Syphilinum syph.

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

Pains from darkness to daylight ; begin with twilight and end with daylight (Merc., Phyt.). Pains increase and decrease gradually (Stan.); shifting and require frequent change of position. All symptoms are worse at night (Merc.); from sundown to sunrise. Eruptions: dull, red, copper-colored spots, becoming blue when getting cold. Extreme emaciation of entire body (Abrot., Iod.). Heart: lancinating pains from base to apex, at night (from apex to base, Med.; from base to clavicle or shoulder, Spig.). Loss of memory; cannot remember names of books, persons or places; arithmetical calculation difficult. Sensation: as if going insane, as if about to be paralyzed; of apathy and indifference. Terrible dread of night on account of mental and physical exhaustion on awakening; it is intolerable, death is preferable. Fears the terrific suffering from exhaustion on awakening (Lach.). Leucorrhoea; profuse; soaking through the napkins and running down the heels (Alum.). Headache, neuralgic in character, causing sleeplessness and delirium at night; commencing at 4 p. m.; worse from 10 to 11 and ceasing at daylight (ceases at 11 or 12 p. m., Lyc.); falling of the hair. Acute ophthalmia neonatorum; lids swollen, adhere during sleep; pain intense at night < from 2 to 5 a. m., pus profuse; > by cold bathing. Ptosis: paralysis of superior oblique; sleepy look from drooping lids (Caust., Graph.). diplopia, one image seen below the other. Teeth: decay at edge of gum and break off; are cupped, edges serrated; dwarfed in size, converge at their tips (Staph.). Craving alcohol, in any form. Hereditary tendency to alcoholism (Asar., Psor., Tuber., Sulph., Sulph. ac.). Obstinate constipation for year; rectum seems tied up with strictures; when enema was used the agony of passage was like labor (Lac. c., Tub.). Fissures in anus and rectum (Thuja); prolapse of rectum; obstinate cases with a syphilitic history. Rheumatism of the shoulder joint, or at insertion of deltoid, < from raising arm laterally (Rhus - right shoulder, Sang.; left, Fer.). When the best selected remedy fails to relieve or permanently improve, in syphillitic affections. Syphilitics, or patients who have had chancre treated by local means, and as a result have suffered from throat and skin troubles for years, are nearly always benefited by this remedy at commencement of treatment unless some other remedy is clearly indicated.

Relations

Compare: Aur., Asaf., Kali i., Merc., Phyt., in bone diseases and syphillitic affections.

Aggravation

At night, from twilight to daylight.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

The Syphilitic Virus - A Nosode

General

Utter prostration and debility in the morning.

Shifting rheumatic pains. Chronic eruptions and rheumatism.

Ichthyosis. Syphilitic affections. Pains from darkness to daylight; decrease and increase gradually. Hereditary tendency to alcoholism. Ulceration of mouth, nose, genitals, skin. Succession of abscesses.

Mind

Loss of memory; remembers everything previous to his illness. Apathetic; feels as if going insane or being paralyzed. Fears the night, and the suffering from exhaustion on awakening. Hopeless; despairs of recovery.

Head

Linear pains from temple across, or from eyes backward; cause sleeplessness and delirium at night. Falling of the hair. Pain in bones of head. Top of head feels as if coming off. Stupefying cephalalgia.

Eyes

Chronic, recurrent, phlyctenular inflammation of cornea; successive crops of phlyctenular and abrasions of epithelial layer of cornea; photophobia intense, lachrymation profuse. Lids swollen; pain intense at night; ptosis. Tubercular iritis. Diplopia; one image seen below the other. Feeling of cold air blowing on eye (Fluor ac).

Ears

Caries of ossicles in ear of syphilitic origin.

Nose

Caries of nasal bones, hard palate and septum, with perforation; ozæna.

Mouth

Teeth decay at gum; edges serrated, dwarfed. Tongue coated, teeth-indented; deep longitudinal cracks. Ulcers smart and burn. Excessive flow of saliva; it runs out of mouth when sleeping.

Stomach

Craves alcohol.

Rectum

Feels tied up with strictures. Enemas very painful. Fissures, prolapse.

Extremities

Sciatica; worse at night; better about day-break. Rheumatism of shoulder-joint, at insertion of deltoid. Run-around. Severe pain in long bones. Redness and rawness between toes (Sil). Rheumatism, muscles are caked in hard knot or lumps. Always washing the hands. Indolent ulcers. Muscles contracted in hard knots.

Female

Ulcers on labia. Leucorrhœa profuse, thin, watery, acrid, with sharp, knife-pain in ovaries.

Respiratory

Aphonia; chronic asthma in summer, wheezing and rattling (Tart emet). Cough dry, hard; worse at night; windpipe sensitive to touch (Lach). Lancinating pains from base of heart to apex at night.

Skin

Reddish-brown eruption, with a disagreeable odor. Extreme emaciation.

Relationship

Compare: Merc; Kal hyd; Nit ac; Aur; Alum.

Modalities

Worse, at night, sundown to sunrise, seashore, in summer. Better, inland and mountains, during day, moving about slowly.

Dose

The highest potencies only, and in infrequent doses.

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

Luesinum. Lueticum. Syphilitic virus. A nosode. Attenuations.

Clinical

Abscess; succession of abscesses. Alcoholism; hereditary craving for alcohol. Anus, fissure of. Aphasia. Asthma. Breasts sensitive. Bubo. Constipation. Crying of infants. Deafness. Deltoid rheumatism. Dentition. Diplopia. Dysmenorrhœa. Epilepsy. Headache; syphilitic. Hoarseness; before menses. Iritis. Leucorrhœa; infantile. Mouth, ulcerated. Myopia. Neuralgia. Night-sweats. Ophthalmia. Otorrhœa. Ovaries, affections of. Ozœna . Pemphigus. Psoas abscess. Ptosis. Rectum, stricture of. Rheumatism. Sciatica. Sleeplessness. Spine, caries of. Strabismus. Stricture. Sunstroke. Syphilis. Teeth, carious. Throat, ulcerated. Tibia, pains in. Tongue, cracked, ulcerated. Ulcers. Whitlow.

Characteristics

I learnt the value of this nosode from Skinner, who has made with it some very brilliant cures. It has been proved by Swan in the potencies, and Hering's Schema, from which mine is taken, comprises also disease symptoms ─ marked "(n)" ─ and cured symptoms, which have generally the name and the disease appended. Cured cases of secondary syphilis I have marked "(s.s.)." The widespread distribution of syphilis, acquired and hereditary, and the virulence and persistence of the virus, give this nosode a high degree of importance in homœopathic practice. It has been mainly, almost exclusively, employed by those who are familiar with the use of high attenuations. I have used no potency lower than 200, and rarely repeat the dose oftener than once a week. The leading features of the disease are the keynotes for the use of the remedy, and ( 1 ) first in importance is the "Night < ": " Pains from darkness to daylight ; begin with twilight and end with daylight." "All symptoms < at night." "Terrible dread of night, on account of mental and physical exhaustion on awaking." This night aggravation will be found in a large proportion of the cases needing Syph .; in ophthalmia, the pains are < at night, and during the night the lids grow together. Neuralgia, and headache, asthma, coughs < from sunset to sunrise, whether syphilitic or not, will be benefited by Syph . Sleeplessness is itself a leading indication for Syph ., which vies with Sul . as a sleep restorer. ( 2 ) Next to the Night < , is Ulceration: this may affect mouth, nose, genitals, or skin, and the ulcers have greyish bases; in the nose they produce the most offensive form of ozæna with discharge of fetid clinkers. In such cases I have found Syph . of the greatest service. Fetid discharges from the ear come in the same category. ( 3 ) Abscesses with foul secretions. (All pus-formations of Syph . are fetid.) Succession of abscesses is one of the grand keynotes of the materia medica. Eyes, teeth, and skin give other leading indications. In ophthalmia neonatorum the lids adhere during sleep; pains < 2 to 5 a.m.; pus profuse; > cold bathing. Iritis, syphilitic or rheumatic, has been cured with Syph . Ptosis; sleepy look from drooping lids. Diplopia, one image seen below the other. Teeth decay at the edge of the gums and break off; are cupped, have serrated edges; dwarfed in size and converge at their tips. The typical eruption of Syph . is copper-coloured spots, but it covers many other forms, including pemphigus. The glandular system is affected throughout and nutrition impaired, leading to extreme emaciation. Burnett has recorded in his book on Delicate Children many instances of the power of Syph . to free stunted children from this constitutional blight. Further indications for Syph . are: Pains < and > gradually; are shifting, and require frequent change of position. Leucorrhœa; profuse, soaking through napkins and running to heels. Craving for alcohol in any form. Hereditary tendency to alcoholism. (Bacchus and Venus are close allies). The orifices of the body are all affected by syphilis, and Syph . has a great sphere in rectal pain and constipation. "Obstinate constipation for years; rectum seems tied up with strictures; when enema was used the agony of passage was like labour." Bones are affected, and especially bones of head and tibiæ. Nodes on the head. H. C. Allen says: "Syphilitics, or patients who have had chancre treated by local means, and as a result have suffered from throat and skip troubles for years, are nearly always benefited by this remedy at commencement of treatment unless some other remedy is clearly indicated." Thomas Wildes ( H. P ., xi. 267) gives his experience with Syph . In chancre he gives Syph . 1m (Swan) ─ according to Skinner's calculation this is much lower than 1m of the centesimal scale ─ one dose every night. The chancre increases for the first two weeks and then gradually fades away, not being followed by secondaries. Where the edges of the chancre assume the appearance of proud flesh in the third or fourth week, and become everted, jagged, and angry dark red, he gives Lac can . cm (Swan) every night for ten to fourteen days, until the sore takes on a more natural appearance, when Syph . 1m is again given to finish the case. For any remaining induration Nit. ac . 30, four times a day, is given. Headaches in great variety he cured with it; aphasia; ptosis; paralysis of tongue; facial paralysis; hemiplegia; "persistent pains in any part of the body;" catarrhal and nerve deafness; itching of nostrils; dark purple lines between alæ nasi and cheeks. Itching scabby eruptions on face or breast; singly or in clusters, looking like herpes. Pain and pressure behind sternum. Epilepsy. Wildes cured with Syph . 1m a bookkeeper who for many months had had a piercing, pressing, excruciating headache over right eye extending deep into brain. It was so severe, he was losing continuity of thought and memory. Under Syph . every night the headache disappeared entirely in ten days and the mental faculties were fully restored; but in six weeks the whole eyebrow on that side broke out into a sickly, yellow, syphilitic eczema with a red, angry, and oozing base extending under the arch to the lid from canthus to canthus up into forehead and down the side of the nose. The cure of this was tedious, because, Wildes thinks, he did not stick to Syph ., but changed the remedy. This man had had syphilis a few years before. In 1879 a lady, 26, extremely bright and intelligent, came to Wildes with a dreadful ozæna. She had also curvature of the spine and congestion of right ovary. Always delicate from a child. Syph . cured the ozæna and improved the health, but it "drove out a saddle to which the Sepia saddle is but a shadow" ─ a furious inflammatory mass of syphilitic sores, scabs, and eczema, red and angry, with a fiery base extending from one malar prominence to the other, across nose up to eyes and forehead. This took eighteen months to cure. The ozœna never returned. A boy, 4, had an obstinate rash, a combination of prurigo and herpes, on chin, lips, cheek-bone, forehead, and hairy scalp; on arms, chest, back, bends of joints and on the joints, and on fingers and hands, nowhere profuse. In spite of authorities to the contrary, Wildes maintains that syphilitic rashes may itch, and that prurigo is infectious and is one of the initial stages of leprosy. This boy had a spot of eruption on the left thigh the size of the top-joint of a man's thumb. This was distinctly a leper spot. Syph . 1m caused the rash to come out strongly all over the body in patches, the face was one-third covered with a thick, yellow, scabby eruption. The remedy was continued and the boy got well, wonderfully improved in health, no longer nervous, growing well; sleeping well; appetite good. Girl, 16, had measles a year before which did not come out properly. A year and a half prior thereto subject to neuralgic headaches. Ailing about two years; very despondent, wants to die, headaches growing more violent. During the headaches the temple veins stand out, has pains all over the body, is very irritable, restless, walking about much of the time , does not wish to be soothed, violent on being opposed , has tremors and seems on the verge of convulsions , dazed, absent-minded , and almost insane. Always washing her hands . Was formerly constipated, but now subject to "a kind of diarrhœa." Menses never have come on properly, and for the past year have been very irregular, much delayed, scanty, and always extremely painful . Often feverish. Sleep anxious, distressed, and often wakeful and violently restless . The italicised symptoms indicated Syph ., and under this she steadily recovered. A young lady contracted "lepra-syphilis" from vaccination. She had an immense blood-boil on her arm which would not heal. Face broken out with a lumpy fiery rash. With Syph . 1m at bedtime she recovered rapidly; the arm healed quickly and her face became free from eruption. Boy, 3, had cluster of yellow blotches on fingers and roots of nails, distorting the nails. The boy's father was epileptic. The boy was helped with Fluor. ac . and cured with Syph ., the nails becoming straight. Many persons, says Wildes, after taking Syph . for a few days, complained of heavy, crushing, cutting pains across the base of the cerebellum; others of heavy aching and stiffness from base of neck up through muscles and cords of neck and into the brain; others of a heavy, clouded, dull feeling at base of brain with physical lethargy, and sometimes with dizziness, sometimes with confusion of thoughts and often a feeling as if going insane or about to be paralysed. Sometimes a far-away feeling, with a feeling of indifference to the future. Accompanying these there may come a heavy, dragging, dull feeling in lumbar region, with stiffness and want of elasticity. Peculiar Sensations are: A seething feeling as if hot water or hot oil running through all veins of the body, all night long. As if going insane or about to be paralysed. Tongue feels as if paralysed. A far-away feeling with apathy. As if head were pulled back by a weight. As if blood went to right inner canthus and temples and could get no further. As if sand in eyes. As if right eye were wide open and cold air were blowing in it. Fluttering as of something alive in teeth. As if a worm in tooth. As if teeth had got out of place. Distress as if in omentum. As if rectum were tied up with strictures. As if urethra had been stuffed up and clogged. As if sternum was being drawn towards dorsal vertebræ. As if she would suffocate with rough. As if skin were drawn up in centre of chest on drawing back head. Coccyx as if swollen. As if toes on right foot were disjointed. Like growing-pains in limbs. As if bones were sawed. Palms and soles as if pricked by needles. As if throat tearing to pieces. As if top of head were coming off. As if teeth were loose. As of a nervous chill commencing in anus and running down legs. As if bitten by bugs. A number of linear pains have been observed in Syph . cases. G. H. Carr ( M. A ., xvii. 162) relates this case: An old man had been troubled two or three winters with an intense cold pain in both legs; it came on every night on lying down; and lasted all night, the only relief being by getting up and walking. Magnetic leggings had given most relief. Syph . mm, one dose daily, was given. He lost the pain for six weeks, when it returned in milder form. Syph . cmm was given, and he had no more pains all the winter. This medicine, he said "made his genitals ache so that he couldn't sit still." This lasted over a month. Syph . cm cured ( ibid .) a lady of "asthma" that she had had for twenty-five years, the attack coming on only at night after lying down , or during a thunderstorm . Swan ( M. A ., xxviii. 239) says he gave crying infants, when they developed the propensity immediately after birth and did not cease, one dose of Syph . cmm, and it was difficult to make them cry after that. Yingling ( M. A ., xxix. 135) reports this case: Rev. D., 30, dark, free from venereal taint, had a constant dull, heavy ache above inner angle of right eye, very distressing, with an occasional thrust as of an iron rod from the same spot through to lower part of occiput. This thrust was excruciating. He was due to preach next day, but the pain quite incapacitated him, hence his appeal for help. Haggard look. Syph . cm, one dose, was given. He was free from pain before he reached home, next morning was perfectly well. The symptoms are < by touch (tibia; os uteri). Pressure = pain in spot middle of thigh; > throat; pressing teeth together > toothache. No position suits. Motion < . Raising arms laterally < . Walking > pain in hips and thighs. < At night. Warmth and cold < and > . Warmth > headache; of stove > pain in swollen wrist and big toe. Hot or cold things < toothache. Cold water > ophthalmia pains. Damp weather; warm, damp weather; thunderstorm; seaside < . > In mountains. < Winter.

