Spigelia Anthelmia spig.

NERVES: TRIFACIAL. HEART. Neck. Fibrous tissue. EYES. Teeth. LEFT SIDE.

TOUCH. MOTION. Jar. Periodically; with the sun. Tobacco. Coition. Raising arms.

Lying on R. side, with head high.

Combined heart and eye symptoms, or the latter as an accompaniment. PAIN; in violent attacks; radiating from l. occiput to over l. eye; < stooping. Neuralgia. Sun pains. Vertigo; feet feel higher than the head. Shudders; if touched or bruised.

Stammering. Fears pointed things. Left supra-orbital or occipital pain; boring. EYES: sore, drawing ache; sunken; feel large; red; flowing tears on affected side; squinting; yellow rings about. Post-nasal dropping. Fetor oris. Toothache. Ravenous hunger. Pains about navel; in children. Mucus lumps in stools. Worms. Dyspnœa, < moving arms. HEART; violent, audible PALPITATION, attending other symptoms; violent sticking, or compressive pains radiating to throat, arm or scapula, < least motion; or bending double; soreness; purring; crackling. Cardiac angina, etc. Neck stiff; pains into l. temple or from l. shoulder into neck. Cutting about l. scapula. Numb l. arm. Weak, tremulous or irregular pulse. Pulsation in patellæ.

Follows: Aco. Complementary: Spo. Related: Cact.

Adapted to anaemic debilitated subjects of rheumatic diathesis; to scrofulous children afflicted with ascarides and lumbrici (Cina, Stan.). Persons with light hair; pale, thin, bloated, weak; wrinkled, yellow, earthy skin. Body painfully sensitive to touch; part touched feels chilly; touch sends shudder through the whole frame (Kali c.). Afraid of sharp, pointed things, pins, needles, etc. Rheumatic affections of heart (Kali, Led., Naja); systolic blowing at apex. Aneurism. Nervous headache; periodical, beginning in morning at base of brain, spreading over the head and locating in eye, orbit and temple of left side (right side, Sang., Sil.); pain, pulsating, violent, throbbing. Headache; at sunrise, at its height at noon, declines till sunset. (Nat. m., Tab.). Intolerable, pressive pain in eyeballs; could not turn the eyes without turning the whole body; worse, especially on making a false step. Sensation: as if eyes were too large for the orbits (Act., Com.); sensitve to touch; as if a band around head (Cac., Carb. ac., Sulph.). Copious offensive mucus from posterior nares, drops into throat, causing choking at night (Hydr.). Sharp, stabbing, sticking pains through eyeballs back into the head; from cold, damp, rainy weather. Prosopalgia: periodical, left-sided, orbit, eyes, malar bone, teeth; from morning until sunset; pain tearing, burning, cheek dark red; during cold, rainy weather; from tea. Toothache from tobacco smoking; > only on lying down and while eating (Plan.); worse from cold air and water; returns from thinking about it. Scirrhus of sigmoid or rectum, atrocious unbearable pain (Alumen). Dyspnoea: must lie on right side ro with head high (Cac., Spong.); pains in chest are stitching, needle-like. Chest affections with stitching pains synchronous with pulse, < from motion, < cold, wet weather. Palpitation: violent, visible and audible; from least motion; when bending forward; systolic blowing at apex. Stammering, repeats first syllable three or four times; with abdominal ailments; with helminthiasis.

Compare: Acon., Ars., Cact., Dig. Kali c., Naja, Kal., Spong. in heart affections.

From motion, noise, touch, turning the eyes; from every shaking, commotion, or concussion.

Lying on right side with the head high (Ars., Cac., Spong.).

Neuralgia of the eyes, especially where there is great soreness, and can scarcely bear a touch; affections of the eyeball; eyelids; optic nerve; dilated pupils; ocular illusions--sees strange things, fiery, etc. (Cyclamen, when with any trouble as headache, sick stomach etc., one always sees countless stars).

Earache with an ichorous, scalding discharge; hearing very sensitive; noise in the ear as of something fluttering.

In affections of the heart, particularly if the whole left side is sore from the affection, and may be the eyes also from sympathy; purring of the heart as of a cat; palpitation of the heart with anguish; trembling pulsation of the heart; sympathy of the chest with heart troubles.

Very violent neuralgia, followed by an extreme soreness; boring pains; pain as if parts were pushed or pressed asunder, or as if they would burst; sensation of extension in size; feeling as of a lump in the inner parts; darting pains in inner and outer parts; darting pain from within outward; in the joints; pains of a dragging or rooting character.

Chilliness without thirst; heat and perspiration without thirst.

Affections in general of the right side of the face and nose; stool with maw worms (Oxyuris vermicularis); discharge of urine too copious; sensitiveness of outer parts; aversion to washing; trembling pulse that can scarcely be counted.

On stooping; when blowing the nose; during expiration; after rising from a seat; from touching the parts affected; when walking in the open air; from having worms.

While taking an inspiration.

Bellad., Calc. carb., Pulsat., Nux vom., Rhus tox., Sepia, Sulphur.

Pulsat.

Neuralgia of the fifth pair of nerves, tearing, shooting, burning into the eye, malar bone and teeth, periodical from morning until sunset, worse at noon, from noise, motion of jarring. Intolerable pressive pain in the eyeballs, they feel too large for their orbits, worse in turning the eyes. Rheumatic ophthalmia; pains are sharp and tearing, with pressure in the eyeballs. Throbbing, tearing toothache, which is especially aggravated by cold water, disappearing when lying down. Dyspnoea, can lie only on right side, with trunk raised, the least motion produces great suffocation, with anxiety and palpitation of the heart. Purring feeling over the heart; wave-like motion not synchronous with the pulse. Palpitation of the heart, so violent as to be audible and visible. Rheumatic affections of the heart, rheumatic pericarditis, with violent palpitation of the heart, and anxiety.

Pinkroot (SPIGELIA)

Spigelia is an important remedy in pericarditis and other diseases of the heart, because the provings were conducted with the greatest regard for objective symptoms and the subjective symptoms are by innumerable confirmations proved to be correct (C. Hering).

Has marked elective affinity for the eye, heart, and nervous system. Neuralgia of the fifth nerve is very prominent in its effects. Is especially adapted to anæmic, debilitated, rheumatic, and scrofulous subjects. Stabbing pains. Heart affections and neuralgia. Very sensitive to touch. Parts feel chilly; send shudder through frame. A remedy for symptoms due to the presence of worms. Child refers to the navel as the most painful part (Granat; Nux mosch).

Afraid of sharp, pointed things, pins, needles, etc.

Pain beneath frontal eminence and temples, extending to eyes (Onos). Semi-lateral, involving left eye; pain violent, throbbing; worse, making a false step. Pain as if a band around head (Carbol ac; Cact; Gels). Vertigo, hearing exalted.

