Sulphuricum Acidum sul-ac.

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

DIGESTIVE TRACT. blood. Blood-vessels. Left side.

Worse

Open air. Cold. Spirits. Injuries. ODOR OF COFFEE. Climacteric. Toward evening. Excessive heat or cold.

Better

Hot drinks. Hands near head.

General

Moderate temperature.

Suited to topers, old age, etc. Disproportionate weakness. TREMOR; INTERNAL; wants to be held. Sourness. Erosion. Profuse, acrid or stringy discharges. Hæmorrhage; violent; black, thin. Parts feel stiff and tight. Pain increases slowly, then suddenly ceases. Gnawing. Great painfulness. As of a blunt plug being driven in.

Particulars

Hurried, irascible, vacillating and morose. Brain feels loose. Deathly pale or wrinkled face; white of egg seems dried on it. Congestion to head. Aphthæ. Throat sore; looks white-washed. Pyrosis. Hiccough; of drunkards. Sour belching; sets teeth on edge. Nausea. Vomiting; < lying on l. side. Weak, sinking at stomach, < after stool. Drinks chill the stomach. Very foul, green, black or hacked diarrhœa. Oozing piles. Coughs, then belches; bloody expectoration. Fingers jerk when writing. Weak knees. Black and blue spots. Petechiæ. HOT flushes, then trembling or cold sweat; < after warm ingesta; < upper parts; > motion. Drenching sweats.

Related

Complementary: Pul. Related: Ars. Lach. Sep.

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

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

Keynote

Adapted to the light-haired; old people, especially women; flushes of heat in climacteric years. Unwilling to answer questions not from obstinacy, but inaptness. Feels in a great hurry; everything must be done quickly (Arg. n.). Pain of gradual and slowly-increasing intensity which ceases suddenly when at its height, often repeated (Puls.). The pain is pressure as of a blunt instrument. Tendency to gangrene following mechanical injuries, especially of old people. Child has a sour odor despite careful washing (Hep., Mag. c., Rheum). Sensation as if the brain was loose in forehead and falling from side to side (Bell., Bry., Rhus, Spig.). Aphthae; of mouth, gums, or entire buccal cavity; gums bleed readily; ulcers painful; offensive breath (Bor.). Chronic heartburn, sour eructations, sets teeth on edge (Rob.). Water drunk causes coldness of the stomach unless mixed with alcoholic liquor. Sensation as if trembling all over, without real trembling; internal trembling of drunkards. Bad effects of mechanical injuries, with bruises, chafing and livid skin; prostration (Acet. ac.). Ecchymosis; cicatrices turn blood-red or blue, are painful (turn green, Led.). Petechia: purpura haemorrhagia; blue spots; livid, red itching blotches. Haemorrhage of black blood from all the outlets of the body (Crot., Mur. ac., Nit. ac., Ter.). Concussion of brain from fall or blow where skin is cold and body bathed in cold sweat. Weak and exhausted from deep-seated dyscrasia; no other symptoms (Psor., Sulph.).

Relations

Complementary Puls. Compare: Ars., Bor., Calend., Led., Ruta, Rheum, Symp. In contusion and laceration of soft parts it vies with calendula. Follows well: after, Arn. with bruised pain, livid skin and profuse sweat; after, Led. in ecchymosis. Ailments from brandy-drinking. Sulphuric acid, one part, with three parts of alcohol, 10 to 15 drops, three times daily for three or four weeks, has been successfully used to subdue the craving for liquor - Hering.

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)

General

For any affections arising from general debility, as prolapsus uteri, retroversion, any uterine trouble whatever, the patient having a sense of tremulousness all over.

One feels in a very great hurry, feels that everything must be done in a hurry (also Arg. nitr.). Sour and acrid belching; cough with expectoration in the morning, without expectoration in the evening. Burning darting pains in the muscles; shocks as from pain; black and blue spots on the body; in a bruise, (especially if an old person) when the injured part gets black and blue, and seems as if it would mortify.

Affections in general occurring in the right abdominal ring, sexual organs right side; right upper side; left lower side; inguinal hernia.

Worse

In the afternoon and evening; from surgical injuries in general.

Remedies following

Sepia, best; next, Arnica., Calc. carb. Conium, Lycop., Platin., Sulphur.

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

Every drink chills the stomach unless some spirit is mixed with it.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Sulphuric Acid

General

The "debility" common to acids shows itself here, especially in the digestive tract, giving a very relaxed feeling in the stomach, with craving for stimulants. Tremor and weakness; everything must be done in a hurry. Hot flushes, followed by perspiration, with trembling. Tendency to gangrene following mechanical injuries. Writer's cramp. Lead poisoning. Gastralgia and hypochlorrhydria. Purpura hæmorrhagia.

Mind

Fretful, impatient. Unwilling to answer questions; hurried.

Head

Right-sided neuralgia; painful shocks; skin feels pinched. Sensation as if brain was loose in forehead and falling from side to side (Bell; Rhus). Concussion of brain where skin is cold, body bathed in cold sweat. Compressive pain in side of occiput; relieved by holding the hands near the head. Pain of outer parts, as if there were subcutaneous ulceration; painful to touch. Thrust in right temple as if plug were pressed in.

Eyes

Intra-ocular hæmorrhage following traumatism. Great chemosis of conjunctiva, with aching and sharp pain.

Mouth

Aphthæ; gums bleed readily. Offensive breath. Pyorrhea.

Stomach

Heartburn; sour eructations; sets teeth on edge (Robin). Craving for alcohol. Water causes coldness of stomach; must be mixed with liquors. Relaxed feeling in stomach. Averse to smell of coffee. Sour vomiting. Desire for fresh food. Hiccough. Coldness of stomach relieved by applied heat Nausea with chilliness.

Abdomen

Weak feeling, with dragging into the hips and small of back. Feeling as if hernia would protrude, especially left side.

Rectum

Piles; oozing dampness. Rectum feels as if it had a big ball. Diarrhœa, fetid, black, with sour odor of body, and empty faint feeling in abdomen.

Female

Menstruation early and profuse. Erosion of cervix in the aged; easily bleeding. Acrid, burning leucorrhœa, often of bloody mucus.

Respiratory

Respiration rapid with shooting in cervical muscles and movement of wings of nose; larynx moves up and down violently. Bronchitis in children with short, teasing cough.

Extremities

Cramp-like paralytic contraction in arms, hands; jerking of fingers while writing.

Skin

Bad effects from mechanical injuries, with bruises and livid skin. Ecchymosis. Petechiæ. Purpura hæmorrhagica. Livid, red, itching blotches. Hæmorrhage of black blood from all outlets. Cicatrices turn red and blue and become painful. Chilblains with gangrenous tendency. Carbuncles, boils and other staphylococcic and streptococcic infections.

Modalities

Worse, from excess of heat or cold in forenoon and evening. Better, from warmth, and lying on affected side.

Relationship

Complementary: Puls.

Compare: Arn; Calend; Led; Sep; Calc.

Dose

Sulphuric acid mixed with three parts of alcohol, ten to fifteen drops three times daily for several weeks, has been successfully used to subdue the craving for liquor. For homeopathic purposes second 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

Extreme weakness, with sense of internal trembling, which is not observable to others.

Hæmorrhages from every outlet of the body, with ecchymosed spots under the skin.

Child smells sour all over, despite. the actual cleanliness. Sour, acid vomiting.

Adapted to the light haired, old people, especially women; flushes of heat in climacteric years.

Aphthæ, of mouth, gums, or entire buccal cavity, gums bleed readily; ulcers painful; offensive breath. Bad effects from mechanical injuries, with bruises, chafing and livid skin; prostration.

Sensation as if the brain was loose in forehead and falling from side to side (Bell., Bry., Rhus, Spig.). Often very useful in the stomach troubles of old whiskey topers.

Sulphuric acid is another remedy of value in aphthous affections of the mouth. It is particularly efficacious in greatly debilitated subjects, and in children with marasmus with this kind of mouth. There is often present sour stomach (Iris versicol. and Robinia, sour eructations and vomiting) with sour, vomiting, and the child smells sour all over despite the greatest care in regard to cleanliness (Rheum, Hepar and Magnesia). One of the strongest characteristics, perhaps the strongest, in weakened subjects in which this is the appropriate remedy, is a sense of internal trembling. This is a subjective symptom, for, notwithstanding this positive sensation, to a degree that is very distressing, there is no visible trembling. This symptom is frequently found in old topers (see Ranunculus bulb.), who are broken down or almost wrecked in health by strong drink. The symptom, however, is not confined to such subjects, but is often found in other cases when the debility is traceable to other causes; when markedly present from whatever cause. Sulphuric acid should never be forgotten. We have already spoken of the value of this remedy in purpura hæmorrhagica. Like Crotalus, it has hæmorrhages from every outlet of the body (Acetic acid, Thlaspi), and the blood also settles in ecchymosed spots under the skin. This last symptom would indicate that Sulphuric acid might be useful in black and blue spots in the skin, as the result of bruising, and practice corroborates it, and it follows well after Arnica. Ledum palustre is also one of our best remedies for ecchymosis from bruises, "black eye," for instance; this is, of course, for bruises under the skin; While Ruta is just as efficacious for bruises of the periosteum. There is enough of the Sulphur element so that it may succeed in "flushes" of heat, after Sulphur has failed at the climacteric.

