Category: Kent Materia Medica

  • Cuprum Metallicum

    Cuprum Metallicum
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 76 of 180
    Source pages 1489–1514 of the Nalanda Digital Library edition (public domain)

    Convulsions: Cuprum is pre-eminently a convulsive medicine. The convulsive tendency associates itself with almost every complaint that, Cuprum creates and cures.

    It has convulsions in every degree of violence, from the mere twitching of little muscles and of single muscles to convulsions of all the muscles of the body. When these are coming on the earliest threatenings are drawings in the fingers, clenching of the thumbs or twitching of the muscles. It has twitching, quivering, trembling, and it has also tonic contractions, so that the hands are closed violently.

    In this condition the thumbs are first affected; they are drawn into the palms and then the fingers close down over them with great violence. In the fingers and toes and in the extremities the spasmodic condition increases and extends until the limbs are in a state of great exhaustion. Tonic contractions, the limbs being drawn up with great violence and it seems as if the frame would be torn to pieces by the violent contractions of the muscles everywhere.

    Mind: Often the contractions assume a clonic form, with jerking and twitching Cuprum has many mental symptoms. It has a great variety in its delirium, incoherent prattling, talking of all sorts of subjects incoherently. It has produced a variety of mental symptoms; delirium, incoherency of speech, loss of memory.

    During its different complaints, such as cholera, some forms of fever, the puerperal state, dysmenorrhoea, congestion of the brain, etc., there is delirium, unconsciousness and jerking and twitching of the muscles.

    The eyes roll in various directions, but commonly upwards and outwards or upwards and inwards. There is bleeding from the nose and the vision is disturbed. Between the convulsive attacks there is incoherent talk, delirium, during which the patient is spiteful, violent, weeping or shrieking. They go into convulsions with a shriek. In one place it is spoken of as bellowing like a calf.

    This drug has the ability to produce a group of spasms followed by the appearance as if the patient were dead, or in a state of ecstacy. Convulsive conditions sometimes terminate in a state of stasis during which the mind ceases to act and the muscles remain quiet or only quiver.

    This is often one of the leading features in whooping-cough when Cuprum is indicated. To bring it down to the language of the mother, the description which she gives of the little one, which will probably make you remember it better than if I use the text, she says that when the child is seized with a spell of this violent whooping cough, the face, becomes livid or blue, the finger nails become discolored, the eyes are turned up, the child coughs until it loses its breath, and then lies in a state of insensibility for a long time until she fears the child will never breathe again, but with violent spasmodic action in its breathing, the child from shortest breaths comes to itself again just as if brought back to life.

    Whooping cough: You have here all the violent features of a convulsive whooping-cough. In addition to what the mother says you may also observe a few things, but the whole make up of such a case, its whole nature, shows that it is a Cuprum whooping cough.

    If the mother can get there quickly enough with a little cold water she will stop the cough. Cold water especially will relieve the spasm, and so the mother soon gets into the habit of hurry ing for a glass of cold water, and the child also knows, if it has tried once that glass of cold water will relieve it.

    Whenever the respiratory organs are affected there is spasmodic breathing, dyspnoea. There is also rattling in the chest. The more dyspnoea there is the more likely his thumbs will be clenched and the fingers cramped.

    In the lower part of the chest, in the region of the xiphoid appendix, there is a spasmodic condition that is very troublesome. It seems to be at times a constriction so severe that he thinks he will die, and at others a feeling as if he were transfixed with a knife from the xiphoid appendix to the back.

    Some say it feels as if a lump were in that region and others as if much wind were collected in the stomach. It destroys the fullness of the voice, and it seems as if his life would be squeezed out. Sometimes then it takes the form of colic and sometimes of neuralgia.

    If you examine the sensation of tightness in the region of the stomach you will see at once how the voice is affected. You will find the patient sitting up in bed; he tells you in a cracked and squeaking voice that he will soon die if he is not relieved; his face is a picture of fear and anguish he really looks as if he were going to die; the sensation is dreadful.

    Cuprum speedily cures this complaint. This constriction and dyspnoea occur sometimes in cholera morbus and in painful menstruation. Spasms of the chest are also accompanied by this constriction and a nervous spasmodic breathing. He is not able to take a full breath.

    Cramps: The Cuprum patient is full of cramps. There are cramps in the limbs and in the muscles of the chest, with trembling and weakness. In old age, and in premature old age, it is useful for those cramps that come in the calves, the soles of the feet, and the toes and fingers at night in bed.

    In debilitated nervous, tremulous old people, Cuprum serves a peculiar purpose. When an old man, who has been single a long time marries, his cramps will sometimes prevent him performing the act of coition. He has cramps in the calves and soles as soon as he begins the act.

    It is especially suitable to young men who have become prematurely old from vices, from strong drink, from late nights and various abuses, and these cramps are not unlikely to occur in such subjects.

    Cuprum and Graphites are the two remedies for cramps coming under these circumstances, but whereas Cuprum is said to produce cramps that prevent the act, Graphites is said to bring on the cramps during the act. The two remedies however compete closely with each other, and hence if Graphites corresponds to the constitution of the patient, it should be given, and the same in regard to Cuprum. Sulphur also has cured this state.

    Menstruation: In spasmodic conditions that come on during menstruation Cuprum is also useful. Painful menstruation with spasms commencing in the fingers and extending over the body. Tonic contractions that look like hysterical manifestations.

    They may be hysterical, but that does not interfere with Cuprum curing, if they are only spasmodic or convulsive. Violent dysmenorrhoea with delirium, turning up of the eyes, contortions of the face and epileptiform manifestations.

    In epilepsy calling for Cuprum we have the contractions and jerkings of the fingers and toes. He falls with a shriek and during the attack passes urine and faeces. It is indicated in epilepsy that begins with a violent constriction in the lower part of the chest as I have described, or with the contractions in the fingers that spread all over the body, to all the muscles.

    Again, it is a remedy sometimes needed in the puerperal state before or after delivery. The case may be of uraemic character, but no matter; the urine is scanty and albuminous. During the progress of the labor the patient suddenly becomes blind.

    All light seems to her to disappear from the room, the labor pains cease, and convulsions come on, commencing in the fingers and toes. When you meet these cases do not forget Cuprum. You will look a long time before you can cure a case of this kind without Cuprum.

    Cholera: In cholera morbus with gushing, watery stools and copious vomiting, the stomach and bowels are emptied of their contents. The patient is fairly emptied out, becomes blue all over, the extremities are cold, there is jerking of the muscles, cramping of the extremities and of the fingers and toes, spasms of the chest; he is cold, mottled, blue in blotches, going into collapse; the finger nails and toe nails and the hands and feet are blue.

    There are several remedies that look like Cuprum in such a condition. In cholera we would naturally hunt for such remedies as produce cholera-like discharges, more or less spasmodic conditions, the great blueness, coldness, sinking and collapse.

    We would here refer to Hahnemann’s observation. Hahnemann had not seen a case of cholera, but he perceived that the disease produced appearances resembling the symptoms of Cuprum, Camphor and Veratrum. He saw from the description of the disease that the general aspect of cholera was like the general aspect of Cuprum, Camphor and Veratrum, and these three remedies are the typical cholera remedies.

    They all have the general feature of cholera, its nature and general aspect. They all have the exhaustive vomiting and diarrhoea, the coldness, the tendency to collapse, the sinking from the emptying out of the fluids of the body.

    From what I have said you will see that the Cuprum case is, above all others, the spasmodic case. It has the most intense spasms, and the spasms being the leading feature, they overshadow all the other symptoms of the case.

    He is full of cramps and is compelled to cry out with the pain from the contractions of the muscles. Camphor is the coldest of all the three remedies; the Camphor patient is cold as death. Camphor has the blueness, the exhaustive discharge, though less than Cuprum and Veratrum; but whereas in the two latter remedies the patient is willing to be covered up, in Camphor he wants the windows open and wants to be cool.

    Though he is cold he wants to be uncovered and to have the windows open. But just here let me mention another feature in Camphor. It has also some convulsions which are painful, and when the pain is on he wants to be covered up and wants the windows shut. If there are cramps in the bowels with the pain, be wants to be covered up.

    So that in Camphor, during all of its complaints in febrile conditions (and fever is very rare in Camphor), and during the pains he wants to be covered up and warm, but during the coldness he wants to be uncovered and have the air.

    In cholera, then, the extreme coldness and blueness point to Camphor.

    Again, with Camphor there are often scanty as well as copious discharges, so that the cholera patient is often taken so suddenly that he has the coldness, blueness and exhaustion and almost no vomiting or diarrhoea, a condition called dry cholera. It simply means an uncommonly small amount of vomiting and diarrhoea.

    This is Camphor. Another prominent feature is the great coldness of the body without the usual sweat that belongs to the disease. Cuprum and Veratrum have the cold clammy sweat, and Camphor also has sweat, but more commonly the patient needing Camphor is very cold, blue and dry and wants to be uncovered. That is striking.

    Now we go to Veratrum and see that we can have three remedies very much alike, and so perfectly adapted to cholera and yet so different. Veratrum is peculiar because of its copious exhaustive discharges, copious sweat, copious discharges from the bowels, copious vomiting, and great coldness of the sweat. There is some cramping and he wants to be warm; he is ameliorated by hot drinks, and by the application of hot bottles which relieve pain and suffering.

    These three remedies tend downward into collapse and death. Now to repeat: Cuprum for the cases of a convulsive character, Camphor in cases characterized by extreme coldness and more or less dryness, and Veratrum when the copious sweat, vomiting and purging are the features. That is little to remember, but with that you can enter an epidemic of cholera with confidence.

    In cholera-like states there are other remedies which relate to Cuprum and which ought to be considered. Podophyllum has cramps, mainly in the bowels. It has a painless, gushing diarrhea with vomiting as well, and hence is useful in cholera morbus.

    The cramps in Podophyllum, are violent, they feel to him as if the intestines were being tied in knots. The watery stool is yellow, and, if examined a little while after, it looks as if corn meal had been stirred into it. The odor is dreadful, smelling like a Podophyllum, stool. If you say it smells like stinking meat that only partly describes it; it is not quite cadaveric but it is horribly offensive and penetrating.

    The stool is gushing, copious, and is accompanied by dreadful exhaustion.

    “It is a wonder where it can all come from,” says the mother, speaking of the exhausting diarrhea in an infant or in a child. The stool runs away gushingly, in prolonged squirts, with a sensation of emptiness, sinking, deathly goneness in the whole abdomen. Phosphorus also ought to be thought of in relation to Cuprum. It also has cramps in the bowels, exhaustive diarrhea, a, sinking as if dying, but commonly with heat of the skin, with burning internally, with gurgling of all the fluids taken into the stomach; as soon as they come to the stomach they commence to gurgle, and gurgle all the way through the bowel.

    A drink of water seems to, flow through the bowel with a gurgle. Now this gurgling in Cuprum commences at the throat; he swallows with a gurgle; gurgling in the oesophagus when swallowing.

    Convulsive cramps all over the body with twitching, jerking, trembling and blueness of the skin. Everything he does, all his actions are spasmodic, are convulsive. All the sphincters are convulsive, All the activities are irregular, disorderly and convulsive when poisoned with copper.

    Bear these things in mind as we study every region in Cuprum. Repression or driving in of eruptions, attended with diarrhoea and convulsions, sometimes only convulsions. We note a case of measles or scarlet fever with a rash that has been suppressed by a chill or exposure to wind and convulsions have come on.

