Category: Kent Materia Medica

  • Cocculus Indicus

    Cocculus Indicus
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 68 of 180
    Source pages 1376–1390 of the Nalanda Digital Library edition (public domain)

    We will study the general system and The mind as usual. Cocculus slows down all the activities of the body and mind, producing a sort of paralytic weakness. Behind time in all its actions.

    Slowly: All the nervous impressions are slow in reaching the centres. If you pinch this patient on the great toe he wants a minute and then says “oh,” instead of doing it at once. In response to questions he answers slowly, after apparent meditation, but it is an effort to meditate.

    And so with all nervous manifestations, thought, muscular activity, etc. He cannot endure any muscular exertion, because he is weak; he is tired. First comes this slowness, then a sort of visible paralytic condition, and then complete paralysis. This may be local or general. There are certain causes which produce these effects. A wife nursing her husband, a daughter nursing her father, becomes worn out by the anxiety, worry and loss of sleep.

    She is exhausted; unable to sustain any mental or physical effort; weak in the knees, weak in the back, and when the times comes for her to sleep she cannot sleep. Sickness brought about in this manner is analogous to that caused by the Cocculus poison, and hence Cocculus from the time of Hahnemann to the present time has been a remedy for complaints from nursing, not exactly complaints that come on in the professional nurse, for Cocculus needs the combination of vexation, anxiety and prolonged loss of sleep, such as you have in the mother or daughter who is nursing, or the nurse when she takes on the anxiety felt by a member of the family; a wife nursing her husband through typhoid, or other long spell of sickness.

    At the end of it she is prostrated in body and mind, she cannot sleep, she has congestive headaches, nausea, vomiting and vertigo. That shows how a Cocculus case begins. One who is thus exhausted in body and mind goes out for a ride. She gets sick headache, pain in the back, dizziness, nausea and vomiting. She gets into the car to take a journey. Sick headache comes on. She goes on a mile or two and will have nausea, vomiting and sick headache. She feels weak all over, feels as if she would sink away.

    The Cocculus patient gets into a wagon to ride, sick headache, nausea, vertigo come on. The Cocculus patient cannot endure motion. Aggravated by talking, by motion, by the motion of the eyes, by riding. Wants plenty of time to turn the head cautiously to see things. Wants plenty of time to move, to think, to do everything. The whole economy is slowed down, inactive.

    Tremulous, tired, excitable. The hands tremble when taking hold of anything, or he takes hold of awkwardly and drops it. Incoordination runs through this remedy, and hence it has been used with good effect in locomotor ataxia. It has staggering and numbness. Numbness is quite a feature of this remedy. Numbness of the lower extremities, in the fingers, in the shoulder, of the side of the face. Complaints from anxiety.

    Mind: Extreme irritability of the nervous system. The least noise or jar is unbearable. You have heard that Bell. is worse from a jar. So is Cocculus, and quite like Bell. Cocculus is also like Belladonna in its sleeplessness, and other general conditions.

    This sensation of seasickness and dizziness is sometimes felt all over the body; a sort of faint feeling which is followed sometimes by loss of consciousness, or a paralytic rigidity.

    Joints: Stiffness of the joints is a common feature in Cocculus. It belongs to the limbs in general. But it is such a strong symptom I will mention it here. Limbs straightened out and held there for a while are painful when flexed. Persons who have been suffering from anxiety, prostrated, will lie on the back, straighten out the limbs, and get up only with great difficulty.

    The doctor comes and he discovers what is the matter. He bends the limbs and she screams, but she is relieved after the bending, and then she can get up and move about.

    You cannot find that anywhere else. It is entirely without inflammation. It is a sort of a paralytic stiffness, a paralysis of the tired body and mind. The Cocculus headaches and backaches, pains and distress are present.

    A man will stretch out his leg on a chair and be cannot flex it until he reaches down with his hands to assist. Such things are strange. Faintness on moving the body, fainting from pain in the bowels, from colic. With all this slowing down of the thoughts and activities the patient remains extremely sensitive to suffering, sensitive to pain.

    Spasms through the body Iike electric shocks, convulsions after loss of sleep. This patient goes on with nervousness and excitement, anxiety and loss of sleep until convulsions supervene. Tetanus. Cholera, attacks of paralytic weakness with pain, paralysis of the face, of the eyes, paralysis of the muscles everywhere, paralysis of the limbs. Even diphtheria has been known to induce a state very much like I have described as due to loss of sleep and anxiety.

    I remember a case of paralysis of the lower extremities that was prescribed for by a very careful homeopathic physician many years ago. It was one of the things that surprised me in the early days of my prescribing and observation.

    It was the case of a little girl with paralysis of lower extremities after diphtheria and no hope was given. But Doctor Moore (he was then an Octogenarian) looked over the case. I was acquainted with the family and with the doctor.

    He studied the case carefully and gave Cocculus c.m. It was not many days before the child began to move the legs, and the condition was perfectly cleared up, and I have never ceased to wonder at it. It was a good prescription perfectly in accord with all the elements of the case.

    Doctor Moore was one of the pupils of Lippe and Hering.

    You can hardly see what is coming when the mental activities are slowed down, from anxiety, and loss of sleep, such as we have in nursing. The mind appears like approaching imbecility, and as you look upon the true Cocculus case you wonder if that patient has not been growing insane for a year or two, because the mind seems almost a blank. He looks into space and slowly turning the eyes toward the questioner answers with difficulty. It occurs in nervous prostration, in typhoid fever. It is so nearly like Phos. Acid., that the two remedies must be carefully individualized. Time passes quickly.

    He cannot realize that it has been a whole night. A week has gone by, and it seems but a moment, he is so dazed. Slowness of comprehension; cannot find the right word to express his thoughts, so slowly does his mind work; what has passed he cannot remember; forgets what he has just read; cannot talk; cannot bear the least noise; cannot bear the least contraction.

    The tongue will not respond. There is confusion of mind and difficulty of articulation. An idea comes into his mind and becomes fixed. He cannot convert it or move it, but it just stays there, and if he speaks he will say something that will cause you to realize that that same idea is holding on to him. So he appears to be in a state of imbecility.

    Vertigo: Mental derangement with vertigo. With most all the mental symptoms there is vertigo. He lies in a state of apparent unconsciousness, yet knows all that is going on and at times is even able to remember and describe what was going on, but does not even wink; does not move a muscle.

    There is an appearance of ecstacy, a smile upon the face. Knows what is going on, yet with complete relaxation of the muscles without speech or apparent recognition of anyone. Perfectly relaxed, and yet knowing what is going on. That resembles catatonia. Unable to think.

    Fears death. Feels as if some awful thing was about to happen. All this is the result of grief, anxiety, vexation, prolonged loss of sleep.

    The vertigo is visually attended with nausea. A Cocculus case cannot look out of the car window, cannot look down from the boat and see water moving, without nausea immediately.

    Perhaps you can even now surmise what the head symptoms are to be. With the headaches comes dizziness, extreme nausea and gastric symptoms.

    Headaches brought on from riding in a wagon or riding in the cars or on shipboard; headache from motion. Cannot accommodate the eyes to moving objects; dizziness and whirling and headache.

    Congestion of the head, pressing, throbbing headache. Headache as if the skull would burst, or like a great valve opening and shutting. Sick headache with vertigo. Headache again from working in the sun. Sick headache from riding in a carriage.

    Eyes: Dim sightedness and disturbance of vision. Paralytic weakness of the muscles of the eyes, as well as the muscles of accommodation. The face becomes pale and sickly. Pale as death, with pains in the face, vertigo and nausea.

    Tearing pains in the face. Neuralgia of the face.

    Face bloated. Quivering and twitching of the muscles of the face. Paralysis of the muscles of the face. Numbness of the face. Twitching, jerking, numbness, paralysis, tearing pains.

    Prostration and nervous exhaustion accompany most of the complaints of Cocculus.

    Stomach symptoms. Loathing of food. Metallic taste in the mouth. Bitter taste in the mouth. Sour, nauseous taste in the mouth, and no food tempts him. He lies there sick with a little fever or a “cold.”

    Headache, vertigo, nausea, loathing. Intermittent fevers with pains in the limbs, especially in the knees and bones of the legs, with that peculiar stiffness, nausea, and loathing of food. In intermittent fever or perhaps a low typhoid state, we have this loathing of food with nausea.

    You go to the bedside and you ask the nurse, “What have you been feeding the patient?” and the patient gags. The thought of food makes the patient gag.

    The nurse will say that every time she mentions food the patient gags. The thought of food or the smell of food in the other room, or in the kitchen, will nauseate the patient. Two medicines have this: Cocculus and Colchicum.

    Paralysis: Paralytic conditions. Paralysis of the oesophagus. Cannot swallow.

    “Paralytic condition of the throat after diphtheria.”

    Sore throat with low forms of fever. The fever is gone but the patient does not rally, there is much nervous trembling, numbness, twitching of muscles and great weakness. Sensation as though a worm were crawling in the stomach.

    Spasms of the stomach. Violent attacks of gastralgia, violent cramp of the stomach. Griping, pinching, constrictive pain. The pain in the bowels feels as if the intestines were pinched between sharp. stones.

    This causes fainting and vomiting. Colicky pains in the bowels great distension of the abdomen, such as is found in typhoid fever tension of the abdomen after drinking; flatulent colic.

    Tearing, cutting, spasmodic pains in the bowels. Radiating pains in the bowels accompanying diarrhea. A paralytic condition of the rectum. Inability to press at stool. Urging to stool and burning in rectum. Disposition to stool, but peristaltic motion in upper intestines is wanting.

    Women: Copious menstrual flow, menses too soon; last too long. Catamenia two weeks before the time. In women prostrated from grief and from anxiety, and from prolonged loss of sleep, menses come too soon, are copious and prolonged.

    Headache, vertigo, nausea. Violent, cramping pains in the bowels, clutching pains in the uterus during menstruation. Again, just such a patient as described will have a suppression of the menstrual flow, or for weeks and months will have no menstrual flow; or just at the time the menstrual period should come on there is a copious leucorrhea that takes the place of the menses.

    The woman is emaciated, and grows more and more sickly and chlorotic. The face is of greenish, yellow, sallow hue.

    “Leucorrhea in place of the menses,” or

    “copious leucorrhea between the menstrual periods.”

    The heart is weak, pulse feeble. Paralytic weakness in the limbs, numbness, jerking of the muscles, twitching, quivering, loss of sensation, loss of power, muscular weakness in all the limbs. Numbness and paralytic feeling in the limbs.Awkwardness of the fingers and hands. On attempting to grasp the one band with the other there is migratory numbness, or a more permanent numbness associated with paralytic weakness, sometimes changeable; sometimes one side is numb and the other paralyzed.

    The soles of the feet go to sleep. Numbness of the soles of the feet, such as we have in locomotor ataxia; cold feet. The knees give way from weakness. Totters while walking and threatens to fall to one side. Knees stiff. Paralysis of the lower extremities, proceeding from the small of the back. Arising from cold, from the abuse of Mercury.

    Paralysis of the lower limbs, with stiffness, numbness and bruised feeling.

    Sleeplessness from long nursing and from night watching; that is a symptom that I have called your attention to so often. Anxious, frightful dreams; ill effects from loss of sleep and night watching.

    “Slightest loss of sleep tells on him.”

  • Coffea

    Coffea
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 70 of 180
    Source pages 1391–1404 of the Nalanda Digital Library edition (public domain)

    Sensitiveness: This drug is characterized by a general sensitivity. Sensitiveness of vision, of hearing, of smell, of touch; sensitiveness to pain. it is most astonishing sometimes about this great sensitiveness. Pains are increased by noise.

    Sensitiveness of hearing is so great that sounds are painful. Pains in the face, toothache, headache; pains in the lower limbs; everywhere aggravated by noise.

    All the nervous disturbances possible are found in this medicine, and they are all aggravated by noise. Even the opening of the door and the ringing of the door-bell produces great suffering. Such patients are so sensitive that they hear sounds which those in a state of health cannot hear.

    Perhaps no medicine in the Materia Medica approximates this sensitiveness of hearing where it is accompanied with pain, unless it be Nux vom. Those practitioners who do not know this generally resort to Nux vom. for pains aggravated from voices in another room, or from noise or the sound of children.

    Many remedies have increase of nervousness from noise; noise aggravates headache, and aggravates suffering about the head, and makes some persons nervous, But pain in the extremities aggravated by noise is peculiar. It seems that the noise disturbs him so that he cannot bear pain.

    The Coffea state is brought on by emotions or violent excitement of the mind, but especially by joy or

    “pleasant surprise.”

    The result is sleeplessness, nervous excitement, neuralgia, twitching of muscles, toothache, face ache, red face and hot head.

    You may be called to the bedside of a woman who has been laboring for some great cause. She works persistently, is successful, but goes to bed with weeping, delirium, neuralgia, sleeplessness.

    Her heart palpitates, her pulse flickers, she has fainting spells, and without Coffea she may die. Coffee drinkers who keep up through some ordeal and then break down are similarly affected.

    The Coffea patient is sensitive to wine. A small amount of wine intensifies the nervousness, produces sleeplessness, flushed face, feverishness, great excitement. Not necessarily intoxication, but nervous excitement.

    Coffea has a painful sensitiveness of the skin beyond comprehension. I remember one particular case. A woman bad her lower limb out of bed and it was as red as fire down one side. I walked toward it to put my hand on it.

    But she said,

    “Oh, don’t touch it, I can’t bear to have it touched; I can’t touch it myself.”

    I asked how long this had been coming on.

    She said,

    “Ob, it all came on within an hour.”

    Such a symptom is common in coffee drinkers. There was no fever. Intense stinging, burning pains in the skin with the redness and heat with coarse rash coming on suddenly, leaving just as suddenly. The sensitive part is aggravated by cold air, aggravated by any wind or from fanning, from motion, yet aggravated by warmth. Aggravated from anyone walking across the floor. The woman I referred to scowled when I was walking toward the bed. A number of times I have seen such things relieved within a few minutes by Coffea.

    Mind: Fainting from sudden emotions. Hysteria, nervousness, weeping. Pitiful weeping from pain trembling and weeping from hurt feelings; the slightest neglect. The greatest mental and physical exhaustion; great restlessness lying awake most of the night.

    The wakefulness produced by Coffea is well known, even to the laity. It is taken by nurses to keep them awake nights with their patients. The Coffea patient is quick to act and to think. So full of ideas that she lies awake nights making plans, thinking of a thousand things; utterly unable to banish the thoughts that flood the mind; hears the clocks on the distant steeples, as do Opium, China and Nux vom.

    Hears the dogs barking. So great is the brain activity, the mental excitement, that she hears noises that are purely imaginary. Memory active, easy comprehension full of ideas; increased power to think and to debate. Coffea increases the mental capacity. But after a while reaction follows; she becomes stupid and sleepy.

    There is no end to the fancies, to the visions. Fanciful visions come before the mind. Recalls things not thought of for years; recalls poetry that was recited in childhood. Eyes brilliant; pupils dilated; face flushed head hot.

    Teeth: With all these nervous states the patient dreads the fresh air. He is extremely sensitive to cold, sensitive to the wind and cold weather. Complaints come on in the cold weather, from the cold air. Pain in the mouth and jaws, better from holding ice-cold water in the mouth.

    This applies to toothache and faceache where it is deep in the jaws. Hot head; inflamed condition of the gums. Pain in the teeth; rending, tearing pain in the teeth, brought on from exposure to cold, from emotions, from excitement, from joy; aggravated from motion; ameliorated by ice or ice-cold things; aggravated by warm food.

    Cannot drink warm tea, it so intensifies the pain. That is a particular. The particulars contrast with the generals. In one place you may see “better from cold” in black-faced type, but it relates to the face and jaws. Worse from cold is a general. Aversion to cold air, aversion to the open air unless it is very warm and still. Aversion to wind.

    “Neuralgic toothache entirely relieved by holding cold water in the mouth, returning as it becomes warm.

    Toothache during the menstrual period.

    Complaints of anemic children during dentition.”

    Children: Those nervous, excitable children that talk to the nurse and the mother very rapidly with brilliant eyes, red face, cannot go to sleep. It will quiet the patient and actually favor the growth of the tooth in a painless manner.

    That is the description of a nervous child with many nervous brain and mental troubles. This child is extremely sensitive; it takes cold. The routine prescriber gives Belladonna to a child who has hot head, hot face and throbbing carotids, and when it does not help he gives more Belladonna, and increases the size of his dose until the child has a proving.

    He makes a Belladonna child, out of it when Coffea would have cured it. In most instances where Belladonna is indicated the child is sluggish and stupid, and would like to sleep. With Coffea there is excitement. The child hears things its mother cannot hear; sees things; imagines things.

    Wakes up in fright. Sees this, that and the other thing in the room. Wakes up excited as if it had visions. Looks for things, and finally sees they are not there. Such things are strong features of Coffea.

    Ears: At times the head is hot, the face is flushed and, the eyes so brilliant that one fears apoplexy. Patients will often tell you that they hear a “noise” in the head, a ringing and roaring in the occiput.

    The ear is the one organ capable of registering sounds. But strange to say, the ears are sometimes very deceiving. Roaring in the ears sometimes seems as if it were in the occiput. Sometimes it is accompanied with a sensation of tingling or bubbling in the head.

    When patients say,

    “I have a roaring in the head,”

    you know that means in the car; many times accompanying roaring, ringing in the ears, buzzing in the ears, is a peculiar sensation of vibration in the head that is mistaken by the patient for a sound.

    I mention that because the Coffea patient feels a crackling or a bubbling in the occiput. The head feels badly; it feels too small. Headache, as of something pressing hard upon the surface of the brain.

    You would naturally suppose there was a pressing because of the congestive state heretofore described.

    “Headache as if the whole brain were torn and bruised, or dashed to pieces.

    Worse from motion, noise or light.”

    The eye and the head symptoms are worse from noise and light.

    “Headache intolerable.

    Head feels small, and as if filled with fluid.

    Nervous hysterical headache.

    One-sided headache.”

    There is another head symptom which is quite common. A feeling as if a nail were driven into the head. Coffea headaches are worse from walking, from motion; from the mere moving across the floor, he says he feels a draft of air on his head. And that is true of the pain in any part of the body.

    If a Coffea patient should have a pain in the hand, swinging of the hand through the air will aggravate. It is worse both from the motion and from the air. I want to illustrate that in this way in order to show how sensitive he is to air, and especially the painful part to cold air; when he moves against the air, against even still air he feels it. But the amelioration of the toothache from cold is an exception, is a particular.

    The neuralgia of the face is a common feature of old coffee drinkers.

    Sensitive persons take coffee and finally become habituated to it. They say they cannot get along without it. They must have coffee. Such individuals should stop coffee. When coffee furnishes a crutch it is a sure indication that drinking it must be stopped.

    So it is with tea or any beverage. Such persons sometimes become sensitive to coffee, and they drink it in great quantities; the face becomes red; headaches come on, and other symptoms of Coffea. Stopping coffee brings out quite a proving, and you have to study Cham. and Nux for an antidote.

