Terebinthina ter.

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

Mucous membranes: KIDNEYS. Bladder. Bronchial. Respiration. Heart. Blood.

Worse

Dampness. Cold. Night. Lying. Pressure.

Better

Motion.

General

Kidneys affected, with rheumatism. Sudden, grippy aching. Stiff, sore muscles. Pain; excites urination; along larger nerves. Burning; tip of tongue, epigastrium; small of back; kidney; uterus, etc. Congestion. HÆMORRHAGE; passive; oozing mucous surfaces.

Particulars

Exhausted and sensitive. Smooth, sore, glossy tongue. Bruised, sore abdomen and bladder. Flatulence. Tympanites. Ascites. Profuse mucous stools. Burning or pains along ureters. Strangury. Urine; smoky; with coffee grounds or thick, yellow, slimy, muddy sediment; odor of violets; bloody. Nephritis; early; scarlatinal; with violent bronchitis. Cystitis. Bleeding bladder. Pains alternate between bladder and navel. Metritis. Bronchial asthma. Hands feel swelled. Cramp in knees. Advancing purpuric spots. Drowsiness. Rapid pulse. Heat under skin. Cold sweat on legs.

Related

Antidote: Canth. Related: Canth. Erig. Pho.

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

The urine has the odor or violets . Tongue: smooth, glossy, red, as if deprived of papillae, or as if glazed (Pyr.); elevated papillae; coating peels off in patches leaving bright red spots, or entire coating cleans off suddenly (in exanthemata); dry and red; burning in tip (compare, Mur. ac.). Abdomen: extremely sensitive to touch; distention, flatulence, excessive tympanitis; meteorism (Colch.). Diarrhoea: stool, watery, greenish, mucous; frequent, profuse, fetid, bloody; burning in anus and rectum, fainting and exhaustion, after (Ars.). Worms: with foul breath, choking (Cina, Spig.); dry, hacking cough; tickling at anus; ascarides, lumbrici, tapeworm segments passed. Haematuria: blood thoroughly mixed with the urine; sediment, like coffee-grounds; cloudy, smoky, albuminous; profuse, dark or black, painless. Congestion and inflammation of viscera; kidneys, bladder, lungs, intestines, uterus; with haemorrhage, and malignant tendency. Purpurea haemorrhagica; fresh ecchymosis in great numbers from day to day (Sulph. ac.). Ascites with anasarca, in organic lesions of kidneys; dropsy after scarlatina (Apis, Hell., Lach.). Haemorrhages; from bowels, with ulceration; passive, dark, with ulceration or epithelial degeneration. Violent burning and drawing pains in kidney, bladder and urethra (Berb., Can., Canth.). Violent burning and cutting in bladder; tenesmus; sensitive hypogastrium; cystitis and retention from atony of fundus. Albuminuria; acute, in early stages, when blood and albumin abound more than casts and epithelium; after diphtheria, scarlatina, typhoid. Urine rich in albumin and blood, but few if any casts; < from living in damp dwellings. Strangury; spasmodic retention of urine.

Relations

Compare: Alumen, Arn., Ars., Canth., Lach., Nit. ac. Is recommended as a prophylactic in malarial and African fevers.

Key-Notes to the Materia Medica

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

General

Hæmorrhage from the urethra. Worms, particularly lumbrical. Some forms of gonorrhœa. Urine smells very strongly of violets.

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

Nephritis with burning, drawing pains in region of kidneys; heaviness and pressure; strangury; scanty, bloody urine.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Turpentine (TEREBINTHINA)

General

Has a selective affinity for bleeding mucous surfaces. Tympanites and urinary symptoms very marked. Inflammation of kidneys, with hæmorrhages-dark, passive, fetid. Bright's disease preceded by dropsy (Goullon). Drowsiness and strangury. Coma. Unbroken chilblains.

Head

Dull pain like from a band around the head (Carb ac). Vertigo, with vanishing of vision. Disturbed sense of equilibrium. Tired and difficult concentration of thoughts. Cold in head with sore nostrils with disposition to bleed.

Eyes

Ciliary neuralgia over right eye. Intense pain in eye and side of head. Amblyopia from alcohol.

Ears

Own voice sounds unnatural; humming as of a seashell, talking loudly is painful. Otalgia.

Mouth

Tongue dry, red sore, shining; burning in tip, with prominent papillæ (Arg n; Bell; Kali b; Nux m). Breath cold, foul. Choking sensation in throat. Stomatitis. Dentition.

Stomach

Nausea and vomiting; heat in epigastric region.

Abdomen

Enormous distention. Diarrhœa; stools watery, greenish, fetid, bloody. Pain before flatus with and relief after stool. Hæmorrhage from bowels. Worms; lumbrici. Abdominal dropsy; pelvic peritonitis. Fainting after every stool Entero-colitis, with hæmorrhage and ulceration of bowels.

Urinary

Strangury, with bloody urine. Scanty, suppressed, odor of violets. Urethritis, with painful erections (Canthar). Inflamed kidneys following any acute disease. Constant tenesmus.

Female

Intense burning in uterine region. Metritis; puerperal peritonitis. Metrorrhagia with burning in uterus.

Respiratory

Difficult breathing; lungs feel distended; hæmoptysis. Bloody expectoration.

Heart

Pulse rapid, small, thready, intermittent.

Back

Burning pain in region of kidneys. Drawing in right kidney extending to hip.

Skin

Acne. Erythema; itching pustular, vesicular eruption; urticaria. Purpura, ecchymosis, dropsies. Scarlatina. Chilblains; with excessive itching and pulsative pains. Aching soreness of the muscles.

Fever

Heat, with violent thirst, dry tongue, profuse cold, clammy sweat. Typhoid with tympanites, hæmorrhages, stupor, delirium. Prostration.

Relationship

Compare: Alumen; Secale; Canth; Nit ac. Terebene 1x; (chronic bronchitis and winter coughs; subacute stages of inflammation of respiratory tract. Loosens secretion, relieves tightened feeling, makes expectoration easy). Neurotic coughs. Huskiness of public speakers, and singers. Cystitis when urine is alkaline and offensive.

Ononis spinosa-Rest Harrow--(Diuretic, Lithontriptic. Chronic nephritis; diuretic effects like Juniper; calculus nosebleed, worse washing face).

Antidote: Phos.

Dose

First to sixth potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Burning and smarting on passing urine; urine red, brown, black or smoky in appearance.

Tongue smooth, glossy, red, with excessive tympanites (typhoid).

Hæmorrhages from all outlets, especially in connection with urinary or kidney troubles.

Terebinthina ought to come in here, because it, like Berberis, has much pain in the back with kidney and bladder troubles. Painters working under the smell of Turpentine are often seriously affected by it. Some are unable to work in it. In the Turpentine kidney troubles there is apt to be more strangury than with Berberis and more blood in the urine. The urine becomes brown, black, or smoky in appearance from more or less admixture of blood. For burning and smarting on passing urine, Turpentine stands nearer to Cantharis or Cannabis sativa than it does to Berberis. All four may be found useful in the first stage of albuminuria, Turpentine taking the lead, and it may sometimes require considerable study to choose between them. Mercurius corrosivus generally comes in a little later. Terebinth. is one of our best anti-hæmorrhagic remedies. Hæmaturia, hæmoptysis, and hæmorrhage from the bowels, especially in typhoid, and even in purpura hæmorrhagica it may do splendid work. One of the chief characteristics for its use is the smooth, glossy, red tongue (Crotalus, Pyrogen); another is excessive tympanites. These two symptoms are often found in typhoids, and then Terebinth. is the remedy. Dropsy after scarlatina, with smoky urine, may find its remedy here, but Lachesis, Apis, Helleborus niger, or Colchicum will often dispute claims with it. The old school make great use of it in many other affections as a local application. I have seen some bad effects from its use in that way for the chest in pneumonia in their hands. I would not recommend it.

Text Book of Materia Medica

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

Head

Sudden vertigo with obscuration of sight. Dun headache, with colic.

Ears

Sensation in the ears as of the striking of a clock.

Face

Face pale and sunken.

Nose

Violent bleeding at the nose.

Abdomen

Distended abdomen ; frequent colic ; constipation. Burning in the right hypochondrium.

Stool and Anus

Stools consisting of mucus and water. Violent burning in the rectum and at the anus after water. Burning and tingling at the anus, with the sensation as if ascarides would crawl out.

Urinary Organs

Pressure in the kidneys when sitting, going of during motion. Sensation of heaviness and pain in the region of the kidneys. Violent burning, drawing pains in the region of the kidneys. Burning in the bladder and in the urethra. Difficult micturition, the urine smells of violets ; deposit of mucus, or thick muddy deposit. Suppression of urine. Strangury. Hæmaturia. Respiratory organs. Dryness of the mucous membranes of the air-passages. Burning in the chest ; along the sternum.

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

Oleum terebinthinæ. Oil of Turpentine. C 10 H 16 . The oil distilled from the oleo-resin (turpentine) obtained from various species of Pinus, purified by repeated rectification with water. Solution in rectified spirit. Ozonised Oil of Turpentine (prepared by exposure of the common oil to sun and air in a half-filled bottle and shaking from time to time).

Clinical

Albuminuria. Amblyopia potatorum. Asthma. Backache. Bladder, irritable . Brachial neuralgia. Bronchitis. Chordee. Chorea. Ciliary neuralgia. Cystitis. Dentition. Dropsy . Dysentery. Dysmenorrhœa. Enteric fever . Epilepsy. Erysipelas bullosa. Erythema. Fibroma. Gall-stone colic. Glands, inguinal; swelling of. Gleet. Gonorrhœa. Hæmaturia . Hæmorrhoids. Hernia; strangulated. Herpes labialis pudendi. Hydrophobia. Hypochondriasis. Insanity. Intestines, ulceration of. Iritis. Jaundice. Kidneys, congestion of ; neuralgia of. Lumbago. Neuralgia; supraorbital. Ovaries, pains in; dropsy of. Pityriasis. Purpura hæmorrhagica. Scabies. Scarlatina. Sciatica . Spermatorrhœa. Strangury . Stricture. Tetanus. Tympanites . Uræmia. Urine, suppression of ; retention of. Worms.

