PSORINUM

PSORINUM.

Psoricum. The nosode of Psora. [The sero-purulent matter of a scabies vesicle was used by Hahnemann. The product of "Psora sicca" (epidermoid efflorescence of Pityriasis) by Gross. The salt from a product of Psora by Hering.] Triturations.

Clinical

Acne. Adenoids. Anus, itching in. Asthma. Backache. Boils. Cancer. Cholera infantum. Cough. Constipation. Cornea, ulcers of. Crusta lactea. Crusta serpiginosa. Debility. Diarrhœa.Diphtheria, after-effects of. Dyspepsia. Eczema; rubrum. Enuresis. Eruptions; moist; itching. Gleet. Gonorrhœa. Gout. Hæmorrhages. Hæmorrhoids. Hair, dry; tangling. Hay fever. Headache. Head, congestion of. Hernia. Hydrocele. Impotence.Influenza. Injuries. Itch. Itching. Leucorrhœa. Lienteria. Liver, affections of; chronic inflammation of. Melancholia, religious. Nose, redness of. Odour of body, fetid. Ophthalmia, scrofulous. Otorrhœa; fetid. Ozæna. Pediculosis. Peritonitis, tubercular. Plica polonica. Polypus. Quinsy. Sciatica. Scurvy. Skin, affections of. Spina bifida. Spleen, affections of; induration of. Sprains. Syphilis.Throat, mucus in. Tinea capitis et faciei. Tonsils, concretions in. Ulcers.

Characteristics

As Sulphur has been the chief remedial agent in both schools in the treatment of itch and itch-like eruptions, it is natural to find in the nosode of Psora, or constitutional itch, a close analogue of Sulph. Psorinum has been proved entirely in the potencies, and I know of no more trustworthy proving in the materia medica. I have frequently seen Pso. develop some of its own symptoms in patients whom it has benefited in other ways. A man who complained of "cloudiness of mind and difficult thinking," and who had among other symptoms, "Left foot colder than right," received Pso. 30. It removed these symptoms; but whilst under its influence these new symptoms appeared: Heavy headache across the eyebrows; greasiness of face and forehead. A woman to whom I gave Pso. 30 complained that after each dose she had a feeling "as if something in the head were being screwed up and drawn"; one of Hahnemann's symptoms is "Spasmodically contracting headache." A patient who tookPso. 500 complained that it had a "filthy taste." From Pso. 20m (F. C.) I have seen produced an eruption of boil-like indurations in both axillæ, first (and worst) in left then in right. The general symptoms were very greatly relieved at the same time. One great mark of distinction between Sul. and Pso. is that thePso. patient is exceedingly chilly, likes to have a fur cap on in summer; whilst the Sul. patient is predominatingly hot. H. C. Allen gives another: Pso. is indicated in chronic cases when well-selected remedies fail to relieve or to permanently improve (in acute diseasesSul.); also when Sul. seems indicated but fails to relieve. Pso. is specially suited to: (1) Scrofulous, nervous, restless persons who are easily startled. (2) Psoric constitutions; lack of reaction after severe diseases. (3) Complaints of psoric origin; patients emit a disagreeable odour. (4) Pale, sickly, delicate children. (5) Peevish, unhealthy-looking children, who have a disagreeable odour about them. (6) Dirty people in whom the body has a filthy smell which no amount of washing can remove. (7) Those subject to diseases of the glands and skin; and who have had eruptions suppressed. The chief of the keynotes of Pso. is: Lack of vital reaction; prostration after acute disease, depressed, hopeless, night-sweats. Hopelessness, despair of perfect recovery is part of the jack of reaction; emaciation and foul body odour may accompany it. "Foulness" may be considered the second keynote ofPso. Eruptions have offensive discharges; the otorrhœa, is horribly offensive. The diarrhœa (especially of cholera infantum) is profuse, watery, dark brown, and even black, and is putrid-smelling like carrion. The Med. Visitor(xi. 378) collected a number of cases illustrating the action of Pso. (I italicise some of the characteristics): (1) W. A. Hawley reports a case of cholera infantum which seemed to defy every remedy. Stools very thin and watery, dirty greenish, smelt like carrion. Child very fretful, had no sleep for two days and nights. Pso. 42m (Fincke), one dose in water. In two hours the child went to sleep; in four days it was well without repetition of the dose. (2) Another case of Hawley's: Miss N., 20, had an eruption in bends of elbows and knees, dry, scaly, with little pointed vesicles round the reddened edges; disappeared entirely in summer and reappeared when cold weather set in; violent itching, < by warmth of bed or by scratching. Pso. 42m, two doses at six weeks' interval, cured. No return the following winter. Pso. also cured─(3) Headache preceded by dimness of sight or spots before eyes (Haynel). (4) Headache and eruptions, < during changeable weather (W. P. Wesselhœft). (5) Always very hungry during headaches (W. P. W). (6) Miss C., convalescing from typhoid fever, reported: l. Stationary, no appetite." Pso. 400 produced immediate change and ravenous appetite (J. B. Bell). (7) Mr. P., 50, complained of nothing but weakness; no appetite; least exertion puts him into a perspiration. Pso. 40 cured rapidly (J. B. Bell). Mr. X., 21, was obliged one day to run till nearly exhausted. Though strong and well before he now became weak, perspiring easily, severe pains right side, < by coughing, laughing, and motion. Pso. 40 cured rapidly (J. B. Bell). [I have frequently verified the action of Pso. in liver affections with pains as in the last case.] (8) Extreme dulness; fears inflammation of brain; > by nose-bleed. Headache following darkness before eyes. Black spots before eyes. Pso. cured (Haynel). (9) Horribly offensive, nearly painless, almost involuntary, dark and watery stool; only in night and most towards morning (H. N. Martin). (10) Mr. C., 43, spare, dark. Hypochondriacal. "Nervous" nine months. Had to give up business. Took much Quinine and other drugs. Complains of very disagreeable feeling about the head and manifests mentaldepression; thinks he will never recover; haslost all hope. Cannot apply his mind to business. Seems confused; cannot reckon.Numbness of legs and arms, < left side; <going to bed, formication and crawling with prickling and smarting on scalp, and same on extremities. Tongue coated white. After three months treatment was stationary. It was then ascertained that he sweated easily on least exertion, and somewhat at night, and had loss of memory. Pso. 400 soon caused improvement, and enabled the patient to return to business (J. B. Bell). G. A. Whippy (Am. Hom., xxiii. 391) cured the following case with Pso. 200, a dose every third night: Carpenter, 40, long-standing discharge of reddish cerumen from left ear, < at night. Sensation of valve opening and shutting in left ear, < afternoon. Buzzing in ear, which stopped suddenly and was followed by violent itching. Dull, heavy pain in base of brain in afternoon, with sensation as though skin of abdomen was greatly relaxed and drawn down. Face sallow and greasy; several pustules on chin and neck which itch intensely and bleed when scratched.─Other leading indications of Pso. are: Sick babies will not sleep day or night, but worry, fret, cry; or good and play all day, restless, troublesome, screaming all night. Weakness from loss of fluids; after acute disease; with or without organic lesion. Whole body painful, easily sprained and injured. Great sensitiveness to cold air, change, storms; to sun; restless for days before a thunderstorm. A symptom not seldom met with in practice and useful to remember is: "Feels unusually well day before attack." Headache > by eating; from suppressed menses; > by nose-bleed. Dry, lustreless hair; plica polonica. Acne < during menses; from fats, sugar, coffee, meat. Quinsy, throat burns, feels scalded, cutting, tearing, intense pain on swallowing, profuse, offensive saliva; tough mucus in throat; must hawk continually; tendency to quinsy. Profuse sweat after acute diseases, with > of all suffering. Skin has dirty look as if never washed. Pso. has cured more cases of hay fever in my practice than any other single remedy. Many cases have a psoric basis, and when the basic taint is corrected the irritating agents have no effect. Nasal polypus I have also cured with Pso. when the general symptoms indicate the remedy. Peculiar Sensations are: As if frightened. As if he would lose his senses. As if stupid in left half of head. As if brain had not room enough in forehead. Eyes as if pressed outward. As from heavy blow on forehead. As if brain would protrude. Back of head as if sprained. Right side of occiput as if dislocated. As if piece of wood lying across back of head. As if head separated from body. As if sand in eyes. As if he heard with ears not his own. Cheek-bones as if ulcerated. Condyle of jaw as if lame. Tongue as if burnt. Teeth as if glued together. Plug in throat. Throat as if narrowing. As if intestines hanging down. Everything in chest as if raw, scratched; torn loose. Arms as if paralysed. Hip-joint as if ulcerated. Joints as if encased in armour; as if would not hold together. Hands and feet as if broken. The pains of Pso. may be erratic and alternate (headache and toothache). The symptoms are< by touch; pressure (of truss); rubbing; scratching; riding; bandage; blow; fall. Slight emotions = severe ailments. (Pso. cannot bear to have the limbs touch each other at night; or weight of arms on chest.) > When eating; < immediately after (rush of blood to head). < After cold drinks (pain in chest). Drinking = cough. > Lying down (most ailments, especially of chest; but < cough, and= gurgling at heart). < Lying r. side (liver). <Riding in carriage or exercising in open air; (riding > short breath). > By rest and in room. Overlifting = thoughts to vanish. < Walking; moving. < Evening and before midnight night; morning on waking. Open air < (> taste; cough; itching) nose sensitive inhaling. < Before thunderstorm (restless for days before). Winter = cough. Summer = diarrhœa; itching eruptions. < During full moon (enuresis). <Periodically.

