Veratrum Album verat.

Boger's Synoptic Key — Materia Medica

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

Region

NERVES: ABDOMINAL. Heart. Blood-vessels. Vertex. Blood. Respiratory and digestive systems.

Worse

EXERTION. DRINKING. Cold drinks. Fright. During pain. Wet cold.

Better

Hot drinks. Walking about. Covering. Lying.

General

VIOLENT EFFECTS; PROFOUND PROSTRATION, COLD SWEAT ON FOREHEAD, FAINTNESS OR COLLAPSE. SUDDEN, EXCESSIVE EVACUATIONS. Cramps; in chest, bowels, fingers, toes, etc.; with rigidity. Progressive weakness and emaciation; in acute diseases, eg., whooping cough, ague, etc.

Particulars

Delirium; early; with violence, loquacity or lewdness; during pain. Prays, curses and howls in turn. Acute manias, insanities, etc. Remorse. Loss of ideation. Sits in silence. Melancholia. Overpowering headache. Hair bristles; painful. Face; deathly pale on rising; bluish, pinched or distorted; frowning; terrified look. Red l. cheek, as if burnt. Jaws cramp on chewing. Heaviness in teeth. Burning thirst. Craves ice water or sour drinks. Vomits or eructates froth. EXCESSIVE VOMITING, WITH PURGING; violent retching, cutting colic, cramps in limbs and rapid prostration. Cholera; morbus, infantum, etc. Painful epigastrium. Watery, green, odorless or colorless (rice water) stool, or in large masses. Nymphomania. The air seems too hot. Dyspnœa. Tickling down throat, into lungs. Continuous, violent cough; with retching; < cold drinks. Neglected pertussis, with complications. Aphonia. Heart; cuttings at; weak; visible palpitation. Fine burnings, in arms; r. to left. Cramps in calves; during stool (Ap. Sec-c.); between scapulæ, etc. > motion. Skin feels scorched. Awakes at night trembling. Thready pulse. GENERAL COLDNESS (icy); on vertex; of nose; in mouth; of waterbrash; limbs, sweat, etc. Blood seems to run cold or internal heat with cold (wrinkled) surface. Fevers showing external coldness only. Congestive chill.

Related

Complementary: Carb-v. Related: Ars. Cam. Cup. Cyanides. Tab.

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

For children and old people; the extremes of life; persons who are habitually cold and deficient in vital reaction; young people of a nervous sanguine temperament. Adapted to diseases with rapid sinking of the vital forces; complete prostration; collapse. Cold perspiration on the forehead (over entire body, Tab.); with nearly all complaints. Cannot bear to be left alone; yet persistently refuses to talk. Thinks she is pregnant or will soon be delivered. Mania with desire to cut and tear everything, especially clother (Taran.); with lewd, lascivious talk, amorous or religious (Hyos., Stram.). Attacks of fainting from least exertion (Carbo v., Sulph.); excessive weakness. Sinking feeling during haemorrhage (fainting, Trill.). Sensation of a lump of ice on vertex, with chilliness (Sep.); as of heat and cold at same time on scalp; as if brain were torn to pieces. Face: pale, blue, collapsed; features sunkden, hippocratic; red while lying, becomes pale on rising up (Acon.). Thirst: intense, unquenchable, for large quantities of very cold water and acid drinks; wants everything cold. Craving for acids or refreshing things (Phos. ac.). Ice coldness: of face, tip of nose, feet, legs, hands, arms, and many other parts. Cold feeling in abdomen (Colch., Tab.). Violent vomiting with profuse diarrhoea. Vomiting: excessive with nausea and great prostration: < by drinking (Ars.); by least motion (Tab.); great weakness after. Cutting pain in abdomen as from knives. Cholera: vomiting and purging; stool, profuse, watery, gushing, prostrating; after fright (Acon.). Diarrhoea: frequent, greenish, watery, gushing: mixed with flakes: cutting colic, with cramps commencing in hands and feet and spreading all over; prostrating, after fright; < least movement; with vomiting, cold sweat on forehead during and prostration after (Ars., Tab.). Constipation: no desire; stool large, hard (Bry., Sulph.); in round, black balls (Chel., Op., Plb.); from inactive rectum; frequent desire felt in epigastrium (Ign. - in rectum, Nux); painful, of infants and children, after Lyc., and Nux. Dysmenorrhoea: with vomiting and purging, or exhausting diarrhoea with cold sweat (Amm. c., Bov.); is so weak can scarcely stand for two days at each menstrual nisus (Alum., Carbo an., Coc.). Bad effects of opium eating, tabacco chewing. Pains in the limbs during wet weather, getting worse from warmth of bed, better by continued walking. In congestive or pernicious intermittent fever, with extreme coldness, thirst, face cold and collapsed; skin cold and clammy, great prostration; cold sweat on forehead and deathly pallor on face.

Relations

After: Ars., Arn., Cinch., Cup., Ipec. After Camph. in cholera and cholera morbus. After Amm. c., Carbo v. and Bov., in dysmenorrhoea with vomiting and purging.

Aggravation

From least motion; after drinking; before and during menses; during stool; when perspiring; after fright. Often removes bad effects of excessive use of alcohol and tabacco.

Key-Notes to the Materia Medica

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

General

We may think of this remedy where there is a marked debility or exhaustion from functional or physical disturbance--as e.g., in whooping cough, patient will cough until completely exhausted and then have a cold perspiration on the forehead, or there may be a great exhaustion obliging one to lie down after the passage of stool, even though it be soft, with cold sweat on the forehead.

Mental

Affections of the mind in general; tired of life, but fear to die; amativeness; haughtiness; delirium; madness; sensitiveness; memory weak, or entirely lost.

Chest

Respiration oppressed; voice hollow; weak.

Gastric

Extreme hunger; longing for acids; craving for refreshing things, as juicy fruits, etc., and very cold; water tastes bitter; extreme nausea, causing one to retch and strain with great violence, sometimes with vomiting, sometimes not; vomiting of bile; of bitter substances; greenish.

Stool and Anus

Diarrhœa watery, particularly with exhaustion after every stool, worse from motion, cold sweat on the forehead, desire for very cold drinks; stool involuntary; complaints before stool, during, and after.

Sexual

Female: Sexual desire too strong, particularly in childbed; worse at night; nymphomania; complaints during menstruation, as e.g., vomiting and diarrhœa which may occur at those times.

Fever

External coldness of the skin even when covered up warmly; chilliness and coldness in general; coldness of single parts. Perspiration in general; complaints concomitant with; pulse very weak or imperceptible.

Generalities

Affections in general of the sexual organs, principally on right side; on crown of the head, especially for sensations felt there; appearing in the rear of the navel; small of the back.

Countenance is almost always changed, presenting an unnatural appearance. Dry mouth. Inguinal hernia. Flatus in general; flatulent colic. Urine very dark; blackness of outer parts; staggering when walking, from debility; drowsiness; dry exanthema.

Worse

After drinking; before and during menstruation; before and during stool (feel very weak and turn pale during stool); often after stool; during perspiration.

Remedies following

Acon., Bellad., Chamom., Pulsat., Rhus tox., Sepia, Sulphur.

Antidotes

Camphor, best; Acon., China, Coffea.

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

Religious mania; praying, cursing and howling; loquacious. Attacks of pain with delirium, or driving to madness. Coldness on the vortex, as if ice were lying there. Cold perspiration on face, especially on forehead; particularly in colic and choleric conditions. Nose grows pointed, seems to be longer; face cold and sunken. Violent colic about the navel, as if intestines were twisted in a knot; better after stool. Dysmenorrhoea with vomiting and purging, or exhausting diarrhoea with cold sweat. Neck so weak child can scarcely keep it erect, especially in whooping cough. Difficult walking, first right, then left hipjoint feels paralytic. Rheumatic pains in wet weather, getting worse in warmth of bed, better on walking up and down.

Homœopathic Materia Medica

William Boericke · Homœopathic Materia Medica · 9th edition

Common name

White Hellebore

General

A perfect picture of collapse, with extreme coldness, blueness, and weakness, is offered by this drug. Post-operative shock with cold sweat on forehead, pale face, rapid, feeble pulse. Cold perspiration on the forehead, with nearly all complaints. Vomiting, purging, and cramps in extremities. The profuse, violent retching and vomiting is most characteristic. Surgical shock. Excessive dryness of all mucous surfaces. "Coprophagia" violent mania alternates with silence and refusal to talk.

Mind

Melancholy, with stupor and mania. Sits in a stupid manner; notices nothing; Sullen indifference. Frenzy of excitement; shrieks, curses. Puerperal mania. Aimless wandering from home. Delusions of impending misfortunes. Mania, with desire to cut and tear things (Tarant). Attacks of pain, with delirium driving to madness. Cursing, howling all night.

Head

Contracted features. Cold sweat on forehead. Sensation of a lump of ice on vertex. Headache, with nausea, vomiting, diarrhœa, pale face. Neck too weak to hold head up.

Eyes

Surrounded by dark rings. Staring; turned upwards, without luster. Lachrymation with redness. Lids dry heavy.

Face

Features sunken. Icy coldness of tip of nose and face. Nose grows more pointed. Tearing in cheeks, temples, and eyes. Face very pale, blue, collapsed, cold.

Mouth

Tongue pale, cold; cool sensation, as from peppermint. Dry in center not relieved by water. Salty saliva. Toothache, teeth feel heavy as if filled with lead.

Stomach

Voracious appetite. Thirst for cold water, but is vomited as soon as swallowed. Averse to warm food. Hiccough. Copious vomiting and nausea; aggravated by drinking and least motion. Craves fruit, juicy and cold things, ice, salt. Anguish in pit of stomach. Great weakness after vomiting. Gastric irritability with chronic vomiting of food.

Abdomen

Sinking and empty feeling. Cold feeling in stomach and abdomen. Pain in abdomen preceding stool. Cramps, knotting abdomen and legs. Sensation as if hernia would protrude (Nux). Abdomen sensitive to pressure, swollen with terrible colic.

Rectum

Constipation from inactivity of rectum, with heat and headache. Constipation of babies, and when produced by very cold weather. Stools large, with much straining until exhausted, with cold sweat. Diarrhœa, very painful, watery, copious, and forcibly evacuated, followed by great prostration. Evacuations of cholera morbus and true cholera when vomiting accompanies the purging.

Respiratory

Hoarse, weak voice. Rattling in chest. Much mucus in bronchial tubes, that cannot be coughed up. Coarse rales. Chronic bronchitis in the aged (Hippozanin). Loud barking, stomach cough, followed by eructation of gas; worse, warm room. Hollow cough, tickling low down, with blue face. Cough comes on from drinking, especially cold water; urine escapes when coughing. Cough on entering warm room from cold air (Bryonia).

Heart

Palpitation with anxiety and rapid audible respiration. Pulse irregular, feeble. Tobacco heart from chewing. Intermittent action of heart in feeble persons with some hepatic obstruction. One of the best heart stimulants in homeopathic doses (J. S. Mitchell).

Female

Menses too early; profuse and exhausting. Dysmenorrhœa, with coldness, purging, cold sweat. Faints from least exertion. Sexual mania precedes menses.

Extremities

Soreness and tenderness of joints. Sciatica; pains like electric flashes. Cramps in calves. Neuralgia in brachial plexus; arms feel swollen, cold, paralytic.

Skin

Blue, cold, clammy, inelastic, cold as death. Cold sweat. Wrinkling of skin of hands and feet.

Fever

Chill, with extreme coldness and thirst.

Modalities

Worse, at night; wet, cold weather. Better, walking and warmth.

Relationship

Compare: Veratrinum-alkaloid from seeds of Sabadilla.--(electric pains, electric shocks in muscles, fibrillary twitchings); Cholos terrepina (cramps in calves); Camph; Cupr; Ars; Cuprum ars (intermittent, cold, clammy sweat); Narcissus poeticus (gastro-enteritis with much griping and cutting pain in bowels. Fainting, trembling, cold limbs, small and irregular pulse); Trychosanthes--(diarrhœa, pain in liver, dizziness after every stool); Agaric emetic (vertigo; longing for ice-cold water; burning pains in stomach); Agaric phalloides (cholera, cramps in stomach, cold extremities, urine suppressed). Veratrine (Increased vascular tension. It relaxes it and stimulates the elimination of toxins by skin, kidneys, and liver).

Dose

First to thirtieth potency. In diarrhœa, not below the sixth.

Leaders in Homoeopathic Therapeutics

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

Leaders

Collapse, with general coldness and cold sweat, especially on forehead; hippocratic face.

Mania, with desire to cut and tear things, with lewdness, lascivious talk, religious or amorous.

Disposed to silence, but if irritated gets mad. Scolds, calls names and talks of faults of others.

Rice water stools, profuse, exhausting, cramps in calves, coldness, collapse.

Rheumatic affections < in damp weather; drives patient out of bed.

The pains are maddening, driving the patient to delirium.

Copiousness of discharges: stools, vomiting, urine, saliva, sweat; craving for acids or refreshing things.

Here is a remedy that has a characteristic "Cold sweat on the forehead ". It makes no difference whether it is cholera, cholera infantum, pneumonia, asthma, typhoid fever or constipation; if this symptom is prominently present, and the patient is in anything like a faint, collapse, or greatly prostrated condition, Veratrum album is the first remedy to think of. It is one of Hahnemann's trio of remedies for Asiatic cholera, Camphor and Cuprum metallicum being the other two; and today his indications for its use stand as true as when he first gave them to the profession. It abides the test because it is founded upon a natural law of cure, which is the same "yesterday, today, and forever."

Veratrum, alb. has some very strong mind symptoms. "Mania with desire to cut and tear things especially clothes, with lewdness and lascivious talk, religious or amorous."

Here the choice will sometimes have to be made between this remedy and Stramonium. They are both very loquacious, and both strongly religious. Also both at times very violent; but the face of Stramonium is generally very red and bloated, while that of Veratrum is likely to be pale, sunken or hippocratic; again, there is greater general weakness with Veratrum. Sometimes the violent form of mania alternates with a "disposition to silence," but if irritated gets mad, scolds, calls names and talks of the faults of others. These forms of mania are often consequent upon suppressed menses or the puerperal state. They may be acute or become chronic. In either case we may find the cure in Veratrum album.

If we were to describe in one word the general condition, as near as possible, for which this remedy was best, it would be collapse. Let me quote: "Rapid sinking of forces; complete prostration; cold sweat and cold breath." "Skill blue, purple, cold, wrinkled, remaining in folds when pinched". "Face hippocratic; nose pointed." "Whole body icy cold." "Cold skin, face cold, back cold." "Hands icy cold." "Feet and legs icy cold." (Icy coldness of surface, covered with cold sweat, Tabacum.) "Cramps in calves." All these are verified symptoms, and show to what an extreme degree of collapse a case may come and yet be cured. This condition may be found in rapidly progressing, acute cases like cholera, or it may be found in suppressed exanthemata; or, again, in the course of bronchitis, pneumonia, typhoid or intermittent fever. No matter where found, or in connection with whatever disease, if this collapse is present, and especially if the grand keynote, "cold sweat on face and forehead," is present, we may give this remedy with full confidence that it will do all that can be done and much more than the old school system of stimulation with alcoholics. In choleraic diseases Camphor comes nearest to Veratrum, but with Veratrum the stools are profuse and like rice-water, while they are scanty or entirely absent with Camphor. The pains of Veratrum are very severe sometimes, driving the patient to delirium. It is said to be a good remedy for rheumatism, which is worse in wet weather and which drives the patient out of bed (Ferrum met.). Veratrum is a remedy of wide range, because it covers a condition which may be found in so many different diseases.

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

Insanity, he wants to out up every thing. Melancholy, depressed, the head hangs down, he sits down thoughtlessly. Great despair and hopelessness of life. Mental anxiety and pangs of conscience, as if he had done something sinful. Restlessness, much occupied. Persevering refusal to talk ; if he does he scolds, and the voice is weak and scarcely audible. Loquaciousness, he talks rapidly. Attacks of rage, with swearing, inclination to run away, tearing things. Delirium, religious or exalted. Imaginary diseases ; thinks herself pregnant, or that she will be delivered soon. Mental disorders, with lechery and obscene talk.

Head

Vertigo, with cold perspiration on the forehead. Coldness in and on the vertex, as if ice were lying on it, with icy-cold feet and nausea ; worse when rising from the bed ; better from external pressure, and when bending the head backwards. Sensation of soreness of the head, with nausea. Heaviness of the whole head. Headache, with stiffness of the neck and profuse micturition. Headache, with nausea and vomiting. Great sensitiveness of the hair. Cold perspiration of the forehead.

Eyes

Eyes fixed, watery, sunken, with loss of lustre. The eyeballs are turned upwards. Pressing in the eyes. Heat in the eyes. Lachrymation, with dryness in the eyes and of the lids. The eyes look yellow or blue. Blindness at night. Trembling of the upper eyelids. Paralysis of the eyelids.

Ears

Hardness of bearing ; as if the ears were stopped up.

Nose

Icy coldness of the nose. Smell before the nose as from manure, or from smoke. Painful sensation of dryness in the nose. Frequent sneezing.

Face

Face pale, bluish, cold, disfigured, death-like. Blue or green circles around the eyes. The face is red while lying in bed, but becomes pale as soon as he rises. Cold perspiration on the face, especially on the forehead. Spasms of muscles when masticating. Lock-jaw. Lips wrinkled, pale or black, and cracked. Grinding of the teeth.

Mouth and Throat

Toothache, with pain in the head and red, swollen face. Burning in the mouth and throat. Dryness and stickiness in the mouth. Salivation, with nausea and sharp, salty taste. Tongue red and swollen ; or dry, black and cracked ; or coated yellow ; or cold and withered. Stuttering ; speechlessness. Froth before the mouth. The throat feels constricted, as by a pressing swelling. Sensation of coldness or burning in the throat. Dryness in the throat, not relieved by drinking.

