Ipecacuanha

Ipecac. Rubiaceæ.

A plant native to Brazil. The tincture is prepared from the dried and finely powdered root.

Provings by Hahnemann and his provers. See Allen's Encyclopædia, vol. 5, p. 137 .

CLINICAL AUTHORITIES.

• Hypochondriasis , Hufeland, B. J. H., vol. 27, p. 621 ; Apoplexy , Rummel, Rück. Kl. Erf., vol. 1, p. 92 ; Choroiditis , Tamhayn, B. J. H., vol. 18, p. 252 ; Ophthalmia , Jousset, B. J. H., vol. 28, p. 19 ; Turrel, Hom. Clin., vol. 3, p. 30 ; Nasal catarrh , Bigel, Rück. Kl. Erf., vol. 1, p. 388 ; Influenza , Gerner, Rück. Kl. Erf., vol. 3, p. 42 ; Rückert, B. J. H., vol. 26, p. 569 ; Vomiting , Lobeth, Genzk, Diez, Rück. Kl. Erf., vol. 1, p. 557 ; Hughes, B. J. H., vol. 18, p. 38 ; Nervous vomiting , Jousset, B. J. H., vol. 27, p. 622 ; Chronic vomiting , Hughes, B. J. H., vol. 23, p. 677 ; Smith, Allg. Hom. Ztg., vol. 109, p. 32 ; Hæmatemesis , (5 cases), Goullon, Nunez, Rück. Kl. Erf. vol. 5, p. 265 ; Goullon, B. J. H., vol. 26, p. 583 ; Melæna , Pomeroy, Raue's Rec., 1872, p. 151 ; Diarrhœa , Kafka, Rück. Kl. Erf., vol. 5, p. 418 ; Huber, Rück. Kl. Erf., vol. 5, p. 418 ; Knorre, Goullon, B. J. H., vol. 27, p. 632 ; Lobethal, Bœnninghausen, Müller, B. J. H., vol. 27, p. 630 ; Jahr, Hom. Clin., vol. 1, p. 195 ; Dysentery , Henke, B. J. H., vol. 27, p. 627 ; (2 cases), Drysdale, B. J. H., vol. 33, p. 738 ; Thayer, Raue's Rec., 1872, p. 43 ; Cholera infantum , Miller, Raue's Rec., 1874, p. 196 ; Cholerine , Goullon, Kafka, B. J. H., vol. 27, p. 632 ; Cholera , Drysdale, B. J. H., vol. 8, p. 161 ; Widman, Rupprig, Roth, Rück. Kl. Erf., vol. 1, p. 948 ; Hæmaturia , Gaspary, B. J. H., vol. 26, p. 583 ; Uterine hemorrhage , Hawkes, Organon, vol. 2, p. 132 ; Teller, B. J. H., vol. 26, p. 580 ; Hartmann, Kallenbach, Gaspar, Rück. Kl. Erf., vol. 2, p. 312 ; Menorrhagia , Patzak, Rück. Kl. Erf., vol. 2, p. 235 ; Nausea and vomiting of pregnancy , Müller, Schreter, Wolf, Knorre, Rück. Kl. Erf., vol. 2, p. 382 ; Müller, Rummel, Schreter, Rau, Knorre, B. J. H., vol. 27, p. 622 ; Hemorrhage with abortion , Käsemann, Kallenbach, B. J. H., vol. 26, p. 582 ; Eclampsia , Rummel, B. J. H., vol. 28, p. 10 ; Post-partum hemorrhage , Raue's Rec., 1870, p. 271 ; Miller, Raue's Rec., 1873, p. 183 ; Bell, Hah. Mo., vol. 4, p. 405 ; Laryngismus stridulus , B. J. H., vol. 12, p. 457 ; Laryngitis, spasm of cords , Pemerl, Raue's Rec., 1870, p. 156 ; Emphysema , Meyer, Petroz, Müller, B. J. H., vol. 26, p. 567 ; Asthma , Frank, N. A. J. H., vol. 8, p. 96 ; Kreuss, Sonnenburg, Kämpfer, Bethmann, Rück. Kl. Erf., vol. 3, p. 189 ; Müller, Meyer, Rück. Kl. Erf., vol. 5, p. 799 ; Cough , Hughes, B. J. H., vol. 18, p. 39 ; Knorre, Lobethal, Bernstein, Hering, Käsemann, Hirsch, B. J. H., vol. 26, p. 568-9 ; Knorre, Lobethal, Bernstein, Käsemann, Hering, Bigel, Hirsch, Rück. Kl. Erf., vol. 3, p. 16 ; Hartmann, Schrön, Käsemann, Schelling, Bethmann, Rück. Kl. Erf., vol. 3, p. 79 ; Whooping cough , Meyer, B. J. H., vol. 15, p. 43 ; Müller, Kafka, B. J. H., vol. 26, p. 570 ; Hæmoptysis , Chalmers, Raue's Rec., 1870, p. 195 ; Eidherr, Rück. Kl. Erf., vol. 5, p. 805 ; Hysteria , Rummel, Rück. Kl. Erf., vol. 2, p. 286 ; Hysterical spasms , Attomyr, Rück. Kl. Erf., vol. 4, p. 574 ; Spasms , Jahr, Rück. Kl. Erf., vol. 4, p. 574 ; Schreter, Nenning, Rück. Kl. Erf. vol. 4, p. 574 ; Spasmodic conditions , Rummel, Rück. Kl. Erf., vol. 4, p. 573 ; Tetanus, Trismus , Schneider, Hahnemann, Ackerman, Bogel, B. J. H., vol. 28, p. 11 ; Epilepsy , Tietzer, Rück. Kl. Erf., vol. 4, p. 573 ; Ague , Hering, Loebthal, Nagel, Tripi, Escallier, Hencke, Hirsch, Bürkner, Vehseman, Müller, Horner, Thorer, Neumann, Szontagh, Käsemann, Baertl, Rück. Kl. Erf., vol. 4, p. 928-40 ; Lobethal, Escallier, Wurmb, Caspar, Hencke, B. J. H., vol. 28, p. 4 (34 cases), Muller, N. A. J. H., vol. 4, p. 271-273 ; Hawkes, Organon, vol. 2, p. 114 ; Allen, Organon, vol. 2, p. 239 ; Hoffman, Organon, vol. 3, p. 112 ; Morrison, Allen's Int. Fever, p. 152 ; Intermittent fever , Stow, Raue's Rec., 1871, p. 196 ; Edmundson, Raue's Rec., 1874, p. 279 ; Frost, Raue's Rec., 1875, p. 272 ; Carr Organon, vol. 2, p. 204 ; Measles , Hartmann, Rück. Kl. Erf., vol. 4, p. 97 ; Scarlet fever , Hahnemann, Trinks, Rück. Kl. Erf., vol. 4, p. 53 ; Yellow fever , Taft, Rück. Kl. Erf., vol. 4, p. 665 ; Anæmia , Haubold, Rück. Kl. Erf., vol. 5, p. 604 ; Opium poisoning , Korndoerfer, Hom. Clin., vol. 1, p. 266.

MIND [1]

Is awkward and stumbles against everything.

Wrapt in thought ; taciturnity.

Full of inexpressible desires.

Moaning and sighing with the fever. θ Intermittent.

Child cries and screams violently and incessantly ; sticks fist into mouth ; face pale, body cool.

Every 6 or 8 weeks anorexia and hypochondria, with pressure and tension, and tympanitis of epigastrium ; constipation, with disgust and impatience of labor ; attacks preceded by nausea, and tendency to diarrhœa. θ Hypochondriasis.

Dejected mood, morose, enjoys nothing.

Peevish ; irritable ; impatient ; morose, scornful mood.

Ill humor, despises everything.

Fretfulness. θ Intermittent. θ Cholera infantum.

Extremely impatient.

Morose mood that scorns everything, and desires also that others shall not appreciate or value anything.

Ailments from vexation and reserved displeasure.

SENSORIUM [2]

Apoplexia nervosa et serosa ; vertigo ; drooping of lips ; impaired speech ; dribbling of saliva from mouth ; paralysis of extremities.

Vertigo when walking and when turning.

INNER HEAD [3]

Lacerating pain in forehead, excited and aggravated by feeling the heart, or by stooping.

Aching in forehead ; fine stinging pains in forehead.

Headache over left eye.

Stitches in vertex, or forehead.

Lancinating in head.

Short paroxysms of fine and violently stinging pains in head, increasing to an aching.