Characteristics

Ter . was introduced to homœopathy by Hartlaub. A proving of it appeared in Hartlaub and Trinks' Annalen . Many symptoms have been added from poisonings and overdosings in old-school practice. According to Taylor, children are particularly sensitive to its action. Illness caused by sleeping in newly painted rooms is due in great part to the turpentine. "A stimulant and tonic to the mucous membranes, especially of the bladder and urethra: it proves useful in gleet, leucorrhœa, and cystorrhœa." This is Milnes' account of the old-school use of Ter . as an internal remedy. Brunton gives these points: ( 1 ) Applied to the skin Ter . acts as an irritant and rubefacient, causing a sensation of burning, and vesicles if applied for any length of time. ( 2 ) Inhaled it causes sneezing, tightness across eyes, and dyspnœa. ( 3 ) Given internally it causes burning in mouth and salivation; in stomach, sensation of heat or cold; gastro-enteritis, with vomiting and diarrhœa; ulceration of intestines. The pulse is sometimes slowed, sometimes quickened. Respiration is quickened and spasmodic; the drug is partly excreted by the lungs and acts on the mucous membrane, lessening its secretion. The temperature sometimes rises, sometimes falls. Voluntary movement is diminished; reflex action lowered; blood-pressure lowered, and vessels dilated. Diminishes the quantity of urine; gives the urine an odour of violets; causes lumbar pain, burning in urethra, painful micturition, hæmaturia. Among the uses of Ter ., Brunton mentions the treatment of biliary colic. For this it is given in ether in the proportion of one part of the Oil of Turpentine to three of Ether. Homœopaths have confirmed the value of this. Throughout this list of effects burning is a constant note, and gives the key to many cases calling for Ter . ─ burning in gums, tongue, tip of tongue, mouth, throat, stomach, rectum, and anus, kidneys, bladder, and urethra, uterus, air passages, chest, and sternum. The last was particularly noticed after warm drinks, the pain running along the sternum with the drink and spreading in the chest. Burning extends from kidneys along ureters. Ter . is an irritative, sensitive remedy. Cooper has found it indicated in children (especially teething children) when they fly into passions. There is irritation of the meninges and often ascarides or other intestinal worms. In one case of maniacal fury in a man it did good. This irritability manifests itself in some cases of spasms and convulsions, and Lippe observed a case in point ( H. P ., x. 480). A woman had made her feet sore by walking, and applied turpentine to them. This was followed by a state like hydrophobia; she had spasms whenever she saw water or heard it poured, or saw a bright object; and also whenever she attempted to urinate. Ter . is a great hæmorrhagic and its hæmaturia is particularly characteristic: Smoky, turbid urine depositing a sediment like coffee-grounds. Dull pain, or burning pain in region of kidneys, burning during micturition are leading indications. Ter . corresponds to many cases of albuminuria and hæmaturia after scarlatina; and also to the consequent dropsy. This last may indicate Ter . in many affections of the genito-urinary sphere. "Burning in uterus" is very characteristic. Peritonitis, metritis, metrorrhagia will probably need Ter . if the burning is present. The hæmorrhages of Ter . are generally passive; dark, and fetid. Purpura hæmorrhagica calls for it if there are fresh ecchymoses in great numbers from day to day. The hæmorrhages may occur from any orifice. Additional keynotes of Ter ., which will be decisive if combined with others, are: ( 1 ) Smooth, glossy, red tongue, as if deprived of papillæ. ( 2 ) Excessive tympanites. ( 3 ) Drowsiness. In capillary bronchitis, the child is drowsy. Stupor and great weakness are found in many Ter . conditions, rendering it appropriate in cases of typhus, typhoid, and uræmic poisoning. "Drowsy with retention of urine." With the tympanites there is generally extreme sensitiveness to touch. With cystitis and uro-genital and rectal troubles there is sensitiveness of hypogastrium and pains in symphysis pubis. Pains go from left to right across bowels and then shoot upward. From being exposed to turpentine odour, a lady, 35, got pain as from pinchings in the throat, with lifeless feeling in the tongue and dryness of the mouth, followed by pains in r. eyeball, which extended back to same side of occiput (Cooper). S. H. Roberts ( B. M. J ., Dec. 25, 1875) maintains Ter . has a specific effect in tonsillitis when applied externally. Marc Jousset gave Ter . 1x with marked benefit in two cases of bronchial asthma. He was led to give it in the first case by coincident hæmaturia; but this was not present in the second ( L'Art Méd ., April, 1901). A remedy may be known by its antidotes and antidotal properties. Ter . antidotes and is antidoted by Phos . A young man who was badly poisoned by a low attenuation of Phos . got more relief from Ter . 3x than from any other remedy. Brunton says it is only Ozonised Ter . that is effective here. The preparation I used was the ordinary one. Hering says the ozonised oil is recommended as a prophylactic in malarial and African fevers, a few drops being given daily on a lump of sugar. George Royal ( Med. Cent ., ix. 70) gives three cases illustrating the action of Ter .: ( 1 ) Typhoid, third week, in man 24. Extreme distension, rapid, small, compressible pulse, cold sweat in lower limbs. Ter . 6x two drops in water every half-hour. Oil of Ter . was applied locally to the abdomen mixed with lard, and later in the evening, when there was already slight improvement, an injection containing turpentine was administered. This relieved the patient of a large quantity of flatus, and next morning he was on the high-road to recovery. ( 2 ) Pyæmia after abortion at third month, brought on by patient herself. Enormous distension; lower limbs covered with cold sweat; lochia thin, scanty, offensive. Ter . given in another case brought about slow improvement for three days, when Chi . 30 was indicated and finished the cure. ( 3 ) Teamster, 36, had severe nephritis after being out in cold rain. Constant desire to urinate, severe pain in back, down ureter, to bladder; urine scanty, very high-coloured. Temperature 102°. Pulse weak, 130. Ter . 6x every half-hour; and hot fomentations on kidneys greatly relieved. After three days he was able to leave his bed. Royal considers cold sweat of lower limbs, and rapid pulse with the distension, as leading indications. A keynote of Burnett's for Ter . is: "Pains in the bowels which = frequent micturition." Peculiar Sensations are: As if he would pitch forward on walking As of a band round head. As if sand thrown violently in eye. As of a seashell sounding in l. ear. In ear as of striking of a clock. As from hasty swallowing in epigastrium. As if he had swallowed a bullet, which had lodged in pit of stomach. Sense of anxiety and utter prostration about epigastrium. Umbilical region as if covered with a round, cold plate. As if intestines were being drawn towards spine. As if abdomen distended with flatus. As if diarrhœa would set in. As if inguinal hernia would appear. As if symphysis pubis were suddenly forced asunder. As if foreign body had entered windpipe. As from electric shocks. Twitching of limbs. Crawling tingling as if parts were asleep. As if hot water running through a tube in nerve. Sprained pains, contusive pains, and rheumatic pains appear in the pathogenesis, and notably pressure and drawing pains. These show the suitability of Ter . to the effects of injury and rheumatic conditions. It is on this property that certain popular embrocations containing turpentine owe their reputation. Ter . is specially Suited to: Children (dentition, nose-bleed, worms). Bleeders. Nervous women (amenorrhœa; dysmenorrhœa; headache). Complaints of old people; of people of sedentary habits. Chronic rheumatism and gouty complaints. The symptoms are: < By touch. < By pressure (in region of bladder it = convulsions). Effects of falls and injuries. < Lying on left side, > turning to right. Sitting < . Stooping > . Motion > . (Pain in crest of ilium < from motion and least jar.) Walking in open air < . < Night; 1-3 a.m. Damp dwellings < . Damp cellar = diarrhœa. Damp weather = neuralgia in legs. ( Ter . is hydrogenoid.) Cold water > burning in anus. > Belching and passing flatus. Loose stool > nausea.

Relations

Antidoted by: Phos. Antidote to: Phos., Merc. Followed well by: Merc. cor. Compare: Botan., Thu., and other Coniferæ. Hæmorrhage in typhus, Alum. Melæna, Arn. Albuminuria, Ars. Smoky urine, dropsy after scarlatina, dry, glossy tongue, Lach. (Ter. has more tympanites). Capillary bronchitis, drowsiness, lungs clogged up, urine scanty, almost dark from blood, Ipec. Dropsy from kidney congestion, Hell. Renal congestion, smoky urine, Colch. Urticaria after eating shell-fish, Aps., Urt. ur. Glazed tongue, K. bi., Lach., Pyrog. Hæmaturia, Pul. Burning tip of tongue, Mur. ac. Burning in anus and rectum, fainting and exhaustion after stool, Ars. Worms, with foul breath, choking, Cin., Spi. Purpura, fresh ecchymoses in great numbers from day to day, Sul. ac. Burning and drawing in kidneys, bladder, and urethra, Berb., Can. s., Canth. Passive hæmorrhages, strangury, Camph. Metritis, peritonitis, bearing down, burning in hypogastrium, cloudy, dark, muddy urine, tongue dry, red, Bell. Catarrh in children, Pix. Umbilicus retracted, Pb. Kidney-ache, Santal. Warmth at heart, Kalm., Rhod., Lachn. Pains = frequent micturition (Thuj., urging to urinate accompanies the symptoms). Rheumatism, Sul. ter.

Causation

Alcohol. Falls. Strains. Tooth extraction. Damp cellars.

