Author: Urenus

  • Ignatia – St. Ignatius’ Bean

    The mother tincture is prepared from the dried ripe seeds of the plant, Strychnos ignatii Berg., a native of the Philippines. N.O. Loganiaceae.

    The “Ignatia” tincture produced from the St. Ignatius’ beans contains, like its sis- ter-remedy Nux Vomica, strychnine and brucine as main ingredients.

    Ignatia is considered the main remedy for hysteria and states of nervous exhaus- tion, and is indicated in changeable moods, hypersensitivity to pain, twitching, headaches, stomach complaints, dysmenorrhoea, sensitivity to tobacco-smoke and smells generally, rectal prolapse, and absurd symptoms of a general kind.

    However, in critically evaluating Ignatia symptoms, we must avoid the opinion that the symptoms which respond to Ignatia, because of their hysterical or nervous factor, can be dismissed with a wave of the hand. You see, with these symptoms we are dealing almost every time with impregnation phases, such as are consistent with disturbances of the autonomic nervous system, for example. In children this may be a prelude to meningitis and otitis media. Also typical are gastro intestinal symptoms, particularly with a feeling of weakness in the pit of the stomach, as if the stomach were hanging down.

    Ignatia patients are supposed in the main to be intolerant, quarrelsome, irascible people of great touchiness, who react very easily to fright (cf. Aconitum, Opium and Veratrum), and who also tend easily towards spasms and convulsions, and in whom a typical migraine occurs with the symptom, as if a nail were being driven out through the side of the head.

    We must be quite clear in our minds that such complaints can in many cases actu- ally be of a very unpleasant and stubborn nature and do not respond – or only tem- porarily – to the usual drugs, even to Atarax; on the other hand they can soon be re- moved with combination remedies which contain Ignatia.

    One symptom in particular must be picked out, which is generally described as protracted sighing or taking a deep breath; that, however, does not give the full pic- ture. It is better described as dyspnoea, and in fact a possibly malignant dyspnoea, as if from inner suffocation. Nor are Ignatia patients necessarily always of the female sex; the male sex suffers with such symptoms just as often; even men in the prime of life often need Ignatia, e.g. heart-patients with dyspnoea. Nash tells us that the tear- ful, sensitive mood may be traced back both to fright and also to chronic worry. This is indeed the case. On the other hand, Ingatia patients do tend to take everything very badly and to work themselves up over comparatively simple and harmless prob- lems, regarding them as insurmountable, with the result that complaints then arise such as migraine-like headaches which are ameliorated by warmth and lying on the affected side, spasmodic contractions in the intestinal area with stabbing pains in the rectum, shooting up into the colon and awakening the suspicion of rectal cancer. Give a dose of Ignatia and these complaints will move in regressive vicariation from within outwards, maybe in the form of inflamed haemorrhoids or an anal or umbili- cal eczema.

    An example of the absurd symptoms peculiar to Ignatia is intermittent fever where, during the chill, and only at that stage, there is a feeling of thirst, and also a red face, which is characteristic of no other remedy.

    Ignatia also has a sensation of pressure in the throat, like a ball, as if choking were imminent, similar to the globus hystericus, or perhaps to be interpreted in the con- text of the dyspnoea already mentioned.

    Skin eruptions may also occur: little acne pustules around the eyes and on the chin, as well as urticarial eruptions and falling out of hair.

    Eye symptoms may include optical illusions, e.g. white, flickering, shining zig- zags at the periphery of the field of vision, as occurs in detachment of the retina.

    Articular pains may occur in the hands and fingers with stiffness and drawing pains, and there may be weakness in the lower limbs, as in incipient primary chron- ic polyarthritis or the paresis of tabes.

    There may be hypersensitivity of the skin to draughts and fresh air.

    The exhaustion and weakness are aggravated by coffee, spirits and tobacco smok- ing, which is particularly intolerable.

    This is accompanied by an extraordinary slowness in thinking. The mood may switch rapidly from one extreme to the other.

