Tarentula Hispanica tarent.

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

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

Keynote

Adapted to highly nervous organisms, especially choleric affections where whole body, or right arm and left leg are affected (left arm and right leg, Agar.). Constant movement of the legs, arms, trunk, with inability to do anything; twitching and jerking of muscles. Restlessness, could not keep quiet in any position; must keep in motion, though walking < all symptoms (rev. of Rhus, Ruta). Hyperaesthesia: least excitement irritates, followed by languid sadness; extreme of tips of fingers. Slight touch along the spine provokes spasmodic pain in chest and cardiac region. Headache: intense, as if thousands of needles were pricking the brain. Absceses, boils, felons, affected parts of a bluish color (Lach.), and atrocious burning pain (Anth., Ars.); the agony of a felon, compelling patient to walk the floor for nights. Malignant ulcers; carbuncle, anthrax; gangrene. Symptoms appear periodically. Headache, neuralgic < by noise, touch, strong light, > by rubbing head against pillow. At every menstrual nisus, throat, mouth and tongue intolerably dry, specially when sleeping (Nux m.). Sexual excitement extreme even to mania; spasms of uterus pruritis vulva becomes intolerable.

Relations

Similar: to, Apis, Crot., Lach., Plat., Mygale, Naja, Ther.

Aggravation

Motion; contact; touch of affected parts; noise; change of weather.

Amelioration

In open air; music; rubbing affected parts. Termini of nerves becomes so irritated and sensitive that some kind of friction was necessary to obtain refief.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Spanish Spider

General

Remarkable nervous phenomena; hysteria with chlorosis; chorea, dysmenorrhœa, spinal irritability. Bladder tenesmus. Constriction sensations. Formication; Extreme restlessness; must keep in constant motion even though walking aggravates. Hysterical epilepsy. Intense sexual excitement.

Mind

Sudden alteration of mood. Foxy. Destructive impulses; moral relaxation. Must constantly busy herself or walk. Sensitive to music. Averse to company, but wants some one present. Ungrateful, discontented. Guided by whims.

Head

Intense pain, as if thousands of needles were pricking into brain. Vertigo. Wants hair brushed or head rubbed.

Male

Sexual excitement; lasciviousness reaching almost to insanity; seminal emissions.

Heart

Palpitation; præcordial anguish, sensation as if heart twisted and turned around.

Female

Vulva dry and hot, with much itching. Profuse menstruation, with frequent erotic spasms. Pruritus vulvæ; nymphomania. Dysmenorrhœa, with very sensitive ovaries.

Extremities

Weakness of legs; choreic movements. Numbness of legs. Multiple sclerosis, with trembling. Twitching and jerking. Yawning with uneasiness of legs, must move them constantly. Extraordinary contractions and movements.

Modalities

Worse, motion, contract, noise. Better, in open air, music, bright colors, rubbing affected parts. Worse, seeming others in trouble.

Relationship

Compare: Agar; Ars; Cupr; Mag phos.

Antidotes: Lach.

Dose

Sixth to thirtieth potency.

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

Lycosa tarentula. Tarantula. N. O. Araneideæ. Tincture of the living spiders.

Clinical

Angina pectoris. Callosities. Chorea. Coccygodynia. Cornea, opacity of. Cystitis. Depression of spirits . Diphtheria. Dysmenorrhœa. Epistaxis. Erotomania . Fibroma. Headache. Hiccough. Hysteria . Intermittents. Kleptomania. Levitation . Locomotor ataxy. Mania. Ménière's disease. Migraine. Onanism. Ovaries, enlargement of. Paralysis; agitans. Physometra. Proctalgia. Pruritus pudendi. Quinsy. Septic diseases. Spinal irritation. Spinal sclerosis. Tumours. Uterus, cancer of; neuralgia of. Vertebræ, tumours of.

Characteristics

The name Tarentula covers a number of poisonous spiders, but in homœopathy, unless otherwise distinguished, it refers to Tarentula hispanica, Lycosa tarentula . Nunez is our chief authority. He instigated the proving and collected much outside information bearing on the action of the poison. "Tarantella" is a dance named from the city of Tarentum. "Tarantism" is a dancing mania, set up in persons bitten by the Tarentula , or in those who imagine themselves bitten. The cure is music and dancing. Here are two illustrations from C. D. P .: ( 1 ) Girl, three months old, was bitten by a tarentula. She appeared at first uneasy, then exhibited dyspnœa, and complained, showed signs of suffocation, vomited, was agitated and much convulsed. Music was played; movements of the limbs were set up, whence resulted profuse sweat, followed by sleep and complete recovery. ( 2 ) Francis Mustel, a peasant, was bitten by a tarentula on the left hand, about the middle of July, as he was gathering corn. He went home with his companions but on the way fell as if struck by apoplexy. Dyspnœa followed, and face, hands, and feet became dark. Knowing the remedy, his companions fetched musicians. When the patient heard their playing he began to revive, to sigh, to move first his feet, then his hands, and then the whole body; at last getting on his feet he took to dancing violently, with sighing so laboured that the bystanders were almost frightened. At times he rolled himself on the ground and struck it vehemently with his feet. Two hours after the music began the blackness of his face and hands went off, he sweated freely, and regained perfect health. Every succeeding year at the same season the pain and attending symptoms returned, but less violently; and they could always be averted by music. But if the imminent paroxysm was not averted in time, he was found by his friends struck down as at first and was restored in the same way. These cases bring out some of the cardinal features of Trn . ( 1 ) Dark red or purplish coloration and swelling of skin and tissue. ( 2 ) Apparent imminent choking. ( 3 ) Choreic movements; restlessness. ( 4 ) > By music: music at first excites and subsequently relieves. ( 5 ) Periodicity; deep action returning annually on the date of the bite. Trn . is a remedy of synalgias and concomitants: Neuralgia of inferior maxillary nerve accompanying pain with irritation in pit of stomach. Snapping and pain in ear associated with hiccough. Throat and eye. Heat of face with heat of palms. Faint feeling in stomach with frontal headache. Many symptoms take their rise from the generative sphere, which is profoundly affected. Desire is excited in both sexes to the point of mania. Coitus only < the sufferings of both. In one male prover the semen was bloody and caused a sensation of heat in its passage. The sexual desire was so excited in one woman that when playing or dancing with men she hugged them before everybody; and was angry when reproved, but did it again. The periods were scanty and pale with severe pains in teeth and buttocks; at times she had a desire to take things which did not belong to her; the "Tarantella" played on the violin produced no effect on her, but as soon as she took in her arms a little girl, she began to cry until it was taken away. Cuttings and contractions in uterus; shootings in vagina; swelling and induration of uterus; expulsion of gas from uterus; pains in other parts associated with uterine pains; restlessness, hysteria. The restlessness is particularly noted in the lower extremities, with desire to cry: must keep moving about though walking < all the symptoms. Many of the mental symptoms, which almost exhaust the protean range of hysteria, were in connection with sexual disorders; sighing, yawning; laughing and crying; joking and profound melancholy. The unceasing movements ─ twitching jerking, dancing ─ are the most constant features. There is hysterical hyperæsthesia: the least excitement irritates, followed by languid sadness; great excitability of nerve endings; tips of fingers extremely sensitive; feels sore and bruised all over, < moving about; spinal irritation, slightest touch along spine = spasmodic pain in chest and heart regions. Farrington gives among the mental symptoms: "When there are no observers there is no hysteria; when attention is directed to her she begins to twitch"; and "cunning attempts to feign paroxysms of wild dancing." The chorea of Trn . is most marked on right side. The neuralgias of Trn . may be anywhere; in the head they are of great intensity: "as if thousands of needles were pricking to the brain. They are < by noise, touch, strong light, > by rubbing head against pillow. (" > By rubbing" is a keynote Condition of Trn ." Termini of nerves become so irritated that some kind of friction is necessary in order to obtain relief.") Constrictive headache with pain in uterus. P. C. Majumdar ( Ind. H. R ., v. 43) reports this case: Girl, 18, had oppression of chest, suffocating sensation, continued jerking and movement of hands, foam at mouth, complete insensibility, profuse and delaying menses; very sleepy. Hystero-epilepsy was diagnosed. Ign . 30 did nothing. Trn ., high, brought her out of the fit and restored her completely in a few minutes. But Trn . is not a hysteric remedy only. C. M. Boger ( Hahn. Ad ., xxxviii. 40) cured a case of irritative cough with Trn . 30: Mr. B., 41, sore all over, throat feels dry, cough lying down at night and in morning after rising; dry with tearing pain in chest; excited by pressure of phlegm in chest feels short of breath for at least an hour after each coughing attack only > from smoking . Bad taste evening. Three doses cured. Diphtheria; tonsillitis of an intensity to threaten suffocation; cystitis; septic and intermittent fevers have been successfully met in Trn . on its indications. In M. A ., xvii. 568 a case of hyperæsthesia of finger-tips is mentioned. The patient, a lady, 33, could not dress herself without gloves. The irritation caused at once a sensation in the teeth as if set on edge by a strong acid . The pain was not in the fingers. Trn . gave relief after Asar., Gels ., and Sul. ac . had failed. Among peculiarities of Trn . are: Stools occur immediately the head is washed. Wetting hands in cold water = symptoms. Snapping and cracking in right ear with pain and hiccough. One pupil dilated, the other contracted. Farrington relates a case of typhoid in a child cured by Trn . The child rolled its head and bit its nightgown. Apis . and Agn . improved. Trn . slightly aggravated at first, then rapidly improved. Peculiar Sensations are: As if head were knocked, in morning. As if thousands of needles were pricking into brain. As if occiput were struck with a hammer (this sensation as if hammered occurs in many parts and may be considered a general indication). As of a hair in eye. Singing like a tea-kettle in left ear. As if lower teeth were going to fall out. As if a living body in stomach rising to throat. As if body were bruised. As if there were not sufficient space in hypogastrium. Painful uneasiness in coccyx. Motion in uterus as of a fœtus. As of something crawling up legs under skin from feet to uterus. As if heart turned and twisted round. Heart as if squeezed and compressed. As of needles sticking into muscle of neck when touched. As of insects creeping and crawling. Tickling, burning, scorching, and numbness are prominent sensations. Trn . is suited to nervous, hysterical patients subject to choreic affections; to persons of foxy, mischievous, and destructive tendency; to choreic affections when whole body or right arm and left leg are involved. The symptoms are: < By touch. Rubbing > . Pressure > . Music > ; = excitement. Rest < . Must walk about but walking < all symptoms. Can run better than walk. Motion > headache, < uterine pains and pains in coccyx. < At night. < Washing head. < Wetting hands in cold water. Fresh air > . Warm water > . Coitus < . Light < ; = to scream. Cough = headache; involuntary urination. < After sleep. > Riding in carriage (pain in spermatic cords). Epistaxis > throbbing in carotids, &c.