Feel too large; pressive pain on turning them. Pupils dilated; photophobia; rheumatic ophthalmia. Severe pain in and around eyes, extending deep into socket. Ciliary neuralgia, a true neuritis.

Forepart of nose always dry; discharge through posterior nares chronic catarrh, with post-nasal dropping of bland mucus.

Tongue fissured, painful. Tearing toothache; worse, after eating and cold. Foul odor from mouth. Offensive taste.

Prosopalgia, involving eye, zygoma, cheek, teeth, temple, worse, stooping, touch, from morning until sunset.

Violent palpitation. Præcordial pain and great aggravation from movement. Frequent attacks of palpitation, especially with foul odor from mouth. Pulse weak and irregular. Pericarditis, with sticking pains, palpitation, dyspnœa. Neuralgia extending to arm or both arms. Angina pectoris. Craving for hot water which relieves. Rheumatic carditis, trembling pulse; whole left side sore. Dyspnœa; must lie on right side with head high.

Itching and crawling. Frequent ineffectual urging to stool. Ascarides.

Chilliness on the slightest motion.

Worse, from touch, motion, noise, turning, washing, concussion. Better, lying on right side with head high; inspiring.

Compare: Spigelia Marylandica (maniacal excitement, paroxysmal laughing and crying, loud, disconnected talking, vertigo, dilated pupils, congestions); Acon; Cact; Cimicif; Arnica (Spigela is a chronic Arnica); Cinnab (supra-orbital pain); Naja; Spong (heart); Sabad; Teucr; Cina (worm symptoms).

Antidote: Pulsat.

Sixth to thirtieth potency for neuralgic symptoms; second to third potency for inflammatory symptoms.

Violent beating of the heart, shakes the chest; sometimes audible several inches away.

Left-sided neuralgias of head, face and eyes; pains increase and decrease with the rising and setting sun; watering of the eye, on affected side.

In this we have another valuable, heart remedy. The pains in the heart in this remedy are as severe as those under Cactus and the action is more violent than under either Cactus or Digitalis. It is so violent as often to be visible to the eye through the clothes, shaking the whole chest, and the sounds are often audible several inches away. It is not only a very valuable remedy in acute attacks of the heart but in chronic valvular affections following the acute attack, where we have the loud blowing sounds and attacks of violent palpitation. I have seen the violent attacks of palpitation quickly relieved, and not only that, but the valvular troubles gradually and perfectly cured, under the action of this remedy. In these troubles the patient can often only lie on the right side (Phos., Nat. mur.), or with the head very high; least motion < (Naja). It is one of our best remedies for neuralgic affections of the head, face, and eyes.

The headaches are generally one-sided, beginning in the occiput and extending forward, and settling over the left eye (right, Sang. and Silicea). They are aggravated by the least noise or jar. They increase with the rising of the sun and decrease with its going down (Natrum mur., Tabacum), and the eye on the affected side often runs clear water. (Chelidon. maj., right side with water gushing out).

Spigelia is very useful in ciliary neuralgia, the pain being of the same character as the headaches. The pains are also stabbing, running through into the back of the head, or like Actæa, they press outward, as if the eyeballs were too large for the sockets (Comocladia).

In any or all of the above-named affections, for which Spigelia is so efficacious, the patient is made worse from motion, noise, inspiration or moving the eyes, and especially in cold, damp, rainy weather. It makes us think of Bryonia, Kalmia and Natrum mur., and Actæa (motion), Belladonna (noise), and China (touch, especially light touch). It is certainly a very valuable remedy, though not one, so far as known, of very wide range of action.

Modalities: < from motion, noise, inspiration, moving eyes, cold, damp, rainy weather; rising sun; > quiet; dry air, setting sun.

Restlessness, with anxiety and great solicitude for the future. Difficulty of thinking and disinclination to mental exertion. Weakness of memory.

Giddiness when looking downwards. Vertigo, with nausea. Boring headache, from within to without, in the forehead, vertex, or cerebellum. Pressing headache, principally in the right temple ; worse from the least motion, stooping, noise, and from opening the mouth ; relieved while at rest and lying high with the head. Sensation of soreness in the forehead and vertex. Shaking in the brain ; worse when moving the head or when stepping hard. Tearing in the forehead in paroxysms, with fixed eyes. Headache, beginning in the cerebellum (in the morning), spreading over the left side of the head, causing violent and pulsating pain in the left temple and over the left eye, with stitches in the left eye ; returning periodically. Stitches in the left side of the head and out of the left eye. Painfulness of the cerebellum, with stiffness of the neck. The headaches are aggravated from the least motion and exertion, from stooping, from the least noise, and are relieved when lying high with the head and from washing the head with cold water. Periodical headaches. Tension of the scalp. Sensitiveness of the scalp to the touch.

Painfulness of the eyes, deep in the sockets, especially when moving them. Sensation as if the eyes were too large. Pressure in the balls of the eyes, especially when turning them. Stitches in the eyes. Dry heat and burning in the eyes ; is compelled to close them. Redness of the white of the eye ; the vessels strongly injected. Inflammation of the cornea. The eyelids hang down, are hard and immovable. Lachrymation ; tears acrid. Inflammation and ulceration of the eyelids. Weakness of the eyes ; in whatever direction they are turned they remain. Great inclination to wink with the eyes. Far-sightedness.

Otalgia, with pressing pain, as from a plug. The ears feel as if they were stuffed up. Periodical deafness.

Tickling and itching in the nose. Herpetic, sore, painful eruption on the nose. Secretion of large quantities of mucus through the posterior nares, the nose being dry.

Pale, bloated and distorted face, especially when awaking from sleep in the morning. Yellow rings around the eyes. Redness of the face ; perspiration on the face. Periodical faceache ; pains burning and tensive, especially in the cheek-bones, above the eyebrows, in the in the left side.

Toothache immediately after eating, or at night, driving one out of bed. Twitching or pulsating toothache in decayed teeth ; aggravated by cold water and from cold air. Putrid, fetid breath. Stinging dryness in the mouth on waking in the morning. White or yellow mucus in the mouth or throat. Blisters on the tongue and in the throat, burning. Cracked tongue.

Loss of appetite, with violent thirst. Ravenous hunger, with nausea and thirst. Sensitiveness of the pit of the stomach to the touch. Pressure in the stomach, as from a hard lump. Nausea in the morning, fasting, as if something were rising in the throat from the stomach. Pressing in the region of the navel, as from a hard lump. Stitches in the abdomen. Colic (cutting) pain in the abdomen (from worms). Emission of fetid flatus.

Frequent inefficient urging to stool. Discharge of large lumps of mucus without feces. Discharge of feces with worms. Itching and tickling at the anus and in the rectum. Lumbrici, ascarides.

Frequent micturition, with profuse discharge. Urine with whitish sediment. Involuntary dripping of urine, with burning in the orifice of the urethra.

Erections and voluptuous fancies, but without sexual desire. Tingling around the corona glandis. Swelling of one-half of the corona.

