Thuja Occidentalis thuj.

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: GENITO-URINARY. Intestines. Mind. Nerves. Occiput. Glands. SKIN. Left side; ovary.

Worse

COLD DAMP. Heat; of bed. Periodically: 3 A.M. Yearly. Increasing moon. During menses. Urinating. Gonorrhœa. Syphilis. Mercury. Vaccination. Tea. Onions.

Better

Warm: Wind. Air. Wrapping head. Free secretions. Sneezing. Motion. Crossing legs. Touch.

General

Exhausted and soft. Great prostration. Rapid emaciation. Soft, exuberant, fungoid tissue; polypi; condylomata; warts, pediculated, black, suppressed, etc. Sycotic, hydrogenoid or lymphatic constitution. Foul, acrid, musty, rancid or sweetish odors. Oily stool, skin or sweat. Trickling; in urethra. Burning, sticking, numbing, drawing or wandering pains, < warmth. Rheumatism. Jerkings, of spinal origin. Parts look dead.

Copyright © Médi-T 1999

Particulars

Ill-humored; sad; loathes life. Illusions, then fixed ideas; of fragility; of a live thing internally; of some one at his side; of being in hands of a stronger power, etc. Hasty and anxious; over trifles. Can't concentrate. Neurasthenia; prostatic. Vertigo; as if in a swing. Tearing or like a nail in l. head. Neuralgia. Dry, split hair. Eyes blood red; full of tears; stand open. Sclerotitis. Jagged iris. Photopsies, beyond visual field. Bloody scabs or briny odor in nose. Epistaxis. Face, pale, waxy, shiny; dark under eyes; spiderlets on. Boring in zygomæ. Teeth decay at edge of gums; gnawing pains, < cold. Ranula. Mucus in choanæ. Noisy swallowing or belching. Rancid or greasy eructations. Pushings in abdomen. Cutting squeezing in lower bowels, groins, bladder or urethra. Ileus. Gurgling in bowels; then painless, watery, grass green stools. Stools gurgle or pop out; < breakfast. Stools, of hard, black lumps mixed with gushing water; hurried; explosive; spraying; gassy. Moist anus or perineum. Urine burns; dribbles; foul; copious; frequent; must wait. Pain from l. kidney to epigastrium, < motion. Forward, cutting in urethra on urinating. Lithæmia. Offensive genitals. Testes seem bruised. Prepuce puffed; sloughing. Gonorrhœa. Chordee. Tearing in ovaries (l). Itching, sensitive vagina. Short, difficult breathing. Asthma. Cough by day only. Expectorates easier lying. Cheesy sputum. Anxious palpitation. Retracted nipples. Chest pains take various directions. Back; throbs; pressure over kidneys; atrophy of long muscles. Cracking joints. Numb fingers, on waking at night (Nat-m.). Crawling or inflamed finger or toe tips. Hips give way; limbs feel paralyzed. Restless knees. Painful soles. Foul, acrid foot-sweat. Skin brown; spotted; dirty; hairy. Eruptions itch or burn violently from cold bathing. Moist, foul polypi. Prurigo. Nævi. Bluish white ulcers. Stinging, jumping out feeling. Itch. Blood-boils on back. Foul pustules, with sunken apices. Nails ribbed, soft, brittle, crumbling, discolored or distorted. Sleepless when on l. side. Dreams of the dead. Shaking chill, with yawning; < urinating; not > heat. Heat rises into chest; with icy hands, nosebleed or cough. Sweat on bare parts; with dry heat on covered ones; with cold hands, > washing; profuse on genitals; gushing, < company; foul; pungent; staining.

Related

Complementary: Nat-m. Nit-ac. Sabi. Sil. Related: Merc. Nit-ac. Sabi.

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 hydrogenoid constitution of Granvogl, which is related to sycosis as effect is to cause. Thuja bears the same relation to the sycosis of Hahnemann - fig warts, condylomata and wart-like excrescences upon mucous and cutaneous surfaces - that Sulphur does to psora or Mercury to syphilis. Acts well in lymphatic temperament, in very fleshy persons, dark complexion, black hair, unhealthy skin. Ailments from bad effects of vaccination (Ant. t., Sil.); from suppressed or maltreated gonorrhoea (Med.). Fixed ideas: as if a strange person were at his side; as if soul and body were separated; as if a living animal were in abdomen; of being under the influence of a superior power. Insane women will not be touched or approached. Vertigo, when closing the eyes (Lach., Ther.). Headache: as if a nail had been driven into parietal bone (Coff., Ign.); or as if a convex button were pressed on the part; < from sexual excesses; overheating from tea (Sel.); chronic, or sycotic or syphilitic origin. White scaly dandruff; hair dry and falling out. Eyes: ophthalmia neonatorum, sycotic or syphilitic; large granulations, like warts or blisters; > by warmth and covering; in uncovered, feels as if a cold stream of air were blowing out through them. Eyelids: agglutinated at night; dry, scaly on edges; styes and tarsal tumors; chalazae, thick, hard knots, like small condylomata; after Stapisagria partially > but does not cure. Ears: chronic otitis; discharge purulent, like putrid meat; granulations, condylomata; polypi, pale red, cellular, bleeding easily. Chronic catarrh: after exanthemata; thick, green mucus, blood and pus (Puls.). Teeth decay at the roots, crowns remain sound (Mez. - on edges, Staph.); crumble, turn yellow (Syph.). Ranula: bluish, or varicose veins on tongue or in mouth (Amb.). Toothache from tea drinking. "On blowing the nose a pressing pain in the hollow tooth or at the side of it (Culex)." - Boenninghausen. Abdomen: as if an animal were crying; motion as if something alive; protrudes here and there like the arm of a foetus (Croc., Nux m., Sulph.). Distressing, burning pain in left ovarian region when walking or riding, must sit or lie down (Croc., Ust.); worse at each menstrual nisus. Constipation: violent pains in rectum compel cessation of effort; stool recedes, after being partly expelled (Sanic., Sil.). Piles swollen, pain most severe when sitting. Diarrhoea: early morning; expelled forcibly with much flatus (Aloe); gurgling, as water from a bunghole; < after breakfast, coffee, fat food, vaccinations. Anus fissured, painful to touch surrounded with flat warts, or moist mucous condylomata. Coition prevented by extreme sensitiveness of the vagina (Plat. - by dryness, Lyc., Lys., Natr.). Skin: looks dirty; brown or brownish-white spots here and there; warts, large, seedy, pedunculated (Staph.); eruptions only on covered parts, burn after scratching. Flesh feels as if beaten, from the bones (Phyt. - as if scraped, Rhus). Sensation after urinating, as of urine trickling in urethra; severe cutting at close of urination (Sars.). Chill, beginning in the thighs. Sweat: only on uncovered parts; or all over except the head (rev. of Sil.); when he sleeps, stops when he wakes (rev. of Samb.); profuse, sour smelling, fetid at night. Persipration, smelling like honey, on the genitals. When walking the limbs feel as if made of wood. Sensation as if body, especially the limbs, were made of glass and would break easily. Suppressed gonorrhoea: causing articular rheumatism; prostatitis; sycosis; impotence; condylomata and many constitutional troubles. Nails: deformed, brittle (Ant. c.).

Relations

Complementary: Med., Sab., Sil. Compare: Cann. s., Canth., Cop., Staph. Cinnab. is preferable for warts on the prepuce. Follows well: after, Med., Mer., Nit. ac.

Aggravation

At night; from heat of bed; at 3 a. m. and 3 p. m.; from cold damp air; narcotics.

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)

Skin

Warts on any part of the body with little necks, called fig warts; tubular wart--i.e., long wart, same size all the way out; "mother's mark." Condylomata.

Urine

Complaints, while and after passing water; sensation as if water were trickling down the urethra; dribbling urine. Constant, repeated, strong urging to urinate; voids large quantities.

Sexual

Venereal diseases. Affections in general appearing in male or female genital organs, particularly on the external organs; affections on left side particularly. Ovaries. Nocturnal erections. Abortion at end of third month, commencing with a scanty discharge of blood for five days, then more and more profuse.

Sensations

Darting pain in outer parts also in joints; burning darting pain; drawing in the blood vessels.

Generalities

Affections of the right abdominal ring; wings of the nose; loins; inguinal glands; fingers; tips of fingers; toes. Aneurisms by anastomosis; swelling of the blood vessels. Dreams anxious, especially of dead persons; of falling; of accidents. Flushes of heat.

Worse

In the afternoon; after midnight; while chewing; stretching the affected limb; while urinating.

Better

While drawing up the limb.

Remedies following

Mercur., Sulphur, are best. Then come Calc. carb., Ignat., Lycop., Kali carb., Pulsat., Silic.

Antidotes

Mercur., Camphor.

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

Fixed idea of a living animal in the abdomen. Diarrhoea, stool expelled forcibly with much noisy flatus or with gurgling as water from a bunghole. Moist sycotic excresences on genitals, hands and hairy parts.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

Arbor vitæ

General

Acts on skin, blood, gastro-intestinal tract, kidneys, and brain. Its relation to the production of pathological vegetations condylomate, warty excrescences, spongy tumors is very important. Moist mucous tubercles. Bleeding fungus growths. Nævus. Excess of venosity.

The main action of Thuja is on the skin and genito-urinary organs, producing conditions that correspond with Hahnemann's sycotic dyscrasia, whose chief manifestation is the formation of wart-like excrescences upon mucous and cutaneous surfaces-fig-warts and condylomata. Has a specific antibacterial action, as in gonorrhœa and vaccination. Suppressed gonorrhœa, salpingitis. Ill-effects of vaccination. Sycotic pains, i.e, tearing in muscles and joints, worse at rest, better in dry weather, worse damp humid atmosphere; lameness. Hydrogenoid constitutions, whose blood is morbidly hydroscopic, so that damp air and water are inimical. Complaints from moonlight. Rapid exhaustion and emaciation. Left-sided and chilly medicine. Variola, aborts the pustule and prevents the suppurating fever. Vaccinosis, viz, inveterable skin troubles, neuralgia, etc.

Mind

Fixed ideas, as if a strange person were at his side; as if soul and body were separated; as if something alive in abdomen (Croc). Emotional sensitiveness; music causes weeping and trembling.

Head

Pain as if pierced by a nail (Coff; Ign). Neuralgia from tea (Selen). Left-sided headache. White, scaly dandruff; hair dry and falling out. Greasy skin of face.

Eyes

Ciliary neuralgia; iritis. Eyelids agglutinated at night; dry, scaly. Styes and tarsal tumors (Staph). Acute and subacute inflammation of sclera. Sclera raised in patches, and looks bluish-red. Large, flat phlyctenules; indolent. Recurring episcleritis. Chronic scleritis.

Ears

Chronic otitis; discharge purulent. Creaking when swallowing. Polypi.

Nose

Chronic catarrh; thick, green mucus; blood and pus. On blowing nose, pain in teeth. Ulceration within the nostrils. Dryness of nasal cavities. Painful pressure at root.

Mouth

Tip of tongue very painful. White blisters on side close to root, painfully sore. Teeth decay next to gums; very sensitive; gums retract. Drinks fall audibly into stomach. Ranula; varicose veins on tongue and mouth. Pyorrhea alveolaris.

Stomach

Complete loss of appetite. Dislike for fresh meat and potatoes. Rancid eructations after fat food. Cutting pain in epigastrium. Cannot eat onions. Flatulence; pain after food; sinking sensation in epigastrium before food; thirst. Tea-drinking dyspepsia.

Abdomen

Distended; indurations in abdomen. Chronic diarrhœa, worse after breakfast. Discharges forcibly expelled; gurgling sound. Brown spots. Flatulence and distension; protruding here and there. Rumbling and colic. Constipation, with violent rectal pain, causing stool to recede (Sil; Sanic). Piles swollen; pain worse sitting, with stitching, burning pains at the anus. Anus fissured; painful to touch with warts. Movements as of something living (Crocus), without pain.

Urinary

Urethra swollen inflamed. Urinary stream split and small. Sensation of trickling after urinating. Severe cutting after (Sars). Frequent micturition accompanying pains. Desire sudden and urgent, but cannot be controlled. Paralysis sphincter vesicæ.

Male

Inflammation of prepuce and glans; pain in penis. Balanitis. Gonorrhœal rheumatism. Gonorrhœa. Chronic induration of testicles. Pain and burning felt near neck of bladder, with frequent and urgent desire to urinate. Prostatic enlargement (Ferr pic; Thiosinaminum; Iod; Sabal).

Female

Vagina very sensitive (Berb; Kreos; Lyssin). Warty excrescences on vulva and perineum. Profuse leucorrhœa; thick, greenish. Severe pain in left ovary and left inguinal region. Menses scanty, retarded. Polypi; fleshy excrescences. Ovaritis; worse left side, at every menstrual period (Lach). Profuse perspiration before menses.

Respiratory

Dry, hacking cough in afternoon, with pain in pit of stomach. Stitches in chest; worse, cold drinks. Asthma in children (Nat sulph). Papilloma of larynx. Chronic laryngitis.

Extremities

When walking, limbs feel as if made of wood or glass, and would break easily. Tips of fingers swollen, red, feel read. Muscular twitchings, weakness and trembling. Cracking in joints. Pain in heels and tendo-Achilles. Nails brittle. Ingrowing toe nail.

Skin

Polypi, tubercles, warts epithelioma, nævi, carbuncles; ulcers, especially in ano-genital region. Freckles and blotches. Perspiration sweetish, and strong. Dry skin, with brown spots. Zona; herpetic eruptions. Tearing pains in glands. Glandular enlargement. Nails crippled; brittle and soft. Eruptions only on covered parts; worse after scratching. Very sensitive to touch. Coldness of one side. Sarcoma; polypi. Brown spots on hands and arms.

Sleep

Persistent insomnia.

Fever

Chill, beginning in thighs. Sweat only on uncovered parts, or all over except head, when sleeping; profuse, sour, smelling like honey. Orgasm of blood in the evening, with throbbing in the blood-vessels.

Modalities

Worse, at night, from heat of bed; at 3 am and 3 pm; from cold, damp air; after breakfast; fat, coffee; vaccination. Better, left side; while drawing up a limb.

Relationship

Compare: (Hydrogenoid constitution: Calcar; Silica; Nat sulph; Aranea; Apis; Pulsat). Cupressus australis (sharp, prickling pain; general feeling of warmth; rheumatism and gonorrhœa). Cupressus Lawsoniana (acts like Thuja; terrible pains in the stomach). Sphingurus (falling out of hair from beard; pain in jaw-joint and zygoma); Sil; Maland (vaccination); Medorrh (suppressed gonorrhœa); Merc; Cinnab; Terebinth; Juniperus; Sabin; Sil; Canth; Cannab; Nit ac; Puls; Ant tart; Arborin is a non-alcoholic preparation of Thuja.

Antidotes: Merc; Camph; Sabin (warts).

Complementary: Sabina; Ars; Nat sulph; Silica.

Dose

Locally, for warts and excrescences, tincture, or cerate. Internally, tincture to thirtieth potency.

Leaders in Homoeopathic Therapeutics

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

Leaders

Hahnemann's chief anti-sycotic.

Proliferations or pathological vegetations: condylomata, polypi, warts, sycotic excrescences, etc.

Bad effects following vaccination; never well since.

Especially suited to the treatment of ailments following suppressed gonorrhœa.

Urethritis in sycotic patients, which Cannabis sat. does not relieve; stream split, cutting after urination; discharge thick.

Sweat only on uncovered parts.

Hahnemann recognized three miasms (as he called them) which complicated the treatment of all diseases. They were syphilis, psora and sycosis.

Sulphur was his chief anti-psoric, Mercury his anti-syphilitic and Thuja his anti-sycotic.

Whatever may be said against his theories along this line, certain it is that these three remedies do correct certain states of the system which seem to obstruct the curative action of other seemingly well-indicated remedies.

Thuja, for instance, cures or so changes the existing conditions that other remedies cure which could not do so before Thuja was given. Many diseases of various forms come under this rule. Whenever warts, condylomata, fig-warts etc., which come in consequence of gonorrhœal affections, especially suppressed, gonorrhœa, are found in any case we think of Thuja. For instance, a case of enuresis had resisted many seemingly indicated remedies, until the hands were discovered to be covered with warts, when a few drops of Thuja cured. Of course, the curative power of Thuja is not confined to sycosis, but can, like other remedies, cure when symptoms indicate it where no sycotic element in the case is apparent. Nevertheless, its chief power is manifested in those cases in which this miasm is unmistakably present. It is astonishing what widely different and varied forms of disease will be so modified by this miasm as to call for anti-sycotic treatment.

As Sulphur is not the only anti-psoric, or Mercury the only anti-syphilitic, so Thuja is not the only anti-sycotic; for Nitric acid, Staphisagria, Sabina, Cinnabaris and other remedies are sometimes called for, either before or after Thuja, or even when Thuja is not at all the remedy. But on the whole, Thuja, perhaps, as Hahnemann taught, stands at the head of the list. Thuja, Agaricus and Lycopodium have been called over-proven remedies; but when we realize the wide range of diseases which are complicated by the sycotic element in them we are not so sure of the over-proving of the Thuja, for it could not so benefit such a wide range of complaints if it could not produce a wide range of symptoms in its pathogenesis. This is also true of Sulphur and Mercury. Thuja has some very peculiar symptoms of the mind which have been verified.

"Fixed ideas, as if a strange person were at his side; as if the soul and body were separated; that the body and particularly the limbs were made of glass, and will readily break; as if a living animal were in the abdomen; tells about being under the influence of a superior power." Insane women will not be touched or approached. Aside from these curious mind symptoms we have: "Headaches of sycotic origin, with various symptoms; white dandruff, hair falling out or grows slowly and splits; eyelids bear styes, chalazæ, tarsal tumors, or condylomata; ears inflame, discharge pus, or grow polypi. Nose discharges thick, green mucus like Pulsatilla, or scabs are formed in it; warts on the outside of the nose or eruptions on its wings; face has a greasy or shiny look; teeth begin to decay at the roots as soon as they come, the crowns remaining sound. Ranula under the tongue, or varicosities in the mouth or throat; a great deal of croaking, rumbling and grumbling in the abdomen, as if of an animal crying; abdomen puffed and big, protruding here and there as if from the arm of a fœtus, or of something alive; constipation of hard black balls; chronic; stools large; and stool recedes after being partially expelled (Sanic., Silic.); or diarrhœa forcibly expelled, copious gurgling like water from a bung hole of a barrel; diarrhœa, especially from the effects of vaccination; anus fissured or surrounded with condylomata (see Antim. crud., Graphites and Silicea); ovarian troubles; asthma; nails brittle, distorted, crumbling, misshapen or soft; warts, condylomata, bleeding fungous growths; nœvi; epithelioma, and many other affections in sycotic subjects." Finally don't forget to look for the three miasms in all obstinate cases, whether acute or chronic.

Modalities

Modalities. < cold, damp air (hydrogenoid); after vaccination excessive tea drinking, extension of limbs; > drawing up limbs.

Text Book of Materia Medica

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

Mind and Disposition

Fixed ideas ; as if a strange person were at his side ; as if the soul were separated from the body ; as if the body, especially the limbs, were of glass and would break easily ; as if a living animal were in the abdomen. In reading and writing lie uses wrong expressions. Talks hastily, and swallows words. Thoughtlessness ; forgetfulness. Over-excited, becomes easily angry over trifles. Music causes him to weep, with trembling of the feet.

Head

Vertigo on closing the eyes, disappears as soon as he opens them ; or on stooping ; or on looking upwards or side ways. Pressing headache in the vertex, as if a nail were driven into it (P.M. and 3 A.M.) ; worse when at rest, better after perspiration. Heaviness in the cerebellum, with ill-humor and aversion to conversation. The headache is relieved from exercising in the open air, from looking upwards and when turning the head backwards. The scalp is very painful to the touch, and the parts on which one lies. He wants to have the head (and face) wrapped up warm. Dry herpes on the head, extending to the eyebrows. Dandruff. White, scaly, peeling-off eruption over the scalp, extending over the forehead, temples, ears, and neck. Tingling-biting, stinging-itching on the scalp, relieved by scratching. Perspiration, smelling of honey (sweetish), on the uncovered parts of the head (face and hands), with dryness of the covered parts, and of those on which one lies, mostly when first going to sleep ; better after rising.

Eyes

The eye must be warmly covered, when uncovered it pains at once, and it feels as if cold air were streaming out of the head through the eye. Lachrymation, especially in the open air ; the tears do not run off, but remain standing in the eye. The whites of the eye are blood-red. Inflammatory softening of the inner surface of the eyelids. Inflammatory swelling of the eyelids, with hardness. Weakness of the eyes ; obscure sight. Small, black spots float before the eyes. Double vision. In the dark it seems as if falling down of luminous lights or sparks alongside of the eye, during the day and in the light it is as if dark drops were falling down. The objects appear smaller (before the right eye).

Ears

Noise in the ear as from boiling water. Stitches into the ear from the neck. Sensation as if the inner ear were swollen, with increased hardness of bearing. Oozing from the right ear, smelling like putrid meat.

Nose

Nose red and hot. Red eruption on the nose, at times humid. Blowing from the nose of a large quantity of thick, green mucus, mixed with pus and blood, later of dry, brown scales, with mucus, which comes from the frontal sinuses and firmly adheres to the swollen upper portion of the nostrils. Painful scabs in the nostrils. Eruptions on the wings of the nose. Accumulation of mucus in the posterior nares. Swelling and induration of the wings of the nose. Warts on the nose. Smell in the nose as from brine of fish, or of fermenting beer. Fluent coryza in the open air, and dry coryza in the room.