Relations

Antidote to: Lach. (Hering). Partial antidotes: Puls., Mg. c., Mos., Cup., Chel., Gels., Bov., Carb. v. Compare: Irritation of periphery of nerves > exercising and rubbing, K. bro. Chorea, Myg., Act. r., Agar., Stram. Desire to jump, Stram., Croc., Nat. m., Sticta., Asar., Agar., Hyo., Cic. Bores head in pillow, Bell. ( Trn . is more rubbing ). Hysteria, alternation of moods, sensation of something alive, epistaxis black clots, Croc. As if occiput struck with a hammer, Naj. Deep-in headache, Bac. Extreme joy, Coff. Unfortunate love, Ph. ac. Ménière's disease; ague, Chi. sul. Sees faces, Sul. Fidgety feet, Caust, Zn. Satyriasis, Pic. ac. Bloody semen, Merc., Led. Angina pectoris, Lat. mac., < after coitus, K. ca., Stph. Physometra, Bro. Crawling under skin, Coca. Callosities, Ant. c. Heart as from fright or bad news, Gels. Septicæmia, Pyro.

Causation

Fall. Unrequited love. Bad news. Scolding. Punishment. Sepsis.

Mind

Paroxysms of insanity; presses her head and pulls her hair; repeated after intermissions, threatening manners and speech; restlessness of the legs; mocking laughter and joy expressed in her face; comes out of the attack with severe headache, eyes staring and wide open, sees small figures hovering before her eyes, and moves her hands. ─ Great excitement caused by music, one hour after it general and copious sweat. ─ Hysteria: with bitter belching; < by moaning, > by sighing, with repeated yawning; ludicrous and lascivious. ─ Visions: monsters; animals; faces; insects; ghosts. ─ The colours red, yellow, and green, and particularly black, produce heavy mist before the eyes. ─ Sees strangers in the room. ─ Great taciturnity and irritability; desire to strike himself and others. ─ Excessive gaiety, laughs at slightest cause; maniacally happy mood. ─ Joy and strong emotion with trembling when seeing beloved persons. ─ Sings until hoarse and exhausted. ─ Fits of nervous laughing; followed by screams. ─ Profound grief and anxiety. ─ Desire to take things which do not belong to her. ─ Indifference, disgust, and sadness from morning to 3 p.m. were marked, < after midday; from 3 p.m. to evening the gay disposition returned. ─ Wants to be without any light and without being spoken to. ─ Irritability, rage, fury. ─ Mischievous, destructive. ─ Ennui . ─ Fear of impending calamity. ─ Little intelligence and poor memory.

Head

Vertigo: on walking; after breakfast, with bad taste in mouth; sudden, in air, on coming downstairs; transient during the night; preceded by gastric symptoms, < by carrying anything heavy on head; causing failing without loss of consciousness; when fixing sight on any object, with headache, severe pain in cerebellum, accompanied by incomplete erection of penis and formication of soft palate. ─ Contortions and extraordinary movements of head and hands, with rage and nervous agitation. ─ Must move head from r. to l. and hit it against some object, with crossness. ─ Head heavy, difficult to open eyes; tendency to incline head backward. ─ Headache on waking compels her to lie down again. ─ Headache with giddiness when fixing the sight on any object. ─ Pain in head and heart with cough and nausea, morning on waking. ─ Deep, intense headache, with restlessness, compelling to move from place to place; the pain flies to forehead and occiput with photophobia; a strong light compels to complain and swear. ─ Compression; hammering; lancinating; burning pains in head. ─ Great burning in head, the hair troubles to the point of wanting to remove it; continually tossing head without finding a place where to rest it; uneasiness, impatience; ill-humour, oppressive breathing and desire to pull out her hair. ─ Headache < by touch. ─ Inclining head forward < frontal pain; inclining backward < occipital pain; inclining to either side < pain in that side. ─ Frontal headache, pain in vertex and parietal bones, as if cold water was poured on the head, with great noise internally. ─ From 3 to 7 p.m. pain in forehead, esp. r. side. ─ Neuralgia of temples. ─ Pain in upper and middle part of head extending to cheek-bones, with nausea and desire to vomit. ─ Headache particularly affecting l. eye. ─ Lancinating pain l. side of head; with itching of r. ear. ─ Pains extending to occiput, with necessity of shutting the hands, which > . ─ Headache on occiput and temples when coughing, as if striking it with a hammer. ─ Pain in occiput: as if struck with a hammer; burning, scorching; with burning thirst; as if a nail driven in; compression, extending towards neck.

Eyes

Blue circles round eyes. ─ Eyes glassy, red. ─ R. pupil much dilated, l. contracted. ─ Feeling of a hair in l. eye, which pricked it; pricking caused her to rub it, < on waking. ─ Pain in l. eye as if cold water poured into it. ─ Sensation: of splinter; sand; eye-lash; pin pricking eyes. ─ Shooting, lancinating, stinging pains in eyes. ─ Light irritates eyes; company annoys him. ─ Itching of eyes and very thick tears. ─ Pain in eyebrows. ─ Lids agglutinated on waking. ─ Itching of lids; herpes. ─ Photophobia. ─ Vision: weak, obscure; sees ghosts, faces, flashes.

Ears

Profuse mucous secretion from r. ear. ─ Violent pain at external meatus, < by touch, which = sensation as if a nail were driven through head, or a general shaking. ─ On rising snap in r. ear followed by thick, brownish discharge. ─ Snapping cracking in r. ear with pain and hiccough. ─ Deafness with buzzing, whizzing, and vertigo. ─ Noise in ears: in night < waking; in r. with mucous discharge; in r. of clear bell on waking, vanishing on getting up. ─ When a snapping or cracking is felt the hearing is > .

Nose

Sneezing and coryza (r.). ─ Profuse epistaxis, with a flow of black, quickly coagulating blood. ─ Great itching in l. nostril and frequent sneezing. ─ Epistaxis > throbbing carotids and fulness in head.

Face

Face: expression of terror; pale, earthy, strongly contrasting with purple neck; flushed with burning heat, also heat and sweat of palms. ─ Burning and scorching sensating on lips as after a fever. ─ Pain in angles of lower jaw, so severe he thinks he is going crazy. ─ Pain in lower jaw as if all teeth going to fall out. ─ Pain in direction of r. lower maxillary nerve, with a tickling sensation in stomach, dizziness, vanishing of sight, buzzing in ears.

Teeth

Toothache: with sense of formication; with hiccough; as if loose, and electric sparks passed through them; throbbing; < coming in con I tact with the air. ─ Great dryness of mouth and teeth. ─ Painful aphthæ on tongue; with fetid breath. ─ Tongue drawn backward preventing speech. ─ Patch of suspicious cancerous nature in mouth and on fauces. ─ Palate feels scalded.

Throat

Sore throat: when swallowing, at same time shooting in l. eye; when coughing; talking; yawning; with painful constriction when smoking. ─ Sensation when swallowing of constriction in throat. ─ Throbbing sore throat. ─ Sensation as if cold water continually dropping down throat. ─ R. tonsil: painfully swollen; painful constriction, extending to ear, < by swallowing. ─ Fauces inflamed purplish. ─ External swelling of neck so great as to cause danger of choking. ─ Constant throbbing pain In cervical and submaxillary glands, with occasional sharp stinging pains. ─ Tonsillitis; high fever, delirium, red face, tonsils so swollen, suffocation feared. ─ (Diphtheria with same symptoms.)

Appetite

Loss of appetite, intense thirst; general prostration; vomiting after eating; and getting out of bed; craving for raw food; disgust for meat. ─ (Disorders of pregnancy.). ─ Opium habit. ─ Taste of food: flat; bitter; salty: piquant. ─ Flat or sweetish taste in mouth.

Stomach

Hiccough; with toothache. ─ Nausea: with dizziness compelling to lie down. ─ Vomiting: acid; mucous; with intense burning pains in stomach and œsophagus. ─ Pain in stomach < by drinking water. ─ Gastric symptoms with slight pains in roots of teeth, esp. when touching each other. ─ (Many digestive symptoms are peculiar on account of accompanying sympathetic neuralgic pains, in sides of head, face, ears, teeth, malar bones.)

Abdomen

Swelling of hypochondria. ─ Lancinating pain in spleen, with pain in stomach and uterus. ─ Hepatic region painful to touch. ─ Sharp pain in umbilical region; violent burning in abdomen and rectum; stools profuse, dark, fetid, with violent urging; constipation. ─ Bloating. ─ Borborygmus. ─ Fibrous tumour in hypogastrium compressing genitals, and causing uterine discharges. ─ Burning in hypogastrium with great weight, interfering with walking and causing pruritus of vulva. ─ Pain in hypogastrium, hips and uterus, as if these parts were compressed; at same time unconquerable drowsiness. ─ Pain in groins; with relaxed sensation; as from rupture, esp. r., < by cold water.