Catarrh with hoarseness ; continuous coryza ; dry heat without thirst ; protruded eyes ; violent headache and weeping. Nightly catarrh with cough (Influenza). Shortness of breath, especially when talking, with redness of the cheeks and lips. Dyspnœa when moving in bed ; can only lie on the right side, or lying very high with the head. Dyspnœa and suffocating attacks on moving and raising the arms up ; violent cough, with dyspnœa. Constriction in the chest, with anxiety and difficulty of breathing. Stitches in the chest worse from the least movement, or when breathing. Sensation of tearing in the chest. Trembling sensation in the chest ; aggravated from the least movement. Stitches in the diaphragm, with dyspnœa. Violent (visible and audible) palpitation of the heart ; aggravated when bending the chest forward. Stitches in the heart. Organic diseases of the heart. (Rubbing, bellows sounds).

Stitches in the back ; also when breathing.

Upper. Stitches in the joints of the arms and hands. Hard, burning-itching nodosities in the hands. Lower. Stitches in the joints of the legs and feet and in the thigh. Wart-like excrescences on the toes.

Stinging pain in the limbs and principally in the joints. Heaviness and soreness in the body when rising from a seat. Painful sensitiveness of the body to the touch with chilliness on the parts touched, or with tingling running through the whole body.

Great sleepiness during the day, even in the morning, with late going to sleep at night. Restless, unrefreshing sleep at night and sleepiness in the morning.

Pulse irregular, generally strong but slow. Trembling pulse. Chill, frequently returning at the same hour in the morning. Chill alternating with heat or perspiration. Chilliness on some part of the body, on others heat. Chilliness from the least movement. The chill extends from the chest. Heat especially in the back. Flushes of heat at night, with thirst for beer. Heat in the face and on the hands, with chill in the back. At night putrid perspiration with heat at the same time. Clammy perspiration on the hands. Cold perspiration.

Painful glandular swellings. Pale, wrinkled skin of the body.

Aggravation: after washing ; after coition ; on bending down ; while inhaling ; from the least movement ; from noise ; on rising from a seat ; from touching the parts ; when walking in the open air.

Spigelia anthelmia. Demerara Pink-root. N. O. Loganiaceæ. Tincture of dried herb.

Adenoids. Amaurosis. Angina pectoris . Ciliary neuralgia. Cold. Constipation. Depression of spirits . Diaphragm, stitches in. Exophthalmic goître. Eyes, pains in . Gastric catarrh. Glaucoma. Headache. Heart, affections of . Hernia, inguinal. Iritis. Jaw-joint, pain in. Neuralgia . Otalgia. Post-nasal catarrh. Prostatorrhœa. Pterygium. Rectum, cancer of. Rheumatism. Scarlatina . Sigmoid flexure, cancer of. Stammering. Strabismus. Tinnitus. Tobacco habit. Toothache. Worms .

Spigelia anthelmia is a common weed in South America.: S. Marylandica , "Pink-root" or "Worm-grass," is a native of the Southern States of North America. Spigel. anth . is an acro-narcotic. It was known in Europe in Hahnemann's time as an anthelmintic, this property of the drug having been learned from the negroes of the Antilles. Hahnemann's proving ( M. M. P .) revealed many other virtues. He says of the plant that it has this peculiarity: the primary action of a single unrepeated dose usually increases somewhat daily during the first seven to ten days, so that pure experiments with it should be conducted with caution seeing that 60, 80, to 100 drops of the tincture produce violent effects even in robust persons. Violence is a note of the Spigelia action. The pains are intense, and it produces pains in all parts. It is a neuralgia remedy par excellence . I was once written to by a patient in the country, and the only definite points that I could make out of the case were that there was neuralgia and that it affected the left side. I ordered Spi ., and it speedily cured. Spi . is more left-sided than right, but by no means exclusively left, sided. The pains are burning, jerking, tearing, pressing and stitching; they radiate and extend to other parts; are < by noise, jar, movement; change of weather — especially stormy weather. Head, eyes, face, teeth, and heart are the principal seats of Spi . action. Hochecker ( H. R ., x. 147) relates the case of Miss O., 27, blonde, tall, robust, who had neuralgia for several weeks, without traceable cause. Pains came suddenly, twitching and tearing of left side of face, now in ear, then in lower jaw, and were particularly < by mastication. A peculiarity was that whenever the pains were about to commence a diarrhœa set in. A single powder of Spi . 6 cured. Hochecker also cured with Spi . 3, 6, 10, and 20 a case of tic-douloureux of right side of fifteen months' duration. In this case each lower attenuation after first relieving caused an aggravation. That was why the attenuations were successively raised. Spi . 20 completed the cure. This patient had dark hair and dark complexion. She attributed her trouble to taking cold in a draught when heated by dancing. Sensitiveness to cold, to wet and stormy weather, is one of the notes of Spi . The left-sidedness of Spi . is shown in its affinity for the heart. Sometimes the heart, eyes, and head are affected together. A case is quoted in A. H . (xxii. 417) in which there were darting and aching pains in head, nose, and eyes, and similar pains about the heart with slow, irregular action, but no murmur. Vertigo on stooping and heat of head. Sudden pains at bottom of back. The pains were < night and morning and in damp weather. In one prover the accustomed evening smoke caused violent toothache. I cured with Spi . a case of cardiac neuralgia caused by tobacco. I have frequently seen cardiac murmurs appearing in acute rheumatism disappear under Spi . In the eye, neuralgias, inflammation, amaurotic conditions, glaucoma presenting the symptoms of Spi . have been cured with it. The pains of Spi . are largely out -pressing, and proceed from within outward and below upward. A migraine comes from occiput and settles in or over left eye. In the eyes themselves there are intolerable pressive pains < on motion; but there are also stabbing pains through eye backwards into brain. The combination of heart and eye symptoms marks Spi . as the remedy in many cases of exophthalmic goître. The anthelmintic properties of Spi . must not be lost sight of by homeopaths. It has the cardiac symptoms of helminthiasis: itching of anus and nose, colic, and borborygmus. Hering gives this case: "Helminthiasis: dilated pupils; strabismus; putrid smell from mouth, itching of nose, griping pain in belly; throat inflamed, swallows often, pale redness in throat and swelling of mucous membrane; palpitation." Masses of lumbrici have been expelled and also threadworms. Fetid breath and fetid flatus are marked features of Spi . There is both constipation and diarrhœa. I have found it especially useful in heart cases where constipation has been a troublesome complication. The bodily sensitiveness of Spi . is paralleled by the mental irritability. But the most peculiar mental symptom is "fear of pointed things as pins, &c." Meninger ( A. H ., xx. 282) had a severe case of nausea of pregnancy which he cured with Spi . The only leading symptom in the case was this: She was afraid of pointed things and asked her husband to take away a fork, crochet-needle, &c. ( Sil . has a somewhat similar symptom, but the Sil . patient hunts for pins although afraid of them.) Spi . corresponds to rheumatism as well as to heart affections the consequence of rheumatism. A patient whom I successfully treated for a serious heart affection with Spi . 3 told me that under the treatment he had lost a pain in the right knee which he had had for eighteen months, and which he had not mentioned to me at first. The pain was as if dislocated; unable to rise from kneeling; cannot find an easy position, often for hours at night. Peculiar Sensations of Spi . are: As if he would fall. As if intoxicated. As if head would burst. As of a band around head. As if head tightly bound. As if electric sparks in temples. Brain as if loose. As if nerves being cut with a fine instrument in forehead and temple. As if eye would be pushed out of head. As if hairs or feathers on lashes. Upper lids as if paralysed. Eyeballs as if too large. As if sand in eyes. As if needles thrust into eyeball. As if eye would be pressed out of socket. As if eye would fly into pieces. As if eye were being pulled forward and backward. Pain in eye as if it would drive him crazy. As if ear loosely stopped or a thick mist before it. As if back of nose were lightly touched by hair, or as if a gentle wind were blowing across it. Face feels as if it had been scorched. As if all muscles of left side of face from head to neck and left axilla were pierced with red-hot needles. Teeth as if too long. As if left side of lower jaw would be torn out of its joint. Sensation resembling purring of cat. As of a worm rising in throat. As of a half fluid body ascending in throat. As of a hard lump in throat. As if abdomen would burst. As if all intestines would be constricted. Suffocating as if from a quantity of water poured into windpipe. Pulse as if a thread pulled through arteries. As if heart compressed or squeezed with a hand. As if heart being crushed. As if everything in chest were too short, loose, and wabbling about. As if something tearing in chest. In left scapula sensation as though blood dripping through a valve. Spi . is Suited to: Anæmic, debilitated subjects, of rheumatic diathesis; to scrofulous children afflicted with ascarides and lumbrici; to persons with light hair; pale, thin, bloated, weak; with wrinkled, yellow, earthy skin. The body is painfully sensitive to touch, the part touched feels chilly; touch sends a shudder through the whole frame. Spi . is a sun remedy: headache beginning at sunrise, at its height at noon, declining to sunset. In chest affections there are stitching pains synchronous with the pulse. Stammering: repeats first syllable three or four times; with abdominal ailments; with helminthiasis. The symptoms are < by touch. Contact and pressure of clothes is unbearable. (Pressure > neuralgia.) < jarring; hard step. Rest > . Motion < . Moving, shaking head < . Moving eyes < . Moves very carefully. Lying with head high; or on right side > . < Rising; stooping; bending forward. > Whilst eating, < immediately after. Warmth > ; ( < headache). Open air = pain in eyes; > headache. < Slightest draught; cold, damp, rainy, stormy weather; cold air; cold washing; (cold application > neuralgia temporarily). < Morning on waking. Pain increases and declines with sun. < (Also sometimes > ) from tobacco. Opening mouth < headache.

