; stitches to left scapula, < by coughing, inspiration, touch, > by gentle pressure ; weakness of back, it gives out in walking ; much heat and pain in sacrum ; all symptoms < in morning, > in evening. θ Prolapsus
uteri.
General health much impaired ; nerves weakened ; constant pain in back and pelvic region ; extremely painful menstruation ; general depression of spirits ; is convinced no one understands her case, and that she cannot be cured ; uterus retroverted, os uteri
pressed high up against os pubis, fundus low down in hollow of sacrum ; slightest attempt to replace organ gave such severe pain as to make all such attempts futile.
Sensation of weight in rectum not > by an evacuation and a sensation that limbs must be crossed to prevent everything being pressed out of vagina.
Prolapsus : of uterus ; of vagina ; with constipation.
Pain in uterus, bearing down, comes from back to abdomen, causes oppression of breathing ; crosses limbs to prevent protrusion of parts.
Stitches or shooting, lancinating pains mostly in neck of uterus go up to umbilicus and pit of stomach.
Uterine pains very severe ; the uterus feels as if clutched and then suddenly relaxed, causing nausea.
Metrorrhagia, during climacteric age or during pregnancy, especially fifth and seventh months.
Menses every four weeks, very profuse for five days, dark, slimy, flowing more profusely at night when in bed and sleeping ; preceded two weeks by severe pain in small of back ; during catamenia a dull, sickish pain in pubic region, with
bearing-down pain and aggravation of that in back, which is > by flow when very abundant ; after menses, leucorrhœa, yellow and thick and pain in small of back for two weeks. θ Metrorrhagia.
Before menses : sadness ; acrid leucorrhœa ; especially in young women ; violent colic, shuddering all over body whole day ; sensation as if vulva were enlarged and soreness in perineum.
Mania from profuse menstruation.
Dysmenorrhœa in women with scanty menses ; half-sided headache ; weakness of eyes ; nausea ; constipation.
Menses regular but accompanied by hemicrania, nausea and vomiting, and great prostration, so that she must lie down.
During menses : sadness ; toothache ; headache ; obscuration of sight ; violent pressure in forehead, with discharge of plugs from nose ; bleeding from nose ; soreness of limbs ; tearing in tibia ; colicky pains.
Day before menses frequent chilliness and pressure in abdomen ; night previous dry heat in body, restless sleep, with frequent starting and screaming ; in morning crampy drawing down along thighs ; some hours previous to appearance of menstrual flow pressure in
abdomen becomes a violent pain in umbilical region as if intestines were drawn into a lump ; frequently faints, and pain continues until menses appear ; after menses, mild leucorrhœa. θ Dysmenorrhœa.
Menses : too late, scanty ; too early, scanty ; preceded by violent aching in abdomen ; causing faintness, chilliness and shuddering ; eight days too early, scanty, appearing only in morning ; a week too soon and lasting
only one day ; five days too late ; regular, but scanty and flow dark ; only in morning.
Insufficient or retarded menses in feeble women of dark complexion with fine, delicate skin and extreme sensitiveness to all impressions.
Scanty menses preceded by abdominal distress, pain in back and palpitation ; constipation with discomfort in rectum ; itching papular eruption on chin, cheeks and temples.
For fifteen months, pain in kidneys, slight leucorrhœa, deficient menses, little appetite, difficult digestion, profuse perspiration of hands and feet, chilliness of lower extremities.
Great lassitude and tiredness ; loss of appetite ; belching of wind ; disturbed sleep ; despondency ; pressure in stomach when eating ; pinching pains in epigastrium extending to pubes ; menses very irregular, scanty, appearing but three times in twelve
months ; sensation as if something heavy would force itself from vagina ; yellow spots on face and forehead ; cervix uteri broad and thick but not sensitive to pressure.
Amenorrhœa : at age of puberty or later ; from a cold ; in chlorotic women ; in feeble women with delicate, thin skin.
Amenorrhœa : every eight to fourteen days in afternoon and evening, severe burning and stitching pains in centre of chest < from deep inspiration, lasting several hours ; lassitude ; palpitation of heart, when walking rapidly or
ascending steps ; bitter taste ; loss of appetite ; constipation ; sensation of fulness and at times cutting pains in abdomen.
When menses fail to appear in mothers who do not nurse ; abdomen remains very large.
For three years in place of menses profuse leucorrhœal discharge.
Amenorrhœa and profuse yellowish-green leucorrhœa.
Between menstrual periods a peculiar offensive perspiration (sudor hystericus), with a pungent, offensive perspiration in axilla and soles of feet.
Tenderness of vagina ; painful coition ; blood from vagina after coition.
Leucorrhœa of a yellowish, excoriating character, sometimes attended with a burning sensation ; heat and pain in sacrum ; menses a dirty-brown color ; offensive, mucopurulent sputa ; abnormal nasal discharge. θ Vaginitis.
Vaginitis in a blonde child, 5 years old.
Burning pain in rectum, could hardly sit on a chair, same pain in vagina and at vulva ; constipated, headache, vertigo.
Great dryness of vulva and vagina, causing a very disagreeable sensation when walking, after cessation of menses.
Diphtheritic ulcers in vagina and on labia.
Brown-reddish color of vagina.
Redness, swelling and itching eruption on inner labia.
Soreness and redness of labia, in perineum and between thighs.
Pruritus vulva.
Troublesome and severe itching of vulva, with pimples all around ; painless vesicles in outer parts of vulva.
Severe itching of vulva ; labia swollen with humid eruption.
Leucorrhœa : bloody, slimy ; yellowish ; yellow ; like milk ; especially profuse after urinating ; profuse lumpy, fetid mucus ; acrid, with soreness of pudendum ; looking like pus ; clear as water ; green
red ; during pregnancy ; yellow or greenish water ; of bad-smelling fluids ; at climacteric period ; at puberty ; with stitches in uterus ; with itching of vulva and vagina ; < when she has frequent eructations and retchings, face pale ;
especially profuse after urinating, after making an effort to vomit ; only in daytime, with burning pain ; pains while walking on account of soreness ; with bearing down in pelvis ; stinging pain in ovarian region ; frequent urging to urinate ; itching in
genitals ; with stitches in neck of uterus ; terrible pain during coition ; between menses ; coming away in starts.
Gonorrhœa in women after acute symptoms have subsided.
Thick yellow, acrid leucorrhœa during day, none at night ; fulness, heaviness and tension in abdomen ; constant painful pressure in sides as from a burden.
A child, æt. 5, body emaciated, appetite gone, strength rapidly decreasing, afflicted for fifteen months with an unceasing exhausting leucorrhœa ; discharge sometimes thick and of a yellowish-green color, sometimes thin and always very profuse, running through night dress, sheet,
and down into mattress on which she lay at night.
Induration and sensation of enlargement in mammary gland ; stitches ; carcinoma.
Scirrhous tumor of right breast, about size of hen's egg, hard, nodulated and tender to touch ; stinging pain.
Scirrhus mamma ; burning pain.
Sudden hot flushes at climacteric, with momentary sweat, weakness and great tendency to faint.

Pregnancy. parturition. lactation

Disposition to miscarriages from fifth to seventh month.
Retained placenta after miscarriage ; discharges offensive, corrosive, with recurrent hemorrhages.
Soreness of abdomen ; feels the motions of child too sensitively.
During pregnancy : yellow-brown spots on face ; thought of food sickens her ; sensation of emptiness ; painful feeling of hunger ; vomiting ; toothache ; colic ; diarrhœa ; costivenes ; congestion to chest ; palpitation ; pain
in mamma ; swelling of labia ; too quick escape of urine ; labor-like pains in seventh month ; loose morning cough.
Terrible itching of vulva, causing abortion.
Labor : os half open, pain insufficient, tenderness of anterior lip of mouth of uterus, pain above pubes, as if everything would come out ; shuddering with pains, can bear them > when warmly covered ; shooting pains in neck of womb ; indurated os uteri, dyspnœa ;
spasmodic contraction of os ; numerous fine needle-like, darting pains, shooting upward from neck of uterus ; flushes of heat ; cold feet ; hour-glass contraction ; constant sensation of weight in anus ; pain shooting upward in vagina ; pain felt mostly in
back ; severe bearing down or forcing in back, occurring in regular paroxysms.
Offensive excoriating lochia ; very long lasting.
Nipples cracked across crown, bleeding and sore, preceded by itching.

Voice and larynx. trachea and bronchia

Reflex or sympathetic aphonia from functional or organic disease of uterus.
Hoarseness : with tickling in larynx and bronchi ; with coryza and dry cough from titillation in throat.
Sensation of dryness in larynx.
Roughness and soreness of larynx and throat.

Respiration

Oppression of chest and shortness of breath, when walking.
Severe oppression of chest, toward evening.
After emotions of mind loses breath and gets palpitation.
Awakes in morning with great dyspnœa, covered with sweat.
Oppression of chest and cold sweat.
Is suddenly aroused from a deep sleep by asthma.
Breathing < after sleep.
Shortness of breath, < sitting a long time, particularly in a stooping posture and after motion ; walks rapidly without feeling any dyspnœa, but if he is stopped gets so short of breath that he cannot speak and is seized with a feeling of deathly anxiety
which disappears when he resumes his walk ; sweats very easily on slightest exertion ; very sensitive to cold wind ; clothing oppressive after eating ; very easily irritated.
Great shortness of breath, hindering her in her household work, must pause while eating to get breath ; after eating pressure in stomach ; oppression of breathing > in open air, < in room, morning and evening ; dancing and running cause no shortness of breath.
Asthma : short, easy inspiration and long, slow, wheezing expiration.
Spasmodic asthma.

Cough

Dry cough : especially in evening, in bed, until midnight, frequently with nausea and bitter vomiting ; during sleep without waking ; from tickling in larynx or in bronchi, toward morning ; whooping and choking, with pain in pit of stomach
and scraping sore pain in larynx not felt when swallowing saliva ; does not awake from her sleep, but after waking it becomes very severe and continuous ; short, seems to come out of stomach ; hard, concussive ; short evening cough, with intermittent stitches in right
hypochondrium, with eruptions on skin, with women ; as if proceeding from stomach and abdomen or from constipation, or as if something remained lodged in stomach that would not pass off ; after a meal.
Cough : especially evening and morning, with salty expectoration ; with rattling of mucus in chest ; with expectoration only in morning or only during night ; only during day ; wakes one at night ; with expectoration only before midnight as soon as he gets
into bed, not during day ; short hacking in evening, after lying down, with much expectoration of pure coagulated blood, once every minute ; wakes her at night, with sensation in chest as if hollow, and smarting therein as if sore ; most severe in evening after lying
down ; spasmodic ; severe, with little expectoration, with little vomiting, evenings, when lying in bed ; day and night, pain therefrom in pit of stomach ; affects chest and stomach greatly ; from tickling in larynx without expectoration ; every evening, not
ceasing until he coughs loose a little phlegm ; loose in morning, with efforts to vomit ; loose especially at night ; with expectoration ; with taste in mouth as of rotten eggs ; with soreness in chest ; stitches in chest and back.
Cough < : from repose ; standing and sitting ; lying in bed, or upon (l.) side ; after walking rapidly ; going up stairs ; getting wet through ; taking cold ; cold damp air, as in churches and cellars ; cold north wind ; deep
inspiration ; eating ; sour food and vinegar.
Cough and coryza with sneezing commence every morning before getting out of bed and last until 9 A. M.
Coughs phlegm loose, but cannot get it up ; is obliged to swallow it.
During evening cough after lying down, he can raise > if he turns from left to right side.
When she cannot expectorate with the cough her breath almost leaves her.
Expectoration : profuse ; purulent ; offensive ; fetid ; green ; tasting salty ; only in morning.
Dry, fatiguing cough, provoked by a sensation in region of stomach, and seeming to come therefrom ; or the cough comes, as it seems, from the abdomen.
Affection of lungs with hæmoptysis and cough for six years ; > since appearance in face of a red papular eruption, now existing for two years ; hard papulæ on a red base, without suppuration on her cheeks, forehead, nose and chin,
burning, itching and smarting intensely, especially in wet, cold weather ; appetite good, though food causes pressure in stomach ; constipation ; menses too often and too profuse ; easily exhausted ; backache ; cough reappeared dry and hard, slight expectoration
on rising in morning ; constant desire to clear throat, which feels as if filled with phlegm, which it is impossible to raise ; oppressed feeling through chest after a hard paroxysm of cough ; nausea during and after cough ; eruption not very thick on face ; cough
seemed to come from stomach, which felt as if it were being scraped.
Cough and dyspnœa < in dry air, fog, east and north wind ; in stormy weather she is almost suffocated ; in walking dyspnœa often disappears ; lying on left side is disagreeable to her ; she has to lie with her head high, often sitting in bed ; a warm room is
oppressive ; expectoration yellow or green, with salty taste ; appetite moderate ; no thirst ; urine has a blood-red sediment ; menses regular but scanty ; always < before and during period ; mood depressed and weeping ; formerly had cough, bladder
trouble, hemorrhoids, weakness of memory and melancholic state.
Catarrh every Winter with violent coughing ; after being in a draft cough tormenting and dry ; severe orthopnea, had to sit straight up day and night, with horrible anxiety about a rattling in chest, with soreness as if raw on chest ; fears to suffocate.
Tickling cough in bed at night, particularly before midnight ; spasmodic, coming in rapid concussions, till breath is exhausted, then expectoration of mucus, with temporary relief.
Paroxysms of spasmodic cough resembling whooping cough, excited by tickling in chest, from larynx to stomach ; daytime without, morning with expectoration of yellow, green or grey pus, or of a milk-white, tenacious mucus, generally of saltish taste.
Child cries each time it coughs at night ; can hardly get its breath, the cough coming in such rapid succession ; retching with cough, unless quickly picked up ; very cross and cannot be put to sleep as usual during the day ; soreness in bends of knees and
elbows, on neck and behind ears, rapidly spreading and exuding an offensive-smelling serum, paining when washed.
Cough constant whenever child is laid down, particularly violent at night ; with spasm of diaphragm and larynx as in whooping cough.
Child, 8 months, blonde and fat ; teeth developing rapidly ; cough day and night, but principally at night, with retching and complete loss of breath ; cough comes in rapid succession until the breath is exhausted, then gagging and vomiting of mucus. θ Whooping
cough.
Sudden severe spasmodic cough at night, cannot get enough breath, chest constricted, retching, loud crying ; early in second stage. θ Pertussis.
A poor child growing up under most wretched external conditions ; characteristic ulcer on frenulum linguæ ; complication with bronchitis and later lobular pneumonia. θ Whooping
cough.

