Spongia Tosta spong.

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

HEART; valves. Larynx. Trachea. Glands.

Worse

DRY, COLD Wind. Roused from sleep. Exertion. Raising arms. Before 12 P.M.

Better

Lying with head low. Eating a little.

General

FLABBY. Weak and heavy. Feels stuffed up. Orgasms. Hard swellings; glands (ductless).

Particulars

Terrified, anxious look. Eyes seem to protrude. Sorethroat, < sweets. Painfully swelled spermatic cord and testes; stitches in; squeezing in. Hard testes. Noisy, whistling inspiration on falling to sleep. SUFFOCATION; as from a plug, leaf or valve in larynx; waking him; with violent, painful palpitation and blue lips; with heavy sweat. Anxious, gasping breathing. HOLLOW BARKING, CROWING, SAWING OR TIGHT CROUPY COUGH; wakes child; then burning in chest; < cold drinks or excitement; > eating. Voice gives out. Croup; sudden. HOARSENESS. Larynx pains, < touch, singing, talking or swallowing; he grasps it. Diphtheria. Neck; as if a cord about. Choking on falling to sleep. Goitre. Fulness in chest. Apical phthisis. HEART; surgings mount up to neck, head and face; with closure of eyelids and tears. Palpitation. Goitre-heart. Valvular disease. Numb fingertips or lower half of body. Awakes in anxiety. Heat; in spells, with anxiety and cardiac pain, would rather die; and sudden weakness after walking in open air, he must lie down; with cold, moist thighs; < thinking of it.

Related

Follows: Cact. Related: Iod. Led.

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

For the tubercular diathesis . Especially adapted to diseases of children and women; light hair, lax fibre, fair complexion (Brom.). Swelling and induration of glands; goitre (Brom.). Awakens in fright and feels as if suffocating; as if head to breathe thru a sponge. Every mental excitement < or increases the cough. Worse after sleep or sleeps into < (Lach.). Sore throat, < after eating sweet things. Thyroid gland swollen even with chin: with suffocative paroxysyms at night. Goitre. Great dryness of mucous membranes of air passages - throat, larynx, trachea, bronchi - "dry as a horn.". Cough: dry, barking, croupy; rasping, ringing, wheezing, whistling; everything is perfectly dry, no mucous rale. Cough: dry, sibilant, like a saw driven through a pine board; < sweets, cold drinks, smoking, lying with head low, dry cold winds; < reading, singing, talking, swallowing; > eating or drinking warm things. Croup: anxious, wheezing, < during inspiration (< during expiration, Acon.); < before midnight (< before morning, Hep.). Palpitation: violent with pain and gasping respiration; awakened suddenly after midnight with suffocation and great anxiety; valvular insufficiency; before and during menses. Angina pectoris; contracting pain, heat, faintness, suffocation, anxiety and sweat; < after midnight. Spermatic cord swollen, painful; testicles swollen, bruised, squeezed; after suppressed gonorrhoea or maltreated orchitis.

Relations

Spongia follows well: after, Acon., Hep., in cough and croup when dryness prevails; after Spong., Hep., when mucus commences to rattle. Compare: Arn., Caust., Iod., Lach., Nux m., sputa loosened but must be swallowed again.

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)

Larynx and Trachea

Affections in general of the larynx and trachea--particularly in all such affections as croup, asthma, etc., where everything is perfectly tight and dry, no loose rattling sound appearing in the breathing or cough. Burning sensation is felt in the throat after coughing; suffocative attacks of breathing (as in asthma), without any mucous rattle; respiration loud; very hollow voice, all without any rattling sound, or any looseness.

Sensations

Uncomfortable feeling of the clothes, they being an oppression and annoyance to the wearer; growing pains; darting pains from within outward; itching, no better from scratching.

Generalities

Troubles in general of any kind appearing in the sexual organs, especially right side; testicles and spermatic cord; anterior surface of the thigh. Phthisis pulmonalis, cough, breathing etc., being very tight and dry.

Worse

From turning the head; on ascending (going upstairs, up a hill, rising from a chair etc.); from tobacco; wind; from the west wind.

Better

On descending.

Remedies following

Bryon., Conium, Hepar., Nux Vom., Phosphor., Pulsat.

Antidote

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

Thyroid gland swollen and hard, with suffocative attacks at night. Swelling of the testicles, with pressive bruised pain; stitches from testicles into spermatic cord which is swollen and painful. Croup; dry, barking, hollow cough, with wheezing, whistling, sawing, anxious breathing; worse during inspiration and lying down.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Roasted Sponge

General

A remedy especially marked in the symptoms of the respiratory organs, cough, croup, etc. Heart affections and often indicated for the tubercular diathesis. Children with fair complexion, lax fiber; swollen glands. Exhaustion and heaviness of the body after slight exertion, with orgasm of blood to chest, face. Anxiety and difficult breathing.

Mind

Anxiety and fear. Every excitement increases the cough.

Head

Rush of blood; bursting headache; worse, forehead.

Eyes

Watering; gummy or mucus discharge.

Nose

Fluent coryza, alternating with stoppage. Dryness; chronic, dry, nasal catarrh.

Mouth

Tongue dry and brown; full of vesicles.

Throat

Thyroid gland swollen. Stitches and dryness. Burning and stinging. Sore throat; worse after eating sweet things. Tickling causes cough. Clears throat constantly.

Stomach

Excessive thirst, great hunger. Cannot bear tight clothing around trunk. Hiccough.

Male

Swelling of spermatic cord and testicles, with pain and tenderness. Orchitis. Epididymitis. Heat in parts.

Female

Before menses, pain in sacrum, hunger, palpitation. During menses, wakes with suffocative spells (Cupr; Iod; Lach). Amenorrhœa, with asthma (Puls).

Respiratory

Great dryness of all air-passages. Hoarseness; larynx dry, burns, constricted. Cough, dry, barking, croupy; larynx sensitive to touch. Croup; worse, during inspiration and before midnight. Respiration short, panting, difficult; feeling of a plug in larynx. Cough abates after eating or drinking, especially warm drinks. The dry, chronic sympathetic cough or organic heart disease is relieved by Spongia (Naja). Irrepressible cough from a spot deep in chest, as if raw and sore. Chest weak; can scarcely talk. Laryngeal phthisis. Goitre, with suffocative spells. Bronchial catarrh, with wheezing, asthmatic cough, worse cold air, with profuse expectoration and suffocation; worse, lying with head low and in hot room. Oppression and heat of chest, with sudden weakness.

Heart

Rapid and violent palpitation, with dyspnœa; cannot lie down; also feels best resting in horizontal position. Awakened suddenly after midnight with pain and suffocation; is flushed, hot, and frightened to death (Acon). Valvular insufficiency. Angina pectoris; faintness, and anxious sweat. Ebullition of blood, veins distended. Surging of heart into chest, as if it would force out upward. Hypertrophy of heart, especially right, with asthmatic symptoms.

Skin

Swelling and induration of glands; also exophthalmic; cervical glands swollen with tensive pain on turning head, painful on pressure; Goitre. Itching; measles

Sleep

Awakes in a fright, and feels as if suffocating. Generally worse after sleep, or sleeps into and aggravation (Lach).

Fever

Attacks of heat with anxiety; heat and redness of face and perspiration.

Modalities

Worse, ascending, wind, before midnight. Better, descending, lying with head low.

Relationship

Compare: Acon; Hep; Brom; Lach; Merc prot; Iod (Goitre).

Dose

Second trituration, or tincture to third potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Croup cough; sounds like a saw driven through a board; < on awakening out of sleep.

Awakens out of sleep with a sense of suffocation, with violent loud cough, great alarm, agitation, anxiety and difficult respiration.

Cough < talking, reading, singing, swallowing, lying with head low.

This is not a remedy of very wide range, so far as yet known, but is of such marked utility within its range that we could not afford to lose it. Its action upon the respiratory organs is first to be considered. It first attacks the larynx, extends from there to the trachea, bronchial tubes and into the air cells of the lungs themselves. Next to Aconite it is the remedy, oftenest indicated in croup. The cough is dry and sibilant, or sounds like a saw driven through a pine board, each cough corresponding to a thrust of the saw. Croup often comes on after exposure to dry, cold winds. It generally comes on in the evening, with high fever, excitement and fearfulness. For this cause and these symptoms Aconite is the first remedy, and in the 30th or 200th cures a great majority of cases without the aid of any other remedy. But if after a few doses, or a reasonable time, it does not alleviate, and the case continues to grow worse, and the paroxysms of cough and suffocation come on oftener, and especially on awakening out of sleep, Spongia is generally the next remedy.

I live in a croupy climate and district, and after experimenting for thirty years, first with the low, then with the higher preparations, affirm that the 200th potency of this remedy does better work in croup than the lower preparations. I often give either of these remedies (Aconite or Spongia), according to indications, as often as once in fifteen minutes in watery solutions until amelioration, and then lengthen the intervals between doses according to amelioration. After the Croup becomes loose, but still retaining some of its croupy sound, Hepar sulphuris comes in, especially if inclined to get worse after midnight or in the morning hours. If the case inclines to relapse, or gets a little more croupy every evening, Phosphorus will often finish the cure. In the laryngitis or bronchitis of adults, Spongia is as useful as it is in the case of croup in children. There is a great hoarseness, some soreness and burnings and the cough is worse on talking, reading, singing or swallowing. I often find it particularly useful after Belladonna has improved the sore throat which often precedes the laryngeal or bronchial trouble, and which is generally brought on by colds so often contracted here in our northern climate.

In Chronic affections of the respiratory organs, which may finally lead to consumption, Spongia vies with Phosphorus, Sanguinaria and Sulphur. There is soreness, burning, rawness and heaviness in the chest, while the cough is worse in the evening, from cold air, talking, singing or moving, and better from eating and drinking warm things. I will not attempt to give all the symptoms for its use in respiratory diseases, but proceed at once to its remarkable action upon the heart. I have never done better work with any remedy in valvular disease than with Spongia. "Awakes out of sleep from a sense of suffocation, with violent, loud cough, great alarm, agitation, anxiety and difficult respiration " is a key-note and is frequently met in valvular affections. No remedy, not even Lachesis, can do better here. Not only are these paroxysms relieved or stopped, but valvular murmurs of years' standing have disappeared under the action of Spongia. Cannot lie with head low is characteristic, also sleep into the paroxysm (Lachesis).

The dry, chronic, sympathetic cough of organic heart disease is oftener and more permanently relieved by this remedy than by Naja. Spongia is also a good remedy for goître, with sense of suffocation after sleep.

Text Book of Materia Medica

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

General

Attacks of anxiety, with pain in the region of the heart. Excessive mirth with irresistible desire to sing.

Head

Vertigo ; at night when waking, with nausea. Congestion of blood to the head, with pressing, beating, and pulsation in the forehead, with redness of the face, anxious look, restless sleep, relieved in a horizontal position. Pressing headache in the (right) frontal eminence, from within to without, worse when sitting, when entering a warm room, after walking in the open air, when looking intensely at any thing ; better when lying on the back in a horizontal position. Violent itching on the scalp. Sensation as if the hair were standing on an end (on the vertex).

Eyes

Pressing and stinging in the eyes. On looking intensely on one spot lachrymation and he ache. Redness of the eyes with lachrymation and burning. Pressing heaviness of the eyelids. Double vision.

Ears

Suppuration of the external ear. Hardness of bearing.

Nose

Bleeding of the nose, especially when blowing it (at dinner). Eruptions on the tip of the nose.

Face

Pale face with sunken eyes. Redness of the face with anxious expression of the countenance ; heat on one side of the face, renewed when thinking of it. Swelling of the cheeks. Itching and stinging, on the cheeks. Eruptions on the lips. Tension in the articulation of the (left) jaw (when walking in the open air). Swelling of the submaxillary glands with tension.

Mouth and Throat

Mouth and tongue full of vesicles, with burning and stinging pains, on that account cannot eat any solid food. Weak voice. Salivation. Burning and stinging in the throat. Tongue brown, dry. The teeth feel dull and loose when masticating. Itching and stinging in the teeth.

Stomach and Abdomen

Bitter taste, only in the throat. Ravenous hunger ; unquenchable thirst. Nausea with acidity in the mouth. Vomiting after drinking milk. The pressure of tight clothes around the stomach is unbearable. Stitches in the region of the stomach from the least pressure. Swelling and inflammation of the (left) inguinal gland. Rumbling in the abdomen, especially in the evening and in the morning. Sensation as if the stomach were relaxed and not closed.

Stool and Anus

Stool hard, insufficient. During stool tenesmus. Itching, biting, and soreness at the anus, discharge of ascarides.

Urinary Organs

Incontinence of urine. Frequent urging to urinate, with small discharges. Urine frothy ; sediment thick, grayish white or yellow.

Sexual Organs

Men. Hard swelling of the testicles and spermatic cord, with pressure. Women. Menstruation too early and too profuse. Before the menstruation, pain in the back ; later, palpitation of the heart.

Respiratory Organs

Difficult respiration as from a plug in the larynx. Dyspnœa relieved by bending the body forward. Wheezing, anxious breathing (inhalation), with violent laboring of the abdominal muscles. Constrictive spasmodic pain through the chest and larynx. Burning in the chest ; soreness in the chest. Congestions in the chest from the least movement or excertion, with dyspnœa, nausea, and faintish weakness. Stinging and pressing pain in the præcordial region. Sensitiveness of the larynx to the touch and when turning the neck. Dry, hollow barking cough day and night. Dry cough from burning-tickling in the larynx. Cough day and night with burning in the chest, relieved by eating and drinking. Hoarseness with cough and coryza. Weak voice, giving out when singing or talking. Pressure in the larynx when singing. Inflammation of the larynx, trachea, and bronchus. Croup. Bronchitis. Hooping-cough, deep, hollow, barking, caused by the sensation of a plug in the larynx, with expectoration only in the morning of small quantities of tough, yellow, hardened mucus, compelling one to swallow it again. Aggravation of the cough in the evening till midnight ; from cold air ; from turning the head ; from exercise ; from lying low with the head ; from talking and singing. Palpitation of the heart (before menstruation), with suffocation, violent gasping respiration, pain in the heart. Rheumatic affections of the valves of the heart (fibrous deposit upon the valves). Violent palpitation of the heart, beats rapid (each beat was accompanied by a loud blowing, as of a bellows), awakens him after midnight, with a sense of suffocation, loud cough, great alarm, agitation, anxiety, and difficult respiration.

Back and Neck

Painful stiffness of the muscles of the neck and throat. Large goitre, with stinging, pressing and tingling pain.

Extremities

Heaviness and trembling of the forearm and hands. Swelling of the hands and stiffness of the fingers. Redness and swelling of the joints of the fingers, with tension on bending them. Numbness of the tips of the fingers. Large vesicles on the forearm. Lower. Stiffness of the legs. The thighs are spasmodically drawn forward or backward.

Generalities

Stiffness in the extremities. Sensation of numbness in the lower part of the body. The whole body feels heavy.

Sleep

Sleeplessness, and when going to sleep delirium. Awakens towards morning from a jerk upwards from the larynx, as if she would suffocate, must sit up, and raises sour, salty mucus.

Fever

Pulse rapid, full and hard. Chill with shaking, even near a warm stove, principally over the back. Violent heat, soon after the chill, with dry, burning heat all over the body with the exception of the thighs ; they remain numb and chilly. Attacks of flushes of heat. Anxious heat, with red face and weeping, inconsolable mood. Cool perspiration on the face in the evening. Morning sweat over the whole body.