Relations

Antidoted by: Coffee. Compatible: Carb. v., Chi., Sul. (if Sul. is indicated but fails to act give Pso.). Followed well by: Alm., Borax, Hep.Complementary: Sul., Bac. (Bac. is the acuteof Pso.), after Lact. ac. (vomiting of pregnancy); after Arn. (blow on ovary); Sul. after Pso. in mammary cancer. Inimical: Lach.Compare: Sick babies fret day and night (Jalap); good all day, screams all night (Lyc. opp.). Effect of thunderstorm, Pho. Headache preceded by dim vision, Lac d., K. bi. Headache with hunger; > while eating, Anac., K. ph.; > nose-bleed, Melilot. Plica polonica, Lyc., Bar. c., Sars., Bac. Offensive, cheesy concretions from throat, K. mur. > By sweat, Calad., Nat. m. > Lying down and keeping arms stretched far apart (Ars. opp.). <Mornings on waking and evenings lying down, Pho., Bac. Eruptions easily suppurate, Hep. Drinking = cough (> Caust.). Drinking <, Dig. Teeth stick together (Tub. teeth feel jammed together). Pediculosis, Ped., Bac., Nat. m. Earthy, greasy face, Nat. m., Bry. Erratic pains;< from fats, < evening, Puls. Tongue as if burnt, Sang. As if parts separated, Ars. (body at waist), Bap. (limbs). Convalescence, profuse sweat, K. ca. (K. ca. has not the hopelessness of Pso.). Despair of recovery, Chi., Lauro. (chest), Caps., Op., Val., Amb. Lack of reaction, Op. (patient not sensitive), Lauro. (over-excitable and nervous), Carb. v. (emaciated, weak pulse; Pso. psoric diathesis). Hay fever, Gels. (morning sneezing), K. iod. Hunger at night, Chi. s., Pho., Sul., Ign., Lyc. Axillary affections, jug. c., jug. r., Elaps. Crusta lactea, Melitagrinum. Explosion in ear, Alo.

Causation

Emotions. Over-lifting. Mental labour. Repelled eruptions. Stormy weather. Thunderstorm. Injuries. Blows. Sprains. Dislocations.

1. Mind

Good-humour in morning; works with pleasure; enjoys everything.─Excitable before sleep.─Excitable, vexed with everything.─Fear.─Anxiety: when riding in a carriage; with trembling of hands and restlessness.─Melancholy: religious; she could commit suicide, then is full of phantasms, peevishness, and lachrymation; alternating suddenly with liveliness.─Despair: fear of failing in business; wishes to die in spite of the best hopes.─Driven to despair by excessive itching.─Ill-humour: in morning; and constant thoughts of dying; could weep about everything.─Quarrelsome.─Every moral emotion = trembling.─Disinclination to work; to ride in a carriage, then desire to ride all the time, even in bad weather.─Sentimental.─Inability to rid himself of ideas which first appeared to him in a dream.─Thinking that he understood what he had read he tried to explain it, and found that he did not understand it.─Memory lost; so that she does not recognise the room after looking out of the window.─Thoughts vanish after over-lifting.

2. Head

Vertigo: mornings; everything turns around with him; with headache, confusion, roaring in ears.─Sticking in head, with weakness, had to lie down towards 7 p.m., and soon fell asleep, copious sweat at night, which >.─Thrusts in head.─Tearing in head (which he formerly had) this time with fever and general arthritic pains.─Headache: in evening; with eructations; with thirst, coldness, and dryness of mouth and lips; intermittent; spasmodically contracting; as if a hammer were beating in head, esp. unilateral (in a herpetic patient); as if everything would protrude through forehead towards evening.─Fulness during mental labour.─Congestion of brain, > nose-bleed.─Cloudy feeling in night on waking, as if he had been intoxicated in evening, with stupor and tumbling about.─Heaviness in morning.─Weakness of head.─Pulsation of blood during mental labour.─Sticking in l. side of forehead; in r. side extending into eye.─R. side of head and r. eye swollen and painful as if it would burst.─Drawing in forehead extending to nose.─Pinching in upper forehead beginning morning in bed, < morning and evening, with heaviness, sometimes whole sinciput aches and then temples feel pressed in, afterwards it alternates suddenly with pain in molars, < walking in fresh air.─Pain in centre of forehead; with weakness of it.─Pain in sinciput, < temples, < steady mental exertion, > motion, esp. in open air, <morning and evening, with heaviness in sinciput, often it suddenly passes off and attacks l. molars.─Pain as if brain had not space enough in morning on rising, > washing and breakfast; contracting pain.─Drawing in sinuses as in coryza.─Stupefied feeling in l. forehead in morning.─Shooting from l. temple into head.─Boring in l. temple.─Pain in temples: after mental exertion; hammering; crampy, in skin of r. at 7.30 p.m.─Fulness in vertex as if brain would burst, with formication in head followed by heavy sleep.─Intermittent pain in a spot in vertex.─Strained pain in r. side of occiput at noon.─Pain in occiput as if a piece of wood lay across from r. to l.─Feeling as of a cord around skin, < about occiput, which feels as if pressed outward.─Always hungry during headache.─Congestion of blood to head immediately after dinner.─Headache < by change of weather; if it changes in night the headache wakens him.─Hair: dry, lustreless; tangles easily; glues together.─Spot of white skin with white lock of hair becomes natural colour under Pso.─Sensation as if head separated from body.─Averse to having head uncovered; wears a fur cap in hot weather.─Viscid sweat about head.─Humid eruptions.─Tinea capitis et faciei.─Crusta serpiginosa.─Rawness and soreness behind ears.─Humid, scabby eruption, full of lice.

3. Eyes

Eyes: gummy; surrounded by blue rings; glassy, with pain in them; agglutination in morning.─Swelling of lids and of face.─Inflammation of r. eye.─Pain in r. eye as if it would burst.─R. eye feels melting away.─Ophthalmia, with pain as from sand in eyes, and lachrymation at night.─Sticking: in l. eye; pain in r. eye, < touch.─Pain in eyes with burning, in evening when looking sharply it something, and by candle-light.─Pain as from sand, or foreign body (in r. evening when closed).─Biting in eyes.─Tired in evening as from much reading by candle-light.─Lachrymation: towards evening; on looking long at one object.─Pimples: like hordeola on upper lid; red, like fresh hordeola on margin of upper lids, and sensation as if something were moving before the eyes, as if one were playing with his fingers before them.─Itching: of r. lid; l. lower lid, from one side to other; of canthi; inner canthi, with heat.─Vision of sparks.─All objects in room appear to tremble.─Dazzling in evening when walking in street.─Vision blurred suddenly.

4. Ears

Discharge of fetid pus (l.).─Otorrhœa, with headache.─Discharge of reddish cerumen from l. ear.─Sticking: towards noon; in l. lobe in evening; in l. after the buzzing; in meatus internus, transiently > boring in with finger, frequently returning, < evening during rest.─Intermittent tearing through external meatus, as from temporal muscle to styloid process.─Pain: in r. ear, in morning; ulcerative, in l., and at the same time on r. ear a pimple appearing like healthy skin, but split into four parts by a cross like a wart, in the centre a deep indentation.─L. concha inwardly inflamed, with suppurating pimples.─Sensation as if something burst suddenly when eating or swallowing saliva.─Sensation in l. ear as if breath came from it instead of from respiratory organs.─Feeling as if stuffed with cotton, forenoons.─Biting in l. ear.─Itching in r. ear.─Coldness in r. ear, then sticking.─Ringing: in l. ear, evening; in r. or l., with buzzing in head so that she hears hardly anything, and behind ears in region of sterno-cleido-mastoideus, a sore pain, sometimes heat extending to vertex, < towards, evening, when she feels as if pulled by the hair.─Roaring so that he feels stupefied.─Buzzing in ears.─Feeling in r. ear as if he heard with the ears of another person, evening.

5. Nose

Inflammation of septum, with white pustules.─Sticking in l. nostril when boring in with finger.─Boring in r. nostril, then sneezing.─Drawing extending up to frontal sinuses, with pain in eyes as if coryza would set in, then discharge of fluid from nose.─Dry coryza; nostrils nearly dry, and sensitive when breathing through them.─Scratching crawling towards root of nose as if coryza would set in.─Stoppage of nose.─Sneezing; without coryza.─Coryza: with cough and expectoration of yellowish green mucus; dry; dry with obstruction of nose; fluent; fluent, from l. nostril.─Tough mucus, he can hardly do a minute without his handkerchief, without coryza, with feeling of a plug high up in nose, which nauseates him, > stooping.─Clear, watery fluid pours out, < l. nostril, <stooping.─Nose red.

6. Face

Face pale; sickly looking; yellow.─Congestion to head, cheeks─and nose red and hot.─Pain in zygoma on touch as if bone were suppurating, in evening.─Sticking in lower jaw.─Pain as if lame in condyle of jaw.─Crusta lactea.─Coppery eruption on face.─Roughness of skin of face; eruption on forehead between eyes; offensive stools.─Swelling of upper lip.─Dryness of lips; and brown and black colour.─Burning of lips; painful and seem swollen.─Pimple on upper lip.─Vesicles around corner of mouth, and outwardly above them larger sore spots, exuding a fluid which seemed to originate from scratching the vesicles, and cause continual scratching.─Corners of mouth sore, often ulcerated; sycotic condylomata.─Yellow vesicles on red edge of lower lip sore on touch.─Clear vesicles on inner surface of lower lip.─Painful itching on r. half of upper lip as if swollen.

7. Teeth

Looseness of teeth, < incisors, so that he fears they will fall out, the pain < by touch, >open air, with much mucus of an offensive odour in mouth.─Blood suddenly escapes from a hollow molar.─Sticking from one side to the other, extending to head, then burning pain in r. cheek, which is swollen.─Stitching in teeth on touching them in order to remove something lodged between them.─Sticking in a carious r. upper tooth as if it would be pulled, at dinner, then grumbling and hammering pain in all r. teeth, only in daytime,> fresh air.─Tearing; jerking in l. molars, sometimes only slight pain alternating with headache.─Teeth seem on edge in afternoon when smoking.

