Tabacum tab.

Boger's Synoptic Key — Materia Medica

C. M. Boger · Boger's Synoptic Key — Materia Medica · A Synoptic Key of the Materia Medica, 1915 — the Materia Medica half

Region

Nerves: Cerebro-spinal. Vagus. Sympathetic. Ganglia. HEART. GLANDS. SECRETIONS.

Worse

MOTION; of riding. Lying on left side.

Better

Cold; fresh air. Twilight. Uncovering abdomen.

General

Relaxing irritant; causing prostration, free secretions and exciting muscles of hollow organs. Cramp, then paralysis; of bowels, heart, etc. Paroxysmal or jerky effects. Stormy, dangerous cases, with rapid changes. Pains, < from heat. Faintness; slides down. Tremor.

Particulars

Morose, despairing and wretched or indifferent. Confusion. Mental fag. Excessive vertigo; with copious sweat (cold), < opening eyes. Retina retains images too long. Deathly pale, pinched look. Retracted lips. Spasm of lower jaw. Tetanus. Much spitting; with complaints. Clutching about throat. Deathly nausea and violent vomiting; < least motion; with much spitting. Retching. Pregnancy. Seasickness. Acidity. Sinking at epigastrium. Wants abdomen uncovered. Heaviness in r. abdomen. Colic; with weakness. Involuntary choleraic or thick, curdled, watery stool; like sour milk. Ileus. Dribbling urine. Renal colic. Emissions. Impotency. Constricted chest. Asthma. Twisting about heart. Angina pectoris; with nausea, cold sweat and collapse. Unsteady heart beat. Backache, < lying > walking. Fuzzy fingertips. Nightmare. Icy cold skin. Thready, intermittent pulse. Cold legs. Heat; of one cheek; down spine; internal. Sudden cold sweats; with chills; in renal colic, angina pectoris, etc.

Related

Complementary: Op. Related: Ars. Gel. Ver-a.

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

Diseases originating in cerebral irritation followed by marked irritation of functions of vagi. Emaciation of cheeks and back. Complete prostration of entire muscular system. Sensation of excessive wretchedness. Icy coldness of surface; covered with cold sweat. Symptoms occur in paroxysyms - asthma, sick headache, vertigo, sneezing. Great despondency with indigestion, palpitation, intermittent pulse. Vertigo: death-like pallor, increases to loss of consciousness; relieved in open air and by vomiting; on rising or looking upward; on opening the eyes. Sick headache coming on in early morning, intolerable by noon, deathly nausea, violent vomiting; < by noise and light; periodical, lasting one or two days. Sudden pain on right side, of head as if struck by a hammer or a club. Dim-sighted: see as though a veil; strabismus, depending upon brain troubles. Amaurosis, from atrophy of retina or optic nerve. Face pale, blue, pinched, sunken, collapsed, covered with cold sweat (cold sweat on forehad, Ver.). Nausea: incessant, as if seasick; vomiting, on least motion; with faintness; > in open air. Vomiting: violent, with cold sweat; soon as he begins to move; during pregnancy, when Lactic acid fails (Psor.). Seasickness; deathly nausea, pallor, coldness; < by least motion and > on deck in fresh, cold air. Terrible, faint, sinking feeling at pit of stomach. Sense of relaxation of stomach with nausea (Ipec., Staph.). Child wants abdomen uncovered; relieves nausea and vomiting; coldness in abdomen (Colch., Elaps, Lach.). Constipation: inactive bowel or paralysis of rectum; spasms of sphincter; prolapsus ani; of years' standing; herpes of anus. Diarrhoea: sudden, yellowish, greenish, slimy; urgent, watery; with nausea, vomiting, prostration and cold sweat (Ver.); with extreme faintness; from excessive smoking. enal colic: violent spasmodic pains along ureter left side (Berb.); deathly nausea and cold perspiration. Palpitation: violent when lying on left side; goes off when turning to the right. Pulse: quick, full, large; small intermittent, exceedingly slow; feeble, irregular, almost imperceptible. Hands icy cold, body warm. Legs icy cold, from knees down; trembling of limbs.

Relations

Antidotes, for abuse of tobacco, are: Ipec., for excessive nausea and vomiting. Ars., for bad effects of tobacco chewing. Nux, for the gastric symptoms next morning after smoking. Phos., palpitation, tobacco heart, sexual weakness. Ign., for annoying hiccough from tobacco chewing. Clem., or Plant., for tobacco toothache. Sep., neuralgic affections of right side of face; dyspepsia; chronic nervousness, especially in sedentary occupations. Lyc., for impotence, spasms, cold sweat from excessive smoking. Gels., occipital headache and vertigo from excessive use, specially smoking. Tabaccum, potentized (200 or 1000) to relieve terrible craving when discontinuing use.

Amelioration

Open, fresh, cold air; uncovering.

Key-Notes to the Materia Medica

Henry N. Guernsey · Key-Notes to the Materia Medica · homeoint.org / Médi-T HTML text (Guernsey d. 1885; public domain)

Generalities

Sudden breaking out with cold, clammy perspiration; much nausea. Leucorrhœa of serous liquid after the menses. Face pale, collapsed, cold sweat on.

Mental

Excessive vertigo; mental faculties much impaired; cannot read or study; sufferings from abuse of tobacco; sudden attacks of extreme faintness. Feeling of oppression around cardiac region. Uncovering the abdomen relieves the nausea and vomiting. Collapse. Coldness of legs from knees to toes; warm body, cold hands. Feeble, irregular pulse.

Stool

Diarrhœa of yellowish or greenish slime; from smoking too much.

Better

In open air.

Seven Hundred Red Line Symptoms from Materia Medica

J. W. Hutchison · Seven Hundred Red Line Symptoms from Materia Medica · rewritten from Hering's and other materia medicas

Red line symptom

Vertigo with qualmishness, better outdoors, worse indoors. Death-like paleness of the face, with sick stomach. Icy coldness from the knees to the toes. Icy coldness, cold sweats and intermittent pulse. Violent pain in small of back, during soft stool, with tenesmus and burning.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Tobacco

General

The symptomatology of Tabacum is exceedingly well marked. The nausea, giddiness, death-like pallor, vomiting, icy coldness, and sweat, with the intermittent pulse, are all most characteristic. Has marked antiseptic qualities, antidotal to cholera germs. Complete prostration of the entire muscular system. Collapse. Gastralgia, enteralgia, seasickness, cholera infantum; cold, but wants abdomen uncovered. Vigorous peristaltic activity diarrhœa. Produces high tension and arteriosclerosis of the coronary arteries. Should prove the most homeopathic drug for angina pectoris, with coronaritis and high tension (Cartier). Constriction of throat, chest, bladder, rectum. Pallor, breathlessness, hard-cordlike pulse.

Mind

Sensation of excessive wretchedness. Very despondent. Forgetful. Discontented.

Head

Vertigo on opening eyes; sick headache, with deathly nausea; periodical. Tight feeling as from a band. Sudden pain, as if struck by a hammer. Nervous deafness. Secretion from eyes, nose and mouth increased.

Eyes

Dim sight; sees as through a veil; strabismus. Amaurosis; muscæ volitantes. Central scotoma. Rapid blindness without lesion, followed by venous hyperæmia and atrophy of optic nerve.

Face

Pale, blue, pinched, sunken, collapsed, covered with cold sweat (Ars; Verat). Freckles.