Skin

Swelling and induration of the glands. Red, itching blotches on the skin. Herpes.

Conditions

Aggravation; when ascending ; from smoking tobacco ; in the room. Amelioration; on descending. All the symptoms, with the exception of those of the respiratory organs, are relieved when at rest and while lying in a horizontal position.

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

Common Sponge, roasted. N. O. Cœlenterata. Tincture (20 grains in 400 drops of alcohol).

Clinical

Aneurism. Angina pectoris. Asthma. Catalepsy. Chin, affections of. Clumsiness. Constipation. Cough. Croup . Diplopia. Exophthalmos. Fainting. Goître ; exophthalmic. Heart, hypertrophy of. Hernia. Jaw-joint, pain in. Laryngismus. Laryngitis . Myopia. Rheumatic fever. Rheumatism. Testicles, inflammation of . Tuberculosis. Varicosis. Whooping-cough. Worms.

Characteristics

According to Hahnemann, Toasted Sponge was first mentioned as a specific for goître by Arnald von Villanova in the thirteenth century; but it was generally given mixed with other substances, and had fallen into disuse when Hahnemann proved it. The virtues of Spongia have been attributed to the Iodine contained in it, and partially liberated by the presence of roasting. But Spongia contains many other elements besides Iodine , and it has a distinctive action of its own. It is antipodal to Iod . in this respect, that it is best Suited to blue-eyed, fair-haired patients, whereas Iod . acts best on brunettes. Spo . is suited to scrofulous affections, and is often indicated with women of lax fibre, and children. One of the keynotes of Spo . is Dryness of mucous membrane ─ of tongue, pharynx, larynx, trachea. Cough is caused by dryness. The cough itself is dry, intensely hacking, crowing, "dry as a bone," or sounding like a saw being driven through a pine board. Dry asthma. In laryngismus, croup, and asthma the patient rouses up generally after midnight with fear of suffocation and death. The sputa cannot be raised, must be swallowed, swallowing > . In laryngismus there is contraction of larynx as if suddenly grasped. With the dyspnœa there is terrible sinking; he seems to be sinking down in a pit. The larynx is sensitive, but has not the hyperæsthesia of Lach . Like Lach. Spo . has < after sleep. Rouses up in sleep as if in a great fright. Cough is excited by talking; by dry, cold winds; > by eating or drinking; by swallowing; especially > by warm food. Sweets < . Spo meets some cases of true tuberculosis; of larynx; of apices, with commencing solidification; tubercles spreading downwards. Congestion of chest coming on when the patient is moving about with sudden weakness as if he would fall. Rawness in the chest is another note of Spo . The action of Spo . on the respiratory organs is closely connected with its action on the glandular system, the lymphatics, the thyroid, and testes are indurated. The blood, heart, and veins are also involved, and with the protruding eyes a perfect picture of exophthalmic goître is produced. Hypertrophy of the heart is frequently met by Spo ., and it is especially indicated when the right heart is affected and when asthmatic symptoms are associated with it. Spo . meets some cases of croupous deposit on the valves of the heart as it does croup of the larynx. The Spo . patient in phthisical and other conditions is subject to frequent flashes of heat. The chill commences usually across the back. He shakes near a warm stove. The heat which follows extends over the whole body except the thighs, which remain numb and chilly. In the heart affections the patient is aroused from sleep as if smothering; sits up in bed with an anxious look, flushed face, and hard, rapid breathing. Kent ( M. A ., xxv. 17) gives this indication: "Rheumatic fever after having been over-heated, with arising heart complications." Nash gives this keynote of Spo . in valvular diseases: "Awakes out of sleep from a sense of suffocation, with violent, loud cough, great alarm, agitation, anxiety, and difficult respiration." He says it is better than Lach . here; and relieves the "dry, chronic, sympathetic cough of organic heart disease" more frequently and more permanently than Naja. Spo meets also thickening of joints after rheumatic fever. In orchitis, with heaviness and screw-like squeezing pain in cord and testicle, Spo is the chief remedy, though others are generally needed before that stage is reached. Timidity, fear, and terror are leading mental symptoms. Any excitement and thinking of symptoms < . Peculiar Sensations are: As if head would fall to one side. As if tipsy. As if all her blood were mounting to head. As if skull would burst. As if hair were standing on end. Eyes as if twisted around. As if a battery of guns were discharged in ears. Stitches as if passing through tympanum. Nodule in concha as if it would gather and break. Jaw as if dislocated. As if eruption were to appear near chin. Left side of chin as if ulcerated. As if something had got jammed between teeth in chewing. As if gums and teeth were swollen, the latter being lifted. Outside of throat as if something were being pressed out. As of a plug in throat. As if he had drunk a great deal of luke-warm water, relaxation of stomach, and œsophagus. Pit of stomach as if growing together. Stomach as if standing open. Of obstruction in abdomen (and in trachea). As if something alive moving in abdomen. As if something alive beneath skin of abdomen. As if diarrhœa would ensue. As of a plug in larynx. As if a stopper or valve were in larynx. As of a nail pressing in larynx. As if larynx and trachea were removed. As if she would suffocate. As if child could not get breath. As if breathing through a sponge. As if chest would burst. Chest as if sore and bloody. As of a large accumulation and weight at chest. As if a broad body armed with points were pressing upward. As if a weight were dragging down on chest. As if she had something hot inside chest. As if blood would burst out of chest. As if cervical glands were swelling. As if skin of neck were compressed between fingers. As if air were passing up and down thyroid and cervical glands. Thyroid gland as if hardened. As if everything were shaking and moving about in goître. As if goître were alive. As if a pointed instrument were thrust into scapulæ. As if bones of forearm were being pressed together. As if parts in and between wrists were weakened by decay. As if a muscle were too short in upper end of thigh. As if knees would give way. As if weight hanging on lower end of tibia As of pins in heels. As if she were going to faint. As if everything were in flames. As if sweat would break out. There is excitement of the nerves; tendency to start; twitching of muscles, with fever. Stiff without ability to move. "Conscious but unable to act on her limbs" (as in a cataleptic state). Clumsiness of body. Faint when losing her breath. Feeling of numbness of lower half of body. < When thinking of her symptoms. Complaints extend downwards; from within out; from right to left. There are cramp-like pains. Bitter taste in throat . Aversion to tobacco. Desire for dainties (but sweets < ). The symptoms are < by touch and pressure. Scratching does not > biting itching. < Motion; walking; stooping; rising; raising arms (becomes faint); talking; singing. Bending forward > dyspnœa; < symptoms of circulation. > Descending. > Resting in horizontal position. Lying with head low < . Lying right side < . < At night. Before midnight: croup < ; dry sound of breathing and cough sleepless until midnight. After midnight: wakes with palpitation with suffocation. < Warm room. > Warm food or drink. Frosty weather > cough. Dry, cold weather > headache. Cold weather = coryza. Cold air < cough. < Sudden changes of atmosphere. < At full moon. < Periodically; every night. Eating and drinking > cough; drinking = cough. < Sweets. < After sleep.

Relations

Antidoted by: Camph. Follows well: Aco., Hep. Followed well by: Bro., Carb. v., Hep. [Bœnninghausen's croup powders consisted of a sequence of Aco., Hep., Spo., given in that order. Spo. is dry; Hep. rattling; Spo. < before midnight; Hep. < after.] Compare: In general affections, Chlo., Bro., Iod. (Iod. dark, Spo. fair subjects), Thyroidin, Badiaga. Laryngitis, Samb. (with Samb. the spasms occur frequently); Lach. (sensitive to touch; Lach. from hyperæsthesia; Spo. from inflammation of cartilages). Cough > by eating, Anac. Dry tongue, Nux m. (with Spo . the dryness extends downwards; not with Nux m.). > Warm drinks, Ars., Alm., Lyc., Nux, Rhus ( > cold drinks, Ver.). Heart, Naj., Sep., Kalm., Abro., Lach. Orchitis, Gels., Pul., Ham. (intense soreness), Merc. (with a little yellowish-green gonorrhœa). ─ Spo. comes after these when there is induration. Bitter taste in throat (Ruta, nausea in throat). Jaw-joint as if dislocated, Rhus. < Thinking of symptoms, Ox. ac., Pip. m. Tubercular diathesis, Bac., Tub. Voice fails, Alm., Dro.

Mind

Disconsolate and lachrymose humour. ─ Timidity and tendency to be frightened. ─ Combative and boastful humour. ─ Immoderate and mischievous gaiety. ─ Great inclination to sing. ─ Mental obtuseness, with complete disinclination and incapacity for attending to intellectual labour. ─ Distraction of mind. ─ Pert, witty humour. ─ Alternately gay, lachrymose, and cross. ─ Conscious but unable to act on her limbs. ─ Fancies appear on, shutting eyes. ─ Fretful and anxious about her condition, fears she will die of suffocation. ─ Anxious sweat and faintness. ─ She is very timid, and is esp. pursued and incessantly tormented by a frightful scene of some mournful event of the past. ─ Anxious as from presentiment. ─ Fright awakens. ─ Satiety of life, with the heat. ─ Obstinacy. ─ Every exertion < the cough.

Head

Vertigo, with giddiness, to such an extent as to fall, sometimes in evening, or else with a sensation as if head were about to fall on one side. ─ Vertigo, with nausea, on waking at night. ─ Heaviness and fulness of head. ─ Dull semilateral headache on entering a warm room from the open air. ─ Headache, with lachrymation, when looking fixedly at an object. ─ Pressive headache, sometimes with compression. ─ Pressing headache in (r.) frontal eminence, from within to without, < when sitting, when entering a warm room, after walking in the open air, when looking intensely at anything; > when lying on back in a horizontal position. ─ Sharp stitches in l. temple extending to forehead. ─ Pains in head as if it were about to split, esp. in forehead. ─ Throbbing and pulsation in head. ─ Congestion of blood in head, with pressing, beating, and pulsation in forehead, with redness of face, anxious look, restless sleep, > in a horizontal position. ─ Disagreeable tenderness of exterior of head. ─ Sensation as if hair were standing on end (on vertex). ─ Troublesome (violent) itching in scalp.

Eyes

Eyes dull and clouded, with puffing in lids. ─ Eyes deeply sunk; or protruding, staring. ─ Maculæ of cornea. ─ On looking intensely at one spot lachrymation and headache. ─ Pressure and shootings in eyes. ─ Eyes burning, red, and weeping. ─ Agglutination of lids. ─ Eruption of yellow scabies in eyebrows (painful to touch on l. eyebrow). ─ Pressive heaviness of lids. ─ Contraction of lids in morning. ─ Myopia. ─ Sees visions on closing eyes. ─ Double vision > lying down.

Ears

Otalgia, with contractive pain. ─ Pressure in ears. ─ Ulceration of external ear. ─ Pain in cartilages as from soreness, not affected by touch. ─ Boils on l. ear painful to touch. ─ Inflamed nodule in l. concha. ─ Red swelling of l. helix. ─ Heat in ears. ─ Hard hearing. ─ Dull ringing in ears; in r.

Nose

Epistaxis, esp. after blowing nose (at dinner). ─ Fluent coryza, with much sneezing. ─ Dry coryza; nose stuffed up. ─ Eruption on point of nose.

Face

Paleness of face, with dulness of eyes (with sunken eyes). ─ Face bloated, red, or bluish, with anxious expression; heat on one side of face, renewed when thinking of it. ─ Cold sweat on face. ─ Swelling of cheeks. ─ Itching and shootings in cheeks. ─ Eruption on lips. ─ Spasmodic pain in maxillary joints. ─ Tension in articulation of l. jaw (when walking in the open air). ─ Stitches transversely through l. upper jaw. ─ Cramp-like pain from l. jaw-joint to cheek in evening when eating. ─ Swelling of the submaxillary glands with tensive pain; painful to touch. ─ Numbness in chin. ─ Heat in chin.

Teeth

Sensation of bluntness and looseness in teeth while masticating. ─ Itching and shootings in teeth. ─ Heat in teeth. ─ Swelling of gums, with pain during mastication.

Mouth

Mouth and tongue covered with vesicles, with burning and shooting pain (on that account cannot eat any solid food). ─ Salivation. ─ Speech difficult. ─ Tongue dry and brownish. ─ Vesicles on edge of tongue.

Throat

Burning sensation and stinging in throat. ─ Rawness, swelling, and scraping in throat. ─ Penetrating tickling in throat, toward ear. ─ Sore throat < after eating sweet things. ─ Throat symptoms > lying down. ─ Constantly recurring needle-like stitches above pit of throat, externally, in lower part of goître. ─ Sticking internally in throat, esp. after eating. ─ Thyroid gland swollen and hard, with suffocative attacks at night; stitching pains and pressure. ─ Bitter taste in throat. ─ In œsophagus: heat; relaxed sensation. ─ Swelling in fauces projecting from r. to l. ─ Swallowing difficult. ─ On swallowing: stitches in neck pass off; violent straining pain; pain in goître; moving sensation in goître. ─ (Goître painful, pain synchronous with cardiac pain. ─ R. T. C.)

Appetite

Diminished taste. ─ Bitter taste, sometimes only in throat. ─ Sweetish taste in mouth. ─ Moderate appetite and speedy satiety. ─ Increased appetite. ─ Excessive, insatiable hunger. ─ Desire for dainties. ─ Thirst, sometimes insatiable. ─ Thirstlessness; rarely thirst with chill. ─ Violent thirst after smoking. ─ Tobacco smoke is disagreeable. ─ After a meal, fulness and pains in abdomen, as from difficult digestion. ─ Eating and drinking > cough. ─ Drinking milk, ale, spirits, cold or hot tea, cold water = cough.

Stomach

Risings, sometimes with cuttings and tearings in stomach. ─ Bitter risings. ─ Sour regurgitations. ─ Frequent hiccough. ─ Nausea, with acidity in mouth. ─ Craves dainties; after eating has dyspeptic distress and fulness of stomach; > from warm drinks, esp. colicky pains in abdomen. ─ Vomiting after having partaken of milk. ─ Relaxation of stomach, with sensation as if it were open. ─ Aching in stomach and scrobiculus. ─ Pressure of (tight) clothing on stomach is unbearable. ─ Contractive pains in stomach. ─ Stitches in region of stomach from least pressure. ─ Chill in pit of stomach. ─ Craving at stomach before menses.

Abdomen

Abdomen hard and tight. ─ Spasms in abdomen. ─ Violent action of abdominal muscles during inspiration. ─ Viscera drawn up against diaphragm. ─ Pain in l. side of abdomen; digging and choking; > after discharge of wind; at times as if something alive were moving there. ─ Pain in abdomen instead of menses. ─ Fine stitch externally in abdomen. ─ Heat in abdomen. ─ Digging and obstruction in abdomen. ─ Gripings in abdomen, after a meal. ─ Rumbling in the abdomen, esp. in evening and morning when lying down. ─ Pain as from a hernia in inguinal ring. ─ Swelling and inflammation of l. inguinal ring. ─ Swelling of inguinal glands.

Stool and Anus

Hard (insufficient) and retarded evacuations. ─ Loose, whitish evacuations. ─ Before the evacuation shootings in the anus and gurgling and rumbling in the abdomen. ─ During the evacuation tenesmus in the anus. ─ Itching, smarting, and pain as from excoriation in anus. ─ Passage of ascarides from rectum and tingling in rectum. ─ Diurnal diarrhœa with a large number of ascarides, after which she always feels great relief.