Stinging headache, with heaviness of head, also with drowsiness.

Headache, as if bruised, all through bones of head and down into root of tongue ; nausea, vomiting ; > outdoors.

Headache as of a bruise of brain and skull, which pierces through all the cranial bones into roots of teeth, with nausea.

Headache as though brain were mashed, with nausea and vomiting ; miliary eruptions on forehead and cheeks by spells ; pale face, and pale mucous membranes ; scanty and short menses ; weak pulse, cold hands ; morose, enjoys nothing. θ Chlorosis.

Lacerating headache, from morning till noon.

Dull drawing in head, to and fro.

Beating pain in head and pit of stomach after coughing.

Heat and throbbing in head, with red cheeks.

Semilateral headache, with nausea and vomiting.

Tensive headache in occiput and nape of neck, extending as far as shoulders.

Pain in occiput and nape of neck.

Gastric headaches, occurring in nervous, sensitive persons, commencing with nausea and vomiting.

Malarial headache ; loss of appetite and vomiting.

Hydrocephaloid ; fontanelles open ; painful soreness of occiput and neck ; blue rings under eyes ; frequent nose-bleeding ; pale face ; nausea and vomiting ; green, putrid discharges from bowels.

OUTER HEAD [4]

Cold sweat on forehead. θ Diarrhœa.

Open fontanelles ; occiput and neck sore. θ Hydrocephaloid.

SIGHT AND EYES [5]

Worse from light, especially of a candle.

Blue and red halo around light.

Optical illusions in bright colors.

Obscuration of sight ; eyes inflamed.

Eyes sunken ; blue margins around them. θ Cholera infantum.

Dilated pupils.

Severe shooting pains through eyeballs, profuse lachrymation on looking steadily ; blue and red halo around flame, pupil normal and mobile, with no external inflammation or lesion, except slight palpebral conjunctivitis. θ Choroiditis.

Phlyctenules and ulcers of cornea or conjunctiva, especially if there is much photophobia ; cornea may be vascular ; redness of conjunctiva, lachrymation and pain and nausea.

Pustular inflammation of cornea and conjunctiva.

Child after catching cold : lids red and swollen ; photophobia, lids being kept tightly closed ; copious, purulent discharge, < at night ; conjunctiva injected and swollen, especially on right side, where engorgement was so severe that pupil appeared buried in a circular depression ; discharge from eyes so copious that it soiled hair and ears ; continual copious, green, diarrheic stools, with colic ; great emaciation ; sleepless day and night ; edges of lid red, without œdema ; right imbedded cornea ulcerated, also l., but in a less degree.

Inflammation of eyes ; on opening right lids, which were swollen, copious gush of tears ; conjunctiva of bulb injected and infiltrated, and on close examination number of small depressions were noticed ; intense tearing or tensive pains in eyes ; great photophobia.

Scrofulous ophthalmia when there is keratitis with ulceration or infiltration of cornea ; redness of eye, extreme photophobia, pain in temples and forehead.

Catarrhal conjunctivitis with profuse yellow discharge and chemosis.

Sclerotica yellow.

Hardened mucus in external canthi.

Twitching of eyelids.

HEARING AND EARS [6]

Cannot endure the least noise.

Ears cold during febrile heat.

SMELL AND NOSE [7]

Coryza : dry ; with stoppage of nose ; loss of smell ; nausea ; epistaxis.

Stoppage of nose ; loss of smell ; heaviness of head ; dry cough, particularly at night coming on in long lasting paroxysms, with painful shocks in head and stomach ; nausea followed by vomiting, general sweat and great weakness. θ Chronic catarrh.

Nosebleed, blood bright red ; face pale.

Nose itches ; when nausea is over, violent hunger.

UPPER FACE [8]

Face : pale and puffed ; pale, and body cool ; sunken ; deathly pale, sunken eyes with blue margins ; livid, yellowish.

Convulsive twitches in muscles of face and lips.

Rash.

LOWER FACE [9]

Skin around the mouth red.

Smarting eruption and aphthæ on margin of lips.

Lips : blue, during chill ; white, during hemorrhage.

TEETH AND GUMS [10]

Child thrusts its fist into mouth ; screams violently ; face pale ; body cool ; vomiting and watery stools ; prostration ; spasms. θ Dentition.

Pain in a hollow tooth when biting on it.

Pain in molars > while eating ; < in afternoon and still more at night.

Teeth chatter, with chill. θ Intermittent.

TASTE, SPEECH, TONGUE [11]

Loss of taste.

Taste : bitter ; sweetish, bloody ; like rancid oil, when swallowing ; earthy ; flat, with white, thickly coated tongue.

Tongue : clean ; yellow or white ; pale.

Disinclined to talk ; tongue dry.

INNER MOUTH [12]

Profuse accumulation of saliva ; is constantly obliged to swallow it.

Smarting in mouth and on tongue.

PALATE AND THROAT [13]

Fauces dry, sore, rough, stinging.

Spasmodic contractive sensation in throat and chest ; difficult deglutition.

Pressure in throat, with pains in diaphragm.

Deep red color of tonsils and pharynx.

Rapid congestion of mucous membrane of pharynx ; secretion of a thick, plastic, whitish, nauseous humor, appearing at first under form of small white or grayish points, either on tonsils or velum palati or pharynx.

APPETITE, THIRST. DESIRES, AVERSIONS [14]

Thirst or thirstlessness.

Desire for dainties and sweets.

Averse to all food, no appetite ; earthy taste ; stomach feels relaxed ; nausea.

Great disgust and loathing of any sort of food.

EATING AND DRINKING [15]

Indisposition from indigestible substances, lemon peel, berries, raisins, sweets, cake, pastry and unripe fruit, salads, pork, fats, sour beer, etc.

After eating : nausea ; vomiting ; stool.

Colic, with nausea and vomiting, after cold drinks or ice cream.

HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]

Hiccough : with nausea ; of children.

Eructations every eight to ten minutes ; with rumbling in abdomen.

Waterbrash.

Nausea : distressing ; constant, with almost all complaints ; as if from stomach ; with empty eructations ; accumulation of much saliva ; qualmishness, and efforts to vomit.

Nausea and retching from smoking ; primary effects of tobacco.

Faintness, nausea, retching. θ Post-partum hemorrhage.

Inclination to vomit without nausea.

Nausea, profuse saliva ; vomiting of white, glairy mucus ; < stooping.

Nausea, with distension of abdomen and dryness in throat ; after vomiting inclined to sleep.

Constant but unavailing desire to vomit ; or immediately after vomiting wishes to do so again.

Incessant retching with vomiting of watery fluids and cutting pain in belly.

Constant nausea and vomiting of yellowish mucus.

Vomiting : of ingesta ; of bile ; of grass green mucus ; bilious, putrid ; copiously of jelly-like mucus ; of blood, or of a pitch-like substance ; of a dark colored liquid, with or without blood ; of a sour fluid ; of large quantities of mucus ; always with nausea ; during pregnancy ; with thirst, sweat, bad breath ; with diarrhœa, colic, distended abdomen ; with clean tongue.

Vomiting causes great pain in loins and hips.

Nervous vomiting, frequent and with constant nausea.

Vomiting due to irritability or other abnormal condition of nerves of stomach, particularly when tongue is clean, and persons are weak and nervous, and of large build ; constant nausea and retching of hysterical women ; morning vomiting in weakly persons who are affected by worms ; nausea in nervous fevers and that which remains after an attack of indigestion.

Vomiting of food soon after eating, tasting very sour and accompanied by much retching ; tongue coated in middle, edges red ; region of stomach and hypochondria sensitive to pressure ; three or four stools daily ; general weakness ; menses irregular ; urine dark, depositing urates.

Vomits everything taken ; food causes pain during short time it remains in stomach ; tongue brown and cleft ; bowels regular ; urine thick. θ Chronic vomiting.

Loss of appetite nine months ago, without assignable cause ; then followed vomiting of all food, with great debility ; bowels much relaxed ; smarting of eyes ; catamenia regular.

Vomiting almost constantly for days. θ Remittent fever.

Emaciated, scrofulous child, suffering from disease of mesenteric glands, vomited everything taken and cried the whole day ; the vomited matter and accompanying chopped stools smelt very sour.

Constant nausea often with vomiting large masses of mucus, generally green. θ Diarrhœa of children.

Tormina and bilious vomiting, coming on at first every fourth day, but latterly every Saturday ; nausea with extreme weakness and repeated fainting ; frequent attacks of violent, bilious vomiting, obliging her to keep in bed all day ; on other days perfectly well.