Throat

Nasopharyngitis and tracheitis, hemming, morning cough, sometimes with vomiting. Hoarseness of public speakers.

Stomach

Incessant nausea; worse, smell of tobacco smoke (Phos); vomiting on least motion, sometimes of fecal matter, during pregnancy with much spitting. Seasickness; terrible faint, sinking feeling at pit of stomach. Sense of relaxation of stomach, with nausea (Ipec). Gastralgia; pain from cardiac end extending to left arm.

Abdomen

Cold. Wants abdomen uncovered. It lessens the nausea and vomiting. Painful distension. Incarcerated hernia.

Rectum

Constipation; rectum paralyzed, prolapsed. Diarrhœa, sudden, watery, with nausea and vomiting, prostration, and cold sweat; discharges look like sour milk, thick, curdled, watery. Rectal tenesmus.

Urinary

Renal colic; violent pain along ureter, left side.

Heart

Palpitation when lying on left side. Pulse intermits, feeble, imperceptible. Angina pectoris, pain in præcordial region. Pain radiates from center of sternum. Tachycardia. Bradycardia. Acute dilatation caused by shock or violent physical exertion (Royal).

Respiratory

Difficult, violent constriction of chest. Præcordial oppression, with palpitation and pain between shoulders. Cough followed by hiccough. Cough dry, teasing, must take a swallow of cold water (Caust; Phos). Dyspnœa, with tingling down left arm when lying on left side.

Extremities

Legs and hands icy cold; limbs tremble. Paralysis following apoplexy (Plumb). Gait shuffling, unsteady. Feebleness of arms.

Sleep

Insomnia with dilated heart, with cold, clammy skin and anxiety.

Fever

Chills, with cold sweat.

Modalities

Worse, opening eyes; evening; extremes of heat and cold. Better, uncovering, open fresh air.

Relationship

Compare: Hydrobromic acid; Camph; Verat; Ars. Compare: Nicotinum (Alternate tonic and clonic spasms, followed by general relaxation and trembling; nausea, cold sweat, and speedy collapse; head drawn back, contraction of eyelids and masseter muscles; muscles of neck and back rigid; hissing respiration from spasm of laryngeal and bronchial muscles).

Antidotes

Vinegar; sour apples. Camphor in the physiological antagonist. Ars (chewing tobacco); Ign; (smoking); Sep (neuralgia and dyspepsia); Lycop (impotency); Nux (bad taste due to tobacco); Calad and Plantag (cause aversion to tobacco); Phosph (tobacco heart, sexual weakness).

Dose

Third to thirtieth and higher potencies.

Text Book of Materia Medica

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

Mind and Disposition

Cheerful, merry, loquacious. Great restlessness, anguish, melancholy.

Head

Vertigo, with qualmishness of the stomach.

Face

Death-like paleness of the face, with sick stomach. Heat and redness of the left cheek (towards evening). The right cheek glowing, the other pale. Violent tearing in the (right) facial bones and teeth.

Stomach and Abdomen

Qualmishness, nausea, vomiting, as soon as he begins to move. Feeling of coldness in the stomach, with nausea. Painful retraction of the navel ; contraction of the abdominal muscles. Pressure, heaviness, or stitches in the liver.

Stool and Anus

Shifting of flatulence, formed by sadden, papescent, yellow-green or greenish, slimy stools, with tenesmus.

Respiratory Organs

Cough and hiccough at the same time ; or hiccough after every paroxysm of hooping-cough.

Extremities

Upper. Coldness and trembling of the limbs. Cramps in the hands and arms. Lower. Cramps from the toes to the knee.

Fever

Pulse full, hard, and rapid, or small, imperceptible, intermittent, slow. Icy coldness of the legs from the knees to the toes. Icy coldness of the legs with heat to the body. Viscid cold sweat, with intermitting pulse. Cold sweat, in the hands, on the forehead and face.

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

Nicotiana tabacum. Tobacco. N. O. Solanaceæ. Tincture of the fresh leaves collected before the flowers are developed.

Clinical

Amaurosis . Anæmia. Angina pectoris. Anus, prolapse of. Apoplexy. Asthma. Backache. Brain, anæmia of. Brain-fag. Catalepsy. Cholera. Cholera infantum. Colour-blindness. Constipation. Diarrhœa. Epilepsy. Freckles. Glands, enlarged. Heart, intermittent. Hernia. Hiccough. Idiocy. Leg, jerking of. Lip, cancer of. Masturbation, effects of. Ménière's disease. Œsophagus, stricture of. Optic neuritis. Pregnancy , pruritus of; sickness of ; toothache of. Prostatorrhœa. Pruritus. Pyrosis. Rectum, paralysis of; stricture of. Sea-sickness. Speech, embarrassed. Strabismus. Tetanus. Toothache. Varicocele.