Stool and Anus

Pain and burning in anus after stool. ─ Repeated shooting in anus. ─ Violent effort to have a passage; hard stool with blood. ─ Tenesmus. ─ Constipation; with involuntary passing of urine on coughing or any effort. ─ Profuse diarrhœa with prostration, nausea, vomiting, fainting. ─ Stools: three or four times daily, very dark, fetid, partly formed, containing much mucus, expelled with difficulty, and followed by smarting and burning in anus; stools occur immediately on having head washed. ─ Weakness of sphincter, fæces appear natural but are passed as fast as accumulated.

Urinary Organs

Pain in kidneys; with prostration. ─ Cystitis; with high fever, gastric derangement, excruciating pains and inability to pass a drop of urine; bladder seems swollen and hard; great tenderness and spasmodic action, debilitating patient, who passes only by drops a dark-red brown, fetid urine, with gravel-like sediment. ─ Pain in region of bladder; urination frequent, very painful; extremely nervous; could get no relief in any position; < night. ─ Urine: hot, thick, much sediment; difficult micturition; incontinence and pain in kidneys. ─ Diabetes. ─ Incontinence when laughing, coughing, &c.

Male Sexual Organs

Extreme sexual excitement, lasciviousness almost to insanity. ─ Onanism followed by prostatic ailments and hypochondriasis. ─ Painfulness of genitals; testes relaxed, painful to touch; pain in groins and stricture of urethra. ─ Erections. ─ Emissions. ─ Indolent tumour developed in each testicle. ─ Heaviness, pain and great swelling of (r.) testicle and cord. ─ Drawing pulling in left cord. ─ During emission of semen a sensation of heat is felt in its passage, it is rose-coloured containing some blood. ─ Difficult coitus, followed by fatigue and cough.

Female Sexual Organs

Extreme sexual excitement; menses too early and profuse; pains and spasm of uterus; pruritus vulvæ; leucorrhœa. ─ Violent nymphomania; < from coitus. ─ Nymphomania; reflex chorea; hyperæmia and hyperæsthesia of sexual organs. ─ Sexual desire in a woman who had a shining callosity on l. index finger. ─ Fibrous tumour of uterus with bearing-down pains. ─ Discharge of blood alternately with leucorrhœa. ─ Uterine discharge with pain in groins. ─ Spasmodic pains < when trying to walk. ─ Expulsion of gas from uterus. ─ Anguish, malaise in sexual organs; impossible to walk; seems as if a living body moving or tingling in stomach with. tendency to rise to throat. ─ Sensation as if uterus had not room enough and were pushing away intestines. ─ Pain in uterus with constrictive headache. ─ Shooting: in vagina; in genitals followed by leucorrhœa. ─ Cutting in uterus or pain as if a heavy blow struck on it. ─ Pruritus vulvæ, after menses. ─ Profuse menstruation: with erotic spasms; crossness; ennui, and deep dissatisfaction; < after sleep. ─ Menses seven days too early. ─ (Uterine neuralgia. ─ Dysmenorrhœa.). ─ Sensation of motion in uterus, like a fœtus. ─ Disorders of pregnancy. ─ Swelling of breasts with itching of nipples.

Respiratory Organs

Roughness in larynx and trachea with seine dry cough, and smarting in eyelids. ─ Aphonia with increased difficulty of breathing. ─ Hoarseness. ─ Cough: painful; dry; gagging; fatiguing; = distensive pains in head, chest, and uterus with sadness and anxiety; but when walking in open air a sensation of happiness. ─ Cough when getting out of bed, with vomiting and involuntary emissions of urine. ─ Chronic suffocating catarrh. ─ Loose cough followed by tickling in larynx and bronchial tubes which renews cough. ─ Attacks of suffocation, with crying, screaming, and restlessness.

Chest

Great oppression in chest; panting respiration. ─ Sensation as of a blow at base of l. lung. ─ In chest, pains; stinging; pressive; cramp-like; shooting.

Heart and Pulse

Diseases of heart < by wetting hands in cold water. ─ Præcordial anxiety, tremulous beating of heart. ─ Pain in heart as if squeezed, also in aorta. ─ Nervous spells with pain in l. ovary. ─ Sensation as if heart turned or twisted round. ─ Palpitation, stitches interfering with breathing. ─ Painful throbbing of carotids, with fulness in head, esp. region of medulla, > by epistaxis. ─ Trembling and thumping of heart as from fright or bad news. ─ Pulse: hard, infrequent; irregular.

Neck and Back

Neck stiff; cannot move it without pain. ─ Pain l. side of neck when turning head to r. ─ Mole on neck with sensation as of needles sticking into it when touched. ─ Pain in neck and back followed by general paralysis. ─ Swelling (or tumour, or rheumatoid prominence) on spinal column with laboured breathing. ─ Tabes dorsalis. ─ Scapula: pain in; shooting pain under l. ─ Shooting in l. loin above hip. ─ Acute convulsive pains in l. lower part of vertebral column on appearance of menses, ceasing with them. ─ Repeated lancinating, shooting pain in coccyx. ─ (Coccygodynia after confinement; burning, smarting leucorrhœa, painful uneasiness in coccyx > standing, < slightest movement, sitting, lying in bed, or least pressure).

Limbs

Rheumatism checked by putting extremities in cold water, panting respiration, anxiety, cramps in heart or twisting pains; arm feels tense, stretched; morning and night cold extremities. ─ Weakness, numbness, and dulness. ─ Necessity to move legs extends to hands with desire of taking something and throwing it away; to roll something between fingers; followed by general fatigue. ─ Great pain in knuckles and toes, can scarcely bear the weight of lightest linen.

Upper Limbs

Heaviness in arms (soon). ─ Squeezed pain in l. arm and hand (forenoon). ─ Pain and swelling in wrists. ─ Restlessness of hands. ─ Unbearable pains in thumbs, esp. r., > pressure. ─ Burning and sweating of palms.

Lower Limbs

Uneasiness of legs, must keep moving them. ─ Weakness of legs, cannot plant them firmly; do not obey will. ─ Numbness of legs followed by paralysis. ─ Convulsive shaking and twitching in r. leg. ─ Pain in r. internal malleolus. ─ Shooting: in r. tendo Achillis; r. great toe; r. little toe. ─ Painful cramp in r. sole. ─ Itching in soles of feet.

Generalities

A state like apoplexy or asphyxia comes on; if music is brought the patient revives, sighs, commences to dance vigorously, and so the symptoms pass off with perspiration; but they are apt to be renewed the following year in the same season. ─ Trembling of all limbs. ─ Intense restlessness.

Skin

Ecchymosed spots. ─ Hepatic spots. ─ Furfuraceous spots. ─ Miliary eruption. ─ Indolent pimples. ─ Vesicular eruption like crusta lactea. ─ A small callosity, whitish, indolent, in r. palm between middle and index fingers, increased, with heat and pain, extended, broke, leaving an ulcer with callous edges, healed leaving a small scar. ─ Painful callosity at end of r. thumb fell off. ─ Callosity in l. index fell out. ─ Every year intense pain in toes from re-opened wound. ─ Formication; pricking; itching over whole body.

Sleep

Yawning. ─ Sleeplessness. ─ Dreams: of business; of drowning; sad with weeping. ─ Wakes up cross.

Fever

Constant chill and coldness during four days. ─ Scorching heat on whole body alternating with icy coldness. ─ Intermittent febrile attacks; during heat continued coldness of feet. ─ Chills and fever with choreic convulsions; shakes almost continuously with involuntary movements in limbs, abdomen, chest, back and face, < l. side; could not speak (after a severe scolding or punishment). ─ Toxæmic fevers of a typhoid or intermittent form; chilliness or burning heat, chilliness predominating. ─ Scorching heat of skin, which is scarlet. ─ Debilitating sweats. ─ Night-sweats. ─ Cold sweat.

The Guiding Symptoms of Our Materia Medica

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

Mind

Complete loss of memory.
Great taciturnity and irritability ; desire to strike himself and others.
Profound grief and anxiety.
Consciousness of unnatural state of mind, hence despondency, sadness, moral depression, disgust for everything.
Mental chorea ; hyperemia and hyperesthesia of female sexual organs.
Hysteria, with bitter belching and repeated yawning, > by lying down and by music ; restlessness of hands and legs ; constant motion, cannot remain in one place ; heat in epigastrium.
Fits of nervous laughter.
Desire to joke, to play and to laugh ; extreme gayety.
Great excitement caused by music ; one hour after it, copious and general perspiration.
Singing until hoarse and exhausted.
Nervous excitement ; hysteria and mania ; restlessness and dreaming.
Sudden foxlike destructive efforts, requiring utmost vigilance to prevent damage ; followed by laughter and apologies.
Cross, tendency to get angry and to speak abruptly ; is obliged to move limbs.
Paroxysms of insanity ; restlessness of legs ; threatening words of destruction and death.
Suddenly sprang away from her attendants and swept ornaments from mantelpiece ; said she was sorry, but could not help it ; very mischievous and destructive, amusing and cheerful ; at times pain in left ovary.
Attacks of hystero-mania appearing daily about same hour, beginning with great nervous irritability, despondency and quarrelsome mood ; sudden transition from this state to one of great exaltation, hits and abuses every one, destroys whatever she can lay hold of, tears her clothing,
sings and laughs ; mocks aged people with their old age, if restrained becomes violent ; attacks end in a comatose sleep, during which she answers questions correctly ; after waking remembers but little of what has occurred ; during first part of attack pulse is slow,
artery greatly contracted ; during second stage pulse frequent and full ; thirstlessness and loss of appetite ; pressure and confusion of head.
While in a highly nervous state from too close application to musical studies, was operated upon to remove lens of eye by absorption ; this was followed by great nervous depression and prostration, with occasional symptoms of mental aberration ; was then treated several months
for a retroverted and inflamed uterus, without mental improvement ; severe pain through right eye extending to occiput and nose ; restlessness ; cold feet ; mahogany-colored and large papular eruption upon face, particularly large in region of malar bone ; sleepless
and nervous and very troublesome ; retroversion, with swollen uterus ; finally violent, soils bed with feces and urine ; furious ; sings loud and continuously, with laughter ; no sleep for five days ; thirst ; suddenly springs from bed destroying whatever
she could get hold of, this was done so quickly that she could not be prevented. θ Insanity.