Vomiting of infants at the breast.

Stooping causes vomiting.

SCROBICULUM AND STOMACH [17]

Uncomfortable feeling in epigastrium.

Violent distress in pit of stomach ; attacks of pain ; beating.

Indescribable sick feeling in stomach.

Sensation as if stomach hung down relaxed.

Pressure in stomach ; clutching pains ; beating.

Cardialgia ; typical form.

Pain most severe in front of abdomen, extending to left hypochondrium, to sides, to back, and base of chest, with swelling of stomach ; great agitation ; constant nausea proceeding from stomach, with empty eructations and accumulation of much saliva ; easy vomiting ; diarrhœa.

Stomachal catarrh, with abhorrence of all food, and tobacco ; with nausea, vomiting, colic and diarrhœa ; tongue always clean.

Gastric catarrh from indigestible food or ice cold things ; pain and mucous vomiting.

After eating fat pork, headache, loss of appetite, nausea, vomiting ; prostration and debility ; pain in forehead ; pale, bloated face ; photophobia without redness of eyes ; flat taste, slimy coated tongue ; great thirst ; frequent vomiting preceded by pressure and pain in stomach ; frequent, offensive, flocky stools ; slight, dry cough ; occasional twitchings of muscles of face, lips and eyelids ; restless sleep with frequent startings.

Indigestion, from overloading stomach.

Dyspepsia every day, or every other day, at same hour.

After slight digestive disturbance, sudden vomiting of blood, occurring three times within seven days ; blood at first dark and coagulated, in subsequent attacks fluid and bright red, followed by bloody stools ; great prostration ; frequent fainting fits ; dimness of sight ; slightest motion or cough causes nausea ; tongue brown, dry, like earth ; unquenchable thirst ; obstinate constipation.

After chagrin, constant pressing pain in pit of stomach, loss of appetite, frequent nausea ; eight days after this, in consequence of anger, sudden vomiting, first of clotted, then of fluid blood, amounting to about two pounds ; deathly pale ; almost pulseless ; faintness.

Acute distress in epigastric region ; forcibly vomiting immense quantities of black, tar-like matter, gushing from nostrils as well as mouth ; extremities cold ; hippocratic countenance ; pulse almost imperceptible ; cold, clammy sweats ; extreme prostration and exhaustion. θ Melena.

After long continued, pressing pain in stomach, which alternated with toothache, sudden vomiting of blood, with great faintness ; blood dark, thin, about one pound in quantity ; pulse full ; a second attack with great faintness, anxiety, feeble pulse, pale, cold face and cold hands.

Pale, anemic girl, subject to pains in stomach and irritable conditions of mind, was suddenly seized with vomiting of blood after indulging in strong coffee ; blood at first brownish black, then black and half coagulated, escaping in great quantities ; between each attack of vomiting, which occurs about every half hour, anxiety, pressure in stomach, fainting ; pulse small and feeble ; face and hands pale and cold ; thirst and internal heat.

After exposure to cold and wet, rigors and dyspnœa, followed by copious spitting of blood ; cannot speak ; sits on a chair, gasping, and every few seconds brings up a large mouthful of bright colored, frothy blood ; pulse small and frequent ; respirations short and very frequent ; face livid and expressive of anxiety. θ Hæmoptysis.

Sudden attack ; blood dark, black, sour ; paleness ; coldness ; pulse scarcely perceptible ; fainting ; anxiety ; pressure in stomach ; great thirst ; oppression of breathing. θ Hematemesis.

Hematemesis of children.

HYPOCHONDRIA [18]

Pinching pain in both hypochondria and in region of pit of stomach.

Pain in left hypochondrium.

Diaphragm feels as if pressed between two millstones, front to back.

ABDOMEN AND LOINS [19]

Distressing feeling in abdomen, as though stomach were hanging down, relaxed.

Sore feeling in abdomen.

Griping, as from a hand, each finger sharply pressing into intestines ; > during rest, much < by motion.

Clutching and squeezing in abdomen.

Flatulent colic about navel, as though bowels were grasped with hand. θ Dysenteric diarrhœa.

Cutting colic near umbilicus ; sometimes shivering.

Tenderness and pain about umbilicus, towards uterus.

Stitches from navel to uterus.

Cutting pain almost constantly running from left to right with every movement.

Paroxysms of shooting across abdomen from left to right, causing nausea and vomiting, vomits froth and bile with difficulty ; when vomiting, coughs to bring it up ; sweats ; offensive black stools ; vomiting causes great pain in loins and hips, as if all the bones in body were being torn to pieces.

Severe pains in abdomen, radiating to all sides.

Flatulent colic, with frequent loose stools.

Colic of children : with diarrhœa, uneasiness, screaming and tossing about ; from indigestion ; after acid or unripe fruit, beer, etc.

Inguinal hernia, readily reducible, or strangulated.

STOOLS AND RECTUM [20]

Stool : bloody ; as if fermented ; consistence and appearance of fermented yeast ; spurting out with much flatus ; very offensive ; light yellow ; lemon colored ; green as grass ; greenish mucus ; lumpy, greenish watery ; white mucous, bloody ; yellow, liquid, covered with bloody mucus ; pitch-like or like frothy molasses ; slimy, bloody, offensive, followed by tenesmus ; putrid smelling ; containing blood and matter.

Diarrhœa of teething children, yellow, white or green discharges, no pain or emaciation, but serious because of its long continuance ; particularly indicated at period of weaning when food disagrees.

Diarrhœa : with pain, causing unceasing screaming and tossing about, in children ; from taking cold ; from disordered stomach, after late suppers ; of infants, with vomiting of green or whitish matter ; due to chill or to mental emotions ; after overloading stomach with sweets, or fat pastry ; in the Autumn.

Summer complaint of children, with crying, tossing, large abdomen, frequent, small, yellow, fermented stools.

Colliquative diarrhœa of dark colored stools, or of greenish matter, with particles having appearance of coagula.

Chronic diarrhœa, of miasmatic origin ; clean tongue and frequent nausea, constant pain at umbilicus.

Acute internal catarrh.

Epidemic dysentery, with nausea, vomiting, pain in epigastrium, pressive frontal headache, loaded tongue, tenesmus, mucous fetid diarrhœa, < at night.

Dysentery : stools frequent, slightly tinged with blood, and often entirely composed of blood and slime ; in the Fall, with vomiting of bile, tenesmus after stool and simultaneous affection of celiacus ; stools almost black, and fermented like frothy molasses ; of children ; cold nights after hot days.

Cholera infantum : nausea, vomiting, colic, diarrhœa ; especially in fat, pale children ; nausea and vomiting of yellowish mucus ; lumpy, greenish, watery stools ; paleness of face ; blue margins around eyes ; wants to lie down, ill humor ; copious, fermented, flatulent, lemon colored stools, with thirst, fever and fretfulness.

Stools light green or an arsenic green.

First symptoms of cholera Asiatica ; the nausea and vomiting predominates, headache and tightness of chest.

Vomiting after all ingesta, and as often as every quarter of hour, without cause ; vomiting copious, preceded by shivering all over ; no coldness or cramps ; pulse slow ; tongue furred. θ Cholera.

Before stool : colic, nausea, vomiting.

During stool : colic, nausea, vomiting ; violent tenesmus ; lassitude, coldness, paleness of face.

After stool : lassitude ; tenesmus ; twitching of face.

Hemorrhoids bleeding very profusely.

Itching at anus.

URINARY ORGANS [21]

Urine : scanty, dark red ; turbid, with red sediment.

Yellowish red sediment in urine. θ Quotidian ague.

Unsuccessful urging to urinate.

Ischuria, with convulsions.

Hæmaturia : with cutting in abdomen and urethra ; from suppressed itch ; with vesical spasm.

After becoming chilled, felt ill all over ; very weak, could hardly move about from vertigo ; confused ideas ; severe pain in kidneys, with heat in lower bowels as if hot water was poured into them ; towards evening violent pain in abdominal region and bladder, with desire to urinate, with passage of scalding urine and blood, fluid and clotted ; next day, too weak to stand ; feet quite cold, and as if paralyzed ; head stupefied, could not sit up ; more blood, followed by swoon, with deadly pallor, hardly, perceptible pulse, and cold extremities ; could hardly speak ; heaviness of head, uneasiness and inclination to vomit, pressure on pit of stomach, pain in lower bowels and kidneys, weight and coldness of feet ; frequent micturition. θ Hæmaturia.