Inner chest and lungs

Oppression of chest.
Severe pressure in chest, evening in bed.
Sensation of emptiness in chest.
Great pressure on chest, more left side.
Stitch in left side of chest and scapula, when breathing or coughing.
Sensation of soreness in middle of chest.
Frequent sensation as if a knife were thrust into top of l. lung, then turned around with pain streaking off through shoulder.
Itching and tickling in chest.
Fulness and pressure in chest.
Constriction of chest with cough.
Rattling in chest with cough.
Chest symptoms > by pressing on chest with hand.
Burning pain in a fixed spot under right nipple ; itching of external chest ; dry cough when reflecting ; pain < reading and thinking ; rarely seminal emissions, which, however, aggravate pains ; difficult expectoration of
whitish mucus ; sweats at night ; cold knees at night in bed ; slow digestion especially of acids, with sensation of weight in epigastrium ; has old pleuritic adhesions in r. chest.
Pleuritis after a chronic headache had suddenly vanished.
Severe attack of pleurisy in two old men.
Pleurisy in a boy, æt. 6 ; exudation had spread over whole left chest.
Severe attack of pleurisy in a young woman where Phos., though apparently indicated, failed.
Chronic pleurisy, threatened phthisis.
Congestion of blood to lungs, palpitation and great anxiety.
Tuberculous and other chronic diseased conditions, of central third of right lung (Arsenicum upper third).
Stretching or darting pains through central portion of r. lung.
Neglected pneumonia, with copious, very offensive expectoration.
Short, dry cough, titillation in larynx, sometimes a thick, deep voice, without metallic timbre ; sensation of dryness in chest and larynx ; dry, screeching, deep, hollow cough, > lying down ; difficult expectoration of a little mucus, which is tough, slimy or
albuminoid. θ Phthisis pulmonum.
Sharp darting pain through right side of chest, rather below centre of right lung ; at times very acute, preventing full respiration, then again more dull, but all the time more or less painful ; after suppression of a cough some months previously.
Dulness on percussion in right lung, posterior to third and fourth ribs ; much pain, both dull and sharp, in that region ; severe dry cough, < in evening, with expectoration in morning ; chills, fever and night sweats ; greatly emaciated. θ Phthisis
pulmonalis.
Complete anorexia ; sleeplessness ; cough with a milky-looking expectoration ; fever ; after a severe paroxysm of cough which lasted two hours coughed up several cupfuls of blood and a large quantity of offensive smelling pus ; this had occurred once
before ; next day expectoration was again slimy, milky-looking and very profuse, with almost uninterrupted loose cough, respiration becoming easier. θ Phthisis pulmonalis.
After relief of a chronic dyspepsia attended with sick-headache he began to suffer with uneasiness and pain just below centre of right lung ; pain increased in severity and he soon began to cough ; during a very hot day without unusual effort or exposure was seized with a sense
of suffocation, probably from congestion of right lung ; much pressure and sharp pain through central portion of right chest ; cough night and day ; an abscess broke in lung, and he expectorated more than a pint of fetid matter ; at first discharge greenish, then bloody
and yellow, finally grey, excessively fetid, so profuse it came near strangling him ; while abscess was gathering, chills, fever and night sweats ; abscess broke, continued to cough very severely day and night ; great emaciation ; very pale ; pulse 120 ;
extremely feeble. θ Phthisis.

Heart, pulse and circulation

Heart gives an occasional hard thump.
Violent palpitation and beating of arteries in evening in bed.
Palpitation : after emotions ; with stitches in left side ; with anxiety about things which happened years ago ; on walking fast.
Interruption of beating of heart most after dinner, alarmed, quivering motion.
Wakes up with violent beating of heart.
Nervous palpitation > by walking fast.
A man, about 30, stout, healthy-looking, complains of palpitation and constipation ; appetite good ; no thirst ; after eating, bloatedness of abdomen, anguish and palpitation, especially with alvine discharge ; < when sitting
down after having had a walk, never during walking or dancing ; flatulency in left side of abdomen rising upward, > by pressure ; < in cold wind ; cannot lie on left side, prefers to walk with head uncovered ; sweats easily, especially on feet, which often feel
cold.
Affections of heart, with violent intermittent, palpitating and tremulous motion of heart ; violent, rather loud and sometimes intermittent sounds of heart, with dulness of percussion over a larger surface ; flushes of heat, redness, determination of blood to head and
right temple, with cold hands and feet ; scanty urine ; costiveness.
Much ebullition of blood in whole body, at night, producing restless sleep.
Orgasm of blood with congestion to head and chest.
She feels pulse beating through body, particularly through whole left chest.
Congestion of blood to chest, with violent palpitation of heart.
Pulse : full and quick during night and then intermitting ; slow during day ; accelerated by motion or being angry ; tremulous ; intermitting.
Pulsation in all the bloodvessels.
Dropsy in consequence of valvular insufficiency.

Outer chest

Brown spots on chest.
Stitches in breasts.
Soreness of nipples.
Fungus hæmatodes in clavicular region, bleeding profusely.

Neck and back

Pain constantly between shoulders and down back.
Great aching between shoulders and under left scapula, extending into left lung, < on expiration.
Pressure and stitches in right shoulder blade.
Stiffness in small of back and neck.
In small of back : pain ; pain and weakness ; at 6 P. M. pain or great weakness ; weakness when walking, from uterine troubles ; pulsations ; aching ; pain as if sprained in afternoons and evening in bed ; tired
pain ; pain particularly with stiffness, > by walking.
During whole menstrual period she could not sleep on account of tearing in back, chills and heat with thirst and painful contraction of chest.
Heaviness in back in morning on awaking as if she could not turn or raise herself, or as if she had lain in a wrong position, almost as if parts had gone to sleep.
When stooping sudden pain in back as if struck by a hammer, > by pressing back against something hard.
Stitches in back when coughing.
Pain in back across hips.
Stitches posteriorly over right hip, for four days almost continuous ; she could not lie on right side on account of pain, when touching part it pained as from subcutaneous ulceration.
Aching pain across loins < on moving.
Aching in sacrum in evening, > by pressure.
Dull pain in sacrum.
Soreness and pain in back in sacral region.
Constant dull, heavy pain in sacrum and abdomen extending to thighs and legs.
Pain in sacrum extending through hips and thighs to below knee, with weakness and lassitude when moving, especially when going up stairs, as if limbs would refuse to act before reaching top.
Pressing, dragging pain over sacrum and at same time over hips, burning pressure in spine extending across dorsal region and under scapula, like that produced by sewing.
Weakness of sacro-iliac region.
Belching relieves pain in back.
Pains extending from other parts to back.
Herpes circinatus right side of neck, appearing at one time in front, then at back, then at side of neck, at times they extend about ear, swelling of surrounding parts.
Throbbing in small of back > by sitting upright, < sitting, leaning back ; on turning in bed or stretching out arms a pain catches her there as if something were going to break, stopping breath. θ Rheumatism.
Crick in back ; of eight years' standing ; caused by a sudden strain when lifting ; < when first attempting to move ; > by continued motion ; leucorrhœa ; riding, a jar or a misstep hurts her back severely.
Is obliged to walk stooping and gets painful stitches in back by accidentally kicking foot against something.
Sudden stitch in back while lifting, cannot move without great pain.
Backache causes nausea and faint feeling while standing.
Pains in small of back after exposure to wet and cold weather ; < in morning, sitting or on beginning to move about ; falls asleep late and cannot lie on left side or upon back ; vertigo in morning when rising ; feels uncomfortable in a hot room or when
sitting too long ; perspires easily.
After a severe cold, chilliness along back in evening, followed by a severe pain in back, < slightest motion of back, on account of which she must lie very quietly on back ; great oppression of chest with shortness of breath and violent beating of heart ; pressing pain in
region of stomach ; > from touch ; frequent twitching of arms ; pulse tense, 120 ; loss of appetite ; thirst moderate ; sweats. θ Perimyelitis.
The spine is tender to touch on pressure.

Upper limbs

Swelling and suppuration of axillary glands.
Humid tetter in armpit.
Pain as from dislocation in shoulder joint after exertion.
Paralytic drawing and tearing in arm and armpit to fingers.
Lameness and falling asleep of arms and fingers.
Drawing in arms down to fingers.
Bruised pain in arms.
Herpes on elbow (scaling off).
Stiffness of elbow and wrist joints.
Stitches in joints of arm, hands and fingers.
Tensive pain in metacarpal joints of fingers, particularly during flexion.
Red, hard spot on skin covering first and second metacarpal bones, rapidly spreading over dorsal surface of hand ; scales formed upon the red base falling off in centre and renewed toward periphery.
Scaly tetter on backs of hands ; < in cold weather.
White scaly tetter on back of hand and fingers.
Itch and scabs on hands ; soldier's itch.
Heat in hands during day, with nervous excitement.
Cold hands even in warm room, and from hands chill through whole body.
Profuse perspiration of hands so that all needles rusted and soiled her work ; frequent and severe migraine.
Hands sweat profusely ; cold, sweaty hands.
Things drop from hands.
Burning of palms of hands.
Cold perspiration on hands.
Skin on palms peels off.
Whitlow for six or seven days ; last joint of right thumb inflamed, swollen and itches, with throbbing, shooting and burning in it ; redness mostly on dorsal surface of phalanx, throbbing < in palmar surface ; the part is dark-red and
pus invisible (relieved the pain).
Panaritium, with violent beating and stitching pains.
Painless ulcers on tips of finger or on joints.
Warts on hand and fingers ; on sides of fingers ; horny.
Many warts of young girls (onanists).
Finger nails yellowish, discolored.

Lower limbs

Coxagra with lancinating stitches, must get out of bed for relief ; pains < from rising but > from slow walking.
Severe tearing pains in left thigh ; along course of sciatic nerve, pain extending to calf of leg and toes ; pain 3 to 5 A. M. ; during attack veins of affected part are greatly distended, she cannot remain in bed, gets up and walks
about room sobbing ; lassitude during day ; eight months pregnant. θ Sciatica.
Swelling of limbs and feet ; feet swollen and feel as if asleep ; feet burn much at night ; at the climacteric.
Pains in hips and thighs extending to near the knees.
Cramp : in hip joint and thigh ; in buttocks at night in bed when stretching out limb ; in calves, particularly during latter months of pregnancy ; feet mostly in daytime, ankles weak and turn easily when walking.
Pain as if bruised in right hip joint.
Stiffness of legs to hip joint, after sitting for a short time.
Drawing in thighs.
Soreness and burning between nates.
Lower limbs go to sleep when walking.
Much weakness in lower limbs.
Lower limbs pain as if beaten ; desires to sit down, when sitting she feels as if she must stand up.
Stitches and sticking, drawing pains, with lassitude, coldness of feet or knees ; sweat of feet.
Restlessness in legs every evening, with formication.
Sensation of running as from a mouse in lower limbs.
Icy coldness of lower limbs.
Swelling of limbs and feet, < when sitting or standing, > when walking.
Swelling of knee, soft and painless.
Cracking in knee and ankle joints, stiffness.
Acute attack of rheumatism in right knee, which is semiflexed, stiff, swollen, red and painful ; < at night ; great sense of weakness in joint ; external lateral ligament especially sensitive and painful to touch ; extreme
sensibility to cold air and to every change of weather.
For fifteen years, scaly eruption on legs or a dark, dusky redness of skin ; it occasionally improved but never disappeared.
Papular, dry, scurfy, ring-shaped eruption, on anterior surface of legs, immediately below knees.
Aching in calves, extending to knees, with a feeling almost as if bones were decaying ; excitement and occupation of business during morning make him forget his aching limbs ; has had much worry lately.
Coldness in legs and feet, especially in evening in bed ; when feet get warm, hands get cold.
Burning or heat of feet at night.
Feet swollen, with sensation as if fallen asleep.
Feet hot, red, swollen, dorsal surface covered with large pustules, some of which had burst, discharging a thick, yellow greenish pus ; severe tensive pains ; < in right foot.
Heaviness in feet when walking.
Icy coldness of feet. θ Metritis.
Profuse sweat of feet ; or sweat of unbearable odor, causing soreness of toes.
Suppressed foot sweat.
Tension in tendo-achillis, also swelling of tendon.
Ulcer on heel from a spreading blister.
Stitches in heels and corns during day.
Crumbling misshapen toe nails.

Limbs in general

Heaviness of limbs.
Stiffness and cracking of joints with arthritic pains.
Jerking and twitching of limbs and head, during day.
Limbs go to sleep easily after manual labor.
Weakness of joints, especially of knees.
Patient fears joints cannot bear exertion of lifting.
Stinging pains in limbs, inner parts, bones.
Neuralgia in limbs going up into head.
Painful indolent little boils in armpits and thighs ; irregular catamenia ; peculiarly offensive sweaty condition of feet, painful excoriation between toes.
Itching in bends of knees, elbows and on hands.
Palms of hands and soles of feet burning hot.
Ulcers on upper part of joints of fingers and toes.