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

Restlessness and irritability. Changeable disposition ; from seriousness he changes to great hilarity. Inclination to weep.

Head

Sensation as if the brain were loose in the forehead, and was falling from one side to the other ; worse when walking in the open air ; better when sitting quiet in the room. Painful shocks in the forehead and temples, worse in the forenoon and evening. Headache as if a plug was thrust quickly by increasingly severe blows in the head. Gradually increasing and suddenly ceasing headache.

Eyes

Lachrymation when reading. Tension in the eyelids in the morning ; it is difficult to open them.

Ears

Hardness of bearing ; it feels as if a leaf were lying before the ear.

Nose

Bleeding of the nose in the evening.

Face

Paleness of the face. The face feels swollen, as if the white of an egg had dried on the face. The lips peel off.

Mouth and Throat

Dulness of the teeth. Toothache worse in the evening in bed, aggravated by cold, relieved by heat. Aphthæ (in children). Sensation of dryness in the mouth. Ptyalism. Roughness in the throat. Tongue dry. Spitting of blood.

Stomach and Abdomen

Desire for fresh fruit. Sour eructations, violent heartburn. Nausea in the stomach with chilliness. Vomiting, first of water and then of food. The water causes cold of the stomach, if not mixed with some alcoholic liquor. Stitches in the liver and spleen. Pain in the abdomen like labor, extending to the hips and back. Flatulence in the abdomen, with the sensation as if a hernia should protrude. Violent protrusion of an inguinal hernia.

Stool and Anus

Ineffectual urging to go to stool. Stool retarded, compact, hard, knotty, and black. Stools chopped (in children). Watery diarrhœa, very offensive.

Urinary Organs

Diminished secretion of brown urine, which becomes turbid on standing, like loam water. Sediment like blood and a cuticle on the urine. Pain in the bladder if the call to urinate is postponed.

Sexual Organs

Women. Menstruation too early and too profuse. Impotence, with too early and too profuse menstruation. Leucorrhœa acrid or burning, or like milk.

Respiratory Organs

Hoarseness, with dryness and roughness in the throat and larynx. The larynx is painful ; the parts feel deprived of elasticity, which causes a difficulty in talking. Long-continued hæmoptysis. Cough in the open air, from walking, riding, cold water, and when smelling coffee. Cough from irritation in the chest, with expectoration in the morning of dark blood, or of a thin, yellow, blood-streaked mucus, generally of a sourish taste. After the cough, eructations. Stitches ; in the chest ; about the heart. Sensation of great weakness in the chest. Palpitation of the heart, with or without anxiety.

Back

Stiffness in the back on rising in the morning. Blood-boils on the back.

Extremities

Upper. Stitches in the shoulder-joints on lifting up the arms. Tension in the elbow-joint. Stitches in the joints of the fingers. Chilblains on the hands. Lower. Painful weakness of the knees. Red itching spots on the tibia. Cold feet. Stitches in the corns.

Sleep

Goes to sleep late and wakens early. During sleep twitches, especially of the fingers.

Generalities

Stitches in the joints. Tearing in the whole body, also in the face. Slowly increasing but suddenly ceasing pain, as if a blunt instrument were pressed against the part. Sensation of soreness, as if bruised over the whole body. The left side is principally affected. Weakness of the whole body, with the sensation of trembling.

Fever

Pulse small, feeble, and accelerated. Chilliness during the day, mostly in the room, better when exercising in the open air. Frequent chills running down the body. Heat in the evening and after lying down in bed. In the evening frequent flushes of heat, especially when exercising. Flushes of heat with perspiration (in climacteric years). Much perspiration, principally on the upper part of the body. Profuse morning sweat. Perspiration from the least exercise, which continues for a long time after sitting down. Cold perspiration as soon as one eats warm food.

Skin

Bad effects from mechanical, injuries, as from bruises, falling, knocking, pressure of blunt instruments, and contusions (especially in old women). Blue spots as from suggillation. Red, itching blotches on the skin. Soreness of the skin ; also with gangrenous ulceration ; becomes easily chafed when walking or riding. Painful sensitiveness of the glands. Eating pain in the ulcers. Most of the complaints are worse in the forenoon and evening. Aggravation; in the open air ; from smelling coffee.

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

Sulphuric acid. H 2 SO 4 . Dilution.

Clinical

Acidity . Alcoholism, chronic. Aphthæ. Back, stiffness of. Bowels, looseness of. Brain, concussion of. Breath, offensive. Cancer. Cancrum oris. Chafing. Chilblains. Climaxis, sufferings of. Constipation. Corns. Diabetes. Diarrhœa. Diphtheria. Dyspepsia. Erythema nodosum. Flushing. Gangrene. Gastralgia. Glossitis. Hair, grey; falling out. Heartburn. Hernia, inguinal. Hiccough . Impotence. Intermittents. Irritation . Liver, affections of. Menorrhagia. Metrorrhagia. Myopia. Nightmare. Œsophagitis. Paralysis, lead . Perspiration, excessive. Phthisis. Pneumonia. Pregnancy, sickness of. Purpura. Rheumatism. Scurvy. Spleen, affections of. Sterility. Ulcers. Uterus, prolapse of. Vagina, prolapse of. Varicosis. Warts.

Characteristics

Sul. ac ., according to Teste, was a favourite remedy of the Middle Ages, being used extensively in dilution in the treatment of scrofulous, phagedenic, cancerous, and venereal ulcers; as a gargle and mouth-wash for aphthæ, ulceration of the gums, and diphtheria. It was given as "Mineral Lemonade" in cases of lead poisoning. [This use I have verified, giving water acidulated with the 3x. ─ J. H. C.] The "Acid Soap" of Achard was prescribed as a dissolvent in scirrhus of the breast and calculous nephritis, obstinate intermittent fevers, visceral obstructions, dropsy, jaundice, cachexia, and "certain tumours of the feet." Elixir of vitriol (a mixture of the acid, alcohol and water) is a popular remedy for nervous weakness in women at the present day. Dippel, Haller, and others each had an "Elixir," differing only in the proportions of the chief ingredients. The elixirs were used in: Intermittent, putrid, malignant, contagious fevers; comatose and petechial fevers, scarlatina, confluent and malignant variola; dysentery; plague, lepra, itch, and other cutaneous diseases; nocturnal emissions; suppression of menses and piles, calculous nephritis, and gout; pituitous phthisis; chorea. Hahnemann proved Sul. ac ., and says that it has cured affections characterised by: "tension in the eyelids in the morning, shortsightedness; hardness of hearing; inguinal hernia; chronic looseness of the bowels profuse menses; metrorrhagia; roughness in the throat; asthma ; swelling of the feet; coldness of the feet" ( Chron. Dis .). Teste gives this experience of his own:" Two or three times I have used this drug with success against round syphilitic spots, of a bright red colour, of the size of a penny, rather itching, running into each other, secreting a humour sometimes, and generally seated at the upper and inner surface of the thighs, between the shoulders, on the face, and at the posterior surface of the forearms and hands. The subjects on whom this acid seemed to act best were lymphatic, ate a good deal, and were disposed to a constant looseness of the bowels, so that their evacuations were rarely in shape." Hahnemann's proving with homeopathic experience has confirmed many of the old uses of Sul. ac . and brought out characteristic indications. Weakness is a keynote to Sul. ac . The patient is weak and exhausted. Sul. ac . is suited to cases where the weakness is out of proportion to the disease. Weakness which seems to come from deep-seated dyscrasia. There is as well a sense of general internal trembling; as if trembling from head to foot, but without visible trembling. It is useful for inebriates who are "on their last legs," long after Nux had ceased to help. Hering says the craving for liquor has been subdued by taking for two or four weeks, thrice daily, ten to fifteen drops of a mixture of one part of Sul. ac . with three parts of alcohol. The indications are: "Vomiting in morning; acidity in stomach; burning in œsophagus and stomach; sour, acrid, or foul eructations." Sul. ac . has this characteristic: in spite of great thirst, water is not tolerated; unless qualified with alcohol it chills the stomach. This is a common symptom with hydrogenoid patients. Sul. ac . has a keynote symptom in the mental sphere. Hurry ─ hasty, quick, sullen, impatient; angry because things move so slowly. Like Sul., Sul. ac . is periodic and has an important place in agues and periodic neuralgias. Cooper with reason contends that many ague cases, supposed to have been cured with Chi. sul . (Sulphate of Quinine), were really cured by the Sulphuric acid used in dissolving it. "More-over," says Cooper, "in all epidemic diseases ─ influenza, cholera, small-pox, &c. ─ Sul. ac . is often called for by the concomitant symptoms. In the neuralgia of influenza it has cured very severe pain over the whole left side of the head, face, and neck, coming on from exposure to draught; in the diarrhœas of cholera times it certainly arrests mischief; in the diarrhœas of emaciated children it is often called for. A chemist in Covent Garden used to use a lotion of Sulphuric acid , well diluted, for all the cases of itch that came before him, and they were many." There is a keynote of Sul. ac . in respect to neuralgias which is of great service; the pains increase gradually and end abruptly; the most characteristic kind of pain is dull pressure ─ as of a plug thrust in. There is external soreness and sensitiveness. The piles of Sul. ac . are external, sensitive to touch and accompanied by itching. Sul. ac . is a great hæmorrhagic; there is bleeding from every orifice; bleeding under skin (purpura); the menses are too early, too profuse, and sterility may be a consequence of this; oozing of dark thin blood. Many sufferings of Sul. ac . seem to arise from the generative organs, especially of the female. With Sul. ac . 30, a dose every night, I gave great help to a delicate woman who had nightmare, waking in a fright, before each menstrual period . The local "weakness" of Sul. ac . may amount to prolapse of vagina and uterus. Trauma is another indication for Sul. ac .; it follows Arn . in bruises of soft parts, Con . in bruises of glands, Ruta . in bruises of bones. It also removes long-lasting black and blue spots with soreness and stiffness of the parts. Flushing is another feature (as at climacteric), and with the flushing there is sweating. Easy sweating is a note of Sul. ac ., and the sweat affects mostly the upper part of the body. The body odour of Sul. ac . is sour and cannot be washed off. This is especially observed in children. Heartburn with sour eructations that set the teeth on edge. Sul. ac . is suited to: ( 1 ) Old people; especially women. ( 2 ) Light-haired people. ( 3 ) Pains at climacteric. ( 4 ) When some deep-seated dyscrasia prevails, the child is weak with no other symptoms. ( 5 ) Sour babies. Sensations are: As if brain were loose and falling from side to side. As if one side of head filled with smoke. As if a plug were thrust quickly into head. As from subcutaneous ulceration in scalp. As of a foreign body on right outer canthus. As of a leaf lying before ears. As if white of egg had dried on face. As if skin of cheek and chin were pinched. As of want of elasticity of vocal organs. As if there were a lump in throat. As if menses would come on. As if hernia would protrude. As if rectum were torn to pieces during stool. Many symptoms appear on right side, but the left cheek and left parotid are most affected. Pain travels from left to right round hypochondria. Other Peculiar Symptoms are: Pains felt during sleep and disappearing on waking. Jerkings on falling asleep. Seriousness alternating with buffoonery. Pain in bladder unless call to pass water is immediately attended to. The symptoms are: < By touch; pressure; chafing; mechanical injuries. Open air < . Warmth > . Cold < . Rest > . Lying on affected side > gnawing in face. Motion; lifting arms; rising; walking; riding < . < Morning; (also evening and night). < Drinking cold water. Wine < . Warm food = sweat. The cauterising property of Sul. ac. is of the phagedenic order, which makes it suitable to many gangrenous conditions.