    In all these remedies you get opposite effects. Now Opium will illustrate that. The first effect of Opium is to constipate. Let several doses be given, and as the effects of the Opium wear off he may have diarrhea. Opium eaters can seldom stop because a diarrhea comes on. If you should ever have an Opium case and diarrhea comes on Puls. will nearly always control it. But there are individuals who reverse that. Often small doses of Opium will bring on dysentery, and if it is increased, bloody dysentery and inflammation of the bowels come on. Of course, one is action and the other the reaction.

    Women: A woman who is a confirmed coffee drinker will have menses too soon and lasting too long.Uterine hemorrhage is not uncommon. Another feature of Coffea is that the woman can scarcely wear the napkin during menstruation (Platinum).

    The parts are in a state of hyperesthesia. The vagina is hot and sensitive, often preventing coition. In the text it reads

    “Great sensitiveness of female genital organs, with general excitability.

    She is in a state of ecstacy.

    Uterine hemorrhage with excessive sensitiveness of organs and voluptuous itching.

    Metrorrhagia; large black lumps.”

    Sometimes large bright red lumps.

    “Worse from every motion, with violent pain in the groins, and fear of death.”

    Excessive sensitiveness about the vulva with voluptuous itching, is a strong feature of Coffea, and you will often find such symptoms in coffee drinkers.

    During and after labor we also see this great excitement, all these nervous manifestations. The nervous system is in a fret, and such a mental state as described comes on with after-pains; extremely sensitive to pain, cries out; sees visions; hears all sorts of noises.

    Pains aggravated from motion; aggravated from noise. Wants everybody to keep still in the house.Convulsions of children.

    “Puerperal convulsions.

    Extreme excitability.”

    “Palpitation of the heart, pulse fluttering.”

    “Strong, quick palpitation of the heart with extreme nervousness, sleeplessness and cerebral erethism caused by unexpected news of great good fortune.”

    Let a woman about to go into confinement hear suddenly some unusually good news and the becomes almost ecstatic; carries the symptom all through confinement. The child is affected, the milk is affected. The milk flows away.

    Hemorrhage is likely to come on. Great nervousness, excitability, fear.

  • Colchicum

    Colchicum
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 71 of 180
    Source pages 1405–1421 of the Nalanda Digital Library edition (public domain)

    It is rather singular that traditional medicine used Colchicum so much for gout. In all the old books it was recommended for this malady. The provings corroborate the fact that Colchicum fits into many conditions of gout.

    Rheumatism: Acute rheumatism and uric acid diathesis; rheumatic complaints in general, with swelling and without swelling. But traditional medicine does not tell us what kind of gout to give it in or what kind of rheumatism.

    It was really the medicine of experience. “if it is gout, try Colchicum.”

    The question of what was to be done with the patient when the remedy failed never came up.

    It was

    “Give the prescription and keep at it,” and drugs were administered until the patient, steadily growing worse, passed from one doctor’s hands, to another’s. It is true that Colchicum fits into the gouty state. Spells of cold, wet weather will slack up the flow of urine, make it scanty, or decrease the quantity of solids in the urine.

    This takes place in the provings of Colchicum and has been verified many times. It is well known that such a condition will bring about or intensify the gouty state. If the solids in the twine are deficient, if they are not carried off in the urine, something must happen, and the gouty state comes on.

    Colchicum is aggravated by cold, damp weather; by the cold rains in the Fall. It is aggravated by anything that will debilitate. It is aggravated in the extreme heat of summer; it has a summer rheumatism; the heat will slack up the flow of urine or the quantity of solids in the urine.

    A striking feature running through the remedy is its tendency to move from one joint to another, from one side to another, from below upwards, or from above downwards. Rheumatic conditions with swelling, or without swelling; first here, next there, changing about from place to place.

    Dropsical condition: Another striking feature is the general dropsical condition. When the hands and feet swell, and there is pitting on pressure. Dropsy of the abdominal cavity, of the pericardium; of the pleura and dropsy of serous sacs. Swellings that are inflammatory and rheumatic; swellings that are dropsical, with pale urine. Whether copious or scanty, still it is pale.

    Muscular rheumatism and rheumatism of the white fibrous tissues of the joints. Rheumatic troubles that have been going on for some time, will end in cardiac troubles. When cardiac troubles with valvular defects are present, almost the first thing the busy doctor thinks of is a history of rheumatism.

    Let me say that a part of the study of Materia Medica consists in the observation of sick people. A busy physician learns without books, though of course he should familiarize himself with the literature, so that from reading, as well as observation, he may acquire a knowledge of the general nature of sickness.

    When he listens to the patient’s story or makes a physical examination, he knows how such cases usually conduct themselves. He knows what to expect. He knows the natural trend of sickness and instantly recognizes what is strange and unusual. He will not recognize what is strange and unusual unless he knows what is natural.

    So your books on symptomatology and pathology, diagnosis, etc., will tell you much of this, but as you gain experience in homeopathic practice you will get a much finer idea of this because your Materia Medica teaches you to observe more closely.

    The Materia Medica man learns to single out and trace every little thing in order to individualize. So it may be said that years of observation in studying disease, studying the sick man along with the Materia Medica, will open to the mind a much grander knowledge of the sicknesses of humanity than can be had by practicing traditional medicine. Traditional medicine benumbs the ability to observe.

    Motion <: All the complaints of this remedy are aggravated from motion. The painful complaints, the head complaints, the bowel complaints. the liver complaints, the stomach complaints, are all worse from motion. Such an aggravation from motion that he dreads to move. About as marked as we find in Bryonia.

    Aversion to motion, and aggravation from motion. Aggravation from becoming cold and in cold, damp weather. He is a chilly patient, sensitive to cold. Most rheumatic patients are sensitive to cold, but there are a few exceptions. There is no greater rheumatic patient than the Ledum patient. He presents, both sides. Though he is cold, his pains are ameliorated by cold. In Colchicum the pains are ameliorated by heat, by wrapping up, by being warm.

    If he moves, any suffering that he may have will be intensified. Great prostration accompanies the complaints of this remedy. Weakness of the limbs, great exhaustion, nervous exhaustion of a typhoid character. He gradually grows weaker like one going into Bright’s disease. He has grown weak for some time, and he is pallid and waxy.

    His hands and feet pit upon pressure. Examine the urine and you will find albumen in it. The urine becomes black like ink with albumen. There is an unusual degree of irritability of the tissues, soreness, sensitiveness to touch, sensitiveness to motion; bruised feeling of the joints and of the whole body.

    Touch and motion bring on a painful sensation in the body as of. electric vibrations. Great weakness and exhaustion. He cannot exert himself in the least without causing dyspnea, Must lie down; does not want to move; sinking of strength; seems as if his life will flow out of him from motion and from exertion; so tired and exhausted.

    This naturally occurs when going towards Bright’s disease, when going towards a continued fever. Kidney affections and liver affections. Lassitude, prostration, anxiety. The muscles twitch and electric shocks pass through the body. A paralytic weakness was observed in the poisonous effects and too prolonged provings. The jaw hangs down, the muscles are flabby, relaxed. He lies on the back as if sinking; slides down in bed like one in typhoid, in low forms of rheumatic and in continued fevers, so great is the exhaustion. Paralysis of the limbs or of one limb, or of any part.

    The Colchicum patient is almost constantly sweating, even with fever, and sometimes the sweat is cold. A draft blows upon him, suppresses that sweat and the paralytic condition of the limbs comes on; suppression of urine and retention of urine. This describes the profound character and type of sickness. Low forms of sickness; prostrating sickness; sickness with nervous trembling; with great exhaustion. After acute disease has passed away, great weakness and dropsy follows. Dropsy after scarlet fever.

    With all these troubles, the stomach and the bowel symptoms are very decided. This is like Cocculus. Absolutely unable to touch food. Nausea, gagging, retching at the bare mention of food in his presence. The thought and smell of food bring on nausea and vomiting. With all these low forms of disease, these states described, we can see that this kind of weakness is little different from the Cocculus weakness.

    Colchicum has delirium, prostration, depression of mind, great sensitiveness to pain, which he seems to feel in his mind, and it brings out mental symptoms. Very sensitive to pain; confusion of the mind; disorders of comprehension. Cannot understand what he reads. The headaches are all of a rheumatic character. Very often the whole skull, the pericranium, is sore as if bruised. The scalp is sensitive. Pressure in the head-constriction; pressing, bursting headaches. Heat in the head. Tearing in the scalp. Headaches are all aggravated by motion.

    Eyes: The eye symptoms are of a rheumatic character, are connected with rheumatism, rheumatic fever. It is not very uncommon to have iritis in connection with rheumatic fever and it is a strong feature of Colchicum. Ulcers of the lids, styes, much lachrymation in the open air. The tears excoriate and cause redness of the lids.

    He takes cold easily. Sneezing, stuffing up of the nostrils. Nosebleed in rheumatic and gouty constitutions. But there is one feature that is more marked in Colchicum than all others. He is so sensitive to odors that he smells things which others do not smell. He smells odors from which he is nauseated.

    “Strong odors make him quite beside himself.”

    You say “soup” or “broth,” or something to eat, and he gets sick.

    Nose: He can smell the things in the kitchen, in spite of much precaution, and this runs through the remedy. In typhoid fever, prostrated beyond the usual and typhoid is always prostrated enough, he is unusually prostrated. He cannot take milk, cannot take raw eggs, cannot take soup, because he gags at the mere thought of them.

    He has gone on for days, and his family are afraid that he is going to starve to death. That aggravation from odors is so strong with him that it seems to take possession of him. It involves his appetite, his weakness, his stomach.

    So it does seem that it is a strong feature. Notice that this is one of his loves; it is a perverted love, and the loves are general whether they are manifested through the eyes, nose or touch. It enters into his very life because it involves hatred to odor, and when it stands out in low forms of disease like the continued fevers, the exhaustive fevers and rheumatic complaints it becomes a general. It would be a particular if it were something that applied to the things alone, but you see it enters into the very innermost.

    Involves a hatred, becomes mental, becomes a part of the man. He himself may be said to hate odors, hate the smell of food and the thought of it. Do not say “food” in the presence of a Colchicum patient, but give him Colchicum first, and pretty soon he will want something to eat. It removes that hatred for food. What a vital thing it must be when a man hates that which will keep him alive.

    Teeth: The teeth are very sensitive.

    “Rheumatic teeth.”

    The gums settle away; after a while the teeth become loose. Pain in the teeth; rheumatic condition of the jaws and the teeth.

    “Grinding of the teeth, teeth sensitive when pressed together.”

    “Aversion to food; loathing the sight and smell,” more the smell of it.

    “The smell of fish, eggs, fat meats or broths causes nausea even unto faintness.”

    The Colchicum patient may have much thirst or no thirst, or these may alternate. Nausea and vomiting are very strong features,

    “Nausea and inclination to vomit, caused by swallowing saliva, Nausea, eructations and copious, vomiting of mucus and bile.

    Violent retching followed by copious and forcible vomiting of food, and then of bile.”

    In the stomach there is sometimes coldness and sometimes burning. Now it may be that the Colchicum patient has both coldness and burning. They are both recorded in the Repertory and in the provings, but it is sometimes difficult to tell which is which, more difficult than you will imagine unless you try a piece of ice somewhere and something very hot.

    “Burning ‘in the pit of the stomach.”

    Coldness in the stomach. Now the abdomen furnishes us still more to observe. The abdomen is distended with flatus, tympanitic.

    Great soreness in the whole abdomen just such a tympanitic condition as we have in typhoid.

    If you ever happen to be in the country practicing, medicine, and the farmer’s cows get into a fresh clover patch and eat themselves full and become distended so that you are afraid they are going to explode offer your services and give each one of those cows a few pellets of Colchicum.

    It will be but a few minutes before the wind will get out of there to your surprise and the farmer’s, too; and you may convert him to Homoeopathy. Farmers have been known to put a butcher knife into the pouch of the cow between the last short ribs to let the wind out.

    The cow will get well, but Colchicum is better than the butcher’s knife. The same is true of the horse; in fact, of man or beast, When the abdomen is violently distended and tympanitic, Colchicum is often a suitable remedy.

    Diarrhea: Spasmodic pains, colic, tearing pains, burning, griping pains, forcing the patient to bend double. Aggravated from motion. Great tenderness and soreness with the colic. Aggravated from eating; ameliorated from bending double. And then comes the diarrhoea. It has just such a diarrhea as is found in low forms of fever. Dysenteric or diarrheic stools that are jelly like.

    They form in the pan a solid mass of jelly like, coagulated mucus. Very painful, extremely painful is the Colchicum stool. Great soreness in the abdomen. Great relaxation of the parts. Protrusion of the rectum. Putrid, dark, bloody mucus.

    “Bloody discharges from the bowels, with deathly nausea.”

    Fall dysentery, with discharges. of white mucus and violent tenesmus. Putrid, dark, clotted blood and mucus pass from the bowels. Diarrhoea with violent, colicky pains. Bloody stools with scrapings from the intestines and, protrusion of anus.

    Profuse, watery stools in hot, damp weather or in the Autumn. Watery, jellylike mucus passes from anus with violent spasm in sphincter. It passes as a thin, watery flow; but as. soon as it cools, it forms a jelly.

    Urines: The urine burns when it passes. It is attended with much pain. Inflammation of the kidneys, inflammation of the bladder; tenesmus; retention of urine.

    The kidneys manufacture no urine; scanty urine with dropsy. The urine is inky, that is, very dark brown and sometimes almost black, loaded with albumen. This remedy conforms principally to the acute form of Bright’s disease.

    Heart and chest: Great dyspnoea, rapid, short breathing; the heart’s impulse strong. Respiration accelerated.

    The heart’s impulse can be heard all over the room. Palpitation; oppression of the chest. Feels as if he had a great weight on the chest; cannot breathe. Hydrothorax; the pleural cavities distended with serum, causing the dyspnea.

    “Heart’s action muffled, indistinct, very weak.”

    Stinging, tearing pains in the muscles of the chest.

    Limbs: Paralytic pains in the arms; enlarged finger joints. This also tells what a low form of sickness, what a feeble circulation this medicine brings about.

    “Weakness so that he strikes the knees together while walking; pain all over as if bruised.

    Swelling of the joints.”

    The joints are most affected.

    Muscular rheumatism.

    Numbness, oedema, swelling of the limbs.

    Editorial notes

    • “Muscular rhumatism” corrected to “Muscular rheumatism” (transcription error in the digital source text).
  • Bufo

    Bufo
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 40 of 180
    Source pages 889–910 of the Nalanda Digital Library edition (public domain)

    The little lands along the back of the toad’s neck, when squeezed with forceps, ooze a secretion which is soluble in alcohol and has been proved, this is the subject we will now consider.

    Bufo sahytiensis is the one I use in practice. Bufo is a wonderful medicine, it profoundly affected the mind and especially the intellectual faculties, including confusion of mind and loss of memory until the patient gradually goes towards a state of imbecility.

    The greatest use of this medicine will be found in nervous conditions, throbbings, jerking and spasmodic condition of muscles, ulceration of the skin and mucous membranes, and all this in such patients as are tending towards a state of imbecility, a state of confusion or weakness of mind.

    The imbecility is more frequent in Bufo than the active states of insanity or mania, yet these appear occasionally through the remedy.

    The first symptom in the text reads,

    “Desire for solitude in order to practice masturbation.”

    This alone throws a flood of light upon the nature of the remedy; the lack of government, the lack of control over the sexual longing, and the low-mindedness whereby he is willing to abandon himself to the lower things that are in the human race, to perverted practices and vices. It tells a great story.

    “Whimpered, then cried, until he fell into a state of coma.”

    These states, as brought out clinically, are manifested in adult people who act as if they were children. An aspect of child-like simplicity is present and the mind returns to a state of child-like innocence.

    An adult takes on the ways of a child, as a state of imbecility. This mental state is especially found under Baryta carb. in adults who have never developed beyond childhood, who have always remained children.

    A person reasons like a child, talks like a child, whimpers like a child, cries like a child, wants to be petted like a child; so it is in Baryta carb. We find this state of mind in children who have developed epilepsy, but we do not prescribe this remedy on account of the epilepsy; the child has not developed properly, and the epilepsy is only one of the manifestations.

    The cause is far back, and is really the psoric condition. Thereby the mental state has not developed, the child has not grown into a man or woman in intellectual attainments or wisdom, and remains as a whimpering, screaming child.

    This lack of development is found in Bufo and in Baryta carb.; they are related to each other in that the child-like state remains while the body grows.

    We see in these medicines the fear and simplicity that belongs to the child; always sickly, deficient, never reaching adult fullness or growth, always a child.

    “How much like a child that woman appears,” or

    “How much like a child that man is.”

    We say that of some old people, they are so childish. The old routinists have said of those people who are prematurely old or have taken on senility, that they need Baryta carb.

    This medicine also stands out in bold type for those prematurely senile; the man at fifty acts like an old broken-down man of eighty; he has lost all he had five or six years ago, and has taken on a child-like simplicity and innocence, an appearance of imbecility.

    Then it is that we think of this medicine. Baryta carb. has hitherto been the leading one, but Bufo is also very important.

    “Left his bed after apathy and ran like mad through the house.”

    There it branches off from the condition of imbecility to that of excitement of mind. Most of the Bufo patients will be passive, placid, not in a state of excitement or mania, but passive in everything. Feeble-minded, simple, child-like.

    “Weak memory and idiotic.”

    “Longs for solitude, yet dreads being alone.”

    “Angry, bites at surrounding objects.”

    “Easily laughs or cries.”

    It has been used in delirium tremens, during the stages of excitement and mental prostration, biting and grasping things.

    “Titters,” now that is more expressive than to say she laughs, she titters at every little thing that is said. Titters and says foolish things; titters over things that are not laughable; everything said seems to be funny to this simple, child-like woman.

    You know a child laughs and is merry, but we do not expect such things in adults except when what is said is particularly ludicrous. These symptoms are sometimes met in epileptics.

    “Easily laughs or cries;” easily affected, and extremely sensitive, nervous nature. Again, the most extreme anxiety, night and day, wringing the hands and talking about something awful that is going to happen when there is nothing to happen; some awful event, some terrible thing in the future, it is all darkness and despair, walks the floor and wrings the hands and says over and over the same awful things that are going to take place, when in reality the future is safe and there is nothing to be anxious about.

    This occurs in cases of insanity. Such as are approaching imbecility are passive, they have a lack of comprehension of things around; but those that are going into. insanity have an increased imagination of the things that surround them. Where these symptoms have been induced by secret vice.

    “Become angry if misunderstood.”

    This is approaching insanity. It is well known to medical men and to the courts that these conditions of insanity intermingle in the human race with epilepsy, and that an epileptic is not always held responsible for murder, because it is so well known that the epileptic state of the body is not confined merely to the spasms of the muscles, the sudden falling, foaming at the mouth, clonic spasms, biting of the tongue, etc. These alone do not constitute all of epilepsy.

    The epileptic suffers from an underlying psoric state, which in one is a state of imbecility and in another a state of epileptic manifestation, and in another a state of insanity. Those who inherit this peculiar constitution, even in one family, exhibit it in different ways; one will be insane, another an imbecile, another will die of cancer and another will be an epileptic.