Rest. position. motion

Rest : pulsating headache > ; boring headache > ; coldness in vertex < ; fistula of cheek < ; neuralgia of plexus mesogastricus > ; cough worse.
Lying : headache with anxiety < ; pain in occiput < ; stitches in forehead > ; on back, headache < ; on painful side, headache > ; on it, swelling on side of head > ; on painless side, roots of hair more sore ; quiet facial neuralgia > ; > pressure under
ribs ; on liver > pain ; on back with gallstone colic ; distress in hypogastric region < ; sensation as if urinary organs would be pressed out > ; aching in pelvic region ; hacking cough ; cough >.
Lying with head high : cough and dyspnœa >.
Lying on side : pulsating pain > ; legs flexed on thighs and thighs on abdomen > pelvic distress.
Lying on right side : aching in pelvic region >.
Lying on left side : fistula of cheek < ; cough < ; is disagreeable to her ; cannot, pain in back ; anxious dreams.
Lying on back : impossible ; pain in back ; very quietly, compulsory on account of pain ; cough with expectoration <.
Must lie down : migraine during menses.
Could not be raised from recumbent position without fainting.
Sitting : impatience ; headache > ; involuntary jerking of head ; distress in hypogastric region < ; bearing down a long time shortness of breath < ; cough < ; palpitation > after a walk ; throbbing in small of back, > upright, < leaning
back ; backache < ; too long, feels uncomfortable ; a short time, stiffness of legs ; swelling of limbs or feet <.
Sitting with legs crossed : sensation as if urinary organs would be pressed out > ; to prevent protrusion of vagina ; bearing-down sensation >.
Has to sit straight up day and night : orthopnea.
Stooping : bursting headache < ; boring headache < ; coldness on vertex < ; shortness of breath < ; sudden pain in back.
Standing : emission of urine ; as if urinary organs would be pressed out ; bearing down ; cough < ; backache causes nausea and faint feeling ; swelling of legs and feet <.
Turning in bed : stretching out arms, catching pain in small of back ; stitches in back.
Turning from left to right side : facilitates raising phlegm.
Could not lie quiet for five minutes : restless sleep.
Rising from bed : pain in swelling on head >.
Rising : pains from coxagra < ; very tired in morning.
Leaning forward : heaviness in ovarian region.
Must bend over : pain in stomach.
Kneeling at church : fainting.
Stretching out limb : cramps in buttocks.
Remaining in one position long : neuralgic pains <.
Changing position : neuralgic pains > ; of legs imperative.
Desires to sit down, when sitting must stand up again ; pain in limbs.
Cannot find easy position for head.
Stepping : headache <.
Motion : pain over eye < ; bursting headache < ; pain in cerebellum ; boring headache < ; of eyes < headache ; of head < coldness on vertex ; leucorrhœa < ; fistula of cheek > ; pain in liver after ; sensation of a load in abdomen ;
shortness of breath < ; pulse accelerated ; aching across loins < ; weakness and lassitude in sacrum ; at first < crick in back, continued > ; causes great pain in back ; at first < pain in back ; chilliness ; flushes of heat from least.
Slight exertion : neuralgic pains > ; disagreeable from weariness ; easy perspiration ; fatigues ; irritable and faint ; sweat.
Slow exercise : headache >.
Exertion : pain in shoulder joint.
Hard motion : continued > headache.
Shaking head : headache <.
Walking : vertigo ; hemicrania < ; headache < ; emission of urine ; distress in hypogastric region > ; back gives out ; after menses a very disagreeable sensation ; oppression of chest ; rapidly no shortness of breath, only when stopped ; cough
< ; dyspnœa often disappears ; fast, palpitation ; nervous palpitation >.
Weakness : in small of back ; pain and stiffness in small of back ; slowly > coxagra ; ankles turn easily ; lower limbs go to sleep ; swelling of legs and feet > ; heaviness of feet ; profuse sweat.
A short walk : fatigues much.
Must get up and walk about : sciatica.
Going up stairs : cough < ; as if limbs would refuse to act ; fatigues.
Dancing and running : cause no shortness of breathing.

Nerves

Very faint all day.
Great exhaustion in morning during menses.
Great exhaustion and indolence ; everything seems an exertion ; the least exertion fatigues, even going up stairs.
Feeling of prostration ; general languid feeling of whole body.
Feels weary and trembles all over.
Very tired in morning, when rising from bed.
In morning on waking weak feeling as from nausea.
A short walk fatigues much.
Debility usually characterized by a painful sensation of emptiness at pit of stomach ; icy coldness of feet and hands.
Sudden prostration and sinking faintness.
Very irritable and faint from least exertion.
Great faintness from heat, then coldness ; great exhaustion in morning, during menses.
Sudden faintness, with profuse sweats and undisturbed consciousness, without being able to speak or stir ; rigid like a statue.
Fainting : after getting wet ; from riding in a carriage ; while kneeling in church ; at trifles.
Frequent trembling of whole body.
Extreme nervous restlessness ; uneasiness in whole body ; fidgety.
Feels as if she could feel every muscle and fibre of her r. side, from shoulder to feet, an indescribable sensation.
Frequent starts of upper part of body.
Jerking and twitching of head and limbs.
Cramps in buttocks in bed, at night, when stretching out limbs.
Twitching of limbs during sleep.
General muscular agitation.
Hysterical spasms ; sensation of a ball in inner parts.
Sensation of an icy-cold hand between scapulæ, then coldness over whole body, followed by cramping of chest as if she would suffocate, lasting several minutes ; this is followed by clonic spasms of right leg with twitching therein, and twitching
of right arm when leg is held, finally trembling of legs ; sleep frequently disturbed by attacks of anxiety, sudden fainting, profuse sweats, and a condition in which she is conscious and can move about but not speak. θ Hysteria.
In early childhood received a blow upon spine and has ever since complained of tenderness along its course ; whole spine very sensitive, could bear no pressure upon it ; also a spot in abdomen a little to left and below umbilicus extremely tender ; pain in left shoulder
extending down left arm and side, at times so severe that she cried out ; at times peculiar sensation in left arm, feels very stiff although flexible as ever ; constipation ; menses regular ; vomiting each meal almost as soon as eaten ; continued in this state for
two months, sometimes >, at others < ; then whole left side of abdomen became tender, could not bear slightest touch, patient stated that a circumscribed redness appeared over painful spot ; paroxysms of great pain and anguish every evening in this spot accompanied by vomiting of
bloody water and sometimes of pure blood to the amount of several tablespoonfuls ; numbness of left side and limbs, soon followed by complete paralysis of left arm ; difficulty in urinating, would postpone urinating for two days, then three or four days, each time having terrible
paroxysms of suffering ; could not be raised from recumbent posture without fainting and aggravation of pains ; had several paroxysms of pain during night, summoning whole household to her bedside by her screams ; would roll from side to side panting, speaking only in broken
words and sentences, then would become unconscious for several minutes, slowly recover and vomit some blood ; finally lost all desire to pass urine and during five weeks never passed a drop, suffering no inconvenience therefrom ; pulse 72. θ Hysteria.
Paroxysm of something twisting about in her stomach and rising toward throat ; her tongue becomes stiff ; she became speechless and rigid like a statue.
She is very uneasy about the state of her health ; constantly worrying, fretting and crying about her real or imaginary illness. θ Hysteria.
Violent spasmodic movement of all the limbs of body, and particularly of head, so that most of hair was rubbed off ; talking amounts only to a stutter and is accompanied by twitching of muscles of face ; great restlessness, constant desire to
change his place and position ; red tettery eruption on left thigh. θ Chorea.
Convulsive motions of head and limbs ; when talking (which is only a stammering), jerking of facial muscles ; general muscular agitation ; desire to constantly change position and place ; ringworm-like eruption on skin every Spring ; uterine chorea with menstrual
irregularities ; > after menses and after a thunderstorm. θ Chorea.
Hysterical paralysis.
Paralysis with atrophy.
Great sensitiveness to pain (Coff., Cham., Hep.).
Sensitiveness to cold air.

Sleep

Sleepiness : in forenoon ; during day falls asleep as soon as she sits down ; too early in evening.
Difficult awaking, no desire to rise, weariness of limbs.
Talks aloud during sleep.
Restless sleep : confused dreams ; felt that she had a weight pressing on her thighs, momentary ; on account of anxious dreams and heat ; she could not lie quiet for five minutes.
Sleep does not refresh, but leaves tired, aching feeling through whole body.
Frequent awaking from sleep without cause or because he thinks he has been called.
During first sleep, she often imagines she has swallowed something, which wakens her up in a fright, with a sensation as if it had lodged in her throat.
Awakes at night in a fright and screaming.
Twitching of limbs.
Ebullitions at night, with restlessness.
Nightly delirium.
Awakes in morning at 3 o'clock and cannot go to sleep again.
Wakeful, sleepless, from rush of thoughts.
Sleeplessness, cannot fall asleep, is nervously oversensitive.
Anxious dreams when lying on left side.

Time

At 3 A. M. : attack of shivering ; awakes and cannot go to sleep again.
From 3 to 5 A. M. : pains in left thigh.
Toward morning : tickling in larynx or bronchi.
Morning : depression ; beating in vertex ; hemicrania ; heaviness of eyelids < ; itching of inner canthus ; burning in eyes ; photophobia and swelling of eyelids < ; acute conjunctivitis ; conjunctivitis with mucopurulent discharge ; lids
glued together by thick matter ; photophobia < ; conjunctiva palp. injected on waking ; smarting in eyes ; lachrymation ; difficulty of opening eyes ; fluent coryza with sneezing ; face red ; on rising neuralgic pains < ; prosopalgia appears ;
cough < ; sour taste on waking ; bitter taste ; unpleasant taste ; roughness of mouth, throat and tongue ; hawking of mucus ; much thirst ; in morning vomiting of food and bile ; on rising pain and weight in abdomen ; pain in abdomen < ; strong
desire to urinate ; difficulty of urinating ; pain in vagina ; cross and irritable < ; cough dry and hacking < ; prolapsus uteri symptoms < ; crampy drawing down along thighs ; menses only ; loose cough ; great dyspnœa ; oppression of breathing
< ; expectoration ; cough loose, with effort to vomit ; heaviness in back ; pain in back < ; vertigo when rising ; great exhaustion during menses ; very tired ; on waking weak feeling as from nausea ; very cold feet ; after waking sweat ;
sweat with anxiety ; paroxysms of ague appear sometimes.
At 10 A. M. : paroxysm of ague.
From 11 A. M. to 1 P. M. : neuralgia of plexus mesogastricus.
From morning till noon : stitches over orbit ; headache with nausea.
Forenoon : as if brain were crushed ; till evening boring pain ; involuntary jerking of head ; weakness of eyes ; sleepiness.
During day : milky leucorrhœa < ; did not open eyes ; on closing eyes ; scratching in them < ; prosopalgia disappears ; leucorrhœa ; cough only ; no expectoration ; pulse slow ; heat in hands ; cramp in feet ; stitches in heels
and corns ; jerking and twitching of limbs and head < ; falls asleep as soon as she sits down ; shuddering without chill.
All day : headache ; shuddering all over body ; very faint ; feet damp and cold.
Day and night : pain from cough.
Afternoon : vertigo when rising from bed ; pain in small of back ; paroxysms of quotidian ague ; fever <.
Between 3 and 4 P. M. : paroxysms of ague.
At 3.30 P. M. : pain over eye.
At 4 P. M. : fulness deep in orbit.
At 6 P. M. : pain and weakness in small of back.
Toward evening : increasing dryness of eyes ; colic recurring ; severe oppression of chest ; chilliness with thirst ; very cold feet.
At 8.30 P. M. : flushes of heat all over body.
Evening : sad and gloomy ; toward anxiety ; headache > ; hemicrania < ; prickling of eyes by candlelight ; pustules around cornea with redness < ; biting in right eye ; acute conjunctivitis ; great dryness in eyes ; agglutination of lids ;
lachrymation ; face pale ; thirsty ; as of a strap around waist ; fever < ; attacks of neuralgia ; prolapsus uteri symptoms > ; oppression of breathing < ; dry cough ; short cough ; hacking cough ; pressure in chest ; beating of
arteries ; pain in small of back ; aching in sacrum ; chilliness along back ; in bed cold feet ; early, sleepy ; chilliness ; very cold feet ; face heated ; paroxysms of ague ; itching of spot on right hand ; acarus-itch itching <.
Night : pressure in eyes ; smarting in eyes < ; scratching in eyes < ; stitches in ears < ; neuralgic pains < in bed ; very severe prosopalgia ; toothache < ; throat parched ; has to eat something ; vertigo ; heavy sweat ; pelvic
distress ; involuntary discharge of urine ; much disturbed from having to urinate ; gleet discharge only ; menses more profuse ; no leucorrhœa ; expectoration ; wakes with feeling as if chest were hollow ; cough < ; spasmodic cough ; cold
knees ; much ebullition of blood in whole body ; pulse full and quick ; burning of feet ; cramp in buttocks ; rheumatism in knee < ; paroxysms of pain ; awakes in a fright and screaming ; cold sweat < ; itching and burning of skin in bends of elbows
and knees.
Before midnight : cough with expectoration ; tickling cough.
Toward midnight : spasms of eyelids cease.