Stomach and Abdomen

Violent, unquenchable thirst, especially for cold water. Voracious appetite ; appetite hunger between the paroxysms of vomiting. Strong desire for acids and refreshing things. Aversion to warm food. Bitter taste in the mouth. Cool sensation in the mouth, as from peppermint. After the least food, vomiting and diarrhœa. Violent empty eructations ; sour or bitter eructations. Nausea, with sensation of fainting generally, with violent thirst. Violent vomiting with continuous nausea ; great prostration. Vomiting of food, of acid, bitter, foamy, white, or yellow-green mucus. Vomiting of black bile and blood. Vomiting, with diarrhœa and pressure in the pit of the stomach. While vomiting the abdomen is painfully contracted. Vomiting whenever he moves or drinks. Nausea with violent thirst, salivation and increased flow of urine. Great sensitiveness of the stomach and pit of the stomach. Burning in the pit of the stomach. Great sensitiveness of the abdomen to the touch. Cutting in the abdomen, as with knives. Burning in the abdomen, as from hot coals. Bloated, hard abdomen. Flatulent colic with loud rumbling in the abdomen. Inguinal hernia.

Stool and Anus

Constipation, as from inactivity of the rectum ; stool hard, of too large a size. Unsuccessful urging to stool. Watery, greenish diarrhœa, mixed with flakes. Blackish diarrhœa. Insensible discharge of thin stool (while passing flatulence). Fainting during stool. During stool, paleness of the face, cold sweat on the forehead, burning at the anus.

Urinary Organs

Suppressed urinary secretion. Continuous urging to urinate. Involuntary flow of urine. Dark-red urine, discharged frequently, but in small quantities. Green urine. Frequent micturition, with violent thirst and hunger, headache, nausea, colic, constipation and coryza.

Sexual Organs

Women. Menstruation too early and too profuse. Suppressed menstruation. On the appearance of the menstruation, diarrhœa, nausea and chilliness. Before the menstruation, headache, vertigo, bleeding of the nose and night-sweat. During the menstruation, morning headaches, nausea, ringing in the ears, thirst and pain in all the limbs. At the end of the menstruation, grinding of the teeth and bluish face. Suppressed lochia (and secretion of milk), with delirium. Nymphomania of lying-in women.

Respiratory Organs

Cold breath. Difficult respiration ; dyspnœa. Suffocative attacks, caused by a constriction in the larynx, or in the chest. Painful spasmodic constriction of the chest. Hoarseness. Dry cough, from tickling in lower bronchia. Deep, hollow cough, as from the abdomen, with cutting pain in the stomach ; expectoration yellow, tough, bitter or salt only during the day. Hooping-cough. Stitches in the sides of the chest, worse when coughing. Attacks of cough are worse in the morning, or in the evening till midnight ; when catering a warm room from the cold air ; in the warm room ; when getting warm in bed ; from eating and drinking, especially cold things (water) ; when the child cries ; in the spring (or fall). Violent, visible, anxious palpitation of the heart.

Back and Neck

Paralytic weakness of the muscles of the neck, they will not support the head. Back and small of the back feel sore and bruised. Tension, like cramp, below the shoulder-blades.

Extremities

Upper. Sensation of coldness and fulness, with heaviness in the arms. Tingling in the hands and fingers. The hands go to sleep and feel like dead. Icy coldness and blueness of the hands. Lower. Cramps in the calves. Painful heaviness in the knees and lower legs. Sudden swelling of the feet. Trembling of the feet, with coldness, as if of cold water running in them. Stitches in the (big) toes.

Generalities

Sudden sinking of strength. Continuous weakness and trembling. Numbness and tingling in the extremities. Paralytic pains in the limbs. Rheumatic pains, worse from the heat of the bed ; better after rising, and entirely disappearing on walking about. Attacks of fainting from the least exertion. Inflammation of inner organs, especially those of digestion. Shocks in the limbs, as from electric sparks. Spasms, with convulsive motions of the limbs. Violent tonic spasms ; the palms of the hands and soles of the feet are spasmodically drawn inward. Tetanic stiffness of the body. Sporadic and Asiatic cholera.

Sleep

Somnolency, with half consciousness (coma vigil). Long, uninterrupted, heavy sleep. Sleep with thirst and diuresis. Nightly anxiety and sleeplessness.

Fever

Pulse irregular, generally small, thread-like, weak, and slow ; often it cannot be felt at all. The blood runs like cold water through the veins. Chilliness and coldness, mostly externally, with internal heat and cold, clammy perspiration. Shaking chill with perspiration soon changing to general coldness. Chilliness and coldness predominate, and run from below upwards. Chill aggravated by drinking. Icy coldness of the whole body. Heat only internal, with thirst, but without desire to drink. Heat in the evening, with perspiration. Heat suddenly alternating with chilliness. Violent perspiration in the morning, in the evening, or all night, as well as during every stool. Cold, sour or putrid perspiration, sometimes coloring the linen yellow, always with deathly paleness of the face. Cold perspiration over the whole body, mostly on the forehead. Perspires easily during the day from slight exertion. Intermittent fever. External coldness, with dark urine and cold perspiration, desire for cold drinks, and chill with nausea ; afterwards heat with unquenchable thirst, delirium, redness of the face, constant slumber ; finally perspiration without thirst, and very pale countenance.

Skin

Color of the skin blue, purple color, and cold. The elasticity of the skin is lost, the folds remain in the state into which the skin has been pressed. Dry eruptions, like itch. Desquamation of indurated or thickened portions of the skin. Pyæmia.

Conditions

The attacks of pain cause for a short time delirium and mania. The pains in the limbs are aggravated by the heat of the bed, by wet-cold weather, and are relieved by rising and walking about. After fright, involuntary stools with icy coldness of the body. Aggravation; after drinking ; during perspiration ; after sleep ; before and during stool ; from wrapping oneself up warmly. Amelioration; from uncovering the head ; after perspiration.

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

Veratrum album. White-flowered Veratrum. White Hellebore. N. O. Melanthaceæ (of the Liliaceæ). Tincture of the root-stocks collected (in the Alps and Pyrenees) early in June before flowering.

Clinical

Amenorrhœa. Anæmia. Anasarca. Angina pectoris. Apoplexy. Asthma. Bronchitis. Cholera asiatica. Cholerine. Colic . Collapse. Constipation . Coprophagia. Cramps. Debility . Diaphragm, affections of. Diarrhœa . Dysmenorrhœa. Emphysema. Epilepsy. Fainting. Gastric catarrh. General paralysis. Headache; sick; nervous. Hernia. Hydrocephaloid. Hysteria. Influenza. Intermittent fever . Intussusception. Labour, constipation after . Lips, cracked. Liver, hyperæmia of. Lock-jaw. Lungs, œdema of. Mania . Measles. Mendacity. Melancholia . Meningitis. Menstruation, nausea before; diarrhœa before . Neuralgia, palpebralis. Nyctalopia. Œsophagus, stricture of. Peritonitis. Pernicious fevers. Plica polonica. Pneumonia. Pregnancy, imaginary. Ptosis. Pyæmia. Rheumatism. Salivation. Scarlatina. Sleep, whining in . Spleen, swollen. Sternum. Throat . Toothache. Typhoid fever. Vertigo. Water-brash . Whooping-cough. Yellow fever.

Characteristics

In his Helleborism of the Ancients , Hahnemann showed that Verat. alb . was the principal agent used at Anticyra and other places in Greece to produce the evacuations which were regarded as an essential of the "cure." Spring was deemed the most favourable season and autumn the next. Among the diseases in which the treatment was employed were "mental derangements, epilepsy, spasms of the facial muscles, hydrophobia, ptyalism of the pancreas, diseases of the spleens, goître, hidden cancer," &c. (Hahnemann quoted by Teste). Hahnemann says ( M. M. P .) that doubtless many patients were cured, but not a few succumbed to the enormous doses given. These doses he showed were quite unnecessary, when the symptoms of the proving are taken as guides. The "evacuant" use of Ver . gives one of the keynotes for its homœopathic use ─ its discharges are copious ; copious stools, copious vomiting, copious urine, copious salivation, and copious sweat. The discharges drain the tissues like cholera, in which disease its pathogenetic effects render it one of the first remedies, ranking with Camp . and Cupr . in Hahnemann's trio. The discharges exhaust the vitality as well as the tissues and cause vertigo; blackness before the sight, fainting, collapse: "Rapid sinking of forces; complete prostration; cold sweat and cold breath." "Skin blue, purple, cold, wrinkled; remaining in folds when pinched." "Face hippocratic, nose pointed." "Hands icy cold." "Face and legs icy cold." This coldness is another of the keynotes of Ver . It is one aspect of the fever-producing power of the drug: "Coldness of the whole body." "Coldness running over whole body soon after taking it." "Feeling of internal chill ran through him from head to toes of both feet at once." "Continued rigor in back and over arms." Very characteristic are: Cold feeling in abdomen;" "coldness as of a piece of ice on vertex;" "cold nose;" "face cold and collapsed;" "cold tongue;" and most characteristic of all, "cold sweat on forehead." Along with the coldness is blueness of face and extremities. Ver . is like cholera in that coldness predominates in its fever, but it has also "heat and redness of face and hands." With the fever there is apt to be delirium and prolonged sleep. The delirium may develop great intensity and violence: "Fury: tears his clothing; bites her shoes to pieces and swallows the fragments; cursing; stamping; wants to run away; makes a great noise." These and kindred symptoms seem to indicate Ver . in acute affections attended with delirium; and also in cases of mental alienation, which was prominent among the affections treated with the drug by the ancients. Hahnemann says of Ver . that it has the power "to promote a cure of almost one-third of the insane in lunatic asylums (at all events as a homœopathic intermediate remedy)." One of the symptoms taken by Hahnemann from Grading is this: "He swallows his own excrement," which Goullon has verified ( Z. Berl. V. H. A ., xix. 156): a child had a craze for eating its own fæces, or dung lying in the street. Ver . 2., thrice daily, cured in a month. The mania of Ver . may be of the exalted kind, religious or sexual. Imagines she is pregnant and will soon be delivered; nymphomania; puerperal mania; mania for kissing everybody have been cured by Ver . Generally there will be collateral Ver . symptoms to confirm the choice: coldness, blueness, collapse, fainting, vomiting, or diarrhœa. Ver . is a great fainting remedy. There is fainting from emotions, from the least exertion, from retching, from stool. Sinking feeling during hæmorrhage. The gastric conditions are characterised by extreme hunger; craving for cold food and refreshing things; thirst for ice-cold water. This last is very characteristic, and appears in the chill and heat of fever. The copiousness of the stools distinguishes Ver . from Camph . The evacuations are apt to be green , vomit, stool, urine. The characteristic diarrhœa of Ver . is: frequent, greenish, gushing; mixed with flakes; cutting colic, with cramps commencing in hands and feet and spreading all over; prostrating, after fright; < least movement; with vomiting, cold sweat on forehead during stool and prostration after. "Violent vomiting with profuse diarrhœa "is a keynote of Ver . The constipation of Ver . is no less characteristic: no desire; stools large, hard; in round black balls; from inactive rectum; frequent desire felt in epigastrium; painful of infants and children; of women after confinement. Ver . is a great pain producer, and the pains of its neuralgias (dysmenorrhœa, migraine) are often accompanied by diarrhœa, vomiting, cold sweat, fainting, or prostration. This case was reported in P. C. J. H . (vii. 150): Prosopalgia, right-sided, kept an anæmic woman awake and in misery for several days and nights from the crushing paroxysmal pain, causing sweating and prostration. Ver . cured at once. E. F. Watts ( A. H ., xxi., 317) had this case: Mrs. C. had severe nervous headaches for years. Any over-exertion, as riding or working on hot days, would excite them. They frequently began in occiput, settling sometimes in one eye sometimes in the other. Spi . and Sil . gave no relief. One day Watts noticed that the brow contracted and eyelids nearly closed with the intensity of the pain. Ver . was now given and relieved at once. Gee ( M. A ., xxv. 22) cured this case with one dose of Ver . 200: Mrs. L., widow, 43, had sciatica four years. Pain sharp, transient, darting upwards and downwards and from both sides to centre. Heat < ; "the cooler the better." Cold sweat with the attacks. Headache from both temples to base of brain < by heat. Vertex itches during attacks. Pain compels her to move about, but no > from motion. The cramps of Ver . are part of its general convulsant properties. The convulsions of Ver . may be tetanic, with lockjaw, or epileptic. The eyes are particularly convulsed or the lids paralysed. There may be vanishing of sight or sparks before the sight or night-blindness. Dryness and burning are leading sensations as in other parts. Dryness is felt in nose, mouth, palate, throat. Ver . has a sharp action on the respiratory organs and has cured many cases of pneumonia when the mental and other symptoms of Ver . have been present. A leading local symptom is tickling : Tickling deep in trachea and bronchi. "Tickling in chest, as if it would provoke cough, in middle of sternum." This symptom helped me to the remedy in the following case: Mrs. W. 30, had much pain inside throat. Painful ulcer in mouth. Throat sore and inclined to be ulcerated. Tickling all over inside of chest and throat ; outside tender. No pain on swallowing. Has had cold and cough some time, cough hurts chest. Stan . had no effect. Ver . 1m thrice daily gradually removed all symptoms. Ver . meets cardiac debility, following acute diseases; pulse thread-like; faints in morning; face red when lying down or sitting up, deadly pale; hands cold, clammy. Ver . is Suited to ( 1 ) the extremes of life ─ children and old people; ( 2 ) lean, choleric, or melancholy persons; ( 3 ) young people and women of a sanguine or nervo-sanguine temperament (of mountaineers. ─ Teste); ( 4 ) people who are habitually cold and deficient in vital reaction; ( 5 ) persons of gay disposition; ( 6 ) of fitful mood; ( 7 ) anæmic persons. Peculiar Sensations are: As if pregnant or in throes of child-birth. As if he had a bad conscience, or had committed a crime. As if in a dream. As if things whirled in a circle. As if a lump of ice on vertex. Burning in brain. As if head would burst. As if heat and cold at same time on scalp. Hair as if electrified. Eyelids as if rubbed sore. As if inner surface of lids too dry. As if hundreds of fine needle-points were thrust into eyelids. As if ears were stopped. As if alternate current of cold and warm air coming out of ear. As if nose dry. As if teeth were filled with lead. As if tongue too heavy. As of dust in throat. As if mouth lined with mucus. As if something alive running from stomach into throat. As from ravenous hunger, pain in stomach. Radiating pain from abdomen. Distress over heart and epigastrium. Sinking, empty feeling in abdomen. As of knives cutting bowels. As of hot coals in abdomen. Pinching as with pincers in abdomen. As if intestines twisted into a knot. As if cold water running through veins. Arms as if bruised or broken. As if bones of l. forearm were pressed. As if arms too full and swollen, feel cold when raising them. As if hands had been asleep. As if a heavy stone were tied to feet and knees. Limbs pain as if exhausted by excessive fatigue. As if she would have to fly away. Electric pains occur in various parts. The symptoms are: < By touch; pressure-shock of injury. Slight wounds = fainting. Rest > palpitation. Horizontal position > vomiting, cough, and general condition. Stooping < headache; = rush of blood to head. Motion < . Throwing back head > asthma. Walking > jerks in limbs; neuralgia of arms and legs; pain in feet and knees. Least exertion = fainting; cough; sweat. < Night; and morning on waking. Warmth < . Hot water < . Drinking < . Cold food and drink < cough. Drinking cold water on a hot day = diarrhœa. < Damp weather. < Change of weather. (Rheumatism < in wet weather which drives patient out of bed. ─ Nash.) < Sharp, cool air = dry tickling cough. < Before and during menses; before and during stool; after stool; during sweat. < from fright.

Relations

Antidoted by: (Poisonous doses) Strong Coffee; Camph. (pressive pain in head with coldness of body and unconsciousness after. ─ Hahn.); Acon. (anxious, distracted state with coldness of body or burning in brain. ─ Hahn.); Chi. (other chronic affections from abuse of Ver. ─ e.g ., daily forenoon fever. ─ Hahn.); Staph. (most cases. ─ Teste). Antidote to: Ars., Chi., Cup. (colic), Op., Tab.; removes the bad effects of Opium and Tobacco. Follows well: Ars., Arn., Chi., Cup., Ip.; Camph. (Cholera); Am. c., Carb. v., Bov. (in dysmenorrhœa with vomiting and purging). Lyc. and Nux in painful constipation of infants. Followed well by: Puls., Aco., Bell., Cham., Rhus, Sep., Sul. Compare: Electric sensations; tickling, prickly sensations, Veratrin. Cold sweat on forehead (Tab. over entire body). Mania with desire to cut clothes, Trn. Lascivious talk, amorous or religious, Hyo., Stram. Fainting from least exertion, Carb. v., Sul. Sinking during hæmorrhages (Trill., fainting). Sensation of lumps of ice on vertex with chilliness, Sep. Facies hippocratica, Aco. Craves acids or refreshing things, Ph. ac. Cold feeling in abdomen, Colch., Tab, Vomiting < by drinking. Ars. Vomiting < by least motion, Tab. Cholera after fright, Aco. Prostration after vomiting, Ars., Tab. Large hard stools, Sul., Bry. Round black balls, Chel., Op., Pb. Frequent desire for stool felt in epigastrium, Ign. (Nux, in rectum). Weakness at menses, Alm., Carb. an., Coccul. Collapse, cholera, coldness, < by heat, Camph. (Camph. has scanty, Ver. copious stools). Rheumatism < in wet weather, which drives patient out of bed, Cham. Delirium, Bell., Stram. (these have not the cold surface and cold sweat of Ver.). Fright = Diarrhœa, Gels. Cholera, jat. c. (vomits ropy, albuminous matter with purging); Pod. (painless); Ir. v. (better for summer complaints; excoriated, raw feeling at anus); Crot. t. (single gush; every attempt to eat or drink = stool); Elat. (olive-green stools). Suppressed scarlatina, Zn. (Ver. has succeeded when Zn. has failed to = reaction). Emaciation about neck, Nat. m. (Ver. especially in whooping-cough). Weak from talking, Stan., Coccul., Sul., Calc. Collapse, diarrhœa, vomiting, Ant. t. (Ant. t., more drowsiness; Ver., more cold sweat). Neck muscles too weak to hold head up, Ant. t. Craves cold drinks, Ars. (Ver. is between Ars. and Nux. ─ Teste.) Purging and collapse, Hell. (Hell., apathetic). Pressure in vertex with pain in stomach > pressure < motion, Puls. Abdominal pains, Coloc. (Ver. must walk about). Pain = fainting, Cham., Hep., Val. Convulsion after sudden emotions, Ign. Convulsions with spasm of glottis, Nux (Ver. secondary to exhausting diseases). Intermittent fever, Lach. Cough followed by belching, Amb., Sul. ac. Alarmed about soul's salvation, Sul. Windy colic and spasms of women, Castor. (with yawning), Diosc. ( > moving about). Desire to ramble hither and thither, Bell. As if in a dream, Amb., Anac., Calc., Can. i., Con., Cup., Med., Rhe., Val., Ziz. Umbilical hernia with absence of urging, Bry., Nat. m.; (with urging, Nux, Coccul.). Faintness connected with evacuations, Ap., Nux m., Pul., Spi. (with scanty stools, Crot. t., Dulc., Ox. ac., Pet., Sars., Sul.). > Uncovering, Aco., Calc., Camph., Fer., Iod., Lyc., Pul., Sec., Sul. Griping, cutting, tearing, and spasmodic pains in body, Col., Dulc. Laughing and weeping by turns, Aur., Pal., Lyc., Stram., Alm., Pho., Sep., Sul. Loquacity, Cup., Hyo., Lach., Op., Stram. Gossiping, babbling, Hyo. (Ver. on religious subjects). Kisses everybody, Agar. Averse to hot food, Pho. Cold drink < cough ( > Caust.). Night-blindness, Nux, Bell. Smell of manure or smoke before nose, Anac. "Evacuant" action, Lobel.