8. Mouth

Ulceration of r. gum after toothache.─Inflammation of gum of a posterior r. hollow lower molar, vith swelling and crawling pain, < touch.─Tongue: coated; white; yellowish white.─Ulceration of tongue and gums, with sore throat.─Tongue: dry; at tip, as if burnt, painful; burnt feeling from tip to middle, so that he has hardly any taste.─Thick, tough mucus from choanæ; of nauseous taste; teeth stick together.─Adhesion of tough mucus to posterior wall of soft palate, tasting like old cheese, coming from choanæ.─Scratching in back part of mouth, and when leaning backward asthmatic feeling.─Swollen sensation in palate.─Dryness of mouth.─Taste: bitter mornings before eating,> eating; when not eating; > eating and drinking; bad, finally coppery; like cat's urine to bread and butter in morning; oily to the dinner; flat, insipid; foul, she drinks to get rid of it; filthy.─Increase of the nauseous taste after eating and smoking tobacco.─Sticky taste.

9. Throat

Submaxillary glands swollen and painful to touch, also a painful pustule below l. lower jaw.─Angina, on r. side an ulcer, with sore pain deep in throat and burning in palate.─Painful pimple on fauces.─Stitches: in l. tonsil; in l. sinews on turning head.─Pain in l. tonsil, with swollen feeling.─Quinsy, intense pain to ears on swallowing, profuse, offensive saliva; tough mucus in throat, must hawk continually; tendency to quinsy.─Hawks up cheesy balls, size of pea, of disgusting taste and carrion-like odour.─Pain on swallowing saliva.─Intermittent pain and difficult swallowing.─Soreness with difficulty in swallowing; can take without difficulty only cold food.─Scraping in throat as if she would become hoarse (in a herpetic patient); with suffocation, causing dry cough.─Burning in throat; extending farther downward.─Dryness of throat: in morning, with scraping; of fauces, with moisture in mouth.─Swollen feeling in fauces.─Sensation of plug in throat, impeding hawking.─Tickling in throat: mornings; causing cough; then empty eructations.

10. Appetite

Hunger great; in afternoon, with thirst for beer; in evening after a walk: in evening; for breakfast.─Hunger without appetite.─Appetite diminished.─Easily satiated though he has a good appetite.─Loss of appetite, but constant thirst.─Disgust for pork.─Desire to smoke in evening, but when not smoking the desire for it ceased.─Desire for acids.─Aversion to smoking after breakfast, but when he begins smoking is relished.─Thirst: during dinner; after the chill, then heat in mouth; with dryness and burning in mouth; for beer.─Eating (dinner) = congestion to head.─Drinking = cough.

11. Stomach

Eructations: tasting like rotten eggs; sour; rancid in evening.─Pyrosis; after drinking water; when lying down, colic >eating.─Hiccough: after eating; when smoking a pipe after eating.─Waterbrash on lying down, > getting up.─Nausea: during the day, a kind of vomiting of sweet mucus every day at 10 a.m. and in evening; in morning; in pit of stomach in morning; after all food; after supper, > eating something roasted.─Vomiting: sour; of sour mucus, so that teeth are on edge, in morning before eating; of food, then of a sour, slimy fluid.─Bloating.─Sticking in pit of stomach.─Cramp in epigastric region; cutting.─Oppression.─Contracting pain in epigastric region.─Weakness and pressure.

12. Abdomen

Deep-seated, stitching, pressing pains in region of liver, < external pressure and lying on r. side; pain hinders sneezing, laughing, yawning, coughing, deep inspiration and walking.─Sticking: in sides of abdomen; r. side; region of spleen; under last l. rib; in hepatic region; region of spleen, > standing still, renewed by walking, later felt even during rest.─Swollen sensation horizontally across below short ribs when sitting.─Abdomen bloated: after eating; after eating frozen things.─Constant feeling of emptiness and looseness of abdomen; sensation as if intestines were hanging down.─Rumbling in morning; gurgling and roaring.─Foul-smelling flatus.─Cutting in abdomen; in evening, >passage of offensive flatus; as from a purge.─Cramps in abdomen in morning in bed.─Griping: when driving; in women, < pubic region.─Pinching in abdomen in morning, so that he has to run for the closet, > stool.─Pain in abdomen towards evening, > eating; after eating, > emission of flatus, with nausea and in lumbar vertebræ, with flatulent troubles, pain in spermatic cords and testicles as if filled with blood, a soft, difficult stool.─Pain as from canine hunger, < epigastric region, an hour after supper, with accumulation of flatus.─Frequent sticking to l. of umbilicus during rest.─Cutting in umbilical region.─Gurgling in small intestines.─Twitching in r. groin after driving.─Sticking in inguinal glands.─Pain in r. inguinal ring.─Bearing down towards pubes, with tenesmus and painful burning micturition.

13. Stool and Anus

Stool: fluid, dark brown, foul-smelling; thin, watery, dirty greenish, like carrion; horribly offensive, nearly painless, almost involuntary, dark and watery; only in night, < towards morning.─Diarrhœa preceded by colic; green, bilious, mixed with mucus; four times a day, without pain.─Involuntary stools during sleep.─Lienteria.─Soft, difficult stool; and copious.─Obstinate constipation, with severe pains.─Stools: either costive or mushy: of normal consistency, in small balls, almost involuntary, at night, with violent emission of flatus; two in forenoon; four or five a day, preceded by colic; sometimes shooting away as from a syringe, at another time it is mushy, sometimes of normal consistency.─Stool wanting.─Spasmodic pain in rectum.─Burning high up in rectum.─Sensitive hæmorrhoidal pain in rectum.─Chafed sensation in rectum and anus during a drive.─Ineffectual urging.─Burning hæmorrhoids in anus.─Itching in anus.

14. Urinary Organs

Discharge of prostatic fluid before micturition.─Tenesmus urinæ and discharge of a few drops when he thinks he has done.─Frequent micturition at night.─Sticking inwardly from orifice of urethra.─Burning during micturition with cutting.─Urine has a red sediment and a pellicle of fat.

15. Male Sexual Organs

Relaxation of genitals; with indifference to sexual affairs.─Aversion to coitus.─Impotency.─No discharge of semen during coition.─Glans inflamed, with an ulcer on it, testes swollen and heavy.─Burning pain at tip of penis on beginning to urinate.─Chronic painless discharge from urethra, staining linen yellow.─Chronic gleet.─Frequent tightness of penis, with drawing.─Absence of erections; even with lascivious thoughts, afterwards morning erections and pollutions, with satyriasis.─Drawing in testicles, but more steady in small of back.─Painful suppurating vesicle on scrotum.─Hydrocele: from repeated inflammation caused by pressure of truss (Puls. cured the inflammation).

16. Female Sexual Organs

Menses too late; and scanty.─Amenorrhœa; in psoric subjects; with phthisis.─Dysmenorrhœa; near climaxis.─Leucorrhœa; large lumps; unbearable in odour; violent pains in sacrum and r. loin; great debility.─Intolerable itching from anus to vagina, with knotty stools, < at night.─Ulcers on labia.─L. ovary indurated from a blow.─Sensitive knotty lump above r. groin.─Cutting in l. groin.─During pregnancy: congestion; fœtus moves too violently; tympanites; nausea, vomiting; obstinate cases.─Breasts swollen; nipples red; burning and itching pimples about nipples.─Mammary cancer.

17. Respiratory Organs

Hoarseness; when talking phlegm sticks in larynx.─Talking is very fatiguing.─Suffocating, crawling sensation in larynx, producing a paroxysmal, dry, hacking cough.─Tickling in trachea, with cough.─Inclination to cough, with sensation of coldness.─Cough in evening, > keeping quiet, with pain in chest and throat, talking = cough.─Cough with weakness of chest; so that he could not remain in bed at night, with weakness and vertigo.─Dry cough: all day, with nausea and retching and tickling in throat from tickling in trachea, as if narrowing; with soreness under sternum with heaviness on chest.─Cough, <morning on waking, and in evening on lying down, with expectoration of green mucus, nearly like matter, with nausea, chest is affected and expectoration is difficult; with copious expectoration; sometimes of mucus streaked with blood; with salivation and vomiting of acid mucus.─Suffocation in larynx when sitting bent backward, with crawling, causing paroxysmal, dry, hacking cough, and at same time contraction and heaviness in chest and pain in upper part of sternum.─Dyspnœa in evening.─Short breath; in fresh air, > riding and lying down.─Want of breath on walking in fresh air; < sitting, > lying, with pain in chest.─Whistling respiration on waking, with constriction, again in evening whistling in chest.─Breathes easily when doing some light work, as trimming trees.

18. Chest

Twitching through l. chest, anterior side.─Sticking: in l. chest; l. mamma; under l. false ribs; in r. side on coughing or breathing; even when not breathing; in sternum on deep breathing, and on touch a pressing and bruised pain.─Feeling as if everything in it were torn when lifting.─Pain as if a lung had been torn loose and something were pressing it down.─Cutting as with knives; in evening, with burnt feeling in throat, eructations, then emission of flatus.─Boring in r. chest, with oppressed breathing.─Pain under sternum when coughing as if something would be torn away, extending to throat.─Pain on spots; ulcerative pain under sternum; pain as from a load, < bending head forward, with want of breath.─Oppression; pressure; contracted feeling in chest.─Dull feeling in chest, with pain in back.─When in bed has to remove the arms as far as possible from chest, otherwise they increase the pain.─Hot sensation in chest.─Suppuration of lungs.─Chronic blennorrhœa of lungs.─Hydrothorax.

19. Heart

Stitches in cardiac region, low gurgling extending to heart, for a moment breathing is impossible.─Pain in heart > lying down; thinks the stitches will kill him if they continue.─Gurgling in heart region esp. noticeable when lying down.─Pericarditis.─Palpitation; with anxious oppression.─Pulse: weak; irritable, indicating a return of abscesses on neck.

