Stannum Metallicum stann.

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

NERVES. MUCOUS MEMBRANES. CHEST. FEMALE ORGANS.

Worse

Using voice. Cold. 10 A.M. MOTION: After. Gentle. Lying on right side. Ascending steps.

Better

Rapid motion. Hard pressure; over an edge. Expectoration.

General

Repeated short attacks. EXTREME WEAKNESS; < IN CHEST; in throat, stomach, upper arms and thighs; drops into a chair; can't even talk; trembles on moving. Paralytic heaviness. Profuse, muco -purulent secretions. Emaciation. PAINS INCREASE GRADUALLY, THEN SLOWLY SUBSIDE. Pressive drawing. Neuralgias. Cramps. Spasms. Hysteria.

Particulars

Anxious, nervous and sad; < before menses. Weak and miserable, and discouraged. Pressive, stupefying headache. Pale face, with sunken eyes. Malar neuralgia. Faceache. Tickling at root of tongue. Vomiting; violent; early morning, with odor of ingesta. Burning in liver. Painful, pinching colic, > hard pressure and stool, which exhausts. Child wants to be carried over shoulder. Worms. Atony of bladder. Easy sexual orgasms. Pollutions. Before menses, mania erotica. During menses, strong odor of body. Gushes of debilitating leucorrhœa. Prolapse, of vagina or uterus, < stool. Much mucus in trachea. Deep, hollow voice. Short breath, from every effort; must loosen clothes. Cough; easily expectorates quantities of sweet or bright yellow pus or balls of mucus. Catarrhal phthisis. Chest feels raw or hollow. Tremulous knees. Swelled hands and ankles. Chill at 10 A.M.; with numb fingertips. Burning palms and soles. Hectic. Debilitating, musty sweat at 4 A.M. Night-sweats.

Related

Antidotes: Hep. Pul. Related: Lach. Nat-m.

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

Extreme exhaustion of mind and body. Sinking, empty, all-gone sensation in stomach (Chel., Phos., Sep.). Sad, despondent, feels like crying all the time, but crying makes her worse (Nat. m., Puls., Sep.); faint and weak, especially when going down stairs; can go up well enough (Bor., - rev. of Calc.). Headache or neuralgia; pains begin lightly and increase gradually to the highest point and then gradually decline (Plat.). Colic: > by hard pressure, or by laying abdomen across knee or on shoulder (Col.); lumbrici; passes worms. Menses; too early, too profuse; sadness before; pain in malar bones, during. Leucorrhoea; great debility; weakness seems to proceed from chest (from abdomen, pelvis, Phos., Sep.). Prolapsus, worse during stool (with diarrhoea, Pod.); so weak she drops into a chair instead of sitting down. While dressing in the morning has to sit down several times to rest. Nausea and vomiting; in the morning; from the odor of cooking food (Ars., Colch.). When singing or using the voice, aching and weakness in deltoid and arms. Great weakness in chest; < from talking, laughing, reading aloud, singing; so weak, unable to talk. Cough: deep, hollow, shattering, strangling; concussive, in paroxysms of three coughs (of two, Merc.); dry, while in bed, in evening; empty sensation in chest. Expectoration: profuse like the white of an egg; sweetish, salty (Kali i., sep.); sour, putrid, musty; yellow, green pus (heavy, green, salty, Kali i.); during the day. Hoarseness; deep, husky hollow voice; relieved for the time by coughing or expectorating mucus. Sweat: mouldy, musty odor; after 4 a. m. every morning; on neck and forehead; very debilitating.

Relations

Complementary: Pulsatilla. Stannum follows well; after, Caust., and is followed by Cal., Phos., Sil., Sulph., Tub.

Aggravation

Laughing and singing, talking, using the voice; lying on right side; drinking anything warm (from cold drinks, Spong.).

Amelioration

Coughing or expectorating relieves hoarseness; hard pressure (Col.).

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)

Throat and Chest

In chest affections, when talking, reading aloud, singing, etc., causes a very weak feeling in the throat and chest--causes an exhausted, "given out" sensation, and produces hoarseness; using the voice produces weakness in the arms between the elbow and shoulder, then the weakness extends all over the body. The above symptoms are very often found in operatic singers, in play actors, auctioneers--all who use the voice a great deal. Nausea in the throat. Expectoration yellow, green, offensive; after coughing and expectorating the patient feels very hollow and empty.

Sensations

Headache, usually neuralgic, which comes on gradually and grows steadily worse till it reaches its height or severest point, when it begins to grow easier and goes away just as gradually as it came on--e.g., if it was twelve hours in coming on, it will be twelve hours in going off: Severe pain causing the patient to lay over the sharp corner of a table or sofa, or something hard, and to press the abdomen firmly against it, as in this way relief is afforded. Sensation of hollowness; griping as of something being torn away.

Generalities

Affections in general of the left chest; left side; trachea and inner chest; upper part of the chest; inner surface of the thighs. Consumption.

Worse

After moving; lying on the side; using the voice.

Remedies following

Calc. carb., Phosphor., Pulsat., Rhus. tox., Sulphur, Nux vom.

Antidote

Pulsat.

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

Neuralgic headache. begins lightly and increases gradually to its highest point, and then gradually declines. Hoarseness and roughness in the larynx, with great weakness in the chest. Great accumulation of mucus in the trachea, easily detached by a slight cough. Respiratory diseases characterized by Profuse mucus or muco-purulent expectoration, sometimes expectoration of balls of sweetish mucus. Reading aloud or talking produces great exhaustion.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Tin (STANNUM)

General

Chief action is centered upon the nervous system and respiratory organs. Debility is very marked when Stannum is the remedy, especially the debility of chronic bronchial and pulmonary conditions, characterized by profuse muco-purulent discharges upon tuberculosis basis. Talking causes a very weak feeling in the throat and chest. Pains that come and go gradually, call unmistakably for Stannum. Paralytic weakness; spasms; paralysis.

Mind

Sad, anxious. Discouraged. Dread of seeing people.

Head

Aching in temples and forehead. Obstinate acute coryza and influenza with cough. Pain worse motion; gradually increasing and decreasing as if constricted by a band; forehead feels pressed inwards. Jarring of walking resounds painfully in head. Drawing pains in malar bones and orbits. Ulceration of ringhole in lobe of ear.

Throat

Much adhesive mucus, difficult to detach; efforts to detach cause nausea. Throat dry and stings.

Stomach

Hunger. Smell of cooking causes vomiting. Bitter taste. Pain better pressure, but sore to touch. Sensation of emptiness in stomach.

Abdomen

Cramp-like colic around navel, with a feeling of emptiness. Colic relieved by hard pressure.

Female

Bearing-down sensation. Prolapsus, with weak, sinking feeling in stomach (Sep). Menses early and profuse. Pain in vagina, upward and back to spine. Leucorrhœa, with great debility.

Respiratory

Hoarse; mucus expelled by forcible cough. Violent, dry cough in evening until midnight. Cough excited by laughing, singing, talking; worse lying on right side. During day, with copious green, sweetish, expectoration. Chest feels sore. Chest feels weak; can hardly talk. Influenzal cough from noon to midnight with scanty expectoration. Respiration short, oppressive; stitches in left side when breathing and lying on same side. Phthisis mucosa. Hectic fever.

Sleep

Sleeps with one leg drawn up, the other stretched out.

Extremities

Paralytic weakness; drops things. Ankles swollen. Limbs suddenly give out when attempting to sit down. Dizziness and weakness when descending. Spasmodic twitching of muscles of forearm and hand. Fingers jerk when holding pen. Neuritis. Typewriters' paralysis.

Fever

Heat in evening; exhausting night-sweats, especially towards morning. Hectic. Perspiration, principally on forehead and nape of neck; debilitating; smelling musty, or offensive.

Modalities

Worse, using voice (i.e, laughing, talking, singing), lying on right side, warm drinks. Better, coughing or expectorating, hard pressure.

Relationship

Complementary: Puls.

Compare: Stann iod. 3x (Valuable in chronic chest diseases characterized by plastic tissue changes). Persistent inclination to cough, excited by tickling dry spot in the throat, apparently at root of tongue. Dryness of throat. Trachial and bronchial irritation of smokers. Pulmonary symptoms; cough, loud, hollow, ending with expectoration (Phellandrium). State of purulent infiltration. Advanced phthisis sometimes when Stann jod has not taken effect, an additional dose of Iodine in milk caused the drug to have its usual beneficial effect (Stonham). Compare: Caust; Calc; Sil; Tuberc; Bacil; Helon. Myrtus chekan (chronic bronchitis, cough of phthisis, emphysema, with gastric catarrhal complications and thick, yellow difficult sputum. Old persons with weakened power of expectoration).

Dose

Third to thirtieth potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Sinking, empty, all-gone sensation in stomach (Chel., Phos., Sep.).

Sad, despondent, feels like crying all the time, but crying makes her worse; faint and weak, especially when going downstairs; can go up well enough.

Colic > by hard pressure, or by laying abdomen across knee or on shoulder (Col.); lumbrici; passes worms.

Leucorrhœa; great debility; weakness seems to proceed from chest.

Prolapsus, worse during stool, so weak she drops into a chair instead of sitting down. While dressing in the morning has to sit down several times to rest.

Great weakness in chest, can hardly talk, with general debility, which centers in the chest.

Loose cough; with heavy, green, sweet expectoration.

Pains gradually increase to a great height, and as gradually subside.

Another metallic remedy. The leading characteristic is great weakness in the chest (Argentum met.); so weak cannot talk. No remedy has this symptom so strongly as tin. It is present, not only in the laryngeal and lung troubles for which Stannum is such a great remedy, but in great debility. So weak she drops into a chair, < going down stairs (Borax; Calc. ost. up stairs). It is found in connection with uterine displacements and leucorrhœas of thin, debilitated subjects and has made brilliant cures in such cases. Of course in the lung, bronchial, and laryngeal affections, this symptom is very prominent. In these troubles there is generally very profuse expectoration with the cough, and the matter raised tastes very sweet, or it may be exceptionally salty. For the salty expectoration I would sooner think of Kali iod. or Sepia. In all three of these remedies the expectoration may be thick, heavy, and green or yellow in color. Both Stannum and Kali iod. have profuse night sweats, but the Stannum has greater sense of weakness in the chest (cannot talk) than any of the others. Another very characteristic symptom of Stannum is that the pains gradually increase to a great degree of intensity and then as gradually decrease. (See Platinum.) This pain is of course neuralgic, may be located anywhere in the tract of a nerve, but has been often verified in prosopalgia, gastralgia and abdominal colic.

These pains are ameliorated by pressure, like Colocynth and Bryonia; so if Colocynth fails, which is generally first thought of in abdominal pains relieved by pressure, Stannum may relieve, and especially if the attacks have been of long standing or the patient seems to have a chronic tendency thereto. If in children, the patient is relieved by carrying it over the point of the shoulder, the shoulder pressing into the abdomen. The Stannum patient is generally very sad and despondent, feels like crying all the time. (Nat. m., Puls., Sepia.) I have often verified the above symptoms and have seen equally good effects from the 12th, 30th, 200th and 500th (Boericke & Tafel) potencies.