    That belongs to Zincum and Cuprum, sometimes to Bryonia, but to Zincum and Cuprum particularly. Twitching of the limbs from a sudden suppression of a scarlet fever, with suppression of urine, chorea, etc.

    Cramping of the muscles of the chest; cramping of the calves; cramp ing all over. Suppressed eruptions. Discharges that have been in existence quite a long time. The individual has become debilitated and worn out with excitement, but this discharge barely kept him alive. He has gradually grown weaker, but he has kept about because he had a discharge.

    It has furnished him a safety-valve, If stopped suddenly convulsions will come on. That is like Cuprum. A woman has suffered a long time with a copious leucorrhoea and some unwise doctor tells her she must take injections and she checks it up for a few days, hysterical convulsions, crampings and tearings of the muscles come on; contractions of the fingers and toes. Discharges from old ulcers, fistulae suppressed.

    Cuprum will re-establish a discharge that has been suddenly suppressed and convulsions followed. It stops the convulsions and reestablishes the discharge. It has caries, it has senile gangrene, or the gangrene that belongs to old age; old shriveled up octogenarians, whose toes and fingers get dark in spots; feeble circulation.

    Mind: In the Cuprum patient the nerves are all the time wrought up to the highest tension; wants to fly, wants to do something dreadful.

    Impulsiveness. Compelled to do something; restless and tossing about a constant uneasiness; nervous trembling; always tired. Great weakness of the muscles, and relaxation of the body when the convulsions are not on.

    Twitching and jerking and starting during sleep. Grinding of the teeth with brain affections. Inflammations ceases suddenly and you wonder what has happened. All at once comes on insanity, delirium, convulsions, blindness; evidence of cerebral congestions and inflammation appearing with wonderful suddenness. Metastasis. A perfect change from one part of the body to another.

    The same thing may occur from a suppressed eruption, or suppressed discharge, or a suppressed diarrhoea, and it goes to the brain affects the mind and brings on insanity; a wild, active, maniacal delirium.

    Cuprum is not passive in its business. Violence is manifested everywhere. Violence in i ts diarrhoea, violence in its vomiting, violence in its spasmodic action; strange and violent things in its mania and delirium.

    Hysterical cramps and hysterical attitudes may change in a night or in a day to St. Vitus’ dance, and go on with it as if nothing had happened. Such is the suddenness with which it changes its character. This is not generally known of Cuprum – this constant changing about. Spasmodic affections in general. Spasmodic coughs, spasms all over the body.

    Chest: The face becomes purple. He loses his breath; suffocated. The mother thinks the child will never come to life again. Spasms of the chest; spasms of the larynx; spasms of the whole respiratory system of such a character that the child seems to be choking to death.

    Whooping cough. With every spell of whooping cough comes this awful spasmodic state, this spasmodic coughing. Jerking of the muscles. Cuprum has spasms of the limbs with all sorts of contractions such as are found in hysterical constitutions.

    Puerperal convulsions. Convulsions where a limb will first flex and then extend an alternation of flexion and extension. In a child you will see the leg all at once shoot out with great violence, then up against the abdomen again with great violence, and then again shoot out. It is hard work to find another remedy that has that. Tabacum has it, but not many others. Convulsions with flexion and extension are common to Cuprum. Convulsions of the limbs, twitching and jerking of the muscles. We get a part of the symptom-picture in one and part in another.

    Head: Violent congestion in the head, violent pains in the head. Tingling pain in the vertex, severe pain in the vertex, bruised pain. Crawling sensation in vertex, stitches in the temples. Congestion of the brain, Meningitis. Headache after epileptic attacks. Paralysis of the brain with symptoms of collapse. Metastasis to the brain from other organs.

    About the face; convulsions, jerking of the eyes; twitching of the lids. Bruised pain in the eyes. Spasms of the muscles of the eye so, that the eyes jerk and twitch, first from one side and then the other. Rolling of the eyes.

    “Quick rotation of the balls with the lids closed.

    Lids spasmodically closed” Closed so that they seem to snap.

    “Inflammation of the periosteum about the eyes and cellular tissue of the lachrymal glands.”

    Spots of ulceration on the cornea, Face and lips blue. The face is purple in convulsions and whooping cough; lips blue.

    Inflammation of the tongue. Paralysis of the tongue, It is not an uncommon thing to find paralysis in Cuprum after convulsions, The violence of the convulsions seems to have brought about a re action and paralytic weakness, a numbness and tingling, a loss of motility.

    “Spasms of the throat, preventing speech.

    Sensation as if constricted on swallowing.

    Great thirst for cold drinks.”

    Many complaints are ameliorated by drinking cold water. The spasms are sometimes mitigated by drinking cold water. The cough is brought on sometimes by inhaling cold air, but stopped by drinking cold water, like Coccus cacti.

    “Desire for warm food and drinks.

    Eats hastily.”

    Indigestion from milk. Then there is nausea, vomiting and diarrhea connected more or less with spasms. Spasms of the stomach. Spasms of the chest with diarrhea and vomiting. Cramps of the calves and the fingers and toes.

    “Pressure in the stomach.”

    In the stomach and bowels periodical cramps. Cramps coming periodically. It has cured colic in the form of violent cramps coming every two weeks with perfect regularity. It has pain in the stomach, and a pain under the xiphoid appendix that seems as if it would take his life. If it is not removed he will certainly die in a little while.

    Constriction across the chest, suffocation, cramps of the legs. Cuprum goes deep into the life, and it has many a time taken such a grand hold of an old hysterical subject that it has completely eradicated in a short time the hysterical tendency to cramps.

    In Cuprum particularly, early in the cramps the thumbs commence to draw down. It is with difficulty that they can be lifted up. They will draw back again, and then the fingers will clinch over them and draw so tightly it is painful. In children with such convulsions, and in hysterics with such convulsions, Cuprum goes deep into the life and eradicates this tendency to convulsions and cramps. Uraemic convulsions. Convulsions with suppressed or scanty urine.

    No urine in the bladder. in young girls beginning to menstruate, violent cramps in the limbs, cramps in the abdomen, diarrhoea, cramps in the uterus. Epileptic spasms coming at every menstrual period. Before or during menses, or after suppression, violent, unbearable cramps in the abdomen. A case something Iike this is not so very uncommon.

    Women: Girls, at about the time of puberty, go in bathing, when their mothers have been a little too prudish, a little too sensitive, and have not told their daughters what they might expect, and to look out for bathing in cold water at certain times. The menstrual flow starts. From a cold bath she suppresses that flow and on come convulsions.

    That is in keeping with Cuprum. Hysterical convulsions they may be called. They will take the form, quite likely, of hysterical convulsions; they may take the form of chorea. Instead of convulsions it may take the form of congestion of the brain with violent delirium.

    Again, the menses not appearing after suppression, after sweat, and convulsions come on; frequent spasms during menses. Cuprum is not generally known to be such a wonderful medicine where there is anaemia; but it has chlorosis. It is a deep acting medicine. It affects with great power the whole voluntary system, the desires and aversions.

    It is suitable in those girls who have always had their own way, have never been crossed, and when they grow older, and reach puberty, and have got to submit to some sort of discipline or never become women, they have mad fits, have cramps. Cuprum will sometimes make them sensible, so in that way it fits into the loves and hates. It belongs to the voluntary system most prominently.

    Spasmodic respiration; great dyspnea, asthmatic breathing. Attacks of spasmodic asthma and most violent spasmodic coughs.

    “Dry, hard, difficult cough, rattling in the chest, spasms.

    Dry spasmodic cough until he suffocates.

    Face is red or purple.”

  • Cinchona (China)

    Cinchona (China)
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 64 of 180
    Source pages 1287–1304 of the Nalanda Digital Library edition (public domain)

    Now we shall take up the study of Cinchona, or China. Persons who have suffered much from neuralgias due to malarial influences, who have become anaemic and sickly from repeated haemorrhages, are likely to develop symptoms calling for China.

    China produces a gradually increasing anaemia, with great pallor and weakness. It is sometimes-indicated in plethoric individuals, but this is the exception, and even in this class we find that the symptoms are tending towards the cachectic state, which is avoided by the prompt action of the remedy.

    Throughout the body there is a gradually increasing sensitivity, a gradually increasing irritability of the nerves; the nerves are always in a fret, so that these people will say:

    “Doctor, what is the matter with me, I am so nervous?”

    Pains: Everywhere there are twinning, tearing, cutting pains in the limbs and over the body. And so great is the sensitiveness to touch that the nerves can many times be outlined; as, for instance, the little nerves in the fingers, because of their extreme sensitiveness.

    The China patient grows increasingly sensitive to touch, to motion, to cold air, so that he is chilled from exposure. The pains are brought on by exposure to the wind, by cold air, and are increased by motion and touch.

    Old malarial conditions that have been suppressed with quinine; gradually increasing pallor, bloodlessness, cachexia, until the patient is always catching cold, has liver troubles, bowel troubles, disordered stomach, is made miserable and sick by nearly everything he does.

    He cannot eat fruit without having indigestion; he cannot eat sour things. He is debilitated, pale, waxy, suffers from pains, such as are found in quinine subjects, and breaks out into a perspiration up the least exertion.

    This patient bleeds easily; bleeds from any orifice of the body from the nose, from the throat, from the uterus. And after hemorrhage complaints come on.

    Running through the remedy as a general constitutional state is a tendency to congestion and often inflammation, in connection with hemorrhages. Inflammation of the part that bleeds or of distant parts. For instance, a woman aborts, has a haemorrhage, but with apparently no provocation, inflammation of the uterus or of the lungs sets in.

    With these inflammations there is also great irritability of the tissues, tearing pains, cramping in the muscles and actual convulsions. When a China patient bleeds a little, for instance, in confinement, right in the midst of the bleeding convulsions come on. You would scarcely need to think of any other remedy.

    Secale is the one other medicine that has this, but the two do not look alike. Secale wants the covers all off and the windows open, even in cold weather. It a draft of air blows on a China patient, while in labor, she may go into convulsions.

    In the midst of labor the pains cease and convulsions come on. Another feature about this inflammation is its rapid progress and intensity, quickly going into gangrene. Inflammation after haemorrhage and the parts rapidly turn black.

    China has a fullness of the veins. Not exactly a varicose condition, but a sort of paralysis of the coatings of the veins. The veins become full during fever.

    All of these complaints are such as we find in broken down constitutions, in feeble, sensitive patients, especially in sensitive women. Sensitive to the odors of flowers, of cooking, of tobacco. Weak, relaxed, emaciated, pale, with feeble heart, feeble circulation and tendency to dropsy.

    Dropsy runs through the remedy; anasarca and also dropsy of shut sacs. A peculiar thing about this dropsy is, that it comes after hemorrhage. In the anaemic condition; directly following the loss of blood, dropsy appears. This is the typical China patient.

    Mucous membranes: Catarrhal condition of all mucous membranes. Gastro-duodenal catarrh, ending in jaundice. Old liver subjects with jaundice. They have lived for a long time under the influence of the malarial miasm. Feeble, sensitive, anemic. We see such cases in the South and Southwest, and long the Mississippi Valley.

    Periodicity: is regarded as the most important indication for China, but it is a mistake. Periodicity is the symptom upon which Quinine is given. China has periodicity, but in no greater degree than many other remedies and is not so frequently indicated as routine prescribers suppose. Allopaths give Quinine whenever there is any periodicity in complaints. Still periodicity is a strong feature in this remedy. Pains come on with regularity at a given time each day. Intermittent fevers appear with regularity and run a regular course.

