Silicea sil.

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

NUTRITION. Children. Tissues: Elastic. Cellular. NERVES. GLANDS. Tubes: Eustachian. Tear ducts, etc. Fistulæ. Bones. Cartilage. Mucous membranes. Skin.

Worse

COLD CHANGES: AIR. DRAFTS. Damp. Uncovering. Bathing. Checked sweat, < feet. Sensitive to: Nervous excitement. Light. Noise. Jarring spine. Change of moon. Night. Mental exertion. Alcohol.

Better

WARM: WRAPS; to head. Becoming. Profuse urination.

General

Cachectic or senile patients. Large head, with wasted body. Fair, clear complexion. KEENLY SENSITIVE; to noise, pain or cold; hugs the stove. Violent sticking pains; localized; in ears, throat, ulcers, etc. Exaggerated reflexes. Contracted sphincters. Spasms. Tendency to easy exhaustion, abnormal sweats and suppuration. Cerebral softening (Phos.). Slow, incomplete processes, then induration. EVERY HURT FESTERS; stubborn suppuration; fistulæ; abscess; proud flesh; induration; cicatrices, etc. Torpid cellular tissue. Mal-nutrition. Arrested development. Late learning to walk. Swelled, diseased glands. Emaciation. Scrophulo-rachitic diathesis. Parts lain on go to sleep. Œdema in A.M. Extrudes foreign bodies.

Particulars

Mental acuteness, with physical weakness or torpidity. Fidgety. Lacks grit. Slouchy gait. Sullen and stubborn. ASCENDING EFFECTS; violent vertigo; OCCIPITAL PAINS, etc.; > pressure. Headache, then blindness. Migraine. Vertex throbs. Open fontanels, with distended abdomen. Lumps on scalp. Inflamed eyes. Spotted vision. Cataract. Deafness; hears again with a snap. Frothy nasal discharge. Coryza; with epistaxis. Waxy pallor. Enlarged parotids. As of a hair on tongue, in throat, etc. Bitter taste in throat. Abscess at roots of teeth. Hawks down foul lumps. Averse to hot food. Averse to mother's milk; vomits it. Big, hard or hot belly; with thin legs. Rectum; cutting; cramping; paining into testes; < coition. Stools; receding; < menses; retained, for fear of pain. Fissure ani. Foul urethral discharge. Itching, moist spots on scrotum. Hydrocele. Cutting upward in vagina, < urinating. Nursing < utering flow. Biting, gushing leucorrhœa. Itching vulva. Retching, shaking, gagging cough; < cold drinks. Respiration difficult from draft on neck. Profuse, foul, lumpy sputum. Rattling in chest. Sore, retracted nipples. Nodes or fistulæ in mammæ. Sharp pains in breasts and uterus. Axillary glands swelled. Fingertips painful; dry. Panaris. Weak ankles. FOOT-SWEAT; FOUL; itching; acrid, destroying shoes; suppressed. Sore ache in arch of foot. Distorted, ingrown nails. Bunions. Soggy, wilted skin. Acuminate eruptions. Carbuncle. Ulcers; painfully sensitive; foul; spongy; on feet, toes; at nails; > heat. Osteitis. Somnambulism. Frightful dreams, wake him on falling to sleep. CHILLY; < lying in bed, exertion, etc. Coldness of painful part. Icy chills. Hectic. SWEAT; profuse; on upper parts; head, or affected parts; at night; foul; easy; acrid.

Related

Follows: Calc-c. or Hepar. Complementary: Flu-ac. Pho. Thu. Related: Calc-c. Hep. Kali-p.

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 the nervous, irritable, sanguine temperament; persons of a psoric diathesis. Persons of light complexion; find, dry, skin; pale face; weakly, with lax muscles. Constitutions which suffer from deficient nutrition, not because food is lacking in quality or in quantity, but from imperfect assimilation (Bar. c., Calc.); oversensitive, physically and mentally. Scrofulous, rachitic children with large heads; open fontanelles and sutures; much sweating about the head (lower than Cal.) which must be kept warm by external covering (Sanic.); distended abdomen; weak ankles; slow in learning to walk. Great weariness and debility; wants to lie down. Nervous debility; exhaustion with erythism; from hard work and close confinement; may be overcome by force of will. Restless, fidgety, starts at least noise. Anxious, yielding, fainthearted. Mental labor very difficult; reading and writing fatigue, cannot bear to think. Ailments: caused by suppressed foot-sweat (Cup., Graph., Psor.); exposing the head or back to any slight draught of air; bad effects of vaccination, especially abscesses and convulsions (Thuja); chest complaints of stonecutters with total loss of strength. Want of vital heat, always chilly, even when taking active exercise (Led., Sep.). Inflammation, swelling and suppuration of glands, cervical, axillary, parotid, mammary, inguinal, sebaceous; malignant, gangrenous. Has a wonderful control over the suppurative process - soft tissue, periosteum or bone - maturing abscesses when desired or reducing excessive suppuration (affecting chiefly the soft tissues, Calend., Hep.). Children are obstinate, headstrong, cry when spoken kindly to (Iod.). Vertigo: spinal, ascending form back of neck to head; as if one would fall forward, from looking up (Puls., - looking down, Kal., Spig.). Chronic sick headaches, since some severe disease of youth (Psor.); ascending from nape of neck to the vertex, as if coming from the spine and locating in one eye, especially the right (left, Spig.); < draught of air or uncovering the head; > pressure and wrapping up warmly (Mag. m., Stron.); > profuse urination. Constipation: always before and during menses (diarrhoea before and during menses, Am. c., Bov.); difficult, as from inactivity of rectum; with great straining, as if rectum was paralyzed; when partly expelled, recedes again (Thuja). Faeces in ano alternates with chest symptoms (Berb., Cal. p.). Discharge of blood from vagina every time the child takes the breast (compare Crot. t.). Nipple is drawn in like a funnel (Sars.). Night walking; gets up while asleep, walks about and lies down again (Kali br.). Unhealthy skin; every little injury suppurates (Graph., Hep., Merc., Petr.). Crippled nails on fingers and toes (Ant. c.). Takes cold from exposure of feet (Con., Cup.). Sweat of hands, toes, feet and axillae; offensive. Intolerable, sour, carrion-like odor of the feet, without perspiration, every evening. Fistula lachymalis; ingrowing toe-nails (Mag. p. a., Mar. v.); panaritium; blood boils; carbuncles; ulcers of all kinds; fistulae, painful, offensive, high spongy edges, proud flesh in them; fissura ani; great pain after stool. Desire to be magnetized, which > (Phos.). Promotes expulsion of foreign bodies from the tissues; fish bones, needles, bone splinters.

Relations

Complementary: Thuja, Sanicula. Compare: Hep., Pic. ac., Kali p., Hyper., Ruta., Sanic., Gettysburg. Follows well: after, Calc., Graph., Hep., Nit ac., Phos. Is followed well: by, Hep., Fluor. ac., Lyc., Sep.

Aggravation

Cold; during menses; during new moon; uncovering, especially the head; lying down.

Amelioration

Warmth, especially from wrapping up the head; all the symptoms except gastric, which are > by cold food (Lyc.). Silicea is the chronic of Pulsatilla.

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)

Eyes

Dazzling of the eyesight; blindness, and momentary attacks of blindness; spotted vision, i.e., on looking at an object, spots appear before the eyes; eyes water very much; dimsightedness; amaurosis. Affections appearing in the angles of the eye, in the region of the tear-duct.

Ears

Hardness of hearing; paralyzed auditory nerves; discharge of pus from the ears.

Larynx and Trachea

Cough and sore throat, with expectoration of little granules like shot, which, when broken open, smell very offensively (like Phosphor., excepting the latter remedy has a hot feeling in the throat); cough with expectoration in the day, without expectoration at night; expectoration bloody, or purulent.

Gastric

Want of appetite; extreme hunger; aversion to meat; taste is lost; nausea and vomiting in general, particularly of what has been eaten.

Stool

Constipation where the stool comes down with great difficulty, comes a little way through the anus, and then slips back before it can be voided; obstructed evacuation of the bowels; fetid flatus. Stool like pus; with maw worms; with tape-worms.

Sexual

Female: Discharge of blood before proper period. Menses too late; protracted; suppressed; blood acrid.

Skin

Abscesses which do not break, but burrow under the skin. Exanthema in general which corrode and spread; old and difficult to heal; which itch; fungus articularis; hæmatodes; spongy excrescences. Tetters in general; corroding and spreading. Ulcers in general, wherever pus is discharged from any part of the body or when appearing in the urine; ulcers burning; scabby; hard; fistulous; indolent; putrid; spongy; when circumscribed with redness; very high, hard ulcers; with itching around; with proud flesh; with corroding pus.

Bones

Bones of the leg. Bending and caries of the bones; inflammation of the bones: bones very sensitive and tender to the touch.

Sleep

Not being able to sleep again after waking; sleeplessness in general--especially after midnight.

Sensations

Griping pains with a tearing away feeling, of twisting or of writhing; or as if something were being torn away; sensation of heaviness in inner parts; jerking pains; debility; weakness of the joints, especially of the ankle-joints.

Generalities

Affections in general of any kind appearing chiefly in light-haired people; in right side; left side; back; left lower extremity; scalp: external head behind the ears; external surface of the inguinal ring; inguinal ring and hernia of long standing; finger nails, especially if there are white spots on the nails.

Feet perspire very much, and smell very offensively; feet become sore and blistered between the toes. Head perspires very much in the evening on going to sleep (this looks like Calc. carb., but in Silic. the perspiration extends lower down on the neck, and is apt to have an offensive smell). Incontinence of urine in bed at night. Imperceptible pulse.

Worse

In the night, chiefly in latter part; in the open air; in children of Silicea temperament where they are sickly, have worms, etc.; when single parts are cold; from taking cold in the feet; with profuse salivation; on uncovering; from a draft of air; after eating; after drinking; lying on the painful side; looking fixedly at an object; from wine; from outward pressure; from reading; stepping heavily on the ground or floor; in stone-cutters; when the weather changes; from getting the feet wet; from worm troubles of any kind; when writing; from uncovering the head; from wrapping the head up; in the room.

Remedies following

Arsen., Asaf., Bellad., Calc. carb., Hepar., Lycop., Pulsat., Rhus tox., Sulphur, Nux vom.

Antidote

Hepar., sometimes Camphor.

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

Headache better from binding head tightly, or from wrapping it up warmly. Head wet from sweating, particularly at night, likes wrapping it up. Water tastes bad, vomits after drinking. Increased menses with repeated paroxysms of icy coldness over the whole body. Offensive foot sweat, rawness between the toes, also complains after checking it. Want of vital warmth even when taking exercise Ailments following vaccination; abscesses. etc., even convulsions. Slow suppurating processes in general.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Silica. Pure Flint (SILICEA)

General

Imperfect assimilation and consequent defective nutrition. It goes further and produces neurasthenic states in consequence, and increased susceptibility to nervous stimuli and exaggerated reflexes. Diseases of bones, caries and necrosis. Silica can stimulate the organism to re-absorb fibrotic conditions and scar-tissue. In phthisis must be used with care, for here it may cause the absorption of scar-tissue, liberate the disease, walled in, to new activities (J. Weir). Organic changes; it is deep and slow in action. Periodical states; abscesses, quinsy, headaches, spasms, epilepsy, feeling of coldness before an attack. Keloid growth. Scrofulous, rachitic children, with large head open fontanelles and sutures, distended abdomen, slow in walking. Ill effects of vaccination. Suppurative processes. It is related to all fistulous burrowings. Ripens abscesses since it promotes suppuration. Silica patient is cold, chilly, hugs the fire, wants plenty warm clothing, hates drafts, hands and feet cold, worse in winter. Lack of vital heat. Prostration of mind and body. Great sensitiveness to taking cold. Intolerance of alcoholic stimulants. Ailments attended with pus formation. Epilepsy. Want of grit, moral or physical.

Mind

Yielding, faint-hearted, anxious. Nervous and excitable. Sensitive to all impressions. Brain-fag. Obstinate, headstrong children. Abstracted. Fixed ideas; thinks only of pins, fears them, searches and counts them.

Head

Aches from fasting. Vertigo from looking up; better, wrapping up warmly; when lying on left side (Magnes mur; Strontia). Profuse sweat of head, offensive, and extends to neck. Pain begins at occiput, and spreads over head and settles over eyes. Swelling in the glabella.

Eyes

Angles of eyes affected. Swelling of lachrymal duct. Aversion to light, especially daylight; it produces dazzling, sharp pain through eyes; eyes tender to touch; worse when closed. Vision confused; letters run together on reading. Styes. Iritis and irido-choroiditis, with pus in anterior chamber. Perforating or sloughing ulcer of cornea. Abscess in cornea after traumatic injury. Cataract in office workers. After-effects of keratitis and ulcus cornæ, clearing the opacity. Use 30th potency for months.

Ears

Fetid discharge. Caries of mastoid. Loud pistol-like report. Sensitive to noise. Roaring in ears.

Nose

Itching at point of nose. Dry, hard crusts form, bleeding when loosened. Nasal bones sensitive. Sneezing in morning. Obstructed and loss of smell. Perforation of septum.

Face

Skin cracked on margin of lips. Eruption on chin. Facial neuralgia, throbbing, tearing, face red; worse, cold damp.

Mouth

Sensation of a hair on tongue. Gums sensitive to cold air. Boils on gums. Abscess at root of teeth. Pyorrhea (Merc cor). Sensitive to cold water.

Throat

Periodical quinsy. Pricking as of a pin in tonsil. Colds settle in throat. Parotid glands swollen (Bell; Rhus; Calc). Stinging pain on swallowing. Hard, cold swelling of cervical glands.

Stomach

Disgust for meat and warm food. On swallowing food, it easily gets into posterior nares. Want of appetite; thirst excessive. Sour eructations after eating (Sepia; Calc). Pit of stomach painful to pressure. Vomiting after drinking (Ars; Verat).

Abdomen

Pain or painful cold feeling in abdomen, better external heat. Hard, bloated. Colic; cutting pain, with constipation; yellow hands and blue nails. Much rumbling in bowels. Inguinal glands swollen and painful. Hepatic abscess.

Rectum

Feels paralyzed. Fistula in ano (Berb; Lach). Fissures and hæmorrhoids, painful, with spasm of sphincter. Stool comes down with difficulty; when partly expelled, recedes again. Great straining; rectum stings; closes upon stool. Feces remain a long time in rectum. Constipation always before and during menses; with irritable sphincter ani. Diarrhœa of cadaverous odor.

Urinary

Bloody, involuntary, with red or yellow sediment. Prostatic fluid discharged when straining at stool. Nocturnal enuresis in children with worms.

Male

Burning and soreness of genitals, with eruption on inner surface of thighs. Chronic gonorrhœa, with thick, fetid discharge. Elephantiasis of scrotum. Sexual erethism; nocturnal emissions. Hydrocele.

Female

A milky (Calc; Puls; Sep), acrid leucorrhœa, during urination. Itching of vulva and vagina; very sensitive. Discharge of blood between menstrual periods. Increased menses, with paroxysms of icy coldness over whole body. Nipples very sore; ulcerated easily; drawn in. Fistulous ulcers of breast (Phos). Abscess of labia. Discharge of blood from vagina every time child is nursed. Vaginal cysts (Lyc; Puls; Rhod) hard lumps in breast (conium).

Respiratory

Colds fail to yield; sputum persistently muco-purulent and profuse. Slow recovery after pneumonia. Cough and sore throat, with expectoration of little granules like shot, which, when broken, smell very offensive. Cough with expectoration in day, bloody or purulent. Stitches in chest through to back. Violent cough when lying down, with thick, yellow lumpy expectoration; suppurative stage of expectoration (Bals. Peru).

Back

Weak spine; very susceptible to draughts on back. Pain in coccyx. Spinal irritation after injuries to spine; diseases of bones of spine. Potts' disease.

Sleep

Night-walking; gets up while asleep. Sleeplessness, with great orgasm of blood and heat in head. Frequent starts in sleep. Anxious dreams. Excessive gaping.

Extremities

Sciatica, pains through hips, legs and feet. Cramp in calves and soles. Loss of power in legs. Tremulous hands when using them. Paralytic weakness of forearm. Affections of finger nails, especially if white spots on nails. Ingrowing toe-nails. Icy cold and sweaty feet. The parts lain on go to sleep. Offensive sweat on feet, hands, and axillæ. Sensation in tips of fingers, as if suppurating. Panaritium. Pain in knee, as if tightly bound. Calves tense and contracted. Pain beneath toes. Soles sore (Ruta). Soreness in feet from instep through to the sole. Suppurates.

Skin

Felons, abscesses, boils, old fistulous ulcers. Delicate, pale, waxy. Cracks at end of fingers. Painless swelling of glands. Rose-colored blotches. Scars suddenly become painful. Pus offensive. Promotes expulsion of foreign bodies from tissues. Every little injury suppurates. Long lasting suppuration and fistulous tracts. Dry finger tips. Eruptions itch only in daytime and evening. Crippled nails. Indurated tumors. Abscesses of joints. After impure vaccination. Bursa. Lepra, nodes, and coppery spots. Keloid growths.

Fever

Chilliness; very sensitive to cold air. Creeping, shivering over the whole body. Cold extremities, even in a warm room. Sweat at night; worse towards morning. Suffering parts feel cold.

Modalities

Worse, new moon, in morning, from washing, during menses, uncovering, lying down, damp, lying on, left side, cold. Better, warmth, wrapping up head, summer; in wet or humid weather.

Relationship

Complementary: Thuja; Sanic; Puls; Fluor ac. Mercurius and Silica do not follow each other well.

Compare: Black Gunpowder 3x (Abscesses, boils, carbuncles, limb purple. Wounds that refuse to heal; accident from bad food or water.--Clarke). Hep; Kali phos; Pic ac; Calc; Phos; Tabasheer; Natrum silicum (tumors, hæmophilia, arthritis; dose, three drops three times daily, in milk); Ferrum cyanatum (epilepsy; neuroses, with irritable weakness and hyper-sensitiveness, especially of a periodical character). Silica marina-Sea sand--(Silica and Natrum mur symptoms. Inflamed glands and commencing suppuration. Constipation. Use for some time 3x trit). Vitrum-Crown glass--(Pott's disease, after Silica, necrosis, discharge thin, watery, fetid. Much pain, fine grinding and grating like grit). Arundo donax (acts on excretory and generative organs; suppuration, especially chronic, and where the ulceration is fistulous, especially in long bones. Itching eruption on chest, upper extremities and behind ears).

Dose

Sixth to thirtieth potency. The 200th and higher of unquestioned activity. In malignant affections, the lowest potencies needed at times.

Leaders in Homoeopathic Therapeutics

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

Leaders

Weak, puny children; not from want of nourishment taken, but defective assimilation.

Inflammations tending to end suppuration or refusing to heal; becoming chronic.

Coldness, lack of vital warmth, even when taking exercise; must be wrapped up, especially the head, which >.

Suppressed sweat, especially of feet, which is profuse and offensive.

Weak, nervous, easily irritated, faint-hearted; yielding, giving up disposition, "grit all gone." Constipation; stool protrudes and then slips back again, again and again; week expulsive power.

Scrofulous, rachitic children with large heads; open fontanelles and sutures; much sweating about the head, which must be kept warm by external covering; large bellies; weak ankles, slow in learning to walk.

Diseases, caused by suppressed foot sweat; exposing the head or back to any slight draft of air; from vaccination (Thuja); dust complaints of stone cutters, with total loss of strength.

Vertigo; spinal headache ascending from nape of neck to head, as if one would fall forward; worse looking upward.

Unhealthy skin; every little injury suppurates.

Promotes expulsion of foreign bodies from the tissues, fish bones, needles, bone splinters.

Silicea is another of our invaluable constitutional remedies, and also one which is of little or no use except as developed by Hahnemann's process of potentization. Like Calcarea, it is especially useful in sweaty-headed children (Sanicula) with defective assimilation. It is not in the fat, torpid, obesic patients, over-nourished in one part and insufficiently so in another, like Calcarea that Silicea is indicated, but in the over-sensitive, imperfectly nourished (generally), not from want of food, but from imperfect assimilation. The Silicea child is not larger than natural anywhere except in its "big belly," which is due to diseased mesentery. Its limbs are shrunken, its eyes sunken and its face pinched and old looking. It does not increase in size or strength, learns to walk late; in short, if not actually sick in bed, everything seems to have come to a standstill so far as growth or development is concerned. Now if this state of things continues the bowels become very constipated, and a peculiar constipation it is, too. The little fellow strains and strains, the stool partly protruding and then slipping back (Sanicula and Thuja), as though the general weakness of the patient affected the expulsive power of the rectum, or else the bowels become very persistently loose, especially during dentition or the hot weather of summer. The stools are changeable, but Pulsatilla does no good, almost every kind and color of loose stool appearing. The child takes nourishment enough, but, whether vomited or retained, goes on emaciating and growing weaker and weaker until it dies of inanition, unless Silicea checks this process. Many such cases have I saved with this remedy and made them healthy children. I have always used the 30th and upwards, hence cannot speak of the lower preparations. (Silicea also has constipation < before and during menstruation).

Silicea ranks among the first of our remedies for inflammations ending in suppuration. It seems to make no particular difference whether the suppuration takes place in the soft or hard parts, for it is equally efficacious in glandular or bony ulcerations. It seems to come in at a later stage than Hepar sulph. or Calcarea sulphide which expedite the discharge of pus already formed, while Silicea comes in for healing after the discharge has taken place. Cellular tissues with deep-seated suppurations, including tendons and ligaments, also come within the range of its healing powers. In these cases the constitution of the patient has an important bearing in the selection of this remedy. The Silicea subject is weakly, with fine skin, pale face, lax muscles. Even the mind and nervous symptoms come into the general picture of "weakness." He is nervous and irritable, weak, faint-hearted, yielding, giving-up disposition, "grit all gone." (Pulsatilla). In such a case Silicea is grand. I hate to use the term, but as the old school would say, "it builds them up," and so it seems, for under its action the patients spirits rise, hope revives, the weakness and depression give way to a feeling of returning strength and health. It makes no difference whether the ulcerations are in the tissues already named, in the lungs, intestinal tract, or mammæ, or elsewhere, the effect is the same, and the improvement in the local affection generally follows the general constitutional improvement. This condition of weakness seems to attack the general nervous system, affecting the spine, and so we get those cerebro-spinal headaches, or headaches beginning in the nape of the neck and running forward over the head to the eyes, for which Silicea is so useful. Vertigo also ascends from the nape to head, < looking up. (Pulsatilla).

There seems to be lack of nerve power to resist outward depressing influences. He is cold, or, as Hering puts it, there is "want of vital warmth, even when taking exercise." He is sensitive to cold air, takes cold very easily, especially when uncovering the head or feet. On the contrary, he is relieved by "wrapping up the head " (Magnesia mur.), or, in other words, supplying artificially the warmth that he lacks naturally.

I have several times found a Silicea child suffering from epileptiform spasms which were always worse at new moon. A few doses of Silicea 200th set them all right.

Silicea subjects are often afflicted with offensive foot-sweats (Sanicula, Psorinum, Graphites), which are easily suppressed by getting the feet cold. Such suppression must be remedied, the sweat restored and cured by proper medication or serious results often follow, such as convulsions and other spinal troubles, even locomotor ataxia. Silicea is the remedy to restore and cure such sweats by correcting the conditions upon which the sweats depend. (Baryta carb., Graphites, Psorinum, Sanicula).

The Silicea patient desires to be magnetized and is relieved thereby (Phosphorus).

This is one of the remedies of which, like Sepia, Lachesis, Lycopodium and others, the old school knows little or nothing, because their chief virtues are only developed in potencies above the 12th.

Silicea is the chronic of Pulsatilla.

Modalities

Modalities: < from cold or draft, motion, open air, at new moon; > in warm room, wrapping up head; magnetism and electricity.

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

Desponding, melancholy, tired of life. Yielding, anxious mood. Compunction of conscience about trifles. The child becomes obstinate and headstrong ; cries when kindly spoken to.

Head

Vertigo, as if one would fall forward ; when stooping, riding, raising the eyes upwards ; ascending from the neck to the head, with nausea. Burning in the head, with pulsation and perspiration of the head ; worse at night, from mental exertion and talking, relieved by wrapping the head up warm. Pressing headache, as if the head would burst, ascending from the neck to the forehead. Pulsating and beating, most violent in the forehead and vertex, with chilliness. Tearing headache, frequently only on one side of the head, with stitches through the eyes and in the cheek-bones ; heat in the forehead and great restlessness ; worse from a draught of air and motion. Heaviness in the head, pressing out in the forehead ; worse from evening till night, from stepping up hard, from uncovering the head, or if the head becomes cold in the open air. Stitches in the forehead and in the temples principally the right, from within to without ; worse at night, from moving the eyes, from talking and writing. Most all the headaches are aggravated from mental exertion, stooping, talking and cold air, and are relieved in the warm room, and from wrapping the head up warmly. Eruption on the back part of the head and behind the ears dry, offensive smelling, scabby, burning-itching ; when scratching it, burning feeling, more sore, and discharging pus. Itching pustules and bulbous swellings on the hairy scalp and on the neck ; very sensitive to pressure, touch, and when lying on it ; better when wrapping it up warm. Sensitiveness of the scalp to pressure (of the hat) and to contact ; worse in the evening and when lying on the painful side ; burning after scratching. Open fontanelles ; the head is too large and the rest of the body emaciated, with pale wax color of the face ; hot, swollen abdomen, and fetid stools. Burning and itching, mostly on the back part of the head ; worse from scratching, which causes burning and soreness ; worse when undressing in the evening and on getting warm in bed. Tearing pain in the scalp worse at night, and from pressure. Profuse, sour-smelling perspiration, on the head only (in the evening), with great sensitiveness of the scalp, with pale face and emaciation. Tendency to take cold in the head, which cannot possibly be uncovered.

Eyes

Lachrymation in the open air. Agglutination of the eyes. Swelling of the tear-gland. Ulcers (and fungus hæmatodes) on the cornea. Redness of the eyes with biting pains in the corner of the eye. Spots and cicatrices on the cornea. When reading the letters run together, look pale. Obscuration of sight, as from a gray cover. Black spots and fiery sparks before the eyes. Aversion to light ; day-light dazzles the eyes.

Ears

Otalgia, with stitches out of the ears. Itching in the ears. Stoppage of the ears, which open at times with a loud report. Difficult hearing, especially of the human voice and during the full moon. Over-sensitiveness of the hearing, to noise. Swelling of the external ear, with discharge of pus from the ear. Scabs behind the ear. Increased secretion of very thin cerumen. Hard swelling of the parotid gland.

Nose

Painful dryness of the nose. Gnawing pain and ulcers high up in the nose with great sensitiveness of the place to contact. Acrid, corroding discharge from the nose and stoppage of the nose. Loss of smell. Scabs and ulcers in the nose. Bleeding of the nose. Frequent violent sneezing. Long-continued stoppage of the nose from hardened mucus.

Face

Pale, earth-colored face. White or burning red spots in the face, especially on the cheeks. The skin of the face cracks. Blood boils on the cheek. Ulcerated corners of the mouth. Scabby eruptions on the hips, which smart. Ulcers in the vermilion border of the lower lip. Herpes on the chin. Swelling and caries of the lower jaw. Painful swelling of the submaxillary glands. Scirrhous indurations of the face and upper lip. The articulation of the jaw is spasmodically closed (lock-jaw).

Mouth and Throat

Toothache from warm food and from drawing cold air in the mouth. Tearing in the teeth ; worse at night, or only when eating. Stinging in the teeth, preventing sleep. Painful inflammation, swelling, soreness, and easily bleeding gums. Dryness of the mouth. Accumulation of mucus in the mouth. Sensation as if a hair were lying on the forepart of the tongue. Soreness of the tongue. One-sided swelling of the tongue. Tongue coated with brown mucus. Sore throat with much mucus in the throat. When swallowing, soreness and stitches in the throat (Quinsy). Swelling of the palate. Difficult deglutition, as if the throat were paralyzed. When swallowing, the food easily gets into the posterior nares.

Stomach and Abdomen

Ravenous hunger, with want of appetite. Want of appetite and excessive thirst. Aversion to warm, cooked food ; he desires only cold things. Loss of taste. Bitter taste in the morning. Aversion of the child to the mother's milk ; refuses to nurse, and if it does it vomits. After eating, sour eructations, fulness and pressure in the stomach ; water-brash and vomiting. Eructations tasting of the food eaten, or sour. Water-brash, with chilliness. Continuous nausea and vomiting ; worse in the morning. Vomiting whenever he drinks. Sensitiveness of the pit of the stomach to pressure. Abdomen bloated and hard (especially in children). Pain in the abdomen ; colic in children from worms. Cutting pain in the abdomen (colic), with constipation. Colic, with yellow hands and blue nails. The region of the liver swollen and hard. (Inflammation an induration of the liver). Beating soreness in the liver ; worse on motion and when walking, or when lying on the right side, or when breathing. Pressure in the abdomen, especially after eating. Painful inguinal hernia. Incarcerated flatulency ; difficult discharge of flatulence very offensive flatulence. Much rumbling of flatulence in the abdomen.

Stool and Anus

Constipation ; difficult, hard stool ; the feces are large, and if partly expelled slip back again, as if there were not power enough to expel them ; even the soft stool is expelled with much difficult. Frequent papescent fetid-smelling stools. Itching in the anus and rectum ; also during stool. Urinary organs. Strangury. Continuous urging to urinate, with scanty discharge ; also at night. Involuntary micturition at night. Sediment of red sand or deposit of yellow sand.