Sensorium

Vertigo : falls to ground without losing consciousness ; malaise, belching, nausea, bloating of stomach, gagging and efforts to vomit, with vomiting of food ; after breakfast, with a bad taste in mouth ; when fixing sight on any object, with headache,
severe pain in cerebellum, accompanied by incomplete erection of penis, and formication in soft palate.

Inner head

Headache, as if a large quantity of cold water were poured on head, and body, > by pressure and rubbing head against pillow ; great distress in cardiac region.
Migraine ; cannot open eyes ; tendency of head to incline backward.
Frontal headache, pain in vertex and parietal bones ; > by pressure and fresh air.
Compressive headache, with lachrymation and heaviness of upper lids.
Intense headache with restlessness, compelling to move from place to place.
Pain flies to forehead and occiput, with photophobia.
Neuralgia in temples.
When waking in morning, headache as if head were knocked, < to 9 A. M., affecting throat and neck ; stiffness of neck.
Intense headache, as if thousands of needles were pricking into brain.
Severe headache, < by touch.
Pain in occiput as if struck with a hammer, extending to temples.
Burning, scorching heat in occiput ; pricking and itching over whole body ; convulsive trembling of body ; convulsions, paralysis, complete retention of urine and feces. θ Meningitis cerebro-spinalis.

Sight and eyes

Right pupil much dilated.
Feeling of a hair in left eye, which pricked it ; pricking made her rub it ; < on waking. θ Chronic opacity of cornea.

Upper face

Pain in angles of inferior maxilla, so severe as to think he is going crazy.
Pain in inferior maxilla, as if all teeth were going to fall out ; neither cold nor heat relieves.
Pain in direction of right inferior maxillary nerve, with a tickling sensation in stomach.

Teeth and gums

Great dryness of mouth and teeth.

Palate and throat

Tonsillitis ; high fever, delirium, red face, tonsils so swollen, suffocation was feared.
Tonsils greatly swollen, membrane covering both, also uvula ; neck much swollen, excessive fetor oris, high fever and cerebral congestion. θ Diphtheria.
High fever, delirium, vomiting, great prostration ; throat swollen externally on both sides, internally entire fauces red, both tonsils covered by a firm membrane, color of pearl ; both sides equally affected ; offensive odor from mouth. θ Diphtheria.
Hot, fiery-red face, pungent heat of surface of body, drowsy with starting in sleep, throat swollen internally, both tonsils slightly covered with membrane, distinct odor of diphtheria.
Tonsils much swollen and well covered with membrane ; violent onset of disease ; high fever ; tendency to vomit. θ Diphtheria.
High fever and delirium for two nights ; throat swollen externally and both tonsils covered by a yellowish membrane ; fetor oris. θ Diphtheria.

Appetite, thirst. desires, aversions

Loss of appetite, intense thirst ; general prostration ; vomiting after eating and getting out of bed ; craving for raw food. θ Disorders
of pregnancy.
Opium habit.

Scrobiculum and stomach

Gastric disturbance ; mouth dry ; gums bleed ; tongue ulcerated ; throat sore, swollen, inflamed, constricted ; great thirst ; flat, bad taste ; appetite lost, with anguish, nausea and vomiting.

Hypochondria

Hepatic region painful to touch.
Severe burning pain in cancer of liver (relieved).

Abdomen and loins

Sharp pain in umbilical region ; violent burning in abdomen and rectum ; stools profuse, dark, fetid, bloody, with violent urging ; constipation.

Stools and rectum

Constipation.
Stools three or four times daily, very dark, fetid, partly formed, containing much mucus, expelled with difficulty and followed by smarting and burning in anus, but no tenesmus ; stools occur immediately on having head washed.
Nausea and vomiting ; diarrhœa ; pain and tenderness in bowels ; constant thirst ; tongue red ; pulse 140 ; position on back, limbs flexed ; sleepless and restless ; inflammation of bowels, probably caused by eating baked
beans.
Fainting, sinking, chill ; great nervousness ; vomiting ; purging ; severe cramps in bowels and pain in bladder ; pulse weak, 100 ; no thirst ; tongue dark as if stained with nitrate of silver ; excruciating pain in bowels, < at night ;
evacuations frequent, eight to ten every night, and four or five by day ; frequent and painful micturition, patient seemed unable to locate pain or to distinguish whether it was < in bladder or bowels ; stools thin and brown, with very little odor ; great
restlessness ; desire to change position or to get out of bed and walk floor ; face pale and haggard, with perceptible diminution of flesh and strength from day to day. θ After
injecting nitrate of silver for gonorrhœa.
Headache, pain in back and limbs ; tenderness in region of liver and bowels ; pulse 96 ; tongue brownish and dry ; bilious diarrhœa ; fifteen evacuations, not painful, in twenty-four hours, over half of these at night ; stools dark-brown and thin, with some
lumps of feces of same color ; abdomen sore ; no nausea, but disgust of food.
Weakness of sphincter ani, feces appeared to be natural but passed as fast as accumulated.

Urinary organs

Diabetes ; profound grief and anxiety ; great prostration and pain as if whole body were bruised ; loss of memory and dimness of sight ; constant craving for raw articles ; intense thirst ; disgust for meat and general wasting away ;
constipation ; polyuria, with violent pains in lumbar region and paralysis of lower extremities ; miliary eruptions and furuncles.
Involuntary emission of urine when coughing, laughing, or making any effort whatever.
Pain in region of bladder ; urination frequent, very painful ; extremely nervous ; could get no relief in any position ; pulse somewhat quickened from pain ; tongue only slightly coated ; all symptoms < at night ; sleep
disturbed.
Cystitis, with high fever, gastric derangement, excruciating pains, and impossibility to pass a drop of urine ; bladder seems swollen and hard ; great tenesmus from spasmodic action, debilitating patient, who passes only by drops a dark-red, brown, fetid urine, with
gravel-like sediment.
Urine hot, thick, much sediment ; difficult micturition, incontinence, and pain in kidneys. θ Septic diseases.

Male sexual organs

Extreme sexual excitement, lasciviousness, almost to insanity.
Onanism, followed by prostatic ailments and hypochondriasis.
Seminal emissions after onanism ; imbecility, stupid laughter, progressive wasting.
Gonorrhœa ; five different injections, producing great irritation in urethra, particularly when urinating, with smarting, unbearable pains ; redness on tip and edges of tongue, anorexia, dyspepsia and pyrosis, flatulence and stubborn
constipation ; emaciation in face, eyes sunken and without expression ; dizziness when moving, dyspnœa, and alarming palpitation ; loss of memory so great, he failed to recognize persons with whom he was intimately acquainted ; little perception, inertia and weakness for
any mental labor ; full of deep sadness, shy, shuns his friends ; nervous agitation, restlessness, inability to find a comfortable position ; if sleep was obtained, it only lasted for three or four hours ; pains ; getting weaker ; felt a general burning, more in
palms and soles, with shaking, twitching and incessant movement of lower extremities, especially when quiet ; gonorrhœa, though not so profuse, stains shirt a light yellow ; seminal emissions two or three times a week ; want of appetite.