Urinary Organs

Increased secretion of urine. ─ Frequent want to urinate, with scanty emission. ─ Incontinence of urine (in whooping-cough). ─ Small stream of urine. ─ Frothy urine. ─ Thick, whitish, greyish, or yellow sediment in the urine.

Male Sexual Organs

Spasmodic contraction in the testes. ─ Hard swelling of the testes, and of the spermatic cord, with pressive pain. ─ Drawing, painful stitches extending from body through glans. ─ Voluptuous itching at point of glans for several hours, urging him to rub it. ─ Pinching, bruised, squeezing pain in testicles. ─ Stitches from testicles into spermatic cord. ─ (Gouty pains in testicles in old men. ─ R. T. C.). ─ Heat in genitals, penis, scrotum, testes, and cords. ─ Sexual desire very moderate. ─ Absence of erections.

Female Sexual Organs

Catamenia too early and profuse. ─ Before the catamenia, palpitation of the heart, following pain in back. ─ During the catamenia, drawing in the thighs. ─ Enlargement and induration of ovaries.

Respiratory Organs

[Affections in general of larynx and trachea, particularly in all such affections as croup, asthma, &c., where everything is perfectly tight and dry, no loose rattling sound appearing in the breathing or cough. ─ Burning sensation is felt in throat after coughing, suffocative attacks of breathing (as in asthma), without any mucous rattle; respiration loud; very hollow voice, all without any rattling sound, or any looseness. ─ H. N. G.]. ─ Hoarseness (voice cracked); sometimes with cough and coryza. ─ Weak, husky voice, which fails in singing and conversation. ─ Pain in larynx on touching it, and on turning head. ─ Pressure in larynx when singing. ─ Sensation of obstruction (as from a plug) in larynx, with impeded respiration. ─ Dyspnœa > by bending the body forward. ─ Roughness and dryness in throat. ─ Burning pain in larynx and trachea. ─ Cough, proceeding from bottom of chest with pain as from excoriation and burning sensation. ─ Cough, with yellowish expectoration and hoarseness. ─ Great dryness of larynx, < from hawking. ─ Sensation in region of thyroid and cervical glands on breathing, as if forced in and out. ─ Hollow, dry, barking or whistling cough, day and night, < towards evening, and sometimes with pain in larynx. ─ Laryngeal cough, croupy-sounding, always goes away with a dose of Spo . (woman, 65. ─ R. T. C.). ─ Cough, with expectoration of viscid mucus. ─ Expectoration: scanty, of saltish mucus; tenacious, yellow, indurated, sour; loosened mornings but must be swallowed again; smelling like milk; of yellow mucus in little lumps; of cutaneous masses. ─ Dry cough, excited by a burning tickling in the larynx. ─ Slow and deep respiration, as from weakness. ─ Wheezing respiration. ─ Wheezing, whistling, sawing, anxious breathing; < during inspiration and when lying down (with violent labouring of abdominal muscles). ─ Mucous râle in trachea by fits.

Chest

Respiration, quick, anxious, and difficult, sometimes with fits of suffocation, and mucous rattling in chest. ─ Short, panting respiration, surging from heart into chest, as if it would force out upward. ─ Awakens from sleep with suffocative sensation. ─ Fixed, lancinating, and pressive pain in region of bronchia. ─ Spasmodic, constrictive pains in whole chest (and larynx). ─ Pain in chest, with dyspnœa. ─ Fulness and obstruction in chest. ─ Shootings in chest. ─ Burning sensation, which ascends into chest. ─ Burning; rawness, soreness in chest. ─ Ebullition of blood (congestions) in chest after slightest effort and least movement, with obstructed respiration, anguish, nausea, and weakness, which induces syncope.

Heart

Pains and anxiety in region of heart. ─ Constricting, stinging, pressing pain in cardiac region. ─ Palpitation of heart (before menstruation), with suffocation, violent gasping respiration, pain in heart. ─ Rheumatic affections of valves of heart (fibrous deposit on valves). ─ Violent palpitation of heart, beats rapid (each beat was accompanied by a loud blowing as of a bellows), awakens him after midnight, with a sense of suffocation, loud cough, great alarm, agitation, anxiety, and difficult respiration. ─ Pulse full, hard, and frequent.

Neck and Back

Painful tension and rigidity in muscles of neck, nape, and throat; on l. side when turning head to r. ─ Neck cold in evening. ─ Back of neck snaps on stooping. ─ Goître large and hard, with pressure, tingling, and shootings. ─ Cramps in the muscles of neck. ─ Coldness in back, not > by warmth of stove. ─ Sacrum sore before menses. ─ Sensation of numbness in loins and buttocks. ─ Drawing, tearing, and pressive pain in loins.

Limbs

Painful weariness in arms and legs.

Upper Limbs

Jerking of muscles about l. shoulder-joint. ─ Heaviness and trembling of forearms and hands. ─ Drawings in forearms and joints of hands. ─ Large blisters in the forearm. ─ Swelling of hands, with stiffness of fingers. ─ Redness and swelling in joints of fingers, with tension when they are bent. ─ Numbness in points of fingers. ─ Cramp-like pain in ball of (r.) thumb; on moving hand it extends to thumb.

Lower Limbs

Nates and thighs numb and cold. ─ Jerking of muscles of buttocks. ─ The thighs are spasmodically drawn forward or backward. ─ Irritation and restlessness of both legs. ─ Tearing in tibia all afternoon. ─ Rigidity of legs. ─ Drawing and tearing in legs and feet, sometimes at night only.

Generalities

Uncomfortable feeling of the clothes, they being an oppression and annoyance to the wearer; growing pains; darting pains from within outward; itching, no better from scratching. ─ Troubles in general of any kind appearing in the sexual organs, esp. r. side; testicles and spermatic cord; anterior surface of thigh. ─ Phthisis pulmonalis, cough, breathing, &c., being very tight and dry. ─ < From turning head; on ascending (going up stairs, up a hill, rising from a chair, &c.); from tobacco; wind; from the west wind. ─ > On descending. ─ Stinging pain in limbs, esp. joints. ─ Painful sensitiveness of body to touch, with chilliness on the parts touched, or with tingling running through whole body. ─ Sensation of torpor in lower part of body. ─ Heaviness when walking in open air, must sit down. ─ Heaviness (and soreness) of the body (when rising from a seat). ─ Excessive moral and physical dejection. ─ Extreme exhaustion and heaviness of the body after slight exertion, with orgasm of blood in chest, heat of face, vessels hard and distended, great anxiety, and difficult breathing. ─ More relief is experienced from lying down quietly than from any other position. ─ Fits of anguish, with pain in region of heart.

Skin

Swelling and induration of the glands. ─ Itching shootings in the skin, esp. on becoming warm in bed. ─ Sensation of something creeping over the skin, with redness and heat of the part when it has been scratched. ─ Red, itching spot (blotches) on the skin. ─ Itching eruptions. ─ Miliary eruptions. ─ Tetters.

Sleep

Sleepy, yawning, no activity, afternoons. ─ Sleeplessness, with fantastic dreams and delirium on going to sleep. ─ Sad, anxious, frightful dreams. ─ Awakens towards morning from a jerk upwards from the larynx, as if she would suffocate, must sit up, and raises sour, salty mucus.

Fever

Pulse full, hard, and quick. ─ Frequent shiverings over the whole body, esp. the back (even near a warm stove). ─ Violent heat, soon after the chill, with dry, burning heat all over the body with the exception of the thighs; they remain numb and chilly. ─ Anxious heat, with red face and weeping, inconsolable mood. ─ Cool perspiration on the face in evening. ─ Morning, sweat over the whole body. ─ Flushes of heat. ─ Feverish heat, with skin dry and hot, continued thirst, headache, and delirium. ─ Nocturnal perspiration.

The Guiding Symptoms of Our Materia Medica

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

Mind

Conscious, but unable to act upon her limbs.
Insensibility (loss of feeling) with the chills.
Mental dulness ; difficult comprehension.
Irresistible desire to sing, excessive mirth, followed by sadness.
Paroxysms of anxiety or anguish. θ Cardiac troubles.
Fear of the future ; tired of life. θ Chronic orchitis.
Aggravation from excitement.
Fancies appear on shutting eyes. θ Typhus.
Taciturn and discontented mood, not disposed to talk.
Delirium : with the heat ; when falling asleep, with the chills.
Crazy feeling, head feels blown up.
Feels awkward about her work, which she cannot accomplish satisfactorily.
Alternating merry, peevish, vexed and scolding mood.
Dulness with gloominess over root of nose.
Inconsolability, would rather die on the spot ; with the heat.
Weeping and inconsolable mood.
Inclination to weep : with the dreams ; with whooping cough ; with heat ; with sweat.
Anxiety : in features ; looks around anxiously ; with the dreams ; and heat, suddenly ; nausea, pallor, after exercise out-doors ; restlessness ; with attacks in throat ; in croup ; with dyspnœa ; in typhus.
She is very fretful and anxious about her condition, fears she will die of suffocation.
Anxious sweat and faintness ; with angina pectoris.
She is very timid, and is especially pursued and incessantly tormented by a frightful scene of some mournful event of the past.
She is very timorous, and starts at every trifle, which affects her feet, so as to make them feel heavy.
Timidity of mind with the sweat.
Terror and fear : of approaching death ; that she will die of suffocation ; with heart disease ; with whooping cough ; with the heat ; with the sweat.
He is anxious, as if some misfortune would occur of which he has a presentiment.
Apprehension of a fatal termination of his disease.
Great alarm, agitation, anxiety, difficult respiration.
Fright awakens.
Nervous ; desponding about loss of sexual power.
Satiety of life, with the heat.
Ill-humored ; dislikes to talk and answer.
Out of temper and lazy ; would rather rest, and is not disposed to talk.
Peevish, vexed and scolding mood.
Sulky, obstinate and improper behavior.
Obstinacy, with whooping cough.
Every excitement increases the cough.
Thinking of it increases one-sided heat of face.

Sensorium

Vertigo : with danger of falling ; at night, when awaking, with nausea ; when sitting, as if head would fall to one side, with a feeling of heat in head ; as if one would fall backward ; as if tipsy ; after sleep, with the
heat ; with rush of blood to head.
Congestion of blood to head, with throbbing and pressure in forehead.
Heaviness and fulness in head, as if all blood were mounting to head, with vertigo.

Inner head

Stitches in temples.
Sharp stitches externally in left temple, extending to forehead.
While lying feels a strong pulsation, < about ear on which she is lying.
Dull headache in right side of brain, on coming into warm room from open air.
Headache as if skull would burst, in vertex and forehead.
Pressing sensation : in right temple, from within outward ; downward drawing pain in right side of head and neck ; outward on right parietal bone, while lying.
Pressing headache in vertex.
Pressing headache in right frontal eminence, from within outward, < while sitting, on entering warm room after walking in open air, and from looking at anything sharply ; > when lying in horizontal position, especially when lying on back.
Forehead : blood accumulated, pressing out ; burning heat ; violent heat ; pain ; stitches from temples ; pressure.
Occiput : headache ; stitches ; pain ; heaviness before fever ; stitch on turning head ; burning.
Headache : when gazing steadily ; on rising, > after washing and taking breakfast ; from dry, cold weather ; after intoxication ; with the chill ; with heat of face.
Congestion of blood to head, with pressing, knocking and pulsating in forehead ; redness of face, with anxious mien ; > when lying in a horizontal position.
While lying, she feels a dull, tremulous roaring (wuwwern), like a strong pulsation, each time with a double stroke, in head, in region of ear upon which she lies in bed ; when turning on other ear she feels it in that side.
Bursting pain in head, with whooping cough.
Meningitis, scrofulous or tuberculous ; congestion of blood to head, with pressing, knocking and pulsating in forehead ; redness of face with anxious mien ; > when lying in horizontal position ; heat in head ; bending head backward,
with tension in neck ; eyes staring, lids wide open ; double sight ; face pale and cold, with heat, or alternately red and pale ; twitching of muscles with fever ; frequent waking with a start ; tossing about ; stupid slumber

Outer head

Sharp stitches in left temple, externally, extending into forehead.
Sharp stitches in scalp, with heat of scalp.
Sensation as if hair were standing on end on vertex ; during chill.
Sharp pressure externally, at both temples.
Gnawing pain, externally on crown of head.
Forehead painful to touch.
Disagreeable sensitiveness of cranial integuments, particularly on moving scalp.
Violent itching on scalp.
Yellow, scabby eruption.
Turning head : a stitch in occiput ; to right, neck pains ; neck stiff ; tensive pain in neck.
Bending head back : tension in neck ; in croup and suffocative attacks.
Jerks head downward.
Bending backward and sinking of head, with painful stiffness of neck ; piping, anxious inspiration, with dry, barking cough. θ Croup.
Holding head in an upright position, > dull pressure in occiput.

Sight and eyes

Sees visions on closing eyes.
Double vision ; > lying down.
Pressing and stinging in eyes.
Coldness of eyes.
Lachrymation and headache, when looking fixedly at one spot.
Things appear in flames, at night.
Objects appear to move up and down.
Could not distinguish objects.
She can recognize distant objects only with great exertion.
Looking sharply at anything increases headache and causes lachrymation.
Pressing in outer half of left eye.
Tension about left eye, near temple.
Tearing and stinging in left eye, after fever.
Stinging about eye.
Stinging, finally pressing pain in both eyes, in evening.
Stinging itching under left eye, > by rubbing.
Coldness or heat in eyes.
Redness of conjunctiva ; eyes fill with puslike matter.
Burning in left eye about eyeball.
Heaviness and nightly agglutination of lids.
Tears exude from between closed lids.
Sudden stinging drawing at outer canthus of left orbit, which spreads around, above and below to inner canthus.
Tensive stinging pain in left outer canthus, most severe on moving eyes ; disappearing when touched.
Eyes close involuntarily, almost spasmodically.
Pressing under eyelids.
Burning pain on external surface of left lower lid.
Itching of eyelids.
Redness of eyes, with lachrymation and burning.
Eyes protruding, staring, or deeply sunken.
Inflammation with dryness of lids.
Eyes have a dull, swollen look, as after intoxication.
Pressing pain over right eye, externally.
Maculæ of cornea.
Eyeballs staring and perceptibly protruding ; stitches in balls and burning around eyes, with lachrymation, > from any sudden light ; often eye feels as if twisted around ; there is constant flashing of colors, mostly deep red, with
figures of light, etc., even when eye is closed, especially at night ; thyroid gland is considerably hypertrophied ; palpitation very marked, makes her uneasy, restless and easily frightened, especially at night. θ Basedow's
disease.

Hearing and ears

Hardness of hearing.
Congestion of blood to ears ; burning.
Dull ringing in ears ; ringing in right ear ; hears a pulsating roar in ear upon which she lies ; as if a battery of gums were discharged, at night.
Cramplike pain in left ear, while walking in open air.
Pressure in ears, and crowding sensation in same.
Drawing pain in internal right ear.
Earache of a contracting kind.
Fine stitches in right ear, outwardly, as if passing through tympanum.
Digging stitches in depth of left ear.
Heat in ears.
Burning : in ears from throat ; behind ear.
Suppuration of external ear.
Pain in cartilages of ears.
Burning in orifice of right ear.
An inflamed nodule finally covered with a scab, painful to touch and remaining several days, in left concha, close to entrance of meatus auditorius ; tensive pain, creeping as if it would gather and break, at times stitches.
Red swelling of right helix, with a pimple on same, exuding moisture like an ulcer, for nine days ; painful on external pressure.
Boils on left ear, painful to touch.