Face

Heat and redness of the whole face, with fine nets of veins, as if marbled. Circumscribed burning redness of the cheeks. The skin of the face is red-hot, peeling off continually ; when washing it feels sore and raw. Dropsically-bloated face. Œdematous erysipelas of the face. Greasy skin of the face. Light-brown blotches (freckles) on the face. Eruptions on the face, leaving livid spots. Swelling of the temporal arteries. Faceache, originating in the left cheek-bone near the ear, extending through the teeth to the nose, through the eyes to the temples into the head ; the painful spots burn like fire, and are very sensitive to the rays of the sun. Perspiration of the face, especially on the side on which he does not lie.

Mouth and Throat

Flat, white ulcers on the inside of the lips, and on the corners of the mouth. Lips pale, swollen ; peeling off. Cracking of the articulation of the jaw. The roots of the teeth become carious ; or the teeth become carious from the side ; the crown of the tooth remains sound. The teeth crumble off. Dirty-yellow teeth. Toothache from drinking tea. Gum swollen, inflamed, with dark-red streaks on them. Tongue swollen, especially on the right wide ; he bites himself on the tongue frequently. Aphthæ in the mouth. Blue swelling under the tongue ; ranula. Taste in the mouth sweet as sugar, with gonorrhœa. Accumulation of a large quantity of mucus in the throat, which is hawked up with difficulty. Painful swallowing, especially empty swallowing or that of saliva. Throat feels raw, dry, as from a plug, or as if it were constricted when swallowing.

Stomach and Abdomen

The food tastes as if it were not salt enough. Bread tastes dry and bitter. Longing for cold food and drink. Bad effects from fat things and onions. Violent thirst, especially at night and early in the morning. While masticating the food becomes very dry. Eructations rancid or acid. Gulping up of large quantities of acids from the stomach. Taste of putrid eggs in the mouth in the morning. Continuous eructations of air while eating. Vomiting of mucus, or of greasy substances. Induration of the stomach. Indurations in the abdomen. The fluid which he drinks falls with a noise in the stomach. The upper part of the abdomen in drawn in. Soreness of the navel. Swelling of the pit of the stomach. Movement in the abdomen as of something alive, as if the abdominal muscle were pushed outward by the arm of a fœtus, but painless. Painful swelling of the inguinal glands. Intussusception of the intestines. Yellow or brownish spots on the abdomen. Zona. Flatulence, as if an animal were crying in the abdomen.

Stool and Anus

Ineffectual urging to stool, with erections. Obstinate constipation, as from inactivity, or from intussusception of the intestines. Stool in hard balls. Discharge of blood with the stool. Diarrhœa ; pale-yellow water is forcibly expelled, with much noisy discharge of wind. In the morning (after breakfast), or in the morning, periodically returning diarrhœa, always at the same hour. Stools oily or greasy. Painful constriction of the anus during the stool. Hæmorrhoidal tumors swollen, paining worse while sitting. Offensive perspiration at the anus and in the perinæum. Sycotic excrescences at the anus. Fistula in ano.

Urinary Organs

Frequent urging to urinate, and profuse secretion of urine, especially towards and in the evening. The urine foams ; the foam remains long on the urine. Involuntary secretion of urine ; at night ; when coughing ; in drops after having urinated. The bladder (and rectum) feels paralyzed, having no power to expel. Sediment of brown mucus. Urethra burning, biting-itching. The urine contains sugar. Bloody urine.

Sexual Organs

Men. Swelling of the prepuce ; inflammation of the glands. Sycotic excrescences on the frænulum and on the glands ; they ooze, especially during the new moon. Watery, copious discharge from the urethra (gonorrhœa). Stitches in the urethra, with urging to urinate. Sensation as if a drop were running through the urethra. Nightly painful erections. Impotence after gonorrhœa. Profuse perspiration, smelling sweet like honey, on the genitals. Women. Profuse perspiration before menstruation. Abortion in the third month.

Respiratory Organs

Voice low. Dyspnœa, as from adhesion of the lungs. Shortness of breath, from mucus in the trachea. Shortness of breathing from fulness and constriction in the hypochondria an upper abdomen. Cough only during the day, or in the morning after rising, and in the evening after lying down. Cough as soon as one eats. During the evening cough after lying down, the expectoration becomes loose ; easier when he turns from the left to the right side. Stitches in the chest after drinking any thing cold. Violent congestions to the chest, with strong, audible palpitation of the heart. Anxious palpitation of the heart when waking in the morning. Blue color of the skin on the clavicle. The expectoration tastes like old cheese. Sensation as of a skin in the larynx. Brown spots on the chest.

Back and Neck

Greasy, brown skin on the neck. Burning extending from the small of the back to between the shoulder-blades. Beating and pulsating in the back. Blood-boils on the back. Pressing pain in the region of the kidneys.

Extremities

Upper. Herpes on the elbow. Brown color on the back of the hand. White scaly herpes on the back of the hand and on the finger. Cold perspiration on the hands. Erysipelatous swelling of the tips of the fingers, with tingling in them. Nails are crippled, discolored, crumbling off. Twitching of the muscles of the arms. Coldness and sensation of deadness of the fingers and tips of the fingers. Stinging pains in the arms and the joints. Lower. The hip-joint feels as if it were relaxed. When walking the limbs feel as if they were made of wood. Hip-ache, the leg becomes elongated. Brown skin on the legs, especially on the inside of the thigh. Nets of veins, as if marbled, on the soles of the feet. Red swelling of the tips of the toes. Toe-nails crippled, brittle. Fetid sweat on the toes. Suppressed foot-sweat.

Generalities

Emaciation and deadness of the affected parts. Jerking up of the upper part of the body. The flesh feels as if it were beaten off the bones. Sensation of lightness of the body when walking. Cracking of the joints on stretching them out. Bad effects from beer, fat food, acids, sweets, tobacco, tea, wine and onions ; from the abuse of Sulphur and Mercury. Stitches in the limbs and joints. The limbs go to sleep. One-sided complaints -paralysis. St. Vitus' dance.

Sleep

Continuous sleeplessness, with painfulness of the parts on which one lies. Sleeplessness, with apparitions as soon as he closes his eyes ; they disappear as soon as he opens them. Goes to sleep late on account of heat and restlessness. Anxious dreams if he lies on the left side.

Fever

Pulse slow and weak in the morning, in the evening accelerated and full. In the evening violent pulsations. Swelling of the veins. Chill in attacks at various times in the day, but mostly in the evening. Chilliness on the left side, which feels cold to the touch. Chill without thirst after midnight and in the morning. Internal chilliness, with external heat and violent thirst. Heat in the evening, especially on the face. Burning in the face without redness. Dry heat of the covered parts. Perspiration when first going to sleep. Perspiration on the parts of the body which are uncovered, with dry heat of the covered parts. Anxious, at times cold sweat. Perspiration after the chill, without any intervening heat. Perspiration, at times oily or fetid, or smelling sweet like honey. General perspiration, but not on the head. When walking in the morning profuse perspiration ; the most profuse on the head. Perspiration only during sleep, disappearing at once as soon as he awakens. Rachitis.

Skin

Dirty-brownish color of the skin. Brownish, or brown-red, or brown-white spots on the skin. Pustules. Small-pox. Eruptions only on the covered parts. The eruptions burn violently after scratching. Sycotic excrescences, smelling like old cheese, or like the brine of fish. White, scaly, dry, mealy herpes. Condylomata large, seedy, frequently on a pedicle. Flat ulcers, with a bluish-white bottom. Zona. Corns burning. Crippled nails on the fingers and toes.

Conditions

Aggravation in the evening and at night ; the debility if ; worse in the morning ; some complaints are aggravated at 3 A.M. and 3 P.M. ; from cold wet ; from the heat of the bed. Amelioration; from warm wet ; from eructations ; from a development of coryza, with sneezing ; and from turning from the left to the right side.

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

Thuja occidentalis. Arbor Vitæ. N. O. Coniferæ (Tribe, Cupressineæ). Tincture of the fresh green twigs.

Clinical

Abdomen, distended . Abortion. Angina pectoris. Anus, fistula in; fissure of. Asthma. Balanitis. Cancer . Catalepsy. Chorea. Clavus. Condylomata . Constipation. Convulsions. Coxalgia. Diarrhœa. Disparunia. Dysmenorrhœa. Ear, polypus of . Enuresis. Epilepsy. Epulis. Eyes, tumours of; granular inflammation of . Fatty tumours. Feet, fetid. Flatus, incarcerated. Frontal sinuses, catarrh of. Ganglion. Gleet. Gonorrhœa . Hæmorrhage. Hæmorrhoids. Hair, affections of. Headache. Hernia. Herpes zoster. Ichthyosis . Intussusception. Jaws, growth on . Joints, cracking in. Levitation. Morvan's disease. Mucous patches . Muscæ volitantes. Myopia. Nævus. Neck, cracking in. Onanism. Ovary, left, pain in. Ozæna. Neuralgia. Nose, chronic catarrh of; polypus of. Paralysis. Pemphigus. Polypus . Post-nasal catarrh. Pregnancy, imaginary. Prostate, disease of . Ptosis. Ranula. Rheumatism, gonorrhœal . Rickets. Sciatica. Seminal emissions, nocturnal. Sycosis. Syphilis. Tea, effects of . Teeth, caries of. Tongue, ulcers of; biting of. Toothache. Tumours. Vaccination . Vaccinosis. Vaginismus. Warts . Whooping-cough.

Characteristics

The American Arbor Vitæ is a "spiry evergreen attaining a height of from 20 to 50 feet, though generally not above 40, and a diameter of about 10 to 20 feet through the greatest breadth of foliage." It abounds in the upper zones of North America, from Pennsylvania northwards, where it "often forms what are commonly known as cedar-swamps. It grows upon the rocky banks of rivers, and in low, swampy spots, blossoming from May until June and maturing its fruit in autumn. The Arbor Vitæ assumes a conical form with such true lines as to appear 'clipped,' thus forming one of our most valued high-hedge trees" (Millspaugh). Thuja was introduced to France from Canada in the reign of Francis I. of France, and it has now an honoured place in most of our gardens and shrubberies. The native habitat of Thuja is not without its importance in relation to therapeutics. It loves swamps; it is Hahnemann's typical antisycotic and Grauvogl's hydrogenoid. Thuja is one of Hahnemann's discoveries. Most of the remedies of his materia medica had been known in a fashion before his time. Of the therapeutic properties of Thuja practically nothing was known till Hahnemann proved it. Subsequent observers have only confirmed or added to Hahnemann's pathogenesis. Hahnemann found in Thuja the antidote to the miasm of the condition which he termed Sycosis , meaning thereby the constitutional disease resulting from constitutional gonorrhœa, and having as its characteristic manifestation excrescences, sometimes dry in the form of warts, more frequently soft, spongy, emitting a fetid fluid with a sweetish odour something like herring brine, bleeding readily and having the coxcomb or cauliflower form. Teste remarks that in the period when the doctrine of Signatures prevailed the "resinous callosities of the stems and leaves of Thuja occ . might have seemed an indication that the plant was the specific for sycosis and warts." Teste dismisses this idea, but he asks whether resinous substances which have the power of modifying vegetable juices in a peculiar way may not affect the animal fluids in the same manner. He includes Castor . in his Thuja group, and gives an instance in which it acted on fig-warts. Castor . is the product of an animal which subsists on the bark of resinous trees. ─ Hering gives this as the action of Thuja ( 1 ) on the fluids: "dissolution of fluids of the body, which become acrid, probably caused by Thuja perverting lymphatic secretions; disturbs digestion and sanguification"; and this ( 2 ) in the vegetative sphere: "A surplus of producing life; nearly unlimited proliferation of pathological vegetations, condylomata, warty sycotic excrescences, spongy tumours, and spongy pock exudates [which] organise hastily; all morbid manifestations are excessive, but appear quietly, so that the beginning of the diseased state is scarcely known." Bœnninghausen found Thuja both preventive and curative in an epidemic of small-pox. It aborted the process and prevented pitting. In veterinary practice Thuja has proved curative in farcy and in "grease." These facts open up another great branch of Thuja's homœopathicity ─ its anti-vaccinal action. This extension was made by Kunkel and Goullon following on Bœnninghausen's experience with small-pox. On this subject no one has written more forcibly or lucidly than Burnett ( Vaccinosis and its Cure by Thuja ). " Arbor Vitæ: nomen omen ," says Burnett on his title-page. And in his hands Thuja has proved indeed a tree of life to numberless sufferers from the vaccinal taint. By "vaccinosis" Burnett means the disease known as vaccinia, the result of vaccination, plus "that profound and often long-lasting morbid constitutional state engendered by the vaccine virus." To this state Thuja is homœopathic, and therefore curative and preventive of it. Burnett makes the profound observation, which I can confirm, that the vaccine virus does not need to "take" (that is, to set up vaccinia) in order to produce the vaccinal dyscrasia: that "not a few persons date their ill-health from a so-called unsuccessful vaccination." So that vaccinosis may exist apart from vaccinia. The antivaccinal action of Thuja is part of its antisycotic action: vaccinia is a sycotic disease. Burnett gives the case of an infant ten weeks old, whom he was called to see as it was supposed to be dying. He found it ghastly white and in collapse. There was nothing to account for this except that the baby had had its wet-nurse changed two or three days before. The wet-nurse was questioned and declared herself quite well and looked it; but "her arm was a little painful." She had been revaccinated in the Marylebone Workhouse the day before she took charge of the patient. Burnett found the vaccine eruption just turning into the pustular stage. He concluded that the infant was sucking the vaccinal poison with its nurse's milk. He gave Thuja 6 to both infant and nurse. The baby gradually improved the same day, and next morning was, though still pale, practically well, and the vaccinal vesicles on the nurse's arm had withered. Burnett quotes a case of vaccinal rash in an infant following the vaccination of its mother, who was nursing it. The effects of chronic vaccinosis are protean. Prominent among them are neuralgias (of which Burnett gives many examples), morbid skin disorders, indigestion, and constipation; warts and new growths of many kinds. In these effects a favourite method of Burnett's was to give a course of twenty-four numbered powders, only three or four of them medicated with Thuja 30; one to be taken at bedtime. With the same prescription he cured many cases of paralysis, his indications being: Left side of body; very chilly; < in morning, in wet weather, and in cold: with these indications present he also found enlargements of the spleen to dissolve. In 1889 I was consulted by Mr. A., 38, about a lump, or rather two lumps, in the right breast, which was like that of a girl approaching puberty, the left breast being quite flat and normal. There was a hard, not sharply defined lump to the right of the nipple, and a smaller one to the left of it, but freely movable, the larger somewhat tender and irritated by the pressure of the brace. The tumours had existed eighteen months and came on at a time of much anxiety when his wife died of consumption. His paternal grandmother and two aunts had died of cancer. He had been twice vaccinated, but on the second occasion the arm did not "rise." As a small boy his hands were covered with warts. ─ At eight he had shingles. On August 15th Thuja 10m F. C. was given. October 21th. ─ If anything tumours a little less. Thuja 10m continued at intervals. February 4, 1890. ─ Tumours can only be felt with difficulty. No pain. The medicine was repeated and when next seen some time later the patient was absolutely well. A very much vaccinated lady developed at the climacteric indurations in both breasts, especially the right. Menses were accompanied by severe neuralgic pains. Thuja was given in 1m, 10m, and cm F. C. potencies. The last set up attacks of angina pectoris of such intensity that I did not repeat it. The indurations disappeared, but in the course of the cure an eruption closely resembling small-pox developed over her breasts on more than one occasion. The first case I treated homœopathically was one of new growths ─ a cluster of small warts on the forehead of a boy which had lasted eighteen months and followed the scratch of a cat. Thuja Ø in fractional doses and Thuja Ø painted on cured permanently in three weeks. A gentleman, about 50, consulted me recently about a wart on the right side of his head. He was bald, and the wart was black and unsightly. It had been growing some months, and he was somewhat anxious about it as his father had had a similar wart develop in the same locality at the same age, and it had never left him. My patient had been twice vaccinated. Thuja 30, twenty-eight powders, one in seven medicated, one at bedtime. In one month there was much reduction; Thuja was repeated, and in little over two months the wart was gone. Burnett says Thuja is the remedy for fatty tumours, which he regards as sycotic in nature. Thuja not only produces symptoms of the secondary stage of gonorrhœal and vaccinal affections, it also produces urethritis and a variolous eruption. Dudgeon has reported acute urethritis with yellow discharge lasting altogether a fortnight as the result of chewing a Thuja cone. Mersch ( H. M ., xxx. 686) gave Thuja 3 to a patient as a prophylactic against small-pox. This patient and another who took it for the same purpose developed simple urethritis. Mersch proved Thuja Ø on himself and some others: ( 1 ) M. N. had rose-coloured blotches on the back, and several days after leaving off the medicine had warts develop on the outer side of the root of the thumb. These were still present three years after, though smaller and softer. ( 2 ) Mersch himself, who took Thuja for fifteen days, had heavy sensation in the head on waking, an eruption of desquamative annular blotches, and from the twelfth day a tearing along the right arm which compelled him to keep the arm flexed for eight days, < attempting to extend the arm; slightly > by heat. A small soft wart appeared at the external portion of right middle finger. This disappeared a month after the proving was ended. (" < By extension" is a characteristic of Thuja ; it = cracking in joints. The arm symptoms are also < when the limb hangs down, which is also an extension.) Apropos of the annular scaly blotches, I had a case of psoriasis of the legs in a youth which was benefited by Thuja more than by any other remedy, though the Thuja was given for some other affection. A patient came to Raue ( H. R ., ii. 162) complaining that his semen had a very offensive smell. Raue did not know of a remedy producing the symptom, but selected Thuja . Two doses of the 200th and one of the 15th were taken. The man was at the time in the hands of an eminent dentist for his teeth, which for five years had been a great trouble to him on account of their extreme sensitiveness to cold; the gums were in a deplorable state and the teeth were encrusted with tartar. After receiving the Thuja the extreme sensitiveness of the teeth disappeared in one night; then the offensive odour of the semen. In four days the patient again saw the dentist, who was amazed to find his gums quite sound. Moreover, the patient had lost an oppression of the chest which had been troubling him some time. Goullon ( Leip. Pop. Zeit. f. H ., translated Rev. H. Belge , September, 1895) relates the cure of a mental state by Thuja 30x. He remarks that, following the advice of Kunkel, he gives only a single dose of Thuja , one or two drops of the tincture on sugar or milk, at bedtime. When he has given a second dose the following night he has observed new symptoms " Thuja in fact has a very marked action on sleep, and its symptoms appear by preference at night ─ the headache, for example." This is the case: Miss R., 40; complained of her head, especially at certain moments, when ideas which did not concern her in the least came to her as if some one else was thinking by her side . Thuja produces a confusion in the thoughts which patients cannot rid themselves of on account of great weakness and pain in the head. This patient had for months been attending on a paralysed sister, frequently getting up in the night and worrying herself about numberless things. Her nervous system was very impressionable, and for weeks had reached a point of extreme over-excitement. She could no longer calm herself, and in addition she sneezed and coughed much. The problem was to give her sleep and take away the pain in the head. Even when she was not obliged to getup she could not get sleep. Her eyes were also very much irritated. The patient afterwards described her condition thus: "I felt in the anterior part of the head, principally the forehead, a sensation as if lead were compressing my eyes; these were inflamed, < by light, > in open air. Before going to sleep I felt a congestion in the head with headache; at the same time queer, confused ideas which changed like a flash and fell upon the most odd things. These were > when I opened my eyes or sat up. Before my eyes images and statues arranged themselves. If I wished to think of something sensible, in the twinkling of an eye I lost the thread of my ideas. All this happened at night; during the day the wicked sprites did not appear. My head and eyes pained me when there was much movement, as when several people were speaking at once." The effect of the dose she described thus After having taken the Thuja I tasted a sweet repose; the next morning a complete transformation had taken place in the head, the weight was gone, the eyes were more fresh, the brain free." Goullon cured a lady who had had headache for a year; on waking felt as if a tight hoop enclosed forehead, not passing away till noon. Eyelids heavy as lead. Thuja 10x, one close at bedtime, permanently cured. A. W. Holcombe ( Med. Vis ., xii. 225) relates experiences bearing on the sleep and dreams of Thuja . ( 1 ) Mrs. E., 48, had a growth, wart-like, about the size of a sixpence, on left temple. It began as a slight roughness and itched at times. Also growth about the same size on a hard palate (left), very sore. Much headache, on left side of the head, throbbing in left temple, and the pains extend into left ear. Cannot sleet after 3 a.m. Dreams much of falling . Feels smothering in a warm room. Thirsty, < noon and afternoon. Feet sweat much, offensive; sweats much about groins. Thuja cm was given on October 25th. By November 15th the growths and all the rest of the symptoms had disappeared. ( 2 ) Led by this same symptom, "almost every night, dreams of falling from a height," Holcombe cured a man, 30, of tertian fever with Thuja cm when a large number of other seemingly well-indicated remedies had failed. Robert Farley (quoted A. H ., xxiii. 446) relates the case of two children, æt. 5, who had what he graphically terms "urinary tantrums." Two hours after being put to bed they would wake kicking, crying, and refusing to answer a question. This lasted an hour or more. Asked if they wanted to urinate they would refuse to answer, strike at attendant, or even say "No." Finally it was found that if they were taken up and put on the closet they would urinate and then go to sleep readily. One of the children developed signs of incipient inflammation of the left hip-joint. The totality led to the selection of Thuja , which was given in the 200th. After the first night there were no more "tantrums," and in two months the child was perfectly well. This child's father had had gonorrhœa, treated by injection, some years before the patient was born. But the other child's father had not had gonorrhœa. In the latter case, which was exactly like the former, the cure was immediate; in the former case relief occurred on the second night. C. W. Roberts ( H. R ., xii. 137) found Thuja Ø, in five- to seven-drop doses at bedtime, control nocturnal seminal emissions better than any other remedy. "Nocturnal seminal emission" is an emphasised symptom in M. M. P . Epulis is probably a malignant kind of sycotic hyperplasia. Percy Wilde ( H. W ., xxi. 199) records the case of a young married lady who had a large epulis on the lower jaw, rapidly increasing in size, ulcerating on the surface, very painful, and filling the mouth with an ill-smelling secretion. The entire tumour was removed by operation, and also the subjoined bone. Three weeks later the tumour was as large as before and increased daily. Thuja 1x was now given. The growth stopped immediately; ulceration ceased; the pain disappeared. In three weeks the gum was healthy and remained so permanently. Villers (quoted A. H ., xxi. 421) relates a case of scalp tumour in a youth of seventeen. The tumour had existed two years, and had somewhat the appearance of a bean. It was situated about the posterior edge of the parietal bone, was devoid of sensation, and the hair had disappeared from it, making it very conspicuous. Thuja 30 was given, a dose every twenty days. In four months the youth was almost cured, in five months entirely so, the hair having grown again completely over the spot. George Royal (quoted A. H ., xxiii. 387) relates a case of persistent cough cured with Thuja . Miss X., 19, fair, had for three months a painless, dry cough. The irritation was only in the throat. There were six small growths at the back of the throat, and one near the vocal cord. She never had a cough before. Has leucorrhœa green and excoriating; menses a little too early. Thuja 30 cured the growths and the cough in about three weeks. Old-school observers ( N. A. J. H ., xv. 63) have found in Thuja an efficient hæmostatic, locally applied, especially after tooth extraction. R. B. Johnstone ( H. P ., ix. 257) gives some indications for Thuja in hernia: ( 1 ) Women of sycotic history who have a tendency to left-side inguinal hernia after labour ( Thuja , high). ( 2 ) When babies cry much the umbilicus protrudes, growing red and sore; especially when the father has a sycotic history. ( 3 ) Left inguinal hernia in infants; child cries all the time, and is only quiet when the left inguinal region is relieved from pressure, or the thigh is flexed on the abdomen. Bœnninghausen observed this symptom of Thuja , which bears on the action of Thuja on the sides and roots of teeth (a sycotic symptom), rather than on the crowns: "on blowing nose, a pressing pain in the hollow tooth, at the side of it." The left ovarian pains of Thuja are remarkable. They are severe, sometimes burning, extend down thigh, any attempt at exercise and especially walking < ; they occur with every menstrual period, and are generally < before and during the flow. The pain compels the patient to lie down; but lying on left side < . A keynote of Thuja is: "Frequent micturition accompanying pains." For example: "In evening, when in bed, terrible hammering and tearing in the ear, accompanied with micturition every half-hour and coldness of the legs up to the knees. The desire of Thuja is sudden and urgent, it seems impossible to reach the vessel or make the necessary preparations, but the patient can control it if compelled. There is severe cutting as with a knife at the end of micturition after the last drop has passed. Thuja also has chronic incontinence from paralysis of sphincter vesicæ. This is related to the general paretic weakness of Thuja . The patient feels she "could not go on exerting any longer." Burnett ( H. W ., xxv. 487) records a case of lichen urticatus in a boy of fourteen, which came into his hands after a long course of treatment, external, internal, and dietetic, at the hands of allopathic specialists without result. The rash came periodically in warm weather; patient literally tore himself because of the irritation. The rash was < on the left (vaccinated side). Thuja 30 was given in infrequent doses. The spots continued to appear for a week and then disappeared. The skin remained clear in spite of the patient indulging in all kinds of previously forbidden foods. Among the skin effects of Thuja the marks and stains must be borne in mind. The skin is mottled and discoloured; brown or red mottled spots; discoloration of the backs of the hands and feet. ─ Villers ( J. of Hcs ., iv. 408) treated a girl of twelve, who had had headaches going from front to occiput and sometimes in temples. Pains mostly came towards night, and were accompanied with an awful state of fear. The only account she could give of her fear was that she saw green stripes . Alone or in company, in the dark or in a well-lighted room the dread was always the same. Three years before, the child had had an abortive attack of scarlatina, treated with cold compresses. The urine had been abnormal all through the illness, but contained no albumen. Thuja 200, every tenth day. No more headache, nor fear. Patient slept well from the first dose, and in a few days the urine became clear. "Floating stripes" before the vision is a symptom of Thuja. Peculiar Sensations are: As if a strange person were at her side. As if soul and body were separated. As if under the influence of a superior power. As if whole body were very thin and delicate; as if its continuity would be dissolved; as if frail and easily broken; as if made of glass. As if a nail were pressing into vertex. As if vertex were pressed with a needle. As if a nail were driven from within outward in vertex. As if a nail were driven into right parietal bone and left frontal eminence. Lightning-like headache. As if a convex button were pressed on left ear. As if head were screwed asunder. As if forehead would fall out. As if bones of head were being knocked to pieces. Forehead, ears, and eyes as if stabbed. As if knives went tearing around in brain. Scalp as if beaten. As if insects on occiput and temples. As if eyes were swollen and would be pressed out of head. As of fine sand in eyes. As if a cold stream of air were blowing through eyes. As if a foreign body in eye. As if flesh were being torn from bones in left side and back. As if abdominal muscles were being pushed out by arm of a child. As if a living animal were in abdomen. Sudden bounding in right iliac region as if something alive. As if blood could not circulate in back opposite pit of stomach. As if boiling lead were passed through rectum. As if anus would fly to pieces during stool. As if skin of anus were cracked and chapped. Bladder as if paralysed. As if moisture running in urethra. As if a tape prevented urination. As of a single drop running along urethra. As if testicles moved. As if something were grown fast in region of left lower ribs. As of falling drops in chest. Legs as if made of wood when walking. As if lower limbs were elongated. As if muscles of thigh would break down. Lightness in body when walking. As if flesh were beaten from bones. As if skin were pricked with needles. As from fleabites. A keynote of Cooper's for Thuja is, "its pains keep extending from their original site." Another indication of his is, "pains > by wrapping up." Thuja is Suited to: ( 1 ) Hydrogenoid constitutions (possessing "an increased capacity to contain water; hence rain, cold, damp weather, beds, and food that increase the number of molecules of water in the system < the symptoms"). ( 2 ) Strumous and sycotic persons. ( 3 ) Lax muscles; light hair; children. ( 4 ) Lymphatic temperament, in very fleshy persons, dark complexion, black hair, unhealthy skin. ( 5 ) Ailments from vaccination or from suppressed or maltreated gonorrhœa. Thuja is a strongly left-sided medicine (the left arm is usually vaccinated). The symptoms are: < By touch (scalp; vertex; eruption; anus; condylomata; = fingers to bleed); but > pain in eyebrow and in left malar bone. Pressure > . Rubbing > . Scratching > . Closing eyes < . Fall = wart-like growth ill labium. Overlifting < headache. Rest > headache. Bending head backward > headache. Lying on left side = anxious dreams. Lying on affected side > asthma. Motion < . Extension < . Letting arms hang down < . Walking < . Looking up > headache. Throwing head back > headache. Talking < asthma. Ascending = palpitation. Riding = incontinence of urine; < pain in ovary. < 3 a.m.; early morning (the sycotic time). < Night. < Cold water; cold: damp weather: change; draught; overheating; sun's rays. < Bright light. < Warmth of bed. Warmth < . Cold > rheumatism. < After breakfast, after eating; after tea; coffee; fat food; onions. < By coitus. < Blowing nose (pain in side of teeth). < Increasing moon. < Sun; bright light.