Characteristics

Nicotiana tabacum received its specific name from Jean Nicot, French ambassador to Portugal, who was the means of introducing the tobacco plant into France about 1560. When Columbus and his followers landed in Cuba in 1492 the practice of smoking tobacco was in common use among the natives throughout the island, and also throughout the continent of America. On their return to Spain the practice rapidly spread throughout the Peninsula. Sir Walter Raleigh and his companions introduced the practice into England in 1586. From that time the cultivation, manufacture, and use of tobacco, either by smoking, snuffing, or chewing, rapidly became universal. The symptoms of the pathogenesis are composed partly of provings made by Lembke, Schreter, and others, and partly of poisonings and over-dosings. Several instructive articles on tobacco appeared in the Homœopathic News of 1897, from the pen of M. E. Douglass, then practising at Danville, Virginia, in the midst of tobacco plantations. His third article (July, 1897) was devoted to the "medicinal uses" of Tobacco; and it seems that it is regarded as a perfect panacea by the Virginians for diseases of men and cattle. One use he mentions is as a palliative for bee-stings and mosquito-bites. A portion of a leaf is moistened with vinegar and applied to the part. This is interesting, as Ipec ., one of the antidotes of Tab ., has a similar reputation. Strong tobacco-juice is the most effectual destroyer of the burrowing-flea, Chigoe. For headache leaves of Tobacco are moistened with vinegar or camphor solution, and applied to the forehead and nape. The pain is allayed and sleep induced. The local application over the pit of the stomach relieves nausea. Douglass made in involuntary proving on himself when about twenty. He was attending an evening writing-class, when a class-mate gave him a bit of tobacco to chew, and he put it in his mouth. In a few minutes the bell rang and he took his seat, after first removing the tobacco. He soon began to feel dizzy, and could not distinguish his copy; the letters danced all over the page; a cold perspiration broke out on the forehead, and extended all over the body. He felt a deathly nausea at his stomach; his hands trembled so that he could not hold pen to paper. He felt so weak and faint he feared he would fall out of his seat. His desk-mate helped him out of the house into the cold air , and gave him a sour apple , bidding him eat it. It did not seem possible, but he finally tried, and was so much relieved that he ate it all. In half an hour he was able to return to the class, but was so weak and tremulous, he did not attempt to write. The nausea was the first symptom to disappear, then the cold perspiration. The dizziness, trembling, and excessive weakness did not entirely leave till next day. Since then Douglass has used small doses of vinegar in acute symptoms of nicotine poisoning, either chewing or smoking, with excellent results. Nothing, he says, relieves the sensation of constriction of the œsophagus (in his own case the symptom was a very disagreeable one, "as of a hand clutching the throat") so quickly as vinegar. One of Douglass's patients, a young man in good health, who was very fond of cigars, was certain, if he smoked two in an evening, to have an emission on the same night, sometimes with, but oftener without, dreams. Next day he was prostrated, hypochondriacal, tongue furred with a thick, fuzzy, yellow coat at base; and dull, occipital headache. Prostatorrhœa and impotence are also among the effects of Tab . The constrictive sensation is not confined to the throat; it affects the rectum, bladder, and chest. There is violent rectal tenesmus; and there is also paralysis and prolapsus ani. The vesical sphincter is paralysed, there is debility of urine, and enuresis. Two of Lembke's provers, students accustomed to smoke and drink coffee and beer, had incontinence of urine; in one the quantity of urine was not increased, but it was "passed more frequently, and dribbled away involuntarily, with slight itching of urethra in the case of the other the urine was increased, pale, and he "had to pass it several times in the night, almost amounting to incontinence." The power of Tab . to paralyse sphincters and also morbid constrictions accounts for its traditional use in cases of strangulated hernia and obstruction of the bowels, which has been confirmed in homœopathic practice. Renal colic comes under the same heading. The same pair of opposites ─ relaxation and constriction ─ are seen in the weakness and paralysis on the one hand, and the convulsions on the other. All shades of nervous tremors, faintings, cramps, jerkings, and restlessness are noted, and it is by its power of antidoting these conditions that Tab . holds its place in society. "After an unusually vexatious day," says Douglass, "when I am in that unpleasant condition of mind when it seems as though the slightest word would cause an outburst of passion, nothing else does me quite so much good as a smoke." This is a central nervous action, and if too much indulged leads to degeneration of nerve tissue, as seen in tobacco-blindness. Tab . also produces a condition like brain-fag; inability to concentrate thoughts; this may even go on to a state of idiocy. Silly talking in boys. A curious state was induced in Mr. Harrison ( C. D. P .), who slept in the cabin of a sloop, the cabin being full of large packages of tobacco. His sleep was harassed by wild and frightful dreams, and he suddenly awakened about midnight, bathed in a cold dew, and totally unable to speak or move. He knew perfectly where he was, and recollected what had occurred the day before; but could not make any bodily effort whatever, and tried in vain to get up or change his position. "Four bells" was struck on deck, and he heard the sounds (though rather, it seemed, through their vibrating in his body than by the ears); and he was conscious of other things that occurred ─ so he was not dreaming. At length be became totally insensible for a time, till a roll of the ship roused him, and he awakened and got on deck. His memory was totally lost for a quarter of an hour; he knew he was in a ship, but nothing more. While in this state he saw a man drawing water, and asked him to pour a bucket on his head. This was done, and all his faculties were instantly restored; and he acquired a most vivid recollection of a vast variety of ideas and events which seemed to have passed through his mind, and that had occupied him during the time of his Supposed insensibility. ─ The nutrition is profoundly influenced by Tab ., and it probably retards growth in children. It produces a deathly sinking and craving at the stomach, and it is no doubt by virtue of this, acting homœopathically, that Tab . enables persons who cannot have proper meals to endure starvation better than they otherwise would. Decaisne ( C. D. P .) observed the effects of smoking on youths, aged from 9 to 15. Among the effects were: Bruit in carotids and diminution of red corpuscles of the blood. Palpitation. Deficient digestive power. Sluggish intellect. Craving for alcoholic stimulants. Epistaxis. Ulcerated mouth. "The younger the boy, the more marked the symptoms; the better fed suffer least." "Rapid emaciation, especially of back and cheeks" has been noted among the effects. Tab . has a number of backaches, and some are peculiar. C. M. Boger ( Hahn. A ., xxxviii, 41) cured this with Tab . cm: Backache persistent; < lying down, > walking; history of anginoid attacks. in cases of cholera, sea-sickness, sickness of pregnancy, renal colic, strangulated hernia, &c., the keynote symptoms are: deathly nausea, pallor, coldness; icy cold surface, covered with cold sweat; vomiting violent, as soon as he began to move, > on deck and in fresh air. Terrible faint, sinking feeling at pit of stomach. Terry cured a case of sea-sickness with heat along spine from nape down; cold sweat; then vomit. He also cured a case of Ménière's disease with a feeling as if sea-sick. A keynote symptom of much importance in many abdominal cases is: > by uncovering abdomen . Child wants abdomen uncovered; it > nausea and vomiting. There may be coldness of the abdomen at the same time. Tab . produces a number of skin affections, notably pruritus. Teste cured with it several cases of freckles; he repeated the remedy and gave it for weeks at a time: "A country girl had her face and hands covered with freckles, two-thirds of which disappeared completely [under Tab .] in summer, the season in which they are most frequent and obstinate." Burnett told me that an infusion of tobacco is a popular German remedy for scrofulous glands. Cooper gives as in indication, "intermittent heart in old people." E. T. Blake ( H. R ., ii. 68) records a case of rheumatism with rigid joints and spinal insomnia in a lady, 40, who had been heavily drugged with narcotics before he saw her. "Whenever she composed herself for sleep, just as she was lapsing into unconsciousness, the knees would attempt to fly up towards the chest with an abrupt jerk, tearing painfully at the acetabular adhesions." Other symptoms were: sweating, impaired memory, hypochondriasis, drumming in the ears, facial as well as crural clonus, white tongue, epigastric sinking, alternating with nausea and flatulence, heart action increased by day, diminished down to severe fainting during the night. Tab . 12 gave three hours' refreshing sleep the first night, more the second, and after the third the leg-jerk departed for good. C. W. ( H. W ., xxvi. 207) was troubled with spasm of lower jaw, < out of doors. No remedy did good till he remained one evening with two friends who were smoking, and got himself well saturated with the smoke. That cured him. Slight subsequent returns were always removed by Tab . J. W. Scott ( H. P ., xvi. 420) observed a case of epileptiform convulsions brought on by tobacco. For five months the patient had two attacks weekly, and they grew worse in spite of treatment till the tobacco was discontinued. Sensations are: Sensation of excessive wretchedness. As if struck by a hammer on right side of head. As if a band round head. As if brains were being bored out. As if black dots filled visual field. As if ears were closed. As of a plug in œsophagus. As if throat gripped by a hand. As if sea-sick. As if stomach were relaxed. As if chest too tight. As if a crowbar were twisted round heart. The symptoms are: > Uncovering abdomen. < By pressure. < Motion of vessel. < Lying; > walking. Lying on left side = palpitation. Motion (even least) < . Coughing = hiccough; stitches in pit of stomach. Rising < . < Morning: vomiting; diarrhœa; sickness of pregnancy; cramps in fingers. Thirst < night. Sight < evening. > In open air; (ear symptoms < ). > Cold affusion to head. < Indoors. Symptoms come in paroxysms; are periodical. < By stimulants. Weeping > . Vomiting > . Music pains in ears.