    However, Ignatia may also be the remedy for more or less purely physical phases such as balanitis, prostatitis, leucorrhoea, metrorrhagia with congealed pieces of black blood smelling offensively, inflammatory symptoms on the eyelids, nose and lips, tickling cough, laryngospasm, oesophageal spasms, difficulties in swallowing, anal prolapse, jaundice, spasm of the bladder and febrile attacks similar to malaria, or even genuine malaria.

    Although in all these symptoms frequently no serious organic change can be found in the context of degeneration phases, nevertheless we are clearly dealing with toxic effects, often with impregnation phases, which must have the correct an- tihomotoxic remedy, which is Ignatia.

    Ignatia should also be borne in mind in numerous retoxic phases. The irritability of the nervous system may provide a pointer here (effects of strychnine and brucine), since this is characteristic of Ignatia and constitutes the organic foundation for the frequently changing symptoms which occur in impregnation phases resulting in many cases from retoxication.

    The following essential symptomatology results from a summary of the above:

    1. Nerve remedy. Hypersensitivity of all the sensory organs, including the skin. Hypersensitivity to smells, tobacco, smoke, and consumption of alcohol and cof- fee.
    2. Consequences of worry, takes everything hard. Tendency to weep. Hides her worries from people at large. Taciturnity. Emotional depression (exogenous). Consequences of fright. Longs for solitude.
    3. Slowness in thinking and speaking. Absent-mindedness. Bewildered air. Weak- ness of memory. Thoughtlessness. Confusion.
    4. Trembling. Twitching. Fits of crying or laughing. Oesophageal spasms. Globus hystericus. Migraine (like a nail through the side of the head, followed by pass- ing of colourless urine).
    5. Laryngospasm. Globus hystericus. Also Sydenham’s chorea and epileptiform at- tacks.
    6. Tonsillitis, with amelioration of the throat-pains from swallowing.
    7. Sensation of weakness in the stomach, as though hung down limply (cf. Sepia).
    8. Anal prolapse with violent contracting pains which also shoot upwards in the rectum and into the colon.
    9. Intermittent fever with thirst and hot head during the chill.
    10. Dysmenorrhoea. Menses with black, lumpy, foetid blood.
    11. Dyspnoea as from internal suffocation, also in asthma. Has to keep sighing deeply, but cannot complete a breath owing to retoxic enzyme-damage. (Espe- cially complements Carbo Vegetabilis.)

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Strychnos ignatii, published the following indication(s) in the German Bundesanzeiger (German Federal Gazette) for ignatia: nervous disorders; emotional discord or upset; spasmodic conditions expe- rienced at hollow organs and muscles.

  • Ichthyolum – Ammonium Bituminosulphonate

    (Ammonium Bituminosulphonicum)

    The attenuations are prepared from the carbonisation oil obtained from dry distil- lation of bituminous slate, sulphonated with sulphuric acid and neutralised with ammoniac.

    The main indications are:

    Pustular acne. Violent pruritus (facial).

    In practice, Ammonium Bituminosulphonicum (Ichthyol) is used principally in the form of Ichthyol ointment. This serves to soften and clear out abscesses and as stimulative treatment in inflammations.

    About 35 years ago the author began a proving of Ichthyol, but had to break it off because incrasingly unpleasant symptoms were making their presence felt, as follows: On taking Ichthyol 30X, 5–8 drops three times a day (hand-successed potencies, prepared from bottle to bottle), no symptoms of any kind were produced. On taking Ichthyol 27X, every evening on lying down to sleep a considerable itching set in, typically on the cheek-bone on both sides, round about the place where acne rosacea tends to be located. The complaints increased, and intensified with the eruption of

    small vesicles and, on taking the 25X, inflamed pustules.

    As the author was practising every day, this eruption caused him not a little incon- venience. Along with his wife, who was also doing the proving and had the same symptoms, he therefore discontinued the proving.

    Bearing in mind the high degree of biological activity of the slate-oils, this remedy should have a more thorough homoeopathic proving.

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Ammonium bitumino-sulfon- icum, published the following indication(s) in the German Bundesanzeiger (German Federal Gazette) for ichthyolum: suppurative dermal inflammations; chronic bron- chitis.