Female sexual organs

Extreme sexual excitement ; menses too early and profuse ; pains and spasms of uterus ; pruritus vulvæ ; leucorrhœa.
Violent nymphomania ; could not suppress lascivious inclination ; < from sexual intercourse ; has suffered since her twentieth year ; woman, æt. 45.
Nymphomania ; reflex chorea ; hyperemia and hyperesthesia of sexual organs.
Fibrous tumors of uterus, with bearing-down pains.
Displacement of uterus, with retention of urine and difficult defecation.
Sensation of great weight, with burning in hypogastrium and uterus, as if there were not sufficient space, with upward pressure.
Pruritus vulvæ ; frequent hemorrhages ; pale face, constant fatigue.
Profuse menstruation accompanied by frequent erotic spasms ; crossness, ennui, and deep dissatisfaction ; catamenia too early, pain in lumbar region as soon as menses commence and ceasing with it ; great pruritus in vulva after menses ; hysteria.
After a fall down stairs complains of pain in lower part of abdomen and hips ; very sensitive to manipulation, some hardness and swelling in hypogastric region and in uterus, which was seat of burning, crampy pains, < by every movement ; sanguineous
leucorrhœa, constant desire to pass water, which was clear but difficult to void, falling drop by drop, with burning pain ; precordial anguish, sadness, weeping and fear of death (Conium improved, Tarentula cured). θ Uterine
neuralgia.
Strong bearing-down pelvic pains for nearly a week previous to catamenia ; severe backache extending to hypogastric region ; wearying fidgetiness of legs, pains felt more from knees to feet, compelling patient to move about, > by riding horseback ; pains < as menses
approach, severest at greatest flow, violent enough to produce convulsive movements ; chorealike restlessness, twitching and trembling of muscles, which worked painfully from side to side ; draws herself together, legs close to abdomen and head bent forward, hands clutching at
bedclothes, immediately afterward seizing something else ; motion of inferior extremities almost incessant ; hands and feet cold and moist ; pains and spasms kept pace with menstrual flow, increasing or decreasing with it ; menses usually regular except for last four
months, when they were delayed, owing to a slight sanguineous intermenstrual discharge, lasting two days and generally appearing at fifteenth day, which was painless ; flow nearly right in quantity, light-colored and with small dark clots when patient was recumbent, darker and more
profuse when rising to chamber ; on first day usually a slight frontal headache, increasing second day to a violent, throbbing pain, < from light and motion ; during headache exacerbation, a remission of pelvic pains, latter reappearing soon with original force, but not
remaining so long ; on third day a brief relief, followed by a return of old pains, lasting a shorter time ; meantime urinary tenesmus, nausea, and bad taste in mouth ; occasionally globus hystericus and dry hacking cough ; with convalescence great weakness and shooting,
grasping pains at heart with occasional interruption of its rhythm, and with increased action ; preceding and following menses, yellowish leucorrhœa ; in morning, hawking up brown mucus, often tinged with blood ; breathing short, painful ; occasionally, at long
intervals, a sudden waking from dreamless sleep, under a feeling of suffocation ; violent palpitation and acute pains through heart, compelling upright position ; pulse regular, quick, irritable ; right heart-ventricle slightly dilated ; infraclavicular pain in right side
of chest, penetrating to back, so as to catch breath ; since childhood has wanted sand, cuttlefish, ashes, etc., highly spiced food, cigarettes ; > during warm weather, when outdoors ; < during cold. θ Dysmenorrhœa.
Engorgement of cervix uteri, with granulations, extending to vagina, whose mucous membrane was highly injected ; violent convulsions of whole body during rest.
Chronic vaginitis, granulations and excrescences in vagina and neck of uterus ; cancerous ulcer on os destroyed its left lateral part ; induration of neck and body of uterus ; flushes of heat to face, perspiration, congestion to head, menorrhagia ; severe pains in
region of sacrum, extending to hips and terminating in uterus ; menstruation lasted twelve to fifteen days, followed by pressive, shooting pains in uterus and a fetid, bloody discharge ; nausea, anorexia, great thirst, slow and difficult digestion, obstinate constipation, general
malaise ; at 2 A. M., some days after, severe, violent, tearing pains in uterus, extending to sacrum, and along vertebral column, with rigidity of trunk and convulsive movements in head and legs ; icy coldness, chattering teeth, trembling, anxiety and uneasiness ; small
contracted pulse, oppression of chest, dryness of mouth without thirst, and pale face.
Burning smarting leucorrhœa and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed, or by least pressure.
Leucorrhœa : alternating with bloody discharge ; following hemorrhage, with great weakness.
Expulsion of gas from vagina.
Sensation of motion in uterus, like a fetus ; singing, like a tea-kettle in left ear ; obstinate constipation ; stoppage of urine, which is high-colored, with red sediment, pain in region of kidneys ; palpitation ; sensation of something
crawling up legs, under skin, from feet till it reaches uterus, causing great sexual desire, intense pruritus and rubbing, which it is impossible to resist, makes her almost crazy. θ Pruritus
vulvæ.
Intense, unbearable pruritus vulvæ, extending into vagina, < at night, with dryness and heat of parts ; white, thin leucorrhœa ; thick white sediment in urine ; pain in right side of abdomen ; nausea ; accumulation of mucus in throat ; mouth parched and
dry ; thirst often and for large quantities ; very restless at night. θ Pruritus vulvæ.

Pregnancy. parturition. lactation

Loss of appetite ; intense thirst ; general prostration ; vomiting after eating, and getting out of bed ; craving raw food. θ Disorders
of pregnancy.

Inner chest and lungs

Great oppression ; panting perspiration.
Chronic suffocative catarrh.

Heart, pulse and circulation

Precordial anxiety, tumultuous beating of heart.
Murmurs and palpitation ; alternate acceleration and suspension of movements of heart.
Trembling and thumping of heart as from fright.
Precordial anguish ; movements of heart not felt ; suffocation.
Constant want of air ; heart suddenly ceases to beat and patient fears to die.
Sensation as if heart turned and twisted around, with pain in chest and general perspiration.
Pain in heart as if squeezed or compressed ; also in aorta, under left clavicle and in carotids, with violent throbbing of heart and arteries ; rheumatic pains in chest extending to umbilical region.
Angina pectoris.
Nervous spells with pain in left ovary, pain seems to affect her heart and she becomes unconscious, seems to stop breathing ; as spell comes on again she begins to breathe short and to call for more air ; pulls her dress away from her
heart ; gasping for air ; pulse intermits, weak and slow ; many times she is reported dying.

Outer chest

Brown-colored mole about the size of a grain of wheat on back of neck ; burning, no inflammation ; when touching it complains of needles sticking in it.
Carbuncle as large around at its base as a silver dollar, apex studded with small openings on side of chest ; no pus discharging ; intense burning and stinging extending to mamma and down arm ; had not slept for fortyeight hours.

Neck and back

Abscess in back of neck, burning, excruciating pain, completely banished sleep for six or seven nights ; fever, with great thirst and prostration. θ Anthrax.
Anthrax in interscapular region, with severe burning pain ; unable to sleep from excessive pain.
Anthrax in back of neck ; local applications, first emollient, then caustic, at last knife was resorted to with stimulants internally, and hydrate of chloral and morphine to relieve burning, agonizing pain, all to no effect ; muscular and cellular tissues destroyed from neck to
waist, and from shoulder to shoulder, leaving a cavity about six inches long and four wide, at bottom of which several dorsal vertebræ were plainly visible ; infiltration of surrounding tissues ; quotidian fever and diarrhœa ; on third day after Tarantula Cub. line of
demarcation was formed, and two days afterward surrounding mortified tissues came off ; with continuance of this remedy and an occasional dose of Sulphur, patient was entirely cured in seven weeks.
Irritable spine ; excessive hyperesthesia, a slight touch along spine provokes spasmodic pain in chest and indescribable distress in cardiac region, at times heart feels as if twisted (spiral fibres) ; intense headache, as if thousands of needles were pricking into brain ;
body burned all over ; trembled so she could hardly talk ; headache > by rubbing head against pillow, termini of nerves become so irritated that some kind of friction is resorted to in order to obtain relief.
Multiple sclerosis in consequence of fright and rheumatism ; trembling commenced in left hand, always < by mental trouble ; after fright it affected all limbs ; intense pain during night prevents her rest and sleep, and an itching and crawling of left leg make her rise
and walk about ; bathing < pain, but fresh air >, even at night ; intelligence and memory considerably diminished ; trembling and pricking prevent from doing any fine work ; motility and sensibility unaltered ; neither paralysis, anesthesia nor
hyperesthesia ; head trembles as much as left hand and foot, and a slight tremor could be observed on tongue when opening mouth ; no appetite, chronic constipation ; since menopause acne in face ; slight hyperemia of retina.
Difficulty of moving legs, they do not obey will ; weakness of legs. θ Tabes dorsalis.
Burning, smarting leucorrhœa, and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed or by least pressure. θ Coccygodynia after confinement.

Lower limbs

Uneasiness in legs with necessity of constantly moving them.
Weakness of legs not allowing feet when walking to be placed squarely on ground ; difficult walking ; inability to kneel down ; difficulty of moving legs, they do not obey will.
Large hard abscess in right thigh, exceedingly painful and inflamed, no fever, glands in groin swollen, indurated and painful.

Limbs in general

Rheumatism checked by putting extremities in cold water, panting respiration, anxiety, cramps in heart or twisting pains ; pulse full, hard, frequent ; aorta feels full, tense, stretched, with stitching pains ; morning and night cold extremities.

Rest. position. motion

Cannot keep quiet in any position.
Lying : hysteria > ; on back limbs flexed.
Sitting or lying : uneasiness in coccyx <.
Standing : > uneasiness in coccyx.
Motion : > headache ; dizziness ; < crampy pains in uterus ; < frontal headache ; < uneasiness in coccyx ; constant, of hands, feet and head ; can better run than walk.
Walking : difficult from weakness of legs.
Riding horseback : > pains in legs.