During urination : burning in urethra ; pains in back and epigastrium.

FEMALE SEXUAL ORGANS [23]

Prolapsus and hemorrhage ; profuse, clotted blood, with heavy, oppressed breathing ; constant flow of bright red blood, with cutting about umbilicus ; constant nausea and vomiting ; feels cold and is very pale ; dizziness and headache ; chill and coldness of body while internal heat rises up into head, with a bearing down pressure to uterus and anus ; fainting ; blood spitting, hematemesis ; faintness with convulsions.

Great debility and leucorrhœa during intervals of menses.

Continual discharge of bright red blood.

Profuse menstruation, with constant nausea, not a moment's relief, not even after vomiting ; nausea proceeds from stomach, and the discharge of bright red blood is increased with every effort to vomit, and flows with a gush ; violent pressure over uterus and rectum, with shuddering and chilliness ; heat about head and debility ; gasping for breath, faintness ; after childbirth, after removal of placenta or after miscarriage ; < when getting out of bed. θ Uterine hemorrhage.

Menses appeared four times in seven weeks, and last time so seriously that blood passed in large clots, and such a quantity of black fluid that it brought on swooning, loss of consciousness ; vomiting of mucus, with cold skin looking like wax, blue lips, small, scarcely perceptible pulse. θ Congestive menorrhagia.

Menses : too early and too profuse ; blood bright red ; menses return every two weeks ; great weakness after menses ; peevish humor ; aching in head ; lancinating in forehead ; pale face ; blue rings around eyes ; vomiting of ingesta ; distress in umbilical region.

Profuse menstruation, with constant nausea ; not a moment's relief, not even after vomiting.

Discharge of blood before the proper period.

Scanty or short menses.

Dysmenorrhœa.

Severe pain about umbilicus, extending towards uterus, most distress about navel, but it runs off into uterus.

With every movement a cutting pain, almost constantly running from left to right.

Uterine pains running down.

Pain extending towards and passing off into uterus.

PREGNANCY. PARTURITION. LACTATION [24]

Vomiting of pregnancy ; in some cases more nausea than vomiting.

Vertigo in pregnancy, with pale, bluish, puffed face, blue lips and nails ; undulation of jugular veins.

Threatened abortion, often with a sharp or pinching pain around umbilicus, which runs downward to uterus, with constant nausea and discharge of bright red blood ; convulsions.

In sixth week of pregnancy seized suddenly with abdominal pains, heat in epigastrium and vertigo ; flooding soon followed by shooting in kidneys, weakness and heaviness of thighs and general debility ; flooding increased hourly, soon passing through mattress, and flowing in abundance under bed ; colic increased, face pale and eyes encircled with blue ; miscarriage followed, accompanied by acute pain ; hemorrhage became more serious ; pains in heart followed by dryness of mouth and great thirst ; great exhaustion, could hardly speak.

After abortion occasional slight loss of blood, for four months, when an alarming hemorrhage took place with the usual symptoms, besides vomiting after least drink.

Incessant flooding ; complete prostration ; breathing heavy ; oppression ; colorless face and lips ; ringing in ears ; faint on raising head from pillow ; flow bright red ; much persistent nausea ; pain in umbilical region, running down to uterus.

During labor pains great hemorrhage, apparently from placenta.

Labor pains spasmodic ; cutting across from left to right ; nausea ; clutching about navel.

Uterine pains accompanied by severe cutting pains in umbilical region, interfering with true pains ; faintness and nausea.

Uterine pains running downward.

Stitches darting off from umbilicus towards uterus.

After removal of placenta, sudden and alarming distension of abdomen in region of atonic uterus ; face and tongue pale ; sighing respiration ; faintness, nausea, retching ; cutting pains about umbilicus. θ Post-partum hemorrhage.

Arterial bleeding from partial separation of placenta.

Post-partum hemorrhage ; placenta attached ; hemorrhage frightful, very fluid and gushing.

Metrorrhagia, often after confinement, heralded by slow pulse, nausea, etc. ; steady flow of bright, red blood.

Nausea and vomiting in nursing women.

VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]

Voice hollow.

Spasm of cords ; constant, alternate contraction and relaxation of cords, following each other in rapid succession.

Contraction accompanied by a sensation of tickling at entrance of trachea.

Spasm of glottis ; blueness of face and coldness of extremities.

Inflammation of fossa ; very little œdema. θ Laryngitis.

Rattling in bronchi, when drawing a long breath ; large accumulation of mucus in bronchi, difficult to raise.

Rattling noises in air passages during respiration.

Suffocative attacks from foreign substances in windpipe.

Bronchitis, with loud mucous rales ; difficult expectoration ; cough with nausea, even vomiting, or oppression, > by abundant expectoration.

RESPIRATION [26]

Oppression of chest in forenoon, with shortness of breath, as from inhaling dust.

Breathing : anxious and hurried ; short and hurried ; short and panting ; heavy.

Rattling noise in bronchi when drawing breath.

Breath fetid, with vomiting and sweat.

Difficulty of breathing from least exercise.

Pain in diaphragm takes away breath.

Violent degree of dyspnœa, with wheezing, and great weight and anxiety about precordia.

Attacks of suffocation ; > in open air ; < from least motion ; constriction in throat and chest.

Threatened suffocation from accumulation of mucus.

Cough impedes respiration, even to suffocation.

Loses breath with the cough, turns pale in face and stiffens. θ Whooping cough.

Suffocative cough with dyspnœa, nausea vomituritio, at end of attack. θ Whooping cough.

Urgent dyspnœa, with sense of constriction across chest, accompanied by violent and convulsive cough.

Dry, spasmodic, shattering cough ; during attack arrest of breathing, patient falling senseless to floor ; each attack threatens to end fatally, and can only be overcome by use of cold water.

Difficult expiration.

Severe and convulsive paroxysm of asthma.

Violent constriction of throat and chest, peculiar, panting sound ; gasps for air at open window ; face pale ; scarcely perceptible pulse ; < from least motion ; threatened suffocation. θ Asthma.

Spasmodic asthma : with great constriction in throat and chest ; with peculiar wheezing noise ; with danger of suffocation ; with bronchial catarrh ; of adults ; in hysterical subjects ; after suppressed miliary eruptions.

Asthma, cyanosis supervening during fit, with frequent dry cough, cold sweat on face and extremities, constitutional vomiturition, nausea or even vomiting after cough.

Nightly suffocative fits. θ Asthma.

Asthma Millari, with tickling in larynx, retching and vomiting.

Asthma of emphysematous subjects, when auscultation detects considerable quantity of mucus accumulated in bronchi, which patient cannot by any effort throw up in sufficient quantity ; coughing brings on nausea.

COUGH [27]

Dry cough, caused by tickling in upper part of larynx.

Cough caused by a constrictive tickling from upper portion of larynx to lowest extremity of bronchi.

Cough dry, spasmodic, capricious, provoked by tickling and irritation of larynx, after coryza, at first dry, then fluent.

Spasmodic or catarrhal titillating cough, or suffocating cough with dyspnœa, nausea, vomiturition, especially at end of paroxysm, or with expectoration of scanty, albuminous, nauseous mucus ; mucous rales and vomiting of food.

Violent spasmodic cough, cannot cough soon enough at first ; covers mouth with hand, in order not to inhale too much air.

Frequent attacks of spasmodic cough, shaking, racking, hollow ; quickly following coughs from tickling in upper part of larynx, as from vapor of sulphur ; expectoration of blood and mucus in morning.

Spasmodic cough with tendency to vomit, or with vomiting of whitish mucus ; mucosity is easily produced in chest, and cough produces sonorous and bubbling rales.

Dry, spasmodic cough without vascular excitement.

Dry, spasmodic cough of old persons, coming on in fits, particularly at night after going to bed, or after dinner ; tends to emphysema.

Cough with pain in abdomen, especially about navel, or pressure on bladder, hindering passage of urine ; beating in head, or in pit of stomach ; sense of excoriation in chest ; after paroxysm of coughing respiration continues short, and forehead streams with perspiration ; < in open air.

Cough coming on after a meal, especially P. M. ; cough excited by each inspiration ; tickling and constriction of upper part of trachea, coming on in open air ; sudden precipitate fit of coughing ; failure of breath ; danger of asphyxia from mucus ; anguish from choking ; eyes starting out of head ; face bluish red ; buccal and nasal hemorrhage ; efforts at vomiting ; fit ending with vomiting of food ; swooning during fit. θ Influenza.