Sexual Organs

Men. Red spots and itching on the corona glandis. Itching, humid spots on the genitals, especially on the scrotum. Prepuce red and itching ; swollen and itching humid pimples on it. Hydrocele. Increased sexual desire ; frequent violent erections. Discharge of prostatic fluid when urinating and passing stool. After coition soreness in the limbs, and sensation in one side of the head as if paralyzed. Women. Menstruation too early and too scanty (or too profuse). Suppressed menstruation. Discharge of menstrual fluid while nursing. Itching on the genitals. Abortion. Leucorrhœa, during micturition, acrid, corroding. Inflammation of the nipples. Suppuration of the mammæ.

Respiratory Organs

Hoarseness, with roughness and soreness of the larynx. Deep sighing-breathing. Shortness of breath and panting, from walking fast or from manual labor. Dyspnœa when at rest ; when lying on the back. Stitches in the chest and sides of the chest, through to the back. Pulsation in the sternum. Phthisis pulmonalis. Cough, with copious expectoration. Suffocative cough at night. Hollow, spasmodic, suffocative cough from tickling in the throat, especially the throat-pit, with expectoration only during the tough, the day of profuse, yellowish-green pus, or of milky, acrid mucus at times of pale, frothy blood, generally tasting greasy and offensive smelling.

Back and Neck

Spasmodic pain in the small of the back, which does not allow one to rise. Swelling and curvature of the vertebræ. Inflammatory abscess on the psoas muscle. Sensation of soreness between the shoulder-blades. Glandular swellings on the neck and arm-pits, with suppuration.

Extremities

Upper. The arms go to sleep when lying on them, or when laying them on the table. Heaviness and paralytic weakness of the (fore) arms, with trembling from the least exertion. Blood-boils and warts on the arms. Stitches in the wrist at night, extending to the arm. Paralysis of the hands. Burning in the tips of the fingers. Panaritium. Yellow, crippled, brittle finger-nails. Lower. Blood-boils on the thighs and calves. Swelling of the knee. Red, smarting spot on the tibia. Ulcers on the lower leg, on the tibia. Caries of the tibia. Cramps in the calves, in the soles of the feet. Numbness of the calves. Coldness of the feet (after suppressed foot-sweat). Sweat of the feet offensive, causing soreness between the toes. Voluptuous tickling in the soles of the feet, driving to despair. Ulceration of the big toe, with stinging pain.

Generalities

Twitching of the limbs day and night. Epileptic attacks (at night, during new moon). The limbs go to sleep easily. Great restlessness in the body when sitting long. Soreness and lameness in the limbs, in the evening. Stinging in the limbs at night. Takes cold easily, especially when uncovering the head and feet. Sensation of great debility and sleepiness during a thunderstorm. Ebullitions and thirst from drinking small quantities of wine. Great nervous debility ; emaciation ; fainting when lying on the side. The child learns to walk.

Sleep

Sleeplessness with sleepiness. Sleeplessness from ebullitions of the blood ; restlessness and heat in the head. Frequent starting jerks, and twitches during sleep. Night walking ; gets up while asleep, walks about, and lies down again. Sleep disturbed by many unpleasant, anxious, fantastic dreams. Awakens with erections and urging to urinate. Snoring when asleep ; nightmare.

Fever

Pulse small, hard and rapid ; frequently irregular and then slow. The circulation is easily agitated. Violent chill in the evening in bed, aggravated from uncovering oneself. Great chilliness from every movement. Continuous internal chilliness, with want of animal heat. Chill in the evening, with sensation as if cold air were blowing around the waist ; not relieved by wrapping up ; followed by severe fever and perspiration. Heat predominates. Frequently during the day short flushes of heat, principally in the face. Violent general heat, with violent thirst in the afternoon, evening and all night. Periodically returning heat during the day, without any and previous chill and followed by slight perspiration. Debilitating perspiration at night, or only during the morning hours. Perspiration from slight exercise ; most profuse on the head and face. Perspiration only on the head. Night-sweat sour or offensive smelling. The perspiration comes periodically ; is worse 11 P.M., 6 A.M., or 3 to 5 P.M. Intermittent fever, heat predominating.

Skin

Painless swelling of the glands ; they only cause very unpleasant itching. Suppuration of the glands. Lymphatic swellings, with suppuration. Bones swollen, inflamed. Caries. Skin painful and sensitive. Itching over the whole body. Rose-colored blotches. Suppurations ; ulcers with good and bad pus, especially in membranous parts. The skin heals badly ; a small injury suppurates much. Ulcers of all kinds ; also after the abuse of mercury. Ulcers smell very offensive. Ulcers with proud flesh and putrid acrid ichor. Ulcers with stinging, burning, pressing, itching, and smarting. Painful, hard, high, and spongy edgers of the ulcers. Panaritium ; blood-boils ; carbuncles ; warts. Cancerous ulcers ; fistulous ulcers.

Conditions

Aggravation; in the night ; in the open air ; from cold, upon single parts getting cold ; from getting wet ; after eating ; from uncovering the head or feet ; when lying on the painful side ; from drinking wine ; from external pressure ; during sleep ; during the new (and full) moon, and from change in the weather. Amelioration; from wrapping the head up ; in the room ; from warmth ; from wrapping oneself up warmly. Especially suitable for scrofulous children, who have also worm diseases, and for children during dentition. It is an antidote to Mercury when it has produced bad effects in large doses, but it does not follow well after Mercury, nor does Mercury follow well after Silicea. Fluoric acid follows well after Silicea, and antidotes the bad results from too frequent repetition of Silicea.

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

Silicea terra. Pure Flint. Silex. Silicic anhydride. Silicon dioxide. SiO 2 . Trituration of pure, precipitated Silica.

Clinical

Abdomen, distended. Abscess . Acne. Anæmia. Ankles, weak . Anus, fissure of; fistula of. Appetite, depraved. Back, weakness of. Boils. Bones, necrosis of . Brain, concussion of. Brain-fag. Breast, sinuses in. Bunion. Cancer. Carbuncle. Cataract. Cellulitis. Cheloid . Chin, eruptions on. Cicatrix. Circulation, feeble. Coccygodynia . Conjunctivitis, phlyctenular. Constipation. Coryza. Cough. Debility. Dentition. Diabetes . Ear, affections of. Elephantiasis. Enchrodroma . Enuresis. Epilepsy . Eruptions. Excrescences. Eyes, affections of. Feet, burning; perspiring. Fester. Fibroma. Fistula . Foot-sweat; suppressed. Foreign bodies, expulsion of. Fractures . Ganglion. Gastric catarrh. Glandular swellings. Headache. Hernia . Hip-joint disease. Homesickness. Housemaid's knee. Hydrocele . Hypopion. Irritation. Jaw, caries of. Joints, sinovitis of . Lachrymal fistula. Lactation . Locomotor ataxy. Mania. Meningitis . Metrorrhagia. Miscarriage. Molluscum contagiosum. Molluscum fibrosum. Morphœa. Morvan's disease. Nails, diseased . Necrosis. Neuralgia. Nodes. Nose, tip, redness of . Panaritium. Parametritis. Perspiration, offensive . Phimosis. Pleurisy . Prepuce, eruption on. Psoas abscess. Pylorus, suppuration of . Rheumatism; chronic; hereditary. Rickets . Sinuses. Somnambulism. Spermatorrhœa. Spinal irritation . Strains. Strangury. Suppuration. Teeth, caries of. Tenesmus. Trachea . Tumours. Ulcers. Urethra, stricture of . Urine, incontinence of. Vaccination. Vagina, spasms of . Vertigo. Walking, delay in . Whitlow. Worms. Writer's cramp.

Characteristics

Outside homœopathy Flint as an internal remedy is practically unknown. Hahnemann introduced it into medicine, and it was his method of attenuating insoluble substances that enabled him to discover its powers. Silica forms one of the most important remedies of the Chronic Diseases . A large proportion of the earth's crust is composed of Silica . Sea sand ( Silica marina ) is mainly composed of it. The spicules of many sponges are made up of Silica . Silicates are taken up by plants and from them Silica is often deposited on the surface or in the interior of their stems. The strength of straw is due to Silica. Equisetum generally contains as much as 18 per cent. of Silica to the fresh plant. Flint supplies the "grit" of the earth's crust, of plant life, and to a large extent of animal life also. "Want of grit, moral or physical," is a leading indication for Sil . in homœopathic practice. Teste puts Sil . in his Pulsatilla group of remedies, the other members of it being Calc., Hep., Graph., Pho . According to Teste, Sil . is the "chronic" of Puls ., ─ it corresponds to the chronic form of such diseases as Puls . cures when acute: Rush of blood to the head, especially to the right temple and vertex; headache everyday; photophobia; lachrymation; loss of taste; aversion to fat food with rancid or oily taste in mouth, &c. The symptoms of Sil . differ from those of Puls . in being more constant, more deep-seated, and lasting longer; for instance, the mucous secretions of Puls . become easily purulent under the action of Sil . Teste points out that Puls . flourishes best on sandy soils (as Bell . does on calcareous soils). Schüssler, who was a homœopathist before he was a Biochemist, describes the sphere of Sil . from the Tissue-Remedy point of view as follows: " Silicic Acid is a constituent of the cells of the connective tissue, of the epidermis, the hair and the nails. ─ If a suppurative centre is formed either in the connective tissue or in a portion of the skin, Sil . may be used. ─ After the functional ability of the cells of the connective tissue, which had been impaired by the pressure of the pus, has been restored to its integrity through a supply of molecules of Sil ., these cells are thereby enabled to throw off inimical substances (the pus). In consequence, the pus is either absorbed by the lymphatics or it is cast out. In the latter case there is a so-called spontaneous breaking open of the suppurative centre. ─ Sil . may also cause the absorption through the lymphatics of an effusion of blood in any tissue. If the reabsorption of a sero-albuminous exudation in a serous sac cannot be effected through Calc. phos ., then Sil . may be used; for the delay in the absorption may also be caused by deficiency of Sil . in the subserous connective tissue. ─ Sil . will also cure chronic arthritic-rheumatic affections, as it forms a soluble combination ( Sodium silicate ) with the soda of the urate of soda; this combination is then absorbed and removed through the lymphatics. For the same reason it may also be used in renal gravel. ─ Sil . can also restore the perspiration of the feet when this has been suppressed, and is thus an indirect remedy in diseases arising in consequence of such suppression ( e.g ., amblyopia, cataract, paralysis, &c.). ─ When a number of cells in the connective tissue are gradually deprived of Sil ., they become atrophied. Such a disease is by no means rare in the external meatus auditorious with old people. The meatus in such a case is dry and enlarged," (Schüssler adds that he generally gives the 12x trituration.) The indications of Schüssler correspond so exactly with those already pointed out by Hahnemann that we are left in doubt as to how much he was indebted to Hahnemann for his facts and how much to his own theories. Be that as it may, the relation of Sil . to the connective tissues is a very real one. Sil. is a great evacuant. Sil. produced in the provings sensation of "splinter in the finger," of "a pin in the throat," and whenever foreign bodies have became embeded in the tissues; or whenever portions of the tissues have become necrosed and quasi-foreign, Sil . will set up suppuration in the vicinity and bring about their expulsion. (It is this property which makes it necessary sometimes to use Sil . with caution; if there are deposits which have became encysted and so far rendered harmless, the administration of Sil . might set up suppurative action, to the risk of the patient's life.) Sil . both matures abscesses and reduces excessive suppuration. It will also resolve indurations left after suppuration; this has been particularly noted in the case of tonsils which refuse to heal after the pus has been evacuated, and in abscesses which leave sinuses and fistulæ. Sil . affects the nails, cripples them, and produces inflammation around and under them. "Sensation as if the finger-tips were suppurating" is one of the symptoms which led to its use in such cases. Sil . causes inflammation, swelling and suppuration of all the lymphatic glands and also the glands of the skin. The skin is unhealthy and every little injury ulcerates. Hands and feet are sweaty, and the sweat is generally offensive. The feet may give off an intolerable odour without any sweat. The head sweats, and this may be offensive. Sil . corresponds perfectly to many cases of rickets: children with large heads; Open fontanelles and sutures; much sweating about the head, which must be kept warm; distended abdomen; weak ankles; slow in learning to walk. This constitutes type No. 1, to which Sil . is particularly suited . It is also suited to: ( 2 ) Nervous, irritable persons, with dry skin, profuse saliva, diarrhœa, night-sweats. ( 3 ) Weakly persons, fine skin, pale face, light complexion; lax muscles. ( 4 ) Constitutions which suffer from deficient nutrition due to lack of assimilating power; oversensitive physically and mentally. ( 5 ) Scrofulous children who have worm diseases during dentition. ( 6 ) Stonecutters' ailments (chest affections and total loss of strength. ─ The action of Sil . on the connective tissues may end in new growth as well as in suppuration and ulceration. It has a specific relation to scarred tissue; and I have cured with it a case of recurrent cheloid: Eleanor W., 14, had a growth on left temple. Five months before she had been an inmate in St. Bartholomew's Hospital, and had had a tumour removed from the spot, the tumour having existed for two years. A month after the operation a new growth appeared on the scar. Two months later this was removed. But it rapidly recurred, and when I saw her there was a linear elevation an inch long, three lines wide, and raised about two lines. It was red, shiny, and slightly nodulated; was tender to touch and the seat of Shooting pain . Before the first operation there had been no pain and no discoloration of the skin. Hahnemann gives this symptom in the proving of Sil . "Stitching, aching pain in the spot where an ulcer had been formerly on the leg." Sil . 3 gr. iii., night and morning, was prescribed. There was no further increase in the size of the growth, though it was still painful, the pain being apparently somewhat increased. In three months there was evident diminution in size, and from that time the pain began to diminish. In seven months the growth had entirely disappeared. ─ The sensitiveness of Sil . is one of its keynotes, and an over-susceptibility to nervous stimuli is a frequent accompaniment of conditions requiring Sil . The surface is tender and the least touch is painful. The senses are morbidly keen. Brain and spine cannot bear even ordinary vibrations. This condition may be caused by losses of fluids as in spermatorrhœa; by over-worked brain. Sil . causes tendency to paralysis and paralytic weakness from defective nutrition of nerves of brain and spinal cord. Constipation is often an accompaniment of these conditions. There may be epileptic convulsions. These have a well-marked course, starting from the solar plexus; are < at full and new moon; and < from any overstrain of mind or emotions. Sil . is indicated in locomotor ataxy when the fingers feel stiff with loss of power in them. There is spinal irritation. The neck is stiff causing headache. The small of the back aches as if beaten. The part of the body lain on goes to sleep. The headaches of Sil . present one of the grand characteristics of the remedy. They are of the chronic kind, and may owe their origin to some severe disease of youth. They ascend from the nape of the neck to the vertex, as if coining from the spine, and locate in one eye, especially the right; < from draught of air or uncovering head; > pressure and wrapping head up warmly ; > profuse urination. The vertigo of Sil . in the same way ascends from the back of the neck; as if one would fall forward (sometimes backward); < looking up; closing eyes; lying on left side. The sensitiveness of Sil . comes out in the mental symptoms: "Sensitive to noise; and anxiety therefrom." "Sensitive, weeping mood." "Yielding, faint-hearted." "Children become obstinate, headstrong; cry when kindly spoken to." A curious symptom and one of great value is this: "Fixed ideas: the patients thinks only of pins, fears them, searches for them, and counts them carefully." This symptom enabled me to make a rapid cure of post-influenzal insanity in the case of a man of bad family history, one of whose sisters had become insane and had drowned herself, another sister being affected with lupus. The patient's wife told me one morning that he had " been looking everywhere for pins ." Sil . 30 rapidly put an end to the search and restored the patient to his senses. Sil . has another link with insanity in its aggravation at the moon's phases: epilepsy and sleep walking are < at the new and full moon. The Sil . patient likes to be magnetised, and is > by it. This is related to the persistent want of vital heat which characterises the Sil . condition; even exercise will not get up any warmth. Another curious symptom of Sil . is: "discharge of blood from the vagina every time the child takes the breast." Another symptom in this relation is important in connection with cancer cases: "nipple is drawn in like a funnel." Always before and during menses there is constipation. The constipation of Sil . is characteristic. The stool is difficult as from inactivity of rectum; with great straining as if rectum was paralysed; when partly expelled recedes again . Fæces remain a long time in rectum. Rushmore ( H. P ., xii. 530) verified a peculiar symptom of Sil . in a lady suffering from scirrhus of left breast. She had a feeling of dryness in her finger-tips, as if made of paper; at night. Ant. t . and Sil . have this symptom, but only Sil . in afternoon. Sil . removed this and took away sharp, stinging pains in the tumour as well. Peculiar Sensations of Sil . are: Susceptibility to nervous stimuli, to magnetism. As if she would die. As if gradually losing senses. As if feeling for pins. Sensation as if she were divided into halves and that the left side does not belong to her. As if one would fall forward. Vertigo as if drunk. As if head were teeming with live things whirling around in it. Headache as if beaten. As if everything would press out and burst skull. As if brain and eyes were forced forward. As if head would burst with throbbing in it, internal and external at same time. As if forehead would be torn asunder; as from a heavy weight over eyes. As if head were forced asunder. As of water-pipes bursting in head. As if tremendous weight were falling on vertex. Head as if in a cushion and some one were pressing two fingers into it at occiput. As if brain collided with skull. Head as if bruised. As if waves of water from occiput over, vertex to forehead. Sick-headaches as if coming from spine and locating over one eye. Head as if too large. As if head were falling off; as if it were hanging by a piece of skin at nape. As if right side of head paralysed. As if looking through a grey cover. As if cornea were a mass of hypertrophied tissue. Eyes as if too dry and full of sand. As of a splinter in upper lid. As if both eyes were dragged back into head by strings. Objects as if in a fog. As if something alive were in ears. As if nasal bone has been beaten. As if a hair were on tip of tongue extending into trachea. As of a lump on right side of throat. As of a pin in throat. Throat as if filled up. As if he could not swallow. As if he swallowed over a sore spot. As of a load in epigastrium. As if knives were running into stomach. As if there were no power in rectum to expel stool. As if rectum paralysed. As if anus constricted. As of a heavy lump in anus. As if vulva were enlarged. As if tied round chest with a tape. As if sternum were grasped. As of a stone under sternum. As if mould were forming over whole body. As if a hand had grasped her breastbone. Cords of neck as if pulled. Small of back as if beaten; as if dead. Arms and hands as if filled with lead. As of a splinter in finger. As if a panaritium would form in index finger. As if tips of fingers were suppurating. As if finger were thick and bone enlarged. As if joints of fingers were being pulled out of sockets. Limbs and feet as if paralysed. Femur as if beaten. Knees as if too tightly bound. Calves as if too short. As if spasms in ankles. As if toe-joints being pulled out of sockets. Nails as if decayed. As if beaten all over. As if he had lain in an uncomfortable position. The direction of the Sil . action is upward and outward: there are shootings out through eyes and out of ears. The symptoms are: < By touch; contact; combing hair. Binding tightly > headache; but pressure of hat = pain. Pressure < . Rest > . Motion < . Lying down < asthma; = headache. Lying right side < pains in liver. Lying left side = vertigo. Sitting < . Gaping or swallowing > stoppage of ear. Opening eyes < pressive pain. Writing = tonic spasm of hand. Walking < ; every step is painfully felt (incarcerated flatus). Open-air < headache; = lachrymation; burning in back. Cold air (especially on head, eyes, back of neck, back); cold draught; changing linen; uncovering < . < Washing. Change of weather < pain in ears; < pain in limbs. < Before and during a storm. > Summer. < Approach of winter. < At new moon; increasing moon (hysteria); and full moon. > In warm room; by warm wraps. < Mental exertion; talking. Pain in head > while eating. < after eating. Milk < ; = diarrhœa. Aversion to mother's milk and vomiting whenever taking it. Drinking cold water = dry cough. Warm drinks. > cough. Averse to warm food. > From magnetism and electricity.

Relations

Antidoted by: Camph., Hep., Fl. ac. It antidotes: Merc. cor., Sul. Incompatible: Merc. Follows well: Bell., Bry., Calc., Calc. p. (in rickets when Calc. p. fails), Cin., Graph., Hep., Ign., Nit. ac., Pho. Followed well by: Hep., Fl. ac., Lach., Lyc., Sep. (If improvement ceases under Sil. a dose or two of Sul. will set up reaction, and Sil. will then complete the cure). Complementary: Thuj., Sanic., Puls. (Sil. is the "chronic" of Puls.). Compare: Head-sweat and open fontanelles, Calc. (Sil. lower than Calc. and offensive). Head must be kept warm, Sanic., Mg. m. Ailments from suppressed foot-sweat, Cup., Graph., Pso. Want of vital heat, Led., Sep. Vertigo as if one would fall forward from looking up, Puls. (from looking down, K. ca., Spi.). Chronic sick-headaches since some severe disease of youth, Pso. Headache > pressure and wrapping up warmly, Mg. m., Stron. Constipation before and during menses (diarrhœa before and during menses, Am. c., Bov). Partly expelled stool recedes, Thu. Fistula in ano alternates with chest complaints, Berb., Calc. p. Somnambulism, Luna, K. bro. Vaccination: erysipelas, convulsions, diarrhœa, Thu. (Thu. when the fever is high), Apis, Sul., Malan., Vacc., Var. Cicatrix, fissure of anus, Graph. Offensive sweat (head, feet, axillæ), Petr. Aversion to touch, Cin., Hep., Thu., Lach., Asaf. (Asaf., offensive discharge from tissues, "intolerable soreness round the ulcer, cannot bear even the dressing"). Caries, Plat. mur., Ang. (long bones), Stron. c. (femur, with watery diarrhœa), Gettys. (caries with ulcers about joints, discharge excoriating), Calc. (scrofulous subjects; sweat sour rather than offensive; foot-sweat does not excoriate; not sensitive like Sil.). Sweat of head, body dry (Rhus, sweat of body, head dry). Last stage of phthisis, Phell. Perforating ulcers, Nit. ac., K. bi. Headache ascending from nape, Meny. (bursting; > pressure; not > warmth), Paris (head feels unusually large), Stron. c., Sang. (to right eye), Spi. (to left eye). Clouded sight after headache, Sil. ( before headache, K. bi.). < Damp change, Bar. c. Foot-sweat, scrofula, rickets, and headache > wrapping warmly, Mg. m. Catarrhal phthisis, Stn. Abscess of breast, Fistulæ, necrosis (of jaw), Pho. (Pho. has more erythematous blush and radiating streaks round opening). Hay-fever, itching at Eustachian orifices, Ars., Rosa, Ran. b. Nervous exhaustion, Pic. ac. Chronic suppuration of middle ear, Caps. Catarrhal diarrhœa, Puls. Tetanus impending, wound suddenly ceases to discharge, Nux. Weakness of ankles, Caust., Sul. ac. < Thunderstorms, Na. c., Pho., Rho., Pet. < From cold or draught (Fl. ac., > cold applications). Nausea when fasting, Pul., Lyc. Calc. Impatient, Cham., Sul. Motes, persistent speck before right eye (Sul., before left; Macrot., right in morning). "Washed out," but won't give in (Pic. ac., must give in). Affections of one side of tongue, Calc., Thu. (ulcer right border, Sil., Thu.; left, Apis; left side swollen with loss of speech, Lauro.). Hungry but cannot get the food down, Sil., Lyc. Hair-sensation on tongue, Nat. m., K. bi. (on back part). Children are obstinate, headstrong, cry when spoken kindly to, Iod. Nipple drawn in like a funnel, Sars. Unhealthy skin, every little injury suppurates, Graph., Hep., Petr., Merc. Crippled nails, Ant. c. Ingrowing toenails, Mgt. aust. Takes cold from exposure of feet, Con., Cup. Takes cold by uncovering head (Bell., by hair-cutting). Difficulty in holding up head, Ant. t. Callosities in feet, Ant. c. < After coitus, K. ca. Evacuant of foreign bodies, Lobel. i. Drinking cold water = dry cough (Caust., > ). Ganglion, Benz. ac., Sul. Chronic and hereditary rheumatism, Led. (but Led. has < by warmth, and symptoms extend from below upward, whilst Sil. affects particularly the shoulders and joints). Fibroma, Nat. sf. Cheloid and scars, Thios. Homesickness, Caps., Ph. ac. Brachial neuralgia, Calc. ( see case under CALC.).

Causation

Vaccination. Stone-cutting. Loss of fluids. Injury. Strains. Splinters. Foreign bodies.

Mind

Despondency, melancholy, and disposition to weep. ─ Nostalgia. ─ Anxiety and agitation; yielding, anxious mood. ─ Taciturnity; concentration in self. ─ Inquietude and ill-humour on the least provocation, arising from excessive nervous debility. ─ Scruples of conscience (about trifles). ─ Restless and fidgety; great liability to be frightened, esp. by least noise. ─ Discouragement. ─ Moroseness, ill-humour, and despair, with intense weariness of life. ─ Wishes to drown herself. ─ Disposition to fly into a rage, obstinacy, and great irritability. ─ The child becomes obstinate and headstrong; cries when kindly spoken to. ─ Excitement with easy orgasm of blood. ─ Repugnance to labour. ─ Apathy and indifference. ─ Weakness of memory. ─ Incapacity for reflection. ─ Great distraction. ─ Tendency to misapply words in speaking. ─ Fixed ideas; the patient thinks only of pins, fears them, searches for them, and counts them carefully.

Head

Cloudiness. ─ The head is fatigued by intellectual labour (reading, writing, or reflecting). ─ Difficulty in holding head up. ─ Dizziness, esp. in the evening, as from intoxication. ─ Vertigo of different kinds, esp. in the morning, and principally on lifting up the eyes, or when riding in a carriage, and also when stooping, or after moral emotions. ─ Vertigo, with nausea and retching, or proceeding from the back to the nape and head. ─ Vertigo: as if one would fall forward; is obliged to walk to r. side; is obliged to sit down; when closing eyes; from lying on l. side. ─ Vertigo, which causes to fall backwards. ─ Pain which ascends from the nape into vertex, sometimes hindering sleep, at night. ─ Headache when over-heated. ─ Headache, with shivering, lassitude, and necessity to lie down. ─ Headache every morning. ─ Aching in head, with ill-humour and heaviness in all the limbs, sometimes in morning. ─ Heaviness of head; pressing out in the forehead, which seems ready to split, sometimes every day, from morning till evening ( < from evening till night, from stepping hard, from uncovering head, or if head becomes cold in open air). ─ Tension and pressure in the head, as if it were about to burst (ascending from the neck to the forehead). ─ Drawings in the head, which seem to pass out at the forehead. ─ Tearing pains in the head, often semilateral, with shootings which seem to pass out through the eyes, and into the bones of the face and the teeth, or which manifest themselves every morning, with heat in the head, principally in the forehead (and great restlessness; < from a draught of air and motion). ─ Lancinations (stitches) in head, esp. in temples (principally in the r. from within to without; < at night, from moving eyes, from talking and writing). ─ Throbbing headache, generally from congestion of blood in head (pulsating and beating, most violent in forehead and vertex, with chilliness). ─ Congestion to head, with redness in face. ─ Painful shocks in head. ─ Movements and whirling in head, as if everything in it were alive. ─ Shaking and vibration in brain at every step (roaring and shattering sensation when stepping hard or knocking foot against anything). ─ The headaches are < principally by intellectual labour, talking, stooping, noise, jarring, light, and cold air, and are > in warm room; from wrapping head up warmly; from binding head tightly. ─ After the pains in the head, clouded sight. ─ Painful sensitiveness of exterior of head to least touch. ─ Profuse perspiration on head in evening, on going to sleep (this looks like Calc. carb ., but in Sil . the perspiration extends lower down on the neck, and is apt to have an offensive smell). ─ Burning in head with pulsation and perspiration of head; < at night, from mental exertion and talking; > wrapping the head up warm. ─ Burning and itching, mostly on back part of head; < from scratching, which causes burning and soreness; < when undressing in evening and on getting warm in bed. ─ Tearing pain in scalp < at night and from pressure. ─ Profuse, sour-smelling perspiration on head only (in evening), with great sensitiveness of scalp, with pale face and emaciation. ─ Tendency to take cold in head, which cannot possibly be uncovered. ─ Tuberous elevations on scalp. ─ Eruption on back part of head and behind ears dry, offensive-smelling, scabby, burning itching; when scratching it, burning feeling, more sore, and discharging pus. ─ Itching pustules and bulbous swellings on hairy scalp and on neck; very sensitive to pressure, touch, and when lying on it; > when wrapping it up warm. ─ Sensitiveness of scalp to pressure (of hat) and to contact; < in evening and when lying on painful side; burning after scratching. ─ Open fontanelles; head too large and rest of body emaciated, with pale wax-colour of face; hot, swollen abdomen and fetid stools. ─ Violent itching in scalp. ─ Moist scald-head, which itches. ─ Falling off of the hair.

Eyes

Pain in eyes in morning, as if arising from the great dryness, or from the presence of sand. ─ Pressure and smarting in eyes and lids. ─ Tearing shooting pains in eyes on pressing them together. ─ Shootings, which seem to pass out through eyes. ─ Itching, smarting, and burning in the eyes. ─ Redness of eyes, with smarting pain in canthi. ─ Inflammation of eyes. ─ Affections appearing in angles of eyes, in region of tear-ducts. ─ Swelling of lachrymal gland. ─ Lachrymal fistula. ─ Lachrymation, esp. in open air. ─ Agglutination of lids, at night. ─ Fungus hæmatodes and ulcers in cornea. ─ Cornea thick, rough, warty, as if it were a mass of hypertrophied tissue, scaled off leaving cornea clear. ─ Specks and scars in cornea. ─ Weakness; heat; quivering of eyes. ─ Spasmodic closing of lid. ─ Presbyopia. ─ The letters appear confused, when reading. ─ Objects seem to be pale, when reading. ─ Confused sight, as if directed through a greyish veil. ─ Blackness before eyes after headache. ─ Momentary attacks of sudden blindness. ─ Cloudiness of crystalline lens. ─ Cloudiness of the sight, as from amaurosis. ─ Sparks, and black spots before sight. ─ Photophobia, and dazzling in broad daylight. ─ Encysted tumours of lids go away after Sil . 200 (Bradshaw).