20. Neck and Back

Glands of neck swollen, and on touch bruised pain extending to head.─Sticking in neck, with pustules.─Herpetic eruption on side of neck extending from cheek.─Nape excoriated by discharge from eczema capitis.─Tearing in nape.─Boring in nape, with stiffness.─Pain in nape in afternoon, only in the house, when supporting head with hands it feels as if it had no body, as if he could pass through it with the hands.─Pain in muscles of r. neck, in their upper sinewy part, as from sudden tension, on turning head to r. backward or sideways, >pressure.─Tensive pain in nape after waking, as if he had lain in an uncomfortable position.─Drawing pain extending to shoulder, after waking.─Sticking in back; extending towards chest on coughing.─Boring in vertebræ in morning, with colic, as from rheumatism.─Aching in back; bruised feeling in evening, cannot straighten it.─Scapulæ: sticking between in morning; tearing; rheumatic sticking tearing in and between, down sides.─Boring in dorsal vertebræ; pain between second and third in afternoon.─Sticking: in loins extending to knee in morning; in os pubis during bodily exertion.─Cutting in loins so that she could not walk alone.─Pain in loins; and itching; like molimina hæmorrhoidalia, < motion, so that he could not walk straight comfortably; as if third vertebra from below were wanting or broken.─Drawing in loins, and sometimes in testicles.─Tightness in ischii when walking, extending to knees.─Weakness of loins.─Backache: with constipation; after suppressed eruption.─Spina bifida.

21. Limbs

Trembling of hands and feet.─Stretching.─Tearing: in l. knee and shoulder; intermittent, in joints, in humerus, knee, and toes, > motion.─Wandering pains, <tibiæ and soles, also in finger-joints, at times in r. patella, > motion.─Weakness of joints as if they would not hold together.

22. Upper Limbs

Tearing in l. shoulder in afternoon and evening when resting.─Tearing in arm; intermittent sticking in l. arm.─Arm and shoulder swell up from an old eczema.─Patch on left wrist, and immediate relief follows dose of Pso. (R. T. C.).─Spasmodic pain in bones of l. arm in evening at rest.─Sensation in l. arm, in morning in bed, as if asleep with crawling in fingers; with numbness of three first fingers and half of hand.─Tearing in elbow; r. in evening.─Sticking in l. index.─Tetter on arm, with small, millet-like eruption, exuding a yellow fluid; itches intensely in heat.─Eruption in bends of elbows and around wrists.─Itch-like eruptions on wrists, with rheumatism in limbs.─Trembling of hands.─Swelling and tension of backs of hands and of fingers.─Pustules on hands, near finger-ends, suppurating.─Copper-coloured eruption or red blisters on backs of hands.─Itching between fingers; vesicles.─Herpes on palms.─Sweat on palms, esp. at night.─Warts, size of pin's head, on l. hand and fingers.─Nails brittle.

23. Lower Limbs

Pain in hip-joints as if dislocated, < when walking, with weak arms.─Sciatica: tension down to knee while walking.─Paralysis of legs from suppression of eruption on arms.─Legs,< tibiæ and soles, pain as from too much walking, mornings in bed, > rising, with restlessness of legs.─Leg on which he lies in bed too weak to endure the pressure of the other, he has to change his position continually.─Sensation in r. leg as if it would go to sleep.─Tibiæ and soles feel bruised, as after a tiring walk, mornings in bed.─Sticking in r. ankle in morning on every step with strained sensation.─Feet, trembling; inclination to turn l. inward when walking, with sensation as if he really had turned it the wrong way.─Pain in feet < during rest, with itching.─Gouty pain in l. foot.─Cramp or spasm in toes, < l. great toe, when stretching them or taking off boots.

24. Generalities

Looks pale, exhausted, thin, his clothing is too large for him.─Hot trembling over whole body in morning during rush of business.─R. side of body full of burning pains.─Soreness.─Gouty pains in l. toe, both knees, and back.─Stormy weather affects him, = restlessness in his blood a few days beforehand; makes him sick and = hæmorrhoidal troubles.─Weakness: towards evening, > going to bed; after riding in a waggon; from a little labour.─Sensation when in the sun as if it pushed her down, she had to rest in the shade in order to walk on.─Heaviness of whole body as before intermittent fever.─> Morning; in fresh air; when lying.

25. Skin

Rash: above l. brow and on l. cheek; red, on external throat, beginning with sticking.─Nodules on face, neck, and legs.─Pimples: on forehead; on neck and mammæ; with black points in centre, painful when scratched; on external throat.─Burning like heat-rash below eyes; causing itching, smarting pain, burning after scratching, and feeling sore (in a herpetic patient); and ulcers, from which watery fluid oozed for hours after being opened, < hands, wrists, and palms.─It <herpes and causes smarting and itching.─A scab on nose which commonly fell off when coughing is now adherent and hard.─Pustules on nape, with sticking.─Boils on chest and loins; on buttocks, with burning itching, soon disappearing, leaving crusts.─Itch-like eruption on face, hand, back, and leg, and agglutination of eyes.─Vesicles: on face; quickly filling with yellow lymph, sore to touch on forehead, face, and behind r. ear; filled with lymph, painful to touch on various parts, some forming itching papules.─An old rhagade near r. styloid process suppurated, itched, and was surrounded by blisters filled with clear water, these soon changed to pustules, which healed under a crust.─Crawling on all limbs, with falling asleep of them.─Itching: on forehead; tip of nose; l. arm; biceps of l. arm; r. elbow; soles in evening after a glass of Muscat wine, with tickling and heat; of face, neck, and hands on touch; over whole body after rubbing papules and vesicles; between fingers, and vesicles filled with lymph; on r. carpus, with red spots; voluptuous, where a flea had bitten, with white, hard blisters on a red base.─< Of the itching, which he had had for years on knees, < l., and the herpetic eruption begins to become pustular.

26. Sleep

Yawning: at noon; and shivering pale blue rings, with tearing and spasmodic pains in umbilical region in evening; in evening, with early sleepiness.─Sleepy all the time; in daytime; early.─Sleeps when she sits down.─Sleep unusually sound.─Cannot fall asleep in evening.─Cannot sleep on the habitual r. side, but sleeps on l.─Gnashing of teeth at night, so that he wakes.─Restless sleep; and unrefreshing.─Sleep restless but refreshing.─Restless sleep on account of disquiet dreams.─Dreams: anxious in morning, of robbers, travels, and dangers; uneasy, earnest; that he is on the closet, and thus nearly soils his bed of his business and of his plans.

27. Fever

Coldness < evening, with hot flashes, debility, and sleepiness.─Coldness with heat, thirst, and sweat.─Internal coldness towards noon, with shivering and horripilation.─Creeping coldness in afternoon, with internal shivering.─Horripilations.─Feet cold all night.─Heat: in afternoon; in evening when riding in a carriage, with sweat; of whole body suddenly, at meals and in evening, with trickling sweat all over face, frequent thirst, dryness, and burning in mouth.─Heat in evening, as if she would lose her senses, at night delirium, thirst, and sweat, then she feels well.─Burning: in head; in forehead; in nose, transiently > by discharge of mucus.─Burning in nose, then fluent coryza.─Burning in face, then vesicles.─Burning in r. ear with itching.─Sweat: on waking; in morning when out of doors: with consequent debility, and taking cold easily; sweat on palms; on face; on palms at night; perinæum on moving about.─Want of sweat, dry skin.

NATRUM MURIATICUM.

NATRUM MURIATICUM.

Sodium chloride. Common Salt. NaCl. Trituration. Solution.

Clinical

Addison's disease. Anæmia. Aphthæ. Atrophy. Brain-fag. Catarrh. Chorea. Constipation. Cough. Cracks in the skin. Debility. Depression. Diabetes. Disparunia. Dropsy.Dyspepsia. Epilepsy. Erysipelas. Eyes, affections of. Eye-strain. Face, complexion unhealthy. Gleet. Glossopharyngeal paralysis.Goître. Gonorrhœa. Gout. Headache. Heart, affections of. Hemiopia. Hernia. Herpes. Herpes circinatis. Hiccough. Hodgkin's disease. Hydroa. Hypochondriasis.Intermittent fever. Leucocythæmia. Leucorrhœa. Lips, eruption on. Lungs, œdema of. Menstruation, disorders of. Mouth, inflammation of. Nettlerash. Pediculosis. Ranula. Seborrhœa. Self-abuse. Somnambulism. Speech, embarrassed.Spermatorrhœa. Spinal irritation. Spleen, enlarged. Sterility. Stomatitis. Sunstroke.Taste, lost; disordered. Tongue, blistered; white coated; heavy. Trifacial-nerve paralysis. Ulcers. Varices. Vaginismus. Vertigo. Warts. Whooping-cough. Worms. Yawning.