Relations

Antidoted by: Puls. Antidote to: Lead poisoning. Complementary: Puls. Follows well: In injuries, Arn., Con., Rut. Compare: Cough followed by belching wind from stomach, Ambr., Ver. Dyspepsia of drunkards, Carb. v. (Carb. v. is a putrid remedy; Sul. ac. more sour). Acidity sets teeth on edge, Rob. Weakness and giving way of ankles, Caust, Sul., Sil. Scarlatina, blue spots, diphtheritic membrane, Mur. ac. (Mur. ac. has > uncovering). Sprains, Am. c. (hot and painful). Falls easily, Nat. c., Caust., Sul. Pains increase gradually, end suddenly (Bell., Lyc., pains begin and end suddenly; Stn., pains begin and decline gradually; Col., begin suddenly and end gradually). Aphthæ, Sul. ac., Borax, Nat. m., K. chl. Piles, Nit. ac. Drinks chill the stomach, Elaps. Flushing at menopause, Lach. (Sul. ac, with sweating). Throbbing headache at menses, Lach. (Sul. ac, with sweating). Inguinal hernia, Lyc. (Lyc. right, Sul. ac. left). Sour children, spite of washing, Hep., Mg. c., Rhe. Sensation of brain loose in forehead and falling from side to side, Bell., Bry., Rhe., Spi. Prostration, Acet. ac. Hæmorrhages of black blood from all outlets, Crotal., Mur. ac., Nit. ac., Tereb. Weak and exhausted from deep-seated dyscrasia, no other symptoms, Pso., Sul. Weakness, Pic. ac. Sensation of white of egg on face, Alm. Sensation of subcutaneous ulceration, Puls. Alcoholism, Querc. Prolapse of vagina, Staph. Larynx sensitive, Lach. Warmth of genitals (Sul. coldness).

Causation

Lifting arms. Falls. Bruises. Concussion (of brain). Chafing. Surgical operations. Sprains.

Mind

Mental excitability; and exaltation. ─ Melancholy dejection. ─ Inclination to weep. ─ Anxious apprehension and mistrust. ─ Despondency. ─ Agitation, precipitation, and impatience. ─ One feels in a very great hurry, feels that everything must be done in a hurry (also Arg. nit .). ─ Restlessness. ─ Irritability, nervous fatigue, and tendency to take fright. ─ Peevish moroseness, and dislike to conversation. ─ Disgust to life. ─ Seriousness, alternating with buffoonery. ─ Extraordinary absence of mind. ─ Dulness of intellect.

Head

Semilateral confusion of head, as if the part contained smoke. ─ Vertigo when seated, disappearing in the open air. ─ Sensation as if brain were loose in forehead, and was falling from one side to the other; < when sitting quiet in the room. ─ Headache, which at first increases, then suddenly disappears. ─ Sensation of weakness in head. ─ Headache, as if brain were lacerated. ─ Rush of blood to head. ─ Throbbing headache during menses, with sweating. ─ Pressive headache. ─ Sensation of heaviness and fulness in brain, as if head would burst. ─ Sensation of constriction in head. ─ Painful shocks in forehead and temples, < in forenoon and evening. ─ Headache as if a plug was thrust quickly by increasingly severe blows in head. ─ Shocks and blows in the head. ─ Violent jerk beneath l. frontal eminence, suddenly disappearing. ─ Headache, with dull lancinations, or drawings and tearings. ─ Sensation of wavering of the brain. ─ Sensation in exterior of head as if suppurating, or ulcerated, painful to touch. ─ Itching and eruption in scalp. ─ Hair turns grey and falls off. ─ Pimples on forehead and side of nose.

Eyes

Burning aching in eyes, in open air, or when fixing eyes on an object in a room. ─ Tension in lids in morning. ─ Smarting, burning sensation in eyes, and lachrymation, esp. when reading. ─ Sensation of a foreign body in r. outer canthus, in morning when walking. ─ Eyes red, with photophobia. ─ Chronic inflammation of eyes. ─ Difficulty in opening eyelids. ─ Myopia.

Ears

Tearing in ears. ─ Tearing and shaking in r. ear. ─ Violent tickling in concha. ─ Dysecoia, as if there were a band over the ears, or as if a leaf were before them. ─ Rhythmical roaring in ears. ─ Ringing of bells before ears. ─ Humming in ears, in evening.

Nose

Epistaxis in evening. ─ Dry coryza, with loss of smell and taste. ─ Coryza: thin, lemon-coloured discharge. ─ Pimples on side of nose. ─ Flow of water from nose, with obstruction of one nostril.

Face

Paleness of face. ─ Contusive pain in zygomatic process. ─ Tearing of bones of face. ─ Dry shrivelled spots on face. ─ Sensation as if face were swollen, and as if it were covered with the white of eggs dried. ─ Lips are cracked, and exfoliate. ─ Lips swollen, red, painful to touch. ─ Pain, as from excoriation, in commissures of lips. ─ Inflammation and swelling of submaxillary glands.

Teeth

Toothache, more violent in evening, in bed, < by cold air, > by warmth, generally with tearing digging, or gnawing. ─ Bluntness of teeth. ─ Toothache with tenderness and pain along side of head and down spine (R. T. C.). ─ Teeth on edge. ─ Swelling and easy bleeding of gums. ─ Ulceration of gums.

Mouth

Aphthæ in mouth; in children. ─ Sensation of dryness in mouth. ─ Tongue dry. ─ Tongue; horribly swollen; swallowing impossible; covered with wrinkled white skin; tip and edges red; denuded at tip and intensely red. ─ Ulcers on inflamed tongue. ─ Talking difficult as from want of elasticity in parts. ─ Breath very offensive. ─ Profuse salivation. ─ Hæmorrhage from mouth.

Throat

Sore throat during deglutition, with lancinating pain, esp. in evening (swollen as if a lump were in it; < on l. side). ─ Thick yellow membrane on fauces, sticks like glue. ─ Swelling of uvula and roof of palate. ─ Swelling and inflammation of submaxillary glands. ─ Roughness in throat. ─ Mucous membrane of palate and pharynx swollen, injected and ulcerated. ─ Stringy, lemon-yellow mucus hangs from posterior nares, in diphtheria.

Appetite

Putrid taste. ─ Bread has a bitter taste, and is heavy on stomach. ─ Bulimy, with rumbling and borborygmi in abdomen. ─ Desire for fresh fruits (plums); brandy. ─ Loss of appetite and great debility. ─ Chronic alcoholism, vomiting in morning; acidity of stomach; burning in œsophagus and stomach; sour, acrid or foul eructations. ─ After eating; pain in stomach and rising of food by mouthfuls. ─ After warm food, sweat. ─ After a meal, agitation, gripings, and digging in abdomen, or excessive inflation of stomach. ─ Cold perspiration, immediately after hot food. ─ Lassitude and flatulence after drinking milk. ─ All drinks chill the stomach, if a little spirit is not added to them.