Relations

Antidoted by: Cham. (nightly toothache): Coccul. (fever); Camph., Merc., Puls., Sul. Teste found Colch. the best antidote in his experience. Antidote to: Merc., Sul., Iod., Nux. Complementary: Med., Sabi., Sil.; Nat. s. in sycosis. Compatible: Nit. ac., Sabi. Follows well: Med., Merc., Nit. ac. Followed well by: Merc., Sul. (these follow best. ─ H. N. G.); also Calc., Ign., Lyc., K. ca., Puls., Sil., Vacc. Compare: Constitutional polychrests, Med. Syph., Pso., Sul., Merc. Bad effect of vaccination, Apis, Ant. t., Vacc., Var. Aversion to touch or approach, Ant. c. (Thuja on account of fixed ideas). Illusions of shape, Bapt., Petr., Stram. Imaginary conditions (Saba., imaginary diseases). Ozœna with thick green discharge; gleet; gonorrhœal rheumatism; orchitis; prostatitis; Puls. (the discharge of Puls. is thicker than that of Thuja). Ozæna in sycotics, K. bi. Condylomata, balanorrhœa, greenish leucorrhœa, Nit. ac. (Nit. ac. has more aching in bones, especially when not covered with muscles). Long filiform condylomata, Staph. (Staph., especially after Mercury, system generally depressed). Balanorrhœa, Jacar. Red chancroid sores, Coral. Iritis; green discharges; rheumatism; sweating, Merc. (Merc. < warmth of bed; sweating more excessive; Thuja, sweat on uncovered parts only). Condylomata, Sabi. (itch and burn, especially in women). Condylomata large, like cock's-comb, Euphras. Syphilis and sycosis, fig-warts fan-shaped, much Aching, especially about joints, Cinnab. ("Cinnab. is preferable for warts on prepuce.". ─ H. C. Allen). Sycotic eruptions, Sars. Ciliary neuralgia, Spi. (Spi. pains radiate downward; Thuja, upward and backward). Nails grow soft, Fl. ac. (rapidly). Diarrhœa, &c., after vaccination, Sil. Affections of tea-drinkers, Sep. Urinary affections, Canth. Effects of fat food, Ipec., Carb. v., Puls. Fissure about anus, Nit. to. Graph. Dry, whitish scales on skin, Ars., Calc., Dulc., Lyc., Sep., Sil. Vaginismus, extreme sensitiveness, Sil. Hissing or singing of kettle in right ear, Lyc. Violent movements of fœtus, Op., Croc., Sil., Sul. Sense of levitation, Calc., Can. i., Con., Gels., Sil., Sti. p., Tic douloureux, Spi., Coccin. Phimosis, Cann. s., Merc., Sul., Nit. ac., Sep., Rhus, Sabi. Left ovarian pains, Colo., Bry., Phos. Yellow-staining leucorrhœa, Agn. c., Carb. a., Chel., Kre., Nit. ac., Nux, Pru. s., Sep. Tongue: Ulcer on right border, Sil. (on left, Apis); semilateral swelling of, Calc., Sil., Lauro. (Lauro, left half with loss of speech), Semp. t. Piles < sitting, Lyc. Ph. ac. ( > Ign.). Vertigo when closing eyes, Lach., Ther. Headache as if a nail being driven in, Coff., Ign. Headache from tea, Sel. Teeth decay at roots, Mez. (on edges, Staph.). Teeth crumble, turn yellow, Syph. Ranula, varicose veins on tongue, Amb. "On blowing nose, a pressing pain in the hollow tooth or at the side of it" (Culex, vertigo every time he blows his nose). Abdomen protrudes here and there as from the arm of a fœtus, Croc., Nux m., Sul. Left ovarian pain when walking or riding, must sit or lie down. Croc., Ust. (Thuja, < at each menstrual nisus). Stool recedes after being partly expelled, Sanic., Sel. Early-morning diarrhœa expelled forcibly with much flatus, Alo. Coition prevented by extreme sensitiveness of vagina, Plat. (by dryness, Lyc., Hdfb., Na. m.). Large, seedy, pedunculated warts, Staph. Feeling as if flesh beaten off bones, Phyt. (scraped off, Rhus). Severe cutting at close of urination, Sars. Sweat: all over except head (opp. Sel.); when he sleeps, stops when he wakes (opp. Samb.). Nails deformed, brittle, Ant. c. > Bending head back, Seneg. (Thuja, headache; Seneg., eye symptoms > bending heard back and closing eyes; Thuja has < closing eyes). Fluids roll audibly into stomach, Cup. Enuresis when coughing, Caust. Desires cold things, Pho. Swelling and sensitiveness of breasts at menstrual period, Con. Calc. < Walking, Æsc. h. Discoloured skin, Adren. Cracking in cervical vertebræ (K. iod., grating). Cretinism, Bac., Thyr.

Causation

Vaccination. Gonorrhœa, badly treated or suppressed. Sunstroke. Sexual excess. Tea. Coffee. Beer. Sweets. Tobacco. Fat meat. Onions. Sulphur. Mercury.

Mind

Fixed ideas: as if a strange person were at his side; as if the soul were separated from the body; as if the body, esp. the limbs, were of glass and would break easily; as if a living animal were in the abdomen. ─ Sensation as if whole body very thin and delicate and could not resist least attack; as if continuity of body would be dissolved. ─ Insane women will not be touched or approached. ─ Imbecility after vaccination, restless, drivelling. ─ Mental dejection. ─ Anxious apprehensions respecting the future. ─ Disquiet, which renders everything troublesome and repugnant. ─ The merest trifle occasions pensiveness. ─ Music causes him to weep, with trembling of the feet. ─ Hurried, with ill-humour, talks hastily. ─ Indisposition to any kind of intellectual labour. ─ Mental depression after childbirth. ─ Very depressed, sad, irritable. ─ Scrupulous about small things. ─ Feels she cannot exist any longer; quiet, shunning every body. ─ Aversion to life. ─ Moroseness and peevishness. ─ Overexcited, quarrelsome; easily angered about trifles. ─ The child is excessively obstinate. ─ In reading and writing he uses wrong expressions. ─ Talks hastily and swallows words. ─ Thoughtlessness; forgetfulness. ─ Slowness of speech and of reflection; seeking for words when in conversation. ─ Incapacity for reflection. ─ Cretinism.

Head

Head feels empty, as in intoxication, esp. in morning, with nausea. ─ Weakness and confusion of head, as from torpor, or paralysis of brain. ─ Vertigo, as from motion of a swing. ─ Vertigo when rising from a seat, or when lying down, or else when looking into the air. ─ Vertigo on closing the eyes, disappears as soon as he opens them; or on stooping; or on looking upwards or sideways. ─ Headache in morning, as after stooping, or after too profound a sleep, with redness of the face. ─ The headache is > from looking upwards, and when turning the head backwards. ─ Headache: < from sexual excess, overheating, overlifting; > exercising in open air. ─ Dull, stupefying, headache. ─ Headache, < by stooping, > by bending head backwards. ─ Heaviness of head, esp. in morning on waking; in occiput (cerebellum), with ill-humour and dislike to conversation. ─ Headache, as if forehead would split, with internal shivering, > by walking in open air. ─ Pressive headache, with shocks in forehead and temples. ─ Compressive headache, esp. in temples. ─ Pain as if a tight hoop encircled forehead, on waking. ─ (Headache, as if a tight hoop encircled forehead up till noon; eyelids heavy as lead. ─ Goullon.). ─ Pain in head as if a nail were driven into vertex (afternoon and 3 a.m.; < when at rest, > after perspiration). ─ As if a nail driven in r. parietal bone and l. frontal eminence. ─ Boring pressing in head. ─ Headache on l. side as if a convex button were pressed on part. ─ Neuralgia going from before backward. ─ Nervous, sycotic, or syphilitic headaches. ─ Meningitis of sycotic children. ─ Sunstroke: everything seemed jumping, < from sitting up, or from talking a long time, or closing eyes. ─ Semilateral tearing in the sinciput and face, extending into zygomatic process, principally morning and evening. ─ Tearing jerking in occiput. ─ Lancinations across brain. ─ Congestion of blood in head. ─ Pulsation in temples. ─ Excessively painful tenderness of l. side of head, and also of the hair, at night, when lying down, and when touched. ─ Hair becomes hard, dry, and lustreless, and falls out. ─ Hair thin, grows slowly, splits; brittle, looks crimped. ─ Pressive drawing in the temporal muscles, esp. during mastication. ─ Shootings in temples. ─ Swelling of veins in temples. ─ He wants to have head (and face) wrapped up warm. ─ Itching and gnawing in scalp. ─ The scalp is very painful to the touch, and the parts on which one lies. ─ Cannot bear a bat on his head (agg. ─ R. T. C.). ─ Dry herpes on the head, extending to eyebrows; dandruff. ─ White, scaly, peeling-off eruption over the scalp, extending over the forehead, temples, ears, and neck. ─ (Flat black wart on r. parietal region. ─ J. H. C.). ─ Tingling-biting, stinging-itching on the scalp, > by scratching. ─ Perspiration, smelling of honey (sweetish), on uncovered parts of head (face and hands), with dryness of the covered parts, and of those on which one lies, mostly when first going to sleep; > after rising. ─ (Pityriasis affecting forehead, face, ears and neck, < after washing in warm water. ─ R. T. C.). ─ Eczema comes out on glabella (after Thuja 30). ─ R. T. C.).

Eyes

Pressure in eyes, and smarting, as if sand were in them. ─ Tearing in eyebrows. ─ Shootings in eyes, in a bright light, or in a keen air. ─ Painful stitch through centre of l. eye, commencing in centre of brain. ─ Malignant balanorrhœa. ─ Wart-like excrescence on iris. ─ Inflammation of cornea. ─ Vascular tumour of cornea. ─ Small brown spots on cornea. ─ Episcleritis; sclero-choroiditis; staphyloma. ─ Ophthalmia neonatorum. ─ Phlyctenular conjunctivitis. ─ (Conjunctivitis of l. eye, with violent pain across forehead and in outer side of eyeball, constantly recurrent from childhood and due to suppressed eruption. ─ R. T. C.). ─ Fungous tumour in orbit. ─ Burning sensation in eyes. ─ Sclerotica inflamed, and red like blood. ─ Pupils dilated. ─ Inflammatory swelling of lids, with hardness. ─ Burning eruption on lids. ─ Granular lids with wart-like granulations. ─ Epithelioma of l. lower lid. ─ Feeling as if lids swollen, and a foreign body in eye. ─ Ptosis; lids fall down several times a day. ─ Lids heavy as lead. ─ Inflammatory softening of inner surface of lids. ─ Red and painful nodosities on margins of lids. ─ (Tinea ciliaris; dry and branny lids. ─ R. T. C.). ─ Styes; tarsal tumours; chalazæ; thick and hard knots. ─ Verrucæ and tumours like condylomata. ─ Purulent and itching pimples between eyebrows. ─ Condylomata in eyebrows. ─ Sensation of heat and of dryness in external canthi. ─ Lachrymation, esp. in l. eye, when walking in open air (the tears do not run off, but remain standing in the eye). ─ The eye must be warmly covered, when uncovered it pains at once, and it feels as if cold air were streaming out of the head through the eye. ─ Nocturnal agglutination of the lids. ─ Weakness of the eyes; obscure sight. ─ Clouded sight, when reading, with sensation of drowsiness. ─ Sight confused as if directed through a veil. ─ Diplopia. ─ Myopia. ─ Black dancing specks before the eyes. ─ Floating stripes. ─ (Sees green stripes which frighten her.). ─ Flames of light, mostly yellow; looking into light of day sees spots like bottles of water moving; a luminous disc shining like a firefly. ─ Sensation of dryness in eyes. ─ In the dark it seems as if falling down of luminous lights or sparks alongside of the eye, during the day and in the light it is as if dark drops were falling down. ─ The objects appear smaller before the r. eye. ─ Short-sighted.

Ears

Otalgia, with squeezing compression and violent shootings, esp. in evening. ─ Stitches into ear from the neck. ─ Sensation as if inner ear were swollen, with increased difficulty of hearing. ─ (Vascular deafness with scurfy head. ─ R. T. C.). ─ Oozing from the r. ear, smelling like putrid meat. ─ Spasmodic pain in external ear. ─ Noise in the ear as from boiling water. ─ Roaring in l. ear, with cracking when swallowing saliva. ─ Hammering and tearing in ear, in evening, in bed, with frequent emission of urine, and coldness in legs and feet. ─ Pressive pain behind ears. ─ Orifice of l. meatus blocked up by a polypus, of raspberry-cellular vessels; pale red, bleeding readily when touched; muco-purulent discharge; deafness; shooting pains.

Nose

Nose red and hot. ─ Red eruption on nose, at times humid. ─ Swelling in the alæ nasi, with hardness and tension. ─ Drawing tension in bones of nose. ─ Painful scabs in nose. ─ Painful pressure at root of nose. ─ Blowing of blood from nose. ─ Frequent epistaxis, esp. after being overheated. ─ Dry coryza, which becomes fluent in open air, with continued headache. ─ Fluent coryza, with cough and hoarseness. ─ Greenish and fetid discharge from the nose. ─ Blowing from the nose of a large quantity of thick green mucus, mixed with pus and blood; later of dry, brown scales, with mucus, which conies from the frontal sinuses and firmly adheres to the swollen upper portion of the nostrils. ─ Accumulation of mucus in posterior nares. ─ Chronic catarrh after measles, scarlatina, variola. ─ (Ozæna. ─ Ussher.). ─ Warts on the nose. ─ Smell in nose as from brine of fish, or of fermenting beer.

Face

Heat in face, sometimes only transient, or else with burning redness. ─ Heat and redness of whole face, with fine nets of veins, as if marbled. ─ Circumscribed burning redness of cheeks. ─ Dropsically bloated face. ─ Œdematous erysipelas of face. ─ Greasy skin of face. ─ Light-brown blotches (freckles) on face. ─ Faceache, originating in l. cheek-bone near the ear, extending through teeth to nose, through eyes to temples into head; the painful spots burn like fire, and are very sensitive to the rays of the sun. ─ Neuralgia of trigeminus after suppressed gonorrhœa or eruption on ear. ─ Facial pains tending to spread to neck and head, chiefly l. side (many cases cured. ─ R. T. C.). ─ Large, hard, dark wart with large base. ─ Perspiration on face (esp. on side on which he does not lie). ─ Scabious, itching eruption on face. ─ Red and painful nodosities on temples. ─ Boring and digging pain in cheek-bones, > by touch. ─ Twitching of the lips. ─ Jerking sensation in upper lip, near corner of mouth. ─ Upper lip sensitive. ─ Wart on upper lip. ─ Thick upper lip with pea-sized tumour on its parenchyma, enlarging when taking cold. ─ Lips pale, swollen, peeling. ─ Flat ulcers on insides of lips and corners of mouth. ─ Eruption of pimples on lips and chin. ─ Shootings in lower jaw, which seem to pass outwards through the ear. ─ Cracking of articulation of jaw. ─ Fungus on l. lower jaw, more angry in damp weather. ─ Swelling of submaxillary glands.