Smell and nose

Bleeding of nose : when blowing it ; during dinner ; with whooping cough.
Dulness and sensation of gloominess over root of nose like that preceding a common cold.
Tensive constricting sensation above root of nose.
Tearing in nose.
Creeping stitches in left nasal bone.
Nose stuffed up. θ Coryza. θ Whooping cough.
Coryza : fluent ; hoarseness ; croupy cough ; after dry, cold winds ; with chills ; in measles.
Breathing through nose obstructed by a swelling in fauces.
Dryness of nose.
Retention and thickening of nasal mucus.
Nasal mucus viscous, grows thick. θ Membranous croup.
Chronic dry nasal catarrh ; nose entirely occluded.
Coryza ; nose running, or stopped up, with fever ; hoarseness ; at same time catarrhal affection of larynx, with hollow or crouplike cough ; respiration difficult, with a noise sounding as in laryngo-stenosis.
Nostrils wide open ; fanlike motion.
Nose pinched ; cold.
Eruption on point of nose, and on lips.

Upper face

Face : distressed, in croup ; anxious ; livid ; pale and bloated ; blue ; pale, with sunken eyes ; red, with anxious expression ; alternately red and pale ; cold sweat .
Heat on one side of face, < when thinking of it.
Swelling of cheeks.
Itching and stinging in cheeks.
Cramplike pain from left articulation of jaw to cheek ; evenings, while eating or when walking in open air.
A vexed expression, with cough at night.
Coldness, pallor and sweat of face, with heat of body.
Cold sweat in face, in evening.
Flying heat in face and in blood, with excitement of nerves.
Herpes on face, especially in scrofulous persons, after a cold, with dry, croupy cough.

Lower face

Tearing and stinging in left cheek after fever.
Into cheeks throbbing, down from head ; down from articulation of jaw ; tearing from cheek to neck.
Pressing, tearing sensation in right zygomatic arch.
Pricking pains passing transversely across upper jaw.
Jerking fine stitch from posterior portion of right upper jaw into right internal ear, at night in bed.
Cramplike pain extending from left articulation of jaw, down cheek ; evenings while eating.
Tension in articulation of left jaw when walking in open air.
Pain in articulation of jaw as if dislocated.
Lower jaw drawn by cramp ; painful to touch.
Swelling of cheeks.
Stinging, itching in left cheek.
Fine stitches beneath lower lip.
Mouth firmly closed, only slightly opened with a groaning breath.
Lips livid.
Eruptions on lips ; after fever.
Swelling of maxillary glands, with tension.
After opening mouth wide, and then biting teeth firmly together, cramp in neck.
Protracted violent burning under right angle of mouth, near chin, as if eruption were to appear ; < on stretching skin.
Left side of chin to angle of mouth painful to touch, as if ulcerated.
Numbness in chin.
Heat in chin.
Pimples beneath chin, on neck, painful to pressure.

Teeth and gums

Teeth feel dull and loose when masticating.
Itching and stinging in teeth.
Pain as if something had got jammed between teeth in chewing.
Pain in posterior molars of right lower jaw, as if gums and teeth were swollen and latter being lifted.
Burning pain in left upper molars.
Heat in teeth.
Itching in upper and lower teeth.
Gums painful while chewing, with swelling ; thin white coating.

Taste, speech, tongue

Taste : bitter, only in throat ; bitter, with dry tongue ; bitter, with chill ; sweetish, in mouth ; like glycerine ; of fresh nuts ; coffee is bitter and disgusting ; tobacco has a scratchy, bitter taste in mouth and
fauces.
Tongue : brown, dry ; dry and red ; vesicles at edge of tongue, with soreness.
Difficulty of speech.

Inner mouth

Mouth raw.
Mouth and tongue full of vesicles, with burning and stinging pains, cannot eat solid food.
Mouth burning, dry. θ Croup.
Saliva diminished ; or with whooping cough, increased.

Palate and throat

Burning and stinging in throat ; rawness and scratching.
Penetrating tickling in throat, toward ear.
Sore throat, < after eating sweet things.
Thyroid gland swollen, even with chin ; at night suffocating spells, barking, with stinging in throat and soreness in abdomen.
Throat externally swollen ; suffocating attacks.
Relief of throat symptoms, when lying on back.
Stitches in goitre, even when not swallowing.
Constantly recurring needlelike stitches above pit of throat, externally, in lower portion of goitre.
Pulse 100 ; respiration 50, wheezing, whistling, occasionally sawing ; head thrown back, muscles of chest working, abdomen contracted under ribs with every effort to inflate lungs ; cold, clammy sweat all over ; lies quietly on side, anxious
for breath ; does not want to be fanned ; eyes fixed, pupils dilated ; does not notice attendants ; loose involuntary discharge from bowels in morning. θ Diphtheria.
(In sick :) Tension and pressure in throat (relieved by Calc.).
Pain in throat when coughing and speaking.
Stinging in throat, particularly after eating, and a sensation outside of throat as if something were being pressed out ; < morning and evening.
Stitches in throat.
Dryness in throat ; < by hawking.
Roughness of throat on coughing ; in whooping cough.
Scraping in throat.
Quick and strong hawking ends a suffocating attack.
Tickling in throat causes cough.
Continual very bitter taste deep in throat, not in mouth.
Burning in throat, in front, and then in ears.
Attack of sudden burning and compression ; drawing toward throat ; and anxiety, passing off on sitting up in bed.
Frequent burning and dryness in throat.
Tonsils, soft palate and uvula somewhat swollen and highly reddened.
Painful pressure above thyroid cartilage, < by palpitation.
Very disagreeable sensation of relaxation in œsophagus and stomach, as if he had drunk a great deal of lukewarm water.
Heat in œsophagus.
Swelling in fauces, with a broad basis, projecting from right to left, allowing in left but a small passage of food and obstructing breathing through nose ; voice somewhat nasal ; snoring and rattling breathing at night ; wakes up several times
during night with want of breath, increasing to suffocation ; a slight cough and a numbness in chin and in front of throat.
Deglutition prevented.
Difficult swallowing. θ Croup.
On swallowing : stitches in neck pass off ; violent straining pain ; pain in goitre ; a moving sensation in goitre.

Appetite, thirst. desires, aversions

Insatiable appetite and thirst ; or diminished appetite, out of humor.
Desire for dainties.
Thirstlessness ; rarely thirst with the chill.
Thirst, but is only able to swallow small quantity and with difficulty.
Violent thirst after smoking.

Eating and drinking

Eating and drinking relieve cough.
Drinking milk, ale or spirits, or cold or hot tea, or cold water brings on cough.
During dinner, nosebleed.
While eating, cramp in articulation of jaw.
On chewing : gums pain ; pain in molars.
After eating : stinging in throat ; sweet things < sore throat ; fulness and distress ; cutting in upper part of abdomen ; colic.

Hiccough, belching, nausea and vomiting

Hiccough.
Eructations : repeated ; empty ; sour ; bitter.
Nausea : continuous ; and vertigo, when waking ; when smoking ; and waterbrash.
Retching of mucus.
Sense of sickness and faintness at stomach as if one had drunk a quantity of warm water.

Scrobiculum and stomach

She cannot endure tight clothing about body, particularly around epigastric region.
Pressure in epigastrium, in afternoon.
Internal sensation of coldness in epigastrium, with fulness in that region.
Pressing pain in gastric region, lasting all forenoon.
Beneath short ribs pain on coughing.
Chill in pit of stomach.
Pit of stomach drawn in during croup.
Ulcerative feeling in pit of stomach ; must lie on back.
Drawing, as if growing together, in pit of stomach as far as throat, when it seems to press windpipe so that she can hardly breathe.
Craves dainties ; after eating has dyspeptic distress and fulness of stomach ; > from warm drinks, particularly colicky pains in abdomen.
Cannot tolerate tight clothing about stomach.
Stitches in region of stomach.
Stomach feels flaccid and as if standing open. θ Whooping cough.
Craving at stomach before menses.
Dyspeptic distress and fulness in stomach, after eating.

Hypochondria

Pressure in hypochondria. θ Whooping cough.
Chronic pancreatitis.

Abdomen and loins

Rumbling in abdomen < evenings and mornings.
Violent action of abdominal muscles during inspiration.
Viscera drawn up against diaphragm.
Cannot bear tight clothing on abdomen. θ Whooping cough. θ Dyspepsia.
Pain in left side of abdomen ; digging and choking ; > after discharge of wind ; at times as if something alive were moving there.
Pain in abdomen, instead of catamenia.
Tensive pain from middle of hypogastrium to anus ; cutting in hypogastrium, extending toward left breast, in evening.
Boring stinging in left hypogastrium on expiration, < on stooping.
Tense abdomen.
Tensive pain in upper abdomen while sitting or walking, < on stooping.
While sitting, painful constriction in left side, beneath stomach, particularly when lying on right side.
Cramps in abdomen ; pinching colic.
Lower part of abdomen feels empty ; viscera drawn up against diaphragm.
Gurgling in abdomen, urging and rumbling before stool.
Sensation like a fine digging, as if something alive were beneath skin of abdomen, above left hip in the side upon which he lies, in morning.
A twisting sensation in left side of abdomen, < when pressed with hand.
Stitches in right side of abdomen, in region of liver.
Fine stitch, externally, on navel.
Colic : before menses, before chill ; with the sweat.
Violent commotion of abdominal muscles during inspiration. θ Whooping cough.
Squalmishness in abdomen, with frequent fluid stools, like diarrhœa.
When smoking tobacco, heat in abdomen rises into chest, rest of body chilly.
Heat in abdomen.
Peritonitis.
Cramplike pain in left groin, while sitting.
Stitches below groin.
Pain in abdominal ring as in inguinal hernia.
Only while sitting, pressing, tearing pain in region of abdominal ring, on both sides.
Itching near groin.
Glandular swelling in right groin, with tensive pain while walking.
Small boil in left groin, very painful.
Swelling of inguinal glands.

Stools and rectum

Diarrheic stools : with tenesmus ; frequent, fluid ; white.
After cholera, croup.
Occasional diarrhœa with a large number of ascarides, after which she always feels great relief.
Stools small and hard, with tenesmus.
Before stool : noise in abdomen ; urging and rumbling ; itching in anus.
During stool : pressure, caused by flatus in lumbar region ; straining in anus as if diarrhœa would ensue ; sore pain in anus lasting for some days.
After stool : blood passes from anus.
Costive ; hard stool, insufficient, with tenesmus ; soreness of anus.
Formication in rectum.
Pain from hypogastrium to anus.
Smarting in anus.
Stitches in anus, and snarling noise in abdomen, before each stool.
Itching, biting and soreness at anus, discharge of ascarides.
Ascarides with whooping cough.

Urinary organs

Very thin stream of urine.
Frequent urging to urinate, with small discharges ; at times without discharge ; at others with discharges of acrid smelling urine, which deposited a dirty-white sediment.
Increased flow of urine.
Involuntary discharge of urine. θ Whooping cough.
Urine frothy ; sediment thick, greyish white or yellow.

Male sexual organs

Drawing, painful stitches, extending from body through glans penis.
Voluptuous itching at point of glans penis, for several hours, urging him to rub the part.
Itching, burning in scrotum and body of penis.
Total want of sexual desire.
Chronic enlargement of prostate gland.
Swollen, painful spermatic cords.
Stitches into spermatic cord ; drawing.
Large, somewhat blunt stitch, shooting from testicle into spermatic cord.
Pressive smelling of testicles.
Simple pain in testicles, also when touched.
A pinching, bruised, squeezing pain in testicles.
Shooting up entire cord ; any motion of bed or clothing brought on throbbing, in addition to constant, heavy, dragging pains.
Since two years swelling of left testicle as large as a hen's egg, smooth and hard ; obstruction of vasa efferentia ; shooting pain from testicle into inguinal region.
After checked gonorrhœa orchitis, first right then left.
Maltreated orchitis ; also after checked gonorrhœa.
Right epididymis enlarged and hardened, with little pain ; cord also thickened and hard ; fistulous opening (in connection with lower part of epididymis), discharges a little thick, whitish matter ; scrotum has an irregular and discolored appearance from a sinus and
cicatrization of former abscesses and sinuses ; urine always thick ; total want of sexual desire ; both testicles soft and small ; nervous and despondent about loss of sexual power ; apprehensive of a fatal termination.
Scirrhous testicle.
Heat in male genitals ; in penis, scrotum, testicle and spermatic cords.

Female sexual organs

Enlargement and induration of ovaries.
Menses too soon, too profuse.
Before menses : colic, backache, soreness in sacrum and craving in stomach, palpitation.
During menses : drawing in all the limbs ; awakes with suffocating spells.
Catamenia suppressed ; at the time violent pains in small of back and abdomen.
Violent drawing in upper and lower limbs, during menses.

Pregnancy. parturition. lactation

A particular condition of placenta seems only cause for protracted, painful and unsuccessful labor.
Twice, after a few doses of Spongia 200, miscarried at about six or eight weeks ; a few doses brought on flowing like menses, continuing several days.