Relations

Compare: In bone diseases and syphilitic affections, Aur., Asaf., K. iod., Merc., Nit. ac. < At night, Aur., Merc., Sul. (Med. and Sycotics < early morning). < At sea-shore; > inland (Med. opp). < At seaside; averse to consolation, Nat. m. Dysmenorrhœa, Med. Deep-in headache, Bac. Pains increase and decrease Slowly, Stn. Ozæna with offensive clinkers. Sep., Pul., Pso., K. bi. Succession of abscesses (Anthrac., succession of boils). Syphilitic stomatitis, Lach., Lac c., Merc. Nodes, K. iod., K. bi., Mang., Merc. Emaciation, Abrot, Iod. Lancinating pains in heart (from base to apex), Med. (from apex to base), Spi. (from base to clavicle or shoulder). Fears suffering from exhaustion on awaking, Lach. Ptosis, Caust., Graph. Hereditary tendency to alcoholism, Asar., Pso., Tub., Sul., Sul. ac. Constipation with labour-like pains. Lac d., Tub. Fissure in anus, Thuj. Shoulder rheumatism < raising arm laterally, Rhus, Sang. (r. shoulder), Fer. (left), Urt. ur. Dentition troubles < night (Med. < early morning). Hereditary syphilis; dentition, Kre. Vertigo < looking up (Sul., looking down). As if teeth out of place (Tub. as if jammed together). Thunder, effect of, Pho.

Causation

Sun. Damp weather. Thunderstorms.

Mind

Loss of memory (n). ─ Loses remembrances of passing occurrences, names, dates, &c., while all occurrences previous to inception of disease are remembered as distinctly as ever (n). ─ Very nervous, weeping without cause. ─ Cross, irritable, peevish. ─ Irritable, excited, walking much of the time, does not want to be soothed, violent on being opposed, has tremors, seems on the verge of convulsions, dazed, absent-minded, always washing her hands. ─ Periodical neuralgia in head (neuralgia). ─ Very despondent, does not think will ever get better (s.s.). ─ Terrible dread of night; always < as night approaches; leaves her about daylight, which she prays for (spring cough). ─ Feeling as if going insane, or about to be paralysed. ─ A far-away feeling, with apathy and indifference to future. ─ Crying infants, who begin immediately after birth.

Head

Vertigo on looking up, seems to be caused by heat. ─ Headache: linear, from or near one eye backward; lateral; frontal; from temple to temple; deep into brain from vertex; as from pressure on vertex; in either temple, extending into or from eye > by warmth; in bones of head; < by heat of sun; after sunstroke. ─ Sick-headache, pains intolerable, arteries of head full and pulsating violently; high fever, frequent retelling on trying to vomit; menses regular, but very scanty. ─ Lancinating pain in occiput, invariably < at night (n). ─ Neuralgic headache causing sleeplessness or delirium at night, always commencing about 4 p.m.; < at from 10 to 11 and ceasing at daylight. ─ Bursting sensation in vertex as from severe cold. ─ Pain from eyes through to occiput, with sensation of weight in occiput drawing head back; or as if it were pulled back; eyes ache and smart. ─ Constant linear headache, commencing at both angles of forehead and extending in parallel lines backward ─ a precursor of epileptic attack. ─ Heavy, crushing, cutting pain across base of cerebellum. ─ Heavy, clouded, dull feeling in base of brain. ─ Headache through temples, thence vertically like an inverted letter T. ─ Coronal headache (s.s.). ─ Headaches accompanied by great restlessness, sleeplessness and general nervous erethism. ─ Syphilitic headache for many months, piercing, pressing excruciating over r. eye; extending deep into brain; losing continuity of thought and memory; makes repeated mistakes in figures. ─ Suffusion and full feeling in face, throat, and head, with innumerable small enlarged cervical glands. ─ Sore, one and a half inches in diameter, on occipital bone, covered with a thick, yellow-white scab. ─ Dirty eruption on scalp. ─ Great loss of hair (n).

Eyes

Red papulous eruption round l. inner canthus, with isolated pimples on side of nose, cheek and eyebrow; these pimples were red, with depressed centre, circumscribed areola, became confluent where they were most dense; pimples bleed when scabs come off; agglutination of lids. ─ Myopia (n). ─ Sharp, pulsating pain, occasionally at outer end of superior border of r. orbit, apparently in periosteum. ─ Upper lids swollen. ─ Ptosis: paralytica; eyes look sleepy from lowering of upper lid. ─ Diplopia, one image seen lower than the other. ─ Strabismus paralytica, eye turning inward, and pupil can only be turned outward as far as median line. ─ Chronic recurrent phlyctenular inflammation of cornea; successive crops of phlyctenules and abrasion of epithelial layer of cornea intense photophobia; profuse lachrymation; redness and pain well marked delicate, scrofulous children, esp. if any trace of hereditary syphilis remains. ─ L. eyeball covered with fungus-like growth, pain intense, < at night. ─ Acute ophthalmia neonatorum (n). ─ Redness and swelling of outer half of both lower tarsal edges. ─ Syphilitic iritis, intense pain steadily increasing night after night; < between 2 and 5 a.m., coming almost at the minute and ceasing same way (s.s.). ─ Pain in r. inner canthus as if blood went there and could go no farther, also in r. temple (rheumatic iritis). ─ Both eyes glued in morning; conjunctiva injected; photophobia, constantly wears a shade. ─ Eyes dull. ─ Infantile syphilis. ─ Ophthalmic pains, < at night, > by told water. ─ R. eye alone affected congestion of conjunctiva and sclerotica, with some chemosis; lids inflamed, esp. at outer canthus; sensation of sand in eyes; lids agglutinated in morning; great photophobia (hereditary syphilis). ─ Neuralgia every night, beginning about 8 or 9 p.m., gradually increasing in severity until it reached its height about 3 or 4 a.m., and after continuing thus for two or three hours gradually decreased and finally ceased about 10 a.m. (rheumatic ophthalmia).

Ears

Intense earache in r. ear, incisive pains thrusting into ear; purulent watery discharge from ear with pain. ─ Gathering in l. ear which discharges a great quantity of pus (hereditary syphilis in a child). ─ Deafness gradually increasing until she could scarcely hear at all. ─ Complete deafness; nothing abnormal to be seen. ─ Catarrhal or nerve deafness with marked cachexia. ─ Calcareous deposit on tympanum. ─ Small, acrid, watery discharge occasionally from ears, no deafness (ozæna).

Nose

L. side of nose, inside ala, itching. ─ Nose stuffed up and burning. ─ Attacks of fluent coryza. ─ Offensive, thick yellow-green nasal discharge; during sleep dry scabs form in both nostrils; following an application of salve for sore eyes; l. submaxillary gland, which had been swollen and indurated, softens, discharges and, after forty-five days, begins to heal slowly. ─ Ozæna syphilitica; ( Syph . brought out an eruption of sores with a fiery-red base on nose and over frontal sinuses). ─ L. side of nose inside and out very sore, likewise lips and chin; sores itching and scabbing over. ─ Itching in nostrils.