Causation

Fright. Shock of injury. Disappointed love. Injured pride or honour. Suppressed exanthema. Opium. Tobacco. Alcohol.

Mind

Affections of the mind in general; tired of life, but fear to die; amativeness; haughtiness; delirium; madness; sensitiveness; memory weak, or entirely lost (H. N. G.). ─ Melancholy dejection, sadness, and inclination to weep. ─ Inconsolable affliction, with howlings and cries on account of imaginary misfortunes. ─ Melancholy, head hangs down, sits brooding in silence. ─ Excessive anguish and inquietude, with apprehension and troubled conscience, esp. at night, or in morning, often also when getting out of bed, or rising from a seat. ─ Strong tendency to be frightened, and timidity. ─ Deadly anguish. ─ Discouragement and despair (hopelessness of life). ─ Busy restlessness, constant motion, with great inclination for labour. ─ Disposition to be angry at the least thing, often followed by anxiety, and palpitation of the heart. ─ Woman, 66, after paralytic seizure became maniacal, extremely angry, constantly accusing her nurses, pupils contracted, continual excitement, often incoherent: a dose of Ver. a . increased these symptoms, and then a single dose of Ver. v . Ø calmed all down (R. T. C.). ─ Loquaciousness, he talks rapidly. ─ Swearing, inclination to run away, tearing things. ─ Is conscious only as in a dream. ─ Cannot bear to be left alone; yet persistently refuses to talk. ─ Strong disposition to silence, with abusive language on the slightest provocation; if he talks he scolds, and the voice is weak and scarcely audible. ─ Disposition to converse about the faults of others. ─ (He hunts up other people's weak sides and reproaches them.). ─ She is continually accusing and scolding her husband when dying of phthisis. ─ Never speaks the truth; does not know herself what she is saying. ─ Erroneous and haughty notions. ─ Thinks himself distinguished; squanders his money, proud of his position. ─ Imagines he is a hunter. ─ Immoderate gaiety and loquacity. ─ Fury, with impulse to bite, to tear everything, and to run away. ─ Loss of memory. ─ Absence of ideas. ─ Loss of sense. ─ Insanity, he wants to cut up everything. ─ Unusually joyous mood. ─ Mild delirium, with trembling excitement. ─ Mental alienation and insanity, with singing, whistling, laughing, inclination to run from place to place, extravagant and haughty ideas and actions, or else a disposition to ascribe to one's self diseases which are altogether imaginary (thinks herself pregnant, or that she will be delivered soon). ─ Persistent raging with great heat of body. ─ Swallowing his own excrement. ─ Paroxysms of amorous or religious alienation. ─ Mental disorders, with lechery and obscene talk. ─ Kisses everybody; before menses. ─ Puerperal mania and convulsions. ─ Nymphomania with violence and destructiveness. ─ Violent delirium (religious or exalted). ─ Suicidal tendency from religious despair.

Head

Confusion in head, as if all within it were in motion, esp. in morning. ─ Dulness of all the senses. ─ Whirling vertigo. ─ Intoxication and dizziness. ─ Vertigo, esp. when walking. ─ Vertigo: with cold sweats on forehead; with loss of vision; sudden fainting; from opium eating; from abuse of tobacco and alcohol. ─ Fainting from least exertion, turning in bed, straining at stool, retching, slight wounds, pains; loss of fluids; anxiety, nausea, convulsive, twitchings. ─ Fainting with lockjaw, convulsion of eyes. ─ Fits of headache, with paleness of face, nausea, and vomiting (of green mucus). ─ Headache with painful stiffness of nape of neck. ─ Headache with (profuse) flow of urine. ─ Sick-headache in which diuresis forms a crisis. ─ Headache, by paroxysms, as if the brain were bruised or torn (with pressure). ─ Heaviness of the whole head. ─ Pressive headache, often in vertex, or else semilateral, with pain in stomach. ─ Violent headache which disappears on appearance of menses. ─ During menses (which had not occurred for six weeks) headache, esp. in morning, with qualmishness; > evening. ─ Headache, with nausea and vomiting. ─ Neuralgia of head with indigestion, features sunken. ─ Constrictive pain in head (and gullet). ─ Incisive pain in vertex. ─ Shaking in head, with jerking in arms and paleness of the fingers. ─ Blood rushes violently to head when stooping. ─ Hyperæmia of brain from whooping-cough. ─ Pulsative headache. ─ Burning pain in brain. ─ Sensation of a cold wind blowing through head. ─ Headache as if brain were broken. ─ Sensation of coldness and heat in the exterior of head, with painful sensibility of the hair. ─ Crawling, bristling sensation (r. side of head) as if the hair were electrified; with slight shivering of skin under hair. ─ Plica polonica. ─ Coldness at vertex as if there were ice upon it (with icy-cold feet and nausea; < when rising from the bed; > from external pressure, and when bending head backward). ─ Sensation of warmth and coldness on head at same time. ─ Head burning hot; limbs alternately hot and cold. ─ Head hot and covered with sweat; children rub head, cannot bear to be left alone; put hands to head (typhoid). ─ Scalp very sensitive, with headache. ─ Cold sweat on forehead. ─ Sensation of soreness of the head, with nausea. ─ Neck too weak to hold head up.

Eyes

Pain in the eyes, as if the eyeballs were bruised. ─ The eyeballs are turned upwards. ─ Painful tearing or compression in eyes. ─ Permanent burning in eyes. ─ Redness of eyes. ─ Painful inflammation in eyes, esp. r., and sometimes with violent headache, and nocturnal sleeplessness. ─ Eyes dull, clouded, yellowish. ─ Blueness of eyes. ─ Eyes surrounded by blue or black rings. ─ Eyes fixed, watery (sunken, with loss of lustre), and as if they were covered with albumen. ─ Excessive dryness of eyelids. ─ Profuse lachrymation, often with burning, incisive pains, and sensation of dryness in eyes (and lids, with redness). ─ Agglutination of the eyelids during sleep. ─ Trembling of upper eyelids. ─ Neuralgia palpebralis. ─ Paralysis of eyelids. ─ Eyes convulsed and prominent. ─ Pupils strongly contracted; or perceptibly dilated. ─ Loss of sight. ─ Diplopia. ─ Nocturnal blindness. ─ Sparks and black spots before eyes, esp. when rising from a seat, or getting out of bed.

Ears

Shootings in ears. ─ Pressure and constrictive sensations in ears. ─ Alternate sensation of coldness and heat in ears; as if an alternate current of cold and warm air were coming out of the ear. ─ Deafness, as from obstruction in ears. ─ Sensation as if a membrane were stretched over ear. ─ Humming, with sensitiveness to noise. ─ Roaring in ears, esp. when rising from a seat.

Nose

Nose grows more pointed; seems longer. ─ Icy coldness of nose. ─ Inflammation and pain, as from ulceration, in interior of nose. ─ Contractive or depressing pain in nasal bone. ─ Nose-bleed. at night; during sleep; from one nostril only; before menses. ─ Smell of manure, or smoke, before nose. ─ Distressing sensation of dryness in nose. ─ Violent and frequent sneezing. ─ Coryza.

Face

Face pale, cold, hippocratic, wan, with the nose pointed, and a blue (or green) circle round eyes. ─ Bluish colour of face. ─ Yellowish colour of face. ─ Redness of one cheek, the other is pale. ─ Alternate redness and paleness of face. ─ Redness of face when lying down, paleness when getting up. ─ Burning heat, deep redness, and perspiration on face. ─ Cold perspiration on face (esp. on forehead). ─ (Periodical neuralgia of face and head, with coldness of hands and tendency to faint. ─ R. T. C.). ─ Drawing and tensive pains in face, on one side only, and extending to, ear. ─ Jerkings and pinchings in muscles of face (when masticating). Lockjaw. ─ Risus sardonicus. ─ Pustules in face, with pain, as from excoriation, when touched. ─ Acne. ─ Miliary eruption on cheeks. ─ Bloatedness of face. ─ Lips: bluish or hanging down; dry, black, parched; wrinkled, pale or black and cracked. ─ Froth from mouth. ─ Eruption on the commissures of the lips. ─ Acne round the mouth and chin. ─ Cramp in the jaw. ─ Pain and swelling of the submaxillary glands.

Teeth

Toothache with headache, and red, bloated face. ─ Toothache (sometimes pulsative), with swelled face, cold perspiration on forehead, nausea, and vomiting, painful weariness, and coldness of whole body, prostration of strength, even to fainting, internal heat, and insatiable thirst. ─ Aching, and sensation of extreme heaviness in teeth, with drawing pain during the mastication even of soft food. ─ Grinding of teeth. ─ Looseness of teeth.

Mouth

Mouth dry and clammy. ─ Burning in mouth and throat. ─ Salivation, with nausea, or with acrid or salt taste. ─ Much flow of saliva from the mouth like water-brash. ─ Froth before mouth. ─ Sensation of coldness, or burning in mouth and on tongue. ─ Inflammation of interior of mouth. ─ Tongue, dry, blackish, cracked, or red and swollen. ─ Tongue loaded with a yellow coating; or cold and withered. ─ Biting taste as from peppermint in the mouth. ─ Stammering. ─ Loss of speech. ─ Sensation of torpor, and great dryness in palate (with thirst).

Throat

Sore throat, with constrictive pain of contraction (as by a pressing swelling) esp. during deglutition. ─ Contraction of gullet, as from a pressive swelling. ─ Swelling of the gullet, with danger of suffocation. ─ Sensation of coldness, or burning in back of mouth and gullet. ─ Dryness in throat, which cannot be mitigated by any drink. ─ Roughness, dryness, and scraping in throat. ─ Exophthalmic goître (Kirsch).

Appetite

Insipidity of the saliva in the mouth. ─ Bitter, bilious taste in mouth. ─ Water tastes bitter. ─ Putrid taste in mouth, like manure, also herbaceous taste. ─ Cooling, or sharp taste in mouth and throat, as from peppermint. ─ Insatiable thirst, with craving, principally for cold drinks. ─ Craves ice. ─ Appetite and craving for food, also in intervals between vomiting and evacuation. ─ Raging and voracious hunger. ─ Hunger and thirst with profuse flow of urine. ─ Bulimy. ─ Ardent and continued desire for acid or cool things (fruits). ─ Craves: fruits; gherkins; citric acid; salted things; herrings; sardines. ─ Aversion to hot food. ─ After eating, however little may be taken, immediate vomiting and diarrhœa. ─ Nausea, with hunger, and pressure at the stomach, when eating. ─ After a meal hiccough, inclination to vomit, and regurgitation of bitter serum (of bile; of bitter substances; greenish). ─ > From eating meat and drinking milk. ─ < From potatoes and green vegetables.

Stomach

Risings with taste of food. ─ Violent empty risings, also after a meal. ─ Bitter or sour risings. ─ Frequent and violent hiccough. ─ Qualmishness and salivation with closure of the jaws. ─ Violent nausea, which frequently almost induces syncope, and generally with excessive thirst (and increased flow of urine). ─ Frequent or continued nausea, also in morning. ─ Extreme nausea causing one to retch and strain with great violence, sometimes with vomiting, sometimes not. ─ Great nausea before vomiting. ─ Waterbrash. ─ Violent vomiting, with continued nausea, great exhaustion, and want to lie down, preceded by coldness of hands, with shuddering over whole body, accompanied by general heat, and followed by ebullition of blood and heat in hands. ─ Vomiting of food. ─ Bitter, or sour vomiting. ─ Vomiting of froth and of yellowish green or white mucus; with cold sweat. ─ Green vomit. ─ Vomiting of green mucus. ─ Vomiting of mucus at night. ─ Vomiting of black bile and of blood. ─ Continued vomiting, with diarrhœa, and pressure in the scrobiculus. ─ The least drop of liquid, and the slightest movement, excite vomiting. ─ Painful contraction of abdomen, when vomiting. ─ Pain in stomach, with hunger and burning thirst. ─ Excessive sensibility in region of stomach and scrobiculus. ─ Pyloric end of stomach affected (Bayes). ─ Pains come some minutes after eating. ─ (Severe gastralgia an hour or two after meals, a pain extends from middle of sternum to below ribs, must hold stomach from the violence of the pain, but the pressure does not > , the pain then extends to above hip, is accompanied by distressing vomiting, brings up a quantity of stuff like vinegar; the pain = thirst, and lasts eight to ten hours; she trembles with it. ─ R. T. C.). ─ Excessive anguish in pit of stomach. ─ Intermittent neuralgia in girl, 11, about 4 p.m. throws up quantity of wind, about 5 p.m. agonising pain sets in like knives cutting the bowels every few minutes, lasting one or two minutes; so intense that it took three or four men to hold her; attacks end by sighing (Kitching). ─ Painful distension of pit of stomach. ─ Emptiness and uneasiness in stomach. ─ Cramp in stomach. ─ Pressure in scrobiculus, extending sometimes into sternum, hypochondria, and hypogastrium, esp. after a meal. ─ Acute pains in stomach and epigastrium. ─ Burning sensation in pit of stomach. ─ Inflammation of stomach.

Abdomen

Tensive pain in hypochondria as from flatulence. ─ Shaking in spleen, while walking, after a meal. ─ Spleen swollen. ─ Hyperæmia of liver with cholera-like symptoms, or with asthma. ─ Diaphragmatis with peritonitis, vomiting, and coldness. ─ Colic in umbilical region. ─ Excessively painful sensibility of the abdomen when touched. ─ Nocturnal pains in abdomen, with sleeplessness. ─ Swelling of the abdomen. ─ While vomiting abdomen is painfully contracted. ─ Abdomen hard and inflated. ─ Tension in the hypochondria and umbilical region. ─ Cramps in abdomen, and colic. ─ Colic: cutting; griping and twisting, esp. about navel, > after stool; as if intestines were twisted in a knot; flatulent; cold sweat; < after eating. ─ Pressive, drawing pains in abdomen, when walking, in evening. ─ Cuttings (in abdomen) as by knives, accompanied by diarrhœa, and thirst, with flow of urine. ─ Burning sensation throughout abdomen, as from hot coals. ─ Cold feeling in abdomen. ─ Pain in entrails, as if they were bruised. ─ Inflammation of intestines. ─ Inguinal hernia. ─ Incarcerated hernia. ─ Protrusion of hernia during cough. ─ Flatulent colic, with noisy, gurgling borborygmi in abdomen. ─ The longer the flatus is retained, the greater the difficulty with which it is expelled. ─ Violent expulsion of flatus upwards and downwards.

Stool and Anus

Constipation, sometimes obstinate, mostly from inactivity of rectum, and often accompanied by heat and headache. ─ Fæces hard, and of too large a size. ─ Unsuccessful urging to stool. ─ Constipation of nursing infants. ─ Violent and painful diarrhœa, often with tension of abdomen, preceded and followed by gripings. ─ Watery diarrhœa, < from motion; desire for very cold drinks. ─ Complaints before stool, during, and after. ─ Copious evacuations. ─ Rice-water stools with tonic cramps. ─ Simultaneous purging and vomiting. ─ Cholera, cramp, cold tongue and breath, feeble, hoarse voice, wrinkled fingers, retention of urine. ─ Sudden vomiting and purging. ─ Diarrhœa of acrid matter, with burning sensation in anus. ─ Nocturnal diarrhœa. ─ Loose blackish, greenish, brownish, evacuations. ─ Flaky, green stools, like spinach. ─ Loose, sanguineous evacuations. ─ Sudden involuntary evacuation of liquid fæces; when expelling flatus. ─ Diarrhœa of phthisis. ─ During the evacuation, great lassitude, shivering, with shuddering, paleness of face, cold perspiration on forehead, and anxiety, with fear of apoplexy. ─ Fainting during stool. ─ Burning sensation in anus, during evacuation. ─ Pain, as from excoriation in anus. ─ Pressure towards anus, with blind hæmorrhoids. ─ Verminous symptoms.

Urinary Organs

Retention of urine. ─ Want to urinate, while bladder is empty, with pain as if urethra were constricted behind the glans. ─ Urine diminished, yellow and turbid even during emission. ─ Flow of urine, with raging hunger and thirst, headache, nausea, colic, hard fæces, and coryza. ─ Involuntary emission of urine; during cough, in typhoid. ─ Acrid urine. ─ Deep-coloured or greenish urine. ─ Dark red urine, discharged frequently, but in small quantities. ─ Pressive pain in the bladder, and burning sensation when urinating.