Suffocative, racking, very exhausting cough, lasting an hour, towards evening.

Suffocating cough, whereby child becomes quite stiff and blue in face.

Loses breath with cough, turns pale in face, and stiffens.

Suffocative evening cough ; continuous cough, with sweat on forehead, shocks in head, retching and vomiting.

Strangling with cough till blue in face. θ Pertussis.

Incessant and most violent cough with every breath.

Cough causing inclination to vomit without nausea.

Cough, with retching, much mucous expectoration and considerable dyspnœa.

Cough causes gagging, vomiting is followed by relief.

Cough with expectoration of blood.

Convulsive evening cough, expectoration having a repulsive metallic taste.

Cough especially at night, with loathing and vomiting.

Croupy coughs occurring at night.

Cough : nervous, spasmodic ; rough, shaking ; dry, from titillation in upper part of larynx ; with every breath ; returning after exertion ; < from cool air ; with inclination to vomit ; with spitting of blood from least effort ; constant, no phlegm yields, though chest seems full ; strangling, so much mucus seems accumulated in bronchia ; croupy, at night ; fat children ; in hysterical women ; in teething children.

During cough : headache ; sore pain in chest ; paroxysms of suffocation, with rigidity of body ; painful concussions (shocks) in stomach and head ; pains in epigastrium and umbilical region ; bleeding from mouth and nose ; nausea, retching, vomiting ; perspiration of forehead ; blueness of face ; jarring of body ; loss of consciousness and falling down.

Spasm of glottis before paroxysm ; bleeding from nose and mouth during coughing fits ; vomiting of mucus or food ; convulsions and stiffening of body backwards ; vomiting of food without coughing ; rattling of mucus in bronchial tubes ; rash, eruption. θ Whooping cough.

Convulsion of glottis continuing so long that child remains for a time without respiring ; cough dry, vomiting after the fit without expelling much mucus ; dyspnœa ; fine rales in back at lower part of thorax. θ Whooping cough.

Violent, shattering, hollow coughs, following each other in quick succession, and do not admit recovery of breath ; expectorates mornings some light red blood, mixed with mucus, of a putrid, sweetish taste. θ Tussis convulsiva.

Whooping cough : with nosebleed ; bleeding from mouth ; vomiting ; loses breath, turns pale or blue, and becomes rigid.

Febrile cough (principally after Pulsat. and Nux vom.), in women and children ; irregular periods of heat, during which the dry cough gets worse.

Tussis abdominalis, with vomiting which relieves.

Phlegm rattling on chest, sometimes vomited, with young children.

Expectoration of mucus with metallic taste.

Sputa scanty, albuminous.

Expectoration : mornings, of a light red blood, mixed with mucus, or of ropy mucus, often vomited ; of blood from least effort.

INNER CHEST AND LUNGS [28]

Spasmodic tightness of chest, with contraction of throat and panting breathing.

Great oppression of chest, can hardly breathe. θ Intermittent fever.

Acute catarrh of children ; suffocating cough, with congested and bluish face, and loss of breath, or when cough is accompanied by nausea and vomiting, or provoked by a tickling in larynx, with throbbing of head and heart and longing to pass water.

Rattling of large bubbles ; fever, but face rather pale ; cough and gagging.

Collection of mucus which is difficult to expectorate ; expectoration gives but temporary relief.

Strangling as if from mucus in chest.

Bronchitis : of children ; with accumulation of phlegm, which threatens to suffocate ; spasmodic cough ; rash on chest.

Fine, rattling noises in chest, spasmodic cough ; nausea ; œdema pulmonum.

Pulmonary congestion and simple pneumonia, consequent upon repercussion of scarlatinal eruption.

Infantile pneumonia ; respiration rapid, difficult ; surface blue ; face pale.

Profuse hemorrhage, of a bright red color, provoked by a dry, tickling, racking cough, or even by a little hawking, < from least exertion ; preceded by a sense of bubbling in chest and accompanied by nausea, chills, heavy breathing, oppression, livid face, small and frequent pulse, anxiety and debility ; cannot utter a word ; protracted taste of blood in mouth.

Hemorrhage from lungs after venesection, especially if bleeding is scanty, constituting an expectoration of blood streaked mucus ; or a blood spitting, from least effort, without cough.

Blood frothy and bright colored ; gasping for breath pulse small and frequent ; face livid and anxious.

Hemorrhage from lungs : bright red ; coming up with slight effort ; < from least exertion ; frequent hacking, with expectoration of blood streaked mucus ; with or without cough ; after disturbed catamenia ; after mechanical injuries ; after former bleedings have weakened lungs ; with dry cough in phthisis.

Hæmoptysis ; recent cases.

Vomiting and complication of asthma in emphysematous subjects. θ Influenza.

Cyanotic symptoms with spasms of chest and dyspnœa.

Spasmodic affections of chest.

Shooting pain with remissions, not inflammatory, cannot breathe, puts both hands down, bends forward, opens windows, gasps for breath ; attacks < at night.

Emphysema of old people.

HEART, PULSE AND CIRCULATION [29]

Pulse : large and soft ; accelerated but weak ; sometimes imperceptible.

NECK AND BACK [31]

Swelling and suppuration in throat pit.

Cramp between scapulæ during motion.

Much pain in back, at same time in limbs.

Shooting pains, from right kidney down thigh to knee, like cramp.

UPPER LIMBS [32]

Coldness of one hand, while the other is hot.

Cold hands.

LOWER LIMBS [33]

Sensation in femur, as if dislocated, on sitting down.

Cramps in thighs, at night, with lumps in thighs.

Convulsive twitchings of legs and feet. θ Hemorrhage.

Itching of calves.

Ulcer with black base on foot.

LIMBS IN GENERAL [34]

Sensation as if joints had gone to sleep.

Pain in joints, as is usual when limb goes to sleep.

Pain, as if bruised, in all the bones.

Cold hands and feet.

REST. POSITION. MOTION [35]

Rest : griping in intestines >.

Restless, tosses about from side to side.

Hands clenched and arms thrown violently forward.

Puts both hands down, bends forward : on account of shooting pain in chest.

Sitting down : sensation in femur as if dislocated.

Sits on a chair gasping : after blood spitting.

Could not sit up : after pain in abdomen.

Falling down : during cough, with unconsciousness.

Wants to lie down : cholera infantum.

Lies upon back unconscious : during spasms.

Head thrown back : during spasms.

Body bent backwards : during hysterical spasm.

Body rigid, stretched out, jerking of arms.

Body violently bent backwards and drawn in same direction by spasmodic jerks.

Slightest motion causes : nausea, cutting pain in abdomen ; attacks of suffocation ; constriction of throat < ; cutting pain from left to right through uterus.

Motion : griping in intestines < ; sweat < ; cramp between scapulæ ; sweat <.

Least effort : difficulty of breathing ; spitting of blood ; profuse hemorrhage.

Exertion : cough returns.

On raising head from pillow : faintness.

Getting out of bed : vertigo and weakness of knees ; menstruation <.

Tossing about : from diarrhœa.

Tossing up body : during spasm.

NERVES [36]

Oversensitive to heat or cold.

Restlessness with the fever. θ Intermittent.

Very weak, averse to all food ; nausea ; sudden prostration.

Extreme prostration and exhaustion ; seemingly the last straits of vitality are reached. θ Melena.

Wants to lie down. θ Cholera infantum.

Awkward, stumbles against everything.

Fainting ; convulsions ; apoplectic sopor.

Hysterical spasms, coming on several times a day, and gradually growing more severe ; body bent backwards ; muscles of face distorted ; groaning.

Hysteria ; every fresh development of hysterical symptoms brings on a sensation of continual nausea.

Nervous attacks with feeling of suffocation.

Convulsive twitching in limbs, a painful tremor.

Spasms without loss of consciousness.

Tetanic rigidity of body with bluish redness of face.

Body rigid, stretched out, spasmodic jerking of arms.

Body violently bent backwards and drawn in same direction by spasmodic jerks. θ Tetanus.

Spasms after catching cold during purpura ; lies upon back unconscious ; face pale and swollen ; eyes at one time closed, again open ; horrible twitching of muscles of face, lips and eyelids ; spasms of arms and legs often tossing up the body ; attacks come on every five minutes, lasting ten to fifteen minutes, and are followed by great prostration ; occasional retching.