    A part of this periodicity is an aggravation at night, and sometimes sharply at midnight. In colic that comes on regularly every night at 12 o’clock, and it may be, perhaps, a week before you, suspect it to be a China colic. A lady had colic and bloating of the abdomen every night at 12 o’clock.

    After suffering many nights a single dose of China, prevented any further trouble. Haemorrhage from the nose coming on with regularity. Diarrhoea at night. Several gushing, black, watery stool; during the night; in the daytime, only after eating.

    There is a general aggravation after eating. Remember that this is a chilly patient, sensitive to draft, sensitive to cold, whose complaints are brought on by being exposed to cold air; sensitive to touch, sensitive to motion. Extreme irritability of the tissues.

    China is indicated in conditions following the loss of blood and other animal fluids; as, for instance, in those who are suffering from sexual excesses, from secret vice. They have become feeble, sleepless and irritable.

    There is weakness and general coldness of the skin; twitching and jerking of the limbs; drawing and cramping in the muscles; chronic jerking; epileptiform convulsion; paralytic weakness; rush of blood to the head; ringing in the ears; darkness before the eyes; fainting on the slightest provocation.

    Mind: Such is the China cachexia, and with this in view, the mental state will scarcely be a surprise to you. It is just such as you would expect in this nervous, sensitive patient. Weakness of mind. Inability to think or remember. Full of fear at night. Fear of animals, dogs, of creeping things. Wants to commit suicide, but lacks courage. Gradually the mind grows weaker, he uses wrong expressions or misplaces words.

    Lies awake at night making plans, theorizing, building air castles, thinking of the wonderful things he is going to do some day. In the morning he wonders how he could have thought such foolish things.

    After sleep his mind is clear and he looks more philosophically on the affairs of life. Unable to entertain any mental proposition that, means work. He dreads work. He is apathetic, indifferent, low spirited, silent, disinclined to think. He is unable to control the mind, to make it do what he wants it to do. You see it is not as yet a real insanity.

    This state of mind comes on after haemorrhage. Insomnia after haemorrhage. A woman, after having suffered great loss of blood, will be sleepless night after night.

    After hemorrhage we may have dizziness. it is a natural consequence; dizziness and fainting. But ordinarily, after the proper diet for a few days, these symptoms will have disappeared. With the China patient they go from bad to worse. The woman after severe haemorrhage does not make blood. There is mal-assimilation, and the vertigo persists for days and weeks. China will restore order.

    Head: The remedy is full of headaches. Congestive headaches in broken down constitutions. Extremities cold and body covered with a cold sweat. Rending, tearing pains. Pressing and throbbing. As soon as the air strikes the head those pains come on.

    Headache better in a warm room; worse from touch; worse from motion; worse from cold. These are the principal features. A slight touch will aggravate the disturbance. But notice the exception. Hard pressure ameliorates the China pains, as light pressure aggravates.

    Sensitiveness of the tissues; sensitiveness along the course of the nerves; the pains are brought on by touch, by cold air. Stitches in the head with pulsation in temples, which can be felt with the fingers; ameliorated by hard pressure, but aggravated by touch.

    The jar and motion of walking hurt the head. Even turning over in bed aggravates. Cannot ride in a carriage or anything that jolts. Ameliorated by hard pressure. Throbbing headaches, aggravated by a draft of air, in the open air, from the slightest touch; ameliorated by hard-pressure. The scalp feels as if the hair was grasped roughly. It is sensitive to touch. Profuse sweating of the scalp. Headaches aggravated at night. Headaches from sexual excesses; loss of animal fluids.

    Eyes: Now we come to the eye. Photophobia. Yellowness of the sclera, Exposure to cold wind will bring on neuralgia; ameliorated from keeping quiet and from keeping warm.

    “Nocturnal blindness, dimness of vision.

    Feeling as if sand were in the eyes.

    Pains worse from light.

    Better in the dark.”

    Ears: In the ear and the nose you find the same sensitiveness as in eyes every little noise is painful. Ringing; roaring, buzzing, and singing, chirping like crickets in the ears. Dry catarrh of the middle ear. Hardness of hearing is not infrequently the result of this condition.

    It gradually increases until there is total deafness, and the noises in the ear continue long after the patient has lost the ability to distinguish articulate sounds. Haemorrhage from the ear. Offensive, bloody, purulent discharges.

    Nose: Frequent nosebleed in anemic patients. Here, again, the dryness and catarrhal conditions. Dry coryza; or fluent coryza, suppressed and causing violent head pains. Odors nauseate. Sensitiveness to the odors of flowers, cooking, tobacco.

    Face: The face is withered, shrunken, sallow, anaemic, sickly. Red when the fever is on and sometimes when the chill is on, but in the apyrexia pale, sickly and sallow. Neuralgia of the face; tearing, rending, knifelike pains with the usual modalities.

    The veins of the face are distended. This is frequently observed during the fever and sweat of the China intermittents.

    Teeth: The teeth get loose, the gums swell. The teeth are painful while chewing; they feel too long. Toothache with every little cold.

    Rending as if teeth were being pulled out, every time the child nurses at the breast. Exudations about the teeth and gums. Black, and foetid great putridity in the lower forms of fever.

    Taste: The taste is extremely acute. Exaggerated so that nothing tastes natural.

    “Bitter taste in the mouth.

    Food tastes bitter or too salty.

    Burning as from pepper on tip of the tongue.

    Dryness in the mouth and throat.

    Difficult swallowing.”

    Sometimes there is canine hunger, but one of the most common features is loathing of everything; aversion to all food. The China patient is often passive in regard to eating.

    Sits down to eat and the food tastes fairly good and he fills up. But it does not matter much whether he eats or not.

    “Loathing and violent hunger.”

    “Hunger and yet want of appetite.

    Indifference to eating and drinking.

    Only while eating some appetite and natural taste for food return.

    Loss of appetite.

    Aversion to all food.

    Aversion to bread.”

    His appetite varies. Thirst is peculiar. The patient will say:

    “I know my chill is coming on now because I have thirst.”

    Thirst: before the chill, but as soon as the chill comes on there is no thirst. But when he begins to warm up he begins to get thirsty; that I during the period in which the two lap he is thirsty, but when the chill has fairly subsided and the heat is upon him his thirst subsides also and he only wants to wet his mouth.

    But as the hot spell begins to subside he increases the amount taken, and all through the sweat he can hardly get water enough.

    Thirst before and after the chill and thirst during the sweat. No thirst during the chill. No thirst during the hot spell. You will cure more cases of intermittent fever with Ipecac and Nux vomica, than with China. China has well-defined chill, fever and sweat.

    Stomach: Gastric symptoms from eating fish, fruit, and from drinking wine. Flatulent distension almost to bursting. There are constant eructations, loud and strong, and yet no relief, so extensive is the flatulence. In Carbo veg. after belching a little, there is relief. Lyc. has both.

    Tympanitic distension of the abdomen and stomach in low forms of fever. Cannot move on account of soreness in the bowels. Vomiting of blood. Sometimes followed by dropsy of the extremities.

    “Hiccough.

    Nausea.

    Vomiting.

    Eructations, tasting of food, or they are bitter, sour.

    Frequent vomiting.

    Vomiting of sour mucus, bile, blood.”

    Likely to occur at night. Pulsation in the stomach and rumbling. Cold feeling in the stomach. Fermentation after eating fruit. Acidity. Disorders of the stomach after milk.

    Diarrhea: Copious, watery black discharges from the bowels. Gurgling and rumbling in the abdomen. Stool immediately after eating and at night. Great quantities of flatus expelled from the bowels. Diarrhea comes on gradually. Stools more and more watery. Chronic diarrhoea, with emaciation and aggravation at night. Petroleum has a chronic diarrhoea, but only in the daytime.

    Genitals: Of the male genital organs the most striking feature is weakness, Of the female genital organs there is a different class of conditions. In the woman who has been subject to uterine haemorrhages you may look out at any moment for a sudden, sharp attack of inflammation of the ovaries.

    Hemorrhage from the uterus. Prolapse. Menses, too early and too profuse; black, clotted blood; menstrual colic; metrorrhagia.

    Pains and convulsions; convulsions come on in the midst of the haemorrhage; cramps in the uterus along with haemorrhage; labor-like pains; ringing in the ears; loss of sight; sliding down in bed. In confinement the lochia is profuse and lasts too long. Deterioration of health from prolonged lactation; toothache; neuralgia of the face.

    Respiration: Difficult respiration, rattling and filling up of the chest with mucus asthma.

    “Pressure in the chest, as from violent rush of blood; violent palpitation, bloody sputa, sudden prostration.”

    Dry, suffocative cough at night; profuse night sweats. Pains in the chest, increasing sensitiveness to cold, heat and redness of the face with cold hands.

    Along the spine there are sore spots. Tearing, darting pains in the limbs, ameliorated by heat and hard pressure, brought on by touch, by becoming chilled. Worse at night.

    “Knees weak, especially when walking.”

    China cures low, forms of fever, remittent or intermittent, typhoid or malarial.

  • Cyclamen

    Cyclamen
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 77 of 180
    Source pages 1515–1525 of the Nalanda Digital Library edition (public domain)

    Remarks: Aversion to motion, yet motion ameliorates her pain and uneasiness. Aversion to the open air, yet open air ameliorates some symptoms especially the coryza and cough.

    The marked dullness of the senses and special senses is a striking part of this picture.

    Chlorosis; irregular menses; and palpitation. Stitching pains.

    Weakness and aggravation from exertion. Flabby muscles.

    Most symptoms ameliorated by walking. Very restless at night.

    Great lassitude.

    Weakness in the evening, ameliorated by moving about. Sensitive to cold, and cold air.

    Complaints from being overheated.

    Alternations of moods is a striking feature of the mental state. Great flow of ideas alternates with weak memory.

    Joyous feeling alternating with irritability.

    Serene humor changes suddenly into seriousness or peevishness. Grief and fear keep her in continuous mental agitation.

    Dullness of mind prevents mental labor.

    Absorbed in thought seeks solitude; thinks about the future. Answers incoherently, confusion of mind.

    Aversion to work, and dread of open air.

    Wants to remain in a warm room, and. in solitude.

    Remains a long time silent. Excitement with trembling.

    Sadness, as if she had wronged somebody (Aur.).

    Tearful and meditates upon her grief, which is only imaginary.

    Thinks she is alone in the world and persecuted by every one (China).

    Obstinate and censorious. She grows steadily weaker; fainting spells come on; she becomes pale and anemic.

    These symptoms are important if associated with scanty menses or amenorrhoea.

    Vertigo when walking in the open air; objects turn in a circle; ameliorated in a room, and when sitting. Everything turns dark before the eyes, and she falls as if fainting.

    Head: The pain in the head is stunning, and makes her fear she will lose her senses. Boring, darting, pressing in forehead and temples. Violent pains in the forehead.

    Pains worse lying on painful side or back. Pains one-sided. Pain morning and evening, ameliorated by vomiting; worse by motion and in open air. Obscure vision with the pains. Pressure in vertex, as if brain were enveloped in a cloth, which would deprive him of his senses.

    Headache with flickering before the eyes on rising in the morning. Pulsating in the head. Rush of blood to the head; anxiety and confusion of mind; obscuration of vision; vertigo; general coldness, after dinner. Headache ameliorated by cold applications. Headaches from disordered stomach. Head feels as if he had on a skull cap. Tearing pains in the scalp.

    Senses: In the field of vision there are spots, fog, bluish colors, Flickerings, glittering objects; various colors – now yellow, and again green; fiery sparks, smoke; halo around the light, black specks or flies.