    Bufo, underlies such a constitution; it is an antipsoric, it is a deep-seated, vital remedy; it goes to the very heart and interior of man’s physical nature, and from this mental state it may manifest itself in his ultimates, the fingers and toes, eyes, ears, etc., so that even the touch is disordered.

    There are patches upon the skin that have loss of sensation and others with increased sensations. Spasms of various muscles, sometimes local spasm and sometimes complete epileptic spasms with bleeding at the mouth, unconsciousness, falling down. Besides such grave state, it has milder states that may be called dizziness or vertigo.

    The milder conditions of dizziness have gone on to sudden falling and collapse, a sudden state of unconsciousness with spasms and biting of the tongue. In the proving we find attacks of apathy and partial coma; numbness of the brain. So we see in the text that we have conditions ranging from mere dizziness to a complete and profound epilepsy.

    The study of this remedy may reveal to you something of the, nature of epilepsy. From the allopathic treatises on epilepsy you will only get the appearance of the fit, and the fit is treated as epilepsy. They hunt for remedies to subdue and control the fit, thinking when they have done that they have cured the patient.

    They feed these patients Bromides in large doses and now and then they branch off into some side issue, but go back to the Bromides and stupefy and make imbeciles of their patients. Prescribing for the fit has never cured the patient,

    “Congestive headaches.”

    Eyes: Again, its action on the circular fibres of the abdominal aorta furnishes a key-note in epilepsy. An awful sensation of anxiety is felt in the abdomen and then there is a sudden loss of consciousness; the aura or warning is first felt in the abdomen. Some writers have described it as in the solar plexus. The awful sensation occurs as an anxiety and then he falls.

    “Cannot bear the sight of brilliant objects.”

    “Amaurosis,” etc.

    “Pupils largely dilated and unaffected by light before attack.”

    “More acute vision.”

    It has spasmodic conditions of the eye, but increased vision and diminished sensation, and lastly a tendency to profound trophic disturbance.

    Little blisters form upon the eye. These little blisters also form upon the skin, and the integument is thrown off and there is. no healing. Ulcers will form upon the cornea.

    “Eyes become highly injected.”

    Paralytic conditions of the lids and muscles of the eye. There is disturbance of all the senses.

    “Music is unbearable.”

    Ears: One who is in a natural state is expected to enjoy beautiful music, whereas in this remedy music brings about a state of anxiety. The sense of hearing is so violently exaggerated that every little noise is distressing.

    “Purulent otorrhoea.”

    “Swelling of the ears; of the parotids.”

    “Phlegmonous erysipelas about the face.”

    “Falling out of the teeth” in the peculiar disease known as Rigg’s disease.

    “Stuttering and stammering; gets angry when incoherent speech is not understood.”

    “Biting the tongue.”

    “Tongue cracked, bluish black.”

    “Mouth wide open before an attack,” showing that the spasm is coming on; and this condition increases so that when the attack is not on, he drops the jaw and looks stupid as if be bad forgotten everything.

    Bufo often corresponds to lesser attacks resembling vertigo. In this state people do not fall, and for a few seconds everything is blank, or sometimes they do things automatically in these moments.

    A person, in this mild form of epileptic vertigo, will hardly show anything, but he will sometimes come to a perfect standstill and then go on as if nothing had happened. What occurred during that attack he knows nothing of.

    Sometimes be will continue right on doing what he was doing, and nobody will know of the spell. Sometimes when driving he will turn his horses around, and when he comes to himself he will know by this that he Ins had one of his attacks.

    Stomach and abdomen: Quite a number of medicines have produced that condition of the mind, a state in which he goes on doing things automatically.

    “Vomiting after drinking.”

    “Yellow fluid in vomit. “

    ‘Vomiting of bile or blood.”

    “Spasms end by convulsive movements in abdomen.”

    It says in the text,

    “The attack originates in abdomen;” that is, he has a feeling of anxiety in the abdomen previous to the attack.

    “Hemorrhoidal tumors.”

    “Urine passes involuntarily.”

    The urine passes involuntarily in such as arc becoming imbeciles from the epileptic attacks, in approaching softening of the brain, which is really what is taking place, a form of softening, a lowered form of integrity.

    Genitals: As you might suppose, there is great disturbance of the sexual organs, this is usually the case in insane people. Sometimes the sexual organs are in a state of excitement and sometimes in a state of impotency, but the patient is low-minded, inclination to carry the band constantly to the genital organs.

    “Semen is discharged too quickly without pleasurable sensation.”

    Spasms or epilepsy comes on during coition. It has also inflammation of glands, especially about the groins, such as are found in syphilis.

    In the female sexual organs burning is the most striking feature burning in the ovaries and uterus. It is one of the most troublesome, symptoms you will have to contend with, when a case of dysmenorrhoea has burning in the ovaries and in the pelvis, at the coming on of or during menses.

    Burning in the genital organs, in the ovaries, and rending, tearing pains that extend down the thighs. This forms a troublesome kind of dysmenorrhoea, especially when there are cysts and hydatids about the ovaries. Some will tell you that these cannot be cured.

    All these conditions are curable!

    “Burning beat and stitches in ovaries.”

    “Distending, burning pains or cramps in uterus.”

    This remedy has been a great palliative for these awful burning pains that occur in carcinoma of the uterus; stitching, rending, tearing pains in carcinoma of the uterus, when the pains run outwards into the legs, with ulceration of the uterus and cervix; tearing, stinging pains and bloody, offensive leucorrhea.

    Bufo is full of offensive discharges; bloody, offensive leucorrhea. You would think you had the odor of gangrene or gangrenous erysipelas in the room from smelling these discharges.

    “Enormous blisters upon tumefied uterus, discharging a thin, serous, yellow fluid.”

    This occurs in epileptic states.

    “Menstruation suppressed,”

    “too early with headache,”

    “burning in uterus and vagina.”

    “Spasms occur just before menses.”

    That is, girls who are subject to epilepsy have increase of spasm at the time of menses, sometimes before, sometimes during.

    “Attacks worse at time of menses.”

    “During menses contractive pain in liver.”

    “Yellow fluid leucorrhoea.”

    When the girl lies in an unconscious condition during the menstrual period and has several epileptic spasms which she has no realization of until told and then she is too much dazed to understand it she needs Bufo.

    Bufo has been a great palliative in cancer of the mammae, for the burning pains and for the blisters that form roundabout; large, yellow blisters; blisters that fill with yellow, serous discharge; it has been especially useful when the milk is mixed with blood.

    Larynx and chest: It corresponds to the low form of inflammation of the blood- vessels, like milk leg, when the veins feet like whipcords in the thighs.

    “Burning, excoriation in larynx.”

    You see how burning runs all through the remedy; it occurs wherever there are inflammatory conditions or where nerves are sensitive and painful, and the nerve sheath becomes painful and sensitive to touch along its course hence its use in sciatica and other inflammatory conditions of large nerves.

    “Violent cough with vomiting.”

    Cough with gagging and retching. Expectoration is bloody or formed of pure blood. Sensation of coldness in chest.

    “Burning like fire in lungs.”

    Burning extending up into the larynx; gangrene of the lungs.

    “Laryngitis, haemoptysis.”

    Burning in the chest with all these affections, such as have been described. It has the phtisical constitution when the epilepsy has been turned aside by strong drugs. It has the phtisical constitution when discharges have been suppressed by closing fistulous openings, or by stimulating ointments.

    It has those low forms of disease which must develop when outward manifestations have been suppressed. The constitution that belongs to the very nature of the individual will come out in epilepsy, in insanity, in imbecility, in cancer, in some one of the low forms of disease. This medicine corresponds to a low type and constitution.

    The nature of the Bufo constitution is such that it is capable of giving out symptoms similar to those produced by low forms of disease.

    He is not likely to live to be old, he A likely to break down at forty. She comes to her end by cancer of uterus or breast, or by imbecility. He comes to his end with low forms of disease, malignant manifestations. This medicine, therefore goes into the very life.

    Children develop an unusual tendency to low forms of chronic disease; they do not possess a good healthy nature, a good sound brain; but they are feeble, they break out with eruptions, they go into consumption. Persons of twenty-five have a tendency to break down, and when the symptoms look like those of Bufo this medicine will, in a wonderful way, make that constitution all over.

    Such cases as these only get well by a violent turmoil and by tremendous aggravations. When we approach these diseases by easy stages the patient does not got so much disorder or excitement, but is not cured so radically. Old diseases would reappear, old gonorrheal would be brought back, and old syphilitic states come up, ulcers attack the mucous membranes, etc.

    Such turmoil is likely to occur when you get a deep acting remedy, such as brings all the disease out that was lurking within.

    “Attacks ushered in by a jerk in the nape of neck.”

    “Swelling of bone she of Ea.”

    “Arms became stiffened before an attack.”

    “Numbness of left arm.”

    “Blister in hand, which recurred annually.”

    “Panaritium.”

    A great many troubles occur in the extremities, paralytic affections, etc.

    A warm room is unbearable; headaches and flushes of the face are made worse in a warm room or when near the stove, better from bathing or in cold air. Complaints better from putting the feet in hot water.

    Trembling. Some of the epileptic attacks occur with regular periodicity, others occur irregularly. We have no remedy for epilepsy.

    Does that mean we must leave the human race to go on and suffer with epilepsy?

    We do have plenty of remedies for people who have epilepsy. A large percentage of the cases are curable.

    After what has been said concerning the nature of this remedy I am sure you will read the symptoms with great interest.

    When you read the symptoms, they will cling around the constitution and nature of such individuals and such states as have been described.

    This is one of the remedies that you will need to use for the development of feeble-minded children whether there are spasms or not.

    Editorial notes

    • “Bufo satyhienis” corrected to “Bufo sahytiensis” (transcription error in the digital source text).
  • Carbo Vegetabilis

    Carbo Vegetabilis
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 55 of 180
    Source pages 1155–1211 of the Nalanda Digital Library edition (public domain)

    We will take up the study of Vegetable Charcoal – Carbo veg.

    It is a comparatively inert substance made medicinal and powerful, and converted into a great healing agent, by grinding it fine enough. By dividing it sufficiently, it becomes similar to the nature of sickness and cures folks.

    The Old School use it in tablespoonful doses to correct acidity of the stomach. But it is a great monument to Hahnemann. It is quite inert in crude form and the true healing powers are not brought out until it is sufficiently potentized. It is one of those deep acting, long-acting antipsoric medicines. It enters deeply into the life, in its proving it develops symptoms that last a long time, and it cures conditions that are of long standing-those that come on slowly and insidiously.

    Generalities: It affects the vascular system especially; more particularly the venous side of the economy, the heart, and the whole venous System.

    Sluggishness is a good word to think of when examining the pathogenesis of Carbo veg.

    Sluggishness, laziness, turgescence, these are words that will come into your mind frequently, because these, states occur so frequently in the symptomatology. Everything about the economy is sluggish, turgid, distended and swollen.

    The hands are puffed; the veins are puffed; the body feels full and turgid; the head feels full, as if full of blood. The limbs feel dull, so that the patient wants to elevate the feet to let the blood run out. The veins are lazy, relaxed and paralyzed. Vaso-motor paralysis. The veins of the body are enlarged; the extremities have varicose veins.

    Mind: The whole mental state, like the physical, is slow. The mental operations are slow. Slow to think; sluggish; stupid; lazy. Cannot whip himself into activity, or rouse a desire to do anything. Wants to lie down and doze.

    The limbs are clumsy; they feel enlarged. The skin is dusky. The capillary circulation is engorged. The face is purple. Any little stimulating food or drink will bring a flush to that dusky face. When you see people gather round a table where wine is served you can pick out the Carbo veg. patients, because their faces will be flushed; in a little while it passes off and they get purple again dusky – almost a dirty duskiness. The skin is lazy; sluggish.

    Running through the remedy there is burning. Burning in the veins, burning in the capillaries, burning in the head, itching and burning of the skin. Burning in inflamed parts. Internal burning and external coldness.

    Coldness, with feeble circulation, with feeble heart. Icy coldness. Hands and feet cold and dry, or cold and moist.

    Knees cold; nose cold; ears cold; tongue cold. Coldness in the stomach with burning. Fainting. Covered all over with a cold sweat, as in collapse.

    Collapse with cold breath, cold tongue, cold face.

    Looks like a cadaver. In all these conditions of coldness the patient wants to be fanned.

    Bleeding runs all through the remedy. Oozing of blood from in flamed surfaces. Black bleeding from ulcers. Bleeding from the lungs; from the uterus; from the bladder. Vomiting of blood.

    Passive haemorrhage. On account of the feeble circulation a capillary oozing will start up and continue. The remedy hardly ever has what may be called an active gushing flow, such as belongs to Belladonna, Ipecac, Aconite, Secale, and such remedies, where the flow comes with violence; but it is a passive capillary oozing.

    The women suffer from this kind of bleeding; a little blood oozing all the time, so that the menstrual period is prolonged. Oozing of blood after confinement, that ought to be stopped immediately by contractions.

    There are no contractions of the blood vessels; they are relaxed. Black venous oozing. After a surgical operation there is no contraction and retraction of the blood vessels. An injury to the skin bleeds easily. The arteries have all been tied and closed, but the little veins do not seem to have any contractility in their walls. An inflamed part may bleed. Feeble heart; relaxed veins.

    Ulcers: Again, ulceration. If you have a case, such as I have described, with relaxation of the blood vessels and feebleness of the tissues, you need not be surprised if there is no repair, no tissue making.

    So, when a part is injured, it will slough. If an ulcer is once established, it will not heal. The tissues are indolent. Hence we have indolent ulcers; body, ichorous, acrid, thin discharges from ulcers.

    The skin ulcerates; the mucous membranes ulcerate. Ulcers in the mouth and in the throat. Ulceration everywhere because of that relaxed and feeble condition. Poor tissue making, or none at all,

    “The blood stagnates in the capillaries,” is the way it reads in the text.

    You can see how easy it would be for these feeble parts to develop gangrene. Any little inflammation or congestion becomes black or purple and sloughs easily that is all that is necessary to make gangrene.

    It is a wonderful remedy in septic conditions – blood poisoning, especially after surgical operations and after shock. It is a useful remedy in septic conditions; in scarlet fever; in any disease which takes on a sluggish form, with purplish and mottled appearance of the skin.

    Sleep: In Carbo veg. the sleep is so full of anxiety that it may be said to be awful. On going to sleep there is anxiety, suffering, jerking, twitching, and be has the horrors. Everything is horrible. Horrible visions; sees ghosts.

    A peculiar sluggish, death-like sleep, with visions. The Carbo veg. patient wakens in anxiety and covered with cold sweat. Exhaustion. Unrefreshed after sleep.

    And thus the whole patient is prostrated by his sleep. So anxious that he does not want to go to sleep. Anxiety in the dark. Anxiety with dyspnoea as if he would suffocate. Anxiety so great that be can not lie down.

    In Carbo veg. indifference is a very prominent symptom. Inability to perceive or to feel the impressions that circumstances ought to arouse.

    His affections are practically blotted out, so that nothing that is told him seems to arouse or disturb him.

    “Heard everything without feeling pleasantly or unpleasantly, and without thinking about it.”

    Horrible things do not seem to affect him much; pleasant things do not affect him. He does not quite know whether he loves his wife and children or not.

    This is a part of the sluggishness, the inability to think or meditate, all of which is due to the turgescence. Sluggishness of the veins. Head feels full; distended.

    His mind is in confusion and he cannot think. He cannot bring himself to realize whether a thing be so or not, or whether he loves his family or not, or whether he hates his enemies or not. Benumbed stupid.

    There is another state anxiety and nightly fear of ghosts anxiety as if possessed; anxiety on closing the eyes; anxiety lying down in the evening; anxiety again on waking. He is easily frightened. Starting and twitching on going too sleep.

    Head: The headaches are mostly occipital. His whole head is turgid, full, distended. He feels as if the scalp was too tight. Everything is bound up in the head. Awful occipital headaches. Cannot move, cannot turn over, cannot lie on the side, cannot be jarred, because it, seems as if the head would burst, as if something was grasping the occiput.

    Dull headache in the occiput. Violent pressive pain in the lower portion of the occiput. Head feels heavy. When the pain is in the occiput the head feels drawn back to the pillow, or as if it could not be lifted from the pillow.

    Like Opium; he cannot lift the head from the pillow. Painful throbbing in the head during inspiration. The Carbo veg. patient takes short breaths, quietly, keeping just as still as possible, until finally he is compelled to take a deep breath, and it comes out with a sharp moan.

    Headache as from contraction of the scalp. Painful stitches through the whole head when coughing; the whole head burns. Intense heat of the head; burning pain. Rush of the blood to the head followed by nose-bleed.

    Congestion to the head with spasmodic constriction, nausea, and pressure over the eyes. A feeling as of an oncoming coryza from an overheated room. Many of these headaches come on from taking cold, from coryza, from slacking up of an old catarrh.

    The Carbo veg. patient suffers from chronic catarrh. He is at his best when he has a free discharge from the nose, but if he takes cold and the discharge stops congestion to the head comes. He cannot stand suppression of discharges.

    Headaches come on every time he takes cold; from cold damp weather; from going into a cold damp place and becoming chilled. Awful occipital headache, or headache over the eyes, or headache involving the whole head, with pounding like hammers.

    These states are like Kali bichromicum, Kali iodatum and Sepia. Many of these headaches are due to stopped catarrhal conditions.

    The hair falls out by the handful. Eruptions come out upon the head. School girls and boys, too, who are sluggish, slow to learn, and suffer from night terrors; they will not sleep alone, or go into a dark room without someone with them.

    They have headaches, worse from pressure of the hat. A long time after taking off the hat they still feel the pressure. Sweat, cold sweat; particularly sweat of the head and of the forehead.

    The Carbo veg. patient breaks out into a copious sweat, appearing first on the forehead, and the sweat is cold. The forehead feels cold to the hand, and any wind blowing upon it will produce pain; he wants it covered up. Head sensitive to cold.

    If he becomes overheated and like head perspires, and then a draft strikes that sweating head, his catarrh will stop at once and headaches will come on. His knees and hands and feet get cold, and he sweats without relief.

    Eyes: The eye symptoms are troublesome, and they often occur along with the headache. Burning pain in the eyes. The eyes become lustreless, deep-set, and the pupils do not react to light. He feels sluggish mentally, and does not want to think.

    He wants to sit or lie around, for every exertion gives him a headache. Whenever this state is present the eyes show it. You know he is sick because the bright, sparkling look has gone out of his eyes. If he could only get somewhere by himself and lie down-provided it was not dark, he would be comfortable.

    He wants to be let alone; he is tired; his day’s work wears him out. He comes home with a purple face, lustreless eyes, sunken countenance, tired head and mind. Any mental exertion causes fatigue. Weight in the head, distress and fullness in the head, with cold extremities.

    The blood mounts upward. Hemorrhages from the eyes; burning, itching and pressing in the eyes. The eyes become weak from overwork or from fine work.

    Ears: Carbo veg. is one of the medicines for discharges from the ears. Offensive, watery, ichorous, acrid and excoriating discharges, especially those dating back to malaria, measles or scarlet fever, particularly to scarlet fever.

