Author: Urenus

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Hypothesis	Features	Similars
Predisposed types	Overweight, but poor quality diet Sallow; Pale; anaemic. Puffy; greasy skin. Probably dark haired more than fair haired.	Calc carb. Calc phos. Thuja Medorrhinum
Main aetiology	Infective including viral URTI / measles and enterovirus infection
Secondary aetiologies	Immunisations, antibiotics, drugs, stress	Morbillinum
Emergent disturbance	Disturbed surface immunity
Secondary disturbances	Catarrhal states, proliferative conditions
Principle locations	Respiratory mucosae Sinuses, nasopharynx	Bacillinum
Secondary locations	Body orifices Skin GI and genital tracts Synovium + Otorrhoea Vulvovaginitis Dermatitis Arthritis	Borax Thuja Sabina
GI pathophysiology	Chronic irritation of whole alimentary tract; Distended. Children may have digestive difficulties with a history of enterovirus infection. + Nausea. Anorexia. Eructation bilious attacks. Pain and distension in epigastrium. Flatulence. R.I.F. Pain L.I.F.

Mentals

Nervous; tense. Cross; restless; weepy; depressed; shy; sensitive; fussy. Exhausted. Mostly cold sensitive. Bites nails. Nervous irritability; quick temper; outbursts of temper from resentment. Fears of dark and of being left alone; fear of animals and dogs. This nosode is very rich in mental symptoms, which are very similar to Gaertner. The element of fear is outstanding, but there is an additional factor of irritation. This may be manifested by outbursts of temper, suggestive of remedy Lycopodium, which is often complementary to this nosode.

The sycotic patient is always anaemic looking, never carries much colour in the face. Although the mentals of Gaertner and Sycotic Co. are similar, the physical appearance of the child is different. In contrast to the thin, undernourished child in Gaertner, the Sycotic child is often fat and flabby. Head sweat during sleep, chiefly from 12 to 4 am (cf. Calcarea carbonica).

“Calcium carbonate does not entirely cover the picture of the Sycotic child ……but here calcium bears the same relation to Sycotic co. as carbon does to Morgan co.”— William B. Griggs

Head

“Irritation of meninges,” sub-acute or chronic; headache from infection of sinuses; persistent headache particularly in a child — which may be the prodromal sign of a tubercular meningitis (cf. Helleborus). Headaches are chronic, deep-seated in nature, meningeal or sinusal origin. Headache weekly; every Sunday morning. Headache < left side (lasts weeks); throbbing in heat and rest, in noise. Frontal congestive headache which lasts for many days. Sick headache < at menstrual period (before or after). Sweating of head at night. Headache slight, but recurring in child.

Scalp

Alopecia. Painful dry scaly spots. Premature grey hair.

Face

Puffy in morning especially under eyes. Acne rosacea. Erythema. Vesicular eruption on cheeks. Facial neuralgia. Hair on face and upper lip. Facial twitching.

Eyes

Conjunctivitis. Tarsal cysts. Photophobia. Vitreous opacities.

Ears

Deafness. Otorrhoea. Excessive wax. Itching of meatus. Cracks under ears.

Nose

Nasal catarrh. Post nasal catarrh. Turbinates congested, sinus infection. Nose dry; crusting and burning. Polypi. Cracks in angles of nose. Epistaxis. Sense of smell lost. Hay fever. Vasomotor rhinorrhoea.

“Sycotic Co. is a remedy of great value in catarrhal conditions and violent cough.”— T.D. Ross

Mouth

Lips dry/cracked. Angular cheilitis. Persistent herpes. Tongue sore; scalded; dry; fissured; furred. Deep ulcers on tongue. Bad taste; sense of taste lost. Paraesthesiae tongue. Ulcers in mouth. Salivation increased.

Head

Meningitic irritation: Subacute or chronic convulsions, epileptiform crisis, meningism during the attacks of fever (Proteus). For the attack on the kidneys and meningitis syndromes Sycotic Co C.M. and Proteus C.M.

— (Chebath Daniel)

Throat External

Goitre. Glands in the posterior triangle enlarged.

Throat Internal

Hypertrophy of tonsils and adenoids, and enlargement of glands of neck, chest, or abdomen. Tonsillitis (recurring), cheesy masses from tonsil. Quinsy. Throat feels raw; scorched; dry. Profuse mucus from throat in morning. Swallowing difficult; chokes easily. Tracheitis.

Respiration

Asthma and bronchitis generally < with damp and frost and > at the seaside. Wheeze and cough 2–3 A.M. Wheeze and cough on waking. Hard spasmodic cough at night 2 A.M., 4 A.M., or 6 A.M. Irritable cough of croupy nature at night. The sycotic child wakens at 2 A.M. with a cough of croupy nature. Attacks are spasmodic, affected by change in atmosphere, and may be prolonged. Cough still sick next morning. Cough with easy sputum. Frequent bronchial colds.