    Dimness of vision. Diplopia. Convergent strabismus. Dilated pupils. Hemiopia. Heat and burning. Lids oedematous. Swelling of tipper lids, Dryness and itching of lids. Dim vision during headache. Impaired vision, smell, hearing and taste.

    Dullness of hearing. Humming, ringing and roaring in the ears. Drawing pains.

    Sense of smell diminished. Dryness in the nose. Dry, or fluent coryza, worse in a warm room, better in the open air or cool room. Sneezing and watery discharge in a warm room, entirely relieved in the open air. Walking in the cold open air is his most comfortable pastime. Pressing pain over nasal bone during coryza. Takes cold from being overheated and from overheated rooms.

    Pale, sickly face; dark under the eyes in woman. Contracted forehead – a frown.

    Dry lips. Numbness of upper lip.

    Boring, stitching, tearing in the teeth. Jerking in the teeth at night. Taste is lost, or perverted; flat; bad; putrid; rancid; all food tastes too salty. Tongue white, or yellowish. Burning blisters on tongue.

    Saliva increased. Burning, tip of tongue. Saliva tastes salty. Viscid mucus in the mouth.

    Burning, dryness and scraping in the throat.

    Loss of appetite and even aversion to food. Thirstless, except in the evening during fever. Desires lemonade (Nit. ac., Bell., Sab.).

    Aversion to bread and butter, and fatty things; but desires inedible things.

    Disgust for meat; craves sardines. Satiety after the first mouthful (Lyc.) and then he loathes food.

    Stomach weak. Nausea after eating. Pork disagrees. The stomach symptoms are much like Pulsatilla. Symptoms worse after coffee. Vomiting after eating.

    Vomiting in the morning. Vomiting watery mucus. Eructations. Aching in the stomach and burning in oesophagus, better by walking about. Fullness, as if he had eaten too much. Weight in the stomach after eating. Stitching pains in the stomach.

    Abdomen: Colicky pains in the abdomen, ameliorated by walking about. Tenderness all over the abdomen, even hypogastrium. Gnawing pains in the evening. Gnawing pains after food. Rumbling and gurgling in the abdomen. Paroxysmal cramps during the night, ameliorated by walking about. Stitching pains in the abdomen and liver.

    Diarrhoea after coffee. Diarrhoea in chlorotic women subject to sick headaches and menstrual irregularities. Watery, forcible stool, odorless, brownish, yellow. Diarrhoea in the evening. Constipation; stool hard. Nausea. Colic before stool. Colic and urging after stool. Hemorrhoids that bleed. Drawing, pressing pain about the anus, as if a spot would suppurate.

    Urines: Frequent urging to urinate. Ineffectual urging to urinate. Urine profuse, watery. Flocculent sediment; iridescent cuticle. Stitching in the urethra with desire to urinate.

    In the male the sexual desire is diminished. Irritable prostate gland, with stitching pains; urging to stool and urine (Nux).

    Menses too soon, or too late; irregular, or suppressed; copious, prolonged, or scanty. When profuse, the mental symptoms are better. Flow black and clotted. Labor-like pains at the menstrual period, commencing in small of back and running down each side of the pubes.

    Uterine haemorrhage. Dread of open air. Menses suppressed, palpitation of the heart, weeping, aversion to company and dread of open air. Rush of blood to the head, and scanty flow.

    Suppressed menses from over-exertion, or being overheated. Faint, ing at the menstrual period. After menses, milk in mammae. Complaints after weaning (China).

    Much scraping in the Larynx at night, thick, white mucus. Tickling in the larynx and trachea. Oppression of chest. Suffocative cough, caused by scraping and dryness in the trachea.

    Cough comes on during sleep, from dryness and constriction of larynx. Cough ameliorated in the open air, even in a cold wind.

    Pressure in the middle of the sternum. Weakness in the chest. Stitching in the chest and heart. Tearing, stitching, and shortness of breath during motion and rest.

    Palpitation and anaemic murmurs. Tumultuous action of the heart; great lassitude. Weak pulse. Sensation as if air streamed from nipples. Mammae swollen, containing milk in non-pregnant women. Mammae swollen and very hard after menses.

    Drawing pains in the neck, with stiffness. Twinges up the back, ameliorated by drawing the shoulders back. Stitching in the region of the right kidney, worse during inhalation. Pain in the small of the back while sitting, ceases on rising.

    Tearing, drawing pains in the limbs. Hyperesthesia of the skin. Flabby muscles. Tearing, drawing in the upper limbs. Sensation of weakness of the hands, as if she must let fall what she holds in her hands. Writer’s cramp.

    Drawing pains in flexors of the leg. Burning sore pain in heels. Toes feel dead after walking. Weakness in the limbs.

    Sleep not restful, disturbed by anxious dreams; frightful, vivid dreams, Restless sleep. Late falling asleep. Wakens early, but wants to sleep late. Nightmare. Wakens early, but too tired and sleepy, cannot rise. Pollutions in dreams.

    Chill, fever and sweat. Chill not ameliorated by warm clothing. Chilliness during menses. Chill forenoon or evening. Chill predominates in the evening. Heat of face follows chill. Chill and heat alternate.

    Sensation of heat through whole body, particularly in face and hands. Heat, with swelling of the veins (China). General heat after eating. Sweat at night during sleep, offensive, Sweat sometimes on lower part of body.

    Itching at night in bed. Numbness after scratching, or changing places by scratching.

    Editorial notes

    • “Floculent sediment” corrected to “Flocculent sediment” (transcription error in the digital source text).
  • Chininum Arsenicosum

    Chininum Arsenicosum
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 61 of 180
    Source pages 1305–1321 of the Nalanda Digital Library edition (public domain)

    Complaints come on at night. Open air aggravates most complaints. General increasing anemia. Inflamed parts turn black. Chlorosis. Sensitive to cold, and complaints are worse from cold and from becoming cold. Tendency to take cold.

    This is a useful remedy in weakly constitutions. Cold, pale, emaciated people. In prolonged suppuration; after haemorrhages.

    Chronic diarrhea, when the weakness is the most prominent feature. Fullness of blood vessels. Dropsy in sacs, or edema. Emaciation. Cannot sustain a physical exertion. Faints on slight provocation.

    Modalities: Wants to be warm; wants warm drinks and warm food. Warm room ameliorates. Wants to lie down. Aversion to motion. Stitching and tearing pains. Periodicity is most marked. Pulsation all over the body. Pulse fast, feeble and irregular. Relaxed and flabby (Calc.).

    Sensitive to pain. Many symptoms come during sleep. Standing increases many symptoms.

    Sensitive to touch. Trembling. Walking in the open air aggravates. Weakness from walking. Complaints come on in windy, stormy weather.

    Mind: Easily angered, and refuses to talk or to answer questions. Anxiety day and night, but worse in the evening, worse during chill; anxiety with fear. Anxiety during fever, even becomes wild.

    Anxiety on waking. Desires things which he cares nothing for after he gets them. Becomes critical with his most intimate friends. Complaining. Confusion of mind in the morning on waking.

    Over conscientious about trifles (Silicea, Thuja). Delirious at night; after haemorrhage. Many imaginations, illusions of fancy; sees images, frightful images. Despair during chill, heat and suffering. Discontented with everything. Discouraged easily, and faint hearted.

    Dulness of mind. Becomes excited over small matters. Exaltation of fancy. Fear at night that evil will come to him; fear of ghosts. Forgetful. Mind overwhelmed with ideas at night. Impatience in intermittent fever. Becomes indifferent to all enjoyment. Aversion to work.

    Irritable during chill, and on waking. jumps out of bed during the fever. Moaning during the chill and the fever. Loathing of life. Weakness of memory. He is easily offended, and looks for insults.

    Great restlessness at night, and during fever. Anxious restlessness, driving him out of bed; driving to despair. Extreme sadness, especially during chill and fever, and sometimes during the sweat. Oversensitiveness to noise, and in general.

    Sentimental. Mental symptoms from sexual excesses, and loss of vital fluids. Refuses to talk, and remains silent. Sits by the hour in silence without moving. Wandering speech. Starting on falling asleep, and waking as from fright.

    Lies in bed in a state of stupefaction in low forms of fever. Suicidal disposition. Suspicious. Persistent thoughts, Timid. Weary of life. Weeping.

    The chilliness is brought on by thinking of it. The headache is worse by mental exertion.

    Vertigo comes in the evening, with nausea; while walking in the open air.

    Head: Cerebral congestion with great heat of the head. The forehead becomes cold and covered with sweat. Constriction of the head. Great beat in the forehead. Heaviness in the head in the morning. Motion is felt in the brain on moving the head.

    Sensation of rushing in the brain, down right side of the neck and arm becoming convulsive, and ending in real convulsion. Violent darting pains in the head preventing sleep. Pain in the whole head.

    Pain: in the morning on waking, in then afternoon, but most severe at night. Night headaches. Cold air brings on the head pains.

    The scalp is sensitive to touch, to combing the hair, and to binding up the hair during the suffering. Catarrhal headache. Pain very severe during the chill and heat, but ameliorated as the sweat becomes free. Pains worse or brought on from becoming cold.

    With coryza the pain is violent; worse coughing or jarring, after eating. Hammering headaches. Headaches during menses.

    Mental exertion aggravates the headache. Nervous headache, and headache from excitement or noise. Paroxysmal pains. Periodical headaches; headache every two weeks.

    Pulsating pains. Pains worse walking. Neuralgic pains, worse in left side, ameliorated by rubbing. Aching felt deep in the head. Pains in the forehead, mostly on the right side; in occiput after sleep; in sides of head in the evening; in temples and forehead in vertex.

    Bruised pain all over the head after fever, and after sleep. Burning pain in left occipital region extending down the neck in the morning. Bursting pain. Pressing pain. Pressing in the forehead over the eyes. Pressing in the occiput and temples. Stitching and tearing pains in the head. Perspiration on the forehead. Complaints come on from uncovering the head in cold air.

    Eyes: Inflamed eyes. Lachrymation. Intense photophobia and spasms of orbicularis muscles. Gushing hot tears. Large ulcers on each eye, worse from midnight until 3 A.M. Scrofulous ophthalmia, worse after 1 A.M.

    Flickering before the left eye. Pain in the eyes at night. Burning pains, Pressing. Sunken eyes. Dim vision. Sparks before the eyes. Weak vision.

    Ears: Noises in the ears; buzzing, humming, ringing, roaring, singing. Stitching in the ears. Earache. Pain burning, stitching, tearing. Hearing acute. Hearing impaired.

    Nose: Coryza with discharge. Dry coryza. Nasal catarrh with bloody discharge, or purulent discharge. Dryness in the nose.

    Epistaxis. Nose obstructed. Sneezing. Excoriation of the corners of the nose. Especially useful for periodical coryza and frequent taking cold in the nose which keeps a catarrh in constant activity.

    Face, mouth and tongue: Chlorotic face. Cracked lips., Bluish lips. Pale earthy face. Circumscribed red cheeks with pale face. Sickly color of face. jaundiced face. Expression anxious.

    The pains of the face are worse in the open air; burning, tearing. Periodical pains. Swelling of submaxillary and parotid glands. Perspiration cold, Oedema of face, Ulceration of the lips.

    Burning canker sores in the mouth. Bleeding from mucous membranes of the mouth. Cracked tongue, Tongue black, brown, white or yellow. Dry mouth and tongue.

    Hot mouth. Burning rawness of the tongue. Sore tongue. Salivation. Swollen gums and tongue. Taste bad, bitter while eating; insipid, metallic, saltish, sour, sweetish.