Voice and larynx. trachea and bronchia

Hoarseness, cough, coryza.
Hoarse, voice cracked or faint, choking sensation ; whistling inspiration.
Hoarseness with soreness and burning.
Feeling of a plug in larynx ; larynx sensitive to touch and when turning neck ; talking hurts.
Pressure in larynx when singing.
Cracked voice in evening ; increasing hoarseness, can only speak with difficulty.
Voice : nasal ; hollow ; low ; lisping ; weak ; cracked ; not clear ; failing, when talking or singing ; giving out, with chronic hoarseness.
Chronic catarrhal hoarseness.
Hoarseness : with coryza ; with cough ; whooping cough ; typhus ; sweat ; measles ; after laryngotomy.
Rough, crowing cry with the cough.
Aphonia in a boy, æt. 3, who had undergone laryngotomy for removal of a bean.
Chronic sore throat, < when reading aloud, talking or singing ; < after eating sweet things.
Laryngeal phthisis.
Great dryness of larynx.
Laryngismus stridulus.
Talking, singing or swallowing hurts larynx.
Inflammation of larynx, trachea and bronchia.
Attacks of mucous rattling in windpipe ; at times strangling.
Feeling of stoppage in windpipe.
Starts from sleep suddenly with contraction of larynx.
Region of thyroid gland indurated.
Contraction in larynx, constriction, suffocation ; also during sleep.
As if a stopper or valve were in larynx. θ Croup. θ Whooping cough.
After plastic lymph has been deposited a foreign body is audible in larynx or trachea moving to and fro ; child coughs up cutaneous masses or tough, thick phlegm.
Severe pressing inward in larynx, as if with a nail, when moving, in evening.
Drawing toward larynx and contraction therein, in evening.
Jerking, fine stitches externally in region of larynx.
Irritation in upper part of larynx.
Tickling in larynx, with whooping cough.
Burning, tickling in larynx and trachea.
Scraping, roughness, in larynx and trachea.
Dryness of larynx ; < by hawking ; with the sweat ; with short barking cough, embarrassed breathing as if larynx and trachea were narrower ; with difficult speech, hoarseness ; expectoration of more or less yellow mucus, consisting of little lumps ;
beginning phthisis laryngea.
Laryngeal catarrh : with coryza ; with dry cough, tormenting during night ; with ulcers in larynx.
Larynx sensitive to touch. θ Croup. θ Whooping cough.
Perichondritis laryngea ; hollow, barking, dry cough, day and night, constriction in larynx ; pain in larynx on touching it, and on turning neck ; whistling breathing.
Larynx elevated and depressed, during respiration. θ Croup.
Swollen larynx, almost protruding above chin.
Glandular swellings about larynx and trachea.
In trachea : pain ; shock upward, like a suffocative paroxysm, starting out of sleep ; contraction ; burning ; rattling ; pain on coughing ; dryness.
Catarrhal affections of air passages with dry cough and hoarseness, no fever, in grown persons.
Fever and irritation in throat, with hoarse, croupy cough, < in evening ; breathing wheezy ; spells of choking in middle of night. θ Laryngitis.
Dry bronchitis, with terrible, hard, dry, racking cough ; much dyspnœa and slight expectoration ; < in hot room, > by eating or drinking.
Spasmodic paroxysms of cough and dyspnœa ; < from a sudden change of atmosphere, a wind arising or an unpleasant moral impression ; wheezing, sibilant ronchi.
Cough dry and sibilant, sounding like a saw driven through a pine board. θ Croup.
Awoke with a violent, harsh, hollow-sounding cough ; voice hoarse ; respiration quick, little impeded, but with much rattling ; high fever ; skin hot and dry. θ Croup.
After cessation of coryza, hollow, barking, dry cough, with croupy sound ; short attacks of rattling in windpipe while breathing ; skin hot ; frequent stretching and yawning ; while coughing, makes faces and complains of pain under larynx ; cough < in
afternoon ; lachrymose humor ; pulse hard, rapid. θ Croup.
Sat up in bed ; face bloated and bluish ; anxious expression ; breathing difficult, rattling, with much effort of chest and distortion of face ; eyes project ; head bent backward ; cough whistling and resonant ; seizes hold of nearest object, grasps at
larynx, which is painful ; anxious sweat ; pulse 110 ; great heat, constant thirst ; involuntary discharge of feces and urine while coughing. θ Croup.
Burning fever ; face red ; skin dry ; violent thirst ; constipation ; hoarse, rough, deep, barking cough, which he tries to suppress ; rattling, whistling respiration ; starting up in sleep and anxious breathing ; when lying bores head backward
into pillow. θ Croup.
After a chill, at night burning heat of skin, redness of face, headache, delirium ; violent, hoarse, hollow, barking cough, with great pain in larynx ; rough, hoarse voice ; rattling, whistling respiration. θ Croup.
High fever, frequent attacks of suffocation and cough ; hoarse, rough voice ; whistling respiration, audible at a distance ; region of larynx painful ; starting up in bed as if she would suffocate ; boring backward of head ; ill-humor, crying, indifference
to everything. θ Croup.
Sudden attack of croup about 9 P. M. ; threw back her head ; face first red, then blue, cold and moist ; eyes red and suffused ; cough dry and painful ; limbs cold and moist ; during paroxysms struggled and writhed into erect position.
Hoarseness, cough, and dryness of Schneiderian membrane for two days ; sudden development of croup ; child sits on mother's lap with head thrown back ; fanlike motion of nostrils ; laborious breathing, with a sawing sound ; now and then sharp whistling
cough ; protrusion of eyes ; eyelids wide open ; great anxiety depicted on countenance.
Sits up in bed ; cannot lie on account of want of breath ; eyes protruding, staring ; nose pinched and cold ; face pale and bloated ; mouth firmly closed or only slightly opened, with a groaning breath ; loss of voice ; deglutition prevented ; head
drawn backward ; swollen larynx almost protruding above chin ; lower part of abdomen feels empty ; viscera drawn up against diaphragm ; groaning respiration without any motion of chest ; pulse imperceptible ; hands and feet cold ; whole body covered with a
cold, clammy sweat.
A little girl, 2 1/2 years old ; aroused by cough, sits up suddenly in bed, looks around anxiously ; gasps for breath as if it could not get any ; in a short time a second attack, more violent than first, followed by repeated attacks, each more violent ;
infrequent dry cough ; hoarseness ; breathing somewhat accelerated and difficult ; every quarter of an hour restlessness and anxiety increased ; wanted to be carried about, threw its head back, or imploringly stretched out its hands for relief ; face turned dark red
when in height of attack ; eyes protruded and neck commenced to swell rapidly ; between attacks child showed signs of thirst, but is unable to swallow but a small quantity, and with difficulty ; frequent urging to urinate, at times without discharge, at others with discharge
of normally colored, acrid-smelling urine, which deposited a dirty white sediment.
A young lady, æt. 24 ; three days after convalescence from cholera, face bluish-red, somewhat bloated, anxious and distorted ; increased bodily temperature, with diminished warmth of extremities ; tonsils, soft palate and uvula somewhat swollen
and highly reddened ; breathing very rapid and short ; on deeper inhalation a whistling noise in larynx, with sinking in of intercostal spaces ; weak, vesicular breathing ; at times sudden, dull concussions of cough, ending in a long-drawn whistling inspiration ;
dyspnœa ; anxiety ; blueness of face ; lisping voice ; weak pulse, 100 ; violent straining pain on swallowing ; pain in throat when coughing and speaking ; larynx sensitive to touch ; constant anxiety ; great heat and feeling of exhaustion ;
thin, white coating on gums.
Croup < before midnight (< before morning, Hepar.).
Cough rough, dull, hollow and barking ; either perfectly dry, or difficult loosening of phlegm ; breathing slow and drawing, noisy, whistling, sawing (when phlegm commences to rattle, Hepar.).
Fair complexion ; < before midnight ; dry sound of breathing and cough.
Cough is dry and sibilant, or sounds like a saw driven through a pine board, each cough corresponding to a thrust of the saw ; no mucous rattle ; cough dry and hoarse, causes pain in throat. θ Croup.
Wakes with suffocation about larynx on falling asleep, early at night.

Respiration

Breathing : wheezing, anxious, < during inhalation, with violent laboring of abdominal muscles ; piping, anxious ; whistling, sawing between coughs, with whooping cough or croup ; rattling ; loud ; snoring ; noisy ;
weak, slow and drawn ; accelerated and difficult ; very rapid and short ; very quick, gasping ; laborious ; gasping ; panting ; groaning, without motion of chest ; slow, deep, as after exhaustion ; as if through a sponge.
Dyspnœa : with palpitation ; severe, on lying down ; exhaustion in chest, < after every exertion ; sudden weakness, tottering while walking, blood seems to rush into chest as if it would burst ; with frothy, white sputa and much retching ; an hour after
slight coughing brings up grey lumpy mucus ; > by bending body forward.
Asthma : from taking cold, cannot lie down ; sibilant ronchi ; after menses ; breathing always tight, cannot inspire nor expire freely ; in consequence of goitre ; breathing, rattling and panting ; after every slight motion
loses her breath and becomes faint ; blood rush to her chest and head ; hot in face, anxious ; fears she will die of suffocation ; spasmodic, with organic disease of heart ; must throw head back ; < at full moon.
Awakes with suffocative sensation ; wakes up choking when falling asleep.
Came slowly into office, walked stooped, sat down carefully, leaned forward and kept very quiet and seemed to be much exhausted ; labored inspiration involving abdominal muscles, quite marked ; had not slept for two nights, obliged to sit
upright in his chair ; leaning backward, lying down, or exertion takes his breath away.
Dyspnœa and great weakness in chest, could hardly talk after exercise.
Suffocation on moment of falling asleep.
Wakes with suffocation about larynx ; on falling asleep early at night ; fair skin.
Suffocative paroxysm, with pain in chest.
On deep inhalation, whistling in larynx and sucking in of intercostal spaces.
On slow, deep inspiration, stitch in chest.
On breathing, sensation of air passing into glands of neck. θ Goitre.
On expiration, pain in hypogastrium.

Cough

Cough : dry, barking, hollow, croupy ; wheezing, asthmatic ; caused by burning or tickling in larynx, sensation like a plug or valve, or by feeling of accumulation of mucus and weight in chest ; dry, with burning in chest ; loose,
suddenly changing to dryness and hoarseness (typhus) ; without expectoration, with chill ; incessant, from a place low down in chest, where it pains, as if sore and bloody ; slight, from swelling in fauces, short, infrequent ; short, dry, irritating, with feeling of
roughness in larynx, and pains in chest ; dry, rough, barking, with dyspnœa ; sudden concussion ; spasmodic ; violent ; dry, hollow, wheezing, < in evening ; dry or sibilant, or sounds like a saw driven through a pine board, each cough corresponding to a
thrust of the saw ; hollow, with some expectoration, day and night ; hollow in croup or remaining after croup ; in measles ; with a high crowing sound ; sharp, whistling ; exceedingly painful, in croup ; hurting larynx.
Cough caused by tickling in throat ; expectoration easy, sometimes salty ; < on rising from bed and when indoors ; brought on by smoking, lying on back or right side, drinking milk, ale, spirits, cold tea, or cold water ; > by
eating or by warm tea or warm coffee ; disturbs sleep ; < in wet weather ; > in frosty weather.
Frequent night cough in paroxysms of two minutes, with a vexed expression.
Aneurism of descending aorta, a paroxysmal, dry, suffocative cough, coming at irregular intervals, but especially on lying down, or when drinking hot tea ; dyspeptic distress and fulness in stomach after eating (relieved).
When coughing, sweat.
On coughing, pain in chest and trachea, with roughness of throat.
On coughing, painful pressure beneath short ribs.
Whooping cough, deep, hollow, barking, caused by sensation of a plug in larynx, with expectoration only in morning of small quantities of tough, yellow, hardened mucus, compelling one to swallow it again.
Cough caused by feeling of a plug in throat ; brought on by movement and lying down, especially on right side or back ; > by sitting up or eating ; dyspnœa < by talking or moving, or lying down, especially on right side or back,
and by bending back or stooping, or by lying with head low ; > by bending forward slightly, by eating or by drinking warm cocoa ; excited by a feeling of large accumulation of mucus and weight at chest ; voice lost at times, subject to such attacks, in cold weather, for six
years.
Chronic cough, violent attacks, brought up small, hard tubercle.
Expectoration : scanty, or saltish tasting mucus ; scanty, tenacious, yellow, indurated, slightly sour-tasting ; loosened mornings, but must be swallowed again ; profuse, mucous, cannot lie down (pneumonia in stage of resolution) ; smelling like milk (whooping
cough) ; of yellow mucus in little lumps ; of cutaneous masses.

Inner chest and lungs

Pain in chest and bronchi, with rawness in throat when coughing.
After exertion suddenly exhausted, chest particularly affected, could hardly speak ; heat in face and nausea ; heaviness in head.
Oppression of chest.
Weight dragging down on right chest ; tightness of chest from a cold.
Constricting or contracting pain in chest ; spasmodic constriction. θ Whooping cough. θ Heart
disease.
Pressure in left chest, sometimes stitches.
Pressing, cutting pain on deep inspiration, in left side of chest.
Sudden pain, in chest and dorsal muscles of left side, as if a broad body armed with points were pressing upward, a broad pressure with many fine stitches.
Drawing stitches beneath second rib of left side of chest, only on walking.
Drawing stitches in left side of chest, while sitting with back slightly bent, but particularly on slow, deep inspiration.
Severe intermittent stitches in left side of chest.
Transient, painful stitches on right side of chest ; when the part is rubbed it seems as if a weight were dragging down in that place, under skin.
Severe pricking pain in right breast, from within outward.
Stinging, pinching, crawling pain in left side of chest in region of sixth and seventh ribs, < from pressure.
A pinching jerk in left side of chest, from without inward.
Boring stitch in right costal muscles, continuous on inspiration and expiration.
Constrictive spasmodic pain through chest and larynx.
Stitches, resembling pleuritic stitches, in both sides.
Pain in chest on coughing.
A spot deep in chest causes coughing.
Heat in chest ; sensation as if she had something hot inside of chest.
Heat from abdomen.
Burning in chest, with cough.
She grows weak after every trifling motion of body ; blood rushes up into chest, face grows hot, body begins to glow, bloodvessels are hard and distended and she loses her breath ; she recovers only after a long rest.
Burning, soreness, rawness, heaviness in chest.
Congestion to chest from least movement or exertion ; dyspnœa, nausea, faintish weakness.
Orgasm of blood in chest after least exertion, with dyspnœa, anguish, nausea and faintish weakness.
After moderate motion out of doors, she suddenly grows weak and totters to a chair ; amid great anxiety, nausea, pallor, short gasping breath, blood seems to rush from heart up into chest as if to burst out above ; eyes close involuntarily, almost spasmodically, tears exude
from between closed lids ; she is conscious, but is unable to act upon her limbs by means of volition.
Bronchial catarrh : with dry cough and hoarseness, without fever ; with measles.
Acute bronchitis, with profuse secretion of mucus ; much oppression of breathing ; all symptoms < by lying with head low ; cough < by room getting too warm ; > by eating, even eating a little.
Inflammation of air-passages, with dry, irritating cough and burning tickling in larynx.
Bronchitis : with continuous, dry, fatiguing cough ; mucous rales subcrepitant, whistling and sonorous ; following croup.
Chronic bronchitis, with a dry spasmodic cough.
A spot deep in chest as if raw and bloody from coughing.
Broncho and croupous pneumonia.
Pneumonia : in stage of resolution, with profuse secretion and expectoration of mucus ; inability to lie down ; cough > by eating and drinking.
Tuberculous consumption : beginning in apex of (left.) lung ; severe dyspnœa on lying down ; exhaustion after every exertion, especially of chest ; hoarseness, with sudden aphonia while speaking ; chilliness in back, not removed by
artificial heat, yet if the room becomes too warm the cough is increased ; cough < from evening until midnight, from cold air, from talking, singing or moving ; > from eating or drinking.

Heart, pulse and circulation

Constricting pain in cardiac region with anxiety ; anxious sweat. θ Angina pectoris.
Heart beating a double stroke ; pulsating sound in ear.
(In sick :) Suffering with an organic affection of heart, she ate and swallowed a piece of sponge, just roasted ; sudden and terrible beating of heart and suffocation ; lips livid ; respiration violently gasping, great pain in heart ; terror and fear of
approaching death.
Attacks of oppression and cardiac pain ; < lying with head low.
Rheumatic endocarditis, loud blowing with each heartbeat.
Stinging pressing pains in precordial region.
Violent palpitation, awakens after 12 P. M. ; sensation of suffocation ; bellows' murmur ; loud cough, which is hard, tight, dry ; great alarm, agitation, anxiety, dyspnœa.
Palpitation : violent, with pain, gasping respiration ; suddenly awakened after midnight, with suffocation, great alarm, anxiety ; valvular insufficiency ; before catamenia ; with congestion to chest.
Rheumatism left lumbar muscles and seized heart (second similar metastasis) ; awakened between 1 and 2 A. M. by a sense of suffocation, accompanied by loud, violent cough, great alarm, agitation, anxiety and difficult respiration ; action of
heart violent and rapid, and each beat accompanied by a loud blowing as of a bellows.
Irregular action of heart, suffocating palpitation on making even slight exertion, or on going up stairs or ascending ground ; if she raises arms above head she becomes faint ; lay in bed with her head high ; awoke often in a fright and felt as if she were
suffocating ; physical signs of valvular deposit unmistakable.
In fibrinous deposit upon valves of heart, it causes a gradual disappearance of valvular murmur.
Rheumatic endocarditis, valvular insufficiency (usually mitral), systolic murmur.
Valvular insufficiency ; awaking at night with fear and terror.
Angina pectoris ; contracting pain in chest, heat, suffocation, faintness, and anxious sweat.
Aneurism of descending aorta ; paroxysmal, dry, suffocative cough, coming at irregular intervals, but especially on lying down or drinking hot tea ; dyspeptic distress and fulness in stomach after eating (relieved).
Pulse : frequent, hard, full or feeble ; rapid, full ; very rapid, full and hard ; hard, small, full ; imperceptible.
Symptoms of circulation are < : from mental lassitude ; from coughing ; when lying on right side ; before menstruation ; after lying down ; sitting bent forward ; from smoking ; from going up stairs.
Congestion to head, ears, nose (nose bleeding), face, chest, abdomen, lower limbs.
Ebullition of blood, distension of veins.