Face

Face drawn to one side, difficulty of speaking, masticating, blowing (n). ─ Spasmodic twitching of many muscles, esp. in face (paralysis agitans), with great melancholy and depression of spirits. ─ Facial paralysis r. side, thick speech, hemicrania, jactitation of r. eye and lid. ─ An old gentleman has had for some years cancer on r. malar bone; no rest, his agony excruciating in extreme (relieved). ─ Face pale. ─ Itching, scabby, eczematous eruptions singly or in clusters, looking like herpes. ─ Nose and cheeks covered with eruptions and scabs in layers rising to a point. ─ Dark purple lines between alæ nasi and cheeks. ─ Lips and teeth covered with bloody mucus. ─ Sores on lips and chin, esp. l. side scabbing over.

Teeth

Single small lunæ cleft in upper incisors, permanent set, which incisors are dwarfed in their general dimensions, and converge at their tips; inherited syphilis (n). ─ Children's teeth are cupped. ─ Teeth decaying at edge of gum and breaking off (n). ─ Felt like a worm in tooth, could not tell which tooth. ─ Singular feeling as if teeth had all got out of place, and on closing jaws teeth do not come well together.

Mouth

Tongue red and thick; two deep cracks running lengthwise in it; one on each side of median line. ─ Aphasia, difficulty of finding words; debility. ─ Tongue feels as if paralysed. ─ Fetid breath. ─ Tongue coated; white, edges indented by teeth. ─ Putrid taste in mouth before epileptic fit. ─ Tongue very red and thick; covered with herpetic eruption, two deep cracks running lengthwise on each side of median line, making it difficult to swallow (s.s.). ─ Tongue thickly coated, dirty, edges indented or serrated by teeth (n.). ─ Twenty ulcers in mouth, every part involved, top and under side of tongue, lips, buccal cavity, fauces and nose; septum of nose threatened, both alæ nasi very painful, smarting with burning as if on fire; pains and burning prevented sleep; hungry but could eat nothing but fluids as mastication was impossible; tongue heavily coated white, large quantities of stringy, viscid, saliva running from mouth of a sweetish taste; a putrid, sickening odour filled whole house; all symptoms < toward night (s.s.). ─ Herpetic eruption in mouth, tonsils, hard palate and fauces, completely covering inside of mouth and throat, making it very difficult to swallow even liquids. ─ Syphilitic destruction of hard and soft palates.

Throat

Chronic hypertrophy of tonsils (hereditary syphilis). ─ Chancrous ulcer extending across velum palati to l. pillar of pharynx (s.s.). ─ Acute pharyngitis (s.s.).

Appetite

Appetite indifferent and capricious (psoas abscess). ─ Total loss of appetite for months, little or nothing satisfies him; formerly was generally ravenous. ─ Thirst. ─ Tendency to heavy drinking; alcoholism. ─ Aversion to meat. ─ Dyspepsia; flatulence, belching of wind; nervous dyspepsia.

Stomach

Nausea. ─ Heartburn with pain and rawness from stomach to throat-pit, often with cough. ─ Vomiting for weeks or months due to erosion from superficial ulceration of lining of viscus, herpetic, of syphilitic origin.

Abdomen

Pain or distress deep in abdomen as if in omentum. ─ Feeling of heat internally in hypogastric region. ─ Pain in r. groin followed by swelling of glands. ─ Large painless bubo in r. groin opened and discharged freely (s.s.). ─ Slight lancinating pain in one groin, < at night. ─ Inguinal bubo.

Stool and Anus

Bowels torpid for five weeks (periodical neuralgia in head). ─ Obstinate constipation for many years; rectum seemed tied up with strictures, when injections were given agony of passage was like child-bearing. ─ Chronic constipation, with fetid breath, earthy complexion, gaunt appearance. ─ Stools very dark and offensive (infantile syphilis). ─ Bilious diarrhœa at seashore, painless, driving her out of bed about 5 a.m.; stools during day, later causing excoriation; face red, suffers from heat; occasional painless, whitish diarrhœa when at home, always > by going to mountains. ─ Fissures in anus and rectum. ─ Two indurated ulcers at mouth of anus somewhat sore; slight itching of anus (primary syphilis).

Urinary Organs

Itching in orifice of urethra. ─ A sensation, in morning on going to urinate, as if male urethra were stuffed up or clogged, about an inch from orifice. ─ Scalding urine. ─ Urination difficult and very slow; no pain, but a want of power, so that he has to strain. ─ Urine infrequent, not oftener than once in twenty-four hours, scanty, of a golden-yellow colour. ─ Profuse urination after chill; passed during night nearly a chamberful. ─ Rich lemon-yellow scanty urine. ─ Frequent urging to urinate all night, at least from 7 p.m. until 5 a.m.

Male Sexual Organs

Chancre on prepuce. ─ Buboes. ─ Burning in chancre size of a split pea, on prepuce above corona glandis; edges raised, bottom covered with lardaceous deposit; glans purple, on l. side covered by an exudation. ─ Chancre on penis, third in two years, all on same spot (s.s.). ─ Aching of genitals, could not sit still for over a month. ─ After suppressed chancre, disease attacked testes and scrotum, which became painful and swollen; this was supposed to be cured, but ever since, every few weeks, if exposed at all to damp weather would be seized with pain as if in kidneys, seemingly traversing ureters, but instead of passing into bladder followed spermatic cord, down groins and into testes; pain agonising, chiefly in cord, in present attack in r.; pricking in chancre. ─ Chancroid, phagedænic, spreading rapidly; buboes commencing in each groin. ─ Inflammation and induration of spermatic cord.

Female Sexual Organs

Uterus and all surrounding parts loose, soft and flabby; profuse, thick, yellow leucorrhœa; constant pain across small of back. ─ Yellow offensive leucorrhœa, watery or not, so profuse it daily soaks through napkins and runs to heels of stockings if much on her feet. ─ Profuse yellow leucorrhœa, < at night; in sickly, nervous children (inherited syphilis). ─ Soreness of genitals, and muco-purulent discharge, in a child. ─ Acrid discharge causing violent itching and inflammation of external organs, < at night from warmth of bed, parts very tender; itching and inflammation > during menses. ─ Nocturnal < of r. ovarian pain, preventing sleep. ─ Sore on r. labium majus, extending to l. (s.s.). ─ Menstruation painful, two weeks too soon; pink-red, bright, profuse, running free for some days; napkins wash easily. ─ Painful menstruation. ─ Sensitiveness of os uteri, < to intolerable pain at menses, or on introduction of finger or penis; frequently causes abortion (n). ─ Sharp zigzag shooting pains in region of uterus. ─ Ovaries congested and inflamed; tendency to ovarian tumours. ─ Sore aching in l. ovarian region, extending to r. with darting pains. ─ L. ovary swollen, during coitus, at moment of orgasm, a sharp cutting pain like a knife, and twice there was smarting as of a sore; ovary swelled so much that its size and shape could easily be felt through abdominal walls (caused by Buboin ). ─ Uterine and ovarian diseases with pronounced nervous disorders, esp. in married women. ─ Mammæ sensitive to touch, feeling sore; during menses, and at other times.

Respiratory Organs

Hoarse, almost complete aphonia, day before menses. ─ Diseased cartilages of larynx (tertiary syphilis). ─ Chronic asthma, in summer, esp. when weather was warm and damp; most frequently in evening, passing off at daybreak. ─ Pain and oppression at bifurcation of bronchia and in larynx, it hurts her to breathe. ─ Attacks of spasmodic bronchial asthma for twenty-five years; they come on only at night after lying down or during a thunderstorm, producing most intense nervous insomnia, entirely preventing sleep for days and nights. ─ Violent attacks of dyspnœa, wheezing and rattling of mucus, from 1 to 4 a.m. ─ Cough: hard cough < at night, when it is continuous, preventing sleep. ─ Hard, constant cough, with thick, yellow, tasteless expectoration. ─ Dry, racking cough, with thick, purulent expectoration, caused by a sensation of rasping or scraping in throat, always at night. ─ Whooping-cough with terrible vomiting. ─ Cannot lie on r. side, as it causes a dry cough. ─ Muco-purulent expectoration, greyish, greenish, greenish-yellow, tasteless. ─ Expectoration without cough, quite clear, white, feels like a round ball and rushes into mouth.

Chest

Rattling in chest and throat. ─ Soreness of chest, with great anguish and inability to retain a recumbent position; in winter, severe bronchial cough succeeded asthmatic attacks; a regular type of chills and fever developed; suffered from this many years ago. ─ Pain in centre of chest as if skin were drawn up, on drawing the head back. ─ Lack of sleep produces a sudden faintness and sinking sensation in chest; three spells succeeded each other during a single night. ─ Oppression of chest to such an extent as almost to arrest breathing; asthma caused by sensation as if sternum were being gradually drawn towards dorsal vertebræ; expansion of chest difficult; confusion of mind as if unconsciousness might follow. ─ Sensation of pressure under upper part of sternum. ─ Pain and pressure behind sternum. ─ Angina; ptosis l. eye; facial paralysis l. side, slight aphasia; impotence (relieved). ─ Eczematous herpetic eruptions on chest.

Heart

Lancinating pains in heart at night, from base to apex (Medor. has reverse). ─ Valvular disease of heart.

Neck and Back

Heavy aching and stiffness from base of neck up through muscles and cords into brain. ─ Caries of cervical spine with great curvature in same region, directly forward; pain in curvature always < at night (no proof of syphilis). ─ Enlargement of cervical glands and a number of pedunculated pin-head warts on neck, cured by Syco-syphilinum (hereditary syphilis; girl, 10). ─ Enlargement of glands in different parts of body, particularly abundant about neck; indurated and slightly painful, causing a sensation of fulness and suffusion in face, throat and head (n). ─ Enormous swelling of glands of head and neck (Hodgkin's disease). ─ Rigidity of muscles. ─ A heavy, dragging, dull feeling in lumbar region, with want of elasticity. ─ Great pain in back in region of kidneys, < after urinating (s.s.). ─ Pains commencing in sacral regions internally, and apparently coming around to uterus. ─ Pain at coccyx at its junction with sacrum, sometimes in lower sacral vertebræ; < on sitting, with a sensation as if swollen, though it is not. ─ Caries of dorsal vertebræ with acute curvature, for five months, every night most intense neuralgic pains, commencing generally from 5 to 7 p.m., and never terminating till about 5 a.m.; < by least motion, and slightly > by warm poultices. ─ Psoas abscess first l. then r. ─ Nocturnal < of pains in back, hips and thighs.

Limbs

Aching pains in limbs like growing pains. ─ Gradual rigidity of all joints after eruption; flexors seem contracted. ─ Rheumatic swelling of l. wrist and big toe, bluish red, with pains as if somebody sawed at his bones with a dull saw; > by heat of stove; < from sundown to sunrise; no appetite; has lasted two weeks (rheumatism). ─ Feeling of numbness in palms and soles, at times a prickly sensation as if numb parts were punctured by a great number of needles. ─ Excruciating arthritis; swelling, heat, and redness intense. ─ Rheumatism, muscles are caked in hard knots or lumps.

Upper Limbs

Rheumatism of shoulder-joint or at insertion of deltoid, < from raising arm laterally. ─ Can only raise arms to a right angle with axilla; trying to force them higher causes muscles to suddenly become paralysed and they drop pendant (n). ─ Lameness and pain of arm on motion, < on raising arm up in front as if reaching; pain located about insertion of deltoid in upper third of humerus, not painful to pressure. ─ Fingers and thumbs have runarounds (infantile syphilis). ─ Always washing the hands. ─ Hands badly ulcerated on backs (s.s.). ─ R. second finger swollen and stiffened (s.s.).