    Vesicles on the tongue.

    Teeth: Pain in the teeth at night, < by biting the teeth together, from touch; cold drinks. Pains come on periodically, are jerking, pulsating, tearing, and date back to malarial fever.

    Throat: Contraction in the throat. Dryness in the throat. Gangrenous inflammation of the throat with putrid odor, in malignant scarlet fever.

    The throat feels hot. This remedy has been used in diphtheria when the exudation was blackish, and putrid odor from the mouth. Great pain on swallowing.

    Burning in the throat. Stitching in the throat on swallowing. Difficult swallowing. Swollen throat. Constant clearing of the throat.

    Stomach: Appetite diminished, or ravenous. No appetite for breakfast. Strong appetite without relish of food. Aversion to rich food and fats; aversion to food, to meat. Desires wine; cold drinks, sour things, sweet things.

    Sensation of coldness in the stomach. Emptiness, better by eating. Eructations after eating, bitter, empty, of food, sour. Water brash. Sensation of fullness after eating. Heartburn. Great weight in the stomach after eating. Hiccough. Stomach easily disordered.

    Cannot digest eggs or fish. Water tastes bitter. Nausea after eating, during headache. Pain in the stomach from coughing; after eating. Burning; cramping; pressing, soreness; stitching, tearing. Pulsating. Retching with cough. Strong thirst, in the evening, during perspiration; for small drinks during heat. Vomiting at night, on coughing, after drinking, after eating, with headache; of bile black, blood, food, mucus; sour; water.

    Nausea and vomiting followed by sleep. Sudden inclination to vomit at 2 P.M. Sensation of coldness in the abdomen during chill. Distension morning, after eating, tympanitis, ascites; enlarged liver and spleen from malarial influences.

    Abdomen: Flatulence in intermittent fever. Fullness in the abdomen. Hardness of the liver. Heaviness as from a load in the abdomen after eating. Great pain in the abdomen during chill, like colic; during diarrhoea; after eating; before stool; ameliorated by lying on the abdomen. Great pain in the region of the liver, in the hypogastrium, in the region of the umbilicus. The kinds of pain in the abdomen are burning, cramping, cutting, dragging; soreness stitching. Much rumbling and tension.

    Constipation, with hard, knotty stools. Diarrhea, morning, afternoon, NIGHT, after midnight; after cold drinks; from taking cold; AFTER EATING; after fruit; in hot weather. Dysentery. Much flatus, offensive. Bleeding from anus. Hemorrhoids. Involuntary stool and urine.

    Itching of the anus. Moisture about the anus. Pain in the anus during stool. Burning in the anus during diarrhea, during stool. Pressing pain. Stitching. Paralytic weakness of the rectum. Ineffectual urging to stool.

    Stool bilious, black, bloody, clay colored, copious, frequent, LIENTERIC, offensive, liquid, water. Diarrhea with intermittent fever.

    Spasmodic retention of urine. Urging to urinate, frequent, ineffectual. Involuntary urination at night; after stool. Urine albuminous, bloody, burning; cloudy on standing; dark, greenish, pale, copious at night, offensive, scanty. Sediment is red and sandy. Sugar. Clear watery urine.

    Erections feeble. Seminal emissions.

    Itching of vulva. Leucorrhea, excoriating, bloody, copious, after menses, offensive, thin. Menses absent; copious, dark, too frequent, offensive, painful, pale, protracted; suppressed. Uterine haemorrhage. Prolapsus.

    Catarrh of larynx and trachea. Rawness in larynx. Soreness in larynx. Hoarseness; rough voice.

    Respiration quick, asthmatic, deep, difficult in evening and night; difficult with cough; difficult while lying; rattling; short. Suffocation. Wheezing. Whistling. Suffocation in the forenoon during phthisis. Must sit bent forward by an open window in the attack of suffocation, worse in any other position. Every day at 9 A.M. Suffocation.

    Cough, morning, afternoon, evening, night; after midnight; asthmatic, from deep breathing; from full feeling in chest; during chill. Dry cough, at night, during fever. Cough exhausting. Cough during fever. Hacking cough. Irritation in larynx and trachea.

    Loose cough. Motion aggravates the cough. Short cough. Spasmodic cough. Suffocative cough. Talking aggravates the cough. Tickling in air passages causes cough. Expectoration bloody, copious; difficult; mucus, offensive, purulent; tastes bitter, flat, salty. Expectoration is viscid, white.

    Anxiety in chest, region of heart. Constriction. Hemorrhage of lungs. Oppression of chest. Angina pectoris with dropsical symptoms. Pain in the chest, during cough. Pains in the sides of the chest. Rawness in the chest. Stitching in the chest on coughing, Stitching in the heart. Palpitation of the heart, anxious, aggravated on slight exertion, leaning back against chair; violent. Sensation as if heart ceased to beat. Full pulse. Weakness in chest. Weakness of respiratory muscles. Violent pain in left mammary region, as though part were torn with red hot tongs. Aching in region of seventh rib on inspiration.

    Coldness of the back at night. Eruptions on the back. Pain in the back, during chill. Pain in the cervical region, in scapula, between scapula, in lumbar region; in sacral region, in spine. Aching; brushed; drawing; soreness in spine; tearing. Stiffness in cervical region. Weak feeling in back.

    Limbs: Limbs icy cold. Upper limbs cold. Cold hands and feet. Cold knees. Cold legs. Cramps in calves. Blueness of finger nails. Eruption on limbs. Excoriation between thighs. Heaviness of limbs, of lower limbs. After prolonged suppuration in hip joint disease. Stitching in limbs, in lower limbs.

    Weakness of limbs, forearms, lower limbs, legs. Gooseflesh on lower limbs with chilliness. Palms hot and dry. Pain in limbs, rheumatic, in the joints; gouty joints. Pain in the upper limbs, shoulders. Pain in the knees. Aching pains in all the limbs.

    Wandering aching pains. Aching of the biceps of left arm. Pain in flexors of left forearm, in radial side near elbow. Burning in the limbs, in the feet. Drawing pain in the limbs, upper limbs; thighs, knees, feet. Stitching in shoulders; upper arms, hips, thighs, knees, feet.

    Tearing pain in the limbs; upper limbs, shoulders, elbows, wrist, hand, fingers; lower limbs, thighs, legs, ankles, feet. Restlessness of the limbs; lower limbs, legs, feet. Stiffness of the limbs, hands, fingers; lower limbs. Dropsical swelling of the hands and feet. Trembling of the limbs; hands; lower limbs. Weakness of the lower limbs. Weakness of the limbs, joints, upper limbs; lower limbs, knees, thighs.

    Sleep: Sleep deep. Sleep during fever. Dreams anxious, of death, frightful misfortune, vexatious, vivid. Falling asleep late, restless until 3 A.M. Restless sleep. Sleepiness afternoon, evening. Sleeplessness, before midnight. Sleep is unrefreshing. Wakens too early, frequently. Yawns much.

    Intermittent fever. CHILL, morning, forenoon, noon, AFTERNOON evening, night, midnight; open air; walking in the open air; anticipating; in bed. Drinking aggravates chill. Quotidian chill; quotidian or tertian. Hard, shaking chill. Chill like cold waves with gooseflesh all over body. Warm room ameliorates. External warmth ameliorates.

    High fever follows chill. Fever without chill afternoon and evening. Fever and chill alternate. Burning fever. Feverish all the time, but more so at night. Dry heat at night. Hectic fever. Heat during sleep. Chill, heat, then sweat. During the beat be desires to uncover.

    Perspiration, morning, night; during anxiety. COLD; from coughing; with weakness; during slight exertion; following fever; from motion; PROFUSE; during sleep; after waking; staining linen yellow. Fevers from living in damp rooms. Malarial fevers. Symptoms increase while perspiring. Fevers with extreme prostration.

    Skin: Anaesthesia of the skin. Burning. Cold skin. Bluish discoloration; pale; yellow; jaundice every summer. Dryness. Burning eruptions, boils, pimples. Urticaria after scratching. Vesicles. Formication. Gooseflesh, itching, burning. Skin very sensitive, a feeling of soreness. Sticking. Dropsical swelling of skin. Ulcers, burning, sensitive, stinging.

    Editorial notes

    • “opthalmia” corrected to “ophthalmia” (transcription error in the digital source text).
  • Cicuta Virosa

    Cicuta Virosa
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 62 of 180
    Source pages 1322–1331 of the Nalanda Digital Library edition (public domain)

    This remedy is of interest because of its convulsive tendency. It puts the whole nervous system in such a state of increased irritability that pressure on a part causes convulsions. The convulsions extend from center to circumference; the head, face and eyes are first affected.

    Convulsions: An aura in the stomach gives warning of the convulsion. Some complaints spread from the chest, especially from the heart; the rigors and chills begin in the chest; and there is a sensation of coldness about the heart; and from there it extends to other parts.

    Convulsions often begin about the head and throat and extend downward. The whole body is in such a state of tension that, after excitement, a fire rages throughout the economy and causes convulsions. Any irritation in the throat or oesophagus will cause violent convulsions in this region.

    On swallowing a fish bone, instead of only a pricking sensation as would occur in phlegmatic individuals, the irritation is so great that a spasm commences and spreads to other parts. It was the old remedy for tetanus and spasms caused by splinters in the skin or under the nails, competing with Bell. At the present day we find the most frequently indicated remedies for injuries to nerves are Led. and Hyper.

    Catalepsy: A peculiar feature about some of the symptoms is that they resemble catalepsy. The cataleptic condition may be present or a condition very similar to it. He recollects nothing that took place or that he said during a certain period. He knows nobody, and lies without recognizing anyone, but when asked questions he answers correctly, and subsequently he has no recollection of what took place.

    It is a cerebro-spinal irritant; the head is drawn back opisthotonos all the limbs are convulsed and rigid. It has cured traumatic tetanus lockjaw, epilepsy, epileptiform convulsions.

    With severe pains in the bowels come convulsive movements and convulsions. if the stomach is disordered or chilled, or if he has fear or other mental conditions, convulsions come on. He is extremely sensitive to touch, and touch and drafts bring on convulsions.

    The convulsions spread from above downwards, and thus it is the opposite of Cuprum. The convulsions of Cupr. spread from the extremities to the centre; i. e., the little convulsions, merely cramps, are first felt in the fingers and then in the hands and later in the chest and whole body.

    In Cicuta the little convulsions of the head, eyes and throat spread down the back to the extremities with violent contortions. The convulsions of Secale sometimes begin in the face.

    At times he knows no one, but when touched and spoken to he answers correctly. Suddenly consciousness returns and he remembers nothing of what has occurred. He confuses the present with the past. He imagines himself a young child. Everything is confused and strange. He does not know where he is.

    The faces of old friends look strange; he looks at them and wonders if they are the same persons he used to know. His house and familiar places look strange. Voices sound strange. The senses of sight and smell and all the other special senses are disturbed and confused. He is confused as to himself, his age and circumstances. A woman on coming out of the cataleptic attacks often takes on childish behavior.

    A man thinks that he is a child and acts like one; silly laughter, playing with toys, and other acts of childish behavior. He feels as if he were in a strange place, and this causes fear. Thinks of the future with anxiety. Mental torpor; loss of ideas and sensation extending over a certain period. Memory a blank for hours or days with or without convulsions.

    Convulsions generally take the place of the ecstatic or cataleptic condition. Natr. m. is somewhat similar to the mental condition of this remedy, as the Natr. m. patient goes about doing all her household work and other functions and next day knows nothing about it. Nux mos. is another remedy that has such a complete blank when going about doing things, a complete abstraction of mind.