Stomach

Empty or bitter risings. ─ Acid, bitter, salt, or else sweetish regurgitations. ─ Sour eructations, violent heartburn. ─ Violent hiccough. ─ Pyrosis. ─ Nausea in the stomach, with shivering. ─ Vomiting, first of water, then of food. ─ Vomiting of drunkards. ─ Very painful sensitiveness of region of stomach. ─ The water (or every drink) causes cold of the stomach; if not mixed with some alcoholic liquor. ─ Fulness and pressure in stomach. ─ A contracting sensation in stomach in evening, as from a chill. ─ Con traction in stomach and scrobiculus ( < from hard food). ─ Cuttings round stomach. ─ Sensation of coldness or burning in stomach. ─ Cold, relaxed feeling in stomach.

Abdomen

Lancinations in spleen. ─ Spleen enlarged: hard and painful; hurts when coughing; after intermittent fever. ─ Stitches in liver and spleen. ─ Shootings in the hepatic region. ─ Shooting in loins. ─ Colic in abdomen, like labour pains, extending into hips and loins. ─ Movements, gripings, and pinchings in abdomen, sometimes at night. ─ Sensation of heat in umbilical region. ─ Jerking throughout hypogastrium, esp. at surface. ─ Throbbing, tearings, and shootings, in inguina. ─ Smarting in inguinal region. ─ Inguinal hernia, much protruded. ─ Flatulent colic in the hypogastrium, with grumbling and borborygmi, and sensation as if a hernia were about to descend. ─ Weak feeling as if menses would appear.

Stool and Anus

Tenesmus. ─ Ineffectual urging to go to stool. ─ Evacuations retarded, hard, knotty, and black. ─ Fæces of a very large size. ─ Chronic relaxation of abdomen. ─ Loose evacuations, of consistence of pap (yellowish-white; partly solid, partly liquid), greenish, and watery. ─ Watery diarrhœa, very offensive. ─ Diarrhœa, of frothy slime only, with burning sensation in rectum. ─ Diarrhœa, with great debility. ─ Soft stool, followed by a sensation of emptiness in abdomen. ─ Evacuations of mucus, streaked with blood. ─ The child frequently has a stool as if chopped, saffron yellow, stringy, slimy. ─ Very fetid stools of a putrid smell. ─ Discharge of blood during the evacuation. ─ Sanguineous congestion in rectum. ─ Hæmorrhoid at excrescences in anus, with shootings, burning sensation, itching and oozing. ─ Hæmorrhoids feel damp and are painful to touch; itch violently; pain at stool as if rectum were torn to pieces; stools like sheep's dung; piles in hard drinkers. ─ Pressing in anus during and after pasty stool.

Urinary Organs

Diabetes; lassitude; debility; despondency. ─ Diminished secretion of urine, with burning sensation when urinating. ─ Emission of urine at night. ─ Urine watery (brown, diminished secretion of) and as if it contained earth (or loam). ─ Slimy sediment in the urine. ─ Sediment like blood in the urine, which is covered with a fine pellicle. ─ Pain in the bladder, when the want to urinate is not immediately satisfied.

Male Sexual Organs

Excessive heat in genital parts and testes. ─ Emission of semen, without voluptuous sensation. ─ Itching pain in upper margin of glans. ─ Scrotum relaxed. ─ Orchitis (r.).

Female Sexual Organs

Strong desire for coition, from irritation of the external genital organs (in females). ─ Catamenia premature and too profuse. ─ Catamenia of too long duration. ─ Metrorrhagia. ─ Nightmare before menses. ─ During menses, lancinations in abdomen and vagina. ─ After menses; great desire for, or else great aversion to, coition. ─ Sterility, with catamenia premature and too profuse. ─ Acrid and burning, or milklike leucorrhœa. ─ Discharge of sanguineous mucus from vagina. ─ Prolapse of vagina; parts look greenish and smell badly. ─ Climacteric age with constant hot flushes, and a feeling of tremor all over body, with great debility, and as if everything must be done in a hurry; spitting of blood; constipation; symptoms are < by smelling (not drinking) coffee. ─ Nausea and vomiting during pregnancy; never vomited food, but could not eat because of increased distress in stomach and vomiting of mucus.

Respiratory Organs

Hoarseness, with dryness, and roughness in throat and larynx. ─ Pain in larynx, with embarrassed speech, as if the parts were not sufficiently elastic. ─ Larynx excessively sensitive; to pressure. ─ Cough, excited by open air. ─ Cough < from walking, riding, cold water, and when smelling coffee. ─ Dry, short, panting cough, sometimes in the morning, after rising. ─ Moist cough, with slimy expectoration. ─ Long-continued hæmoptysis. ─ Cough, with hæmoptysis. ─ Cough with expectoration in morning, without expectoration in evening. ─ Cough from irritation in the chest, with expectoration in morning of dark blood, or of a thin, yellow, blood-streaked mucus, generally of a sourish taste. ─ After the cough, eructations. ─ Profuse hæmorrhage from the lungs. ─ Risings and regurgitation of food after coughing.

Chest

Dyspnœa. ─ Great weakness in the chest, with difficult speech. ─ Aching in the l. side of chest, and in scrobiculus. ─ Cutting pain in front of l. axilla. ─ Pains along sternum; beneath sternum; cutting, burning. ─ Sternum sore as if beaten. ─ Dull stitches in l. side of sternum by costal cartilages. ─ Dull tension in l. side of chest. ─ Stitches from chest to l. scapula. ─ Pneumonia l. side of chest and in pit of stomach. ─ Dulness of base of r. lung, pneumonia, collapse, death. ─ (Many cases of poisoning by Sul. ac . are followed by pneumonia.). ─ Slight pulsating, twitching beneath l. side. ─ Lancinations in chest. ─ Violent sticking in r. breast; frequent and continuous; when pressing on it pain extended deeper.

Heart

Palpitation of heart (with or without anxiety). ─ Lancinations across heart. ─ Præcordial region very painful.

Neck and Back

Neck swollen. ─ L. neck painful on pressure. ─ Large suppurating swelling l. side of neck. ─ Sensation, as from excoriation, and as of a fracture, in the back and loins. ─ Drawing in the back and loins. ─ Pain in small of back. ─ Boring in small of back. ─ Furunculi on back. ─ Stiffness of back several mornings; on rising. ─ Painful sensibility and swelling of axillary glands.

Limbs

Convulsive movements of arms and legs. ─ Pains in joints felt during sleep, disappear on waking. ─ Tearing in all limbs during menses, esp. in evening. ─ Inclination to cramp in hands and feet. ─ Wrists and other large joints painful and swollen, but not red. ─ Limbs livid. ─ Twitching of tendons.

Upper Limbs

Heaviness of the arms. ─ Spasmodic, paralytic contractions in arms. ─ Shootings in joint of shoulder, on lifting arm. ─ Tensive pain in elbow-joint. ─ Bluish spots on forearm, as from ecchymosis. ─ Cramps in hands. ─ Shocks and blows in bones of hand, when writing. ─ Eruption on hands, and between fingers. ─ Lancinations in joints of fingers. ─ Chilblains on fingers.

Lower Limbs

Inner surface of thighs red, sore, excoriated after riding. ─ Heaviness of legs. ─ Torpor and numbness of legs. ─ Want to stretch and retract limbs. ─ Tearing in varices of legs. ─ Painful weakness of knees, with dull lancinations, shocks, and blows in those parts. ─ Red, itching spots on tibia. ─ Stiffness of ankles. ─ Coldness in feet. ─ Swelling of feet. ─ Tearing and lancinations in corns and feet.

Generalities

For any affections arising from general debility, as prolapsus uteri, retroversion, any uterine trouble whatever, the patient having a sense of tremulousness all over. ─ Burning darting pains in muscles; shocks as from pain; black and blue spots in body; in a bruise (esp. if an old person) when the injured part gets black and blue, and seems as if it would mortify. ─ Hæmorrhages of black blood from all the outlets of the body. ─ Affections in, general occurring in r. abdominal ring; sexual organs r. side; r. upper side; l. lower side; inguinal hernia. ─ < Afternoon and evening; from surgical injuries in general; in the open air; from smelling coffee. ─ Tearing pains throughout body, also in face. ─ Stitches in joints. ─ Cramps in limbs. ─ Pains, felt during sleep. ─ Icteric sufferings. ─ Jerking of the tendons. ─ Appearance or < of symptoms, morning and evening. ─ The patient feels < in open air. ─ The l. side seems to be more particularly affected. ─ Slowly increasing but suddenly ceasing pain, as if a blunt instrument were pressed against the part. ─ Sensation of soreness as if bruised over the whole body. ─ Weakness of the whole body, with sensation of trembling. ─ Extreme weakness and exhaustion, with sensation of tremor all over the body, without trembling. ─ Sour odour of body. ─ Great weakness and emaciation with backache in young girls (R. T. C.). ─ General weariness in a plethoric woman and pain in lower back, chiefly l. sided, with weakness in lower abdomen, < at menses, furred tongue and constipation.

Skin

Bad effects from mechanical injuries, as from bruises, falling, knocking, pressure of blunt instruments, and contusions (esp. in old women). ─ Gangrenous tendency after a bruise. ─ Itching over whole body. ─ Red, itching spots on skin, or small, red, livid, and bluish spots, as from ecchymosis. ─ Excoriation of skin, also with ulceration like gangrene (becomes easily chafed when walking or riding). ─ Furunculi. ─ Gnawing (eating pain in the) ulcers. ─ Painful sensitiveness of glands. ─ Chilblains. ─ Corns in feet, with tearings and shootings. ─ Warts.