Characteristics

If Nat. carb. is the typical salt of the Natrum group (as Kali carb. is of the Kalis), Nat. m. is the most important. In power and range it stands in the first rank of homœopathic remedies, but it has an additional significance, in that it exemplifies the power of attenuation in a remarkable way. The problems involved inNat. m. may be regarded in a sense as thepons asinorum of homœopathy. Those who are able to grasp in a practical way the homœopathic uses of this remedy are not likely to meet with any insuperable difficulties elsewhere. Those who can see nothing but "common salt" in Nat. m. may conclude that they have not "the root of the matter" in them. It may be inconceivable to some that the attenuations of Nat. m. should act independently, as curative or pathogenetic, at the same time that crude salt is being ingested in quantities; and it may seem that an infinitesimal amount of a substance which is a necessary constituent of our tissues cannot possibly have any action at all; but this problem is constantly before the homœopathist, and if he cannot master it in respect to Nat. m. he need not trouble his brains to try elsewhere. Nat. m. has been extensively proved, both in the lower triturations and in the 30th and higher attenuations, and the latter produced the most marked effects. I have mentioned in the Preface an experience of my own, which I will give here in more detail. For a common cold which had proved troublesome I took eight globules of Nat. m. 200. The next day the cold was not better, but I felt ill, and presently a copious, gushing, watery, light-coloured diarrhœa set in, and persisted for some days, draining all my tissues and reducing my weight by half a stone before I could think of the cause. Then the dose of Nat. m. flashed on my mind, and I at once began to smell at a bottle of Sweet Nitre, the antidote. The diarrhœa and all other symptoms vanished in a way I have never forgotten; and the lesson was well worth all the suffering I had undergone. My weight came back as rapidly as it had disappeared. In Nat. m. is illustrated the antidotal action of a substance of high attenuation over the effect of a lower. A large number of people are steadily poisoning themselves by taking excessive quantities of salt with their food; and it is generally useful to ask patients if they are fond of salt. Without restricting the amount of salt taken, Nat. m. 30 will antidote most of the effects of the crude, and enable the patient to cut down the quantity taken afterwards. But the effect of a high potency can also be antidoted by a higher. A patient to whom I gave Nat. m. 1m developed this new symptom: Aching pain deep in left shoulder and down the arm; < lying on right side; no tenderness. A single dose ofNat. m. c.m. quickly removed it. Nat. m. is one of the remedies adopted by Schüssler from homœopathy. Though arrived at by a different route, his indications are for the most part identical with Hahnemann's, and a recital of them will serve to emphasise some points; and there is no need to accept Schüssler's semi-material theories as an all-sufficient explanation of the remedy's action, for they do not anything like cover the field. Says Schüssler: "The water which is introduced into the digestive canal in drinking or with the food enters into the blood through the epithelial cells of the mucous membrane by means of the common salt contained in these cells and in the blood, for salt has the well-known property of attracting water. Water is intended to moisten all the tissues, i.e., cells. Every cell contains soda. The nascent chlorine which is split off from the Nat. m. of the intercellular fluid combines with this soda. The Nat. m. arising by this combination attracts water. By this means the cell is enlarged and divides up. Only in this way can cells divide so as to form additional cells. If there is no common salt formed in the cells, then the water intended to moisten them remains in the intercellular fluids, and hydræmia results. Such patients have a watery, bloated face; they are tired and sleepy and inclined to weep. They are chilly, suffer from cold extremities, and have a sensation of cold along the spine. At the same time they have a strong desire for common salt. (The cells deficient in salt cry for salt.) The common salt, of which they consume comparatively large quantities, does not heal their disease, because the cells can only receive the common salt in very attenuated solutions. The redundant common salt present in the intercellular fluid may in such cases cause the patients to have a salty taste in their mouth, and the pathological secretions of the mucous membranes, as also of excoriations of the skin, may be corrosive (salt-rheum)." Disturbances in the distribution of salt in the cells cause: Lachrymation; salivation; toothache with salivation; watery diarrhœa; mucous diarrhœa; lack of mucus; catarrh of stomach with vomiting of mucus; water-brash; vesicles clear as water on skin or conjunctiva; constipation.─Thus far Schüssler. But whilst using his theory as a useful means of stringing many characteristics of Nat. m. together, it is necessary to free oneself from them entirely in order to see the remedy in all its range of action. A complete view of the symptom picture can alone give that. In old-school practice Nat. m. is used chiefly in solution as a douche or spray in nasal and other catarrhs, and in the mixture of "Brandy and Salt," in which large quantities of salt are given for pulmonary hæmorrhages. The relation to catarrh, which Schüssler brings out, is specific. Excessively fluent coryza, with much sneezing; sore nose, especially the left wing; cold sores on lips and nose; loss of smell and taste, are indications which I have verified repeatedly in acute colds and the tendency to them. With the coryza there is copious lachrymation; and whether or not Schüssler is right on the chemistry of the process, Nat. m. is indicated by tears. ("Flow of tears with cough" is Burnett's keynote of Nat. m. in whooping-cough, H. W., xviii. 179.) The characteristic of the tearful Nat. m. patient is that she (or he) wants to be alone; any attempt to console irritates beyond endurance. "Wants to be alone to cry." "Very much inclined to weep and be excited." There are even tears with laughter. For in addition to the sadness there is hysterical laughter; laughs till she weeps at things not at all ludicrous. The excitement of Nat. m. is always followed by melancholy. The hypochondriasis and hysteria of Nat. m. generally go pari passu in the degree of constipation; and Nat. m. is one of the most commonly needed remedies in that complaint. The most characteristic symptom in this connection is a sensation of "contraction of the rectum during stool; hard fæces at first evacuated with the greatest exertion, which causes tearing in anus, bleeding and soreness; afterwards thin stools also passed; constipated every other day." There is also retention of stool; and a feeling after stool as if there were more to pass. Nat. m. answers equally well to constipation and diarrhœa when the collateral symptoms correspond. The constipation is often found associated with anæmia; with chilliness, cold feet and chills down the back; with indigestion such as is met with in victims of masturbation: Nat. m. is one of the most helpful of remedies in such cases. The unclean complexion of earthy line, "dirty face" in spite of any amount of washing, is a still further indication. The skin is greasy from excess of sebaceous secretion. Nat. m. corresponds to affections due to loss of fluids. This recalls China, with which it has a very important antidotal relation. Both correspond to the effects of masturbation, hæmorrhages, and loss of fluids; both are remedies for intermittent fever, and Nat. m. is the chief antidote to the effects of over-dosing with China and Quinine. Another important antidotal relation of Nat. m. is to Arg. n. And here another interesting fact appears-namely, the parallel between chemical and the dynamic action. Salt is the best antidote to poisoning with nitrate of silver, as it changes the soluble nitrate of silver into the insoluble harmless chloride. Nat. m. in the attenuations is also the best remedy for the ill effects ofArg. n. whether used as a cautery or administered as a medicine. Whenever there is a history of cauterisation and Arg. n. has been used, Nat. m. will do great good. Scrofulous ophthalmia which has been treated locally in vain with Arg. n.; sore throats that have been cauterised; the effects local and remote of uterine injections of Arg. n., or cauterisings of the os uteri. W. J. Guernsey (H. P., vii. 127) relates a striking instance of the last. Mrs. P., 32, complained of "lump" in the throat which could not be swallowed, and yet required constant efforts to do so. < On empty swallowing; yet on swallowing food it seemed to pass over a sore spot. Bar. c., Lach., Bell. were given in succession in vain. Remembering the injunction of the Organon, § 207, to inquire as to what allopathic treatment a patient has been subjected to in order to discover if there is anything to correct, Guernsey discovered that the patient had had a severe ulceration of the womb which had been "burnt out" several times and was "now well." She had had a very profuse discharge, but that had stopped, and on the same day she had commenced to "choke" with the throat trouble. Nat. m. 295m (F.) was given. In a few days the throat was better and the discharge had returned, much to the patient's horror. Without further treatment throat and vaginal discharge were both cured. Lambert has recorded (L. H. H. Rep., vii. 144) several cases of headache associated with errors of refraction and consequent eye-strain cured with Nat. m. 30. The headaches were noticed on waking. In one case it was like a cloud over brain with intense depression and had lasted ten years. It disappeared before the vision was corrected. The effect of living too exclusively on salt food in producing scurvy gives a key to the use of Nat. m. in many conditions of blood degeneration, hæmorrhage, and skin disorder and ulceration. In aphthous and ulcerative conditions of the mouth it is a leading remedy. The characteristic tongue of Nat. m. is either a mapped tongue, with red islands; or a clean shining tongue with froth along each side. There are many characteristic symptoms in connection with the tongue: hair sensation; numbness and stiffness of one side; heavy, embarrassing speech. Nat. m. corresponds to children who are late in talking. The tongue is blistered; sticks to roof of mouth. Dryness of mouth and throat. Unquenchable thirst. Nausea. Vomiting. The drying-up property ofNat. m. is general. One very characteristic effect is dryness of vagina, with painful coitus; aversion to coitus (in the female); aversion to men. Menses may be early and profuse; or scanty and delayed. Nat. m. corresponds to many cases of anæmia, and especially to delay in the first appearance of the menses. Much bearing down and much leucorrhœa. Backache generally accompanies these, and the backache has this peculiarity, that it is > by pressure; by lying down with the back on something hard. There is also sensitiveness of the back and spinal irritation. With the menses there is generally headache, both before, during, or after. The headaches of Nat. m. are intermitting. They come on in the morning on first waking up and last throughout the day; or else they come on at 10 or 11 a.m. They are < from mental exertion.Nat. m. is one of the first remedies for headaches of schoolgirls. Headache with partial blindness. Headache much < by coughing. Throbbing; beating as with little hammers; pain as if the head would burst. The throbbing headache has its analogue in palpitation of the heart. Nat. m. is a great heart remedy. Fluttering palpitation with faint feeling, < lying down. In one case of huge hypertrophy with degeneration of most of the valves, the patient told me nothing gave her so much relief as Nat. m. (which I had given for some incidental condition). Very characteristic is sense of coldness at heart or precordia with trembling of heart. Constrictive sensations run throughout this remedy: in heart; chest scalp; throat; rectum; of anus (sensation as if anus were closed) cramps in uterus; vaginismus; contraction of hamstrings. Paralytic symptoms with numbness are the counterpart of these. Nat. m. has the sinking sensation of the antipsorics. Great hunger, with no appetite. Eats heartily but emaciates. Heartburn after eating. Emaciates whilst living well. Ravenous appetite but grows thin, especially about neck. There are some very characteristic desires and aversions: Desires: bitter things; beer; farinaceous foot; sour things; salt; oysters; fish; milk. Aversion to: bread; meat; coffee; tobacco. While eating, sweat on face. Is >when stomach is empty. After eating: empty eructations; nausea; acidity; sleepiness; heartburn; palpitation; epigastric pressure and heat radiating up to chest. Violent hiccough. The nausea and vomiting of Nat. m. have been turned to account in the morning sickness of pregnancy. One patient, who said she could "eat the brine out of a mackerel kit," was cured with a single dose of Nat. m. (Amer. Hom., xxiii. 385). Nat. m. is a great periodic remedy. It not only antidotes Quinine, but it causes intermittents on its own account. Chilliness predominates. Chill 10 to 11 a.m. with thirst, drinks after a meal; fever blisters round mouth. Fever with violent headache; great thirst; nausea; vomiting; blueness; faint; averse to uncover. Fever may come on without chill 10 to 11 a.m. Sweat > headache and other symptoms though it weakens; averse to uncover. There are many eruptions, herpes, hydroa, eczema. Eczema on hair margins, especially at back of head. Warts on palms of hands. Corns. Painful scars. Nat. m. is suited to: Cachectic persons; old people; teething children; anæmic, chlorotic people with catarrhal troubles; tuberculous; scrofulous; dropsical; emaciated persons. Among Peculiar Sensations are: As if head too heavy and would fall forward; as if some displacement in head had taken place; as if cold wind blowing through head; as though forehead would burst on coughing; as if head in a vice; pain like a rope round head drawing tighter and tighter; as if nail driven in left side of head. As if eyeballs too large; as if foreign body in eyes; as if eye being torn open. As if a small worm squirming in nose. Of hair on tongue. Splinter in throat. Plug in throat. As if one had to swallow over a lump. Difficulty of talking, as if organs of speech weak. As if foreign body sticking in cardiac orifice behind sternum. When walking, as if abdominal viscera loose, dragging. As if rough, hard, foreign substance in rectum. As if there was a string between uterus and sacrum in hind part of fornix. Back as if beaten; broken. Nat. m. corresponds to effects of going to seaside; and if patients say they are always < at seaside or cannot stay by the sea, Nat. m. will probably be the remedy. Constipation at seaside. But > at seaside may also indicate it. There is great desire for open air and washing in cold water. < Heat of stove; of room; of sun.< In summer. Warm food < toothache. Drawing in air < toothache; cold drink <toothache. Likes to be covered but it does not>. Lying down > vertigo, headache, constriction of scalp; < cough; fluttering of heart. Lying on left side <. Moving, least exertion <. Exercising arms > breathing. Walking <. In back troubles, can stoop readily but it hurts to straighten. < Mental exertion; talking; writing; reading. < After sleep. Coitus<. Most symptoms are < in morning; < after sleep. < 10 to 11 a.m. < During full moon. < By eating. < From bread, acid food, fat, wine. <After breakfast. > Going without regular meals. < Touch and pressure. Full sensation is> by tight clothes. Back > lying on something hard. > Rubbing.