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Weak memory.
Disinclined to work.
Restless and anxious ; solicitude about the future.
Gloomy suicidal mood.
Afraid of pointed things, pins, etc.
Easily irritated or offended.

Vertigo : as if he would fall, < in morning on rising, with headache, depriving him of his senses ; when looking down or turning eyes ; with nausea ; with heart disease.
Vertigo while sitting, standing or walking (most tolerable while lying) ; head sinks backward with nausea at palate and discomfort in abdomen and thorax ; in abdomen a pinching pain, with a sensation`as if he would be obliged to go to stool, whereupon he loses all
consciousness.
Stumbling and falling as if intoxicated ; pressing pain in top of head, < from stooping, walking and talking ; > when lying ; feeling of fainting. θ Hypertrophy
of heart.

Nervous headache, < from thinking, from noise or jarring ; face pale ; anxious palpitation ; nausea and vomiting.
Boring from within outward, in forehead, vertex or cerebellum.
Pulsating stitches in frontal protuberances.
Stitches in left side of head and out of left eye.
Pressing headache, mostly in right temple ; < from stooping, least motion or noise ; > at rest and lying with head high.
Headache beginning at cerebellum (in morning), spreading over left side of head, causing violent and pulsating pain in left temple and over left eye, periodical.
Dull stitches from within outward, on top of head ; < from touch and after washing, but > while washing.
Feels as if head would burst.
Painfulness of cerebellum, with stiff neck.
Headache when stooping, as from a band around head.
Sensation in brain as if head were tightly bound.
Headache like a heaviness ; on drawing facial muscles it seems as if skull would burst, upward and asunder.
Does not dare to shake head ; it hurts in brain and he becomes dizzy.
Swashing in brain when walking ; he feels every step.
Fine burning, tearing pain in brain ; violent pain in left parietal bone on motion or walking, or making a misstep ; toward evening.
Violent pressure and pressing outward in forehead ; < on stooping ; < by pressure with hand.
Tensive, tearing pain in forehead, especially beneath frontal eminence extending toward orbits.
Thrustlike tearing pain in forehead, < in right frontal eminence, causes an involuntary fixing of eyes on object on which he is looking, while standing and sitting.
Very violent tearing in forehead, occiput and temple.
Shooting pain through forehead.
Sharp sticking just behind and above frontal eminence.
Burning pain in right side of forehead, extending to eye, could not move it without pain.
Burning pain in left side of frontal bone.
Violent pressure from without inward, in both temples, especially in right.
Jerking tearing in right zygoma.
Violent, fine stitches, as from electric sparks, in left temple.
Pressive drawing in right side of vertex and occiput.
Pressive pain in right side of head, involving right eye, in morning in bed, but still more after rising ; pain deeply seated, unaffected by pressure, very acute on motion ; on suddenly turning head brain seemed to be loose ; < from every jar, step or straining at
stool.
Burrowing and tearing pain in occiput, in left side of vertex and in forehead, < on motion, from loud noise and when he speaks loudly or even on opening mouth slightly ; > when lying down.
Pain darting from behind forward through eyeball, causing violent pulsating pain in left temple and over left eye.
Pulsating headache, mostly in right temple ; < from least motion or noise ; > at rest and lying with head high.
Painfulness of cerebellum with stiff neck.
Headache every morning at sunrise, at its height at noon, gradually declines till sun sets, appearing even in cloudy weather.
When moving muscles of face, sensation as if skull would burst.
Sensation as of a band around head.
Severe stitches in left temple.
Supraorbital neuralgia, especially on left side ; pain recurs at regular intervals, tends to spread to face or neck and to involve eyes ; < from least concussion or motion, but especially by stooping ; pale face ;
restlessness ; palpitation.
Neuralgia, pain centres in, above or below eye, from cold, in damp rainy weather ; hyperesthesia of filaments of fifth pair.
Violent throbbing shooting pains over left eye ; moderate fever ; attack followed by general perspiration ; urine dark but without sediment ; after confinement.
Excruciating, burning, stitching pains, that seemed to come from deep in head, affecting left eye, and seemed to follow supraorbital nerve of same side ; attacks every morning at 4 o'clock, growing < each succeeding morning ; at time of attack eye slightly congested with
profuse acrid lachrymation ; nausea, vomiting and no thirst, tongue clean ; > by being bolstered up in bed. θ Suppressed intermittent.
Headache several times a week, begins soon after rising, generally lasts whole day ; tearing, rooting up pain, < from motion, especially walking in open air, when every step is attended by a violent jerk in head, but especially severe when lying down ; > sitting still, or
walking about room a long time ; head confused, often a feeling of emptiness, almost destroying power of thought ; any concussion, even loud speaking, aggravates headache ; feeling as if brain were shaking in skull on quickly moving head. θ Chlorosis.
Migraine, affecting either supraorbital region during cold rainy weather ; severe throbbing or tearing stitching pains, with redness and lachrymation of eye of affected side ; attacks last twenty-four hours.
Severe uninterrupted twitching, tearing, at times sawing pains, as if nerves were being torn out by a fine instrument, in right side of forehead and temple, extending over eye and into malar bone ; right eye inflamed, profuse lachrymation, sensation as if eye would be pushed
out of head, photophobia ; burning heat in affected parts of face ; distension and violent pulsation of temporal arteries ; coryza ; disturbed sleep.
Frequent headaches, sometimes on right, sometimes on left side, then in forehead, vertex or occiput, often spreading to face and shoulder ; throbbing, shooting, drawing, pressing ; weak digestion and catarrh of stomach after eating fat food ; after catamenial period,
attacks of pain in upper and lower jaw, tearing lightning-like twitches, with palpitation and fluttering of heart ; < from cold water, cold air, and chewing.
Any quick movement converts the dull aching pains into acute stabbing.
Headache < : from thinking ; by a bright light ; by noise ; by sneezing ; by motion of eyes or facial muscles ; by opening mouth ; by speaking aloud ; by cough ; from stooping ; shaking or jarring head ; making a misstep ; from
least motion ; by touch ; by warmth.
Headache > : when lying with head high ; from pressure, and laying hand on it ; from washing head with cold water ; while at rest.