Outer chest

Fine stitches externally on chest and arms.
Stinging itching on left breast near shoulder.
Induration of left breast, a space of two inches in length by half inch thickness, painful to touch, coming on in evening and disappearing in morning.
Itching on breast.
Intercostal spaces sinking in with inhalation.

Neck and back

Pricking sensation above throat pit.
Numbness in front of throat.
Carotids pulsating perceptibly.
Throat pressed forward ; croup.
External swelling of throat.
Glandular swellings under right lower jaw hinder motion of neck and are painful to touch.
Pain as if cervical glands were swelling by side of trachea and larynx.
Swelling of glands of neck, with tensive pain on moving neck, or when pressing on them.
Scrofulous swelling and induration of cervical glands.
Painful sensation of stiffness in left side of neck on turning head to right side.
Stiffness of neck on stooping and turning head.
Painful stiffness of muscles of neck and throat.
After opening mouth wide, and then biting teeth firmly together, a painful cramp in cervical muscles ; violent drawing in lower jaw, with pain in articulation of jaw as if it would be dislocated.
Crampy pain in cervical muscles.
Frequently returning, pressing, cracking pain on left posterior side of neck, near shoulder blade, not changed by any motion.
The back of neck snaps on stooping.
Intermittent, slow pressure on right side of neck, as if skin were compressed between fingers ; downward in region of carotid artery, also painful externally to touch.
Tension of cervical muscles, particularly of right side, on bending head backward.
Painful tension in left side of neck, near thyroid cartilage, on turning head to right side.
Transient creeping sensation on neck.
Great, slow stitches in right cervical muscles, just after waking from sleep, passing off while swallowing, but returning again soon afterward.
A transient stitch in left side of neck.
Drawing pricking through left side of neck.
Twitching of right cervical muscles while lying.
Neck cold in evening ; distended veins.
Sensation in thyroid and cervical glands on breathing as if air were passing up and down those glands.
Thyroid gland very much swollen, painful on touching neck and on pressure.
Region of thyroid gland seems as if hardened.
Pressing sensation in goitre, several times daily.
(In sick :) Jerking pain in side where small goitre exists ; throbbing in head, descends into cheeks, and extends thence into neck in shape of tearing pain.
(In sick :) Stinging pain in goitre on swallowing ; slight pain when parts are at rest.
(In sick :) Stitches in goitre, when not swallowing.
(In sick :) Sensation in goitre as if everything were shaking and moving about in same, as if it were alive, particularly on swallowing.
Sensation in goitre like motion, a working about, distension and bracing.
Goitre occurring with the inhabitants of valleys.
Goitre ; three years' growth, very large, unsightly, lumpy, irregular, hard, slightly tender, always on having a cold.
Goitre ; six years' growth, constantly increasing, becoming somewhat fuller, with some slight pain and tenderness on handling every time she has a cold.
Goitre ; of many years' standing, extremely unsightly and repulsive ; larger than both her breasts ; hard, knotty, somewhat tender.
Goitre : from earliest youth (æt. 19) has attained a considerable size.
Thyroid gland of both sides swollen, even with chin ; at night suffocating spells and stinging in throat, with soreness in abdomen.
For four years, large goitre, rather soft, located especially in right lobe of thyroid body ; menses profuse ; nervous palpitation.
Pressing pain in small of back.
Feeling of coldness in back, in region of last ribs.
Chill on back, in small of back.
Itching on back.
Pressing sensation passing up and down through spine, while sitting erect.
Pressure in lumbar region.
Dull stitch in right lumbar muscles.
Dull pain in region of symphysis of right ilium and sacrum, while standing.
A pressing pain in sacral region only while walking, and particularly on setting down left foot.
Pressing pains in small of back with whooping cough.
A fine tearing pain in sacrum, while sitting only, passing from right to left side and upward.
Severe stitch in small of back.
Pain in small of back instead of catamenia.
Sacrum sore before menses.
Small of back and nates are very numb.

Upper limbs

Very painful flying stitch on right shoulderblade.
Muscular twitching about left shoulder joint.
Burning on left shoulder.
Pain in scapulæ as if a pointed instrument were thrust in, a continuous stabbing pain, combined with soreness.
Fine stitches in armpit, while sitting.
Continuous prickling itching in left armpit, while sitting.
In left armpit drawing pressure, by jerks, alternating with similar sensation in left popliteal space.
Arms most tired.
Stretching of arms.
Pains in upper limbs with chills.
Stinging drawing through upper arm.
Bruised pain in arms, almost like soreness.
Burning in arms and hands.
Heat in upper limbs, shoulders and hands.
Beneath upper arms, itching.
Stitches in elbow joint on motion.
Stitches in point of elbow and then tearing in joint as long as he holds his arm bent.
Pressing pain in joint of left elbow.
Boring pain at elbow.
A cramplike pain, with slow throbbing, beneath elbow joint, at upper end of forearm, particularly on supporting arm.
Heaviness in forearms.
Trembling of forearms and hands.
Pain in left forearm as if bones were being pressed together.
Pain from thumb into forearm.
Drawing pain in forearms.
Severe stitches, boring from within outward, in internal muscles of right forearm.
Drawing stitches in forearms and hands.
A feeling in and between wrists as if parts were weakened by decay.
Heaviness and trembling of forearms and hands.
Large vesicles on forearms.
Swelling of hands and stiffness of fingers.
Several stitches in right wrist, during rest.
Severe drawing in left wrist.
Drawing, pressing pain above right wrist.
Stretches hands out for relief.
Hands trembling.
Stitches in hands.
Hands : cold ; cold and bluish, with chill ; burning ; hot, with chill ; swollen, could not bend fingers.
Cramplike pain in balls of thumbs.
Redness and swelling of finger joints, with tension on bending them.
Painful drawing in posterior joint of left thumb, extending into forearm.
A protracted stitch, combined with sore pain in anterior joint of thumb.
Itching in ball of left thumb not dispelled by rubbing.
The tips of index fingers lose their feeling, without growing pale.
Pressing pain in metacarpal joint of middle finger of right hand.
Middle joint of left middle finger became thick and red and seemed tense on motion.
Numbness of tips of fingers, with whooping cough.

Lower limbs

Nates numb.
Rapid twitching of a portion of right gluteal muscles.
Stitch near hip.
Thigh spasmodically drawn forward or backward.
Thighs numb, cold, with fever.
Thighs numb and chilly, while the rest of body is hot.
Numbness or coldness of thighs, with fever.
Tension as if a muscle were too short, in upper end of thigh, on stepping, accompanied each time by a stitch.
Protracted, drawing stitches at upper part of left thigh, below groin, particularly when walking.
Itching, tickling on left thigh, near groin, with desire to rub the part.
Severe stitches, boring outward in right thigh, in front, near hip.
Fine, very sensitive stitch in skin of inner right thigh.
In morning, while in bed, pulsating, sharp stitches through r. thigh, above knee.
Pain in inner side of thigh, above right knee, pressing toward posterior part.
Pressing, stinging pain above right knee, while sitting.
Pain from foot to thigh.
Heaviness in knee joints, felt on walking.
Feeling of lameness from right knee to right hip.
While walking, tiredness in knee as if they would give way, although he sets his foot down firmly.
Severe drawing in left knee, followed by profuse sweat, for several nights.
Dull stinging in left knee, in evening, while lying down.
Tearing in tibia all afternoon.
During rapid walking, a feeling at lower end of left tibia as if a weight were hanging on it.
Pain in ankles extending up tibia.
Tearing from ankle to knee.
Drawing pressure, coming by jerks, in left popliteal space, arising only on bending knee and alternating with a similar sensation in left armpit.
Pressing pain in external tendon of flexor muscle, in popliteal space (r. leg), more violent on walking than while sitting.
Sharp stitches in right calf, while walking.
Continuous prickling itching in popliteal spaces while walking, with desire to scratch parts.
Numbness, first of right then of left lower leg, after brief afternoon naps ; when he tried to walk, left lower leg was spasmodically drawn up to thigh ; even when sitting he could not keep it stretched out, it was then drawn spasmodically backward.
Stiffness of legs.
Drawing, tearing from right ankle joint to knee.
Tearing in ankles ; feet heavy as lead, heaviness extending up tibia.
Pressing pain in right heel, < while walking.
While standing, a severe stitch out at right heel.
Stitches passing upward in right heel while sitting.
Severe intermitting stitches in left heel, from within outward, while standing, passing off on motion.
After a long walk, pricking as if from pins in heels.
Feet heavy as lead.
Her feet are affected ; she starts at every trifle.
Feet feel heavy.
Heat in feet : veins distended ; with the chill ; particularly in heels.
Creeping in lower portion of left foot.
Itching on feet.
Tiredness in lower limbs.
Great commotion and restlessness in both lower legs ; is obliged to change his posture frequently.
Drawing pain from lower portion of right foot to thigh ; drawing during menses ; pains in lower extremities with chill and fever.
Cold feeling in legs ; legs are cold.
Chill on lower limbs, especially on thighs.

Limbs in general

Stiffness in limbs.
Trembling in all the limbs.
Sense of weariness in upper portion of body as if bruised and of numbness in lower portion.
Stretching of limbs.
Hands and feet cold.
Protracted, exhausted and tired lameness of all limbs.

Rest. position. motion

Slight pain in goitre ; stitches in wrist.
Lying : strong pulsation about ear on which she is lying ; dull, tremulous roaring in head ; double vision > ; bores head backward ; dyspnœa < ; suffocative cough < ; after, symptoms of circulation < ; twitching of cervical muscles ; stinging in
knee.
Lying in a horizontal position : headache > ; congestion of blood to head >.
Lying on back : pressing headache > ; throat symptoms > ; brings on cough ; dyspnœa <.
Must lie on back : ulcerative feeling in pit of stomach.
Lying on right side : painful constriction of left side ; brings on cough ; symptoms of circulation <.
In side on which he lies : digging in hip.
Cannot lie : on account of want of breath ; asthma ; pneumonia.
Lying with head low : dyspnœa < ; all symptoms of bronchitis < ; attacks of oppression and cardiac pain <.
Sitting : as if head would fall to one side ; pain in frontal eminence < ; up in bed, sudden burning and compression passes off ; tensive pain in abdomen ; painful constriction in left side ; cramplike pain in left groin ; pressing tearing pain in region
of abdominal ring ; cough > ; stitches in left chest ; fine tearing pain in sacrum.
Stitches in armpit ; prickling in armpit ; stinging above r. knee ; could not keep leg stretched out ; stitches in heels.
Sits up in bed : croup ; suffocative paroxysm passes off.
Must sit up : on account of shortness of breath.
Stooping : stinging in left hypogastrium < ; tensive pain in abdomen < ; dyspnœa < ; stiffness of neck ; back of neck snaps.
Bending body forward : dyspnœa > ; symptoms of circulation <.
Bending back : dyspnœa <.
Holding head upright : dull pressure in occiput >.
Bending head backward ; congestion of blood to head ; tension in neck ; in croup ; tension of cervical muscles.
Bending fingers : tension.
Could not bend fingers : swollen.
When holding arm bent : tearing in joint.
Raising arms above head : becomes faint.
Erect position : writhed and struggled into with croup ; pressing sensation up and down spine.
Standing : pain in ilium and sacrum ; stitch out at heel.
Rising : headache ; cough <.
Must change posture frequently : restlessness in legs.
Motion : of scalp, sensitiveness of cranial integuments ; of eyes, < stinging pain ; every slight, loses her breath and becomes faint ; brings on cough ; every trifling, grows weak ; congestion to chest ; after moderate, grows suddenly weak ;
cough < ; of neck, pain in swollen glands ; stitches in elbow joint ; finger seemed tense ; stitches in heel pass off.
After every exertion : dyspnœa <.
Exertion : suddenly exhausted ; congestion to chest ; exhaustion of chest ; slight, suffocating palpitation.
Opening mouth wide, then biting teeth firmly together ; cramp in neck.
Masticating : teeth feel dull and loose ; gums painful ; pain in molars.
Swallowing : stitches in neck pass off ; violent straining pain ; pain in goitre ; a moving sensation in goitre ; stinging pain in goitre ; as if goitre were alive.
Turning head : stitch in occiput ; neck pains ; neck stiff ; tensive pain in head ; larynx sensitive ; to right side, stiffness of left.
Stepping : tension in thigh.
Walking : tensive pain in abdomen and right groin ; tottering ; stitches beneath second rib ; pain in sacral region, particularly setting down left foot ; stitches in thigh < ; heaviness in knee joint ; tiredness in knees ; as if weight were hanging
to tibia ; stitches in calf ; itching in popliteal space ; left lower leg spasmodically drawn up ; pain in heel < ; long time, pricking in heels.
Going up stairs : suffocating palpitation ; symptoms of circulation <.
Ascending ground : suffocating palpitation.
After exercise : heat.

Nerves

Excitement of nerves.
Stiff, without ability to move.
Strange feeling all over.
Tendency to start.
Twitching of muscles, with fever.
Unable to act upon her limbs by means of volition.
Clumsiness of body.
Weak : after every trifling motion ; suddenly, after motion out-doors ; exhausted after exercise.
Tiredness of whole body, especially arms.
Great tiredness and inclination to sleep.
Lassitude of body and mind ; prefers to be inactive and rest.
As if she were going to faint, with heat in face, and anxiety.
Faint when losing her breath.
Feeling of numbness of lower half of body.

Sleep

Sleepiness with yawning.
Stupid slumber, with fever.
When falling asleep, awakes choking.
Falling asleep early at night ; suffocation awakens.
Lies asleep with head low.
Restless slumber after chills, with heat.
Sleeplessness until midnight.
Sleepless, with violent ebullitions.
Dreams : about murder and assassination ; fatiguing ; vexatious, with anxiety and disposition to weep ; mournful.
As soon as he fell asleep, his mind wandered and he was delirious.
Spoke aloud in her sleep, but not anxiously.
Very short sleep, with many dreams, four consecutive nights ; wakes at midnight, but cannot sleep again on account of restlessness ; whenever he closes his lids, the most vivid pictures would immediately arise before his vision, while waking ; it seemed to him as if a
battery of guns were discharged, or as if everything were in flames ; again scientific subjects forced themselves upon his mind, in short, a mass of subjects crossed each other in his imagination, disappearing at once when opening his eyelids, but reappearing as soon as the lids were
closed.
Awakens in a fright and feels as if suffocating.
Awakening with fear and terror.
Frequent waking with a start.
Starting out of sleep toward morning from a shock in trachea upward like a suffocative paroxysm, passing off after sitting up in bed.
Awakened between 1 and 2 A. M. by sense of suffocation.
Tossing about at night.
After siesta legs numb.
Worse after sleep.