Teeth

Toothache after drinking tea, with pressive pain extending into jaw. ─ Toothache with acute drawing pains, esp. during mastication. ─ The roots of the teeth become carious; or the teeth become carious from the side; the crown of the tooth remains sound. ─ On blowing nose, a pressing pain in hollow tooth at the side of it. ─ The teeth crumble off. ─ Teeth crusted with tartar; extremely sensitive to cold water. ─ Dirty-yellow teeth. ─ Gnawing in (carious) teeth, with painful sensibility of whole side of head, greatly < by contact with cold things, or by mastication. ─ Gums swollen (inflamed, with dark red streaks on them), with pain of excoriation. ─ Alveolar periostitis where the pains come and go suddenly at short intervals (R. T. C.). ─ Epulis.

Mouth

Flat, white ulcers on the inside of the lips, and on the corners of the mouth. ─ Aphthæ in mouth (ulcers; mouth feels as if burnt). ─ Considerable swelling of salivary glands, with increased saliva in mouth. ─ Sanguineous, or bitter saliva. ─ Pain as of excoriation in tip of tongue, when touched. ─ Swelling of tongue (esp. on r. side; bites tongue frequently), painful when touched. ─ Condylomata under tongue. ─ Varicose veins under tongue. ─ Ranula, on both sides of tongue, transparent, bluish red, grey, and, as it were, gelatinous. ─ Ranula and epulis with excess of venosity everywhere (Ussher). ─ Taste in mouth sweet as sugar, with gonorrhœa. ─ Slowness of speech.

Throat

Roughness and scraping in throat. ─ Pressure and pain as from excoriation, in throat and palate, during deglutition. ─ A feeling of upward pressure in soft palate. ─ Necessity to swallow. ─ Shootings from gullet to ears. ─ Swelling of tonsils and throat. ─ Ulcers in throat and mouth, like chancres. ─ Accumulation of a large quantity of tenacious mucus in mouth, which is hawked up with difficulty. ─ Painful swallowing, esp. empty swallowing, or that of saliva. ─ Throat feels raw, dry, as from a plug, or as if it were constricted when swallowing. ─ Hawking up of mucus of red colour, like blood. ─ (Exophthalmic goître. ─ C. Sargent, of Chicago.)

Appetite

Mawkish and sweetish taste in the mouth, in the evening, and after a meal. ─ Taste: sweet; of rotten eggs, mornings. ─ Bread has a dry and bitter taste. ─ Craves salt. ─ Food never seems sufficiently salt. ─ Thirst only at night, and in morning. ─ Appetite for cold drinks and food. ─ Unable to eat breakfast (a keynote of Burnett's). ─ Aversion to fresh meat and potatoes. ─ Speedy satiety, when eating. ─ Disagreeable sensations after eating fat food or onions. ─ While masticating food mouth becomes very dry. ─ After a meal great indolence, or dejection, with anguish, and palpitation of the heart, or great inflation and sufferings from flatulence.

Stomach

Risings of food, after a meal. ─ Bitter or putrid risings. ─ Continuous eructations of air while eating. ─ Vomiting of mucus or of greasy substances. ─ Induration of stomach. ─ Swelling of pit of stomach. ─ The fluid which he drinks falls into the stomach with a gurgling noise. ─ Rancid risings, esp. after fat food. ─ Nausea and uneasiness in region of stomach. ─ Vomiting of acid serum and of food. ─ Cramp in stomach, with excessive < towards evening. ─ Pressure in scrobiculus after a meal, with pain when touched. ─ Throbbing in scrobiculus. ─ Anguish in scrobiculus, which extends upwards into head.

Abdomen

Painful pressure in hepatic region. ─ After a dose of 30th headache comes on, and he feels on stooping forward as if liver over-lapped the ribs (agg. ─ J. C. B.). ─ (Old rheumatism attacking bowels, liver, and kidneys. ─ R. T. C.). ─ Pressure in lumbar region. ─ (Soreness with swelling in hepatic region and violent pain under r. shoulder going through to breast and down to elbow < on getting out of bed in morning. ─ R. T. C.). ─ inflation of abdomen, often with contractive and spasmodic pains. ─ Flatulence, as if an animal were crying in the abdomen. ─ Pot-belly. ─ Constrictive tension in abdomen. ─ Induration in abdomen. ─ The upper part of abdomen is drawn in. ─ Soreness of navel. ─ Pressive pains in abdomen, esp. towards the side (before evacuation). ─ Stitches in the hypochondria. ─ Sensation as if something alive were in hypogastrium (as if the abdominal muscles were pushed outward by the arm of a fœtus, but painless). ─ Soreness of navel. ─ Pain in abdomen, as from constriction of the intestines. ─ Grumbling and borborygmi in the abdomen. ─ Depressing pain in groins. ─ Drawings in groins, when walking and standing, with shootings along thighs when sitting. ─ Painful swelling of inguinal glands, sometimes with drawing as far as knee. ─ Intussusception of intestines. ─ Yellow or brownish spots on abdomen. ─ Zona.

Stool and Anus

Constipation which continues several days (obstinate, as from inactivity or from intussusception of the intestines), sometimes after pollutions. ─ Tenesmus, with rigidity of the penis. ─ Stool in hard balls. ─ Difficult evacuation of hard, large fæces, covered with blood. ─ Discharge of blood, during the evacuation. ─ Diarrhœa: pale-yellow water is forcibly expelled, with much noisy discharge of wind; with colic; < after eating; watery, painless; bright yellow, watery; streaming out with much gas, as if the cork were pulled out of a full jug, excessively exhausting, short and difficult breathing, anxiety, intermitting pulse, acute pressive pain in back opposite pit of stomach, with feeling as if no blood could circulate there, rapid disappearance of fat. ─ In morning (after breakfast), periodically returning diarrhœa, always at the same hour. ─ Stools oily or greasy. ─ With stools, sensations in rectum as if boiling lead were passing through. ─ Burning soreness in anus, lasting all day. ─ Much flatus hard to expel, anus feels constricted, incarcerated flatus behind r. side of diaphragm. ─ Pains in anus < from motion. ─ Painful contraction of anus, during the evacuation. ─ Burning sensation in anus, and between buttocks. ─ Condylomata at anus. ─ Hæmorrhoidal tumours swollen, paining worse while sitting. ─ Swelling of hæmorrhoidal veins. ─ Pressing, itching, and burning in the hæmorrhoidal vessels, with dragging. ─ Offensive perspiration at anus and in perinæum. ─ Fistula in ano. ─ Fissure of anus. ─ Tearings along rectum.

Urinary Organs

Kidneys inflamed; feet swollen. ─ Diabetes. ─ Stitch to bladder from rectum. ─ Violent burning in fundus of bladder. ─ Urging to urinate frequent and hasty. ─ Stream interrupted. ─ Frequent want to urinate, with profuse emission of a watery urine, also at night. ─ The urine foams; the foam remains long on the urine. ─ Involuntary secretion, of urine; at night; when coughing; in drops after having urinated. ─ The bladder (and rectum) feels paralysed, having no power to expel. ─ Sediment of brown mucus. ─ The urine contains sugar. ─ Boring in region of bladder, with painful drawing up of testes. ─ Urine yellowish or wine-coloured. ─ Orifice of urethra agglutinated by mucus. ─ Cloudy sediment in urine. ─ Bloody urine. ─ Prolonged trickling of urine, after having urinated. ─ Sensation as if a drop were flowing into urethra, after emission of urine, and at other times. ─ Burning sensation in urethra, esp. in morning and during day; also after and during emission of urine. ─ Shootings in urethra, during emission of urine, and at other times. ─ Jerking, voluptuous formication in fossa navicularis. ─ Smarting in sexual part of females, during emission of urine. ─ Itching in urethra. ─ Stream small and split, next day yellowish discharge from urethra, with chordee.

Male Sexual Organs

Venereal diseases. ─ Affections in general appearing in male or female genital organs, particularly on the external organs; affections on l. side particularly. ─ Profuse perspiration on genitals, esp. scrotum; sweet-smelling, like honey; staining linen yellow. ─ (Relaxed scrotum with sexual weakness and lethargy; unfit for strain. ─ R. T. C.). ─ Pseudo-gonorrhœa. ─ Painful spermatic cords from suppressed gonorrhœa. ─ Feeling in testes as if they moved. ─ Condylomata on glans and prepuce, moist, itching and suppurating, esp. while the moon is increasing. ─ Ulcers, like chancres, on prepuce. ─ Swelling of prepuce. ─ Red excrescence on inner side of prepuce; like fig-warts. ─ Smooth, red excrescence behind glans. ─ Many red pedunculated condylomata surrounding glans. ─ Round, unclean, elevated ulcers with red margins, moist and painful. ─ Sycotic cauliflower excrescences; fig-warts smelling like old cheese or herring brine. ─ Shootings in scrotum, in penis, and along spermatic cord, as far as navel. ─ Drawing in testes, with retraction of one of them (l.). ─ Continued painful erections, esp. night and morning, with lancinations in urethra. ─ Nightly painful erections causing sleeplessness. ─ Irresistible inclination to onanism even during sleep. ─ Nocturnal emissions; wake him; followed by heaviness and ill-humour. ─ Pollutions with sensation of stricture in urethra. ─ Seminal emissions cured with 5-drop doses of Ø (C. W. Roberts). ─ The semen has an offensive smell. ─ Flow of prostatic fluid. ─ Prostatic affections from suppressed or badly-treated gonorrhœa. ─ Blenorrhœa along with otorrhœa; penis constantly erect and prepuce inflamed (cured in boy, 12. ─ R. T. C.). ─ Gonorrhœa: scalding when urinating, urethra swollen; urinal stream forked; discharge yellow; green; watery; with warts; red erosions on glans; subacute and chronic cases, esp. when injections have been used and prostate is involved. ─ Gonorrhœa with a soft lump having an abrasion on it on l. side of frænum præputiæ, lump small and painless. ─ Profuse and watery discharge from penis. ─ Renewed gonorrhœa after coitus.

Female Sexual Organs

Affections appearing on external organs, esp. l. side. ─ Warts, condylomata, and other excrescences about vulva. ─ Ulcers on internal surface of vulva; vulva has a sore, smarting feeling. ─ Itching and burning smarting, as from excoriation, in genital organs. ─ Burning and biting in vagina. ─ Vagina extremely sensitive during coition. ─ Recto-vaginal fistula (cured. ─ J. C. B.). ─ Pressure on genital organs. ─ Contractive and spasmodic pain in genital organs, extending to hypogastrium. ─ Ovaries, affections of. ─ Swelling and excoriation of labia. ─ Warts on orifice of uterus, with shootings and burning sensation when urinating. ─ Uterine polypus. ─ Cauliflower excrescences. ─ Prolapse. ─ L. ovary inflamed, < at each menstrual nisus; distressing pain, burning when walking or riding; must lie down; pain extends through l. iliac region into groin, and sometimes into l. leg, pain sometimes burning. ─ Cutting, squeezing, shooting pains in region of l. ovary. ─ Pain, located in ovaries or duct, from over-physiological action. ─ Menses: too early and too short; scanty, with terrible distressing pain in l. ovarian and iliac region. ─ Before menses: excitement and pulsation of arteries, back of head, headache and toothache; labour-like abdominal pains, tenesmus and fainting; much perspiration. ─ During menses: tiredness, palpitation, spasmodic weeping; restlessness in legs; retching, pressing in stomach, distension, pain in abdomen and back; bearing down out of genital organs; burning in varicose veins of genitals; sensitiveness and swelling of breasts; general coldness. ─ After menses: tiredness; rush of blood upward; toothache; sleeplessness; nightmare. ─ Bleeding fungus of breast (completed cure after Phos.). ─ Sycotic excrescences; moist, bleeding and offensive. ─ Leucorrhœa: mucous; is almost green. ─ Abortion at end of third month, commencing with a scanty discharge of blood for five days, then more and more profuse. ─ Bright red or clotted blood with bearing down in third month of pregnancy (cured with Thujopsis dolabrata . ─ R. T. C.). ─ During pregnancy child moves so violently it wakens her, causing cutting in bladder with urging to urinate; pains in l. sacro-iliac articulation, running into groin. ─ Labour: pains weak or ceasing; contractibility hindered by sycotic complications; pains in sacro-iliac articulation running into l. groin; pain from walking, insupportable, must lie down.

Respiratory Organs

Voice low. ─ Sensation of a skin in the larynx. ─ Polypus of vocal cord. ─ Condylomata. ─ Hoarseness, as from contraction of larynx. ─ Shortness of breath from mucus in trachea. ─ Shortness of breathing from fulness and constriction in hypochondria and upper abdomen. ─ Asthma < at night, with red face; coughing spells, with sensation of adhesion of lungs. ─ Asthma with gonorrhœa, without having been exposed to contagion. ─ Asthma with little cough, but with sensation of something growing fast In region of l. lower ribs. ─ Asthma of sycotic children (Goullon). ─ Respiration short and quick, < from deep inspiration and talking; > from lying on affected side, but pains compel him to lie on back. ─ Convulsive asthma. ─ Shooting and tingling in trachea. ─ Cough in morning, excited by a tickling in trachea. ─ Cough, excited by a choking sensation. ─ Sputa: green; taste like old cheese. ─ Expectoration of small grey, yellow, or green gobbets, when coughing. ─ Cough, with expectoration of yellow mucus, and pains in scrobiculus in afternoon. ─ Cough only during day, or in morning after rising, and in evening after lying down. ─ Cough as soon as one eats. ─ During evening cough after lying down, the expectoration becomes loose; easier when he turns from l. to r. side.

Chest

Obstructed respiration, with violent thirst for water, and great anxiety. ─ Spasms of lungs from drinking cold water. ─ Stitching in chest, from drinking anything cold. ─ Hot rising into chest. ─ Pain in l. pectoral region extending to innominate bone. ─ Dyspnœa, with need to take full inspirations. ─ Oppression, at one time of l. side of chest, at another, of l. hypochondrium, with irritation which excites coughing. ─ Pain in chest, as from internal adhesion. ─ Pressure on chest, sometimes after a meal. ─ Agitation, and sensation of swelling in chest. ─ Hæmorrhage from lungs; quantity very great and terribly offensive. ─ Blue colour of skin round clavicles. ─ Brown spots on chest.

Heart

Cramp in heart. ─ Ebullition of blood in chest, and violent and audible palpitation of heart, esp. when going up stairs. ─ Palpitation of heart, with nausea. ─ Painful sensibility in region of heart. ─ Anxious palpitation of heart when waking in the morning. ─ Visible palpitation without anxiety. ─ Stitches in region of heart. ─ Pulse slow and weak in morning, in evening accelerated and full. ─ In evening violent pulsations. ─ Swelling of the veins.

Neck and Back

Uneasiness in nape of neck and chest. ─ Tension in skin on nape when moving head. ─ Greasy brown skin on neck. ─ Tension and stiffness of nape and l. side of neck. ─ Cracking in cervical vertebræ on making certain movements with head. ─ Small red pimples on neck close together. ─ Swelling of glands of neck. ─ Swelling of veins of neck. ─ Spinal curvature. ─ Boils on back. ─ Steatomatous tumours. ─ Pressing pain in region of kidneys. ─ Burning extending from the small of the back to between shoulder-blades. ─ (Pains from middle to lower back with tenderness of muscles on each side. ─ R. T. C.). ─ Painful drawing in sacrum, coccyx, and thighs, while sitting; after long sitting prevents standing erect. ─ Pain, as of a fracture, and stiffness in loins, back, and nape, esp. in morning, after rising. ─ (Weakness from injury to lower back followed by abscess, vesical weakness, enuresis with a clear gleet and balanitis. ─ R. T. C.). ─ Drawing in back and loins, when seated. ─ Boring in back. ─ Pulsation in spine. ─ Furunculi on back. ─ Violent stitch between coccyx and anus 7 p.m. when walking. ─ Itching burning in hollow below coccyx.

Limbs

Cracking of joints when extended. ─ Trembling of hands and feet. ─ Limbs go to sleep. ─ Frozen limbs. ─ One-sided complaints; paralysis. ─ Rheumatism with numb feeling; < in warmth and on moving; > from cold and after sweating. ─ Nails crippled; brittle or soft. ─ Hangnails.

Upper Limbs

Profuse perspiration under axillæ. ─ Brown spots under the arms, like nævus maternus. ─ Throbbing in shoulder-joint. ─ Sticking in shoulders. ─ Involuntary jerking of arm during day. ─ Atrophy of r. arm after revaccination. ─ Pain, as of ulceration, tearing, and throbbing, from shoulder to ends of fingers. ─ Wrenching pain in shoulder and arm, with cracking. ─ Digging drawing in arms, as if in bones or periosteum. ─ Sensation of coldness in arms at night. ─ Lancinations in arms and joints. ─ Cracking in elbow-joint when stretching arms. ─ Tearing pain along r. arm compelling him to keep it flexed. ─ Herpes on elbow. ─ Red marbled spots on forearm. ─ Wrist and elbow of r. arm feel as if gripped by a hand (agg. ─ Thujopsis dol . ─ R. T. C.). ─ Trembling of hand and arms, when writing. ─ Ganglion of wrist (cured by local use. ─ R. T. C.). ─ Sensation of dryness in skin of hands. ─ Brown colour on back of hand. ─ White scaly herpes on back of hand and on finger. ─ Perspiration on hands. ─ Swollen veins in hands. ─ Warts on hands; very numerous, esp. on dorsa; horny, painful. ─ Brown colour of dorsum of hand. ─ Coldness torpor, and paleness in fingers and finger-tips, extending sometimes to forearms. ─ (Erysipelatous swelling and) tingling and shootings in finger-tips. ─ Red and painful swelling in finger-tips. ─ Nails are crippled, discoloured, crumbling off. ─ Suppuration of finger-nails. ─ The pains in the arms are < when hanging down, or when exposed to heat; they are > by movement, cold, and after perspiration.

Lower Limbs

Lower limbs feel like wood when walking in open air. ─ Tension from hip-joint to groin, and along back of thigh to knee. ─ Sciatica, l. side, leg atrophied. ─ Paresis and atrophy of r. leg with coldness. ─ Drawings in legs. ─ The hip-joint feels as if it were relaxed. ─ Coxalgia, the leg becomes elongated. ─ Brown skin on legs, esp. on inside of thigh. ─ Enlarged nævus on thigh of child, æt. five months. ─ Shootings in legs and joints. ─ Great weakness and lassitude in legs, esp. when going up stairs. ─ Heaviness and stiffness of legs, when walking (they feel as if made of wood). ─ Profuse perspiration on thighs and genital organs. ─ Itching in thighs. ─ Eruption of pimples on buttocks, thighs, and knees. ─ Ulcers on thighs. ─ Cracking in joints of knees and feet, when stretching them. ─ Suppurating pustules on knees. ─ Gonorrhœal rheumatism in fibrous part of knee-joint. ─ Pains in feet and ankles after suppressed gonorrhœa, could not walk. ─ Pain in heel as if gone to sleep. ─ Stitches above heel in tendo Achillis. ─ White nodosities, with violent itching in toes. ─ Inflammatory red swelling in ends of toes or instep, with pain and tension when treading, and during movement. ─ Numbness of l. foot. ─ Nets of veins, as if marbled, on soles of feet. ─ Red, marbled spots on instep. ─ Perspiration (fetid) on feet, esp. toes. ─ Suppressed foot-sweat. ─ Chilblains on toes.

Generalities

Emaciation and deadness of affected parts. ─ All manifestations excessive; their advent insidious. ─ Shootings in limbs (outer parts), and joints. ─ Burning darting pain. ─ Drawing in the blood-vessels. ─ Cracking in joints on stretching limbs. ─ Swelling of the veins in the skin. ─ Jerking of some of the limbs and of some of the muscles. ─ The flesh feels as if beaten off the bones. ─ Sensation of lightness of the body when walking. ─ Œdema about the joints; affects prominently epithelia, first causing hardening, hypertrophy; then softening. ─ Stitches in various parts, changing to burning. ─ Tearing and pulsative pains, as if the parts affected were ulcerated. ─ Inflammatory swellings, with redness. ─ Sufferings after being overheated, drinking tea, or eating fat meat, or onions. ─ Bad effects from beer, fat food acids, sweets, tobacco, and wine; from the abuse of Sulphur and Mercury . ─ One-sided complaints-paralysis. ─ St. Vitus' dance. ─ Trembling of some of the limbs. ─ Easy benumbing of limbs, esp. at night, on waking. ─ Symptoms generally < in afternoon, or in night, towards 3 a.m.; they hinder sleep in evening. ─ Many of the symptoms are < during repose and by heat, esp. by that of the bed; they are > by movement, cold, and perspiration. ─ Many of the symptoms manifest themselves chiefly on l. side. ─ Affections of the r. abdominal ring; wings of the nose; loins; inguinal glands; fingers, tips of fingers; toes. ─ (Glandular cervical enlargements. ─ R. T. C.). ─ Stiffness and general heaviness over whole body, esp. in shoulders and thighs. ─ Physical weakness, with sustained mental powers. ─ Frequent jerking of upper part of body. ─ Violent ebullition of blood in evening, with pulsation in all the arteries, < by movement, > on sitting down. ─ Aneurism by anastamosis; swelling of the blood-vessels. ─ Dreams anxious, esp. of dead persons; of falling; of accidents. ─ Flushes of heat. ─ < In the afternoon; after midnight; while chewing; stretching the affected limb; while urinating. ─ > While drawing up the limb.