Male Sexual Organs

Excessive sensibility of the genital organs. ─ Excoriation of prepuce. ─ Drawings in testes.

Female Sexual Organs

Catamenia premature and profuse. ─ Catamenia suppressed. ─ Before catamenia: headache, vertigo, epistaxis, and nocturnal perspiration. ─ At commencement of catamenia: diarrhœa, nausea, and shivering. ─ During catamenia: headache in morning, with nausea, humming in ears, burning thirst, and pains in all limbs. ─ Towards end of catamenia: grinding of teeth, and bluish colour of face. ─ Nymphomania: before menses: from unsatisfied passion or mental causes; from disappointed love; puerperal mania; during confinement. ─ Metritis. ─ Menorrhagia. ─ Dysmenorrhœa: with prolapse; nausea, vomiting, diarrhœa, exhaustion; cold sweat; chilliness; pain in kidneys and uterus before and during menses. ─ Amenorrhœa. ─ Strangulated, prolapsed vagina, with cold sweat, exhausting vomit and diarrhœa. ─ Suppressed catamenia, lochia, and secretion of milk, with delirium. ─ Sexual desire too strong, particularly in childbed; < at night; nymphomania (of lying-in women); complaints during menstruation, as, e.g ., vomiting and diarrhœa, which may occur at these times. ─ Threatened abortion, with cold sweat, nausea, and vomiting. ─ During pregnancy wants to wander about the house; taciturn; haughty; thirsty; hard fæces, inactive rectum. ─ Vomiting of pregnancy. ─ Labour pains exhaust. ─ Suppression of lochia or milk with nymphomania. ─ Puerperal mania, wants to kiss everybody. ─ In childbed: impudent behaviour; nymphomania; exhaustion. ─ Eclampsia. ─ Painfulness of breasts.

Respiratory Organs

Respiration oppressed; voice hollow; weak. ─ Chest loaded with mucus, with roughness and scraping in the throat. ─ Spasmodic contraction of glottis with dilated pupils. ─ Suffocative constriction in larynx. ─ Tickling very low down in trachea, provoking cough without expectoration. ─ Cough, excited by a tickling, deeply seated in the bronchia, with easy expectoration, or else dryness. ─ Cough, irritation referred to lowest part of sternum; pressure at stomach-pit, or over abdomen = cough immediately (Bayes). ─ Dry, tickling cough, after walking in sharp, cold air. ─ Cough provoked by drinking, esp. cold water. ─ Violent cough, with continued risings, as if about to vomit. ─ Cough in the evening, with salivation. ─ Dry, burning cough, generally in evening and morning. ─ Cough, with pain in side, weakness and obstructed respiration. ─ Hollow, deep cough, always in three or four shocks, as if proceeding from abdomen, with incisive pains in abdomen. ─ Lancinations towards inguinal ring, when coughing. ─ Cough, like whooping-cough, with vomiting. ─ Cough, with yellowish expectoration, on entering a warm room, followed by pain, as from a bruise in chest. ─ Cough, with copious expectoration.

Chest

Obstructed respiration, often to the verge of suffocation, generally produced by a spasmodic constriction of throat and chest. ─ Shortness of breath on least movement. ─ Dyspnœa and impeded respiration, also when seated. ─ Chest very much oppressed, with pain in side, during an inspiration. ─ Pressure at chest, esp. in region of sternum, and principally after eating or drinking. ─ Sensation of fulness in chest, which induces frequent eructations. ─ Squeezing in chest, esp. after drinking. ─ Cramp in chest, with painful constriction. ─ Spasmodic contraction of muscles of chest. ─ Incisive pain in chest. ─ Tickling in chest, as if it would provoke cough, in middle of sternum. ─ Shootings, by paroxysms, in chest, with obstructed respiration. ─ Slow, sharp stitches near nipples, which at last itch.

Heart

Violent palpitation of heart, which pushes out the ribs, with choking, and severe fits of anxietas præcordium. ─ Pulse slow, almost lost. ─ Great activity of arterial system. ─ Angina pectoris. ─ The blood runs like cold water through the veins.

Neck and Back

Rheumatic stiffness in nape, extending to sacrum; with vertigo, moving. ─ Paralytic weakness of the muscles of neck (esp. in whooping-cough) which become incapable of supporting head. ─ Muscles of nape paralysed. ─ Pain (back and small of back feel sore and bruised) as of a fracture in loins and back, with drawing pressure, esp. when stooping and rising. ─ Squeezing (tension like cramp) between shoulder-blades. ─ Pain in scapulæ, extending over whole back, with diuresis, thirst, and constipation.

Limbs

Painful paralytic weakness in all limbs. ─ Numbness, tingling, or falling asleep of the limbs. ─ Stiffness of limbs, < morning and after a walk. ─ Trembling of limbs. ─ Shooting in limbs as from electric sparks. ─ Pain as from fatigue. ─ Nails blue from coldness. ─ Pains in limbs resembling a bruise, < during wet, cold weather; < in warmth of bed; > walking up and down. ─ Icy coldness of limbs; of hands and feet.

Upper Limbs

Paralytic pain, as of a fracture in arms, from shoulder-joint to wrist. ─ Jerking in arms. ─ Coldness or sensation of fulness (heaviness) and of swelling in arms. ─ Constant sensation of numbness in arms. ─ Pain in middle of l. forearm as if bones were pressed together. ─ Trembling of arms, on grasping an object. ─ Shocks in elbow, as from electricity. ─ Dry tetters on hands. ─ Tingling in hands and fingers. ─ The hands go to sleep and feel like dead. ─ Numbness and paleness of fingers. ─ Icy coldness and blueness of hands. ─ Drawings and cramps in fingers. ─ Nails blue.

Lower Limbs

Paralysis in hip-joint (first r. then l.), with difficulty in walking. ─ Paralytic pain, as of a fracture in legs. ─ Arthritic tearing and drawing in legs and feet. ─ Constant sensation of numbness in legs. ─ Tension in tendons of ham, as if they were too short. ─ Pain, as of a fracture in knees, when going downstairs (or when stepping). ─ Shocks in knee, as from electricity. ─ Extreme and painful heaviness in knees, legs, and feet, with difficulty in walking. ─ Violent cramps in calves and feet. ─ Rapid swelling of feet. ─ Icy coldness of feet. ─ Trembling of feet, with coldness, as if cold water were circulating in the part. ─ Shootings (stitches) in (great) toes. ─ Stinging, in toes when standing. ─ Painful gout in feet. ─ Lancinations, and pain as from excoriation, in the corns of the feet.

Generalities

[We may think of this remedy where there is a marked debility or exhaustion from functional or physical disturbance, as e.g ., in whooping-cough, patient will cough until completely exhausted, and then have a cold perspiration on the forehead; or there may be a great exhaustion obliging one to lie down after the passage of a stool, even though it be soft, with cold sweat on the forehead. ─ Affections in general of the sexual organs, principally on r. side; on crown of head, esp. for sensations felt there; appearing in the rear of the navel; small of the back. ─ Countenance is almost always changed presenting an unnatural appearance. ─ Dry mouth. ─ Inguinal hernia. ─ Flatus in general; flatulent colic. ─ Urine very dark; blackness of outer parts, staggering when walking, from debility; drowsiness; dry exanthema. ─ < After drinking; before and during menstruation; before and during stool (feeling very weak and turn pale during stool); often after stool; during perspiration. ─ H. N. G.]. ─ Paroxysms of pain, which always occasion, for a short time, delirium and dementia. ─ Drawing pain in limbs, esp. during a long walk. ─ Pressive pain, as of a fracture, in limbs, muscles, and bones. ─ Paralytic pain in limbs, as after great fatigue or exhaustion. ─ Tearing in extensors, when seated. ─ Pains (rheumatic) in limbs, which are rendered insupportable by the heat of bed, > on getting up, and which disappear completely when walking, generally manifesting themselves towards 4 or 5 a.m. ─ Pains in limbs, < in spring and autumn by bad weather, when it is cold and damp. ─ Pain < by hearing another speak. ─ Relaxation of muscles. ─ Continuous weakness and trembling. ─ Fits of cramp, and convulsive movements of limbs. ─ Tetanic stiffness of the body. ─ Attack of spasm, with clenching of jaws, loss of sense and movement, and convulsive jerking of eyes and eyelids; before the attack, anguish, discouragement, and despair. ─ (Epileptic fits.). ─ Tonic spasms, sometimes with contraction of palms of hands, and soles of feet, which are spasmodically drawn inward. ─ Several of the symptoms are renewed by rising up, and > by lying down. ─ Sudden, general, and paralytic prostration of strength. ─ Excessive chronic weakness, which does not permit to be seated, nor to remain lying down, or else excited by the least movement. ─ Tottering gait. ─ Syncope, sometimes also on the least movement (characteristic). ─ General emaciation. ─ Tingling in whole body, as far as ends of fingers and toes. ─ The patient is affected by the open air. ─ Inflammation of inner organs, esp. those of digestion. ─ Sporadic and Asiatic cholera.

Skin

Miliary eruption, which itches in the heat, and burns after being scratched. ─ Measles, tardy and pale; skin livid; hæmorrhages but no relief; drowsy, weak, vomiting. ─ Scarlatina in hot weather, eruption bluish, burning heat of limbs alternating with coldness. ─ Nettle-rash. ─ Dry eruption, resembling scabies, with nocturnal itching. ─ Dry tetters. ─ Desquamation of the epidermis (of indurated or thickened portions of the skin). ─ Skin flabby and without elasticity (the folds remain in the state into which the skin has been pressed). ─ Whitish colour of the skin. ─ Skin anæmic or cyanotic. ─ Skin blue, purple, cold.

Sleep

Yawning. ─ Drowsy insensibility, or coma vigil, with incomplete consciousness, starts with fright, and eyes half open, or shut only on one side. ─ (Drowsy in evening, yet cannot sleep at night. ─ R. T. C.). ─ Nocturnal sleeplessness, with great anguish. ─ Sleep, long, uninterrupted, heavy, too profound. ─ Sleep, with the arms passed over the head. ─ Dreams anxious, of being bitten by a dog and cannot escape; of being hunted of robbers, with frightened awakening and a fixed idea that the dream is true; of quarrels; frightful, followed by vomiting of a very tenacious, green mucus. ─ Moaning or whining during sleep. ─ Sleep with thirst and diuresis.

Fever

General coldness of whole body, and cold, clammy perspiration, esp. on forehead. ─ Coldness of the skin even when covered up warmly. ─ Coldness of single parts. ─ Shuddering, and shivering, with thirst for cold water. ─ Coldness over the back. ─ Shivering with sensation of coldness in the limbs, esp. shoulders and arms, as if ice-cold water streaming through the bones, in a warm room. ─ Coldness of the feet as if ice-water running into them, with trembling. ─ Shuddering, and cutis anserina, after drinking. ─ Chill < by drinking. ─ Fever, with external coldness. ─ Violent shivering and shaking (followed by heat and slight thirst), then perspiration, which soon changes to coldness. ─ Chilliness and coldness predominate, and run from below upwards. ─ Shiverings, at first with much thirst, followed by shivering alternately with heat, then permanent heat, with thirst. ─ Fever, with internal heat only, and deep-coloured urine, or with vomiting and diarrhœa, or with constipation; during the shivering, vertigo, nausea, and pains in loins and back. ─ During the heat, continual coma, or delirium, with redness of face. ─ Heat only internal, with thirst, but without desire to drink. ─ Heat in the evening, with perspiration. ─ Heat suddenly alternating with chilliness. ─ Fever before midnight, and in morning quotidian, tertian, or quartan. ─ Creeping running from head to toes. ─ Pulse slow, and almost extinct, or small, quick, and intermittent. ─ The blood runs like cold water through the veins. ─ Perspiration in general; complaints concomitant with. ─ Perspiration easily excited during day, by least movement. ─ Violent perspiration in morning, in the evening, or all night, as well as during every stool. ─ Cold, sour, or putrid perspiration, sometimes colouring linen yellow, always with deathly paleness of face. ─ Intermittent fever: external coldness, with dark urine and cold perspiration, desire for cold drinks, and chill with nausea; afterwards heat with unquenchable thirst, delirium, redness of face, constant slumber; finally perspiration without thirst, and very pale countenance. ─ Sweat only on hands.

The Guiding Symptoms of Our Materia Medica

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

Mind

Is conscious only as in a dream.
Stupid from excess in alcoholic drinks.
Fancies herself pregnant, or that she will be delivered soon ; that she is in throes of childbirth. θ Hysterical mania.
Erroneous and haughty notions.
Never speaks the truth ; does not know herself what she is saying.
She is inconsolable over a fancied misfortune, runs about room howling and screaming ; or sits brooding, wailing and weeping ; < in evening ; sleeps only till 2 A. M.
Alternation of laughing and moaning.
Attempts a great many things, but accomplishes nothing.
Rage, with great heat of body ; eats his own feces.
Suicidal tendency from religious despair.
Thinks himself distinguished ; squanders his money ; proud of his position.
For six days no sleep ; sees people about her constantly, speaks to them ; cries out ; sings ; knows nobody, takes no notice of anything ; laughs frequently ; does not answer when talked to ; wants nothing ; passes urine and feces
unconsciously ; no heat of face ; pulse regular ; confined two weeks previously.
After a severe illness, aversion to husband and children ; desire to leave house ; hallucinations, room appeared full of people, crowding in where there was no longer room ; each apparition personating some one in particular, and keeping her company for hours ; she
would both see and converse with forms sitting beside her, nor could she always distinguish semblance from reality.
Attacks of pain with delirium, driving to madness.
Delirium : religious or exalted ; heavy, soporous sleep ; restless, thirsty, cramps in legs, cold sweat, tingling ; irregular pulse ; in cerebro-spinal meningitis.
Slight delirium ; coldness over whole body, open eyes, with cheerful, sometimes laughing expression ; prattles about religious subjects and about vows to be performed, prays, believes that he is not in his own house.
A tendency to violent outbreaks, desire to strike those about him.
Attacks of rage with swearing ; inclination to run away.
A woman, æt. 36, has lectrophilie, red burning face, anxiety, hopelessness, despair, continual moaning and screaming without a cause ; does not eat or drink, is sleepless ; brought on by sexual excitement.
Persistent raging, with great heat of body.
Mania : with desire to cut and tear everything, especially clothes ; with lewdness and lasciviou talk ; religious or amorous ; degrandeur.
Nymphomania, with violence and destructiveness ; had been disappointed in love ; melancholia ; at times loquacious ; great desire for sexual intercourse ; void of shame ; obscenity ; very troublesome, requiring close
confinement ; had been confined a year in an asylum.
Puerperal mania and convulsions, with violent cerebral congestion ; bluish and bloated face ; protruded eyes ; wild shrieks, with disposition to bite and tear.
Disposed to silence, or to talk about faults of others ; if irritated scolding and calling names.
A desire to wander about house. θ Hysteria.
Chases his family out of house ; declares the sun travels around the earth ; fear of death, restlessness, despair ; foolish actions.
Loquacity, he talks rapidly.
Talks much on religious subjects ; praying ; is overconscientious.
Sleeplessness ; face distorted ; cries ; prays, says it is a secret and a misfortune ; refuses to talk, only motions with hands ; turns hands around in a circle, saying she must strengthen herself, and then motions become more violent ; complains of
dust in throat ; imagines herself in heaven talking with God. θ Mania.
Constant talking, wild expression of eye, constant smiling, at times loud laughter ; distorts face and repulses any one approaching him ; will answer no question ; runs behind table and scolds ; refuses food.
Complete sleeplessness ; talks constantly ; on hearing any sound, as striking of clock, etc., becomes wild, dances about, must be held ; rapid speech.
He groans, is beside himself.
Cursing and howling all night.
Curses all night and complains of stupid feeling with headache and ptyalism.
Roaring and raving, five men could scarcely control her ; tears her clothes ; pale distorted features ; look threatening, wild ; hair dishevelled ; utters sounds more like a beast than a human being ; bites, strikes about her, spits ; body in
constant swaying motion ; murmurs and groans ; takes no notice of questions ; eats nothing ; quite sleepless.
Kisses everybody ; before menses.
Impudent behavior in childbed.
Taciturn ; disinclined to talk, except in delirium.
Cannot bear to be left alone.
Depression and despondency.
Fear and anxiety ; fear takes breath away.
Fearfulness : starts ; with running about and shouting.
Anxious, restless, easily frightened, whining, weeping, apathetic, delirium, blue face. θ Typhoid.
Cold sweat on forehead, with anguish and fear of death.
Unable to rise for eight hours, obliged to either sit or lie ; if he stands he is tormented by fearful anxiety, wherewith forehead becomes covered with cold sweat and he becomes sick to vomiting.
Anxiety as from a bad conscience, as if he had committed a crime.
Anxiety as after committing an evil deed, < evening and after dinner.
A crippled girl fell down suddenly in convulsions, was brought to bed and had a shaking chill ; sat up in semiconscious state, refusing assistance, food or drink ; anxiety with groaning and sighing all night long ; chides her father for
taking part in revolution ; thinks she hears drum which proclaims his execution ; this is followed by silent brooding and occasional starts ; menses checked, abdomen tense, face pale, arms cold, eyes fixed with contracted pupils ; pulse slow and almost imperceptible.
Melancholy, head hangs down, sits brooding in silence.
Religious melancholy or nymphomania, with desire to embrace everybody, even inanimate objects ; much thirst for very cold water ; constantly craving cool and refreshing things. θ Puerperal
mania.
Despair ; hopelessness, loss of courage.
Despair about his position in society, feels very unlucky.
Despair of her salvation ; with suppressed catamenia.
Despair of his recovery ; attempts suicide. θ Mania.
After fright : fear, anxiety ; coldness ; fainting ; involuntary diarrhœa.
Consequences of injured pride or honor. θ Insanity. θ Hysteria.