Ears

Otalgia, with drawing pain. ─ Boring and throbbing in the ears. ─ Shootings in the ears., from within outwards. ─ Itching in ears (esp. when swallowing). ─ Inflammation and running from edges of ears. ─ Scabs behind ears. ─ Swelling of exterior of ear, with discharge (of pus) from the ear, accompanied by a sort of whistling. ─ Copious accumulation of moist (very thin) cerumen. ─ Otorrhœa with great sensitiveness to cold air. ─ Excessive sensitiveness to noise. ─ Obstruction of ears, which sometimes disappears on blowing the nose, or else with a loud report. ─ Hardness of hearing, sometimes without noise in ears, or else exclusively for human voice. ─ Hardness of hearing, < when the moon is at the full. ─ Paralysed auditory nerves. ─ Tinkling, clucking, and noise, like the fluttering of a bird, in ears. ─ Roaring and singing in ears. ─ Caries of the mastoid process. ─ Swelling and induration of parotids.

Nose

Nasal bone painful when touched. ─ Soreness as if beaten, in nasal bones. ─ Gnawing pains (and ulcers) in upper part of nose, with heaviness when stooping, and excessive sensibility to contact and pressure. ─ Pulsative pain, as from ulceration in the nose, and extending into the head. ─ Drawing in root of nose and r. malar bone. ─ Inflammation in nostrils. ─ Itching in nose. ─ Voluptuous itching about nose, in evening. ─ Itching and redness of nose (at the extremity), which is covered with scabious vesicles. ─ Sore, painful spots below septum of nose, with sticking on touch. ─ Furunculi on nose. ─ Scabs, pimples, and ulcers in nose. ─ Nose inwardly dry, painful, excoriated, covered with crusts. ─ Epistaxis. ─ Anosmia. ─ Frequent, violent, abortive, interrupted sneezing. ─ Too frequent, immoderate, sneezing. ─ Obstinate obstruction of nose, sometimes arising from (hardened) mucus. ─ Troublesome (painful) dryness of nose, sometimes at night. ─ Dry coryza. ─ Continued coryza. ─ Frequent fluent coryza; or which removes an obstinate obstruction of nose. ─ Alternate fluent and dry coryza. ─ Acrid and corrosive mucus in nose.

Face

Pale and earthy complexion. ─ White spots on cheeks, from time to time. ─ Red, burning spots on cheeks and nose, esp. after a meal. ─ Heat in face. ─ Shootings in bones of face. ─ Itching in whiskers. ─ Furunculus on cheek. ─ Cracks and rhagades in skin of face. ─ Scirrhous induration in face and upper lip. ─ Swelling of lips. ─ Ulceration of commissures of lips. ─ Scabious eruption on lips, with smarting pain. ─ Ulcers on red part of lower lip. ─ Furunculi on chin. ─ Herpes on chin. ─ Cramp in maxillary joint. ─ The articulation of the jaw is spasmodically closed (lockjaw). ─ Nocturnal shootings and drawings in lower jaw. ─ Swelling and caries in bones of lower jaw. ─ Swelling of submaxillary glands, with pain when touched, or also with induration.

Teeth

Toothache from hot food, or introduction of cold air into mouth. ─ Drawing, jerking, and tearings in teeth, and cheeks, < at night, or else only when eating. ─ Toothache at night, commonly lancinating, which disturbs sleep, < by cold or hot things. ─ Toothache, with swelling of bone or periosteum of jaw, and universal heat at night, which hinders sleep. ─ Digging and boring in teeth. ─ Bluntness of teeth. ─ Teeth become loose and feel elongated. ─ Painful inflammation, swelling, excoriation, and easy bleeding of the gums. ─ Gumboils. ─ Gums painfully sensitive on taking cold water into mouth.

Mouth

Dryness of mouth. ─ Fetid breath, esp. in morning. ─ Stomacace. ─ Mucus constantly in mouth. ─ Sensation, as of a hair on (forepart of) tongue. ─ Excoriation of tongue. ─ One-sided swelling of tongue. ─ Ulcer on r. border of tongue eating into it and discharging much pus (carcinoma). ─ Ulcer on the palate. ─ Tongue coated with a brownish mucus.

Throat

Sore throat, with an accumulation of mucus in throat. ─ Severe tonsillitis (" Sil . 12x trit. is specific." ─ Bayes). ─ Pain as from excoriation and pricking as from pins (stitches) in throat, during deglutition (quinsy). ─ Swelling of the uvula. ─ Swelling of the palate. ─ Difficult deglutition, as from paralysis of the gullet. ─ Paralysis of velum palati. ─ Tendency of food to ascend into nasal fossæ during deglutition. ─ Food is ejected through nose.

Appetite

Great appetite; desire for beer and warm food; immediately after eating, appetite and thirst returned. ─ Ravenous hunger so that it was difficult to fall asleep. ─ Ravenous hunger before supper, with complete loss of appetite and trembling of all the limbs, followed by chilliness and coldness over whole body, with heat on chest. ─ Ravenous hunger: morning; evening; with collection of water in mouth. ─ Is very hungry; eats as usual, and then complains that everything seems to be up in the throat. ─ Loss of taste. ─ Bitter taste in mouth, also in morning. ─ Taste sour after eating. ─ Sour, putrid taste, or as if blood or mucus were in the mouth. ─ Violent thirst, sometimes with anorexia. ─ Repugnance to all food, esp. to cooked and hot things, with desire for cold, raw things only. ─ Aversion to boiled food. ─ Loathing of animal food, which proves indigestible. ─ Aversion of a child to its mother's milk, with vomiting after sucking. ─ After a meal, strong disposition to sleep, pyrosis, acidity in mouth, sour risings, fulness in stomach or abdomen, or else (often consecutively) aching of stomach, water-brash, vomiting, febrile shiverings, congestion in head, heat in cheeks.

Stomach

Risings, with taste of food, sometimes after every meal. ─ Sour risings. ─ Warm uprisings from stomach to throat. ─ Pyrosis. ─ Hiccough: before and after eating; sometimes in evening, in bed. ─ Nausea, every morning, with pain in head and eyes, on turning eyes, or else followed by vomiting of bitter water. ─ Continuous nausea and vomiting; < in morning. ─ Constant nausea and vomiting, even at night. ─ Water-brash, sometimes with shuddering. ─ Water tastes bad; vomiting, whenever drink is taken. ─ Vomiting of food, even at night. ─ Pressure in stomach, sometimes after every meal, or on drinking quickly. ─ Painful sensibility of scrobiculus, when it is pressed. ─ Heaviness in stomach. ─ Squeezing in scrobiculus, as by claws, sometimes after a meal. ─ Burning sensation in pit of stomach.

Abdomen

Swelling and induration of hepatic region. ─ Inflammation and induration of liver. ─ Pain, as from ulceration, in hepatic region, with throbbing; pains are < by touch, by walking (or when lying on r. side, or when breathing). ─ Shootings in hypochondria, esp. on the l. side. ─ Pain in abdomen; colic in children from worms. ─ Colic, during which hands turn yellow, and the nails blue. ─ Aching (pressing) of abdomen, esp. after a meal. ─ Abdomen, hard, tight, hot (also in children) and sometimes painful on being touched. ─ Enlargement of abdomen. ─ Colic, from constipation. ─ Cuttings or pinching in abdomen, with or without diarrhœa. ─ Burning sensation in abdomen. ─ The pains in the abdomen are > by application of hot linen. ─ Painful inguinal hernia. ─ Inflammation and swelling of inguinal glands (large as peas, painful to touch). ─ Incarceration of flatus. ─ Gurgling and borborygmi in abdomen, esp. on moving the body. ─ Difficult expulsion of flatus. ─ Very offensive flatulence.

Stool and Anus

Constipation, and slow, hard, difficult, knotty fæces (composed of light-coloured lumps). ─ Hard fæces, with frequent tenesmus. ─ Constipation where the stool comes down with great difficulty, comes a little way through the anus, and then slips back before it can be voided; obstructed evacuation of bowels; fetid flatus. ─ Even the soft stool is expelled with much difficulty. ─ Stool remains long in rectum. ─ Stool like pus; with maw-worms; with tapeworms. ─ Fæces of consistence of pap, several times a day. ─ Diarrhœa (stools horribly offensive) with colic. ─ Reddish fæces, or with sanguineous slime. ─ Frequent discharge of fetid serum, of a corpse-like smell. ─ Cutting and stinging in rectum. ─ Burning or stinging in rectum during stool. ─ Shootings and itching in anus, and in rectum, also during the evacuation. ─ Burning in anus, esp. after a dry, hard stool. ─ Constriction in anus during stool. ─ Constant but ineffectual desire for stool. ─ Painful hæmorrhoids protrude during stool.

Urinary Organs

Urinary tenesmus. ─ Continued want to urinate, with scanty emission (also at night). ─ Strangury. ─ Frequent (involuntary) emission of urine, also at night (with distress from irritable sphincter). ─ Wetting the bed (at night). ─ Reddish sand, or yellow, gritty sediment in the urine. ─ Stricture of urethra.

Male Sexual Organs

Itching, and red spots on glans. ─ Excoriation, itching, and redness of prepuce. ─ Swelling of prepuce, which is covered with itching and moist pimples. ─ Dropsical swelling of scrotum. ─ Perspiration and itching in scrotum. ─ Itching, and moist spots on scrotum. ─ Absence of sexual desire, with weakness in genital functions; or else immoderate excitement of sexual desire, with numerous wanton ideas, and strong and frequent erections. ─ Flow of prostatic fluid during urination; and passing of (hard) stool. ─ After coition, pain in limbs, as from fatigue, or sensation of paralysis on one side of head.

Female Sexual Organs

Menses too early and too feeble, or else too profuse. ─ Increased menses, with paroxysms of icy coldness over whole body. ─ Suppression of the menses. ─ Discharge of blood before proper period; menses too late; protracted; blood acrid. ─ Metrorrhagia. ─ Diarrhœa, before the menses. ─ During the menses, pains in the abdomen, pale appearance of objects, or burning sensation and excoriation in vulva. ─ Itching in the vulva. ─ Pressing-down feeling in vagina. ─ Itching, burning, and soreness in pudenda; during menses. ─ Discharge of blood from the uterus, while suckling. ─ Abortion. ─ Leucorrhœa, which flows when urinating, or after the menses. ─ Leucorrhœa, like milk, flowing at intervals, and preceded by gripings in umbilical region. ─ Acrid, corrosive leucorrhœa. ─ Inflammation of nipples. ─ Darting burning pain in l. nipple. ─ Sticking pain in l. breast. ─ Painful stitches behind l. breast, with chilliness, all night. ─ Suppuration of the mammæ. ─ Abscess in breast, also with fistulous ulcers; nipple ulcerates. ─ Indurations in breast. ─ R. breast hard, painful, and swollen at nipple, feeling as if "gathering."

Respiratory Organs

Hoarseness, with roughness and excoriation in larynx. ─ Cough, from cold drinks, or from speaking even for a moment. ─ Shaking cough, excited by a suffocating tickling in pit of throat. ─ Cough and sore throat, with expectoration of little granules like shot, which, when broken open, smell offensively (like Phosphor ., excepting the latter remedy has a hot feeling in throat. ─ H. N. G.). ─ Fatiguing cough, day and night, < by movement, with scanty expectoration of mucus. ─ Nocturnal, suffocating cough. ─ Spasmodic cough. ─ Hollow, spasmodic, suffocative cough from tickling in throat-pit, with expectoration only during day of profuse yellowish-green pus, or of tough, milky, acrid mucus, at times of pale, frothy blood, generally tasting greasy and offensive-smelling. ─ Bruised pain in chest when coughing. ─ Dry cough, with pain in chest, as from excoriation. ─ Cough, with vomiting of mucus. ─ Profuse expectoration of transparent mucus when coughing. ─ Cough with expectoration in the day, without expectoration at night. ─ Expectoration of pus, when coughing. ─ Expectoration of (pale, frothy) blood, with deep, hollow cough. ─ Obstructed respiration, when lying on the back, or else when stooping, running, or coughing. ─ Deep, sighing respiration. ─ Shortness of breath, during light manual labour, or else when walking quickly, sometimes with dyspnœa during repose. ─ Panting, respiration, on walking quickly.

Chest

Oppression of chest, as from constriction of throat. ─ Aching in chest, sometimes only when coughing or sneezing. ─ Shooting and pricking in chest and side, sometimes across back. ─ Throbbing in sternum. ─ Phthisis pulmonalis. ─ Contusive pain in chest, when drawing breath, or coughing.

Heart and Pulse

Palpitation and throbbing over whole body while sitting. ─ Violent palpitation on every movement. ─ Imperceptible pulse.

Neck and Back

Purulent ulcer in nape. ─ Stiffness of nape; with headache. ─ Swelling of glands of nape, in the neck, and under the axillæ (with suppuration), sometimes with induration. ─ Pimples and furunculi in nape. ─ Suppuration of axillary glands. ─ Caries of clavicle. ─ Stitches between the hips. ─ Coccyx painful, as after a long carriage ride. ─ Stinging in os coccygis on rising; painful to pressure. ─ Scabby elevation on coccyx, above fissure of nates. ─ Pain in the loins, whether the parts be touched or not. ─ Spasmodic drawing in loins, which prevents rising up, and forces patient to remain lying down. ─ Inflammatory abscess in lumbar region (on the psoas muscle). ─ Weakness and paralytic stiffness in back, loins, and nape. ─ Tearings and shootings in the back. ─ Shootings in the loins, when seated or lying down. ─ Burning in back when walking in open air and becoming warm. ─ Aching, shooting, burning, and throbbing in lumbo-sacral region. ─ Swelling and distortion of spine (curvature of the vertebræ). ─ Contusive pain between the shoulder-blades.

Limbs

Drawing, tearing, and shooting in limbs (arms and legs). ─ Nocturnal shooting in all joints. ─ Liability of limbs to become numbed (to go to sleep easily). ─ Pain in limbs, as though they had been broken, and paralytic weakness, esp. in evening. ─ Cramps in arms and legs. ─ Icy-cold legs and feet. ─ Jerks in limbs, day and night. ─ Weakness of joints (they give way when walking). ─ Lassitude and trembling in limbs, esp. in morning. ─ Soreness and lameness in limbs. ─ Nails dirty yellow, crippled and brittle. ─ Ulcers about nails.

Upper Limbs

Drawings and tearings in arms, hands and fingers. ─ Heaviness and paralytic weakness of arms, which tremble on least exertion. ─ Numbness of the (fore-) arms when patient is lying upon them or leaning the elbows on a table. ─ Throbbing and jerking of muscles of arm. ─ Restlessness and trembling in r. arm. ─ Skin cracked, on arms and hands. ─ Furunculi and warts on arms. ─ Paralytic weakness of the forearm; everything is dropped from the hands. ─ Induration of the cellular tissue of the forearm. ─ Nocturnal shootings in wrist, extending to the top of arm. ─ Tearing pain in wrists and ball of hand. ─ Spasmodic pain in the hands and fingers. ─ Numbness of hands at night. ─ Paralytic weakness of hands. ─ Tonic spasm of hand when writing. ─ Cramp-like pain and lameness of hand after slight exertion. ─ Profuse sweat of the hands. ─ Ganglion on back of hand. ─ Ulcer on back of hand. ─ Tingling in fingers. ─ Burning sensation in ends of fingers. ─ Pain in joints of fingers, when pressed. ─ Weakness, rigidity, and want of flexibility in fingers. ─ Contraction of flexor tendons; very painful when moving fingers. ─ Ganglion. ─ (Ganglion on wrist. ─ R. T. C.). ─ Gnawing, purulent vesicles, with burning in fingers. ─ Tearing, drawing, sticking pain and numbness in fingers, as if suppurating, or as if a panaritium would form. ─ Numb feeling of a finger, as though it were enlarged and the bone swollen. ─ Pain as from a splinter in flexor surface of one finger. ─ Panaritium, esp. with vegetations, cries and insupportable pains day and night. ─ Finger-nails rough and yellow. ─ Nails dirty grey as if decayed; powder when cut and split into layers. ─ White spots on nails. ─ Dryness in tips of fingers; afternoon.

Lower Limbs

Tearing, stitching pains in hips and thighs. ─ Suppurating pains in hip-joint. ─ Drawing, tearing, and tension in the legs (extending from the hips to the feet). ─ Easy numbing of the limbs, esp. when seated. ─ Paralytic weakness of legs. ─ Pressure, tearing, and shootings in muscles of thighs. ─ Itching ulcers in thighs and ankles. ─ Furunculi on thighs and calves of legs. ─ Softening and ulceration of femur. ─ Tearings in knee (when sitting, > from motion). ─ Knee is painful, as if too tightly bound. ─ Inflammatory swelling of knee. ─ Fungus in knee. ─ Drawing pain in legs. ─ Coldness of legs. ─ Swelling of legs as far as the feet. ─ Ulcer on leg, with sticking, burning pains. ─ Ulcers in the legs, often with sickly complexion. ─ Red, smarting spot on the tibia. ─ Caries of the tibia. ─ Ulcers on lower leg, on tibia. ─ Tension of calves of legs, as from contraction. ─ Cramps in calves, esp. in evening, after corporeal labour. ─ Torpor of calves of legs. ─ Itching miliary eruption on calves. ─ Tearing and shootings in calves, heels, and toes. ─ Lancination in ankle, when treading, or resting on foot. ─ Numbness of feet in evening. ─ Coldness of feet, sometimes after suppressed perspiration of feet. ─ Burning sensation in feet and soles, esp. in evening and at night. ─ Swelling of feet, generally in morning. ─ Offensive smell from feet (intolerable carrion-like; without sweat, every evening). ─ Profuse, offensive perspiration on feet, with excoriation (and blisters) between the toes. ─ Suppressed perspiration on feet. ─ Hard and painful callosities on soles. ─ Voluptuous tickling in soles, which, when the part has been scratched a little, is almost maddening. ─ Cramp in the soles of feet. ─ Gnawing vesicles in heel. ─ Corrosive ulcer on heel, with itching. ─ Stiffness of toes. ─ Constant, violent boring or tearing in great toes. ─ Ulceration of great toe, with shooting pain. ─ Bunion. ─ Itching, suppurating scabs on toes. ─ Ingrowing toenail; offensive discharge. ─ Corns in the feet, with shooting pains; also under toenails.

Generalities

[Affections in general of any kind appearing chiefly in light-haired people; in r. side; l. side; back; l. lower extremity; scalp; external head behind the ears; external surface of inguinal ring; inguinal ring and hernia of long standing; finger-nails, esp. if there are white spots on the nails. ─ Griping pains with a tearing away feeling, of twisting or of writhing; or as if something were being torn away. ─ Sensation of heaviness in inner parts. ─ Jerking pains. ─ Debility; weakness of joints, esp. of ankle-joints. ─ < In night, chiefly in latter part, in open air; in children of Silica temperament where they are sickly, have worms, &c.; when single parts are cold; from taking cold in the feet; with profuse salivation; on uncovering; from a draught of air; after eating; after drinking; lying on painful side; looking fixedly at an object; from wine; from outward pressure; from reading; stepping heavily on ground or floor; in stonecutters; when the weather changes; from getting feet wet; from worm troubles of any kind; when writing; from uncovering head. ─ > From wrapping head up; in the room. ─ H. N. G.]. ─ Tendency to strain back. ─ Swelling and induration of glands, generally without pain, only sometimes with troublesome itching. ─ Acid, corrosive discharges. ─ Trembling when writing. ─ Epileptic fits; starting, distortion of eyes, twitching of lips, lolling of tongue, stretching and distortion of head and limbs. ─ Several affections and pains are < , and manifest themselves, at night, and in evening, also during movement. ─ Symptoms < at new or full moon. ─ Pains on change of weather. ─ Feeling as if knives were running into her. ─ Uneasiness in whole body, after having been long seated. ─ Ebullition of blood, and thirst, after drinking wine. ─ Excessive emaciation. ─ Children are slow in learning to walk. ─ Careless, slovenly gait. ─ General inertia and great nervous debility. ─ Syncope, when lying on side. ─ Great fatigue, lassitude, and drowsiness, on approach of a storm. ─ Strong tendency to suffer from chills, even from the mere uncovering of the feet. ─ Want of vital warmth even when taking exercise.

Skin

Painful sensibility of skin. ─ Itching over whole body, which is of a crawling or shooting kind ( < at night). ─ Eruption like varicella over whole body. ─ Tuberous spots on skin, of a light red colour. ─ Lymphatic swellings and abscesses, even with fistulous ulcers. ─ Engorgement, induration, and suppuration of the glands. ─ Painless swelling of the glands; they only cause very unpleasant itching. ─ Bones very sensitive and tender to touch; bending and caries of bones. ─ Abscesses which do not break, but burrow under the skin; exanthemata in general which corrode and spread; old and difficult to heal; which itch; fungus articularis; hæmatodes; spongy excrescences. ─ Tetters in general; corroding and spreading. ─ Ulcers in general, wherever pus is discharged from any part of the body, or when appearing in the urine; ulcers burning, scabby; indolent; when circumscribed with redness; very high, hard ulcers; with proud flesh; with corroding pus. ─ Ulcers of all kinds, also after the abuse of Mercury . ─ Ulcers smell very offensive. ─ Cancerous ulcers. ─ Inflammation, softening (swelling), and ulceration of bones. ─ Scirrhous indurations. ─ Ulcers, which are fistulous, putrid; phagedenic, fungous, &c., with vegetation, or fetid and corroding sanies. ─ Fistulous openings; parts around hard, swollen, bluish-red. ─ Mild and malignant suppurations, esp. in membranous parts. ─ Unhealthy skin; every injury tends to ulceration. ─ Small wounds heal with difficulty, and suppurate profusely. ─ Painful pustular eruptions; at last forming suppurating ulcers; on forehead, occiput, sternum, and spine. ─ Aching, itching, smarting, and boring shootings in the ulcers. ─ Furunculi. ─ Carbuncles of a malignant kind. ─ Ganglions. ─ Warts. ─ Panaritium.

Sleep

Great sleepiness after eating. ─ Sleepiness all day. ─ Excessive sleepiness, without being able to go to sleep. ─ Frequent yawnings. ─ Sleep early in the evening. ─ Retarded sleep. ─ Sleep too light at night, like dozing. ─ Not being able to sleep again after waking. ─ Sleeplessness in general, esp. after midnight. ─ Talking in sleep. ─ Sleepless after 2 a.m., with rush of thoughts. ─ Sleeplessness, caused esp. by ebullition of blood, heat in head, and great flow of ideas. ─ Frightful visions at night, and many anxious and fantastic dreams, with tears, talking, cries, and frequent waking with a start. ─ Awakens with erections and desire to urinate. ─ Jerking of body during sleep. ─ Lascivious dreams (with emissions). ─ Snoring while sleeping. ─ Nightmare. ─ Somnambulism (gets up while asleep, walks about, and lies down again). ─ Dreams of robbers, assassins, dogs, voyages, spectres, &c. ─ At night, congestion of blood in head, with pulsative pains, and throbbing in brain, pain in stomach, nausea and vomiting, or shootings in all the joints, dryness of nose and many other sufferings.

Fever

Pulse: small, hard and rapid, frequently irregular and then slow. ─ The circulation is easily agitated. ─ Violent chill, evening, in bed, < from uncovering oneself. ─ Continuous internal chill, with want of animal heat. ─ Chill in evening with sensation as if cold air were blowing around waist; not > by wrapping up; followed by severe fever and perspiration. ─ Constant chilliness, even when exercising or in a warm room. ─ Excessively chilly disposition, and shuddering, with frequent shiverings, also on the least movement. ─ Heat predominates. ─ Frequently during day short flushes of heat, principally in face. ─ Violent general heat, with violent thirst in afternoon, evening, and all night. ─ Periodically returning heat during day, without any previous chill, and followed by slight perspiration. ─ Perspiration from slight exercise; most profuse on head and face. ─ Perspiration only on the head. ─ Fever, with violent heat in head; afternoons; at night, with thirst and catching inspiration. ─ The perspiration comes periodically; is < 11 p.m., 6 a.m., or 3 to 5 p.m. ─ Intermittent fever, heat predominating. ─ Frequent heat, sometimes transient. ─ Fever, with excessive heat, generally without shivering, and with little perspiration, commonly from 10 a.m. till 8 p.m. ─ Perspiration during a moderate walk. ─ Profuse perspiration at night, sometimes of an (offensive or) acid smell. ─ Debilitating perspiration in morning.

The Guiding Symptoms of Our Materia Medica

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

Mind

Indifferent, apathetic.
Confusion of mind ; difficulty in fixing the attention.
Mental labor is very difficult.
Reading and writing fatigue, cannot bear to think.
Becomes confused, makes mistakes ; she is unable to control herself.
Affections from egotism.
Compunction of conscience about trifles.
Overanxious about himself ; low-spirited ; weeps every evening.
Longing for his relations and home.
Very irritable, low-spirited, peevish mood.
Sensitiveness to noise and anxiety therefrom.
Very sensitive, weeping mood.
Desponding, melancholy, tired of life. θ Spermatorrhœa.
Gloomy, feels as if she would die.
Wishes to drown herself.
Yielding, faint-hearted, anxious mood.
Restless, fidgety, starts at least noise.
Child becomes obstinate, headstrong ; cries when kindly spoken to.
When crossed has to restrain himself to keep from doing violence. θ Megrim.
Screaming violently, groaning. θ Epilepsy.
She screams during increase of moon. θ Somnambulism.
Imagines to be in two places at the same time.
Complains of pain in throat on swallowing ; although there is no indication of any inflammation, the condition of her throat is the sole thing occupying her mind ; believes she has swallowed pins, and asks those about her whether she has not done
so ; seeks for hours for lost pins ; will take no sewing into her hand, and carefully examines her food for fear of pins ; very indifferent to friends and former amusements ; restlessness ; anxiety ; vertigo, < stooping ; headache daily, <
mornings ; loss of appetite ; constipation ; emaciation ; entire absence of menses ; < during increase of moon. θ Hysteria.

Sensorium

Vertigo : as if one would fall forward ; ascending from dorsal region, through nape of neck into head ; inclining to fall backward ; < from motion or looking upward ; accompanied by nausea ; with rachitis ; from excessive
use of eyes ; when riding ; with sleepiness ; all day, while stooping at work ; during sleep ; when rising from a recumbent position ; is obliged to walk to the right side ; commencing in cerebellum ; in neurasthenia and epilepsy ; as if
drunk ; is obliged to sit down ; when closing eyes ; from lying on left side.
The brain feels muddled and thick.
Heaviness in head. θ Paralysis.
Disagreeable feeling, as if head were teeming with live things whirling around it.
Fainting ; when taking cold ; from suppressed foot sweat.