Skin

Painful sensitiveness of skin. ─ Itching shootings in skin, esp. in evening and at night. ─ Purulent pimples, like variola. ─ Warts on any part of the body, with little necks, called fig-warts, tubular warts, same size all the way out; "mother's marks.". ─ Warts, hard, cleft, and seedy. ─ Black sessile warts; on scalp. ─ Pustules. ─ Small-pox. ─ Eruptions only on covered parts. ─ The eruptions burn violently after scratching. ─ Universal psoriasis. ─ Sycotic excrescences, smelling like old cheese, or like the brine of fish. ─ White, scaly, dry, mealy herpes. ─ Sycosis of beard cured with single doses of Ø after failure of much other treatment (R. T. C.). ─ Condylomata (large, seedy, frequently on a pedicle). ─ Flat ulcers, with a bluish-white bottom. ─ Zona. ─ Corns burning. ─ Crippled nails on fingers and toes. ─ Furunculi. ─ Chilblains. ─ Dirty-brownish colour of the skin. ─ Brown or red (or brown-white) mottled spots on the skin. ─ The majority of cutaneous symptoms are > by touch.

Sleep

Urgent inclination to sleep in evening. ─ Sleep retarded, in consequence of agitation and dry heat. ─ Nocturnal sleeplessness, with agitation and coldness of body. ─ Unrefreshing nocturnal sleep. ─ Distressing, anxious dreams, of dangers and death, of falling from a height, soon after falling asleep, or else with starts and cries, esp. when lying on l. side. ─ When half asleep it suddenly seems as if a chair were standing in the middle of the bed; tries to move it but cannot stir, cannot utter a sound. ─ Continuous sleeplessness, with painfulness of the parts on which he lies. ─ Sleeplessness with apparitions as soon as he closes his eyes; they disappear on opening them. ─ Goes to sleep late on account of heat and restlessness. ─ Lascivious dreams, without emission of semen, with painful erections on waking.

Fever

Shivering, with yawning, after midnight. ─ The warm air seems cold, and the sun has no power to warm him. ─ Shivering, every morning, without thirst. ─ Shivering and shaking, with internal and external coldness (and thirst), followed immediately by perspiration. ─ Chilliness in attacks at various times in the day, but mostly in the evening. ─ Chilliness on l. side, which feels cold to the touch. ─ Chill without thirst after midnight and in morning. ─ Shivering every evening (at six o'clock), with external heat, dryness of the mouth, and thirst. ─ Heat in the evening, esp. in the face. ─ Dry heat of the covered parts. ─ Burning in the face without redness. ─ Perspiration at the commencement of sleep. ─ Perspiration on parts uncovered, with dry heat of covered parts. ─ Anxious, at times cold, sweat. ─ Perspiration after the chill, without any intervening heat. ─ Perspiration, at times oily (staining the clothes yellow), or fetid, or smelling sweet like honey. ─ General perspiration, but not on the head. ─ When walking in morning profuse perspiration; the most profuse on the head. ─ Perspiration only during sleep, disappearing at once as soon as he awakens.

The Guiding Symptoms of Our Materia Medica

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

Mind

Forgetfulness, could scarcely collect his senses for half an hour in morning on waking ; unable to go on with her dressing, constantly requires reminding.
Makes mistakes in talking, writing and looking.
In reading or writing uses wrong expressions, and omits words and syllables.
Commences every sentence anew without ability to finish it in spite of every effort of memory.
Stupefaction of head ; vertigo, reeling sensation, as after turning in a circle.
Cannot think, talks slowly as if hunting for words ; uses wrong words.
Mental dulness with pious fanaticism ; no desire to work ; anxious restlessness, sleeplessness, constipation and suppression of catamenia.
Very desponding. θ Gonorrhœa.
Sensation as if whole body were very thin and delicate, and could not resist least attack ; as if continuity of body would be dissolved. θ Chronic
hysteria.
Fixed ideas : as if a strange person were at his side ; as if soul and body were separated ; that body, particularly limbs, are made of glass and will readily break ; as if a living animal were in abdomen ; talks about being
under the influence of a superior power.
Imbecility of mind and loss of speech after vaccination ; restless sleep, fretfulness, peevishness ; cries all day ; eyes stare vaguely ; occasional flow of saliva from mouth ; looks like an idiot.
Insane women will not be touched or approached.
Nervousness to such a degree that approach of a stranger gave her sudden twitches ; when spoken to answered with tears and sobbing ; skin on chest and right side of abdomen deep yellow.
Walks her room in a circle ; inability to accomplish most simple work, even dressing ; makes no demand for food, has to be reminded to take it, which she does without reluctance ; several old warts on neck, and several of later growth, soft to touch, like lipoma and
pointed ; prolapsus vaginæ ; amenorrhœa.
Talks hastily and swallows words.
Thoughtlessness ; forgetfulness.
Hurried, with ill-humor ; talks hastily.
Speaks very slowly, and in monosyllables.
Music causes him to weep, with trembling of feet.
Disinclined to talk, < on awaking mornings.
Want of disposition to do anything, ill-humor, anger.
Indisposition to any kind of intellectual labor.
Mental depression, after childbirth, in consequence of being told that there had been a slight rupture of perineum ; grows quiet ; thinks she must die ; cannot sleep ; has no appetite ; shuns people ; does not answer ; seems not
to understand a question ; cannot count ; is in constant anguish ; wants to jump out of window ; does not care for children or her relatives ; stares before herself ; hydrogenoid constitution.
Very depressed, sad, irritable.
Exceedingly out of tune ; sad and disposed to weep.
Mental uneasiness ; low-spirited and desponding ; passionate ; tired of life ; morose ; dissatisfied ; unsteady.
Extremely scrupulous about small things. θ Hysteralgia.
Sleeplessness at night ; restlessness and tossing about ; anguish which does not allow him to sleep ; sleep full of dreams and startings.
Feels as if she cannot exist any longer ; quiet, shunning everybody.
Loathing of life ; very ill-humored and depressed.
Overexcited, quarrelsome ; easily angered about trifles.
The child is excessively obstinate.

Sensorium

Vertigo : with eyes shut, ceases on opening them ; when rising from sitting ; on stooping, looking upward or sideways.
Epileptic vertigo, hair dry, and finger nails ribbed.

Inner head

Tearing in forehead, temples, and occiput, < at night.
Pressing in vertex as from a nail ; < afternoon and from 3 to 4 A. M. ; > in motion and after sweat.
Boring through temples.
Headache : < from sexual excesses, overheating, overlifting ; > from exercising in open air, looking upward, and turning head backward.
Headache from tea.
Violent stitch through left temple.
Transient pain in vertex as if bone were repeatedly pierced with needle near sagittal suture.
Violent pressing pain in region of vertex.
A feeling in vertex as if a nail were driven from within outward.
Sensation in right parietal bone and in left frontal eminence as if a nail were driven in, disappears on pressure.
Drawing, sticking pain in left temporal muscle, < by mastication, > by contact.
Boring pressure in head.
Intolerable tearing in head drives him from bed at night and obliges him to walk about, < on lying down.
Boring sticking in head and right eye.
Alternately boring, sticking, griping, lightning-like piercing headache in forehead, in and above eyes and in nasal bones.
A drawing, intermittent pain in left side of forehead.
Tearing in right side of head and face transversely across nose, extending into malar bone, teeth and across eye, < in morning and evening.
Headache on left side as if a convex button were being pressed on part. θ Rheumatic affections.
Headache : early in morning ; as if head were screwed asunder in articulation of malar bone and upper jaw ; as if a nail were driven into vertex with a jerk ; as if forehead would fall out.
Intense nervous (anemic) headache ; remitting attacks after midnight ; < raising head ; eyelids affected ; could not speak from severe pain ; palpitation of heart ; vomiting, nausea, eructations ;
sleeplessness ; profuse menstruation.
From 7 to 9 P. M., latterly about midnight, severe bone pains in head, with sleep during intervals ; pain < on sides of head, making a circle round it ; continual pressure from outside deeply inward, as if bones were being knocked to pieces ; sometimes knocks so severe
that he cries out ; sensitiveness of affected spots to touch, even combing hair ; cannot lie on pillow, especially on left side ; > by bending head backward, by compressing it with hands, and remaining without least motion ; during paroxysms head bathed in
perspiration ; nose dry, obstructed ; face red, injected, general heat of body ; hard stool, with blood every third day ; urine leaves yellow sediment. θ Syphilitic headache.
Pains in head so severe she screams constantly ; nearly loses consciousness and is unable to speak ; pains and vomiting < when rising up ; > in rest, and horizontal position ; paroxysm at its height about midnight ; pain prevents eyes from closing, has
passed nearly two weeks with hardly any sleep ; weak and exhausted ; excessive menstruation appearing too often and lasting too long ; forehead, region of ears and eyes felt as if stabbed with knives, and as if knives went tearing around in her brain ; chilly ;
palpitation.
Neuralgia going from before backward.
Violent headache, especially at night ; tearing in forehead, temples and occiput.
Hemicrania of sycotic origin, < soon after midnight.
Nervous, sycotic or syphilitic headaches.
Meningitis : children of sycotic or syphilitic taint, rather thin than fat, prone to eruptions, which, on healing, leave purple spots ; teeth soon turn black and decay at gums ; salivary glands swell ; thrush or ranula ; offensive
discharge from ears ; soreness of penis or vulva and about buttocks ; frequently recurring morning diarrhœa ; pain in left iliac region ; fetid foot sweats ; uncovered parts sweat, while covered parts are dry and hot ; parents have a greasy skin, warts and
moles, and crave salt.
Everything seemed jumping, < when sitting up or from talking a long time, or if she closes eyes ; fears she will lose consciousness ; face red and feels hot ; vomited tea, bitter as gall. θ Sunstroke.

Outer head

Scalp sensitive to touch or pressure of pillow ; > if rubbed ; violent burning, tearing, stitching pains, < in warm bed ; as if beaten ; very sensitive to touch on vertex.
Wants head and face wrapped up warm.
Dry herpes on head extending to eyebrows ; dandruff.
White, scaly peeling-off eruption over scalp, extending over forehead, temples, ears and neck. θ Pityriasis.
White, scaly dandruff ; hair dry and falling out.
Tingling, biting, stinging, itching in scalp, > by scratching.
Sensation in occiput and temples as of insects.
Eruption moist, corroding on occiput and temples ; < from touch, > from rubbing.
Sweat smelling like honey, mostly on uncovered parts.
On right side of sagittal suture a round ulcer, a little over an inch in diameter, edges little elevated, but hard for the space of a centimetre ; bottom covered with a dull grey layer which yielded a serous, fetid pus ; sharp, shooting pains, < evening and during
night ; had first appeared several years ago in the shape of a large tubercle which had almost immediately opened and assumed present form ; paleness of face ; frequent cough, followed by copious expectoration of frothy mucus ; emaciation ; great susceptibility to
cold.
Hair thin, grows slowly, splits.

Sight and eyes

Flames of light mostly yellow ; looking into light of day sees spots like bottles of water moving ; colored flashes ; clouds and streaks (muscæ volitantes) ; flickering ; a luminous disk, shining like a firefly ; streaks of light or sparks
passing downward, seen to one side of eye when in dusk, in daylight they appear like dark drops.
Double vision.
Objects appear smaller (before right eye).
When looking into light of day sees white spots like bottles of water moving about.
Mistiness or obscuration of sight with dilatation of pupils ; burning of eyelids.
Shortsightedness.
Dimness of vision like a mist before eyes ; pressure in them as if they would be pressed out of head, or as if swollen.
Dimness of vision in open air like a veil, for near and distant objects, with confusion of head.
Weak eyes ; pressure as from fine sand in them.
Amblyopia with blurring of vision, > by rubbing, black spots and bright sparks before eyes ; dull aching above eye to back of head, with nausea.
Feeling of dryness, burning, or of sand in eyes.
Burning and stinging in eyes and lids, with injection of cornea.
A painful stitch through centre of left eye, commencing in centre of brain.
Tearing pain in left eyebrow, disappearing after touch.
Aching over right eye.
Heat and dryness in left external canthus, as if it would inflame.
Constant aching in eye, < in bright light.
Malignant blennorrhœa, leuco-phlegmatic temperaments ; always chilly.
Better when eyes are warmly covered ; if uncovered, feels as if a cold stream of air were blowing out through them.
Large wartlike excrescences on iris with sharp, sticking pains in eye, < at night, > by warmth ; heat around eye and side of face, tearing pain above left eye, injection of sclerotic and conjunctival vessels, feeling of fine sand under lids,
tears stand in eyes, lids swollen and indurated. θ Syphilitic iritis.
Inflammation of cornea ; ulcerations of a syphilitic origin ; hypopyon.
Inflammation of cornea with excessive photophobia ; has been kept for seven years in a dark room ; hair dry, brittle, short and falls out ; sleepless at night ; toward morning slumber, with many dreams ; no appetite ; pale, greyish color of
face ; every afternoon at 4 a shaking chill, followed by heat and thirst ; urging to urinate ; many dreams. θ Chronic keratitis after vaccination.
Vascular tumor of cornea, which covered nearly two-thirds of its inner surface.
Small brown spots on cornea ; photophobia.
Episcleritis ; sclero-choroiditis ; staphyloma.
Sclera becomes soft in consequence of extension of inflammation of cornea and iris ; tenderness of globe ; intolerance of light ; general cachectic condition, either scrofulous or syphilitic ; long deprivation of fresh air. θ Scleritis.
Congestion of sclerotic conjunctiva.
Suffusion of eyes, especially in open air ; tears do not flow, but remain in eye.
The whites of eyes are blood-red.
Dermoid swellings in conjunctiva ; polypi ; carcinoma.
Great photophobia ; every time he breathes it seems as if cold air rushed in and out of his eyes ; for this reason he must cover them up very warm. θ Ophthalmia.
Ophthalmia neonatorum.
Congestion of conjunctival covering of sclerotic tunic from childhood ; slight prurigo.
Conjunctivitis after vaccination ; a whooping cough ; scanty urine.
Chronic catarrhal conjunctivitis, granulations large, like warts or blisters, with burning in lids ; < at night ; excessive photophobia.
Chronic cases of large phyctenules of conjunctiva, very slow in progress, unyielding to treatment, and decidedly involving subconjunctival tissue.
Small brownish spots on cornea ; photophobia ; watery purulent otorrhœa ; dissatisfied with everything, quarrelsome ; sleep disturbed by anxious dreams ; after sleep miserable, fretful ; sighing inspirations ; hair grows slowly, spits at
point ; potbelliedness ; thick upper lip with a tumor in its parenchyma of size of a pea, enlarging when taking cold ; stings of insects cause inflammation of skin. θ Chronic
inflammation of eyes and otorrhœa after vaccination.
Dry branny eruption upon eyelids, chiefly about cilia ; eyelashes irregular and imperfectly grown ; scales covering skin very fine ; eyes weak and watery. θ Tinea ciliaris.
Exophthalmus consequent upon a tumor behind eyeball (relieved).
Fungous tumor in orbit.
Agglutination of lids at night.
Feeling as if eyelids were swollen and a foreign body in eye.
Burning and stinging in edges of lids, in evening.
Inflammatory softening of inner surface of lids.
Inflammation of lids ; they seem indurated.
Styes and tarsal tumors ; chalazæ, thick, hard knots.
Verrucæ and tumors that resemble small condylomata.
Granular lids, granules large, wartlike.
Epithelioma of left lower lid ; two cases, one of eight months, the other of three years' standing.

Hearing and ears

Inner ear feels swollen ; hardness of hearing.
Noise in ear as from boiling water.
Creaking in left ear when swallowing saliva.
Stitches from neck into ear.
Chronic otitis media ; watery or purulent discharge, smells like putrid meat ; granulations in middle ear similar to condylomata ; polypi.
Orifice of left meatus blocked up by a polypus, of raspberry-cellular variety, pale-red in color, bleeding readily when touched by probe ; on detaching edges from rim of meatus, much muco-pus issued ; deafness ; shooting pains.

Smell and nose

Smell in nose as of fish-brine or sour beer.
Coryza fluent outdoors, dry in room ; violent, sudden.
Troublesome dryness and sensitiveness of nose.
Painful pressure at root of nose.
In right nostril a feeling of soreness or ulceration, < by pressure ; swelling and induration of left ala with tensive pain.
Ulceration half an inch within nose, where there is a scab.
Discharge of offensive purulent mucus from nose.
Blows out much thick, green mucus mixed with blood and pus ; later brown scabs form ; nose sore ; red eruption on alæ, often moist.
Painful scabs in nostrils.
Chronic catarrh after measles, scarlatina, variola.
Frequent blowing of blood from nose.
A red itching spot, painfully sore to touch, in fissure of right wing of nose.
Nose red and hot.
Red eruption on nose, at times humid.
Eruptions on wings of nose.
Swelling and induration of alæ nasi.
Warts on nose.
Lupus exedens on nostril (improved).

Upper face

Face : red and hot, with a fine network of capillaries ; circumscribed burning redness of cheeks ; bloated, dropsical, erysipelatous ; skin hot and red, peels off when washed ; bloodvessels on temples distended ; light-brown spots, freckles ;
red nodosities on temples ; eruption leaves livid spots ; scabious eruption ; perspiration, especially on side on which he does not lie ; dropsically bloated.
Œdematous erysipelatous of face.
Faceache originating in left cheek bone, near ear, extending through teeth to nose, through eyes to temples into head ; painful spots, burn like fire and are very sensitive to rays of sun.
Faceache, right side, after checking eruption on ear, leaving numb feeling.
Neuralgia of trigeminus after suppressed gonorrhœa or eczema of ear.
Boring pain in left malar bone, > by touch.
Intense sticking between left ear and zygomatic arch.
Prosopalgia of twelve years' duration after suppression of an eczematous eruption on ear ; during day paroxysms of pain every five to six minutes, very intense but of short duration, less often at night ; pain begins about lips and gums, spreads thence
over whole right side of face, which is congested and is followed by a feeling of tension and numbness.
Almost constant terrible neuralgia in left face, on level with zygomatic process and malar bone.
General feeling of illness, debility in extremities, loss of appetite, sleeplessness with agitation, melancholy and inability to work ; chill in morning ; dryness of mouth, thirst ; chill returned at close of day ; painful stiffness of neck ; swelling of cervical
glands ; a pimple in middle of right eyebrow, conical, hard and red ; hears with difficulty ; shooting pain in left ear ; ephelides on face ; loss of taste ; tearing pain in abdomen, < walking ; tubercle opened, next day presented a greyish bottom,
elevated edges, hardness of which extended nearly a centimetre beyond opening ; violent shooting pains in ulcer, extending to root of nose, and internal angle of eye ; toward evening chill with chattering of teeth ; sensation of icy coldness through whole length of
spine ; sleeplessness ; great depression of spirits, and discouragement.
Tumor on cheek.
Large, hard, dark-colored wart with a large base, on a lady's cheek, of several years' continuance, of late rapidly increasing in size.

Lower face

Upper lip sensitive.
Lips pale, swollen, peeling off.
On upper lip, an elevated, red, violently itching spot.
Twitching of under lip, and here and there in places on skin.
Jerking sensation in upper lip near corner of mouth.
Pimples on lips and chin.
A wart on upper lip ; grew upon a pedicle and split when allowed to grow into three or four hard, horny portions.
Thick upper lip, with a pea-sized tumor in its parenchyma, enlarging when taking cold.
Cracking of articulation of jaw.
White flat ulcers on inside of lips and corners of mouth.
Fungus on left lower jaw, purplish and easily bleeding, pedunculated, more angry in damp weather ; eruption like zoster around abdomen.

Teeth and gums

Teeth : decay at roots (as in sycosis), crown remaining sound ; crumble, turn yellow.
Gnawing pain in second left lower bicuspid, which was decayed close to gum ; excitement removed pain ; > by pressure of hand ; < in bed ; it extended over left forehead and into left side of neck.
A woman, æt. 72, faceache, with much soreness after pain ; in paroxysms, with an hour's interval, for two months ; unable to masticate ; side of face sore and throbbing when lying on it ; pains extend all over right side of head, when violent shoot to opposite
side ; < in cold or very warm room ; dares not venture into a draft ; teeth decayed, pain shoots up from these ; pains come suddenly and go as suddenly, sometimes shoot into ear, attempts to read or think bring on pain. θ Neuralgic
alveolar periostitis.
Toothache from drinking tea.
Gums swollen, inflamed, dark red in streaks.

Taste, speech, tongue

Taste : sweet ; of rotten eggs, mornings ; food seems not salt enough ; of bread, as if dry or bitter.
Bites tongue frequently.
Burning and redness of tip of tongue, frequently covered with sore points ; painfully sore to touch.
A painful ulcer on left margin of tongue, afterward on right.
Small white vesicles on tongue resembling miliary rash.
A white blister on side of tongue close to its root, painfully sore.
Ulcer of roundish shape under tongue in a child, after vaccination ; its edge consists of a number of pointed condylomata, which could be separated by a fine probe.
Tongue swollen, < right side.
Varicose veins under tongue, excess of venosity everywhere, especially in throat.
Ranula, bluish, surrounded by varicose veins.
Semi-transparent, jellylike tumor, bluish tumor size of a small walnut, at root of tongue, left side, painless, soft ; impeded speech, first noticed nine months ago ; moans a good deal in her sleep ; is liable to swelling of glands of
neck ; slight swelling of thyroid gland. θ Ranula.

Inner mouth

Aphthæ ; ulcers in mouth.
Inner mouth as if filled with blisters, or as if burnt.
Flat white ulcers on inside of lips and on corners of mouth.
While masticating food becomes very dry.
In left lower jaw, location that of first molar tooth, a fungous growth, purplish, bled easily ; father sycotic ; fungus < in damp weather ; eruption like zoster around abdomen.