Text Book of Materia Medica

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

Mind and Disposition

Great anxiety and restlessness. Irritable sadness, with aversion to men, and disinclination to talk ; hopelessness.

Head

Vertigo, it seems as if all the objects were too far distant. Painful jerk through the (left) temple, forehead and cerebellum, leaving a dull pressure, worse during rest, better from motion. Burning in the forehead with nausea, better in the open air. Pulsation in the temples.

Eyes

Dull, sunken eyes without lustre. Nightly agglutination of the eyes. Burning stitches in the eyelids. Styes. Fistula lachrymalis.

Ears

Ulceration of the ring-hole in the lobule. Screaming in the ears when blowing the nose.

Nose

Dry coryza on one side, with soreness, swelling, and redness of the nostril. The nose is stuffed up, high up.

Face

Pale, sunken face, with deep, sunken eyes. Drawing pain in the face, in the malar bone and orbits.

Mouth and Throat

Fetid smell from the mouth. Sensation of stinging dryness in the throat. Hawking of mucus with soreness of the throat. After hawking mucus the voice for singing is higher. Difficult and weak voice from debility.

Stomach and Abdomen

Increased appetite, he cannot cat sufficiently to satisfy his hunger. All the food tastes bitter. After eating, nausea followed by bitter vomiting. Violent retching, followed by vomiting of undigested food. Vomiting of blood. Heavy pressure in the stomach, with soreness of it to the touch. Colic with bitter eructations, sensation of hunger in the stomach, and diarrhœa. Spasmodic colic above and below the navel. Hysterical spasms in the abdomen. Sensitiveness of the abdomen to the touch. Sensation of emptiness in the abdomen.

Stool and Anus

Constipation ; stool hard, dry, knotty, or insufficient and green. Diarrhœa consisting of mucus.

Urinary Organs

Scanty secretion of urine. The urging to urinate is wanting, as if there were no sensation in the bladder ; only a sensation of fulness indicates the necessity to urinate.

Sexual Organs

Men. Increased sexual desire ; violent voluptuous irritation to discharge the semen. Women. Menstruation more profuse. Leucorrhœa, of transparent mucus or yellow with great debility.

Respiratory Organs

Hoarseness and roughness of the larynx. Accumulation of great quantities of mucus in the trachea, easily thrown up by coughing. Bronchitis. Great dyspnœa with anxiety in the evening, compelling one to loosen the clothing. Oppressed breathing and want of breath from every movement, also when lying down ; or in the evening. Drawing a long breath causes a pleasant sensation of lightness, for a short time. Stitches in the left side of the chest when breathing or when lying on that side. Sensation of emptiness and weakness in the chest. Sensation of great soreness in the chest. Itching-tickling in the chest. Tension in the chest. (Hydrothorax). Dry cough in the evening in bed, till midnight. Cough during the day, with copious, greenish, salty expectoration ; in the morning the expectoration is most profuse. Cough with expectoration of mucus, tasting putrid, sweet, or salty. After expectoration great soreness (or stitches) in the chest. Cough caused from talking, singing, or laughing, from lying on the (right) side, from drinking any thing warm. Phthisis pituitosa.

Extremities

The pains in the limbs increase gradually and decrease, in the same manner. Upper. Swelling of the hands and feet in the evening. Weakness and trembling of the hands. Paralytic heaviness in the arms. Burning in the hands. Chilblains on the hands. Lower. Paralytic heaviness and weakness in the legs. Stiffness and tension in the bends of the knee. Swelling of the ankles in the evening. Burning of the feet.

Generalities

Pain as if paralyzed in the extremities. Paralysis of the arms and legs. Emaciation ; weakness ; trembling, which is more felt when slowly exercising, or when talking. Hysterics, spasms, with pain in the abdomen and in the diaphragm. Epileptic attacks ; in the evening, in children during dentition. Sleepiness during the day ; goes to sleep late at night. Nightly restlessness, with lamentations, weeping, and timid supplications while asleep.

Fever

Pulse small and quick. Chill in the evening, especially over the back, preceded by heat with perspiration. Chill every forenoon, (10 A.M.). Chill only on the head. Slight chilliness with violent chattering of the teeth. During the morning chill, numbness in the tips of the fingers. Heat in the afternoon (4 to 5 P.M.) every afternoon, with perspiration at the same time. Burning heat in the limbs, moody in the hands, every evening. Anxious sensation of heat from the least movement. Predominating sensation of internal heat. Very debilitating night-sweats, in the morning, principally on the neck. Debilitating perspiration from the least exertion. The perspiration smells mouldy.

Skin

Chilblains. Painful hang-nails.

Conditions

The symptoms, with exception of the debility, are better while walking and cease entirely, but return at once during rest. The (pressing, drawing) pains increase and decrease slowly and very gradually. Aggravation when lying on the (painless) side ; after moving ; from talking. Amelioration when lying on the back ; from loosening the garments.

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

Stannum. Tin. Sn. (A. W., 118.8) Trituration of the pure metal.

Clinical

Anæmia. Asthma. Bronchitis. Chilblains. Colic. Consumption . Convulsions. Cramps. Debility. Dentition. Diaphragm, pains in . Dyspepsia. Ears, ring-holes, ulceration of. Epilepsy. Epistaxis. Gastralgia. Hæmatemesis. Hæmoptysis. Headache. Hectic fever. Hemiplegia. Hypochondriasis . Hysteria. Lachrymal fistula. Lachrymal sac, suppuration of. Milk, altered. Nails, splitting. Neuralgia . Neurasthenia. Opisthotonos. Paralysis. Phthisis pituitosa. Ptosis. Sleeplessness. Styes. Tapeworm. Trachea, affections of. Uterus, prolapse of. Vagina, prolapse of. Worms.

Characteristics

Stannum is the Jupiter of the alchymists. "The ancients have recorded wonderful cures of the most serious diseases with Tin," says Hahnemann, but in his day, until he proved it, its only use was as a vermifuge. Alston obtained indirectly from "a woman of Leith in Scotland" this prescription, of which he has witnessed the efficacy in a case of tapeworm: "Take an ounce and a half of Tin (pewter metal) and grind it small to powder, mix it with sugar syrup, and take, on a Friday before the change of the moon, one-half of it, the following day the half of the remainder, and the Sunday following the rest, but on the Monday a purgative." Alston also says, in his Materia Medica , that he has seen hæmatemesis cured by this as if by magic. Hahnemann's proving appears both in his Materia Medica Pura and in his Chronic Diseases . A number of worm symptoms appear in the pathogenesis: Sinking, empty, all-gone feeling, diaphragmatic and abdominal pains; tendency to excessive mucous secretions; pale, sunken, sickly countenance, with dark rings round eyes; convulsions. Many of these symptoms occur in conditions not due to helminthiasis, and Stan . will be the remedy. Pains in the hypochondria, associated with the hypochondriac or hysterical mental state. Diaphragmatic neuralgia. Colic > by hard pressure, as by laying the child with its abdomen across the knee or on the point of the shoulder. This is one of the keynotes of Stan .; but the most important one is in the type of the Stan . pains: they begin lightly, increase gradually to the highest point and then as gradually decline. Other remedies have pains of this type but not to the same characteristic degree. This feature applies to the headaches, facial and dental neuralgias, abdominal and other pains. Another cardinal feature of Stan . is weakness : exhaustion of mind and body. The chest is so weak as to make talking impossible. The patient is so weak, she drops into a chair instead of sitting down. While dressing in the morning has to sit down several times to rest. There is weakness and aching of the deltoid and arm, and this has the curious modality that it is felt when singing or otherwise using the voice. Stan . is an important remedy for singers and public speakers. The weakness of Stan . makes it an appropriate remedy for many states of neurasthenia, nervous exhaustion. A peculiarity of the weakness is that it is felt much more on going down stairs than on going up. The relaxation of tissue is probably responsible for the weak, empty, sinking sensation felt at the epigastrium; and also for the uterine prolapse. In the dyspepsias of Stan . there is nausea and vomiting from the smell of cooking; and the gastralgia compels the patient to walk about for relief, yet the weakness is so great that he is soon compelled to rest. The weak, empty feeling in the chest is one of the notes of Stan . in phthisical conditions, and the stitches are another; hectic fever; deep, hollow, shattering cough; expectoration, profuse like white of egg, sweetish, salty; sour, putrid, musty; yellow-green pus; deep, husky, hollow voice, > for the time by hawking or expectorating mucus make up the rest of the picture. Stan . is a low-spirited remedy, and when phthisical patients are despondent and without hope (they are usually the reverse) Stan . will most likely be needed. (The yellowness of the Stan . secretions is worth noting: The tongue is yellow; sputa and leucorrhœa are also yellow.) Palpitation and anxiety occur from ever so slight exertion, as giving directions about the household. Trembling of arms and legs; limbs as heavy as lead. The pains of Stan . are frequently compressive and cramp-like; and cramps and spasms are a marked feature of the Stan . effects. The convulsions are opisthotonic; the thumbs are drawn in. They are such as are met within teething children; or in children who masturbate; or who have worms. A typical case of Stan . neuralgia is quoted in Clinique (xxi. 62): Man, 30, suffered for eight years off and on, and for some months continuously, with neuralgic headache. Pain centres over one or other eye (usually right) and extends over whole or part of head and is at times unbearable. It begins in early morning 4 to 5 a.m.), increases gradually to noon, when it gradually declines to sunset, reappearing again the following morning. Two doses of Stan . cured in a fortnight. There is sexual excitement in both sexes. Emissions with excessive prostration. In the female the menses are early and profuse. Orgasm is easily produced Scratching arm produces an intolerable sensation of pleasure in genital organs which extends to uterus and produces orgasm." The uterine and vaginal prolapse of Stan . has this distinguishing feature: it is < during stool; especially during pressure. Labour pains are spasmodic and put the patient out of breath. The milk of nursing woman is changed, and the child rejects it. Hering gives as cured by Stan . "Monday constipation" ─ that is, constipation occurring on days following rest-days. Stan . has marked periodicity. T. H. Urquhart (quoted H. R ., iv. 147) cured in two months an affection of the nails characterised by breaking and splitting, a sequel of scurvy, by applying to them Stannum oleate on a narrow flannel bandage. Peculiar Sensations are: As if all objects were too far off. As if forehead were shattered. As if forehead would be pressed inward. Pain as if from an ulcer in hypogastrium. As if there were a hole in his side. As if there were no sensation in bladder. Chest, as if eviscerated; as if internally constricted. Epigastric region as if beaten. Tickling as from soreness in trachea. Inclination to hawk as if mucus were in chest. As if she would faint. As if limbs beaten. As of a heavy load in affected arm and side of chest. As if sweat would break out. The "girdle" sensation of Stan . accompanies yawning. The secretions of Stan . are bland. The symptoms are < by touch. > By pressure. > Lying across something hard. < Rest. < Lying; (but must lie down from weakness of chest). < Lying on r. side. Sitting bent over > (cough). Bending double > . Walking > pains, but must soon rest. Motion > pains in head, but < other symptoms. < Using voice (laughing, talking, singing). < Going down stairs (faintness). Blowing nose = shrieking noise in ear. Warm drink cough. Open air > ; ( < vertigo). < During stool.