Sleep

Retarded sleep and early waking. ─ Sleepiness. ─ Sleeplessness from mental excitement. ─ Jerkings during sleep. ─ Anxious dreams. ─ Jerking of fingers during sleep. ─ Nightmare before menses.

Fever

Chilliness during the day, < in room, > when exercising in open air. ─ Frequent chills running down body. ─ Heat in evening and after lying down in bed. ─ In evening frequent flushes of heat, esp. when exercising. ─ Flushes of heat with perspiration (in climacteric years). ─ Heat predominates. ─ Small, feeble (accelerated) pulse. ─ Perspiration on least movement (which continues for a long time after sitting down). ─ Profuse perspiration in morning. ─ Perspiration at night. ─ Cold perspiration as soon as one eats warm food.

The Guiding Symptoms of Our Materia Medica

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

Mind

Mental excitability.
Must do everything in a great hurry ; nothing can be finished quickly enough.
Unwilling to answer ; says yes or no with difficulty ; pulse small and frequent.
Disheartened ; inclined to weep.
Irritable, restless ; fretful and peevish if his work is not done to suit.
Extreme mental dejection ; unfit for work, would sit and weep whole day long ; constant pain at vertex ; after a fall upon head.

Sensorium

Vertigo, in room, going off in open air ; must lie down, as soon as he raises himself dizziness returns.

Inner head

Sensation in forehead as if brain were loose and falling from side to side ; < walking in open air ; > sitting quiet in room.
Rush of blood to head, headache.
Painful shocks in forehead and temples, < in forenoon and evening.
Headache as if a plug were thrust quickly, by increasingly severe blows, into head.
Gradually increasing and suddenly ceasing headache.
Chronic headache in leuco-phlegmatic people, with relaxed muscles and general debility.

Outer head

Hair turns grey, falls out ; eruption on scalp very sore ; < in open air.
Cold sweat on forehead when eating, even warm food.
Pain of outer parts of head, as from subcutaneous ulceration, parts painful to touch.

Sight and eyes

Eyes fill with tears when reading.
Tension in lids in morning ; difficult to open.
Sensation of a foreign body in right outer canthus, in morning, when walking.
Feeling as of a lump in right outer canthus ; on closing eye seems to move to inner canthus, and to return on opening it.
Deep blue circle under right eye.
Chronic inflammation of eyes ; frequently useful in beginning (later Sulph.).

Hearing and ears

Hardness of hearing ; feeling as of a leaf lying before ear.
Buzzing in right ear ; neuralgia.

Smell and nose

Nosebleed ; oozing of dark, thin blood ; evenings ; < from smelling coffee ; of old people ; in cachectic persons.
Coryza : alternately dry and fluent ; with loss of smell and taste, hunger, sore eyes and tension in forehead.

Upper face

Face : deadly pale ; feels swollen and as if white of egg had dried on it.
Dry, shrivelled spots in face. θ Hemorrhoids.
Crusta lactea, with stringy, yellow stools.
Gnawing pain commences at 9 P. M. ; affects ramus of lower jaw, and temple of right side, > by warmth and lying on affected side ; comes on gradually and leaves suddenly.
Right-sided neuralgia, affecting face from temple to lower canine teeth, aching and jerking pain, with twitches and contortion of face, and deep blue circle under right eye ; chattering of teeth ; dimness of sight ; black appearance of objects ; wavering of objects.
Buzzing in right ear ; frequent sensation as if skin of cheek and chin were pinched ; pain came gradually and left suddenly ; < in bed, and from excess of heat or cold.

Lower face

Shooting, stinging pain in a red scar on lower jaw.
Lips peel off.
Swelling and inflammation of submaxillary glands.
Pain in submaxillary gland, extends to tongue ; tongue feels burnt.

Teeth and gums

Toothache : < in evening in bed, and from cold ; > from heat ; dull, concentrating in right eyetooth, hurts when eating and on pressure ; pain increases slowly, ceases suddenly when reaching highest point.
Dulness of teeth ; teeth on edge.
Destruction of teeth. θ Diabetes mellitus.

Taste, speech, tongue

Loss of taste.
Talking difficult, as from want of elasticity of parts.
Tongue dry.
Ulcers on inflamed tongue. θ Glossitis.

Inner mouth

Sensation of dryness in mouth.
Profuse flow of tasteless or sweetish saliva.
Breath very offensive.
Vesicles on inside of cheek.
Aphthous mouth and gums ; painful yellowish or whitish ulcers. θ Stomatitis ulcerosa. θ Thrush.
Swollen, ulcerated and readily bleeding gums.
Aphthous ulceration of entire inner mouth surface ; sour eructations and heartburn ; longing for acids, especially fresh tart fruits ; pallor of skin ; trembling and weakness all over ; sense of general soreness ; capricious temper ; restless or
irritable.
Hemorrhage from mucous membrane of mouth and from gums on slightest motion of tongue, also when speaking, drinking, or blowing nose ; purpura spots over body.
Cancrum oris, not so much sloughing, but rapid extension of ulceration ; parts seem to be eaten away ; ulcers irregular in shape, edges sharp cut and flat ; much bleeding but not violent or long-continued.

Palate and throat

Throat sensitive.
Roughness and rawness in throat.
Lancinating pain in throat.
Stinging in chest and throat at same time.
Constricted feeling in throat.
Great difficulty in swallowing.
Throat swollen as if there were a lump in it.
Uvula and root of palate œdematous.
Mucous membrane of palate and pharynx swollen and injected ; several ulcerations.
Thick yellow membrane on fauces, tonsils, teeth and lips, sticks like glue ; impeded deglutition ; voice thick ; parotids swollen, hard ; sopor ; stench from mouth. θ Diphtheria.
Diphtheria ; ulceration of throat, with large exudations, thick, greyish or yellowish, sticky and tenacious ; tonsils bright red ; liquids run out of nose ; speech and respiration difficult on account of accumulation of exudation in
fauces ; excessive salivation ; fetor oris ; pulse frequent, small, weak ; apathy, somnolency ; excessive paleness and weakness.
Swelling of mucous membrane of palate and pharynx, with white spots which cannot be removed ; difficult swallowing ; over entire cavity of mouth a thick, white coating ; large, painful swelling of left parotid ; excessive paleness ; weakness, languor ;
severe sopor.
On bright-red swollen tonsils a white coating, which changed after a few days to a thick greyish or yellowishwhite substance, also on hard palate and inside of cheeks ; when pressing tongue down a quantity of exudate was squeezed out of fauces ; it feels like paste, and
is so tenacious that it can scarcely be crushed between fingers ; very difficult swallowing, all liquids run out of nose ; no appetite ; apathy, somnolency ; child whines when being lifted ; pulse frequent, small ; excessive fetor oris. θ Diphtheria.
On fourth day teeth, lips and inside of cheeks covered with a thick, yellow, membranous substance, which can be removed only with greatest difficulty, and is very sticky ; tonsils cannot be seen ; speech thick, indistinct ; swallowing almost impossible ; frequent
loose cough ; both parotids swollen and very hard ; great apathy ; sopor ; very fetid breath ; pulse frequent and weak ; breathing difficult on account of accumulation of exudate. θ Diphtheria.

Appetite, thirst. desires, aversions

Desire : for fresh fruit ; for brandy.
Loss of appetite and great debility.
Chronic alcoholism ; vomiting in morning ; acidity of stomach ; burning in œsophagus and stomach ; sour, acrid or foul eructations. [Obs. Successfully used in subduing craving for liquor by taking for two or four weeks, three times daily, from ten to fifteen drops of
a mixture of one part of sulphuric acid with three parts of alcohol.]
Aversion to smell of coffee.

Eating and drinking

Water chills stomach if not mixed with alcoholic liquor.
Ailments from drinking brandy (symptoms are palliated by drinking wine).
After eating, pain in stomach and rising of food by mouthful.
After warm food : sweat.

Hiccough, belching, nausea and vomiting

Hiccough : violent ; obstinate ; causing great suffering and exhaustion.
Belching after cough : sour.
Chronic heartburn ; acidity of stomach.
Nausea with chilliness.
Vomiting : of drunkards ; of cachectic persons ; sour, first water, then food.
Rising of mucus so sour that it sets teeth on edge.

Scrobiculum and stomach

Coldness of stomach, with relaxed feeling ; loss of appetite and great debility.
Cold water chills stomach and is rejected unless mixed with alcoholic liquor.
Acidity of stomach.
Gastralgia ; pains contractive and violent or of a dull, heavy, aching character, with pyrosis and much flatulence.
For two years pains in pit of stomach, first with sickness and severe gastralgia ; for months unable to walk about house from excessive weakness and painfulness of limbs and cramp ; pains across stomach terrific, causing him to writhe in
agony ; too powerless to get in and out of bed without help ; one attack confined him to house seven weeks, and from this he has never fully recovered ; pain at lower part of chest, commences at left and extends around hypochondria to right side ; comes on every now and
then during day so that he can do only very light work, but is < at night ; pain < about an hour before going to bed, wakens him before midnight, beginning about 11 and lasting till about 1 or 2 A. M. ; commences very suddenly and with intense severity, and declines
gradually ; urine thick and high-colored, with red sediment ; constipation ; teeth loose and decayed, ascribes this to effects of strong medicines he has taken. θ Gastralgia,
probably due to metallic poisoning.
Indigestion in a child from too frequent and too rapid feeding ; stool of chopped-up yellow and green matter, held together by long strings of yellowish matter ; irritable, feverish and exceedingly prostrated.
Dyspepsia ; vomiting in morning ; constant acidity of stomach ; empty, sour, acrid, offensive belching ; sour vomiting, particularly after eating.
Dyspepsia, with great debility, constriction of throat, raising of mucus so sour that it sets teeth on edge.
Increased secretion of gastric mucus, which rises into mouth and sets teeth on edge.