  • Iberis Amara – Bitter Candytuft

    The mother tincture is prepared from the dried ripe seeds of the plant, Iberis amara L., a native of Central and Southern Europe and often cultivated ornamen- tally in gardens. N.O. Cruciferae.

    The main indications are:

    Pericarditis and endocarditis. Palpitations. Stabbing pains in the heart.

    In the foreground of the picture of Iberis are its heart symptoms, such as palpita- tion after slight movement, with no intrinsic cause, palpitations with vertigo and anxiety,  heaviness  and  pressure  in   the   praecordium   with   shooting   pains (cf. Spigelia), and particularly a nocturnal aggravation, with visible throbbing of the heart and possible cessation of the heart beat or fibrillation with a small irregular pulse. However, it also has noteworthy nervous symptoms such as weakness of memory, swimming in the head with inability to fix the attention, vertigo on rising, congestion of the head with tinnitus, headache and hearing-impairment with red- dened eyes and optical illusions of light.

    In the right shoulder there may be drawing pains with a dull pain and sensation of heaviness in the left arm, and trembling in the lower limbs after movement.

    The congestive states of the heart may be ameliorated by increased mucous secre- tion and hawking up of the mucus from the larynx and trachea; there may occur a sensation in the larynx as if bound up with string and suffocating, with inhibited res- piration, shortness of breath and air-hunger.

    The abdominal organs may also be involved, with eructations, weakness of diges- tion, distension, sensations of pressure and pain in the liver region, and frequent stools of soft consistency, the colour of clay (biliary disease).

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Iberis amara, published the fol- lowing indication(s) in the German Bundesanzeiger (German Federal Gazette) for iberis amara: arrhythmia; cardiac insufficiency.

  • Hypothalamus Suis

    The attenuations of this sarcode are prepared from hypothalamus taken from a healthy pig (Sus scrofa domesticus). It is situated in the mid-brain.

    The main indications are:

    Disturbed sleep pattern. Parkinson’s disease. Epileptiform states. Disorders of maturation and development, including those of a mental kind in children. Syden- ham’s chorea. Nymphomania. States of excitement. Simmond’s disease.

  • Hypophysis Suis – Pituitary Gland

    The attenuations of this sarcode are prepared from fresh pituitary taken from a healthy pig (Sus scrofa domesticus). It is a gland the size of a cherry, situated at the base of the brain.

    The main indications are:

    Endocrine disorders. Pituitary obesity. Dystrophia adiposo-genitalis. Symptoms of ovarian deficiency. Disturbances in menstruation and ovulation. Chronic arthros- es and primary chronic polyarthritis. Disorders of connective tissue. Growth disor- ders. Dysmenorrhoea. Galactorrhoea. Neurodermatitis and other skin diseases.

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Hypophysis cerebri, published the following indication(s) in the German Bundesanzeiger (German Federal Gazette) for hypophysis suis: vertigo; states of confusion.

  • Hypericum – St. John’s Wort

    The mother tincture is prepared from the whole fresh plant, Hypericum perforatum L., gathered in flower. It is very frequently found in meadows, pastures and in sparse woodland in Europe and Central Asia. N.O. Guttiferae.

    The main indications are:

    Injuries to nerves and brain. Osteoarthritis with sensitivity of the cervical spine. Strangury in cystitis. Endometritis, vaginitis, cervicitis. Sense of smell more deli- cate. Dryness of the nasal mucosa. Hypericum is “The Arnica of the Nerves” (Dr. Schlegel of Lindau).

    Hypericum is especially indicated in puncture wounds and nerve irritation, not only after injury but in changes of postural balance in the spine, when nerves are trapped or pressed (in the intervertebral foramina) as a result of faulty posture, and in complaints arising from osteo-arthritis.

    However, the remedy picture of Hypericum also contains emotional changes, ex- citement with ensuing relaxation, lassitude, trembling and unaccustomed thirst, as well as spasmodic complaints.

    One symptom which may point to the remedy is the sensation as if the head were enlarged, (cf. Paris Quadrifolia).