Mind

Stupefaction; inability to fix attention (uræmia). ─ Mania. ─ Intense nervous excitement. ─ Children fly into tempers. ─ Intense irritability, with irritation of membranes of brain (esp. in teething children). ─ Anxiety on going to bed. ─ Facility of thought. ─ Fears apoplexy; fulness and pressure in head. ─ Weary of life. ─ Suicide by hanging in two cases following washing of laces in turpentine and alcohol. ─ (Frightful maniacal temper, wanders about at night meaninglessly. ─ R. T. C.). ─ Intoxication. ─ Coma.

Head

Dizziness, with nausea. ─ Attack of vertigo, which nearly occasions falling, with cloudiness before eyes. ─ Headache, with pressive pain and disposition to sleep. ─ Dull headache, with colic. ─ Sensation of a band round head. ─ Excessive heaviness, and troublesome pressive fulness in head. ─ Tearing cephalalgia. ─ Rending, tickling pain in l. temporal region, coming and going while in bed in evening; rubbing removes it. ─ Erysipelas capitis.

Eyes

Eyes sunk. ─ Ciliary neuralgia with acute conjunctivitis. ─ Amblyopia potatorum. ─ When walking in open air, muscæ volitantes and transient dizziness. ─ Photophobia. ─ Rheumatic iritis. ─ Contracted pupils. ─ Half-opened, up-turned or rolling eyes. ─ Opened eyes only when swallowing. ─ Spots and black points before eyes.

Ears

Voice sounds unnatural, < r. ear. ─ Sensation in ears as of striking of a clock. ─ R. ear hot, l. cold. ─ Otitis. ─ Otalgia. ─ (Earache in children < in l.; and at night. ─ R. T. C.). ─ The internal use of Ter . prevents otitis after syringing Eustachian tube (Eugene Weber). ─ Deafness after measles with high vascularity of meatus and membranes (R. T. C.). ─ Eczema in front of ear. ─ Sudden stitch in r. mastoid process. ─ Tinkling in ears. ─ Cannot tell direction of sounds. ─ Loud talking is very painful.

Nose

Discharge of serum from nose, without coryza. ─ Violent nose-bleed. ─ Passive epistaxis in children.

Face

Pale, earthy colour of the face. ─ Herpes on lips.

Teeth

Toothache, with drawing pain. ─ Gums detached, easily bleeding, with pain as from a burning wound, every morning. ─ Gumboils form in a child under Ter. (R. T. C.). ─ Dentition: suppressed urine and convulsions.

Mouth

Tongue red, smooth, and glossy, as if deprived of papillæ. ─ Coating of tongue peels off in patches, leaving bright red spots; or entire coating peels off suddenly, leaving tongue dry and red; burning on tip. ─ Tongue swollen hard and stiff even without fever. ─ Foul breath. ─ Burning in mouth. ─ Ulcers in mouth. ─ Mercurial ptyalism; stomacace. ─ The child dribbles (R. T. C.). ─ In mouth and angles of lips ecchymoses which bleed. ─ Stomatitis from mouth to anus.

Throat

Scraping, scratching in throat, frequently with coughing in evening. ─ Burning in throat. ─ An agreeable coolness in throat. ─ No power over deglutition.

Appetite

Hunger and thirst with debility. ─ Loss of appetite, great thirst. ─ Desire to eat more; after a satisfying meal. ─ Diminished appetite. ─ Aversion to animal food. ─ After eating: sick at stomach; loud rumbling in bowels, while pain in hypochondrium disappears; pressure in scrobiculus and distension of abdomen. ─ Warm drinks = burning in chest.

Stomach

Eructations: rancid; flatulent, acrid. ─ (Continual loud eructations and belching up of much flatus. ─ R. T. C.). ─ Belching and nausea. ─ Nausea and vertigo. ─ Vomiting: of mucus; of yellowish mucus; of food; of blood. ─ Retching and vomiting of mucus. ─ Excessive sensitiveness of region of stomach to touch. ─ Pressure at stomach and in scrobiculus; as from hasty swallowing; as if he had swallowed a bullet, which had lodged there. ─ (Severe circumscribed flatulent pain below scrobiculus cordis. ─ R. T. C.). ─ Pressing in stomach: > by belching; when lying on l. side, > turning on r. and passing wind. ─ Burning sensation in the stomach.

Abdomen

Burning sensation and pressure in hypochondria. ─ Pressing below diaphragm, extending l. to r. ─ Colic from calculi; chronic liver complaints. ─ Pressing and cutting in l. hypochondriac region while sitting, > moving about. ─ Pressure, burning sensation and drawing in renal region. ─ Abdomen very sensitive to touch. ─ Heaviness, fulness, and pressure in abdomen. ─ Slight pressing pain in small spot in epigastrium; > stooping, lying down, or taking a deep breath. ─ Distended abdomen; frequent colic. ─ Meteorism. ─ Cuttings in epigastrium and hypogastrium, often extending into thighs. ─ Sensation of excessive coldness in abdomen, esp. in exterior of umbilical region, which is retracted. ─ Pains shooting across bowels from l. to r. and upward. ─ Inflammation of intestines. ─ Noise, gurgling, and borborygmi in abdomen. ─ Ulceration of bowels; peritonitis; with tympanites. ─ Great but obscure pains in lower abdomen. ─ Sensation of pressure outwards in inguina, as if caused by a hernia. ─ Painful swelling of inguinal glands.

Stool and Anus

Constipation, with distension of abdomen. ─ Ineffectual urging. ─ Tenesmus, bloody stools. ─ Constipation; with abdominal distension. ─ Hard, scanty fæces. ─ Dry, brown evacuations. ─ Fæces of the consistency of pap, with pinchings in abdomen, and burning sensation in rectum and anus (after stool). ─ Stools consisting of mucus and water; < in the morning. ─ Intestinal catarrh and diarrhœa, with nephritis. ─ Loose, liquid fæces, of a greenish yellow, with expulsion of tænia and lumbrici. ─ With a loose stool, immediate cessation of nausea. ─ Stools: frequent; profuse; fetid; bloody. ─ Hæmorrhages: from bowels; with ulceration; epithelial degeneration; passive. ─ Diarrhœa with tetanic spasms. ─ Piles, internal, bleeding. ─ Burning and tingling in anus > applying cold water. ─ Worms: with foul breath and choking sensation; dry, hacking cough; spasms. ─ Threadworms. ─ Burning sensation and tingling in anus (with the sensation as if ascarides would crawl out), during evacuations, and at other times.

Urinary Organs

Pressure in the kidneys when sitting, going off during motion. ─ Sensation of heaviness and pain in region of kidneys. ─ Violent burning drawing pain in region of kidneys. ─ (Nephritis that follows an irritation of the skin. ─ R. T. C.). ─ Frequent desire to urinate. ─ Transient movement in region of bladder during a stool as if bladder were suddenly distended and bent forward. ─ Spasms from any attempt to urinate. ─ Suppressed secretion of urine. ─ Strangury, followed by soreness. ─ Diminished secretion of urine. ─ Secretion of urine considerably augmented. ─ Urine smelling strongly of violets; deposit of mucus, or thick, muddy deposit. ─ Thick, slimy, yellowish white sediment in urine. ─ Hæmaturia. ─ Much blood with very little urine and constant painful dysuria (produced in a child from poisoning. ─ R. T. C.). ─ Burning sensation in urethra, felt also when urinating. ─ Urethritis, with painful erections. ─ Stricture of urethra (Burnett, after Rademacher). ─ Urine scanty and bloody. ─ Burning sensation, incisive pains, and spasmodic tenesmus of bladder.

Male Sexual Organs

Spasmodic and incisive drawings in the testes (esp. l.) and spermatic cords. ─ Tearing in mons veneris. ─ Feels as if symphysis pubis were suddenly forced asunder. ─ Spermatorrhœa in man, 25, no bad habits; urine turbid, and had a yellowish mucous sediment. ─ Gonorrhœa; chordee; gleet.

Female Sexual Organs

Catamenia retarded and scanty. ─ Drawing in thighs and colic as if menses would set in, a week after she had had them. ─ Uterus and ovaries very painful. ─ Ovarian dropsy. ─ Terrible burning in uterus, with great bearing-down pain; caused great heat all over; craves drink; inward heat. ─ Uterine diseases after wearing pessaries. ─ Fibroids; bloody leucorrhœa; burning in uterus; menorrhagia, black blood. ─ Herpes labialis. ─ Abortion. ─ Neuralgia during pregnancy. ─ Burning and bearing down in uterus during urination. ─ Metritis, lochia checked, burning in uterus. ─ Peritonitis after confinement from tight-lacing.

Respiratory Organs

Dryness of the mucous membranes of air passages; feel hot and congested. ─ Breath short, hurried, and anxious. ─ Choking sensation (worms). ─ Emphysema. ─ Cough as if a foreign body had entered larynx, spasmodic inspiration. ─ Dry, hacking cough. ─ Voice gone. ─ Expectoration streaked with blood. ─ Respiration impeded by congestion of lungs. ─ (Pulmonary hydatids with gangrene. ─ W. Begbie.)

Chest

Burning in the chest; along the sternum. ─ After spasmodic cough, soreness of lower chest. ─ Pressing behind sternum. ─ Spastic contraction of muscles of chest and neck. ─ Piles and crepitation through both lungs. ─ After warm drinks burning in chest along sternum, gradually spreading through whole chest, disappearing with stitches at both nipples.

Heart

Frightful oppression in præcordial region. ─ Warmth in heart while sitting in evening, obliged to yawn a great deal, with collection of water in mouth. ─ Palpitation. ─ Pulse: quick, small, thready, almost imperceptible; intermitting; irregular.

Neck and Back

Drawing in nape, extending to occiput. ─ Drawing pain in the back and loins, esp. in evening, when seated. ─ Pain and increased warmth in lumbar region. ─ Backache and soreness in kidney affections. ─ Pressive pain in back extended up between shoulders and there became a throbbing.