Temperature and weather

In hot weather : conjunctivitis always <.
Becoming overheated : nosebleed.
Hot flannel : > pains in abdomen.
Warmth : was unbearable during violent headache.
Warm room : facial neuralgia > ; oppressive ; feels uncomfortable ; cold hands ; internal chilliness ; fine rash over body remains ; nettlerash disappears.
Warm climate : nervous irritability >.
Warmly covered : can bear labor pains better.
In room : oppression of breathing <.
In bed : toothache <.
Open air : sad and gloomy ; while walking, vertigo ; stitches over orbit > ; headache > ; pain over eye > ; in head > ; coldness on head > ; pressing pain around eyes < ; acute pain in orbit < ; lachrymation ; toothache > in fresh
air ; oppression of breathing > ; chilliness ; while walking profuse sweat ; urticaria appears.
In dry air, fog, east and north wind : cough and dyspnœa <.
Change of weather : rheumatism of knee very sensitive.
In a thunderstorm : boring stinging over eye <.
After a thunderstorm : ringworm-like eruption >.
Wind : riding in, brings on facial neuralgia.
North wind : boring stinging over eye <.
Northeasterly wind : facial neuralgia <.
Rough wind : exposure to, brings on migraine ; walking against, profuse sweat.
Cold north wind : roots of hair sore ; cough < ; flatulency >.
Dry east wind : cough <.
Stormy weather : she feels almost suffocated.
Snowy weather : feels <.
Damp weather : facial neuralgia ; pain in small of back after exposure.
Getting wet through : cough < ; fainting.
Cold, damp air : sensitive to ; cough < ; eruption on face itches and smarts <.
Cold water : acute conjunctivitis > ; smarting in eyes > ; toothache > ; when water gets warm toothache returns.
Cold : toothache <.
In cold air : boring stinging over eye < ; scaly tetter on back of hands < ; rheumatism of knee very sensitive ; sensitiveness ; nettlerash breaks out.
Cold room : fine rash disappeared.
Cold draft of air : toothache <.
Hot or cold : things in mouth < prosopalgia.

Fever

Want of natural bodily warmth.
Very sensitive to cold air.
Shuddering during day without chill.
Chilliness : evening in open air, and from every motion ; with thirst, toward evening, followed by night sweat ; for many nights ; internal, in warm room ; with the pains.
External warmth was unbearable to her during violent headache, yet she was chilly.
Coldness : over whole body ; between shoulders, followed by general coldness and convulsive twitching of right side and difficulty of breathing ; begins in feet and rises upward.
Chill frequently setting in after previous heat.
During chill more thirst than during heat.
Cold hands and feet, with frequent flushes of heat to head and face.
Hands generally cold but moist with perspiration.
Icy coldness of both hands, in warm room they send a chilly feeling through whole body.
Very cold feet, particularly in evening, mainly in bed, and afterward, when this passes off, very cold hands.
Very cold feet with headaches, especially toward evening and in morning.
Feet damp and cold all day, feeling as if they stood in cold water up to ankles.
Heat with attacks of chilliness, with thirst.
Face much heated : from talking ; with heat in evening, in head.
Painful heat in head, frequently, with flushes of heat over body.
Hot flush over face and whole head lasting but a few seconds, followed by slight perspiration.
Flashes of heat all over body about 8.30 P. M.
Attacks of flushes of heat, as if hot water were poured over one, with redness of face, sweat of whole body and anxiety without thirst, yet without dryness of throat.
Flushes of heat from least motion.
Heat ascends.
Sweat : during sleep, particularly on head ; profuse, while walking ; especially in bends of joints ; while walking in open air even against cold wind ; over whole body, in morning, after waking, profuse ; with anxiety in morning ; from least
exertion ; every morning in bed, after awaking, mostly on lower limbs ; of the feet ; on upper part of body ; continuous, debilitating ; pungent, offensive in axillæ, and soles of feet, causing soreness.
Night sweat : cold on chest, back and thighs ; from above downward to calves, every third night ; smelling sour ; offensive or like elder blossoms.
Paroxysms appear 10 A. M. ; shaking chill with thirst and vomiting ; then severe labor-like pains, > after cold stage, which varies in duration and is followed by profuse sweat with headache in forehead and occiput and palpitation, also
night sweats, throbbing in temples, oppression of chest and pain along spine (all during sweat) ; thirst only during chill, but water is then immediately vomited ; falls asleep during night sweat ; after paroxysm > although greatly prostrated ; mouth full of white
mucus ; irritable during paroxysm ; constipation ; urine dark ; loss of appetite and irritability of stomach ; is three months pregnant. θ Ague.
Paroxysms appear in afternoon, begin with heat in head, redness and stitching pains in temples, pressure in occiput ; then shivering and chilliness along back, lasting an hour and a half, with thirst, dry cough, stitches in hypochondria and swelling or right submaxillary
gland ; fever ; has had six paroxysms. θ Quotidian ague.
Tertian ague ; paroxysms appear sometimes in morning, sometimes in evening ; chilliness and shivering, followed by heat, then sweat, particularly in face ; thirst in all three stages ; loss of appetite ; bitter taste in mouth ; thirst ; itching of
forehead ; vertigo, causing him to fall ; stitches in splenic region, also during cough, with expectoration of blood-streaked mucus, epistaxis ; stitches in back on turning in bed ; rumbling in abdomen.
Paroxysms between 3 and 4 P. M. ; chill preceded by thirst ; during chill, thirst ; severe tearing pains in upper and lower limbs ; hands and feet blue, icy-cold, hands seem dead ; cough, with scanty expectoration, lasting through hot stage ; heat
predominates, is of two hours' duration and is followed by sleep and finally cold sweat, particularly at night ; during apyrexia, paleness of face ; tearing pain in head from ear to ear, also in forearms from elbows into fingers and both knees ; cold hands and feet with
weakness ; no food seems salted enough ; cough with scanty expectoration, particularly when lying on back. θ Quartan ague.
A girl, æt. 16 ; every four weeks, to the day, taken in morning with severe chill, lasting two or three hours, followed by very high fever, lasting as long as chill, this is succeeded by profuse sweating ; the attack was repeated a second and third time with an intervening
well day, after which the ague disappeared until expiration of four weeks from commencement ; ague did not return at expected time ; instead of it a rather copious menstruation appeared and returned monthly, with entire restoration to health.
Quartan ague chill beginning in legs ; preceded by a small, hard lump in left breast, above nipple, sore to touch ; each time (twice) it waked her at 4 A. M. ; one hour later, chill ; constant cold, damp feeling in front of chest ; air seems damp. θ Ague.
Heat ascending, or sensation as if hot water were poured over him.

Attacks, periodicity

Alternately : hard and soft stool ; diarrhœa and constipation ; burning and coldness on vertex.
Periodical : headache from 2 P. M. till bedtime ; discharge of mucus from urethra.
Every minute : expectoration of pure blood.
Every five minutes : during day and night, stitches in forehead.
Every half hour : having to urinate at night.
Several times a day : rolling in abdomen.
Several paroxysms during night ; of pain.
Every morning : headache with nausea ; sweat in bed ; cough and coryza with sneezing last till 9 A. M.
Every evening : cough ; restlessness in legs ; great pain and anguish in spot in abdomen.
Nightly : emissions with sexual dreams ; delirium.
Every Saturday for years : headache.
For two days : postponed urinating.
Every third night : night sweat.
Every three or four days : labor-like pains.
For four days : stitches over hip.
For several days : pain in teeth.
Eight or ten days : menses.
Every eight to fourteen days in afternoon and evening ; amenorrhœa.
For many nights : chilliness.
Every two weeks : gallstone colic.
Of three weeks' standing : painless diarrhœa.
Every four weeks : to the day taken with severe chill, then fever and sweat.
For five weeks : passed no urine.
For three months : jaundice.
For four months : menses suppressed.
Every Spring : for three years, tendency to reappearance of carcinoma of lip ; ringworm-like eruption.
Every Summer : for twenty years, from beginning of warm weather in Spring until its close in the Fall.
Every Winter : catarrh with cough.
Since a year : recurring attacks ; agglutination, photophobia, pustules, pain.
A year and a half standing : gleet.
Of several years' duration : painless diarrhœa.
Of two years' standing : hard, indurated tarsal tumor on lid ; costiveness ; gleet ; eruption on face.
For five or six years : headache ; affection of lungs.
Eight years' standing : crick in back.
Of thirteen years' standing : ozæna.
For fifteen years : scaly eruption on legs.

Locality and direction

Right : tearing in side of forehead ; headache follows perspiration on side of head ; stitching pains in side of head ; hemicrania ; boring stinging over eye ; as if eye were gone and cool wind blew through socket ; pressure in eye ;
biting in eye ; eye inflamed ; side of face much swollen, deep red ; eye seemed much smaller than left ; angle of mouth drawn upward ; stitches into ear ; heaviness in ovarian region ; pain running down leg ; stitches in hypochondrium ; drawing
through chest into shoulder ; pain from hepatic region to shoulder ; tender spot on side of abdomen ; hypochondrium tender and heavy ; aching in shoulder ; pelvic pain to knee ; pain and stitching in side of abdomen ; scirrhous tumor of breast ;
stitches in hypochondrium ; pain in spot under nipple ; pleuritic adhesions in chest ; diseased condition of lung ; stitching darting through lung ; pressure and pain through chest ; determination of blood to temple ; stitches in shoulder blade ;
stitches over hip ; could not lie on side, stitches in hip ; herpes circinatus on side of neck ; last joint of thumb inflamed ; acute rheumatism in knee ; as if she could feel every muscle and fibre of her side ; clonic spasm of leg ; twitching of arm when
leg is held ; twitching of side ; swelling of submaxillary gland ; a roundish bright-red spot on ball of hand.
Left : tearing in frontal eminence ; stitches over orbit ; tearing in temple and side of head ; pressing pain over eye ; fulness deep in orbit ; shooting over eye ; sore pain in eye and temple ; pain in temple downward ; stitching in
zygoma ; severe pain in head ; pain beginning in parietal region becoming throbbing in occiput ; violent stitches in forehead ; lashes of eye gone, edges raw and sore ; sticking in eye ; stuffiness of nostril ; small pustules on wrist ; panaritia of
thumb and middle finger ; dry coryza in nostril ; offensive greenish discharge from nostril ; neuralgic pains commence in temple over side of face ; fistula in cheek ; rales at apex ; tearing through ear ; tingling then tearing in hand ;
toothache ; inflammation of throat < ; violent pressure under ribs ; stitches in hypochondrium ; pain from side of urethra to a spot between sternum and shoulder ; inclination of fundus to side ; numb feeling in lower half of side of body ; pain in
lung ; stitches to scapula ; pressure on chest ; stitch in side of chest and scapula as if knife were thrust into top of lung ; flatulency on side of abdomen ; cannot lie on side on account of flatulency ; feels pulse beat through chest ; aching under
scapula into lung ; severe pains in thigh ; of umbilicus, tender spot ; pain in shoulder and under arm ; peculiar stiffness of arm ; numbness of side and limbs ; paralysis of arm ; tettery eruption on thigh ; humid tetter in axilla.
From within out ; pains over left eye ; stinging pain in side of head ; boring pain in head.
From below upward : pain in vagina ; coldness.
From above downward : night sweat.