Inner head

Headache or cold feeling rising from nape of neck to vertex ; extreme heaviness of head.
Congestion to head ; cheeks hot ; slight burning in soles of feet.
Burning in head, with pulsation and sweat of head ; < at night from mental exertion, talking ; > by wrapping head up warmly.
Shooting from nape to vertex.
Violent periodic headache, in vertex, occiput or forehead ; one-sided, as if beaten ; throbbing in forehead ; coming in night, with nausea, vomiting.
Violent headache, with loss of consciousness or reason.
Loud cries, nausea to fainting ; subsequent obscuration of sight. θ Megrim.
Obstinate morning headaches, with chilliness and nausea.
Headaches, with or followed by severe pain in small of back ; heaviness and uncomfortable feeling in limbs.
Tearing, frequently one-sided, with stitches through eyes and in cheek bones.
Pulsating, beating, most violent in forehead and vertex, with chilliness.
Headache worse : from mental exertion ; excessive study ; noise ; motion, even jarring of room by footstep ; light ; stooping ; pressing at stool ; talking ; cold air ; touch.
Headache better : from wrapping head up warmly ; hot compresses ; in warm room ; lying down in dark.
Headache every seventh day.
Vibratory shaking sensation in head when stepping hard, with tension in forehead and eyes.
Headache caused by hunger.
Headache as if everything would press out and burst skull ; as if brain and eyes were forced forward.
Headache wakes him at night.
Tearing in whole head starting from occipital protuberances and extending upward and forward over both sides.
Tearing pain as if head would burst, with throbbing in it, commencing at crown as if internal and external at same time, with chilliness ; was obliged to lie down and tossed about in bed for four hours ; > by binding head tightly.
Violent tearing in head as if forehead would be torn asunder.
Violent headache above eyes so that he could scarcely open them.
Stitches in temples.
Hard jerk-like pressure in top of head, extending deep into brain, in paroxysms lasting one or two minutes.
The hat causes acute pain in occipital protuberance.
Pressive headache in occiput as if in bone.
Pressure in occiput, followed by stitches in forehead, with chilliness in nape of neck and back.
Pressure in both sides of occiput.
Bruised pain above eyes, could scarcely open them ; first affected left side of forehead, a sticking extending to right side, pressive, < by opening eyes.
Pressive jerking in middle of forehead renewed by suddenly turning around, stooping or talking.
Pressure as from a heavy weight in forehead over eyes.
Tearing in frontal region.
Acute sticking pain in forehead.
Roaring and shattering in brain when stepping hard or knocking foot.
Tension and pressing in head as if pressed or forced asunder.
Pressive headache at night ; could not remember where she was ; everything turned around, with throbbing at heart.
Violent pressive headache in morning, extending into eyes, with violent chill in afternoon, nausea and weakness, thought she would faint ; eyes painful on turning them sideways or closing them, and when closed are still more painful to touch.
Constant pressive headache from above downward over whole head, with intermittent itching at vulva.
Pressure at occiput and nape of neck in morning.
Headache with small lumps or nodules on scalp.
Diseases of brain, spinal marrow and nerves of a paralytic nature.
Fluttering feeling in both temples and aching at occiput.
Frontal sinus affected ; pounding and throbbing in forehead and up into head. θ Chronic coryza.
Feeling like water pipes bursting in head.
Headache from organic causes, excessive study, nervous prostration with vertigo and weak memory.
Sickening pain in left side of head, < from pressure or least movement.
When coming into dark she feels a pressure on vertex as if a tremendous weight were falling on it.
Strange coldness about breadth of two fingers across vertex in a line with forepart of ears ; rush of blood to forehead.
Extreme heaviness of head ; she cannot hold it up, it feels so weighty.
Rushes of blood to forehead.
Congestion to head, hot cheeks and burning in soles of feet. θ Chronic hepatitis.
Heat in head. θ Spermatorrhœa.
For years terrible headaches coming on in evening in bed, with shivering and coldness over body ; the pain began in cervical vertebræ, extending to cerebellum and from there went to forehead where it was most severe ; pain > wrapping head
warmly ; feeling in neck as if some one pulled downward on cords of neck.
Chronic headache ; never entirely free, at times fearful ; when it reaches its height scalp becomes covered with papules and is then so sensitive that she cannot comb her hair ; these violent spells are caused by draft and scrubbing ; cannot bear cold or heat ;
during headache she has violent roaring in ears, as if something alive were in them ; chronic sweat of feet ; habitual constipation.
Head felt constantly as if it were in a cushion and some one were pressing his two fingers in it at occiput, as if feeling for pins in side ; with occasional lightning-like flashes in eyes and feeling as if something obscured vision ; < in cold weather or in a draft ;
> wrapping head up warmly.
Cephalalgia from spinal irritation ; pain began in spine and neck, coming up and over right temple and thence to l. temple ; scalding feeling in vertex ; burning pain in head ; feeling of internal soreness as if sore brain collided with skull ; pain very hard to
bear ; < from light, noise, least jar and odors ; sore aching in nape, < by moving head, > from wrapping head in pillow and from contact of any warm hand.
Pain at one time in vertex and occiput, at another in forehead ; sometimes affects only one side, head then paining as if bruised and being very sensitive to touch ; throbbing in forehead, with weakness of sight, is awakened from sleep by the pain and has then nausea and
vomiting ; pain < from touch, motion, open air ; food tastes like clay ; discharge of particles of tapeworm ; trembling of limb and general feeling of weakness with the pains. θ Headache.
Severe headache, every two or three weeks, lasting from thirty-six to forty-eight hours ; pain commences in nape of neck and base of brain and extends up and over whole head in paroxysms ; pain so severe that she calls for some one to hold her head tightly to keep it from
bursting.
Feeling of waves of water from occiput over vertex to forehead, making her feel with each wave as if she would gradually lose her senses, > from warm wraps around head ; vomiting of bitter yellow substance on moving, > when perfectly quiet.
Chronic sick headaches since some severe disease in youth ; rising from nape of neck to vertex, as if coming from spine and locating in one eye, especially r ; > by pressure and wrapping up warmly.
Congestive, gastric, nervous and rheumatic headaches.
Headaches from excessive mental exertion, from overheating, from nervous exhaustion.
Cerebral apoplexy, preceded by deep-seated stitches in right parietal region and dull, heavy, crampy pain in arms.
Child grasps at its gums continually, as if they were painful ; profuse sweat about head at night, scrofulous diathesis. θ Meningitis. θ Hydrocephalus.

Outer head

Open fontanelles ; head too large and rest of body emaciated, with pale face ; abdomen swollen, hot.
Rolling of head from side to side.
Head feels as if too large.
Head feels as if falling off, causing straining pains at back of neck as if head were hanging by a piece of skin at nape.
Head falls forward. θ Spinal disease.
Strange coldness, about breadth of two fingers, across vertex, in a line with forepart of ears.
Tendency to take cold in head, which cannot be uncovered.
Tearing in scalp, < from pressure and at night.
Tenderness of scalp in region of coronal suture ; brushing or combing hair causes violent attacks of sneezing.
Head sore to touch externally ; sensibility of pericranium ; scalp sensitive to pressure of hat and to contact ; she cannot brush her hair, the scalp is so tender.
Much itching on scalp.
Itching spots on head painful, as if sore, after scratching.
Itching on occiput.
Pricking and itching of scalp.
Burning and itching, mostly on back part of head ; < from scratching, which causes burning and soreness ; < when undressing in evening and on getting warm in bed.
Lumps rise on head, hair falls out, scalp sensitive to touch ; tearing pains.
Profuse head sweat ; body dry ; likes wrapping up ; sweat four ; face pale ; emaciated ; large abdomen ; weak ankles.
Profuse sweat of head, body being dry or nearly so.
Head wet from sweating, particularly at night, likes wrapping up.
Profuse perspiration on head, sour-smelling and offensive, in first sleep.
Patches of eruption on scalp, exfoliated thin, dry, furfuraceous scales.
Eruption on back of head, moist or dry, offensive, scabby, burning, itching, discharging pus.
Impetigo capitis ; entire head covered ; eruption humid, discharging a greenish fluid of somewhat putrid odor.
Eczema capitis ; patch of eruption on scalp, over occipital protuberance dry, furfuraceous scales, with some itching ; enlarged cervical glands ; headache with shooting pains from nape of neck to vertex ; leucorrhœa ;
backache.
Scaly eruption on scalp ; > in Summer, but < upon approach of Winter ; cervical glands enlarged.
Itching pimples on head and nape of neck.
Itching pustules on scalp and neck very sensitive, > wrapping up warmly.
Moist eruption on occiput.
Scalp becomes covered with papulæ and is then so sensitive that she cannot comb her hair. θ Chronic headache.
Itching pustules and bulbous swellings on hairy scalp and on neck.
Hair falls out ; premature baldness.
Suppurating wound of scalp.
Phagedenic ulcer on forehead painful and discharging offensive pus.
Keloid on temporal region ; frontal headache.
Cephalhæmatoma ; almost the whole left parietal bone is covered with a large, soft, elastic swelling ; the characteristic ring of the bone can be traced by the finger.
Cephalatoma neonatorum.
Enchondrosis ; large, hard swelling, but soft in some places, on a child's head, beginning above ears and extending to larynx ; whistling, breathing and suffocative attacks.
Painful distension of frontal bone ; periostitis.

Sight and eyes

Long-lasting photophobia ; daylight dazzles the eye.
Letters run together, appear pale.
Dim vision after suppressed foot sweat.
Occasional lightning-like flashes in eyes and a feeling as if something obscured vision ; nervous sensation in head.
Black spots, or sparks, before eyes ; a persistent speck before right eye.
Momentary loss of sight, with uterine affections ; pregnancy.
Eyes weak ; vision indistinct, misty, with flickering before eyes.
Dimness of vision ; could neither read nor write ; everything ran together ; as if looking through a grey cover.
Amblyopia : from checked foot sweat ; from abuse of stimulants ; nervous, sensitive persons ; after diphtheria.
Momentary attacks of sudden blindness.
Day blindness, with sudden appearance of furuncles.
Slight fluttering before eyes.
Cataract ; a decided, greyish cloudiness of lens of right eye was reduced to a small spot size of head of pin ; smoke or vapor before eyes, cannot discern objects ; eyes red, inflamed, watering.
Sclero-choroiditis ant. relieved by this remedy ; conjunctiva and sclera injected and a bluish irregular bulging around cornea ; retina hazy, no vitreous opacities ; severe pains extending from eyes into head on one side, > by warmth ; severe aching in back of head
on one side, corresponding to eye which is worse ; symptoms alternate from one eye to the other.
Choroiditis in a myope, in whom upon any exertion of eye excessive pain extended to head and ears.
Irido-choroiditis and other forms of inflammation of uveal tract.
Irido-choroiditis and other forms of inflammation.
Irido-choroiditis, great tenderness of eye to touch, deep ciliary injection, contraction of pupils, posterior synechiæ, excessive sensitiveness to a draft of air.
Parenchymatous iritis with abscess in upper part of iris, violent supraorbital pain, night and day.
Ciliary neuralgia.
Iritis, with hypopion and corneitis.
Fungus medullaris.
Formation of abscess size of a lentil in upper portion of iris, having appearance of a yellowish-red swelling, coloring the pupil ; the pus of which a small portion had entered the anterior chamber was absorbed.
Cataract : after suppressed foot sweat ; preceding worms.
Cataract of right eye (diagnosis confirmed by two physicians) cured in one year by repeating Silica once a month. θ Cataract.
Cataract of right eye in a man, æt. 61.
Perforating or sloughing ulcer of cornea.
Small round ulcers, with a tendency to perforate, especially if situated near centre of cornea and having no bloodvessels running to them.
Deep or crescentic ulcers of cornea.
Sloughing ulcer with hypopion in a syphilitic patient ; iris inflamed ; ulcer quite deep with profuse purulent discharge, small flakes on cornea, chemosis of conjunctiva.
Ulcus corneæ sloughed through ; sticking pains night and morning.
Pustular keratitis after psoriasis.
Opaque cornea after smallpox.
Spots and cicatrices on cornea.
Corneal fistula.
Total pannus in a boy æt. 9 ; both corneæ completely opaque, presenting a wholly whitened appearance.
Cornea thick, rough, warty as if it were a mass of hypertrophied tissue loosened up little by little and scaled off from cornea leaving it clear and healthy.
Ulceration of cornea ; painless tumefaction of lids.
Fungus hæmatodes.
Silica 3x caused the discharge of lead particles (arising from lead lotion) from cornea.
Eyes painful as if too dry and full of sand in morning.
Tension in eyes and forehead, with weakness of body.
Piercing stinging pain in left eye.
Tearing, shooting, or at times throbbing, stinging pains in eyes, in paroxysms.
Smarting of eyes.
Aching in upper lid, with severe stitches in it as from a splinter, with vanishing of sight.
Pressure and soreness in orbits.
Ciliary neuralgia : especially over right eye ; darting pains through eyes and head upon exposure to any draft of air or just before a storm.
Every day about 1 o'clock, severe burning pains in right eye and flow of tears over cheek, which feel scalding ; these symptoms last for several hours ; right conjunctiva injected ; pain on pressure in right lachrymal sac, which feels
somewhat swelled ; mucous secretion in eye in morning ; finally great swelling of lachrymal sac, forming a little lump at corner of eye exquisitely painful to touch, the seat of throbbing pains, the skin over it being red ; hot tears run over cheek ; nasal duct quite
obstructed.
A feeling as if both her eyes were dragged back into head with strings.
Pain over eyes from wearing steel spectacles.
Pressive pain over left eye about size of a sixpence.
Pain from occiput to eyeball, mostly right, sharp darting and a steady ache ; eyeball sore and painful when revolved.
Smarting and pricking in left eye.
Redness at first around eyes then also of conjunctivæ, with inflammation and lachrymation.
Redness of whites of eyes with pressive pain.
Trachoma of conjunctiva of right eye, hyperemia and swelling of conjunctiva and copious secretion of tears and mucus, after exposure to a storm the inflammation increased and there was also cloudiness of lenticular capsule ; horizontal oval
dilatation of pupil ; violent supraorbital pain day and night ; urine strongly ammoniacal, deposited a yellowish sediment and contained a large amount of albumen ; sight very much diminished ; copious muco-serous secretion from conjunctiva ; after some time there was
an abscess arising from upper part of iris, having a yellowish-red coloration, and covering whole pupil. θ Parenchymatous iritis.
Pain and photophobia and inability to open eyes even in dark ; ulceration of right cornea, with a deep, transparent base, threatening perforation ; great hyperemia of lids, of conjunctiva, and of epithelial layer of cornea ; engorgement of submaxillary gland ; moist
vesicular eruption on back of head. θ Scrofulous ophthalmia.
Woman, æt. 28, has suffered for two months with recurrent phlyctenular conjunctivitis ; phlyctenules have varied both in size and location, being at times very large and isolated, appearing almost like pustules and coming on any part of ocular conjunctiva ; again they are
smaller, like minute vesicles but more numerous, and sometimes form almost a complete circle at sclero-corneal junction ; conjunctival redness, profuse lachrymation, intense photophobia, at times very severe pain ; pain neuralgic, < at exit of supraorbital nerve ; duration
of attacks from eight to twelve days.
Eye inflamed from traumatic causes ; foreign particles have lodged in the eye ; abscesses.
Hypopion.
Blennorrhœa with suppuration ; sensitive to cold air, wishes to keep warmly covered.
Twitching of eyelids.
Blepharitis : with agglutination in morning ; caused or aggravated by working in a damp place or from being in cold air ; objects seem as if in a fog, > by wiping eyes, fluent coryza, corners of mouth cracked, with psoriasis on arm.
For four months, constant discharge and ulceration under right lower lid, the result of a severe inflammation ; over right inferior orbital ridge, cicatrices which everted the lid and three openings as found over dead bone, discharging a yellow white pus, on probing caries of
lower orbital arch was found extending over malar and superior maxillary bones and connected by sinuses with the upper jaw opening over first molar tooth, through which opening the discharge escaped into mouth.
Boils around eye and lids.
Cystic tumors of lids.
Tarsal tumors ; styes.
Cystic tumor of lower lid existing one year.
Styes, nodules and indurations on eyelids.
Affections appearing in angles of eyes.
Swelling in region of right lachrymal gland and sac.
Lachrymation in open air.
Fistula lachrymalis ; bone affected.
Swelling of right lachrymal sac, skin over it inflamed ; glistening throbbing pain ; tears hot ; < evening.
Obstruction of canaliculi attending an attack of ophthalmia of six weeks' standing and affecting both eyes ; acrid tears overflowed lower lids.
A completely established fistula of sac, with disorganization of walls of sac, denudation of internal horny wall and closure of nasal canal.
Stricture of lachrymal duct.
Blennorrhœa of lachrymal sac.
Swelling of right tear bag forming a perceptible protrusion, skin covering it inflamed and glistening ; throbbing in it ; the flowing tears are hot, particularly in evening. θ Swelling
of lachrymal sac.
Soreness and smarting of eyelids, she cannot close them.

Hearing and ears

Oversensitive to noises ; ears painfully sensitive to loud sounds.
Ringing or roaring in ears.
The ears seemed stopped.
Stoppage of ears, which open at times with a loud report.
Difficult hearing, especially of human voice and during full moon.
Diminished hearing from roaring in head.
Hardness of hearing, of long standing ; < from washing and changing of linen ; > from application of electricity.
Dulness of hearing with swelling and catarrh of Eustachian tubes and tympanitic cavity.
Deafness without noise in ear, disappearing on blowing nose and coughing.
Hardness of hearing : of nervous origin ; suddenly after a faint ; ringing in ears and deafness with paralysis.
During headache roaring in ears as if something alive were in them.
Deafness in a hemorrhoidal patient of twelve years' standing.
Meniere's disease.
Itching : in Eustachian tubes, chronic coryza ; in both ears, in ear, especially on swallowing.
Drawing pain in meatus auditorius, like otalgia.
Stitches in ears.
Otalgia ; with stitches from within outward.
Shooting pain in left ear, with a feeling as if humor were flowing from it.
Pricking, aching and itching in ears, left chiefly.
Sleep disturbed by pain in ears. θ Scarlatina.
Boring pain. θ Otorrhœa.
Inflammation of labyrinth after cerebro-spinal meningitis.
After overexertion, heaviness of head, earache and difficulty of hearing ; hypersensitiveness to sounds, even sound of voices in speaking ; catarrhal cough, pain in stomach and severe pain in back ; between the shoulder blades any pressure on spinal column produced
a violent and long-continued pain, so that she had a well-marked spinal irritation.
Constant, watery, curdy and ichorous discharge without pain except after a fresh cold ; pain drawing, shooting < at night and from change of weather or movement, also after being long seated.
External meatus dry at outer portion, ulcerated farther in and at drumhead.
Child bores into its ears with fingers when asleep, causing a discharge of blood and pus ; it enjoys having the ear cleansed.
Feeling of sudden stoppage in ear, > by gaping or swallowing.
Hissing sounds in perforated ear.
Increased secretion of thin cerumen.
Otorrhœa : offensive, watery, curdy ; with soreness of inner nose and crusts on upper lip, after abuse of mercury ; with caries.
Constant discharge, usually thin and watery, sometimes ichorous and curdy, from right ear ; quite deaf on affected side ; after scarlatina, six years ago. θ Otorrhœa.
Purulent discharges from ears.
Swelling of external ear, with discharge of pus from ear.
Discharge of bloody mucus. θ Suppuration of middle ear.
Offensive discharge from ears, of several years' standing, with soreness of inner nose and crusts on upper lip. θ Otorrhœa scrofulosa.
Discharge from ear after abuse of mercury.
Chronic sinus in front of left ear ; an ill-conditioned fistulous wound, had existed three years.
For six days pain in mastoid region ; membrana tympani highly injected ; tuning fork heard indifferently on either side when pressed against parietal bones ; temperature 102 ; very weak and nervous ; complete muscular paralysis of right side of face ; found
some relief and sleep by placing head in a warm poultice of Indian meal. θ Mastoid periostitis.
Child puts hand behind ears. θ Scarlatina.
Caries of mastoid process.
Scabs behind ears.
Itching of outer ears.
Hard swelling of parotid ; suppuration, especially if slow, painless.

Smell and nose

Loss of smell.
Smell of blood, or of recently slaughtered animals. θ Chronic coryza.
Fetor from nose. θ Nasal catarrh.
Nosebleed.
Complete stoppage of nose, could scarcely speak.
Soreness on back of nose as if nasal bone had been beaten.
Drawing in root of nose and in right malar bone.
Itching in nose.
Much sneezing, sometimes ineffectual ; with acrid coryza.
Painful dryness of nose.
Troublesome itching, feeling of dryness in nose extending to forehead and antrum ; periosteum is affected.
Dryness and stoppage after checked foot sweat.
Long-continued stoppage of nose from hardened mucus.
Coryza : fluent ; violent for several weeks ; dry, could not get air through nose ; long-lasting, oft returning ; acrid, corroding ; chronic, with swelling of mucous membrane ; constant.
Nose stuffed up, or alternately dry and fluent ; obstructed mornings, fluent during day.
With every fresh cold, stoppage and acrid discharge ; makes inner nose sore and bloody.
Obstruction of nose in morning, followed by coryza during day.
Discharge of acrid water from nose, making inner nose and nostrils sore and bloody. θ Chronic coryza.
Food and drink rise into choanæ.
Nose inwardly dry, excoriated, covered with crusts.
Swelling of nasal mucous membrane. θ Chronic coryza.
A smarting, painful scab deep in right nostril.
Gnawing and ulcers high up in nose, with great sensitiveness of place to contact.
Sore, painful scabs below septum of nose, with sticking pain when touched.
Ozæna with fetid, offensive discharge when the affection is seated in submucous connective tissue or in periosteum.
Offensive smelling nasal catarrh ; every morning blows from nose hard, dry masses of mucus, followed by a quantity of offensive-smelling pus ; headache ; lassitude ; loss of appetite ; miserable appearance ; profuse, offensive-smelling foot sweat ;
excoriation between toes when walking much.
Chronic catarrh : with stoppage of nose, loss of smell and taste ; slimy, tough, purulent secretion stopping frequently in morning ; swelling of nasal membrane ; chronic inflammation of tonsils and painless swelling of submaxillary glands ; tough slime in fauces,
with hoarseness and rough cough ; stoppage in morning followed by thick, green-yellow fetid masses after getting up ; frontal sinuses inflamed, with pounding and throbbing pain in forehead ; fauces dry and painful ; uvula swollen ; Eustachian tubes itching ;
chronic inflammation of tonsils and swelling of submaxillary glands.
Miss A., æt. 26, lymphatic and delicate, suffers since two years from inflammation of nasal duct, discharging large clots of blood mixed with dry mucus of a very foul smell ; corner of eye red, oculo-palpebral mucous membrane slightly inflamed
and itching, sac on left side swollen so that the sore appears larger ; frontal headache.
Caries of nasal bones from syphilis or scrofulosis.
Intolerable itching of tip of nose.
Man, æt. 48, ten years ago was much shocked on seeing tip of a friend's nose destroyed by cancer ; since then his own has itched intolerably, < when thinking of it, and often keeping him awake at night.
Voluptuous itching about nose obliges constant rubbing in evening.
Tip of nose red.
Nose cold.
Herpetic eruption around nostrils and lips.
Burning, shooting pains in tip of nose flying up to forehead.
Tetters on nose (after Calc. ostr.).

Upper face

Face : pale ; cachectic, body cool, sweaty ; earthy ; yellow, distorted ; waxy ; white and red spots.
Paleness of face before fainting.
Pale, cachectic appearance. θ Eczema capitis. θ Cancer of lip. θ Panaritium.
θ Coxalgia. θ Mastitis. θ Tumor
of eye. θ Caries of tibia.
Yellowish color of face. θ Gastralgia. θ Perforating
ulcer of stomach.
Face emaciated, pale, yellowish. θ Abscess of left arm after dissecting wound.
Rhagades about lids and lips.
Skin of face cracks.
Acne on forehead and back of hands.
Face distorted, eyes closed.
Neuralgia of face, head, eyes, teeth and ears ; pains < after being in bed a short time.
Boring, tearing pains day and night, < during night, spreading over whole chest, also in bones of face.
Prosopalgia ; with hemorrhoids ; with affection of periosteum ; itching, with sensation of dryness in inner nose, extends into frontal cavities and antrum ; with small lumps and nodules on scalp and face.
Large hives on face and body before appearance of caries on lower jaw ; after caries got well, vesicles appeared on whole body, with fever.
A thick crop of papules on forehead, face and back of both hands. θ Acne.
Slight papular eruption upon forehead, similar to varicella. θ Pertussis.
An induration extending from left corner of mouth to a great portion of cheek.
Induration of cellular tissue on one side of face, after parulis.
Lupus ; serrated ulcers, with greyish purulent surfaces ; corroding, threatening to perforate cheek.
Lupus ; whole face corroded ; tubercles on face, with ulceration of their apices ; suppressed perspiration of feet (improved).
Lupus in face, at interior extremity of cicatrix a deep ulcer threatening to perforate cheek, border of ulcer serrated, its surface greyish, bathed in a purulent sanies.
Lupus in face, began on right ear lobe, healing one side, corroding on other, advancing downward and forward, leaving irregular cicatrix (after Bellad.).
Comedones.
Swelling on right cheek, made its appearance after scratching a pustule ; burning pain on centre of swelling formed a black vesicle which broke and discharged burning ichor.
Red spots on cheeks with burning heat.
Blood-boils on cheeks.
Sycosis menti.
Herpes on chin.

Lower face

Articulation of jaw spasmodically closed.
Rheumatic pains in jaw and decayed teeth extending to temple.
Aching of both jaws.
Pricking and lancinating pains in region of right inferior maxillary, with cancerous diathesis.
Pains more in jawbone than in teeth, swelling of jaw.
Bony swelling of the inferior maxillary, size of half a walnut.
Swelling and caries on lower jaw.
Caries of left lower jaw.
Necrosis of lower jaw.
Boil on chin, with stinging pain when touched.
Ulceration of corners of mouth.
Painful ulcer in corner of mouth.
Corner of mouth ulcerated with an itching sensation with scabs for many days.
Nose and lips large, swollen and distorted.
Dry and parched feeling of lips.
Foam at mouth. θ Epilepsy.
Swelling of lower lip.
Blisters on margins of lips.
Scabby eruption on lips, which smarts.
Large, hard, brownish crusts on lips, especially about corners of mouth.
Woman, æt. 61, cancer of lower lip after having picked lip. θ Cancer of lip.
External third of lower lip on right side swollen and congested with an induration size of an apricot-stone in centre of swelling, on red border superficial ulceration with greyish base ; excruciating pain. θ Cancer
of lower lip.
For more than a month, felt an itching, sometimes burning, in a very circumscribed spot in a part of lower lip, finally succeeded by intolerable shooting pains ; a hard spot became perceptible in thickness of lip which soon made its appearance externally in shape of a conical
pimple ; tumor soon became black, wrinkled and as large as a good-sized hazelnut.
Cancer of lower lip ; ulcer greyish, superficial, excruciatingly painful.
Painful or painless swelling of submaxillary glands.

Teeth and gums

Difficult dentition : teething delayed ; gums sensitive, blistered ; frequently grasping at gums ; scrofulous children having worms, with profuse salivation ; fever toward evening and all night with heat in head ; difficult
stools ; stool recedes before child can effect its passage ; feet smell badly, notwithstanding every effort to prevent it ; profuse sour-smelling perspiration upon head in evening ; fontanelles large, head larger in proportion than rest of body ; protruding gum seems
blistered and is sensitive ; stools when loose are usually dark and sometimes offensive.
Teeth feel too large and too long for the mouth.
Looseness of teeth.
Teeth loose and gum painful to slightest pressure.
Caries of teeth, pains < at night and on inhaling cold air.
Throbbing toothache, swelling of periosteum.
Stinging toothache, preventing sleep.
Constant aching in all the teeth.
Neuralgia in all the teeth, with heat and tearing pain in head ; constant spitting of tenacious slimy saliva ; raging at night ; not affected by cold or warmth.
In scrofulous and rachitic subjects with carious teeth toothache is particularly < at night from inhaling cold air.
Throbbing toothache with swelling of periosteum or lower jaw, where the pain is more severe than in teeth ; unable to sleep on account of general heat ; every hurt festers and is slow to heal.
Erysipelatous swelling on gums and roof of mouth after extraction of teeth.
Tedious, boring, tearing pains day and night, < during night, spreading over whole cheek, and into bones of face ; discharge of offensive matter from openings near roots of teeth or from gums ; swelling of jaw.
Burning stitching in several teeth, < at night, < by cold air in mouth, with heat in head and burning in chest ; pain in submaxillary glands, with or without swelling.
Gum is painfully sensitive on taking cold water into mouth.
Gums very sore, inflamed ; gum-boils.
Cool feeling in upper gums, soreness of palate, lips feel much parched.
Tumor, size of a walnut, in place of two bicuspid teeth.

Taste, speech, tongue

Taste : of blood, morning ; of soapsuds ; bitter, morning, with thick mucus in throat ; of rotten eggs.
Loss of taste and appetite.
Water tastes badly ; vomits after drinking.
Tongue feels sore.
Sensation as if a hair were on tip of tongue extending into trachea, where it causes a crawling so that he is frequently obliged to cough and hack.
Whitish, trembling tongue. θ Abscess of left arm.
Soreness of tongue.
Tongue coated with brownish mucus.
Glossitis.
Indurations in tongue.
Ulcer on right border of tongue eating into it and discharging a great deal of pus. θ Carcinoma.
One-sided swelling of tongue.

Inner mouth

Acidity in mouth, after eating.
Bad odor from mouth in morning.
Constant dryness in mouth ; without thirst.
Accumulation of mucus in mouth.
Saliva runs out of mouth.
Inflammation and suppuration of salivary glands.
Irritable condition of mucous membrane of mouth ; skin of body pale and flabby. θ Neuralgia.
Stomacace ; mouth gangrenous, with perforating ulcer of palate.

Palate and throat

Soreness of palate, which assumed a pale yellow color.
Swelling in palate ; swelling of uvula. θ Chronic coryza.
Fauces affected, dry painful throat. θ Chronic coryza.
Tough slime in fauces.
Hawking up of thick, green, yellow, fetid mucus, or yellow, very offensive balls.
Swelling in front of throat, region of thyroid body extending around to parotids, commencing on left, extending to right side, cannot move, holds neck stiffly.
Sensation as of a lump in right side of throat ; she could only swallow with great difficulty.
Pricking in throat, as from a pin, causing cough, left side.
Tonsils swollen, each effort to swallow distorts face.
Tonsillitis when suppurating gland will not heal ; pus continues to flow, but gets thinner, less laudable, darker and more fetid.
Periodical quinsy.
Inflammation of tonsils when too late for absorption.
Chronic inflammation of tonsils.
Throat feels as if filled up, as if he could not swallow ; frequent cough bringing up white, frothy, saltish mucus ; < toward evening.
Swallowing painful, no inflammation. θ Hysteria.
Sore throat, as from a lump in left side, on swallowing.
Burning in throat.
Dryness of throat as from a cold.
Soreness of throat, as if he swallowed over a sore spot, at times stitches in it.
Pressive soreness on left side of throat when swallowing.
Sticking sore throat only on swallowing, with pain in throat even to touch.
Feeling as if throat were filled up, as if he could not swallow. θ Chronic sore throat.
When swallowing, soreness and stitches in throat.
When swallowing food easily gets into choanæ.
Sequela of diphtheria ; amaurosis.
Swallowing difficult as from paralysis.
Paralysis of velum pendulum palati.
Chronic pharyngitis with constipation.
Mouth gangrenous with perforating ulcer of palate.
Swelling of submaxillary and cervical glands.
Submaxillary glands painful to touch but not swollen.
Enlarged thyroid gland.

Appetite, thirst. desires, aversions

Excessive hunger.
Canine hunger, but on attempting to eat has sudden disgust for food.
Canine hunger, with nervous, irritable persons.
Want of appetite ; excessive thirst.
No desire for anything but small quantities of preserves.
Thirst.
Averse to warm, cooked food ; desires only cold things, disgust for meat.
Aversion to mother's milk and vomiting whenever taking it.

Eating and drinking

While eating, pain in head much better.
In evening, while eating, an acute pain extending from abdomen to testes.
After eating : sour eructations, fulness and pressure in stomach ; waterbrash and vomiting ; sleepiness, vomits large masses of water.
Painfulness of epigastrium upon pressure, griping pain also after eating. θ Gastralgia.
Regularly after eating chilliness on back ; icy-cold feet in evening. θ Chronic hepatitis.
Pyrosis and vomiting after eating. θ Perforating ulcer.
Hectic fever in debilitated persons, < after meals.
Small quantities of wine cause ebullitions and thirst.
Vomits after drinking.
Screwing, pressing, twisting pain in stomach after drinking. θ Perforating ulcer.
Dry cough after drinking cold water.
Diarrhœa after milk.