Limbs

Numbness of limbs. ─ Heaviness. ─ Nerves sensitive. ─ Intense pains along larger nerves. ─ Dropsy. ─ Coldness. ─ Sudden twitching of limbs as from electric shocks. ─ Drawings in limbs. ─ Heaviness of limbs. ─ Sensation of stiffness in all the muscles, with difficult, slow, stooping gait, as in old age.

Upper Limbs

Sprained pain in muscles of l. upper arm. ─ Drawing in bones of upper arms. ─ No control over hand when attempting to write. ─ Trembling of hands. ─ Fingers insensible. ─ Neuralgia brachialis or sub-scapularis.

Lower Limbs

Insensibility. ─ Staggering gait. ─ Infantile paralysis greatly ameliorated (J. Simon). ─ Drawing and tearing in hips and thighs. ─ Pain from hip to forehead; or from kidneys. ─ Drawing along thigh. ─ Pains in groins extending to thighs. ─ Erythema in thighs and body resembling scarlet rash. ─ Contracting spasms of thigh muscles during remission of neuralgia. ─ Swelling and stiffness of r. knee with pain in calf and swelling of vastus externus. ─ Profuse sweat on legs, evenings, in bed. ─ Intense neuralgia, esp. in damp weather. ─ Tearing in feet, now here now there; chiefly in soles and heels. ─ Dropsy.

Generalities

Hæmorrhage from the urethra. ─ Worms, particularly lumbrical. ─ Some forms of gonorrhœa. ─ Great prostration. ─ Occasional subsultus. ─ Spasms every time she saw water, or heard it poured, or saw a bright object, or attempted to urinate (from applying turpentine to feet; Canth . relieved). ─ Violent convulsive paroxysms producing the most frightful opisthotonos. ─ (Chorea. ─ R. T. C.). ─ Shooting, lightning-like pains. ─ Neuralgia with sensation of coldness in nerve, occasionally like hot water running through a tube. ─ Has no power of balancing body, stands with feet apart. ─ Dropsy. ─ Natural heat increased.

Skin

Eruption like scarlatina. ─ (Scarlatina eruption slow in appearing.). ─ Purpura hæmorrhagica. ─ Skin warm and moist. ─ Pale-red elevated blotches becoming vesicles. ─ Erythema. ─ Erysipelas bullosa. ─ Violently itching vesicles. ─ Chronic jaundice. ─ Excessive itching, stinging burning of skin. ─ General increased sensibility.

Sleep

Lethargy. ─ Retarded sleep. ─ Agitated sleep at night, with tossing, and frequent waking. ─ Many dreams. ─ Nightmare. ─ (Wakes frightened at night, looks ghastly and shrieks, is nervous. ─ R. T. C.)

Fever

Cold, clammy perspiration all over the body. ─ Fever, with violent thirst. ─ (The child is cross and irritable; temper changeable, has a dry, short cough and aching in limbs and head with feverishness. ─ The little girl is feverish and fretful, and bursts out crying and is very restless in sleep. ─ R. T. C.). ─ Profuse perspiration on the legs in bed in the evening.

The Guiding Symptoms of Our Materia Medica

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

Mind

After easier thinking, and a clear mind, becomes unconscious.
Inability to concentrate mind.
Inability to think or to work. θ Nervous headache.
Stupefaction and deep sleep. θ Uræmia. θ Fainting.
Slight delirium, stupor and diarrhœa. θ Typhus.
Unconscious, followed by inability to concentrate mind.
Dull, languid ; > by free micturition.
Maniacal state lasting several days.
Despondency. θ Nervous headache.
Hypochondriasis.
Worse from being engaged in mental work, dull pressing above left eye.
Weary of life. θ Nervous headache.
Suicide by hanging, in two cases followed washing of laces in oil of turpentine and alcohol.
Anxiety on going to bed.
Fears apoplexy ; fulness and pressure in head.

Sensorium

Slightly drunk for several hours.
Vertigo : sudden, with obscuration of sight ; he falls down ; latter stage of typhus ; and dulness with lassitude ; slight, with general chilliness ; with nausea and diminished appetite.
Dulness in head.
Tendency to syncope. θ Nervous headache.
Comatose ; can be roused only by shaking out of apparent stupor, but falls immediately into it again.

Inner head

Slight neuralgic headache coming and going all day.
Headache with thirst. θ Puerperal peritonitis.
Dull headache with colic.
Headache. θ Urethral catarrh.
Pain in head continuous and fixed ; chronic, with rare intermissions.
Stitch in forehead as from a knife.
Neuralgic pains going to right side of head.
Pain dull or shooting, throbbing in top of head or in whole cranium.
Great fulness and pressure in head ; she cried, "My head, my head ;" apoplexy was feared.
Dull pressing above left eye ; evening while engaged in mental work.
Pressing headache in whole head, coming and going, with vomituritio.
Intense pressure and great fulness of head ; dull headache with violent nosebleed. θ Septic fever. θ Scarlatina.
Sensation as of a band around head.
Contusive headache.
Painful drawing extending from neck to occiput, whence it spread to forehead.
Drawing pain in forehead, extending to hips. θ Hæmaturia.
Neuralgic and nervous headaches, > by free micturition.
Inaction of kidneys, with scanty smoky urine ; brain poisoned with unexcreted urea.
(OBS :) Hydrocephalus, acute and chronic.

Outer head

Rending tickling pain in left temporal region, coming and going, while in bed in evening ; rubbing removes it.
(OBS :) Erysipelas capitis.

Sight and eyes

Ciliary neuralgia, with acute conjunctivitis ; injection of conjunctiva variable, sometimes excessive, again very moderate, amounting to hardly more than a simple hyperemia, at no time commensurate with severity of pain ; redness, usually
dark, especially in later stages, though during height of inflammation may be bright ; chemosis ; infiltration into cellular tissue of orbit ; deep ciliary injection, swelling of lids, photophobia and lachrymation ; pupil contracted, dilates regularly, but slowly, under
Atropine ; tension changeable even within a short time, though more frequently diminished than otherwise ; eyeball sensitive to touch ; pain excessive and always present ; varies from a dull, grumbling, aching, beating, sore pain to a severe sharp darting, almost driving
patient crazy, especially severe over and around eye, extending through to occiput on corresponding side, often following course of supraorbital nerve ; always < at night and frequently accompanied by severe paroxysms, particularly in early morning, 1 to 3 A. M. ; corresponding
side of face flushed ; scanty high-colored urine ; pain in back.
Amblyopia potatorum ; for eight weeks sight began to grow dim ; almost constant dull aching pain in region of kidneys ; urine dark-colored and loaded with acid phosphates, sp. gr. 1028 ; vision 5/40 in both eyes ; fundus normal in appearance.
While walking in open air muscæ volitantes and transient dizziness.
Obscuration of sight.
(OBS :) Photophobia. θ Scrofulous ophthalmia.
Pain above left eye.
Episcleritis in left eye for over three weeks ; eye very red, especially at inner side of cornea, where there was a hard bluish-red elevation ; intense pain day and night in eye and corresponding side of head ; pupil reacted well ; urine very
dark.
Rheumatic iritis ; frequent desire to urinate, pain in kidneys, burning in urethra, dark urine ; suppression of habitual foot sweat.
Recent adhesion of iris to lens. θ Posterior synechiæ.
(OBS :) Chronic iritis of traumatic or rheumatic origin.
In outer corner of each eye ecchymosis of conjunctiva. θ Purpura hæmorrhagica.
Chemosis of left eye ; urine dark-red, like blood, becoming thick after standing, and leaving red adherent sediment ; pain across kidneys.
Redness of left conjunctiva, iris sluggish, much pain in and above eye, always < at night, tongue coated yellow at base ; on eighth day woke at 1 A. M. with much beating pain in eye, especially at internal canthus, for one hour ; now some pain on
left side of head, lachrymation on looking down, eyeball sensitive to touch and very red, especially inner half ; sharp darting pains from above right eye down through eye, and feeling as if sand were thrown violently into eye ; urine dark and scanty, with dark sediment ; pain
in back.
Very severe pain over left eye and in left temple day and night (had chancre a year ago) ; for one year no perspiration on left side of head, while profuse on right ; conjunctiva very red with deep ciliary injection, much lachrymation ; some photophobia, aqueous apparently
hazy.
Sore pain in left eye, occasionally shooting with much redness of conjunctiva, adhesion of lids in morning, lachrymation in evening ; blur before vision, severe pain in back, dark urine.
Eye dark-red, face red on affected side.
Inflamed eyes and eyelids.
Half-open, upward turned, or rolling eyes.
Opened his eyes only when swallowing, closed them again at once during sopor.

Hearing and ears

Hearing affected, voice sounds unnatural, r. ear < ; sounding and humming in left ear as of a seashell ; cannot tell where person is who speaks, unless she sees him ; talking loud to her is very painful ; from right to left ear.
Sensation in ears as of striking of a clock.
Pains from forehead to right ear, which feels to her very hot ; l. ear feels cold.
Otitis, with enlarged tonsils ; granular condition of nasopharyngeal cavity.
Otalgia of children ; during dentition signs of cerebral and abdominal irritation.
Eczema in front of ear tending to affect eyelids.
Sudden stitch in right mastoid process.

Smell and nose

Violent nosebleed. θ Albuminuria. θ Typhus.
Passive epistaxis in children.
Frequent watery coryza, now from one, then from both nostrils.

Upper face

Spasmodic sensation, but no visible contractions, extending from chin to superior maxillary bones, followed by contusive headache over eyes.
Drawing in bones, right side, and forehead.
Fulness and flushes in face. θ Climaxis. θ Typhus.
Hot flushes in face, followed by slight sweat. θ Neuralgia vaga.
Earthy color of face, sunken features.
Face very pale. θ Albuminuria.
Pale cold face.
Erysipelas of face ; chronic.

Lower face

Lips cracked and slightly bleeding. θ Albuminuria.
Lockjaw.