Sensorium

Vertigo : with cold sweat on forehead ; with loss of vision ; sudden fainting ; from opium eating ; from abuse of tobacco or alcohol.
Heaviness of head, things seem to whirl in a circle. θ Typhoid.
Faints from least exertion, turning in bed, straining at stool, retching as if to vomit, etc. ; from slight wounds ; from violent pains ; after loss of fluids ; anxiety, nausea, convulsive twitchings.
Fainting preceded by great anguish or despondency, or attended by spasms, lockjaw, convulsive motion of eyes, eyelids, etc.

Inner head

Burning in brain.
Paroxysmal pain here and there in brain, consisting of a bruised sensation and pressure.
Sensation of a lump of ice in vertex.
Neuralgia of head, with indigestion ; features sunken.
Head hot and covered with sweat ; children rub head, cannot bear to be left alone ; put hands to head. θ Typhoid.
Headache : with nausea, vomiting, diarrhœa, pale face ; with vomiting of green mucus ; like a pressure on vertex ; stiff neck ; frequent and profuse micturition ; as if brain were torn to pieces ; chronic, coming on in
afternoon, lasting through night ; drawing in both arms ; > toward morning ; violent pains drive to despair ; great prostration ; fainting, with cold sweat and great thirst ; with obstinate constipation ; nervous, at every menstrual period, in girls and
hysterical women ; < by movement, especially stooping.
Pressing, throbbing, nervous headache affecting one side, with stiffness of neck and sensation as if head would burst ; vomiting.
Hemicrania.
Neuralgia of head, with dyspepsia ; sunken eyes and chest cold limbs.
Sick-headache in which diuresis forms a crisis.
Blood rushes violently to head on stooping.
Hyperemia of brain from whooping cough.
Sopor ; eyes half closed ; face pale, emaciated ; tosses head about and screams ; bores head into pillow ; transient flushes of face ; kicks coverings off ; when raised up head falls to left side ; eyes dull, pupils contracted ; cornea
looks like ground glass, is covered with a thin layer of mucus, which has become dry at angles of eyes ; loud cries do not rouse him from stupor ; when raised up eructations and retching ; pulse weak, slow ; refuses to nurse ; head hot, rest of body cool. θ Meningitis.
Cerebro-spinal meningitis ; cold sweat all over body, vomiting, with cramps in stomach ; great thirst for icy-cold water or craves ice ; muscles of head too weak to support head ; pulse irregular, very weak and slow ; coldness
predominates ; great debility persistent ; cramps in legs ; wants to escape from bed ; heavy comatose sleep.
Meningitis ; violent headache with delirium or unconsciousness ; copious vomiting, pale, cold and cadaverous face ; stiffness of neck, choking in throat, feeling as if head would burst ; rolling head violently from side to side, with short screams, bores head into
pillow ; convulsive shocks and vomiting as soon as head is raised ; clonic and tonic spasms, with loss of sense and motion ; cramps in limbs ; tingling and coldness in limbs ; choleraic collapse, simultaneously with intense congestion.
Hydrocephaloid ; great inequality in division of heat ; skin cold and clammy ; vomiting and all symptoms < when raising himself up, and comparatively wellfeeling in horizontal position ; least motion produces nausea and vomiting ; loss of strength in
extremities ; stiff neck, great tendency to convulsions ; great thirst for ice water or ice ; disfigured pale face or redness of one cheek ; great prostration after a stool.

Outer head

Head burning hot ; limbs alternately hot and cold.
Scalp very sensitive with headache.
Sensation like a piece of ice on head ; or of warmth and coldness at same time, on scalp, hair being sensitive.
Sensation in hair on right side of head as if a bunch of hair were electrified, crawling and bristling of hair, with slight shivering of skin under hair.
Sensation of soreness of head, with nausea.
Plica polonica.
Cold sweat on forehead.
Compelled to rub forehead, with a kind of insensibility. θ Typhoid.
Neck too weak to hold head up. θ Whooping cough. θ Meningitis.

Sight and eyes

Black motes or specks before eyes, with diplopia ; photophobia ; < on rising from bed or chair.
Hemeralopia.
Hemeralopia, with nightly diarrhœa.
Impaired vision ; dilated pupils.
Eyes : turned upward, showing only whites ; distorted, protruding ; fixed, watery, sunken, lustreless ; full of tears ; lids livid, blue edges ; surrounded by black rings ; have a weak look ; look yellow or blue.
Pupils : contracted ; dilated, with weak sight ; fails to recognize those near, or does so but slowly.
Tearing pains in eyes, depriving one of sleep ; < in cold, damp weather. θ Rheumatic ophthalmia.
Pressing in eyes.
Heat in eyes.
Extreme dryness of lids ; especially after sleeping ; painful, as if rubbed sore ; stiff and agglutinated.
Acute sensation of dryness in upper lid, as if salt were between it and ball.
Lids : heavy, can scarcely lift them ; trembling ; paralysis.
Profuse lachrymation and cutting pains, with feeling of dryness and heat.
Frequent lachrymation, with redness of eyes as in coryza.
Neuralgia palpebralis in upper lid, right side ; pain severe on slightest pressure or least touch, as if hundreds of fine needle-points were suddenly thrust into lid ; in morning on first waking could not open eyes, it seemed as if inner surface of lids
were too dry, and that they stuck fast to ball.

Hearing and ears

Deaf, as if ears were stopped.

Smell and nose

Smell before nose as from manure or smoke.
Nose : grows more pointed, seems longer ; icy-cold.
Epistaxis : right-sided, only at night in sleep ; face deathly pale, body cold ; pulse slow, intermittent.
Sensation as if nose internally were completely dry.
Boring in nose.
Frequent sneezing.

Upper face

Restless, wild look ; pale, distorted face.
Blue or green circles around eyes.
Face : collapsed, pale, bluish ; nose pointed ; of leaden hue ; red in bed, becomes pale on rising ; alternately pale and red ; risus sardonicus ; sunken, with anxious expression ; pinched up, deathlike, hippocratic.
Cold sweat on face, particularly on forehead.
Neuralgia, drawing, tearing pains, with bluish, pale face, sunken eyes ; prostration.
Tearing in cheeks, temples and eyes, with heat and redness, driving to madness ; < in damp weather ; right side or left to right ; especially in anemic persons.
Suddenly aroused from sleep by severe attack of prosopalgia ; left side of face and head affected ; constant crying ; pain continuous, not > by warmth ; face red, particularly affected side, which is hot and bluish-red ;
left eye is injected ; pain in supra and infraorbital nerves and branches ; trembling of whole body ; twitching of limbs ; after attack general cold sweat and prostration.
Intermittent frontal neuralgia ; face very pale, eyes sunken, dull ; coldness of limbs ; nearly every fifteen minutes vomiting of greenish-yellow serum, ceasing as pain abates. θ Prosopalgia.
Neuralgia of trigeminus, with vomiting, pale, sunken face.
Acne rosacea.

Lower face

Lips : bluish or hanging down ; rubbing mouth and nose ; dry, black, parched ; wrinkled, pale or black, and cracked.
Black around mouth and nostrils. θ Typhoid.
Twitching in cheeks, sparks before left eye, paleness of face and faintness, followed by vomiting of a quantity of white froth.
Spasms of muscles when masticating.
Lockjaw.
Risus sardonicus.
Stiffness of masseter muscles.
Froth from mouth.

Teeth and gums

Violent toothache, throbbing ; face swollen, cold sweat on forehead ; sickness at stomach, vomiting of bile, lassitude of extremities, great sinking of strength, even to fainting, external coldness, and internal heat, thirst for cold drinks scarcely
to be satisfied.
Violent throbbing toothache driving to madness ; nervous, excitable persons.
Teeth feel heavy, as if filled with lead.
Toothache, with pain in head, and red, swollen face.
Grinding teeth.

Taste, speech, tongue

Taste : bitter ; and coolness, as from peppermint ; flat or sweetish ; putrid ; diminished ; pasty ; sour.
Tongue : pale, cold, withered ; swollen, dry, cracked and too red ; white, with red tip and edges ; coated yellowish-brown ; back part black.
Speech lisping, stammering ; as if tongue were too heavy. θ Typhoid.

Inner mouth

Froth at mouth ; spasms.
Mouth dry and sticky ; saliva lessened.
Dryness of mouth and palate, with thirst.
Burning in mouth and throat.
Cool sensation in mouth as from peppermint.
Constant flow of saliva like waterbrash.
Salivation, with nausea and sharp, salty taste.

Palate and throat

Dryness in throat, cannot be removed by drinking.
Scraping or roughness in throat ; sensation of dust.
Sensation of coldness or burning in throat.
Sensation of constriction of throat ; spasmodic, with suffocation.
Spasmodic affections of œsophagus, resulting in paralysis of tube ; nearly all food and drink taken is thrown up, with suffocating sensation, redness and heat of face.
Chronic catarrh of œsophagus with asthma.
Feeling of distension in pharynx.
Swelling of sublingual or right submaxillary gland, also of cheek, external neck, throat and soft palate ; tensive stitching pains ; constant accumulation of saliva which he cannot swallow ; fear of suffocation ; cannot talk distinctly ;
remitting fever, < every other day, evening exacerbation ; delirium at night ; anorexia ; precordial anxiety ; dry cough ; pain in back and hips ; dry stool ; reddish-brown urine ; swelling increases or grows less as fever rises or falls.

Appetite, thirst. desires, aversions

Appetite voracious. θ After typhoid.
Hunger : between paroxysms of vomiting ; with diarrhœa.
Attacks of bulimia, intense, but of short duration, even soon after a full meal, particularly after exercise in open air ; if craving is not at once satisfied, is seized with great weakness, nausea and vomiting, darkness before eyes and ringing in
ears ; becomes dizzy, hands tremble, raves, and finally falls into a fit of deep unconsciousness ; attack prevented by eating a little food at onset ; attack preceded by feeling of warmth and prickling in fingers and toes, and twitching of muscles of face.
Appetite diminished, mouth as if lined with mucus ; flat or sweetish taste.
Thirst : drinks frequently but only a little at a time ; wants everything cold ; during perspiration ; for large quantities of very cold water and acid drinks.
Thirst for coldest drinks ; craves ice.
Craves fruit, juicy or cold food, saltish things, herring, sardines, etc.
Better from eating meat and drinking milk.
Aversion for warm things.
Bad effects : of opium eating ; tobacco chewing.

Hiccough, belching, nausea and vomiting

Hicough : after hot drinks ; by spasms of œsophagus with nausea.
Eructations violent, empty, sour, or bitter.
Nausea : with weakness, is obliged to lie down ; with sensation of fainting ; with violent thirst, followed by violent and frequent vomiting ; with profuse salivation ; with great appetite and thirst ; < from least motion ;
qualmishness with frothing from mouth.
Vomiting : forcible, excessive ; violent with continued nausea, retching and great prostration ; of thin blackish or yellowish substances ; of bile and blood, black ; of food and drink, or drink only ; of food, or of acid,
bitter, foamy, white or yellowish-green mucus ; whenever he moves or drinks ; with vertigo, pale face, clean tongue, good appetite ; with hiccough and fainting ; with painful retraction of abdomen ; with painful distortion of face ; with cold sweats ; with
diarrhœa and pressure in pit of stomach.
Before vomiting, cold hands, becoming hot afterward.
Food causes pain when passing along œsophagus ; choking sensation when swallowing food or drink ; regurgitation of a portion of food eaten ; for nearly two years, nearly all food and beverage taken has been thrown up very soon after meals ;
vomiting with a suffocating sensation, redness and heat in face ; very much emaciated and weak ; a strong longing for food, but dreaded to eat ; constipated, low spirited ; palpitation, weak pulse and cold extremities.
On rising in morning nausea, belching, ptyalism, vertigo, diarrhœa and vomiting ; appetite good, but must vomit immediately after eating ; vomiting day and night ; three to six thin, slimy, brownish stools ; vertigo ; emaciation ; lassitude.
Spasmodic retching and vomiting of watery tasteless fluid ; constipation ; tearing pains in limbs.
Vomiting of food and large masses of mucus.
Frothy vomiting, followed by yellow matter or bile ; intermittent pulse. θ Meningitis. θ Pneumonia.
Child, æt 6 months, lay quiet and stupid ; face pale ; forehead cold and damp on vomiting.

Scrobiculum and stomach

In pit of stomach ; anguish ; painful distension ; pressure ; acute pain ; great sensitiveness ; burning.
Pain in stomach as from ravenous hunger.
Sensation of weakness in stomach, with internal sensation of coldness.
Hysterical cramps in stomach.
Pain coming gradually, first in epigastrium, thence radiating upward and to both sides, reaching to back between lowest point of scapulæ ; becomes agonizing, then gradually subsides ; shakes with cold. θ Gastrodynia.
Great distress over heart and epigastrium, deathlike look, could only speak a few words, cold, pulse weak and fluttering, and just perceptible, nausea and attempt to vomit, > from rubbing spine between shoulders ; followed application of strong
liniment for neuralgia of shoulders, back and arms.
Ten minutes after eating, food began to return in mouthfuls, and continued doing so at intervals for two hours ; cramplike pain in epigastrium ; < for a week after menses, vomiting with violent pain in loins ; menses regular, but too profuse ; constipation ;
extremely weak ; throbbing pain in right temple. θ Gastralgia.
Intense burning sensation extending into œsophagus ; vomiting of greenish masses ; great anxiety ; coldness of limbs ; slow, intermittent pulse. θ Gastritis.
Hematemesis, with slow pulse, coldness, fainting fits, cold sweat.
Pains under scapulæ ; loss of sight ; vertigo ; urine thick when passed and very dark, sometimes almost black ; cold sweats at times ; food has no taste ; smoking makes throat dry and he does not enjoy it ; craving for food ; nausea when
eating, cannot get food down without retching ; tongue white.
Thick brownish-white coating on tongue ; aversion to food ; attempting to eat causes nausea and vomiting ; pappy, flat, but especially sweetish taste in mouth ; dulness of mind ; want of animal heat ; chilliness, seeks warmth. θ Gastric
disturbance.
Pain half an hour after food or after walking or other fatigue. θ Indigestion.
Dyspepsia ; severe pain an hour after eating ; waterbrash ; relaxed motions, three or four during night ; urine loaded with lithates ; great debility.
Chronic weakness of stomach ; from dampness of climate and want of fresh air ; from abuse of quinine.
All fruits cause painful distension of stomach.
Gastric catarrh, great weakness, cold, sudden sinking.
Softening of stomach ; nausea before fainting ; vomit greenish, acid ; copious, watery, without smell ; colic, collapse, convulsions.
Softening of stomach in children, in course of hydrocephaloid.
Hematemesis, with slow pulse, coldness, fainting fits, cold sweat ; nausea when moving or rising.

Hypochondria

Hyperemia of liver, gastric catarrh, putrid taste, disgust for warm food, great pressure in hepatic region, alternating with vomiting and diarrhœa.
Hyperemia of liver, with cholera-like symptoms, or with asthma and bronchial catarrh.
Spleen swollen. θ Intermittent fever.
Spasms of diaphragm during prevailing south winds, in persons with cold hands, great oppression and anxiety in chest.
Diaphragmitis, with peritonitis, vomiting and coldness.

Abdomen and loins

Great sinking and empty feeling.
Empty feeling in abdomen after stool as if she needed food ; headache on vertex about 5 P. M.
Cold feeling in abdomen.
Burning in abdomen as from hot coals.
Cutting in abdomen as with knives.
Griping in abdomen, at times above, at times below navel, in afternoon soon after eating.
Intermittent neuralgia of bowels ; about 4 P. M. commences throwing up quantities of wind, about 5 P. M. ; intense, agonizing neuralgia, like knives cutting her bowels, chiefly affecting left side, coming on at intervals of a few minutes, so intense
that it took three or four men to hold her ; attacks lasted from 3 o'clock to 9 P. M., then terminated by two deep sighs or gapes.
Violent attacks of neuralgia ; a certain movement felt about navel, then suddenly, always at same place, a pinching as by pincers, with most intolerable pain lasting half or a whole minute ; each time it went away with borborygmus, extending to cecal region ; sensation of
constriction above and below, preventing flatus from passing ; attacks of anxiety and pain increase from half to a whole hour, abdomen swelled and became painful to touch ; inclination to vomit, chest constricted, breathing shorter, more and more difficult, cold sweat, stupefaction
and total exhaustion ; could not swallow a drop of liquid, much less any solid food ; lay many hours stupefied, unconscious, with a swollen face and protruding eyes, without sleep ; > after wind passes up or down.
Colic ; face pale ; abdomen sunken, bloated during paroxysm ; pain, particularly in epigastrium ; burning pain under left ribs ; sensitiveness to pressure ; pain over whole abdomen extending to back and thighs ; here and there hard spots in
abdomen ; finally belching of wind with relief ; constipation ; loss of appetite ; tongue coated ; at times vomiting, chilliness ; lassitude ; sleeplessness.
Colic : with burning ; as if intestines were twisted into a knot ; after a cold ; turning, twisting, pressure, constriction, cutting, tension ; after abuse of quinine ; from fruits and vegetables ; abdomen swollen,
sensitive ; no flatus either way ; cold sweat ; with burning pain, twisting, cutting, nausea and vomiting, < from food ; > after wind passes ; with morning diarrhœa.
For several years distension of abdomen, sometimes in stomach and sometimes in bowels, with violent eructations, coming on about 4 A. M. and lasting for two hours, somewhat > drinking warm fluids.
Abdomen distended, very sensitive.
Painful retraction of abdomen during vomiting.
Intussusception of bowels ; great anguish ; rushes about bent double, pressing abdomen.
Sudden severe pains in left hypochondrium, with attacks of vomiting ; sleeplessness ; severe pains in descending colon ; obstinate constipation ; rumbling and gurgling in abdomen on pressure. θ Intussusception.
Peritonitis, with vomiting and diarrhœa, skin cold ; features sunken ; pulse small, weak ; restless, anxious.
Incarcerated hernia, not inflamed ; anti-peristaltic action ; cold sweat, nausea.
Protrusion of inguinal hernia during cough.