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Hypericum perforatum, pub- lished the following indication(s) in the German Bundesanzeiger (German Federal Gazette) for hypericum: traumata suffered by the peripheral or central nervous sys- tems; emotional discord or upset; cerebral angiosclerosis; asthma.

  • Hyoscyamus – Henbane

    The mother tincture is prepared from the whole fresh plant in flower of hyoscya- mus niger L. N.O. Solanaceae.

    There is a close relationship between the three Solanaceae: Hyoscyamus, Bel- ladonna and Stramonium. The main active ingredient of Hyoscyamus is the alkaloid, hyoscyamine.

    The three related alkaloids, hyoscyamine, atropine (Belladonna) and daturine (Stramonium) enlarge the pupils constantly, and cause great dryness of the mouth and pharynx, larynx and bronchi, and external skin, as well as difficulty in swallow- ing and hoarseness. In larger doses they bring about swimming in the head, with ver- tigo, hallucinations and delirium. In smaller doses they depress the heart function and slow the pulse rate, whereas after a large dose an immediate initial slowing of the pulse rate is followed by an equally rapid compensatory increase above the nor- mal.

    Whereas atropine in large doses almost always causes an erythema of the skin, a flushing similar to that of scarlet fever, this is only exceptionally noticed with hyoscyamine.

    As a rule, atropine causes an ecstatic delirium with a tendency towards wrestling, scuffling, laughing and all sorts of unconventional behaviour, although on the other hand there may also be unusual unsteadiness and great muscular weakness. With hyoscyamine neither is the case; on the contrary there is a tendency towards sleep and rest. On odd occasions when too high a dose has been taken, atropine-like symptoms of excitement may be noticed.

    Atropine also causes paralysis of the sphincters of anus and bladder, in contrast to hyoscyamine, which has a more paralytic effect on the sphincters of the iris than does atropine. Hyoscyamine is not identical to atropine.

    With long-term use, hyoscyamine is followed by heavy haemorrhage from the womb, as well as sweats and peculiar skin eruptions.

    Hyoscyamus has a characteristic aggravation of complaints in the evening-time, with an irresistible urge to sleep and to day-dream predominating, with a long, deep sleep as if drugged, characterised by grindling of the teeth (!).

    Apart from states of excitement with great restlessness, mobility and loquacity, there are passionate vehemence, jealousy, raving and attacks of fury. At the other end of the scale there may also be depression to the point of melancholia, and dull apathy (in chronic poisoning).

    The skin symptoms are itching and redness. Brown patches appear here and there and disappear again. The typical facial appearance is puffed up and dark red with purulent vesicles on the lips and pustular conditions on the chin and cheeks; these may also occur around the hips and knees.

    The picture of Hyoscyamus also includes parotitis and tonsillitis.

    Particularly typical are, however, disorders of the intellectual functions, with ex- citement and possible subsequent weakening; there is inane chatter and foolish ges-

    tures and actions, betraying a confusion of ideas, as also in delirium, weakness of thinking and memory and finally characterised by a dulling of the powers of com- prehension.

    Attacks of epileptic spasms with tetany, convulsions, trismus, congestion of blood in the head and headaches are also typical.

    The eyes have a glazed stare and an unusual sheen, and there may be protrusion, distortion and spasms of the eye muscles.

    Further indications are conjunctival discharge, and marked pupil-enlargement, dullness of vision, weakness of vision and myopia – for Hyoscyamus and for Bel- ladonna (Atropinum Sulphuricum).

    There may also be amaurosis, with flickering and dark spots in the field of vision and abnormal refraction of the light-rays, so that objects appear smaller, change po- sition, or their outlines are blurred. Objects may also appear in a scarlet light, or shining like gold. Double vision may also occur.

    There may also be disturbances in the hearing, with complete deafness, pains in the cartilage of the ear, and tearing pains, especially in the evenings.

    In the provings there also occurred spasmodic tension and painful stiffness of the neck- and shoulder-muscles, with tearing pains in the back and loins and swelling of the ankle. There was also trembling of the arm and rheumatic pains in the elbows and wrists, with swelling and stiffness of the hands, and diminished feeling or “pins and needles” in the arms and hands.