    A sluggish condition of the venous system. The veins seem to be most affected in all old complaints, especially whenever a patient says of himself, or a mother says of her child, that he has never been quite well since an attack of malarial fever.

    The daughter has never been quite well since she had the measles, or typhoid fever, or scarlet fever; Carbo veg. is one of the medicines to be thought of when symptoms are in confusion, and the patient has been so much doctored that there is no congruity left in the symptoms.

    Old ear discharges, or old headaches, when all the symptoms have been suppressed. It is then Carbo veg. often becomes one of the routine remedies to bring symptoms into order and to establish a more wholesome discharge from that ear. it brings about reaction, establishes a better circulation and partially cures the case, after which a better remedy may be selected.

    Inflammation of the parotid glands, or mumps. When mumps change their abode, from being chilled, and go in the girl to the mammary glands, and in the boy to the testes, Carbo veg. is one of the medicines to restore order; very often it will bring the trouble back to its original place, and conduct it on through in safety.

    Pains in the ear. Passive, badly-smelling discharges from the ear. Loss of hearing. Ulceration of the internal ear. Something heavy seems to lie before the ears; they seem stopped; the hearing is diminished, especially in those cases that date back to some old trouble.

    Nose: The Carbo veg. patient is always suffering from coryza. He goes into a warm room, and, thinking he is going out in a minute, he keeps his overcoat on.

    Pretty soon he begins to get heated up, but he thinks he will go in a minute and he does not take off his coat. A procedure like that is sure to bring on a coryza. It will commence in the nose, with watery discharge, and he will sneeze, day and night.

    He suffers from the heat and is chilled by the cold; every draft chills him; and a warm room makes him sweat, and thus he suffers from both. He can find no comfortable place, and he goes on sneezing and blowing his nose.

    Perhaps he has bleeding from the nose. At night he is purplish. The coryza extends into the throat and brings on rawness and dryness in the mouth and throat. A copious watery discharge, filling the posterior nares and the throat.

    Larynx and chest: Then he begins to get hoarse, and in the evening he has a hoarse voice, with rawness in the larynx and throat. Rawness in the larynx on coughing; soreness to the touch. The more he coughs the worse the rawness becomes.

    This condition extends into the chest. Secretion of much thin mucus, finally becoming thick yellowish-green, and bad-tasting. Such is the coryza. Now, with it there comes a stomach disturbance that is commonly associated with Carbo veg. complaints.

    Great distension of the abdomen with gas. With this coryza he has belching, and sour, disordered stomach. Every time he disorders his stomach he is likely to get a coryza. Every time he goes into an overheated room he is likely to get a coryza, with sneezing, chest complaints, and catarrh.

    This catarrhal state in the nose is only a fair example of what may occur anywhere where there is a mucous membrane. Catarrhal conditions with a flow of watery mucus and bleeding. Carbo veg. has catarrhs of the throat, nose, eyes, chest, and vagina.

    Old catarrhal conditions of the bladder; catarrh of the bowels and stomach. It is pre-eminently a catarrhal remedy.

    The woman feels best when she has more or less of a leucorrhea, it seems a sort of protection. These discharges that we meet every day are dried up and controlled by local treatments, by washes, and by local applications of every kind, and the patient put into the hands of the undertaker, or made a miserable wreck.

    If these catarrhal patients are not healed from within out, the discharges had better be allowed to go on. While these discharges exist the patient is comfortable. It is quite common for the Carbo veg. patient to be feverish with the coryza, but with many other complaints he is cold; cold limbs; cold face; cold body; cold skin; cold sweat.

    It is not so common for the earlier stages of the coryza, and the catarrhal conditions to have these cold symptoms. He is feverish in the evening and at night. But after he passes into the second stake, when the, mucus is more copious, then come the cold knees, cold nose, cold feet, and cold sweat.

    Face: The face of Carbo veg. is a great study. In the countenance and in the expression we see much that is general.

    The patient shows his general state in his expression, especially in the eyes. He tells you how sick he is; he tells you the threatening points.

    In Carbo veg. there is great pallor and coldness, with lips pinched and nose pointed and drawn in. Lips puckered, blue, livid, sickly, deathly. Face cold, pale, and covered with sweat.

    As the tongue is protruded for examination it is pale and cold, and the breath is cold, yet he wants to be fanned. This is true whether it be cholera, diarrhea, exhaustive sweats, or complaints after fevers.

    Sometimes, after a coryza has run its course and ended in the chest, there is great dyspnea, copious expectoration, exhaustive sweat, great coldness and the patient must be fanned.

    Cough followed by dyspnea, exhaustion, profuse sweats, with choking and rawness and he wants to be fanned. Cold face; pinched face. So the sufferings are expressed in the face. The pains and aches, and anxiety and sorrow are all expressed in the face.

    The study of the face is a delightful and profitable one. The study of the faces of remedies is very profitable. It is profitable to study the faces of healthy people that you may be able to judge their intentions from their facial expressions. A man shows his business of life in his face; he shows his method of thinking, his hatreds, his longings, and his loves.

    How easy it is to pick out a man who has never loved to do anything but to eat: the Epicurean face. How easy it is to pick out a man who has never loved anything but money: the miserly face. You can see the love in many of the professional faces; you can single out the student’s face.

    These are only manifestations of the love of the life which they live. Some manifest hatred; hatred of the life in which they have been forced to live; hatred of mankind; hatred of life. In those who have been disappointed in everything they have undertaken to do we see hatred stamped upon the face.

    We see these things in remedies just as we see them in people. The study of the face is a most delightful one. A busy, thoughtful and observing physician has a head full of things that he can never tell: things he knows about the face.

    So the face expresses the remedy. In Carbo veg. the face flushes to the roots of the hair after a little wine. This is a strong characteristic. All over the body the skin will become flushed. Sometimes a flush appears in islands, which grow together and become one solid flush, creeping up into the hair.

    So great is the action of this remedy upon the capillary circulation that sometimes a tablespoonful of wine is sufficient to cause this flushing of the skin.

    Gums: The old books talk about “scorbutic gums;” now we call it Rigg’s disease: a separation of the gums from the teeth. Bleeding of the gums; sensitiveness of the gums. Separation of the gums from the teeth.

    The teeth get loose.

    We hear about “the teeth rattling in his mouth.”

    The Carbons produce just such a state, a settling away and absorbing of the gums. They get spongy and bleed easily, and hence looseness of the teeth with bleeding of the gums, which are very sensitive.

    Teeth decay rapidly. Bleeding of the gums when cleaning the teeth. Teeth and gum affections from abuse of Mercury, Teeth feel too long and are sore. Drawing and tearing in the teeth. Tearing in the teeth from hot, cold or salt food; pain from both heat and cold. This is in keeping with the general venous condition of the whole system.

    Sensitiveness of the tongue. Inflammation of the tongue. In certain low forms of fever, like typhus and typhoid fevers, the gums turn black; that is, they throw out a blackish, bloody, offensive, putrid exudate. If disturbed or touched they bleed; and the tongue piles up that blackish exudate – that oozing of black blood from the veins.

    This is present in putrid forms of fevers like the typhoid-in zymotic states. This remedy is rich in those zymotic symptoms, such as are described in common speech as “blood-poisoning.”

    Carbo veg. is a sheet-anchor in low types of typhoid; in scarlet fever where a typhoid condition is coming upon the case, and in the last stages of collapse; in cholera, and in yellow fever at the time of collapse, where there is coldness, cold sweat, great prostration, dyspnoea – wants to be fanned. Great prostration with cold tongue,

    Mouth and throat: The mouth and throat are filled with little purple aphthous ulcers, which were little white spots to begin with, but they have grown purplish and now ooze black blood. These aphthous patches bleed easily, burn and sting. Blisters form. Smarting, dryness of the mouth with bleeding aphthous ulcers. These are common features of Carbo veg. in any of the mouth and throat conditions.

    Tough mucus in the throat; bloody mucus in the throat. These little ulcers run together, spread and become one solid mass. A large surface will become ulcerated, denuded of its mucous membrane, and then it will bleed. Little black spots come upon it. Food cannot be swallowed because the throat is so sore. Generally the throat feels puffed.

    The Cargo veg. patient has a longing for coffee, acids, sweet and salt things. Aversion to the most digestible things and the best of food. For instance, aversion to meat, and to milk which causes flatulence. Now, if I were going to manufacture a Carbo veg. constitution I would commence with his stomach.

    If I wanted to produce these varicose veins and the weak venous side of the heart; this fullness and congestion, and flatulence, this disordered stomach and bowels, and head and mind troubles; sluggishness of the economy.

    I would begin and stuff him. I would feed him with fats, with sweets, puddings, pies and sauce, and all such indigestible trash, and give him plenty of wine – then I would have the Carbo veg. patient.

    Do we ever have any such people to treat? just as soon as they tell their story, you will know, enough about their lives to know that they are mince pie fiends; they have lived on it for years, and now they come saying, “Oh, doctor, my stomach; just my stomach; if you will simply fix up my stomach.”

    But what are you going to do with him? He has made himself into a Carbo veg. patient for you, and it may be quite a while before you can bring him down to a sensible diet.

    Now he must begin at the foot of the ladder. I only brought this up to show how a Carbo veg, patient is produced and what kind of a stomach he has, and what he has been living on. He has burning in the stomach, distension of the stomach, constant eructations, flatulence, passing offensive flatus.

    In reality he is in a foetid condition, a putrid condition. His sweat is offensive. He has heartburn eructations, the stomach regurgitates the food that he takes.

    Carbo veg. has much vomiting at the end of the chill. Vomiting and diarrhoea. Vomiting and blood; with the vomiting of blood the body is icy cold; breath cold, The pulse is thready and intermittent. Fainting; hippocratic face; oozing of thick black blood.

    Vomiting of sour, bloody, bilious masses.

    Stomach and food: There is an accumulation of flatus in the stomach, so that the stomach feels distended. All food taken into the stomach seems to turn into flatus; he is always belching and is slightly, relieved for a while by belching. Carbo veg., has cramps in the bowels and stomach; burning pain; anxiety; distension.

    All these symptoms are ameliorated by belching or passing flatus. Amelioration from belching seems quite a natural event; but when we study China, you will see that the patient appears to be aggravated from belching. The idea is that the patient gets relief from belching from eructation, but under Lycopodium and China it seems that no relief comes. They belch copiously and yet seem just as full of mind as ever, and sometimes even seem to be worse.

    The Carbo veg. patient experiences a decided relief from eructation. This is a particular symptom, but it becomes almost general, and sometimes quite general. Headaches are relieved by belching; rheumatic pains are relieved by belching; sufferings and distensions of various kinds are relieved by eructations.

    This abdominal fullness aggravates all the complaints of the body. The fullness, which is described as if in the veins, is sometimes in the tissues, under the skin, so that it will crepitate. This is a feature of Carbo veg., and, in rheumatic conditions, part of the swelling is sometimes of this character.

    Food remains a long time in the stomach, becomes sour and putrid. It passes into the bowels and ferments further, finally passing off in the form of putrid flatus.

    There is colic, burning pains, distension, fullness, constricting and cramping pains from this distension.

    The patient complains of feeling as if the stomach were raw. This is described as a smarting, sometimes from taking food; sometimes from taking cold water. Carbo veg., has cured ulceration of the stomach. It is a deep-acting medicine, and is capable of curing all disordered conditions of the stomach; such as disorders from eating indigestible things, mince pie, too hearty food.

    Liver: In Carbo veg. the liver, like all the other organs, takes on a state of torpidity and sluggishness. It becomes enlarged. The portal system is engorged, and hence hemorrhoids develop.

    Pain and distension in the region of the liver; sensitiveness and burning in the liver, accompanied by a bloated condition of the stomach and bowels. A feeling of tension in the region of the liver; the part feels drawn, as if too tight.

    There are pressing pains in the liver, and it is sensitive to touch.

    Abdomen: Much that I have said regarding the flatulence and fullness of the stomach applies also to the abdomen. Carbo veg. may be indicated in low forms of fever, as in septic fever, when there is a marked tympanitic condition, with diarrhoea, bloody discharges, distension and flatulence.

    Extremely putrid flatus escapes making the patient very offensive. A striking abdominal symptom of Carbo veg. is that the flatus collects here and there in the intestine as if it were in a lump incarcerated flatus; a constriction of the intestine will hold it in one place so that it feels like a lump or tumor, that finally disappears.

    Colic here and there in the abdomen from flatus. There is burning in the abdomen. No matter what the trouble is, in Carbo veg. there is always burning. The part burns; it feels full; it becomes engorged and turgid with blood.

    Diarrhoea, dysentery, cholera, when there is a bloody, watery stool. Cholera infantum; stool mixed with mucus; watery mucus mixed with blood.

    The child sinks from exhaustion, with coldness, pallor and cold sweat. The nose, face and lips are pinched and hippocratic. With all diarrheic troubles the prostration will indicate Carbo veg. as much as, if not more than, the stool.

    In the diarrhea of Carbo veg. all the stools, no matter what kind, are putrid, with putrid flatulence. The more thin, dark bloody mucus there is, the better is the remedy indicated. Itching, burning and raw ness of the anus and round about, are strong features of Carbo veg.

    Soreness in all diarrheic conditions – soreness to pressure over the abdomen. Round about the anus, in children, there is excoriation. The parts are red, raw and bleeding, and they itch.

    Itching of the anus in adults. Ulceration of the bowels. This tendency to ulceration of mucous membranes is in keeping with the character of the remedy. Whenever there are mucous membranes there may be ulceration. Aphthous appearance. Ulceration of Peyer’s glands. The patient lies in bed and oozes involuntarily a thin bloody fluid, like bloody serum.

    Bladder: Old chronic catarrhal conditions of the bladder, when the urine contains mucus, especially in old people, with cold face, cold extremities and cold sweat.

    There is suppression of urine. In both the male and the female organs there is a weakness and relaxation. The male organs hang down. Relaxation of the genitalia; cold and sweating genitals. The fluids escape involuntarily.

    Women: In the woman the relaxation is manifested by a dragging down sensation; dragging down of the uterus, as if the internal parts would escape. The uterus drags down so that she cannot stand on her feet. All the internal organs feel heavy and hang down.

    Another strong feature of Carbo veg. is dark, oozing haemorrhage from the uterus. It is not so often a copious gushing hemorrhage, the remedy has that also – but it is an oozing. The menstrual flow will ooze from one period almost to another.

    The blood is putrid and dark, even black, with small clots, and considerable serum escapes with it. it says in the text:

    “Metrorrhagia from uterine agony.”

    Atony is a good name for the condition; lack of tone; relaxation; weakness of the tissue. Atony is everywhere present in the Carbo veg. constitution. The muscles are tired, the limbs are tired, the whole being is tired and relaxed.

    This is in contradistinction to the gushing found in Belladonna, Ipecac, Secale and Hamamelis, where the blood escapes in great gushes, followed quite naturally by a contraction of the uterus, for there is more or less tonicity in connection with it.

    In Carbo veg., either in connection with confinement or menstruation, or in an incidental haemorrhage, the uterus does not contract. Subinvolution from mere atony; no contraction; no tonicity; weakness and relaxation.

    After menstruation, confinement and the various complaints that woman is subject to, there is a period of weakness that Carbo veg. often fits.

    When there is a retained placenta, with scanty hemorrhage – just an oozing, with no tendency to a gush of blood – the physician remembers that throughout the whole pregnancy and confinement there has been sluggishness and slowness of pains, and he says:

    “Why did I not think of Carbo veg. Before?”

    The woman has needed Carbo veg. for a month. He administers a dose, and before he has time to think about it, the uterus will expel that placenta and fix up matters so nicely that he will not need the mechanical interference that might otherwise have been necessary.

    Now-a-days we hear so much about this meddlesome midwifery, this curetting, and doing this and that and the other thing, that it makes a homeopathic physician disgusted, just as if those parts were not made by Nature, and could not take care of themselves; as if they must be swabbed out and syringed out.

    These injections of bichlorides, etc., to keep the germs out of a woman are all nonsense. If a state of order is maintained there will be no germs.

    A homoeopathic physician can manage hundreds of these cases, and have no trouble. If he sees clearly beforehand what remedy the woman needs there will be no bad cases; they will all take care of themselves.

    Irregular contractions that bring on abnormal conditions are all avoided if the woman is turned into order before she goes into confinement. Carbo veg. is one of the medicines that prepares a woman well for confinement, that is, the symptoms calling for Carbo veg. are often present in such conditions. She is often run down, relaxed and tired. Pregnancy brings about a great many unusual conditions.

    There is the nausea in pregnancy; the flatulence; the offensiveness; the weakness; the enlarged veins. They will tell you that the enlargement of the veins of the lower limbs is from pressure, but it is generally not from pressure, but from weakness of the veins themselves.

    Suppression of milk; prostration or great debility from nursing. It is not natural for a woman in a healthy state to become prostrated when nursing her child. She becomes so because she is sick. She was in a state of debility before she began nursing, and the weakness should be corrected by an appropriate remedy.

    Then she can make milk and feed her child without feeling the loss of it. Such is the state of order. Carbo veg. is a friend to the woman, and a friend to her offsprings. You will be astonished, after ten years of real homoeopathic practice, that you have so few deformed babies; that they have all grown up and prospered; that their little defects and deformities have been outgrown, and that they are more beautiful than most children, because they have been kept orderly.

    The doctor watches and studies him, and feeds him a little medicine now and then, that the mother suspects is sugar, to keep on the good side of the baby. She need not know that it is medicine, or that anything is the matter with the baby.

    So he watches the development of that little one, and grows him out of all his unhealthy tendencies. The children that grow up under the care of the homoeopathic physician will never have consumption, or Bright’s disease; they are all turned into order, and they will die of old age, or be worn out properly by business cares; they will not rust out.

    It is the duty of the physician to watch the little ones. To save them from their inheritances and their downward tendencies is the greatest work of his life. That is worth living for. When we see these tendencies cropping out in the little ones we should never intimate – that they are due to the father or mother.

    It is only offensive and does no good. The physician’s knowledge as to what he is doing is his own, and the greatest comfort be can get out of it is his own. He need never expect that anyone will appreciate what he has done, or what be has avoided.

    The physician who desires praise and sympathy for what he has done generally has no conscience. The noble, upright, truthful physician works in the night he works in the dark, he works quietly; he is not seeking for praise.

    He does this when called to the house, and when members of the family bring little ones to the office. In this manner children can be studied and their symptoms observed and enquired into.

    Whenever the mother brings the child. expecting medicine, she may know that he is receiving medicine, but when she does not ask for medicine let her suspect that Johnnie is getting sugar so the doctor can get on the good side of him. That is sufficient.

    Voice and larynx: In Carbo veg. the voice manifests a great many symptoms. I described a part of them when going over the coryza. I explained how it began in the nose, and traveled to the throat, the larynx, and the chest.

    Now many of the complaints of the larynx begin with a cold, in the nose, which finally locates permanently in the larynx and in that way we bring out the Carbo veg. cases.

    It is only now and then that the Carbo veg. cold settles in the larynx first; it usually travels through the nose. Most remedies have a favorite place for beginning a cold. For instance, the majority of Phosphorus colds begin in the chest or larynx. Not so with Carbo veg.; its cold generally begins in the nose, with a coryza, and the larynx is simply one of the stopping places.