Clonic or tonic spasms in children and hysterical women ; head thrown back ; loss of consciousness ; outcries ; pale, puffed face ; distortion of muscles of face and of half closed eyes ; convulsive twitchings of muscles of face, lips, eyelids and limbs ; asthma ; nausea ; vomiting.

Awoke from sleep in evening with wide open, staring eyes ; hands clenched and arms thrown violently forward ; lies quiet several minutes, then gasps and groans ; constant staring with spasmodic contraction of right arm ; eleven attacks in twenty-four hours.

Frightful spasms affecting while of left side, followed by paralysis ; eyes fixed and turned to right ; pupils dilated and insensible ; frequent opening and shutting of lids ; slight contractions of right corner of mouth ; at times regular movements of right arm and hand ; pulse frequent and feeble ; tracheal rale, as in paralysis of lungs ; discharge of brown mucus from mouth ; respiration irregular ; inspiration short, followed by slow, sighing expiration ; skin hot, but right ear cold. θ Eclampsia.

Eclampsia in pregnancy or childbed ; violent cutting around navel ; vomiting ; pale face.

Fainting, summer heat or hot rooms, with nausea.

Convulsions : in whooping cough ; from suppressed exanthema ; from indigestible food, etc.

Tetanic spasms from swallowing tobacco.

Tetanic spasms in old lady, with starting, twitching ; coughs up bloody phlegm.

Tetanus ; trismus.

Opisthotonos and emprosthotonos.

Catalepsy.

Epileptiform spasms, with shrieks ; opisthotonos ; face pale, puffed ; gastric derangement.

Epilepsy of children or secondary epilepsy, when its starting point is the pneumogastric nerve.

SLEEP [37]

Yawning and stretching.

Shocks on falling asleep.

Sleep, with half open eyes ; moaning, groaning.

Starts up in sleep.

Sleepless.

When deprived of sleep : nausea and languor.

TIME [38]

Morning : vomiting ; expectoration of blood and mucus ; expectorates light red blood with mucus ; paroxysms of chill lasting half an hour, heat lasting two hours ; bitter taste in mouth.

From morning till noon : lacerating headache.

At 9 A. M. : chill.

At 11 A. M. : chill.

Forenoon : oppression of chest.

Day : sleepless.

All day : cried continually ; obliged to keep in bed on account of bilious vomiting.

Afternoon : pain in molars < ; severe chill ; yawning with chilliness.

Till 2 P. M. : nausea and vomiting.

At 3 P. M. : severe chill lasting one hour.

Towards evening : lasting one hour, suffocative, racking, very exhaustive cough ; violent pain in abdominal region and bladder.

Evening : suffocative cough ; anxious, dry heat ; sensation of great weakness ; awoke from sleep with wide open, staring eyes ; general heat ; dry heat very troublesome.

Lasts till 7 P. M. : fever.

Night : discharge from eyes < ; sleepless ; dry cough < ; pain in molars < ; dry, spasmodic cough ; croupy cough ; attacks of shooting in chest < ; very profuse sour sweat ; disagreeable heat ; epidemic dysentery < ; cramp in thighs ; irritable, irascible ; fever <.

TEMPERATURE AND WEATHER [39]

Oversensitive to heat and cold.

Worse in winter and in dry weather.

Worse in warm, moist wind, south winds ; catarrhs ; asthma, etc.

Warm room : chill <.

Summer heat or hot room : fainting.

External heat : < chill.

Oversensitiveness to heat or cold.

Out of doors : headache > ; sweat <.

Open air : suffocation > ; cough < ; cough comes ; chill < ; chill >.

Covers mouth with hand not to inhale too much air.

Gasps for air at open window : constriction of throat.

Cool air : nervous cough <.

After exposure to cold and rain : hemorrhages <.

After exposure to cold and wet : rigors and dyspnœa, then spitting of blood.

After catching cold : lids red and swollen.

Drinking : chill >.

After cold drink or ice cream : colic.

Cold water : > spasmodic cough.

FEVER [40]

Paroxysm begins with an internal chill, made < by external heat.

Chilliness, cold hands and feet, which are moist or dripping with cold sweat.

Coldness of upper part of body.

Chill but slight with many gastric ailments.

Chill : preceded by violent retching ; mostly with thirst but also without ; with great oppression of chest ; with nausea and vomiting ; with diarrheic stools ; < in a warm room or from external heat ; > by drinking, and in open air ; at 9 A. M. ; every other day at 11 A. M. ; of short duration soon changing to heat ; with great lassitude and weariness.

After a short chill, dry heat, with parchment-like skin.

Severe chill in afternoon with nausea, followed by heat with sweat of several hours' duration, and ending with sour sweat ; during apyrexia, coated tongue ; pressure at stomach. θ Quartan ague.

Great nausea before chill and during whole paroxysm, cannot stir eyes without nausea, but no vomiting ; great thirst during chill, none during fever or sweat ; very nervous, trembling, during chill shook inside ; intense headache during paroxysm, and in a modified degree during apyrexia, extending down to root of nose and throat ; sweat like rain ; paroxysms irregular. θ Ague.

Chill irregular, light and short ; fever long, but not very violent ; no thirst during chill, but much thirst all through heat ; thick, white, pappy coating on tongue ; complete loss of appetite ; great weakness and prostration during apyrexia ; constant nausea and occasional vomiting.

Chill from 9 A. M. to 3 P. M., with intense aching in back and bones ; nausea and vomiting after chill ; intense fever with thirst and throbbing frontal headache ; becomes unconscious during fever, which lasts till 8 P. M., when sweat comes on for about one hour, together with great shaking all over, and great thirst ; continued jumping headache, very thirsty all the time with anorexia. θ Ague.

In afternoon yawning with chilliness, extending from back, soon followed by coldness of extremities, internal shaking, trembling and cramps in chest ; in evening, general heat accompanied by great impatience and despondency ; great heat, particularly in head and face, cheeks red, pulse soft, small, slightly increased ; pain in limbs as if they were broken ; heat followed by sweat ; no thirst during fever ; loss of appetite ; escape of saliva from mouth during sleep ; next day lassitude, headache, flat taste, several diarrheic stools, with cutting pains in abdomen. θ Ague.

Paroxysm at 10 A. M.

Aching in bones and pain through temples, with heaviness in forehead ; chills up and down back, with great thirst, lasting fifteen minutes, was not a "regular shake," accompanied by great languor and weakness, so that "he fell down in a bunch", then came nausea and vomiting, followed by a burning fever, which lasted until 2 P. M. ; thirst and throbbing headache during fever, followed by profuse sour sweat ; paroxysms postponing. θ Ague.

Chill at 9 A. M. ; teeth chatter ; nails and lips blue ; no thirst ; next fever, slight thirst, moaning, sighing ; slight heat ; restlessness ; pulse large and soft ; tongue coated white and thick ; frontal headache ; diarrhœa, stools yellow and painless ; internal heat, with external coldness ; drinks little ; much nausea and vomiting ; albuginea yellow ; perspiration stains linen yellow.

External coldness with internal heat.

Sudden attacks of general heat, with cold hands and feet.

One hand cold, the other hot.

Hands and feet icy cold and bathed in cold sweat, with redness of one cheek and paleness of the other.

Heat all over, with alternate coldness and paleness of face ; cold sweat on forehead.

Heat with nausea and vomiting ; anxious, oppressed breathing ; dry, hacking cough, often exciting nausea and vomiting.

Anxious dry heat in evening.

Heat, with or without thirst.

Sweat : hot, sudden attacks in room ; partial, cold ; on upper part of body ; < by motion ; pungent, sour smelling ; stains yellow ; < out of doors ; cold, clammy.

Sour sweat with turbid urine.

Very profuse sour sweat, mostly during night.

Profuse sweat after abuse of quinine.

Paroxysm sets in with yawning, stretching, and a collection of saliva in mouth ; chill generally of short duration, soon passing over into heat ; internal chill, as if under skin, < by hot applications, > by drinking and in open air ; no thirst or but little during chill ; violent thirst for large quantities during heat. θ Intermittent.

In evening sensation of great weakness ; restless, tosses about from side to side ; slowly opens eyes and then closes them again ; speaks in a low voice of things which have occurred previous day ; spasmodic stretching and yawning ; cold feet ; paroxysm lasts one to two hours followed by sleep, after which patient is not aware of having had attacks. θ Quotidian ague.

Paroxysms occur in morning and consist of moderate chill lasting about half an hour, followed by scarcely perceptible dry heat, lasting about two hours, during which pulse is full, soft and moderately frequent ; with chill severe raging headache, brings tears to patient's eyes ; nausea, pain in stomach, and short dry cough ; headache continues until evening ; during apyrexia, vertigo, loss of appetite, pain in small of back and limbs. θ Quotidian ague.