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Adapted to anæmic, debilitated subjects, of rheumatic diathesis; to scrofulous children afflicted with ascarides and lumbrici (Cina, Stan.).

Persons with light hair; pale, thin, bloated, weak; wrinkled, yellow, earthy skin.

Body painfully sensitive to touch; part touched feels chilly; touch sends shudder through the whole frame (Kali c.).

Afraid of sharp, pointed things, pins, needles, etc.

Rheumatic affections of heart (Kal., Led., Naja); systolic blowing at apex. Aneurism.

Nervous headache; periodical, beginning in morning at base of brain, spreading over the head and locating in eye, orbit and temple of left side (right side, Sang., Sil.); pain, pulsating, violent, throbbing.

Headache; at sunrise, at its height at noon, declines till sunset (Nat., Tab.).

Intolerable, pressive pain in eyeballs; could not turn the eyes without turning the whole body; worse, especially on making a false step.

Sensation: as if eyes were too large for the orbits (Act., Com.); sensitive to touch; as if a band around head (Cac., Carb. ac., Sulph.).

Copious offensive mucus from posterior nares, drops into throat, causing choking at night (Hydr.).

Sharp, stabbing, sticking pains through eyeballs back into the head; from cold, damp, rainy weather.

Prosopalgia: periodical, left-sided orbit, eye, malar bone, teeth; from morning until sunset; pain tearing, burning, cheek dark red; cold, rainy weather; from tea.

Toothache from tobacco smoking; $>$ only on lying down and while eating (Plan.); worse from cold air and water; returns from thinking about it.

Scirrhus of sigmoid or rectum, atrocious unbearable pain (Alumen).

Dyspnœa: must lie on right side or with head high (Cac., Spong.); pains in chest are stitching, needle-like.

Chest affections with stitching pains synchronous with pulse, < from motion, < cold, wet weather.

Palpitation: violent, visible and audible; from least motion; when bending forward; systolic blowing at apex.

Stammering, repeats first syllable three or four times, with abdominal ailments; helminthiasis.

From motion, noise, touch, turning the eyes; from every shaking, commotion, or concussion.

Lying on right side with the head high (Ars., Cac., Spong.).

Quotidian; periodicity marked.

Morning; at same hour. Evening paroxysm is rare.

Rheumatic exposure; or occurring in connection with periodic neuralgia of head, face or chest.

Every morning, at same hour; alternates with heat or perspiration, especially on the back.

Sudden creeping chills, at one time only in the feet, at another only in the head and hands, at another on the back of chest and abdomen, at another over whole body, without thirst. Chill spreads from the chest (Apis, Carbo a., Sep.); least movement of the body causes chilliness.

Especially in the back; in flushes at night; on the face and hands with chill in the back. Heat in back, hands, abdomen, gradually increasing until he becomes hot all over. Thirst for beer, not water (Nux).

Putrid smelling night-sweat. Sweat of hands clammy; cold all over body; on slightest covering (Cinch.).

Irregular, generally strong but slow; trembling.

Coated yellow or white; cracked. Taste like putrid water. Ravenous hunger with nausea and thirst. Desire for alcoholic drinks.

Weak memory.
Disinclined to mental work.
Restless and anxious; solicitude about the future.
Gloomy, suicidal mood.
Afraid of pointed things, as pins; easily irritated or offended.

Vertigo: as if he would fall, worse in morning on rising, with headache, depriving him of his senses; when looking down or turning the eyes; with nausea.

Nervous headache, worse from thinking, from noise or anything jarring; face pale; anxious palpitation; nausea and vomiting.
Tearing in forehead, paroxysmal, with fixed eyes.
Boring from within outward, in the forehead, vertex or cerebellum.
Pulsating stitches in frontal protuberances.
Stitches in left side of head and out of left eye.
Pressing headache, mostly in right temple; worse from least motion or noise; better on rest, and lying with head high.
Headache beginning at cerebellum (in morning), spreading over left side of head, causing violent and pulsating pain in left temple and over left eye; periodical.
Dull stitches from within outward, on top of head; worse from touch and after washing, but better while washing it.
Feels as if the head would burst.
Painfulness of cerebellum, with stiff neck.
Headache when stooping, as from a band around the head.

Shaking in brain, worse when moving head or stepping hard.
Tension on the scalp.
Scalp feel sore to touch.
Head feels as if too large.

Feels as if feathers were on the lashes; worse wiping them.
Foresighted.
Photophobia; oversensitive retina.
Asthenopia (accommodative), slight retinitis; neuralgia; or with anæmia of the optic nerve from excessive tea drinking.
Dilated pupils.
Sharp, stabbing, sticking pains through eye ball back into head, or radiating; worse from moving eyes and at night.
Eyeballs feel too large.
Boring pains, supraorbital and temporal.
Superciliary ridge pains; worse from any change in the weather.
Bluish ring around the cornea; iris discolored.
Rheumatic ophthalmia, profuse lachrymation with or without pain; ptosis.
Strabismus, with worms.
Upper lids feel hard and immovable; stabbing pain in eyes.
Lids inflamed and ulcerated.
Chronic twitching of eyelids.
Great inclination to wink.