Lower Limbs

Swelling of legs from knees down, soles painful when standing on them; swelling goes down in morning, comes back at night. ─ Pains in lower extremities, excruciating, completely banish sleep; < from hot fomentations; > pouring cold water on them (n). ─ Cannot sit in a low chair, or squat down, owing to loss of control over knee and hip-joints (n). ─ Pains in long bones of lower extremities, also in joints (n.). ─ Dull pain over backs of feet to toes, began soon after getting into bed, lasting until 4 or 5 a.m. ─ For two or three winters intense cold pain in both legs, < in l., came on every night on lying down, lasting all night; > by getting up and walking, and in warm weather. ─ Pain in three toes of r. foot as if disjointed. ─ Slight contraction of tendons beneath r. knee (psoas abscess). ─ Tearing pains in hip and thighs, < at night, > about daybreak, > by walking, not affected by weather (improved). ─ Redness and rawness with terrible itching between toes (s.s.). ─ Bubo with pain in spot on middle of r. thigh in front, only when standing and on deep pressure, which seemed to touch spot, which was apparently on periosteum. ─ Two ulcers larger than a crown piece, dirty stinking, slouching, with jagged, elevated edges, one on thigh above patella another on head of tibia; two large pieces of bone came away from head of tibia (s.s.). ─ Osteosarcoma in centre of r. tibia the size of half an ostrich egg, pains agonising at night, growth irregular, spongy, partly laminated, very hard (s.s.). ─ Contracted, painful feeling in soles, as if tendons were too short.

Generalities

Utter prostration and debility in morning. ─ Epilepsy. ─ Dwarfed, shrivelled-up, old-looking babies and children. ─ Epileptic convulsions after menses.

Skin

Pustular eruption on different parts of body; in patches on certain places, particularly on wrists and shins, where bones are nearest cuticle, and isolated other large pustules on other parts, these break, discharging an ichorous fluid for one or two days, then heal, leaving characteristic pockmark cicatrice; patches take longer to heal, discharging same fluid till healing process commences. ─ After healing of chancre a fresh pustular eruption appears on different parts of body, which, when pustules have discharged an ichorous liquid and healed up, leaves fresh coppery pockmarks Medorr . removed it permanently, causing it to turn yellow-brown, dry at edges and scale off, leaving skin permanently clear and free. ─ Biting sensation in different parts of body, as if bitten by bugs, at night only. ─ Syphilitic rash, very prominent on forehead, chin, arms and front of thorax, an abundance of fine scales peeling off; large prominent spot on centre of forehead, filled with fluid, as also are some smaller patches (s.s.). ─ Syphilitic bullæ discharging freely on cheeks, under chin, on back of shoulders, on scalp and other parts of body (infantile syphilis). ─ Maculæ; copper-coloured (s.s.). ─ Pemphigus, looking like a pock, often confluent and persistently reappears. ─ Skin bluish.

Sleep

Great restlessness at night, impossible to keep leg in one position. ─ Absolute sleeplessness (vies with Sul . in producing quiet, refreshing sleep). ─ Wakes soon after midnight and cannot sleep again till 6 a.m.

Fever

Great pains in head, whole body extremely cold, looked blue; wanted to be covered with blankets or couldn't get warm; no appetite; sleeping almost continually, could not be roused (s.s.). ─ Nervous chills preceded by pains in head, esp. occiput and scalp of that part; pains below waist, in pelvis, legs, esp. tibia, which is sensitive to touch; bowels torpid; cross, irritable, peevish; pains begin every day 4 p.m., culminate at midnight, disappear at daylight. ─ After retiring nerve chill beginning in anus, running down legs; desire for stool, > by profuse urination and by eructations. ─ Fever: dry, hot, shortly after going to bed, parted lips, great thirst; 11 to 1 daily. ─ Sweat: profuse at night, sleepless and restless; esp. between scapulæ and down to waist, with excessive general debility.

The Guiding Symptoms of Our Materia Medica

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

Mind

Loss of memory, n.
Loses remembrance of passing occurrences, names, dates, etc., while all occurrences previous to inception of disease are remembered as distinctly as ever. n.
Great difficulty, and sometimes impossibility of concentrating thoughts on particular subjects ; yet at same time can recollect consecutive events and details which occurred twenty-five or thirty years previously, in order of occurrence, almost without effort. n.
Cannot remember names of persons, books or places.
Difficulty in making arithmetical calculations.
Very nervous, weeping without cause.
Cross, irritable, peevish. θ Periodical neuralgia in head.
Very despondent, does not think will ever get better. θ Syphilitic sore mouth.
Terrible dread of night, not on account of cough so much as on account of mental and physical exhaustion when she awakes ; it is intolerable, death is preferable ; she fears to prepare for night and is positively in abject fear of suffering, in form of exhaustion, on
waking ; it is < by cough, but it is quite independent of cough as she wakes in this awful state ; always < as night approaches ; leaves her about daylight, which she prays for. θ Spring
cough.
Feeling as if going insane, or about to be paralyzed.
A far-away feeling, with apathy and indifference to future.

Sensorium

Vertigo on looking up, seems to be caused by heat.

Inner head

Headache : linear, from or near one eye backward ; lateral ; frontal ; from temple to temple ; deep into brain from vertex ; as from pressure on vertex ; in either temple, extending into or from eye, > by warmth ; in
bones of head ; < by heat of sun ; after sunstroke.
Sick-headache, pains intolerable, arteries of head full and pulsating violently ; high fever, frequent retching on trying to vomit ; menses regular, but very scanty.
Lancinating pain in occiput, invariably < at night. n.
Headache and great debility.
Neuralgic cephalalgia causing sleeplessness or delirium at night, always commencing about 4 P. M. ; < at from 10 to 11, and ceasing at daylight.
Great loss of hair. n.
Nervous chills preceded by aching pains in head, especially in occiput and integuments thereof, head feeling heavy, sore, congested ; also frontal headache about one-half or two-thirds inch wide across forehead under eyebrows ; aching pains below waist,
in pelvis and extremities, especially in tibia, which is sensitive to touch ; pains commence about 4 P. M., culminate about midnight in delirium, and cease entirely at daylight.
Bursting sensation in vertex as from severe cold.
Pain from eyes through to occiput, with sensation of weight in occiput drawing head back, or as if it were pulled back ; eyes ache and smart.
Constant linear headache, commencing at both angles of forehead and extending in parallel lines backwarda precursor of epileptic attack.
Heavy, crushing, cutting pain across base of cerebellum.
Heavy, clouded, dull feeling in base of brain.
Syphilitic cephalalgia in occiput, intolerable, extending to nervous ganglia of neck, causing hardening of cords ; attacks at irregular intervals, especially after excitement. θ Secondary
syphilis.
Headache through temples, thence vertically, like an inverted letter T.
Coronal headache. θ Secondary syphilis.
Headaches accompanied by great restlessness, sleeplessness and general nervous erethism.
Syphilitic headache for many months, piercing, pressing, excruciating over right eye, extending deep into brain ; losing continuity of thought and memory ; makes repeated mistakes in figures.

Outer head

Suffusion and full feeling in face, throat and head, with innumerable small enlarged cervical glands.
Sore, one and a half inches in diameter, on occipital bone, covered with a thick, yellow-white scab.
Dirty eruption on scalp.

Sight and eyes

Red papulous eruption around left inner canthus, with isolated pimples on side of nose, cheek and eyebrow ; these pimples were red, with depressed centre, circumscribed areola, became confluent where they were most dense ; pimples bleed when
scabs come off ; agglutination of lids.
Myopia. n.
Sensation of heat with a little pain in outer half of left lids.
Sharp pulsating pain, occasionally at outer end of superior border of right orbit, apparently in periosteum.
Upper lids swollen.
During sleep lids adhere. θ Infantile syphilis.
Ptosis : paralytica ; eyes look sleepy from lowering of upper lid.
Diplopia, one image seen lower than other.
Strabismus paralytica, eye turning inward, and pupil can only be turned outward as far as median line.
Paralysis of superior oblique.
Chronic recurrent phlyctenular inflammation of cornea ; successive crops of phlyctenules and abrasion of epithelial layer of cornea ; intense photophobia ; profuse lachrymation ; redness and pain well marked ; delicate scrofulous children, especially if any trace
of hereditary syphilis remains.
Interstitial keratitis.
Chronic congested spots on eye, more often on temporal side, usually about one to three lines behind cornea, of a dark-red color, apparently embedded in sclera. θ Syphilis.
Photophobia, black spots, shreds or veils before sight.
Itching of left inner canthus.
Left eyeball covered with funguslike growth, pain intense, < at night.
Eyes red and inflamed.
Acute ophthalmia neonatorum. n.
Eyes swollen and closed with syphilitic ophthalmia, pus running out of them. θ Infantile syphilis.
Redness and swelling of outer half of both lower tarsal edges.
Acute left conjunctivitis, with considerable pain in eyeball, photophobia and lachrymation, followed by iritis ; nocturnal aching in eyeball, pain extremely violent from 2 to 5 A. M. ; sight impaired. θ After
syphilis three or four years ago.
Syphilitic iritis, intense pain steadily increasing night after night ; < between 2 and 5 A. M., coming almost to the minute and ceasing same way. θ Secondary syphilis.
Iritis with photophobia, congestion of conjunctiva and sclerotica, with puffiness of conjunctival mucous membrane ; chemosis, pupil immovable, diminution of sight ; supraorbital pain.
Pain in right inner canthus as if blood went there and could go no further, also in right temple. θ Rheumatic iritis.
At 1 P. M. scalding lachrymation of right eye with shooting therein, followed by shooting from around eye into eye ; eye red and closed ; this lasted about an hour, then decreased, ceasing about 3 P. M. ; recurred for two successive days and again four days afterward in a
slighter degree, but at same hour. θ Rheumatic iritis.
On turning eye to left feels momentary coldness in inner half of right eye. θ Rheumatic iritis.
On waking, gum in right canthus. θ Rheumatic iritis.
On walking across room, right eye sensitive to air, aches on using it. θ Rheumatic iritis.
Both eyes glued in morning ; conjunctiva injected ; photophobia, constantly wears a shade. θ Ozæna.
Eyes dull. θ Infantile syphilis.
Ophthalmic pains, < at night, > by cold water.
Right eye alone affected, congestion of conjunctiva and sclerotica, with some chemosis ; lids inflamed, especially at outer canthus ; sensation of sand in eyes ; lids agglutinated in morning ; great photophobia. θ Hereditary
syphilis.
Left eye closed, upper lid swollen as large as half an English walnut ; deep red, not much pain, with oozing of purulent matter from between lids.
Neuralgia every night, beginning about 8 or 9 P. M., gradually increasing in severity until it reached its height about 3 or 4 A. M., and after continuing thus for two or three hours gradually decreased and finally ceased about 10 A. M. ; attacks gradually get more severe and last
longer ; first feels cold all over, almost a shiver ; then soreness as if beaten in right half of head, extending a little beyond middle line on vertex ; in about thirty minutes scalding lachrymation from right eye, with shooting backward increasing to a boring backward
therein ; eye is very red and closes, with photophobia ; gnawing pains extend down right side of face and whole of nose ; head is worst when eye is bad ; during paroxysm right eye feels as if lids were open wide, and cold air blowing on exposed eye ; she perceives a
horizontal band across pupil of right eye hindering sight ; this came on soon after paroxysms commenced ; eye > by placing handkerchief on head and letting it hang over eyes, also by gentle pressure, though she cannot bear much pressure ; it is more painful when lying on
right (affected) side when also right side of head feels sore ; right eye red, and red vessels run all over it, converging toward iris ; right pupil horizontally oval ; right iris looks dull and there is a slight brown hue around pupil ; left eye normal ; attacks
seem to have originated from sitting at a window in a cold draft, right eye being next window. θ Rheumatic ophthalmia.