In winter, the respiratory mucous membrane is congested with chronic cough and recurring croupy cough. Cough bad with tough sputum. Fibrositis chest wall. Fibrositis scapular region. Backache severe; fibrositis back, myositis back. Stiff all over. Neuritis of head and neck. Sebaceous cyst back.

Neck & Back

Lumbosacral pain + +. Pain in loins. Pain sacroiliac joints. Hips stiff. Pain generally < after sitting, at night on beginning to move and > on moving, heat.

Desires & Aversions

Aversion to: egg, fat, milk, milk pudding, cream, salt, sugar, vegetables, tea, vinegar, cheese, meat, bread, potato, and tomato. Upset by: egg (< nausea, vomiting, bilious attack and hay fever). Thought of egg in morning produces nausea. Upset by fat, onion, and oranges.

Averse to breakfast. Nausea with smell of cooking. Fond of: butter, fat, cheese, sweets, milk, and salt.

Stomach

Nausea. Anorexia. Burning pain in stomach. Eructation (acid); bilious attacks. Pain and distension in epigastrium. Flatulence. Nocturnal vomiting — must empty stomach. Acidosis attacks.

Abdomen

Distended colon. Abdomen distended. Pain R.I.F. Pain L.I.F.

Digestive System

Chronic irritation of whole alimentary tract; catarrhal conditions; acute or chronic gastro enteritis in the child. Nausea or sickness after eating eggs (cf Ferrum met). The children have digestive difficulties with a history of looseness of the bowel.

Circulation

Anaemia and hydraemia, usually in the adult.

Upper Limbs

Fibrositis: shoulders. Neuritis: arms. Rheumatic pain in shoulders and arms; elbows and wrists. Arthritis fingers: pain generally > dry day and hot water. Fingers deformed; nodules on fingers. Arthritis metacarpo-phalangeal joints. Arthritis especially of middle finger between metacarpal 2 and 3. Fingers go dead; numb; with spasm of the fingers. Prickly feeling in hands. Nails brittle.

Lower Limbs

Rheumatism of knees. Ankles swollen and stiff + +. Soles of feet painful + +. Feet sweat at night. Big toe joint painful. Feet burning. Heels tender. Feet and legs painful when walking, as if walking on loose bone pieces.

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Hypothesis	Features	Similars
Predisposed types	Angry, unstable types Highly strung perhaps hysterical Unrelaxed Autonomically aroused Perhaps mainly thin and dark haired Perhaps stubbornly self-righteous and indignant. Unwillingness to accept change.	Colocynthis Nux vomica Magnesiums Muriates Nitrates Natrum mur Staphysagria
Main aetiology	Stress (especially persistent unremitting)
Secondary aetiologies	Infective / antibiotics or both	Helicobacter Sarracenia
Emergent disturbance	Psycho-neuro-endocrine
Secondary disturbances	Degenerative change at sympathetically innervated sites. Fibrositis at sites of chronic musculoskeletal tension.	Cuprum met.
Principle locations	Autonomically innervated systems and organs: – increased sympathetic activity + Circulatory including Raynaud’s phenomenon	Adrenaline Noradrenaline
Secondary locations	CNS / PNS Musculoskeletal Cardiac + Stress headaches Fibrositis	Ignatia Natrum mur
GI pathophysiology	Duodenal ulcer Irritable bowel

Below is a concise list of various symptom categories.

Mind

Tense; irritable; depressed. Outburst of temper, especially if opposed; will throw, kick or strike. Violence, spasms, particularly in the young.

Head

Headache frontal with sense of weight. Headache < before menses, < morning. Migrainous headaches are often with blurred vision. Meniere’s disease.

Vision

Blurred vision during migraine. Burning pains. Acute pains. Pains > by pressure. Photosensitivity.

Nose

Impression of greasy discharge at the back of nose. Tightness.

Mouth

Angular cheilitis. Gums tender. Buccal ulcers. Taste salty.

Neck and Back

Fibrositis head and neck. Backache. Slipped disc.

Chest

Pain < with cold, < with exertion. Tightness; short of breath. Panniculitis.

Heart

Anginal attacks due to spasm of coronary capillaries. Heart strain. E.C.G. coronary insufficiency, but no infarction.

Fond of / Upset by

Fond of fats; sweets; salt; butter; eggs. Upset by eggs.

Stomach

Acidity; heartburn; sourness. Flatulence. Hunger pain not relieved by eating. Nausea and migraine after meals. Frequent hiccough after meals. Vomiting after meals. Dilated stomach. Bilious at menstrual period.

Abdomen

Flatulence. Pain R.I.F.; pain L.I.F.

Upper Limbs

Contraction palms/fingers. Loss of grip strength. Hands numb in the morning.

Lower Limbs

Intermittent claudication. Cramps legs. Numb feet. Feet feel frozen. < cold atmosphere. Sciatica. Raynaud’s disease.

Urine

Urethritis. Loin pain. Urine cloudy and foetid. Whitish fibres in the urine.