Stools and rectum

Stools : frequent ; watery, greenish, mixed with flakes ; gushing, profuse ; rice-water discharges, with tonic cramps, commencing in hands and feet, spreading all over ; sunken, even hippocratic face ; watery, inodorous ;
watery, gushing, flaky ; thin, papescent, mucous ; green, gushing, exhausting after fright ; brownish, watery ; blackish, watery ; bloody ; bilious ; mucous ; corrosive ; sometimes painless ; involuntary (while passing flatus) ; from
least movement of body ; thin and painless, with rumbling of bowels.
Before stool : chilliness, anxiousness, nausea, vomiting ; severe pinching colic ; rumbling in abdomen ; weakness in hypogastrium like faintness.
During stool : chills and shivering ; anxiety, nausea, vomiting ; faintness ; paleness ; cold sweat on forehead ; pinching colic ; burning in anus and cold perspiration on forehead ; weakness.
After stool : improvement of cervical pains ; squalmishness in epigastrium ; nausea, vomiting ; colic ; great sinking and empty feeling in abdomen ; weakness ; faintness ; great exhaustion.
Diarrhœa : with vomiting of turbid water, and cold sweat on forehead ; as Autumn comes on, when vomiting is superadded to purging, and intestinal evacuations are expelled in a forcible gush, with little or no griping, colic, with hiccough and suffocation ; stools
involuntary, watery ; hippocratic countenance, and cold extremities ; stools frequent, violent, profuse and painful ; much exhaustion after every passage, with cold sweat upon forehead and skin in general ; in frequent attacks, face sunken, greyish ; after wet
feet ; of phthisical patients.
Diarrhœa after drinking much cold water on a hot day ; bilious vomiting, with watery, painful stools ; great precordial anxiety ; long-lasting faintlike nausea ; skin pale ; limbs cold.
Several diarrheic stools during day, particularly directly after eating ; pressure in stomach after eating, < at night, with nausea, becoming a cutting pain on motion ; sensation of trembling in stomach ; thirst.
For some years, morning diarrhœa, with despair of salvation.
Sharp pains in hypogastric region for two weeks ; by day very profuse light-brown, watery diarrhœa, almost involuntary, preceded by sharp pain in same region, > after stool ; very weak ; profuse warm sweat ; red face and lips ; urine diminished.
Diarrhœa for three weeks ; three or four stools, sometimes more, every day ; stools dark, clay-colored, rather slimy, very offensive ; before stool, cold in face, with cold sweat on face and forehead ; diarrhœa < from time of rising till 10 A. M., then > till
3 P. M., when it gets < again ; < directly after food ; came on with hot weather.
For ten months lassitude, coated tongue, malaise, nausea and diarrhœa ; vomiting first of food, then of yellow, bitter bile, without pain ; stools liquid, always occur with vomiting as well as at other times ; pain in lower abdomen before diarrhœa, except when she
vomits, then diarrhœa is painless ; exhausted after vomiting ; after much straining there was froth in vomit.
Simultaneous purging and vomiting. θ Cholera.
Sudden attack of diarrhœa coming on during dinner ; while eating suddenly seized with colic in transverse colon, followed speedily by urgent desire for stool, which gushed out suddenly, and consisted of dark-brown, frothy feces.
Severe diarrhœa from fright ; stools liquid, gushing out with force ; feels exhausted ; cold sweat all over body with every stool, but especially on forehead.
Diarrhœa, discharges white, prostrating urging to stool ; great prostration, with attacks of fainting.
Unconscious discharge of thin feces while passing flatus.
Diarrhœa of six months' duration ; stools brown, painless, one to four daily, < from manual labor and after potatoes ; loss of appetite ; great thirst ; sensation as if something alive were rising from stomach into throat.
Extreme collapse ; coldness of surface ; clammy sweat ; pale face ; sunken eyes ; great thirst ; vomiting and purging of almost colorless fluid very freely ; pain not excessive, but feeling of weakness intense. θ Dysentery.
Intestinal catarrh, diarrhœa coming on suddenly at night, in Summer ; vomiting and purging.
Cholera infantum : attack sudden ; violent watery vomiting and purging, cold surface, prostration, vomiting excited by least amount of liquid taken ; great thirst for large quantities of water, excessive weakness ; stools watery and
inodorous ; tongue and breath cold ; difficulty in breathing ; desire to sit up ; blueness around eyes ; skin seems drawn tightly over bones of face ; wrinkling of skin of hands and fingers ; sensitiveness over abdomen.
Face ashy pale, of a waxy hue ; cold, eyes sunken, with dark rings around them ; nose pinched, lips and nose blue ; extremities cold as ice ; pulse imperceptible ; temperature in axilla 104.2°F. ; abdomen warm, soft,
though distended ; eyes look wild, rolls them up showing only sclerotic ; head rolling from side to side, constant moaning (meningeal irritation) ; tongue coated at base, clean at lips, dry ; mouth and lips parched ; thirst constant ; very restless ; >
by being carried ; vomiting and retching ; had not kept anything on his stomach for three days ; from twelve to fifteen stools in twenty-four hours, green, watery, gushing, changing to a blue-slate color on standing ; pain in abdomen before stool, which appeared to be to
of a griping nature, > after passing stool ; much weakness and exhaustion after a motion, child lying perfectly limp ; skin dry ; emaciation especially marked about face and neck ; sleeplessness, had not slept for three days and nights ; < at night, > toward
morning ; next morning constant twitching and jerking of arms and legs ; head rolling from side to side. θ Cholera infantum.
Cholera morbus : < at night ; cold sweat on forehead ; vomiting and purging at same time ; after fruits ; with profuse brownish discharges, thirst, cramps in calves, feet and fingers ; prostration ; cold
sweat ; great weakness after stool.
Bathed in a cold perspiration, very weak and badly frightened ; had been vomiting and purging for about two hours ; severe cramping pains through bowels and lower extremities ; stools thin, green and watery ; constant thirst and
drinking large quantities of cold water. θ Cholera morbus.
Sporadic cholera ; blueness of hands, face and feet ; cramps in calves ; contraction of abdominal muscles ; great prostration ; hippocratic countenance ; vomiting ; green flocculent discharges ; surface of body cold as marble (3 cases).
Cold sweat on forehead ; dilated pupils ; lachrymation ; froth at mouth ; shuddering after eating ; vomiting of food and of green mucus, soon followed by acrid, watery stools ; great prostration ; craving sour things ; abdomen distended ;
outcries ; flexing of legs on abdomen ; grasping at abdomen ; somnolency.
Ten to twenty greenish evacuations in twenty-four hours, preceded by severe pains in umbilical region, causing her to cry out ; sweat over body ; abdomen painful to touch, but not bloated ; epigastrium and right hypochondrium tense, sensitive to pressure ; bitter
vomiting of fluids which have been taken ; mouth dry, yellow coating on tongue, moist ; hoarseness ; ringing in ears ; vertigo ; cramps in calves of legs ; skin cool ; after cold and fright.
Distorted hippocratic face, constant hiccough, anxious, restless tossing about ; cramping of hands and feet ; pains in abdomen ; speechless ; severe retching with vomiting of yellowish fluids, < after drinking ; stools watery, pass unconsciously ; surface
of body cold ; face bathed in cold sweat. θ Sporadic cholera.
Cholera Asiatica : great torpor of vegetative system, without any great mental or sensory disturbance ; little depression of spirits ; fear of death or indifference ; vertigo ; violent evacuation upward and downward ; icy
coldness of body ; great debility ; cramps in calves ; vomiting, with constant desire for cold drinks ; copious, watery, inodorous stools, mixed, with white flocks ; face pale, without any color, or bluish ; blue margins around eyes ; deathly anguish in
features ; cold tongue and breath ; hoarse, feeble voice ; great oppression anguish in chest, giving patient a desire to escape from bed ; violent colic, especially around umbilicus, as if abdomen would be torn open ; abdomen sensitive to contact, with drawing and
cramps in fingers ; wrinkled skin in palms of hands ; retention of urine.
Profuse rice-water dejections every fifteen to twenty minutes, with slight burning in anus ; frequent watery vomiting, especially after drinking ; excessive thirst for cold drink ; nose and ears icy-cold, body and limbs tolerably
warm ; chilliness on motion ; tongue moist, slightly furred ; soft, accelerated pulse ; dry skin ; violent tonic cramps in calves, thighs and masseter muscles, occurring after vomiting or purging. θ Cholera.
Vomiting and purging ; stools watery, flocculent ; severe burning in epigastrium ; great desire for cold water ; severe cramps in calves of legs ; great precordial anxiety ; face pale, anxious ; pulse small, frequent ; white-coated tongue. θ Cholera.
Sudden vomiting and purging ; anxious, disturbed look of face ; eyes sunken, surrounded by dark circles ; temperature of skin of body slightly elevated, limbs cold ; skin dry ; pulse weak, 130 ; great thirst but vomits immediately fluids taken into
stomach ; watery stools every half hour ; paroxysmal cramps in calves of legs, with tossing about and crying. θ Cholera.
Vomiting and purging ; very cold surface ; constant nausea ; watery vomiting on moving or drinking ; watery purging ; great thirst ; pulse small ; tongue white ; skin warm ; no cramps. θ Cholera.
Rice water purging ; vomiting ; eyes sunken, surrounded by dark circles ; tongue white ; face pale ; pulse quick, feeble. θ Cholera.
Weakness bordering on syncope ; cold sweat ; very quick, empty, weak pulse ; stools loose, quite white, like a solution of starch, passed with fatiguing straining, and followed by excessive prostration and failure of senses ; no nausea or vomiting.
Unsuccessful urging to stool.
Constipation on account of hardness and large size of stools. θ Paralysis.
Constipation : chronic, stools large and hard, or first part hard, latter part smaller ; stools in round black balls ; chronic, with children ; as from inactivity of rectum ; in cold weather ; of nursing infants ; in hypochondriacs and maniacs.
Obstinate constipation ; bitter, sour eructations, fulness of stomach and bowels after eating ; pain in hepatic region ; eruption over body.
Constipation of infants after Nux vom. or Lycopodium.
Before constipated stool : no desire ; desire for stool felt in epigastrium ; pressure toward anus, with blind hemorrhoids ; tenesmus.
During constipated stool : great straining ; cold sweat on forehead ; heat in anus ; painless discharge of masses of blood in clots, with sinking feeling.
After constipated stool : weakness or prostration.
Fecal mass flattened and thin like a ribbon.
Hemorrhoids with diseases of lungs or pleura ; painless discharge of masses of blood in clots, with sinking feeling ; bruised feeling in sacral region.
Attacks of vomiting and purging, with cold sweat on forehead, and symptoms of worms.
Tapeworm.

Urinary organs

Continuous urging to urinate.
Frequent micturition, with violent thirst and hunger.
Urine : scanty, red-brown or suppressed ; greenish.
Involuntary urination ; during cough, also during typhoid.
Urine thick when passed and very dark, sometimes almost black ; cold sweats at times ; food has no taste ; smoking makes throat dry and he does not enjoy it ; craving for food ; nausea when eating, cannot get food down without
retching ; tongue white.

Female sexual organs

Nymphomania : before menses ; from unsatisfied passion or mental causes ; puerperal mania ; violent and destructive, loquacious ; from disappointed love ; during confinement.
Metritis, with fits of vomiting, delirium, anxiety, and diarrhœa ; body hot, limbs cold.
Aborted four months after marriage, flooding and violent uterine pains, following great weakness ; pale face ; eyes sunken with a dull expression, revealing great suffering ; extremities cool ; violent uterine pains, stitching,
particularly in posterior wall of uterus ; palpitation shows volume of womb increased, hard and sensitive to touch ; inspection reveals congestion of neck of uterus, which is hard and appears a little flattened in its antero-posterior diameter ; slightest touch causes patient
to scream ; cannot rise on account of pain produced by doing so ; entire loss of appetite ; slimy diarrheic stools ; constantly cold, particularly in extremities. θ Metritis.
Chronic womb disease, < at night, then cold sweat ; in morning, vomiting of frothy mucus.
Menses : too early, too profuse ; suppressed, with despair of salvation or with blood-spitting ; very exhausting.
Before menses : headache, vertigo, bleeding of nose, night sweats.
During menses : morning headache, nausea, ringing in ears, thirst, and pain in all limbs.
At end of menses : grinding of teeth and bluish face.
Menorrhagia, with nausea, vomiting, diarrhœa, cold sweat on forehead, and weak pulse.
Dysmenorrhœa : with prolapsus ; nausea, vomiting, diarrhœa, exhaustion ; cold sweat ; coldness of body ; with chilliness ; with pain in kidneys and uterus before and during menses.
Since three months, on awaking, nausea, vomituritio and constricting sensation in throat ; dulness in head, sometimes sensation as of a piece of ice lying on vertex ; frequent chilliness, can scarcely get warm, feet, hands and nose
icy-cold ; catamenia irregular, generally every three weeks ; early on day on which menses appear diarrhœa, nausea, chilliness, four to six watery evacuations with burning pain in rectum ; irritability ; sensitive, gets angry at trifles or weeps about little things.
A girl, æt. 19, ailing for several years ; almost constant headache ; scanty and delayed menses ; several months ago suddenly attacked with hemeralopia some six or eight days before her menstrual period, every afternoon toward sundown, increased as night came on ;
then could not see anything, consequently could not walk out of doors, was unable to discern things only when quite near candlelight ; also in morning for half an hour after waking, sight was deficient ; dizziness in head, as if all blood were mounting into head ; menses
delayed as usual some two or three weeks, when they finally came, was seized as often before, with vomiting and purging, lasting until flow was fully established ; at other times constipated, passage only every three days of round, hard, black lumps ; monthly discharges always
scanty, partly fluid, partly clotted ; never lasting over two days ; during period headache much more severe ; felt so weak she had to lie down.
Amenorrhœa, with nervous headache, leaden face, nausea, vomiting and diarrhœa.
Strangulated prolapsed vagina, with cold sweat, exhausting vomit and diarrhœa.

Pregnancy. parturition. lactation

Threatened abortion ; pains, with cold sweat, nausea and vomiting.
During pregnancy : wants to wander about house ; taciturn ; haughty ; thirsty ; vomiting ; wants everything cold ; craving for acids and salt food ; canine hunger ; feels very weak and faint ; cramp in extremities, with cold
perspiration ; hardness of feces and inactive rectum.
Vomiting during pregnancy of four months' duration ; constantly feels cold ; feet cold as ice ; occasionally flushes of heat with thirst ; on eating, pressure in stomach ; hiccough, retching, waterbrash, bitter taste in
mouth ; cutting pains in abdomen ; tearing pains in legs ; lassitude and prostration.
Craves fruit and juicy articles.
Labor pains exhaust her ; fainting on least motion ; cold sweat.
Lochia suppressed, with nymphomania.
In childbed : impudent behavior ; nymphomania ; exhaustion
Mania puerperalis, wants to kiss everybody ; religious ; despairs of her salvation.
Eclampsia parturientium ; pallor, collapse, anemia or violent cerebral congestion, with bloated face, wild shrieks, tearing clothing.
Painfulness of mamma.
Suppression of milk.

Voice and larynx. trachea and bronchia

Voice weak, hollow, hoarse, husky. θ Cholera.
Spasmus glottidis.
Paroxysms of constriction of larynx ; suffocating fits, with protruding eyes.
Spasmodic contraction of glottis with contracted pupils.
Suddenly awakes from sleep with a long, harsh, crowing inspiration, lasting four to six seconds, no expiration follows, there being a cessation of respiration from forty to sixty seconds, face becomes blue and covered with cold sweat ; eyes protruded,
staring ; mouth widely opened, thorax distended, pulsations of heart normal ; finally child begins to toss about arms and legs, which are bathed in cold sweat, and there occurs a long, loud expiration sounding like a sigh, and respiration becomes re-established ; diarrhœa ;
abdomen bloated ; emaciation ; frequently cries during sleep. θ Spasmus glottidis.
Suddenly awakes from sleep with a whistling cry, suffocation seems imminent, face becomes cyanotic, only regains his breath after a few minutes have elapsed ; attacks also excited by crying. θ Spasmus
glottidis.
Tickling very low down in trachea, provoking cough, without expectoration.
Laryngo-tracheitis, cough excessively straining and shaking, giving no rest day or night, with pain in head, chest and abdomen from concussion.
Debility great, catarrhal symptoms slight. θ Influenza during cholera season.
Capillary bronchitis ; blue face ; œdema of lungs, and great fear of suffocation.
Bronchitis, especially of old people ; constant rattling of mucus without being able to expectorate ; prostration, frequent, irregular pulse, and sticky perspiration about head.

Respiration

Respiration weak, interrupted.
Shortness of breath on slight movement, even in house ; > if he sits still.
Extremely difficult and distressing respiration ; seems in danger of suffocation.
Excessive anguish arresting breathing, with desire to sit up or jump out of bed.
Oppression on chest when coughing.
Contractive spasm of chest.
Asthma : in damp, cold weather ; in early morning ; > throwing head back ; inclination for motion ; cold sweat of upper part of body ; chronic cases.
Cold breath. θ Cholera.

Cough

Cough : dry, tickling after walking in sharp, cold air ; dry, spasmodic, rattling, but nothing loosens ; deep, hollow, ringing, whooping, excited by tickling in lowest branches of bronchi, expectoration of yellow, tough, tenacious mucus of bitter, saltish, sour
or putrid taste ; spasmodic, cyanosis, cold sweat ; with blood-spitting ; after great exertion ; loud barking, in hysteria ; hollow, in shocks, with cutting pain in abdomen ; with blueness of face, with involuntary micturition ; < morning, and late
evening until 12 P. M. ; on going into warm room ; on getting warm in bed ; < in change of weather ; from eating and drinking cold things, especially water, with crying and vexation.
Spasmodic cough, with great burning and dryness in mouth and fauces ; long-continued sleeplessness ; anxiety in precordial region ; irritability of senses. θ Measles.
Babe, skin very hot ; cold sweat on forehead when coughing ; eyes half open during sleep.
Titillation, with sensation of constriction in throat ; oppression, nausea, vomiting of food and mucus after cough.
Whooping cough : convulsive stage ; great exhaustion, children fail to recover strength after a paroxysm, and are inclined to lean head against something for support ; fever, with cold perspiration, especially on forehead ; intense thirst ; small quick
pulse ; emission of urine when coughing ; cough ceases on lying down and recurs when rising ; spells brought on by entering a warm room or drinking cold water ; face pale and sunken ; restlessness and anxiety ; vomiting of tough, thin mucus ; Fall and
Spring epidemic.