Relations

Antidoted by: Vinegar, Sour Apples, Camph., Coff.; Ipec. (primary effects: vomiting); Ars. (effects of chewing tobacco); Nux (bad taste in mouth in morning, amblyopia); Phos. (palpitation, tobacco heart, amblyopia, sexual weakness); Spig. (heart affections); Ign., Puls. (hiccough); Clem. (toothache); Sep. (neuralgia in face and dyspepsia, chronic nervousness); Lyc. (impotence); Wine (spasms, cold sweat from excessive smoking). Plant. maj. has sometimes caused aversion to tobacco. Gels. (occipital headache and vertigo); Tab. 200, or 1,000 for the craving when discontinuing its use. Antidote to: Cic., Stram. Compare: Nicotinum. Cold sweat, Ver. (Ver. on forehead; Tab. all over). Coldness in abdomen, Colch., Elps., Lach. Spasmodic pains along l. ureter, Berb. Ménière's disease, Salicin. Incarcerated hernia, Aco., Nux, Op., Sul. Chills or creeps precede headache (Chel., accompany headache). Sinking immediately after meals, Ars., Cin., Lyc., Sel., Stp., Ur. nit. Hair sensation, K. bi., Sil. (Tab., in eye). Blindness, optic atrophy, Carb. s., Benz. din., Filix. m. Emissions, heart, anæmia, Dig. Retracted abdomen, Pb. Jerking of legs in bed, Meny. As if a hand clutching throat (Bell., intestines).

Mind

Gloomy melancholy. ─ Inclination to weep. ─ Anguish and inquietude, generally in the afternoon, > by weeping. ─ Restlessness, which prompts continual change of place. ─ Dislike to labour and conversation. ─ Excessive vertigo; mental faculties much impaired; cannot read or study; sufferings from abuse of tobacco. ─ Difficulty of concentrating mind for any length of time on one subject. ─ Feels as if some one were coming to arrest him, or murder him; always with singing in ears (produced ─ R. T. C.). ─ Suicidal tendency, gloomy forebodings, inclined to hang down head, breath becomes short, appetite goes (produced ─ R. T. C.). ─ Feels intoxicated, hands and feet tremble. ─ Over-excitement and great liveliness, with songs, dancing, and great loquacity. ─ The Mexican priests incite courage and bravery by means of an ointment of tobacco. ─ Abject cowardice, thinks he is going to die and is in extreme terror of death (from smoking many cigars. ─ J. H. C.). ─ Frequent laughter without cause. ─ Silly talk, cannot stop; loss of memory. ─ (Attacks of silliness; cannot help talking sillily and memory goes, blames himself for things, inclines to suicide and despair. ─ R. T. C.). ─ Idiotic; epileptic idiocy. ─ Concourse of confused ideas. ─ Cataleptic state. ─ Stupor. ─ Coma.

Head

Emptiness and confusion in the head. ─ Dizziness. ─ Vertigo, which often produces loss of consciousness, with nausea ( < indoors; > in open air), and pains in head and eyes. ─ Vertigo < on rising and looking up ─ brought on by immoderate use of cigars. ─ Giddiness in occiput. ─ Headache, with nausea and vertigo. ─ Excessive heaviness of head. ─ Pressive headache, esp. above eyes, vertex, and temples. ─ Shootings in head. ─ Headache from one temple to the other, involving orbits, or with shooting in l. eye, > from cold. ─ While passing urine, suddenly attacked with pains in head, so severe he screamed for assistance; immediately followed by vomiting. ─ Congestion of blood in head, with internal heat, and throbbing in temples. ─ Neuralgic headache, sensation as of sudden blows struck by a hammer. ─ Periodical sick-headache from fatigue or excitement. ─ Tightness in head as though a band stretched round it, disturbance of vision, tinnitus, and vertigo. ─ Headache > in the open air. ─ Burning and tingling sensation in exterior of head. ─ Trembling of head. ─ Hair falls out. ─ Formication above l. temple.

Eyes

Pain in eyes, as from much weeping. ─ Aching in eyes, extending into bottom of orbits. ─ Sensation, as if there were a hair in eye. Smarting in eyes. ─ Heat and burning sensation in eyes, with redness. ─ Contraction of the lids. ─ Pupils: dilated and insensible; irregularly dilated; contracted. ─ Amblyopia with intolerance of light. ─ Loss of sight on looking steadily at anything white. ─ Confused sight, in evening, as if looking through a veil. ─ Sees as through a fog, and hears as through cotton wool (produced ─ R. T. C.). ─ Squinting when trying to read. ─ Insufficiency of internal recti. ─ Sparks and black specks before eyes. ─ Central colour scotoma. ─ White or grey atrophia of optic nerve. ─ Optic neuritis. ─ Sudden failure of vision. ─ Tobacco-blindness commences in one eye, generally r.; sight < evening. ─ Photophobia.

Ears

Shootings in ears, esp. in open air, and when listening to music. ─ Hyperæsthesia to music and loud talking. ─ Jerking tearing in r. ear, and in front of it externally. ─ Burning heat and redness of the ears. ─ Hard reddish swelling behind (l.) ear, with shootings. ─ Ringing; roaring; rushing; humming in ears, < by loud noise or going into open air. ─ Tinnitus and vertigo. ─ Fluttering in r. ear both heard and felt.

Nose

Burning sensation and tingling in the nose. ─ Diminished power of smell, which, however, is very sensitive to odour of wine; fumes all but intoxicate her. ─ Frequent sneezing. ─ Dryness and obstruction of nose.

Face

Deadly paleness of face (during the nausea; face collapsed, cold sweat on). ─ Burning heat in face, with redness, sometimes of one cheek only, and paleness of the other. ─ Face covered with cold sweat. ─ R. cheek glowing, the other pale. ─ Red spots on face. ─ Tearings in bones of face (and teeth, in evening). ─ Pimples on cheeks, wings of nose, and corners of mouth. ─ Violent tearing in r. facial bones and teeth. ─ Granulated tuberosities on cheeks. ─ Emaciation of face. ─ Lips dry, burning, rough, and cracked. ─ Epithelioma of lip (27 per cent. in men; 1 1/2 in women). ─ Eruption on commissures of lips. ─ Lancinating pains in maxillary joint, when laughing.

Teeth

Toothache, with drawing and tearing pains. ─ Lancinations in carious teeth, when masticating. ─ Violent tearing in r. teeth. ─ Throbbing or jumping pains in teeth. ─ Drawing pain in gums. ─ Gums pale and parched.

Mouth

Dryness of the mouth and tongue, with violent thirst. ─ Tongue feels swollen. ─ Tongue: trembles; white; red; furred; dry and parched; covered with blackish-brown crust. ─ Frothing from the mouth. ─ Profuse salivation. ─ Accumulation of white, tenacious mucus in mouth and throat, which must be frequently expectorated. ─ Swelling of glands under tongue. ─ Weak, interrupted speech. ─ Drawling, monotonous style of reading.

Throat

Roughness, dryness, and scraping in throat, as from a foreign body. ─ Dry, hot, sulphur feeling in throat, with dry, parched mouth comes on after dose of Ø and remains for a week off and on, but generally < in morning after sleep (R. T. C.). ─ Throat dry, can hardly swallow. ─ Crawling and tickling in throat. ─ Swallowing very painful from spasms in throat. ─ Peculiar sensation of plug in œsophagus, with constant dull pressure. ─ Redness of fauces. ─ Burning in pharynx. ─ Accumulation of viscid mucus in throat.