Relations

Antidoted by: Smelling Nit sp. dulc.; Phos. (especially abuse of salt in food); Ars, (bad effects of sea-bathing). Nux will relieve headache if persistent, or prostration if prolonged after Nat. m. Antidote to: Arg. n. (abuse of, as cautery); Quinine (when diseases continue intermittent and patients suffer from headache, constipation, disturbed sleep); Apis (bee-stings). Nat. m. should not be given during the paroxysm of fever.Complementary: Apis, Sep., Caps. Nat. m. is the Chronic of: Ign. (its vegetable analogue); also of Apis and Caps. Compatible:Before─Sep., Thuja; after─Kali m., Kali p., Kali s., Nat. sul., Calc. ph., Fer. p. Compare: Borax, Nat. c., Nat. hyp., K. chl. In mapped tongue, Ars., Rhus, K. bi., Tarax., Ran. s. (acidity). Hypochondriasis with indigestion, Nat. s. (Nat. m. melancholy keeps step with the constipation; Nat. s. melancholy with degree of indigestion). Lachrymose, Puls. (>consolation), Sep., Ign. Schoolgirls' headache, Calc., Calc. p. Headache coming and going with sun, Spi., Gels., Glo., Sang. Headache with partial blindness, K. bi., Ir. v. Half sight, Aur., Lith. c., Lyc., Titan. Headache with cough, Caps., Bry., Sul. (Sul. occiput, Nat. m. forehead). Spurting of urine with cough, Fer., Scill., Caust., Pul. Ravenous yet wastes, Iod. (Nat. m., especially neck). Distended stomach> tight clothing, Fl. ac. (opp. Lach., Hep.). Hydroa labialis, Hep., Rhus, Ars., Camph. Herpes circinatus, Sep., Bar. c., Tell. Chill 10 a.m., Stn. (Stn. hectic, Nat. m. intermittent). Paralysed by emotion, Gels., Staph. Amenorrhœa, K. ca. (acts when Nat. m. fails). Backache, spinal irritation, K. ca. Cold feeling about heart, Petrol. Spinal irritation, Act. r. (Nat. m. > lying flat, Act. r. < from touch). Oily sweat on face, Bry. Intermittents, chill beginning in small of back, Eup. pf.; Rhus (chill begins in one leg, or thigh, or between shoulders), Gels. (runs up spine). Prolapsus uteri, Sep., Lil. t. Sensation of foreign body in anus, Sep. (ball). Constriction in anus, Lach., Bell., Caust., Nit. ac., Ign., Op., Pho. Sadness during menses, Lyc., Nit. ac., Sep. (Nat. m. < or> 10 a.m.). Stitches in heart, Spi., Ars., K. ca., Carb. v. < After sleep, Lach., Sul. Ripping-up sensation of anus after stool, Sep. Stomatitis, Caps., Sul. ac. Dreams persist after waking, Chi. Chilblains on feet only, Lyc. Sinking 11 a.m., Sul. Breasts painful before menses, Calc., Con. Umbilical hernia with absence of urging, Bry., Ver. (with urging, Nux, Cocc.). Laughs at serious things, Anac., Pho., Lyc., Plat. Weeps if looked at, Kissingen. Hair sensation on tongue, Sil. Head and face >uncovering, Nat. c., Lyc. Headache from eye-strain, Onos. (Teste includes Nat. m. in his Lycopod. group, with Viol. t. and Ant. c.)

Causation

Disappointment. Fright. Fit of passion. Loss of fluids. Masturbation. Injury to head. Quinine. Lunar caustic. Bread. Fat. Wine. Acid food. Salt.

1. Mind

Melancholy sadness, which induces a constant recurrence to unpleasant recollections, and much weeping; all attempts at consolation <.─Obliged to weep.─Hypochondriacal, tired of life.─Joyless, taciturn.─Great tendency to start.─Hurriedness, with anxiety and fluttering of heart.─Prefers to be alone.─Anthropophobia.─Anxiety respecting the future.─Anguish, sometimes during a storm, but esp. at night.─Indifference, laconic speech, moroseness, and unfitness for labour.─Impatient precipitation and irritability.─Timidity.─Hatred to persons who have formerly given offence.─Irascibility and rage, easily provoked.─Inclination to laugh.─Laughs so immoderately at something not ludicrous that tears come into her eyes and she looks as if she had been weeping.─Alternate gaiety and ill-humour.─Laughs immoderately and cannot be quieted.─Difficulty of thinking; absence of mind.─Weakness of memory and excessive forgetfulness.─Heedlessness and distraction.─Tendency to make mistakes in speaking and writing.─Brain-fag, with sleeplessness, gloomy forebodings.─Exhaustion after talking, embarrassment of brain.─Incapacity for reflection, and fatigue from intellectual labour.─Distraction; does not know what he ought to say.─Awkwardness.

2. Head

Painful confusion in head.─Emptiness of head with anguish.─Weariness in head.─Vertigo, during which everything seems to turn round before eyes, with tendency to fall forwards, esp. on walking and getting out of bed.─Vertigo: in forenoon; pressing head down when sitting; on rising from bed and on waking; on stooping; on turning round (on turning in bed from r. side to l.); everything seems to turn in circle; with flickering before eyes and dulness of head; and nausea woke her 5 a.m., > lying with head high; on crossing a stone bridge the stones seemed to sink under feet; > lying down; keeping quiet; by cold applications.─Intermittent reeling like vertigo;< moving head, like a thrust from vertex to forehead, for the moment depriving him of his senses.─Burning on the vertex.─Vertigo, with shocks in head and dizziness.─Violent headache, as if the head would burst.─Sensation of congestion of blood to head; head feels heavy.─Stitches through head, extending to neck and chest.─Heat in head, with redness of face, nausea and vomiting.─Periodical headaches during, after, or before menses.─Headache in morning, on waking; on turning, and while moving body or head; when running; or in cold air; or after being thwarted.─Heaviness of head, every day, esp. in occiput, forcing eyes to close; < in the morning; from warmth and motion; > when sitting, lying, or perspiring.─Headache, as if head were about to split; or as if it were tight and compressed, esp. when writing.─Fits of headache, with nausea and vomiting (eructations, colic, and trembling of limbs).─Aching and compression in head, esp. in temples and above eyes, < by frowning.─Acute pullings and shootings in head, esp. above eyes, with want to lie down, and clouded sight.─Lancinating shocks across head.─Throbbing, pulsation, and hammering in head, esp. during movement, >when lying with head high; > by perspiration.─Rheumatic (tearing) pain in head, from root of nose extending to forehead, with nausea, vomiting, vanishing of sight; < in morning when waking from sleep, from mental exertion and motion; > sitting still or lying down.─Throbbing and drawing pains in forehead.─Sensation on moving head as if brain wavered.─Painful sensitiveness of scalp, as if excoriated.─Contraction and mobility of scalp.─Tendency of head to become easily chilled.─Sweat on head, esp. in morning and at night.─Scurf on scalp.─Great sensitiveness of scalp; with greasy, shining face; sensitiveness of forehead and the borders of hair; < in warm room, > in open air.─Itching eruption of margins of hair at nape of neck.─Abundant falling off of hair (as soon as it is touched, more on forepart of head and temple), even of whiskers; and on the genitals, esp. during child-bed.

3. Eyes

Itching in eyes.─Shootings, smarting, and burning in eyes.─Inflammation of eyes.─Corrosive lachrymation (morning).─Frequent lachrymation.─Secretion of humour in external canthi.─Nocturnal agglutination of eyes.─Eyelids continually red and ulcerated.─Inflammation of eyes with ulcerated lids and glutinous mucus in (external) canthi.─Spasmodic closing of lids, esp. in morning, in the evening (during twilight) and at night.─Eyes give out on using them.─(Headache associated with eye-strain; esp. headache on waking.).─Feeling as if balls were too large and compressed.─Pressure in eyes on looking intently at anything.─Sensation of sand in eyes, mornings.─Cloudiness of sight when stooping and walking, as well as on reading and writing.─Sight confused, as from down before eyes, or looking through a veil.─Letters appear confused, when reading.─Diplopia.─Hemiopia (perpendicular).─Presbyopia.─Weakness of sight, as from incipient amaurosis.─Black specks, luminous marks, and sparks before eyes.─Fiery, zigzag appearance around all things.─Affections of r. eye; angles of eyes; momentary loss of sight.─Myopia.