Hypochondria

Spleen enlarged : hard and painful ; hurts when coughing ; after intermittent fever.
Stitches in liver and spleen.

Abdomen and loins

Weak feeling in abdomen, as if menses would come on.
Labor-like pains in abdomen extending to hips and back.
Lead colic (antidote).
Pain like an instrument going through right groin into abdomen.
Colic, with sensation as if a hernia would protrude.
Inguinal hernia.
Incarcerated hernia in old people, constriction coming on in a very gradual manner ; pinching constricted feeling in hernia ; sensation of fulness in abdomen ; periodical nausea and constipation ; hernia not very sensitive ; incarcerated part not very hard or
tense, but has a doughy feel ; incarceration may last for days without symptoms growing severe ; gradual accumulation of flatus, pinching in abdomen, periodical transient tearing pains, constant nausea, belching of sweet, salty or bitter fluid, finally vomiting ; hernia on
left side ; melancholic-phlegmatic temperament.

Stools and rectum

Stools : yellowish-white ; diarrheic, with passage of much flatus ; saffron-yellow ; bright yellow, mucous, looking stringy or chopped (cholera infantum) ; of hard, small, black lumps, mixed with blood, with violent pinching in anus ; green,
watery ; black, undigested ; watery and offensive, smelling like rotten eggs ; soft, followed by a feeling of emptiness in abdomen ; soft, pasty, with pressing in anus.
Aggravation : in children during dentition ; after eating ; after oysters .
Before stool : pressing in anus.
During stool : burning in rectum.
After stool : empty, weary, exhausted feeling in abdomen ; pressing in anus.
Diarrhœa with great debility and nervous prostration ; a sensation of trembling all over body.
Diarrhœa of yellow, stringy mucus. θ Crusta lactea.
Summer diarrhœa from eating bad or unripe fruit ; commencing with nausea, sweat, violent colic, pinching and burning in abdomen.
Chronic diarrhœa : bowels moved frequently ; during intervals free from pain in abdomen, nausea, etc.
Violent pricking in anus, she has to rise up on account of pain.
Varices feel damp and are painful to touch ; itch violently ; pain at stool, as if rectum were torn to pieces ; stool like sheep's dung ; piles in hard drinkers.

Urinary organs

Diabetes ; lassitude ; debility ; despondency, dulness of mind and of sight, itching over whole body ; flatulency ; stitches in hepatic region ; skin completely inactive, cold and dry ; large quantities of sugar in urine ; typhoid
condition.
Diminished secretion of brown urine becoming turbid, like loam water, on standing.
Sediment like blood and a cuticle on urine.
Pain in bladder if call to urinate is postponed.

Male sexual organs

Orchitis, right side.

Female sexual organs

Menses too early and too profuse, preceded by distressing nightmare.
Oozing of dark, thin blood.
Prolapsus of vagina ; parts look greenish and smell badly.
Leucorrhœa : acrid or burning ; milky or transparent ; of bloody mucus, with sensation as if menses would appear.
Climacteric age, with constant hot flushes, and a feeling of tremor all over body, with great debility, and as if everything must be done in a hurry ; spitting of blood ; constipation ; symptoms are < by smelling (not drinking)
coffee.

Pregnancy. parturition. lactation

Nausea and vomiting during pregnancy.
Sterility ; menses too early and too profuse.
Never vomited food, but could not eat because it increased distress in stomach and vomiting of mucus.

Voice and larynx. trachea and bronchia

Hoarseness with dryness and roughness in throat and larynx.
Larynx painful ; feels inelastic, causing difficulty in swallowing.

Respiration

Shortness of breath.
Respiration : rapid with shooting in cervical muscles, and movement of wings of nose ; very difficult, larynx moved up and down violently.

Cough

Cough : dry, two short hacks, soreness between scapulæ, tiredness ; from irritation in chest, with expectoration in morning of dark blood, or of a thin, yellow, blood-streaked mucus tasting sour ; followed by belching (phthisis) ; in open air, < from
walking, riding, cold water and odor of coffee ; and hæmoptysis after typhus.

Inner chest and lungs

Stitches : in chest ; about heart ; through upper part of left chest to shoulder blade.
Sensation of great weakness in chest.
Burning in left side of chest to throat.
Shooting stinging, now in scapula, again in armpit, or in chest.
Pressure on left side of chest and in pit of stomach.
Irritation in chest with cough and expectoration in morning of dark blood, or of thin, yellow, blood-streaked mucus, generally of a sourish taste.
Profuse hemorrhage from lungs. θ Tuberculosis.
Hæmoptysis ; after pneumonia ; in climacteric period.
Ulceration in different parts of lungs.
Abundant pleuritic exudation, patient could not sit up, heart displaced ; legs had to hang, otherwise oppression of chest.
Phthisis ; severe hemorrhages ; ulcers in lungs broke and expectoration was exceedingly foul, exhausting sweats, great prostration.

Heart, pulse and circulation

Palpitation, without fear or anxiety.
Shooting through heart.
Pulse : small, feeble, accelerated ; affected by alcoholic drinks.

Outer chest

Sternum sore, as if beaten.

Neck and back

Pain in small of back.
Weakness in back, can scarcely stand alone.
Stiffness in back on rising in morning.
Blood-boils on back.
Large suppurating swelling on right side of neck.

Upper limbs

Stitches : in shoulder joints on lifting arms ; in finger joints.
Tension in elbow joint.
Blue spots on arms ; purpura.
Chilblains on hands.
Red swelling on back of hands, not painful.
After erysipelas, inflamed swelling of little finger.

Lower limbs

Inner surface of thighs red, sore, excoriated after riding.
Knees painfully weak.
Red itching spots on tibia.
Blood-red very painful scar on tibia.
Ankles weak, cannot walk.
Feet cold, swollen.
Distension of veins of feet.
Stitches in corns.

Rest. position. motion

Lying down : dizziness > ; on affected side, gnawing in face >.
Sitting : could not, pleuritic exudation.
Legs have to hang : otherwise oppression of chest ; pleuritic exudation.
Motion : of tongue causes bleeding of gums ; coughing hurts spleen.
On rising : vertigo returns ; stiffness in back.
On lifting arms : stitches in shoulder joints.
Walking : in open air, brain as if loose ; cough <.
Riding : cough < ; soreness of thighs.

Nerves

Great debility ; sensation of tremor all over body, without trembling.
Great exhaustion and nervous prostration.
Restlessness ; does everything hurriedly.

Sleep

Falls asleep late and wakens too early.
During sleep twitches, especially of fingers.

Time

Morning : tension in lids, difficult to open ; as of a lump or foreign body in right outer canthus ; vomiting, in alcoholism, and dyspepsia ; expectoration of dark blood ; stiffness in back ; sweat.
Forenoon : painful shocks in head <.
Evening : painful shocks in head ; nosebleed ; toothache < ; heat <.
At 9 P. M. : facial neuralgia.
Night : gastralgic pain <, wakes him before midnight, lasts until 2 A. M. ; sweat.

Temperature and weather

Open air : soreness in scalp < ; cough.
Indoors : chilliness <.
Warmth : gnawing pain in face >.
Heat : toothache >.
Cold : toothache <.
Cold water : chills stomach ; cough <.
Excess of heat or cold : < faceache.

Fever

Frequently chilly during day ; < indoors, > outdoors when exercising.
Frequent chills running down body.
Heat in evening and in bed.
Flushes of heat, with sweat. θ Climaxis.
Sweat : excessive, mostly on upper body ; from motion, continued after sitting down ; sour ; cold, immediately after eating warm food ; mornings ; at night, profuse, > by drinking wine ; with great debility.
Pains across loins, much shaking of whole body, with shivering as from cold, coming in paroxysms ; attacks begin with coldness and trembling, then comes general tremor ; keeps about for two or three days, attacks come irregularly, sometimes in evening,
sometimes in morning ; tongue parched, appetite failing, urination painful, much ardor urinæ and tenesmus ; after cold shivers cease gets warm and perspires ; thirst throughout. θ Ague.
Typhus putridus, with great disposition to hemorrhage from capillaries and rapid sinking of vital forces ; oozing of dark, thin blood ; face deadly pale ; tendency to gangrene.
Black vomit. θ Yellow fever.

Attacks, periodicity

Attacks come on regularly : ague.
Commences suddenly, declines gradually : gastralgia.
Gradually increasing and suddenly ceasing : headache ; gnawing pain in face ; toothache.
Climacteric period : hot flushes ; hæmoptysis.
For two years : gastralgia.
For seven weeks : attack of gastralgia.
Every Spring : pustular eruption after itch.