Hiccough, belching, nausea and vomiting

Eructations : sour ; tasting of food ; loud, uncontrollable, with pain in stomach.
Intense heartburn, sensation of a load in epigastrium.
Waterbrash : with chilliness ; with a brownish tongue.
Ineffectual retching, waterbrash with nausea.
Nausea : with violent palpitation ; after every exercise that raises bodily temperature ; after eating a little ; and vomiting of tenacious mucus, hiccough ; sense of emptiness at stomach ; after stools.
Nausea and vomiting of what is drunk < in morning.
Vomiting while drinking, especially if drinking be hasty.
Water tastes badly ; vomits after drinking.
Child vomits as soon as it nurses.
Vomits : ingesta, at night.
Morning vomiting, with nausea, much exhaustion.
Nausea and vomiting during pregnancy.
Nausea and vomiting of mucus in morning, much exhausting a young and vigorous man. θ Suppressed foot sweat.

Scrobiculum and stomach

Anguish in pit of stomach, attacks of melancholy.
Burning or throbbing in pit of stomach.
Sensitiveness of pit of stomach to pressure.
Pressure as after eating too much.
Heaviness like lead in stomach.
Cutting feeling, at other times weight, crampy sensation, tightness at pit of stomach.
Felt as if knives were running into her stomach.
Cold pain at epigastrium as if a cold stone were in stomach.
Nearly every morning after partaking of any kind of drink a digging and twisting, followed by retching and vomiting of bitter, salty water, coming with such force as to make him sweat and tremble all over. θ Gastralgia.
Gastralgia : with pyrosis, hiccough or nausea and glairy vomiting ; heat, weight, sensitiveness and a feeling of constriction ; flatulency, eructations, somnolency, languor, coldness of extremities, loss of appetite, slow and painful
digestion, often hunger which cannot be satisfied.
After a meal, load as of a stone or lead in stomach, particularly after eating raw vegetables.
Yellowish complexion ; screwing, pressing, twisting pain after drinking, pyrosis and vomiting after eating. θ Ulcer of stomach.
Induration of pylorus.

Hypochondria

Pressure or aching pain in hypochondrium.
Beating soreness in liver ; < on motion, when walking, when lying on right side.
Sore, ulcerative pain and frequent throbbing, two fingers' breadth below right floating ribs ; cannot tolerate least pressure ; cannot step upon right foot without greatly aggravating pain to an intolerable degree ; confusion of
head ; dull pain in occiput ; pressing pain in forehead ; vertigo on stooping ; loss of appetite ; pressure in stomach after eating ; stool delayed two or three days ; constant severe cough all day, awakening her at night, < from motion ; scanty,
slimy expectoration ; sensation as if sternum were grasped ; tearing in limbs, stitches, and a dropping or running sensation ; muscles weak, flabby ; emaciation ; after eating, chilliness along back, congestion to head, heat in face, slight burning in soles of
feet ; feet icy-cold in evening ; sweat on slight motion, profuse and debilitating in morning in bed ; pulse small, weak, rapid, irregular ; lassitude, desire to sleep, restless sleep, at night suddenly starts from sleep, trembling and frightened ; despondency. θ Hepatic
disorder.
Liver complaint with obstinate constipation ; want of expulsive power in rectum ; hardness and distension in region of liver ; abscesses ; throbbing, ulcerative pain < from touch and motion ; < at night and during new and
full moon ; scrofulous diathesis.
Neurosis of chest with pain in region of spleen and indescribably quick breathing.
Morbus maculosis Werlhofii, with disorganization of spleen.

Abdomen and loins

Pressure in abdomen, especially after eating, clothing feels too tight.
Tightness transversely across abdomen.
Abdomen constantly hard, greatly distended, making him very uncomfortable.
Hard, hot, distended abdomen, especially in children.
Large abdomen in children.
Abdomen feels thick and heavy like a weight.
Abdomen hot, tense, constant rumbling and grumbling in it, diarrhœa.
Flatulence : much rumbling ; incarcerated ; very offensive ; shifting ; difficult to discharge ; with costiveness ; with distended abdomen ; rumbling and gurgling in abdomen ; fetid, smelling like wet brass.
Violent cutting in lower abdomen with incarcerated flatus ; every step is painfully felt.
Colicky pains in lower abdomen, with straining and increased pain during stool.
Tenderness about hernial tumor.
Colic : from worms ; with constipation or difficult stool ; with yellow hands, blue nails ; with reddish, bloody stools ; > by warmth.
Momentary pinching pain at navel.
Cutting pain in region of navel going through to back and coming on at intervals.
Abdominal pains relieved by warmth.
Abdominal dropsy ; effusion so great that his weight was thirty-six pounds in excess ; frequent attacks of watery diarrhœa, lasting several days, leaving him exhausted, emaciated and unable to leave his bed ; would then rally and
filling-up process recommence.
Rhagades and cracks on surface of abdomen.
Discharge of pus, intestinal gases and fecal matter through abdominal fistula.
Inflamed inguinal glands, painful to touch.
Inguinal hernia.
Mr. D., æt. 67 ; abscess in right groin, hernia both sides ; irritation of truss the supposed cause ; syphilitic taint ; tumor increased till it contained as much as two gills of matter ; got well without breaking ; both hernia got well without
further treatment.

Stools and rectum

Stools : frequent, scanty, liquid, offensive as carrion ; pasty ; paplike ; offensive ; contain undigested food, with great exhaustion, but painless ; mucous, followed by itching in anus ; watery, weakening ; liquid,
slimy, frothy, mucous or bloody ; mushy, horribly offensive ; purulent ; cadaverous-smelling ; putrid ; sour (during dentition).
Diarrhœa : from exposure to cold air ; after vaccination ; with griping pains in bowels ; in morning before rising, from 6 to 8 A. M. ; watery, weakening ; chronic, from ulceration of bowels ; in thin, scrawny children with sweaty head and sweaty,
offensive-smelling feet ; child very much emaciated, nurses well but food passes through undigested, open fontanelles ; much perspiration about head ; great thirst ; emaciation ; cold hands and feet with cold sweat on them ; rolling of head ; suppressed
secretion of urine.
Before stool : pain in bowels.
During stool : chilliness and nausea in throat ; colic ; itching and stinging in rectum ; piles ; succus prostaticus.
After stool : burning and smarting in anus ; remission of abdominal pains ; pressing and burning in anus ; burning in prepuce ; eructation.
Child, 1 year old ; on mother's side dyscrasia, scrofula, softening of brain, tuberculosis ; teething process delayed ; relapsing summer complaint ; feet very dry and smelled like an old person's.
Natural stool, evacuated with much pressure and straining.
Constipation : very hard, unsatisfactory stools, with very great effort ; constant but ineffectual desire for stool in evening ; stool dry, hard and light-colored ; stool very hard, followed by burning in anus ; very hard,
nodular ; like clay stools, evacuated only with great effort ; stool scanty, difficult, after great urging and straining until abdominal walls are sore, the stool that has already protruded slips back again ; stool remains a long time in rectum as if there were no power to
expel it ; from inactivity in rectum, with pain and ineffectual desire for stool ; prolonged efforts during stool render muscles of abdomen sore ; before and during menses ; stool comes to verge of anus then slips back into rectum ; with spinal affections, as if
rectum were paralyzed.
Loss of expulsive power with a large but soft stool.
Constipation ; large slime-covered feces ; stools five to seven days apart and occurred then only upon use of injections or cathartics ; copious sweat on head and face directly upon falling asleep ; child, æt. 8 mos., suffering
since birth.
In rectum : sharp stitches when walking ; jerking, almost dull sticking pain ; cutting ; stinging ; burning, stinging, itching during stool.
Hemorrhoids ; intensely painful, boring cramping from anus to rectum or testicles ; protrude during stool, become incarcerated ; suppuration ; discharge of bloody mucus from rectum ; intense pain with slight protrusion.
In anus : tension ; boring cramplike pain extending into rectum and testicles ; pain as if constricted, during stool ; sticking ; burning after a dry hard stool ; itching ; stitches and shooting pains ; moisture.
Fissura ani, great pain half an hour after stool, lasting several hours.
Fissura ani and fistula in ano.
Aching, beating throbbing pain in lumbo-sacral region, with occasional perineal tumefaction which discharged blood and pus ; constipation, stools slipping back after much effort ; great anxiety.
Fistula in ano ; also with chest symptoms.

Urinary organs

Suppuration of kidneys ; abscesses.
Diabetes mellitus.
Purulent blennorrhœa of bladder.
Tenesmus of bladder and anus.
Paralysis of bladder.
Obliged to rise nearly every night to urinate.
Desire to urinate without emission.
Continuous urging, with scanty discharge ; also at night.
Weakness in urinary organs ; constant desire to urinate.
Profuse urination relieves headache.
Involuntary micturition at night ; also in children, with worms and in chorea.
Nightly incontinence of urine, after a blow upon head, when three years old, in a girl æt. 7.
A boy, æt. 15, troubled ever since his recollection with nocturnal enuresis nearly every night, until he was thirteen, when he left home ; by a strong effort of will and care it was not so frequent, but still quite beyond his control.
Enuresis nocturna, complicated with worms or chorea.
Urine : light-colored ; suppressed ; turbid ; sediment of red or yellow sand.
During urination : burning and soreness in urethra ; pressure in bladder ; itching of vulva ; cutting pain.
Strangury.
After urination : involuntary discharge of urine.
Suppression of urine.
Renal and vesical calculus.

Male sexual organs

Sexual desire increased, or decreased.
Painful erections, before rising in morning ; frequent violent erections.
Sexual erethism, with spinal or paralytic disease.
After an embrace, sensation on right side of head as if paralyzed with soreness of limbs.
Lascivious thoughts and dreams ; nocturnal emissions, followed by great exhaustion ; prostatitis.
Violent erections without sexual desire.
Sexual desire very weak.
After masturbation seminal emissions twice a week, between 3 and 5 A. M. ; great depression of spirits ; aching in sacrum ; sweat of scrotum ; heat in head ; burning of feet with sweat ; weakness and heaviness of
arms ; melancholy ; < A. M. and before an emission ; > after an emission.
Discharge of prostatic fluid while straining at stool.
Prostate gland enlarged, without pain, but irregularly indurated, one point being hard, another soft.
Prostatitis ; suppuration, thick fetid pus from urethra.
Gonorrhœa, with thick fetid pus ; < after exertion to the extent of sweating.
Gonorrhœa ; pus or puslike bloody discharge ; slight shreddy discharge.
Chronic syphilis ; suppurations and indurations.
Chancres : with raised edges ; inflamed, painful, irritable, discolored ; thin bloody discharge ; granulations indistinct or absent.
Red spots and itching on corona glandis.
Painful eruptions on mons veneris ; itching, moist or dry eruptions of red pimples or spots on genitals. θ Syphilis.
Slight swelling of penis and testicles.
Squeezing pain in testicles.
At the height of chill penis and testicles are hot.
Sharp pricking pains in penis.
Prepuce red and itching ; swollen and itching humid pimples on it.
Itching moist spots on genitals, mostly on scrotum ; sweat on scrotum.
Pale-red, sensitive swelling hard as a stone extending from left inguinal region across mons veneris, with burning stinging tearing pain in swelling, sacrum, and left thigh, preventing sleep ; slimy fluid discharges from two fistulous openings.
Hydrocele ; men and scrofulous children.

Female sexual organs

Sterility.
Increased sexual desire, with paralytic or spinal affections.
She feels nauseated during coition. θ Uterine cancer.
Nymphomania due to plethora or spinal irritation.
Prolapsus uteri in consequence of myelitis.
Serous cysts in vagina.
Pressing-down feeling in vagina.
Indurations of cervix uteri.
Ulceration of neck of womb and os.
Periuterine cellulitis ; areolar hyperplasia.
Metrorrhagia of six weeks' duration in a washerwoman who attributes her sickness to constantly standing in cold water.
Metrorrhagia : offensive foot sweat ; icy-cold body ; painful hemorrhoids.
Bloody discharge between periods.
Menses : too early and scanty ; too late and profuse ; irregular, every two or three months ; during lactation ; strong-smelling, acrid ; repeated paroxysms of icy coldness over whole body.
Before menses : pressing pain in forehead ; violent colic, shuddering all over body whole day, acrid leucorrhœa ; sensation as if vulva were enlarged, with soreness in perineum.
During menses : pain in abdomen ; tearing pain in tibia ; toothache and obscuration of sight ; violent pressure in forehead, with discharge of plugs from nose ; constipation ; sensation as of a heavy lump in anus ; cold feet ; burning and soreness
about vulva ; eruption on inside of thighs ; drawing between shoulders ; melancholy, anxiety and weariness of life.
Discharge of a quantity of white water from uterus instead of menses.
Amenorrhœa with suppressed foot sweat ; pain in abdomen.
Mucous surfaces of external genitals red, vascular, moist and exquisitely sensitive to touch ; married six months, but there was no possibility of sexual intercourse ; examination of internal surfaces impossible without inducing anesthesia
artificially ; chronic headache of a pressing, pulsating or tearing character, < by mental exertion, stooping, talking, or cold air ; > by warmth and warm wraps ; frequently profuse, sour perspiration on head in evening ; tendency to take cold in head from slight
causes, especially if head is uncovered ; weight or pressure in vagina, with painful bearing down, vagina being tender to touch. θ Vaginismus.
Discharge of a quantity of white watery fluid from vagina.
Serous cysts of vagina ; vaginal fistula.
Itching of pudenda.
Violent burning and soreness of pudenda, with eruption on inner sides of thighs, during menses.
Itching of vulva ; acrid leucorrhœa.
Ascarides of vulva.
Leucorrhœa : profuse, acrid, corroding ; milky, preceded by cutting around navel ; causes biting pain, especially after acrid food ; during urinating ; in gushes ; with cancer of uterus.
Profuse, yellow, excoriating leucorrhœa ; discharge tenacious ; astringent injections produced a peculiar sensation at pit of stomach ; continual headache ; feels > with head covered up warmly.
Inflammation, induration, and suppuration of breasts ; fistulous ulcers, discharge thin and watery or thick and offensive ; substance of mamma seems to be discharged in pus ; one lobe after another ulcerates and discharges into one
common ulcer, often with pain, or there may be several orifices, one for each lobe.
Inflammation of nipples ; they crack and ulcerate.
Hard nodular tumor of breast.
Scirrhus of right breast in an old lady, æt. 70 ; great itching of swollen gland.
Scirrhus mamma, in a woman æt. 40, weakly constitution ; since frequent catarrhal affections, somewhat asthmatic ; for some time observed a lump in right mamma ; near nipple toward right, a scirrhus as hard as cartilage, of uneven surface, movable and size of a hazelnut.
A lady, æt. 65, thin ; for six months a tumor of right breast, making it twice natural size ; had itch twenty years ago ; palpation showed fluctuation ; trochar detected pus ; further examination showed carious rib.

Pregnancy. parturition. lactation

Threatened abortion ; hemorrhage after abortion.
Hemorrhage after abortion, < from least motion, mental or sexual excitement ; painful hemorrhoids and obstinate constipation.
Promotes expulsion of moles ; shooting pains.
Nausea and vomiting of pregnancy ; menses had been accompanied by palpitation.
Soreness and lameness of feet from instep to sole, during pregnancy.
Too violent motion of fetus.
After-pains felt in hips.
Suppressed lochia followed by boring pain in left temple, left supraorbital nerve, and orbit of eye ; < by talking, or mental exertion ; before suppression, nursing produced a venous metrorrhagia.
While nursing : sharp pain in breast or uterus, pain in back, increase of lochia ; pure blood flows every time child nurses ; complains every time she puts child to breast.
Aversion to mother's milk ; child refuses to nurse, or if it does nurse, it vomits.
Milk suppressed.
Mamma swollen, dark red, sensitive, burning pains prevent rest at night.
Hard lumps in mamma.
Great itching of swollen mamma. θ Scirrhus.
Inflammation of nipples.
Darting, burning in left nipple.
Nipple is drawn in, like a funnel.
Scirrhus near right nipple, hard as gristle, uneven surface.
Nipple ulcerates ; is very sore and tender.
Hard-edged fistulous ulcers remaining after mammary abscesses.
Fistula of mamma discharging serum or milk.
Rhagades of mamma, or other parts covered with delicate skin, or on parts affected by tettery eruptions.
Pain in nodular swelling of left breast, cutting pains in abdomen.
Inflamed breast, deep-red in centre, rose-colored toward periphery, swollen, hard and sensitive to touch ; constant burning pain prevents her from resting at night ; high fever, face sunken, but excited. θ Mastitis.

Voice and larynx. trachea and bronchia

Hoarseness, roughness of larynx.
Husky voice ; < in morning ; chronic coryza.
Fibrous, painless swelling of larynx, connected with thyroid cartilage.
Foreign bodies in larynx.
Laryngeal morning cough commencing immediately on rising, with tough, gelatinous and very tenacious expectoration.
Bronchial affections of rachitic children ; copious purulent or transparent expectoration.
Tickling in larynx with slight cough and hoarseness.
Roughness and soreness in trachea and bronchia.

Respiration

Deep sighing breathing.
Shortness of breath and panting from walking fast, or from manual labor.
Dyspnœa : when lying on back ; when stooping ; when running ; also after running ; when coughing.
Oppression of chest, cannot take a long breath.
Asthma : < when lying down ; spasmodic cough ; spasm of larynx ; pulsations in chest ; often with profuse, purulent sputa ; cannot bear a draft of air on back of neck.
Nervous asthma, dry spasmodic cough ; oppression does not permit him to lie down or stoop ; spasm of larynx and pulsations in chest.
Breathing so difficult that eyes seemed to protrude from their sockets and the doors and windows had to be thrown open ; attacks came only during a thunderstorm.
Hay asthma coming on about the last of August.

Cough

Cough : dry, with hoarseness ; with soreness in chest ; excited by tickling in throat pit ; hollow, spasmodic ; loose, day and night ; with profuse expectoration vomiting of tenacious mucus in morning ; with thick purulent
sputa ; awakens him at night ; < from motion ; scanty mucous expectoration ; especially troublesome after lying down in evening and after waking in morning ; hacking caused by nightly tickling in pharynx ; at first caused by tickling in throat, gradually
seeming to come from lower down in throat until it came from chest and shook the abdomen, during day consisting of sudden explosive coughs without expectoration, < in evening.
Cough and sore throat with expectoration of small badly smelling granules.
Cough with purulent expectoration ; prevented the ulcers in lungs from spreading.
Phthisis ; cough with profuse expectoration, vomiting of tenacious mucus in morning, during attack of cough ; dyspnœa ; blood-spitting ; night sweats.
Child 3 years old, strongly marked scrofulous constitution ; suffocative cough ; obstructed, difficult, rattling respiration ; profuse expectoration of purulent matter ; great emaciation ; frequent, copious, fetid, papescent stools, with great
exhaustion ; slight pustular eruption, (similar to varicella) upon forehead.
Cough < from cold, > from warm drinks. θ Chronic bronchitis.
Influenza with difficulty of hearing, at times ringing in ears.
Stonecutters' pulmonary affections, copious fetid expectoration.
After artificial evacuation of an empyema continuing suppuration, hectic fever, emaciation, night sweats and diarrhœa. θ Phthisis.
Expectoration : profuse, fetid, purulent, green ; only during day ; of viscid, milky, acrid mucus ; at times pale frothy blood ; tastes greasy ; makes water turbid, that which sinks to bottom has an offensive odor ;
when thrown into water falls to bottom and spreads like a heavy sediment.

Inner chest and lungs

Lungs feel sore.
Stitches in chest and sides through to back.
Excruciating deep-seated pains in chest.
Pain under sternum.
Painless throbbing and beating in breast bone.
Sticking pains in chest on inspiration.
Pressive pain in sternum toward pit of stomach.
Pressing pain, stitches ; general sensation of weakness in chest ; can hardly speak, is so weak. θ Phthisis.
Severe stitching pain in right lung two inches below nipple, extending through to back ; < on motion of any kind and deep breathing.
Painful stitches in chest, shooting from sternum around to back.
Tensive pain across chest lasting for some hours.
Tight feeling around chest, as if she were tied in with a tape.
Pressure at lower sternum as from a stone ; pain under sternum.
Inflammation of lungs resulting in suppuration.
Dropsy of chest, or empyema ; motion produces severe palpitation of heart ; from anemia and lack of nutrition ; also in stonecutters.
Empyema after pleurisy.
Congestion to chest ; body chilly.
Chronic neglected pneumonia, passing over into suppuration.
Chronic bronchitis and phthisis.
Phthisical abscess of lungs ; formation of cavities.
Several attacks of hæmoptysis, after which he gradually declined ; about eight months afterward large cavity in r. lung at second intercostal space about three inches to right of sternum ; heavy rales in left bronchus with decided
indications of breaking down of parenchymatous structure and cavernous lesions there, also sputa very heavy and largely purulent ; cadaverous odor present, musty and offensive ; no appetite ; could hardly sit up long enough to have bed made ; skin cold, clammy ;
drenching night sweats ; marked absence of vital warmth. θ Phthisis.
Hemorrhage from lungs for nine months ; cavities in both lungs ; symptoms of septicemia from absorption of pus from cavities ; clammy, cadaverous sweat covering whole body, which had the feeling as if mould was forming ; no appetite ; large quantities of thick,
heavy mucopus, largely purulent. θ Consumption.
Stonecutters' consumption.

Heart, pulse and circulation

Palpitation : while sitting, the hand in which he is holding something trembles ; violent hammering after every quick or violent motion ; and throbbing over whole body while sitting.
Awoke with rapid pulse, palpitation and sensation of heat.
Orgasm of blood at night ; throbbing in all the vessels.
The circulation is easily agitated.
Heart troubles from nervous exhaustion.
Pulse : small, hard, rapid ; frequently irregular and then slow ; imperceptible, with earthy complexion (carbuncle).

Outer chest

Painless throbbing in sternum.
Tightness across chest ; after suppressed foot sweat.
Sensation as if a hand had grasped her breast bone. θ Chronic hepatitis.
A scrofulous child æt. 11, swelling size of a plum, occasioned by closing of an issue ; between fifth and sixth ribs on right side, below nipple.
A man, æt. about 60, had a tumor in left breast, one and a quarter inches in diameter, and a half inch in depth, the nipple occupying the centre ; it slowly increased and became painful, pain sharp, stinging and twinging ; almost intolerable itching of whole breast,
had an ulcer about three inches long and one inch wide on right leg, over upper end of fibula, which had been carious and a part of it removed, but the ulcer did not heal. θ Cancerous tumor.
When convalescing from a severe attack of typhoid fever, a tumor appeared in one of the right intercostal spaces, which, after being frequently poulticed, broke open and commenced to discharge first a thick, creamy pus, mixed with some blood, but becoming thinner
and more offensive every day ; was pale and weak, and the discharge, which, by its long duration, was causing decided harm to the organism, consisted of thin, dirty, fetid ichorous fluid, and the surrounding parts were hard, swollen and bluish ; pain in ribs < in a warm room,
but as soon as he would go out into cold air (being Winter) his sufferings became unbearable.
Necrosis of acromio-clavicular articulation with complete anchylosis of left shoulder joint.
Malignant scrofulous ulcers and fistulous openings of lymphatic glands of neck, with caries of clavicle.
Fistulous opening near sixth rib from an abscess, with gnawing pain ; a spongy growth size of a nut, broken by fistulous openings, protrudes ; fistulous openings have a scarlet border, discharge ichorous, stinking pus.
Small tumor in left breast of a man, æt. 60, with sharp, stinging, twinging pain and intolerable itching.
Eruption like varicella, covering breast and itching violently.
An eruption like chicken pox covering the breast, with vehement itching, which obliges one to scratch and rub the affected parts with force.

Neck and back

Pain in nape of neck follows lumbar pain. θ Spinal disease.
Rheumatism of lower cervical vertebræ.
Stiffness and chilliness at nape of neck, and chilliness all down back.
Stiffness : of nape of neck ; of one side of neck, cannot turn head on account of pain ; of nape of neck, with headache.
A recurrent fibroid tumor the size of a hen's egg and very hard in left side of neck, not connected with parotid, though growing a little below it, he was > by wraping up, even head ; timid about going into a new enterprise ; lacks confidence in his own ability.
Purulent infiltration of tissues of neck, following carbuncle.
Cervical glands and parotids swollen, indurated.
Glandular swellings of neck and in armpits, with suppuration.
Scrofulous swelling and induration of cervical and parotid glands, coming gradually, of long duration, often attaining an enormous size ; hot skin, without pain or redness.
Boils or carbuncles on nape of neck ; anthrax ; want of vital warmth ; slow progress of disease.
Swelling hard, discolored, purplish-red, discharging from an opening near edge, acrid, corroding, stinking, yellowish-green ichor. θ Carbuncle.
Large dusky patch on front of neck, and another on nape of neck, extending to scalp, covered with minute scales. θ Eczema.
Itching pimples, like nettlerash, on nape of neck.
Swelling and soreness in old cicatricial tissues about neck and breast, the result of scrofulous abscesses.
Right lobe of thyroid gland swollen, having the appearance of an elastic cyst.
Struma, with suppurating fistula.
Rheumatism of lower cervical vertebræ ; violent tearing pain between scapulæ.
Tearing pain beneath scapulæ while walking.
Frequent sticking in right scapula.
In small of back : violent pain ; pain after stooping ; pain as if beaten, at night ; pain when getting out of bed in morning ; feeling as if dead after suppressed foot sweat ; spasmodic pain does not allow him to rise ;
stiffness and pain on rising from a seat ; spasmodic drawing compelling him to lie still.
Weakness of back and a paralyzed feeling in lower extremities, could scarcely walk.
Pain in curved spine.
Burning in back while walking in open air and becoming warm.
Violent shooting pain in back between hips.
Aching, beating, throbbing in back.
Stiff, sore feeling down right side of spine, then across loins and over right hip joint.
Constant aching in centre of spine.
Spinal irritation, paralytic symptoms ; cold feet ; constipation.
Aching in loins, shooting down legs.
Spinal curvature to the right, painful to touch and motion.
H., æt. 16, eighteen months ago fell ; after first shock felt well until nine months, when pain appeared in sacrum and hip ; applied Rhus liniment ; now suffers from pain from sacrum upward to lumbar region, and across left ilium to
superior spinal process ; pain throbbing, < on pressure over lumbar vertebræ, and this, when severe, gives rise to a pain in nape of neck and a sense of loss of power in lower extremities ; stooping causes severe pain darting up spine. θ Traumatic
periostitis of sacrum and lower vertebræ.
Disease of cervical vertebræ in a boy, æt. 3 ; when sixteen months old head would fall forward, chin resting on sternum, and he began instinctively to support head by placing hands under chin, and when lifted up, especially if hands were not supporting chin, opened his mouth in a
gaping manner ; by-and-by had no longer any power to hold things in hands, soon after the power of walking and then of standing ceased, nor could he even sit up ; bowels costive ; urine free ; intellect precocious ; memory excellent ; emaciation.
Bony structure of spine affected ; chronic gouty nodosities. θ Myelitis.
Caries of lumbar vertebræ.
Spina bifida.
Psoas abscess.
Diseases brought on by exposure of back to draft of air.
Aching in sacrum. θ Spermatorrhœa.
Lame feeling in region of sacrum.
Aching, beating, throbbing pain in lumbo-sacral region.
Coccyx hurts after riding ; coccygodynia.
Elevated scabby spots on coccyx above fissure of nates.
Stinging in os coccygis, which is painful to pressure.