    Desires: This patient has strange desires; desires to eat coal and many other strange articles, because he is unable to distinguish between things edible and things unfit to be eaten; eats coal and raw potatoes.

    Mind: Wants to be alone; dislike to society. Singing, shouting, dancing; likes toys, jumps about like a child. Lies in bed lamenting and wailing. Great agitation; child grasps at one’s clothing in a frightened manner.

    This is likely to occur before the convulsion, great horror in the, countenance, yet he has no recollection of the horror when be comes out of the convulsion. That state of anxiety and fear comes after the attack has begun, though the convulsions have not yet come on.

    Between the convulsions the patient is mild, gentle, placid and yielding, which distinguishes it from Strych. and Nux v. convulsions. The Nux convulsions are all over the body and are worse from touch and draft, blueness and purple color of the body, but between the convulsions the patient is very irritable.

    Of course, when they go out of one convulsion into another you cannot see this, but when out of the convulsion the Nux patient is very irritable. The Cicuta patient, out of the convulsion, is full of sadness, anxiety, and darkness, borrows trouble from the future, is affected by sad stories, is pessimistic.

    He is afraid of society, afraid of company, and wants to be alone. He is suspicious and shuns people; despises others; over-estimation of himself. In this it approximates Plat. but there is no further resemblance between the two remedies.

    Full of fear; fright will bring on convulsions, like Op., Ign., and Acon.

    Vertigo: Full of vertigo. The whole sensorium is violently excited. Things turn around in a circle. Vertigo on walking, glassy eyes, etc. Complaints brought on from injuries to the skull, from blows on the head. Many times there is no trouble in the region of the injury; there may be compression and yet all the pains be in distant parts; drawing of the muscles and cramps.

    Concussion of the brain and chronic injuries therefrom, especially spasms. Semi-lateral headaches forcing the patient to sit still erect.

    Head: Headache as if the brain were loose on walking. When thinking of the exact nature of the pain it ceased. It has cured cerebro-spinal meningitis when there were convulsions and the convulsions were aggravated from touch, with fever and even spotted mottled skin. Mind and head symptoms after injuries. On going into a cerebro-spinal meningitis the patient sits in a chair talking as if nothing were wrong, when, quick as a flash, he passes into another state in which be knows no one; he falls over limp, he is put to bed, and though he answers questions he remains in a semi conscious state, knowing no one.

    This may change into a spasm. The head is bent back in spasms; jerking back of the head; spasms begin in the head and go downward. Violent shocks in the head, arms and legs. Head hot and extremities cold, like Bell. in its convulsions. Sweat on the scalp when sleeping. Child rolls head from side to side. Hot head.

    Eyes: Convulsive action about the eyes; pupils dilated and insensible patient lies fixed in one place, with starting, fixed, glassy, upturned eyes, like Cupr.

    Strabismus may be the only spasm the child is subject to from cerebral irritation. Every time the child is frightened it has strabismus; when touched or when it has cold, or after a fall biting the head, or coming periodically, it has strabismus.

    Nose: The nose is sensitive to touch. Touch and jarring bring on complaints, and hence it was so useful in, and was the first remedy for, the result of injuries and irritability and over-sensibility.

    It has troubles from shaving; it is useful in such eruptions as come in the whiskers; barber’s itch; a solid crop of eruptions all over the face wherever the whiskers grow. Eruptions on the cheek like eczema. Swelling of the submaxillary glands. Erysipelatous eruptions.

    It is closely related to Conium about the lips and lids, in that a small amount of pressure causes induration. It has cured epithelioma of the lips.

    Throat: The throat troubles are mostly spasmodic. After swallowing a fish bone or stick which lodges in the throat a spasm comes on. After Cicuta the spasms will cease and it can be taken out. It is useful in cases of injury, accompanied with violent choking, so that be cannot allow an examination to be made.

    Chest: Cold sensation in the chest. Spasms of the chest.

    Feels as if the heart stopped beating. Spasmodic symptoms of the back.

    Opisthotonos. All conditions of the limbs are of a spasmodic character.

    Editorial notes

    • “cerebo-spinal” corrected to “cerebro-spinal” (transcription error in the digital source text).
    • “touch arid” corrected to “touch and” (transcription error in the digital source text).
  • Cina

    Cina
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 63 of 180
    Source pages 1332–1340 of the Nalanda Digital Library edition (public domain)

    Cina is pre-eminently a child’s remedy, but it is suitable for conditions in adults that are seldom thought of. A marked feature running through is touchiness, mental and physical.

    Child: The child wants something, but does not know what. The child is aggravated by touch and even by being looked at, and is worse from seeing strangers. The skin is sensitive to touch. The scalp and back of the neck, the shoulders and arms are so sensitive, that it is almost a soreness as if bruised. The hyperesthesia is both mental and physical. The old routine of giving Cina for worms need not go into your notes, for if you are guided by symptoms the patient will be cured and the worms will go.

    This patient is disturbed by everything, worse after eating even a moderate meal. The child takes a moderate supper and dreams all night, jerks and twitches in sleep, rouses up in a fright, talks excitedly about what he has dreamed, thinks it is real, and sees dogs, phantoms, and frightful things lie has dreamed about.

    The dream is prolonged into the wakeful hours. Screams and trembles, with much anxiety on waking; whines and complains. While this little patient is aggravated by being handled yet he wants to be carried and kept busy, like Chamomilla; although not so intensely irritable as that remedy, yet he must be carried. At first on taking him out of the crib he screams when taken bold of; the first touch aggravates.

    This aggravation from touch and sensitiveness runs through the convulsions and fevers, with delirium, glassy eyes, drawn mouth and white ring around the nose and mouth. With a disordered stomach he has convulsions after eating, with the head drawn back and glassy eyes.

    The stomach is sour and the child is always spitting up sour milk and belching sour wind. The child smells sour.

    The mother says that

    “Baby has a worm breath,” but the same odor is present when there are no worms. In the convulsions there are loss of consciousness and frothing at the mouth.

    Hallucinations of smell, sight and taste, in the delirious state, after taking cold, or on waking from sleep; wakes up with the delusion. Things taste and smell differently. The senses of taste and touch are exaggerated or perverted.

    In some cases of internal hydrocephalus, not with enlarged skull but with increase of the fluid in the ventricles and central canal of the spinal cord, the patients take on Cina symptoms. Rolling of the head frequent headaches; sensitiveness to jar; cannot be touched or tapped along the spinal cord without headache always worse in the sun – the head is hot and the feet are cold in the sun.

    Cina will cure some of these cases. They cannot stand any kind of disturbance; it produces a convulsion. They cannot be punished because they go into convulsions. If the iter a tertio ad quartum ventriculum is closed they will be incurable, the internal pressure will go on and they will die from it. Such congenital states are incurable.

    Dull headache with sensitiveness of the eyes. Headache before and after epileptic attacks and after intermittents. Before and during the headache sensitiveness of the skull. Cina children cannot have the hair combed, and the Cina woman must have her hair down in head and nerve complaints.

    There is coldness of the, extremities and also some itching of the skin, but the head symptoms are predominant. From slight disturbances of the mind he cannot digest, and he has diarrhoea. The complaints are aggravated in summer; the heat affects the brain, arrests his functions, and on comes diarrhoea with green, slimy stools or white stools, and the child vomits.

    It is pre-eminently brain in Cina; the orders are not received from the brain and so stomach symptoms develop, and worms hatch out. If he is cured the healthy gastric juice will chase the worms out

    The child turns his head from side to side.

    The pains are sometimes better from turning the head from side to side. You will see this in sensitive women, who must have their hair down; rolling the head relieves, not shaking as in the text, that is too violent.

    Eyes: All sorts of colors before the eyes. Objects look yellow. It is useful in sensitive women, sensitive nervous women, who are always worse from using the eyes, and get pain in the head and eyes from sewing. It is like Ruta in that respect, symptoms of eye-strain. It is not so much indicated in young people but more when presbyopia is beginning in middle-aged women, and there is the effort to strain the eyes on fine work or print.

    Rubs the eyes and can then see more clearly. On rising from the bed blackness before the eyes; different colors, especially yellow. Strabismus when worms are present, depending really on brain trouble because the worms are dependent upon that.

    Face: Face sunken, pallid, wings of nose drawn in. Blue ring or gray streak around the mouth.

    “A sure sign of worms,” the mother says.

    Child rubs its nose with the hands or on the pillow or on the nurse’s, shoulder. Child bores into the nose until the blood come. The sickly aspect is striking, but it is representative of brain trouble, central trouble. The brain symptoms are the highest and most important. It frightened, whipped, or scolded, the brain is disturbed and the stomach disordered.

    They get indigestion and breed worms; white or blue appearance about the mouth, grinding of the teeth during sleep. Before the child has teeth it has a chewing motion, a side to side movement. Sensitiveness of the teeth to the cold air and cold water.

    Bleeding from the mouth, and nose. Inability to swallow liquids; they gurgle down the oesophagus before and after convulsions. When the head symptoms are present, the milk or water gurgles down the oesophagus with a gurgling cluck. This is present in diarrhoea and vomiting with brain symptoms.

    Ars. and Cupr. are also prominent in gurgling down the oesophagus when swallowing. Choreic movements extend to the tongue.

    The child or adult is not relieved by eating, is still hungry. The stomach is loaded and yet he is hungry. After vomiting you would expect there would be, an aversion to food, but there is in Cina, the same empty, hungry feeling.

    When there is gnawing in the stomach after eating, or when the child has taken all it can hold yet cries for the bottle, or empties its stomach by spitting up and vomiting the food and then reaches out whining and crying for more, think of Cina. Shuddering when drinking wine as if it were vinegar.

    Abdomen bard and bloated. Very often the Cina child will flop over on its belly and get to sleep in that way. If it is turned on the side it wakes up again. While in the mother’s arms it will go to sleep with the abdomen resting on the mother’s shoulder, but when she puts it on the side in bed it wakens.

    If you had a child with copious, gushing, violently foetid stool, ameliorated by lying on the abdomen, and it would have another stool if lying any other way, Podoph. would be the remedy. That would not be Cina. The Cina stool is not very copious, and often white.

    Gagging cough in the morning. Short, hacking cough at night. Spasmodic cough. Whooping cough.

    Oversensitiveness to touch; trembling, spasms, chorea. Spasmodic yawning. Child cannot sleep unless on the belly or in constant motion.

    Editorial notes

    • “presbyopla” corrected to “presbyopia” (transcription error in the digital source text).
  • Cinnabaris (Red Sulphide of Mercury.)

    Cinnabaris (Red Sulphide of Mercury.)
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 65 of 180
    Source pages 1341–1345 of the Nalanda Digital Library edition (public domain)

    The symptoms are worse at night from warmth of the bed, and when perspiring, like Mercurius. Worse from both heat and cold,

    Catarrhal inflammation. Fig warts (Thuja). Ulcers. Many complaints from eating. Syphilis in all stages. Suppurating glands; chancres. It is best to study this remedy as a form of Mercurius, which has a few cunning phases of its own. It is a deep acting remedy in sycosis

    The patient desires to be alone. Aversion to mental work. Forgets things which he intended to do. Mind crowded with thoughts preventing sleep.

    The pains in the head are violent; worse after eating; better by heat and pressure. Fullness in the whole head. Constriction. Pain in the cold forehead, which is ameliorated by heat. Tearing in the forehead before the menstrual flow. Pain in the forehead and vertex in the morning, worse lying on the left side and back, ameliorated lying on the right side, and it passes off after rising.