Shivering, with gooseflesh, followed by flying heat, both of short duration ; loss of appetite ; tongue white ; stool scanty and hard ; heat in stomach and sensation of hunger ; bitter taste in mouth in morning ; waterbrash and retching ; red, itching spot on right chest, burning after scratching. θ Quotidian ague.

Severe chill 3 P. M. without thirst, lasting one hour, followed by heat with stupefying headache and great thirst ; sweat long and profuse with thirst ; during apyrexia great weakness and lassitude ; on getting out of bed vertigo and weakness of knees ; disagreeable heat at night ; restless, unrefreshing sleep ; anorexia ; bitter taste ; white tongue ; thirstlessness. θ Quotidian ague.

Tertian ague anteponing half hour ; chill one and a half hours' duration ; high fever with sweat, lasting rest of day ; during whole attack great thirst, water taken being soon vomited ; headache with the fever ; during apyrexia, earthy taste, pressure in stomach, debility.

Chilliness with yawning and vomiting ; after an hour heat in head and redness of face, hands and feet being scarcely warm, followed by sweat on face ; during apyrexia despondent, will not play, lies about a good deal, loss of appetite, grayish yellow diarrhœa, scanty red urine, restless sleep. θ Tertian ague.

Hard chill every other day, at 1 or 2 P. M. ; continual nausea and vomiting of bitter, bilious matter, and of everything taken into stomach ; chill very violent, with great thirst, and drinking only a little at a time ; towards the last has chills and flushes of heat, then great heat and profuse sweat.

Chill every other day, at about 11 A. M. ; shivers awhile, then shakes for twenty minutes ; headache ; hands first cold ; nausea all the time ; no thirst with the chill, but with the heat ; chill followed by fever ; sweat after fever. θ Intermittent.

Backache, short chill, long fever ; heat, usually with thirst, headache, nausea and cough.

Recent cases, occurring in young, previously healthy persons ; paroxysms violent and regular, generally of tertian type. θ Ague.

Predominance of gastric symptoms during paroxysm as well as during apyrexia. θ Intermittent.

Relapses from improprieties in diet.

Paroxysms suppressed by quinine.

Intermittent fevers after

abuse of quinine ; also in beginning of irregular cases, especially if there is much nausea.

Worse during sweat ; better after it.

Type : quotidian ; tertian ; quartan ; apt to postpone and become irregular.

Prodroma : nausea ; violent retching ; yawning, stretching, backache, headache, and profuse flow of saliva.

Apyrexia : never clear ; disturbed by gastric troubles ; pale face ; herpes labialis ; anorexia ; taste of insipid water, salivation ; sense of emptiness and weakness of stomach, nausea ; loose stools ; bruised feeling of limbs ; restless sleep ; difficulty in collecting one's thoughts ; sadness.

Infantile remittent fever.

Yellow coating on tongue, with dry mouth ; loathing of food, with desire to vomit ; fetid odor from mouth ; bitter taste in mouth, and of food ; nausea, with regurgitation of ingesta, and vomiting of undigested food ; pressure and painful fulness in pit of stomach ; colic ; diarrheic, yellowish stools, or fetid, putrid stools ; pale, yellowish color of skin ; headache, especially in forehead ; febrile heat, with thirst or shivering. θ Bilious fever.

Yellow fever, in first stage ; dizziness, chilliness, pain in back and limbs, uncomfortable feeling in epigastrium, with nausea, vomiting and great weakness.

Dry and extremely troublesome heat, especially in evening, with thirst ; great restlessness, burning in palms of hands and night sweats ; parchment-like skin ; desire for dainties only ; very listless. θ Hectic fever.

Worm fever, with retching, blue rings around eyes, vomiting with a clean tongue.

ATTACKS, PERIODICITY [41]

Attacks of illness, with loathing of food.

Paroxysms : of abdominal pains ; of great weakness, last one to two hours ; of suffocation ; intermittent.

Fits : of dry, spasmodic coughing.

Following each other in quiet succession : violent shattering, hollow cough.

Sudden attacks : of general heat.

For a time : child remains without respiring ; during whooping cough.

Every few seconds : brings up a mouthful of bright colored frothy blood.

Every five minutes : lasting ten to fifteen minutes ; spasms.

Every eight to ten minutes : eructations.

Evening, 10, 15 minutes : attacks in pit of stomach.

Every quarter of an hour : vomiting.

Fifteen minutes : chill lasts.

Twenty minutes : shakes.

Half hour : tertian ague anteponing ; attacks of vomiting of blood.

One hour : chill lasts ; heat in head ; sweat after chill.

Eleven attacks in twenty-four hours : of spasms.

After a meal, especially P. M. : cough.

After dinner : dry, spasmodic cough.

Three or four stools a day.

Chill irregular.

Several times a day : hysterical spasms.

Every day at same hour : dyspepsia.

Every night : suffocative fits.

Every other day at same hour : dyspepsia.

Every fourth day : tormina and bilious vomiting.

For days : constant vomiting.

Every Saturday : tormina and bilious vomiting.

Every two weeks : menses.

Every six or eight weeks : anorexia and hypochondria.

Sixth week of pregnancy : abdominal pains, heat in epigastrium and vertigo.

Four times in seven weeks : menses.

For four months : occasional slight loss of blood.

In Autumn : diarrhœa ; dysentery.

LOCALITY AND DIRECTION [42]

Right : eye < ; imbedded cornea, ulcerated ; opening lid gush of tears ; shooting pain from kidney down thigh to knee ; spasmodic contraction of arm ; slight contraction of corner of mouth regular movements of arm and hand ; ear cold.

Left : headache over eye ; cornea ulcerated ; pain in hypochondrium ; frightful spasms affecting side.

Downwards : pain from umbilicus to uterus.

From left to right : cutting pain in abdomen shooting across.

Turned to right : eyes.

From front to back : diaphragm feels as if pressed between two millstones.

Backwards : stiffening of body.

Down : uterine pains running.

SENSATIONS [43]

Pricking burning pains.

Headache, as if bruised, through bones of head and down to root of tongue ; as of a bruise of brain and skull ; as though brain was mashed ; as if stomach hung down relaxed ; diaphragm feels as if pressed between two millstones ; griping, as from a hand, each finger sharply pressed into intestines ; as though bowels were grasped with hand ; as if all the bones in body were being torn to pieces ; strangling, as if from mucus in chest ; oppression of chest as from inhaling dust ; tickling in upper part of larynx, as from vapor of sulphur ; as if hot water was poured into bowels ; feet as if paralyzed ; as if blood was vomited up ; sensation in femur as if dislocated ; as if joints had gone to sleep ; pain in bones as if bruised ; as if limbs were broken ; as if chill was under skin ; as if forehead was being crushed ; as if all the bones were being torn to pieces.

Pain : over left eye ; in occiput and nape of neck ; in temples and forehead ; in hollow tooth ; in molars ; in diaphragm ; in loins and hips ; in stomach ; most severe in front of abdomen, extending to left hypochondrium to sides, to back and base of chest ; in teeth ; in left hypochondrium ; about umbilicus toward uterus ; in abdomen ; in heart ; in uterus ; in small of back ; in limbs ; at umbilicus ; in epigastrium ; in lower bowels and kidneys ; in joints.

Violent pain : in abdominal region and bladder.

Intense tearing pains : in eyes.

Intense headache : extending to root of nose and throat.

Severe raging headache.

Acute pain : after miscarriage.

Violent distress : in pit of stomach.

Severe pains : radiating in abdomen ; in kidneys ; about umbilicus.

Cutting pain : in belly ; near umbilicus ; through abdomen from left to right ; in abdomen and urethra.

Anxiety : about precordia.

Piercing pain : through all cranial bones into roots of teeth.

Pinching pain : in both hypochondria and region of pit of stomach ; around umbilicus downward to uterus.

Shooting pain : through eyeballs ; from right kidney down thigh to knee ; across abdomen ; in kidneys ; in chest.

Stitches : in vertex or forehead ; from navel to uterus.

Fine and violently stinging pains : in head.

Stinging pain : in head ; in fauces.

Beating pain : in head ; in pit of stomach ; in stomach.

Throbbing : in head ; of heart ; frontal headache.

Jumping headache.

Painful concussions : in stomach and head.

Clutching pains : in stomach ; in abdomen.