Hearing oversensitive, in neuralgia and headache.
Periodical deafness; ears feel as if stuffed.
Otalgia, with pressing as from a plug.

Violent nosebleed; also with endocarditis.
Coryza fluent; with dry heat, no thirst; eyes water; headaches, with hoarseness, and anxiety about the heart.
Copious offensive mucus, flows through posterior nares, causing choking at night.
Tickling and itching in nose.
Herpetic eruption on nose.

Bloated, distorted; worse morning on awaking; pale, sickly; yellow around the eyes; red; sweaty.
Prosopalgia, mostly left-sided, with tearing, shooting, burning into eye, malar bone and teeth, periodical; from morning until sunset, worse at noon; worse from motion or noise; with lachrymation, ciliary neuralgia, palpitation; cheek dark red.

Lips dry, pale, cracked.
Neuralgia radiating to nose, face, temples and neck.

Toothache: throbbing in decayed teeth; pressing outward, teeth feel cold; better while eating; worse after eating; from cold water; and at night, driving out of bed.

Taste like putrid water.
Stammering; with abdominal ailments.
Tongue: coated yellow, burning, with blisters; cracked.

Breath fetid.
Mouth dry on awaking mornings, with stinging.
Mouth feels dry and pricks as from pins, yet filled with tenacious and nauseous saliva.
White or yellow mucus in mouth and throat.

Sensation as of a worm rising in throat.
Tingling in œsophagus.

Ravenous hunger with nausea and thirst.
Loss of appetite with violent thirst.
Desire for alcoholic drinks.

Worse before breakfast: 16.
Better during and generally after eating.

Nausea before breakfast; with sensation of a worm rising in throat; better after eating; sickly, pale face. θ Worms.
Vomits food, with sour rising like vinegar.

Pit of stomach sensitive to touch.
Pressure in stomach as from a hard lump.

Stitches in region of diaphragm, left side, arresting the breathing.
Heavy pressure in precordial region causing constriction and anxiety; with cutting and griping in bowels as from wind.

Cutting colic at navel.
Pressure in umbilical region as from a hard lump.

Emission of fetid flatus.
Stools: of mucus with tenesmus; large lumps of mucus without feces; of feces with masses of worms; hard like sheep's dung and enveloped in mucus.
Itching and tickling in anus and rectum. θ Ascarides.

Copious; with frequent urging, mostly at night; drips involuntarily, with burning in orifice of urethra; with whitish sediment.

Erections with voluptuous fancies, but without sexual desire.
Swelling of one-half of corona glandis.
Tingling around corona glandis.

Stitches under either nipple.

Short-breathed, worse when talking, with red cheeks and lips.
Dyspnœa and suffocating attacks when moving in bed, or raising arms; must lie on right side, or with head high. θ Heart disease.

At night with catarrh; dry, hard; with worm affections; with dyspnœa, which is worse when bending forward.

Constriction in chest, with anxiety and difficult breathing.
Stitches in chest, worse from least movement, or when breathing.
Sensation of tearing in chest.
Trembling feeling, worse from any movement.
Can lie only on right side, with head high. θ Hydrothorax.

Stitches about heart: sometimes synchronous with pulse; with anxiety and oppression; often commencing with valvular disease, endocarditis, etc.
Purring feeling over heart; wave-like motion, not synchronous with the pulse.
Palpitation: violent, worse bending forward; high fever; stitching pains; when he sits down, after rising in the morning; from deep inspiration or holding the breath; from worms; from least motion.
Systolic blowing at the apex.
Nervous palpitation, with intermittent pulse.
Pulse: irregular; strong, but slow; trembling.

Painful contraction of muscles.
Shootings under left clavicle, or on a line with the heart.

Rheumatism of nape of neck, with painful numbness; worse lying on back.
Stitches in back, also when breathing.

Trembling of arms.
Stitches in bends of elbows and joints of hands and fingers.
Contraction of flexors of fingers.

Sprain of the foot.
Lancinating pain on sole of foot, when standing.

Stinging or stitches in joints.
Hard nodosities on hands and toes.

Rest: 3. Standing: 33. Sitting: 29. Lying on back: 31; with head high: 3, 26, 28; only on right side: 26, 28. Rising: 2, 29, 36. Motion: 3, 4, 5, 8, 26, 28, 29, 40. Must move: 36. Stooping: 4. Bending forward: 27, 29. Stepping hard: 4. Raising arms: 26. Jarring: 3. Looking down: 2. Turning eyes: 2.

Restless; cannot keep limbs still at night.
Body painfully sensitive to touch; part touched feels chilly; or, tingling through body.
Body feels heavy and sore, when rising from a seat.

Sleepy by day, even mornings; goes to sleep late.
Sleep restless, unrefreshing.

Morning: 2, 3, 8, 12, 40. Morning till sunset: 8. Noon: 8. Night: 5, 7, 10, 21, 27, 36, 40. Day: 37.

Washing: 3. Change of weather: 5. Cold: 10. Desire to uncover: 40.

Chill: often recurs at the same hour each morning; alternates with heat or sweat; on some parts, other being hot; from least movement; spreads from chest.
Heat especially in back; in flushes, at night, with thirst for beer; on face and hands, with chill in back; with desire to uncover.
Offensive-smelling night-sweat, with heat at the same time.
Clammy sweat on hands.
Cold sweat.

Periodical: 3, 8. Same hour every day:40.

Right: 3. Left: 3, 8, 18, 29, 30. Before backward: 5. Within outward: 3.

Dropsy of internal parts.
Painful glandular swellings.
Rheumatism attacking the heart.

Touch: 3, 4, 17, 36. Wiping: 5.

Pale, wrinkled, yellow, earthy.

Spigel. follows: Acon. (endocarditis), and is followed well by Arsen., Digit., Kali carb. (heart symptoms), Act. rac., Zincum.
Spigel. is antidoted by: Aurum (restlessness in limbs), Coccul., Pulsat.

A tincture is made of the freshly dried herbs of the "Pink root," Spigelia Anthelmia L.

The action of this drug on the nervous system has been utilized principally for the cure of neuralgic pains which affect every part of the body, but chiefly the head, chest and heart. ▶ Its febrile symptoms are not marked and it seems not to be useful for inflammatory affections, more than as palliative of the pains accompanying such conditions. ▶ It has none of the mental anguish of Aconite. ▶ Arsenic, etc., etc.

Bry. , Puls., Bell., China, Nux v., Sulph., Rhus t., Kalm., Arn., Cact.