Appetite

Mawkish and clammy, or bitter and sour taste. ─ Acid taste of all food. ─ Acidulated taste of water, as if it contained wine. ─ Adipsia, and dread of water. ─ Great thirst; < at night. ─ Absence of hunger and appetite. ─ Constant hunger, with nausea if nothing is eaten.

Stomach

Frequent empty and noisy risings. ─ Sour, burning risings. ─ Pyrosis. ─ Spasmodic hiccough. ─ Frequent nausea, esp. during movement, often inducing syncope, with deadly paleness of face, disappearing generally in open air. ─ Deathly nausea, with vertigo, in paroxysms, body covered with cold sweat; sea-sickness. ─ Nausea, with inclination to vomit, sensation of coldness in stomach, or pinchings in abdomen. ─ Vomiting of water only, with yellow and greenish reflection before eyes. ─ Vomiting of acid serum, often mixed with mucus. ─ Violent vomiting; easy, of sour liquid; watery, insipid, sometimes bitter in morning. ─ The vomiting is renewed by the slightest movement. ─ Stomach-ache. ─ Squeezing, contractive cramps in stomach, sometimes after a meal, often accompanied by nausea, and an accumulation of saliva in mouth. ─ Shootings in the scrobiculus, which pass through back. ─ Relaxation, and sensation of coldness or burning in stomach. ─ Sinking at the pit of stomach. ─ Dreadful faint feeling in stomach.

Abdomen

Hepatic pain, when pressing on the part. ─ Hepatic and renal regions sensitive to pressure. ─ Pressure in hepatic region, as from a heavy body. ─ Shooting in hepatic region. ─ Shootings in the l. hypochondrium. ─ Great sensitiveness of abdomen to slightest touch. ─ Uncovering abdomen > nausea and vomiting. ─ Painful distension of abdomen. ─ Pressive pains in abdomen, esp. in umbilical region, with spasmodic retraction of that part. ─ Violent burning in abdomen, horrible pains, must shriek. ─ Nocturnal tearings in abdomen. ─ Pinchings and borborygmi in abdomen. ─ Incarcerated hernia.

Stool and Anus

Constipation. ─ Chronic constipation, great pain and tympanitic distension of intestines; great dyspnœa. ─ Stools clay-colour or mottled grey and brown. ─ Habitual constipation; paralysis of rectum; spasm of anal sphincter. ─ Prolapsus ani; great drowsiness during day when trying to study. ─ Frequent tenesmus. ─ Soft fæces of consistence of pap, also at night. ─ Violent pain in small of back during soft stool. ─ Shifting of flatulence, formed by sudden, papescent, yellow-green or greenish, slimy stools with tenesmus. ─ Violent diarrhœa, fetid or yellowish green slime; also at night, accompanied and followed by violent tenesmus, and burning sensation in anus. ─ Cholera-like stools; watery, urgent, painless.

Urinary Organs

Renal colic; violent pains along ureters; cold sweat; deathly nausea. ─ Paralysis of sphincter, constant dribbling. ─ Enuresis. ─ Urine yellowish-red, with increased secretion. ─ Inflammation of the orifice of the urethra.

Male Sexual Organs

Frequent erections. ─ Flow of prostatic fluid. ─ Nocturnal emissions; until waking. ─ Genital organs flabby; no erections or sexual desire. ─ Varicocele. ─ (Masturbation and its consequences. ─ R. T. C.)

Female Sexual Organs

Retarded and profuse catamenia. ─ Leucorrhœa, like sanguineous water. ─ Leucorrhœa of serous liquid after the menses. ─ In climacteric period, also during menses; subjective coldness; epigastric sinking, palpitation, severe diarrhœa, muscular relaxation, excessive sense of wretchedness. ─ Morning sickness of pregnancy; nausea and vomiting, patient dreads least movement. ─ During pregnancy, insupportable pruritus over whole body, pyrosis, toothache, and other gastric symptoms.

Respiratory Organs

Dry cough, excited by a tickling in throat, in morning and towards evening. ─ Cough = in pit of stomach sensation as of a wound by some sharp instrument. ─ Cough, with hiccough (at same time), almost suffocating; (or hiccough after every paroxysm of whooping-cough). ─ Difficult respiration. ─ Paroxysm of suffocation.

Chest

Oppression of the chest, with anguish. ─ Constriction of the chest. ─ Pressure on the chest and sternum. ─ Shootings in chest and sides of chest, sometimes when drawing breath. ─ Sticking under sternum with inability to take a deep breath. ─ (A trembling, frightened feeling across pit of chest with sudden and irregular sinkings. ─ Nervous indigestion, constant sinking in chest. ─ R. T. C.). ─ On taking a deep breath it seemed as if chest were too tight. ─ Sensation as if a crowbar were pressed tightly from r. breast to l. till it came and twisted in a knot around heart, which stopped, then leaped violently; after the attack heart missed every fourth beat. ─ Pain, as from excoriation, in chest, during a meal. ─ Itching pimples on chest.

Heart and Pulse

Sudden attacks of extreme faintness; feeling of oppression around cardiac region. ─ Angina pectoris (single doses of Ø relieved much; not to be repeated often. ─ R. T. C.). ─ Feeble, irregular pulse. ─ Palpitation of heart, when lying on l. side.

Neck and Back

Stiffness of the neck. ─ Head drawn back in convulsions. ─ Neuralgic pains in neck and between shoulders. ─ Burning under scapula. ─ Neuralgia of back with tightness of throat. ─ Contractive pains in the loins, esp. after a stool. ─ Violent pain in small of back and loins (renal calculi). ─ Throbbing in sacral region, evening. ─ Pain in small of back and loins, esp. after sitting. ─ Intolerable pain in small of back much < while sitting. ─ Pains in small of back, constriction; esp. after a stool. ─ Pressive pain in lumbar region on rising from a seat and beginning to walk, goes off on walking. ─ Emaciation of the back. ─ Red, itching eruption on the back.

Upper Limbs

Painful weakness of hands and arms, which are, as it were, paralysed. ─ Constant need to stretch arms. ─ Shootings and drawing in shoulders. ─ Red spots on shoulder, which burn when they are touched. ─ Tension in arm, esp. in elbow. ─ Pain and shootings in l. arm, which disable it and prevent its extension. ─ (Coldness and trembling of the limbs), trembling of hands. ─ Cold perspiration on hands. ─ Cramps in the arms and hands. ─ Cramps in single fingers, esp. while washing; early morning. ─ Cramps and tingling in fingers. ─ Swelling of fingers. ─ Itching pimples on fingers.

Lower Limbs

Burning pain in knee and soles. ─ Legs icy cold from knees down. ─ Shooting in knee and ham. ─ Flexion of knees, when walking. ─ Cramp in toes, extending into knees. ─ Jerking of legs in bed. ─ Tingling, crawling, from knee to toes. ─ Tension in leg when walking, from knee to foot. ─ Trembling and paralytic weakness of feet.

Generalities

Pressive pains, with agitation throughout body, and anxious perspiration. ─ Sudden breaking out of cold, clammy sweat; with much nausea, feeble, irregular pulse; collapse. ─ Cramps and tingling in limbs. ─ Restlessness, wants to change place continually. ─ Gait slow and shuffling, difficulty in ascending stairs. ─ Excessive emaciation. ─ Anæmia of boys and girls, particularly with brain symptoms (cured with dilutions. ─ R. T. C.). ─ Paralytic and painful weakness of limbs. ─ Trembling of limbs. ─ Great general lassitude. ─ Jerkings throughout body, with pulsation and palpitation of the heart. ─ Convulsions, head firmly drawn back, with rigidity of muscles at back of neck; constantly recurring rigid tetanic spasms, muscles of back being principally affected, till death a week after he chewed the tobacco. ─ Epileptiform convulsions. ─ Symptoms < on l. side; from great heat or great cold, and esp. in stormy weather; from walking, riding in a carriage, and jar of a railway train. ─ > In the open air; from vomiting.