Cramp : between scapulæ ; in thighs ; in chest.

Griping : in intestines.

Squeezing : in abdomen.

Stupefying headache.

Pressing pain : in stomach.

Intense aching : in back and bones.

Aching : in forehead ; in head ; in bones.

Pressive frontal headache.

Constant pressing pain : in pit of stomach.

Bearing down pressure : to uterus and anus.

Tensive pain : in occiput and nape of neck, extending to shoulders ; in eyes.

Sense of excoriation ; in chest.

Painful soreness : of occiput and neck.

Burning : in urethra ; in palms of hands.

Smarting : eruption on margin of lips ; in mouth and on tongue ; of eyes.

Sore pain : in chest.

Sore feeling : in abdomen.

Soreness : of fauces.

Bruised feeling : of limbs.

Tenderness : about umbilicus.

Painful fulness : in pit of stomach.

Violent pressure : over uterus and rectum.

Indescribable sick feeling : in stomach.

Heat : in head ; in epigastrium ; in stomach ; dry and extremely uncomfortable.

Dull drawing : in head to and fro.

Dryness : of fauces ; of mouth.

Distress : about navel.

Sense of emptiness : of stomach.

Pressure : in throat ; in stomach ; in bladder ; in pit of stomach.

Uncomfortable feeling : in epigastrium.

Constriction : in throat and chest.

Oppression : of chest.

Heaviness : of head ; of thighs ; in forehead.

Strangling : with cough.

Spasmodic tightness : of chest.

Contractive feeling : in throat and chest.

Tickling : at entrance of trachea ; from upper portion of larynx to lower extremity of bronchi.

Bubbling : in chest.

Weakness : of thighs.

Trembling : internal.

Coldness : of upper part of body ; of feet ; of extremities ; of one hand.

Internal chill.

Itching : spot on right chest ; at anus ; of calves.

TISSUES [44]

Muscular awkwardness.

Hemorrhages : bright red, from all the orifices of body ; after mechanical injuries.

After exposure to cold and rain.

Plethora, fat children.

Skin and mucous membranes pale ; pulse small, soft ; chilliness ; little appetite ; constipation ; marked anemic murmurs ; great debility and weakness ; finally could hardly eat anything ; nausea and vomiting following slightest amount of food ; great emaciation ; headache, as if forehead was being crushed, with nausea ; eruption on forehead and cheek ; scanty menses ; querulous, not pleased with anything ; hands cold ; hysterical.

Cholerose gastric symptoms, nausea, vomiting, diarrhœa.

Dropsy in internal parts.

Skin and muscles lax.

Pain as if bruised in all the bones.

Pains as if all the bones were being torn to pieces ; with vomiting and pains in bowels.

Icterus ; rickets ; atrophy.

Has an unmistakable relation to the voluntary muscles ; in every kind of convulsions in children, in tonic, and especially in clonic convulsions, from the distortion of face, rolling of eyes and clenching of thumbs to the most severe epileptic spasms, particularly if there is nausea.

TOUCH. PASSIVE MOTION. INJURIES [45]

Pressure : stomach and hypochondria sensitive.

When biting on hollow tooth : pain in it.

After mechanical injuries : hemorrhage from lungs.

SKIN [46]

Itching, unchanged by scratching.

Itching of skin, with nausea ; has to scratch till he vomits.

Miliaria rubra, with dyspnœa, colic and nausea.

Miliary rash on forehead, temples and cheek.

Rash of the lying in.

Suppressed eruption with cool skin.

Eruptions suppressed, or tardily appearing, with oppression of chest ; vomiting and tickling cough.

Herpetic eruption at wrist joint and anus, with red blotches after scratching.

Erysipelas, the redness leaves too soon, with renewed vomiting.

Reaction so weak that eruption develops tardily or does not appear at all ; anxious oppression, or constriction of chest ; irascible, irritable, particularly at night, preventing sleep, and causing great anxiety ; severe tickling cough, with blueness of face and dyspnœa. θ Measles.

Fever, < towards night ; sleeplessness ; complete loss of appetite ; nausea ; despondent and lachrymose ; groaning. θ Scarlet fever.

Vascular erethism with tardy development of eruption ; anxious constriction of chest ; restless tossing about. θ Scarlet fever.

Delayed eruption in scarlatina, with vomiting, diarrhœa, oppression and anxiety.

STAGE OF LIFE, CONSTITUTION [47]

Women and children ; emphysematous individuals.

Girl, æt. 6 weeks, eight days after birth caught cold ; inflamed eyes.

Girl, æt. 3 months, after receiving eight drops of laudanum ; opium poisoning.

Child, æt. 17, weeks, scrofulous ; vomiting and diarrhœa.

Child, æt. 22 weeks ; spasms.

Child, æt. 30 weeks, pale, fat ; spasmodic cough.

Boy, æt. 3, after overloading stomach ; diarrhœa.

Boy, æt. 4 ; ague.

Boy, æt. 4 ; eclampsia.

Boy, æt. 10, sanguine, scrofulous, after eating pork ; diarrhœa.

Girl, æt. 11, black hair and eyes, subject to attacks of ague for which quinine was taken ; intermittent.

Boy, æt. 14 ; chronic vomiting.

Girl, æt. 15 ; ague.

Girl, æt. 16 ; melena.

Man, æt. 17, sanguine temperament, suffering from purpura, after catching cold ; spasms.

Girl, æt. 18, graceful, menses profuse ; ague.

Man, æt. 20, weak, brunette, melancholic ; ague.

Woman, æt. 21 ; ague.

Woman, æt. 22 ; ague.

Woman, æt. 23, small, pale, irritable, brown hair, menses appeared at 17 but were very scanty ; anemia.

Woman, æt. 23, blonde ; hematemesis.

Women, æt. 24, strong, good constitution, married three months, pregnant six weeks ; uterine hemorrhage, with abortion.

Woman, primipara, after tedious labor, terminated by instrumental delivery ; hemorrhage from uterus.

Woman, suffering four weeks ; flooding.

Woman, æt. 24 ; hysterical spasms.

Girl, æt. 25, strong ; hematemesis.

Man, æt. 25 ; chronic nasal catarrh.

Woman, æt. 26, large, robust, fair complexion, has suffered four years ; tormina and bilious vomiting.

Swedish girl, æt. 26, ill for three years, has taken much quinine ; intermittent fever.

Woodcutter, suffering for years, every spring and fall ; ague.

Man, suffering some weeks ; ague.

Girl, æt. 28, anemic ; hematemesis.

Man, æt. 28 ; cholera.

Woman, æt. 30, blonde, weak ; ague.

Soldier, æt. 34 ; dysentery.

Negro, after piercing sole of foot by stepping upon a fish bone ; tetanus.

Woman, æt. 35, ill two weeks ; ague.

Woman, æt. 35 ; ague.

Woman, æt. 38 ; cough.

Woman, æt. 38, has taken quinine ; intermittent fever.

Man, æt. 39, tuberculous, after exposure to wet and cold ; hæmoptysis.

Woman, æt. 39, married ; vomiting.

Woman, æt. 40, four months after abortion ; hemorrhage.

Woman, æt. 42, suffering 2 1/2 years ; vomiting.

Man, æt. 44, ague.

Man, æt. 45, suffering four weeks ; constant vomiting.

Woman, æt. 47, suffering six weeks ; choroiditis.

Man, æt. 54, suffering three months ; chronic vomiting.

Woman, æt. 54, good constitution, menstruation ceased six months ago without inconvenience, after taking journey during which she became chilled ; hæmaturia.

Widow, æt. 54, since attack of cholera four years ago, continual suffering in abdomen ; dysentery.

Man, æt. 62 ; ague.

Woman, æt. 72, melancholic temperament, brunette, thin, tendency to hemorrhoids and abdominal affections ; spasmodic cough.

RELATIONS [48]

Antidoted by : Arnica, Arsen., Cinchona, Nux vom., Tabac .

It antidotes : Alum., Arnica, Arsen., Cinchona, vapors of copper, Dulcam., Ferrum, Lauroc., Opium, Sulph. ac., Tabac., Tart. em .

Compatible : is followed well by Arsen . (cholera infantum, debility, colds, croup, chills), Bellad., Bryon., Cadmium sulph . (yellow fever), Calc., Chamom., Cinchona, Cuprum, Ignat., Nux vom., Phosphor., Pulsat., Sepia, Sulphur, Tart. em., Tabac., Veratr .

Complementary : Cuprum .