Time

Toward morning : starting out of sleep.
Between 1 and 2 A. M. : awakened by suffocation.
Morning : involuntary discharge from bowels ; stinging in throat < ; rumbling in abdomen < ; digging in hip ; expectoration only of small quantities of tough, yellow, hardened mucus ; pulsating, sharp stitches through thigh ; early, sweat.
Forenoon : pressing pain in gastric region.
Day and night : dry cough ; hollow cough, with some expectoration.
Afternoon : pressure in epigastrium ; cough < ; tearing in tibia ; after brief naps numbness of legs ; chill <.
Evening : stinging and pressing pain in eyes ; cramplike pain from jaw to cheek ; cold sweat in face ; stinging in throat < ; rumbling in abdomen < ; cutting in hypogastrium ; cracked voice ; pressing inward in larynx ; contraction in
larynx ; croupy cough < ; till midnight cough < ; induration of breast comes on ; neck cold ; stinging in knee ; chill <.
At 9 P. M. : sudden attack of croup.
Night : vertigo when awaking, with nausea ; things appear in flames ; figures of light ; restless and easily frightened ; as if a battery of guns were discharged in ears ; a vexed expression, with cough ; stitch from jaw to ear ; suffocating
spells ; rattling breathing, terminating cough ; in middle, spells of choking ; after a chill burning heat of skin ; suffocation about larynx ; awakes in fear and terror ; tossing about ; chill < ; heat ; sweat.
Before midnight : croup < ; dry sound of breathing and cough ; sleepless until.
At midnight : wakes and cannot get to sleep again.
After 12 P. M. : awakes, violent palpitation ; awakes with suffocation.

Temperature and weather

Heat does not > chilliness of back.
Hot room : dry bronchitis <.
Hot tea : cough <.
Near warm stove : chill with shaking.
Warm room : coming into from open air, headache ; cough <.
Warm drinks : distress in stomach > ; cough > ; dyspnœa.
In bed : chill <.
Indoors : cough <.
Open air : pain in left ear ; pain from jaw to cheek ; tension in articulation of jaw ; grows suddenly weak ; after walking, chill.
Sudden change of atmosphere : spasmodic paroxysms of cough and dyspnœa <.
After taking cold : asthma.
Dry, cold weather : headache >.
Dry, cold winds : coryza.
Washing : headache >.
Wet weather : cough <.
Cold : tea or water brings on cough ; weather, subject to attacks of dyspnœa ; air, cough <.
Frosty weather : cough >.

Fever

Coldness : all over ; of eyes ; of neck ; in epigastrium ; of hands of thigh ; pallor and sweat of face with heat of whole body.
Cold feeling : in head ; in stomach ; on back ; on lower limbs ; on small of back ; on thighs.
When feeling cold an itching arises.
Shuddering across back.
Chill : with shaking, even near a warm stove ; mostly across back ; after walking in open air ; < in bed ; in afternoon ; in evening ; at night ; with coryza ; with internal heat ; with heat at same time ;
alternating with heat.
Chill, then heat, then sweat.
Strong heat soon after chill, with dry, burning heat over whole body, with exception of thighs, which remain cold, numb and chilly.
Heat : with external chill ; rises from abdomen, rest of body chilly ; with thirst, at night ; anxious, dry, with red face and weeping, and inconsolable mood, or with whooping cough ; after exercise ; in bed ; with sweats.
He suddenly grows anxious and warm over whole body, with heat and redness in face, with sweat.
Daily several attacks of heat with anxiety, pain in region of heart, weeping and inconsolability ; she would rather die on the spot.
Dry, hot skin and congestion to head.
Attacks of spreading, flying heat.
Synochal fever, in croup.
Flushes of heat returning when thinking of them.
Heat, sweat and itching of skin.
Sweat : anxious ; cold, clammy ; copious, during night ; over whole body early in morning ; with whooping cough ; cool on face, evenings ; of itching parts ; profuse, follows drawing pain in knee ; breaking out too
easily.
Stupid sleep with the sweat.
Worse with the sweat ; > after it.
Want of perspiration.
Typhus ; loose cough suddenly changing to dryness and hoarseness, increasing to dyspnœa, with anxiousness.

Attacks, periodicity

Alternately : face red and pale ; pressure in armpit and popliteal space ; chill and heat.
Attacks : repeated, of want of breath.
Frequent paroxysms of two minutes : cough.
For several hours : itching at glans penis.
Daily : several times, pressing sensation in goitre ; several attacks of heat, with anxiety.
Nightly : agglutination of lids ; wakes up several times with want of breath.
For two days : dryness of Schneiderian membrane.
For several nights : drawing in knee and sweat.
Four consecutive nights : very short sleep with many dreams.
For nine days : red swelling of right helix.
For several days : sore pains in anus ; flowing like menses.
Full moon : asthma <.
Since two years : swelling of left testicle.
Three years' growth : goitre.
Four years' growth : goitre.
For six years : subject to attacks of dyspnœa.
Six years' growth : goitre.
Many years' standing : goitre.

Locality and direction

Right : dull pain on side of brain ; pressing sensation in temple ; downward drawing pain in side of head and neck ; pressing outward on parietal bone ; pressing in frontal eminence ; pressing pain over eye ; ringing in ear ; drawing
pain in ear ; fine stitches in ear ; burning in orifice of ear ; red swelling of helix ; tearing in zygomatic arch ; jerking fine stitch from upper jaw into internal ear ; violent burning under angle of mouth ; pain in molars of lower jaw ; stitches in
side of abdomen ; glandular swelling in groin ; epididymis enlarged and hardened ; weight dragging down in chest ; painful stitches in chest ; severe pricking in breast ; crawling pain in side of chest ; boring stitch in costal muscles ; glandular
swelling under lower jaw ; slow pressure on side of neck ; tension of cervical muscles ; slow stitches in cervical muscles ; twitching of cervical muscles ; goitre in lobe of thyroid body ; dull stitch in lumbar muscle ; dull pain in region of symphysis of
ilium and sacrum ; flying stitch in shoulder blade ; stitches in muscles of forearm ; stitches in wrist ; drawing pressing pain above ; pressing pain in middle finger ; rapid twitching of portion of gluteal muscles ; stitches in thigh ; stitch in inner
thigh ; pain in thigh above knee ; pressing stinging above knee ; lameness from knee to hip ; stitches in calf ; tearing from ankle joint to knee ; pressing pain in heel ; stitch at heel.
Left : stitches in temple to forehead ; pressing in outer half of eye ; tension about eye ; stinging in eye ; stinging itching under eye ; burning in eye ; sudden stinging drawing at external canthus of orbit ; tensive stinging pain in external
canthus ; burning pain on external surface of lower lid ; cramplike pain in ear ; digging stitches in depth of ear ; boils on ear ; creeping stitches in nasal bone ; cramplike pain from articulation of jaw to cheek ; tearing stinging in cheek ; tension
in articulation of jaw ; stinging itching in cheek ; side of chin to angle of mouth painful to touch ; burning pain in upper molars ; pain in side of abdomen ; cutting toward breast ; boring stinging in hypogastrium ; painful constriction in side ;
fine digging above hip ; twisting sensation in side of abdomen ; cramplike pain in groin ; small boil in groin ; swelling of testicle ; pressure in chest ; cutting in side of chest ; broad pressure, with many fine points in side of chest ; drawing
stitches beneath second rib ; pinching jerk in side of chest ; consumption beginning at apex of lung ; rheumatism in lumbar muscles ; stinging itching on breast ; induration of breast ; stiffness in side of neck ; cracking pain on posterior side of
neck ; tension in side of neck ; transient stitch in side of neck ; pricking through side of neck ; setting down foot pain in sacral region ; muscular twitching about shoulder joint ; burning on shoulder ; prickling itching in armpit ; drawing pressure
in armpit ; drawing pressure in popliteal space ; pressing pain in joint of elbow ; pain in forearm ; drawing in wrist ; painful drawing in posterior joint of thumb ; itching in ball of thumb ; middle joint of middle finger ; stitches in thigh ;
itching tickling in thigh ; severe drawing in knee ; dull stinging in knee, as if weight were hanging to tibia ; leg drawn up when walking ; stitches in heel ; creeping in lower portion of foot.
From right to left : swelling in fauces ; orchitis ; pain in sacrum ; numbness of legs.
From within outward : pressing in temple ; pressing in frontal eminence ; pricking in breast ; stitches in right forearm ; stitches in thigh ; stitches in heel.
From without inward : jerk in chest.

Sensations

As if head would fall to one side ; as if one would fall backward ; as if tipsy ; as if all her blood were mounting to head ; as if skull would burst ; as if hair were standing on end ; eye as if twisted around ; as if a battery of gums were
discharged in ears ; stitches as if passing through tympanum ; nodule in concha as if it would gather and break ; jaw as if dislocated ; as if eruption were to appear near chin ; left side of chin as if ulcerated ; as if something had got jammed between teeth in
chewing ; as if gums and teeth were swollen, and latter being lifted ; outside of throat as if something were being pressed out ; as if he had drunk a great deal of lukewarm water, relaxation of stomach and œsophagus ; pit of stomach as if growing together ; stomach
as if standing open ; as if something alive were moving in abdomen ; as if something alive were beneath skin of abdomen ; as if diarrhœa would ensue ; as of a plug in larynx ; as of a stopper or valve were in larynx ; as of a nail pressing in larynx ; as
if larynx and trachea were narrower ; as if she would suffocate ; as if child could not get breath ; as if breathing through a sponge ; as if chest would burst ; chest as if sore and bloody ; as of a plug in throat ; as of a large accumulation of mucus and
weight at chest ; as if a broad body armed with points were pressing upward ; as if a weight were dragging down in chest ; as if she had something hot inside of chest ; as if blood would burst out of chest ; as if cervical glands were swelling ; as if jaw would
be dislocated ; as if skin of neck were compressed between fingers ; as if air were passing up and down thyroid and cervical glands ; thyroid gland as if hardened ; as if everything were shaking and moving about in goitre ; as if goitre were alive ; as if a
pointed instrument were thrust into scapulæ ; as if bones of forearm were being pressed together ; as if parts in and between wrists were weakened by decay ; as if a muscle were too short in upper end of thigh ; as if knees would give way ; as if a weight were
hanging on lower end of tibia ; as of pins in heels ; as if she were going to faint ; as if everything were in flames ; as if sweat would break out.
Pain : in vertex and forehead ; in occiput ; in neck ; in cartilages of ears ; in articulation of jaw ; in posterior molars ; in gums while chewing ; in throat ; in goitre ; beneath short ribs ; in left side of abdomen ; in
abdominal ring ; from hypogastrium to anus ; in testicles ; in larynx ; in trachea ; in chest ; in bronchi ; in small of back ; in scapulæ ; in upper limbs ; from thumb into forearm ; in inner side of thigh ; from foot to
thigh ; in ankles up tibiæ ; in lower extremities ; in region of heart.
Violent pains : in small of back and abdomen.
Great pains : in larynx ; in heart.
Sudden pain : in chest and dorsal muscles ; of left side.
Stabbing pain : in scapulæ.
Cutting : in upper part of abdomen ; from hypogastrium to breast ; in left side of chest.
Tearing : in left eye ; in nose ; in cheeks ; from cheek to neck ; in right zygomatic arch ; in elbow joint ; in tibia ; from ankle to knee ; in ankles.
Fine tearing pain : in sacrum.
Pressing tearing pain : in region of abdominal ring.
Drawing tearing : from right ankle joint to knee.
Bursting pain : in head ; in trachea.
Pinching pain : in left side of chest.
Pinching, bruised, squeezing pain : in testicles.
Boring pain : at elbow.
Boring stitch : in right costal muscles.
Stitches : in temples ; externally in left temple ; in forehead ; in occiput ; in scalp ; in eyeballs ; in nodule in concha ; in goitre ; above pit of throat ; in throat ; in region of stomach ; in right side of abdomen ;
below groin ; in anus ; into spermatic cord ; in chest ; in both sides ; in goitre ; in elbow joint ; in point of elbow ; in hands ; near hip ; in heel.
Severe stitch : in small of back ; in internal muscles of right forearm ; in right wrist ; in right thigh ; out at heel.
Sharp stitches : in right calf.
Flying stitch : on right shoulder blade.
Transient, painful stitches : on right side of chest ; in left side of neck.
Severe intermittent stitches : in left side of chest ; in heel.
Pulsating sharp stitches : through thigh.
Great slow stitches : in cervical muscles.
Protracted stitch : in joint of thumb.
Drawing painful stitches : from body through glans penis ; beneath second rib of left side of chest ; in forearms and hands ; at upper part of thigh.
Digging stitches : in depth of left ear.
Jerking fine stitch : from posterior portion of right upper jaw into right internal ear ; external, in region of larynx.
Fine stitches : in right ear ; beneath lower lip ; externally on navel ; externally on chest and arms ; in armpits ; in skin of inner thigh.
Large, somewhat blunt stitch : from testicle into spermatic cord.
Dull stitch : in right lumbar muscles.
Creeping stitches : in nasal bone.
Itching stitch : as if caused by a very fine needle.
Shooting : up entire cord ; from testicle into inguinal region.
Jerking pain ; in side where goitre exists.
Pinching jerk : in left side of chest.
Violent straining pain : on swallowing ; Pressing pain : in vertex ; in right frontal eminence ; over right eye ; in gastric region ; in left side of chest ; in precordial region ; in small of back ; in joint of elbow ; in metacarpal
joint of middle finger ; in tendon of flexor muscles ; in heel.
Pressing cracking pain : on left posterior side of neck.
Contracting pain : in ear ; in chest.
Gnawing pain : on crown of head.
Heavy, dragging pains : in spermatic cord.
Drawing pain : in internal ear ; in forearms ; in joint of l. thumb ; from lower portion of right foot to thigh.
Colicky pains : in abdomen.
Painful cramp : in cervical muscles.
Cramp : lower jaw drawn ; in neck ; in abdomen.
Cramplike pain : in left ear ; from left articulation of jaw to cheek ; in left groin ; in cervical muscles ; below elbow joint ; in balls of thumbs.
Boring stinging : in left hypogastrium.
Tensive stinging pain : in external canthus.
Stinging drawing : at external canthus of left orbit ; through upper arms.
Pressing stinging pain : above knee.
Stinging itching : under left eye ; on left breast near shoulder.
Stinging : in eyes ; about eye ; in cheeks ; in teeth ; in mouth ; in throat ; in left side of chest ; in precordial region ; in goitre.
Biting : in anus.
Burning pain : on external surface of lower lid ; in left upper molars.
Violent burning : under right angle of mouth.
Burning heat : in forehead ; over whole body.
Burning : in occiput ; in left eye ; in ears ; in ears from throat ; behind ears ; in orifice of right ear ; in mouth ; in throat ; in larynx and trachea ; in chest ; on left shoulder ; in arms and hands.
Itching burning : in scrotum and body of penis.
Heat : in head ; in forehead ; in scalp ; in eyes ; in ears ; on chin ; in teeth ; in œsophagus ; in male genitals ; in chest ; from abdomen in upper limbs, shoulders and hands ; in feet.
Flying heat : in face ; in blood.
Sore pain : in anus ; in joint of thumb.
Bruised pain : in arms.
Itching biting : on breast, epigastrium, back and beneath arms ; on feet.
Smarting : in anus.
Soreness : of tongue ; of throat ; in abdomen ; of anus ; in sacrum ; in chest ; of sacrum ; of scapulæ.
Pricking pains : across upper jaw ; in right breast ; above throat pit ; in heels.
Crawling pain : in left side of chest.
Tensive pain : in neck ; from hypogastrium to anus ; in upper abdomen ; in right groin ; in left side of neck.
Dull pain : in right side of brain ; in region of symphysis of r. ilium and sacrum.
Painful constriction : in left side beneath skin ; in chest ; spasmodic, through chest and larynx ; in cardiac region.
Severe drawing : in knee.
Drawing : in pit of stomach ; in all the limbs ; toward larynx ; in left wrist.
Drawing pressure : in armpit and popliteal space ; above r. wrist.
Severe pressing : in larynx.
Pressure : in forehead ; sharp, at both temples ; in ears ; in throat ; above thyroid cartilage ; in epigastrium ; in hypochondria ; in larynx ; in left chest ; on right side of neck ; in lumbar region.
Pressing : in eyes ; in outer half of left eye ; under eyelids.
Pressing sensation : in right temple ; in right side of head and neck ; on right parietal bone ; in right zygomatic arch ; in goitre ; up and down spine.
Violent drawing : in upper and lower limbs ; in lower jaw.
Tension : in neck ; about left eye, near temple ; in articulation of left jaw ; of maxillary glands ; in throat ; of cervical muscles ; in finger joints.
Tensive constrictive sensation : above root of nose.
Constriction : in larynx.
Heaviness : in head ; in occiput ; of lids ; in chest ; in forearms ; in knee joints ; of feet.
Crowding sensation : in ears.
Weight : dragging down on right chest.
Oppression : of chest.
Fulness : in head ; in epigastrium ; in stomach.
Tightness : of chest.
Pulsation : about ear ; in forehead.
Knocking : in forehead.
Twitching : of right cervical muscles.
Throbbing : in forehead ; into cheeks ; in spermatic cord ; in head, thence into cheeks and neck.
Twisting sensation : in left side of abdomen.
Itching tickling : on left thigh.
Prickling itching : in left armpit ; in popliteal space.
Drawing pricking : through left side of neck.
Penetrating tickling : in throat, toward ear.
Tickling : in throat ; in larynx ; in trachea.
Ulcerative feeling : in pit of stomach.
Irritation : in upper part of larynx.
Sensitiveness : of cranial integuments.
Rawness : of throat ; in chest.
Roughness : of throat ; in larynx and trachea.
Scratching : in throat.
Scraping : in throat ; in larynx and trachea.
Dryness : of lids ; of nose ; of tongue ; of throat ; of larynx ; in trachea ; of Schneiderian membrane.
Moving sensation : in goitre.
Restlessness : in both lower legs.
Lameness : from knee to hip.
Stiffness : in neck ; of muscles of neck and throat ; of fingers ; of legs ; in limbs.
Strange feeling : all over.
Dyspeptic distress : in stomach.
Craving : in stomach.
Empty feeling : in lower abdomen.
Weariness : of upper portion of body.
Tiredness : in lower limbs ; of whole body, especially arms.
Faintness : at stomach.
Weakness : in chest.
Relaxation : in œsophagus and stomach.
Numbness : on chin ; in front of throat ; of small of back and nates ; of tips of fingers ; of thighs ; of lower legs ; of lower portion of body.
Dulness : over root of nose.
Gloominess : over root of nose.
Creeping : in nodule in concha ; on neck ; in lower portion of foot ; in skin.
Formication : in rectum.
Voluptuous itching : at point of glans penis.
Itching : violent, on scalp ; of eyelids ; in cheeks ; in teeth ; near groin ; in anus ; on breast ; on back ; beneath upper arms ; in ball of thumb ; on feet ; of skin.
Cold feeling : in head ; in stomach ; on back ; on lower limbs ; on small of back ; on thighs.
Coldness : of eyes ; of nose ; in epigastrium ; of neck ; in back ; of hands ; of thighs ; in epigastrium.