Skin

Itching in skin, as from flea-bites. ─ Itching over the whole body. ─ Eruption of itching pimples, or vesicles, with yellow serum and red areola.

Sleep

Urgent inclination to sleep, esp. after a meal, and towards evening, with frequent yawnings. ─ Retarded sleep in evening, and difficulty in waking in morning. ─ Stupefying sleep at night. ─ Disturbed sleep at night, with fright. ─ Nightmare.

Fever

Pulse full, hard, and rapid, or small, imperceptible, intermittent, slow. ─ Coldness and shivering, sometimes with chattering of teeth. ─ Coldness of legs from knees to toes; warm body, cold hands. ─ Chilliness after eating and drinking. ─ Frequent attacks of shuddering, sometimes with flushes of heat. ─ Permanent shuddering, from morning till evening. ─ Perspiration at night. ─ Viscid cold sweat, with intermitting pulse. ─ Cold sweat, in hands, on forehead and face.

The Guiding Symptoms of Our Materia Medica

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

Mind

Forgetful ; slow perception.
Difficulty in concentrating his mind for any length of time on one subject.
Idiotic ; epileptic idiocy.
Cheerful, merry, loquacious ; sings all day ; talks nonsense.
Becomes quite stupid, loses his senses ; precordial anguish, with faintness.
Melancholy ; anxiety > from weeping.
Sudden anxiety, with angina pectoris ; also with oppression of chest, driving him from place to place.
Excessive depression of mind, with indigestion and palpitation ; intermittent pulse ; great despondency.

Sensorium

Vertigo : excessive heaviness in head ; with qualmishness in stomach ; deathlike paleness of face and sensation as if he could not support himself, increasing to loss of consciousness ; > in open air and by vomiting ; cannot rise
up ; face deathly pale ; vertigo < on rising and looking upward, brought on by immoderate smoking of cigars.
Apoplexy and paralysis.

Inner head

Headache : with vertigo ; < indoors ; > in open air.
Sick-headache coming on early in morning, intolerable by noon ; deathly nausea, violent vomiting greatly < by noise and light.
When walking, indoors or outdoors, suddenly, as if struck by a hammer or club on right side of head, throws him to left. θ Ague.
Periodical sick-headache, lasting one or two days and generally brought on by fatigue or excitement ; intense, agonizing pain as if head would burst, and again as if brain were being bored out ; sought continually to hide her head in pillow, or to change it to a position that
might relieve ; faintness, nausea and vomiting of food, and painful retching to vomit small quantities of mucus and bile ; skin pale and cold with clammy sweat ; breathing oppressed and labored ; face sunken and anxious.

Sight and eyes

Dimsightedness, sees as through a veil, evenings.
Heat and burning in eyes.
Contraction of lids.
Retinal images retained.
Strabismus, dependent upon brain troubles.
Amblyopia, vision twenty-one hundredths, refraction normal, divergence of one and a half lines behind a screen, diplopia in distance ; dimness and confusion of sight, as if black dots filled visual field ; < after stimulants.
Asthenopia ; strabismus ; white atrophy of retina with amaurosis.

Hearing and ears

Nervous deafness.
Sensation as if ears were closed.
Ears burning hot and red.

Smell and nose

Smell feeble.

Upper face

Emaciation, deathlike pallor of face. θ Cholera infantum.
Face : blue, pinched ; sunken ; deathly ; pale ; pale and collapsed, covered with cold sweat ; pale, with drawn features and deeply-sunken eyes, surrounded by blue rings.
Glowing heat in face, with redness, frequently only on one side.
Violent tearing in bones of face and teeth, in evening.

Teeth and gums

Drawing, rending toothache ; violent tearing pains in facial bones.

Taste, speech, tongue

Cannot speak. θ Angina pectoris.
While reading cannot articulate ; hoarse, reads very indistinctly, quite contrary to habit ; speech difficult, unintelligible.

Inner mouth

Burning in mouth and throat.
Frothing from mouth.
Mouth full of white tenacious mucus which must be frequently expectorated.
Increased secretion of thin, watery saliva ; spits much.

Palate and throat

Throat dry, can hardly swallow ; burning in throat and mouth.
Violent constriction of throat. θ Angina pectoris.
Much viscid phlegm in throat.

Appetite, thirst. desires, aversions

Constant hunger ; nausea if stomach is not satisfied.
Complete loss of appetite.
Thirst : especially at night ; in cholera infantum.
Thirstlessness.
Does not eat, but drinks eagerly, < at night ; violent vomiting.
Dyspeptic ; uses tobacco ; knows chewing hurts him and has tried in vain to stop ; Tabacum 2c appeased craving for tobacco and stimulants.

Eating and drinking

Sensitive to smell of wine ; fumes all but intoxicate her.

Hiccough, belching, nausea and vomiting

Hiccough.
Nausea : incessant, with frequent vomiting ; as if seasick, vertigo in paroxysms, cold sweat ; amounting to faintness, disappears in open air ; when moving in least ; with a sinking feeling in epigastrium.
Nausea and vomiting on least motion. θ Cholera.
Nausea and cold sweat remaining after Verat. and Secale checked stools. θ Cholera.
Violent efforts to vomit.
Vomiting : violent ; in morning, before breakfast ; of watery liquid, sometimes insipid, sometimes bitter ; as soon as he begins to move ; during pregnancy, deathly nausea ; of water ; of sour fluid, with mucus.
Seasickness, deathly nausea ; pallor ; coldness ; < from least bodily motion ; > on deck in fresh, cold air.

Scrobiculum and stomach

Sinking at pit of stomach.
Cardialgia with frequent fluttering sensation in epigastrium.
Shocks in stomach, at night while sleeping, so great that patient is awakened.
Weakness of stomach.
Sensation of relaxation of stomach with nausea.
Dreadful faint feeling in stomach.
Spasmodic pressure in pyloric region.
Writhing in pit of stomach. θ Cardialgia.
Sticking in pit of stomach through to back.
Feeling of coldness in stomach with nausea.
Burning in stomach.
A lady, æt. about 70, ailing for upward of a year, always sick, constant pains in stomach, throws up all food, often mucus and blood, lives on biscuits and champagne ; moans incessantly from pain in stomach ; formerly chronic diarrhœa, now bowels not
open freely, motions very small, light-colored ; urine color of blood ; sleeps badly ; feeling of sickness intense and constant ; Tabacum 2 relieved, but patient was tormented by smell of Tobacco, which seemed to be all through her ; could not divest herself of
strong odor of tobacco she constantly perceived.

Hypochondria

Pressure, heaviness or stitches in liver.
Hepatic and renal regions sensitive to pressure.