Hearing and ears

Intense earache in right ear, incisive pains thrusting into ear ; purulent, watery discharge from ear with pain.
Gathering in left ear which discharges a great quantity of pus. θ Hereditary syphilis in a child.
Deafness gradually increasing until she could scarcely hear at all.
Complete deafness ; nothing abnormal to be seen.
Catarrhal or nerve deafness with marked cachexia.
Calcareous deposit on tympanum.
Small, acrid, watery discharge occasionally from ears, no deafness. θ Ozæna.

Smell and nose

Left side of nose, inside ala, itching.
Nose stuffed up and burning.
Attacks of fluent coryza.
Offensive, thick yellow-green nasal discharge ; during sleep dry scabs form in both nostrils ; following an application of salve for sore eyes ; left submaxillary gland, which had been swollen and indurated, softens, discharges and,
after forty-five days ; begins to heal slowly.
Ozæna syphilitica ; Syph. brought out an eruption of sores with a fiery-red base on nose and over frontal sinuses.
Left side of nose inside and out very sore, likewise lips and chin ; sores itching and scabbing over. θ Hereditary syphilis.
Itching in nostrils.

Upper face

Face drawn to one side, difficulty of speaking, masticating, blowing. n.
Spasmodic twitching of many muscles, especially in face (paralysis agitans), with great melancholy and depression of spirits.
Facial paralysis right side, thick speech, hemicrania, jactitation of right eye and lid.
An old gentleman has had, for some years, cancer on right malar bone ; no rest, his agonies excruciating in extreme (relieved).
Face pale. θ Curvature and caries of cervical spine.
Itching, scabby, eczematous eruptions singly or in clusters, looking like herpes.
Nose and cheeks covered with eruptions and scabs ; scabs in layers rising to a point.
Dark purple lines between alæ nasi and cheeks.
A boy, æt. 20 months, fretful, peevish, cross and crying, tossing in his sleep, grinding his teeth, face dotted with papules filled with a watery yellowish matter, most on edges of lids ; teeth irregular, arms and legs emaciated, very tottery on his feet, very nervous.

Lower face

Lips and teeth covered with bloody mucus. θ Infantile syphilis.
Sores on lips and chin, especially left side scabbing over.

Teeth and gums

Single small lunæ cleft in upper incisors, permanent set, which incisors are dwarfed in their general dimensions, and converge at their tips ; inherited syphilis. n.
First central upper incisors serrated, permanent teeth point toward each other, inner side concave, edges serrated. n.
Children's teeth are cupped.
Teeth decaying at edge of gum and breaking off. n.
Pain in right upper jaw, as if from teeth, with swelling of face.
Painless fluttering occasionally in teeth, very peculiar, as of something alive, cannot detect which tooth it is.
Felt like a worm in tooth, could not tell which tooth.
Singular feeling as if teeth had all got out of place, and on closing jaws teeth do not come well together.
Occasional aching in left upper teeth.

Taste, speech, tongue

Tongue red and thick ; two deep cracks running length wise in it ; one on each side of median line.
Aphasia ; facial paralysis left side ; ptosis and sudden paralysis of left optic nerve, causing many weeks of blindness ; partial paralysis of tongue, which also protruded, crooked ; sluggish heaviness of speech, complete hemiplegia for first
thirty-six hours, afterward partial for several weeks.
Aphasia, difficulty of finding words ; debility.

Inner mouth

Fetid breath. θ Secondary syphilis.
Tongue coated ; white, edges indented by teeth.
Tongue turns to one side when protruded ; difficulty in mastication, cannot turn food with tongue so readily from right to left, as in other direction. n.
Putrid taste in mouth before epileptic fit.
Tongue very red and thick ; covered with herpetic eruption, two deep cracks running lengthwise on each side of median line, making it difficult to swallow. θ Secondary syphilis.
Tongue thickly coated, dirty, edges indented or serrated by teeth. n.
Twenty ulcers in mouth, every part of which was involved, on top and under side of tongue, on lips, in buccal cavity, fauces and in nose ; two large ones, one on each side near apex of tongue, very much swollen, one on right side had a gangrenous centre,
rest lardaceous bottoms with bright, fiery-red edges, and were cut down as with a knife, felt hard like an indurated chancre ; septum of nose threatened, both alæ nasi very painful, smarting with burning as if on fire ; pains and burning prevented sleep ; hungry but could eat
nothing but fluids as mastication was impossible ; tongue heavily coated white, large quantities of stringy viscid saliva running from mouth, of a sweetish taste ; a putrid sickening odor filled whole house ; all symptoms < toward night. θ Secondary
syphilis.
Herpetic eruption in mouth, tonsils, hard palate and fauces, completely covering inside of mouth and throat, making it very difficult to swallow even liquids. θ Secondary
syphilis.
Syphilitic destruction of hard and soft palates.

Palate and throat

Chronic hypertrophy of tonsils. θ Hereditary syphilis.
Chancrous ulcer extending across velum palati to left pillar of pharynx. θ Secondary syphilis.
Acute pharyngitis. θ Secondary syphilis.

Appetite, thirst. desires, aversions

Appetite indifferent and capricious. θ Psoas abscess.
Total loss of appetite for months, little or nothing satisfies him ; formerly was generally ravenous. θ Caries of dorsal vertebræ.
Loss of appetite. θ Rheumatism.
Thirst.
Tendency to heavy drinking ; alcoholism.
Aversion to meat.
Dyspepsia ; flatulence, belching of wind ; nervous dyspepsia.

Hiccough, belching, nausea and vomiting

Nausea.
Heartburn with pain and rawness from stomach to throat pit, often with cough.
Vomiting for weeks or months due to erosion from superficial ulceration of lining of viscus, herpetic, of syphilitic origin.

Abdomen and loins

Pain or distress deep in abdomen as if in omentum.
Feeling of heat internally in hypogastric region.
Pains in right groin followed by swelling of glands.
Large painless bubo in right groin opened and discharged freely. θ Secondary syphilis.
Slight lancinating pains in one groin, < at night.
Inguinal bubo.

Stools and rectum

Bowels torpid for five weeks. θ Periodical neuralgia in head.
Obstinate constipation for many years ; rectum seemed tied up with strictures ; when injections were given agony of passage was like child-bearing.
Chronic constipation, with fetid breath, earthy complexion, gaunt appearance.
Stools very dark and offensive. θ Infantile syphilis.
Stools too light-colored. θ Rheumatism.
Bilious diarrhœa at seashore, painless, driving her out of bed about 5 A. M. ; stools during day, later causing excoriation ; face red, suffers from heat ; occasional painless, whitish diarrhœa when at home, always > by going to mountains.
Obstinate cases of cholera infantum.
Lower portion of rectum hanging out like a ruffle, looking like a full-blown rose fully three inches in diameter, and sensitive ; constant weak dragging sensation in rectum, extending as far as sacrum.
Fissures in anus and rectum.
Two indurated ulcers at mouth of anus somewhat sore ; slight itching of moist anus. θ Primary syphilis.

Urinary organs

Itching in orifice of urethra.
(In sick :) A sensation, in morning on going to urinate, as if male urethra were stuffed up, or clogged, about an inch from orifice.
Scalding urine.
Urination difficult and very slow ; no pain, but a want of power, so that he has to strain. θ Secondary syphilis.
Urine infrequent, not oftener than once in twenty-four hours, scanty, of a golden-yellow color.
Profuse urination after chill ; passed during night nearly a chamberful.
Rich lemon yellow scanty urine.
Frequent urging to urinate all night, at least from 5 to 7 P. M. until 5 A. M.

Male sexual organs

Chancre on prepuce.
Buboes.
Burning in chancre size of a split pea, on prepuce above corona glandis ; edges red and raised, bottom covered with lardaceous deposit ; glans purple, on left side covered by an exudation.
Chancre on penis, third in two years, all on same spot. θ Secondary syphilis.
Aching of genitals, could not sit still for over a month.
After suppressed chancre, disease attacked testes and scrotum, which became painful and swollen ; this was supposed to be cured, but ever since, every few weeks, if exposed at all to damp weather, would be seized with pains as if in kidneys, seemingly
traversing ureters, but instead of passing into bladder followed spermatic cord, down groins and into testes ; pain agonizing, chiefly in cord, in present attack in right ; pricking in chancre.
Constant pain in anterior part of right thigh, < while standing, painful all night, preventing sleep ; bubo in left inguinal region size of a pigeon's egg, purple, fluctuating ; night sweats.
Chancroid, phagedenic, spreading rapidly ; buboes commencing in each groin.
Inflammation and induration of spermatic cord.

Female sexual organs

Uterus and all surrounding parts loose, soft and flabby ; profuse, thick, yellow leucorrhœa ; constant pain across small of back.
Slight whitish leucorrhœa.
Yellow offensive leucorrhœa, watery or not, so profuse it daily soaks through napkins and runs to heels of stockings if much on her feet.
Profuse yellow leucorrhœa, < at night ; in sickly, nervous children. θ Inherited syphilis.
Soreness of genitals, and muco-purulent discharge, in a child.
Acrid discharge causing violent itching and inflammation of external organs, < at night from warmth of bed, parts very tender ; itching and inflammation > during menses.
Nocturnal aggravation of right ovarian pain, preventing sleep.
Sore on right labium majora, extending to left. θ Secondary syphilis.
Intense itching of vulva on rising in morning, continuing until 10 o'clock.
Menstruation painful, two weeks too soon ; pink-red, bright, profuse, running free for some days ; napkins wash easily.
Painful menstruation.
Sensitiveness of os uteri, increasing to intolerable pain at menses, or on introduction of fingers or penis ; frequently causes abortion. n.
Sharp zigzag shooting pains in region of uterus.
Ovaries congested and inflamed ; tendency to ovarian tumors.
Sore aching in left ovarian region, extending to right with darting pains.
Left ovary swollen, during coitus, at moment of orgasm, a sharp cutting pain like a knife, and twice there was smarting as of a sore ; ovary swelled so much that its size and shape could easily be felt through abdominal walls (caused by Buboin).
Uterine and ovarian diseases with pronounced nervous disorders, especially in married women.
Mamma sensitive to touch, feeling sore ; during menses, and at other times.

Voice and larynx. trachea and bronchia

Hoarse, almost complete aphonia, day before menses.
Diseased cartilages of larynx. θ Tertiary syphilis.

Respiration

Chronic asthma ; in Summer, especially when weather was warm and damp ; most frequently in evening, passing off at daybreak ; soreness of chest, with great anguish and inability to retain a recumbent position ; in Winter, severe
bronchial cough succeeded asthmatic attacks ; a regular type of chills and fever developed ; suffered from this many years before.
Oppression of chest to such an extent as almost to arrest breathing ; asthma caused by sensation as if sternum were being gradually drawn toward dorsal vertebræ ; expansion of chest difficult ; confusion of mind, as if unconsciousness might follow.
Lack of sleep produces a sudden faintness and sinking sensation in chest ; three spells succeeded each other during a single night.
Attacks of spasmodic bronchial asthma for twenty-five years ; they come on only at night after lying down or during a thunderstorm, producing most intense nervous insomnia, entirely preventing sleep for days and nights.
Violent attacks of dyspnœa, wheezing and rattling of mucus, from 1 to 4 A. M.