Teeth and gums

Drawing in teeth.
(OBS :) Toothache.
Scorbutic affections with hæmaturia.
Gums burned every morning, were spongy and painful to touch ; brushing sets them to bleeding.
Bleeding gums. θ Albuminuria.
Dentition : suppression of urine with convulsions ; child wakeful at night, screaming as if frightened, has a staring look, clenches his fingers ; twitchings in different parts of body ; picking of nose, dry, short cough ; aching in limbs and
head ; burning soreness and interstitial distension of gums ; otitis.

Taste, speech, tongue

Tongue : bright or red ; coating peels off in patches presenting bright-red spots here and there, or whole substance cleans off simultaneously ; dry and red ; brown, dry ; burning in tip of tongue ; elevated papillæ ; as if deprived of its
papillæ, or as if glazed or varnished.
Tongue remains dry, with abdominal tension ; after cleansing becomes dry again with increase of tympanitis. θ Typhoid.
Tongue does not clean gradually but rapidly and in large flakes, first from middle, leaving tongue smooth and glossy. θ Typhoid.
Tongue red and glossy. θ Stomatitis. θ Entero-colitis.
Tongue swollen hard and stiff with violent fever.

Inner mouth

Foul breath. θ Helminthiasis.
Burning in mouth.
Ulcers in mouth.
(OBS :) Mercurial ptyalism ; stomacace.
In mouth and at angles of lips, ecchymosis, which bleed. θ Purpura hæmorrhagica.
Stomatitis extending from mouth to anus ; tongue very sore, red and glossy, burning like fire ; immense tympanitis ; no pain ; prostration.

Palate and throat

Scraping, scratching in throat, frequently with coughing in evening.
Burning in throat.
Warmth and scratching in pharynx and stomach.

Appetite, thirst. desires, aversions

Hunger and thirst, with debility.
Craving for drink ; appetite lessened.
Loss of appetite, great thirst. θ Gastro-enteritis.
While engaged in pleasant mental work in evening, after a full satisfying meal, a sudden desire to eat rue.
Aversion to meat.

Eating and drinking

After eating : sick at stomach ; loud rumbling in bowels, while pain in hypochondria disappears.
After a satisfying meal strange appetite.
Pressure in epigastrium as from hasty swallowing.

Hiccough, belching, nausea and vomiting

Eructations rancid.
Flatulent ; acrid eructations. θ Hematemesis.
Heartburn and waterbrash in evening.
Belching and nausea ; > after belching.
Nausea : and vertigo ; and vomiting.
Vomiting of mucus ; of yellowish mucus ; of food (albuminuria) ; of blood.

Scrobiculum and stomach

Dull pain in epigastrium.
Pressure as if he had swallowed a bullet which had lodged in pit of stomach.
Slight pressing pain in small spot in epigastrium ; > stooping, lying down or taking a deep breath.
Pressure in scrobiculum as from without.
Tension and pain about epigastrium, with faintness and a sense of utter prostration or anxiety in this region. θ Hematemesis.
Pinching below pit of stomach, with belching and nausea.
Burning in stomach and hypochondria.
Heat in stomach.
Intense burning in stomach, with nausea and vomiting of mucus, bile or blood ; copious hemorrhages.
Pressing in stomach turning into slight nausea ; > by belching.
Pressing in stomach evening in bed, lying on left side, preventing sleep ; > on turning to right, and passing wind.
Gastritis ; cannot bear least touch.

Hypochondria

Aching and burning in hypochondriac region.
Severe burning pressure in hypochondrium.
(OBS :) Pressing below diaphragm extending from left to right.
Liver can be felt below ribs. θ Emphysematous asthma.
(OBS :) Colic from calculi ; chronic liver complaints.
Pressing and cutting pains in left hypochondriac region while sitting, disappearing on moving about.

Abdomen and loins

Sensation as if intestines were being drawn toward spine.
Irritability and weakness of bowels. θ Albuminuria.
Anxiety in epigastric region ; abdomen fuller than usual.
Fulness as after eating too much.
Heaviness in abdomen after siesta.
Pressure and heaviness in abdomen and passage of flatus.
Rumbling, with bellyache and brown stools.
Rumbling and gurgling in abdomen in evening ; colic in morning.
Feeling of distension in abdomen as from flatus, soon obliging him to rest.
Meteorismus ; excessive tympanitis, abdomen sensitive. θ Typhus. θ Puerperal
disorders.
Distension and flatulency ; distended abdomen sore to touch. θ Puerperal peritonitis.
Sensitiveness of bowels. θ Uterine tumor.
Distended abdomen ; frequent colic, with constipation.
Abdomen tender to pressure.
Colicky griping pains in abdomen. θ Septic fevers.
Griping, pinching colic, with muco-purulent stools.
Pain shooting across bowels from left to right and upward.
Colic : with headache ; with diarrhœa ; with mushy stools.
Constant cutting extending into thighs.
Colic with lively motion of intestines and meteorism, after warmth and scratching in pharynx and stomach ; anxiety ; nausea, rarely vomiting.
Cutting in abdomen, with local distensions as if a hernia would protrude ; painfulness in groin.
Cold sensation in abdomen as if exposed.
Coldness in umbilical region.
On lying down umbilical region feels retracted and cold, as if covered by a round cold plate.
Sensation as if intestines were being drawn toward spine.
Pain in umbilicus.
Sensation in abdomen as if diarrhœa would follow.
Burning itching on abdomen.
Pain in iliac region. θ Typhus.
Groins slightly swollen and painful in evening, while sitting.
Pains and movements in groin as if hernia would appear, most when, in sitting, thigh is extended ; is felt sometimes in right, sometimes in left groin.
Urging and cutting pain in right groin.
(OBS :) Strangulated hernia.
Burning itching of skin in right groin.
Effusion of serum into abdominal cavity. θ Typhus.
Beginning of ulceration of bowels. θ Typhus.
Ulceration of bowels, increase of tympanitis ; tongue gets dry again. θ Typhus.
Peritonitis and other inflammatory affections of abdomen.
On sixth day of enteritis, patient almost pulseless ; face, hands and limbs cold ; great agitation of mind ; fear of death ; much difficulty of breathing owing to tympanitic condition of abdomen, which was of enormous size, not
sensitive, but hard and resonant like a drum ; tongue dry, looked as if seared with a hot iron in centre.

Stools and rectum

Ineffectual urging to stool.
Tenesmus ; bloody stools. θ Dysentery.
After flatus passes stomach is relieved.
With a loose stool immediate cessation of nausea.
Copious and frequent evacuations upward and downward.
Stools of mucus and water ; < in morning.
Mushy evacuations, with burning in rectum and colic.
Copious discharges with burning in anus.
Diarrhœa, abdomen tense and tender ; tongue dry or moist. θ Typhus.
Stools : watery, greenish ; mucous and watery ; frequent ; profuse ; fetid ; bloody.
Aggravation : in afternoon and evening ; in mornings during typhoid fever ; during nephritis ; from living in damp, dark cellars.
Before stool : colicky pain in abdomen.
After stool : violent burning in rectum and anus ; exhaustion ; fainting . Intestinal catarrh and diarrhœa . θ Nephritis.
Diarrhœa ; prostration excessive ; burning in anus.
Soon after sweat, toward morning, a very bad-smelling diarrhœa.
Diarrhœa with tetanic spasms.
Bilious diarrhœa. θ Albuminuria.
Sooty stools like coffee-grounds. θ Hematemesis. θ Purpura hæmorrhagica.
Entero-colitis, with hemorrhages and ulceration of bowels, especially epithelial degeneration ; stools of mucus and water. θ Typhoid diseases.
Constipation. θ Uterine tumor. θ Albuminuria.
Constipation with abdominal distension.
Stools scanty, hard and dry ; dark brown.
Hemorrhages : from bowels ; with ulceration ; epithelial degeneration ; passive.
On fourteenth day of typhoid fever, profuse diarrhœa of color of prune juice, dark red, showing under microscope a large amount of branlike particles mingled with disorganized blood globules ; pieces of linen dipped in it became red ; it had
a peculiar fetid odor ; small coagula in bottom of vessel not firm, but deliquescent ; excessive tenderness in left iliac region, stupor, mild delirium, dry tongue, red at tips, heavily coated at back, subsultus.
Hemorrhoids. θ Uterine tumor.
Piles internal, bleeding.
Hemorrhage from anus. θ Typhus.
Burning and tingling in anus and rectum, > by applying cold water.
Passes segments of tapeworm ; ascarides .
Worms : with foul breath, choking sensation ; dry, hacking cough ; burning and tingling at anus, with sensation as if ascarides were crawling about ; sometimes with spasms.