Abdomen and loins

Gurgling in bowels ; shifting of flatus.
Abdomen tympanitic ; constipation.
Violent burning in abdomen, horrible pains, must shriek.
Spasmodic pressure in hypogastrium. θ Cardialgia.
Violent contractions in abdominal muscles ; navel retracted.
Coldness in abdomen.
Tympanitic bloating of abdomen ; dyspnœa.
Child wants abdomen uncovered, which relieves nausea and vomiting.
Spasms of bowels ; nausea, vomiting and cold sweat.
Strangulated hernia ; nausea, deathly faintness, cold ; cold sweat ; vomiting ; sudden cerebral hyperemia.
Deathly nausea and sickness ; slimy stool. θ Strangulated hernia.

Stools and rectum

Sudden, papescent, yellow-green or greenish, slimy stools ; tenesmus ; shifting flatus.
Diarrhœa : urgent, watery, painless stools ; stools resembling those of cholera ; with colic, nausea, vomiting, flatulence and soreness of anus ; with sudden attacks of extreme faintness, with cold perspiration.
Stools : yellowish, greenish, slimy ; papescent, fecal.
During stool : colic ; tenesmus .
Violent pain in small of back during soft stool ; tenesmus and burning in anus. θ Dysentery.
Cholera infantum : body cold, abdomen hot ; not satisfied until clothing is off abdomen ; stools yellow, sometimes greenish slime ; vomiting, debility, cold sweat ; icy coldness of legs from knees down ; warmth of body with icy-cold hands ; great
thirst ; emaciation and deathlike pallor ; nausea and vomiting on making least motion ; violent vomiting and diarrhœa with debility and cold sweat ; face blue and pinched ; < at night.
Sporadic cholera : coldness of body ; distorted countenance ; fainting ; clonic spasms ; cold sweats and nausea remained after copious evacuations had been checked by Verat. and Secale ; nausea and vomiting persistent after purging yielded, recurring in
constant paroxysms, with cold sweat, oppressed stomach, anguish and restlessness, cramp and tearing in limbs, occasional drawing in calves ; vomiting, sometimes in a stream ; body cold, face distorted, spasms, vomiting, or no stool or vomiting, but complete collapse ; all
sphincters paralyzed.
Gastric cholera, when spasmodic condition prevails ; cold skin covered with clammy perspiration, cyanosis not prominent.
Sudden vomiting and diarrhœa in morning, discharges whitish, colorless ; attacks of fainting ; sitting up or moving caused vomiting ; stools every ten, twenty to thirty minutes ; deathlike pallor ; surface cold ; pulse
small and weak. θ Sporadic cholera.
Attack of sporadic cholera after catching cold while overheated ; cramps with every attack of vomiting, at one time tonic, at another clonic ; loss of consciousness ; involuntary evacuations, generally accompanied, or quickly followed by vomiting ; whole body
cold ; face distorted ; great prostration and thirst.
Constipation.
Chronic constipation, great pain in and tympanitic distension of intestines ; great dyspnœa.
An elderly lady whose bowels for last twenty years had always been a trouble to her, could not be moved without an enema, and very often not with one ; when moved stools generally were of a clay color, or at least mottled clay color and brown.
Habitual constipation ; paralysis of rectum ; spasms of anal sphincter.
Prolapsus ani ; great drowsiness during day when trying to read or study.

Urinary organs

Renal colic ; violent pains along ureters ; cold sweat, deathly nausea.
Increased discharge of urine, or scanty high-colored urine.
Paralysis of sphincter vesicæ, constant dribbling of urine.
Enuresis.

Male sexual organs

Nocturnal emissions ; without waking.
Genital organs flabby ; no erections or sexual desire.
Discharge of prostatic fluid.
Varicocele.

Female sexual organs

In climacteric period, also during catamenia ; subjective coldness, epigastric sinking, palpitation, slight diarrhœa, muscular relaxation, excessive sense of wretchedness.
Leucorrhœa of serous fluid after menses.

Pregnancy. parturition. lactation

Morning sickness.
Nausea and vomiting, patient dreads least movement.
During pregnancy, insupportable pruritus over whole body, pyrosis, toothache and other gastric symptoms.

Respiration

Difficult, oppressed respiration ; paroxysms of suffocation.
Dyspnœa ; costiveness.
Hurried, anxious, irregular respirations.
Asphyxia.
Sticking under sternum, with inability to take a deep breath.
Continual paroxysms of sneezing, for weeks. θ Catarrhal asthma affecting nostrils.
Spasmodic asthma ; laryngismus stridulus.
Freely developed asphyxia ; great dyspnœa (almost as important as Hydrocyanic acid).
Periodical attacks of asthma ; sits up in bed suffering with extreme dyspnœa ; face blue ; terrified expression ; respiration short and rapid ; gasps for air, fears suffocation ; jugular veins swollen ; pulse
100 ; heart beats very strong ; liver and heart displaced ; spleen enlarged ; had ague for a year.

Cough

Dry cough.
Hiccough following a severe cough.
Cough and hiccough at same time.
Whooping cough, violent straining and vomiting, stitches in pit of stomach, inability to breathe deeply ; hiccough, as if he would suffocate, after coughing.
Cough produces in pit of stomach sensation as of a wound by some sharp instrument.

Inner chest and lungs

Very violent constriction of chest.
On taking a deep breath it seemed as if chest were too tight.
Sensation as if a crowbar were pressed tightly from right breast to left, till it came and twisted in knot around heart, which stopped, then leaped violently ; after the attack heart missed every fourth beat.
Tightness across upper part of chest. θ Angina pectoris.
Phthisis is said to make less rapid progress among tobacco workers.
Hæmoptysis, laryngitis, chronic bronchitis with general emaciation, anemia, palpitation, oppression and pains in shoulders at night.

Heart, pulse and circulation

Palpitation : violent when lying on left side, goes off when turning to right ; in attacks, at night, with tightness across chest (angina pectoris).
Oppression at heart ; pulse feeble, irregular. θ Cholera.
Violent beating of heart and carotids.
Sudden precordial anguish.
Angina pectoris : pallor ; features drawn ; cannot speak or walk ; coldness all over ; sudden periodical anxiety ; violent constriction in throat ; tightness across upper part of chest ; nocturnal attacks of tightness in chest, with paroxysmal
oppression and palpitation ; neuralgia up into neck ; pain between shoulders ; pulse small, irregular or imperceptible.
Heart's action very feeble.
Dilated heart ; frequent pallor, lividity of face ; diarrhœa alternating with constipation ; palpitation while lying on l. side ; muscæ volitantes ; tinnitus aurium ; dry cough, cardiac in origin ; paroxysms of suffocation with tightness across upper
part of chest ; feeble, irregular pulse ; pains like those of angina pectoris shoot from heart down left arm, or up into neck, and involve different plexuses of nerves ; extremities cold and covered with clammy sweat ; neuralgia of face.
Functional diseases of heart, hypochondriasis, intermittent pulse, palpitation, dyspepsia, sinking, gone feeling in stomach.
Pulse : quick, full, large ; small, intermittent ; exceedingly slow ; soft, full and feeble ; feeble and irregular ; imperceptible.

Neck and back

Neuralgic pains into neck and between shoulders. θ Angina pectoris.
Violent pain in small of back and loins. θ Renal calculi.
Pain in small of back most severe after stool.
Throbbing in sacral region, evening.