    If the Carbo veg. cold goes down into the chest it may have its ending in the bronchial tubes or the lungs. There is a favorite place for it to settle, and it seems as if it were going to remain there. Weakness in the larynx from talking. Tired larynx of speakers and singers, and feeble, relaxed persons.

    The hoarseness comes on in the evening. The larynx may be fairly well in the morning, but as soon as it becomes evening his voice becomes husky. In more serious forms he may be speechless in the morning, but hoarseness and huskiness in the evening are more characteristic. Huskiness and rawness in the evening. Rawness in the larynx when coughing. Some will say there is burning, some will say rawness. Rawness in the larynx and trachea when coughing.

    A continual formation of mucus in the larynx, which he has to scrape and cough out. We see the same tendency to weak ness in the mucous membranes. No tendency to repair; no tendency to recover. He goes on from bad to worse, with a catarrhal condition of the larynx and trachea. Hoarseness and rawness from talking, worse afternoon and evening.

    He is obliged to clear his throat so, many times in the evening that the larynx becomes raw and sore. Let me tell you another thing about the Materia Medica. Most of the provers were laymen, and hence there is some confusion of terms in the provings. This the physicians must see. Irritation in the throat from coughing nearly always means irritation in the larynx, though the prover said “throat.”

    Now here is an expression,

    “obliged to clear his throat so often in the evening that the larynx becomes raw and sore.”

    Clearing the throat would not make the larynx sore.

    Scraping the throat does not scrape the larynx; but he is obliged to clear his larynx so often that the part feels raw. Ulcerative pain, scraping and titillation in the larynx. Irritation in the larynx causing sneezing. Laryngeal phthisis. This catarrhal condition and lack of repair in the larynx goes on so long that tuberculosis begins.

    Whooping cough: Carbo veg. is one of the greatest medicines we have in the beginning of whooping cough. Its cough has all the gagging, vomiting and redness of the face found in whooping cough. It is one of our best medicines when the case is confused; when the cough indicates no remedy or when it remains in a partially developed state.

    A dose of Carbo veg. in such cases will improve matters very much, and minor cases of whooping cough may be wiped out in a few days. When the remedy does not cure permanently, it brings out more clearly the symptoms calling for another remedy. Most cases of whooping cough, in the care of a homoeopathic physician, will get well in a week or ten days under a carefully selected remedy.

    When allowed to run, they continue a long time, gradually increasing for six weeks, and then declining according to the weather. If it is in the fall, the cough will sometimes keep up all winter; so whooping cough furnishes an opportunity for the homeopathic physician to demonstrate that there is something in Homoeopathy.

    Respiration: The Carbo veg. patient suffers very much from difficulties of breathing. Suffocation; cannot lie down. A feeling of weakness in the chest, as if he could not get another breath. Sometimes it is due to cardiac weakness, and sometimes to stuffing up of the chest. The latter is most common. Sometimes the difficulty is asthmatic. The remedy cures asthma. We will see the patient propped up in a chair by an open window, or some members of the family may be fanning him as fast as possible.

    The face is cold, the nose pinched, the extremities cold and he is as pale as death. Put the hand in front of the mouth, and the breath feels cold. The breath is offensive; putrid. The extremities are cold clear to the body; not only the hands, but the whole upper extremities; and not only the feet, but the limbs clear to the body, are cold. The body only feels warm; even the skin is cold.

    Carbo veg. has a rattling cough with retching and vomiting. A morning cough, with much rattling in the chest; the chest fills with mucus, and on endeavoring to expectorate he coughs and gags, or coughs and vomits. At any time during the day a peculiar choking, gagging, retching cough may develop from the mucus in the chest. He cannot get it up; it is tough, purulent, yellow and thick.

    Greatly reduced vitality; great relaxation; worn out persons, old people. Persons worn out from coughing or from prolonged exertion. Prostration. Catarrh of the chest, with copious expectoration. At times there will be a hard, dry hacking cough, but finally, after prolonged coughing, it commences to loosen and he throws up great quantities of mucus.

    A dry, hacking cough, yet there is rattling in the chest, and the cough does not seem to do any good. He seems to cough and become exhausted, sweats and strangles. It seems as if he would suffocate with the cough.

    Finally he succeeds in getting up some mucus, and the follows mouthful after mouthful of thick purulent expectoration. Frequent attacks of spasmodic cough in violent paroxysm lasting for many minutes, sometimes an hour.

    Cold sweat, coldness and pinched appearance of the face. This increases as he goes into the paroxysm of coughing. His face looks haggard, so distressed does he become while in a paroxysm of coughing. This state is present in old phtisical cases, in the advanced stage, when they are incurable. Under such circumstances Carbo veg. furnishes an excellent palliative.

    It seems to strengthen the muscles of the chest so that the patient can expectorate better. It mitigates the cough; the gagging and retching and dyspnoea are relieved, and he is temporarily improved. It is a wonderful palliative in many incurable conditions with dyspnoea and weakness of the chest. In Bright’s Disease, in phthisis, and in cancerous affections Carbo veg. stops the violent symptoms and mitigates greatly.

    This remedy is one to begin whooping cough with. It simplifies the case greatly, and sometimes cures it in a few days. The patient coughs until the chest is sore, as if he had been beaten all over the chest.

    All night he has paroxysms of coughing. He sleeps into a paroxysm of, coughing, like Lachesis. He rouses up from sleep with coughing, gagging, sweating and suffocation. He will go two or three hours without a paroxysm, and then on comes one that will last an hour. He has two or three hard paroxysms of coughing during the night. He commences to fill up, he hears the rattling breathing and he knows that before long he will have a hard time of it.

    This goes on and on, to the end of his life in asthmatic cases-what is called “humid asthma”.

    Real humid asthma comes on in persons who suffer from contractions of the small bronchial tubes, so that even at the best there are little whistlings in the chest. Every time such patients take cold their whistling increases.

    They expectorate mucus, at first copious, then tough and finally purulent. During all this there is great asthmatic dyspnoea. Carbo veg. is an excellent remedy in all those cases of asthma where the shortness of breath is so marked that there is only a partial oxidation, as a result of which he suffers much from occipital headache and wants to be fanned.

    Old cases of recurrent asthma. Every time there comes a warm wet spell his asthma comes on. It is common for Carbo veg. asthma to come on in the night. He goes to, bed without warning of an oncoming attack, only. He says,

    “I don’t like the weather;” and he wakes up with asthma.

    He wakes up suffocating, springs out of bed and goes to the window or wants to be fanned. Carbo veg. required in old, badly-treated cases of pneumonia, with a remaining bronchitis; in cases where there has been hepatization that was not cleared up, and there are bad places in the lungs and bronchial tubes, with weakness of the chest.

    Weakness of the chest when coughing. He feels that there is not enough force in the muscle of the chest to get up a good cough, or to help him carry on the breathing. Pneumonia, third stage, with foetid expectoration, cold breath, cold sweat, desire to be fanned.

    Threatened paralysis of the lungs. This is a combination of clinical states that the remedy covers well. Sometimes these asthmatic cases go on for a while, and then comes an infiltration of tubercle. If Carbo veg. can be given early it will prevent infiltration.

    There is pain in the chest, and burning. Burning in the lungs; burning in the sides of the chest; burning with the cough; burning behind the sternum – the whole length of the trachea; burning aggravated when coughing; a sense of rawness even when breathing. He feels a load upon the chest, an oppression, a great weight. These are the various words that he uses, all descriptive of the same thing.

    Heart: The heart comes in for a great deal of trouble. It appears to be struggling. Of course it is the venous side of the heart that is in distress. The veins are engorged. it is a venous condition of the whole patient; the veins are performing their labor with great difficulty. A state of relaxation, struggling, and there are orgasms of blood – described by some of the authors as an orgasm, by others as a tumultuous action of the heart felt throughout the body.

    Pulsation felt all over the body. Flushes of heat mounting upwards, ending in a sweat. Suitable, sometimes for women at the turn of life. Especially suitable to persons in advanced years.

    Carbo veg. complaints come on in a weakly state in young people as if it were a premature old age in the middle-aged people; or in the breaking down that naturally belongs to old age. It is a great comforter for aged people with enlarged veins, or fullness of the veins and coldness of the extremities. Oozing of blood, with palpitation tumultuous action of the heart. The pounding goes on like a great machine, shaking the whole body.

    The pulse is almost imperceptible. It seems as though the volume of blood ought to be tremendous, but it is not. Weakness of the whole vascular system. Pulse irregular, intermittent, frequent. Blood stagnates in the capillaries. Complete torpor; impending paralysis of the heart. Burning in the region of the heart. With this there is an awful feeling of anxiety in the chest – in the region of the heart as if he were going to die, or as if something were going to happen. He feels that tumultuous action and tires out under it.

    In going over the remedy I have said so much about the limbs, their coldness and the cold sweat, that I have practically covered most of the symptoms that belong to the extremities. Carbo veg. is an excellent remedy for the general constitutional disorder where there arc indolent varicose ulcers upon the lower limbs – the legs above the ankles.

    There is no activity in these ulcers; thin watery discharge or it is thick. bloody and ichorous. Burning indolent ulcers; varicose, ulcers; swelling of the limbs. A gangrenous state from the extremely feeble circulation.

    Gangrenous condition such as old people have, senile gangrene. The limbs wither; the toes and lower parts wither and look dusky. There are blisters upon them and they ooze a bloody, watery fluid. Burning like fire. Loss of sensation. Stiffness in the joints. Excoriating sweat between the toes, and numbness. Numbness in the limb lain on. If he lies on the right side, the right hand gets numb. It he turns over on the left side, the left arm gets numb.

    The circulation in the part is so feeble that if there is any pressure the part becomes numb. The surface is cold. The extremities are cold. He is indolent, weak and always tired, with an aversion to mental and physical work. Every little exertion brings on a feeling as if he would faint and collapse.

    The sleep is full of dreams. He wakes up with dyspnoea, wakes with cold limbs, especially cold knees. Legs drawn up during sleep. Unrefreshed after sleep. The dreams he has are the kind that most of these patients have where the remedy acts so violently upon the veins, upon the basilar portion of the brain, and upon the voluntary system. They are awful. He dreams of fire, burglars, fearful and horrible things.

    Anxiety, restlessness and congestion of the head prevent his going to sleep. Rush of blood to the head. His head feels hot, but to the hand the skin feels cold. The inner chest feels as if burning, but the outer chest feels cold to the hand. So it is in the abdomen. The feeling of internal heat and burning, with external coldness, is a common feature of Carbo veg.

    The fever is violent; it has a violent rigor or chill. Of course during the chill he is cold, but there is one strange feature, he wants cold water during the chill, and when the fever comes on he has no thirst.

    That is strange; it is uncommon. It is common for patients to be thirsty when they are hot with fever, and when cold not to ask for water. It is common not to ask for water during sweat. But in this patient you observe coldness, rigor, cold breath, and even in the chill sometimes a cold sweat, and you say that it is peculiar that he drinks so much cold water. It is strange; it is uncommon; rare. Hence it is one of the strong features of Carbo veg. febrile conditions.

    With the chill of this remedy one side of the body frequently feels in its natural state of heat, that is, naturally warm, while the other side, is cold. One-sided chill. Chill with icy coldness of the body. Chill with great thirst. Sweats easily, especially about the head and face Exhausting night or morning sweats. Sweat profuse, putrid or sour.

    Low forms of fever like yellow fever, and a very low type of typhus and typhoid fevers. After the fever has somewhat subsided he has prolonged cold spells with lack of reaction. He does not seem to rally, but he is cold, his knees are cold, his breath is cold, cold sweat, a sort of paralytic weakness. Cadaveric aspect of the face. Cyanotic face. Coldness of the limbs.

    Yellow fever in the last stage, the stage of haemorrhage, with great paleness of the face. Violent headache, trembling of the body, collapse with cold breath, cold sweat, cold nose. Nose and face pinched. Vital powers very low, tells a great deal of the story of Carbo veg.

    Lack of reaction after some violent attack, some violent shock, some violent suffering. In weakly persons who give right out, with dyspnoea, coldness, copious sweat, exhaustion, collapse and cadaveric aspect, Carbo veg. must be*given.

    Carbo veg. is indicated after surgical shock, when the patient goes into collapse, and is in danger of dying from the shock of the operation. This is before inflammation sets in, for there is not vitality enough to arouse an inflammation. The heart is too weak to establish reaction enough for an inflammation. Inflammation comes after a reaction. But if reaction does not take place, Carbo veg. is one of our most important remedies.

    Editorial notes

    • “when she docs not” corrected to “when she does not” (transcription error in the digital source text).
    • “Complete torper” corrected to “Complete torpor” (transcription error in the digital source text).
  • Cactus Grandiflorus

    Cactus Grandiflorus
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 41 of 180
    Source pages 911–933 of the Nalanda Digital Library edition (public domain)

    Generalities: Constrictions, contractions and congestions run through Cactus.

    Determination of blood to the head, and coldness of the extremities. Or determination of blood to an organ, the chest, or the heart. There is never an equal circulation of blood in the body; it is spasmodic and irregular. Disturbed by contractions of circular fibres everywhere. When this comes in places where it can be felt; and realized by the senses, it is felt as contractions, as if caged in wires, and this gives us the key to Cactus.

    Where contractions cannot be felt, where there is no sense of feeling, we know that it goes on as a spasmodic condition of circular fibres; but these contractions that are felt are more upon the surface of the body, and in organs having circular fibers tubes and canals.

    They constrict, and this constriction is felt like a spasm. It has a sensation of tightness and constriction about the head, about the chest, about the attachments of the diaphragm, all over the abdomen. Contractions about the heart that are tonic in character, like a tight clutching; constriction.

    “Constriction felt about the heart.”

    Constrictions and congestions: These constrictions are felt about the throat, in the oesophagus, causing a spasm; in the vagina, causing vaginismus and preventing coition.

    In the uterus it produces the, most violent cramps. Clutching, and constrictions, as it the uterus were grasped and held tightly, like a spasm. But at these times, when these constrictions take place, there are congestions.

    “Rush of blood to the part, with constriction.”

    “Violent congestion of the uterus with constrictions. Rush of blood to the chest, as if the chest was filled with hot gushes of blood, with constrictions, and constriction of the heart.”

    These peculiarities run through Cactus more markedly than any other remedy. Many remedies have similar things now and then, but in Cactus it is common; it is the nature of Cactus to constrict, to cause constriction in places where it has never been felt, and never been thought of.

    Constrictions of the whole body, as if the body was held in a wire cage. Constrictions of the scalp, of the skin, growing tighter and tighter. Violent congestions that come on suddenly. Congestion of the brain, with hot head, flushed face.

    At the beginning of complaints, at the beginning of pneumonia; congestive chill with hot head and cold body (like Arn.) with violent constrictions and tightness, as if the head were pressed, as if the membrane of the brain were too tight, as if the brain were covered with a tight cloth, and were being screwed tighter and tighter.

    Uniform tightness of an organ, as if it were being bound tighter and tighter, but in tubes and canals it is a constriction of a particular part. Many times like as if tied with a string. Constriction, like hour-glass contraction, in the uterus.

    It has inflammations, congestions, rush of blood to the part, gradually progressing to inflammation, and infiltration. Inflammation of various parts.

    It has rheumatism. It is a remedy very useful in gouty constitutions; very useful in acute inflammatory rheumatism; and in this instance the congestion is in the joints that happen to be affected.

    And then again the constriction, as if tied with a tape, or as if bandaged. Tightness, tension, pressure, are involved in that thought. It has such a prolonged determination of blood to the heart that the heart finally becomes disturbed in its function, disturbed in its tissues; and it has a profound curative action upon the heart and even cures organic heart diseases, such as are produced from this cause, conditions coming on from congestion, or coming on through congestion in rheumatic constrictions, where the rheumatism has left the joints partially and the heart has become involved, and there is constriction of the heart.

    Various efforts have been made by provers, and by patients, to describe the constriction of the heart. It is sometimes described

    “as if grasped with an iron hand.”

    It is only to illustrate the tenacity of the constriction. In these rheumatic troubles when the joints have ceased to be affected and the heart becomes affected with this chronic congestion and enlargement, we have enlargement of the valves so that there are murmurs, the head is hot, and the patient gradually emaciates.

    Kidney troubles will come on; the heart grows weaker, and then dropsical conditions set in that is, the course of Cactus.

    Towards the last, cardiac affections, along with kidney affections, with emaciation, and then swelling of the hands, and feet. That is the very nature of Cactus, and you will not find any medicine in the whole Materia Medica that reads like it.

    There is nothing to compare with it in the intensity of these symptoms. All these things that I have described seem to turn upon these words, congestion, constriction and contraction.

    The pains in Cactus are violent, no matter where they occur. They compel the patient to cry out, and the pains are clutching pains, constricting pains; they often feel like tearing pains; but there is always that idea of clutching.

    Suppose you should tie a tape round a violently congested organ, and tie it tighter and tighter. It seems to me that is about the kind of suffering the patient has with that constriction of a congested organ.

    Pains and spasms: Pains in congested parts; pains in sore parts. Tearing; constricting, cramping, when pains occur in the intestines they are constricting, but when the pains are in the long muscles they are not the constricting pains, for it is not the circular fibres then but the long fibres that contract, and we call them cramps.

    Cactus produces some spasmodic conditions in long muscles, but not to any great extent. In Bell. especially, and also in many of those medicines that have this nature of cramping, and constricting and contracting of circular fibres, there is convulsive tendency.

    The violent congestion of the brain in Bell. will commonly be attended with cramps in the extremities and convulsions of the muscles all over or in parts. Not so with Cactus. Violent congestion, and he grows stupid under it.

    Congestion of the brain, first with very red face, then darker from the venous stasis, and then stupor. He grows sluggish under the cerebral congestion.

    The mental state is that of fear and distress, because of the intensity of the suffering. The patient has never felt such suffering, and he does not see what it can all mean. So much suffering, such violent suffering, such sudden suffering, such cramps, such tearing, such constriction.

    When this constriction comes in the heart, and about the chest, it makes the patient think he is going to die, and he is at once, struck with fear, and it is depicted upon the face. He fears death, and it seems he is going to die, his pain is so intense.

    But with this intense pain he has nothing of the anxiety we find in, Aconite, which has a similar constriction of the chest and constriction of the neck. The violent choking in Aconite makes him fear he is going to choke, to death, and the anxiety is awful.

    It is not so intense in Cactus. Screaming with pains is a common thing in Cactus.

    “Taciturn, unwilling to speak a word or to answer.”

    Mind: That often accompanies the Cactus state, which is the opposite of most of the medicines that have such violent pains.

    “Sadness, taciturnity, and irresistible inclination to weep.

    Fear of death that is, he thinks he is going to die from the severity of the pain.

    “He believes his disease is incurable;”

    it seems to him that such suffering must end in death. That violent, irregular action of the heart is followed out through all the blood vessels, because the circulation is so irregular, is so spasmodic. He is not here, and cold there.

    Heat in the head, or heat in the chest. The circulation is that of determination to some particular part. With all the cardiac remedies we have violent dreams, great excitement of the brain during sleep, waking up startled and frightened, very commonly with a feeling of failing. Dreams of falling. Dreams full of excitement. These features run through Cactus, especially with the cardiac symptoms.