Nerves

Great restlessness and agitation, particularly of inferior extremities ; has to change position ; need of constantly moving hands, feet and head.
Trembling of body ; limbs agitated.
St. Vitus' dance.
Great restlessness, could not keep quiet anywhere or in any position ; felt that he must keep in motion though walking aggravated all symptoms.
Somnambulism ; frequent desire to urinate ; clear urine ; quantity lessened until secretion ceased ; much excited at night ; convulsions, a kind of St. Vitus' dance, with inclination to bite and tear everything that comes near
him ; when fit ceases, falls asleep, on awaking is unconscious of what has happened ; has not voided urine since fifteen days ; exalted state of mind ; could not speak, but could write ; falls every day into a somnambulistic kind of sleep, the exact time of which he
states every morning ; this state continued several months.
Trembling of body ; all limbs agitated ; convulsive hysteria and chorea, with excessive hyperesthesia.
Excessive hyperesthesia ; least excitement irritates.
Hysteria of two months' standing in a girl æt. 11, particularly characterized by attacks of spasmus glottidis, occurring about every five minutes, and accompanied by a whistling tone.
Spasmodic, hysterical symptoms from uterine irritation.
Great disorder of motion, convulsive form ; necessity for continual motion ; fright, terror, fear of speedy death, with vertigo and precordial anguish, with intolerance of pressure and touch, and periodicity. θ Hysteria.
Choreic restlessness of limbs ; music has a soothing influence.
Suffers on account of deep grief ; severe convulsions at 8.30, exactly, lasting about two hours ; they are preceded by an intense chill all over, beginning with short chills on back and extremities, lasting about half an hour, and followed immediately by convulsions,
with severe involuntary muscular contractions, beginning in upper or lower extremities and extending to whole body ; consciousness retained during paroxysms, but lost power of co-ordination. θ Intermittent
nervous affection.
For several months spasms of an extraordinary character, increasing in intensity and frequency ; attacks preceded by spells of gaping and irregular breathing, then muscular contortions of all kinds, fixed look ; followed by wild shrieks, long-continued coma, occasionally
hysterical outbursts of laughing or crying ; paroxysms most severe at menses.
A few days after getting out of bed after fourth confinement, violent convulsions of whole body during rest, necessity of moving and walking up and down room ; on attempting to sit or lie down, violent shaking of head and limbs, with bruised pains all over and dizziness, compelling
her to get up again and walk room ; was unable to sleep for nine days, dreading convulsions every time she attempted to sit down ; want of appetite, great anxiety and malaise ; fear of death ; cervix uteri engorged, with granulations extending to vagina, mucous membrane
of which was highly injected.
A boy, æt. 14, looks thoughtful and melancholy, shuns his companions and stays most of the time in most retired part of house ; lost his appetite, in a few days was taken with chorea ; head drawn downward, afraid to look at strangers, idiotic expression of face, great loss of
flesh, dirty and ashy color of skin, impetigo around lips, choreic movements of head, movements of right arm alternating with those of head ; all movements ceased in bed ; involuntary micturition.
Inordinate and irresistible movements, with alternate relaxation and contraction of muscles of left hand and foot. θ Chorea.
In constant motion ; can better run than walk ; speech impeded ; feels best in bed. θ Chorea.
Constant irregular movements of right arm and leg ; is unable to walk or feed herself ; speech difficult, tongue heavy ; frequent epistaxis ; starting during sleep which is light ; great thirst ; constipation ; good appetite ; changeable
mood ; any observation or steady look was enough to make her cry ; dragged leg when trying to walk, steadily getting worse. θ Chorea.
Child can retain its seat with difficulty, arms tossed from side to side, legs cannot be controlled ; walking impossible ; head turned violently from side to side ; eyes rotated and eyelids almost in constant motion ; frequent hideous grimaces ; violent
contortions of trunk ; every effort to take food causes involuntary movements of tongue, causing her to drop from mouth two-thirds of what she has taken ; movements not so violent at night, but cannot sleep more than a few movements at a time. θ Chorea.
Chorea of superior extremities without any appreciable cause ; head thrown with violence in different directions ; nervous contractions in muscles of face ; right leg thrown about with such violence, could hardly keep from falling.
Disorderly and irregular muscular movements ; limited to left arm or leg or to one of these parts ; very seldom left arm and right leg ; with grimaces of mouth.
Inordinate, irregular movements of hands and feet, which subside almost entirely on hearing notes of hornpipe.
Chronic irregular movements of superior extremities, also head ; was thrown with violence in different directions ; contraction of muscles of face ; legs somewhat affected.
Head, right arm and hand affected, head drawn downward ; involuntary micturition.
Falling down unconsciously without any warning, general rigidity, grinding of teeth, bites her tongue, squinting of eyes which remain open during attack, fit lasting two or three minutes, followed by dejection and dizziness for twenty-four hours ; attacks occuring every eight,
fifteen or twenty days. θ Epilepsy.
Dizziness before fit ; great precordial anguish.
For five years peculiar fits, which begin with a sensation as of a cloud before left eye, gradually increasing to complete blindness on that side ; then follows a numbness of left arm and right leg, gradually increasing Until former becomes powerless ; after this, drowsiness,
followed by a deep sleep, from which he awakes with a throbbing frontal headache and blindness in left eye, these two symptoms gradually disappear together ; urine normal ; fundus oculi normal ; longest interval between attacks was five months ; of late, attacks have been
coming every week. θ Epileptoid.
During attack squinting of eyes which remain open ; after dizziness and dejection for twenty-four hours. θ Epilepsy.
Paralysis agitans caused by great mental distress, commencing with pain in arms and a continual itching and trembling in left leg, with inability to remain in bed ; had to walk floor ; trembling extended to head and tongue ; appetite lost ; sleepless nights.
Intelligence and memory diminished ; trembling ; pricking, and peculiar sensation in phalanges of hands and feet, unable to perform any fine work ; motility and sensibility unaltered, neither paralysis, anesthesia nor hyperesthesia ; head trembled just as left foot
and arm, and a slight tremor could be perceived on tongue when she opened her mouth ; could only sleep for a few minutes, pains woke her in spite of her sleepiness ; no appetite ; chronic constipation, since menopause acne in face ; a slight hyperemia of retina, excess of
uric acid in urine. θ Paralysis agitans.
Paralysis ; general formication beginning with a severe pain in occiput, followed by numbness of trunk and limbs, and complete loss of motory power.

Sleep

Sleeplessness.

Time

Morning : to 9 A. M. headache < ; hawking of brown mucus ; cold extremities.
Night : pain in bladder < ; pruritus vulvæ < ; restlessness ; cold extremities ; somnambulism ; sleeplessness.

Temperature and weather

Fresh air : > headache ; > pains of tabes dorsalis.
Warm weather : dysmenorrhœa >.

Fever

Constant chill and coldness during four days.
Scorching heat in whole body alternating with icy coldness.
Scorching heat of skin which is of a scarlet color.
Intermittent febrile attacks ; during heat continued coldness of feet. θ Hysteria.
Intermittent fever of nervous hysterical women.
General emaciation particularly of face, icteric color ; tongue coated yellowish, want of appetite, no thirst, dryness of mouth ; constant pain in hepatic region, < before paroxysms, with nausea and vomiting ; severe headache, precordial anxiety, sadness,
taciturnity, despair of recovery ; cold stage intense, with shaking ; blue color of nails, lasting about two hours ; gastric symptoms < at onset of heat ; fever scorching, no thirst ; great dryness of mouth ; hot stage lasted five to six hours, during which
time eyes were shut and she lay in a comatose condition ; sweat lasted three to four hours, followed by great debility and prostration. θ Ague.
Chills and fever with choreic convulsions ; shakes almost continuously with involuntary movements in limbs, abdomen, chest, trunk and face, < in left side ; could not speak a word, tongue and pharynx being implicated ; after a severe scolding, or punishment.
Toxemic fevers of a typhoid or intermittent form ; chilliness or burning heat, chilliness predominating.

Attacks, periodicity

Daily at same hour : attacks of hystero-mania.

Locality and direction

Left : pain in ovary ; feeling of a hair in eye ; singing in ear ; pain under clavicle ; trembling begins in hand ; itching and drawing in leg ; alternate relaxation and contraction of muscles of hand and foot ; chorea of arm and
leg ; as of a cloud before eye, blindness ; numbness of arm ; trembling in leg.
Right : pain through eye to occiput and nose ; pupil dilated ; pain in maxillary nerve ; heart ventricle dilated ; infraclavicular pain ; pain in abdomen ; abscess in thigh ; glands in groin swollen ; choreic movements of arm alternate with
those of head ; irregular movements of arm and leg ; leg thrown about with violence ; numbness of leg.

Sensations

As if head were knocked in morning ; as if thousands of needles were pricking into brain ; as if occiput were struck with a hammer ; as of a hair in left eye ; as if lower teeth were going to fall out ; as if body were bruised ; as if there were
not sufficient space in hypogastrium ; painful uneasiness in coccyx ; motion in uterus as of a fetus ; singing like a tea-kettle in left ear ; as of something crawling up legs under skin from feet to uterus ; as if heart turned and twisted around ; heart as if
squeezed or compressed ; as of needles sticking into mole on neck when touched ; as of a cloud before left eye ; as of insects creeping and crawling.
Pain : in vertex and parietal bones ; in angles of inferior maxilla ; in right inferior maxillary nerve ; in bladder ; in back and limbs ; in uterus ; under right clavicle to back ; in right side of abdomen.
Excruciating pain : in bowels ; in bladder ; in abscess on back of neck.
Neuralgic pain : in temples ; in left ovary affecting heart.
Severe pain : through right eye to occiput ; in cerebellum.
Sharp pain : in umbilical region.
Twisting pains : in heart.
Tearing : in uterus ; to sacrum.
Stitching pains : in aorta.
Pricking : over whole body.
Shooting pains : at heart ; in uterus after menses.
Stinging : in carbuncle on side of chest.
Burning : in occiput ; in cancer of liver ; in abdomen and rectum ; in palms and soles ; in hypogastrium and uterus ; leucorrhœa ; in carbuncle on side of chest ; in abscess on back of neck ; in anthrax between shoulder blades ; all over
body, irritable spine ; of skin.
Smarting : in anus ; urethra ; leucorrhœa.
Grasping pain : at heart.
Constriction : in throat.
Cramps : in bowels ; in heart.
Rheumatic pains : in chest, extending to umbilical region.
Pressive pains : in uterus after menses.
Bearing-down pains : in uterus.
Heaviness : in lids ; in hypogastrium and uterus.
Uneasiness : in legs.
Fidgety feeling : in legs.
Trembling : in limbs.
Tickling : in stomach.
Crawling : on left leg.
Numbness : of trunk and limbs.
Formication : in soft palate ; with paralysis.
Heat : in occiput ; in vagina ; of skin ; scorching.
Itching : on left leg ; of skin.