Sensations

As if heart stood still ; as if every object were in motion ; as if suspended in air ; as if brain were crushed ; as if head would burst ; as of waves of pain rolling up and beating against frontal bone ; as if eyes would fall out ; stitches
as from needles in head ; vertigo, as if intoxicated ; as of a weight over eyes ; as if roots of hair were sore, as if cut short near roots ; as if eyes were gone and a cool wind blew out of socket ; eyes as if bruised ; as of a grain of sand in eye ; as if
lids were too heavy to open ; eyes as if balls of fire ; as if eyelids were too tight and did not cover eyeballs ; as if eyelids were too heavy ; as if lids were paralyzed ; hollow molar as if swollen and elongated ; gums as if burned ; gums as if beginning
to suppurate ; tongue and cavity of mouth as if scalded ; as if something had lodged in her throat ; as of a plug in throat ; throat as if raw ; as if everything in abdomen were turning around ; as if viscera were turning inside out ; as if stomach were
sore internally ; as if ribs were broken and sharp points were sticking in flesh ; as of a strap as wide as her hand drawn tightly around her waist ; liver as if bursting ; as if menses would appear ; as of a load in abdomen ; as if everything would issue
through vulva ; as of something adherent in abdomen ; as if something alive were in abdomen ; as of a weight in anus ; as if bladder were full and contents would fall out over pubes ; as if drops came out of bladder ; as if bladder and urinary organs would be
pressed out ; as if everything would fall out of uterus ; uterus as if clutched ; as if vulva were enlarged ; as if something heavy would force itself from vagina ; as from a weight in sides ; as if mammary glands were enlarged ; as if cough came from
stomach and abdomen ; as if something remained lodged in stomach ; chest as if hollow ; chest as if sore ; throat as if filled with phlegm ; as if stomach were being scraped ; as if knife were thrust into top of left lung, then turned around ; as if
intestines were drawn into a lump ; small of back as if sprained ; back as if she could not turn or raise herself, or as if she had lain in a wrong position, almost as if parts had gone to sleep ; sudden pain in back as if struck by a hammer ; pain in back as from
subcutaneous ulceration ; as if limbs would refuse to act ; as if something were going to break in back ; as if shoulder were dislocated ; feet as if asleep ; right hip joint as if bruised ; lower limbs as if beaten ; as of a mouse running in lower
limbs ; as if bones of legs were decaying ; as if she could feel every muscle and fibre of her right side from shoulder to feet ; as of a ball in inner parts ; as of an icy hand between scapulæ ; as if she would suffocate ; something twisting in stomach and
rising to throat ; as of a weight pressing on thighs ; as if feet stood in cold water up to ankles ; as if hot water were poured over one.
Pains : in occiput ; in back down to legs and feet ; in hips and back ; in lids ; in right ovarian region ; down right leg ; in stomach ; in liver ; in tender spot in side of abdomen ; in liver going across to stomach and spleen and
around back ; in abdomen from sacrum ; in rectum ; in rectum into genitals ; in left side of face ; in back and extremity of sacrum, through both ovarian regions ; in uterus ; in small of back ; in kidneys ; in mamma ; above pubes ;
between shoulders and down back ; in small of back ; in back across hips ; in sacrum, through hips and thighs to below knee ; from other parts to back ; in hips and thighs ; in left shoulder and down left arm ; along spine ; in hypogastric region.
Terrific shocks : of pain in head.
Severe pain : in teeth ; in pelvis ; in small of back ; in back ; in stomach.
Acute pain : in orbit.
Violent single, undulated jerks of pressing headache ; in forehead.
Throbbing pain : in temple ; in forehead ; in teeth ; in head.
Tearing : in upper part of right side of forehead ; in frontal eminence ; in left temple to upper part of left side of head ; stitching in right side of head ; in left temple ; in swelling on side of head ; in face and nose ; in arm ; in
teeth ; in limbs ; in knees and feet ; in rectum and anus, in tibia ; in back ; in arm and armpit to fingers ; in left thigh along sciatic nerve to calf and toes ; in upper and lower limbs ; from ear to ear ; in forearms from elbows into fingers
and both knees.
Shooting : over left eye ; from forehead to vertex and sides of face ; in rectum and anus ; from left side of urethra to sternum down to bones of pelvis ; in neck of uterus ; in last joint of right thumb.
Lancinating stitches : with coxagra.
Stitches : over left orbit ; in forehead ; in eyes ; in ears ; in parotid glands ; in ear going into brain ; in stomach ; in right hypochondrium ; in region of liver ; in left hypochondrium ; in abdomen ; in rectum ; along
urethra ; in vagina ; in cervix uteri ; in mammary glands ; in chest and back ; in left side of chest and scapula ; in breast ; in shoulder blade ; in back ; posteriorly over right hip ; in joints of arms, hands and fingers ; in heels
and corns ; in splenic region ; in back ; all over body.
Stitching, pressive pain : in lower part of forehead.
Stitching pain : in temple ; in left zygoma and teeth ; in throat ; in forehead, epigastrium and small of back ; in female urethra ; in cervix uteri ; in neck of uterus ; in vagina ; in centre of chest ; through right lung.
Cutting pain : in forehead ; from stomach to spine ; in abdomen ; in testes.
Darting pains : from left eye toward occiput ; through hips and sides ; through right lung.
Pressing, throbbing pain : in occiput.
Jerking pain : in head ; in vagina.
Pulsating pain : in cerebellum.
Dragging pain : in ears ; from sacrum to lumbar region ; over sacrum.
Boring pain : in head ; over right eye ; from region of stomach to spine ; through liver.
Gouty pains : in head.
Labor-like pain : in abdomen.
Pinching pain : in epigastrium.
Griping : in precordial region.
Severe cramping : in stomach.
Cramps : in stomach ; in hip joint and thighs ; in buttocks and calves ; in feet ; of chest.
Neuralgic pains ; in left temple and side of face to ramus of jaw in plexus mesogastricus ; in limbs.
Sore pain : in left eye and temple ; in nose ; in region of liver ; in larynx.
Stinging pain : in one side of head or forehead ; in throat ; in abdomen ; in ovaries ; in tumor of breast ; in limbs.
Burning : in eyes ; of pharynx ; in stomach ; in anus ; in abdomen ; at rectum and anus ; in bladder and urethra ; in forepart of urethra ; in neck of uterus ; on vertex ; in centre of chest ; in rectum ; in vagina ;
in vulva ; in mammary tumor ; in a fixed spot under right nipple ; between nates ; of feet ; of palms of hand ; in last joint of r. thumb.
Smarting pain : in both eyes ; in anus ; in urethra ; in chest.
Pricking pains : through hips and sides.
Bruised pain : in arms.
Soreness : in external canthus ; at internal canthi ; of lower lip ; of gums ; of tip of tongue ; right hypochondrium ; of abdomen of pregnant women ; in rectum ; between buttocks ; in left side ; in uterus, and external
organs ; in perineum ; of limbs ; of nipples ; of labia, in perineum and between thighs ; of abdomen ; of larynx and throat ; in bends of knees and elbows ; in neck and behind ears ; in middle of chest ; in sacral region ; between
nates ; of feet.
Tenderness : in abdomen ; of sexual parts ; of os uteri ; of vagina ; along spine ; of spot below umbilicus.
Sensitiveness : of roots of hair ; of abdomen.
Burning pressure : in spine, across dorsal region and under scapula.
Drawing pain : on forehead back to occiput ; in left parietal region ; in external canthus ; in face and nose ; in upper molars ; from stomach through chest into shoulder.
Aching : over eyes ; in eyeball ; in right shoulder ; in small of back ; in pelvic region ; between shoulders and under l. scapula ; in small of back ; across loins ; in sacrum ; in calves ; through whole body.
Dull aching pain : all around body.
Bearing down : in pelvis.
Dull heavy pain : in ovaries ; in sacrum and abdomen, into thighs and legs.
Contractive pain : in right side of abdomen ; in rectum ; in vagina ; in chest.
Constrictive pain : in stomach.
Dull pain : in sacrum.
Heavy pressing pain : over left eye.
Pressing pain : around eyes ; in root of nose ; in hepatic region, thence to right shoulder ; in side of abdomen ; over sacrum ; in region of stomach.
Tensive pain : in metacarpal joints of fingers ; in feet.
Violent pressure : under left ribs.
Beating : headache ; at pit of stomach.
Tired pain : in small of back.
Sticking : in left eye.
Biting : in right eye.
Painful stiffness : in uterine region.
Painful cracking : in occiput.
Painful confusion : of head.
Tingling : in fingers.
Tickling : in bladder ; in larynx and bronchi ; from larynx to stomach.
Heat : in eyes ; on margins of lids ; of palms and soles ; in head ; in sacrum ; in hands.
Painful emptiness : in stomach and abdomen.
Distress : in right shoulder and scapula ; pelvic, in hypogastric region ; in abdomen.
Anxiety : in pit of stomach.
Oppression : of chest.
Pressure : on vertex ; in forehead ; in occiput ; over eyes ; in eyes ; in stomach ; in region of liver ; drawing, tensive in abdomen ; on bladder ; in ovaries ; into vagina ; in pelvis ; painful, in sides ; in
chest ; in right shoulderblade.
Drawing : in arm and armpit to fingers ; in thighs.
Constriction : in throat ; of chest.
Paralytic drawing : in arm and armpit to fingers.
Heaviness : of upper lids ; in right ovarian region ; over eyes and nape of neck ; in back ; in feet ; of limbs.
Fulness : in temples and forehead ; great, deep in left orbit ; in region of liver ; in epigastrium ; in pelvis ; in chest.
Weight : in upper lids ; in anus ; aching, in right hypochondrium ; in abdomen ; at anus ; in ovaries ; in rectum ; in epigastrium ; in part from which blood flows.
Tightness : in region of liver.
Tension : in forehead ; painful, in parotid glands ; in lower abdomen ; in tendo-achillis.
Throbbing : in gums ; in teeth ; in small of back ; in last joint of right thumb ; in temples.
Jerking : from anus into rectum and abdomen.
Twisting : in stomach.
Restlessness : in legs.
Discomfort : in rectum.
Uneasiness : in stomach.
Empty, deathly sensation : in epigastrium.
Emptiness ; in epigastric region ; in chest.
Empty, gone sensation : at pit of stomach.
Goneness : in pit of stomach ; in epigastrium.
Weakness : in knees ; in small of back ; of sacro-iliac region ; in lower limbs.
Lameness : of arms and fingers.
Stiffness : in small of back ; of elbow and wrist joints ; of legs to hip joint ; in knee and ankle joints ; of tongue.
Dryness : of margin of lids ; in nose and fauces ; in throat ; in choanæ ; of lips ; of mouth ; of tongue ; in posterior nares ; of vulva and vagina ; in larynx.
Numbness : of left side and limbs.
Numb feeling : in lower half of left side of body.
Itching : of scalp ; on occiput or behind ears ; of internal canthus ; on margin of lids ; in ears ; of face ; of eruption on hands and thighs ; over whole body ; in rectum and anus ; in region of bladder ; around genitals ; of
prepuce ; of eruption on inner labia ; of eruption on chin, cheek and temples ; of vulva ; in chest ; of external chest ; in bends of knees, elbows and on hands ; of forehead ; in face ; on tip of nose ; on arms, hands, back, hips, feet,
abdomen, genitals ; of pimples on chin ; in various parts of body ; in ulcer ; of nipples ; in hands ; of elbows ; on posterior part of elbow ; of ringworm on face ; of tetter ; of warts.
Coldness : in vertex ; of feet ; in swelling on side of head ; in abdomen ; in hands ; of lower limbs ; in legs and feet ; over whole body.

Tissues

Uterine troubles.
Bad effects from loss of fluids ; bleeding from inner parts.
Sensation of weight in part from which blood flows.
Considerable swelling of veins of affected limbs.
Disposition to gout and hemorrhoids.
Painless swelling of lymphatic glands.
Erysipelas, generally pustulous.
Rheumatism, chronic cases, or obstinate remains of acute.
Arthritic affections of joints ; lithiasis.
Crippled nails.
Atrophy of children, emaciated, face like old people, big belly, dry, flabby skin, mushy passages.

Touch. passive motion. injuries

Touch : hair of head sensitive ; on swelling on side of head pain < ; roots of hair sore ; of teeth, toothache < ; gums bleeding ; stitches in hypochondrium ; abdomen sensitive ; spot on left side sore ; sexual parts tender ; tumor
of breast tender ; of right hip pain as from subcutaneous ulceration ; pain in back > ; external lateral ligament of knee sensitive ; abdomen very tender.
Pressure : boring headache > ; of eyelids together, eyes < ; facial neuralgia > ; slight, on stomach causes great pain ; spot on left side sore ; gentle, > symptoms of prolapsus uteri ; with hand on chest, > symptoms ; flatulency > ; of back
against something hard > pain ; aching in sacrum > ; spine tender.
Binding head tightly : sick-headache >.
Loosening clothes : > pressure in stomach.
Rubbing : pressure in eye < ; biting of internal canthus and lachrymation ; yellowish-brown spots about neck scale off.
Scratching : eruption on vertex feels sore ; roots of hair burn ; itching changes to burning ; does not > itching of spot on right hand ; pimples become dry.
Riding in a carriage : nausea ; fainting.
Riding : stitches in region of liver ; causes pain in hypochondria ; hurts back severely.
Seasickness.
Jar : hurts back severely.
Misstep : hurts back severely.
Slightest blow : nosebleed.
From a blow upon spine : tenderness along whole course.
Accidentally kicking foot against something causes painful stitches and must walk stooping.
Injury from overlifting : dyspepsia ; crick in back.

Skin

Delicate skin ; least injury tends to ulceration.
Itching : on face ; on tip of nose ; on arms, hands, back, hips, feet, abdomen and genitals ; pimples on chin ; in various part of body > by scratching, after which there is a pinkish color ; in ulcer ; of nipples, at times bleed and seem about to
suppurate ; in bends of elbows ; on posterior parts of each elbow.
Itching often changes to burning, when scratching.
Soreness of skin ; humid places in bends of knees.
Brown or claret-colored tetterlike spots ; chloasma.
Eruption on face, a red roughness of skin.
Painful eruption on tip of nose.
Herpetic eruption on lips and about mouth.
Red herpetic spots on both sides of neck with much itching.
Yellowish-brown spots about neck that scale off on rubbing.
Red spots on glans penis.
Reddish herpetic spots above hips.
Lentil-sized brown spots on elbows, surrounded with a herpetic-looking skin.
A roundish bright-red spot on ball of right hand, with violent itching not > by scratching, evening.
Fine rash over body, particularly about bends of elbows and knees ; prickling, tingling and itching ; in a warm room it remained out and she felt well, if she passed into a cold room it disappeared and she had the most severe rheumatic pains in and about these joints.
Moist pimply eruption at margin of vermilion border of upper lip.
Vesicular eruption on back ; humid tetter in left axilla.
Itching eruption followed by desquamation.
Herpes circinatus.
Ringworm-like eruptions every Spring on different parts of body.
Numerous bullæ, on face near mouth, on wrists and backs of hands ; two largest were on wrists, symmetrical in position and size ; smaller blebs on arms and below knees ; considerable itching and irritation of dermis beneath
vesicles ; bullæ on wrists were as large as a hen's egg. θ Pemphigus.
Urticaria ; burning, stitching, itching appearing every time she went out into open air ; first appeared on face, neck and forearm, five years ago, gradually spread over whole body, with the exception of back, abdomen and lower legs ; attacks preceded by nausea and
pressing headache ; face swollen as in erysipelas.
Nettlerash : most on face, arms and thorax ; breaks out during a walk in cold air, disappears in a warm room.
Brownish spots on chest.
Brown-red herpetic spots on skin.
Brown spots on skin with leucorrhœa.
Uneasiness in presence of strangers, a slight quivering of whole system when approached ; although she strove to appear calm her face flushed up suddenly but soon returned to its usual sallowness ; skin disease of long standing ; at night an itching and burning of skin in
bends of elbows and knees, small pimples would rise up, discharging a small quantity of serous fluid, on scratching they would become dry, leaving skin roughened with brown herpetic spots here and there ; chlorotic look ; pulse soft ; starting at trifles ; dreams with
good sleep ; more fever in afternoon ; decayed teeth ; tongue coated with thick, slimy fur, dark at root, lighter near edges, clearing off in patches, leaving exposed surface very red ; immediately after eating, severe pains in stomach causing her to bend over, with
vomiting of food and considerable amount of slimy fluid ; even when pain was not so severe, and when she did not vomit she spat a great amount of this fluid, after her meals ; lived almost entirely on crackers with as little drink as possible ; constipation ; menses
suppressed for nearly four months ; slight pains in hypogastric region most of time ; back and limbs very weak. θ Chlorosis.
Red spots and papules isolated and in large oval patches covered with shining, white, adhesive scales, looking like stearine, on head, face, chest, back, arms and legs, particularly on extensor surfaces (used sapo viridis locally). θ Psoriasis.
Large suppurating pustules constantly renewing themselves. θ Acarus itch.
Acarus itch, after previous abuse of sulphur ; itching < evenings ; especially in women.
Eruptions during pregnancy and nursing.
Dry ringworm, especially on face of children ; dry offensive eruption on vertex and back of head ; itching and tingling, with cracks behind ears.
Pruritus, with vesicles on acrid base over all parts of body, face, eyelids, hands, feet, armpits, vulva, anus, ears, hairy scalp, etc.
Itching, crusty tetters.
Tettery eruptions.
Stitches all over body, with breaking forth of little pustules.
Eruption very moist, almost constantly discharging puslike matter ; the child often jerks its head to and fro.
Humid tetter with itching and burning.
Ringworm ; boils ; pustules ; pemphigus.
Ulcers : painless, on joints and tips of fingers, stinging and burning ; flat with a bluish-white base.
The least injury tends to ulcerate, in thin, delicate skins.
Warts : on hands ; on neck with horny excrescence in centre ; small, itching, flat on hands and face.
Large, hard, seed warts ; dark color and painless.
Varicose veins.