    As with Belladonna there can be a paralysis and coldness of the lower limbs, with pains in the hip-joints, knees or ankles, weakness of the legs, swelling of the feet and tearing pains in the soles. According to the dose, there may be a stronger and irregu- lar heart contraction and an accelerated, full, strong pulse, with pulsation of the ar- teries, or else a smaller, slower or more rapid, scarcely detectable, failing pulse.

    The respiratory symptoms are characterised by catarrhs of the larynx, nasal mu- cosa and bronchi, with greenish mucous expectoration on coughing, constriction of the chest and shortness of breath. On inspiration stitching pains are felt in the chest (cf. Bryonia). The spasmodic, dry cough shows a marked nightly aggravation, espe- cially when lying, which fades on sitting up: a guiding symptom which should lead to the prescription of Hyoscyamus.

    Hyoscyamus should also always be indicated by the symptom of grinding the teeth in sleep, bearing in mind Ignatia and Cina also.

    Acute tonsillitis reacts mostly not only to Belladonna, but also to Hyoscyamus, when there is the sensation of great dryness, scratching and burning in the palate and the oesophagus, with swallowing difficulties on account of the inflamed swelling of the tonsils.

    There may also be a loathing for drinks. After drinking there are convulsive move- ments with disordered consciousness, and there may also be retching with nausea but not vomiting, stomach pains with severe distension, flatulence and violent colics, constipation and evacuation of firm faeces or else loose stools with abdominal rum- blings and cutting pains. Frequent passing of threadworms is also said to be typical, as is discharge from the haemorrhoids.

    Inflammatory symptoms and paralytic weakness are also found in the bladder, with frequent urging and painful, scanty urination, possibly associated with erec- tions and sexual phantasizing to the point of priapism, linked with temporary impo- tence; in the female sex there are inflammatory conditions of the vaginal mucosa, with intensified desire and violent phantasizing to the point of nymphomania, also hysterical moods ands menses beginning 14 days too early with copious bleeding.

    If the main symptoms of Hyoscyamus are summed up, we have the following typ- ical remedy-picture:

    1. Symptoms of cerebral irritation with convulsions, muscle-twitching, catalepsy and epileptiform spasms. Mental disorders, characterised by silliness and uncon- ventional behaviour, or erotic states of ecstasy.
      1. Eye-conditions. Conjunctivitis. Double vision. Objects seen appear red.
      1. Tearing pains in the ears at night. Hearing impairment and facial pain. Delusions of jealousy.
      1. Spasmodic nocturnal attacks of tickling cough, ameliorated by sittig up. Expecto- ration of green muscus on coughing. Dryness in the throat, larynx and lungs.
      1. 5.   Nose-bleeds. Stomach pains. Inflammations of the gastric mucosa and intestines with retching, vomiting, colic and diarrhoea.
      1. 6.   Spasms of the bladder. Paralysis of the bladder with arousal in the sexual sphere. Menses too early and too heavy.
      1. 7.   Rheumatism or gouty conditions in nervous tracts and joints.

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Hyoscyamus niger, published the following indication(s) in the German Bundesanzeiger (German Federal Gazette) for hyoscyamus: restlessness and conditions of excessive excitement; in- somnia; spastic conditions of the respiratory passages and of the alimentary tract.

  • Hydrocyanicum Acidum – Hydrogen Cyanide

    The attenuations are prepared from diluted Hydrogen cyanide, HCN, MW: 27.03.

    Epileptic attacks, preceded by a sensation of a flash of lightning from head to feet. Cholera with collapse. Pernicious forms of scarlatina. Malaria with fainting, icy coldness of the body, pulse undetectable. Dry, tickling cough in tuberculosis.

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Acidum hydrocyanicum, pub- lished the following indication(s) in the German Bundesanzeiger (German Federal Gazette) for acidum hydrocyanicum: various conditions of spasmodic contraction (cramps); cerebral seizure disorders; angina pectoris; bronchial asthma; renal failure and intestinal cramps; paralysis in conjunction with cerebrovascular accidents; car- diac and circulatory failure; respiratory paralysis.