Relations

Antidoted by: Puls. Complementary: Puls. Follows well: Caust., Cina. Is followed well by: Calc., Phos., Sel., Sul., Bac. Compare: Sour sensation in stomach, Chel., Pho., Sep. Weeps all the time, but crying < (Nat. m. < by consolation), Pul. (menses scanty, delayed), Sep. < Descending; can go up well enough, Brx. (Calc. opp.). Pain increases and decreases gradually, Plat., Stro. c. (Arg. m. has headache increasing gradually and leaving off suddenly). Weakness seems to proceed from chest; (from abdomen, pelvis, Pho., Sep.). Nausea from smell of cooking food, Ars., Colch. < Laughing, Arg. m. < Warm drinks; ( < cold drinks, Spo.). Weak from talking, Coccul., Ver., Sul., Calc. Prolapsus uteri < during stool, Pod. (Pod. with diarrhœa, stool green and coming with a rush). Catarrhal phthisis, Sil. (more induration; old people), Pho. (more blood in sputa), Seneg. (lungs feel pushed back to spine; fat persons of lax fibre), Colch., Bals. peruv., Eriodict., Teuc. scorod., Illic., Pix., Myos. Paralysis by emotions, Stph., Nat. m. > Hard pressure, Coloc., Pb. Pain like subcutaneous ulceration; bland discharges, Puls. Claw sensation, Bell. Nausea in throat, Cycl., Ph. ac., Val.

Causation

Emotions. Fright. Masturbation. Dentition. Using voice.

Mind

Sad, hypochondriacal humour. ─ Great agitation and anguish, melancholy and disposition to weep. ─ Sad, despondent, feels like crying all the time, but crying < . ─ Quiet fretfulness; answers unwillingly and abruptly. ─ Continued restlessness with anxiety. ─ Her distress of mind ceases as soon as menses begin to flow. ─ Uneasy, does not know what to do with himself; pains > by walking, but so weak he soon must rest. ─ Earnest application to business, with inability to complete anything undertaken. ─ Discouragement. ─ Ill-humour, with taciturnity and dislike to society and conversation; hopelessness. ─ Sudden fits of passion. ─ Nervous excitement.

Head

Vertigo, during which all objects seem too far off. ─ Vertigo on sitting down, with loss of ideas. ─ Headache, usually neuralgic, which comes on gradually and grows steadily < till it reaches its height or severest point, when it begins to grow > and goes away just as gradually as it came on ─ e.g ., if it was twelve hours in coming on, it will be twelve hours in going off. ─ Headache, with nausea and retching, sometimes with burning sensation in the sinciput, eyes and nose, or else in the morning, with ill-humour. ─ Heaviness in head in evening. ─ Heaviness and stunning pressure in head, esp. traversing forehead. ─ Shooting pains in head, esp. in forehead, and < after a fit of coughing. ─ Spasmodic pains in head, as from tension or squeezing (as from a band in whole upper part of head, and in forehead, slowly increasing and decreasing). ─ Intermittent tearing pain in r. half of forehead, < on stooping. ─ Crushing pain in forehead. ─ Sharp jerking in r. anterior lobe of brain, above orbit. ─ Pressive drawing and tearing in the head. ─ Boring pains in head. ─ Throbbing pains in temples. ─ Painful jerks through l. temple, forehead and cerebellum, < during rest, > from motion. ─ Burning in forehead with nausea, > in open air. ─ Painful shocks across head. ─ Pain as from suppuration in head externally. ─ Burning tension on scalp just above r. forehead.

Eyes

Eyes sore, and, as it were, excoriated by rubbing. ─ Pressure in lids and canthi. ─ Burning lancinations in lids. ─ Itching, smarting, and burning sensation in eyes. ─ Nocturnal agglutination of lids. ─ Pressive pain in l. inner canthus, as from a stye. ─ Styes. ─ Ulcer in the internal canthi (pustular swelling of l. inner canthus) like a lachrymal fistula. ─ Eyes dull (sunken), and clouded. ─ Jerking and quivering of eyes. ─ Convulsed or prominent eyes. ─ Variegated areola round candle.

Ears

Earache, with drawing tearings. ─ Ulceration of holes pierced for earrings. ─ Tinkling in ears. ─ Ringing. in l. ear. ─ Cries (screeching) in ears, on blowing nose.

Nose

Heaviness, and sensation of obstruction, in upper part of nose. ─ Inflammation of interior of nose. ─ Burning sensation in nose. ─ Epistaxis: on moving, on rising from bed; immediately on waking. ─ Dry coryza on one side only, with soreness, swelling, and redness of nostrils. ─ Over-sensitiveness of smell.

Face

Pale and wan countenance, with (deep, sunken) eyes; sickly expression; features elongated. ─ Pains in the face, with pressive drawing, esp. in zygomatic process, and orbits. ─ Burning, lancinating pain in muscles of face. ─ Swelling of cheeks and upper jaw. ─ Spasm in jaw. ─ Painful swelling of submaxillary glands.

Teeth

Toothache after a meal, with jerking pain and heat in the face. ─ Sensation of elongation and looseness in teeth. ─ Ulcer on gums, with swelling of cheeks. ─ Epileptiform convulsions from teething: child > lying with abdomen across something hard; clenching of thumbs.

Mouth

Fetid exhalation from mouth. ─ Flow of acid saliva. ─ Difficult, weak speech, occasioned by weakness, esp. on chest. ─ Tongue coated with a yellowish mucus. ─ Tongue yellow. ─ Tongue red.

Throat

Sore-throat, as from an internal swelling, with drawing and tension. ─ Sensation in velum pendulum as if a foreign body were there, or some mucus which could neither be hawked up nor swallowed; same sensation in posterior nares. ─ Sensation of stinging dryness in throat, with lancinations ( < when swallowing). ─ Cutting in pharynx and œsophagus on swallowing. ─ Ulcerated sensation in r. ─ side of throat. ─ Roughness and scraping in throat, esp. in evening. ─ Accumulation of thick, viscid, greyish, bloody mucus in throat and mouth, with necessity to hawk, followed by a sensation of excoriation (efforts to expel it excite vomiting). ─ After hawking mucus the voice for singing is higher. ─ Tobacco has a sharp, dry taste in the fauces. ─ Permanent rawness and dryness in throat: during swallowing a painful feeling as of being denuded. ─ Rawness and dryness in throat, without thirst. ─ Nausea in fauces and pharynx.

Appetite

Bitter and sour taste. ─ Bitter taste of all food (except water). ─ Bitter, herbaceous taste of beer. ─ Increased hunger, which cannot be satisfied. ─ Increased thirst. ─ Nausea and vomiting after a meal. ─ Excessive weakness of digestion.

Stomach

Bitter risings; or with a taste of rotten eggs. ─ Sour risings, with scraping in throat. ─ Frequent hiccough. ─ Nausea and vomiting; in the morning; from odour of cooking food. ─ Nausea, esp. after a meal, followed by bitter and watery vomiting. ─ Vomiting: of bile; of blood. ─ Violent retching, followed by vomiting of (undigested) food. ─ Aching in stomach, sometimes very violent. ─ Tensive pressure at scrobiculus, which is painful when touched, as from subcutaneous ulceration. ─ Cramps in stomach, sometimes with bitter risings, sensation of hunger and diarrhœa, or else with nausea, and pale and sickly complexion. ─ Squeezing, as from a claw in stomach, and umbilical region, with nausea. ─ Sinking, gone, feeling in epigastrium.

Abdomen

Dull blows across hypochondria. ─ Cramps in region of diaphragm. ─ Pressure and burning sensation in hepatic region. ─ Pressure, spasmodic pain, and shootings in the l. hypochondrium. ─ Abdomen painfully distended, and sensitive to touch. ─ Spasms (colic) in abdomen, with pains above and below navel. ─ Hysterical spasms in abdomen. ─ Digging, pinching, and griping in abdomen; before every stool. ─ Burning sensation, and shootings in abdomen. ─ Feeling of excoriation in abdomen, < by touch. ─ Severe pain causing the patient to lie over the sharp corner of a table or sofa, or something hard, and to press the abdomen firmly against it, as in this way > is afforded. ─ Griping as of something being torn away. ─ Sensation as if stretched in (r.) abdominal muscles. ─ Squeezing, as from a claw, in umbilical region, followed by nausea. ─ Sensation of emptiness (hollowness) in abdomen; even after eating. ─ Incarceration of flat us. ─ Stitches from both sides through hips.

Stool and Anus

Hæmorrhoidal pimple on l. side of anus, with painful soreness when touched. ─ Violent shooting, like needle pricks at base of rectum extending to anus. ─ Soreness and smarting at anus, with fine stitches, immediately after a stool. ─ Itching stitch in rectum. ─ A corroding pain about anus, while walking and sitting. ─ Burning in anus; constant itching. ─ Constipation. ─ Frequent, ineffectual want to evacuate. ─ Hard, dry, knotty fæces, or else scanty and greenish. ─ Stools: green, curdy, with colic; insufficient with renewed desire afterwards. ─ Slimy evacuations. ─ Violent dysentery, urging and tormina, stools bloody, mucous with intolerable tenesmus. ─ Violent diarrhœa. ─ Passes worms; lumbrici; tænia.

Urinary Organs

Dull stitches inward in kidney region. ─ Sensitive pressure in neck of bladder and urethra after urinating; seems as though more would follow; some drops pass when the pressure is < . ─ Blister on margin of meatus. ─ Retention of urine. ─ Scanty emission of urine. ─ Frequent want to urinate, sometimes with scanty emission. ─ Absence of want to urinate, as from insensibility of bladder (only a sensation of fulness indicates the necessity to urinate).

Male Sexual Organs

Increase of sexual desire. ─ Violent and voluptuous excitement during emission. ─ Frequent pollutions; with excessive prostration.

Female Sexual Organs

Increased sexual desire; early orgasm. ─ Catamenia too profuse. ─ Before catamenia, anxiety and melancholy. ─ During the catamenia, colic. ─ Cramps in uterus. ─ Prolapsus of the vagina, with hard stool. ─ Bearing down in uterine region; prolapsus uteri et vaginæ. ─ Prolapsus strangulated tends to gangrene. ─ Leucorrhœa of transparent or yellowish mucus, with considerable prostration of strength. ─ Itching in vulva, < evening ( Stan. mur .). ─ Spasmodic labour pains; they exhaust her, she is out of breath. ─ A child leaves the breast of its mother, and will not suck.