Stage of life, constitution

Suited to persons of dark hair, rigid fibre, but mild and easy disposition.
Especially suitable for persons with dark hair and for women, especially during pregnancy, in childbed and while nursing.
Children take cold readily when the weather changes.
Scrofulous persons.
Men who have been addicted to drinking and sexual excesses.
Pot-bellied mothers, yellow saddle across nose, irritable, faint from least exertion, leuco-phlegmatic constitutions.
Girl, æt. 5 months ; cough.
Child, æt. 8 months, blonde, fat, teeth developing rapidly, had measles three weeks ago, attending cough had never quite subsided ; whooping cough.
Infant, æt. 1, suffering several weeks ; cough.
JTH., æt. 1 ; cough.
Boy, æt. 2 ; conjunctivitis.
Girl, æt. 3 1/2, fleshy, leuco-phlegmatic, suffering three years ; impetigo.
Child, æt. 4, strong, healthy ; ophthalmia.
Child, æt. 5, blonde ; vaginitis.
Girl, æt. 5, delicate, face pale, waxen, emaciated, suffering fifteen months ; leucorrhœa.
Girl, æt. 5, father scrofulous as a child, suffering three months ; eruption on legs.
Boy, æt. 6 ; catarrh of stomach.
Boy, æt. 7, ill three weeks, said to be suffering from intermittent fever ; functional derangement of liver.
Girl, æt. 7, delicate ; epistaxis.
Girl, æt. 8, light hair, blue eyes, fair complexion, of scrofulous parents ; warts on face.
Girl, æt. 10, strong, well built, brunette ; incontinence of urine.
Girl, æt. 11 ; scrofulous ophthalmia.
Boy, æt. 12 ; tarsal tumor.
Girl, æt. 14, blonde, delicate skin, subject to eruptions of skin, not yet menstruated ; eruption on hand.
Boy, æt. 14, blonde, lymphatic-nervous temperament, slender, delicate white skin, subject to herpetic eruption every Spring ; chorea.
Girl, æt. 16, tall, slender, fair complexion, light hair and eyes, suffering six months ; ague.
Girl, æt. 16, sanguine-nervous temperament, tall, slender, fine sensitive skin ; chlorosis.
Girl, æt. 16, delicate ; hysteria.
Girl, æt. 17, blonde, fair hair, pale, delicate, sensitive skin ; displacement of uterus.
Girl, æt. 18, blonde, stout, began menstruating a year ago, menses absent, when a child had tinea capitis ; matting of the hair.
Girl, æt. 19, sanguine temperament, brunette, rheumatic ; headache.
Miss L. S., æt. 20, dark complexion, hair and eyes, and living in affluent circumstances, suffering six years ; cystitis and irritability of bladder.
Young country-woman, æt. 20 ; sweating of hands and feet.
Girl, æt. 20, scrofulous, ill several years ; nasal catarrh.
Miss P., æt. 20 ; psoriasis.
Cigarmaker, æt. 21 ; gonorrhœa.
Woman, æt. 22, single ; ophthalmia.
Girl, æt. 22, menses always scanty, suppressed three months after catching cold ; chlorosis.
Man, æt. 22, dark-brown hair, short build ; quotidian ague.
Man, æt. 22, after catching cold, tertian ague, was given quinine, etc., two years later quartan ague, China given, attacks would cease for a time but always reappear ; ague.
Man, æt. 22 ; eruption on feet.
Young lady, sanguine, married ; ague.
Mrs. R. L., black hair, moderately well nourished, suffering three years ; cough.
Woman, pregnant, blonde, delicate, gentle disposition ; toothache.
Woman, æt. 23, four months ago miscarried in her third month ; menstrual disturbance.
Man, æt. 23, greatly debilitated by onanism, from which he rid himself two years ago ; seminal emissions.
Washerwoman, æt. 23, affected since 3 years old ; profuse sweating of hands.
Artilleryman, æt. 24, irritable disposition, blonde ; icterus.
Woman, æt. 24, single, brunette, menstruation normal, suffering five years ; urticaria.
Man, æt. 24, dark-brown hair, suffering four days ; ophthalmia.
Woman, æt. 24 ; perimyelitis.
Man, æt. 24 ; gastric fever.
Mrs. M., æt. 25 ; leucorrhœa.
Man, æt. 25, light hair, rough scurfy skin ; tertian ague.
Woman, æt. 25, single, strong, healthy ; dysmenorrhœa.
Man, æt. 25, blonde, slender ; fistula of neck and cough.
Woman, æt. 25, dark hair, pale sallow face, suffering several years ; oppression of breathing.
Girl, æt. 26, after heavy lifting ; uterine displacement.
Woman, æt. 26, eight months pregnant ; sciatica.
Girl, æt. 27, dark hair ; boils and offensive foot sweat.
Woman, æt. 27, nervous temperament ; hemicrania.
Woman, æt. 27 ; headache.
Miss H., æt. 28, dark brunette, sisters died of consumption, six years ago had an affection of the lungs and hæmoptysis, is a nurse ; cough.
Woman, æt. 28, of sedentry habits ; cardialgia.
Schoolmaster, æt. 29, suffering five or six years ; headache.
Woman, æt. 29, single ; amenorrhœa.
Mrs. J., æt. 30, scrofulous habit, since two weeks ; cough.
Woman, æt. 30, suffering several years from loose cough, a few days ago delivered of her first child which died, had pneumonia during pregnancy ; phthisis pulmonalis.
Woman, æt. 30, blonde, sanguine temperament, mother of several children, twelve weeks pregnant ; prolapsus uteri.
Woman, æt. 30, brunette, choleric temperament, married several years, three weeks ago delivered of a child, after exertion ; prolapsus uteri.
Man, æt. 30 ; scirrhus of lip.
Woman, æt. 30, single, three years ago lifted a heavy article, since then suffering more or less ; uterine displacement.
Man, æt. 30, dark-brown hair, after being rapidly cured of an ulcer on leg ; headaches.
Man, æt. 30, suffering four weeks ; pains in back.
Man, æt. 30, palpitations of heart.
Lady, æt. 30, ill ten days, her disease is said to have been pronounced remittent fever and prescribed for as such ; functional derangement of liver.
Mrs. B., æt. 32, sick several months ; asthenopia.
Woman, æt. 32 ; headache.
Woman, æt. 32, mother of several children, now three months pregnant, first attack of ague when twelve years old, since then frequently recurring, and always suppressed by quinine ; ague.
Woman, æt. 33, brunette, suffering several weeks ; leucorrhœa.
Mrs. S., æt. 35, nervous temperament, has had three children, the youngest seven months old, suffering since last pregnancy ; hydrometra.
Woman, æt. 36, blonde, sanguine temperament, no child for last ten years, now seven months pregnant ; disorders of pregnancy.
Woman, æt. 36, small stature, suffering many years ; gastric disorder.
Man, æt. 36, gunner on ship ; psoriasis.
Miss E., æt. 37, lymphatic temperament ; vaginitis.
Woman, æt. 37, mother of five children, last one still-born four years ago ; amenorrhœa.
Woman, æt. 37, dark hair, pale face, mother of four children ; pemphigus.
Tailor, æt. 37, dark hair, pale, lean ; rheumatism.
Mrs. P., æt. 38, black hair and eyes, married, mother of three children, says she has been under treatment most of the time for the last four years. θ Falling of the womb.
Woman, æt. 38, tall, slim, dark hair and eyes, bilionervous temperament, married fourteen years, has never conceived ; sterility.
Jewess, æt. 38, blonde, plethoric, in poor circumstances, suffering since last childbirth three years ago ; amenorrhœa.
Mrs. H., æt. 40, suffering nine years ; facial neuralgia.
Miss St., æt. 40, suffering several days ; toothache.
Woman, æt. 40, single, tall, slim, mild disposition, first noticed growth six months ago ; scirrhus of breast.
Farmer, æt. 40, hard working, robust man, dark complexion, jovial temperament ; stitches in ear, etc.
Woman, æt. 40, suffering since fourteen years old ; headaches.
Woman, æt. 41, married, no children ; pain in liver.
Mrs. H., æt. 43 ; gastralgia.
Mrs. R., æt. 45, large, fat, light complexion ; urinary difficulty.
Man, æt. 45, dark hair, muscular ; dyspnœa.
Woman, æt. 48, is said to have passed through four attacks of meningitis since fifteen years old ; since last attack, mental disturbance.
Lady, æt. 49, stout and fleshy ; cough.
Woman, æt. 49, corpulent, when five years old had scarlet fever, since then hoarse, and in Winter afflicted with a loose cough, after repeated exposure to drafts cough became dry ; severe cough and orthopnea.
Woman, æt. 50, single, good health until five years ago, when she ceased menstruating ; headache.
Mrs. R., æt. 51, black hair, thin, jaundiced for three months ; hepatic disorder.
Mrs. M., æt. 52 ; pain in vagina and rectum.
Mrs. W., æt. 55, caught cold six or eight weeks ago, since then ill ; pain in abdomen.
Mrs. W., æt. 56 ; procidentia.
Lady, æt. 67 ; cataract.
Man, æt. 75, afflicted fifteen or sixteen years ; eruption on legs.
Lady, æt. 76, suffering forty years ; constipation.

Relations

Antidoted by : Vegetable acids, Nitri spir. dulc., Acon., Ant. crud., Ant. tart., Rhus tox .
It antidotes : Calc. ost., Cinchon., Mercur., Natr. mur., Natr. phos., Phosphor., Sarsap., Sulphur .
Incompatible : Lachesis .
Complementary : Natr. mur .
Compare : Borax, Mezer ., in vesicular eruptions and ulcers about joints ; Arsen., Ars. jod ., in psoriasis ; Lycop., Nux vom., Sulphur, Curare , in chloasma ; Calc.
ost., Tellur ., in ringworm ; Caustic., Pulsat ., in sadness ; Bellad., Iris, Nux vom., Pulsat., Sanguin., Therid ., in hemicrania ; Natr. mur., Lilium., Kali carb.,
Jaborandi, Cyclam., Pulsat., Graphit., Thuja, Alumina , in eye troubles ; Aloes, Lycop., Sulphur , in abdominal troubles ; Murex, Kreos., Stannum, Podoph., Pulsat., Secale, Cauloph., Natr. carb., Natr. mur.,
Actæa rac., Aletris, Helon ., in diseases peculiar to women.

Lectures on Homoeopathic Materia Medica

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

Lecture

Sepia is suited to tall, slim women with narrow pelvis and lax fibers and muscles; such a woman is not well built as a woman.

A woman who has the hips of a well-built man is not built for child bearing, she cannot perform the functions of a woman without becoming relaxed in the pelvic organs and tissues. Such a build is a Sepia build, very tall, slim, narrow, straight from the shoulders all the way down.

Mind

One of the strongest features of the Sepia patient is found in the mind, the state of the affections. To a great extent, the remedy seems to abolish the ability to feel natural love, to be affectionate. To illustrate it in the language of the mother:

"I know I ought to love my children and my husband, I used to love them, but now I have no feeling on the subject."

The love does not go forth into affection, there is a lack of realization, a lack of ability to register such affections; the love does not manifest itself. Upon reflection it will be seen that the love itself cannot be so changed, but the affections can be as they are the expression of the love.

It is a striking feature of this remedy that the affections are stilled; all things seem strange; she does not realize; she may even be estranged and turned aside from those she loves. This is on the border land of insanity; it is quite a different state of affairs from that when a woman abused by her husband knows in her rational mind that she does not love him.

This state is brought out in a woman during confinement, after uterine and other hemorrhages, after prolonged indigestion; high living with disturbance in the circulation, pallor, enfeeblement of body and mind. It is seldom manifested in a man, but it is a striking feature in the woman. It often comes on when nursing a child, from nursing an over-vigorous child or twins who require much lacteal fluid and drag her down. It may be brought out in a woman who has an overvigorous husband. Excessive sexual excitement and over-indulgence brings on coldness and she becomes a cold woman.