  • Hydrocotyle Asiatica – Indian Pennywort

    The mother tincture is prepared from the dried aerial parts of Centella asiatica [L.] Urb. N.O. Umbelliferae.

    The main indications are:

    Itching of the skin, lupus, leprosy. Psoriasis. Heavy desquamation in skin condi- tions. Hyperkeratosis. Scleroderma.

    In the foreground of Hydrocotyle’s symptom picture are skin symptoms, particu- larly reddening, erythema with itching of the face, neck, chest, back, arms and thighs, with a sensation of heat, stinging, itching and burning in various places. Apart from this, it also has eruptions of small pustules and vesicles, with desquama- tion and sloughing, increased suppuration of existing ulcers, malformation of the nails, and also neuralgic facial pains. In addition there are kidney symptoms in par- ticular, in the form of heaviness and pressure in the renal area, bladder spasms with creeping in the urethra, urinary tenesmus and increased excretion of urine.

    The picture also includes dull pains in the womb and ovaries, with a sensation of itching, stinging and heat in the vagina, violent congestive states and pains in the uterus, premature arrival of the menses, and discharge.

    The German Monograph-Preparation Commission for the Homoeopathic Field of Therapy has, under the Preparation Monograph for Centella asiatica, published the following indication(s) in the German Bundesanzeiger (German Federal Gazette) for hydrocotyle asiatica: metritis; dermal disorders with pachynsis and pruritus.

  • Hydrochinon – Hydroquinone

    The attenuations are prepared from Hydroquinone (1,4-dihydroxy-benzene) C6H6O2, MW: 110.14.

    The main indications are:

    Disturbances in oxygen utilisation. Impregnation phases. Pre-cancerous states. Bronchial asthma. Skin diseases.

    Like all the quinones, hydroquinone is indicated in impregnation phases where dyspnoea, which is characteristic of disturbance in the respiratory chain, is observ- able. Thus hydroquinone is indicated alongside alpha-ketoglutaric acid and Benzo- quinone, to compensate for side-effects of allopathic drugs on the respiratory centre, and also for the progressive dyspnoea and cardiac weakness of lung cancer. The dose selected must not be too strong here, nor repeated too frequently, since it may lead to bloody expectoration with a strong, cheesy odour, (beware: internal haemor- rhage!), although the bleeding normally tends not to be dangerous, because Hydro- quinone obviously has a similar action on the vascular system to that of rutin.

    In the course of relapses of cancer in the breast or abdomen, if haemorrhages of short duration are observed which improve the general state of health, then Hydro- quinone must be given at short intervals, say every two days, in order to cleanse the toxicity of the body. (Koch – Kastner – Seutemann).

    Depressive states in youth and loss of powers of concentration can be helped by a combination of Aurum and Hydroquinone; likewise angina pectoris, heart condi- tions of the elderly and vascular sclerosis, most preferably in combination with Malicum Acidum.

    Like all quinones, Hydroquinone is also indicated in toxicity of the liver, e.g. in jaundice from various causes, in chronic cholecystitis and in areas of disturbance in the gastro intestinal area, also in abuse of medicine and the associated kidney dam- age (after barbiturates and phenacetin).

    A combination of Oöphorinum, Baryta Oxalsuccinica, Hydroquinone and Pitu- itary can do good work in underdevelopment of the genitalia with adiposity, and also after antibiotic treatment for gonorrhoea.

    Like most quinones, Hydroquinone acts on chronic, dry eczema, especially if this is aggravated by the slightest dietary indiscretion. Typical are scales, itching areas of skin without being particularly red, also greasy facial skin and fissured, calloused changes in the skin and disorders in the jaw area. In the treatment of these the ap- propriate nosode should be used concurrently (Mandibular Osteitis Nosode, Granu- loma Dentis Nosode, etc.).

    The drug picture of Hydrochinonum was composed in January 1997 by David Riley, M.D., Santa Fe (New Mexico), USA.