Respiratory Organs

Hoarseness and roughness in larynx, with tickling, which excites a cough. ─ Catarrh, with hoarse voice, sensation of fatigue in chest, obstructed respiration, and cough with expectoration. ─ Great accumulation of mucus in trachea, which is easily detached. ─ The voice is louder in singing, after having hawked up the mucus. ─ Cough excited by laughter, talking, and singing, or by a tickling in chest; or by warm drinks. ─ In chest affections, when talking, reading aloud, singing, &c.; they cause a very weak feeling in throat and chest, an exhausted, "given-out" sensation, and produce hoarseness; using the voice produces weakness in the arms between the elbow and shoulder, then the weakness extends all over the body. The above symptoms are very often found in operatic singers, actors, auctioneers ─ all who use the voice a great deal. ─ Dry, violent, shaking cough, in bed, in evening, until midnight, or more violent in morning. ─ Shattering, deep cough. ─ Fatiguing, paroxysmal cough, so that epigastric region was painful, as if beaten. ─ Short cough from weakness of chest, having a hoarse, weak sound. ─ Cough concussive, with paroxysms of these coughs. ─ Cough excited by lying on the r. side. ─ Cough, with retching and vomiting of food. ─ Cough, with frequent expectoration of mucus. ─ (Cough coming after whooping-cough in girl, 9; very profuse, white, thick expectoration, hoarse, tongue coated, sleepless, no appetite, rapid emaciation and debility, with contracted chest and pleuritic adhesions. ─ R. T. C.). ─ Expectoration when coughing (during the day, in morning expectoration is most profuse and) is greenish, sweetish, or yellow; saltish; or else viscid, and in lumps; or serous, and composed of liquid mucus, or of a putrid smell (after coughing and expectorating the patient feels hollow and empty). ─ During and after the cough, pain as of excoriation, and shootings in the chest. ─ Phthisis pituitosa.

Chest

Obstructed respiration at night, esp. when lying down; or by day, on least movement. ─ Dyspnœa, esp. in evening, with sensation of emptiness in scrobiculus, and anguish, which causes the patient (to loosen or) tear his clothes. ─ Oppression at chest when walking or ascending. ─ Asthma when attacks gradually come on, culminate, and gradually decline. ─ Rattling of mucus and wheezing in chest. ─ Agreeable sensation of lightness on taking a full inspiration. ─ Contusive pain in chest. ─ Heavy pressure in chest as by a weight. ─ Tension in chest (hydrothorax). ─ Constriction of chest, sometimes in evening, with anguish. ─ Lancinations in the l. side of the chest, during inspiration, or when lying on the r. side. ─ Sharp, cutting stitches in l. side of chest, < from stooping. ─ Burning stitches on l. chest, < on expectoration. ─ Suddenly, a long stitch in l. side of chest beneath axillæ, causing fright. ─ Pain, as from excoriation, in chest. ─ Sensation of weakness in chest, as if it were empty, esp. after speaking or expectorating. ─ Itching-tickling in chest.

Heart

Pain in præcordial region and hiccough. ─ Pulse: frequent, small; indistinct, fluttering.

Neck and Back

Lancinations in the shoulder-blades, and nape of the neck. ─ Weakness of the muscles of the nape of the neck, and cracking of the vertebræ of the neck when shaking the head. ─ Opisthotonos. ─ Stitches in back, in small of back, and into limbs. ─ Violent tearing in lumbar vertebræ, from both sides into region of kidneys, < on every motion of trunk. ─ Dull thrusts in lumbar region with a sensation of external coldness against him.

Limbs

Great heaviness and paralytic weakness in arms and legs. ─ Swelling of hands and feet in evening. ─ The pains in limbs < gradually and > in the same manner. ─ Insupportable restlessness in all the limbs.

Upper Limbs

Paralytic pain in the shoulder-joint. ─ Paralytic heaviness in the arms; if he holds a light weight even a short time. ─ Pressive tearings in muscles of joints of the arms, hands, and fingers. ─ Weakness and trembling of hands. ─ Swelling of hands, esp. in evening. ─ Jerking of hands. ─ Violent burning sensation in hands. ─ Small red spots on backs of hands. ─ Chilblains on hands. ─ Contraction of fingers. ─ Retraction of thumbs. ─ Shootings in joints of fingers. ─ Stitches in finger-tips. ─ Painful flaws in nails.

Lower Limbs

Drawing and pressive tearings in hips, extending to sacrum, and also to legs and knees. ─ Paralytic lassitude and heaviness of legs. ─ Bending of knees when walking. ─ Stiffness and tension in ham. ─ Sensation of heat, and burning sensation in feet. ─ Swelling of ankles in evening. ─ Swollen ankles in delicate girls (R. T. C.). ─ Tearing shocks in ankles, extending as far as toes. ─ Swelling of feet, esp. in evening. ─ Red swelling of feet.

Generalities

Pressive and drawing pains, esp. in limbs, gradually becoming very violent, and decreasing in the same way. ─ Affections in general of l. chest; l. side; trachea and inner chest; upper part of chest; inner surface of thighs. ─ Consumption. ─ < After moving; lying on side; using the voice; from motion; when descending. ─ > When lying on back; from loosening garments; from walking (except weakness). ─ Attacks of epilepsy (in children during dentition), with retraction of thumbs, and tossing about of body; or else with throwing back of head, paleness of face, convulsive movements of hands and eyes, and loss of consciousness; the attacks come on sometimes in evening. ─ Excessive emaciation. ─ Pain as if paralysed in extremities. ─ Paralysis (of arms and legs). ─ Great heaviness and indolence. ─ Excessive dejection (weakness), and physical and moral depression, with trembling, esp. during gentle exercise (or when talking), and with disposition to perspire easily. ─ Profuse debilitating sweat, night and morning; hot, even on slight movement; with mouldy, putrid smell. ─ Nervous excitement. ─ Hysterical spasms, with pain in abdomen and in diaphragm. ─ Insupportable uneasiness in body. ─ Excessive fatigue after conversation. ─ The sufferings seem to disappear during a walk, with the exception of the depression, which is then excessive; they reappear as soon as the patient is at rest. ─ Extreme prostration; must sit or lie down continually. ─ Faintness in going down stairs; can go up without difficulty. ─ Pains commence lightly, increase gradually to a very high degree, and decrease again as slowly.

Skin

Itching (burning) shootings over skin of whole body (or l. side). ─ Itching pimples; on face, sore to touch or on washing. ─ Chilblains. ─ Flaws in nails. ─ Painful hang-nails.

Sleep

Tendency to sleep during day. ─ Frequent yawning, with oppression of chest, as if it were encircled by a belt. ─ Sleep retarded. ─ Feeling, in morning, as after insufficient sleep. ─ Deep sleep. ─ Nocturnal agitation and many vivid dreams, anxious or lascivious. ─ Moaning, weeping (timid supplications), and plaintive lamentations, while sleeping.

Fever

Shivering and shuddering in morning, with coldness in hands, and numbness of points of fingers. ─ Chill every forenoon (10 a.m.). ─ Slight chilliness with violent chattering of teeth. ─ Shivering in evening, which runs over back (preceded by heat with perspiration); or only in head, with thirst. ─ Burning heat in limbs, esp. in hands. ─ Sensation of anxious heat, on least movement. ─ Heat every afternoon (4 to 5), with perspiration at the same time. ─ Perspiration smells mouldy. ─ Small, quick pulse. ─ Debilitating perspiration from least exertion. ─ Very debilitating perspiration at night. ─ Profuse perspiration in morning.

The Guiding Symptoms of Our Materia Medica

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

Mind

Sadness, with aversion to men and disinclination to talk.
Continued restlessness and anxiety.
Uneasy, does not know what to do with himself, pains > by walking, yet so weak he soon must rest. θ Anemia.
Sullen, answers unwillingly and shortly.
Her distress of mind ceases as soon as menses begin to flow.
A woman, æt. 39, pregnant in fourth month ; continued anxiety and restlessness ; must keep in bed not only on account of bodily weakness, but also on account of her inability to do anything, as she cannot muster sufficient courage, and is forgetful and
absent-minded ; feels like crying all the time, but crying makes her feel worse ; great palpitation of heart and anxiety, especially if she has to give directions in her domestic affairs ; thinking makes her feel wretched, and she cannot get rid of what once gets fixed in her
mind ; oversensitive smell ; vertigo on moving head ; visions in morning and through day of all kinds of fancied things ; drawing pains in different places ; difficult evacuation even of soft stool ; urging to stool ; urine profuse and pale and then scanty
and brown, sometimes white like milk ; flatus ; dry, tiresome cough ; lies always upon her back with one leg stretched and the other drawn up. θ Pregnancy.

Sensorium

Vertigo : when reading, with loss of thought ; < walking in open air or raising head ; it seems as if all objects were too far off ; dizzy pressure through head ; head feels heavy, with sadness.

Inner head

Sharp jerking pains in anterior lobe of brain above orbit.
Headache in frontal region.
Pain as if forehead were shattered.
Dull pressure from within outward, in forehead.
Pressive tearing : in forehead ; in right half of forehead, at intervals ; < by stooping.
Pressure in left temple beginning slight, then increasing and so again diminishing as if forehead would be pressed inward.
Crushing pain, like a pressing inward in temples, all day.
Painful jerks through left temple, forehead and cerebellum, leaving a dull pressure, < during rest, > from motion.
Throbbing headache in temples.
Stupefying, aching pain in brain.
Constriction and sudden pressure in whole upper part of head, slowly increasing and decreasing.
Heaviness in head, during rest and motion, evenings.
Headache every morning, over one or other eye, mostly l., gradually extending over whole forehead, increasing and decreasing gradually ; often with vomiting.
Soon after rising, dull, stupefying pain over eyes, sometimes more over left, increasing gradually in intensity and involving whole forehead, attaining its climax in about two hours, after which it as gradually subsided and in about two hours was quite
gone ; pain of a pressing in, cramping, crushing character.
Regularly at 5 A. M. awakened by headache, occupying forehead and both eyes ; severe pressive or grinding pains, < from motion ; great sensitiveness to noise and light ; pain not particularly severe at first, but it gradually increased, maintained its intensity when at
its height for some time (generally from 8 to 9), then gradually diminished, finally disappeared.
Violent, glowing, beating pain, extending from upper part of forehead to vertex ; felt as if head would burst from inward blows ; skin of forehead seems swollen, eyelids were forced together and could be but slightly opened ; least noise increased pain to an intolerable
degree, so that he crept to farthest corner of house ; daily paroxysm lasting from 10 A. M. to 4 P. M., attaining its greatest intensity about noon.
For a week past has had a slight cold, sneezing, some heated excoriating water running from nose and eyes ; after third day of this cold he had an aching pain over l. eye, in left temple, coming on about 4 A. M., very gradually increasing until 11 A. M., and from 3 P. M. as slowly
decreasing, until by 6 P. M. it was entirely gone, not to return until 4 A. M., at first, pain only aching, but after a few days it became sharp, cutting and boring, with a terrible sense of fulness ; by end of a week so excruciating at its acme that patient, whose ability to bear pain
was more than ordinary, would roll or toss over bed, exhibiting usual expressions of greatest agony ; lachrymation of eye on affected side, with slight excoriation of lower lid ; pain > for a time by pressure. θ Solar
neuralgia.
Neuralgia of head ; begins lightly and increases gradually to its highest point and then gradually declines.

Outer head

Burning in forehead, with nausea, > in open air.