Locality and direction

Left : swelling of parotis ; hernia ; stitches from chest to shoulder blade ; burning in chest ; pressure on chest.
Right : outer canthus as of a lump or foreign body ; blue circle under eye ; buzzing in ear ; neuralgia in ear ; gnawing pain in temple and jaw ; pain in eyetooth ; pain in groin ; suppurating swelling in neck.
Left to right : pain around hypochondria.

Sensations

As if brain were loose and falling from side to side ; as if a plug were thrust quickly into head ; as from subcutaneous ulceration in scalp ; as of a foreign body in right outer canthus ; as of a lump in right outer canthus ; as of a leaf lying before
ear ; as if white of egg had dried on face ; as if skin of cheek and chin were pinched ; as of want of elasticity of vocal organs ; as if there were a lump in throat ; as if menses would come on ; as of an instrument going through right groin into abdomen ;
as if a hernia would protrude ; as if rectum were torn to pieces during stool.
Pain : in submaxillary glands ; in stomach after eating ; in pit of stomach ; in spleen ; in small of back ; in scar on tibia ; across loins.
Terrific pain : across stomach.
Painful shocks : in forehead and temples.
Lancinating : in throat.
Jerking pain : from temple to lower teeth.
Tearing pain : in abdomen ; in knees, joints of feet, arms, etc.
Labor-like pains : in abdomen, hips and back.
Stitches : in liver ; in spleen ; in chest ; about heart ; through upper left chest to shoulder blade ; in shoulder joints ; in finger joints ; in corns.
Shooting stinging : in scar on lower jaws ; in scapula ; armpit and chest.
Shooting : in cervical muscles ; through heart.
Stinging : in chest and throat.
Pricking : in anus.
Gnawing pain : in ramus of lower jaw and temple ; in ulcers.
Burning : in œsophagus and stomach ; in rectum ; in abdomen ; in left chest to throat.
Burnt feeling : on tongue.
Pinching : in abdomen ; in anus.
Contractive pain : in stomach.
Constriction : in throat ; in hernia.
Dull, heavy pain : in stomach.
Aching pain : from temple to lower teeth ; in stomach.
Soreness : general ; between scapulæ ; of sternum, as if beaten ; of skin.
Rawness : in throat.
Pressure : on left chest ; in pit of stomach ; painful, in different parts, increases slowly, suddenly disappears.
Stiffness : in back.
Tension : in lids ; in forehead ; in elbow joints.
Roughness : in throat.
Tingling : of skin.
Weakness : in abdomen ; in chest ; in back ; of knees ; of ankles.
Trembling sensation : all over body.
Emptiness : in abdomen.
Fulness : in abdomen.
Dulness : of teeth.
Coldness : and relaxed feeling in stomach.
Itching : in varices ; over whole body ; spots on tibia ; of eruptions.
Dryness : in mouth.

Tissues

Purpura hæmorrhagica.
Scars become blood-red or blue, and painful.
Painful sensitiveness of glands.
Veins (of feet) distended ; venous plethora.
Weak and exhausted from deep-seated dyscrasia.
Hemorrhages of black blood from all outlets of body.
Marasmus in nervous, restless, weakly children ; they do everything hurriedly but without vim ; child smells sour despite most careful washing.
In injuries from being bruised or cut, especially when ecchymosed.
Pressing pains in different parts, increasing slowly and suddenly disappearing.

Touch. passive motion. injuries

Bad effects from mechanical injuries, when there are bruises, chafing, lividity of skin.
Scratching seldom relieves itching, but changes its locality.
Touch : scalp painful.
Pressure : pain in eyetooth <.

Skin

Distressing itching and tingling of skin with eruptions ; urticaria ; pemphigus ; pruritus vulvæ.
Scars turn blood-red and hurt.
Blue spots like ecchymosis, or as from suggillation ; purpura hæmorrhagica.
Red itching blotches on skin.
Yellow skin, livid spots.
Gangrenous tendency after bruises ; particularly in old people.
Soreness of skin ; chafed when walking or riding ; gangrenous ulceration.
Painful sensitiveness of glands.
Gnawing pain in ulcers.
Itchiness of skin ; single pustules appear every Spring, after imperfectly cured itch.
Secondary syphilis, aphthæ, maculæ, etc.
Hemorrhages from all outlets of body. θ Purpura.
Boils, bruises, bedsores, contusions, injuries by falling, knocking, etc., chilblains.
Erythema nodosum.
Appearance of small, red spots about ankles, thence spreading rapidly over whole body, becoming grouped, coalescing, forming suggillations as large as palm of hand, at first bright-red, then bluish, violet-colored, finally greenish-yellow ; mucous membrane
of nose and mouth affected ; hemorrhages from these parts.
Man syphilitic, taken large quantities of Mercury, and had been salivated ; during war ball entered right eye, destroying it, and remained embedded in brain ; tearing pains in knees, joints of feet, arms and nearly all joints ; purpura hæmorrhagica ; gums bleed and
fall off in pieces ; at inside of cheeks cancrum oris, with disgustingly foul odor ; whole face swelled and general anasarca ; urine showed seven-eighths albumen.

Stage of life, constitution

Frequently indicated for old people, particularly women.
Child sour despite careful washing.
Light-haired people.
In climacteric years, flushes of heat.
When some deep-seated dyscrasia prevails, the child weak and exhausted, with no other symptoms.
Child, æt. 2 ; diphtheria.
Child, æt. 3 ; diphtheria.
Girl, æt. 9, delicate, slender, anemic ; purpura.
Girl, æt. 9 ; morbus maculosis.
Young man, æt. 17 ; pleuritic exudation and palpitation of heart.
Lady, æt. 25 ; facial neuralgia.
Woman, æt. 30 ; pleuritic exudation.
French woman, æt. 35 ; toothache.
Man, æt. 36, during rheumatic attack ; purpura.
Woman, æt. 36, always had a very irritable stomach ; during fourth pregnancy, vomiting.
Man, æt. 46, apparently strong and healthy, suffering two years ; gastralgia.
Man, æt. 49, gardener, fine hearty looking, three years ago fell thirty feet and struck top of head, after which he was unconscious five weeks, since then suffering ; mental dejection.

Relations

Antidoted by : Pulsat .
It antidotes : lead poisoning.
Compatible : after Arnic .
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

The sensation of quivering all over the body and in the limbs without visible trembling is a very strong symptom of Sulphuric acid, and especially if it is associated with weakness that has been of long standing.

The exhaustion, excitability and hurried feeling are constant factors. The hemorrhagic disposition with many complaints. Black fluid blood from all the orifices of the body. Small red spots enlarging rapidly to resemble Purpura hoemorrhagica. Blue-black spots on the skin from slight injury.

Blood-red spots on the skin like those on a brook trout sometimes after injuries. Chafing easily, followed by ulceration. Boils and bedsores. It has many of the complaints found in old people. The -morning aggravation of symptoms is also a strong feature. Sensitive to cold and emaciation. The pains are bruised, burning, tearing, stitching, shooting and jerking. The pain comes oil slowly and departs suddenly. The discharges are dark, thin blood or blood-streaked; or thin, yellow and bloody.

The discharges are excoriating. General sweat after eating. The symptoms predominate on the right side. It is often indicated in sour-smelling babies like Hepar, and it is as sensitive to touch and nearly as sensitive to cold. When it has cured the sensitiveness to cold the patient often becomes worse 'and requires Pulsatilla, which is the complement and antidote.

Mind

Prostration of mind and body, with extreme sadness, weeps continuously.

Nothing can be done to please him. Fretful and irritable over the slightest cause. He cannot eat and work fast enough. No one does anything to please him; in such a hurry if doing anything or going anywhere. All things must be done at once. Unwilling to answer. Irresolution.

Vertigo in close room. Better walking in the open air. Better lying. Sometimes compelling him to keep his bed.

Tension in the forehead with coryza.

The brain seems loose and seems to fall to side lain on, better sitting perfectly still, worse walking. The blood flows strongly to the head and the feet become cold.

Head

Electric shocks in forehead and temples in forenoon and again in evening.

Sensation as though a plug were being driven into the skull by strong blows. The pains in the head come on slowly and cease suddenly. Violent headaches in debilitated people. Extreme soreness in the periosteum such as is found in syphilis. The hair falls out or turns gray. Ulceration of the scalp. Extremely sensitive eruptions.

Eyes

Lachrymation when reading.

Chronic inflammation of the eye, with enlarged veins and ulceration.

Sensation of foreign body in right outer canthus.

Soreness in the eyes with coryza.

Ears

Severe ear pains that increase gradually and cease suddenly.

Gradual loss of hearing.

Bloody discharge from ear.

Buzzing in the ear.

Nose

Slowly oozing, dark, thin blood from the nose in the evening.

It cures acrid, bloody discharge from nose in feeble patients when the generals are covered by it.

The coryza is dry or fluid with loss of smell and taste.

Face

The face of the Sulphuric acid patient is a most sickly one.

Pale, sickly and sometimes jaundiced. The expression of long suffering is marked. The deep lines of pain, depletion and emaciation. Tension of the face or a sensation as though white of egg had dried on it.

Violent neuralgic pains of the face coming on gradually and ceasing suddenly, ameliorated by warmth and lying on the painful side. Small red spots or specks on the face gradually increasing in size. Inflammation of the submaxillary gland.

Teeth

The teeth decay early.

Violent neuralgia of the teeth, coming on slowly and ceasing suddenly.