    Shooting pains in the left side of the head with flow of saliva and copious urine. Headache with nosebleed. Sensitive scalp and skull. Supra-orbital neuralgia.

    Stitching, and dull pains in the eyes. Inflammation of the conjunctiva; worse at night. Red, congested lids. Ptosis. Weak vision. Iritis of syphilitic origin. The symptoms are worse at night. Sharp paroxysmal pains from the warmth of the bed.

    Roaring in the ears after eating. Itching in the ears.

    Cold spot on root of nose Pressure on the bones of the nose. Coryza with dirty yellow -mucus drawn from posterior nares. Epistaxis; pains in back and limbs.

    The symptoms of the teeth are similar to Mercurius.

    Tongue coated white every morning. Taste putrid, metallic and bitter. Sore ulcerated mouth. Salivation. Inflammation of mouth and throat with great thirst, worse at night. Dry mouth, and viscid mucus in the throat. Fullness in the throat, with constant desire to swallow. Dryness of the throat.

    Aversion to food. Eructations, and vomiting. Tenderness of the stomach.

    Syphilitic buboes.

    Dysentery, worse every night; bloody mucous stools; much straining. Diarrhoea, with greenish stools, worse at night. Protrusion of anus during stool.

    Copious urine. Pain as from an ulcer in urethra when urinating; it wakes him also at night. Albumin in the urine.

    Inflammation of glans penis with profuse secretion of pus. Increased sexual desire. Swelling of prepuce with much itching. Warts on the prepuce and fraenum, bleeding when touched. Chancres on the prepuce of gangrenous odor. Inflamed and swollen chancres, hard, discharging pus. Indurated, or neglected chancres.

    Gonorrhoea, of yellowish green discharge, much pain during flow of urine. Symptoms worse at night, and from the warmth of the bed. The patient is sensitive to both a warm room, and to cold air. Induration of testes.

    Syphilitic laryngeal ulcers in a tubercular patient. Hoarseness in the evening.

    Pulse fast in the evening and night.

    Stiff neck with pains shooting to occiput. Stitching pains each side of spine in dorsal and lumbar regions, worse on deep breathing.

    Pain in the limbs at night. Sensitive to sudden changes in the weather. Lame, bruised and stiff in all the limbs. Pains worse from motion. Syphilitic nodes on tibia.

    Pain in tendo Achillis and os calcis after walking. Numbness in the feet. Cold feet, day and night. Wandering gout.

    Burning itching of the skin, worse scratching. Itching all over. Redness, and red spots on the skin. Pustules. Gangrenous ulcers. Elevated ulcers.

    It is antidoted by Hepar and Nitric acid. It is closely related to Thuja.

  • Cistus Canadensis (see too Salts of Mercurius)

    Cistus Canadensis (see too Salts of Mercurius)
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 66 of 180
    Source pages 1346–1354 of the Nalanda Digital Library edition (public domain)

    This remedy is an antipsoric, a deep-acting remedy. It runs very close to Calcarea, but is milder in its action. It has the same exhaustion from exertion, dyspnoea, sweating and coldness that we find in Calcarea.

    What will forcibly call your attention to a remedy will be the curing of a bad and typical case. I remember the first time my attention was decidedly called to Cistus.

    I had put it on my list to study from time to time and had come to the conclusion that it was only a side issue, until a young lady of nineteen years of age fell under my observation.

    Glands: The glands of the neck were large and hard, the parotids especially; she had foetid otorrhoea; her eyes were inflamed and suppurating; there were fissures at the corners of the eyes; her lips were cracked and bleeding, and she had salt rheum at the ends of the fingers.

    I could not make Calcarea fit the patient, but after much study this little remedy seemed to be just what I needed; and although she had had an immense amount of Homoeopathy, good and bad, this remedy cured.

    The glands inflame, become swollen and suppurate. It causes cries and cures old ulcers. It has a scrofulous constitution. It is useful in chronic diarrhea, with enlarged glands, even in those who are flabby, sickly and pallid and who cannot go upstairs without losing, their breath.

    Mucous membranes: All the mucous membranes throw out a thick, yellowish, offensive mucus and hence it is suitable in old and troublesome catarrh. The chest fills up with mucus and he feels relieved after expectoration, but after he empties the chest it feels raw.

    It has eruptions, herpes, tetter, scaly eruptions, salt rheum on the hands and ends of the fingers, with cracking and bleeding of the fingers in winter and from washing in cold water.

    All its complaints are worse from mental exertion. He is excitable. His cough, headache and pains are worse from mental exertion. Pains shoot from the head to the ear. Shooting, stitching, tearing pains in inflamed parts. Red discharges from the ear date back to eruptive diseases.

    Headache: He feels as if paralyzed after mental exertion, and mental excitement increases his sufferings, like Calcarea and Borax. If he is compelled to fast headache comes on, and like Lyc., the headache will be relieved after eating.

    Frontal headache with coldness. In a warm room the perspiration comes out, and it is cold, and the more he sweats the colder he gets. Pain in the forehead with cold sweat, and the colder he gets the worse the pain becomes.

    Sick headaches and great prostration with the headache. Sensation of internal coldness of the forehead, especially in warm room. Pressing pain at the root of die nose with headache. The parotid gland is so much enlarged that it pushes the head to one side.

    The glands of the abdomen swell with chronic diarrhea, and the swelling may be tuberculous. Enlarged glands, with or without eruptions.

    Skin: All over the body there is a sensation of crawling; formication tingling and creeping like ants, and no eruption. He scratches till the skin is raw trying to get relieved of the itching and prickling. Eruption upon the face; eczema. Eruptions about the ear.

    Cold feeling or burning in the nose, This is difficult to distinguish. In acute coryza the nose fills up with thick, yellow mucus, and when this is blown out it leaves the nasal cavity empty, and there is irritation; one will say it is a rawness, another will say a coldness, and another will describe it as a burning.

    Nose: There is relief when the nose fills up again with mucus. In Ars. the mucus in the nose is so acrid that it burns, but in Ant. c., Aesculus, and in this remedy when the nose is empty there is a burning or rawness. The sensation of rawness, coldness or burning is caused by the inhalation of air.

    An epidemic of coryza was prevalent, and this was the strongest symptom, the pain caused by inhaling air, great burning from inhaled air. But it is not in the acute coryza that we see the value of this remedy, it is in the old, chronic case, with thick discharge, and a cold feeling or burning in the nose when inhaling air.

    “Sharp shooting, intolerable itching and thick crusts, with burning on right zygoma.”

    Face: This remedy has cured lupus on the face. Caries of the lower jaw. Open, bleeding cancer on the lower lip. Lupus exedens. Pain in all the joints of the face. It cures old, deep-seated, eating ulcers about the ankle and shin, with copious acrid discharge, formication and swollen glands, aggravation from bathing, extreme sensitiveness to the open air, only comfortable when very warm.

    The teeth have all sorts of disturbances; the gums settle away, the teeth become loose; scorbutic gums. The same cold feeling is described in the throat as in the nose-smarting and coldness. Mouth and throat full of mucus. The throat feels rough, as if full of sand. Dry spots in the throat. The throat looks glossy, shining as if vanished, in old atrophic catarrhs.

    Every cold settles in the throat. Hot air feels good everywhere. In old cases there is trouble with scrofulous glands, which are enlarged, and the patient wants the heat; goes to the register and turns the heat on, wants to feel the heat in the nose, throat and lungs.

    Patients going into tuberculosis have that desire for beat; chilly persons, They do not feel cold to touch, but they are cold subjectively, chilly. Hawking of gum-like mucus, especially in the morning, fauces inflamed and dry. Suppuration of the glands of the throat.

    These patients crave pungent things, and especially want something to warm them up, something to build them up, something stimulating herring, cheese; something strong.

    “Chronic induration and inflammation of the mammae.

    Left mamma inflamed, suppurating, with a feeling of fullness in the chest.

    Sensibility to cold air,”

    with inflamed glands. We see its tendency to produce enlargement of the glands, and this would make us think of it in growths with involvement of the glands all around. The glands of the neck are enlarged in lines, like knotted rope, as in Hodgkin’s disease.

    Only a limited number of remedies have this knotting. Itching of the skin and mucous membrane. The itching in the ear is not relieved by scratching, and the part is raw from the constant rubbing and scratching. The eyes constantly itch. In the throat there is continuous itching. In the chest there is a constant tickling, causing cough. At the anus and all other orifices there is itching, and the itching parts are rubbed until raw and bleeding.

    Scrofula; swelling and suppuration of the glands of the neck. Eruption on the back like shingles. Scrofulous ulcer on the back. Burning, bruised pain in the coccyx, worse from touch.

    That is like Carbo an., in which the coccyx burns when pressed on, especially after a slight injury in a nervous woman.

    Tetter on the hands; blisters oozing after scratching. Diseases of the nails. Hard, thickened places on the hands of workmen, with deep cracks.

    The febrile symptoms have not been sufficiently brought out. In chronic cases there is copious sweat with exhaustion. Night-sweats.

  • Clematis Erecta

    Clematis Erecta
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 67 of 180
    Source pages 1355–1364 of the Nalanda Digital Library edition (public domain)

    Clematis has only been partially proved, and consequently it applies only to a few conditions, but these are very important, so that it cannot be passed over.

    Skin: It has vesicular eruptions almost erysipelatous in character. One almost constant mental state is that he fears to be alone, yet dreads company. fie dreads the necessity of having company, and it seems that the atmosphere is full of frightful and distressing things to worry him.

    This makes him low-spirited. The remedy seems to fit the sycotic constitution in its mental state and its generals.

    It seems to be fitted to those who had gonorrhoea recently suppressed, because after that suppression will come on this mental state with inflammation of glands.

    It is rather singular about the eruptions. One would not think that from so harmless a little shrub so much trouble would come; but there are persons who are just as sensitive to this vine as to Rhus and it resembles Rhus to a great extent in its manifestations.

    It produces just, as poisonous a condition as Rhus. Here I might speak of several remedies which relate to the Rhus poison.

    There are many vesicular remedies that look like Rhus, and all of them you will have to use more or less in their antidotal relations to each other, but it is well to be sure in a given case which one of them produced the poison.

    Croton tig., Rhus, Ranunculus, Anacardium and Clematis at times look so much alike that I am unable to tell them apart by their eruptions.

    They are all similar enough to each other to become universal antidotes. The others are all deeper acting than Rhus. The Ranunculus, the little buttercup, has cured epithelioma of the lids. It has cured cancerous affections, so we say it goes deep into the tissues.

    On the outer head we have a part of the manifestations of Clematis vesicular eruptions with great itching, stinging and crawling. Now what is true of the eruption here will be true of the Clematis eruption everywhere. It is aggravated from washing.

    It will smart and burn, and a quasi-inflammation will set in from washing. Contrast this with the internal features of the remedy. In the teeth and jaws the pain is violent, but while the eruption is made worse from cold applications, the pain inside the jaw and the teeth is relieved by cold water held in the mouth, and aggravated violently from heat, and from the warmth of the bed.

    The eruption is aggravated from the warmth of the bed, and also from cold washing. We have to go into the details a little to see whether an eruption is Rhus or whether it is Clematis, or something else. Vesicular eruptions filling with yellow fluid and with induration under the vesicles.

    It produces eruptions very closely related to herpes and eczema, and they spread. About the eyes we have vesicular eruptions. If seen in one stage it will be vesicular, and if later, it will be seen as an ulceration. Simple and graver forms of herpes. Herpes zoster about the body.