Sight and eyes

Sees a rainbow about the candlelight.
Weak, sunken, lustreless eyes.
Pupils contracted.
Neuralgia in left eye, gradually increasing from 10 A. M. to noon, then gradually decreasing, with lachrymation during pain.
Biting in eyes, as from rubbing with a woolen cloth.
Agglutination of lids at night.
Pressure in left inner canthus as from a stye, with lachrymation.
Pustular swelling at inner canthus of left eye ; like a lachrymal fistula.
Pressive pain in right inner canthus.
Burning stitches in eyelids. θ Styes.
Blennorrhœa of lachrymal sac ; profuse yellow-white discharge.
Ptosis from sympathetic paralysis ; returning every Tuesday.

Hearing and ears

Ringing in left ear.
Shrieking noise in ear when blowing nose.
Ulceration of ear-ring hole.

Smell and nose

Oversensitive smell.
Stuffed feeling and heaviness, high up in nostrils.
Dry coryza on one side, with soreness, redness and swelling of nostril.

Upper face

Flushes of heat in face from any movement, > in open air ; one cheek hot and red.
Face pale, eyes sunk, mind dull.
Face pale and sunken, sickly, features elongated.
Face pale, sickly-looking, flushing easily on exertion.
Drawing pain in face, in malar bone and orbits.
Malar bone painful to touch before menses, during the flow it is painful even to move muscles of face.
Contusive pain in region of malar bone during menses.
Prosopalgia : pains increase and decrease gradually ; after suppressed chills by quinine.
Intermittent supraorbital neuralgia from 10 A. M. to 3 or 4 P. M., gradually increasing until attaining its acme, and then again decreasing as gradually ; after abuse of quinine.
Violent neuralgia of face and head, pains stealing on in a "slow-and-sure" fashion, requiring hours to reach its maximum, then beginning its decrease, which is quite as slow.

Teeth and gums

Teeth feel loose, elongated, with painful jerking shortly after eating.
Neuralgia from temples down over upper and lower maxilla and lips, a drawing, gnawing pain, begins at a certain hour for several days, rises up to its greatest severity and then decreases again gradually (from morning until evening).
Pain in upper incisors for four days ; pains severe, coming at first lightly, gradually increasing in intensity, and then gradually subsiding.
Epileptiform convulsions from teething ; child is more comfortable by lying with abdomen across some hard substance ; clenching of thumbs.

Taste, speech, tongue

Taste : sour ; sweet ; offensive ; everything bitter but water.
Difficult, weak speech, occasioned by weakness, particularly in chest.
Tongue : red ; yellow ; coated with yellowish mucus.

Inner mouth

Fetid smell from mouth.

Palate and throat

Permanent rawness and dryness in throat ; during deglutition a painful feeling of being denuded.
Extreme rawness and dryness of throat, without thirst, these sensations are much more painful during deglutition ; thick greyish or greenish mucus adheres to throat ; strong efforts are required to raise it, and these excite inclination to vomit.
Rawness in throat, in morning. θ Chronic catarrh.
Stinging dryness in throat.
Cutting in throat as from knives, when swallowing.
Hawks mucus, with soreness in throat ; voice then becomes clearer for singing.
Inclination to hawk up much mucus from throat, in evening, followed by a sore pain in throat.
Mucus sticks in throat, efforts to raise it excite vomiturition.
Thick, grey-green mucus, mixed with blood, is detached from throat.

Appetite, thirst. desires, aversions

Canine hunger during day, with loss of appetite in evening.
Appetite irregular, with hypochondriasis.
Aversion to beer ; it tastes flat or bitter.

Hiccough, belching, nausea and vomiting

Eructations : bitter, after eating ; sour.
Nausea after eating, followed by vomiting of bile, or undigested food.
Vomiting : of blood ; of bile and mucus on awaking in morning ; of water on smelling cooking.

Scrobiculum and stomach

Sinking, gone feeling in epigastrium.
Pressure and obstruction in pit of stomach.
Heavy pressure in stomach, with soreness of it to touch.
Oppression of stomach in hysterical women, with nausea, pale face, great weakness, phlegmatic temperament.
Uneasy, knows not what to do with himself ; pains > by walking, yet so weak he must soon rest.
Cardialgia, pains gradually come and go, extend to navel and are > from hard pressure ; sickly expression ; uneasy, does not know what to do with himself ; > by walking, yet so weak he must soon rest.
Gastralgia ; clawing, kneading pain, extending to umbilicus ; epigastrium sensitive to pressure ; tension, pressure, shortness of breath, with anxiety and nausea ; chronic diarrhœa ; frequent bitter belching ; distension of stomach ; hunger.
Hematemesis, < when lying, > from pressure on stomach ; slight touch causes a feeling of subcutaneous ulceration.

Hypochondria

Occasionally through day great epigastric weakness and hunger, but cannot eat.
Burning in hepatic region ; cutting pains about navel ; pain as if from an ulcer ; empty feeling after eating.
Burning in hepatic region ; stinging.
Boring stitches in left hypochondrium.
Hysteric spasms in region of diaphragm.

Abdomen and loins

Empty feeling, even after eating.
Sensation of soreness in whole abdomen, < by touch.
Digging in abdomen before every stool.
Cutting about navel ; with bitter eructations, hunger and diarrhœa ; > from hard pressure.
Sensitiveness of abdomen to touch ; sore as from subcutaneous ulceration.
Stitches from both sides through hips ; < from slightest motion, or touch, and when lying on right side ; > by bending double against a chair or table ; vomiting of water when smelling any kind of cooking. θ Colic.
Colic and twisting pains in region of spleen, lasting about six hours ; usually coming on at night, and when going off leaving a soreness, which wears off during course of week ; for last few days pains were constant ; pain commences
lightly, gets worse and worse until it reaches its acme and then decreases, leaving a feeling as if there were a hole in his side.
Spasmodic colic above and below navel.
Colic > by hard pressure or by laying abdomen of child across knees, or against shoulder.
Babe 4 months old, double inguinal hernia ; diarrhœa of green, curdy stools and much colic, > by laying its abdomen across nurse's knee, or against point of shoulder.

Stools and rectum

Stools : green, curdy, with colic ; mucous ; with bitter eructations ; hard, dry, knotty or insufficient, with renewed desire afterward.
Diarrhœa : in nursing infants ; it is exhausting to talk much or read aloud ; it is more difficult to descend than to ascend, to sit down than to rise up ; although stool has been fully accomplished does not feel relieved.
Before stool : motion, pinching and distension in abdomen.
During stool : cutting in anus ; drawing from back through thighs ; rigors.
Rectum inactive ; much urging even with soft stool.
Constipation ; stool hard, dry, knotty, or insufficient and green.
Constipation appearing every Monday or on days after a fete, but only in winter, while for the rest of the week the stools were regular ; fulness in lower part of abdomen, with swelling, malaise, great heat in head, > in open air, returning
when in house, with ill-humor and sadness ; felt hungry at noon but no appetite in evening.
Passes worms ; lumbrici ; colic ; sickly face ; spells of abdominal pain, during which wishes to lean over on something hard for relief.
Tenia.

Urinary organs

Urine : profuse and pale, then scanty, brown, and sometimes white like milk ; scanty and loaded with phosphates.
After urination continued urging.
Urging to urinate is wanting as if there were no sensation in bladder ; only a sensation of fulness indicates necessity to urinate ; atony of bladder.

Male sexual organs

Voluptuous sensation in genitals, ending in an emission.
Irritation, with great weakness and nocturnal emissions ; marked neurasthenia.
Spermatorrhœa with excessive prostration.
Emissions without lascivious dreams.

Female sexual organs

Excited sexual desire ; easy orgasm.
Scratching arm produces an intolerable sensation of pleasure in genital organs which extends to uterus and produces sexual orgasm. θ Neurasthenia.
Bearing down in uterine region ; prolapsus uteri and vaginæ ; < during stool ; feels so weak must drop down suddenly, but can get up readily. θ Neurasthenia.
Prolapse strangulated, tends to gangrene.
Menses : too early and too profuse ; preceded by melancholy ; pain in malar bones, continues during menses.
Leucorrhœa : with great debility ; weakness, seems to proceed from chest ; of yellow, white or transparent mucus ; thin, watery, in debilitated subjects ; profuse white or yellow, causing great general debility.

Pregnancy. parturition. lactation

Melancholia. (See Chapter 1 symptom 6).
Spasmodic labor pains ; they exhaust her, she is out of breath.
Child refuses mother's milk.

Voice and larynx. trachea and bronchia

Voice husky, deep, hoarse, hollow ; clearer or higher after hawking up mucus.
Roughness and hoarseness, momentarily > by coughing.
Talking weakens, particularly the chest.
Cannot read to her children, it causes aching in throat, chest and deltoids.
Complete aphonia ; pain in larynx ; severe cough, with profuse purulent expectoration ; hectic fever ; debilitating night sweats ; diarrhœa.
Hoarseness, weakness and emptiness in chest on beginning to sing, so that she was constantly obliged to stop and take a deep breath ; at times a few expulsive coughs removed hoarseness for a moment.
Rawness in larynx.
Irritation to cough in trachea, as from mucus, on breathing, with a cough neither loose nor dry, felt more while sitting bent over than when walking.
Mucus in trachea, in forenoon, easily expelled by a forcible cough, with great weakness of chest as if eviscerated ; weakness of body and limbs, in which sensation of weakness extended upward and downward, several mornings in succession.
Bronchial dilatations, with purulent expectoration.
Cough, tickling in throat, loss of appetite, fever, debilitating night sweats ; deglutition gradually became more difficult, caused severe cough and attacks of suffocation, expectoration more and more profuse, at first mucous, finally purulent, more than a pint in twenty-four
hours ; hoarseness ; emaciation ; epiglottis ulcerated, edges eaten away.
Laryngeal phthisis, with constant short hacking cough and aphonia ; empty feeling in chest.
Accumulation of great quantities of mucus in trachea, easily thrown off by coughing. θ Bronchitis.

Respiration

Disposition to take a deep breath, causing a feeling of lightness.
Crowing, snoring respiration.
Oppressed breathing : from every movement ; when lying down ; in evening ; from coughing.
Short, difficult respiration, caused by weakness of respiratory organs, with great emptiness in chest, though without dyspnœa.
Dyspnœa and want of breath on ascending steps and on slightest motion.
Evening dyspnœa ; must loosen clothing.
Mrs. ---, æt. 27, spare, brunette, subject to asthma for many years ; attacks, preceded by symptoms of ordinary cold, usually set in about 4-5 A. M., lasting from thirty-six to forty-eight hours ; attacks increase and decrease gradually.
A man, æt. 40, had for a year and a quarter asthmatic attacks, which, day or night, did not permit him to lie down ; paroxysms increased and decreased gradually ; retinitis albuminurica ; albumen in urine and œdema of feet.