Worse from cold and better from beat, worse in the evening in bed.

The teeth are on edge.

Mouth

Loss of taste during coryza.

The sore mouth is one of its most important features.

It is our most frequently indicated remedy for nursing sore mouth.

The aphthous mouth of infant or mother with yellowish or whitish ulcers.

Bloody saliva from mouth; vesicles in the mouth.

Breath very offensive.

Bleeding from the mucous surfaces of mouth and gums with or without Purpura hoemorrhagica. Rapidly spreading ulcers in the mouth.

Throat

Inflammation of the throat that is aphthous or follicular.

Denuded mucous membrane.

Diphtheritic exudate yellowish or white with aphthous surroundings and bleeding from nose, gums or other parts.

Diphtheria with more than ordinary exhaustion and foetor.

The uvula is oedematous.

The throat is full of spreading ulcers.

Painful sore throat with painful, difficult swallowing.

During the throat troubles fluids drunk run out of nose.

Salivation, glands of throat swollen and there is great swelling of the tonsils, soft palate and throat in general.

Dark fluid blood from throat and mouth.

Stomach

He craves brandy and fruit.

Loss of appetite and progressive weakness are strong features. Aversion to the smell of coffee. He cannot drink cold water, as it feels so cold in the stomach and makes him chilly. Violent, spasmodic hiccough, such as occurs in drunkards.

Chronic heart burn. Sour belching. Sour vomiting. The teeth are always on edge from sour eructations. Sour vomiting during pregnancy. Vomiting of drunkards in the morning. (Compare Arseni cum.) Sour and very foul. Nausea and shivering. Coughing and belching sour fluids. The stomach seems to hang down as if relaxed. Vomiting after drinking cold water. Violent, spasmodic pains in the stomach. The pains come gradually and cease suddenly. The sour vomiting is most like Robinia.

She does not vomit food, but cannot eat, as it causes pain in stomach and she vomits mucus. After intermittent fever had existed some time the spleen enlarges, and is painful on coughing and sore to touch. Stitching pains in spleen and liver. It has many times overcome the poison of lead and lead colic. Sinking, weak feeling in abdomen after stool. Weak feeling in abdomen, as though menses would come on. Labor-like pains in abdomen, extending to hips and back.

Diarrhoea with great general weakness and sensation of trembling. With weak, sinking sensation in the abdomen after stool. Chronic diarrhoea with much suffering. Excoriating stools, burning in rectum during stool. Diarrhoea brought on from the least indiscretion in eating, after fruit, especially if unripe, after oysters. Stool watery orange yellow, stringy, MUCOUS, Mixed with blood, greenish, black, undigested smelling like spoiled eggs. Hemorrhoids very sore, itching, painful during stool, in drunkards. In constipation the stool is in small balls.

Pain in the bladder if the desire to pass urine is postponed. It had cured diabetes. Scanty urine. Bloody urine. Cuticle in the urine.

Women

The menses are too frequent and copious and the flow is dark and thin.

Many symptoms come before the menses. Nightmare before, menses. Has nightmare at the close of the menses. The vagina is prolapsed and gangrenous. Leucorrhoea bloody, acrid, milky or albuminous, yellow.

The woman at the climacteric period has many symptoms peculiar to Sulphuric acid. The flashes of heat, weakness, sensation of trembling, a nervous hurry in all her actions and feelings, bleeding from uterus and other parts of blood that does not coagulate, and constipation with small, hard balls like sheep's dung are symptoms common to the critical period. It often causes the vomiting of pregnancy. Vomiting preceded by cough.

It has cured sterility when. it was supposed to depend upon the copious and frequent menstrual flow. Violent itching of the vulva.

Larynx and chest

Pain and soreness in the larynx. Pain in the larynx on swallowing.

Hoarseness with a dry feeling and sensation of roughness in the larynx. Weak chest and great dyspnoea. Rapid movement of the wings of nose like Lycopodium. Rapid moving up and down of the larynx during the dyspnœa. Short of breath.

Except in the morning the cough is dry and hacking. Sometimes in two coughs. He coughs in the open air, either walking or riding, worse from cold drinks and from. the odor of coffee. Cough followed by itching and vomiting. The irritation is felt in the chest. The expectoration is in the morning of dark, thin blood, or of thin, yellowish, blood-streaked mucus tasting sour.

Weakness in the chest with burning and stitching pain. Pressure on left side of chest. Profuse haemorrhage from the lungs of dark fluid blood, after pneumonia, and during the climacteric period.

Ulceration of lungs (compare Kali carb.). Oppression of the chest and suffocation unless he lets the legs hang down. It has been a very useful remedy in the first steps of phthisis with profuse sweat and great weakness, but where given in the last stage it has appeared to bring on haemorrhage and increase of the inflammatory condition in the lungs. Stitching pains in the heart, palpitation. It has been useful in pleuritic exudation.

Spine and limbs

Great weakness in the spine, felt mostly when standing and sitting.

Pain in the lumbar region. Soreness between shoulder blades when coughing. Stiffening of the back in the morning on rising. Large abscess on the right side of the neck.

Black and blue spots on the limbs. Stitching pain in the shoulder joint on lifting the arm. Stitches in finger joints. Chafing of thighs after rising. Marked weakness in knees and ankles. Swollen veins of feet. Chilblains of frost-bitten parts. Twitching if fingers during sleep.

Late falling asleep and wakens too early. Nightmare before menses.

It has chilliness, flashes of heat with sweat. Copious sweat, mostly on upper part of body, from motion, sour, cold, after eating warm. food. Morning sweats. Night sweats. Typhoid fever with great prostration. Bleeding from capillaries. Dark, thin blood.

Haemorrhage of dark, thin blood from the bowels. Putrid forms of continued fever. Cadaveric countenance.

Ecchymoses, purpura haemorrhagica. Old cicatrices turn red and become painful. Itching and prickling with eruptions. Pimples. Red itching blotches on the skin. Livid spots. Contusions, bedsores. Boils and abscesses. Nodular urticarias.

It cures old indolent ulcers that bleed easily dark blood. Sensitive painful spreading ulcers. Stinging burning pain in ulcers. It has cured putrid ulcers on legs. It is useful in ulcers of drunkards, in ulcers following a low form of fever. Thin yellow or bloody discharge.

The Therapeutics of Fevers

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

Characteristic

Adapted to the light-haired; old people, especially women; flushes of heat in climacteric years.

Unwilling to answer questions not from obstinacy, but inaptness.

Feels in a great hurry; everything must be done quickly (Arg. n.).

Pain of gradual and slowly-increasing intensity which ceases suddenly when at its height, often repeated (Puls.).

The pain is pressure as of a blunt instrument. Tendency to gangrene following mechanical injuries, especially of old people.

Child has a sour odor despite careful washing (Hep., Mag. c., Rheum).

Sensation as if the brain was loose in forehead and falling from side to side (Bell., Bry., Rhus, Spig.).

* "Just as the milk of Sulphur applied to the skin (worn in the stockings) is the best preventive of cholera, so Carbo v. is the best preventive of yellow fever."—HERING.

In Memphis, in 1873, charcoal came much into favor as a prophylactic; out of more than fifty persons who took it and were constantly exposed to the fever not one was attacked; the usual dose was half a teaspoonful of the crude powder, two or three times a day."—DR. MORSE.

Aphthæ; of mouth, gums, or entire buccal cavity; gums bleed readily; ulcers painful; offensive breath (Bor.).

Chronic heartburn, sour eructations, sets teeth on edge (Rob.).

Water drunk causes coldness of the stomach unless mixed with alcoholic liquor.

Sensation as if trembling all over, without real trembling; internal trembling of drunkards.

Bad effects from mechanical injuries, with bruises, chafing and livid skin; prostration (Acet. ac.).

Ecchymosis; cicatrices turn blood-red or blue, are painful (turn green, Led.).

Petechia: purpura hemorrhagica; blue spots; livid, red itching blotches.

Hemorrhage of black blood from all the outlets of the body (Crot., Mur. ac., Nit. ac.).

Concussion of brain from fall or blow where skin is cold and body bathed in cold sweat.

Weak and exhausted from some deep-seated dyscrasia; no other symptoms (Psor., Sulph.).

Relations

Complementary: Puls.

In contusion and laceration of soft parts it vies with Calendula.

Follows well: after, Arn. with bruised pain, livid skin and profuse sweat; after, Led. in ecchymosis.

Ailments, from brandy drinking.

Type

Pernicious, malarial, putrid, typhoid, typhus, septic, yellow, zymotic; regular periods.

Time

Not characteristic; evening most marked.

Chill

With thirst; frequent during the day; running down- ward; < in the room, > in open air when exercising. Shiver- ing, in paroxysms; shaking chill over whole body; pains in back and loins. Attacks begin with coldness and trembling, then general rigor.

Heat

With thirst; in evening and in bed; after cold shivers gets warm and perspires.

Fever with great disposition to hemorrhage from capillaries and rapid sinking of the vital forces; oozing of dark, liquid blood; face deathly pale; tendency to collapse and gangrene. Black vomit of yellow fever. Flushes of heat (Lach., Sulph.). Urine involuntary.

Sweat

With thirst; profuse mostly on upper part of the body; sour; cold, soon after eating warm food; mornings; at night, > by drinking wine; with great debility. Nose-bleed.