She who has been excitable, nervous, and fidgety becomes the opposite, cold, takes on a stoical state of mind. Yet Sepia has all the excitability of any medicine, aggravated by noises, excitement, company, extreme irritability of tissue and mind; an excitable suicidal patient; melancholy, sits and says nothing; taciturn; answers questions in monosyllables when pressed to answer.

An absence of all joy, inability to realize that things are real; all things seem strange; no affection for the delightful things of life; no joy; life has nothing in it for her. She is worse in company yet dreads to be alone; and when she is in company she is spiteful, in the midst of her dullness of mind she is spiteful; she vents her spite on those she loves best. The Sepia woman permits no opposition to her opinions. The best impression of her is lost if controversy arises.

Skin

The next most general state is a peculiar sallowness which you will need to see to fix in your mind.

Sepia has jaundice, yet this peculiar sallowness is a waxy, anaemic appearance, mottled with yellow, a yellow, sallow tint across the nose and the cheeks described as a yellow saddle across the nose and down the sides of the face.

It is also common for the whole face to be covered with enormous freckles, great brown patches as in pregnancy, brown spots on the cheeks, brown warts, warts that have been red or pink become pigmented; liver spots on the face, chest, and abdomen.

The skin of the face is sallow and doughy, looks as if the muscles were flabby; you will seldom see Sepia indicated in the face that shows sharp lines of intellect; a person who has been thinking a long time has the lines and sharp angles of a thinking person, of one who possesses will and intellect. The Sepia subject is one who is rather stupid and dull, thinks slowly and is forgetful; the mind is anything but active and we see it in the face.

Eruptions of the skin.

Tendency to produce herpetic eruptions about the genitals, lips and mouth; ring-worm upon the face and body. It has cured zona, and herpetic eruptions of the labia and foreskin. Vesicular eruptions in the axilla, upon the tip-s of the elbows; eruptions that pile up in great crusts on the elbows; thick crusts form upon the joints; eruptions between the fingers; moist eruptions that pour out a watery fluid, or thick, yellow, purulent fluid.

Sepia produces the induration that belongs to some forms of eruption like epithelioma; indurations will form on the lips and crack and bleed. The scaly eruption that looks like epithelioma is especially Sepia. When the scales come off a yellow, green, ichorous base remains, and as soon as one crust peels off, another forms; finally if torn off prematurely, it bleeds. Sepia has cured epithelioma of the lips, wings of the nose, and eyelids It has cured old indurations caused by the use of a clay pipe, where it continues to form, and beneath it is seen this thick, yellow, purulent exudation.

It is indicated in lumps and lupoid formation on the skin, where there is infiltration; sometimes healing from the centre to form a ring; this is a typical Sepia condition. The hardness and purple color are what are peculiarly Sepia. Sepia stands on a par with Lach. for this purple aspect.

Face

In many instances, however, the Sepia patient is a quick patient, but the dullness of intellect is the most striking feature and it reflects itself upon the face.

The face is generally puffed, often smooth and rounded and marked by an absence of intellectual lines and angles.

This patient is anemic, pale lips and ears, pale, sallow face, fingers and hands become shrivelled, sallow, waxy, bloodless. Sepia establishes a progressing emaciation of the body and the skin becomes wrinkled; the person looks prematurely old; wrinkles intermingled with sallow spots on the face in one who is 35 years of age, making him look as if he were fifty. A child looks like a shrivelled dried up old person.

Bowels

With all complaints there is constipation.

The bowels lose their ability to expel their contents and the patient is always constipated; constipation during pregnancy; slow, difficult stool; stool like sheep dung. Always has a feeling of a lump in the rectum, never able to empty the bowels; though he goes to stool there is always a sensation of a lump remaining in the rectum. When the stool passes into the lower bowel, it is not expelled until there is an accumulation, which presses the stool out.

Hunger

Another feature present in most Sepia patients is a gnawing hunger, seldom satisfied; even though he eats plentifully he feels a gnawing, empty, hungry feeling in the stomach, not relieved by eating or relieved only for a moment. This is striking especially when associated with the constipation and the peculiar state of the affections.

When these symptoms are associated with prolapsus, Sepia will certainly cure, no matter how bad the prolapsus has been or what kind of displacement there is. It is the result of the state of relaxation of all the internal parts as if they were let down, wants a bandage to hold the parts up or wants to place the hand or napkin on the parts; a funneling sensation, better sitting down and crossing the limbs.

When these symptoms group themselves together, the gnawing hunger, the constipation, the dragging down, and the mental condition, it is Sepia and Sepia only. One is not sufficient but it is the combination.

Sepia has a marked catarrhal tendency, tendency to milky discharges from mucous membranes. Long after digestion has ceased and the stomach is empty comes nausea and sometimes vomiting.

It is a catarrhal state of the stomach and when it persists with the milky vomiting, Sepia is very valuable. This is not an uncommon feature in the vomiting of pregnancy. Vomits up food and after emptying the stomach of its contents, vomits or eructates a milky fluid; morning vomiting, first of food, then a milky substance. Do not confound this with vomiting of milk. Some medicines vomit milk alone and Sepia does this also.

Whitish, milky discharges from the posterior nares, from the vagina, excoriating, milky leucorrhea, which at times takes on the appearance of curds, thick, cheesy, and horribly offensive; it has also thick, green and yellow discharges; it has dry crusty formations on mucous membranes.

Nose

Prolonged inveterate catarrh of the nose, thick, green, and yellow crusts are blown from the nose and sometimes are hawked from the posterior nares, thick, leathery formations.

Loss of taste and smell. The smell of cooking food, meat and broth causes nausea. Catarrh of the chest with thick, tenacious, yellow expectoration, accompanied with a violent cough, retching, gagging, violent prolonged retching, vomiting; dry cough and yet there is rattling. Whooping cough; asthmatic cough with retching and loss of urine.

Cough

The cough is a violent one.

Cough during first sleep ( Lach., in irritable children Cham.). Tuberculosis. Quick consumption after a suppressed gonorrhea; if given soon enough it will check. Spasmodic dry cough in the evening until midnight; holds the chest during the cough ( Bry., Natr. sulph., Phos.)

Mind again

Sepia has a hysterical diathesis.

Breaks out in spells of weeping, is sad one minute, gentle, yielding, and in another she is disagreeable, excitable, obstinate. You do not know what she is going to do next. She says and does strange things, makes errors, no dependence can be placed on her; no mental endurance; no affection for her family; whole Mind weak and disordered, not when there is fever, but it is a chronic manifestation of psora or sycosis.

Fear of ghosts; that something unusual will happen; atmosphere full of figures, not seen, but she knows that they are there; departed friends or other forms and very often in accordance with religions belief.

Never happy unless annoying some one; relating her grievances; sarcastic; insulting fear of insanity, poverty.

"Fears to starve, is peevish and feels mortified, easily frightened and full of forbodings."

"Passionate, irritable; the greatest irritability from slight causes, very easily offended.

Vexed and disposed to scold."

Head

The headaches are nervous, bilious, periodic, violent, involving the whole head; congestive.

Generally better lying down, keeping perfectly quiet; worse from ordinary motion, but relieved by violent motion, like most Sepia symptoms in general; she can walk off her sufferings. Stasis of the brain, slowness of thought, mind will not work and, mental labor aggravates the headache. A good substantial sleep relieves it, but if she is awakened after sleeping a short time, the headache is worse.

The same is seen in regard to motion; moving the eyes, head, or body, moving about in a warm room aggravates the pain, but a good, long walk in the open air until she becomes heated up, relieves. It is a sluggish state of the body which requires exercise, and violent exercise to keep it in a state of comfort.

The Sepia symptoms are worse in the open air unless combined with continued motion, better from exercise in the open air and worse in the house. The headache is worse from stooping, motion, coughing, going up stairs, jarring, light, turning the head, lying on the back and from thinking, but continued, hard exercise relieves, as does a tight bandage, and the application of heat, though worse in a warm room.

There are Sepia headaches that particularly affect the occiput, worse in the morning; great pain through the eyes and temples; relieved by sweat, worse on beginning to move; throbbing felt on stooping, worse on going up s airs.

The Phos. headache is relieved by sleep, but continued, rapid motion aggravates. Cannot endure it. Sepia is suited to the old fashioned bilious headaches. It is better from vomiting; the pain gradually increases, loathing of food, then nausea, vomiting and the patient falls asleep and wakens without the headache. Sang. resembles it, is better vomiting, better in a dark room; the direction is different, however.

Neuralgia of the head; periodic sick-headaches in gouty people; violent, congestive headaches in young women sensitive to noise, women of extremely delicate fiber, especially those with dark eyes, dark skin, and who become sallow from sickness. Jaundice often sets in with the headaches; at the close of the headache vomiting, and in a few days jaundice, which passes away but returns again with the next headache.

Headache every morning with nausea; the smell of food repulsive. Sepia takes on a stupid state of mind as mentioned above; will not work; will not answer questions; as if intoxicated, benumbed; eyes and face swollen, sclerotics yellow and jaundice.

This sometimes ends in violent vomiting spells. Craves spicy, pungent, bitter things like beer - in old drunkards with headache; threatening apoplexy.

"Apoplexy in men addicted to drinking and sexual excesses, with a disposition to gout and hemorrhoids, etc."

"Threatening apoplexy in a dissipated, middle-aged man, who is subject to arthritic and hoemorrhoidal complaints; they have usually passed through several light attacks of apoplexy and are frequently visited with prodromic symptoms!"

Under external head we have eruptions and falling out of the hair yellow crusts; oozing of pus and other fluids; vesicles eczema of infants.

Face: Eyes; catarrhal symptoms with vesicles and pustules granular lids ulcers and psoric manifestations; various infiltrative conditions of the eyes and about the eyes; pustules on the margins of the lids, pustules on the globe of the eye, seems as if looking through a gauze; tarsal tumors, agglutination of lids, styes, etc.

The ears discharge thick, yellow pus; offensive.

The nose is a favorite locality; loss of smell; yellow or green thick crusts fill the nose and cannot be blown out; inveterate discharge of thick yellow pus.

"Large offensive-smelling plugs from the nose, often so large that they have to be drawn back into the mouth and expectorated, causing vomiting.

Dry coryza especially of left nostril, following of large lumps of yellow or green mucus or yellow-green crusts with blood from the nose."

This is descriptive of the worst forms of catarrh; very few will let it run on thus far, they apply local treatment and heal the nose up, and, the process at once going to the chest, phthisis pituitosa comes on.

The gums settle away from the teeth. Toothache and neuralgia from taking cold.

Sensation of a lump in the throat (like Lach.), but the latter is better from swallowing. (The same in worm troubles indicates Cina.) Uneasiness of the collar and corsets like Lach. Worse in the first, sleep like Lach.

Stomach

Sepia brings out many things in connection with the appetites, thirst, eating, drinking and stomach, etc.

The Sepia patient is generally conscious of a spoiled stomach, sour and bitter eructations of food, of mucus and bile, sour and bitter vomiting of food and mucus; all-gone, hungry, empty feeling in the stomach sometimes not relieved by eating.

At times a gnawing pain, a sinking, a gnawing hunger which is not always relieved by eating. Almost constant nausea, especially in the morning, nausea and eructations and vomiting of milky fluid; when the stomach is empty, vomiting, spitting up, eructations of milky fluid.

Aversion to food, to the smell of food cooking, like Colch. and Ars. The patient gets up in the morning with an all-gone feeling, distress and fullness in the stomach followed by belching and uprisings of mucus, and milky fluids; vomiting of pregnancy; vomiting of milky water in the morning; this is a characteristic of Sepia.

Acrid, burning eructations; heartburn; rancid eructations, excoriating the throat; pyrosis which is another form of eructation; acrid, sour fluids burning all the way up, causing contraction, tingling, smarting.

Nausea violent; deathly sinking accompanied with an awful anxiety in the stomach.

Phos. has more of the typical hunger which is relieved by eating. The Ignatia patient is always sighing; cannot get rid of "that feeling."

Oleander has an all-gone empty feeling as if he would die; food does not relieve, is not digested, but panes undigested the next day.

Lyc. has an all-gone feeling sometimes not better by eating, felt as markedly before as after eating, and after eating there comes a throbbing.

Kali carb. has it also, without the amelioration from taking food; it is even intensified by eating, which is followed by a sensation of fullness and throbbing.

In severe liver and heart affections the stomach is not able to keep up assimilation; palpitation, great weakness, liver congested, white stool.

Digitalis comes in here with its deathly sinking not better by vomiting. In Sepia this symptom is associated with the loss of affections, the lump in the rectum, with the constipation, etc.

"Pain in the stomach after the simplest food.

Stitches and burning in the stomach.

Pain in the stomach worse by vomiting."

This is peculiar, for vomiting usually relieves the distress. The Sepia stomach becomes like a leather bag, fill it up and the food comes up just as eaten or at times sour or mixed with bile. Inflammation of the liver, enlargement with jaundice, pain, fullness, distension, distress in the region of the liver.

Abdomen

distended with flatus, rumbling and distension. These disturbances are often chronic as in pot-bellied mothers; abdomen covered with brown spots. Sepia has removed tape-worm.

Chronic diarrhea, stools jelly-like, lumpy; alternating diarrhoea and constipation; a great amount of mucus with the stools, whether constipated or diarrheic; hard stool covered with a great quantity of jellylike mucus.

Goes for days without a stool and then sits and strains until a copious sweat breaks out and yet no stool, but after assistance with the finger and prolonged strain a little stool is passed, followed by a cupful of jelly-like mucus, yellow or yellow-white and very offensive.

The acute diarrheas and dysenteries with jelly-like stools are more in keeping with Kali bi. and Colch. This is chronic diarrhoea or in constipation with stool covered with or followed by jelly-like mucus is Sepia.