Tissues

Termini of nerves become so irritated that some kind of friction is necessary in order to obtain relief ; must move hands or legs ; must rub head against something ; must roll something between fingers ; must put fingers in mouth.
Weakness of all limbs ; rheumatic pains ; restlessness ; formication ; paralysis ; spasmodic paralytic affections ; neuralgia ; rheumatism ; nervous diseases where functions of vagi are more or less disturbed.
Anthrax ; carbuncles ; atrocious pains.
Syphilitic buboes, painful boils, all kinds of abscesses where pain or inflammation predominates.

Touch. passive motion. injuries

Music : hysteria > ; causes excitement.
Touch : headache < ; hepatic region painful ; pain in mole on neck, as of needles ; along spine provokes spasmodic pain in chest and distress in cardiac region.
Rubbing : head against pillow > headache.
Pressure : headache > ; uneasiness in coccyx.
After a fall down stairs : uterine neuralgia.

Skin

Terrible pruritus, a sensation as of insects creeping and crawling.
Outer parts feel as if worms or insects were boring and crawling, no relief from cold or heat ; continual irritation and titillation.
Malignant ulcers and unhealthy skin ; anthrax and gangrene.
Itching : burning ; formication ; ecchymosed spots ; painless vesicular and especially pustular eruptions.

Stage of life, constitution

Nervous, hysterical patients, subject to choreic affections.
Foxy, mischievous and destructive tendency.
Boy, æt. 2 ; diphtheria.
Child, æt. 3 ; diphtheria.
Boy, æt. 5 ; diphtheria.
Boy, æt. 5, light complexion, nervous temperament ; diphtheria.
Girl, æt. 6, stout ; diphtheria.
Girl, æt. 6, delicate ; diphtheria.
Girl, æt. 6 ; chorea.
Girl, æt. 7, nervo-lymphatic temperament ; chorea.
Girl, æt. 8, bright, healthy, intelligent looking ; weakness of sphincter ani.
Boy, æt. 8, delicate, scrofulous, two children in same family died of the disease ; diphtheria.
Girl, æt. 9 ; tonsillitis.
Boy, æt. 9, suffering a year ; chorea.
Girl, æt. 9, nervous temperament ; chorea.
Girl, æt. 9, fleshy, lymphatic temperament, anemia, suffering four months ; chorea.
Girl, æt. 10 ; diphtheria.
Boy, æt. 11, suffering five years ; epileptoid.
Girl, æt. 11, suffering two months ; chorea.
Girl, æt. 11 ; severe burning in mole on neck.
Girl, æt. 11, thin, delicate, nervous ; intermittent fever and choreic convulsions.
Girl, æt. 12, weak constitution, belongs to poor class ; chorea.
Girl, æt. 14, suffering four months ; hystero-mania.
Boy, æt. 14 ; chorea.
Young lady, æt. 18, dark complexion, slender, delicate, consumptive ; diarrhœa, etc.
Miss B., æt. 19, nervo-lymphatic temperament, after a fright ; chorea.
Man, æt. 21, dark complexion, large, strong ; diarrhœa, etc.
Girl, æt. 24, tall, slender, lymphatic, nervous temperament, with scanty menstruation, irritable mood ; epilepsy and hysteria.
Negro, æt. 26 ; abscess in thigh.
Woman, æt. 27 ; insanity.
Miss M., æt. 27, confirmed dyspeptic for years, a musical amateur, suffering with myopia, amblyopia and incipient cataract, while in a highly nervous condition from overstudy, was operated on to remove opacity of lens of right eye by absorption ; insanity.
Mrs. ---, æt. 30, affected two years ; insanity.
Woman, æt. 32, single, blonde, blue eyes, cheerful, weak and emaciated frame, suffering ten years ; dysmenorrhœa.
Lady, æt. 32, widow, blonde, lymphatic temperament ; uterine neuralgia.
Man, æt. 32, nervous temperament, gastro-hepatic diathesis, after great grief ; intermittent nervous affections.
Man, æt. 34, nervo-sanguineous temperament, gonorrhœa.
Madam B., æt. 36, lymphatic temperament, after fourth confinement ; spasms.
Unmarried lady, æt. 36, slim, bilious, nervous, of irritable character, and scanty menstruation, suffering since 18 years of age ; attacks of chorea.
Woman, æt. 36 ; carbuncle.
Lady, æt. 40, blonde ; urinary difficulty.
Mrs. C., æt. 40 ; irritable spine.
Mrs. ---, æt. 40 ; affection of heart.
Mrs. R., sanguine temperament, full habit, suffering since last confinement, four years ago ; coccygodynia.
Lady, æt. 45, good constitution, profuse menstruation, suffering since 20 years of age ; nymphomania.
Widow, æt. about 45, suffering sixteen years ; pruritus vulvæ.
Mrs. F., æt. 48, sanguineous constitution, mother of seven children ; uterine affection.
Man, æt. 50, dark complexion ; diarrhœa.
Woman, æt. 51, past climacteric, thin, spare body, delicate constitution ; anthrax.
Mrs. K., æt. 61, strong constitution, menstruation ceased at age of 52 ; paralysis agitans.
Mrs. S., æt. 68, strong constitution, suffering eighteen months ; ague.
Man, æt. 72, good constitution ; abscess back of neck.
Woman, æt. 84, delicate constitution ; anthrax back of neck.

Relations

Compare Laches ., which is said to be antidotal.

Lectures on Homoeopathic Materia Medica

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

Lecture

This terrible poison should never be used except in attenuations.

Mind and nervous

The nervous manifestations of this remedy are almost indescribable and too numerous to mention.

Anxiety and restlessness are words that prevail through all the conditions in it. It is much like Ars. The anxiety is felt sometimes in the mind, sometimes in the whole body, sometimes in the limbs and in the stomach.

Cardiac anxiety is a strong feature. A strong aversion to colors, such as green, red and black. Depraved imaginations prevail through all the proving. Loss of all shame.

Desire to run about, to dance and jump up and down. Great fantastic dancing. Sometimes, music ameliorates all the symptoms and it other times it aggravates them. He becomes violently excited from music.

Emaciation is so marked that it may be said sometimes that the flesh falls off from him. Creeping and crawling in the skin all over the body. Paralysis of any part of the body, or of all the limbs.

Trembling and jerking convulsions. It has an appearance very much like St. Vitus' Dance and hence has cured chorea when it was better from music. But it will also cure when worse from music.

The extreme restlessness of the limbs is like Ars., and it is a deep acting medicine like Ars., and it sometimes has cured where Ars. has failed, although it seemed well selected. Anxiety, restlessness, constant motion of the arms, legs, trunk and head. Restlessness of the limbs in the evening, in bed before going to sleep, like Ars. and Lyc.

It is full of pains in the body and limbs; pains in the bones; pains in the. arms and in the joints. Periodicity is so well marked that it has been a marked curative remedy in intermittent fevers with restlessness of limbs, with aching of the bones, with stitching pains, with the anxiety, especially when these come in the evening and the fever lasts all night.

Chill in the evening followed by fever without sweat is a marked feature.

Modalities

The patient himself is always sensitive to cold, so the pains in the limbs are worse in cold air and from becoming cold.

Cold damp weather aggravates all the symptoms. Walking in the open air when not cold ameliorates most of his symptoms. Open air ameliorates, rubbing ameliorates.

There is weakness of all the limbs. Violent pains in the bowels and in the bladder. Burning is a strong symptom, in many parts, but especially in the rectum; in the palms and soles and in the uterus. It is one of our high grade remedies for hysterical women.

He is inclined to walk in his sleep. Excessive hyperesthesia; all the symptoms are worse from grief and excitement. When choreic symptoms are present he can run better than he can walk.

Impairment of memory. Great irritability. In the hysterical symptoms she is better from music. Her motions are ludicrous and she is even lascivious in her conduct. Great excitement from music; she sings until she falls with exhaustion. Fox-like cunning and destructiveness. Paroxysms of insanity with restlessness of the legs and threatening words.

When questioned she does not answer. Frequently imagines that she has been insulted. Dementia with great sadness. Excitement with singing, dancing and weeping. She sees monsters, animals, faces, insects and ghosts. She sees strangers in the room. Tarentula patients feign all sorts of sickness, especially fainting. They not only imagine themselves sick, but they pretend to be sick when they are not.

Aversion to red, green and black and all striking colors. She pulls her own hair and presses her hands upon her head. Constantly, complaining and threatening; threatens her nurse and her attendants; she strikes her head with her hands; she strikes her body; strikes her attendants and her best friends.

Violence is a strong feature of the remedy. Violence with anger. Tears his clothing. Consolation causes weeping.

The mental symptoms are better in the evening after eating. Many physical symptoms are worse in the evening, especially the febrile conditions.

A desire to lie down in the dark and not be talked to. She has many insane ideas, one is that she wants to hide because she imagines that she will be assaulted. Angered from contradiction.

Frequent attacks of dizziness, even so great that she falls to the ground. Dizziness comes on in the night; when descending stairs. Dizziness with rush of blood to the head and dizziness when fixing the eyes upon objects.

Head

The head symptoms are also very numerous.

Contortions and jerking of the head. Constantly rubs the head against something, sometimes it is the pillow when in bed. Throws the head from side to side, here and there.

She has a sensation of hammers in the head. Burning heat in the head. Headache in the evening; in the morning on waking. Cannot open the eyes. Bending head forward aggravates. Pains are pressing and often wander around from place to place in the head; violent pain in the occiput and temples at the same time.

Eyes

Eyes are staring, spasmodically wide open.

Dim vision usually worse in the right eye. Severe pain in the right eye. Sensation of sand or splinters in the eyes. Itching in the eyes. Burning, worse in the right eye.

Photophobia is marked. It will therefore be seen that the right eye is more affected. Many symptoms of the body are confined to the right side.