Genitalia

Leucorrhoea profuse and offensive. Leucorrhoea brown; thick; scalding. Vaginitis. Boil in vagina. Pruritis vulvae. Blood-streaked, brownish discharge before menses; menses with blood clots. Fibrous blood clots at the end of menses. Menses irregular, with blood clots for 7 days.

Bowel

Alternative diarrhoea and constipation. Emotional diarrhoea. Diarrhoea with headache and furred tongue. Constipation with empty urging.
Stools yellow, soft in morning after breakfast. Oxyuris. Sensation of ball in bowel.

Anus

Piles itch and bleed. Itch very bad. The child may suffer recurring rectal spasm.

Skin

Angioneurotic oedema (cf Apis Mellifica) is found in the clinical proving of Proteus, also herpetiform eruption at the muco-cutaneous margins. Skin is light, sensitive and may be pigmented or the opposite, leucoderma; liable to flexure dermatitis, of knee and elbow. Herpes, hives, and intractable dermatitis, usually pruriginous. Dermatitis on back of hand with discharge (very bad). Pruritis intense. Anal and genital pruritis. Boils axilla. Erythema with papulopustular eruption — dry, scaly, crusting, itching; six months duration on chin and upper lip.

Proteus mirabilis is a histamine producing organism “Proteus can alter the soil in which psoric symptoms grow” (A.C. Gordon Ross)

Perspiration

Under the arms, hands clammy. Copious perspiration from the axillae, falling in large drops. Nails split. Hair falls out.

“Suddenness of onset is outstanding characteristic of this nosode and this is seen in the herpetic eruptions of lips, mouth and eyes where pain is out of proportion to the size of lesion. Similarly if boils are present, they are exquisitely tender, indurated, discharge little and are slow to heal. There is marked sensitivity to exposure to ultra violet rays.”— (Agrawal)

“Convulsive and epileptiform seizures and meningismus in children during febrile attacks often respond to the action of the nosode Proteus. Among the remedies related to Proteus are many chlorides especially Natrum Mur. Paterson noted an increase in Proteus after the last war and associated it with nerve strain, continued over a long period.”— (Agrawal)

Modalities

< in the morning on waking, from exertion, from climbing stairs, in stormy weather, heat, exposure to the sun and also in the winter, from cold.
Nightly aggravations and < from lying down. > from moderate temperature, from resting and in the mountains.

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Hypotheses	Features	Similars
Predisposed types	Unstable or changeable types Vacillating, Capricious	Pulsatilla Cimicifuga
Main aetiology	? Emotional stress	Camphora (▲rel▼)
Secondary aetiologies	Xenobiotics, Herbals and over-treatment with symptomatic drugs ? Poor, multiple homeopathic remedies ? Abuse of laxatives ?	▼
Emergent disturbance	Mood swings Feelings of insecurity	Asarum europaeum Medorrhinum
Secondary disturbances	Urinary tract infection Diverticular disease UTI, asthma, eczema, perspiration	Copiava
GI pathophysiology	? Diverticulitis	Lactuca virosa

Rubrics from Complete Repertory v3.0

All rubrics referencing mut 12.

Rubrics from Complete Repertory v3.0

All rubrics referencing mut 12.

MIND; COMPANY; desire for: mut 12

MIND; IRRITABILITY: mut 12

MIND; WEEPING, tearful mood; easily: mut 12

FACE; SWELLING; eyes; around: mut 12

STOMACH; VOMITING; blood: mut 12

RECTUM; CONSTIPATION: mut 12

BLADDER; INFLAMMATION; chronic: mut 12

URINE; ALBUMINOUS: mut 12

URINE; ODOR; beans, like boiled: mut 12

RESPIRATION; ASTHMATIC: mut 12

RESPIRATION; ASTHMATIC; alternating with; eruptions: mut 12

BACK; PAIN; general; sitting, while; amel.: mut 12

BACK; PAIN; general; standing; while: mut 12

BACK; PAIN; general; Lumbar region, lumbago: mut 12

BACK; PAIN; general; Lumbar region, lumbago; sitting; amel.: mut 12

BACK; PAIN; general; Lumbar region, lumbago; standing: mut 12

BACK; PAIN; general; Lumbar region, lumbago; standing; erect, impossible: mut 12

EXTREMITIES; ARTHRITIC nodosities; Finger joints: mut 12

EXTREMITIES; DISCOLORATION; Hand; blueness: mut 12

EXTREMITIES; DISCOLORATION; Foot; blueness: mut 12

SLEEP; FALLING ASLEEP; perspiration; during: mut 12

SLEEP; RESTLESS: mut 12

PERSPIRATION; NIGHT: mut 12

PERSPIRATION; NIGHT; sleep, during: mut 12

PERSPIRATION; SLEEP; during: mut 12

SKIN; ERUPTIONS; alternating with; respiratory symptoms: mut 12

SKIN; ERUPTIONS; eczema: mut 12

GENERALITIES; ALTERNATING states: mut 12

GENERALITIES; CHANGE; symptoms, constant change of: mut 12

GENERALITIES; WEAKNESS, enervation; exertion, from; slight: mut 12