Do not confound with Graph., which has an enormous stool with much straining and sweating, and coated with and mixed with a substance looking like the cooked white egg, as if covered with albumen.

In Sepia there is much offensiveness; the odor of the stool is unusual, loose stools horribly offensive, foetid; the sweat is foetid, the urine is foetid.

"The stool has a putrid, sourish, foetid smell, expelled suddenly and the whole of it at once."

Sepia is given in a routine way for constipation, when there are few symptoms.

Rectum

There is always a sense of fullness in the rectum after stool; ineffectual straining and sweating in the effort because the patient is weak and exhausted.

Sepia has the ineffectual urging like Nux. She may go for days with no urging and then the effort is as if she were in labor. Prolapse of the rectum. Weight as of a ball in the anus not relieved by stool.

Soreness of the anus. Expulsion of ascarides. Oozing moisture from the rectum, soreness between the buttocks.

Hemorrhoids soon form when the rectum is so packed with feces, and they give additional trouble.

Urinary

There is much urinary trouble; involuntary urination as soon as the child goes to sleep at night.

Sepia is compelled to keep the mind on the neck of the bladder or she will lose the urine; urine is lost when coughing, sneezing, laughing, the slam of a door, a shock, or when the mind is diverted.

Frequent, constant urging to urinate with milky urine that burns like fire and after standing a while a milky, grayish deposit will form which is hard to wash off the vessel. Bloody urine scanty and suppressed, great pain in the kidneys and bladder with great bearing down; sudden desire with tenesmus as if the uterus would come out. Sudden desire to urinate with cutting like knives and chill all over the body, if unable to pass it, as a lady in company.

I remember a pitiable case. A saleswoman was obliged to go to the closet every few minutes; a violent pain like a knife cutting came with the desire to urinate, and if the urine was not passed this pain would hold right on. She was compelled to keep her mind on the urine or she would lose it. She was tall, slim, with sallow face, distressed look, worn and tired. Sepia cured her and she was never troubled again.

The Sepia patient aborts at the third month. All sorts of ulcerative conditions, displacements, dragging down and relaxations. Retained Placenta. Sub involution, all the pelvic organs are tired and weak. Metrorrhagia during the climacteric or during pregnancy, especially at the fifth and seventh months.

Genitals

Both male and female have aversion to the opposite sex.

In the female there is a state as if she had indulged to excess, when this is not the case. No endurance, tired after coition, sleepless nights, sleep full of dreams, jerking of muscles, twitching, leucorrhoea, congestion of the pelvis.

A woman who has been normal in her relations with her husband brings forth a child, and then the thought of sexual relations causes nausea and irritability.

The menstrual symptoms are of all sorts, no particular derangement characterizes Sepia. At one time it was thought that scanty menstruation was the more striking feature, but this is not necessarily so; from provings and clinical observations, it has cured profuse as well as scanty flow. Most violent dysmenorrhoea in girls of delicate fiber, sallow girls.

Sepia comes in when the woman ought to menstruate when the child ceases to nurse; sometimes the child dies and menses ought to be established but do not appear, and the mother runs down, pines away; Sepia will establish the flow.

Calc. is the opposite; the menses come on while the child is nursing. Thick greenish acrid or milky leucorrhea. Leucorrhoea in little girls.

In the male, old sycotic discharge that has resisted injection. Profuse yellow, or milky discharge from the urethra, or the "last drop" painless.

Gonorrhea after the acute symptoms have subsided. Urine loaded with urates, stains everything red and often excoriates, very foetid, associated with prostatitis.

"Gleet; no pain; discharge only during the night, a drop or so staining the linen yellowish; yellowish discharge, no burning or urinating; painless; of a year and a half's standing; orifice of urethra stuck together in the morning, particularly when the sexual organs are debilitated by long continuance of disease or through frequent seminal emissions."

Warts on the genitals; Sepia is useful when these organs have been overused and take on such an appearance. Impotence in the male, loss of sexual feeling in the female.

The close relation between this remedy and Murex is worth considering. The muscular relaxation, dragging down in the abdomen and pelvis, aggravated from exertion and walking, ameliorated by sitting with the limbs crossed and ameliorated by pressure on the genitalia would be like both remedies; but add to this copious menstrual flow and violent sexual desire and Murex must be considered and Sepia eliminated.

Both have extreme empty feeling in the stomach. Sepia has diminished sexual desire and often aversion. Murex has great soreness and congestion of the uterus, and she is constantly reminded of the uterus. Murex has acute pain in right side of uterus which crosses the body diagonally upward to left side of chest, or left breast, It cures violent dysmenorrhoea. It has been useful in cancer of the -uterus. Watery, greenish, thick, bloody leucorrhea, causing itching.

Back

One of Sepia's most general characteristics is the amelioration from violent exercise; worse on beginning to move but better by getting warmed up. This condition is closely related to the back symptoms. There is a great amount of soreness in the back, the spine aches all the way down. Pressure on the spine reveals sore places, spinal irritation.

Aching in the back mostly from the loins to the coccyx, often coming on from sitting, and ameliorated from violent exercise. A peculiar feature is amelioration from hard pressure. The patient commonly puts a book low down on the chair and presses the back against it. Sepia does not seem to get the amelioration from lying upon the back as Natrum mur. does. Stooping aggravates the backache.

''Backache worse from kneeling."

Under symptoms of the lower extremities we find great numbness of the feet.

"Coldness of the legs and feet especially in the evening in bed when the feet get warm the hands get cold; icy coldness of the feet profuse sweat of the feet or sweat of unbearable odor causing. soreness between the toes. Swelling of the limbs better while walking."

The sleep is full of dreams and distress; cannot sleep upon the left side because of palpitation of the heart. Palpitation in sleep, with pulsations and trembling all over the body, pulsations to the finger tips.

In old cases of suppressed malaria, Sepia brings back the chill, but its most useful sphere is after a bad selection of the remedy and the case becomes confused. Where a remedy has been selected for only a part of the case and changed it a little but the patient gets no better.

It will be seen that the fever, chill, and sweat are just as erratic as can be. Natrum mur. is one of the greatest malarial remedies, but it is full of order like China, Sepia is full of disorder.

In a case confused by remedies think of Calc., Ars., Sulph., Sepia and Ipecac . Never give China or Natrum mur. for irregular symptoms and stages.

Sepia is complementary to Natrum mur. Aside from the stupid condition of the mind it has an excitable condition of the general nervous system that is often marked in Natrum mur. as, for instance, being disturbed by a noise, the slam of a door, etc. It produces jerking of the muscles in sleep; constantly wakes from imaginary noises, thinks someone has called her; the last disturbance about the house wakens her.

Worse before and during menses; during pregnancy; after eating during first sleep; change of weather; during a thunderstorm; overwhelming fear.

The Therapeutics of Fevers

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

Characteristic

Adapted to persons of dark hair, rigid fibre, but mild and easy disposition.

Diseases of women; particularly those occurring during pregnancy, child-bed, and lactation; or diseases attended with sudden prostration and sinking faintness (Murex, Nux m.).

"The washerwoman's remedy;" complaints that are brought on or are aggravated after laundry work.

Pains extend from other parts to the back (rev. of Sab.), are attended with shuddering (with chilliness, Puls.).

Particularly sensitive to cold air, "chills so easily;" lack of vital heat, especially in chronic disease (in acute disease, Ledum).

Faints easily: after getting wet; from extremes of heat or cold; riding in a carriage; while kneeling in church.

Sensation of a ball in inner parts; during menses, pregnancy, lactation; with constipation, diarrhœa, hemorrhoids, leucorrhœa and uterine affections.

Coldness on the vertex with headache (Ver.—heat of vertex, Cal., Graph., Sul.).

Anxiety: with fear, flushes of heat over face and head; about real or imaginary evils; toward evening.

Great sadness and weeping. Dread of being alone; of men; of meeting friends; with uterine troubles.

Indifferent: even to one's family; to one's occupation (Fl. ac., Phos. ac.); to those whom she loves best.

Indolent; does not want to do anything, either work or play, even an exertion to think.

Headache: in terrific shocks; at menstrual nisus, with scanty flow; in delicate, sensitive, hysterical women; pressing, bursting < motion, stooping, mental labor, > by external pressure, continued hard motion.

Great falling of the hair, after chronic headaches or at the climacteric.

Yellowness of the face; conjunctivæ; yellow spots on the chest; a yellow saddle across upper part of cheeks and nose.

Herpes circinnatus in isolated spots on upper part of body (in intersecting rings over whole body, Tell.).

Painful sensation of emptiness, "all-gone feeling," in the epigastrium, not > by eating (Chel., Murex, Phos.)

Pot-belliedness of mothers (of children, Sulph.).

Tongue foul, but becomes clear at each menstrual nisus, returns when flow ceases; swelling and cracking of lower lip.

Constipation: during pregnancy (Alum.); stool hard, knotty, in balls, insufficient, difficult; pain in rectum during and long after stool (Nitr. ac., Rat., Sul.); sense of weight or ball in anus, not > by stool.

Urine: deposits a reddish, clay-colored sediment, which adheres to the vessel as if it had been burnt on; fetid, so offensive must be removed from the room (fetid after standing, Indium).

Enuresis: the bed is wet almost as soon as the child goes to sleep (Kreos.); always during the first sleep.

Gleet: painless, yellowish, staining linen; meatus glued together in morning; obstinate, of long standing (Kali iod.); sexual organs, weak and exhausted.

Violent stitches upward in the vagina; lancinating pains from the uterus to the umbilicus.

Prolapse of uterus and vagina; pressure and bearing down as if everything would protrude from pelvis; must cross her limbs to prevent it; with oppression of breathing (Agar., Lil., Murex).

Irregular menses of nearly every form—early, late, scanty, profuse, amenorrhœa or menorrhagia—when associated with above-named symptoms.

Morning sickness of pregnancy; the sight or thought of food sickens (Nux); the smell of cooking food nauseates (Ars., Colch.).

Dyspnœa: < sitting, after sleep, in room, > dancing or walking rapidly.

Erythism: flushes of heat from least motion; with anxiety and faintness; followed by perspiration over whole body; climacteric (Lach., Sang., Sulph., Tub.); ascend from pelvic organs.

Itching of skin; of various parts; of external genitalia; is not > by scratching, and is apt to change to burning (Sulph.).

Relations

Complementary: Natrum mur.

Inimical: to, Lach., should not be used before or after; to, Puls., with which it should never be alternated.

Often indicated after: Silicea, Sulphur.

A single dose often acts curatively for many weeks.

Aggravation

In afternoon or evening; from cold air or dry east wind; sexual excesses; at rest; sultry, moist weather; before a thunderstorm.

Amelioration

Warmth of bed, hot applications; violent exercise.

Many symptoms, especially those of head, heart and pelvis, are both < and > by rest and exercise.

Type

Many types; quotidian most common. Monthly (Nux, Puls.—every six or twelve months, Lach.). Quotidian; tertian; quartan. Bilious, remittent, malarial, typhoid.

Time

9 or 10 A. M.—4 to 6 P. M. Indefinite periods; time not marked.

Cause

In women, uterine diseases, menstrual delays, suppression or irregularities are often present. Constitutional chronic disease usually found.

Chill

With thirst. Shaking chill for an hour in the evening, with brown, acrid-smelling urine; he must lie down. Chilliness from every motion, though in a warm room (Nux). Chill commencing in fingers and toes (Nat.) in chest (Apis) and between shoulder-blades in back (Caps.). Violent headache during chill, external warmth is unbearable (Puls.). Icy coldness of the whole body, she could not get warm in warm room. At 11 A. M. a shaking chill, beginning with very cold feet, thence over whole body; she had to lie down, became hot at 4 A. M., and slight sweat during night over whole body. Chill, with icy cold hands and warm feet, or vice versa. Very cold feet, with headache, evening and in the morning. Icy cold and damp feet all day, like standing in cold water up to ankles, (Lyc., Puls.—icy coldness of right limb, as in cold water, Sab.). Coldness, with deadness of the limbs and fingers.

Heat

With less thirst than in chill. Attacks of flushes of heat, as if hot water were poured over one (Rhus), with redness of face, sweat of the whole body, with anxiety, without thirst or dryness of throat. Flushes of heat from the least exercise. Violent rising of heat to the head, alternating with chilliness in lower limbs. Heat ascends (Nat., Ver.). Face hot from talking. Feet hot at night. Vertigo, unable to collect one's senses.

Sweat

Profuse in the morning after awaking (see Samb.). Sweat worse from least exertion, mental or physical, walking, writing, eating (Bry., Psor., Sul.); smelling like elder blossoms. Cold night sweat on breast, back, thighs and male genitals. Sour night sweat. Sweat from above downwards to calves of legs, every third night.

Pulse

Pulsations in all the blood vessels (Nat.); violent beating after waking, from anger or mental emotions; pulse full, quick, intermitting, with an occasional hard "thump" of the heart.

Tongue

Coated white, with vesicles in old cases. Food tastes too salt (Carbo v., Cinch.). Aversion to meat (Arn.).

Apyrexia

Canine hunger, or complete loss of appetite.

Analysis

Chill; monthly, with thirst, < by every motion, < by external warmth; icy cold feet up to ankles; deadness of limbs and fingers.

Heat; without thirst, red face, in flushes, as if hot water were poured over body; heat ascends; sweat with heat.

Sweat; profuse after waking (Rum., Samb.); from least exertion, mental or physical; of single parts; odor of elder blossoms.

A good picture of a spoiled case—of Cinchonism—of suppression of paroxysm, of menses, of rheumatism, of eruptions. The face is yellow, sallow, dirty, doughy, yellow patches here and there; the so-called "old malarial," often found in the tropics