Cough

Hard cough, < at night, when it is continuous, preventing sleep.
Hard, constant cough, with thick, yellow, tasteless expectoration.
Dry, racking cough, with thick, purulent expectoration, caused by a sensation of rasping or scraping in throat, always < at night. θ Secondary syphilis.
Whooping cough, with terrible vomiting.
Dry, sharp, hacking cough without expectoration, but with rawness, scraping and burning from fauces to stomach pit ; with a whoop in inspiration and a choking sensation from fauces to bifurcation of bronchia, great mental distress.
Cannot lie on right side, as it causes a dry cough.
Cough and dyspnœa come on after midday dinner, has to fight for breath, feels as if she would be suffocated ; symptoms last all night, > at daybreak (improved).
Expectoration of white phlegm.
Muco-purulent expectoration, greyish, greenish, greenish-yellow, tasteless.
Expectoration without cough, quite clear white, feels like a round ball and rushes into mouth. θ Nervous asthma.

Inner chest and lungs

Pain and oppression at bifurcation of bronchia and in larynx, it hurts her to breathe.
Rattling in chest and throat. θ Infantile syphilis.
Pain in centre of chest as if skin were drawn up, on drawing head back.
Sensation of pressure under upper part of sternum.
Pain and pressure behind sternum.
Angina ; ptosis left eye ; facial paralysis left side, slight aphasia ; impotence (relieved).

Heart, pulse and circulation

Lancinating pains in heart, at night, from base to apex (Medorrhinum has reverse).
Valvular disease of heart.

Outer chest

Eczematous herpetic eruptions.

Neck and back

Heavy aching and stiffness from base of neck up through muscles and cords into brain.
Great pain in back in region of kidneys, < after urinating. θ Secondary syphilis.
Pain in coccyx at its junction with sacrum, sometimes in lower sacral vertebræ ; < on sitting, with a sensation as if swollen, though it is not.
Pains commencing in sacral regions internally, and apparently coming around to uterus.
Caries of cervical spine with very great curvature in same region, directly forward, occiput sinking down to a level with it and resting on protuberance of curvature ; often nearly a teaspoonful of calcareous matter would be discharged at a time, and on
evaporating it a quantity of dry powder, looking like phosphate of lime, would be left ; pain in curvature always < at night (no proof of syphilis).
Rigidity of muscles.
A heavy, dragging, dull feeling in lumbar region, with stiffness and want of elasticity.
Caries of dorsal vertebræ with acute curvature, numerous cloacæ communicating with diseased bone, one much larger than rest, exuding a sanious, offensive pus, and surrounded with proud flesh ; great thickening and induration of surrounding parts from
effusion of lymph ; percussion or pressure not endurable ; two abscesses in groins, left having been opened a year before, right about a month ago ; least motion gave him great pain by day, and terrific pain by night ; for five months, every night most intense neuralgic
pains, commencing generally from 5 to 7 P. M. and never terminating till about daylight or about 5 A. M. ; pains in muscles of loins, generally in left, sharp, cutting spasms, terrible to bear, preventing sleep and forcing him to cry out ; < by least motion, and slightly > by
warm poultices.
Psoas abscess first left then right, latter discharged more than a quart of offensive greenish pus when opened ; severe nocturnal pains, affecting upper sacral, lower dorsal and l. cervico-facial regions, steadily increasing ; they occurred twice, each time twenty-one days
after either psoas abscess had been opened.
Enlargement of cervical glands and a number of pedunculated pin-head warts on neck ; cured by Syco-syphilinum. θ Hereditary syphilis ; girl æt. 10.
Enlargement of glands in different parts of body, particularly abundant about neck ; indurated and slightly painful, causing a sensation of uncomfortable fulness and suffusion in face, throat and head. n.
Nocturnal aggravation of pains in back, hips and thighs.
Enormous swelling of glands of head and neck. θ Hodgkin's disease.

Upper limbs

Rheumatism of shoulder joint or at insertion of deltoid, < from raising arm laterally.
Can only raise arms to a right angle with axilla ; trying to force them higher causes muscles to suddenly become paralyzed and they drop pendant. n.
Lameness and pain of arm on motion, particularly on raising arm up in front as if reaching ; pain located about insertion of deltoid in upper third of humerus, not painful to pressure.
Fingers and thumbs have runarounds. θ Infantile syphilis.
Hands badly ulcerated on backs. θ Secondary syphilis.
Right second finger swollen and stiffened. θ Secondary syphilis.

Lower limbs

Swelling of legs from knees down, soles painful when standing on them ; swelling goes down in morning, comes back at night.
Pains in lower extremities, excruciating, completely banish sleep ; < from hot fomentations ; > pouring cold water on them. n.
Cannot sit in a low chair, or squat down, owing to loss of control over knee and hip joints. n.
Pains in long bones of lower extremities, also in joints. n.
Dull pain over backs of feet to toes, began soon after getting into bed, lasting until 4 or 5 A. M.
For two or three winters intense cold pain in both legs, < in left, came on every night on lying down, lasting all night ; > by getting up and walking, and in warm weather.
Pain in three toes of right foot as if disjointed.
Slight contraction of tendons beneath right knee. θ Psoas abscess.
Tearing pains in hip and thighs, < at night, > about daybreak, > by walking, not affected by weather (improved).
Sharp rheumatic pain, burning like fire, in left side of right instep and below inner malleolus, prevents her from moving foot, > when toe is pointed inward ; < in evening, continuing during night, waking her up suddenly every two or three hours, worst from 1.30 to 3.30 A. M.,
> toward daybreak (improved).
Redness and rawness with terrible itching between toes. θ Secondary syphilis.
Bone pains in knees and feet. θ Secondary syphilis.
Bubo with pain in spot on middle of right thigh in front, only when standing and on deep pressure, which seemed to touch spot, which was apparently on periosteum.
Two ulcers larger than a crown piece, dirty, stinking, sloughing, with jagged, elevated edges, one on thigh above patella, another on head of tibia ; two large pieces of bone came away from head of tibia. θ Secondary
syphilis.
Osteosarcoma in centre of right tibia the size of half an ostrich egg, pains agonizing at night, growth irregular, spongy, partly laminated, very hard. θ Secondary syphilis.
Severe attacks of aching in lower limbs. θ Secondary syphilis.
Contracted painful feeling in soles of feet, as if tendons were too short.

Limbs in general

Aching pains in limbs like growing pains.
Gradual rigidity of all joints after eruption ; flexors seem contracted.
Rheumatic swelling of left wrist and big toe, bluish-red, with pains as if somebody sawed at his bones with a dull saw ; > by heat of stove ; < from sundown to sunrise ; no appetite ; has lasted two weeks. θ Rheumatism.
Feeling of numbness in palms and soles, at times a prickly sensation as if numb parts were punctured by a great number of needles.
Excruciating arthritis ; swelling, heat and redness intense.
Rheumatism, muscles are caked in hard knots or lumps.

Rest. position. motion

No position suits him. θ Syphilitic neuralgia.
Standing : pain in thigh ; soles painful ; pain in thigh <.
Sitting : pain in coccyx < ; or squatting, can not on account of loss of control over knee and hip joints ; on stool > pain in head.
Recumbent position : impossible with asthma.
Lying : on right side causes cough ; sore throat <.
Motion : pain in groins < ; raising arm pain in deltoid < ; pain in instep < ; slow, > tearing pain through body.
On drawing back head : pain in chest as if skin were drawn up ; pain in neck >.
Pointing toe inward : pain in instep >.
Walking : pain in hip and thighs >.

Nerves

Utter prostration and debility in morning.
Epilepsy.
Epileptic convulsions after menses.
Body, extremities and face covered with syphilides ; a sticking soreness begins in throat every evening between 6 and 7 o'clock and continues to grow < during night ; exceedingly restless until 4 A. M. ; then a restless sleep for a few
hours ; can scarcely swallow ; when swallowing a sensation as of throat tearing to pieces ; continual throbbing in throat, < from cold and hot drinks, and < lying down ; throbbing in temples and ears, boring in ears meeting in centre of brain ; sensation as if
top of head were coming off ; drawing pain in eyes < from lamplight ; teeth pain when eating, also when taking anything hot or cold, feel as if they were loose, > pressing teeth together and pressing throat with hands ; excessive flow of saliva, it runs out of mouth when
sleeping ; severe pain in neck ; bending back head, > pain in neck ; aching pain in shoulders and knees ; rending tearing pains throughout body, > moving about slowly ; had his wife hide his revolver lest in a fit of desperation he might kill himself, as was
his desire during extreme paroxysms of pain ; strikes wall with fist and beats head against wall for relief ; stools hard, dry like sheep dung ; desire for stool three or four times a day, but only a little scentless wind passes which gives relief ; sitting on stool >
pain in head ; is easily offended, gets desperate, cannot bear to be alone, great anxiety about getting well ; at night no position suits him, walks floor or goes into street and moves about slowly ; sleepy all time but cannot sleep ; dreams about his disease ; >
in open air ; frequent urination with sudden desire ; discharges large quantities of muddy urine. θ Syphilitic neuralgia.

Sleep

Great restlessness at night, impossibility to keep long in one position. n.
Absolute sleeplessness (vies with Sulphur in producing quiet, refreshing sleep).
Wakes soon after midnight and cannot sleep again until 6 A. M.

Time

After midnight : weary, tired pains.
From 1.30 to 3.30 A. M. : pain in instep <.
Midnight until 6 A. M. : cannot sleep.
Morning : lids agglutinated ; urethra as if clogged ; until 10 itching of vulva ; prostration.
At 1 to 4 A. M. : attacks of dyspnœa.
At 5 A. M. : diarrhœa drives her out of bed.
From 11 to 1 P. M. : fever.
After midday dinner : cough and dyspnœa.
At 2 P. M. : pains begin, reach acme 9 P. M., continue until daybreak.
From 1 to 3 P. M. : rheumatic iritis <.
At 4 P. M. : headache begins.
From 2 to 5 A. M. : aching in eyeball <.
From 6 to 7 P. M. : sticking soreness in throat begins.
At 8 or 9 P. M. : neuralgia begins.
Night : headache < ; lancinating in occiput < ; delirium ; neuralgic cephalalgia < ; pain in fungous growth of eyeball < ; ophthalmic pains < ; pains in groin ; profuse urination ; frequent urging to urinate ; pain in thigh < ; acrid leucorrhœa
< ; ovarian pain < ; asthma < ; cough < ; cardiac pain ; pain in spinal curvature < ; pain in back, hips and thighs < ; swelling of legs ; pains in feet < ; pain in tibia ; restlessness ; rheumatic pains < ; biting sensation.

Temperature and weather

Warmth : > headache ; of bed, syphilitic eruption <.
Heat of sun : < headache.
Heat of stove : > pain in swollen wrist and big toe.
Hot or cold things : toothache <.
Hot fomentations : pains in legs <.
Cold draft : rheumatic ophthalmia.
Cold water : ophthalmic pains ; pains in lower extremities <.
Damp weather : pains across kidneys into spermatic cord and testes ; pains in muscles.
Warm and damp weather : asthma <.
At seashore : bilious diarrhœa.
Air : eye sensitive to ; syphilitic neuralgia.
In mountains : bilious diarrhœa >.
During thunderstorm : bronchial asthma <.