Palate and throat

Redness in fauces.
Erosions in fauces with mucous tubercles.
Suspicious-looking ulcers in throat.
Throat dry and rough.
Throat feels raw, dry, as if containing a plug, or as if constricted when swallowing.
Hawking of tenacious mucus difficult to loosen.
Swallowing painful, especially of saliva.
A feeling of upward pressure in soft palate. θ Catarrh.
Diphtheria.

Appetite, thirst. desires, aversions

Craving alternates with want of appetite.
No appetite. θ Mental depression.
Thirst, especially at night ; longs for cold food and drinks.
Dislike to fresh meats and potatoes.

Eating and drinking

Bad effects from beer, fat, acids, sweets, tobacco, tea, wine and onions.
Feels badly after eating even a little.

Hiccough, belching, nausea and vomiting

Eructations : rancid or acrid ; of air, while eating ; afford instant relief.
Gulping up of large quantities of acids.
Vomiting of mucus or of oily, greasy substances.

Scrobiculum and stomach

Contraction of epigastrium ; pain.
Drinks fall audibly into stomach ; they enter with a gurgling noise.
Pit of stomach swollen, sensitive.
Indurations in stomach and abdomen.

Hypochondria

Stitches in hypochondria, now right then left.

Abdomen and loins

Tension in abdomen ; pressure in hypogastric region.
Stinging in abdomen as from needles, only while sitting.
Cutting pain in lower abdomen.
Attacks of pain beginning in left side, sometimes going around to left side of back, on waking in morning ; when she begins to move, flesh there feels torn from bones ; slightly > by eructations, though eructations cause spasms across spleen and
around stomach.
Upper part of abdomen drawn in.
Abdomen large, particularly after eating.
Distension of flatus ; rumbling ; croaking and grumbling ; as if an animal were crying in abdomen.
Emission of flatus without noise.
Sensation of something alive in abdomen.
Movement, as of something in lower abdomen, like a pushing of abdominal muscles by arm of a child, without pain.
A sudden starting, bounding sensation in right iliac region as from something alive.
Abdomen puffed, big, protrudes here and there, as from arm of fetus ; motions therein as if it contained something alive (in old maids).
Ileus ; spasmodic stricture, feels as if something alive were pushing out.
Ileus in right lower part of abdomen lasting two weeks ; sweat only on uncovered parts, while covered parts were dry and hot. θ Typhlitis.
After cord had fallen off umbilicus remained moist, and when seven days old, child presented at navel a swelling size and appearance of a raspberry.
Soreness of navel.
Painful swelling of inguinal glands.
Stitches in inguinal glands.
Tendency to hernia on left side after labor ; feet sore and swollen.
Infantile hernia on left side ; inguinal, child cries all time, and only quiet when left inguinal region is relieved from pressure or when thigh is flexed on abdomen.
Herpes zoster ; zona.
Yellowish or brownish spots upon abdomen.
Hemorrhoidal colic.
Intussusception of intestines.
Potbelliedness.

Stools and rectum

Diarrhœa : daily in morning after breakfast ; with colic ; < after eating ; watery, painless ; bright-yellow, watery, streaming out with much gas, as if cork were pulled out of a full jug, excessive exhaustion, short and difficult
breathing, anxiety, intermitting pulse, acute pressive pain in back opposite pit of stomach with a feeling as if no blood could circulate there, rapid disappearance of fat ; recurring at same hour ; chronic, traceable to vaccination ; cholera morbus ; cholera infantum.
Stool : pale-yellow, watery, copious, expelled forcibly with much noisy flatus ; with blood ; oily or greasy ; gurgling like water from a bung-hole.
With fluid stools sensation in rectum as if boiling lead were passing through.
Stools grey, brown, offensive ; great thirst, distended abdomen ; irritable, moody ; hair grows very slowly, is thin and stiff ; appetite poor ; excoriation in inguinal region and at orifice of prepuce ; at times very frequent
urination. θ Diarrhœa.
Child 7 weeks old, diarrhœa since birth ; two weeks ago stools began to be watery, gushing and yellow, would saturate everything ; mother scyotic.
Pale, yellow, watery stools, forcibly expelled, copious, great gurgling in bowels ; oozed from anus during sleep ; great debility after stool with weakness by spells ; loss of appetite, oppressed breathing ; drinks roll into stomach audibly.
Aggravation : in morning ; after breakfast ; after coffee ; after fat food ; after onions ; after vaccination ; periodically returning
at same hour.
Before stool : rumbling of wind.
During stool : passing of much loud flatus.
After stool : debility ; repeated ineffectual urging.
Ineffectual urging to stool with erections.
A boy, æt 4, vaccinated two years ago, since then ailing ; urging to stool and urination at same time with great pain on discharging feces and urine, suppresses urging as long as possible ; feces white ; oxyuris vermicularis ; pale
face ; often dejected.
Constipation : stool in hard balls ; obstinate, from inactivity or intussusception ; stools large, hard, coated with blood ; hard, thick and knotty stools ; hard, followed by soft stool ; stools retarded and insufficient.
Violent pain in rectum which prevents a passage, offensive perspiration about anus and on perineum.
Extreme constipation for several years despite an active country life ; menses normal ; irritable, easily provoked ; craving for salt ; hands and feet cold ; stools large and very hard ; has had rarely copious watery stools.
Burning soreness in anus lasting all day.
Much flatus, hard to expel, anus feels constricted, incarcerated flatus below right side of diaphragm. θ Rheumatic fever.
Stitches from rectum into bladder.
During constipated stool : only a small quantity of stool passed each time, with pain in anus as if it would fly to pieces ; great trouble in passing stool, as if anus had been constricted (hard, followed by soft stool) ; violent pains in rectum compel cessation of effort
at stool, especially with hemorrhoids ; flow of prostatic fluid.
After constipated stool : repeated ineffectual urging.
A stool at 6 P. M., with subsequent burning in anus, and shortly after a reiterated discharge of mucus, attended by very violent stitches in rectum, in direction of a line from anus to sacrum.
Painful constriction of anus with almost every stool.
Burning in anus.
Distinct violent stitches from anus into region of left iliac bone.
Sticking in anus.
Single flying, very painful stitches, in anus as from a fine needle while sitting.
Itching in anus.
Smarting in anus between intervals of stool.
Anus became sensitive after a slimy discharge, as if skin were cracked and chapped there.
Feeling of soreness in anus.
Pains in anus < from motion.
Hemorrhoids : during stool pains so great that she has to desist ; burning violently while walking ; anus fissured ; sensitive to touch ; with condylomata ; burning, itching, pressing.
Two cases of perineal fistula.
Two cases of blind external fistula ; cauliflower excrescence at verge of anus of size of a quarter of a dollar, and offensive perspiration around parts affected.
Fistula in ano.
Burning pain in perineum, the raphus of which was more prominent than usual, and one inch from anus a tubercle size of a pea appeared, which increased for three days, became moist, smarted, in walking, and then day by day became smaller, disappeared in about ten days.
Red blotches at anus like figwarts.
Knotty puffiness and excoriations on perineum.
Condylomata at anus.
Anus fissured, painful to touch, often with warts, sometimes immense numbers of flat, moist, mucous tubercles or condylomata surround anus, especially in syphilitic subjects.

Urinary organs

Kidneys inflamed ; feet swollen.
Diabetes.
Stitches to bladder from rectum.
Bladder feels paralyzed, has no power to expel urine.
Pain in region of bladder, with painful drawing up of testes.
Violent burning in fundus of bladder.
A jerking, voluptuous formication in forepart of urethra.
Sensation of moisture running forward in urethra ; orifice of urethra closed with a slimy fluid, a serous liquid, or a lump of mucus.
Urging to urinate frequent and hasty.
Obliged to urinate five or six times before bladder is empty.
Continued urging ; passes a few drops of blood.
Wants to pass water, but feels as if a tape prevented.
Frequent urging, with profuse flow, more toward and in evening ; with stitches in urethra.
Burning in urethra during, and for some time after micturition.
Frequent inclination to urinate ; stream often interrupted.
Has to rise several times at night to urinate.
During micturition : cutting in urethra ; burning.
Smarting and itching of female pudendum, with discharge of some drops of urine after micturition.
After urination feels as if a drop were running down urethra.
Continued dropping of urine ; dribbling.
Burning, smarting, itching, cutting, stitching in urethra.
Urine : too frequent and too copious ; profuse, lightyellow ; contains sugar ; foams, scanty, exceedingly dark ; dark-red in morning ; deposits a brown mucus ; with dark, cloudy sediment, in rheumatism ; red, depositing a brickdust
sediment ; highly colored and of strong smell.
Involuntary urination at night or when coughing.
Incontinence of urine for six weeks ; got up at least six times nightly, and saturated bed frequently ; was unable to attend school ; urine highly colored and of a strong odor ; had a large wart on left index finger, which had
fallen off three weeks previously, leaving a hard, white base.
Incontinence of urine ; desire came suddenly, was not able to retain urine an instant without grasping penis ; urine scanty and scalding, slight backache ; it seems as if a single drop at a time were running along.
For three months subparalysis of sphincter vesicæ ; especially in daytime he cannot hold his urine when riding or on long walks.
Warts on her hand ; incontinence of urine for three or four years.
Urine highly colored and of a strong smell, warts here and there. θ Enuresis nocturna.
Chronic incontinence of urine from paralysis of sphincter vesicæ (in old, flabby constitutions).

Male sexual organs

Excitation or depression in genital system.
Nightly painful erections causing sleeplessness.
Irresistible inclination to onanism even during sleep.
Nocturnal emissions : wake him ; followed by heaviness and ill-humor.
Discharge of prostatic fluid.
Painful spermatic cords from suppressed gonorrhœa.
Renewed gonorrhœa after coition.
Impotence after gonorrhœa.
Prostatic affections from suppressed or badly-treated gonorrhœa.
Gonorrhœa : scalding when urinating, urethra swollen ; urinal stream forked ; discharge yellow, green, watery ; with warts ; red erosions on glans ; subacute and chronic cases, especially when injections have been used and prostate is involved.
Gonorrhœa, with a soft lump having an abrasion upon it, on left side of frenum preputiæ ; lump smooth and painless.
Checked gonorrhœa : articular rheumatism ; prostatitis ; impotence ; condylomata ; sycosis, etc.
Jerking in penis.
Burning sensation between prepuce and glans penis.
Itching on inner surface of prepuce.
Round, flat, unclean ulcer on corona glandis.
Small flat vesicle on glans penis.
A red growth like condylomata on inner surface of prepuce.
Moisture on glans penis.
Glans very sensitive.
Swelling of prepuce.
Eczema on genitals.
Red excrescence on inner surface of prepuce like figwarts.
Smooth red excrescences behind glans penis.
Inner surface of prepuce as well as point of penis below coronal glandis covered with small, pointed condylomata ; slight discharge of viscid fluid ; whole perineum occupied by one broad condyloma half an inch in height ; it was constantly
moistened by a slimy, purulent discharge ; could scarcely bear pain, especially when walking, and acrid discharge had irritated thigh on inside of which another small condyloma had formed ; margin of anus occupied by three large condylomata.
For three weeks a large number of condylomata surrounding glans penis, red, pedunculated, growing rapidly, quite exuberant and dry, and following gonorrhœa ; weakness of back ; frequent urination.
Round, unclean, elevated ulcers with red margin, moist and painful ; condylomatous excrescences.
Erosions and rawness between legs and on sides of scrotum ; constantly oozing moisture.
Condylomata, mucous tubercles, sycotic cauliflower excrescences ; figwarts, smelling like old cheese or herring brine.
Condylomata : fan-shaped ; moist ; suppurating ; large.
Red spots on prepuce changing to an ulcer with scurf.
Smallpox on inner surface of prepuce, humid and suppurating and depressed in centre.
Chancres, with pain as from splinters sticking.
Itching ulcers with unclean bottoms, or whitish chancres with hard edges.
Feeling in testicles as if they moved.
Left testicle drawn up.
Aching in testes as if contused, < when walking.
Sweetish-smelling sweat on scrotum.
Strong, sweetish, honeylike smelling sweat on genitals, staining linen yellow ; humid pimples on scrotum.

Female sexual organs

Warts, condylomata and other excrescences about vulva.
Ulcers on internal surface of vulva ; vulva has a sore and smarting feeling.
Pressing and contracting pain in vulva while sitting.
Cramplike pain in vulva and perineum when rising from a seat.
Cramp pain in vulva extending as far as abdomen.
Burning and smarting in vagina when walking and sitting.
Whitish ulcers on inner surface of labium majorum.
Coition prevented by extreme sensitiveness of vagina.
Left ovary inflamed, < at each menstrual nisus ; distressing pain, burning, when walking or riding ; must lie down ; pain extends through left iliac region into groin, and sometimes into left leg, pain sometimes burning.
Cutting, shooting, squeezing pains in region of left ovary.
Ovarian, or severe pain in ovaries, uterus and abdomen result of an overphysiological action, always located in ovaries or duct.
Erosions on os uteri like aphthæ.
Uterine polypus which had been operated on eighteen months before ; could not walk or ride in a carriage from distress of left iliac region, extending up to loin ; pain in left groin.
Sickly appearance ; oppression of breathing ; congestion to head and face ; impairment of memory ; bowels irregular ; colicky pains ; menorrhagia followed by leucorrhœa ; pains in small of back ; tiredness of legs ; polypus attached by a long
pedicle. θ Uterine polypus.
Menses every two weeks and lasting too long ; blood dark and profuse for three days, then remaining as a slightly-colored secretion up to next period ; uterus prolapsed, firm, fleshy ; oval body with a thick pedicle extended out of os about size of a thumb ; os
appeared widely open ; exploring finger could surround polypus ; labia of orifice strongly hypertrophied and swollen. θ Uterine polypus.
Displacement of uterus ; prolapsus.
Cauliflower excrescences of os uteri.
Cancer of uterus from sycosis.
After several premature labors, womb twice its natural size ; no unnatural color of os ; os closed laterally on itself in form of a mouth half an inch wide ; in anterior lip a hard tubercle size of a bean ; whole os and cervix had a hard resisting feel ; a
cutting and burning pain which patient was sure was at point of finger, when finger pressed os ; pricking, disagreeable feeling above pubis into bowels ; burning and at times cutting above left ilium and in region of ovary ; yellowish leucorrhœa, causing smarting of vagina ;
menses seven to fourteen days, very profuse, bright-red, no clots ; steady burning pain in sacrum ; frequent urination ; smarting in anus ; aching in left hypochondrium.
Menses : too early and too short ; preceded by profuse sweat ; scanty, with terrible distressing pain in left ovarian and iliac region.
Before menses : excitement and pulsation of arteries, heat of head, headache and toothache ; labor-like abdominal pains, tenesmus and faintness ; much perspiration.
During menses : tiredness, palpitation, spasmodic weeping ; restlessness in legs ; retching, pressing in stomach, distension, pain in abdomen and back ; bearing down out of genital organs ; burning in varicose veins of genitals, sensitiveness and swelling of
breasts ; general coldness.
After menses : tiredness, rush of blood upward ; toothache ; sleeplessness ; nightmare.
Dysmenorrhœa ; interstitial tumor, fibroid.
Leucorrhœa : mucous, from one period to another, mild, leaves a yellowish-green stain ; sycotic.
Upon spots formerly occupied by erosions, caused by extreme distension during labor, little pea-sized excrescences, surface of which was continuous, without any pedicle, with mucous membrane of vagina ; three or four were situated on posterior wall ; one at orifice on
anterior wall and another at fourchette.
After a fall a wartlike growth on right labium, painful to touch, bleeding easily, preventing walking.
Condylomatous enlargement of clitoris, vagina and anus.
Figwarts from syphilis.
Condylomata moist, suppurating, stinging and bleeding.
Erectile tumors with burning.
Bleeding fungus of breast (completed cure after Phos.).

Pregnancy. parturition. lactation

Child moves so violently it awakens her, causes cutting in bladder with urging to urinate ; pains in left sacro-iliac articulation, running into groin ; eighth month.
Abortion at third month.
Labor : pains weak or ceasing ; contractility hindered by sycotic complications ; pains in left sacro-iliac articulation running into left groin ; pain from walking, insupportable, must lie down.

Voice and larynx. trachea and bronchia

Voice low.
Sensation as of a skin in larynx.
Polypus of vocal cord.
Condylomata. θ Syphilis.

Respiration

Short-breathed : from mucus in trachea ; from fulness and constriction in hypochondria and upper abdomen ; as from adhesion of lungs ; at night.
Asthma : with gonorrhœa, without having been exposed to contagion.
Asthma, < at night, with red face ; coughing spells or sensation of adhesion of lungs.
Asthmatic attacks in longer and shorter intervals, and at different times of day ; palpitation periodically, in rest and motion ; craving appetite ; violent headache, especially at night ; tearing in forehead, temples, occiput ; nose stopped up ;
coryza after spells of asthma.
Asthmatic attacks, since a year, in a child æt. 2 1/2, after vaccination ; paroxysms in day as well as night, with whistling respiration, last about two hours ; sleep restless ; occasional obstinate constipation ; singular darkcolored excoriations on nates ;
dry, thin hair.
Asthma, with little cough, but sensation as if something were growing fast in region of left lower ribs.
A man, æt. 47, had been vaccinated, since then complaining ; paroxyms usually at night, with mucous rattle or whistling respiration, also coughing spells with intense redness of face ; very irritable ; sleeps poorly ; stitches in hypochondria, now on right then on
left side ; feels bad after eating slightest quantity of food ; excessive flatulence ; pain at times in all joints ; after asthmatic paroxysms, profuse perspiration, oily ; hollow-eyed ; < every other night ; urine scanty ; excretion slow ;
toward end of paroxysm drawing in lower limbs, which are at all times red like a boiled lobster ; obstinate constipation.
Breathing short and quick, < from deep inspiration and talking, > by lying on affected side, but pains compel him to lie on back. θ Rheumatic fever.

Cough

Cough : constant, without difficulty in breathing ; short, interrupted, convulsive ; frequent, dry, hacking ; during day ; none after lying down ; evenings after lying down ; sputum loose and easier when he turns from left to right
side ; in morning, after rising ; immediately after eating ; as soon as he eats or drinks anything cold.
Whooping cough : immediately after vaccination, in two scrofulous boys.
Sputa : green ; taste like old cheese.

Inner chest and lungs

Spasm of lungs from drinking cold water.
Stitches in chest from drinking anything cold.
Sensation as of falling drops in chest.
Hot rising into chest.
Ebullition in chest, with audible palpitation.
Pain in left pectoral region going down to ant. sup. spinous process of innominate bone ; pain in head sharp in back of crown ; < in morning and in warm weather ; both pains < at same time ; sharp pain in lung ; has to go to
bed ; palpitation on walking fast in open air ; a jar seems to throw the wind out of him ; when pain is severe, draws himself up to left side ; < when putting left side upon stretch, and on pressure.
Hemorrhage from lungs ; quantity of blood very great, smell terribly offensive.

Heart, pulse and circulation

Cramp in heart.
Palpitation : periodical, in rest or motion ; from ascending ; anxious, when awaking mornings ; audible, with violent congestion to chest.
Violent pulsations in evening.
Pulse, full, accelerated evening ; slow and weak morning.
Swelling of veins.

Outer chest

Skin blue over clavicles.
Brownish spots upon chest.

Neck and back

Cervical glands swollen.
Oily brown skin on back of neck.
Blueness of external throat from distension of veins.
Small red pimples on neck close together.
Pustular eruption on neck and face, soon drying up.
Large fungous excrescence on neck, back of left ear, growth of three or four years ; it measured about one and a half inches in diameter and about same from base to top, very tender and vascular, bleeding from slightest touch. θ Fungus
hæmatodes.
Painful stiffness of nape of neck.
Sensation of stiffness in nape of neck and on left side of neck, extending into ear, even during rest, in no way impedes movement of neck.
Drawing tension in nape of neck.
Painful tension in right side of nape and in small of back, slight in left side of nape.
Burning from small of back and sacrum to between scapulæ.
Drawing pain in small of back, sacrum, os coccygis and thighs, preventing erect position, after prolonged sitting ; pressive bruised sensation in back and loins, early on rising, < on turning trunk and while standing, > in walking ; tensive pain.
Throbbing and pulsation in back.
Cramplike pain in lumbar region after long standing when attempting to walk feels as if he would fall.
Violent stitch between coccyx and anus.
Spinal curvature in a boy æt. 11 ; spine from fifth to twelfth vertebræ bent backward, long dorsal muscles in this region atrophied ; cannot stand erect, is bent forward, and supports body by putting hands upon his knees ; on sitting on a chair,
supports himself by holding fast to back of chair ; on sitting upon floor head sinks upon knees ; hair is thin, of slow growth ; urethra reddened ; belly enlarged, potbellied ; nose always stopped up. θ After
vaccination.
Boils on back.
Boils near small of back with large red borders.
Steatomous tumors, one over first dorsal vertebra, other over middle of spine of left scapula, of violet color, rounded shape, slightly yielding to pressure of fingers ; they measure across middle, taken perpendicularly, about two inches and a half, rather
more transversely ; tumors somewhat pedunculated, could be handled without pain, but lying on back, in bed, caused bruised or smarting pain ; constant thirst.