Cough

Cough : in fatiguing paroxysms ; epigastric region painful, as if beaten ; violent, shattering, deep ; short, from time to time, as from weakness in chest, with a hoarse, weak sound ; tickling as from soreness low down in trachea, a
scraping extending upward into throat ; constant inclination to hack, as if caused by much mucus in chest, with an internal sensation of scraping and rattling ; frightful, with expectoration and spitting of blood ; dry, in evening in bed ; concussive in paroxysms of three
coughs ; caused by mucus in chest and by stitches in trachea, and dryness ; with copious, green, salty sputum, most profuse in morning.
Scraping cough, with greenish expectoration of an offensive sweetish taste, < in evening before lying down with a hoarse voice ; a sore sensation in chest and trachea after every cough (the irritation which provokes it is low down in trachea).
Accumulation of much mucus in trachea, easily thrown off by coughing ; afterward, soreness or stitches in chest.
Cough caused by talking, singing, laughing, lying on side and from drinking anything warm.
Phthisis pituitosa.
Cough, particularly during day, with shortness of breath ; profuse, white, thick, tasteless expectoration, without effort.
Cough, returned every February and lasted until Summer or warm weather ; had measles three years before, and taken cold ; severe racking cough ; inclination to vomit during cough ; < in morning ; expectoration of yellowish mucus of a sweetish taste.
Whooping cough, with hoarseness, loss of breath, soreness and heaviness in chest, inclination to breathe deeply, sore or empty sensation in epigastrium, profuse offensive or salty tasting, yellowish or greenish expectoration, < at night lying down,
face pale and emaciated, eyes sunken.
Expectoration of a globular, greyish lump of thick mucus, containing a clot of black blood, and appearing to come from throat.
Sputum : like white of an egg ; yellow green pus ; sweetish ; putrid, sour or saltish ; during day.

Inner chest and lungs

Oppression of chest as if it were internally constricted.
Distressing oppression in upper part of chest, was frequently obliged to take a deep breath, with a sensation of great emptiness in pit of stomach.
Tension across upper part of chest with emptiness in lower.
Constriction of chest with anxiety in evening.
Chest so weak he cannot talk ; empty feeling in chest.
Great dyspnœa, with anxiety, in evening, compelling one to loosen clothing.
Drawing a long breath causes a pleasant sensation of lightness, for a short time.
Great sore feeling in chest ; bruised pain.
Stitches in chest and sides hinder respiration.
Sudden, sharp, knifelike stitches in left side of chest.
Stitches in left side of chest, when breathing or lying on that side.
Sudden drawing beneath left breast on rising up in bed, followed by sharp knifelike stitches, extending thence into clavicle, toward shoulder, where pain persisted, and into left side, extending downward into lower abdomen, < by bending inward, pressing upon it, and
especially by inspiration and hacking which also caused a painful shock.
Itching tickling in chest.
Tension in chest. θ Hydrothorax.
After great fright, and in consequence of a severe cold, dull paralyzing pain in left arm which on continuing to walk extended to left side of chest, obstructing respiration and forcing him to stand still, pain then soon diminished, but was soon obliged to make
another halt ; during night suddenly aroused by violent pain at a point in left breast which could not be definitely pointed out ; pain increased gradually and was accompanied by an indescribable terror which drove him out of bed ; could find relief in no position ;
profuse, cold sweat on head and upper part of trunk ; when pain was at its height was unable to make a motion or utter a sound ; for an hour was obliged to remain sitting, with head and trunk bent forward, with gasping, noisy respiration, spasmodically clutching arms of a
chair ; pain then diminished as gradually as it had increased and disappeared by morning. θ Neuralgia of left phrenic nerve.
Several days after a fright, while walking, an unusual feeling of weakness which appeared to proceed from chest and obliged her to loosen her dress and lie down ; after remaining quiet for an hour the attack disappeared, but returned in a few days and gradually changed into a
gnawing pain, seated at middle of sternum, commencing gently, gradually increasing for two hours and then disappearing just as gradually ; at beginning of paroxysm, which returned more and more frequently, irresistible inclination to lie down, and at the height of attack was unable, for
half an hour, to make any motion or sound ; she became more chlorotic and menses more scanty and pale. θ Neuralgia.
Hæmoptysis ; tendency to copious expectoration.
Weakness in chest : with copious expectoration ; as if eviscerated, with weakness of whole body and limbs ; and emptiness on beginning to sing, she was constantly obliged to stop and take a deep breath.
Chronic catarrhal affections of chest, with copious expectoration of yellowish, greenish, offensive-tasting mucus ; great prostration ; emaciation ; œdema of limbs.
Shortness of breath ; profuse but difficult expectoration of thick, offensive, salty-tasting mucus ; expectoration entirely absent for nine or ten weeks, then recurs and lasts for five or six weeks ; oozing of a watery clear fluid from
umbilicus during the periods when she expectorates ; sleep disturbed ; sleeps upon back with head flexed upon chest ; cannot lie upon side ; stooping posture ; great prostration ; large mucous and whistling rales in chest ; after a pneumonia several years
previously.
Profuse expectoration ; wheezing, oppressed breathing, < from motion ; cough day and night, with nausea ; expectoration white, thin, slimy ; frequent stitches in sides of chest, < from breathing and coughing ; prostration ; cannot sleep on account of
shortness of breath ; can do no work ; menses and stool normal.
Cough with copious, greenish, or yellowish offensivetasting expectoration ; cough generally dry in evening and at night, or else expectoration is difficult, while during day and in morning it is profuse and easy. θ Phthisis.
Pulse 150 to 160 ; hectic fever ; racking, exhausting cough day and night ; expectorating every twenty-four hours about a quart of tough glairy mucus, mixed with purulent matter ; large cavity in upper third of right lobe ; Calc. 30 reduced pulse to 120 and
diminished sputa about one-fourth ; in four or five weeks pulse quickened and improvement ceased, Stannum then cured. θ Phthisis.
Cough which seemed to come from low down in chest, < at night, with profuse expectoration ; tension across chest ; dyspnœa < from motion ; cannot lie down at night ; rattling of mucus in chest ; anorexia ; night sweats ; prostration ;
weakening of limbs ; emaciation. θ Phthisis.
Teeth loose, feel too long ; accumulation of much mucus in throat ; scratching in throat in evening ; hoarseness ; tickling cough ; cough with greenish expectoration, of offensive whitish taste, < evenings ; constriction of chest and anxiety in
evening ; shortness of breath, < from least motion ; must unloosen clothing ; stool scanty, greenish ; intense burning of hands and feet ; general prostration ; very tired and sleepy ; profuse sweats every morning at 4 o'clock ; emaciation ;
despondent, will not talk, is dissatisfied. θ Phthisis.
Cough day and night, copious expectoration ; great emaciation ; pulse weak, rapid ; burning heat of palms of hands, < in afternoon ; profuse sweats early in morning ; tongue red ; severe diarrhœa ; great prostration, compelling her to stay in bed. θ Phthisis.
Prostration ; pain in all limbs ; constant irritation to cough ; frequent shivering during day, and profuse sweats early in morning in bed ; is no longer able to get up ; constant cough ; copious expectoration of masses of tasteless white mucus ;
unquenchable thirst ; craving for sour things. θ Phthisis.
Pale and emaciated ; respiration rapid, short ; cough often dry, often with profuse greenish-yellow sweetishtasting mucus ; < morning and evening ; stitching pains in head, < in forehead, < after paroxysms of cough ; abnormal appetite ; pressure in
stomach after eating ; scanty stool ; heaviness, coldness and swelling of hands and feet ; in evening transient flushes of heat and thirst. θ Phthisis.
Mucous expectoration in first stage of consumption, or when a neglected catarrh or grippe threatens to pass into phthisis ; can talk only a few words at a time for want of breath ; more or less hoarseness ; roughness of throat and sore
pain in chest ; feeling of weakness in chest as if deprived of its contents after expectorating or talking ; constriction of chest and constant chilliness, alternating with flushes of heat ; profuse night sweats ; pressure and bloatedness of stomach always after
eating ; great lassitude, hands and feet heavy and cold or else burning hot. θ Phthisis.
Phthisis mucosa, with the characteristic cough, weakness and sputa ; profuse sweats.

Heart, pulse and circulation

Pulse frequent and small.

Outer chest

A lady, æt. 50, formerly healthy, suffers since her climaxis from disease of liver ; looks yellow, has no appetite, nauseous taste, tongue coated yellow, obstinate constipation ; tongue villous, yellow, heavily coated, somewhat dry ;
weak voice, sounds of heart slow, weak, hardly 60 to minute, but regular ; urine strongly saturated with sour secretion and vermilion precipitate firmly adhering to walls of vessels ; some withered varices on anus ; whole appearance anemic ; every Saturday morning wakes
up with nausea and choking ; feels a shock in region of liver, leaving behind, along second and third false ribs, a spasmodic pain, which increases gradually in severity up to 3 or 4 P. M., when she vomits up food taken day before, and then pain decreases gradually so that by 10 o'clock
in evening she is entirely relieved ; next two days so weak that she is obliged to keep in bed ; next four days tolerably well, until Saturday brings on return of her sufferings ; during paroxysm passes a large quantity of watery urine. θ Intercostal
neuralgia.

Neck and back

Weakness of nape of neck.
Stitches in back, in small of back and into limbs.

Upper limbs

Jerking in muscles of arm when resting it ; fingers jerk when holding pen.
Weakness and heaviness of arms, especially right ; < from motion.
Paralytic weakness of arms, if he holds a light weight for only a short time.
The arms easily become fatigued from moderate exercise, so that everything he holds is allowed to fall.
Aching in deltoids from reading.
Swelling of hands evenings.
Weakness and trembling of hands.
Cramping of fingers of writers and shoemakers ; on attempting to pick up a small object, as a needle or a pen, or when they have been used a long time, fingers become suddenly rigid, distorted, spread out or contracted, in which position they remain for some time ; the spasm
can often be ended by opening fingers with unaffected hand ; usually right hand is affected ; the toes in one case were also affected.
Burning in hands.
Chilblains on hands.
Painful hangnails.

Lower limbs

Weakness and heaviness, especially of thigh and knee joint, must sit down.
Paralytic heaviness and weakness, especially in thighs and knee joints.
Stiffness and tension in bends of knees.
Swelling of ankles, evenings.
Burning of feet.

Limbs in general

Paralytic heaviness of limbs ; < using arms or walking, particularly descending.
Insupportable restlessness of all the limbs.
Swelling of hands and feet in evening.
Pains in limbs increase gradually and decrease in same manner.

Rest. position. motion

Rest : pains in head < ; heaviness in head ; of arm, jerking in muscles.
Lying : hematemesis < ; asthma does not permit ; whooping cough <.
Lying on back : one leg stretched, other drawn up during pregnancy ; head flexed on chest ; shortness of breath.
Lies on stomach : when asleep.
Lying on right side : pain through hips < ; causes cough.
Constantly wishes to lie or sit down : excessive prostration.
Must lie down : weakness of chest.
Cannot lie down : phthisis.
Obliged to remain sitting with head and trunk forward : pain in left breast.
Sitting bent over : irritation to cough >.
Bending double against chair or table : > pains through hips.
Bending inward : stitches in abdomen <.
Must sit down : weakness and heaviness of thighs and knee joint.
Stooping : tearing in forehead < ; with shortness of breath.
Raising head : vertigo <.
Rising up in bed : drawing beneath left breast.
Rising from bed : sudden weakness.
Motion : pains in head > ; heaviness in head ; headache < : flushes of heat in face ; stitches through hips < ; oppressed breathing ; want of breath ; impossible from pain in breast ; impossible, neuralgia of chest ; wheezing < ; dyspnœa
< ; shortness of breath < ; weakness of arms <.
Walking : pains >, but must soon rest ; vertigo < ; pain goes from arm to chest ; heaviness of limbs < ; great lassitude.
Ascending steps : want of breath ; weariness of body <.
Descending more difficult than ascending, sitting than rising ; heaviness of limbs <.
Going down stairs : faintness.
Exertion : face flushes easily.
Exercise : arm easily fatigued ; slow trembling <.