Urinary organs

Violent burning drawing pains in kidneys. θ Nephritis. θ Hæmaturia.
Pressure in kidneys when sitting, > from motion.
Transient drawing in right kidney extending into right hip.
Stiff all over ; heaviness and pains in region of kidneys.
(OBS :) Neuralgia of kidneys.
(OBS :) Prevents and dissolves renal calculi.
Dull pain and burning in renal region ; extending down ureters.
Burning during urination.
Sensation as if he would pitch forward on face when walking ; at times loss of sight and diplopia ; pain over kidneys when tired ; urine a little darker ; albumen and blood corpuscles in urine ; lids, face and feet swell.
Renal disease producing dropsy, attack comes on rapidly with pain in lumbar region, urine greatly diminished, loaded with albumen, containing casts of tubes and blood disks. θ Post-scarlatinal
dropsy.
Dropsy dependent on congestion of kidneys ; dull aching in renal region ; smoky-looking urine.
Fatty degeneration of kidney (enlargement) ; general dropsy ; limbs enormously swollen, skin deeply pitting on pressure and distended nearly to bursting, could with difficulty move a step ; much general muscular weakness ; menses absent four months ; urine
of a deep, smoky opalescent color, sp. gr. 1018, average quantity 30 to 35 ounces in twenty-four hours ; on boiling became a nearly solid mass of albumen ; blood globules visible under microscope. θ Bright's
disease.
Albuminuria ; early stages when blood and albumen abound more than casts and epithelium.
Girl, æt. 9, scarlatina mild ; became languid ; vomiting yellow mucus ; tongue coated white ; attack of lancinating pain in head, would cry out suddenly ; > by holding head firmly ; face and abdomen swollen ; feet not swollen ; urine
scanty, turbid, dark ; albumen abundant. θ Post-scarlatinal albuminuria.
Sugar in urine. θ Diabetes.
(OBS :) Suppuration of kidneys and bladder.
Affections of kidneys, < from living in damp dwellings.
Sensitiveness of hypogastrium, tenesmus of bladder.
Spasmodic urging and pressing in region of bladder while sitting ; going up in streaks to either kidney ; > from exercise.
Tenesmus of bladder. θ Gonorrhœa.
Violent burning and cutting in bladder, alternating with a similar pain in umbilicus ; < at rest ; > when walking in open air. θ Hæmaturia.
Suppression of urine.
Retained urine from atony of fundus vesicæ.
Incontinence of urine ; also at night.
Catarrh of bladder, particularly in old persons of sedentary habits.
Cystitis and retention of urine ; pressure in region of bladder caused convulsions.
Man, æt. 62, suffers every year with a sero-purulent discharge from urethra, especially after squeezing a thickish, greenish matter oozes from urethra ; some pain after urination, but no swelling ; cold drinking after being heated seems to be exciting cause ; patient
complains of headache, febrile motions, anorexia, etc.
Dysuria.
Burning in urethra, when urinating.
Strangury ; spasmodic retention of urine. θ Gonorrhœa.
Frequent urination at night, with intense burning and pain in small of back.
Urine increased. θ Typhus.
Smarting in urethra. θ Gonorrhœa.
Urine : violet odor ; fetid ; albuminous ; scanty ; dark ; cloudy and smoky, bloody ; clear, watery, profuse.
Hæmaturia.
Urine red, thick, scanty. θ Articular rheumatism.
Blood in urine, from a cut, extracting a tooth, etc., with bleeders.
Scanty urine dark, sometimes bloody ; containing albumen, cylindrical coagula, renal elements, oxalate of lime. θ Albuminuria.
Urine highly charged with blood, especially if it is bright and passing in very small quantities. θ Albuminuria.
Urine black, with coffee-grounds sediment. θ Liver complaint.
Urine contains blood after scarlatina.
Dull pain in lumbar region and across middle of abdomen ; pulse 100, firm, not large ; urine resembles port wine in color, in a spoon looks quite clear, almost black on looking down upon it in a chamber vessel ; it coagulates very
strongly by heat ; tongue foul ; appetite and sleep disturbed. θ Hæmaturia from kidneys.
Few months previous to birth of child, now 1 year old, had unusual pain in back, renal region and down ureters into bladder, urine very dark and of strong odor, depositing a black sediment ; emaciation, anemic appearance as of having lost much blood, weakness, exhaustion on walking
a short distance ; after going up stairs, palpitation, dyspnœa, throbbing in head ; skin very pale and had an unhealthy feel ; flushes of fever in afternoon followed by profuse night sweats ; constipation ; tongue pale and flabby ; urine dark, almost black when
first emitted, depositing a sediment amounting to nearly one-twelfth of its quantity, and black as coal ; urine not much below its normal amount, looked smoky. θ Chronic passive hemorrhage
from kidneys.
On standing urine deposits a reddish-white sediment.
Urine deposits a slimy, thick, muddy sediment. θ Vesical catarrh.
After scarlatina : passes small quantities of dark, sweet-smelling urine, turbid and having a sediment like coffee-grounds ; sometimes mind dull, or patient drowsy, even in a stupor ; dropsy ; urine, though rich in albumen and blood,
contains but few if any casts.

Male sexual organs

Spermatorrhœa in a man æt. 25 ; no bad habits ; urine turbid and had a yellowish mucous sediment.
Tearing pain in os pubis.
Feels as if symphysis pubis were suddenly forced asunder.
Transient burning in posterior part of right testicle.
Spasmodic drawing in left testicle and along cord.
Cutting drawing from ring into left testicle ; passes off on stooping.
Chordee ; gleet. θ Gonorrhœa.
Gonorrhœal rheumatism.
Gonorrhœa with strangury, tenesmus of bladder, smarting in urethra ; painful urination every ten minutes, relief by micturition.

Female sexual organs

Ovarian dropsy.
Terrible burning in uterus, with great bearing-down pain ; caused great heat all over her ; craves drink ; inward heat ; abdomen fuller than usual.
From wearing tight corsets peritonitis after confinement. θ Uterine tumor.
Uterine diseases after wearing supporter of uterus. θ Traumatic erysipelas.
Fibroid enlargement of uterus ; bloody, offensive leucorrhœa ; burning in uterus ; pain at crest of ilium, < from motion or least jar in walking or riding ; menorrhagia, black blood.
Uterus and ovaries very painful.
Drawing in thighs, and colic as if menses would set in, a week after she had had them.
(OBS :) Menorrhagia ; leucorrhœa ; herpes labialis.
Menses two days late and scanty, with disturbed menstrual function, or during climaxis. θ Neuralgia vaga.
During climaxis ; neuralgia ; flushes ; sweat ; pains.

Pregnancy. parturition. lactation

During pregnancy. θ Neuralgia.
(OBS :) Abortion.
Burning and bearing down in uterus, and burning urination.
Metritis and peritonitis puerperalis, with tendency to mortification ; lochia checked, terrible burning in uterus, abdomen fuller than usual ; headache with thirst ; brown dry tongue, nausea and vomiting ; distended abdomen, sore to
touch ; pulse small, frequent, with general debility.

Voice and larynx. trachea and bronchia

Respiratory tract dry, mucous membrane feels hot and congested.
Burning in air passages, with thin expectoration, very difficult to detach.
(OBS :) Bronchial catarrh of aged with muco-purulent sputa.
Secretion of bronchial mucous membrane greatly increased, with spasmodic convulsive cough ; herpes labialis, heavy substernal pain, and tickling in trachea, as at commencement of bronchitis ; phlegm streaked with blood.
(OBS :) Membranous croup.

Respiration

Short breathing ; difficult respiration as from congestion of lungs.
Difficult breathing for six months ; < from motion. θ Emphysema.
Dyspnœa all night, propped up in bed, scarcely able to breathe. θ Albuminuria.
Choking sensations. θ Worms.
Sits erect, breathes rapidly, cannot expand chest, abdominal respiration ; > by a deep breath.
With stupefied condition, restless ; unequal breathing, now heavy, then quick, at times interrupted as if it would cease.

Cough

Cough as if a foreign body had entered windpipe, with a spasmodic inspiration similar to pertussis, but with interruptions, finally all inspirations ceasing.
Cough with a bloody expectoration, without pain in chest.
Bronchial catarrh with spitting of much phlegm.
Dry cough, no expectoration or blood-streaked sputa.
Dry hacking cough. θ Worms.
Dry cough, < on lying down after eating.
Copious mucous sputa. θ Albuminuria.
Bloody expectoration. θ Typhus.
Great distress and restlessness, followed by hæmoptysis.
Dangerous bronchial symptoms in cases of typhus.
Frothy sputa.

Inner chest and lungs

After spasmodic cough with loss of breath, a very pronounced or long-lasting soreness in lower part of chest.
Pressing pain behind sternum.
Warm drinks cause in their descent pain in sternal region, with tenderness to touch ; pain is somewhat burning.
Burning in chest along sternum.
Distension of air vessels to highest degree ; apex of heart is felt beating in pit of stomach ; heart and liver pushed down ; loses his breath from least exertion, avoids even walking. θ Emphysema.
Typhoid pneumonia ; unbearable burning and tightness across chest, with great dryness of mucous membranes or profuse expectoration ; hepatization of lungs ; moist crepitating rales in upper or middle lobes ; entire posterior
inferior region of right side of chest dull on percussion ; pulse intermitting, irregular ; great prostration.
Capillary bronchitis, child drowsy, lungs all clogged up ; urine scanty, almost dark from admixture of blood.
Bronchial catarrh and pneumonia in typhus.
In upper or middle parts of chest, moist crepitating rales ; l. side same, but slighter. θ Albuminuria.
Effusion of serum into pleural cavity. θ Typhus.
Hemorrhage from lungs.
Hæmoptysis ; great distress and restlessness before hemorrhage, and immediately relieved by it.

Heart, pulse and circulation

Palpitation with irregular pulse on going to bed.
Organic diseases of heart and large vessels. θ Morbus Brightii.
Pulse : intermitting, irregular on going to bed, with great weakness ; increased in force and frequency ; feeble or rapid ; slow, in diarrhœa (typhus) ; small, with general debility ; 130 to 140 (puerperal peritonitis) ; small, wiry (typhus) ;
thready and scarcely perceptible.

Outer chest

Burning in chest along sternum, gradually spreading over whole chest ; passes off with stitches through nipples ; after a warm drink.
Stitching in left pectoralis major.
Muscular stiffness ; contraction of muscles of thorax.

Neck and back

Pressing pain in back, comes up between shoulders, is felt as a throbbing.
Drawing in back while sitting down in evening.
Drawing in back and lumbar muscles, with lassitude on exercising in open air.
Backache and soreness in kidney affections.
Severe pains in lumbar region, with fever.
Severe rheumatic pain in lumbar muscles, contracted by removing his flannels too soon ; impossible for him to stoop or lie upon back ; pains sharp, rendering motion, when not in an erect position, intolerable.

Upper limbs

Drawing in bones of upper arm in morning.
Pain as if sprained in muscles of left upper arm.
Hands trembling, with debility.
Neuralgia brachialis or subscapularis.