Upper limbs

Sticking in shoulders.
Tearing throbbing, ulcerative pains in shoulder extending to fingers ; twitching of muscles of arm ; forearm and fingers numb as if dead, insensible to heat of stove ; pain < when arm is left hanging, also < from warmth of bed at night, and
when placing arm over head ; > from motion, in cold air and during sweat ; chilliness and yawning after midnight ; falls asleep late ; terrifying dreams ; every three or four days difficult stools ; frequent urging to stool ; feces at times colored with
blood ; thirst only at night ; cold sensation in arms ; audible palpitation of heart with nausea ; despondent. θ Rheumatism.
Involuntary jerking of arm during day.
Atrophy of right arm after revaccination ; heavy sleep, feels badly in morning, stool extremely hard ; bleeding after stool ; urine scanty ; especially prominent is atrophy of abductor pollicis, flexion of thumb and forefinger impossible ; function of biceps
wanting ; extension tolerable, normal ; lower arm icy-cold.
Burning pain in all muscles.
Herpes on elbow.
Brown spots under arms like nevi materni.
Thirty to forty warts on hands, especially on dorsa ; surface of smaller ones smooth, almost transparent ; larger ones rough like cauliflower.
Twenty two twenty-five warts on right hand, hard, horny, with rough surfaces ; spots of eczematous eruption as large as a penny, covered with small scales, on extensor surface of arm near wrist.
Four horny, painful warts on hands, of three years' duration.
Very numerous warts on hands of a girl æt. 12.
Brown color of dorsum of hand.
White scabby herpes on dorsum of hand and on fingers.
Hands covered with cold sweat.
Finger tips : erysipelatous, with tingling ; numb and cold as if dead.
Erysipelas of fingers.
Suppuration of finger nails. θ After vaccination.
Finger nails distorted, crumbling and discolored.

Lower limbs

Painful laxity in hip joints, as if capsules of joints were too weak and relaxed ; when walking legs feel as if made of wood.
Tension from hip joint to groin, and along posterior part of thigh down to knee.
Drawing in both hips.
Shooting in left hip, with sensation of lower extremities being elongated.
Sciatica in left leg, exacerbations gradually growing more and more severe, until she was finally confined to bed for several weeks ; left leg atrophied ; first twinges of sciatica felt when she was pronounced cured of a gonorrhœa which had been
treated with injections three years ago.
Coxalgia, with lengthening of limb.
Paresis and atrophy of right leg with considerable coldness of same, after vaccination, in a child æt. 2 ; occasional pain in back and abdomen ; pale face.
Weariness in internal muscles of both thighs as if they would break down.
Ulcers on thighs.
Enlarged nevus on thigh in a child æt. 5 months.
Brown skin on legs, particularly on inner surface of thighs.
Gonorrhœal rheumatism located in fibrous part of knee joint.
Weakness of left leg while sitting, changing into a cutting in muscles of calves when walking.
White blotches on calves of legs.
Pains in feet and ankles after suppressed gonorrhœa, could not walk.
Numbness of left foot.
Pain in heel as if gone to sleep.
Stitches above heel in tendo-Achillis.
Inflammatory red swelling of dorsa of feet and of toes with tension when stepping on them.
Shining red inflammatory swelling of toes.
Burning, tearing, stitching in corns.
White nodosities on toes.
Tips of toes red and swollen.
Fetid sweat on toes ; suppressed foot sweat.
Nets of veins as if marbled, on backs of feet.
Red spot on dorsum of foot.
Toe nails : brittle and distorted ; crumbling ; misshapen.
Ingrowing toe nails.

Limbs in general

Trembling of hands and feet.
Drawing and sensation of weariness with apparent dulness of feeling.
Limbs go to sleep.
One-sided complaints ; paralysis.
Rheumatism, with numb feeling ; < in warmth, from moving, at night after 12 P. M. ; > from cold and after sweating.
Stitches in limbs and joints.
Joints crack when limb is stretched.
Frozen limbs.
Nails of fingers and toes become wavy and dry so that they partly crumble.
Nails crippled, brittle, discolored or soft.
Cracking of joints when they are extended.
Numerous hangnails.
Pimples on knee like varicella, others with tips full of pus, surrounded by a red areola, especially on thighs, elbows and forearms.

Rest. position. motion

Rest : headache >.
Lying : < pain in head ; < on painful side of face ; on affected side, asthma > ; cough > ; on back, pain in tumors < ; on left side, anxious dreams.
Horizontal position : headache >.
Sitting : stinging in abdomen ; stitches in anus ; pain in vulva ; burning and smarting in vagina ; pain in small of back < ; weakness of left leg.
Standing : cramplike pain in lumbar region.
Motion : pressing in vertex > ; pain in anus < ; pain in shoulder and arm > ; rheumatism <.
Stooping : vertigo.
Sitting up : everything seems jumping.
Rising : vertigo ; headache and vomiting < ; pain in vulva and perineum ; bruised sensation in back and loins <.
Looking upward : headache >.
Turning head backward : headache >.
Stepping : tension in swelling of feet and toes.
Walking : is obliged to at night with pain in head ; pain in abdomen < ; cannot hold his urine ; condylomata < ; aching in testes < ; burning and smarting in vagina ; pain in ovary < ; prevented by wartlike growth on right labium ; labor pains < ;
in open air, palpitation ; bruised sensation in back and loins > ; legs feel as if made of wood.
Talking : asthma <.
Coughing : involuntary urination.
Ascending : palpitation.
Riding : cannot hold his urine ; pain in ovary <.

Nerves

Limbs go to sleep.
Sensation of lightness in body when walking.
Flesh feels as if beaten loose from bones.
Feeling as if body were frail and easily broken.
Frequent starts or jerks of upper part of body. θ Chorea.
Weakness ; debility, < mornings ; debilitated all over as from fatigue.
Rapid exhaustion, causing oppressed and short breathing ; irregular and intermitting pulse.
After revaccination, falling out of hair, which is very dry ; headache ; vertigo ; poor sleep ; difficult falling asleep ; nightly restlessness ; weakness in lower extremities ; constant thirst ; pain in
epigastrium.
After revaccination, cannot sleep ; canine hunger ; after eating, great fulness ; had been drinking hard some weeks ago, since then sleeplessness ; loss of appetite ; profuse sweats day and night ; slight unpainful discharge from urethra ; tremulous
limbs ; visions of strange people at night ; great anxiety and restlessness ; cannot remain in bed, must walk about ; scanty urine ; frequent urination.
Chorea, at night and in morning ; craving appetite ; dry hair ; very ill-humored and obstinate ; laughs a good deal without cause.
Chorea ; catalepsy.
Paralysis of one side.

Sleep

Sleep heavy, cannot get fully awake mornings.
Sleeplessness : sees apparitions on closing eyes ; parts lain on painful ; from heat and restlessness ; from mental depression ; after revaccination.
Uneasy sleep with dreams.
Nightmare.
Anxious dreams when sleeping on left side ; of dying, or dead people or corpses.

Time

At 3 A. M. : chill.
From 3 to 4 A. M. : pressing in vertex <.
Morning : disinclined to talk ; faceache < ; headache ; diarrhœa ; chill ; taste of rotten eggs ; on waking, pain from left side to back ; urine dark-red ; cough ; pain in left side < ; palpitation ; pulse slow and weak ;
debility ; chorea ; cannot get fully awake ; chill ; heat ; sweat.
Afternoon : pressing in vertex <.
During day : cannot hold his urine ; cough ; jerking of arm.
All day : burning soreness in anus.
At 5.30 P. M. : chill.
Evening : faceache < ; pain in ulcers on head < ; burning and stinging in lids ; chill ; frequent urging to urinate ; violent palpitation ; pulse full, accelerated ; chill ; cold creeps on back.
At 6 P. M. : stool followed by burning in anus.
From 7 to 9 P. M. : bone pains in head.
Night : sleeplessness ; tearing in head < ; violent headache ; pain in ulcer on head < ; pains in eye < ; conjunctivitis < ; frequent urination ; involuntary urination ; painful erections ; dyspnœa ; asthma < ; thirst ;
chorea ; cold creeps on back ; heat ; itching and shooting in eruption.
Midnight : headache at its height.
After midnight : hemicrania < ; chilliness and yawning ; rheumatism < ; chill.

Temperature and weather

Warmth : > eyes ; < rheumatism.
Warm air : seems cold ; uncovering, shivering.
Warmth of bed : headache < ; toothache < ; pain in shoulder and arm <.
Warm weather : pain in left side <.
Cold water : drinking, causes spasms of lungs ; stitches in chest ; causes eruption to burn.
Cold air : pain in shoulder and arm >.
Cold : great susceptibility, ulcer on head, also in blennorrhœa ; tumor on upper lip < ; rheumatism >.
Worse in cold or very warm room : faceache.
Open air : exercising, headache > ; dim vision, suffusion of eye ; coryza fluent ; on walking, palpitation.
Least change of weather : chilly.
Draft : faceache <.
Damp weather : fungus on lower jaw <.
Overheating : headache <.
Rays of sun : painful spots on face sensitive.

Fever

Shivering through and through from slightest uncovering of body in warm air.
Cold creeps on back in evening and night.
Always chilly from least change of weather.
Chilly and weak some time before regular paroxysms.
Chill : in attacks, mostly evenings ; with yawning, warm air seems cold and sun seems to have no power ; on left side which feels cold to touch ; after 12 P. M. and in morning, without thirst ; with thirst ; beginning in thighs ; about 3 A. M., followed
by thirst, then profuse perspiration all over except on head ; as if drenched with cold water ; internal with external heat and violent sweat ; followed by sweat.
Heat : morning, chill afternoon ; evenings, mostly on face ; dry, of covered parts ; burning in face without redness ; with thirst neither preceded nor followed by chilliness.
Sensation of burning heat in face which causes neither real heat nor redness ; or perspiration with icy-cold hands, with moderate warmth of rest of body.
Flushes of heat in face without thirst.
Dry heat : of covered parts ; during sleep.
Sweat : only on uncovered parts ; general, except head ; when walking in morning, mostly on head ; during sleep, stops when he awakens ; oily, fetid, smelling sweetish ; with congestion of blood to head ; soursmelling, or fetid, almost every
night ; profuse, at night, staining clothes yellow as if saturated with oil ; staining brownish yellow ; most on upper part of body ; profuse about genitals ; scrotum, perineum and inner surface of thighs dripping ; on feet ; > indoors.
Chills began promptly at half past five every afternoon, and lasted for an hour ; very severe, always beginning in thigh from knee to hip, and from there extending over body ; sits with a leg on each side of register and remains until chill has
passed ; fever several hours, followed by a profuse drenching sweat, which ends about 2 or 3 A. M., even wetting bed.
Intermittent fever with chronic gonorrhœal contamination.

Attacks, periodicity

Periodically : palpitation.
Recurring at same hour : diarrhœa.
Every five or six minutes : paroxysms of faceache.
Every hour : for two months, faceache.
Lasting two hours : asthmatic attacks.
Every afternoon at 4 : chills.
Every other night : asthma <.
Every two weeks : menses.
Every three or four days : difficult stools.
Third month : abortion.

Locality and direction

Left : stitch in temple ; as if a nail were driven in frontal eminence ; pain in temporal muscle ; drawing pain in forehead ; as if a button were pressed on head ; stitch through centre of eye from brain ; tearing pain in eyebrow ; heat
and dryness in canthus ; tearing pain above eye ; epithelioma on lower lid ; creaking in ear ; meatus of ear blocked up by polypus ; swelling and induration of nostril ; faceache ; sticking between ear and zygomatic arch ; shooting in ear ; fungus
on lower jaw ; gnawing in lower bicuspid ; toothache extends to forehead and neck ; pain from side to back ; hernia ; stitches from anus into iliac bone ; a soft lump on frenum preputiæ ; ovaritis ; pain in groin ; pain in iliac region ; as
if something had grown fast to lower ribs ; pain from pectoral region to anterior superior spinous process of innominate bone ; fungus back of ear ; stiffness of neck ; shooting in hip ; sciatica ; leg atrophied ; weakness of leg when sitting ;
numbness of foot ; chill ; red itching spot with vesicles on forearm.
Right : skin on chest and abdomen yellow ; as if a nail were driven into parietal bone ; boring sticking in head and eye ; ulcer on head ; eye, objects appear smaller ; aching over eye ; soreness of nostril ; faceache ; pimple in
eyebrow ; sudden motion in iliac region ; ileus ; incarcerated flatus below diaphragm ; wartlike growth on labium ; painful tension in nape of neck ; atrophy of arm after vaccination ; warts on hand ; paresis and atrophy of leg after vaccination ;
tubercle between scrotum and thigh.
Left to right : ulcer on tongue.
Right to left : faceache ; stitches in hypochondria.
From before backward : neuralgia in head.

Sensations

As if whole body were very thin and delicate ; as if its continuity would be dissolved ; as if frail and easily broken ; as if made of glass ; as if a living animal were in abdomen ; as if a nail were pressing into vertex ; as if vertex were
pierced with a needle ; as if a nail were driven from within outward in vertex ; as if a nail were driven into right parietal bone and left frontal eminence ; lightning-like headache ; as if a convex button were pressed on left head ; as if head were screwed
asunder ; as if forehead would fall out ; as if bones of head were being knocked to pieces ; forehead, ears and eyes as if stabbed ; as if knives went tearing around in brain ; as if beaten ; as of insects on occiput and temples ; as if eyes were swollen
and would be pressed out of head ; as of fine sand in eyes ; as if a cold stream of air were blowing through eyes ; as of a foreign body in eye ; as if flesh were torn from bones in left side and back ; as if abdominal muscles were pushed out by arm of a child ;
sudden bounding in right iliac region as of something alive ; as if blood could not circulate in back opposite pit of stomach ; as if boiling lead were passing through rectum ; as if anus would fly to pieces during stool ; as if skin of anus were cracked and
chapped ; bladder as if paralyzed ; as of moisture running in urethra ; as if a tape prevented urination ; as of a single drop running along urethra ; as if testicles moved ; as if testicles were contused ; as of a skin in larynx ; as if something were
grown fast in region of left lower ribs ; as of falling drops in chest ; legs as if made of wood when waking ; as if lower extremities were elongated ; as if muscles of thighs would break down ; lightness in body when walking ; as if flesh were beaten from
bones ; as if skin were pricked with needles ; as from flea-bites.
Pain : in epigastrium ; in abdomen and back ; during menses.
Cutting : in lower abdomen ; in urethra ; in left ovary ; above left ilium ; in muscles of calves.
Piercing pain : in head.
Boring : in temples ; in head ; in right eye ; in left malar bone.
Stitches : through left temple ; in scalp ; through left eye from centre of brain ; from neck into ear ; in hypochondria ; in inguinal glands ; from rectum into bladder ; from anus to sacrum ; from anus into left iliac bone ; in
anus ; in urethra ; in chest ; between coccyx and anus ; in tendo-Achillis ; in corns ; in limbs and joints.
Shooting : in ulcer on head ; in left ear ; in face ; in left ovary ; in left hip ; in eruption.
Sticking : in left temporal muscle ; in head ; in right eye ; in eye ; between left ear and zygomatic arch ; in anus ; as from splinters in chancres ; in shoulders.
Stinging : in scalp ; in eyes and lids ; in edges of lids ; in abdomen as from needles ; in condyloma.
Pricking : above pubis into bowels ; in ulcers.
Tearing : in forehead, temples and occiput ; in head ; in face ; in scalp ; in left eyebrow ; above left eye ; in abdomen ; in shoulder to fingers ; in corns.
Drawing : in left temporal muscle ; in left forehead ; in nape of neck ; in small of back ; in sacrum ; in os coccygis ; in thighs ; in hips ; in limbs.
Pressure : in vertex ; in head ; in eyes ; at root of nose ; in soft palate, upward ; in hypogastric region ; in vulva ; in stomach during menses ; in back and loins.
Burning : in scalp ; in eyes ; in lids ; in edges of lids ; in spots in face ; in anus ; in perineum ; in fundus of bladder ; in urethra ; between prepuce and glans ; in vagina ; in left ovary ; above left ilium ; in
sacrum ; in varicose veins of genitals during menses ; in erectile tumors ; from small of back to between scapulæ ; in all muscles ; in corns ; in face ; of skin ; of eruption after cold water ; in fistulous ulcers.
Biting : in scalp.
Smarting : in anus ; in tubercle near anus ; in pudendum ; in vagina ; in tumors on back.
Throbbing : in face ; in back ; in shoulder to fingers.
Gnawing : in decayed tooth.
Contracting pain : in vulva.
Cramplike pain : in vulva and perineum ; in heart ; in lumbar region.
Constriction : in anus.
Bearing down : during menses.
Ulcerative pain : from shoulder to fingers.
Griping pain : in head.
Squeezing : in left ovary.
Jerking : in upper lip ; in penis.
Aching : above eye to back of head ; over right eye ; in eye ; in testes ; in left hypochondrium.
Soreness : of penis ; of vulva ; about buttocks ; in right nostril ; after faceache ; of tip of tongue ; of navel ; in anus.
Bruised feeling : in back and loins ; in tumors on back.
Tensive pain : in left ala nasi.
Tension : in abdomen ; in nape of neck ; in small of back ; from hip joint to groin ; along posterior part of thigh to knee ; in dorsa of feet and of toes.
Swollen feeling : in eyes and lids ; in inner ears.
Stiffness : in nape and left side of neck.
Heat : in left outer canthus ; around eye and side of face ; in face.
Tingling : in scalp ; in finger tips.
Numbness : after faceache ; in forearm and fingers ; in heel ; in left foot ; with rheumatism.
Formication : in urethra.
Coldness : through whole length of spine ; in arms.
Dryness : in eyes ; in left outer canthus ; of nose.
Itching : in scalp ; in anus ; in pudendum ; in urethra ; on inner surface of prepuce ; of ulcers ; on abdomen ; on back ; on arms and legs ; in ulcers.

Tissues

A surplus of producing life ; nearly unlimited proliferation of pathological vegetations, condylomata, warty sycotic excrescences, spongy tumors and spongy pock exudates organize hastily ; all morbid manifestations are excessive, but appear quietly, so that beginning
of diseased state is scarcely known.
Acts prominently on sclerotic coat of eye.
Rapid emaciation, with deadness of affected parts.
Chlorosis.
Dissolution of fluids of body, which become acrid, probably caused by Thuja perverting lymphatic secretions ; disturbs digestion and sanguification.
Œdema about joints.
Rheumatism ; flesh feels as if beaten off bones.
Rheumatic or arthritic pains, especially of a gonorrhœal nature ; arthritis deformans.
Cold, painless glandular swellings.
Indurations, later softening.
Rachitis.
Bad effects from vaccination.
Sycosis ; syphilis.

Touch. passive motion. injuries

Touch : scalp sensitive to ; vertex sensitive ; eruption on head < ; > pain in eyebrow ; < soreness of right nostril ; pain in malar bone > ; hemorrhoids sensitive ; fissured anus painful ; wartlike growth on right labium
painful ; causes fungus to bleed ; condylomata painful.
Pressure : pain as of a nail in head > ; headache > ; < sore nostril ; > pain in tooth ; pain in left side <.
Rubbing : > head ; > eruption on head ; blurring or vision > ; gently, > itching ; ulcers >.
Scratching : > scalp.
Closing eyes : everything seemed jumping.
After vaccination : ulcer under tongue ; diarrhœa ; asthmatic attacks ; whooping cough ; atrophy of right arm ; paresis and atrophy of right leg ; falling out of hair ; sleeplessness.
After a fall : wartlike growth on right labium.
Overlifting : headache <.

Skin

Itching on different parts or a sensation as if skin were pricked with needles.
Itching as from flea-bites on abdomen, back, arms and lower extremities.
Biting itching on skin, > by scratching, but continuing to burn.
Fine capillary network on skin, looking like veining of marble.
Luxuriant growth of hair on parts otherwise not covered by hair.
Eruption burns after applying cold water.
Skin : looks dirty ; brown, here and there ; brown-white spots ; dirty brownish discoloration.
Cadaverous exhalation from skin.
Eruptions on covered parts.
White, scaly, dry, mealy, or itching crusty herpes.
Skin of whole body looks dirty, cannot be washed clean.
Ringworm.
Shingles ; herpes zoster.
Impetigo ; eruption all over body ; itching and shooting, especially at night ; pustular eruption about knee ; > by gentle rubbing.
Epidermis on one-third of body and almost half of back raised as if by an enormous blister ; serous fluid has escaped and is still flowing through small openings in epidermis ; great fever ; indescribable restlessness ; child could obtain no
ease in any position and was utterly sleepless. θ Pemphigus foliaceus.
Pemphigus especially when painful.
Brown or red mottled spots with itching shooting in evening ; purulent pimples containing fluid like varnish. θ Rupia.
Chicken-pox ; varicella.
Pocks appeared which reached their height sixth or seventh day, when suppuration diminished, fever disappeared and pocks began to dry up, and soon scaled off without leaving any mark.
Variola, confluent on face ; third day of eruption, which extends all over body and limbs ; restless at night ; feverish ; right upper lid swollen ; begins to scab on face ; swelling under eyes ; two variolous pustules on tip of
tongue ; pustules on face and legs have black centres ; diarrhœa slimy and green ; no pits.
Variola ; pains in upper arms, fingers and hands, with fulness and soreness of throat ; areola around pustules marked and dark-red, pustules milky and flat, painful to touch ; especially during suppurative stage where it may prevent
pitting ; recommended as a preventive as well as a curative by Bœnninghausen, who states that it shortened all cases in epidemic of 1849, and prevented scars.
A red tubercle between scrotum and right thigh.
On left forearm a red, round, itching spot with white vesicles raised upon it.
Wart-shaped excrescences size of poppy seed, on hands.
Wartlike excrescences on back of hand, on chin and on other places.
Warts and condylomata, large, seedy and pedunculated ; sometimes oozing moisture and bleeding readily.
Condylomata about anus painfully sore, even to touch.
Ulcers : flat, with a bluish-white bottom ; with indurated edges surrounded by blisters containing pus ; deep burning, and fistulous ; itching, pricking, containing proud flesh ; spongy on edges ; ulcers with serrated edges ; > from rubbing or
scratching.
Epithelioma.
Eruptions only on covered parts, burn violently after scratching.
Bleeding fungous growths.
Nevus.
Moist, mucous tubercles.
Blood-boils on back.
Sweat only on uncovered parts, while covered parts were dry and hot ; very restless and desponding.
Strong perspiration, especially in axillæ.