Fever

Great pain in head, whole body extremely cold, looked blue ; wanted to be covered with blankets, yet could not get warm, no appetite ; sleeping almost all time, could scarcely be aroused. θ Secondary
syphilis.
Nervous chills preceded by aching pains in head, especially occiput and in scalp over that part of head ; pains below waist, in pelvis, in legs, especially in tibia, which is sensitive to touch ; head feels heavy and sore, as if congested ; bowels torpid for five
weeks ; cross, irritable, peevish ; pains commence every day about 4 P. M., culminating at midnight with delirium, and disappear at daylight.
After retiring, nervous chill commencing in anus and running down legs with spasmodic sensation ; followed by distress in bowels and immediate desire for stool ; passed a little urine when chill and desire for stool ceased ; afterward profuse urination,
eructations > chill.
Dry, hot fever shortly after going to bed, with dry, parched lips and great thirst ; during fever intensely hot, wants to throw off covering, puts feet out of bed and against wall to cool them ; high fever in middle of day, heat being intense, with sensation as if burning
up ; thirst for large quantities often, sensation of burning internal heat very marked ; fever preceded by slight chill and followed by sweat and great debility.
Fever from 11 to 1 P. M. daily ; perspires when she begins to get over fever ; pain in back, < between shoulders, no ambition or desire to move.
Profuse night sweats, sleepless and restless.
Excessive general debility and continued night sweats, latter being most marked between scapulæ and down to waist. n.

Attacks, periodicity

Gradually increasing : nightly neuralgia ; deafness.
Gradually increase and decrease : pains in muscles.
Three or four times a day : desire for stool.
Three spells in one night : faintness and sinking in chest.
Every night : neuralgia, 8 or 9 P. M.
For days and nights : nervous insomnia with asthma.
Lasting a week or two : rheumatic neuralgic pains in muscles.
Two weeks : rheumatic swelling of wrist and big toe.
For five weeks : bowels torpid.
For many weeks : blindness.
For months : total loss of appetite.
For many months : syphilitic headache.
For many years : constipation.
For twenty-five years : bronchial asthma.
Spring : cough.
Summer : chronic asthma.
Winter : bronchial cough succeeding asthma in Summer ; cold pain in legs.

Locality and direction

Left : eruption about inner canthus ; heat and pain in outer half of lids ; itching of inner canthus ; fungous growth on eyeball ; conjunctivitis, eye closed ; gathering in ear ; itching in nostril ; abscess in submaxillary gland ;
nose sore inside and out ; sores on lips and chin ; aching in upper teeth ; facial paralysis ; ptosis and paralysis of optic nerve ; chancrous ulcer from velum palati to pillar of pharynx ; exudation on glans penis ; bubo ; swollen ovary painful during
coitus ; swelling of wrist and big toe.
Right : headache over eye ; pulsating pain at outer end of superior border of orbit ; pain in inner canthus ; gum in canthus on waking ; eye sensitive to air ; conjunctiva and sclerotica congested ; perceives a horizontal band across pupils ; iris
looks dull ; head as if beaten ; scalding lachrymation ; gnawing in face and nose ; eye feels as if lids were open and air blowing on it ; earache ; facial paralysis ; jactitation of eye and lid ; pain in cancer on malar bone ; pain in upper
jaw ; pain and swelling in groin ; painless bubo opens and discharges ; pain in anterior thigh ; second finger swollen and stiff ; pain in toes as if disjointed ; contraction of tendons beneath knee ; pain in instep.
From left to right : pain in ovaries ; psoas abscess.
From right to left : cannot turn food readily with tongue ; sore on labia majora.
On turning eye to left : coldness in under half of right eye.
Linear pain : from or near eye backward.

Sensations

A seething feeling as of hot water or hot oil running through all veins of the body, all night long ; as if going insane or about to be paralyzed ; a far-away feeling, with apathy ; as if head were pulled back by weight ; as if blood went to right inner
canthus and temple and could get no farther ; as of sand in eyes ; as if right eye were open wide and cold air blowing on it ; fluttering as of something alive in teeth ; as of a worm in tooth ; as if teeth had gotten out of place ; distress as if in
omentum ; as if rectum were tied up with strictures ; as if urethra were stuffed up or clogged ; as if sternum were being drawn toward dorsal vertebræ ; as if she would suffocate with cough ; as if skin were drawn up in centre of chest on drawing head back ;
coccyx as if swollen ; as if toes of r. foot were disjointed ; like growing pains in limbs ; as if bones were sawed ; palms and soles as if punctured by needles ; as of throat tearing to pieces ; as if top of head were coming off ; as if teeth were
loose ; as of a nervous chill commencing in anus and running down legs ; as if bitten by bugs.
Pain : in eyeball ; in right upper jaw ; deep in abdomen ; in r. groin ; across small of back ; in larynx and bifurcation of bronchia ; in region of kidneys ; in sacrum ; in coccyx ; in long bones of legs ; in joints ; in
periosteum and bones.
Excruciating pain : over right eye ; in cancer on right malar bone ; in spermatic cord ; in lower extremities ; in joints, with arthritis.
Lancinating : in occiput ; in groin ; in heart.
Cutting : across base of cerebellum ; in left ovary during coitus ; in muscles of loins.
Bursting : in vertex.
Tearing : in hip and thighs ; throughout body.
Gnawing : in right side of face and in nose.
Crushing : across base of cerebellum.
Piercing : over right eye.
Shooting : in right eye ; from around eye into eye ; in region of uterus.
Incisive thrusting pain : in right ear.
Boring : in right eye ; in ears.
Sticking soreness : in throat.
Pricking : in chancre ; in palms and soles.
Darting : in ovarian region.
Neuralgic pains : in right side of head, face and eye.
Rheumatic pain : in shoulder joint and insertion of deltoid ; in right instep and below inner malleolus.
Burning : in nose ; in ulcers in mouth ; in chancre ; from fauces to stomach pit ; in right instep and below inner malleolus.
Aching : in pelvis and extremities ; in tibia ; in eyes ; in eyeball ; in teeth ; in genitals ; from base of neck to brain ; in lower limbs ; in shoulders and knees.
Sore aching : in ovarian region.
Soreness : in head ; as if beaten in right half of head ; in nose ; in mamma ; of chest ; in soles.
Smarting : in eyes ; in ulcers in mouth.
Biting : in skin in different parts of body.
Rawness : from fauces to stomach pit.
Choking : from fauces to bifurcation of bronchia.
Scraping : from fauces to stomach pit.
Dragging : in rectum ; in lumbar region.
Drawing pain : in eyes.
Pulsating pain : at outer end of superior border of right orbit.
Throbbing : in temple and ears ; in throat.
Pressing : over right eye ; under sternum.
Dull pain : over backs of feet to toes.
Tired pain : in limbs.
Cold pain : in legs.
Contraction : in soles of feet.
Stiffness : in lumbar region.
Numbness : in palms and soles.
Full feeling : in face, throat and head.
Heaviness : in head ; in base of brain ; in lumbar region.
Weight : in occiput.
Sinking sensation : in chest.
Heat : in outer half of left eyelids ; in hypogastric region.
Coldness : in inner half of right eye.
Itching : in left inner canthus ; inside of nostrils ; of anus ; in orifice of urethra ; of female genitals ; between toes.

Tissues

Shifting pains of a rheumatic character obliging a repeated change of position and posture. n.
Pains commence at 2 P. M., gradually increase until they reach their acme at 9 P. M., continuing exceedingly acute until 3 or 4 A. M. ; subsiding with daybreak.
Pain more particularly < in, or confined to, muscles and joints of lower limbs, for four or five weeks, then they seemed to go to periosteum and bone itself, becoming deeper and more profound. n.
Pains produce two sensations, an external one which seems to lie in muscles and joints and an internal one which is deeper and much more unbearable, so much so that it seems by its profound nature to control external ones and to cause them to disappear, afterward reappearing intensified
in external sensation. n.
Pains in limbs every night after midnight, weary, tired pains, making rest impossible, could lie nowhere without suffering in part on which he rested ; < in lower limbs ; much perspiration which partly relieved. θ Rheumatic
fever.
Rheumatic neuralgic pains in all muscles, even in cremaster, not in joints ; darting pains in irregular attacks, sometimes lasting a week or two ; pains gradually increase and decrease ; < in damp and especially in frosty weather ; < at 4 or 5 P. M., attain
their height at 2 or 3 A. M., ceasing about 8 A. M. (improved).
Rheumatism with sweating of hands, wrists and legs below knees and feet, with great soreness of soles, < at night.
Extreme emaciation. θ Psoas abscess. θ Infantile
syphilis. θ Caries and curvature of cervical vertebræ.
Though 17, looked 12, was so reduced and dwarfed ; great attenuation of soft parts throughout, spare and hollow ; confined to couch for about three years and for one year scarcely off his back ; after disappearance of pustular eruption a
gradual rigidity of all joints ensues and all flexors seem to become contracted and shortened ; this causes inability to close fingers on a fork, knife or spoon, and a partial inability to lift foot in order to step up stairs, except with great difficulty, by using a cane and only a
step up or down at a time.
Peculiar disagreeable odor from body.
Adenitis, leaving almond-shaped kernels of varying sizes abundant about neck.

Touch. passive motion. injuries

Touch : tibia sensitive ; os uteri sensitive.
Pressure : pain in spot on middle of right thigh in front < ; of teeth together > pain ; throat better.
Sunstroke : headache.

Skin

Pustular eruption on different parts of body ; in patches on certain places, particularly on wrists and shins, where bones are nearest cuticle, and isolated other large pustules on other parts, these break, discharging an ichorous fluid for one or two days, then heal,
leaving characteristic pockmark cicatrice ; patches take longer to heal, discharging same fluid till healing process commences.
After healing of chancre a fresh pustular eruption appears on different parts of body, which, when pustules have discharged an ichorous liquid and healed up, leaves fresh, coppery pockmarks ; Medorrhinum removed it permanently causing it to turn yellow-brown, dry at edges and scale
off, leaving skin permanently clear and free.
Biting sensation in different parts of body, as if bitten by bugs, at night only.
Syphilitic rash, very prominent on forehead, chin, arms and front of thorax, an abundance of fine scales peeling off ; large prominent spot on centre of forehead, filled with fluid, as also are some smaller patches. θ Secondary
syphilis.
Syphilitic bullæ discharging freely on cheeks, under chin, on back of shoulders, on scalp and other parts of body. θ Infantile syphilis.
Maculæ over back, chest, abdomen, arms and legs, but not on any uncovered part of body. θ Secondary syphilis.
Several elevated spots on arm, stomach, leg and finger ; has them habitually on face, chiefly on left cheek.
A blood-boil on arm ; face broken out with a lumpy fiery rash.
Eruption over whole body not elevated, but could be distinctly felt by passing hand over skin ; after Syphilinum 1m eruption came rapidly to surface ; at same time a disagreeable odor began to be developed ; eruption reddish-brown like smallpox pustules, without central
depression ; body covered with it, except scrotum and penis ; increased, completely covering inside of mouth and throat, making it difficult to swallow even liquids ; eyes also covered, making him completely blind ; intolerable smell from body ; tips of pimples
became filled with pus ; < from warmth of bed ; fetid breath ; eruption developed still more, a great quantity of pus, with intolerable itching, yet could not scratch as it was extremely sore ; eruption left skin of entire body covered with dull, reddish,
copper-colored spots, which in cold looked blue. θ Secondary syphilis.
Copper-colored maculæ from crown of head to sole of foot. θ Secondary syphilis.
Pemphigus looks like a pock, often confluent, and persistently reappears.
Skin is bluish.