4. Ears

Shootings in ears.─Pulsations and beatings in ears.─Swelling and heat of ears.─Discharge (of pus) from ears.─Hardness of hearing.─Tinkling, ringing, rumbling, and humming in ears.─Painful cracking in ear when masticating.─Itching behind ears.

5. Nose

Numbness and insensibility of one side of nose.─Inflammation and swelling of nose, on one side (l.) only, with pain when touched.─Boring in bones of nose. Excoriation of interior of nose, with swelling of interior wings.─Scabs and scurf in nose.─Scurf on the nose.─Loss of smell and taste.─Abortive sneezing.─Obstruction and dryness of nose.─Dry coryza, sometimes in morning only.─Violent coryza, fluent or dry, with loss of smell and taste, and sneezing.─Bleeding of nose (when coughing at night) when stooping.─Blood clotted.─Painful burning pustules below septum of nose, afterwards confluent and covered with a scab.

6. Face

Face yellowish, pale, livid, earthy.─Face shining, as if greasy.─Swelling of face.─Itching and eruption of pimples on face and forehead.─Heat in face.─Pains in zygomatic process, during mastication, like those of ulceration.─Lips dry, chapped, cracked, or excoriated and ulcerated, with scabs, and burning and smarting eruption.─Fever blisters on the lips.─Ulcer on (l.) cheek.─Tingling and numbness of lips.─Tettery eruption round mouth.─Swelling of lips.─Sanguineous vesicles in internal surface of upper lip, with burning pain when touched.─Granulated and ulcerated eruption on chin.─Frequent swelling of submaxillary glands.

7. Teeth

Teeth very sensitive to air and touch.─Drawing, like extraction, in teeth, extending into ear and throat, after a meal, and at night, with swelling of cheek.─Lancinations, boring, and pulsation in carious teeth.─Looseness and caries of teeth.─Fistula in gums.─Gums swollen, easily bleeding, and very sensitive to cold or hot things.─Putrid inflammation of gums.─Ulcers in gums.

8. Mouth

Ulcers and vesicles on tongue and in mouth, with burning smarting, and pain from contact with food and drink.─Blisters like pearls about the mouth; esp. in intermittent fever.─Hæmoptysis.─Speech embarrassed in consequence of heaviness of tongue.─One half of tongue numb and stiff.─Tongue stiff and, with hard palate, unusually dry.─Prolonged sensation, as of a hair on tongue.─Dryness of mouth, lips, and esp. of tongue.─Burning at tip of tongue.─Mapped tongue; red insular patches; ringworm on r. side.─Tongue: clean, shiny, bubbles of frothy saliva along sides; clean in front, dirty at back; broad, pallid, puffy, with pasty coat.─Swelling under tongue, with stinging pain; ranula.─Numbness on lips and one side of tongue (trifacial and glosso-pharyngeal paralysis.).─Copious salivation; saliva salty.

9. Throat

A sensation during deglutition as of a plug in throat.─Spasms in the throat.─Swelling; sensation of constriction and stitches in throat.─Long-continued sore throat, with sensation as if she had to swallow over a lump.─Inflammation of throat, with shooting pain and ulceration.─Expectoration of mucus, on hawking, esp. in morning.─Frequent hawking of salty-tasting mucus.─Swelling of cervical glands.

10. Appetite

Loss of taste (and smell).─Bitter taste in mouth.─Putrid or acid taste, as when fasting.─Putrid taste of water.─After-taste of food, esp. of acids.─Continual thirst, often with nausea, distension of abdomen, and other unpleasant symptoms after drinking.─Loss of appetite, esp. for bread, and repugnance to tobacco smoke.─(Vomiting of pregnancy with aversion to bread.).─Dislike to food, esp. when fat.─Sufferings from acid food, from bread, fat, and wine.─Immoderate appetite in afternoon and evening.─Bulimy, without appetite, with fulness and satiety, however little may have been eaten.─Desire for acids.─Longing for bitter food and drink.─Sweat on face during a meal.─After a meal, empty risings, nausea, fulness and inflation of the abdomen and stomach, somnolence, head confused, acidity in the mouth, and pyrosis, palpitation, and intermittent or accelerated pulse.─Disagreeable risings after fat food or milk.

11. Stomach

Risings, with taste of food.─Violent hiccough.─Sensation as if a foreign body were sticking in the cardiac orifice and behind sternum.─Acid and acrid risings, sometimes with taste of food.─Pyrosis, which ascends from stomach.─Nausea, esp. in morning.─Waterbrash, with revolving sensation in stomach, sometimes followed by a sour vomiting of food.─Vomiting of food and bile.─Aching of stomach in morning, or during the day, with nausea, and sudden sinking.─Pressure at epigastrium, as if there were a hard body in stomach.─Epigastrium swollen and painful, when touched and pressed, as if it were ulcerated.─Contractive cramps in stomach, sometimes with nausea.─Shocks and clawing in pit of stomach.─Pulsation in epigastrium.─Red spots on pit of stomach.

12. Abdomen

Drawing, tension, pressure, pinching, and shootings in hepatic region (chronic inflammation of liver).─Pain, shootings, and pressure in splenic region.─(Reduces size of enlarged spleen.).─Cramp in diaphragm on stooping.─Inflammation of abdomen.─Swelling of abdomen.─Tensive, pressive, and hypochondriacal uneasiness in abdomen.─Pressive pain in abdomen.─Drawing and contractive pains in abdomen, like labour pains.─Daily cuttings and pinchings in abdomen, sometimes in morning, and at night.─Rigidity in l. side of abdomen.─Incarceration of flatus, sometimes at night.─Colic with nausea > by discharge of flatulence.─Loud grumbling and borborygmi in abdomen.─Burning in intestines.─Pain in ring when coughing, extending into testicles, as if spermatic cords would be torn to pieces.─Protrusion of hernia.

13. Stool and Anus

Constipation, sometimes prolonged, or every second day.─Frequent, urging, and ineffectual effort to evacuate, or scanty evacuation.─Stools difficult to discharge, hard, dry, crumbling, like sheep's dung.─Hard and broken evacuations.─Difficult evacuation of fæces, often with tearing and shooting in rectum and anus.─Evacuations too frequent.─Prolonged relaxation of abdomen.─Diarrhœa like water, with colic.─Alternate constipation and diarrhœa, irregular unsatisfactory stools.─Diarrhœa, with colic, and evacuation of mucous matter.─Painless watery diarrhœa.─Involuntary evacuations.─Discharge of blood during evacuations.─Burning in anus and rectum, during and after stools.─Shootings, excoriation, and pulsation in rectum.─Cramp-like constriction, and feeling of contraction in rectum.─Prolapsus recti, and burning pain in anus, with oozing of sanguineous and sanious matter.─Painful and shooting hæmorrhoidal tumours in anus.─Excoriation in anus, and between the buttocks, esp. when walking.─Tetters in anus.─Lumbrici.

14. Urinary Organs

Frequent and urgent want to urinate, day and night, sometimes every hour, with copious emission.─Involuntary emission of urine, sometimes on coughing, walking, laughing, or sneezing.─Nocturnal emission of urine.─Clear urine, with red sediment, resembling brick-dust.─Discharge of mucus from urethra, after the emission of urine.─Discharge of mucus from urethra during and after urination, causing itching and biting.─Discharge of mucus from urethra, which is sometimes yellowish, as in gonorrhœa.─After micturition spasmodic contraction in abdomen; burning, drawing, and cutting in urethra.─During micturition stitches in bladder, smarting, burning in urethra; smarting and soreness in vulva.─Urine dark, like coffee, or black.

15. Male Sexual Organs

Itching, tetters, and excoriation between scrotum and thighs.─Itching and stinging on glans and scrotum.─Secretion behind glans, like gonorrhœa balani.─Phimosis.─Excessive excitement of genital organs, and of the amative feelings; or dulness of sexual desire.─Want of energy during coition.─Impotence.─Pollutions after coition.─Strong fetid odour from genital organs.─Hydrocele.─Loss of hair from pubes.

16. Female Sexual Organs

Pressure and general bearing down towards genital organs every morning; has to sit down to prevent prolapsus.─Prolapsus uteri with aching in loins, > lying on back; cutting in urethra after micturition.─Catamenia premature and profuse; or retarded and scanty.─Sterility, with too early and too profuse menstruation.─Prolonged catamenia.─Suppression of catamenia.─Difficulty in appearance of first menses.─Headache before, during, and after catamenia.─Before catamenia, moroseness and irritability.─At commencement of catamenia, sadness.─During catamenia, cramps in abdomen.─Spitting blood at menstrual nisus; bloody saliva.─Itching in genital organs.─Repugnance to coition.─Coition: painful from dryness of vagina; burning smarting during; in anæmic women with dry mouth and dry skin.─Leucorrhœa, with headache, disposition to diarrhœa, colic, and mucous evacuations.─Acrid (greenish) leucorrhœa (increased discharge when walking), with yellow colour of face.─Abundant discharge of transparent, whitish, and thick mucus from vagina.─Vulvitis with falling off of hair.─Itching of external parts with falling off of hair.─Pimples on mons veneris.─Nausea and vomiting during pregnancy; morning sickness with vomiting of frothy, watery phlegm.─During pregnancy: dysuria; albuminuria; craves salt; congestion to chest; palpitation; hæmorrhoids; cough; escape of urine.─Labour slow, pains feeble, apparently from sad feelings and forebodings.─Loss of hair in children or during lactation.─Child refuses breast; nursing sore mouth.─Lancinating pains in breasts.─Stitches beneath nipples.─Dull stitch beneath r. nipple, also in abdomen.─Breasts sensitive to slightest touch.