Convulsions, then death. ▶ Stitches in many parts on ascending stairs after a moderate walk. ▶ Sensitiveness to touch, the slightest knock causes pain and shuddering about the place, even on stepping shattering in body; if he knocks against any part there is sudden painful crawling through whole body to head (Arn., Bell., China, Nux v., Puls.). ▶ Everything hurt him as if he were bruised (Arn.), and on rising from a seat he was dizzy and unsteady in his legs as if reeling. ▶ Sick in evening in open air, with anxiety and internal heat. ▶ Discomfort in whole body, with heaviness and lassitude in limbs and disinclination to work.

▶ Weakness; in morning; in morning on waking; in morning from confused busy dreams; in morning on rising; in morning, and overpowering sleepiness when sitting soon after rising; after walking; after slight exertion; when hungry; soon after beginning to walk in open air, agg. thighs, with anxious pressure upon chest so that he would be glad to eructate but cannot, then desire for stool and emission of flatus, with relief in abdomen; agg. ascending stairs; with trembling of hands on taking hold of anything; of mind and body, agg. standing.

Aggravation from 10 A.M., till 12 A.M.; from 10 till 12 morning and night, amelioration at 3 or 4 P.M.; in afternoon; at 8 P.M., with red burning cheeks, cutting low down across abdomen, settling in lower limbs and back. ▶ Amelioration about 3 or 4 P.M., then stupor.

The Spigelia patient is worse from any motion of the arms and from lying on the back (Bry.).

Joyful. ▶ Lively, contented and trustful mood alternating with palpitation and anxious oppression of chest. ▶ Earnest, vexed if any one jokes with him. ▶ Talks unwillingly. ▶ Anger. ▶ Peevish; in evening, he could kill himself, with chilliness of body. ▶ Unable to enjoy himself with others though he was not sad. ▶ Sad and peevish; and red in face; S. and fearful; S. then cheerful, then S. again in afternoon. ▶ Anxiety about the future; with inclination to peevish, indolent mood. ▶ Uneasiness and apprehension, inability to remain anywhere. ▶ Deep thought about his future. ▶ Sits lost in thought and stares at a single point. ▶ Inattention. ▶ Mental exertion difficult. ▶ Loss of memory; and mental indolence. ▶ Memory more active than before.

▶ Burrowing tearing in brain towards evening, agg. left, parietal bone, on motion, on walking, agg. a false step. ▶ Cutting, waking her after a short sleep, with general restlessness and nausea, slept towards morning, on rising listlessness and languor, urine scanty and high-colored. ▶ Thrust inward in one point towards middle of brain at every step in open air. ▶ Neuralgia flying from one part to another, agg. right side, and settling in cervical vertebræ, with feeling of imperfect support. ▶ Pain in brain on shacking head, with vertigo (Bry.); P., agg. stooping (Bry.); agg. open air; agg. lying, amel. walking; on shaking it, with heaviness; with pressure above right orbit; flying; like a heaviness, on drawing facial muscles it seems as if skull would burst at the top; like confusion. ▶ Soreness as if bruised, and in eyes. ▶ Pressure outward on speaking loud or coughing; in brain on stooping. ▶ Sensation in brain as if head were tightly bound. ▶ Fulness, and in eyes, causing redness of eyes, lachrymation and vertigo.

Continue in Allen 72 more passages →

Shooting pains in various parts of the body, usually radiating from a single point.
General sensitiveness to touch, the slightest bruise causes pain and shuddering.
General weakness after moving about in the open air.
Painful sensitiveness of the whole body to touch, creeping and crawling over the whole body.
Symptoms < after washing and after coition; also < lying on the back and moving the arms.

Burrowing, tearing pains in the brain, particularly in the left side of the head on motion, < walking or making a false step.
Jerking and shooting pains, flying about from one part to the other, but < right side.
Bursting pain in the forehead, so that it was impossible to think.
Shooting pains in the forehead, extending from the frontal eminence towards the orbit and eyes, so that he could not move the eyes without pain, < motion and loud noises, > lying down.
Deep-seated pains in the right side of the head, involving the right eye, < turning the head; the brain seems loose, < motion.

Shooting pains extend from the eyes into the head, < moving the eyes, often with vertigo.
The eyeballs feel too large, pain on moving them, has to turn the whole head to change the axis of vision.
The upper lids hang down, as if immovable; the eyes are difficult to open.

Clinical:
Ciliary neuralgia, radiating pains.
Ptosis, with sharp pains and hot lachrymation.
Iritis.
Asthenopia.

An aching pressure in the ear as from a plug.
The ears seem stopped, ringing with difficult hearing.

Tearing pains in one zygomatic process.
Tearing pains in the whole jaw, extending to the ear and even to the nape of the neck, < moving the head, as if the jaw would be torn out of the joint.
Face pale and puffy, especially on waking from sleep, yellow rings around the eyes.

Tearing, beating toothache, < cold water and cold air, and immediately after eating.
Tongue fissured.
Neuralgia of the tongue.
Much white, frothy saliva in the mouth and fauces.

Soreness, with sticking pain in the pit of the stomach, < inspiration.
Pressure, as from a hard lump in the stomach.

A feeling of a hard lump in the abdomen.
Bursting pains before stool, followed by relief.

Boring stitches in the anus and coccyx.
Frequent, ineffectual urging to stool.
Evacuation of large pieces of mucus from the bowels.

Paroxysms of suffocation, with anxiety and violent palpitation, with pains in the chest.
Cutting, tearing pains in the left side of the chest, below the nipple, extending to scapula and arm, < deep breathing.
Tearing, boring pains on the right side.
Cutting constriction about the chest, with anxiety.
Sticking pains in the region of the heart, extending through the whole chest, even to the clavicle and arm; must stand still.
Stabbing pains through the region of the heart on deep breathing.
Dry, hollow cough, arresting the breathing or with paroxysms of suffocation.

Violent and persistent palpitation, with anxious oppression and trembling of the heart.
Violent beating in the morning after rising, with a feeling of weight on the chest.
Beating of the heart is visible through the clothes, and is heard when lying down.
Desire for fresh air.

Clinical:
Neuralgia of the heart, involving the chest and arm.
Irregular and tumultuous action of the heart from slight causes.
Inflammations of the heart, external and internal, with violent palpitation and severe pain, dry cough; at times with numbness of the arm and irregular pulse.

Bruised pains in the spine, or shooting pains in the back, especially when breathing.

Trembling and fatigue.
Tearing pains, particularly in the hands and lower legs.

Chilliness on the slightest motion, in the morning, without thirst.
Heat, with thirst.
Cold sweat.

Spi. / The Spy.

Spigelia,-What needs thy aid
Are pains neuralgic, that invade
The face and eyes and head and heart,
When noise and jar, fresh pangs impart;
And forehead pains that bring a frown,
And vertigo on looking down,
And headache, that involves the eye,
With pressure like a bandage tie.
Scalp sore and tender-eyeball sore,
Form pain intense-on turning more-
But prosopalgia plays the tune,
The whole day long and worse at noon.
A plug-like pressure clogs thy ears,
Thy hearing whilom disappears.
A toothache thine intensified,
By air, or water cold, applied.
Sharp stitches in the heart and chest,
With respiration much oppressed.
Loud beating heart, wherewith denied,
Reclining on the right hand side.