Stage of life, constitution

Hydrogenoid constitution ; this constitution is distinguished from the oxygenoid and the carbo-nitrogenoid, in that it is more hygroscopic i. e., it possesses an increased capacity to contain water ; hence, rain, cold, damp weather, baths, and food that increases the
number of molecules of water in the system, aggravate the symptoms of the hydrogenoid constitution.
Strumous and sycotic persons.
Lax muscles ; light hair ; children.
Child, æt. 7 weeks, suffering since birth ; diarrhœa.
Boy, æt. 13 months ; variola.
Child, æt. 15 months, after vaccination ; swelling of glands.
Boy, æt. 1 1/2, suffering seven weeks ; diarrhœa.
Boy, æt. 1 1/2, strong and healthy, after vaccination ; ulceration of fingers.
Child, æt. 2, after vaccination ; paresis of leg.
Child, æt. 2 1/2, after vaccination ; asthma.
Girl, æt. 3, after vaccination ; conjunctivitis.
Girl, æt. 3, after vaccination ; imbecility of mind and loss of speech.
Child, æt. 3, after vaccination ; atrophy of dorsal muscles.
Child, æt. 4, after vaccination ; ulcer of tongue.
Boy, æt. 4, vaccinated two years ago, since then ailing ; affection of bowels and bladder.
Girl, æt. 6 ; chorea.
Child, æt. 7, after vaccination ; pustular eruption.
Girl, æt. 8 ; warts.
Girl, æt. 9, vaccinated when two years old, ailing ever since ; chronic ophthalmia and otorrhœa.
Boy, æt. 9, handsome, well developed, suffering six weeks ; incontinence of urine.
Girl, æt. 9, brother died of same disease ; pemphigus.
Girl, æt. 10, father sycotic ; fungus on lower jaw.
Girl, æt. 11, vaccinated when three and a half years old, ailing ever since ; keratitis.
Boy, æt. 11 ; spinal curvature.
Girl, æt. 12, light complexion, scrofulous diathesis, suffering four years ; enuresis.
Girl, æt. 12 ; warts on hands.
Girl, æt. 14 ; ranula.
Girl, æt. 14, leuco-phlegmatic temperament, scrofulous diathesis, suffering two years ; enuresis.
Boy, æt. 14, scrofulous ; warts on hand.
Girl, æt. 14, dark hair and eyes ; warts on hands.
Girl, æt. 19, blonde, in apparent health, suffering several years ; constipation.
Miss C., æt. 21, thin and fair ; diarrhœa.
Man, æt. 21 ; pains in chest.
Man, æt. 24, after revaccination ; nervous disturbances.
Musician, æt. 25, gonorrhœa.
Man, æt. 26 ; syphilitic iritis.
Girl, æt. 26 ; tinea ciliaris.
Man, æt. 30, weight 240, ill seven days ; rheumatic fever.
Man, æt. 32, dark ; hemorrhoids.
Man, æt. 34, tall, chestnut hair, pale complexion, face puffy, had scabies twice ; steatomatous tumors on back.
Farmer, æt. 36, suffering three months ; incontinence of urine.
Mrs. B., æt. 40, mother of several children, has had several premature deliveries ; uterine disorder.
Woman, æt. 41, washerwoman, suffering twelve years ; prosopalgia.
Man, æt. 44, affected with chronic hemorrhoids, suffers since nine years from syphilis, had energetic treatment with Merc. and Iodide of Potash ; headache.
Woman, æt. 46, tall, stout, mother of three children ; polypus of uterus.
Man, æt. 47, after vaccination ; asthma.
Mrs. W., æt. 50 ; sunstroke.
Man, æt. 50, lymphatic sanguine temperament, laborer, of regular habits ; ulcer above eye.
Lady, æt. 50 ; ulcer on head.
Man, æt. 52, after revaccination twelve weeks ago ; nervous disturbances.
A man, æt. 60, day laborer, poorly nourished, had gonorrhœa several times, large left sided hydrocele from inguinal hernia ; incontinence of urine.
Mr. A., æt. 63, auctioneer ; polypus of ear.
Woman, æt. 72 ; neuralgic alveolar periostitis.
Mrs. H., æt. 72, suffering three or four years ; fungous excrescence on neck.
Young man, nervo-sanguine temperament, dark complexion, good habits ; inflammation of sclerotic.
Young married woman, of good social standing, suffering three years ; sciatica.

Relations

Antidoted by : Chamom . (nightly toothache) ; Coccul . (fever) ; Camphor., Mercur., Pulsat., Sulphur .
It antidotes : abuse of tea, Mercur., Iodum, Nux vom .
Compatible : Nitr. ac., Sabina .
Complementary : Sabina, Silica .
Compare : Cann. sat., Canthar., Copaiba, Staphis .

Lectures on Homoeopathic Materia Medica

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

Lecture

The general appearance of the Thuya subject, if he has a characteristic picture, is that of a waxy, shiny face, it looks as if he had been smeared over with grease; and is often transparent, he is a sickly looking individual, looks as if entering upon some cachexia.

This is often the case in the sycotic, constitution and the cancerous cachexia, weakly, cachectic, yellowish, or often very pallid.

Skin

The skin manifests many symptoms.

The perspiration is peculiar, it is sweetish honey, sometimes like garlic, strong and pungent.

A pungent odor emanates from the genitals, sweetish honey-like like odor to the sweat from the genitalia, he smells his genitals.

The odor is also like burnt horn, burnt feathers or burnt sponge. These peculiar strong odors are particularly present when there are fig warts upon the genitals such as Thuja cures.

The skin looks unhealthy everywhere about the body and there is a copious sweat on first going to sleep, like Arsenic. If you had only the waxiness such as Arsenic and Thuja produce, you might prescribe Arsenic. Arsenic is often the acute and Thuja the chronic. You remember that Arsenic is usually a chronic remedy.

Asthma

A peculiar asthmatic condition is found in sycosis and Arsenic appears to be indicated for the symptoms, but it only relieves, it does not control the predisposition, it acts like Aconite in acute diseases and only ameliorates for a moment. Asthmatic and many other sycotic conditions seem to call for Arsenic, but it will do nothing but palliate, the constitutionality is not reached by Arsenic, its fundamental symptoms are not similar.

In syphilis and psora Arsenic acts a long time and eradicates the complaints, when similar to them, but it is not similar to sycosis. Arsenic does not go to the bottom of the trouble, but Thuja and Natrum sulph. will take up the work and cure. Natrum sulph. and Thuja bring back the primitive manifestation that has been suppressed for years.

Warts

The tendency of the Thuja patient is to throw out wart-like excrescences which are soft and pulpy and very sensitive, they burn, itch and bleed easily when rubbed the clothing. Horny excrescences that form on the hands and split open form upon a pedicle and crack around the base.

Cauliflower excrescences upon the cervix uteri, about the anus (like Nitricum acidum), about the labia majora and mucous membranes generally.

Horny excrescences, more upon the skin. Warts of a brownish color, especially if upon the abdomen the body; great brown spots, like liver spots, form upon the abdomen.

Zona around the chest, herpetic eruptions everywhere, here and there, like Sepia, herpes labialis and preputialis. Zona is a herpetic formation, great vesicular patches come out upon the body called "shingles", here we should compare Thuja, Rhus, Graph, Kali hydr., and Mezereum.

This condition is attended with a great amount of suffering and neuralgic pains. In cases that are sycotic, Thuya is especially a grand remedy.

You will have a class of cases where the warts have been caused to disappear by calomel, which makes them shrivel up and off, such is the old school treatment. Sometimes a patient comes to you with erratic symptoms and you may study for hours over these symptoms, and see very little order in them, you will realize that the leading features have been left out and that something is lacking.

Some one has applied Nitric acid, calomel or something else, and driven these fig warts away. These condylomata could not come without having some constitutional basis, these warts have a cause, and that cause seems to be less able to make the patient sick if he has the warts, he feels better when he has the warts. Strange to say; when these warts have been suppressed, we get symptoms of Nitric acid, Thuja, Mercurius and Staphysagria.

Thuja leads all medicines for symptoms coming from suppressed fig-warts.

Thuja is pre-eminently a strong medicine when you have a trace of animal poisoning in the history, as snake bite, small-pox and vaccination.

There are probably several varieties of urethral discharges, there is one that is sycotic, and when that has been suppressed, it produced a miasm with soreness in the bottom the feet and in the knees and particularly through the back and loins and sciatic nerves, in the knees and ankle joints.

Sometimes it affects the upper extremities, but particularly the lower. Most violent aggravation when keeping still, like Rhus, great aching that increases so long as he keeps still, he is very often compelled to keep the bed, and then he constantly moves and turns. An antisycotic must be selected.

While this group of symptoms would be cured by Rhus when the case is not sycotic, when these symptoms come from suppressed gonorrhoea Medorrhinum or Thuja will cure.

Thuja enters into this particular sphere and takes hold of this particular case where sycosis is at the bottom. Sometimes when the discharge has been suppressed, orchitis comes on and then Pulsatilla will be the remedy, and very seldom Thuja.

Thuja affects the left testicle with intense squeezing pain, but most generally you will find Pulsatilla the remedy.

As we continue to study Thuja, we see that it has a profound action upon the glands, stitching, tearing pains in the glands, the pains are as if the gland were being torn to pieces. That may be true of glands in general, but one particular gland, the ovary, is more affected than any other and especially the left.

Women

This is so true, that if you meet a violent pain in the left ovary, coming on at the time of menstruation and continuing during the flow and extending down the thighs, but may be in every direction, it increases as the flow comes on, stinging, tearing, burning, bursting pains, as if the parts were being torn out, make her cry aloud, she goes into a hysterical state. This a very strong Thuja group. It has the opposite of Zinc., and Lachesis, for in these, relief comes with the flow.

Many women suffer from grumbling pains in the ovaries all the time, they have a sense of the organ, which they should not feel; pain from taking cold or in change of weather; the increase of the pain in the left ovary is the first sign; sometimes the pain is so severe that the right one suffers apparently, from sympathy. Where the ovaries have been affected for some time there will be mental symptoms, a most violent irritability, jealous, quarrelsomeness, ugliness.

This irritability is likely to been shown towards individuals about the house, toward the husband and the mother; she is yet able to control herself among strangers and the doctor may not be able to find out about it, because she has in her nature a disposition to cheat; she wants to be alone and takes upon herself fixed ideas; that she is pregnant, or that an animal is in her bowels, she is followed, or that someone is walking beside her, thinks that soul and body are separated.

Now, these are fixed ideas, and there is no use trying to reason them out of her. It seems to her that she is very delicate, that she is made of glass and that she will break. The idea is that she will break, and not that she is transparent.

Associated with this conditions, we have violent, intense, tearing headaches, tearing in the eye, ameliorated by heat. The eye-ball pains are better from heat and the rest are better in the cool open air.

Pain localized in small spots. A nail driven in the head, side of head and forehead, like Ignatia and Anacardium. These pains are intensified into tearing pains, and affect the eye-ball, making it so sore that it can hardly be touched; worse from heat and worse from lying down; worse in a warm room and better in the open air.

Rheumatic head symptoms are worse in damp air. They are worse from sour things and also from stimulating and exciting things.

Crude drugs do not impress the vital force, so lastingly, but an individual who is thoroughly sensitive and properly sensitive, as sensitive of contagion, then if you undertake to prove by giving it night and morning, you will rivet upon him a life-long miasm.

If you have given a medicine, wait for the symptoms to come and go in the natural manner. To a great extent t, this is the tendency with sycosis, the tendency is rather outward.

We see in the proving of a drug what we see in disease. When a gonorrhoea is contracted, it goes through the prodromal period and then comes the disease, which, if let alone, has in its nature a tendency to eradicate itself from the economy, and then the patients do not suffer from lasting conditions.

In the old school, they always suppress the discharge, and there are those in the new school who do little better.

The frequent repetition by which one is exposed, would not increase the gonorrhea itself, because the susceptibility is satisfied.

The taking of more of the drug to prove it does not do so much harm, provided the one who is directing the proving realizes when the symptoms begin to rise, and then stops the drug.

Now if we go on with the proving by repeating the doses after the symptoms come on, we force the drug into the economy when he is already poisoned, and by this means we get a confusion in the symptoms, the drug disease engrafted upon that individual for life.

Many of the provings of Thuja give us that kind of confusion, so that we see only now and then symptoms cropping out that are striking; in fact, the great bulk of the Thuja provings has been wasted, because there is so much confusion in the great number of symptoms, while the earlier provings brought out many of the characteristics, the Vienna provings, to a great extent, confused the image of Thuja.

So that, by clinical experience only, we have been able to draw out the finer features of Thuja. It requires more than a school boy to do that. The new provings must be carried on in a different manner.

Catarrhal conditions

Thuja has some striking bowel symptoms; gushing, watery morning diarrhoea, like water coming out of a bunghole.

There is also a general catarrhal condition running through the body; catarrh of the nose, ears and chest. In the catarrh of the chest it produces an intense hacking cough, with expectoration in the morning of greenish mucus, sometimes a copious expectoration. It is often suited to old cases of pneumonia, in such individuals as have suppressed gonorrhoea, fig-wart gonorrhoea.

The kidneys and urinary symptoms are also striking; congestion and inflammation of the kidneys, sharp pain in the kidneys; burning urine; inflammation of the bladder and urethra that is not gonorrhoeal; pus from the bladder; paralysis of the bladder, must wait a long time for the urine to start; retention of urine, continuous urging to urinate, tearing in the urethra, feeling as if the urine were constantly running along the urethra, like Kali bich. and Petros.

In the urethral disease of sycotic character, Thuja leads all other remedies. In the non-sycotic variety, Cannabis sativa is sufficient, but those cases that have proved to the sycotic Cann. sat. left uncured, it ameliorated the burning during and after urination and the thick yellowish green discharge, but some other remedy had always to follow, when they were shown to be sycotic. It is not so with Thuja, because it is capable of finishing the case.

In the most violent cases, with bloody urine, extreme salacity, great torment, bloody, watery discharge from the urethra and bladder, no rest day or night, Cantharis comes in, it is capable of finishing the case in a few days. Such a patient must be in excellent health, which is not generally the case. They are drinking men and smokers.

Tobacco is one of the most troublesome things you will run across, many cases will not recover promptly if they are tobacco users and great smokers, wine drinkers or convivial men, they run around a good deal mc and are high livers and with such you have a slow case on hand.

With the system so broken down front high living, you may not get a decided curative action until you have forced him to abandon his way of living. Put him on light diet, diminish his smoking, get rid entirely of the drinking, and put him on a perfectly bland living.

This is the first thing. If he is a man of family we have to contend with great mental distress, and not less so if a woman. So it may well be said, that usually the sycotic miasm is a troublesome one to begin with and one that will bother the young physician.

You cannot substitute the right method for a wrong one, which will make him a cripple for life.

The suppression of the disease, as usually tried, cannot be thought of by the sincere and earnest homeopath.

If he wants it checked suddenly, let him go somewhere else, but warn him what will take place, and he will have untold disease and suffering.

The Therapeutics of Fevers

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

Characteristic

Adapted to the hydrogenoid constitution of Grauvogl, related to sycosis as effect is to cause. It possesses a capacity to contain water; hence rain, cold, damp weather, baths, and food that increases the amount of water in the system < the symptoms of the hydrogenoid constitution.

Thuja bears the same relation to the sycosis of Hahnemann—figwarts, condylomata and wart-like excrescences upon mucous and cutaneous surfaces—that Sulphur does to psora or Mercury to syphilis.

Acts well in lymphatic temperament, in very fleshy persons, dark complexion, black hair, unhealthy skin.

Ailments: from bad effects of vaccination (Ant. t., Sil.); from suppressed or maltreated gonorrhœa (Med.).

Fixed ideas: as if a strange person were at his side; as if soul and body were separated; as if a living animal were in abdomen; of being under the influence of superior power.

Insane women will not be touched or approached.

Vertigo, when closing the eyes (Lach., Ther.).

Headache: as if a nail had been driven into parietal bone (Coff., Ign.); or as if a convex button were pressed on the part; < from sexual excesses; overheating; from tea (Sel.); chronic, of sycotic or syphilitic origin.

White scaly dandruff; hair dry and falling out.

Eyes: ophthalmia neonatorum, sycotic or syphilitic; large granulations, like warts or blisters; > by warmth and covering; if uncovered, feels as if a cold stream of air were blowing out through them.

Eyelids: agglutinated at night; dry, scaly on edges; styes and tarsal tumors; chalazæ, thick, hard knots, like small condylomata; after Staphisagria partially > but does not cure.

Ears: chronic otitis; discharge purulent, like putrid meat; granulations, condylomata; polypi, pale red, cellular, bleeding easily.

Teeth decay at the roots, crowns remain sound (Mez.—on edges, Staph.); crumble, turn yellow (Syph.).

Toothache from tea drinking.

Abdomen: as if an animal were crying; motion as of something alive; protrudes here and there like the arm of a fetus (Croc., Nux m.).

Distressing, burning pain in left ovarian region when walking or riding, must sit or lie down (Croc., Ust.); worse at each menstrual nisus.

Constipation : violent pains in rectum compel cessation of effort ; stool recedes, after being partly expelled (Sanic., Sil.).

Piles swollen, pain most severe when sitting.

Diarrhœa : early morning ; expelled forcibly with much flatus (Aloe);

Time

3 A. M., characteristic; 10 A. M., 3 P. M., 5, 6, 7, 7:30 P. M. After midnight.

Fever without chill 10 to 11 A. M., or 10 to 11 P. M. (Cac.—12 M. and 12 P. M., Sul.).

Cause

The indication is more certain if the system be contaminated with sycotic or gonorrhœal poison. Always chilly from least change of weather.

Prodrome

Chilly and weak some time before the paroxysm.

Chill

With thirst. Chill beginning in the thighs. Violent shaking chill, for a quarter of an hour, about 3 A. M., followed by thirst, then profuse perspiration all over except on the head. Shaking chill, with much yawning; warm air seems cold and the hot sun does not warm him. Shivering through and through, from the slightest uncovering of the body in warm air (shivering from the slightest contact with the open air, Nux—great aversion to cold air, Camph.—chill as soon as he gets out of bed, Canth.). Chilliness every evening from 6 to 7:30, with excessive heat of the body, dryness of the mouth, and thirst. Chill of left side of the body, which felt cold to the touch (Carbo v., Caust., Lyc.). About 7 P. M., shaking chill, beginning in thighs, with blueness of nails, chattering of teeth, rapid and difficult respiration, for half an hour; then thighs hot, like a glowing coal, with cold hands and feet; gradually became warm, though had a shaking chill every time he moved (Nux); fell asleep after two hours, and awoke in a profuse perspiration—had to change his shirt eight times up to 3 A. M.—with headache, mild delirium and some thirst. Morning headache, chill at 10 A. M., lasting till noon, followed by heat, nausea, constant one-sided headache, and repeated bilious vomiting and diarrhœa in the evening. Chill internal, with external heat and violent thirst—chill, then sweat (Ant. t.).

Heat

With thirst, neither preceded nor followed by chilliness. Sensation of burning heat in the face, which causes neither real heat, redness nor perspiration, with icy cold hands. Burning heat only in the face and cheeks, lasting the whole day (Bell., Cal.). Dry heat of covered parts. Heat mornings, chill afternoons. Deadness of fingers (Ced., Sep.).

Sweat

Only on uncovered parts ; or all over, except the head* (reverse of Sil.). Sweat, when he sleeps, stops when he awakens (reverse of Samb.). Chill, then sweat (Ant. t., Ipec.). Profuse night-sweat, staining the clothes yellow, as if saturated with oil (Bell.—as if mixed with oil, Cinch.). Sour-smelling or fetid sweat almost every night (Arn., Lyc., Nat.). Scrotum, perinæum and inner surface of the thighs dripping with sweat (Hep., Petr.). Profuse night-sweat, so that he changes his shirt several times at night. Sweat on side not lain on (Benz., San.). Congestion of blood to the head*.

Pulse

**Full and accelerated in the evening; slow and weak in the morning; throbbing in blood vessels; swelling of the veins.

Tongue

* Swollen, clean or red, the tip is painfully sore to the touch*. Vesicles or blisters on the margin. Bitter, sour, taste; had to get up at night and rinse out the mouth (Nux). Ranula: bluish, or varicose veins on tongue or in mouth (Amb.).

Thuja helped in some cases, where the fever consisted in mere chills, with external and internal coldness (with thirst in same), followed by general sweat, without any previous heat.—Ann.,—II, p. 398.

Clinical

Andrew Mc——, æt. 26, a resident of East Saginaw, Michigan. Eight years ago had intermittent fever, which was "broke up" with massive doses of Quinine, only to return from time to time, especially every Spring and Autumn, to be again suppressed in a similar manner with Quinine. When fever first appeared, paroxysm came every alternate day, at 10 to 11 A. M., attended with bone pains, violent headache, and at times nausea and vomiting.

February, 1882.—Has now had chills and fever every day for seven weeks. Chill from 5 to 7 P. M.; severe, shaking; must sit close to stove, although external heat does not relieve. Chill begins in knees and thighs, and gradually extends to hips, thence over body, lasting one to two hours. Some thirst in chill, but drinking aggravates. Heat, with thirst; drinking refreshes; continues until 1 or 2 A. M.; very restless, severe headache. Sweats: profusely on his legs, where chill began; less on his body; never on his head; when he sleeps, ceases when he wakes. Tongue clean; appetite and digestion good, and feels perfectly well as soon as paroxysm is over. The chill beginning in knees and thighs, the time of its appearance the character of the sweating stage, and the entire freedom from ill-feeling during apyrexia, determined the selection of Thuja³⁰, four doses during intermission. Cured.—H. C. ALLEN, Medical Advance, XII., p. 296.