Upper limbs

Pain in shoulder and arm at night, > by warm wrappings.
Momentary sharp pain in right shoulder joint.
Acute pain in right shoulder blade.
Swelling on left scapula seven inches broad, five inches long, of thickness of a finger, raised in middle and inflamed, after two weeks it opened in several places and discharged profuse matter.
Swelling, induration and suppuration of axillary glands.
Offensive axillary sweat.
Bones of arm feel bruised.
Shaking of left arm ; before epilepsy.
Arms and hands feel heavy, paralyzed ; as if filled with lead.
Right arm and wrist weak ; cannot raise anything heavy.
Arms go to sleep when resting on them ; pricking in them.
Limbs tremble ; forearm jerks so could not feel pulse ; after bleeding.
Numb feeling in right arm, like pins and needles.
Arms cold after the fever. θ Intermittent.
A child, æt. 2, vaccinated three weeks ago ; about ninth or tenth day, arm was inflamed and swollen ; in a few days an ulcer as large as a half-penny, excavated, laying bare the muscles, occurred in the spot where the operation had been performed.
After vaccination, red and inflamed swellings sometimes extending over whole arm ; fever ; sickness at stomach ; headache ; backache ; abscess in axilla, etc.
Blood-boils and warts on arms.
Abscess and œdematous swelling of arm after dissection wound.
Caries or necrosis of humerus.
Inflammation of elbow joint, with considerable swelling, a fistulous opening led to rough bone discharging thin, greenish pus ; hectic fever and great emaciation. θ Caries
of elbow joint.
Anchylosis of elbow joint, with swelling and pain at every attempt to move, almost complete stiffness of fingers.
Stinging, drawing, tearing pain in bones of elbows day and night, < from slightest touch or motion.
Suppuration of cellular tissue of whole right forearm.
Caries of ulna.
Fungous growth involving stump of arm after amputation for cancer.
A large fleshy wart on left forearm.
Furuncle on arms.
Tearing pain in wrist and ball of hand.
Stitches in wrist at night, extending to arm.
Caries of wrist joint.
Exudation of synovial fluid in wrist resulting from a strain.
A ganglion or elastic cyst on extensor side of left wrist.
Cramplike pain and lameness of hand after slight exertion.
Sense of numbness in hands and pricking in both arms.
Falling asleep of hands at night.
Frequently obliged to lay down the pen while writing on account of lameness in right hand.
Tonic spasm of hand while writing.
Paralysis of hands. θ Leprosy.
Enchodroma on right hand, metacarpal bones enlarged, all the joints stiff, exposed in many places by ulceration of skin, bones carious.
Wen on tendons of extensors of middle finger ; hygroma.
A pustule on back of hand.
Cracking of skin on arms and hands.
A bursa on back of hand.
Moist tetter on hand.
Profuse sweat on hands.
Contraction of flexor tendons ; painful when moving fingers.
Left middle finger flexed and stiffened, on bending it out great pain along whole extensor tendon in back of hand.
Pain as from a splinter in flexor surface of one finger.
Pain in left index finger as if a panaritium would form.
Sensation as if tips of fingers were suppurating.
Feeling of numbness of one finger, as if it were thick and the bone enlarged.
Paralytic drawing in fingers.
Tearing in fingers and in joints of fingers and thumbs.
Sticking pain as if asleep, now in one now in another finger, also in arms.
Stitches in ball of thumb.
Drawing feeling in joints of right finger as if they were being pulled out of their sockets.
Atrophy and numbness of fingers.
Burning in finger tips.
Gouty deposits in large joints of fingers.
A corroding blister with violent itching on first joint of index finger.
A robust middle-aged man was bitten in left thumb by a man, four weeks previous ; the thumb was swollen to double its size ; the whole length was hot, red ; a small opening on the inside of the middle of the first phalanx surrounded by a red elevated margin ; the
probe could be introduced to ball of thumb ; there was great pain on pressure with a very copious discharge of a very offensive fluid, appearing like the yeast of wine ; burning, shooting pain, < on pressure, from motion and at night.
A small crack in index finger began to burn and pain, a lymphatic becomes inflamed, extending thence over wrist, and in the sore spot a corroding vesicle forms with burning, pressing, stinging pains.
Mrs. H., æt. about 50, called to have right index finger amputated ; one year ago she ran a fine splinter of glass into apex of index finger and did not succeed in removing all the glass, as it became finely comminuted ; gave no trouble until early
last Summer, when end of finger became painful and very sensitive ; pain extended up r. arm to axilla, thence to right side of thorax ; some lymphatic swellings and loss of power in right arm, threatening paralysis ; was unable to perform household duties without pain ;
pain no longer durable ; worn out in body and mind ; face pale, cachectic ; scrofulous diathesis ; restless, fidgety ; right arm and wrist weak ; felt as if she could not lift or do anything ; nails yellow and brittle ; insomnia from pain ; feels
unrefreshed in morning ; after Silica fine splinters of glass came out ; general health improved and she resumed her duties, which are arduous, and has had no more pain or trouble in side, arm or finger.
Whitlow ; panaritium ; lancinating pains ; inflammation extends deep to tendons and cartilages and bones.
Burning, itching, stinging, aching in right forefinger. θ Whitlow.
Caries on fingers.
After a bite thumb swollen to double its size, hot, inflamed, painful to pressure.
After cutting one finger and grazing the skin off another the wounds would not heal ; they suppurated, pus being a dirty white color ; throbbing pain in abraded surface.
Painful hard swelling on middle joint of little finger, with reddened skin over swelling.
Disease of bone of forefinger midway between knuckle and next joint ; slight whitish discharge from a minute opening and flesh much swollen and discolored at the place.
Metacarpal bones of first four fingers of right hand swollen to such a degree that oval, hard, knobby masses of uniform surface were formed ; joints obliterated and immovable ; in places ulcerated surfaces under which the bones gave a rough sound to the probe ; formation
of sinuses ; no appetite ; great pain ; drowsiness during day ; lassitude and depression.
Bone felons ; deep-seated pains ; < from warm bed ; burning stinging, aching in superficial parts.
Felon on lower third of second phalangeal bone of right middle finger, from the first very painful and much swollen, preventing sleep ; a free opening had been made (lengthwise) an inch long and was now widely spread out in centre, but this had
only relieved for two or three hours and it had been much more painful since ; it was much swollen and highly inflamed nearly to wrist with a red streak extending nearly to elbow ; pain felt up to shoulder, severe throbbing, twinging ; ichorous discharge ; felt exhausted
from pain.
Whitlow on right forefinger where matter had already formed ; the whole finger was swollen, bluish-red and painful to touch ; palm of hand also much swollen ; in a few days four separate deposits of pus were formed, one in each of the three phalanges, the fourth on
metacarpal bone of right forefinger ; the destruction of soft parts was so great that in some places the bone was visible ; small necrosed osseous splinters came away from metacarpal bone and the first phalanx.
Run-arounds ; ulceration about nails ; hang-nails.
Subcutaneous whitlow of right forefinger ; finger swollen, red, on its dorsum a large collection of pus beneath skin ; burning, itching, stinging, aching ; every little injury caused ulceration.
Nails : rough, yellow, crippled, brittle ; white spots ; blue, in fever ; stimulates growth of new ones.
Great dryness in tips of fingers, in afternoon.

Lower limbs

Hip joint inflammation.
Hip disease with fistulous openings.
Tearing pain in hips.
Violent bruised sensation in hips and small of back, painful on stooping.
Suppuration and caries of hip joint ; fistulous openings very tender to touch.
Spontaneous luxation of head of femur backward, in a babe eight days old ; shortening of limb half an inch.
Severe pain extending from hip to foot ; > at night so that she moans and cries and cannot sleep ; slightest pressure causes trembling of whole body and at times spasms ; cannot move foot ; temperature elevated ; loss of appetite ; great thirst ;
stool difficult ; emaciation.
Sciatica of seven years' standing.
Weakness of lower extremities ; great weariness from a short walk.
Heaviness of lower extremities.
Limbs and feet feel very tired and as if paralyzed.
Trembling of legs with extreme nervousness.
Sensation of loss of power in legs.
Left thigh affected below trochanter. θ Necrosis.
Aching pains in loins, shooting down both legs.
Pricking and shooting pain in left thigh.
Dragging feeling from right hip down to toes.
The femur pains as if beaten while walking, sitting, and lying, even in morning on waking.
Frequent pain in thigh, drawing and sticking.
Drawing in thighs, extending to feet.
Tearing or sticking pain in thighs.
Pulsative sensation in right thigh.
Gressus gallinaceus.
Phlegmasia with contraction of tissues and sheaths of tendons.
Inflammation of cellular tissue of thigh which has reached double its size, rest of body emaciated ; motion and touch cause violent pain.
Abscess on inside of right thigh ; left ankle and foot swollen.
Furuncles on thighs.
Two fistulæ at inferior third of femur. θ Caries.
Pains and fistula in upper third of right leg. θ Caries.
Necrosis of femur of two years' standing.
Swollen and necrosed femur with sequesters.
Two fistulæ at inferior third of femur, which (in spite of caustics) refused to close ; whole foot swollen and red, and caries easily demonstrated.
Boy, æt. 15, two years ago had a painless soft swelling on outer side of left femur, just below trochanter, as large as a hen's egg, which in a few days opened and discharged thin, excoriating, watery pus ; soon spiculæ of bone of a dark color were thrown out, some almost black
and occasionally in form of scales ; there were three openings about size of a wheat straw, with elevated rounded edges ; limb flexed, walked with the aid of a cane ; occasional attacks of constipation, when, after much straining, feces were brought to verge of anus, they
seemed to slip back. θ Necrosis of femur.
Blood-boils on thighs and calves.
Weakness of knees.
Knee is painful as if too tightly bound.
Tearing in knees, while sitting, disappearing on motion.
Weakness of legs particularly on descending steps, trembling of knees.
Violent stinging or lancinating pains in knees. θ Gonorthrocace.
Inflammation of knee joint with considerable swelling and lancinating pain deep in joints. θ Tumor albus of left knee.
Left knee joint double size of healthy one, white shiny doughy swelling, temperature but slightly raised, motion limited, leg contracted, moderately emaciated.
For years inflammation of right knee ; unable to get about at times ; joint fully one-half larger than its mate, œdematous and painful on pressure, or from exercise.
Enlarged bursa over patella.
Large cyst on right patella, not inflamed but extremely sensitive to contact, interfering with walking, or working on sewing machine ; cold feet, especially at night, and cramps in calves ; feet always cold during menstruation. θ Hygroma
of patella.
Gonocace, pains stinging, lancinating ; swelling doughy ; fistulous openings with hard edges, discharging greenish-yellow pus.
Chronic synovitis of knee with great swelling and anchylosis.
Gonitis after suppression of gonorrhœa ; pale swelling, great stiffness ; < at night ; sensation of heat in affected part ; painful to touch ; sweaty skin ; restlessness in bed ; > from warmth.
Incipient anchylosis of knee. θ Caries.
In bend of left knee, thin crusty eruption eating its way and discharging thin, corroding ichor.
Elephantiasis Arabum ; both feet, legs and lower part of thighs affected ; back of hand also affected ; now and then erysipelatous manifestations.
Red, smarting spot on right tibia.
Ulcers on lower leg on tibia.
Caries of tibia.
A boy, æt. 18 months, injury of tibia after a fall about nine months ago ; almost entirely deprived of use of leg, walked with apparently great pain ; upper part of tibia much inflamed, pus discharged from two openings.
Periostitis on inside and anterior ridge of tibia from its upper third to within two inches of ankle.
Boy, æt. 16, lymphatic temperament, from a bruise eighteen months ago, the leg sore, discharging a thin excoriating watery pus ; spiculæ of bone were thrown out.
Anterior border of tibia hypertrophied. θ Caries.
Caries of tibia and fibula.
Pressive-stinging pain in ulcerating part of leg.
Sticking and burning in and about an ulcer on leg.
Nightly pains in ulcer.
A swelling size of a walnut in right popliteal space.
Furuncle on calves.
Lameness of legs, < in morning with heaviness in head and buzzing in ears.
When one leg is in great pain the other is quite numb.
Ulcers on lower leg with pale face.
Cold legs and feet after suppressed foot sweat.
When walking sensation as if calves were too short, immmediately disappearing on sitting.
Tension in calves as from cramp when walking.
Cramps : in calves ; in soles.
Calves tense and contracted.
Four months after cutting right calf of leg with an axe ; wound was about three and a half inches long and middle spread out a full inch and filled up with soft fungoid granulations, discharging a thin serous secretion like meat-washings, of fetid odor,
which had also traversed down fascia, covering muscles to ankle so as to fill space just above and beside ankle, it got quite full during day, had to raise foot above knee to let it discharge by the opening ; cavity was about nine inches deep ; whole calf swollen and in hard,
knotted bunches, tender to pressure, with dull, heavy aching.
Boils on calves.
Weak ankles.
Spasmodic pain in ankle.
John D., æt. 34, sat with his feet in water ; next day glands of neck swollen ; a large abscess then formed on inside of right thigh, and at same time left ankle and foot swelled up, with formation of pus ; seven weeks later abscess in thigh still
discharging, and from five to six fistulous openings in ankle and foot a large quantity of unhealthy pus is being discharged ; foot enormously swollen ; general health greatly impaired ; hectic fever ; pulse 130 ; appetite poor ; amputation probable
result ; openings were enlarged by free incisions ; internal malleolus was found to be carious and tarsal bones similarly affected ; after Silica 2c., one dose a day and warm poultices of linseed meal, there was marked improvement in two weeks ; abscess in thigh had
closed ; after Silica 6m., in four weeks more, swelling was almost gone and discharge had ceased ; there was slight motion in ankle joint, this gradually improved, and when the man left the hospital several weeks later he could walk with a cane.
Weakness of feet.
Cannot walk on account of a lameness or soreness in feet, from instep down through foot to sole, and all through that part of foot. θ Pregnancy.
Painful tonic spasm in feet and toes during a long walk.
Pains through foot from ankle to sole.
Feet insufferably tender.
Burning of feet.
Feet give way under her when walking.
Swelling of feet as far as ankles.
Swelling of feet with redness in which pressure caused a white spot in a short time ; with pains extending from toes to malleoli.
Man, æt. 55, from wearing tight boots, a blister size of silver quarter on dorsum of right foot which peeled leaving an ulcer which did not heal, increasing in depth.
Woman, æt. 80, sprained toes of right foot by slipping ; signs of abscess here and there ; on opening one of them, blood and fluid oozed out ; blisters formed ; gangrene threatened.
Mme. P., æt. 25, in delicate health, had been afflicted for three years with a malady which annually began at commencement of Winter and caused intense suffering for two or three months, during which time she was obliged to remain in bed ; there appeared on dorsum of foot, pains,
redness and swelling ; this became an abscess and suppurated for two or three months with much violent pain ; discharge ichorous and sometimes brought away fragments of bone.
Caries of tarsus.
Pricking and stitches in left heel.
Cramps in soles.
Voluptuous tingling in soles, driving to despair.
Caries in bones of heel.
Icy-coldness of feet.
Hot feet in evening, at other times extremities are cold.
Feet very dry, smelled like an old person's. θ Diarrhœa of dentition.
Burning of soles of feet.
Intolerably bad, sour or carrion-like odor of feet, without perspiration, every evening.
Foot sweat : offensive, making feet sore ; rawness between toes ; fetid, suppression causes other ailments ; excessive.
Extreme perspiration of feet which were cold in Winter and sore in Summer.
Feet perspire constantly but get easily cold, then follows fainting, afterward great exhaustion ; before fainting fit, paleness of face and trembling ; must sit down ; formerly had nosebleed almost every week.
A young vigorous farmer, who had never been sick, caused a suppression of sweat of his feet by getting them wet ; from that time on, two months since, he cannot get his feet warm ; feels prostrated and as if beaten all over ; has pressure and tightness over chest ;
small of back and whole of back feel as if dead ; in morning nausea and vomiting of slimy substances, whereby he becomes much exhausted.
Suppressed foot sweat : mist before eyes ; cataract ; continual toothache ; loss of appetite ; icy-cold feet evenings in bed.
A large corrosive ulcer with violent itching on heel.
Constant violent pain in great toe so that he can scarcely step.
Pains beneath nail of great toe and stitches in it.
Frequent boring pain in great toe.
Tearing in great toe in evening.
Violent stitches in corns.
Stitches in corn, jerking up the feet.
Itching cutting pain beneath toe nail.
Itching, suppurating scabs upon toes that had been frozen.
Ingrowing toe nails.
Ulceration of big toe, with stinging pain.
Enchondroma in a little boy began in index finger, this was amputated ; soon the other had the same history and the toe became affected.
Offensive toe sweat.
Drawing feeling in joints of toes as if being pulled out of their sockets.
Caries of left great toe and metatarsal bone discharging watery fluid through fistulous openings.
Abscess after spraining toes of right foot.

Limbs in general

Trembling of limbs, especially arms.
Weakness in limbs.
Twitching of limbs day and night.
Limbs : go to sleep easily ; sore and lame, evenings.
Stinging in limbs at night.
Limbs cold ; transient local sweats of feet and armpits.
Rheumatic pains in limbs.
Obstinate pains in limbs, < when weather changes ; after a cold.
Tearing pain in limbs, dropping and running sensation. θ Chronic hepatitis.
Sweat on hands and feet after fever.
Frequent ulceration about nails.
Nails grey, dirty as if decayed, when cut scattering like powder and splitting into layers.
Crippled nails on fingers and toes.

Rest. position. motion

Rest : feeling of waves of water over head >.
Lying down : asthma < ; compulsory drawing in back ; femur pains.
Lying on side : fainting.
Lying on right side : pains in liver <.
Lying on left side : vertigo.
Lying on back : dyspnœa.
Wants to lie down : sense of great weariness ; debility.
Must lie down : headache.
Cannot lie down : oppression.
Resting on arms : they go to sleep.
Sitting : long, earache < ; palpitation ; throbbing over whole body ; femur pains ; tearing in knees ; sensation as if calves were too short disappears ; long, great restlessness of body.
Gaping or swallowing : stoppage in ear >.
Must sit down : vertigo.
Stooping : vertigo ; headache ; renews jerking in forehead ; headache < ; dyspnœa ; pain in small of back ; severe pain up spine ; bruised sensation <.
Rising from recumbent position : vertigo ; impossible ; pain in back.
Rising from a seat : pain in small of back.
Motion : vertigo < ; headache < ; pains in head < ; vomiting of bitter, yellow substance ; pain in ears < ; beating soreness in liver < ; cough < ; sweat ; pain in region of liver < ; least, < hemorrhage ; pain in lungs ; curvature of
spine painful ; pain in stiff fingers ; pain in elbows < ; of fingers, flexor tendons painful ; of sore swollen thumb pain < ; of foot impossible from pain ; tearing in knees disappears ; of leg limited, swelled knee ; muscles painful ; causes
chilliness.
Opening eyes : pressive pain <.
Writing : tonic spasms of hand.
Sudden turning around : renews jerking in forehead.
Walking : excoriation between toes ; beating soreness of liver < ; sharp stitches in rectum ; shortness of breath and panting ; difficult, weakness and paralyzed feeling in back, burning in back ; causes great weariness ; femur pains ; as if calves
were too short ; tension in calves ; long, tonic spasms in feet and toes ; feet give way.
Stepping hard : vibratory shaking sensation in head.
Every step is painfully felt ; incarcerated flatus.
Cannot step upon right foot without greatly aggravating pain in liver.
Descending stairs : weakness of legs and trembling of knees.
Exercise : after every, nausea ; to sweating gonorrhœa < ; inflamed knee painful ; want of vital warmth.
Exertion : slight pain and lameness of hand ; least, sweat.
Running : dyspnœa.

Nerves

Strong desire to be mesmerized.
Sense of great weariness and debility, wants to lie down.
Great weakness, in morning.
Very weak and tremulous, after walking in evening.
Excessive debility. θ Typhus.
Protracted convalescence. θ Cerebro-spinal meningitis.
Sensation of great debility and sleepiness during a thunderstorm.
Great nervous debility ; emaciation ; fainting when lying on side.
The child is slow in learning to walk.
Cannot hold things. θ Spine disease.
Feels prostrated and as if beaten all over. θ Suppressed foot sweat.
Great nervous debility ; exhaustion with erethism ; depression may be overcome by will force.
Dissipation, hard work, with close confinement, cause obstinate neuralgias, hysterical attacks or paralysis.
Oversensitive persons imperfectly nourished, not from want of food but from imperfect assimilation, they are usually constipated and are subject to sudden neuralgias, erethism and melancholy.
Dreadful trembling in limbs, hands in particular at times quite unable to lift a cup of tea.
Tremulousness when working.
Great restlessness in body when sitting long.
Internal restlessness and excitement.
Restless ; fidgety ; starts at least noise.
Sensitiveness to cold air ; takes cold very easily.
Takes cold easily, especially when uncovering head or feet.
Want of vital warmth, even when taking exercise.
The limbs go to sleep easily, especially the parts on which one lies.
Easy orgasm of blood, and constant excitement.
Ebullition with thirst from drinking small quantities of wine.
Easily overstrained by lifting.
Bruised pain over whole body, as if he had lain in an uncomfortable position.
Bruised feeling over whole body, after coition.
All the muscles are painful on motion.
Progressive sclerosis of posterior column.
Great coldness of whole left side of body, followed by frequent slumbering and starting up, as if she would go away without knowing whither, then she begins to lose consciousness, speaks unintelligibly, recognizes no one, and becomes so weak that she cannot turn over
alone ; after this violent convulsion, with staring look, distortion of eyes, twitching of lips, lolling of tongue, stretching and distortion of head and limbs, lasting quarter of an hour.
Epilepsy : spasms spread from solar plexus to brain ; come at night or at new moon ; attacks preceded by coldness of left side, shaking and twisting of left arm.
Convulsions after vaccination.
Spasms (probably due to worms) in a child, æt. 1 1/2, within three weeks gradually increasing in number until there were fifteen attacks daily, and finally paralysis of r. side.
Spasms or paralysis from checked foot sweat.
Spasms or paralysis depending on alterations in connective tissue in brain or spinal cord.
Spasms ; aura, like a mouse running through limbs or from solar plexus to brain ; left side cold ; left arm twists ; starts in sleep ; moaning, loud groaning.
Spasms from slight provocation.
Woman, æt. 30, epileptic convulsions occurring monthly at exact full of the moon.
Paralysis from tabes dorsalis.
Progressive locomotor ataxia.

Sleep

Excessive gaping.
Drowsiness with lassitude and depression.
Sleepiness : after eating ; in evening.
Restless sleep : frequent waking with chilliness ; dreams crowding one upon another ; starting with trembling of whole body.
Woke at 2 A. M. and could not fall asleep again on account of rush of thoughts.
During sleep : whining and laughing ; loud talking ; starts, jerkings of limbs, snoring ; night sweats ; nightmare.
Night walking ; gets up while asleep, walks about and lies down again ; somnambulism.
Child wakes and throws arms about and screams. θ Scarlatina.
Sleep walking at new and full moon. θ Lumbricoid worms.
Sleepy but cannot sleep.
Sleepless ; from ebullitions, orgasm of blood.
Sleeplessness or sleep broken by lascivious or frightening dreams ; heat and congestions.
Sleeplessness with tuberculosis.
Dreams : pleasant ; lascivious ; anxious, of murders, horrid things ; vivid of past events ; with violent weeping ; of some one choking her.
Night sweats ; obstinate morning headache ; chilly, nauseated.
Erections and urging to urinate awake him.
Feels unrefreshed, wishes to remain in bed.

Time

Between 1 and 7 A. M. : violent chill.
At 2 A. M. : woke and could not go to sleep again from rush of thoughts.
At 6 A. M. : sweat.
From 6 to 8 A. M. : diarrhœa.
Morning : headaches ; violent headache ; pressure at occiput and nape of neck ; sticking pains in cornea ; mucous secretion in eye ; agglutination of eyes ; nose obstructed ; taste of blood ; bitter taste ; bad odor from mouth ;
nausea and vomiting ; profuse debilitating sweat ; diarrhœa ; painful erections before rising ; husky voice < ; vomiting of tenacious mucus ; cough after waking ; pain in small of back when getting out of bed ; unrefreshed ; femur pains ;
lameness of legs < ; great weakness ; obstinate headache ; sweat.
Day : supraorbital pain ; coryza ; tearing pains in chest and bones of face ; sudden explosive cough ; expectoration only ; drowsiness ; chilliness ; acne eruption itching only.
Afternoon : violent chill ; dryness of finger tips ; chilliness ; violent heat and thirst.
From 3 to 5 P. M. : sweat.
At 5 P. M. : shaking chill.
Evening : terrible headaches ; pain in swelling of lachrymal sac < ; the flowing tears are hot ; itching of nose causes constant rubbing ; fever ; toward, throat < ; acute pain from abdomen to testes ; icy-cold feet ; constant desire for
stool ; perspiration on head ; cough after lying down ; cough < ; hot feet ; cold feet ; tearing in great toe ; limbs sore and lame ; very weak and tremulous after walking ; sleepiness ; chill in bed ; legs icy-cold ; violent heat and
thirst ; sweat on scrotum.
Day and night : toothache ; trembling of limbs.
At 11 P. M. : sweat.
Night : burning in head < ; headache wakes him ; sweat about head ; tearing in scalp < ; head wet from sweating ; supraorbital pain ; sticking pains in cornea ; shooting in ears < ; tearing pains over whole chest < ; fever ; pain in teeth
< ; neuralgia in teeth raging ; toothache < ; vomiting of ingesta ; pain in region of liver < ; urging to urinate, involuntary micturition ; burning pain prevents rest ; cough wakes him ; orgasm of blood ; pain in small of back ; pain in shoulder
and arm ; stitches in wrist ; falling asleep of hands ; pain in thumb < ; pain from hip to foot < ; cold feet ; gonitis < ; stinging in limbs ; epilepsy ; sweats ; chilliness ; violent heat and thirst ; fever < ; profuse sweat ;
itching and pricking in various parts of body <.

Temperature and weather

Hot compresses : headache >.
Overheating : headaches.
Sitting near fire : shivering ; a cold, starved feeling.
Warmth : pains in eyes > ; colic > ; abdominal pains > ; headache > ; burning in back ; gonitis >.
Wrapping up warmly : burning of head > ; feeling of waves of water over head > ; chronic sick-headache > ; desires it ; itching pustules on scalp > ; headache > ; feels > if head is wrapped ; tumor on neck > ; pain in shoulder >.
Wishes to keep warmly covered : blennorrhœa.
Warm poultice : > pain in mastoid region.
Warm room : headache > ; pain in ribs > ; chilliness.
Getting warm in bed : burning and itching of head < ; pain in felons <.
After being in bed a short time : neuralgia <.
Contact of warm hand : cephalalgia >.
Warm food : averse to.
Warm drinks : cough >.
Uncovering head or feet : takes cold.
Cannot uncover head : tendency to take cold.
Undressing : burning and itching on back part of head <.
Changing linen : hardness of hearing <.
Open air : headache < ; lachrymation ; burning in back.
Draft : causes headache ; eyes sensitive ; cannot bear it on back of neck ; on back causes trouble.
Cannot bear cold or heat : headache.
Cold air : headache < ; sensitive to, blennorrhœa ; blepharitis < ; inhaling, toothache < ; diarrhœa from exposure ; headache < ; sufferings unbearable ; sensitiveness to.
Change of weather : pain in ears < ; pains in limbs <.
Washing : < hardness of hearing.
Cold water : gum is painfully sensitive ; dry cough ; standing in, causes metrorrhagia.
Cold drinks : desire for ; cough <.
Getting feet wet : suppressed foot sweat.
After sitting with feet in water : abscess on thigh.
Just before a storm : ciliary neuralgia.
During a thunderstorm : attacks of difficult breathing come only ; great debility and sleepiness.
After exposure to storm : inflammation in eye <.

Fever

Want of animal heat ; always chilly, even when exercising.
Suffering parts feel cold.
Left side suddenly cold ; before epilepsy.
Chill, in evening in bed.
Frequent chilliness, with occasional feverishness.
Chilliness : constant, internal ; on every movement, all day ; at night, while half awake ; in evening ; in afternoon, especially in arms, in a warm room ; in evening in bed so that he shivered.
Did not dare to put her hands out of bed.
Shaking chill at 5 P. M.
Icy-cold shivering, frequent creeps over whole body.
The legs so far as knees and feet are icy-cold in evening.
Shivering all over, a cold, starved feeling, if he sat ever so near the fire he could not get warm.
Violent chills between 1 and 7 A. M.
Frequently short flushes of heat, principally in face and head.
Violent general heat, violent thirst in afternoon, evening and all night.
Fever < at night.
Periodical returning heat during day, no previous chill ; followed by slight sweat.
Sweat : on head ; of a strong odor ; running from face ; wetting pillow ; on scrotum, in evening ; profuse sweat on hands ; only on head and face ; from least exertion ; warm, after epilepsy ; profuse in
typhus ; periodically 11 P. M., 6 A. M. or 3 to 5 P. M. ; profuse at night ; on loins ; in morning.
Night sweats ; sour and offensive ; debilitating ; mostly after midnight ; profuse from suppuration or in phthisis.
Fever during dentition.
In a child, æt. 21 months, every day on awaking after morning sleep, about 12 or 1 P. M., fever lasting till 4 or 5 P. M., followed by sweat on hands and feet ; with the fever short, quick breathing, cold feet, no appetite ; lies
still ; arms cold and has cutis anserina.
Worm fevers assume a slow chronic form in scrofulous children with large bellies and much perspiration about head.
Hectic fever, particularly during long suppurative processes.
Intermittent fever, heat predominating.
Typhoid forms of fever, great debility, profuse sweat ; desire to be magnetized.
Spotted fever ; also in slow convalescence.

Attacks, periodicity

Paroxysms : one or two minutes, jerk-like pressure in head ; pains in eyes.
Attacks : of whistling breathing and suffocation.
Periodic : headache ; heat during day ; sweats.
Alternation : symptoms from one eye to the other ; dry and fluent nose.
Lasting several hours : pain after stool ; pain across chest.
For four hours : tossed in bed with headache.
Every morning : blows from nose hard, dry masses of mucus followed by pus.
Every day ; about 1 o'clock, severe burning pains in right eye ; on waking, about 12 or 1 P. M., fever lasting till 4 or 5 P. M.
Daily : fifteen attacks of spasms.
Every evening : intolerable odor of feet without perspiration.
Nightly : incontinence of urine ; tickling in pharynx.
Nearly every night : obliged to rise to urinate ; nocturnal enuresis.
For several days : attacks of watery diarrhœa.
Twice a week : seminal emissions.
Five to seven days : stools apart.
For six days : pain in mastoid region.
Every seventh day : headache.
Almost every week : nosebleed.
For several weeks : violent coryza.
Every two weeks : menses.
Every two or three weeks : severe headaches lasting thirtyeight to forty-eight hours.
Of six weeks' standing : ophthalmia.
For six weeks : metrorrhagia.
During new and full moon : pains in region of liver <.
At new moon : epilepsy ; sleep walking.
At full moon : epileptic convulsions ; sleep walking.
For two months : phlyctenular conjunctivitis.
Every two or three months : menses.
For four months : discharge and ulceration under right lower lid.
For nine months : hemorrhages from lungs.
Last of August : hay asthma.
Summer : scaly eruption on scalp > ; sore feet.
Approach of Winter : scaly eruption of scalp < ; pain, swelling and suppuration of foot.
Winter : cold feet.
For one year : cystic tumor of lower lid.
For two years : suffered from inflammation of nasal duct ; necrosis of femur.
For three years : pain, redness and swelling on dorsum of foot, then abscess.
For years : terrible headaches ; inflammation of knee.
Of several years' standing : offensive discharge from ears.
Seven years' standing : sciatica.
Of twelve years' standing : deafness.