    “Vertigo from congestion; face red, bloated; pulsation in brain. Feels as if he would go mad. Vertigo, worse from physical exertion.”

    With most of the cardiac remedies, or remedies where the circulation and heart are much involved, we have marked vertigo.

    “Vertigo; worse from physical exertion, turning in bed, stooping, rising from a recumbent position, and deep inspiration.”

    Many of the complaints of Cactus are disturbed by irregularities of breathing. Here we see vertigo coming on from deep breathing. If he holds his breath, it seems as if his heart would fly to pieces, it would go so fast. Increased pulsation all over the body when holding the breath.

    Headaches: The headaches are constricting, pressing. They are all violent, with intense heat of the head, for they are congestive.

    A pressing in the top of the head as if the top of the head would be forced in; but this is ameliorated by pressing hard upon the pain.

    “Heavy pain like a weight on vertex, better by pressure.”

    Oftentimes the patient may be wrong in the idea of pressure that is felt in the head. They often describe it in the most marked congestions as if the head would be crushed in, when the congestion in the brain can be seen to be most violent, causing pressure from within out, and we would think they would be better from some sort of support externally, and yet they feel great soreness and feel as if the head is being crushed in.

    Others with headaches feel as if the head is being pressed out.

    “Heavy pain like a weight on vertex; better by pressure, but worse from sounds, hearing, talking, or strong light.”

    This runs through the headaches. Greatly aggravated from hearing voices. The sound goes through the head. The brain seems to be sensitive, as if the sound were a material substance hurled at the brain. Right-sided headaches. Pulsating headaches. Heavy, pulsating pain in the head. Tensive pain in the head, tensive pain in the vertex.

    A tightness across the vertex, as if the scalp was being drawn tighter and tighter upon the skull.

    There can be no doubt about there being a marked cerebral congestion with all these symptoms. The eyes show it; the face shows it; the heat of the head shows it. It has been recommended for threatened apoplexy, when the congestion is so violent, and the face is flushed and purple, or very red, and the pulsation is felt in the brain and all over.

    This remedy has the violent congestion of the head found in Bell., but with Bell. we have the intense heat of the body, fever heat which is not found in Cactus. In Cactus it is only a moderate fever. The heat is in the upper part of the body, in the head and neck.

    Fullness of the neck; bloating of the neck. Feels as if the head would expand from the pressure of blood in the head, but without any great rise of temperature.

    It has fever, but it has these without fever. But with Bell. when you have these pulsations the patient is intensely hot, and he burns all over. There is some burning in Cactus, but not to be compared with Bell. Heat in the head from mental exertion is a strong symptom of Cactus. This symptom is found in persons who are trying to break off from coffee and Cactus is often the remedy.

    The patient has choking about the neck, as from a tight collar. Constriction; tension of the skin and muscles everywhere. Choking about the neck with constriction of the heart. Choking about the neck in hysteria; globus hystericus; a lump or ball coming up into the throat, and she constantly swallows and choked and she goes into cramps with great numbness of the left arm.

    Cramping especially of the left arm. Complete numbness of the left arm along with cardiac conditions in the history of rheumatism and in hysteria. The history of rheumatism goes well to fill up the Cactus case. The face is flushed bright red, becoming blue. With weakness of the heart it is blue, blue lips.

    We need Cactus for a patient that has constriction about the neck, with congested head, blue face, and lips mottled, numbness of the left band, constriction of the heart. The left hand mysteriously weak, or is numb, tingling and crawling, like a formication.

    Congestion and hemorrhages: Another thing running all through the remedy is its hemorrhages. That is not surprising. Any medicine that has such cardiac conditions and such vascular conditions will at times have more or less relaxation of blood vessels, and it would be quite in the nature of it to bleed. It has hemorrhages of two kinds. Hemorrhage from vascular relaxation accompanying cardiac and vascular conditions, and hemorrhage from violent congestion of a part.

    The rush of blood to the head is of such violence in the moderately plethoric patient that he bleeds from the nose, and hawks blood from the throat. Congestion of the chest so violent that he expectorates blood from the chest.

    Bleeding from congestion, rather than from tuberculosis. Congestion of the uterus with bleeding. Congestion of the bladder and kidneys, with blood in the urine, with discharges of blood from violent congestion. In old cardiac conditions, where relaxation is present in most marked degree, haemorrhage from relaxation.

    Strong pulsations felt in strange places, in the stomach, and in the bowels; sometimes in the extremities, the feet and hands, as well as in the head. Throbbing all over.

    Around the attachment of the diaphragm feeling as if a cord was tied tighter and tighter; round the lower part of the chest. This is a strange symptom; it clutches him so tightly around the waist line that it takes his breath away, and he struggles for breath, and wants to do something. It clutches him tighter and tighter. Cactus produces congestion of the bowels; inflammation of the uterus. Gastric inflammation and with, it the clutching.

    It is a remedy for the cure of hemorrhoids; the relaxation of the great portal system, and the lower veins in the rectum, the hemorrhoidal veins. The veins are in such a state of relaxation that tumors will form, and bleed copiously. Bleeding hemorrhoids. Constriction of the anus. it has a very troublesome constipation; constipation in connection with hemorrhoids.

    Bladder: It has a paralytic weakness of the bladder. It has retention of urine. Such a constriction of the neck of the bladder that the urine cannot be passed for a long time, and there is retention. In the kidneys such a congestion as favors suppression of the urine.

    Bloody urine; blood in clots. It is a remedy that favors the formation of clots speedily. The blood that flows, clots so rapidly and so densely that it blocks up the way. Bleeding into the bladder blocks up the way. Bleeding into the vagina causes a clot difficult to expel, and pressing upon the urethra of the female that it is impossible for her to pass urine.

    It is like an immense tampon. And hence it reads,

    “urination prevented by clots,” clots in the vagina, as well as clots in the bladder.

    Female: Inflammation of the ovaries; inflammation of the uterus. It is a medicine that you will need to know when a young, plethoric, vigorous woman comes down violently with congestion of the uterus at the menstrual period, and she screams because of the violent clutching and cramping of the uterus.

    Before the flow starts, or just at the beginning, there is violent spasm. The circular fibres clutch; and she describes it accurately as if a tape were tied around that sore and congested uterus.

    The uterus fills with blood clots, and the spasm to expel that blood is like a labor-pain, and she screams again, and it is some time before the flow becomes free enough to give relief.

    If this condition is met with in rheumatic diathesis, where there is more or less rheumatism of the joints, clutching pains and constriction in other places, we have a remedy in Cactus.

    The excitement and the sharp scream, can be heard by the neighbors.

    Suffocative attacks with these pains, because the heart suffers, and constriction of the heart will commonly go along with the constriction of the uterus. In cardiac conditions it seems as if he will die for want of breath.

    Constrictions of the chest. Oppression as if a great load was on his chest, crushing the life out of him, so great is the constriction, and the congestion. A sudden congestion, and it comes on and ends without inflammation in many instances.

    A violent rush of blood to the chest, with awful dyspnoea and constriction of the heart and it passes away without inflammation. At other times Cactus has conditions like pneumonia, inflammation of the lungs, and congestion ending in inflammation, with the usual expectoration, bloody or blood streaked.

    Cactus is also a remedy for hypostatic congestion of the lungs. He cannot lie down, must sit up in bed, and there is a dullness of the lower part of each lung, gradually growing higher and higher from an effusion of serum into the lower portion of the lungs.

    This hypostatic congestion is due to a cardiac weakness. Cactus will often relieve this a few times when it occurs in old broken down cases towards the end of Bright’s disease, and at the end of dropsical conditions and heart troubles.

    It will postpone death.

    “Could only breathe with shoulders elevated and lying on back.”

    Lies leaning back or sitting quite upright.

    “Periodical attacks of suffocation, with fainting; cold sweat.”

    “Feeling as if heart was compressed or squeezed by a band. Cardiac rheumatism, Heart seemed to be held by an iron band for many hours. Pain in the cardiac region. Great pressure at heart, going round under left axilla to back.”

    Often this pain shoots down the left hand, is attended with numbness, and sometimes with swelling. Numbness, tingling, swelling.

    “Dull pain in the heart. Heavy pain in, the heart, aggravated from pressure. Contractive pain in the region of the heart going down to left abdomen. At times felt as if, some one was grasping the heart firmly. Paroxysms of pain in the heart,” that is this kind of constriction comes in periods of violent paroxysms. “

    ” Acute inflammation of the heart. Chronic inflammation of the heart. Palpitation of the heart, continued day and night when walking, and, at night when lying on the left side.”

    Another thing running through the remedy is that chest com plaints often come on or are exaggerated at if o’clock. Eleven o’clock in the morning, or eleven at night.

    Its intermittent fever will bring on a chill with violent congestion to the head at ii o’clock. Regular paroxysms at 11 A.M. and 11 P.M., or sometimes at 11 A.M. and sometimes at if P.M.

    A daily chill at 11 A.M. It has cured intermittent fever of the congestive type, when the congestions are here and there, but particularly of head, with constrictions, congestions and contractions.

  • Carduus Marianus

    Carduus Marianus
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 57 of 180
    Source pages 1212–1215 of the Nalanda Digital Library edition (public domain)

    This is one of the most important liver remedies, if a homoeopathic author can be excused for the expression. There are many pains, pressing, dragging, drawing, burning; worse from motion.

    The patient is very sensitive to cold, and is subject to attacks of bilious vomiting at regular or irregular intervals. The author has cured many violent sick headaches ending in vomiting bile, and cases in the habit of taking calomel, with this remedy (Sang.).

    Dropsical effusions with liver diseases. It is useful in hemorrhages and jaundice, when symptoms agree.

    Sadness, irritability and weeping. Congestive headaches; pressing pains coming periodically. Fullness and heaviness in the head. Sensitiveness of the scalp to cold air. Pressing outward of the eyeballs.

    Yellow sclerotics. Burning in margins of lids. Burning inside of the nose. Epistaxis.

    Taste bitter, insipid, or wanting. Foul tongue. No desire for food. Nausea, and vomiting mucus, then bile. Painful retching, and then vomiting sour greenish fluid. Drawing pains from left to right in the stomach. Burning in the stomach. Vomiting blood, very black.

    The most important of all the liver symptoms. Dragging pain in right hypochondrium when lying on left side; like Arn., Mag. m., Nat. s. and Ptelea.

    Pressing, drawing, stitching in right lobe of liver. This remedy establishes a healthy flow of bile, and thereby cures the condition that favors the formation of gall stones. It has many times broken up the tendency to gall stone colic.

    Portal congestion and hemorrhoids. Sore, bruised, hard liver; sometimes the left lobe, but oftener the right. When complicated with lung and heart symptoms with expectoration of blood.

    Drawing, stitching or burning pains in the abdomen. Distended abdomen. Cutting pains. The stool is black. Stool hard and knotty. Clay-like, bileless stool. Burning in rectum, and anus. Itching piles. Bleeding piles. Inveterate constipation.

    Burning in the urethra. Copious high-colored urine, with copious sediment. Turbid urine. Retention of urine.

    Menses copious. Menses suppressed. Uterine haemorrhage with portal congestion. Drawing in vagina, and leucorrhoea.

    Liver cough, when lower portion of right lung is affected, with chronic congestion of the liver.

    Pains in the chest with liver pains. Stitching pains. Drawing pains, aggravated by motion.

    Pain in the back under the right scapula (much like Chel. and Aesc.). Drawing pains in the back. Sensitive spine.

    Cramping, drawing, pressing, rheumatic pains in the limbs. Violent pain in the right deltoid. Pain in the hip joints, aggravated from rising, stooping, and motion.

    Neuralgic pains in the lower limbs, worse from motion. (Edema of the feet. Varicose veins. Ulcers. Rheumatism, and jerking of the muscles. Cramps in the calves and feet. Walking almost impossible.

    Gastric and bilious fevers.

  • Cadmium Sulphuricum

    Cadmium Sulphuricum
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 42 of 180
    Source pages 934–942 of the Nalanda Digital Library edition (public domain)

    Generalities: Cadmium sulph. has been only partially proved, so that only a limited amount of information can be given concerning it.

    A medicine may be said to be thoroughly proved when it has left its impress upon all elements of man; when it has affected his memory and his intellect, when it has affected his organs and all their functions, i. e., when healthy man has taken a medicine until all these things are affected and the results are known as the effects of that medicine.

    Every medicine affects in some way all these elements of man, and no medicine is well proved until it is known how all these elements are affected.

    Mind: There is a dread of work; aversion to doing everything, mental and physical. Anxiety has been brought out more by cures than by the pathogenesis, so that it well enough known to be classed along with Arsenicum for its anxiety; it may well be classed with Arsenicum for its prostration also; it has great weakness; it might also be classed with Arsenicum, because of the organs that are affected, especially because of its action upon the stomach, which is somewhat like Arsenicum, great exhaustion, irritable stomach and vomiting.

    It has such vomiting as is found in the lowest forms of fever, such irritable stomach as is found in yellow fever, with black vomiting, and just at this point is the place where the likeness to Arsenicum comes out in the low forms of the fever.

    But unlike Arsenicum, running all through the remedy, he wants to be perfectly quiet; part of it is a state of indolence, part of it is an aversion to motion. He is worse from motion, which makes it like Bryonia. So we will see running all through the remedy the exhaustion of Arsenicum and aversion to motion, like Bryonia.

    Running through it we find it is spasmodic and nervous; it affects the muscles like Zinc. It is found in its crude state associated with Zinc.

    Hering made several observations whereby he tried to prove that substances found together had a relationship and illustrated it by Tellurium which occurs as the telluride of gold. It may be a fact that substances so associated are in some respects similar, but this is only a side thought, as each substance must be studied on its merits,

    There must be no guesswork in the study of provings. Every remedy must be used for its own symptoms, and for these there is no substitute. If a remedy does not work, the homeopath can only examine the case anew and seek new symptoms and another remedy.

    Head: Vertigo in the room; the bed spins round. The head symptoms, anxiety and vertigo are such as occur in low types of gastro-intestinal irritation, as in continued fevers, deep-seated, slow and sluggish; in yellow fever, with prostration, vomiting of blood, black vomit. Lancinating in the head, pulsating in the temples.

    It is not so often called for in ordinary headaches, but in headaches occurring in the low forms of fever, with great rush of blood to the head. Cutting like knives as occurs in yellow fever.

    Eyes: The eye symptoms are numerous. Inflammation of a local character; conjunctivitis with discharge, long continued, a chronic conjunctivitis.

    Old “sore eyes,” rousing up with every cold and change of weather. Thickening of the conjunctiva. Scrofulous sore eyes. Ulcer spots; old scars which break and heal up.

    It does wonderful work in curing old eye troubles; opacities with slow inflammation. Pressure above the eyes. Paralysis of the lids; ptosis. It commonly affects one side of the face and one eye. It has paralytic conditions like Causticum; paralysis of one part or of one edge of the body. After an apoplectic attack when the patient recovers, but weakness of one arm and leg remains, it competes with Phos.

    Changes in sensation here and there. Formication of the skin and deeper tissues.

    “Asleep” sensation, or like ants crawling in the extremities, deep in the muscles and the skin. Hyperesthesia or anesthesia. Numbness of parts; the nose, one hand; numbness in spots. In this it is similar to Caust. Paralyzed parts are sometimes painful. Crawling in paralyzed parts.

    Nose: Old nasal catarrh which has progressed till the nasal bones are being destroyed by caries. Ulceration. Pains in the bones. Sneezing; coryza, boils, abscesses.

    Mouth and taste: Disturbances of the taste. It is suitable to low forms of continued fever; it has sordes, dark tongue, bleeding tongue and dry mouth, as in typhus, typhoid and yellow fever. Sluggish tongue; difficulty in moving it. Difficult swallowing. The muscles of the throat are affected causing dysphagia. Constriction of the oesophagus. Violent thirst. Every time he takes cold water, which he craves, goose-flesh comes on, a creeping or horripilation like Capsicum.

    Stomach: The stomach gives us the strongest and most important symptoms. The stomach quits business; no digestion. Everything sours; fluids and the simplest things taken are changed and come up sour, mixed with blood or bile; rancid eructations; with great exhaustion.

    The nausea is distressing. Nauseated all the way down to the abdomen like Ipec., Ant. t., and Asarum, extensive nausea. Cold sweat. Vomiting of yellow-green mucus.

    Touching the lips brings on nausea. Looking over the symptoms narrated here an experienced practitioner would think of gastritis-vomiting of the simplest things. Irritation of the stomach after tedious sickness, like cerebro-spinal-meningitis, typhoid, yellow fever.

    The stomach gives out; there is no digestion, and everything is vomited. He is convalescing, but his stomach is irritable. He wants to keep still. The Arsenic prostration and irritable stomach occur at the beginning of the fever, with heat and restlessness.

    This medicine comes in after the fever, and, with his anxiety he wants to keep still. Arsenic has anxiety and wants to move from bed to bed, and from chair to chair, and he fears death.

    In this medicine he seems to say:

    “Don’t speak to me; don’t bother me; let me die in peace.”

    He wants to be perfectly quiet, and the state occurs at the close of a febrile disease. Many of these patients die because they cannot eat, but this remedy will save them. When you have a case of cancer, with burning, prostration, and vomiting, Cadmium sulph. will relieve these symptoms for weeks, I have seen them where the pains have been relieved by anodynes until nothing would stay on the stomach, and this medicine would relieve. It is a great remedy in the gastric irritation of carcinoma, a great palliative; coffee ground vomiting,

    Burning and cutting pains in the stomach. Gastric symptoms, such as occur in pregnancy, in old drunkards. Burning in the stomach extending up into the oesophagus; fluids burn all the way up into the mouth and throat; sour, acid fluids. Cold sensation in the stomach. Cholera infantum with irritation of the stomach.

    Pain in the abdomen with vomiting. Lancinating in the abdomen from these pains we see it is a medicine which profoundly affects the liver, spleen, stomach and other abdominal viscera. Gangrene threatens. The main remedy in the hands of good prescribers.

    Relapses in fever, with vomiting, diarrhoea, and great prostration. At times a case of yellow fever gets along fairly well, but a draft causes a slight cold and on come sudden prostration, black vomit, death. In that state it competes with Carbo veg., which used to be the main remedy in the hands of good prescribers.

  • Caladium

    Caladium
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 43 of 180
    Source pages 943–953 of the Nalanda Digital Library edition (public domain)

    Caladium is a wonderful remedy; perhaps some of you have read It endeavoring to understand it; it is a difficult medicine to understand, because it is quite evident from the provings that the prover did not understand how to describe and report symptoms; did not know how to tell his sensations because they were so strange; he could not relate his mental state.

    Mind: An individual puts his mind to bear upon something which seems to have taken place during the day, but he is not quite sure whether it took place or not; he thinks the matter over, and yet he cannot be really sure whether it took place or not, until he actually goes and puts his hands upon the object thought about; proves to himself by actual contact and observation that his vague impression was so, that it was true, then he goes away and again he is undecided as to whether it was so or not.

    This relates to things that actually happened.