    The most important symptoms from David Riley’s drug proving were:

    Essential Characteristics:

    Several unique characteristics were noted with this remedy. Restlessness or fre- quent waking during sleep. Unrefreshing sleep improves. Eczema of the hands and

    fingers especially on the right hand was also prominent. The eczema was dry and flaky and worse from moisture.

    Mind

    Active thoughts cause sleeplessness. Absent of thoughts when alone and while driving and startles when awareness returns. Vacancy of thought and must force the mind to concentrate while driving to avoid collisions. Daydreaming. Memory weak- ness and forgets what he is about to do or has just done. Feeling of being in a trance or as if in a dream. Dullness. Vivid or fragments of dreams or nightmares with dark- ness, desolation and bleakness, destruction, imprisonment, being among strangers, violence, and being whipped. Sensation of isolation or separation. Delusions that friends are looking down on her. Confidence in self. Strong irritability when skin lightly stroked or touched. Nail biting decreases.

    Generalities

    Increased physical energy while having decreased sleep. Food desires of cold ce- real, meat, especially a hamburger with cheese. Flushes of heat during the night re- quiring the blankets to be removed and replaced several times.

    Head

    Chronic daily head pain of 2 years duration, like a band or that is pressing, im- proves. PAIN. Sudden head pains. Usual sinus headache during menses is absent.

    Eye

    Photophobia during the day that causes squinting.

    Vision

    Foggy vision and incoordination.

    Nose

    Right sided epistaxis or coryza. Right sided epistaxis with bright red blood and on blowing the nose. Post nasal discharge that is bloody. Right sided coryza or epis- taxis.

    Mouth

    Dry mouth with thirst. Soreness of gums and tongue. Indented tongue. Sensation of swelling of tongue, as if too large for the mouth.

    Teeth

    Stitching pain while eating.

    Throat

    Boil-like eruptions on opposite sides of the neck of same size and location. Exter- nal sensation of swelling.

    Stomach

    Decreased appetite during clenching pain. Sensation of fullness or loss of appetite after only a few bites. Improvement of usual daily heartburn or morning acid. Thirsty.

    Abdomen

    Distention is decreased before menses or in the afternoon. PAIN that is clutching or

    cramping and extends to the middle of back. Pain before or during menses improves.

    Rectum

    Feeling of incomplete evacuation after straining at stool. DIARRHEA that is urgent and sudden, or after eating, or anticipatory diarrhea improves. Improvement of flatus and diarrhea especially before a sports competition. Flatus. Cramping pain before stool.

    Stool

    Sudden and explosive. Watery stool.

    Genitalia, Female

    Absence of bloody discharge preceding the onset of menses. Menses stops sud- denly; followed by swelling of fingers, face, and breasts; then menses begins again shortly thereafter. Painful, aching menstrual cramps.

    Larynx and Trachea

    Burning sensation in the trachea after running a short distance.

    Speech and Voice

    Improvement of voice hoarseness and huskiness. Clearing throat improved hoarse- ness that prevented speech.

    Back

    Abdominal cramps extending into the thoracic region. Lower back stiffness on motion after sitting that is better with heat.

    Extremities

    Eruptions of eczema on the fingers, hand, or palm of hand. Eczema that is painful stinging or burning, itching, or desquamating. Eczema only on the right hand and worse moisture. Fingers sensitive and shriveled and small: appearing with the eczema and sensitive to pressure. Decreased palm perspiration with eczema. Eczema with flaky white dry skin. Itchy red rash in hollow of knee. Incoordianation with dropped objects or if hand eye coordination is necessary.

    Sleep

    Falling asleep difficult especially after waking. Perspiration during sleep. RESTLESS SLEEP or improvement from the usual tossing and turning. Sleepless from thoughts. Unrefreshing sleep. FREQUENT WAKING that is sudden or improvement of frequent waking.

    Perspiration

    Perspiration during sleep that mats the hair and soaks the pillow.

    Skin

    Eczema on fingers and hands that is dry, desquamating, and stinging. Eczema on fingers and hand that is dry, flaky, and worse moisture.