Tissues

Ebullitions ; distended veins.
Swelling and induration of glands ; goitre.
Dropsy in cavities of body.
Scrofulosis ; skin and muscles lax ; light hair.
Rheumatic affections of valves of heart ; fibrous deposits upon valves.
Inflammation of larynx, trachea or bronchia.
Croup ; bronchitis ; tuberculous phthisis.
Tubercular diathesis.

Touch. passive motion. injuries

Touch : forehead painful ; nodule in left concha painful ; boils on ear painful ; lower jaw painful ; chin at angle of mouth painful ; pain in testicle ; larynx sensitive ; pain in larynx ; induration painful ; swelling under
lower jaw painful ; right side of neck painful ; thyroid gland painful ; goitre tender ; skin sensitive.
Pressure : pimples beneath chin on neck painful ; of hand < twisting sensation in abdomen ; crawling pain in chest < ; on glands causes pain ; thyroid gland painful.
Cannot endure tight clothing about body, particularly epigastric region ; and abdomen.
Rubbing : > itching under eye ; seems as if weight were dragging down in right side of chest ; does not > itching in thumb ; makes red spots ; does not > itching stitch.
Scratching : does not diminish biting itching.

Skin

Sensitive to touch.
Red, itching blotches on skin.
Herpes.
Particularly when she feels cold, there arises an itching biting on breast, epigastrium, back and beneath upper arms, at other times it is only on feet ; rubbing makes spot red, which seems to bite more severely for a short time, vesicles arise on these spots, which, however, soon
vanish again.
Ringworm.
Here and there, about whole body, a protracted itching stitch, as if caused by a very fine needle, making it necessary to rub the part without being relieved thereby.
Burning itching, with desire to scratch.
Itching on skin : pricking with fever ; as if sweat would break out ; with heat and sweat.
First a creeping sensation in skin ; then spot becomes red and hot, followed by biting itching, like a flea moving along (without stinging), upon which rashlike pimples appear ; scratching does not dimish biting-itching, it appears to make it last longer.
Measles ; barking cough, with hoarseness, coryza and bronchial catarrh.
Pruritus universalis ; biting itching, in chronic cases.
Fistulous opening in scrotum ; discharges little thick whitish matter.
Ulcers with scanty discharge ; erysipelas ; erythema.

Stage of life, constitution

Often indicated with children and women.
Light hair, lax fibre ; fair complexion.
Scrofulous affections.
Child, æt. 6 months ; croup.
Girl, æt. 6 months ; croup.
Girl, æt. 11 months ; irritability of larynx.
Boy, æt. 18 months, strong and lively ; croup.
Girl, æt. 18 months, neck had been leeched and calomel given ; croup.
Girl, æt. 2 ; croup.
Girl, æt. 2 ; croup.
Boy, æt. 3 1/4 years ; croup.
Boy, æt. 4, scrofulous, cachectic-looking ; croup.
Boy, æt. 5, robust, after a chill ; croup.
Girl, æt. 6, frail, slender, dark hair and eyes ; diphtheria.
Girl, æt. 19, lymphatic temperament, affected four years ; goitre.
Young lady, æt. 19, well built, well nourished, scrofulous until her fourteenth year, has bronchocele ; asthma.
Lady, æt. 23, suffering two years ; enlargement of thyroid gland.
Miss M., æt. 25, healthy, plump, ruddy, weight 150, dark hair and eyes, affected three years ; bronchocele.
Man, æt. 30, suffering eighteen months ; pain in abdomen.
Lady, æt. 30, lymphatic constitution ; Basedow's disease.
Lady, æt. 32, single, tall, slender, thick skin and thick lips, strumous, affected many years ; bronchocele.
Man, æt. 35 ; affection of testicle.
Man, æt. 40, dark hair and complexion, after pneumonia ; circumscribed gangrene of lung.
Woman, æt. 40 ; Basedow's disease.
Mrs. S., æt. 45, mother of six children, spare habit, scrofulous, affected six years ; bronchocele.
Man, æt. 53, suffering fourteen years ; cough.

Relations

Compatible : after Acon., Hepar ; before Bromium, Carbo veg., Hepar .

Lectures on Homoeopathic Materia Medica

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

Mind

The mental symptoms of Spongia show that it is a heart remedy.

When a remedy produces the anxiety, fear, and dyspnoea found in Spongia, it will most likely turn out to be a cardiac remedy, unless these conditions are connected with irritation and inflammatory diseases of the brain.

In this drug we find without any cerebral symptoms, marked anxiety, fear of death, and suffocation, associated with palpitation and uneasiness in the region of the heart. It is especially related to cases where there is pain and a sense of stuffiness and fullness in the cardiac region, in the chest, with dyspnoea, anxiety, fear of death, feat, of the future, fear that something dreadful is going to happen.

Wakens at night in great fear and it is some time before he can rationalize his surroundings ( Aesc., Lyc., Samb., Lach., Phos., and Carbo veg.).

Spongia is closely related to Aconite, which also excites the heart, brings on anxiety, fear, and restlessness, fear of death, predicts the hour of death, but this is associated with a marked febrile excitement. Spongia has febrile excitement in a minimum degree.

It is much deeper in its action than Aconite. Its cardiac diseases tend to develop slowly, with actual tissue changes, enlargement of the heart, it takes on a steady growth and the valves become changed, do not fit, hence, there are blowing and whizzing sounds, regurgitation with the mental symptoms. The two are similar in croup, but Spongia is deeper, slower in onset, taking several days for its development.

Cough

Aconite from exposure to a dry cold wind takes a cold to-day and, of course, comes down with croup to night in the first sleep. Before midnight has a dry spasmodic cough; hoarse cough; Spongia has taken a cold yesterday or the day before.

First there is roughness and dryness of the mucous membranes, sneezing. Both remedies have croup before midnight with dry, hoarse, barking cough, sawing respiration and dry air passages.

They are so similar that when Aconite only partially controls the condition and it returns the next night, or lasts on beyond midnight, Spongia becomes its natural follower. Spongia comes in because it was probably the remedy in the beginning.

Cases that grow worse each succeeding night, hoarse barking and crowing before midnight, though it also has a croup after midnight. It is a deep-acting remedy though its complaints sometimes come on suddenly.

Hepar is worse at night and in the morning. And when Aconite has apparently controlled, but the croup returns the next morning, Hepar comes in. Or if it comes on again the next evening with rattling Hepar will also be suitable.

Dry, with no rattling is Spongia. If the child wants to be covered or says that it is chilly, Hepar. If it says the room is too warm and kicks the covers off, it needs Calc. sul.

The Spongia patient is worse from a warm room, from heat. Wants to be cool like Iodine, but is better from warm drinks, like Ars., Nux, Lyc.

Glands

The tendency to affect the glands is striking.

As a matter of fact, all the glands are affected; they gradually enlarge and become increasingly hard. Glands that have undergone inflammation and, are increased in size become hard, or they take on hypertrophy.

Hypertrophy of the heart ( Kalmia, Sepia, Naja). Spongia has cured endocarditis, cardiac croup and many other inflammatory diseases of the heart resulting from rheumatism. Hypertrophy of the thyroid, goitre, when the heart is affected and the eyes protruding.

Cervical glands enlarged; inveterate cases of enlarged testes; orchitis from a suppressed gonorrhea, a cold or other causes; gradually increasing hardness.

Chest

The whole respiratory apparatus is acted upon; cardiac dyspnoea and the most severe forms of asthma.

Dryness of the air passages with whistling and wheezing, seldom rattling, must sit up and bend forward; at times after great dyspnoea, white, tough mucus forms in the air passages, difficult to expectorate; it comes up and often has to be swallowed ( Arn., Caust., Lach., Kali c., Kali s., Nux mos., Sep., Staph.)

Dyspnoea worse lying down.

Head and face

The modality is common to its other complaints; violent, basilar headache forces him to sit up in bed and keep still. Holding the head in the upright position relieves the dull pressure in the occiput.

There are many headaches. In the occiput, in the forehead, congestive headaches, but most of them are associated with goitre, cardiac affections and asthma; they are due, probably, to sluggish circulation in the brain.

Face distressed in croup; anxious; livid; pale and bloated; blue, pale with sunken eyes; red with anxious expression; alternating red and pale; cold sweat.

These symptoms are the natural effects of difficult breathing and are, therefore, not essential in the selection of a remedy. As primary symptoms, they would probably indicate Ars., but when due to cardiac difficulties, they are unimportant.

"Sore throat worse after eating sweet things.

Thyroid gland swollen even with the chin; at night, suffocating spells, barking cough, with stinging in the throat and soreness in the abdomen."

Throat

Enlargement of the tonsils. Difficult swallowing.

Spongia is the remedy when dyspnoea and cough are relieved by warm food; may be better from warm drinks.

Laryngeal troubles with great hoarseness, in individuals tending towards phthisis, with tubercular heredity, cachectic aspect, weak lungs, but no deposit of tubercle. But all at once hoarseness sets in.

There is a tendency for the larynx to become involved in phthisical patients that need Spongia. This patient takes an acute cold and it settles in the larynx with hoarseness. Look out for that patient, for there is a tendency for tubercles to deposit where there is inflammation, and the infiltration instead of being fibrinous may become tubercular. Tendency for the larynx to be first involved in phthisical patients.

In Spongia do not look for the exsudative, but the infiltrative form of croup. Hoarseness with loss of voice, great dryness of the larynx from a cold; coryza, sneezing, the whole chest rings, is as dry as a horn; voice hissing, croupy, nose dry.

There is very little accumulation of mucus, but at a late date ulceration begins and then there may be a copious expectoration of mucus. In proportion to the extent of rattling, this remedy is decreasingly indicated. Hepar has the coarse rattling with much mucus.

At times an adult takes cold and rawness of the larynx and trachea is the result. On going to bed she is taken with a spasmodic constriction of the larynx.

Laryngismus stridulous is commonly found in women. Ign., Gels., Lauroc. and Spongia. Ign . and Gels. will cure eight out of ten cases.

The larynx is sensitive to touch in croup, etc., like Phos.

Dry, spasmodic cough, troublesome cough; cold things taken into the stomach aggravate. ( Veratr. is better from cold water, but the cough is worse.) If the room becomes too warm, there is a dry, tickling, teasing, croupy spasmodic cough.

In cardiac and asthmatic troubles it resembles Lach., in the rousing up from sleep in suffocation; after the sleep the dyspnoea is worse.

The Phos. dyspnoea is often increased after sleeping, with suffocation. Lach. has it in a marked degree; in phthisis when the patient is about to die, there is sweat on going to sleep; dyspnoea on going to sleep and on waking. Lach. palliates and must be repeated.

Cardiac affections accompanied with thick, green or yellow expectoration like pus and dyspnoea on falling to sleep so that he must keep awake as long as he can, fear of sleep in advanced chest troubles. Grindelia robusta will palliate such a case and if the condition is only catarrhal and not tuberculous, it will cure.

Study especially the cardiac symptoms.

"The symptoms of circulation are worse; from mental lassitude, from coughing, from lying on the right side, before menses, after lying down, sitting bent forward, from smoking, from going up stairs.

Awakens in fright and feels as if suffocating.

Falling asleep early at night, suffocation awakens."

I have mentioned these symptoms, but read them for emphasis.

Ebullitions, distended veins; dropsy in cavities of the body. Especially suits young persons of tubercular parents, who remain weak, are pallid and do not thrive. Tubercular diathesis.

Itching but no eruption. Seems always ready for an eruption to appear. Has only simplest herpetic eruptions. Itching all over and no visible eruption.

In acute endocarditis, the principal remedies are Spongia, Abrot., Sepia, and Kalmia. Naja in valvular diseases.