    “Very forgetful, he cannot remember,” etc.

    This led to the use of Caladium for a good many different kinds of mental affections, loss of memory where there is that vague state of mind.

    It might be bordering upon imbecility, it might be the borderland of insanity. All day long he finds himself looking into the things that should have been done; they have simply escaped his mind; he has forgotten them. So the mind is worn through in places.

    A state of absent-mindedness. It may come on in an acute state, with unconsciousness. There is a good deal of congestion of the brain, more or less excitement, but more important is prostration of the mind, weakness of the mind; feeble-minded; inability to perform intellectual work, it is impossible.

    He cannot think; the more thought he puts upon a thing the more fatigue he has and the further away that thing seems to be; the more he attempts it the less concentrated is the mind upon a subject. It is not strange, then, that the provers themselves were unable to put these ideas into speech so as to give us an intelligent idea of proving. It is only by reading between the lines, using the remedy and studying it that we can straighten out this tangled skein.

    “Very thoughtful, absentminded.”

    There is in acute states delirium, excitement of mind, unconsciousness, stupefaction. As the febrile state is continued, we have this mental state. This remedy is useful in fevers that are continued.

    One of the most important things to decide when we are going into the mental state of a remedy is whether we shall use this remedy in hysteria, in the delirium of the various phases of fever, or in insanity, and to ascertain this we turn to that part of the proving which gives us the pace of the remedy.

    If we want to understand the delirium of Belladonna and Bryonia to see which one would be suitable in a certain case, we turn to the febrile action of the remedy and see what the nature of that is; the pace tells us largely what kind of delirium, if we do not know from the delirium itself.

    So we will see that in Belladonna there is no continued fever, and as a remedy must, in its very nature, be adapted to the very nature of the disease, it would be useless to follow the many injunctions that are written in our books telling us to give Belladonna in the acute form of delirium: in typhoid fever; but Bryonia has just that condition; hence we will see that Bryonia is useful in such cases which present symptoms similar to it, because the pace of the disease is similar to the pace of Bryonia, which has continued fever.

    Belladonna has intermittent and remittent fever, particularly remittent, and hence the acute delirium of Belladonna is similar to the acute delirium of remittent fever. Now to bring this point to bear; this remedy’s fever is a continued fever it has not great amount of fever in it, but it is a continued fever we shall see that there is coma and stupor from fever;

    “delirium, unintelligible murmuring; ” mental prostration.

    This remedy is suitable in low, murmuring, exhaustive cases of typhoid fever, cases that are running a very sluggish course; not a very active delirium; but muttering; a low form of semi consciousness, very often coma or stupefaction like Phos. ac., a dazed mind.

    Forgetfulness in persons who are mentally and physically prostrated from sexual excesses or from tobacco poisoning. It is indicated in old debauches who are unable to perform the marital act. He has the most tantalizing craving for the opposite sex with no ability to perform coitus. Lascivious ideas.

    Such men stand on the street corner and feast upon the forms of passing girls, and their semen dribbles away; a state also found in Picric acid and Selenium.

    You can only cure these patients if they desire to reform, and if you can inspire them to live a better life. Without this you cannot save them, and those who take delight in such things are not worth saving, and medicine will not take hold of them. To cure, the patient must use his will to help the remedy.

    Extremely nervous; afraid of his own shadow; awake all night with lascivious thoughts, apprehensions, especially before going to sleep; afraid of the future. Fear of catching diseases when they are not around.

    This alternates with an opposite condition. At times he is wholly incapable of appreciating danger. He will go into any sort of danger without thought. Foolish boldness. We may sum up the mental symptoms by saying he is extremely excitable.

    Vertigo: Vertigo on closing the eyes. He cannot stand or walk with the eyes shut, but it is not otherwise sufficiently related to locomotor ataxia to be of use in that disease.

    Rocking, dizzy sensation after lying down and closing the eyes, as it in a rocking chair. Vertigo and nausea in the morning with stitch in pit of stomach. He opens his eyes and asks:

    “Where am I? What do you want around me?”

    The text is long with many vague symptoms. The mental symptoms are the most important.

    Mind: The whole nervous system is in a state of excitement. He is full of fear; startled by the slamming of a door, or the rattling of a newspaper. Cannot sleep if there is the least noise. Things are done in great haste. Nervous excitement.

    The patient in general is aggravated by warmth and the warm room, and ameliorated by cool open air. Yet he wants warm drinks in the stomach. Longs for beer without a decided thirst. Eats without hunger and drinks without thirst. Nervous fantastic things run through the remedy showing its relation to neurasthenic and hysterical patients. Eructations.

    Skin: There is a sensitiveness of the skin. Crawling; creeping. He has the spider-web sensation. Sensation of a fly crawling on the face. The perspiration is sweetish, and if he is in a room with others, while perspiring, the flies will all light on him.

    Sweetish odor to the perspiration. which attracts the flies.

    Tobacco heart. The nervous symptoms of tobacco are similar to those of Caladium, and Caladium is useful in all sorts of nervous conditions, the effect of tobacco and cigarette smoking. It has a number of time turned the patient entirely away from his cigar, and removes the overwhelming craving that prevents smokers breaking off their habit.

    Headaches and mental states in smokers.

    Itching is violent, especially about the genitals. It is useful in extremely nervous women who suffer from pruritus vulvae, keeping them awake at night, attended with abnormal excitement.

    Stools soft, yellow, pasty, mushy, as in typhoid. Stitches as from knives in the rectum. There are many urinary symptoms. Urine offensive, putrid, scanty.

    Pulsating in the stomach after walking; empty feeling, fluttering in the stomach.

    Genitals: Violent sexual desire with relaxed penis. Impotency. Erections when half asleep in the morning, ceasing when fully awake.

    When the desire is most marked he has no ability. Automatic erections without desire, strong and painful. During an embrace no emission. It has urethral discharge and is useful in gonorrhea.

    In vigorous persons after the gonorrhoeal discharge has been improperly suppressed, sometimes impotency is the result of the suppression. Caladium has cured as frequently as Thuja. Itching eruption on the scrotum.

    The most striking symptom of the female sexual organs is the pruritus; she is compelled to scratch, and the torment reduces her in body and mind.

    Sleep: There are some strange sleep symptoms. Kept awake by crawling. Sleeplessness from pruritus, especially in the genitals.

    Groans and moans anxiously in sleep so that he wakens the neighbors. Restless sleep; anxious, vivid dreams which he remembers better than the things of the day. Falls asleep and continues to dream of the same subject where he left off.

  • Calcarea carbonica

    Calcarea carbonica
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 45 of 180
    Source pages 954–1019 of the Nalanda Digital Library edition (public domain)

    If you were about to produce a Calcarea subject to order you could do so by feeding him lime or lime water until the digestive organs were so debilitated that they could no longer digest lime; and then the tissues would be increasingly deprived of what they need, and give us the lime subject, the “bone salt inanition” case, for that is really what it is. Infants that are fed lime water in the milk will in a little while be lime subjects.

    They will soon get in such a state that they cannot take the lime from their natural food, and the result will be a Calcarea subject such as we are about to describe.

    But the natural cases are those that have a natural sickness, are born so, born with an inability to digest the lime that is in their natural food, and they grow fat and flabby, and produce deficient bones.

    There is a greater proportion of cartilaginous material in the bones than lime, and the bones bend, and take on diseases and destructive troubles. Deficient teeth, or no teeth at all. The bones simply stop growing, and the patient goes into marasmus.

    What a foolish notion it is to feed that infant lime water because he cannot digest lime! Is it not just as reasonable as anything else in allopathy? And yet our homeopaths use allopathic medicines. They use the lowest potencies they can get and it would seem strange if those substances cured any better in the hands of the homeopath than in the hands of the allopath.

    Nor, it is astonishing that one single dose of the potency suitable to meet the state of disorder will make that infant commence to digest its food, and appropriate from its food the lime substance that it needs in its bones, and wherever else it needs it.

    All at once the teeth begin to grow; the bones begin to grow, and the legs get stiff enough for him to begin to walk, and they will hold up. It is astonishing what changes will take place under the various medicines that are suitable for the disturbances of the hair, and the bones and nails.

    The remedy must be sufficiently potentized to correspond with the wrong. It certainly must not be crude because the child is already stunted by the crude material. You will see within a month or six weeks after giving a solitary dose of the sufficiently potentized remedy the nails that were corrugated and uneven and spotted and irregular will form a margin and will grow out smooth.

    You will see the ugly little crowns upon the teeth, distorted, and black things as they come up out of the gums; but when they have been under the suitable homeopathic remedy you will see them form a margin line, and from there on the teeth look healthy, and from there on the little body of the tooth is smooth and round; just as if that child bad had an impulse to grow better teeth.

    That same thing probably takes place where the bones exist. The periosteum takes on healthy work.

    This is the Calcarea state when the patient needs lime and he cannot get it because he has been cloyed; or, because he has an indigestion, he is unable to assimilate the lime that is in his food, and it goes through him and does not affect him.

    So it is with much of the sickness we have, an inability to extract from the food and assimilate such things as the body needs. Would not anyone be a simpleton to suppose that he had been the cause of the building of a tooth?

    You do not build mole hills out of our high potencies; they simply establish a state of order, so that digestion and assimilation go on, order is established and the tissues are improved.

    Health comes, beauty, a growth of hair, better skin, better nails.

    The Calcarea constitution is what we want to know. We do not need to know that the individual has been poisoned by lime; it is not worth much to know it, because that is not the index to the remedy. If indigestion of lime has been brought about by lime, it may need one of ten other remedies to overcome that indigestion for lime.

    It is not always Calcarea that covers the symptoms. The medicine that covers the symptoms is the one that will change the economy from an abnormal to a normal state, and digestion will become orderly, and we will have growth and prosperity in the economy.

    Aspect: The Calcarea case is to be known by the symptoms, and not by the fact that the patient has been poisoned by lime; the chances are that those we have to treat have never had any lime. Many of them have never been poisoned by lime but have been unable to assimilate lime from birth.

    Calcarea is full of congestions, determination of blood to the head cold feet; hot head; congestion of the chest. Calcarea corresponds in a very high degree to the chlorotic and anaemic, pale and waxy, and in spite of this plump. It has both fat, flabby and pale patients and it has emaciated states, too.

    Muscles emaciate. Emaciated about the neck; emaciated about the neck and from there downwards. Anemic conditions; pale, waxy, sickly; pale lips; pale ears; pale fingers; pale and yellowish.

    Chlorosis is a word especially relating to the anemia of girls. A large number of remedies is indicated in those conditions, but Calcarea produces the kind of anemia known as chlorosis. It produces most pernicious anemia.

    Great relaxation in the tissues everywhere; relaxation of muscles; relaxation of veins; relaxation of the walls of blood-vessels to such a great extent, especially in the lower limbs and anus, that there are marked hemorrhoidal manifestations or marked varicose veins in the legs. Distended veins, burning in these varicose veins. Burning and smarting. Bleeding and oozing. Inflammation and painful swelling of joints.

    Glands: Another marked feature running through the remedy is its tendency to attack glands, the glands of the neck, all of the glands of the body, especially the lymphatic glands.

    The lymphatic glands in the abdomen become hard, inflamed and sore, like great nodules, like hickory nuts; tubercular. Calcarea is useful in tubercular formations.

    Calcareous degenerations, calcareous glands, induration of glands. It is useful in indurations in ulcers, and the base of ulcers, and round about ulcers, hence its wonderful use in palliating and restraining the growth of malignant ulcers, as malignant ulcers always have an indurated base.

    Old cancerous ulcers are greatly restrained in their growth, that is, the constitutional state is much improved, the patient himself has more endurance and the ulcers will take on healing. In cancerous affections that would kill in sixteen months the patient will live five years with Calcarea, if Calcarea is indicated.

    That is something, and in any times that is all that can be expected in a cancerous growth.

    In glandular affections where the glands round about are infiltrated and hard, where there is much burning and stinging pain, where the growth has invaded and appropriated the surrounding tissues so that there are adhesions, matters are serious.

    There is malignancy in almost all these cases. They differ entirely from glands that are loose from the skin, glands that roll under the skin, and have no fibrous attachment. Cancerous affections burn and sting. Calcarea cures many tumors, fatty, cystic, if the symptoms agree, so strongly is it related to this building tip process in glands. It builds up glands and bone.

    Another thing running through the remedy is a pyoemic state, in which there are abscesses in deep muscles. Abscesses deep in the neck, deep in the thigh, in the abdomen.

    You will be astonished to learn that Calcarea will take care of the abscess (when the symptoms agree), and it will not break. I have many times seen an abscess disappear when fluctuation was most positive. I have seen those abscesses disappear when pus was shown to he present by the needle; I have not only seen the abscesses go away, but also the pyoemic state which was prior to it. We have but a few medicines that will do that.

    There is something singular about this. Why does Calcarea favor the resorption of that fluid and encourage the part to become calcareous?

    It is more than I am able to explain, but it does it when the symptoms agree. But Sulph. and Sil., when their symptoms agree hasten suppuration. But Calcarea has that peculiar action of concentrating and contracting.

    One may be indicated in one case, the other may be indicated in the other. There are times when Sil. is indicated and the abscess is in such a dangerous place. Then if Sil. is given the result that naturally belongs to the spreading of that abscess is dangerous; in such an instance the surgeon must be called to drain the abscess in a safe manner, even when we know that if that abscess were located in a safe place, it would be far better for that patient to have the remedy he needs.

    Sometimes the periosteum is injured by a hammer striking it through muscles, injuring or contusing the periosteum. Inflammation will set in, pus will form rapidly, and if Calcarea is indicated by the constitution of the patient the surgeon’s knife is entirely useless, and a most detrimental thing.

    But in thinking from the old standpoint, the physician who knows nothing about Homoeopathy, and the wonders of our homeopathic remedies, would hold up his hands in horror.

    “Why, if you produce a resorption of that pus into the system you will have blood poisoning and death.”

    But under Calcarea this resorption does take place in some manner, and the patient improves every moment, he stops his sweating, his rigor has disappeared, he becomes perfectly comfortable, his appetite improves, he is stronger by the time it is over, and remains well.

    Judging from the old standpoint, we cannot conclude anything about the problems that will come up under Homoeopathy. We can only judge from our standpoint, and from what we know.

    And if you hear that somebody has tried this and tried that without success, remember that somebody has only demonstrated his own failure. Homoeopathy is capable of demonstrating itself in all intelligent hands; wherever the physician has intelligence and makes use of the law and applies the remedy in accordance with the symptoms he will see the case turn out as described.

    Polypi: Another grand feature running through this remedy is its ability to grow polypi. Those who need Calcarea will grow polypi in the nose and ears, in the vagina, in the bladder, and here and there. Cystic growths also and strange little papillomata.

    Exostoses: Another strange thing that it does is to cause exostoses. This state of disorder comes from the irregularity in the distribution of the lime. You would think that nature would try to distribute it around evenly where it can do the most good.

    But when this bone salt inanition has commenced the lime may be piled up in one place, and almost absent in another. One bone will be cartilaginous and another will have bony growths on it. Softening of the bone.

    Defective formation of bone. A keynote has grown out of this, viz:

    “Late learning to walk,” because the legs are so weak.

    It is not late learning to walk, but it is late walking.

    It knows how to walk, but it can’t walk. Natrum mur. has brain trouble, in which the child is late learning to do things.

    “Tardy development of bone tissues. Curvatures.”

    Muscles flabby, joint affections, like hip-joint disease. It is full of rheumatism. Rheumatic and gouty conditions of the joints.

    The Calcarea patient is a chilly patient. Sensitive to the cold air. Sensitive to the raw winds. Sensitive to the coming of a storm; sensitive to the coming of cold weather, and when the weather changes from warm to cold it seems impossible for him to keep warm; he wants the body kept warm.

    Head: The head is sometimes congested; and it is hot to the touch; but it often feels cold to him. His scalp feels as if it were cold. But the body is nearly always cold to the touch and he feels cold, and he wants plenty of clothing.

    The feet are cold. He sweats in various places, sweats in spots. Sweats upon the forehead, or upon the face, or upon the back of the neck, or the front of the chest, or his feet.

    Sensitiveness to cold and weakness run through the remedy. Weakness in the legs. Inability to endure. Worse from every kind of exertion. Out of breath. Fat, flabby anemic subjects, sometimes they look plump, often flushed in the face, but they have no endurance, and if such a patient undertakes a little exertion he is down sick with a fever, or a headache.

    Calcarea is full of complaints brought on from lifting, from exertion, from walking, from walking enough to get into a sweat; and these come very suddenly, because he cannot stop that perspiration by keeping still without getting sick.

    If he gets into a sweat, and stops long enough to be comfortable, the perspiration will stop so suddenly that he will have a chill, or he will have a headache. Weak, tired, anxious.

    Difficulties of breathing. Weak heart. Weak all over. No ability of the muscles to sustain prolonged effort, and it is the same way with the mind. No ability of the mind to sustain prolonged mental effort. Calcarea is a tired patient.

    He is suffering from want of lime. He has been unable to digest lime, and he goes into a state with enlarged glands, emaciation of the neck and of the limbs, while the fat and the glands of the belly increase. Especially is this noticed in children. A big bellied child, with emaciated limbs and emaciated neck.

    Enlarged glands. Pale, and flabby, and sickly. Those that take on flesh without any increase of strength. They take on flesh and grow flabby. Remain feeble. Those that get up from sickness take on flabby flesh, and in a little while they become dropsical.

    The Calcarea patient can’t go upstairs; he is so tired in his legs, and so tired in the chest; he pants and suffocates from going upstairs. He has every evidence of muscular weakness and flabbiness. Nutrition is impaired everywhere.

    This is the kind of patient that used to be called scrofulous; now we call the condition psora; and Calcarea is one of our deepest anti-psorics. It is a medicine that goes deep into the life, and takes a deep hold of every part of the economy.

    Mind: Now we will take up the mental symptoms. All the mind symptoms represent Calcarea as in a state of great weakness; in ability to prolong mental operation.

    Becomes very tired from mental work. Full of anxiety. He is tired mentally, and tired physically, from mental work and breaks down in a sweat, and becomes excited and irritable and disturbed. Great disturbance of the emotions; complaints lasting for days and weeks from excitement of the emotions; from worrying, from vexation, or a general emotional disturbance is prostrated.

    “Inability to apply himself.”

    Inability to do good thinking for some time after such excitement, disturbance or worry. It is very useful in complaints from prolonged worry, from prolonged application to business, from excitement.

    It is full of a peculiar kind of mental feeling, differing quite considerably from most remedies; he feels his exhaustion of mind, and it seems to him that this weakness, and this inability to do and to think connectedly, must be going towards insanity, he broods over it, he is convinced that he is insane, or about to become insane, that he is getting weak-minded, and he looks it, too, because what he has in his mind is this: that he is becoming insane or weak-minded and he thinks people will observe it.

    He thinks people look at him suspiciously, and he looks at them suspiciously, and he wonders why they do not say something to him about it.

    He thinks he is going insane, and that other people are observing his state of mind, and he keeps that in his mind most of the time. He thinks of it day-times, and he gets greatly roused up over it; he thinks of it nights, and it keeps him awake.