Lower limbs

Insensibility of extremities, particularly lower.
(OBS :) Lumbago ; ischias.
Pain going from hip to forehead ; or from kidneys.
Drawing tearing in right hip joint.
Neuralgia of hips.
Drawing along thighs.
Sciatica, in rheumatic patients ; urinary symptoms.
Erythema on thighs and body resembling scarlet rash.
Pain in groins extending to thighs.
Contracting spasms of thigh muscles during remission of neuralgia.
Swelling and stiffness of right knee, with pain in calf, and swelling of vastus externus.
Profuse sweat on legs evenings in bed.
Intense neuralgia in lower limbs, especially in damp weather.
Tearing in feet now here now there ; principally in soles and heels. θ Neuralgia vaga.
Legs œdematous. θ Albuminuria.
Staggering gait, as if drunk.

Limbs in general

Numbness of limbs. θ Nervous headache.
Heaviness in limbs.
Nerves of limbs, particularly lower, exceedingly sensitive.
Intense pain along larger nerves.
Limbs enormously swollen. θ Albuminuria.
Coldness of extremities.
Limbs hanging loosely without motion.

Rest. position. motion

Rest
Position. Motion. Stands with feet far apart ; cannot balance body.
Lying : umbilical region feels retracted and cold ; > pain in epigastrium ; on left side pressing in stomach ; cough <.
Sitting : pain in left hypogastrium ; groins painful ; pressure in kidneys ; urging and pressing in bladder ; drawing in back.
Stooping : pain in epigastrium > ; > pain in left testicle.
Motion : > pain in hypogastrium ; > pressure in kidneys ; pressure in bladder > ; < pain at crest of ilium ; < difficult breathing.
Walking : in open air muscæ volitantes and dizziness ; sensation as if he would pitch forward ; emphysema <.

Nerves

Tired feeling.
Intense pains along tracks of large nerve trunks.
Violent neuralgia in course of supraorbital nerve.
Sudden twitching of limbs as from electric shock. θ Neuralgia vaga.
Shooting pain, like lightning or heavy beating, squeezing.
Crawling tingling, with a feeling as if asleep or of heaviness. θ Neuralgia.
Neuralgia with a sensation of coldness in nerve, occasionally like hot water running through a tube.
Prostration, with cold clammy sweat and thready, almost imperceptible pulse.
Great prostration with unusual loss of flesh. θ Typhus.
Has no power of balancing body, stands with feet far apart (after large doses for tænia).
Great weakness. θ Liver complaint.
Tendency to syncope. θ Nervous headache.
Bodily weakness increases rapidly. θ Purpura hæmorrhagica.
General debility. θ Albuminuria. θ Neuralgia vaga.
Nervous and muscular weakness ; want of sensibility.
(OBS :) Paralysis ; paraplegia.
Occasional subsultus.
(OBS :) Puerperal convulsions from uremic poisoning.
Uremic spasms in albuminuria, with great prostration.
Spasms. θ Helminthiasis.
(OBS :) Tetanic spasms ; lockjaw.
(OBS :) Chorea ; epilepsy.

Sleep

Somnolency. θ Typhus. θ Scarlatina.
Cannot go to sleep, tosses in bed.
Sleep prevented by pain in stomach.
Sleepless, excitable ; skin hot.
Nightmare wakens him as he drops off to sleep.
Habitual dreams.

Time

Toward morning : offensive diarrhœa.
Morning : gums burn ; colic ; stools of mucus and water ; drawing in bones of upper arm.
Evening : dull pressing above left eye ; scraping in throat with cough ; desire to eat rue ; heartburn and waterbrash ; rumbling in abdomen ; groins swollen and painful ; in bed sweat on legs.
Night : ciliary neuralgia <, particularly 1 to 3 A. M. ; pain in eye < ; child wakeful, dentition ; frequent urination ; incontinence of urine ; dyspnœa ; nightmare.

Temperature and weather

Damp dwellings : kidney affections <.
Damp, dark cellars : diarrhœa.
Damp weather : neuralgia in legs.
Cold water : > burning in anus.

Fever

Rigors followed by feverish heat through whole body ; headache, red face. θ Bright's disease.
Violent coldness with restless tossing about.
Violent chill, cold limbs, trunk hot.
After a strong chill violent pain in abdomen. θ Peritonitis puerperalis.
Chilliness.
Irregular chills and flushes of heat. θ Hematemesis.
Coldness and chill in abdomen.
Great heat ; inward heat.
Great heat all over from uterine pain.
Skin hot and dry ; diarrhœa. θ Typhus.
Fever with violent thirst ; face red ; mucous surfaces feel dry ; pulse hard and frequent ; profuse sweat, excessive prostration.
Suddenly checked sweat. θ Neuralgia.
Cold clammy sweat all over body. θ Toxemic fevers.
Typhoid fever ; excessive tympanitis ; languor and prostration ; frequent loose stools ; copious hemorrhages from bowels with ulceration of Peyer's glands ; muttering delirium ; toward end of second week bright-red tongue, smooth and glossy, as if deprived
of its papillæ ; vertigo, fulness and flushes of face ; pain in iliac region or all over abdomen on pressure ; thick scanty urine with mucus and disintegrated blood corpuscles ; fetid urine and stools ; diarrhœa, stools intermixed with blood, small wiry pulse ;
hemorrhages from nose and anus ; bloody expectoration ; profuse serous effusions in pleural and abdominal cavities ; great prostration and emaciation.
Typhus ; stupor ; delirium, subsultus tendinum ; contracted pupils ; dry tongue ; meteorism ; bloody stools ; tongue becomes dry about middle or toward close of second week.
Typhoid pneumonia.
Malarial and African fevers. [Obs. Ozonized oil of turpentine, a few drops on sugar, several times a day (See Introduction), is recommended as a prophylactic. --Hg.]

Attacks, periodicity

Spreading gradually : burning in chest.
All day coming and going : neuralgic headache.
Day and night : pain in eye.
Lasting several days : maniacal state.
For eight weeks : sight dim.
Four months : menses absent.
For six months : difficult breathing.
During climaxis : neuralgia ; flushes ; sweat ; pains.

Locality and direction

Left : pressing above eye ; rending tickling in temporal region ; episcleritis ; chemosis of eye ; redness of conjunctiva ; sore pain in eye ; humming in ear ; ear feels cold ; pressing and cutting in hypochondrium ; tenderness
in iliac region ; drawing in testicle and cord ; rales in chest ; stitches in pectoralis major ; sprained pain in arm.
Right : neuralgia in head ; darting from above eye through eye ; perspiration on head, none on left ; hearing < ; pain from forehead to ear ; stitch in mastoid process ; drawing in bones of head ; pain in groin ; itching of skin in groin ;
drawing from kidney to hip ; burning in posterior part of testicle ; pneumonia ; drawing tearing in hip joint ; swelling and stiffness of knee ; erythematous eruption on foot.
Left to right : pressing below diaphragm ; shooting in bowels.
Right to left : affection of hearing.
Upward : shooting in bowels.

Sensations

As if he would pitch forward on walking ; as of a band around head ; as if sand were thrown violently in eye ; as of a seashell sounding in left ears ; in ear as of striking of a clock ; as from hasty swallowing in epigastrium ; umbilical region
as if covered with a round, cold plate ; as if he had swallowed a bullet, which had odged in pit of stomach ; a sense of anxiety and utter prostration about epigastrium ; as if intestines were being drawn toward spine ; as if abdomen were distended with flatus ; in
abdomen as if diarrhœa would set in ; as if inguinal hernia would appear ; as if symphysis pubis were suddenly forced asunder ; as if a foreign body had entered windpipe ; as from electric shocks, twitching of limbs ; crawling tingling as if parts were asleep ;
as if hot water were running through a tube in nerve.
Pain : above left eye ; in umbilicus ; in groins ; in kidneys ; in lumbar region ; at crest of ilium ; in uterus and ovaries.
Severe pain : over left eye and in left temple ; in lumbar region.
Intense pain : in eye and side of head ; along tracks of large nerve trunks.
Neuralgic pains : in head ; in kidneys ; tracheal, or subscapular ; in hips ; in lower limbs ; along larger nerves ; supraorbital.
Lancinating : in head.
Cutting : in left hypochondriac region ; from abdomen into thighs ; in right groin ; in bladder ; in umbilicus ; from ring into left testicle.
Stitches : in forehead ; in right mastoid process ; through nipples ; in left pectoralis major.
Darting : ciliary neuralgia ; from above right eye through eye.
Shooting : in top of head ; in left eye ; across bowels from l. to right and upward.
Tearing : in os pubis ; in right hip joint ; in feet, soles and heels.
Griping : in abdomen.
Sprained pain : in muscles of left upper arm.
Rheumatic pain : in lumbar muscles.
Dull grumbling pain : ciliary neuralgia.
Pinching : below pit of stomach, in abdomen.
Scratching : in throat ; in pharynx and stomach.
Smarting : in urethra.
Burning : in gums ; in tip of tongue ; in mouth ; of tongue like fire ; in throat ; in stomach and hypochondria ; on abdomen ; of skin in right groin ; in rectum and anus ; in kidneys ; in bladder ; in umbilicus ; in
urethra ; in small of back ; in posterior part of right testicle ; in uterus ; in air passages ; across chest ; along sternum.
Burning pressure : in hypochondrium.
Pressure : in head ; in epigastrium ; below diaphragm from l. to right ; in pit of stomach ; in stomach ; in left hypochondriac region ; in abdomen ; in kidneys ; behind sternum ; in back, comes up between shoulders.
Urging pain : in right groin ; in region of bladder.
Drawing : from neck to occiput, thence to forehead, from forehead to hips ; in bones of head ; in teeth ; in kidneys ; in right kidney to hip ; in left testicle and along cord ; in thighs ; in back ; in lumbar muscles ; in bones of upper
arm ; in right hip joint ; along thighs.
Aching : in limbs and head, during dentition ; in hypochondria.
Dull aching : in region of kidneys ; in renal region.
Dull pain : in epigastrium ; in renal region, down ureters.
Sore pain : in left eye ; in gums ; in lower part of chest.
Contusive : headache.
Dull pressing : above left eye.
Bearing down : in uterus.
Rending tickling : in left temporal region.
Beating pain : in eyes.
Throbbing : in top of head ; between shoulders.
Spasmodic sensation : from chin to superior maxillary.
Choking : from worms.
Fulness : in head ; in face ; in abdomen.
Heaviness : in abdomen ; in kidneys ; in limbs.
Tightness : across chest.
Tension : about epigastrium.
Tingling : in anus and rectum.
Numbness : of limbs.
Tickling : in trachea.
Itching : on abdomen ; of skin in right groin.
Heat : in stomach.
Coldness : in abdomen ; in umbilical region ; in nerve.