The Spy,-Has stitching pains in the heart.

The Spy, Spon Ole, jeers at Cato, the miser.

This Spy,- Who is subject to palpitation of the heart,-Is at Jo Cato's, with twelve sports from Meli, spending gold on Lily and Glora Collin.

Heart Stitches: Spi., Song., Ole., Aco., Rhus, Sul., Cact., Mez.

Palpitation of the Heart: Spi., Iod., Cact., Thuj., Ars., Lyc., Ver. a., Spo., Meli., Sil., Pho., Nat. m., Dig., Aur., Lil. t., Glon., Collin. (From the least motion, Dig., Nat. m., Pho., Sil., Stap. - Audible, Ars., Spi., Dig., Thuj. - With fainting, Asa., Lach., Laur., Sul.)

Indicated principally in neuralgia of the head (feeling as if skull would open), ciliary, facial, intercostal, intestinal, cardiac, the pain radiating from a central point; in inflammation of the heart (endocarditis, pericarditis) and of the eye (iritis). Used as an anthelmintic and for the symptoms due to the presence of worms in children.

Pain begins at a certain point and radiates from there in every direction.

Pains followed by extreme soreness; pressing from within outward (as in the head and eyes).

Hypersensitiveness to touch, the slightest touch being unbearable; aggravation from the slightest jar.

Exaltation of special senses; his voice sounds to him like a bell whose vibrations hurt his head.

Fever heat with desire for external heat.

Prosopalgia with tearing, shooting pain in cheek, lower jaw, temple, eyes; periodical, lasting from sunrise to sunset, worst in the middle of the day.

Headache, pressing in right temple, involving the eye; worse from motion and noise; from making a false step; from lying on back.

Eyes, when moved, pain as though too large for the socket.

Trembling pulse which can hardly be counted.

Purring noise about the heart like the purring of a cat.

Pulsations of the heart violent, audible to patient, visible to others.

Palpitation in the morning, on sitting down, on rising from bed.

Worse from slipping or misstep; from blowing nose; from expiration; from touching the affected part; from lying on back; from walking in the open air; from worms.

Better while taking an inspiration; from lying with head high.

Difficult thinking and disinclination for mental exertion. Very weak memory. Restlessness, anxiety, and solicitude for the future. Dejection even mounting to self - destruction. Uneasiness.

When looking downward.

Neuralgias coming forward from the occiput and settling over left eye (over right eye Sang. sil.), coming and going with the sun (Nat-m., Sang.), with lachrymation of left eye (of right Chel.). Outward boring pain in forehead, vertex or occiput. Inward pressure generally in right temple, or as if brain were pressed out of forehead. Shocks of tearing pain in forehead, with staring eyes. Thrusts and jerks in head. Pressive squeezing pains, especially when stooping. Sore pain in forehead and vertex. Shaking in brain. Painfulness of occiput, with stiffness of nape. Worse: Evening. Motion: Slight, of head, of eyes, stepping hard. Mental exertion, noise, opening mouth, coughing, stooping, talking, sitting, standing, walking in open air. Better: Rest, lying with head high, closing eyes, uncovering head, in room, laying hand on part, external pressure.

Painful sensitiveness of scalp and hair to motion, with a burning ulcerative pain when touched. Tearing in, a shivering runs all over., when affected part is touched. Tension of scalp. Dull outward sticking in, alternating with a sore pain on vertex. Better: Drink, but worse after washing, uncovering. Worse: Touch.

Are painful in their sockets when moved. Sensation as though balls were too large. The lids hang down seemingly hard and immovable. Difficult opening of. Inflammation of margin of lids. Burning in with redness of sclerotic and distended blood vessels. Acrid tears. Dilated pupils. Presbyopia.

Earache: Like a plug forcibly pressed into. Sense of stoppage. Deafness.

Tickling itching on. Herpetic eruption on, with painful soreness. Catarrhal fever, with weeping mood and dry heat without thirst. Profuse discharge of mucus through posterior, with dryness and stoppage of anterior nares.

Pale, puffy, with distorted features, especially early in morning when waking from sleep. Sweat on. Yellow circles about eyes Red. Jerking, tearing pressure and burning in zygoma. Pressive pain in lower jaw.

Thumping tearing ache by cold water and admission of cold air. Ache as though' being torn out, immediately after eating and at night.

Bad odor from. Much white, foamy saliva in, and in fauces. Fissures, in tongue.

Taste: Putrid, fetid, in month.

Pit of, sensitive to touch. Pressure as of a hard lump in.

Appetite: Loss of, with violent thirst. Ravenous hunger, with qualmishness.

Pressure as of a hard lump in navicular region. Stitches in. Worm colic.

Frequent, ineffectual urging. Discharge of large pieces of mucus, without feces. Discharge of feces with worms.

Frequent urging to urinate, with profuse discharge, also at night while sediment.

Frequent erections, with voluptuous thoughts, but no sexual desire.

Short, especially when ascending. Suffocative attacks, with anxiety, violent palpitation and chest pains.

Violent, with suffocative attacks. Dry, hollow, with obstructed respiration.

Stitches. Contractions, with difficult breathing. Tearing pain. Sense of trembling in, from slightest motion. Punching stitches in diaphragm, with obstructed respiration. Extraordinarily violent, visible and audible, anxious palpitation, bending chest forward. Pursing in.

Sticking pain in, especially when breathing.

Neck: Hard, painful swelling of cervical glands.

Stitches in joints of arms and hands. Hard, burning, itching nodules on palms.

Stitches in joints of lower limbs and in upper thighs when walking. Wart - like excrescences on toes.

Sticking pain in limbs, especially in joints. Heaviness and bruised sensation in entire body when rising from sitting. General weariness, especially after the slightest motion in open air. Painful sensitiveness of entire body to contact, with shuddering of the parts touched, or with crawling running through, or with crawling running through whole body. The symptoms are intensified after washing and after satisfying the sexual desires. Spigelia first affects the heart then the eyes.

Glands painfully swollen.

Pale and wrinkled on body.

Disturbed, at night, by physical restlessness. Unrefreshing, at night, followed by sleepiness early in morning.

Pulse: Irregular, mostly strong, but slow. Tremulous. Quicker in evening, slower in morning. Chill: In morning, often recurring at same hour. Alternating with heat or sweat. Or single parts, with warmth of others. Universal, overrunning c., with concomitant heat. Proceeds from chest. chilliness from the least motion. Heat: Principally on back. Nocturnal flying heat, with thirst, especially for bear. Of face and hands, with chill on back. Sweat: Nocturnal, offensive, with concomitant heat. Clammy on hands. Cold.

Complementary: Spo.