Inner chest and lungs

Constriction of chest.
Pressing in region of sternum after eating and drinking.
Constant rattling of mucus, but cannot expectorate ; sticky sweat about head ; weak ; frequent irregular pulse ; bronchitis of old people.
Capillary bronchitis ; livid face, blue nails, cold extremities and tumultuous irregular contractions of heart ; cold sweat on forehead when coughing ; eyes half open during sleep.
Acute bronchial catarrh in emphysematous subjects.
Rattling in lungs, fear of suffocation ; frothy, serous sputa ; blue face ; œdema of lungs.
Stitches in sides of chest.
Croupous pneumonia ; pneumonia supervenes during whooping cough.
Diaphragmitis and peritonitis with vomiting.

Heart, pulse and circulation

Strong palpitation of heart, with chorea.
Violent, visible anxious palpitation with fainting.
Tumultuous irregular contractions of heart, forerunner of paralysis. θ Capillary bronchitis.
Intermittent action of heart in feeble persons, with some obstruction to hepatic circulation.
Palpitation in the anemic ; nervous ; agony of death, legs cold ; difficult breathing ; > at rest or lying down ; with anxiety and rapid audible respiration ; at night ; with prostration or fainting ; driving out of bed.
Angina pectoris ; periodical attacks of pain in left chest, or cutting, with excessive agony extending to shoulders ; general prostration, skin cold and clammy ; difficulty of breathing ; suffocative constriction of chest, so distressing that he sweats from
agony ; general prostration ; cramps in limbs ; skin cold and clammy.
Pulse : frequent, small, hard ; slow, soft, intermittent ; slower than heart beat ; very small, irregular ; imperceptible.
The blood runs like cold water through veins.
Great activity of arterial system.

Neck and back

Muscles of nape of neck seem paralyzed.
Neck too weak to hold head up. θ Whooping cough.
Constant pain in shoulders of ten years' standing, extending thence to occiput and arms, < from motion, and in damp weather. θ Myalgia.
Rheumatism between scapulæ, extending from nape of neck to small of back ; burning along spine.
Myelitis ; painful, paralytic weakness in upper and lower limbs ; tingling in fingers, causing anxiety ; painful jerkings in limbs ; electric jerks in limbs, < in bed, sits up, legs hanging out of bed, or must walk about.
Bruised feeling in sacral region.

Upper limbs

Neuralgia in brachial plexus as if beaten or bruised.
Aroused from sleep every morning at 4 or 5 o'clock by intense, indescribable pains in arms ; they feel as if bruised or broken, pains extend from shoulder to wrist, can hardly move arm ; pain continues as long as he lies in bed, can tolerate no
covering ; > getting up and moving about ; trembling of arm rest of day, particularly left ; < in bad weather, Spring and Autumn ; of three years' duration. θ Neuralgia
in brachial plexus.
Arms feel cold when raising them ; feel as if too full and swollen.
Arm trembles when anything is grasped.
Pain in middle of left forearm, as if bones were pressed.
Tingling in hands and fingers, causing anxiety. θ Myelitis.
Crawling in hands as if they had been asleep.
Hands icy cold blue.
Wrinkling of skin of hands and fingers. θ Cholera.

Lower limbs

Violent coxalgia coming on every morning about 4 o'clock.
Tearing pain in left leg from thigh to toes ; frequent shocks therein ; leg sensitive to touch, at other times cold and insensible ; frequent restlessness of leg ; pain < at night after being in bed a while, must rise and let leg hang over side of bed, or walk
about ; right leg also affected, but to a less degree.
Shocks in right hip.
Electric jerks in limbs ; < in bed, must sit up and let legs hang out of bed or must walk about ; rheumatism. θ Myelitis.
Walking very difficult ; like paralysis, changes from right to left hip (or in patients from left to right).
Trembling of limbs ; spasms ; great debility following.
Complete muscular prostration ; rapid sinking of forces ; sinks down completely exhausted ; great paleness of face.
Violent cramps in extremities.
During wet weather pains in legs, < by warmth of bed, > in walking up and down.
Legs stiff in forenoon and while standing ; rheumatism ; alternately hot and cold, head hot ; cold.
Pain in shin bones as if broken.
Cramps in calves. θ Cholera.
Pains in feet, especially knees, as if heavy stones were tied to parts ; must move about for relief.
Sudden swelling of feet ; they are cold and anasarcous.
Feet icy-cold.
Very cold feet, with colic.
Transient stinging pain in toes of right foot, while standing.

Limbs in general

Limbs go to sleep, also when lying down.
Painful paralytic weakness in limbs.
Paralysis of limbs.
Pains in limbs, as if exhausted by excessive fatigue.
Pains in limbs, < during wet cold weather ; < in warmth of bed ; > when walking up and down.
Nails blue on account of coldness.

Rest. position. motion

Rest : palpitation >.
Horizontal position : vomiting > ; comparatively well feeling.
Lying : cough ceases ; palpitation > ; limbs go to sleep.
Sitting : still, breathing > ; with legs hanging out of bed, myelitis, jerks in limbs.
Stooping : headache < ; rush of blood to head.
Standing : stiffness in legs ; stinging in toes of right foot.
Motion : headache < ; least, produces nausea and vomiting ; cutting pain in stomach < ; shortness of breath ; inclination for, asthma ; neuralgia in arms < ; debility <.
Rising : black motes or specks before eyes ; cough <.
Desire to sit up or jump out of bed : asthma.
Rushes about bent double : intussusception.
Raising head : causes vomiting.
Raising arms : they feel cold.
Manual labor : diarrhœa <.
Throwing head back : asthma >.
Grasping : arm trembles.
Driving out of bed : palpitation ; jerks in limbs, myelitis.
After getting out of bed : chill >.
Walking : must walk about, to > jerks in limbs ; neuralgia in arms > ; neuralgia in legs > ; very difficult, like paralysis in hip ; > pains in feet and knees.
Exertion : least, causes fainting ; causes cough ; causes sweat.

Nerves

Nervous, as if she would have to fly away.
Faintness ; faints from least exertion or from slight pain.
Rapid sinking of forces ; complete prostration ; cold sweat and cold breath ; collapse.
General debility, with blue hands and cold feet.
Excessive weakness ; is obliged to move very slowly ; so weak she can hardly raise her hand, and every motion seems to increase debility ; even a movement of bowels causes great debility ; very weak, almost imperceptible
pulse ; cold sweat, particularly on forehead ; thirst for icy-cold water.
Sudden sinking of strength.
Excessive weakness after abuse of Cinchona.
Child feeble, with a sort of hectic. θ Whooping cough.
Must lie down ; anguish ; cold sweat on forehead when he rises.
Extreme collapse, coldness of surface, clammy sweat, pale face, sunken eyes, great thirst vomiting and purging of almost colorless fluid ; feeling of intense weakness.
Chronic weakness ; trembling of whole body.
Trembling ; jerking ; spasms ; convulsions.
Tetanic stiffness of body.
Convulsions : puerperal ; caused by religious excitement ; hysterical ; of children ; anxiety, pale face, cold sweat on forehead ; cough before or after ; syncope after spasms ; with cyanosis.
Tonic spasms with contraction of palms of hands and soles of feet.
Cannot dress herself ; constant twitches and silly motions ; legs twitch even in sleep ; cannot walk ; vomits food ; cries at least trifles.
Cold as ice ; breath cold ; tongue cold ; great weakness ; distorted face ; expression of terror. θ Shock from injury.
Paralysis : after cholera ; from debilitating losses.

Sleep

Yawning.
Sleepiness.
Uninterrupted sleep for three days. θ Typhoid.
Drowsy, starts as if frightened, preventing sleep ; fever follows.
Arms stretched above head, moaning during sleep.
Nightly anxiety and sleeplessness.
Dreams : of being drowned ; of being bitten by a dog and cannot escape ; of being hunted ; of robbers, with frightened awaking and a fixed idea that dream is true.

Time

At 4 A. M. : eructations.
Toward morning : headache > ; diarrhœa >.
Morning : on waking could not open eyes ; lids seemed to stick to ball ; diarrhœa ; twitching and jerking of limbs ; headache during menses ; asthma ; cough < ; sweat ; chill.
Forenoon : stiffness in legs.
From time of rising until 10 A. M. : diarrhœa <.
From 10 A. M. until 3 P. M. : diarrhœa >.
Afternoon : griping in abdomen.
From 3 to 9 P. M. : neuralgia of bowels.
At 4 P. M. : neuralgia of bowels.
At 5 P. M. : headache on vertex.
Evening : anxiety ; remitting fever < ; late, cough < ; heat ; sweat.
Night : cursing and howling : groaning and sighing ; headache, beginning in afternoon ; in sleep, epistaxis ; delirium, remitting fever ; pressure in stomach < ; in Summer sudden diarrhœa ; cholera morbus < ; womb disease < ;
hemeralopia ; palpitation ; sweat.

Temperature and weather

Open air : after exercise, bulimia.
Warmth : does not > prosopalgia ; of bed, cough < ; of bed, neuralgia in leg <.
Warm room : going into, cough <.
Hot day : drinking cold water causes diarrhœa.
Hot weather : diarrhœa ; scarlatina.
Cold : eating and drinking, cough <.
In sharp, cold air : dry, tickling cough.
Cold, damp weather : rheumatic ophthalmia ; asthma.
Damp weather : neuralgia in face.
Wet weather : pains in limbs.
Bad weather : neuralgia in arms.
Change of weather : cough <.

Fever

Chill and coldness : mostly external, with internal heat, and cold, clammy sweat ; running downward ; shaking chill with sweat, which soon passes off into general coldness ; of nursing children ; with desire for cold drinks.
Chill increased by drinking ; > after getting out of bed.
Whole body icy-cold.
Chill and heat alternating, now here now there, on single parts.
Internal sensation of chilliness running from head to toes.
Cold skin ; cold clammy sweat.
Face cold, collapsed.
Coldness over back.
Extremities cold.
Heat : of head ; and redness of face ; mostly internal, with thirst, but no desire to drink ; in evening, with sweat ; ascends ; alternating with chilliness.
Sweat : profuse ; morning, evening or all night ; with every stool ; cold, clammy ; offensive ; bitter smelling ; staining yellow ; with deathly pale face ; general, cold, < on forehead ; from least exertion.
Intermittent fever, often pernicious, during cholera ; also after abuse of quinine.
Quotidian ague, chill lasts an hour, with blueness of nails, then heat mingled with chilliness, finally general profuse cold sweat ; thirst during fever and particularly during sweat ; nausea ; bitter vomiting ; diarrhœa ;
urine dark, depositing brick-red sediment.
Several chills every other day ; chill commences with coldness in abdomen, spreading thence all over body ; frequent stools, thin and watery ; coldness became general, but no shaking ; breathing oppressed and labored ; stools became bloody, finally nothing but
pure blood running from bowels steadily ; vomiting of blood, part of time blood thin and bright-red, afterward dark and thick ; prostration excessive ; speechlessness ; chill lasted eight hours and patient seemed at the point of death.
A boy, æt. 12, had ague for two months ; at first chill every other, now every day, alternately weak and strong ; shivering, with thirst for half an hour, followed by heat, lasting some hours, with dry cough and headache ; perspiration profuse, with thirst ; soon
after chill sets in patient falls asleep ; during hot stage sleep turns into coma, out of which he awakes occasionally and asks for drinks ; during whole intermission sleeps and drinks a good deal, but has little appetite.
Intermittent fever coming on early in morning.
After chill no heat, but sweat.
Pernicious intermittent ; collapse during chill.
Bilious fever ; cramps in stomach ; costiveness ; colic ; depression ; despair.
Rheumatic fever, with profuse sweat, great weakness, diarrhœa.
Typhoid forms of fever, especially in cholera season ; also when vital forces suddenly sink ; cold sweat ; coma ; vomiting and watery diarrhœa ; bluish face ; pointed nose ; wrinkled skin.
A boy, æt. 5, lay on his right side ; excited, loquacious ; answered sometimes clearly, again irrelevantly ; delirious talk or moaning ; kicked off bedclothes ; head hot, feet and body cool ; liked cool water on
head ; skin dry ; red spot, came and went on abdomen and nape ; abdomen full but not hard ; stool had been painful, now painless, clay-colored, thin, copious, frequent ; for ten days has been vomiting everything at once, but is hungry while nauseated ; thirst
sudden and occasional ; tongue dry, thickly coated, white, papillæ projet ; mucus in mouth and on teeth, sticky, dark.
Yellow fever ; gastro-hepatic type, with thin blackish or yellowish diarrhœa ; thin, blackish or yellowish vomiting of bile or blood ; burning in stomach ; lips and tongue dry, brown and cracked ; cold perspiration on
forehead ; great exhaustion and small intermitting pulse ; face yellowish, bluish, cold, covered with sweat ; eyes dull, yellow, watery ; deafness ; difficult swallowing ; hiccough ; thirst ; cold hands and feet ; trembling, cramps ;
coma ; unconsciousness, delirium ; vertigo ; fear, depressed, restless.

Attacks, periodicity

Intermittent : frontal neuralgia ; neuralgia of bowels.
Gradually : pain radiating from epigastrium to sides and back.
Every few minutes : neuralgia in bowels.
Every fifteen minutes : vomiting.
For two hours : vomiting and purging in cholera.
For eight hours : chills.
Every morning 4 or 5 A. M. : pains in arms ; coxalgia.
Every day : chills.
Every other day : remitting fever ; chills.
For three days : uninterrupted sleep.
For two weeks : pain in hypogastric region.
For three weeks : diarrhœa.
For six months : painless diarrhœa.
For ten months : exhaustion with diarrhœa.
For nearly two years : vomiting after meals.
For some years : morning diarrhœa.
For ten years : myalgia.
Fall and Spring : whooping-cough epidemics ; neuralgia in arms.

Locality and direction

Left : head falls when raised up ; prosopalgia, eye injected ; sparks before eye ; neuralgia in bowels < ; burning pain under ribs ; severe pain in hypochondrium ; pain in chest ; pain in forearm ; tearing in leg.
Right : as if a bunch of hair were electrified ; neuralgia palpebraris ; epistaxis ; facial neuralgia ; hypochondrium tense, sensitive to pressure ; shocks in hip ; stinging in toes.
Left to right : facial neuralgia.

Sensations

As if pregnant or in throes of childbirth ; as if he had a bad conscience or had committed a crime ; as if things whirled in a circle ; as of a lump of ice on vertex ; as if brain were torn to pieces ; as if head would burst ; as of heat and cold
at same time on scalp ; as if a bunch of hair were electrified ; eyelids as if rubbed sore ; as if salt were between upper lid and eyeball ; as if inner surface of lids were too dry ; as if hundreds of fine needle points were thrust into eyelids ; as if ears
were stopped ; as if nose were dry ; teeth feel as if filled with lead ; as if tongue were too heavy ; coolness, as from peppermint in mouth ; as of dust in throat ; as if mouth were lined with mucus ; as if something alive were rising from stomach into
throat ; as from ravenous hunger, pain in stomach ; radiating pain, from abdomen ; distress over heart and epigastrium ; sinking and empty feeling in abdomen ; as of knives cutting bowels ; as of hot coals in abdomen ; pinching, as with pincers in
abdomen ; as if intestines were twisted into a knot ; as if cold water were running through veins ; arms as if bruised or broken ; as if bones of left forearm were pressed ; as if arms were too full and swollen, feel cold when raising them ; as if hands had been
asleep ; as if heavy stone were tied to feet and knees ; limbs pain as if exhausted by excessive fatigue ; as if she would have to fly away.
Pain : under scapulæ ; in hepatic region ; in shoulders ; in shin bones, as if broken.
Intense pain : in arms, waking from sleep, at 4 or 5 A. M.
Violent pain : in hip, 4 A. M.
Severe pain : in stomach, an hour after eating ; in left hypochondrium ; in descending colon.
Sharp pain : in hypogastric region.
Cutting : in abdomen ; colic ; in stomach ; in left chest.
Tearing : in eyes ; in face ; in cheeks, temples and eyes ; in legs ; in left leg from thigh to toes.
Stitches : in submaxillary gland ; in posterior wall of uterus ; in sides of chest ; in corns.
Stinging : in toes of right foot.
Pricking : in fingers and toes before unconsciousness.
Burning : in brain ; in mouth and throat ; in pit of stomach ; in stomach and œsophagus ; in abdomen ; under l. ribs ; colic ; in anus ; in rectum.
Aching : in bowels.
Bruised sensation : in brain ; in sacral region.
Drawing : in face ; in fingers.
Pressure : in brain ; on vertex ; in eyes ; in pit of stomach ; in hepatic region ; in region of sternum ; in bones of left forearm.
Griping : in abdomen, above and below navel.
Twisting : colic.
Neuralgic pain : in head ; in face ; in bowels ; in brachial plexus.
Rheumatic pain : between scapulæ ; in limbs.
Soreness : of head ; of eyelids ; as if rubbed.
Scraping : in throat.
Roughness : in throat.
Pinching : colic.
Cramps : in calves, feet and fingers ; in bowels ; in masseter muscles ; in thighs.
Cramplike pain : in epigastrium.
Constriction : of throat ; in bowels ; in chest ; of larynx.
Choking : when swallowing.
Suffocating : with vomiting.
Stiffness : of neck ; of eyelids ; of masseter muscles.
Throbbing : headache ; toothache ; in right temple.
Distension : in pharynx ; in pit of stomach.
Fulness : of stomach and bowels.
Heaviness : of head ; of eyelids ; in teeth ; in tongue.
Tension : in abdomen.
Tingling : in limbs ; in fingers ; in hands ; all over.
Tickling : in trachea ; in bronchi, lowest branches ; in throat.
Crawling : in hands.
Weakness : in stomach ; hypogastrium.
Trembling : in stomach.
Fainting : with nausea.
Sinking : in abdomen ; during or after stool.
Warmth : in fingers and toes, before unconsciousness.
Heat : in eyes ; in anus ; all over.
Coldness : in mouth ; in throat ; in stomach ; in abdomen.
Chilliness : running from head to feet.
Dryness : of eyelids ; of mouth and palate ; in throat ; of fauces.