Ears

Discharge from the cars profuse.

Violent pains in the ear. Stinging in the meatus. Dullness of hearing. Dull pains in the right ear; tearing pains in the right ear.

Buzzing and whizzing and dizziness. Ringing as of bells in the ear on waking in the morning. The right ear is most affected.

Nose

It has many catarrhal symptoms in the nose.

Dryness and burning; sneezing with the coryza and bleeding from the nose.

The acute and chronic nasal symptoms are worse on the right side.

Face, mouth and throat

The face looks sickly and has the appearance of terror.

Tearing pains in the teeth. Pain in the angle of the inferior maxilla as if the teeth would fall out.

There is inflammation of the throat and tonsils, worse on the right side.

Pain in the right tonsil extending to the ear.

Shooting pain in the throat. Pain and constriction on swallowing. It has cured Diphtheria. The throat is much swollen externally and there is high fever.

Stomach

Aversion to food; aversion to meat especially, though craves raw food.

Thirst for cold water. Has nausea and vomiting. Has bitter eructations. Has an empty all-gone feeling in the stomach, an anxious feeling in the stomach. Vomits all food taken. Burning pain in the stomach.

There is burning in the abdomen that extends down through the intestines. Burning in the rectum. Sharp pain in the spleen.

The liver is painful to touch and is swollen. Pain in both sides of the abdomen. The abdomen is distended with flatus. Subject to much colic. Shooting pains in the abdomen, anus and vagina at the same time.

Women who have been poisoned by the Tarentula were found to have fibroid tumors in the abdomen and uterus. Severe pains in the lower abdomen.

It has cured most terrible and alarming constipation after cathartics and injections failed to effect a movement. The symptoms that guide to it are the continual tossing, anxiety, restlessness, rolling from side to side and rubbing the head against the pillow.

There is no desire for stool. With the stool there is much blood. In the rectum there is pain, smarting, tenesmus and in the abdomen colic. Most difficult stool. It also has diarrhoea with nausea and vomiting.

Diarrhoea has been brought on after washing the hair attended with dark foetid stool.

Many toxicological symptoms are found. Sugar in the urine and it has cured diabetes; diabetes with grief, anxiety, weakness and bruised pain all through the body.

Kidneys and bladder

There is involuntary urination when coughing.

Many pains in the kidneys. Most difficult urination and it has cured renal colic. In the pathogenesis the symptoms are much like cystitis and it has cured inflammation of the bladder.

In keeping with these general symptoms there is spasmodic action of the bladder; spasmodic retention of urine; copious urine with emaciation and sugar. Pain in the urethra, drawing after urination. Copious sand in the urine, and the urine is foetid.

There is uncontrollable sexual desire and he seems in a state of mind wherein he has no desire to control himself and his sexual passions; lasciviousness almost to insanity. Onanism followed by prostatic troubles.

Seminal emissions; semen is bloody; pain in the genitals; testes relaxed and painful; pain in the groin; the penis is swollen; tumor in both testicles; pains in the spermatic cords and testes, with swelling; drawing pains in the spermatic cords.

Women

In the female also there is violent, uncontrollable sexual erethism.

Menstrual flow too early and copious. Violent itching of the genitals extending far up into the vagina, worse at night. Pain and violent cramps in the uterus. Nymphomania has been cured by this remedy.

Coition intensifies the desire and is followed by no relief. Extreme hyperesthesia of the genitals. Fibroid tumors have been cured. Great relaxation of the muscles and displacement of the uterus. Strong bearing down feeling in the pelvis. Burning in the uterus; swelling and induration of the uterus.

Violent cramps with burning in the uterus with nausea and vomiting. The uterus is extremely sensitive to pressure. Contracting pains of the uterus are labor-like and such as are often found in abortion. Shooting pains, in the genitals.

Air passages

It has been a very useful remedy in complaints of the air passages.

Constantly scraping of larynx and trachea to clear them of MUCUS. Loss of voice and hoarseness; loss of voice when talking. Dryness in the larynx and trachea. Burning from the throat down into the chest.

It is very rich in cough symptoms. Dry frequent cough, worse in the evening dry spasmodic cough with retching, with gagging, on every effort to expectorate; cough with involuntary urination; cough with smarting in the larynx and bronchial tubes; night cough.

Again dry cough in the morning. It has a loose cough with thick yellow expectoration in the morning.

It has great difficulty in breathing very much like that which is found in cardiac troubles, such a pressure upon the chest with panting respiration and suffocative catarrh. Oppression in the chest when raising the arms and when lying on the left side. Rheumatic pains. Many pains through and in the chest.

It has numerous heart symptoms. It has cured palpitation with mitral murmurs and sensation of trembling in the heart with irregular pulse; extreme anxiety. in the heart; tumultuous beating of the heart sudden thumping in the heart as from fright but when not frightened.

Constant want of air and desire for fresh air and sensation as if the heart turned over; a sensation as if the heart were squeezed or compressed. It has cured angina pectoris and it has many symptoms of the heart like angina pectoris.

Back and limbs

Upon the back there are boils, abscesses and carbuncles, especially on the back of the neck and between the shoulder blades.

Violent pain in the lumbar region. Violent pains under the scapula, worse from motion.

Rheumatic pains in the whole back. Pain in the shoulder blades. Neck is stiff and painful on motion. It is a great remedy for soreness of the spinal column, or spinal irritation, pressure aggravates and touch aggravates.

The symptoms of the limbs are too numerous to mention; only a few can be spoken of.

Weakness, numbness and restlessness are always present. Rheumatic pains are numerous. The pains of the limbs are so great that he cannot stand the weight of the clothing. Heaviness and numbness of the upper limbs.

Pain in the arm as if squeezed. Heart pains and many pains of the shoulders. Burning pains are very numerous; rheumatic tearing pains. Must move the hands constantly and pick the fingers from nervousness.

There is numbness of the left upper extremity and right lower. Paralysis of the lower limbs with pain in the back on motion. Restlessness of the lower limbs with constant desire to cry. (Ars.).

Fatigue and pain in the evening. In the lower limbs there is numbness which changes to a drawing in the muscles. Restlessness in the lower limbs with aching pain during the chill in intermittent fever.

Hard pain in the hips during the night. Pain in the hips and coccyx in the evening while sitting; strong desire to jump. Pains in the nates beginning at 6 A.M. and lasting until evening. Pain in the thighs, as if bandaged when walking, shooting pains in the thighs.

He is moving the legs constantly; heaviness in the legs; bruised pains in the legs; shooting pains in the right tendon-Achilles, he must walk the floor in the evening, like Ars. It is much like Ars., going from chair to chair and from bed to bed, walking the floor.

Sleeplessness before midnight is very marked.

Itching, biting and creeping all over the body marked in the limbs.

Itching and burning. It has cured a dry itching eczema of the extremities and other parts of the skin after Ars. and Sulph. have failed. It is a very deep acting, long acting remedy and a most useful remedy in skin affections.

The Therapeutics of Fevers

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

Characteristic

Adapted to highly nervous organisms, especially choreic affections where whole body, or right arm and left leg are affected (of l. arm and r. leg, Agar.).

Constant movement of the legs, arms, trunk, with inability to do anything; twitching and jerking of muscles.

Restlessness, could not keep quiet in any position; must keep in motion, though walking < all symptoms (rev. of Rhus,

Ruta).

Hyperæsthesia: least excitement irritates, followed by lan- guid sadness; extreme, of tips of fingers.

Slight touch along the spine provokes spasmodic pain in chest and cardiac region.

Headache; intense, as if thousands of needles were pricking in the brain.

Abscesses, boils, felons, affected parts of a bluish color (Lach.), and atrocious burning pain (Anth., Ars., Euphor.); the agony of a felon, compelling patient to walk the floor for nights.

Malignant ulcers; carbuncle, anthrax; gangrene.

Symptoms appear periodically.

Headache, neuralgic < by noise, touch, stronger light, > by pressure and rubbing head against the pillow.

At every menstrual nisus, throat, mouth and tongue intolerably dry, especially when sleeping (Nux m.).

Sexual excitement extreme even to mania; spasms of uterus; pruritus vulva becomes intolerable.

Relations

Similar: to, Apis, Crot., Lach., Plat., Mygale, Naja, Ther.

Aggravation

Motion; contact; touch of affected parts; noise; change of weather.

Amelioration

In open air; music; rubbing affected parts.

Termini of nerves became so irritated and sensitive that some kind of friction is necessary to obtain relief.

Type

Intermittent, remittent, nervous typhoid, toxæmic, septic; fevers of tropics.

Prodrome

Constant pain in hepatic region, with nausea and vomiting.

Chill

Predominant cold stage. Constant coldness for days. Intense coldness, with shaking; blueness of nails and fingers (Nux); lasting two or three hours.

Chills and fever with choreic convulsions; shakes almost constantly with involuntary movements of limbs, abdomen, chest, face < l. side; could not speak, tongue and pharynx involved; after a severe scolding or punishment (Ign.).

Heat

Without thirst. Scorching intense heat of whole body alternating with icy coldness; skin of a scarlet color; during heat continued coldness of feet; great dryness of mouth, no thirst (Nux m., Puls.); lasted five or six hours, lies in a comatose condition with eyes closed.

Sweat

Profuse for three or four hours, followed by debility and prostration.

Tongue

Coated yellowish; loss of appetite; dry mouth.

Apyrexia

General emaciation, especially of face; skin yellow, jaundiced; marked hepatic derangement for months preceding attack.

Analysis

Choreic, hysterical, nervous subjects. Predominant coldness; scorching heat, with dry mouth, without thirst; comatose condition or convulsions. Hepatic pain, nausea and vomiting generally precede attack in chronic cases.