Upper limbs

Left arm exhausted, painful.
Cramps in arms and hands.
Spasmodic contractions in arms and hands.
Hands feel lame, cold, then burning, with bloated fingertips.
Hands icy-cold ; body warm.
Trembling of hands.
Cramps in single fingers, especially while washing ; early morning.

Lower limbs

Legs icy-cold from knees down.
Cannot walk. θ Angina pectoris.
Formication in left leg from knee to toes.
Tremor and disabling weakness of feet.
Cramps in legs.

Limbs in general

Coldness, trembling of limbs.
Cramp : tearing in limbs ; in hands and arms ; from toes to knee.
Spasmodic contraction of arms, hands and legs.

Rest. position. motion

Changes position : to relieve head.
Lying : on left side, palpitation.
Sitting up : asthma >.
On rising : vertigo <.
On looking upward : vertigo <.
Motion : nausea and vomiting < ; seasickness.
Coughing : causes hiccough ; stitches in pit of stomach.
Walking : as if struck by a hammer on head.

Nerves

Weary, languid ; tremor ; general debility ; feeling of great exhaustion ; profound prostration with cold sweat.
Restlessness, requiring continual change of place.
Mrs. H., black eyes, heavy black hair, nursing a babe of three weeks, complained of spells of debility, with cold perspiration, especially on feet and lower limbs ; < from least exposure to air ; goose skin ; weakness and numbness in
general ; pain in head over eyes ; dimness of vision by spells ; no appetite ; had a hard labor and has not been well since.
Horrid pains with involuntary contractions.
Spasmodic contraction of muscles, spasms, general insensibility, relaxation.
Head drawn back, with rigidity of muscles of neck and back ; contraction of eyelids and masseter muscles ; hissing respiration from spasms of laryngeal and bronchial muscles ; alternate tonic and clonic spasms, followed by general relaxation and trembling ; retraction
of abdominal muscles ; contraction of parts supplied with involuntary muscles, as intestines, ureters, etc., accompanied by intense pains, nausea, cold sweat, and speedy collapse, with asphyxia.
From excessive use of tobacco : convulsions, head drawn firmly back, with rigidity of muscles of posterior part of neck ; constantly recurring, rigid, tetanic spasms, muscles of back being principally affected.
Spasms of paralysis.
Collapse, anguish and restlessness, deathlike pallor, coldness, fainting, cold sweat, deathly nausea, without vomiting, or vomiting of water, when moving.

Sleep

Drowsiness, going off in open air.
Stupefying sleep, at night.
Insomnia ; especially with dilated heart.

Time

Morning : vomiting ; diarrhœa ; sickness of pregnancy ; cramps in fingers ; sick-headache begins.
During day : drowsiness.
Evening : dim sight ; tearing in facial bones and teeth ; throbbing in sacral region ; coldness and shuddering.
Night : thirst ; shocks in stomach ; palpitation ; stupefying sleep ; insomnia.

Temperature and weather

Temperature and Weather
Open air : vertigo > ; headache > ; faintness and nausea > ; seasickness > ; drowsiness >.
Indoors : headache <.
Chilliness, with cold sweat.
Cold skin.
Coldness and shuddering in whole body, evenings.
Icy coldness of legs from knees to toes.
Body warm, hands icy-cold, or body cold. θ Cholera.
Sweat : cold on hands, forehead and face ; viscid, cold ; cold over whole body.

Attacks, periodicity

Symptoms come on in paroxysms.
Periodical : sick-headache ; asthma.
For weeks : paroxysms of sneezing.

Locality and direction

Right : as if struck on head with a hammer, throws him to left ; spots on shoulder.
Left : pains in arm from heart ; formication in leg.
Right to left : as if crowbar were pressed through chest to heart.

Sensations

Sensation of excessive wretchedness.
As if struck by a hammer on right side of head ; as if head would burst ; as if brain were being bored out ; as if black dots filled visual field ; as if ears were closed ; as if seasick ; as if stomach were relaxed ; as if chest were too
tight ; as if a crowbar were twisted around heart.
Pain : in stomach ; between shoulders.
Agonizing pain : in head.
Writhing : in pit of stomach.
Horrible pain : in abdomen.
Violent pain : in small of back during soft stool ; along ureters ; in small of back and loins from renal calculi.
Drawing rending : toothache.
Stitches in liver : in pit of stomach.
Sticking : in pit of stomach through to back ; under sternum.
Tearing : in facial bones and teeth ; in limbs.
Neuralgic pains : in neck and between shoulders ; in face.
Burning : in eyes ; of ears ; in mouth and throat ; in stomach ; in abdomen ; in anus ; of hands ; spots on face and right shoulder.
Drawing : in calves.
Pressure : in liver.
Spasmodic pressure : in pyloric region ; in hypogastrium.
Tightness : across chest.
Constriction : of throat ; of chest.
Cramps : in limbs ; in arms and hands ; in fingers ; in legs.
Shocks : in stomach.
Throbbing : in sacral region.
Oppression : at heart.
Dreadful faint feeling : in stomach.
Sinking feeling : in epigastrium ; in stomach.
Weakness : in stomach.
Heaviness : in head ; in liver.
Heat : in eyes ; of ears ; in face.
Coldness : in stomach ; in abdomen ; of hands.
Formication : in left leg from knee to toes.
Lameness : of hands.
Itching : in spots on chest and shoulders ; of whole surface ; as from flea-bites.

Tissues

Diseases originating in cerebral irritation, followed by marked gastric symptoms.
Emaciation, especially of back and cheeks.
Adapted to diseases of nervous system, where there is prominent irritation of functions of vagi, or sick-headache that comes on early in morning and by noon is intolerable, with deathly nausea and violent vomiting, greatly < by noise and light, with dreadful faint feeling at stomach.
Spasmodic contractions of muscles ; spasms and general insensibility.
Complete prostration of whole muscular system.

Touch. passive motion. injuries

Uncovering : abdomen, > nausea and vomiting.
Pressure : hepatic and renal regions sensitive.
Motion of vessel : seasickness.
Strychnia poisoning : tetanus.

Skin

Skin : cold, in cholera ; livid, with angina pectoris.
Red spots on face and on right shoulder, burning when touched.
Itching, with red or yellow spots on chest and shoulders.
Violent itching of whole surface. θ Prurigo.
Dark, walnut color of skin ; jaundice.
Red eruption on back.
Pimples on chest and fingers.
Pustules on nape of neck and upper limbs.
Miliary rash on both cheeks.
Increased turgescence of skin, which is yellow, hot and dry.
Vesicles contain a yellow serum, and are surrounded by a red areola.
Itching as from flea-bites.

Stage of life, constitution

Woman, æt. 26, single, for a year has suffered from ague, which greatly affected her health ; asthma.
Lady, æt. 30, lymphatic temperament ; sick-headache.
Woman, æt. 70, thin, sickly ; sporadic cholera.
Lady, æt. 70, suffering a year ; gastric disorder.

Relations

Antidoted by : Ipec ., vomiting ; Arsen ., chewing tobacco ; Nux vom ., gastric symptoms next morning after smoking ; Phosphor .,
palpitation ; Ignat., Pulsat ., hiccough ; Clemat ., toothache ; Sepia , neuralgia right side of face ; dyspepsia, chronic nervousness ; Lycop .,
impotence ; wine, spasms, cold sweat from excessive smoking.
Plant. maj . has several times caused an aversion to tobacco.
It antidotes : Cicuta, Stramon .