Tissues

Rapid sinking of vital forces ; collapse.
Whole body and face pale ; cold sweat.
Skin and muscles lax.
Pyæmia.
Anasarca ; vomiting, purging, great prostration.
Cramps in limbs.

Touch. passive motion. injuries

Touch : abdomen painful.
Pressure : slightest, neuralgia palpebraris < ; left hypochondrium sensitive.
Slight wounds : cause fainting.
Shock from injury.

Skin

Skin blue, purple, cold ; wrinkled ; remaining in folds when pinched.
Skin livid, cold ; pulse thready ; drowsy and restless.
Rash over body, or on face and hands.
Dry eruptions like itch.
Desquamation of indurated or thickened portions of skin.
Erysipelas.
Burning after scratching.
Heat and tingling all over.
Itching and corrosive itching.
Severe stitches in corns while sitting.
Skin anemic, or cyanotic.
Measles tardy and pale ; skin livid ; hemorrhages, but no relief ; drowsy ; weak ; cold ; thready pulse ; spasmodic pulse and vomiturition.
Scarlatina in hot Summer weather ; eruption bluish ; pulse feeble ; burning heat of limbs, alternating with coldness.
Ulcers bluish, hard, indurated, itching, painless, but with redness of areola ; pus scanty.

Stage of life, constitution

Children and old people.
Anemia.
Lean, choleric or melancholy persons.
Young people and women of a sanguine or nervo-sanguine temperament ; also people who are habitually cold and deficient in vital reaction ; gay dispositions ; fitful mood.
Boy, æt. 6, months, ill-nourished, fretful, suffering five weeks with pertussis ; spasmus glottidis.
Child, æt. 9 months ; spasmus glottidis.
Baby, æt. 9 months ; cholera infantum.
Boy, æt. 11 months ; meningitis.
Girl, æt. 15 months ; cholera morbus.
Boy, æt. 3, suffering three weeks ; diarrhœa.
Girl, æt. 5 ; cholera.
Boy, æt. 5 ; typhoid fever.
Boy, æt. 9, after typhoid fever ; bulimia.
Boy, æt. 9 ; vomiting.
Girl, æt. 11, has had ague ; neuralgia of bowels.
Boy, æt. 12 ; ague.
Boy, æt. 13 ; diarrhœa.
Girl, æt. 15, delicate-looking ; chorea.
Girl, æt. 17 ; cholera.
Girl, æt. 18, strong, pale, slender ; prosopalgia.
Girl, æt. 19, ailing several years ; dysmenorrhœa and hemeralopia.
Jewess, æt. 20, rest of family similarly affected ; plica polonica.
Miss ---, æt. 20 ; diarrhœa.
Woman, æt. 21, ill three months ; gastralgia.
Compositor, æt. 24, lean, pale, earthy complexion ; colicodynia.
Miss B., æt. 26 ; insanity.
Mrs. C., æt. 26, light complexion, mild ; insanity.
Man, æt. 29 ; mania.
Woman, æt. 30, confined two weeks previously ; insanity.
Woman, æt. 30 ; insanity.
Woman, æt. 30, insanity.
Woman, æt. 30, nervous ; prosopalgia.
Man, B., æt. 30 ; empty feeling in abdomen.
Man, æt. 30, ague.
Peasant woman, æt. 32 ; mania.
Man, æt. 32, strong, suffering three years ; pains in arms.
Miss ---, æt. 33 ; mania.
Woman, æt. 34, ill one week ; dyspepsia.
Woman, æt. 36, suffering eight days ; insanity.
Man, æt. 36, delicate, after a cold drink six months previously ; diarrhœa.
Woman, æt. 38 ; insanity.
Woman, æt. 40 ; vomiting.
Woman, æt. 40, ill five weeks ; dyspepsia.
Woman, æt. 43, suffering three years since cessation of menstruation ; vomiting.
Woman, æt. 44, ill six months ; dyspepsia.
Woman, æt. 47, weak, emaciated ; colic.
Man, æt. 50, suffering from rheumatism and hemorrhoids ; affection of throat.
Man, æt. 50 ; gastric disorder.
Man, æt. 50 ; cholera morbus.
Woman, æt. 54 ; gastrodynia.
Woman, æt. 55, ill six years ; dyspepsia.
Woman, æt. 56, medium height, weak, gouty ; colic.
Man, æt. 60, miller ; insanity.
Man, æt. 60 ; intussusception of bowel.
Woman, æt. 60, after fright ; diarrhœa.
Merchant, æt. 62, strong, well nourished, leading a life full of excitement and care ; bulimia.
Miss F., ill ten months ; diarrhœa.
Old lady, small, thin, weak, is hard of hearing and has an impediment of speech ; sciatica.

Relations

Antidoted by : Acon., Camphor., Cinchon., Coffea .
It antidotes : Arsen., Cinchon., Cuprum (colic), Ferrum, Opium , and removes bad effects of alcohol and tobacco.
Compatible : Arsen., Arnic., Cinchon., Cuprum, Ipec .

Lectures on Homoeopathic Materia Medica

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

Lecture

You will be astonished at the wonderful coldness running through this remedy.

Coldness

Hardly a group of symptoms will arise without this accompanying coldness. Coldness of discharges, coldness of the body. You would also wonder at the remarkable prostration attending the various groups of symptoms, complete relaxation and exhaustion, coldness. Profuse sweat, vomiting and diarrhea.

Profuse watery discharges. These conditions occur without apparent provocation. In cholera or cholera morbus, it seems that the fluids run out of the body.

Lies in bed, relaxed prostrated, cold to the finger-tips, with corresponding blueness, fairly purple; lips cold and blue, countenance pinched and shrunken; great sensation of cold ness as if the blood were ice-water; scalp cold; forehead covered with cold sweat; headache and exhaustion; coldness in spots over the body; extremities cold as death. Full of cramps; looks as if he would die.

This state comes out during the menses, during colic with nausea, with mania and violent delirium, with headache, with violent inflammations. Is it any wonder that Hahnemann predicted that Veratrum, Camphor, and Cuprum would become remedies in the cure of cholera; he saw in their nature the ability to cure.

He saw the similitude. In cases of this sort which are characterized by superabundance of cramps, Cuprum is the simillimum. For those with coldness and blueness and scanty sweat, vomiting, and purging, Camphor is the remedy. These are called "dry cholera;" they sink down and die without exhaustive discharges. In proportion as there are coldness, blueness and scanty discharges, Camphor is indicated. In proportion as copiousness, blueness, and coldness are present, Veratrum is indicated. Secale has something of cholera in it. Podo. has exhaustive stools. Ars. anxious restlessness.

Mind

The mental symptoms are marked by violence and destructiveness he wants to destroy, to tear something; he tears the clothes from the body.

Always wants to be busy, to carry on his daily work. A cooper who was suffering from the Veratrum insanity would pile up chairs on top of one another. When asked what he was doing, he replied that he was piling up staves. When not occupied with this he was tearing his clothes, or praying for hours on his knees, and so loud that he could be heard blocks away.

Exalted state of religious frenzy, believes he is the risen Christ screams and screeches until he is blue in the face; head cold as ice, cold sweat, reaches out and exhorts to repentance. Exhorts to repent, preaches, howls, sings obscene songs, exposes the person. Fear and the effects of fear; fear of death and of being damned; imagines the world is on fire.

"Mania with desire to cut and tear everything, especially the clothes, with lewdness and lascivious talk.

Puerperal mania and convulsions, with violent cerebral congestion; bluish and bloated face; protruding eyes; wild shrieks, with disposition to bite and tear.

Loquacity, he talks rapidly.

She is inconsolable over a fancied misfortune; runs around the room howling and screaming or sits brooding, wailing and weeping."

Alternate states of brooding, screaming, and screeching. A few such remedies would empty our insane asylums, especially of recent cases.

Insanity is curable if there are no incurable results of disease. Full of despair and hopelessness with approaching insanity.

"Despair of his recovery, attempts suicide."

Insane people are not hopeless, those approaching insanity are but after they become insane, they think that everybody is crazy except themselves. Those bowed down by great grief and despair are likely to go into a state of violent mania. Veratrum carries them through the state of despair.

"Melancholia, head hangs down, sits brooding in silence."

Young girls go on for years with menstrual difficulties, and preceding each menstrual nisus is a state of despair; never smiles, the world seems blue, everything is dark; these are preparing for a marked state of insanity.

Veratrum is a remedy that would keep many women out of the insane asylum, especially those with uterine troubles. Girls at puberty suffer with dysmenorrhoea, hysterical mental states, diarrhea, and vomiting. During the menses they become cold as death, lips blue, extremities cold and blue, dreadful pains, sensation of sinking, mania to kiss everybody, hysteria with coldness at the menstrual period, copious sweat, vomiting, and diarrhoea, etc.

Head

Veratrum has troublesome headaches, neuralgic, of great violence, accompanied with coldness, vomiting of bile and blood, great exhaustion, profuse sweat.

Vomiting and retching after the stomach is empty; spasmodic retching and cramping of the stomach; you can see the effort to empty the stomach and every little while a mouthful of bile comes up.

Violent rush of blood to the head, congestion of the head with coldness of the extremities. Head feels as if packed with ice, feels as if ice lay on the vertex and occiput (Calc.). Tension in the head as if the membranes were drawn tighter about the brain; compressive pains.

I remember a farmer who consulted me in the Summer. He had strange sensation when he drank water, as if it ran down the outside and did not go down the oesophagus. It was so marked that he I requested his friends to see if it did not run down the outside. Veratrum 2 M. cured him. No remedy has produced that sensation, but I figured it out by analogy.

Violent thirst for cold water and for ice.

"All fruits cause painful distension of the stomach."

"Vomiting forcible and excessive.

Nausea with weakness; is obliged to lie down; hysterical cramps in the stomach; cramps in the muscles of the abdomen like colic.

Gastric catarrh, great weakness, cold, sudden sinking."

Pains

Full of rheumatic and neuralgic pains in the extremities; worse from the warmth of the bed; they drive him out of bed at night into the cold room and be must walk the floor for relief.

You would naturally, suppose that heat would be comforting; so it is at times to the abdomen and other parts when there is coldness, but it aggravates the pains ( Merc.).

"Painful paralytic weakness in the limbs."

"Chill and heat alternating, now here, now there, on single parts.

Internal sensation of chilliness running from head to toes coming on when drinking."

Many of the complaints of Veratrum are aggravated when drinking.

Burning while in cold sweat. In the chronic mental troubles, the skin is dusky and dry with the exception of that on the forehead. But in acute complaints where physical symptoms predominate, as in dysmenorrhoea, acute insanity, etc., there is profuse sweat.

Gnawing hunger in spite of nausea and vomiting. Empty, all-gone feeling in the abdomen after stool.

The Therapeutics of Fevers

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

Characteristic

Adapted to diseases with rapid sinking of the vital forces ; complete prostration ; collapse.

Cold perspiration on the forehead (over the entire body,

Tab.), with nearly all complaints.

Cannot bear to be left alone; yet persistently refuses to talk.

Thinks she is pregnant or will soon be delivered.

Mania with desire to cut and tear everything, especially clothes (Tar.); with lewd, lascivious talk, amorous or religious

(Hyos., Mel., Stram.).

Attacks of fainting from least exertion (Carbo v., Sulph.); excessive weakness.

Sinking feeling during hemorrhage (fainting, Trill.).

Sensation of a lump of ice on vertex, with chilliness (Sep.,

Val.); as of heat and cold at same time on scalp; as if brain were torn to pieces.

Face: pale, blue, collapsed ; features sunken, hippocratic; red while lying, becomes pale on rising (Acon.).

Thirst: intense, unquenchable, for large quantities of very cold water and acid drinks; wants everything cold.

Craving for acids or refreshing things (Phos. ac.).

Icy coldness; of face, tip of nose, feet, legs, hands, arms, and many other parts.

Cold feeling in abdomen (Colch., Tab.).

Violent vomiting with profuse diarrhœa.

Vomiting: excessive with nausea and great prostration; < by drinking (Ars.); < by least motion (Tab.); great weakness after.

Cutting pain in abdomen as from knives.

Cholera: vomiting and purging; stool, profuse, watery, gushing, prostrating; after fright (Acon., Op.).

Constipation: no desire; stool large, hard (Bry., Sulph.); in round, black balls (Chel., Op., Plb.); from inactive rectum; frequent desire felt in epigastrium (Ign.—in rectum, Nux); painful, of infants and children, after Lyc. and Nux.

Dysmenorrhœa; with vomiting and purging, or exhausting diarrhœa with cold sweat (Amm without subsequent heat, with great weakness of thighs and limbs (every other day). Internal chilliness running from the head to the toes of both feet, with thirst. Shaking chill, with sweat, at first warm, but soon passes off into general coldness. Coldness of the whole body, increased by drinking (Ars., Caps., Eup., Nux); lessened by getting out of bed (increased by even putting hands from under bedclothes, Bar., Canth.). Coldness at times; heat, with profuse sweat at others. Chill and heat alternating on single parts, now here, then there (Puls.). Great coldness over the back and through shoulders into arms. Face cold, collapsed. Extremities cold. Coldness in limbs, shoulders and arms, as if cold air were streaming through the bones. Skin cold and clammy. Vomiting and diarrhœa (nausea, vomiting and purging, Elat.). Prominent external coldness. Coldness of the feet, as if cold water were running into them.

Heat

With thirst, mostly internal; with no desire to drink, or continued thirst for cold drinks, the beverages are never cold enough. Heat ascends from extremities to head (chill descends). Heat streaming up the back into the occiput (chill running in successive waves from sacrum to occiput, Gels.). Head hot, dull, confused; first warm, then persistent cold sweat on the forehead. Redness and heat of the face; burning and redness in the cheeks, with contracted pupils and cold feet (Op.—with dilated pupils, Bell.) Blood runs cold through the veins (Rhus—runs hot, Ars.).

Sweat

Without thirst, which is profuse, cold and clammy (profuse sweat, with thirst, Ars., Cinch.). Sweat always with deathly pale face; offensive, bitter smelling, staining yellow. Easily perspires on every motion (Bry., Hep.). Cold sweat on forehead; after every stool; after vomiting of mucus. Sweat often begins before the chill and continues through paroxysm until next chill.

Tongue

Coated white or yellowish-brown; cold, red tip and edges; swollen. Voracious appetite. Craves cold fruits, ice water, juicy food, wants everything cold. Aversion to warm things. Hunger and appetite between paroxysms of vomiting.

Pulse

Small, weak, slow, and growing continually weaker, often imperceptible. Blood runs like cold water through the vessels.

Apyrexia

There is great general exhaustion and rapid sinking of strength; oppression of the chest; deep sighing; face pale and cold, with cold sweat on forehead. The heart's impulse very weak in the intermission, as well as during the paroxysm; fainting; there are cramps in the stomach, abdomen and limbs; great thirst if much vomiting and diarrhœa, and vice versa; extremities persistently cold. Skin bluish, cold, inelastic, with deficient reaction.

We may require to compare Elaterium with Veratrum which it resembles in the suddenness of its onset, the profuseness of its evacuations, and its great prostration. But the characteristic predominance of the cold stage will serve to distinguish between them.

Like Camphor, the cold stage is so well marked that it overshadows all the others; the hot stage is light or often wanting altogether. When the hot stage is present the temperature is rarely elevated, and is often diminished during heat. There is such a general lack of vital heat, and slow, defective reaction, that the patient scarcely recovers from one paroxysm ere another begins. The temperature is generally subnormal.

The above makes one of our best pictures of the "sinking," "congestive," or "pernicious" forms of intermittent fever. The patient thinks he will die; and the physician shares his fears. The allopath now resorts to stimulants for the present; and Quinine to prevent the return of future paroxysm. Shall we, on that threadbare plea of pseudo-homeopaths, that "there is no time for homeopathic remedies to act," follow his example? Those are not lacking "in faith," but in knowledge, who "desert their colors under fire." The homeopath who knows his Materia Medica will cure such cases without resorting to "rational" (?) uncertainty. If he does not know his Materia Medica, he is justified in resorting to anything to try to save his patient; but the treatment should go by its right name, and the failure to cure should be properly credited. Every homeopath is responsible for not knowing what he professes to practice.

"Among the great number of intermittent fevers there is a formidable pyrexia called pernicious, because it may carry off the patient in the second or third paroxysm; he dies probably from the excess of poisoning. This extremely violent pyrexia forms no exception to the rule; and, like all other pyrexiæ, finds its most prompt and certain remedy in the drug which is most homeopathic to it. But here a delicate question arises which should be solved at once: What shall we do in the presence of a pernicious fever in which we have reason to fear sudden death, in the second or third paroxysm? Find the homeopathic remedy. Without doubt, principles are inflexible, and I know no means more powerful to combat the radicalism of the false than to oppose to it the radicalism of the true.

"We have a law of cure which has always shown itself triumphant when rigorously applied. Why should we be unfaithful to it? I see no reason. The violence of the disease? But the more urgent the haste, the more highly ought we to value the shortest road. Now the most prompt and certain means of curing any disease whatever, however pernicious we may suppose it, consists in opposing to it the homeopathic remedy. Then, instead of renouncing in this emergency the application of our law, it is best to conform to its requirements. The greater the danger, the greater this obligation."—CHARGE.

"When we have to do with an art whose end is the saving of human life, any neglect to make ourselves thoroughly masters of it becomes a crime."—HAHNEMANN.