Nerves

Feels as if she would faint.
Faintness from going down stairs.
Great lassitude when walking.
Weariness of whole body, especially after ascending steps.
Was suddenly attacked by weakness ; she could scarcely breathe, while dressing, after rising from bed.
Great weariness during day ; was obliged to lie down.
Excessive prostration ; constantly wishes to sit or lie down, and when about to sit down falls upon chair because she has not the power to sit down slowly.
Extreme exhaustion of mind and body.
Loss of power as if limbs were beaten.
Very much exhausted from talking or reading aloud.
Great sense of weakness in larynx and chest, thence all over body.
Trembling, < from slow exercise.
Neuralgia ; the pain increases gradually to a very high degree, and decreases again as slowly.
Hysterical spasms, with pain in abdomen and in diaphragm.
Hysteria with frightful pains in head ; full of notions.
Renewal of convulsions with cutting of every tooth ; also in consequence of worms ; child is weak ; looks miserable.
Epilepsy : with tossing of limbs, clenching thumbs ; opisthotonos ; unconsciousness ; with sexual complications ; during dentition, with symptoms of worms ; in evening ; paleness of face, twitching of hands and eyes.
Hemiplegia, paralyzed parts constantly moist from perspiration ; especially on left side, with a feeling of a heavy load in affected arm and corresponding side of chest, and frequent night sweats.
Paralysis, from worms, onanism, spasms, emotions.

Sleep

Sleeplessness.
Sleepy during day ; goes to sleep late at night.
Restless, child moans during sleep, or supplicates in a timid manner.
So weak on waking it puts her out of breath to dress.

Time

Morning : visions of all kinds of fancied things ; rawness in throat ; vomiting of bile and mucus ; mucus in trachea ; inclination to cough < ; expectoration easy ; debilitating sweats ; sweat < after 4 A. M.
At 10 A. M. : finger tips numb.
During day : canine hunger ; great epigastric weakness and hunger ; copious green salty sputa ; cough <, with shortness of breath ; expectoration easy ; cough exhausting ; frequent shivering ; great weariness ; sleepy.
Afternoon : burning heat of palms of hands <.
Evenings : heaviness in head ; inclination to hawk up much mucus from throat ; loss of appetite ; dyspnœa ; dry cough ; cough < before lying down ; constriction of chest ; dyspnœa ; scratching in throat ; cough, with expectoration
< ; swelling of hands ; swelling of ankles ; swelling of feet ; epilepsy.
Night : agglutination of lids ; colic comes on ; whooping cough < ; cough exhausting ; cough < ; goes to sleep late ; debilitating sweats.

Temperature and weather

Warm drinks : cause cough.
Open air : while walking vertigo < ; burning in forehead > ; flushes of heat in face >.

Fever

Chill : 10 A. M., finger tips numb ; in evening, over back ; only on head, with thirst ; slight, but with chattering teeth, as from convulsions, of masseter muscles ; over whole body, lasting half an hour.
Heat : from 4 to 5 P. M., with sweat ; burning, in limbs, mostly in hands, every evening ; anxious, as if sweat would break out.
Sweat : smells mouldy, musty ; debilitating, night and morning, most profuse on neck ; debilitating, from least movement ; profuse, after 4 P. M., every morning ; in morning, mostly on neck, nape of neck and forehead.
Sweat principally on forehead and nape of neck, in morning after 4 A. M.
Hectic fever.
Worm fever, in a very excitable and restless boy ; pain in stomach, lay upon stomach when asleep.

Attacks, periodicity

Increasing and decreasing gradually ; headache over eyes ; cramping, crushing pain in head ; grinding or pressive pains ; neuralgia of head ; neuralgia in left eye ; colic and pain in region of spleen ; paroxysms of asthma ; pain in left
breast ; weakness in chest ; spasmodic pain in region of liver ; pains in limbs.
Alternating : chilliness and flushes of heat.
Every morning : headache ; profuse sweat at 4 o'clock.
Several mornings in succession : weakness of body and limbs.
At 5 A. M. : regularly awakened by headache.
Daily : paroxysms from 10 A. M. to 4 P. M.
Every evening : heat in limbs.
Half an hour : chill lasts.
From 4 to 5 P. M. : heat.
For six hours : colic or twisting pains in region of spleen.
Every twenty-four hours : expectorates about a quart.
For four days : pain in upper incisors, increasing and decreasing gradually.
Several days after a fright : weakness in chest.
Every Monday : constipation.
Every Tuesday : ptosis from sympathetic paralysis.
Every Saturday morning : wakes up with nausea and choking.
For nine or ten weeks : expectoration absent, then recurs and lasts for five or six weeks.
Every February : cough returned.
For a year and a quarter : asthmatic attacks.

Locality and direction

Right : tearing in half of forehead ; pressive pain in inner canthus ; heaviness and weakness of arm ; spasm of hand.
Left : pressure in temple ; jerks through temple ; headache < over eye ; aching over eye and in temple ; neuralgia in left eye ; pressure in inner canthus ; pustular swelling at inner canthus ; ringing in ear ; boring stitches in
hypochondrium ; stitches in side of chest when lying on side ; drawing beneath breast ; paralyzing pain in arm, thence to side of chest ; violent pain at a point in breast.
From within outward : pressure in forehead.

Sensations

As if all objects were too far off ; as if forehead were shattered ; as if forehead would be pressed inward ; pain as if from an ulcer in hypogastrium ; as if there were a hole in his side ; as if there were no sensation in bladder ; chest as if
eviscerated ; epigastric region as if beaten ; tickling as from soreness in trachea ; inclination to hawk as if mucus were in chest ; as if it were internally constricted ; as if chest were deprived of its contents ; as if she would faint ; as if limbs were
beaten ; as of a heavy load in affected arm and side of chest ; as if sweat would break out.
Pain : in frontal region ; in upper incisors ; larynx ; in all limbs ; in abdomen and in diaphragm ; in stomach.
Violent pain : at a point in left breast.
Frightful pains : in head.
Sharp jerking pains : above orbit.
Beating pain : from forehead to vertex.
Throbbing pain : in temples.
Cutting pain : in forehead and eyes ; in throat ; about navel ; in anus.
Pressive tearing : in forehead ; in right half of forehead.
Boring pain : in forehead and eyes.
Crushing pain : in temples.
Stitches : from both sides through hips ; in trachea ; in chest ; in left side of chest ; in back ; in small of back and into limbs.
Burning stitches : in eyelids.
Boring stitches : in left hypochondrium.
Sharp, knifelike stitches : in left side of chest ; from chest into clavicle.
Stitching pains : in head.
Bruised pain : in chest.
Gnawing pain : seated at middle of sternum.
Twisting pains : in region of spleen.
Pinching pain : in abdomen.
Grinding pain : in forehead and eyes.
Clawing, kneading pain : about umbilicus.
Digging : in abdomen.
Severe pressive pain : forehead and both eyes.
Pressive pain : in right inner canthus.
Stupefying pain : in brain ; over eyes.
Dull paralyzing pain : in left arm.
Neuralgic pain : in left eye ; of face and head ; from temples to lower maxilla and lips.
Glowing pain : from forehead to vertex.
Aching pain : in brain ; over left eye ; in left temple ; in throat ; in deltoids.
Drawing pain : in different places ; in face, in malar bone and orbits ; beneath left breast.
Painful jerks : through left temple and cerebellum.
Sore pain : in chest.
Contusive pain : in region of malar bone.
Biting : in eyes.
Stinging : in throat ; in hepatic region.
Soreness : in nostrils ; in throat ; of stomach ; in abdomen ; in chest.
Burning : in forehead ; in hepatic region ; of hands and feet ; of palms of hands ; of feet.
Heat : in head.
Scraping : in throat.
Rawness : in throat ; in larynx.
Pressure : dizzy, through head ; in forehead ; in left temple ; in left inner canthus ; in pit of stomach ; in stomach.
Sudden pressure : in whole upper part of head.
Constriction : in upper part of head ; of chest.
Tension : across upper part of chest ; in bend of knees.
Heaviness : in head ; in nostrils ; in chest ; of hands and feet ; of arms ; in thighs and knee joints ; of limbs.
Distressing oppression : in upper part of chest.
Weakness : in chest ; of body and limbs ; in nape of neck ; of arms ; in larynx and chest.
Stuffed feeling : in nostrils.
Empty feeling : in epigastrium.
Gone feeling : in chest ; in epigastrium ; in pit of stomach.
Dryness : in throat ; in trachea.
Pleasant lightness : by drawing a long breath.
Insupportable restlessness : of all the limbs.
Fulness : in abdomen.
Itching tickling : in chest.
Coldness : of hands and feet.

Touch. passive motion. injuries

Touch : malar bone painful ; stomach sore ; slight, causes feeling of subcutaneous ulceration ; soreness of abdomen < ; pain through hips <.
Pressure : headache > for a time ; cardialgia ; pains go to navel, are > by hard pressure ; epigastrium > ; on stomach > ; hematemesis > ; hard >, colic ; stitches in abdomen <.
Must loosen dress : weakness in chest.
Lying across something hard : abdomen more comfortable.