Stage of life, constitution

A boy, æt. 20 months ; papular eruption.
A boy, æt. 4 1/2 ; syphilitic prurigo and herpes.
A boy, æt. 10 ; destruction of tissue in hard and soft palates.
Girl, æt. 10 ; enlarged cervical glands, and warts in neck (Syco-syphilinum) ; hereditary syphilis.
Though 17, looked 12, emaciated ; syphilitic eruption ; affection of joints.
A young lady, blood-boil on arm, lepra-syphilis after vaccination.
A woman, æt. 29, delicate from a child ; ozæna syphilitica.
A woman, æt. 40 ; facial paralysis.
Man, æt. 48, robust, weight 250 lbs., height 5 feet 9 inches ; rheumatism.
A man, syphilitic ; osteosarcoma on tibia.
A bookkeeper, chronic syphilitis ; headache.
A man ; aphasia with hemiplegia.
Mrs. ---, suffering from diabetes mellitus, subject to rheumatism in rainy weather ; rheumatic ophthalmia.
Mr. Y., nocturnal syphilitic neuralgia.
A man, æt. 60 ; syphilitic destruction of hard and soft palates.
A man, æt. 76 ; aphasia and debility.

Relations

Compare : Aurum, Mercur., Kali jod . and other anti-syphilitics.

Lectures on Homoeopathic Materia Medica

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

Lecture

Whenever the symptoms that are representative of the patient himself have been suppressed in any case of syphilis, and nothing remains but weakness and a few results of the storm that has long ago or recently passed, this nosode will cause reaction and restore order and sometimes do much curing, and the symptoms that must always be present, that represent the disordered state of the economy will appear to guide to a restoration of health.

When a syphilitic patient has suffered from a course of typhoid he may be very slow in convalescing, but a single dose of Syphilinum high will cause him to eat and feel stronger and gain rapidly.

How does the old school treatment of syphilis differ from barbarism? one might well ask. The strong drugging by Mercurius and iodides so debilitate that all who pass through are invalids and weak; even then they are not cured of syphilis - if they were cured we could not cause to come back the symptoms that have been removed.

Syphilinum often does bring back the ulcers in the throat and the eruptions. When there are violent neuralgias of the head, in sides of head and over the eyes, great soreness in bones of legs and head, and the multitude of symptoms of nerve syphilis all nondescript, then it is that the patient will be made free from suffering, and given sleep, strength and appetite.

But the ulcers and eruptions will come back in some cases, and it is all the better if they do. It is by no means limited to patients who have had syphilis. It can be used like any remedy against the symptoms of the provings, or such as are similar to symptoms common to the disease or against the symptoms like the numerous verified clinical symptoms.

Many symptoms are worse at night in bed, many come on in the evening and last till morning. From sundown to sunrise marks the time of many violent pains and sufferings. Some are better from heat, and some are better from cold air and cold applications, There is great prostration in the morning on waking. It has cured many cases of epilepsy. Epileptic convulsions after -menses. Sleeplessness, sometimes only one-half of the night, again the whole night. The blood feels hot flowing through the arteries during the night.

Wandering pains here and there all over the body. Pain in the periosteum, nerves and joints. Pains sometimes increase gradually and decrease gradually. Sharp pains here and there. Complaints worse in the cold weather of winter and heat of summer. Extreme emaciation. Abscesses. Paralysis of limbs. Caries of bone. Curvature of spine. Gummata. Dwarfish children. Curvature of bones. Enlarged glands. Offensive odor of the body. Soreness to touch in many parts, especially bones. It has often been observed that in syphilized invalids remedies act but a few days and must be changed.

This always calls for the nosode, when there is only great weakness and few symptoms it will act well.

When there is ulceration of legs, throat, mouth or other parts with no repair. Fistulous openings, exostoses, fissures, tubercles and warts have been cured promptly. When it has been used against the primary manifestations of the disease and in the earlier phenomena it has generally resulted in failure. It is seldom the best remedy for syphilis per se, but for marked and suppressed syphilis it seems to restore a sort of order and bring better reaction.

The author has many times observed that gummata in throat and anus will take on destructive ulceration in old broken down cases after Sulphur has been given, and that Syphilinum will restrain it and establish repair.

Sulphur often produces prolonged aggravation when there are many tissue changes in advanced cases of syphilis. Such changes are most likely gummata. The effort of Sulphur is to remove the results of disease, which the patient cannot stand. It often causes suspicion of latent syphilis when such aggravations are very severe after Sulphur high. Sulphur low will not be followed by such results. After such prolonged aggravations Syphilinum should be considered. Latent syphilis often exists where it is least expected. This nosode should be used only in high potencies.

Mind

Forgetful. Weak minded. Laughing and weeping without cause.

He cannot remember faces, names, dates, events, books or places. He cannot calculate. Despair of recovery. Melancholia. Fears he is going insane. Imbecility. Indifferent to his friends, and feels no delight in anything.

Dreads the night and dreads the morning, as the weakness and soreness are worse on waking. He always says he is not himself and he cannot feel like himself. A middle-aged man who had suffered many years from latent syphilis abandoned his business and remained at home lamenting and sad. His wife supported the family by keeping boarders.

After receiving a few doses of Syphilinum he took on new energy and became industrious and prosperous. Much vertigo. Aphasia. In some of these cases of brain syphilis. Sulphur and Causticum have caused prolonged suffering and weakness. Syphilinum will act favorably.

Head

Syphilitic invalids are often sufferers from violent neuralgic headaches.

Violent pains in sides of head, forehead or temples. Pain from temple to temple, from ear to ear, one eye to occiput; supraorbital pains. Pain sometimes ameliorated by warmth. Bursting pains; fullness of head.

Maddening pains all night, causing sleeplessness. Headache and delirium. Neuralgia of head beginning at 4 P- M., growing gradually worse until midnight and then gradually better, ceasing at daylight. Great soreness of the pericranium. Many pains are confined to a direct line and are called linear headaches. Violent crushing pains in occiput. Stupefying headaches in the forehead or occiput. Cutting pains in occiput.

Headache through the temples, hence vertically, like an inverted letter T. Headaches involving the whole top of the head as if head would be crushed in. Violent pain in whole head with red face, enlarged veins of face, restlessness and sleepless nights. Aggravated nights. Tubercles all. over the scalp. Exostoses in the cranium, very sore and painful. The hair is falling out.

Eyes

Paralysis of the eye muscles is common.

Strabismus. Diplopia. Amaurosis. Atrophy of the optic nerve. The retina is pale, gray and spotted. Myopia. Iritis. Ptosis. Paralysis of the superior oblique. Chronic recurrent phlyctenular inflammation of the cornea.

Conjunctivities with ulceration. Ulceration of the cornea. Interstitial keratitis. Spots on the cornea. Left eye covered with fungus-like growth, pain intense; aggravated at night. Acute ophthalmia neonatorum when one of the parents has had syphilis. Copious purulent discharge from eyes. Lids enormously swollen. Eyes cannot be opened because of swelling. Iritis with intense pain at night, and photophobia. Pain in eye from sundown to sunrise. Scalding tears.

Ears and nose

Sharp pains in ear.

Purulent watery discharge from ear. Caries of mastoid. Paralysis of auditory nerve. Calcareous deposit on tympanum.

This remedy has cured many cases of offensive green or yellow discharge from nose in children with specific history. Dryness of nose; obstructed at night. Frequent attacks of coryza. Always taking cold in nose. Syphilitic ozaena. Bones of nose destroyed by caries and nose depressed. The whole nose destroyed by ulceration. Epistaxis from ulcers. Hard plugs in nose.

Face

Neuralgia of face.

Paralysis of one side of face. Tubercles and copper-colored eruption on face. It has palliated cancerous ulceration of face. Scabby eruption on face. It has cured rupia on the cheek. Papules and pustules.

The lips are fissured and ulcerated. Ulcers on chin, lips, and wing of nose. Wing and side of nose eaten away by an ulcer. It has cured many cases of lupus of face.

The teeth are deformed, distorted, spotted; decay early; cup shaped in children. Violent pain in teeth, Crawling in the roots of the teeth, like a worm.

Mouth and tongue ulcerated. Breath foetid. Tongue soft, spongy, easily indented in persons who have long taken Mercury. Paralysis of tongue, one-sided. Tongue red, excoriated, cracked and sore. Patches on tongue. Denuded patches. Red spots. Copious viscid saliva in mouth. Ulceration of soft palate. Caries of hard palate. Soft palate entirely destroyed. Bleeding from ulcers.

Throat studded with ulcers. Inflammation of throat and tonsils. Soft palate swollen and nodular. Post nasal catarrh and ulceration. Posterior nares plugged with crusts. The appetite is perverted. Longing for strong drink. Thirst.

Aversion to food, to meat. No desire to eat. All food disagrees. Flatulence. Heartburn; nausea; vomiting. Ulceration of stomach.

Rectum and genitals

The rectum is the-seat of many symptoms and conditions.

Ulceration, fissures, piles; nodules, gummata, copious bleeding; cutting, burning pains. Condylomata. Constipation. Paralysis of rectum; prolapsus of anus. Relaxed protruding rectum.

This nosode has cured nodular formations in testes, spermatic cord and scrotum. It has cured herpetic eruptions on prepuce and scrotum. Induration of testes and spermatic cord.

Nodular formations in vagina and labia. Ulceration of os uteri, Induration of cervix uteri. Copious yellow-green leucorrhoea. Leucorrhoea in little girls, of specific history, acrid water, leucorrhoea aggravated nights from warmth of bed.

Pain in ovaries during the night. Itching in the vulva. Sharp pains in uterus. Cystic ovaries. Ovarian tumor. Cutting pain in ovary during coition at moment of orgasm. Uterine and ovarian complaints when there is a specific history.

Larynx and chest

Ulceration of larynx and loss of voice.

Aphonia before menses. Continuous sharp pain in larynx from evening to sunrise every night compelling him to walk the floor all night cured by Syphilinum very high, one dose.

Asthma in warm damp weather during night. Dyspnoea. Attacks of spasmodic bronchial asthma for twenty-five years; at night in bed ot during a thunderstorm, preventing sleep for many nights. Dyspnoea from I to 4 A.M.

Cough at night. Dry rasping cough during the night. Rawness in chest. Thick purulent expectoration. Dry cough from lying on right side. Mucopurulent expectoration, grayish, greenish, greenish-yellow, tasteless. Clear white mucous expectoration. Rattling in the chest. Pain and pressure behind the sternum. Eruptions on the chest.

Spine and limbs

Rheumatic stiffness and lameness in back.

Aching in whole spine. Pain in region of kidneys, aggravated after urinating. Pain in sacrum, aggravated while sitting. Caries of cervical and dorsal vertebra. Enlarged glands of neck. It has cured indurated cervical glands. Pain in back, hip and thighs during the night. it has cured Hodgkin's disease.

Inflammation of joints. Rheumatism, muscles are caked in bard knots or lumps. Pain in limbs ameliorated by heat, aggravated from sunset to sunrise. Stiffness of all the joints. Rheumatic pains and swelling of joints of upper limbs. Rheumatism of deltoid, painful on raising the aim. Pains in arms on motion. Ulcers on back of hands.

Nightly pain and swelling in legs. Pains. in lower, extremities, preventing sleep, aggravated from hot applications, ameliorated by pouring cold water on them. Weakness in knees and hips.

Severe bone aches in legs at night in bed. Pain in back of feet and toes at night in bed. Pains often aggravated in warm bed at night. Pains drive him out of bed at night. Tearing in hip and thigh, aggravated during night, ameliorated at day-break, ameliorated by walking, not affected by weather (improved by Syph.), Ulcers on the legs.

Large crusts on the legs. Tubercles on the lower limbs. Tension of the tendons of the legs and soles. The extremes of cold and heat often bring out the symptoms of these old sufferers. Neuralgia of limbs gradually, increasing, aggravated as the night goes on. Extreme sensitiveness of the tibia.

There are fevers, chilliness, but the night sweats and great weakness are striking.

The eruptions are numerous, but may be studied better by consulting the numerous works on syphilis, as this is not a study of the disease, but the nosode.