Locality and direction

Right : must walk to side, vertigo ; stitches in parietal region ; persistent speck before eye ; cloudiness of lens of eye ; cataract ; neuralgia over eye ; burning pains in eye ; conjunctiva injected ; pains in lachrymal sac ;
trachoma of conjunctiva of eye ; ulceration of cornea ; discharge and ulceration under lower lid ; cicatrices over inferior orbital ridge ; swelling in region of lachrymal gland and sac ; swelling of tearbag ; ichorous discharge from ear ; muscular
paralysis of side of face ; drawing in malar bone ; painful scab deep in nostril ; lupus on ear lobe ; swelling on cheek ; pain in region of inferior maxillary ; side of lower lip swollen ; ulcer on border of tongue ; as of a lump in side of
throat ; lying on side soreness of liver < ; below floating ribs ulcerative pain ; cannot step upon foot without < pain in liver ; abscess in groin ; as if side of hand were paralyzed ; scirrhus in breast ; lump in mamma ; tumor of breast ;
scirrhus near nipple ; great itching of swollen mamma ; stitching pain in lung ; large cavity in lung ; swelling below nipple ; ulcer on leg ; lobe of thyroid gland swollen ; sticking in scapula ; sore feeling side of spine over hip joint ; pain
in shoulder joint ; acute pain in shoulder blade ; weakness of arm and wrist ; numb feeling in arm ; suppuration of cellular tissue of forearm ; lameness in hand ; enchondroma on hand ; drawing in joints of finger ; index finger injured by splinter of
glass, pain extending to arm, thence to thorax ; loss of power of arm ; weakness of arm and wrist ; aching in forefinger ; bones of fingers swollen ; felon on middle finger ; whitlow on forefinger ; dragging from hip to toes ; pulsative sensation in
thigh ; abscess on inside of thigh ; pains and fistula on leg ; inflammation of knee ; large cyst on patella ; smarting spot on tibia ; swelling in popliteal space ; wound in calf of leg ; abscess on thigh ; blister on dorsum of foot ;
abscess after spraining toes ; paralysis.
Left : lying on side, vertigo ; sickening pain in side of head ; parietal bone is covered with a large, soft, elastic swelling ; piercing stinging in eye ; pressive pain over eye ; shooting pain in ear ; pricking, aching, itching in ear ; chronic
sinus in front of ear ; sac swollen and itching ; abscess of arm ; induration from corner of mouth to cheek ; caries of lower jaw ; abscess of arm ; pricking in throat as of a lump in side of throat ; soreness, swelling from inguinal region across mons
veneris ; tearing in thigh ; boring pain in temple, supraorbital nerve and orbit of eye ; darting in nipple ; pain in nodular swelling of breast ; heavy rales in bronchus ; tumor in breast ; anchylosis of shoulder joint ; small tumor in breast ;
tumor side of neck ; swelling of scapula ; shaking of arm ; a large fleshy wart on forearm ; a ganglion on wrist ; middle fingers flexed and stiffened ; pain in index finger ; thumb swollen from a bite ; necrosis of thigh ; shooting in
thigh ; ankle and foot swollen ; painless soft swelling on femur ; knee joint double size of healthy one ; eruption in bend of knee ; pricking and stitches in heel ; caries of great toe ; coldness of side ; shaking and twisting of arm.
From right to left : pain in temples.
First left then right : bruised pain above eyes ; swelling in front of throat.
From above downward : pressive headache.
From within outward : stitches in ears.

Sensations

Susceptible to nervous stimuli, to magnetism ; as if she were divided into halves and that the left side did not belong to her ; as if one would fall forward ; vertigo as if drunk ; as if head were teeming with live things whirling round in it ;
headache as if beaten ; as if everything would press out and burst skull ; as if brain and eyes were forced forward ; as if head would burst with throbbing in it, internal and external at same time ; as if forehead would be torn asunder ; as from a heavy weight over
eyes ; as if head were forced asunder ; as of water pipes bursting in head ; as if tremendous weight were falling on vertex ; as if some one pulled downward on cords of neck ; as if something alive were in ears ; head as if in a cushion and some one were
pressing two fingers into it at occiput ; as if feeling for pins ; as if something obscured vision ; as if brain collided with skull ; head as if bruised ; as of waves of water from occiput over vertex to forehead ; as if gradually losing senses ;
sick-headaches as if coming from spine and locating in one eye ; head as if too large ; as if head were falling off ; as if head were hanging by a piece of skin at nape ; as if looking through a grey cover ; as if cornea were a mass of hypertrophied tissue ;
eyes as if too dry and full of sand ; as of a splinter in upper lid ; as if both eyes were dragged back into head by strings ; objects as if in a fog ; as if nasal bone had been beaten ; as if a hair were on tip of tongue extending into trachea ; as of a lump on
right side of throat ; as of a pin in throat ; throat as if filled up ; as if he could not swallow ; as if he swallowed over a sore spot ; as of a load in epigastrium ; as if knives were running into her stomach ; as if a cold stone were in stomach ;
as of lead in stomach ; as if sternum were grasped ; as if there were no power in rectum to expel stool ; as if rectum were paralyzed ; as if anus were constricted ; right side of head as if paralyzed ; as if vulva were enlarged ; as of a heavy lump in
anus ; as if she were tied around chest with a tape ; as of a stone under sternum ; as if mould were forming over whole body ; as if a hand had grasped her breast bone ; small of back as if beaten ; small of back as if dead ; arms and hands as if filled
with lead ; as of a splinter in finger ; as if a panaritium would form in index finger ; as if tips of fingers were suppurating ; as if finger were thick and bone enlarged ; as if joints of fingers were being pulled out of sockets ; limbs and feet as if
paralyzed ; as of loss of power in legs ; femur as if beaten ; knee as if too tightly bound ; as if calves were too short ; as if spasms in ankles ; whole of back feels as if dead ; as if joints of toes were being pulled out of their sockets ; nails as
if decayed ; as if beaten all over ; as if he had lain in an uncomfortable position ; feels as if she would die.
Pain : in spine and neck up and over right temple, thence to left ; in vertex and occiput, at another time in forehead ; first in nape and base of brain, then up and over whole head ; in right lachrymal sac ; over eyes ; in stomach ; in mastoid
region ; in jaw bones ; in submaxillary glands ; in throat ; in stomach ; in region of spleen ; in bowels ; in abdomen ; in back ; in nodular swelling of left breast ; under sternum ; in ribs ; in nape of neck ; in curved
spine ; from sacrum up to lumbar region, across left ilium to superior spinal process ; in shoulder and arm ; in flexor surface of one finger ; up right arm to axilla, thence to right side of thorax ; in ulcer ; through foot from ankle to sole ; from toes
to malleoli ; beneath nail of great toe ; in limbs.
Excruciating pain : in cancer of lower lip ; deep-seated pain in chest.
Terrible pain : from cervical vertebræ to cerebellum, thence to forehead.
Excessive pain : from eye to head and ears.
Violent pain : vertex, occiput or forehead ; above eyes ; in small of back ; in abscess on foot ; in great toe ; in joints.
Severe pain : in small of back ; from eyes into head on one side ; in back ; from hip to foot.
Great pain : along extensor tendon on back of hand.
Acute pain : in occipital protuberances ; from abdomen to testes ; in right shoulder blade.
Sharp pain : in breast or uterus ; in right shoulder joint.
Anguish : in pit of stomach.
Sickening pain : in left side of head.
Lancinating pains : in region of right inferior maxillary ; whitlow ; in knees ; deep in joints of knees ; gonocace.
Tearing : one-sided in head ; in whole head in frontal region ; in lumps on head ; in eyes ; over whole chest and bones of face ; in teeth and cheeks ; in limbs ; in swelling ; in sacrum and left thigh ; in tibia ; between
scapulæ ; beneath scapulæ ; in bones of elbows ; in wrist and ball of hand ; fingers, joints, thumbs ; in thighs ; in knees ; in great toe ; in limbs.
Cutting : at pit of stomach ; violent, in lower abdomen ; in region of navel to back ; in rectum ; around navel ; beneath toe nail.
Pounding pain : in forehead and into head.
Beating : in lumbo-sacral region ; in breast bone ; in back.
Throbbing pain : in forehead and into head ; in eyes ; in lump in corner of eye ; in teeth ; in lumbo-sacral region ; in abraded surface of finger.
Darting pains : through eyes and head ; sharp, from occiput to eyeball ; in left nipple ; up spine.
Spasmodic pain : in small of back.
Shooting : from nape to vertex ; in eyes ; in left ear ; in tip of nose ; in anus ; from sternum around to back ; in back between hips ; down both legs ; in left thigh.
Piercing, stinging pain : in left eye.
Stitches : through eyes and in cheek bones ; in temples ; in forehead ; deep-seated in right parietal region ; in upper lid ; in ears ; in throat ; in rectum ; in anus ; in sides and chest to back ; in wrist ; in ball of
thumb ; in left heel ; in great toe ; violent, in corns.
Acute sticking pain : in forehead.
Burning stitching : in several teeth.
Stitching pain : in right lung.
Sticking pain : in ulcer on cornea ; below septum of nose ; in rectum ; in anus ; in chest ; in right scapulæ ; in fingers ; in thighs ; in ulcer on leg.
Ulcerative pain : below right floating ribs.
Screwing pain : in stomach.
Pinching pain : at navel.
Twinging pain : in tumor of breast.
Squeezing pain : in testicles.
Twisting pains : in stomach.
Boring pains : in ears ; over whole chest and bones of face ; in teeth and cheek ; in left temple, left supraorbital nerve and orbit of eye ; in great toe.
Boring cramping : from anus to rectum or testicles.
Crampy pain : dull, heavy, in arms ; at pit of stomach ; in hand.
Griping pain : after eating ; in bowels.
Digging : in stomach.
Gnawing : high up in nose ; in fistulous opening near sixth rib.
Colicky pains : in lower abdomen.
Cramps : in calves ; in soles.
Pressive, stinging pain : in ulcerating part of leg.
Pressive pain : in occiput ; in head ; over left eye ; in eyes ; in stomach ; in forehead ; in sternum ; in chest.
Neuralgic pains : at exit of supraorbital nerve ; of face, head, eyes, teeth and ears ; in all the teeth.
Rheumatic pains : in jaws and teeth to temple ; of lower cervical vertebræ ; in limbs.
Drawing pain : in meatus auditorius ; in ears ; in thigh.
Tensive pain : across chest.
Pressive jerking : in middle of forehead.
Aching : at occiput ; sore, in nape ; severe, in back of head, one side ; in upper lid ; from occiput to right eyeball ; in ears ; of both jaws ; in all the teeth ; in hypochondrium ; in lumbo-sacral region ; of sacrum ; in
back ; in centre of spine ; in loins ; in sacrum ; in right forefinger ; in wound in calf.
Dull pain : in occiput.
Burning pain : in right eye ; in tip of nose in centre ; in breast.
Stinging pains : in eyes ; in boil on chin ; in teeth ; in rectum ; in tumor of breast ; in os coccygis ; in bones of elbows ; in sore spot on finger ; in right forefinger ; in felon ; in whitlow ; in knees ; in ulcerated
big toe ; in limbs.
Pricking : of scalp ; of left eye ; in ears ; in region of right inferior maxillary ; in throat ; sharp, in penis ; in arms ; in l. thigh ; in left heel.
Smarting : in eyes ; of left eye ; of eyelids ; of scab deep in r. nostril ; of eruption on lips ; in anus ; spot on tibia.
Scalding feeling : in vertex.
Bruised pain : above eyes ; in hips and back ; all over body.
Beating soreness : in liver.
Soreness : in limbs ; in perineum ; about vulva ; of pudenda ; of feet ; in trachea and bronchia ; in chest ; in lungs ; in feet.
Soreness : internal, in head ; in orbits ; of eyelids ; of inner nose ; on back of nose ; of palate ; of tongue ; of throat ; in urethra.
Stiff, sore feeling : down right side of spine.
Burning : in soles ; in head ; on back of head ; in chest ; in throat ; in pit of stomach ; in anus ; in prepuce ; during stool in rectum ; in urethra ; of feet ; of swelling ; sacrum and left thigh ; about
vulva ; of pudenda ; in left nipple ; in back and finger tips ; in sore spot on finger ; in right forefinger ; in felon ; in whitlow ; in and about ulcer on leg ; of feet ; of soles of feet.
Painfulness : of epigastrium.
Tenderness : about hernial tumor.
Peculiar sensation : at pit of stomach.
Running sensation : in limbs.
Dropping sensation : in limbs.
Shattering ; in brain.
Vibratory shaking : in head.
Violent tearing : in head.
Dragging : from right hip to toes.
Fulness : in stomach.
Heaviness : in head ; in all the limbs ; in stomach ; of arms ; of lower extremities.
Hard, jerk-like pressure : in top of head deep into brain.
Pressure : in occiput ; in both sides of occiput ; in forehead ; nape of neck ; on vertex ; in orbits ; in stomach ; in hypochondrium ; in abdomen ; in bladder ; downward in vagina ; at lower sternum ; over chest.
Pressing : in head ; in sore spot on finger.
Drawing : in root of nose and in right malar bone ; between shoulders ; in fingers ; in joints of right finger ; from thighs to feet ; in joints of toes.
Tension : in forehead and eyes ; in eyes and forehead ; in anus ; in calves.
Tightness : at pit of stomach ; transversely across abdomen ; around chest ; over chest.
Throbbing : in forehead ; at heart ; in pit of stomach ; in breast bone ; over whole body ; in all the vessels ; in back ; in lumbo-sacral region.
Pulsative sensation : in right thigh.
Pulsations : in chest.
Lameness : of feet ; of hand ; of legs.
Lame feeling : in region of sacrum.
Stiffness : at nape of neck in small of back ; of fingers.
Heat : in head ; in penis and testicles ; in affected parts ; in feet.
Painful dryness : of nose.
Dryness : in inner nose into frontal cavities and antrum ; of lips ; in mouth ; of throat ; in finger tips.
Roughness : of trachea and bronchia.
Tingling : voluptuous in soles.
Fluttering feeling : in both temples.
Tickling : in larynx ; in throat pit ; in pharynx.
Emptiness : at stomach.
Trembling : of limbs.
Weakness : of body ; of arms ; in chest ; in back ; arm and wrist ; of lower extremities ; of legs ; of feet ; of limbs.
Paralyzed feeling : in lower extremities.
Itching : at vulva ; on scalp ; spot on head ; on occiput ; on back part of head ; of eruption on back of head ; of eczema capitis ; of pimples on head and nape ; pustules on scalp and neck ; in Eustachian tubes ; of outer
ears ; in nose ; of tip of nose ; in ulcerated corner of mouth ; in anus ; in rectum ; in rectum during stool ; of vulva ; on corona glandis ; of eruptions on genitals ; of prepuce ; of pudenda ; of breast ; of swollen
mamma ; of whole breast ; of eruption covering breast ; of pimples on nape of neck ; on first joint of index fingers ; in right forefinger ; in whitlow ; on heel ; beneath toe nail ; of scabs on toes ; of face, arms and back.
Voluptuous itching : about nose.
Numb feeling : in right arm ; in hands ; in one finger.
Chilliness : in nape of neck and back.
Cool feeling : in upper gums.
Cold feeling : rising from nape of neck to vertex ; about breadth of two fingers, across vertex.
Coldness : of nose ; of feet ; over whole body ; icy, of feet ; of extremities ; of left side ; in ulcers.
Cold pain : at epigastrium.

Tissues

Emaciation with pale, suffering expression.
Fungi easily bleeding.
Discharges and excretions offensive : pus, stools, sweat of feet, etc.
Hemorrhages from nose, stomach, bowels and lungs.
Swelling, inflammation and suppuration of glands, cervical, parotid, axillary, inguinal, mammary, sebaceous.
Inflammation of lymphatic vessels.
Hard lumps on neck, not of glands, extending to left side, in a gouty subject.
Painless swelling of glands, very unpleasant itching.
Inflammation, swelling, caries and necrosis of bones.
Exostoses ; curvatures.
Inflammation of fibrous portions of joints, particularly knee.
Children or young people suffering during growth with fever, violent pains in joints, swelling of limbs and congestions.
Gout.
Multiple cheloid, which appeared after excision of a tumor, but rapidly returned and increased in size.
Rachitis ; open fontanelles ; head too large, rest of body emaciated ; head sweats and body dry.
Cellular tissues inflamed ; deep-seated suppurations, including tendons, ligaments and bone.
Suppuration : pus copious or scanty ; brown and watery ; gelatinous ; thin and watery ; very putrid.
Suppurating chilblains.
Neglected cases of injury if suppuration threatens.
Inflammation followed by suppuration or gangrene.
Suppurative conditions after protracted disease.
Proud flesh.
Chronic gouty nodosities.
Mercurio-syphilitic ulceration of skin and bones.
Swellings which became hard after threatening to suppurate.
Indurations hardening as of a stye on eyelid, hardening of tissues around a part formerly acutely diseased.
Anasarca. θ Stonecutters.
Old ulcers with burning and lancinating pains.
Boils, carbuncles, felons, and malignant pustule, during suppurative stage.
Boils, little lumps, not mattering ; blood-boils.
Carbuncles, if intractable and very hard, or with very profuse discharge of matter.
During process of ulceration it seems to clear wound of its decayed masses and to promote healthy granulations. θ Carbuncle.
Ailments following vaccination, abscesses, etc., even convulsions.
Ulceration constantly extending in depth ; edges irregular.
Malignant and gangrenous inflammations.
Tumors in persons with herpetic dyscrasia ; wens smooth and shining on scalp ; sebaceous cysts, particularly when atheromatous ; pus scanty and smelling like herringbrine.
Palpebral cyst.
Synovial cysts.
Fibrous tumor.
Epulis.
Encephaloma oculi.
Scirrhus mamma ; cancer.
Uterine cancer, strong putrescent odor.
Enchondroma.
Tumor albus.
Fistulous openings, discharge offensive, parts around hard, swollen, bluish-red.
Disease caused by suppressed foot sweat ; exposing back to any slight draft of air, from vaccination ; chest complaints of stonecutters, with total loss of strength.
Suffering parts feel cold.

Touch. passive motion. injuries

Touch : headache < ; eyes painful ; scalp sensitive ; head very sensitive ; < pain in head ; scalp tender ; eye very tender ; sticking pains in scabs below septum of nose ; stinging in boil on chin ; submaxillary gland
painful ; pains in region of liver < ; inflamed inguinal glands painful ; vagina tender ; curvature of spine painful ; pain in elbows < ; whitlow painful ; fistulous openings on hip joint tender ; gonitis painful.
Contact : ulcerated place in nose sensitive ; cyst on patella very sensitive.
Combing hair : causes violent attacks of sneezing ; impossible, scalp covered with papulæ.
Wiping eyes : blepharitis > ; wants head tightly held.
Binding tightly : headache.
Pressure : of hat causes pain ; pain in head < ; chronic sick-headache > ; tearing in scalp < ; of hat, scalp sensitive ; pains in lachrymal sac ; gum painful ; epigastrium painful ; sensitiveness of pit of stomach ; cannot tolerate, below
floating ribs ; over lumbar vertebræ pain < ; os coccygis painful ; pain in swollen thumb ; slightest on hip causes trembling of whole body ; inflamed knee painful ; whole wounded calf tender ; causes white spots in swelled feet ; the parts upon which
he lies go to sleep.
Riding : vertigo ; coccyx hurts.
Scratching : itching spots on head painful.
Irritation of truss : supposed cause of abscesses.
From tight boot ; blister on dorsum of right foot.
From a bruise : sore leg.
Strain : caused exudation of synovial fluid in wrist.
Sprain of right foot : signs of abscess.
Every little injury causes ulceration ; every hurt festers.
Pricked lip with a sharp point : cancer.
Splinter of glass : in right index finger, pain and swelling.
From a bite : thumb swollen and painful.
After a cut : wound would not heal.
After a fall : pain in sacrum and hip ; injury of tibia.
After a blow upon head : nightly incontinence of urine.
Ailments following vaccination, abscesses, etc., even convulsions.
Small foreign bodies under skin or in larynx ; fishbones ; needles in hands or elsewhere ; to promote expulsion of bone splinters.

Skin

Skin waxlike : tuberculosis, caries, etc.
Icterus.
Cutis anserina.
Earthy, yellowish, dry, relaxed skin sometimes covered with pityriasis.
Skin painful and sensitive.
Itching over whole body.
Itching and pricking of skin of arms, face and back.
Itching and sticking in various parts of body, especially at night.
Itching exanthema ; small pustules filled with lymph, drying quickly.
Acne : eruption, itches and burns only by day ; solaris and rosacea.
Eczema of scalp, hands and forearms.
Small wounds in skin heal with difficulty and easily suppurate.
Small wounds suppurate profusely.
Suppuration of skin and cellular tissues beneath it.
Intertrigo ; impetigo ; psoriasis inveterata ; scabies ; maligna ; herpes exedens ; pemphigus ; zona ; zoster ; ecthyma.
Eczematous, impetiginous, or herpetic eruptions.
Rhagages around eyelids, lips, etc.
Rose-colored blotches ; brownish-white spots.
Small blisters.
Phlegmonous erysipelas ; excessive, ichorous, offensive suppuration ; tendency to extend in depth rather than superficially.
Large dusky patch on front of neck as large as a medium-sized orange, first appearing about a year ago as a very small discoloration after some boils on back had healed ; similar one on nape of neck rapidly extending up scalp ; spots covered with minute scales, place
being redder and darker than surrounding skin ; menses too profuse, every two weeks. θ Eczema.
Variola-like pustules on forehead, occiput, sternum and spine, extremely painful and at last suppurate.
Crusta lactea.
Small foreign bodies under skin or in larynx.
Papulous psoric impetiginous forms of eruption with dry relaxed skin, furuncle.
Boils come in crops ; tendency to boils ; leave indurations.
Abscesses speedily point, but secretion of pus is too scanty.
Malignant pustule.
Ulcers : form suppuration of membranous parts ; phagedenic ; extend in depth ; after abuse of mercury ; flat, with bluish-white base ; offensive, with ichor, proud flesh, stinging, burning, itching ; edges hard, high or
spongy ; readily bleeding ; carcinomatous.
Sensation of coldness in ulcers.
Large fleshy warts, suppurating.
Variola ; suppuration exhausts patient and desiccation delays ; bone diseases as sequela.
Elephantiasis of lower limbs in a negro.

Stage of life, constitution

Especially suitable for children, large heads, open sutures ; much sweat about head ; large bellies.
Nervous, irritable persons, with dry skin, profuse saliva, diarrhœa, night sweats.
Weakly persons, fine skin, pale face ; light complexion ; lax muscles.
Scrofulous diathesis.
Rachitic, anemic conditions ; caries.
Oversensitive, imperfectly nourished, not from want of food but from imperfect assimilation.
Stonecutters ; chest affections and total loss of strength.
Scrofulous children, who have worm diseases, during dentition.
Baby, æt. 4 days ; hydrocele.
Child, æt. 8 months, fair and vigorous, suffering since birth ; constipation.
Boy, æt. 18 months, after a fall ; injury of tibia.
Child, æt. 21 months, suffering six days ; ague.
Child, æt. 1, scrofulous ; summer complaint.
Boy, æt. 2 ; enchondroma of toe.
Child, æt. 2 ; ulceration after vaccination.
Boy, æt. 3, strumous constitution, after scarlet fever three weeks ago ; abscesses on head.
Child, æt. 3 months ; pertussis.
Boy, æt. 4 ; light hair and complexion, lymphatic temperament ; psoas abscess.
Boy, æt. 4, swelling and suppuration of knee.
B., æt. 5, after scarlet fever ; otorrhœa and cough.
Boy, æt. 7, affected since birth ; impetigo capitis.
Girl, æt. 7, scrofulous, frequently troubled with cutaneous eruptions and inflammation of eye, since her vaccination ; scrofulous ophthalmia.
Boy, æt. 7, suffering three years ; sinus before left ear.
Girl, æt. 7, after a blow upon head when three years old ; incontinence of urine.
Girl, æt. 7, blonde, blue eyes, four weeks ago had pleurisy ; compression of lung after exudation and curvature of spine.
Boy, æt. 8 ; eczema capitis.
Girl, æt. 8, had scarlatina six years ago, since then affected ; otorrhœa.
Boy, æt. 10, after vaccination ; spasms.
Boy, æt. 11, tall ; phthisis.
Scrofulous child, æt. 11 ; swelling on chest.
Girl, æt. 11 ; swelling of knee.
Boy, æt. 12 ; caries of mastoid process.
Boy, æt. 12 ; palpitation of heart.
N., æt. 12, cachectic and anemic ; fistulæ of thigh.
Girl, æt. 13, scrofulous ; caries of bones of leg.
Girl, æt. 14, blonde, pale, phlegmatic, short in stature, corpulent ; keloid on temporal region.
Girl, æt. 14, suffering four months ; caries of orbit.
Boy, æt. 14 ; caries of metacarpal bones.
Boy, æt. 15, suffering ever since his recollection ; nocturnal enuresis.
Boy, æt. 15, suffering two years ; necrosis of femur.
Boy, æt. 15, laborer ; acne.
Girl, æt. 16 ; eruption on occiput.
Girl, æt. 16, servant, after a fall eleven months previously ; affection of spine and sacrum.
Boy, æt. 16, lymphatic temperament, from a bruise, eighteen months since ; suppuration of leg.
Boy, æt. 16, after revaccination ; convulsions.
Boy, æt. 17, farmer, light complexion, blue eyes, scrofulous during childhood, about nine months ago had typhoid pneumonia, has been suffering four months ; abdominal dropsy.
Girl, æt. 17 ; goitre.
Girl, æt. 17, after some boils on back had healed, a year ago ; eczema squamosum.
Girl, æt. 18 ; mental disturbance.
Miss B., æt. 18, suffering many months ; headache.
Negro, æt. 18 ; contraction of fingers.
Girl, æt. 18, strong ; caries of tibia.
Girl, æt. 18, phlegmatic, torpid disposition, mind poorly developed, subject to skin eruptions ; hysteria.
Girl, æt. 20, suffering for weeks ; hard swelling of cheek.
Girl, æt. 20 ; epilepsy.
Girl, æt. 21, nine months ago had nephritis, since then suffering ; hepatic disorder.
Man, æt. 21, pale, transparent skin, suffering eight months ; fistula in leg.
Man, æt. 23, light complexion ; seminal emissions.
Woman, æt. 23, single, suffering five years ; epilepsy.
Woman, æt. 24, married six months ; vaginismus.
Man, æt. 24 ; phthisis.
Governess, æt. 24 ; housemaid's knee.
Woman, æt. 25, brunette ; swelling of eyelid.
Miss A., æt. 26, lymphatic and delicate, suffering two years ; inflammation of nasal duct.
Mrs. H., æt. 26, mother of three children, suffering since birth of last child, three months ago ; constipation.
Mrs. C., æt. 26, has had two children ; periuterine cellulitis.
Woman, æt. 26, single ; pain in leg.
Housemaid, æt. 26, suffering eighteen months ; bursitis.
Mme P., æt. 26, delicate health, suffering three years ; abscess of foot.
Country-woman, æt. 26 ; elephantiasis.
Woman, æt. 28, single, brunette, suffering a long time, headache.
Mrs. K., æt. 28, suffering four months ; recurrent phlyctenular conjunctivitis.
Woman, æt. 29 ; chronic headache.
Mrs. T., æt. 29 ; ulceration of cornea.
Man, æt. 30, sanguine bilious temperament, five feet ten inches high, weight in health 160, family consumptive, two sisters and a brother having died of this disease ; phthisis.
Woman, æt. 30, suffering since death of her husband, six years ago ; epilepsy.
Woman, æt. 30 ; epilepsy.
Woman, æt. 32, blonde, sanguine temperament, formerly had scrofulous ophthalmia ; eruption about mouth.
Man, æt. 32, in good health, a little pale, habitually sad and anxious, having lost his father at the age of 60 from cancer of face ; threatened cancer.
Woman, æt. 33, single ; tumor albus.
Man, æt. 34 ; abscess of ankle and foot with caries.
Man, æt. 36, four months ago cut leg with an axe, since then suffering ; chronic suppuration.
Man, æt. 37, cigarmaker, after attack of typhoid fever ; abscess.
Lady, æt. 40, school-teacher, single ; vertigo.
Woman, æt. 40 ; swelling of lachrymal sac.
Mrs. M., æt. 40 ; inflammation of lachrymal sac.
Woman, æt. 40, suffering seven months ; cancer of tongue.
Man, æt. 40, face somewhat yellowish, with red cheeks, suffering six years ; gastric disorder.
Woman, æt. 40, weakly constitution, subject to catarrhal affections, somewhat asthmatic ; scirrhus mamma.
Mrs. B., æt. 42, strong, well nourished ; headache.
Woman, æt. 44, married, medium stature, weak constitution, light complexion, still menstruates regularly, has been cured of catarrh of stomach, and psoriasis diffusa ; parenchymatous iritis.
Green-grocer, æt. 45 ; enlarged bursa over left knee.
Mrs. H., æt. 47 ; scirrhus mamma.
Man, æt. 48, ten years ago saw a cancer of nose, since then affected ; itching of nose.
Woman, æt. 50, married, Irish ; eczema capitis.
Man, æt. 50, large, apparently good constitution ; pain in lung.
Miss M., æt. 55, suffering for a year ; tumor in mouth.
Man, æt. 55, suffering five days ; felon on finger.
Mrs. G., æt. 55 ; glass in finger.
Man, æt. 55, in good health, after wearing tight boots ; ulcer on foot.
Man, æt. 60, formerly suffering from glandular swellings ; induration of cheek.
Man, æt. 60 ; tumor in breast.
Mrs. P., æt. 60, tall, dark complexion, dark hair, rather masculine appearance, predisposed to lung disease ; cough for several weeks.
Woman, æt. 60 ; carbuncle on neck.
Woman, over 60, in moderately good health ; elephantiasis.
Madam X. de Cerveirac, æt. 61, enjoying good health, never been seriously sick, melancholic disposition ; cancer of lip.
Mme. C., æt. 63, apparently in good health but having a leaden-hued, earthy complexion, for about twenty years ; lupus.
Man, æt. 67, syphilitic ; inguinal abscess and hernia.
Lady, æt. 70 ; scirrhus mamma.
Woman, æt. 80, after a sprain ; inflammation of foot.
Young lady ; tumor of lip.
Young woman, delicate health, pale, earthy complexion, suffering a month ; panaritium.
Washerwoman, fat, robust, brown complexion, standing much in cold water ; metrorrhagia.
Mrs. J., mother of four children, apparently healthy, suffering several months ; constipation.
Robust, middle-aged man, bitten in thumb by a man four weeks ago ; swelling and suppuration of thumb.
Lady, ten years past climacteric ; leucorrhœa.