    “Burning, and smarting of the eyes; worse from closing them.

    Inflammation of the iris.

    Eyes inflamed, protruded, dim.

    Chronic irritation of the lids.”

    Teeth: The pains in connection with the teeth are aggravated from the warmth of the bed, which is general; they come at night, are aggravated from warm things held in the mouth and ameliorated from holding cold water in the mouth.

    Stitching and drawing pains in the teeth; worse at night; better for a short time from holding cold water in the mouth; better from drawing in cold air; worse from the warmth of the bed. The toothache is tolerable during the day, but as soon as he lies down in bed and assumes a horizontal position it increases to an intolerable degree. Pain in hollow tooth, better by cold water or drawing in cold air.

    Glands: Swelling of the glands of the groin is a striking feature even when connected with scirrhus. It is connected also with suppressed gonorrhea, and with rheumatism of the joints. Pain and swelling of the right spermatic cord; this is worse at night, worse from walking and from the warmth of the bed.

    Bladder: While it has both sides, strange to say there is more trouble in the glands that are on the right side of the body than on the left. It has produced much trouble in the bladder. Constant urging to urinate, most painful tenesmus. Flow stopping and starting. The urethra is painful to pressure. Micturition is remarkably slow, only a feeble stream because of the smallness of the urethra.

    It is the nature of this remedy to infiltrate and inflame tissues, and, hence it is useful in those cases of gonorrhoea where they have been slow in passing away, where they have been treated by injection.

    That slow inflammation of the urethra will infiltrate and the urethra feels like a large whip-cord, painful upon pressure, and this goes on until the canal is almost closed. You will be surprised to find, when Clematis is indicated, that after giving that remedy the discharge is re-established, and soon the old stricture goes away. At the end of two or three months he feels nothing of it.

    A striking feature in connection with the urine, bladder, etc., is that the patient cannot quite empty the bladder. He always feels as if there was a little more, and when he appears to have finished it will keep dribbling away. This is a common feature of stricture.

    “Inability to evacuate all the urine at once.

    When beginning to urinate it burns the worst, while urinating it sticks in urethra, and after urinating it still continues to burn.

    Discharge from the urethra of thick pus.”

    It is seldom indicated in the very first stage of gonorrhoea during the highest inflammation, but in those cases that are inclined to hang on. Then come the sequelae if gonorrhea be suppressed. Inflammation of the testes is common, and this is one of the medicines suitable.

    Strange to say, the right side of the body is more commonly affected than the left. Intermittent flow of the urine. Urine stops and starts with the chordee still present. The right spermatic cord is very sensitive. Pain in the testes, drawing. Painful, inflamed and swollen testes. Orchitis with much painful swelling and hardness. Now when the swelling has gone down-perhaps you gave Puls., which was the remedy for the time, but it did not finish the case, there is induration of this portion. Swelling of the right half of the scrotum with thickening and banging low down.

    Women: Provings have not been made very much in women, which is to be regretted, because it would be well to know if this remedy affects the ovaries as it does the testes. It has been clinically used, and has cured many troubles in women, especially inflammation in the mammary gland.

    “Ulceration and hardness of glands.

    Scirrhus of the breast with induration and ulceration.

    Scirrhus of the left mamma with stitches in the shoulder;”

    this is a clinical symptom, “worse in the night.”

    She cannot bear to be uncovered.

    It has rheumatic conditions of the limbs from suppressed gonorrhea. Great nervous weakness and twitchings of the muscles. It has pain on lying down and preparatory to going to sleep. An electric shock; twitching, jerking, as if a faradic battery had been turned on. It has also a general febrile condition, but nothing very striking.

    Vesicular eruptions on the body. Herpetic eruptions here and there it has a herpetic constitution.

    “Eruption of vesicles and pustules from the former exuded a clear, watery secretion, from the latter a purulent fluid.”

    Yellow vesicles and yellow pustules. Both are common to this remedy.

    “Dark, burning eruptions with violent itching.”

    Herpes that ulcerate. Ichorous, spreading ulcers.

  • Coccus Cacti

    Coccus Cacti
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 69 of 180
    Source pages 1365–1375 of the Nalanda Digital Library edition (public domain)

    There is a little remedy and will be a relief after the study of so many difficult ones. With fuller proving it will doubtless show itself a deep-acting constitutional remedy.

    Although it has cured some deep-seated chronic troubles, it has been used chiefly in acute affections. This is only because of the scantiness of its provings and our lack of knowledge concerning it in a general way.

    Very few mental symptoms have been brought out. Its use, so far as demonstrated, is mostly in catarrhal conditions of the air passages, and whooping cough, with copious, ropy, jelly-like mucus.

    Great quantities of this mucus form in the nose, in the throat, in the air passages generally, and in the vagina. The routine practitioner, whenever be sees thick, ropy, gelatinous mucus, thinks only of Kali bi.

    That comes from the study of key-notes. But it must be remembered that other remedies besides Kali bi. have this.

    Cough: Spasmodic cough; whooping cough; the cough of drunkards. The chronic catarrhal state of the Coccus cacti patient comes on especially in the winter. It comes on when the cold weather begins and lasts till the warm weather comes.

    The patient is cold, and his complaints come on in cold weather. He is sensitive to cold, easily takes cold. But you must distinguish between the patient himself and his complaints, because they are entirely opposite to each other.

    When he once becomes sick from exposure to cold, he is always worse in a warm room and better in the cold air. His cough is brought on in a warm room; from being too warm in bed; from drinking warm things. It is better from drinking cold things in a cold room; worse from exertion; from getting heated up; from becoming warm; that is, after the complaint has once set in, it reverses itself.

    This is not unlike many other remedies. I have received many letters from doctors, saying:

    “Why is it that in your repertory and in Boenninghausen’s, certain remedies are put down as better from cold and worse from cold?

    They certainly cannot have both.”

    But they do have both, sometimes under different conditions and sometimes under the same conditions. Sometimes these are primary, sometimes they are secondary symptoms. A remedy must be examined to ascertain how it is that these circumstances can be the very opposite of each other.

    But commonly Boenninghausen registers both those things that belong to particulars and those things that belong to generals, and if the symptom, in his judgment, is strikingly worse by a certain circumstance, even if it is the very opposite of the general, he had that symptom in boldfaced type. Phos. is a good illustration of what we have been talking about.

    If you make a careful study of Phos. you will see that the complaints of the chest are all worse from cold, from cold air and from being cold. He catches cold and it settles in the chest, and the cough and irritation in the chest are worse from cold and being exposed to cold air.

    But he wants cold things in the stomach. His stomach feels better from cold things. Let him have head trouble and his head is better from cold, he wants cold things in his stomach. If he has stomach trouble, it is made worse by anything hot; he wants cold water to, drink, and as soon as it gets warm, he vomits it up. You see Phos. is worse from cold and worse from heat. The pains in the extremities are better from heat.

    The chronic cough, as has been said, is likely to begin with cold weather and last all winter, with a copious formation of mucus in the chest. It is a spasmodic cough, forcing the patient into the most violent efforts. The face becomes purple. Finally he retches and vomits long strings of tough, ropy mucus filling the mouth and throat and causing him to choke.

    This is due to the fact that the mucus is so tenacious that it cannot be ejected from the pharynx in the usual way, therefore he must vomit. Now, there is a striking feature of this remedy. Anything coming in contact with the pharynx, the inside of the mouth, or even the gums, produces gagging and retching and will bring on the cough.

    Chest: We find this in the chronic states of sensitive persons, who are unable to brush the teeth or rinse the mouth without gagging and sometimes vomiting.

    There is a general hyperesthesia of the skin and mucous membranes. Sensitive to the pressure of the clothing.

    With the chest troubles there is much dyspnoea. He cannot walk without bringing on difficult breathing. He cannot ascend a height without suffocation. After the quantities of mucus are cleared out the cough is better and he goes on for two, three or four hours, when another one of these awful attacks comes on.

    They are apt to be worse at night when he becomes warm in bed. If he can lie in a cool room without much covering he will go longer without coughing.

    The whooping cough is of a similar character. You will see the child lying in bed with the covers off. It wants the room cold, and the mother will tell you that if she can get to it quickly enough with a drink of cold water she can ward off the paroxysm.

    The chest fills up with mucus until respiration cannot be carried on any longer and it must be cleared out, yet the child will resist and hold its breath to prevent coughing. You will be astonished to see how speedily Coccus cacti will change the character of that cough.

    One of the earliest signs of improvement will be observed in the easier respiration. The cough becomes less violent, the retching passes away, and in a week or ten, days the cough will go, too. Cough worse after eating, worse on waking, worse in a warm room.

    In the early stages of whooping cough Carbo veg. will develop and. bring out the symptoms and furnish a good picture for a second prescription, even if it does not cure.

    Discharge of thick yellow mucus from the nose; nose stopped up, with inclination to sneeze. Great dryness of the nose. The air passages burn after the mucus has been cleared away. The chest burns from the mere exhaling of air. Sore throat with redness. Tickling in the throat. Sensation of a hair or crumb lodged in the throat behind the larynx. Fauces very sensitive.

    Arch of palate and fauces, as far as visible, very red. Burning in the throat < in the warmth, especially when warmed up in bed, < from warm drinks, though hot drinks are not so bad. Better from cold drinks. If the patient gets warm in bed or the room gets warm he commences to clutch the larynx and cough. The slightest touch on the palate or even the gums in examination of the throat will cause gagging sometimes when the parts look normal. He cannot hawk without gagging. On swallowing food sometimes it will come right back again and cause gagging and retching.

    Great thirst; wants water often and in large quantities. Nauseous taste in the mouth; never rid of it. Nausea in the throat. Vomiting of white, bitter tasting froth. Toothache; sudden drawing pains in the teeth, worse from cold and from touch.

    Mind: The mental symptoms are chiefly depression and anxiety. Great sadness; a cloud seems to hang over everything.

    Apprehensiveness. especially at 2 to 4 A.M. This state may alternate with loquacity and liveliness, like Lachesis. There are other symptoms worse after sleep; wakes in the morning with basilar headache, or with headache in the forehead; < mental exertion; after lying down; sometimes > from slow motion; < on coughing and from exertion; > after sleep.

    Kidneys: A strong feature is its action on the kidneys, resembling acute parenchymatous nephritis. Albumen in the urine. Dark red sediment in the urine. Pain shooting from the kidney to the bladder and down the legs; < from motion.

    Renal colic. Urging to urinate, but inability to pass urine until a large clot of blood has been passed. In Coccus cacti the right side of the heart is affected, the vessels become friable and there is haemorrhage, oozing of blood, forming great black clots.

    The above symptom suggests a woman with uterine hemorrhage. There are haemorrhages of the uterus where the blood flows freely, coagulates slowly and does not form much of any clot in the vagina. But in this remedy the clots form very rapidly and the vagina becomes packed, and the bladder cannot be emptied until the clot is expelled. Uterine hemorrhage is a strong feature of this remedy. Copious, frequent, prolonged menstrual flow. Large, hard, black clots fill the uterus, are expelled by labor-like pains, and form again. Inflammation of uterus and vagina, with copious, thick, white, jelly-like, ropy mucus. Soreness of the vulva; cannot bear the pressure of the clothing.

    Haemoptysis, dark, clotted < from exertion.

    In the male there is impotence with dull pain in the loins. Dull pains in the region of the kidneys, with albuminuria; heavy sediment in the urine, etc., just such a state as you would find in a child that had taken cold after scarlet fever.