Stage of life, constitution

Child, æt. 4 months ; hernia.
Girl, æt. 15 ; phthisis.
Girl, æt. 18, weak, poorly nourished, suffering ten weeks ; cough.
Girl, æt. 18, of remarkable beauty, somewhat scrofulous in early childhood, temperament lively and cheerful, after a violent shock ; neuralgia.
Miss W. P., æt. 18, plump, healthy, active ; solar neuralgia.
Mr. M. E., æt. 22, hardy, active, muscular, accustomed to outdoor exercise ; solar neuralgia.
Man, æt. 25, kicked by a horse in region of spleen thirteen years ago, since then suffering ; colic.
Man, æt. 25, just recovered from typhoid fever, after a cold ; affection of larynx.
Man, æt. 27 ; cough.
Lady, æt. 30, good constitution, somewhat reduced by the exhausting mode of life peculiar to St. Petersburg, and by domestic troubles ; headache.
Man, æt. 30, bottlemaker ; headache.
Man, æt. 30, for several years had cough ; phthisis.
Man, æt. 32, ill two years ; phthisis.
Woman, æt. 36, single, five months ago had severe catarrh of chest ; phthisis.
Woman, æt. 36, for several years had cough in Spring and Autumn ; phthisis.
Man, æt. 36 ; phthisis.
Mrs. ---, æt. 37, spare, brunette, suffering many years ; asthma.
Man, æt. 37, ill two years : phthisis.
Mr. E. J., æt. 38, fleshy, hearty, plethoric ; solar neuralgia.
Mrs. ---, æt. 39, four months pregnant ; disorders of pregnancy.
Man, æt. 40, suffering fifteen months ; asthma.
Woman, æt. 40, nurse, suffering several weeks ; headache.
Mrs. W. S., æt. 42, somewhat broken down by other diseases, suffering many days ; solar neuralgia.
Man, æt. 45, large frame, six feet high ; solar neuralgia.
Man, æt. 50, tall, thin ; phthisis.
Man, æt. 50, powerful, after a violent fright ; neuralgia.
Lady, æt. 50, formerly always healthy, suffering since climaxis with supposed disease of liver ; intercostal neuralgia.
Woman, æt. 53, single, weak, irritable, after la grippe ; phthisis.
Man, æt. 54, had itch, in consequence of much scratching foot became ulcerated, for five years was subjected to heroic treatment, and constitution was finally completely ruined, had many digestive disturbances, jaundice, dyspnœa, etc. ; affection of larynx simulating phthisis.
Woman, æt. 59, several years ago had pneumonia, since then suffering ; affection of chest.
Woman, rather stout, sanguine bilious temperament, lost her husband a few months previously, after having a scrofulous tumor discussed from neck by iodine ; phthisis.

Relations

Antidoted by : Pulsat .
Compatible : after Caustic., Cina .
Complementary : Pulsat .

Lectures on Homoeopathic Materia Medica

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

Lecture

Stannum is especially suited to persons who have long been growing feeble.

This is so striking that it may be said that some deep seated constitutional state must be present. There is a history of increasing weakness, cachexia, catarrhal conditions, and neuralgia dating back over years. There is sensitiveness to pain and an increasing aversion to doing anything, aversion to business in a man, and in a woman, to going about her housework; always tired, all work becomes irksome.

The countenance becomes increasingly sallow, even to a waxy, cachectic aspect. Once who has been growing weaker and develops neuralgia of the face, eyes, stomach, and intestines; not the shooting, tearing pains often described, but a pain beginning gradually, increasing steadily and then diminishing gradually.

Pains

The pain sometimes begins with sunrise, increases until noon and gradually diminishes, and ceases with sunset. On the other hand, it may begin at any time, as often at 10 A.M. and increasing for ten or twenty minutes, then gradually diminishing, but especially worse at noon.

Cactus has a sun headaches, Kalmia has a similar headache, not so regularly increasing and diminishing, but especially worse at noon. Cactus has a sun headache. Natrum mur. has never been known to cause it, but has cured it especially when beginning at 10 A.M. and worse from 2 to 3 P- m. Sang. headache coming and going with the sun.

The phthisical tendency of Stannum is closely allied to the neuralgias. If these patients settle down into a neuralgic constitution, the deposit of tubercles is postponed, but most of them then seek palliation with the inevitable result of hastening the end. If the Stannum neuralgia is suppressed, we will see phthisis making its appearance, particularly phthisis pituitosa.

Nature seems to be able to throw off effects through mucous discharges. If the neuralgia is not permitted to, have sway the patient becomes oversensitive to cold, takes cold easily. When let alone every cold settled in the nerves and every draft caused neuralgias about the eyes, sensitive to every change in the weather, the hydrogenoid constitution of Grauvogl.

But when palliated in any way by Quinine and inappropriate homoeopathic remedies that have the tendency to, catch cold in the chest like Phos., he after a while does not get over his cold, but there is a continuous catarrh of the chest, and later he will die of miliary tuberculosis. Stannum is useful in warding off phthisis, and is a wonderful palliative in that disease.

The pain has been likened to the pulling of a string, gradually increasing and gradually letting up. The Puls. pain is somewhat similar in its first half; it gradually becomes intense, but suddenly lets up with a snap; comes gradually and stops suddenly.

Remember what is said about the Bell. pain. It comes suddenly and reaches its intensity at once, where it may remain for hours, but ceases suddenly.

The Stannum pain is at times so severe that there is a throbbing pulsating intermingled with it, and the mind seems stunned.

"Headache every morning, over one or the other eye, mostly the left, gradually extending over the whole forehead and increasing and decreasing gradually, often with vomiting."

"Violent, glowing, beating pain." It is sometimes attended with burning.

"Felt as if the head would burst with inward blows.

Neuralgia of the left eye gradually increasing from 10 A.M. to noon, then gradually decreasing, with lachrymation during pain.

Intermittent supra-orbital neuralgia from 10 A.M. to 3 or 4 P.M., gradually increasing and attaining its acme, and then again gradually decreasing, after the abuse of quinine."

This is when the body is weak, with sallow countenance and tendency to phthisis, full of pain, and the earlier history shows that instead of taking cold in the chest or nose, as others take cold, every cold settles in the nerves.

Finally he begins to take cold in the chest, with dyspnoea, violent, racking cough, gagging, retching, vomiting, and the most intense sufferings.

Copious, thick, yellow-green, bloody expectoration, which tastes sweetish ( Phos.). Retching when coughing is marked; thick, white, yellow or green tenacious mucus. Cannot walk, cannot do anything without cough.

Always tired; it is an effort to work. Wakens in the morning with the chest filled with mucus, and coughs and expectorates, and yet some remains; he gags, retches and vomits, and it strings out of the mouth tasting sweetish, sometimes salty or sour.

Voice

This great weakness is manifested in the voice; hoarseness, loss of voice; the vocal cords will not respond; a paralytic weakness. Talking makes him feel weak, especially in the chest.

"Hoarseness, weakness, emptiness in the chest on beginning to sing, so that she was constantly obliged to stop and take a deep breath; at times a few expulsive coughs removed the hoarseness for a few minutes.

Rawness in the larynx."

Rawness in the trachea and smarting all the way down when coughing. Irritation to cough, as from mucus in the trachea; or breathing, with cough either loose or dry, felt more while sitting bent over than when walking.

"Accumulation of great quantities of mucus in the trachea, easily thrown off by coughing.

Oppressed breathing from ascending, from the slightest movement when lying down, in the evening, from coughing."

"Cough in fatiguing paroxysms; epigastric region painful as if beaten; violent, shattering, deep, short, from time to time, as from weakened chest, with a hoarse.

Weak sound.

Cough caused by talking, singing, laughing, lying on the side and from drinking anything warm."

"Sputa like white of egg; yellow, green pus; sweetish, putrid, sour or saltish during day.

Chest so weak that he cannot talk; empty feeling in the chest,"

This remedy is frequently indicated in cases where the routinist would prescribe Bry., etc., in low potencies to loosen the cough. Stannum is not dangerous in phthisis, and will palliate the case if it is incurable.

It will not rouse up the whole economy like Silica, but there may be an aggravation of the nervous symptoms; if there is anything to build on it will cause the patient to rally. If it brings back his old neuralgic pains, and you know he has not a long time to live, and seems to suffer much, Puls. is the natural antidote.

When a loose, easy cough is turned into one that is violent, dry and racking under Stannum, and seems to be inclined to be prolonged, Puls. will restore the loose cough. This is not a good action of the remedy; in incurable cases you can get the best results by not going too high.

Women

Another feature is seen in women.

If you ever meet with a case who has suffered with violent neuralgia and she says since the obliteration of these pains she has had a copious, thick yellow, green leucorrhoea, think of Stannum. There is great weakness, which seems to proceed from the chest. The leucorrhoea has saved her from consumption.

Menses too early and too profuse; bearing down in the uterine region; prolapsus uteri and vaginae.

Paralytic symptoms; writers' cramp; women cannot let go of the broom ( Dros. cures most cases).

"Constipation; stools hard, dry, knotty, or insufficient and green."

Inactive rectum, i. e., a paralytic state; even though there is much urging there is inability to pass the stool, which at times is soft. Colic better from pressure, lying on the stomach (Coloc., Cupr .); worse from motion; better from bending double.

"Very much exhausted from talking or reading aloud.

Great lassitude from walking; weariness of the whole body, especially when ascending stairs great sense of weakness in larynx and chest, thence all over the body trembling worse from slow exercise."

The Therapeutics of Fevers

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

Characteristic

Extreme exhaustion of mind and body.

Sinking, empty, all-gone sensation in stomach (Chel., Phos., Sep.).

Sad, despondent, feels like crying all the time, but crying makes her worse (Nat., Puls., Sep.); faint and weak, especially when going down stairs; can go up well enough (Bor.—rev. of Cal.).

Headache or neuralgia; pains begin lightly and increase gradually to the highest point and then gradually decline (Plat.).

Colic: > by hard pressure, or by laying abdomen across knee or on shoulder (Col.); lumbrici; passes worms.

Menses; too early, too profuse; sadness before; pain in malar bones, during.

Leucorrhœa; great debility; weakness seems to proceed from chest (from abdomen and pelvis, Phos., Sep.).

Prolapsus, worse during stool (worse with diarrhœa, Pod.); so weak she drops into a chair instead of sitting down.

While dressing in the morning has to sit down several times to rest.

Nausea and vomiting; in the morning; from the odor of cooking food (Ars., Colch., Sep.).

When singing or using the voice, aching and weakness in deltoid and arms.

Great weakness in chest; < from talking, laughing, reading aloud, singing; so weak, unable to talk.

Cough: deep, hollow, shattering, strangling; concussive, in paroxysms of three coughs (of two, Mer.); dry, while in bed, in evening; empty sensation in chest.

Expectoration: profuse, like the white of an egg; sweetish, salty (Kali i., Sep.); sour, putrid, musty; yellow-green pus (heavy, green, salty, Kali i.); during day.

Hoarseness: deep, husky, hollow voice; relieved for the time by coughing or expectorating mucus.

Sweat: mouldy, musty odor; after 4 A. M. every morning; on neck and forehead; very debilitating.

Relations

Complementary: Pulsatilla.

Aggravation

Laughing and singing, talking, using the voice; lying on right side; drinking anything warm (from cold drinks, Spong.).

Amelioration

Coughing or expectoration relieves hoarseness; hard pressure (Col.).

Type

Suppressed by quinine or some anti-periodic; low fever, with bronchial or pulmonary complications.

Time

10 A. M.; 4-5 P. M.

Chill

Over whole body at 10 A. M.; with coldness of the hands, deadness of the fingers, and numbness of the finger tips (Paris, Sep.); in the evening over the back; slight, but with chattering of the teeth, as from convulsion of the masseter muscles; only in left arm, or left leg (Carbo v.—right arm, Mercurialis); knees and feet very cold (Carbo v.).

Heat

From 4-5 P. M., with sweat; of single parts, of back, chest, abdomen, limbs.

Anxious heat, as if sweat would break out.

Burning heat in limbs. Hectic fever.

Sweat

Profuse after 4 A. M. every morning.

Morning sweat, chiefly on the neck, nape of the neck and forehead; mouldy, musty odor; debilitating from the least movement.

Tongue

Red; yellow; coated with yellow mucus.

Taste; sour; sweetish; offensive; everything bitter but water.

Fetid odor from mouth.