Tissues

Passive hemorrhages.
Fresh ecchymoses in great numbers from day to day.
Purpura hæmorrhagica.
Scorbutic affections with hæmaturia ; earthy color of face, sunken features ; exhaustion and debility.
Increases number of colorless blood corpuscles (probably by causing hyperemia of lymphatic glands).
Congestion and inflammation of viscera ; kidneys, bladder, lungs, intestines and uterus.
Mucous membranes dry, burning ; later secretion of mucus which may be blood-streaked.
Joints swollen stiff ; pain on motion. θ Rheumatism.
Dropsy with kidney affections ; associated with great prostration.
General dropsy dependent upon degeneration of kidney, probably granular.
Legs and body œdematous. θ Albuminuria.
Ascites with anasarca.
General dropsy. θ After pleurisy. θ Albuminuria. θ Scarlatina.
Emaciation. θ Liver complaint. θ Bright's disease. θ Typhus.
(OBS :) Atonic gout ; rheumatism and gout ; asthenic inflammation ; passive hemorrhages ; purpura hæmorrhagica ; burns ; hospital gangrene ; cold gangrene ; hydrophobia ; gangrenous wound from bite of a dog ; wounds of
skin, tendons and nerves ; dissection wounds ; old ulcers.
(OBS :) Chian turpentine is said to destroy cancer cells, leaving vessels to become atrophied, acting on periphery of growth with great vigor, causing its speedy disappearance, and entire cessation of pain in a few days.
Gangrene ; locally on lint.
Corns (locally).

Touch. passive motion. injuries

Touch : eyeball sensitive ; gastritis < ; tenderness in sternal region.
Pressure : in region of bladder caused convulsions.
Traumatic iritis ; dissection wounds, etc.
Purpura hæmorrhagica.
Injuries to kidneys from falls.
From a cut or extracting a tooth ; bleeding ; hæmaturia. θ Purpura hæmorrhagica.

Skin

Pulse 67 to 70 ; skin dry ; tongue thickly coated with sordes and dark blood ; blood oozing from its side and under surface as well as from gums and whole mucous lining of mouth, palate, tonsils and fauces ; three isolated
phlyctenæ of size of a large lima bean, resembling thrombi, on right, and one on left inner surface of cheek, which was very prominent and from which dark blood oozed freely ; blood passed per anum without fecal admixture ; urine contained black, ropy blood which constituted about
three-fourths of its entire quantity ; ecchymotic spots on petechiæ were very numerous on upper and lower extremities, and were increasing in number ; Phos. without effect. Tereb. 6th cent., cured. θ Purpura
hæmorrhagica.
Lower limbs and abdomen covered with black and blue spots, from size of a pin-head to that of a pea ; chest, arms and face not so thickly spotted ; nose bled continually for five days and nights ; blood very thin, dark ; very distressing, weak, sore feeling all
through body ; pure blood from bladder with burning. θ Purpura hæmorrhagica.
Pitting deeply on pressure. θ Albuminuria.
Skin warm and moist, diarrhœa. θ Typhus.
Eruption of pale-red, round and elevated blotches ; at first isolated, later confluent ; these vesicles appear with fever and itching.
Erysipelas bullosa ; here and there yellow vesicles with large red areola turning bluish-black ; tendency to gangrene.
Erythema resembling scarlet rash, spreading over thigh and greater part of body (after external applications to r. knee for rheumatism), for a few hours parts swelled rapidly, assuming a look like erysipelas vesiculosa.
Erythematous, scrofulous, even vesicular eruptions, analogous to those appearing after eating shell fish.
Burning pains, irritation and fever, no sleep, no appetite ; later desquamation.
Scarlatina, especially when kidneys are involved, with stupor ; bloody, smoky urine. θ Dropsy.
Scarlatina eruption slow in appearing.
Chronic icterus.
Scabies ; pityriasis of old people.
Erysipelas of face and lower leg.
Eruption in spots, often about noon, or after vomiting.
Erythematous eruption resembling scarlet rash, passing from affected knee down to ankle joint, afterward appearing in chest and right foot, spreading over better portion of body.
A girl wore long gloves cleansed with turpentine ; in half an hour violent itching of skin as far as covered by gloves ; intense redness spread over hands and arms, with innumerable vesicles filled with transparent lymph, many of them becoming confluent, forming blisters
resembling pemphigus ; increasing pain and fever ; affected skin peeled off.
(OBS :) Parasitic affections of skin.

Stage of life, constitution

Children : nosebleed, worms.
Bleeders.
Nervous women, amenorrhœa ; dysmenorrhœa ; headache.
Complaints of old people ; people of sedentary habits, catarrh of bladder.
Chronic rheumatic and gouty complaints.
Girl, æt. 9, after scarlatina ; albuminuria.
G., æt. 20 ; purpura hæmorrhagica.
Mrs. C., æt. 22, wife of a clergyman, mother of one child ; hæmaturia.
Man, æt. 25 ; spermatorrhœa.
Man, æt. 26 ; acute nephritis.
Miss D., æt. 26, feeble, relaxed constitution, lymphatic, sanguine temperament ; Bright's disease.
Mr. R., æt. 30, on fourteenth day of typhoid fever ; hemorrhage of bowels.
Man, æt. 36 ; emphysematic asthma.
Man, æt. 37, intemperate for ten years or more ; amblyopia potatorum.
Man, æt. 40, suffering over three weeks ; episcleritis.
Mrs. F., æt. about 45, stout, pale, flabby-looking ; hæmaturia.
Man, æt. 59, bilious temperament, deep sallow complexion ; albuminuria.
Widow, æt. 60 ; purpura hæmorrhagica.
Man, æt. 62 ; catarrh of urinary organs.
Man, æt. 65, affection of kidneys.
A widow, æt. 65, spare habit, broken health, very infirm, after suffering for want of food, arthritic cough ; purpura hæmorrhagica.

Relations

Antidoted by : Phosphor .
It antidotes : Phosphor., Mercur .
Compare : Alum (hemorrhage in typhus) ; Arnic . (melena) ; Arsen . (albuminuria, ischuria, etc.) ; Camphor (passive
hemorrhages, strangury) ; Canthar . (kidneys and bladder) ; Copaiba, Kali bich., Laches., Lycop., Mercur., Nitr. ac. ; Pix liq . (catarrh in children) ; Phosphor., Rhus tox.,
Secale, Sulphur .

The Therapeutics of Fevers

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

Characteristic

For the hemorrhagic diathesis; "bleeders."

Complaints of old people; sedentary habit; from living in basements and damp dwellings.

Abdomen: extremely sensitive to touch; distension, flatulence, excessive tympanitis; meteorism (Colch.).

Diarrhœa: stool, watery, greenish, mucous; lungs, intestines, uterus; with hemorrhage, and malignant tendency.

Purpura hemorrhagica; fresh ecchymoses in great numbers from day to day (Sulph. ac.).

Hemorrhages; from bowels, with ulceration; passive, dark with epithelial degeneration.

Ascites anasarca, in organic lesions of kidneys; dropsy after scarlatina (Apis, Hell., Lach.).

The urine has the odor of violets.

Violent burning and drawing pains in kidney, bladder and urethra (Berb., Can., Canth.).

Violent burning and cutting in bladder; tenesmus; sensi- tive hypogastrium; cystitis and retention from atony of fundus.

Albuminuria: acute, in early stages, when blood and al- bumin abound more than casts and epithelium; after diph- theria, scarlatina, typhoid.

Urine rich in albumin and blood, but few if any casts; $<$ from living in damp dwellings.

Strangury; spasmodic retention of urine.

Relations

Compare: Alumen, Arn., Ars., Canth., Lach.,

Nit. ac.

Is recommended as a prophylactic in malarial and African fevers.

Type

Malarial; tropical; African fevers; toxæmic; septic; typhoid; typhus; yellow; tend to a low malignant type, with hemorrhage.

Chill

Violent, cold limbs, body hot; great coldness with rest- less tossing about; rigors, followed by heat through whole body.

Coldness and chill in abdomen.

Irregular chills and flushes of heat.

Heat

With great thirst; red face; skin and mucous membranes hot and dry; pulse hard and frequent.

Stupor, muttering delirium; subsultus tendinum; pupils contracted; meteorisms and excessive tympanitis; copious hemorrhage, black, fluid, from nose, stomach, kidneys, lungs, bowels, with ulceration of Peyer's patches; great prostration and emaciation.

Sweat

Profuse, with great prostration; cold, clammy, over whole body.

Tongue

Smooth, glossy, red, as if deprived of papillæ, or as if glazed (Pyr.); elevated papillæ; coating peels off in patches, leaving bright red spots, or entire coating cleans off suddenly (in exanthemata); dry and red; burning in tip (compare, Mur. ac.).

Pulse

Irregular, intermitting, with great weakness; small, wiry, thready, scarcely perceptible; feeble and slow in diarrhœa.