17. Respiratory Organs

Hoarseness, and sensation of dryness in larynx.─Dry cough with rattling in chest.─Accumulation of mucus in larynx in morning.─Chest embarrassed with catarrh and cough.─Cough excited by a tickling in throat, or in epigastrium, day and night, esp. on walking or taking a deep inspiration.─Cough in morning.─Choking, spasmodic cough in bed, in evening.─Short, chronic cough, with expectoration of mucus and swelling in chest.─Cough, with expectoration of bloody mucus.─Cough, with sanguineous expectoration, retching and vomiting.─Pains in head, on coughing, as if forehead were about to burst.─Whooping-cough caused by tickling in throat or pit of stomach, with expectoration (only in morning) of yellow or blood-streaked mucus, with violent pain in head, or with shocks; beating and hammering in head; involuntary micturition; stitches in liver.─Tears stream down his face whenever he coughs (whooping-cough). Breath: hot; offensive.─Shortness of breath, esp. when walking quickly.─Obstructed respiration, esp. during manual labour, > when exercising arms and in the open air.─Wheezing respiration in bed, in evening.

18. Chest

Pains in chest (dyspnœa on ascending stairs and shortness of breathing), as if caused by internal tension.─Stitches in the chest and sides with shortness of breathing, esp. when taking a long inspiration.─Breath short and chest tight, and as if a dry stick of wood were down the throat, with cough.─Lancinating pains in chest and sides of chest, with impeded respiration, sometimes when taking a full inspiration, and when coughing.

19. Heart

Anxious and violent palpitation of heart at every movement of body, but principally when lying on l. side.─After eating, breath impeded, with violent palpitation.─Jerking and shooting pain in region of heart.─Fluttering motion of heart.─Irregular and intermittent palpitation of heart.─Jerking movement of heart.─Enlargement of heart.

20. Neck and Back

Aching, rigidity, and tension in nape.─Stitches in neck and back of head.─Painful stiffness of the neck.─Throat and neck emaciate rapidly, esp. during summer complaint.─Goître of a large size.─Scurf under axillæ.─Scabs in axilla; painful soreness of cervical glands when coughing.─Engorgement of axillary glands.─Contusive pain and feeling of paralysis in sacrum, esp. in morning.─Paralytic weakness nearly all day, >from lying, < from eating.─Shootings, incisive pains, and violent pulsation in sacral region.─Tearing across loins and hips.─Nocturnal pains in back.─Over-sensitiveness of spine.─Pain in back > by lying on something hard.─Lassitude, pressive tension, and pulling in back.

22. Upper Limbs

Wrenching pains in joints of shoulders and fingers.─Lassitude and paralytic heaviness of arms.─Contusive pain in arms and hands, but esp. in shoulder-joints (sensation of lameness and of a sprain), which prevents arms from being elevated or moved.─Digging in arms.─Shocks in elbow.─Lancinations in muscles and joints of hands and fingers.─Brownish spots on back of hand.─Warts on palms.─Skin of hands dry and cracked, esp. round the nails.─Coldness of hands.─Cramp in arms, hands, finger and thumb.─Sweat on hands.─Difficulty in bending the joints of the fingers.─Numbness and tingling in the fingers.─Tingling in the hands (and feet), esp. on joints and tips of fingers and toes.─Trembling of hands when writing.─Swelling of r. hand.─Numerous flaws in the nails.─Hang-nails.─Whitish hives on arms and hands.─Panaritium.

23. Lower Limbs

Wrenching pain in hips, with shootings.─Drawing pains in thighs, knees, and legs.─Restlessness and jerking in limbs (in legs, compelling one to move them constantly).─Paralytic weakness of legs, and esp. of joint of foot.─Pain as if knees and ankles were sprained.─Weakness and trembling of lower extremities, on rising from a seat, > from continued walking.─Jerking of muscles of thighs.─Tension in bends of limbs and sensation as if the tendons were shortened; painful contraction of tendons of ham.─Wrenching pain in joints of knee and foot.─Lassitude in knees and calves.─Cramps in lower legs and calves.─Tetters in hams.─Tension in legs and calves.─Great heaviness in legs and feet.─Burning in feet.─Swelling of feet.─Coldness of feet.─Pain as from ulceration in malleoli, when putting down foot, and on touching the parts.─Sensation as if limb had gone to sleep (feet, fingers).─Suppression of perspiration of feet.─Redness of great toe, with acute pullings and shootings, when walking, and after standing a long time.─Tetters on malleoli.─Corns on feet, with shooting and boring pains.

24. Generalities

Pressive drawing in limbs.─Rigidity of all joints, which crack when moved.─Contraction of tendons (muscles shortened).─Jerking in the muscles and limbs.─Jerking of r. side and head.─Tendency to dislocation, and to strain back.─Old sprains.─Paralysis.─Swelling of glands.─Fungus hæmatodes; polypus; hang-nails.─Fits of uneasiness, esp. in morning or evening, with nausea, weakness, deadly paleness in face, headache, numbness of limbs, want to lie down, &c.─Bad effects of a disappointment.─After fright, chorea.─After fit of passion, paralysis. The symptoms manifest themselves, are renewed, or <, generally when lying down, and esp. at night, or in morning; and are > by rising up in bed.─The nocturnal pains suspend respiration, and occasion a sort of semi-lateral paralysis.─General ebullition of blood, with pulsation over whole body, on slightest movement.─Trembling of whole body, caused by tobacco smoking.─Congestion in head, chest, and stomach, with coldness of legs.─Obstruction from inactivity of the bowels.─Affections of the pit of the stomach; rectum; external belly.─Reddish urine; complaints after making water.─Uneasiness and inconvenience after prolonged speaking.─Great relaxation of all physical and moral powers, after fatigue.─Heaviness and indolence, esp. after having risen in morning, with repugnance to movement and walking.─Excessive soreness and lassitude in limbs, esp. in morning, and when seated.─Hysterical debility; in morning in bed.─Great weakness.─Alternate weakness and agility in limbs.─Great emaciation (more of body than face).─Tendency to take cold.─Inquietude in body, with shivering.

25. Skin

Miliary eruption, with shooting pain.─Itching and pricking in skin.─Rash over whole body, with stinging sensation in skin.─Red tetter in hollow of knees.─Pain and redness of an old cicatrix.─Skin of hands, esp. about nails, dry, cracked; hang-nails.─Whitish hives on arms and hands.─Itching tubercles.─Nettle-rash after violent exercise (itching).─Tetters.─Furunculi.─Exanthema on mouth; lips; in intermittent fever where there are large exanthematous spots looking like large peas, on lips (cold sores); lips look puffy.─Warts; on palms of hands.─Panaritium.─Varices.─Corns.

26. Sleep

Great drowsiness during day, with frequent yawning.─Retarded sleep, and sleeplessness at night, with ineffectual efforts to go to sleep.─Difficulty in falling asleep again, at night, after awaking.─Difficulty in waking, and excessively drowsy lassitude early in morning.─Agitated sleep, full of vivid and lascivious dreams, with prolonged erections and pollutions.─Anxious, distressing dreams, with tears and talking during sleep.─Frightful dreams of quarrels, murders, fire, thieves, &c.─Dreams of thieves in the house, making so strong an impression that patient wakes up and cannot go to sleep again until the house has been searched; fantastic dreams.─Dreams of burning thirst; starts and talks in sleep and tosses about.─Dreams which still keep possession of the mind after waking, and which are believed to be realities.─Ebullition of blood at night, with anxious heat (perspiration, violent throbbing of the arteries) and palpitation of heart.─Nightmare.─Somnambulism.─At night, pains in back, quivering, apparently of the nerves, frequent emission of urine, headache, colic, asthmatic sufferings, and great anguish of body.

27. Fever

Frequent, internal, shudderings.─Continued shivering and want of vital heat.─Chill predominates; chilliness internally, as from want of vital heat, with icy coldness of hands and feet (evening).─Continued chilliness from morning till noon.─Shivering, with and without thirst.─Shivering and shuddering, with drowsiness, followed by slight perspiration.─Flushes of heat and shivering alternately, with headache; chilliness over back and perspiration in axilla and on soles of feet.─Continuous heat in afternoon, with violent headache and unconsciousness; they are gradually > during the perspiration which follows.─Violent perspiration > the painful symptoms present during fever.─Debilitating, somewhat sour-smelling perspiration.─Chilliness with increasing headache in forehead every day at 9 a.m. until noon; afterwards heat with gradually increasing perspiration and thirst, the headache decreasing afterwards gradually.─Heat with burning thirst.─Dejection before fever.─Before shivering, headache; during shivering, short breathing, yawning, and desire to sleep.─During heat, violent headache, dizziness, cloudiness of eyes, vertigo, and redness of face.─Fever, with pains in bones, pains in back, yellowish complexion, headache, weakness, bitter taste in mouth, ulceration at commissures of lips, want of appetite, pressure at pit of stomach, with great sensitiveness of that part to touch; quotidian or tertian fever, generally commencing in morning by shiverings, followed by heat and thirst.─In forenoon chilliness for three hours, with blue nails and chattering of teeth; this is followed by heat, lasting as long, accompanied by obscuration of sight, stitches in head much thirst, pains in back, followed by perspiration.─[Ague, fever at noon, generally 9 to 11 hard chill, great thirst for large quantities of water, longing for salt food, headache during the heat, profuse sweat and complete apyrexia leaving languor and debility.─Spleen and liver enlargement and obstinate constipation.─Pernicious fever and fever with anæmia often benefited by Nat. m. (Majumdar)].─Typhus fever, with debility, dryness of tongue, and violent thirst.─Pulse irregular and often intermittent (esp. when lying on l. side).─Pulse at one time rapid and weak, at another full and slow.─The pulsations shake whole body.─Intermittent fever: chilliness with great thirst; afterwards great heat with violent thirst and excessive headache; at last profuse perspiration.─Intermittent fevers after the abuse of Chininum sulph. (< during hot stage).─During apyrexia: stitches about the liver; languor; emaciation; fever blisters on lips.─Sweat in morning.─Profuse sweat, too easily excited by movement.─After the fever passes off the patient wishes to retain a recumbent position, does not "feel able" to get up or go about anything.