Relations

Antidoted by : Camphor, Hepar, Fluor. ac .
It antidotes : Merc. cor., Sulphur .
Compatible : After Bellad., Bryon., Calc. ost., Cina, Graphit., Hepar, Ignatia, Nitr. ac., Phosphor . ; before Hepar, Fluor. ac., Laches., Lycop., Sepia .
Incompatible : Mercur .
Compare : Phos. ac., Picric ac., Mur. ac., Sulphur, Kali carb., Nux vom., Opium, Arnica, Hypericum, Ruta .

Lectures on Homoeopathic Materia Medica

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

Lecture

The action of Silica is slow. In the proving, it takes a long time to develop the symptoms. It is, therefore, suited to complaints that develop slowly.

Generalities

At certain times of the year and under certain circumstances peculiar symptoms will come out.

They may stay with the prover the balance of his life. Such are the long-acting, deep-acting remedies; they are capable of going so thoroughly into the vital order that hereditary disturbances are routed out. The Silica patient is chilly; his symptoms are developed in cold, damp weather, though often better in cold, dry weather; symptoms come out after a bath.

Mind

The mental state is peculiar.

The patient lacks stamina. What Silica is to the stalk of, grain in the field, it is to the human mind. Take the glossy, stiff, outer covering of a stalk of grain and examine it, and you will realize with what firmness it supports the head of grain until it ripens; there is a gradual deposit of Silica in it to give it stamina. So it is with the mind; when the mind needs Silica it is in a state of weakness, embarrassment, dread, a state of yielding.

If you should listen to the description of this state by a prominent clergyman, or a lawyer, or a man in the habit of appearing in public with self-confidence, firmness and fullness of thought and speech, he would tell you he had come to a state where he dreads to appear in public, he feels his own selfhood so that he cannot enter into his subject, he dreads it, he fears that he will fail, his mind will not work, he is worn out by prolonged efforts at mental work.

But he will say that when he forces himself into the harness he can go on with ease, his usual self-command returns to him and he does well; he does his work with promptness, fullness, and accuracy. The peculiar Silica state is found in the dread of failure.

If he has any unusual mental task to perform, he fears he will make a failure of it, yet he does it well. This is the early state; of course there comes a time when he cannot perform the work with accuracy and still he may need Silica.

Another case is illustrated in a young man who has studied for years and is now nearing the end of his course. He dreads the final examinations but he goes through them all right, then a fatigue comes upon him and for years he is unable to enter his profession. He has this dread of undertaking anything.

Irritable and irascible when aroused; when let alone he is timid, retiring, wants to shirk everything; mild, gentle tearful women. The Silica child is cross and cries when spoken to. It is the natural complement and chronic of Puls. because of its great similarity; it is a deeper, more profound remedy.

Religious melancholy, sadness, irritability, despondency. Lyc. is stupid, the dread of undertaking any thing in from a general knowledge of inability. In Silica it is imaginary.

Silica is not suitable for the irritability and nervous exhaustion coming on from business brain-fag, but more for such brain-fag as belongs to professional men, students, lawyers, clergymen. A lawyer says,

"I have never been myself since that John Doe case"

He went through a prolonged effort and sleepless nights followed. Silica restores the brain.

Skin

The remedy produces inflammation about any fibrinous nidus and suppurates it out.

It acts upon constitutions that are sluggish and inflames fibrous deposits about old imbedded missiles. Slow nutrition; if the individual receives a slight injury it suppurates and the cicatrix indurates, is hard and nodular.

Along the track of a knife-cut, is a fibrinous deposit due to inferior and slow nutrition. An old ulcer heals with induration. Where cicatricial tissue forms, it is indurated, shiny, glassy. If Silica is given in such cases, it will throw out abscesses in these cicatrices and open them out. It will open up old ulcers and heal them with a normal cicatrix.

In ordinary people if a splinter lodges in the tissues, a suppuration will slough it out, but in these feeble constitutions a plastic deposit takes place about it and it remains. This is not the highest state of order. Suppuration takes place about a bullet and pushes it out, that is the best state that can be asked for.

Silica, therefore, hastens the formation of abscesses and boils. It suppurates out old wens and indurated tumors. It has cured recurrent fibroids and old indurated tumors.

It there is a deposit of tubercle in the lungs, Silica establishes ail inflammation and throws it out, and if the whole lung be tubercular a general suppurative pneumonia will be the result; hence, the danger of giving such remedies and the danger of repeating them in advanced stage of phthisis. Not only Silica but many other remedies have the power to suppurate out deposits, the result of poor nutrition.

Warty growths on the skin, moist eruptions, pimples, pustules, abscesses. Suppurating cavities. It establishes healing in old fistulous openings with indurated margins. Catarrhal suppurations; copious muco-purulent discharge from the eyes, nose, ears, chest, vagina, etc.

Suppression

Complaints from the suppression of discharges; suppressed sweat.

These suppressions produce a state in the economy that threatens what little order is left. An offensive foot-sweat ceases after getting the feet wet, and is followed by chills and violent complaints.

Silica cures long lasting foot-sweat when the symptoms agree, or complaints that have lasted since the suppression of a foot-sweat. Thick, yellow catarrhal discharges.

They say,

"I have had this discharge so many years," and when you investigate, you find that there has been some, shock, a cold, that suppressed the foot-sweat and it has not appeared since. Silica will bring back that sweat, cause the catarrhal discharge to cease and in time cure the foot-sweat.

Catarrhal discharges from the nose and other places, indurations, tumors, chronic gastritis, brain- fag, all dating back to the suppression of foot-sweat or otorrheoa, or to the healing up of a fistula.

Head

Chronic sick-headache attended with nausea and even vomiting.

Headache commencing in the back of the head in the morning or towards noon going to the forehead, worse towards night, from noise; better from heat; supra-orbital neuralgias; better from pressure and heat and attended with profuse head-sweat.

Cold, clammy, offensive sweat on the forehead. When a Silica patient exerts himself he sweats on the face, the lower part of the body is dry or nearly so. It requires great exertion to produce general sweat. A striking feature is the sweat about the upper parts of the body and the head.

Headache once a week ( Gets., Lyc., Sang., Sulph.). Headache up through the back of the neck and especially to the right side of the head. Resembles Sang. Weight in the occiput as if it would be drawn back, with a rush of blood to the head, like Carbo veg. and Sepia.

Headache worse from cold air. Psor. wears a fur cap even in summer. Magn. mur. is better from wrapping up the head but still wants to be in the air. Rhus sweats on the body; the head is dry. Puls. sweats on one side of the head.

Vertigo to fainting; with nausea; vertigo creeping up the spine into the head.

It is especially necessary for the Silica patient to avoid the cold air, must have the head well wrapped up, especially the part that is painful, and this part perspires copiously.

"Headache worse from mental exertion, excessive study, noise, motion, even jarring from foot-steps, light, stooping, pressing at stool, talking, cold air, touch."

Skin again

Moist, scaly eruption on the scalp, eczema capitis.

Silica is suited to the phagedenic ulcers of syphilis, eating and spreading ulcers on the scalp. Inflammatory conditions between the scalp and skull, tumors forming, filled with a grumous fluid; as in infancy, it will remove blood tumors.

Cephalatoma neonatorum, enchondroses. Silica is especially of use in the treatment of affections of the cartilages, growths about the joints, about the fingers and toes.

The complaints of Silica are associated with hardened glands, but especially about the neck, the cervical, salivary, and particularly the parotid glands; large, hard parotids. The parotids enlarge from every cold and get hard. ( Bar. carb., Calc., Sulph,)

Puls. suits the acute inflammation of the parotid, but Silica is indicated in the more chronic forms due to psora, "scrofulous glands."

Eyes

Many inflammations and conditions of the eyes.

Ulcers on the cornea; pustules on the lids, falling of the lashes, suppuration of the margins of the lids with burning, stinging and redness. Intense photophobia in all eye complaints.

Scrofulous cases with sore eyes, the most inveterate and chronic cases; suppuration; thin, watery, copious discharge, or bloody, thick and yellow like pus, with ulceration.

Syphilitic iritis.

"Perforating or sloughing ulcer on the cornea.

Spots and cicatrices on the cornea.

Fungus haematodes.

Eyes inflamed from traumatic causes; foreign particles have lodged in the eyes; abscesses; boils around the eyes and lids tarsal tumors, styes.

Affections appearing in the angles of the eyes fistula lachrymalis; stricture of lachrymal duct."

This is a general survey of the eye affections in Silica.

Ear

There is no deeper remedy than Silica in eradicating the tubercular tendency, when the symptoms agree; most tubercular cases are worse from cold, wet weather; better in cold dry weather.

The most inveterate cases of catarrh of the ear; old offensive, thick, yellow otorrheoa; following scarlet fever; all sorts of abnormalities in hearing, even to deafness.

Roaring in the cars associated with many diseases and hardness of hearing; hissing, roaring like steam; like a train of cars, many times from mechanical cause and other times from a condition of the nerves.

It is commonly the beginning of a dry catarrh of the middle ear; the remedy is especially useful when, in catarrh of the middle ear and Eustachian tube, the deafness goes on for some time and the hearing returns with a snap, due to the escape of the accumulation of fluids somewhere and described by the patient as a snap or report.

Sudden reports in the ear like a cannon, distant noises with return of hearing.

"Otorrheoa, offensive, watery, curdy, with soreness of inner nose and crusts on upper lip, after abuse of Mercury, with caries."

Caries of bone in any part of the body, but especially of the small bones of the car, nose and mastoid process,

"Scabs behind the cars."

Rupture of the drum of the ear.

Catarrhal conditions of the internal car and Eustachian tube, with

"feeling of sudden stoppage in the ear, better by gaping or swallowing."

Especially with ear troubles, there will be associated indurated parotid glands.

Nose

Accumulation of hard crusts in the nose, loss of taste and smell epistaxis, thickening of the mucous membrane; most vicious catarrh with discharge of bone from the nose.

Horrible, foetid ozaena, old syphilitic cases where the nasal bones are destroyed and the nose becomes a flabby bag, is sunken in or ulcerated away, leaving an opening. Silica may cure and an artificial nose be made afterwards.

Hepar competes with Silica in syphilitic nasal catarrhs where the parts are phagedenic; Hepar, Merc. cor. and Ars., are the principal antisyphilitics when there is phagedenic ulceration of the nose. Babies suffer from bloody nasal discharge. This is often Calc. sul.

Face

The aspect of the Silica face is silky, anemic, waxy, tired. Pustular and vesicular eruptions spread over the face, the wings of the nose crack, the lips easily fissure; crusts form on the margin between the mucous membrane and the skin; eruptions and crusts, indurations form under the crusts, they peel off and there is no healing.

These indurations are the same kind of inferior tissue that is found under lupus and epithelioma, a low tissue formation, a low state of eczema that favors infiltration. The small blood-vessels that lead to them become thicker and thicker until they become gristly. There is a tendency to make the soft tissues harder and the hard tissues harder.

In childhood the bones become softer and even necrose or there is an inflammation of the periosteum and a consequent necrosis. Caries of the shaft of the long bones, the head of the bones and the cartilaginous portions; abscesses in cartilages, enchondromata.

Bones break down and form fistulous openings. Necrosis of the jaw, the joints, the hip-joint, the tibia, necrosis of the spine, of the vertebrae, so that there is curvature of the spine, lateral especially. The homoeopathic physicians may treat these affections of the bones with the help of accessory contrivances or supports.

The Silica patient has rough lips, they crack and peel; rhagades. Scaly appearances at the margins of the lips, fissures in the corners of the mouth that indurate. There is often a line of fissure about the margin of the crust. Little crusts like epithelioma form upon the wings of the nose and when picked off leave a raw surface with no tendency to heal.

Crusty formations upon the ears.

The teeth break down, lose their enamel surface; the dentine is made up largely of the silicate of lime and the surface of the tooth becomes rough, loses its shiny appearance and caries sets in.

This often takes place at the margin of the gum; ulcers form on the tip of the fangs. The teeth suffer when it is cold or damp; toothache in wet weather, and the teeth are yellow, decay rapidly, and the gums settle away from. them.

All the neuralgias and toothaches are better in a warm room and from hot drinks. Abscesses about the gums and face, better by warmth. Severe pain in the jaw, rending, tearing at night, better from heat; these pains often end in abscesses about the teeth. Sometimes relieved by pressure unless the part is extremely sore from inflammation.

The tongue takes on inflammation of gouty character; inflammation with threatening abscess, it fills the whole mouth; rending, tearing pains, worse at night and better from heat.

Throat

In the throat and neck we have inflammation and swelling of all the glands, external and internal, all at once or singly.

Quinsy with great pain in the tonsils, one or both; threatening suppuration. Inflammation of the parotid, sublingual and much less frequently the submaxillary and cervical glands; painful, tumid and hard, with pain in the neck, shoulders and head, even in acute inflammations. But then we have the opposite state of affairs. In an old chronic case broken down with suffering the symptoms are worse after a bath, he wants warmth, dread the cold, is always shivering.

But when in the neck there is an acute inflarnmation the very opposite is present; he suffers from flushes of heat, an irregular, flushing fever, cold extremities while the upper part of the body is hot, sweat about the head and neck, sensation of heat and suffocation in a warm room. This will be present in quinsy and abscesses of the glands of the neck, if acute. Silica here shows its relation to Puls. The latter in its chronic manifestations is overburdened with heat, but in an acute trouble is chilly. They are reversed as to their acute and chronic states. Puls, in the beginning is chilly and sweating.

Silica is full of throat symptoms but is seldom indicated in acute forms because its pace is too low; it comes on after there has been a series of colds, such colds as are ameliorated a number of times by Bell. or other acute remedies but still continue to settle in the tonsils and in the glands of the neck.

Silica breaks up the tendency. There is a catarrhal state in the throat that is roused up by every cold into an increased flux, with hoarseness, settling back into the chronic state again; chronic catarrhs of the pharynx.

It competes with Natrum mur. in inveterate sore throat.

Stomach

Silica disturbs the stomach, causes hiccough, nausea and vomiting disturbs the liver.

All these symptoms are connected and are hard to separate. Decided aversion to warm food, desires cold things, wants his tea moderately cold, he is willing to have his food cold, dislikes warm food. Sometimes there is a decided aversion to meat, but if he does take it, he prefers cold, sliced meat. He likes ice cream, ice water, and feels comfortable when it is in the stomach; it is sometimes impossible for him to drink hot fluids, they cause sweat about the face and head and cause hot flushes. (Bar. c.)

Silica is disturbed by the extremes of heat and cold, easily affected, in changes even of a few degrees; he has complaints from being overheated; he gets overheated easily, sweats easily from a slight change in the temperature and comes down with a cold.

Case

A physician waiting on an obstetrical case, had a little difficulty in the last stage and he became overheated; putting on his overcoat and hat he went out on the porch to cool off and was taken down with asthma, violent cough, copious expectoration with gagging and vomiting which lasted him for months.

The acute remedies he had taken only palliated, but a dose of Silica cured him almost as quickly as he was taken down; he could not tolerate a warm room; the acute complaints of Silica are often worse in a warm room and from heat.

Silica has an aggravation from milk. Many times the infant is unable to take any kind of milk and, hence, the physician is driven to prescribe all the foods in the market if he does not know the right remedy. Natrum carb. and Silica are both useful when the mother's milk causes diarrhoea and vomiting.

The routinist is likely to give such medicines as Aethusa, entirely forgetting Silica. The latter, as well as Natrum carb., has sour vomiting and sour curds in the stool.

"Aversion the mother's milk and vomiting."

"Diarrhea from milk."

Put these two together.

Although the patient has an aversion to hot things and desires to eat cold things, yet in chest complaints cold water, ice cream and cold, things in general, increase the cough to gagging, and then the retching is dreadful; violent, retching, gagging cough. Retching from an endeavor to expectorate is usually controlled by Carbo veg., but Silica his it.

"Water brash, with chilliness, with brown tongue; nausea and vomiting of what is drunk, worse in the morning; water tastes bad; vomits after drinking."

The Silica stomach is weak, in a do-nothing state; old dyspeptics that have been vomiting a long time, especially those who have an, aversion to hot food, who cannot take milk, are averse to meat, where, the mental and bodily symptoms agree.

Silica was one of the greatest remedies for the chronic diarrhoea in the soldiers of our Civil War. It cured a fair percentage of those sick from sleeping on damp ground, eating all sorts of food until the stomach and bowels were prostrated, from long marches, from going into the South from the cold North, from becoming overheated. It is like Sulphur in these symptoms.

Silica has some pain in the stomach and bowels, but there is more soreness to pressure; colic and flatulence and tenderness to pressure; a chronic soreness in the stomach and if it goes on too long, a tubercular state comes on.

Abdomen

Abdominal pain relieved by heat; distension of the bowels with flatulence and rumbling.

Enlarged abdomen in children and adults (Bar. c.); tightness across the abdomen. Disturbed by the pressure of the clothes and worse after eating; the decided feature is the amelioration from heat.

Constipation from inability of the rectum to expel the faeces. It is seldom that the stool lies in the rectum without urging like Alumina; there is much urging to stool but inability to expel. The stool may be in small balls or large and soft or large and hard, but there is much straining and sweating about the head and great suffering while straining; the rectum becomes impacted, he strains until he is weak and exhausted, the stool slips back; and he gives up in despair.

The only way he can relieve himself is by some mechanical method. Great straining at stool belongs to many remedies, but especially to Alumina, Alumen, China, Natr. mur., Nux vom., Nux mosch., and Silica.

Silica has removed tape-worm, when the symptoms agree(Calc., Sulf.)

It has also cured fistulous openings. Patients who have a tendency to phthisis are subject to abscesses about the region of the rectum, that break inside or out and form complete or incomplete openings.

These seem to take the place of what would otherwise come, and if healed by operation or other external means, the tendency is to end in chest trouble, either in form of a fixed catarrh or tubercular infiltrations.

Silica is one of the remedies that turns the constitution into order and in one to five years the opening ceases to be necessary and it will heal. Surgeons heal it up at once, and for a time the patient is comfortable, but in a few years he breaks down.

Caust., Berb., Calc. c., Calc. phos., Graph., Sulph., etc., are suitable; in such cases. Silica here follows Thuja well.

Urinary

Suppurative conditions in the urinary tract, catarrh of the mucous membranes; old inveterate catarrh of the bladder with pus and blood in the urine; copious, stringy, deposits in the urine.

Prostatitis, suppuration, thick, fetid pus from the urethra. Gonorrhea, pus, or pus like discharge from the urethra, slight, shreddy discharge, bloody, purulent discharge. It is sometimes thick, or is curdy; this is from any mucous membrane.

Men

Abscesses along the penis, in the perineum, prostate gland, testes.

Chronic inflammation and induration of the testes with much pain; testes feel as if squeezed, sensitive, painful. Hydrocele in boys or adults.

In the male, impotence, weakness of the genitals after coition, easily exhausted, lacks power; exhausted if he has coition with anything like ordinary frequency; it takes him a week or ten days to rest up ( Agar.).

Much sweating of the genitals with exhaustion, tired out in the spine, weak back. Involuntary discharge of urine at night; enuresis in little boys and girls.

Women

In women a prostrated condition of the sexual functions.

Serous cysts in the vagina, fistulous openings and abscesses about the vulva, which heal with hard nodules or do not heal at all; little oozing fistulae, offensive, cheesy discharge. They heal in little nodules and then break out again in the same nidus. Women who are subject to these abscesses.

Bloody discharge between the periods. In Silica there is very easy flow of blood from the uterus; a hemorrhagic flow comes on before the menses from excitement, and especially when nursing; when the child is put to the breast a flow of blood starts.

Notice the distinction between Calc. and Silica. Calc . has a tendency to flow during lactation, but not when the child is put to the breast.

Silica cures hydrosalpinx and pyosalpinx, with copious, watery discharge from the uterus. Sometimes a woman has a lump on one or the other side of the uterus, which steadily increases and all at once there is a flooding of watery, bloody, purulent fluid and the lump disappears, soon to fill up again and empty in the same way in a gushing flow.

Such are the manifestations of hydrosalpinx and pyosalpinx. Entire absence of the menses for months; amenorrhoea.

Serous, cysts in the vagina as large as a pea or an orange, projecting from the vagina or projecting upwards and flattened out in conformation with it. Many little cysts like hickory-nuts grouped together. Rhod. and Silica have cured these even when there is a paucity of other symptoms.

"Leucorrhea, profuse, acrid, corroding, milky, preceded by cutting around the navel, causing biting pain, especially after acrid food; during urination; in gushes; with cancer of the uterus. Hard lumps in the mammæ."

Threatened abscesses of the breasts. If the remedy is given in time, it will abort the entire trouble. Where the remedy has come too late and suppuration is inevitable, Silica comes in for its share. There may be throbbing, tenderness, and weight, yet the remedy controls the pain, hastens the conclusion, and the opening comes naturally, discharges little and closes at once. As sure as an anodyne is given, a hot poultice applied, you will fail with your remedies.

There is too much blood in the part, and the application of a poultice increases the trouble; it causes an increased determination of blood to the part, and if suppuration takes place it causes more breaking down of tissue. Instead of a thimbleful of pus you will have cupfuls for days and half of the gland is destroyed

Women who are so weak they tend to abort, or no conception takes place. It would seem if the organs were tired out and unable to perform their functions.

The infant has all sorts of troubles. It grows up sickly; cannot tolerate its mother's milk or indeed any kind of food; vomiting and diarrhoea. A healthy child will digest even unwholesome milk.

Chest

The Silica cough is a dangerous one; the remedy suits the early stage of phthisis, when the lung is not extensively involved; it suits cough of catarrhal character when the symptoms agree.

If there is small abscess in the lung with no tendency to heal, it brings about repair, causes contraction of its walls. Inveterate cases of catarrh of the chest with asthmatic wheezing, overexertion. After violent exertion and overheating, gets in a draft, or takes cold from a bath, becomes chilled.

Humid asthma, coarse rattling, the chest seems filled with mucus, seems as if he would suffocate. Especially the asthma of old sycotics, or in children of sycotic parents. It competes with Nat. sul. in such cases. The patient is pale, waxy, anaemic, with great prostration and thirst.

Asthmatic attacks from suppressed gonorrhoea, with liability to develop complaints from over-exertion and over-heating, as in most sycotics.

Dry, teasing cough with hoarseness, threatening tuberculosis of the larynx, peculiar cracked voice from thickening of the laryngeal mucous membrane or tubercular involvement; soreness of the chest threatening miliary tuberculosis, with aggravation from cold and amelioration from warm drinks.

Pulmonary affections in stone-cutters. The fine dust causes chronic irritation. Silica establishes a suppuration and throws off these particles of stone.

Expectoration profuse, foetid, green, purulent; only during the day viscid, milky, acrid-mucus, at times pale, frothy blood.

Chronic tendency for colds to settle in the chest and bring on asthmatic symptoms. Chronic bronchitis; inflammation of the lungs with suppuration. Silica especially suits the later stages of pneumonia and the old, chronic complaints following pneumonia.

Slow recovery after pneumonia ( Lyc., Sulph., Phos., Sil., Calc.). Flushes, rattling in the chest. Flushes in the face during the day ( Sulph., Sep., Lach.), rattling like Ant. tart., flushes like Sulph. and Lyc.

Phthisis; thick, yellow, green, foetid sputa, more pronounced coldness than Calc., and head sweat, pains in the lungs, sore lungs, stitches.

In the extremities we have inflammation of the periosteum. Corns ( Ant. cr., Graph.). Ingrowing toe-nails. Rheumatism of the soles of the feet. Cannot walk ( Ant. cr., Med., Ruta, Sil.). Begins to sweat as soon as he falls asleep (Puls., Con.).

Epilepsy; aura in the solar plexus creeping into the chest and stomach.

Complementary to Calc., Puls., and Thuja.

The Therapeutics of Fevers

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

Characteristic

Adapted to the nervous, irritable, sanguine temperament; persons of a scrofulous diathesis.

Constitutions which suffer from deficient nutrition, not because food is lacking in quality and quantity, but from imperfect assimilation (Bar. c., Calc.); oversensitive, mentally and physically.

Scrofulous, rachitic children with large heads; open fontanelles and sutures; much sweating about the head (lower than Cal.), which must be kept warm by external covering (Psor., Sanic.); large bellies; weak ankles, slow in learning to walk.

Persons of light complexion; fine, dry skin; pale face; weakly, with lax muscles.

Diseases: caused by suppressed foot-sweat; exposing the head or back to any slight draft of air; from vaccination (Thuja); chest complaints of stone cutters, with total loss of strength.

Want of vital heat, always chilly, even when taking exercise (Led., Sep.).

Nervous debility; exhaustion with erythism; from hard work and close confinement; weariness, wants to lie down; may be overcome by force of will.

Has a wonderful control over the suppurative process—soft tissue, periosteum or bone—maturing abscesses when desired or reducing excessive suppuration (chiefly affecting soft tissues, Calend., Hep.).

Children are obstinate; headstrong, cry when kindly spoken to (Ant. t., Sanic., Iod.).

Restless, fidgety, starts at least noise.

Anxious, yielding, faint hearted.

Mental labor very difficult; reading and writing fatigue, cannot bear to think.

Vertigo: spinal ascending from back of neck to head; as if one would fall forward; from looking up (Puls.—looking down, Kal., Spig., Psor.).

Chronic sick headaches, since some severe disease of youth (Psor.); ascending from nape of neck to the vertex, as if coming from the spine and locating in one eye, especially the right (left, Spig.); < draught of air or uncovering the head; > pressure and wrapping up warmly (Mag. m., Stron.); > profuse urination.

Constipation: always before and during menses (diarrhœa before and during menses, Am. c., Bor.); difficulty, as from inactivity of rectum; with great straining, as if rectum was paralyzed; when partly expelled, recedes again (Thuja); remains a long time in rectum.

Discharge of blood from vagina every time the child takes the breast (compare Crot. t.).

Nipple is drawn in like a funnel (Sars.).

Night walking; gets up while asleep, walks about and lies down again (Kali br.).

Unhealthy skin; every little injury suppurates (Graph., Hep., Merc.).

Crippled nails on fingers and toes (Ant. c.).

Takes cold from exposure of feet (Con., Cup.).

Sweat of hands, toes, feet and axillæ; offensive.

Intolerable, sour, carrion-like odor of the feet, without perspiration, every evening.

Desire to be magnetized, which $>$ (Phos.).

Promotes expulsion of foreign bodies from the tissues; fish bones, needles, bone splinters.

Relations

Complementary: Thuja, Sanicula.

Graphites, Fluoric acid and Hepar follow well.

Silicea is the chronic of Pulsatilla.

Aggravation

Cold; during menses; during new moon; un-covering, especially the head; lying down.

Amelioration

Warmth, especially from wrapping up the head; all the symptoms except gastric, which are $<$ by cold food (Lyc.).

Type

Periodicity not characteristic. Stages ill defined. All kinds of fever.

Time

Midnight to 8 A. M.; 10 A. M. to 8 P. M.

Evening chill from 5 to 6 P. M. Chilly all day.

Fever without chill 12 to 1 P. M.

Cause

If the fever can be traced to a suppressed foot-sweat, Silicea is the first remedy to be thought of.

Chill

Without thirst, on every movement (Arn., Nux); very chilly all day; in the morning fell asleep from excessive weariness. Very chilly even in a warm room. Cramp-like chill in the evening in bed, with shivering. She did not dare to put her foot out of bed on account of consequent chilliness (Bar., Canth.).

Shaking chill at 6 P. M.; was obliged to lie down and could not get warm in bed for a long time. Icy cold shivering frequently creeps over the body, not relieved by heat of fire (Phos.). Affected parts feel cold. Coldness with ravenous hunger (Cina). Coldness of knees and arms; finger-nails white (coldness of knees, Apis, Carbo v., Phos.). Nose cold as ice. Icy coldness of the feet and legs as far as knees.

Heat

With thirst and chilliness, at 11 A. M. Violent heat in the head, and dark redness of the face (face of a mahogany red, Eup.). Fever in evening, worse at night (Cina). Afternoon paroxysm, consisting of heat with intense thirst and very short breath. Great heat all night, with catching respiration. Heat returning periodically during day, followed by slight sweat.

Sweat

Profuse and general at night (Cinch.). Sweat only on the head or head and face (reverse of, Rhus, Sec.). Sweats periodically; 6 A. M., 3 to 5 P. M., 11 P. M. Sweat only on the head, running down the face. Profuse night-sweat, offensive, sour, debilitating; worse after midnight; from least exertion (Sep., Sul.). Offensive sweat of feet, they become sore while walking (Graph.).

Tongue

Clean or coated with brown mucus. Loss of taste and appetite; or taste of blood; of soap-suds; rotten eggs; oil. Sensation as if a hair were lying on the forepart of the tongue. Disgust for meat. Averse to warm food; desire only for cold things (Lyc.).

Apyrexia

The constitutional symptoms developed during this stage are numerous and always reliable.