    He lies awake late at night thinking. Calcarea leads to little ideas, that is, it compels the mind to littleness, to little ideas, or to dwell on little things, but his mind, as it were, is forced to dwell upon things that he cannot put aside.

    When the Calcarea patient begins to relate to his friends how he feels they all naturally say to him,

    ‘Why don’t you put that aside; that doesn’t amount to anything,”

    but to him it is a big thing, and he cannot put it aside; all these little things combine to convince him that he is going crazy. he cannot calculate, he cannot do deep thinking, he cannot dwell upon deep things; he may have been a philosopher, and he has lost his ability to think out things in philosophy.

    He has lost his mental depth. he forms conclusions out of his emotions rather than from his intelligence. He forms conclusions about things as he wants them to be. You would almost think he wants to grow crazy, he keeps talking about it so much.

    He is unable to accept any sort of argument, and this grows worse and worse. He is unable to accept the assurance of his physician, in whom he has always had confidence. It is no use, it seems, to try to reason with him; yet he is not so far gone but he can reason about other things except his own mental state.

    He imagines things; and the things he imagines you will really wonder at his dwelling upon them so, because they are such little things. And so it is when he goes into insanity, or imbecility, or a general breakdown.

    It is a passive state, in which he sits and thinks about his little affairs, and his little things that amount to nothing at all, and he sits and sits, the text says,

    “Sits and breaks sticks, or bends pins all day long with his fingers.”

    Does little things, and in this way he keeps himself busy, wears himself out more and more. Any amount of thinking be comes impossible. It is almost impossible for him to come to a conclusion, for he never figures it twice alike.

    He cannot add and subtract even in the simplest forms. Now, he thinks about this matter so much and thinks everybody else is watching him, until finally the instant he closes his eyes he has visions, just as soon as he gets down quiet and thinks

    “Now I will go to sleep, I will get rid of all this,”

    and he closes his eyes to sleep, then he must get them open as quick as possible, he is in a state of excitement, for he sees horrid little spooks; he cannot keep his mind clear.

    He cannot go to sleep because his thoughts trouble him, and he sees all sorts of things. There is no congruity in his mind. We know that strong intelligence puts aside such follies, but these are just the things that Calcarea patients dwell upon.

    Talking to himself. He lies in bed, or sits, when be is alone, and carries on a general conversation with every conceivable individual he has had to do with, on every conceivable subject; and it multiplies and it grows, and he imagines it is all real.

    We see how far that is removed from the healthy mind, and yet he is not fit for the insane asylum, with all of these strange things, for when he is roused he does carry on a conversation, and he does as ordinary people do.

    When he is alone, when he has nobody to talk with him, he does these strange things. He is controlled and dominated when he is in company, to a great extent, and hence these things are not brought out.

    He carries out that same idea when he becomes delirious or insane. Picks his fingers, and does all sorts of peculiar little things. Sees visions and faces of persons when eyes are closed.

    “Imagines some one is walking beside her.”

    In the proving of Sil. that was observed very strongly. It has been observed in Petroleum, and in Calcarea. In a perfect state of health, with a strong, vigorous intelligence, it is not likely to be felt, but in nervous people, and especially in women, it is common.

    “Mental aberration with horrid visions. Sees dogs crowding around him, fights them off.”

    Here is a sensation, occurring in nervous women,

    “Feels as if she would like to run up and down, and scream.”

    Feels as if she could not help it, she must scream. That occurs in persons overwrought, dreadfully excited from a loss in the household by death. The mother loses her child, or husband; or a young girl loses her intended. She is broken-hearted, and greatly excited. It is a hysterical state. And yet I have seen the same in men.

    I remember one. It came upon him from business cares. He had that same feeling; he would walk up and down the house, he said he felt as if he must fly or jump out of a window, or do some thing. That is analogous to the mental state found in hysteria, or a great state of nervous excitement.

    “She thinks and talks of nothing but murder, fire, rats, etc.”

    That is that same idea of talking about little things and foolish things. Things that are not interesting to anybody, And yet I have seen these things in patients and I would ask them why they did it. It is generally said,

    “I tried a good while to stop it, and when I could not I just kept right on at it, for it seemed to do me good.”

    “She thinks and talks of murder, fire, rats, etc.”

    Your patient may talk about other foolish things, but it is only to il lustrate the idea that she sits and talks about foolish things, and can not control herself; thinking, thinking, or expressing it, talking, talking, talking.

    Violent screaming spells. And then the Calcarea patient will refuse to talk, will say nothing. She may talk to herself when alone, but will decline to enter into conversation, and will sit perfectly silent.

    A Calcarea patient sometimes takes an aversion to work, and quits work. He will quit a most thriving business, and go home and do nothing, after being fatigued in carrying on the business until it- reaches a most thriving condition. He says business is not good for him.

    He is tired of business, and when he goes to his business again it seems as if it would drive him crazy. He does not want to see it, he does not want to know anything about it.

    Of course, you can readily see that it is not so much in the Calcarea patient that he is driven to, weakness and fatigue from distress in business, although it has that, but that which I am speaking about is that he has overworked until he has given out, and right in the midst of his success he quits his business and goes home, and leaves all-it looks just as if he were lazy.

    If you look at him you come to the conclusion that he is lazy. Yet it is an insanity; not the laziness that belongs to tramp nature, though that also might be cured many times. He has been industrious, and all at once takes a turn. A great change occurs in the mind, and he takes on symptoms. It is not such persons as were born that way, born lazy, never would work; but those that become lazy.

    It is like the symptom in a pious upright man, whose walk and conversation has been upright but all at once he turns and commences to swear. Of course we know that individual is insane. On the other hand, we have patients that have been only ordinarily industrious that develop an insanity for work, and it seems they have ability in that insane industry to work almost night and day; they are up early and late.

    It is a sick state. So when we see in the Repertory “Industry” it does not mean an ordinarily industrious state but one that is exaggerated into a symptom. He has become so industrious that he has a mania for work.

    “Whimpering. Low-spirited and melancholy.”

    It is a strange thing to see a bright little girl of 8 or 9 years old taking on sadness, melancholy, and commencing to talk about the future world, and the angels, and that she wants to die and go there, and she is sad, and wants to read the Bible all day.

    That is a strange thing; and yet Calcarea has cured that. Ars. has cured that state, and also Lach. They are a little inclined to be precocious, and they have attended the Sunday-school, and they have taken too seriously the things they have learned.

    Children sad and unhappy, and old people who take on a loathing of life, become weary of life. That is a good deal like Aurum. In going over Aurum I explained that, and dwelt upon it, that the highest love is the love of life; and when an individual ceases to love his own life, and is weary of it, and loathes it, and wants to die, he is on the border line of insanity.

    In fact, that is an insanity of the will. You have only to look with an observing eye to see that one may be insane in the affections, or insane in the intelligence. One may remain quite intact, and the other one be destroyed.

    We find in Calcarea both equally disturbed. One patient may be insane in his voluntary system, so that all of his loves are perverted; he has no affection that is like what it used to be, like it was when be was well.

    Antipathy to his family or some member of his family.

    Or, he may have the affection fairly intact, but no intelligence, and does all sorts of strange things.

    He is full of fear.

    Weary of life; hopelessness, anxiety. The world is black.

    “Fear that something sad or terrible will happen. Fears that she will. lose her reason, or that people will observe her confusion of mind.”

    “Fear of death; of consumption; of misfortune; of being alone.”

    Fear abounds, especially when the voluntary system is disturbed. She is startled at every noise. He can’t sleep sq that the body rests or the mind rests. He is disturbed in his sleep with horrible dreams. His sleep is a restless one.

    “Great anxiety and oppression. Restlessness and palpitation. Despairing; hopeless.”

    These symptoms have to be coupled and connected with that leucophlegmatic, pale, flabby, sickly individual.

    “Child cross and fretful. Easily frightened.”

    Many complaints after exertion of the mind. Many complaint after excitement, chagrin or fright.

    He is so weak in his circulation, so much disturbed in the heart, it palpitates from every excitement. He is out of breath from every physical exertion; and these take part so much in the circulation of blood in the body, have so much to do with circulation of blood in the brain, have so much to do with the intellect, with the sensorium, that we see at once vertigo on almost all occasions, intermingled with all sorts of symptoms.

    Fear, anxiety, and vertigo. If his. emotions stir him up he becomes dizzy. From going upstairs the blood mounts to the head, and he becomes dizzy. Confusion of mind and vertigo from mental exertion. If he becomes shocked, or has bad news, or has any mental excitement or chagrin, this vertigo will come out.

    Confusion of mind, determination of blood to the head, cold extremities, covered with sweat, with vertigo.

    “Vertigo, when climbing into high places;”

    that is the effort of going up. The blood rushes to the head and he becomes dizzy.

    “On going upstairs or up a hill. On suddenly rising, or turning the head, even when at rest.”

    Head: One of the most striking symptoms of the head of the Calcarea patient is the sweat, the sweat of the head upon the slightest exertion. He will sweat on the face when he sweats nowhere else, and his head is covered with cold sweat when he is comfortable in other places about the body.

    The same thing is true about the feet. When his feet become very cold they will sweat. When they are warm they will sweat. You would naturally think that a person going into a cold room would stop his sweating. But sometimes the Calcarea patient will break out in a sweat, upon the head, and upon the feet, in a cold room,

    He sweats upon the forehead, so that every draft of air makes him chilly, and this brings on headache. Coldness of the whole scalp, so he has to wrap up the head. Yet during congestions, the head is hot.

    So it has at times great heat in the head. The Calcarea headaches are stupefying, they are benumbing; they bring on confusion of mind.

    The Calcarea patient has a catarrh in the nose, with more or less discharge; at his best he has considerable discharge. But he goes into a cold place, the discharge is slacked up, and he gets a headache. Headache over the eyes. Congestion of the head; back of the head.

    “Tearing headache above the eyes down to nose,” is a strong symptom of Calcarea.

    It seems sometimes as if a great wedge were lip in there. This is relieved by very hot applications. It is relieved in the dark; it is aggravated in the daylight. He must go into dark room and lie down for relief.

    Sometimes this headache is ameliorated by lying down in the dark. This headache continues to grow worse during the day, until in the evening it becomes so severe that it is at tended with nausea and vomiting.

    It is one of the forms of constitutional headache, is a headache that sometimes occurs once in two weeks. Headache every seven days, or headache once in two weeks. Periodical headaches. Sick headache, the old-fashioned American sick-headache.

    There is commonly a periodicity belonging to it, of seven to fourteen days, but again, it comes on whenever he is exposed, by riding in the wind, for he is a very chilly patient, if he becomes really chilled or very cold, he gets a headache, a sick-headache.

    Then, again, it has pain in the left side of the head. One-sided headache. Headache worse from noise, from talking, but ameliorated in the evening, from lying in the dark. It has headache in the temples, and this headache seems to draw through to the root of the nose.

    The headaches from the supraorbital region draw through to the nose. Headaches in the temples seem to produce a feeling of tightness, a feeling of great tension in the forehead. Headaches worse from motion, from walking, from talking.

    Most of the Calcarea headaches, as soon as they become severe, are attended with pulsation. The pulsation is so strong that the patient is not satisfied by merely saying it is a pulsation, he describes it as hammering. Most of the pains are pressive or tearing.

    “Concussive headaches.”

    Stitching, pulsating pains in the head, as if it would split. Headaches worse from walking, and from a jar. Sometimes he feels a coldness in the head, it seems as if the cold head is numb, cold as if made of wood. He sometimes feels this numbness, and describes it as if he had a cap, sometimes as if there were a helmet, on the head.

    Now, all of these sensations are difficult to describe, but sometimes they are one and the same thing. All the headaches of Calcarea, are more or less congestive. It is a peculiar feature of Calcarea, that the more marked the congestion of internal parts, the colder the surface becomes.

    With chest troubles, and stomach troubles, and bowel troubles, the feet and hands become like ice, W covered with sweat; and he lies in bed sometimes with a fever in the rest of his body, and the scalp covered with cold sweat.

    That is strange. You cannot account for that by any process of reasoning in pathology, and when a thing is so strange that it cannot be accounted, for, it become very valuable as descriptive of the remedy, and is one that cannot generally be left out when prescribing for a patient.

    That is almost a general state, it is so marked. It has burning in the vertex, and this is often present coldness of the forehead, or the whole head may feel cold except a burning spot on the vertex. Calcarea will again have cold head and icy cold feet when walking in cold air or in very cold weather; but as soon as the feet get warm, they go to the other extreme, and burn so that he puts them out of bed.

    This has often led inexperienced prescribers to prescribe Sulph., because that is a keynote of Sulph. All keynote prescribers give Sulph. whenever the patient puts the feet out of bed, but a number of remedies have burning feet, hot feet, so we are not limited to Sulph. Calcarea has affections of the bones of the skull, the outer part of the head.

    Slow formation of bone. The fontanelles remain open a long time. It has hydrocephalic conditions, effusion in the membranes, and the bones do not grow and keep pace with the growth of the head, and hence the sutures commence to separate and the head grows wider, and larger all the time, with hydrocephalus.

    In hydrocephalic children this sweating head is a common feature. The child lies at night upon the pillow, and the sweat pours from the head and wets the pillow all around; especially sweating at night.

    In persons suffering from softening of the brain, the pillow is wet all around the head. Children going through difficult dentition have dreadful times in their dreams, they screech out in the night, and the pillow is wet all around their head.

    Old plethoric patients, broken down constitutions, fat, flabby, lymphatic patients, with enlarged glands, with sweating of the head, cold sweating of the head. The hair falls out, not in the regular way such as occurs in old ago bit in patches here and there.

    You see a bald spot on the side of the head, or the back of the head; a tuft of hair has come out, or in two or three places. Then it has eruptions upon the head and face; eczema that we find in children and infants.

    “Thick scabs on the head, with yellow pus.”

    Eyes: Offensive eruptions. The eye comes in for a share of troubles, and Calcarea is one of the best friends the oculist has, if he knows how to use it. It is not especially suitable for every inflammation, but in those fat, flabby constitutions, where every cold settles in the eyes, and produces an inflammation, and this goes on for a few days, and ulceration begins, then study Calcarea.

    Vesicles are formed and break and spread into an ulcer. From exposure of the feet in water, from riding in the wind, from cold, damp weather he gets eye troubles. Ulceration of the cornea. In all of the complaints of the eyes and of the head the photophobia is so marked that the Calcarea subject when he is at all disturbed cannot even stand ordinary light, and to be out in the sunlight is extremely painful, and many times inflammations are started from merely going into a bright sunlight, from steady looking, and from straining the eyes.

    All kinds of exertions bring on headaches and eye troubles. Tension, because one muscle is weak. There is a disturbance of accommodation. Worse from every exertion of the eyes; you see that is like its generals, that is, aggravated from exertion.

    He cannot endure any prolonged exertion; you see that is just as true of his parts as the whole. You know that reading, writing and looking at one thing all are marked exertions. With Calcarea, the part itself is worse from exertion, and the whole body is worse from exertion.

    Calcarea has cured cataract. Calcarea has other disturbances of the eyes, in connection with head troubles, in connection with fevers, and when he is out of sorts from great exertion; he so easily gets into a fidgety state, confusion of mind that is almost a delirium, and on closing the eyes he sees the most horrible visions, specters, ghosts.

    Long before any disturbance can be observed in the tissues, or in the retina, or any disturbance of the eye by looking into it with the ophthalmoscope he will complain of seeing smoke, or steam in the air before his field of vision, as if looking through a veil, as if looking through a cloud, all meaning the same thing.

    “Dim vision.” His vision is weak.

    The muscles are weak. He suffers from dim vision, which is going on gradually to blindness as he grows increasingly weak. All of his eye symptoms, and his headaches, and his nervous symptoms arc aggravated from reading, from writing, from looking steadily at one thing.

    He is very much exhausted after such an exertion and will have tearing pains over the eyes, behind the eyes in the head. That is a peculiar kind of a headache, such as he is in the habit of having. It may be in any part of head.

    Called eye-strain. It is a wonderful remedy for eye-strain (Onosmodium). Calcarea has cured many cases of opacity of the cornea (Bar, iod.). In an old case a cure can never be promised. It is one of the results of disease, and we never know when we are going to remove the results of disease, because the intelligent homeopath never prescribes for the results of disease. He prescribes for the patient. An opacity itself, when it is present, is not a symptom, but a result of disease.

    Often when a patient is prescribed for on his general symptoms, such a state of opacity of the cornea will, after a while, begin to pass away. The patient grows better, feels better himself. His symptoms commence to subside, and after the symptoms have subsided pathological conditions will commence to subside.

    Do not be discouraged in prescribing if the pathological conditions do not go away; but if all the symptoms of the patient have gone away, and the patient is eating well, and is sleeping well, and doing well, do not feel that it is impossible for that opacity of the cornea to go away, for sometimes it will.

    I have known patients to come back, years later, even after I had given them up as cured, as their symptoms had all disappeared, and I was foolish enough to say to the patient,

    “Well, I do not suppose this condition will ever go away, but you are all well, there is nothing to prescribe on, there is not much use of your taking any more medicine,” but in six months from that time the patient would come back to me and say:

    “Doctor, do you suppose the treatment you gave me had anything to do with this trouble going away? It has nearly all disappeared.”

    I only tell you this to give you an idea how long it takes to restore order, for nature herself to replace the bad tissue and put healthy tissue in that same place, to restore an organ. It takes time, and it is best that we should not be surprised. it may be that the medicine has done all it can do.

    Here is another thing I have seen: even when there were no symptoms left, and after waiting a considerable time and there were no symptoms, I have seen another dose of the same medicine that was given on the last symptoms give the patient a great lift, and pathological conditions commence to go way.

    So Calcarea is a great friend to the oculist, and every physician ought to be just as good a prescriber as the oculist can be, for he prescribes for the patient. So must the oculist. In prescribing I am in doubt whether there can be any such thing as a specialty, because the homoeopathic physician prescribes for the patient. He prescribes for the patient, whether he has eye disease, or car disease, or throat disease, or lung disease, or liver disease, etc.

    Ears: In the ear we have a great deal of trouble. It produces thick yellow discharge from the ears. Cold, chilly weather brings on ear trouble; quite likely from becoming cold or chilled, from an exposure, or from a sudden change of cold damp weather he has additional complaints in the ears.

    While he is at his best the idea holds good here as in other catarrhal conditions, there is copious discharge. But from exposure and cold this slacks up a little, and when it does there is a little inflammation, and like enough throbbing, and headache. That occurs every time from exposure.

    Whether the catarrh is in the nose, the eyes, or the ears, there will be headache. The Calcarea patient is so easily disturbed from cold weather and exposure, he is so sensitive to the cold, that it is next to impossible for him to dress and protect himself. He is flabby and soft, easily disturbed, sensitive to his surroundings.

    If it is an ear trouble, he may have difficult hearing, abscess of the middle ear, catarrh of the Eustachian tubes, etc., but all of these bring on headaches; and around about the ear the glands are all affected.

    Nose: The catarrh of the nose is extremely troublesome. Old lingering stubborn catarrhs, with thick yellow discharge; great crusts from the nose. In the morning he blows out enormous blackish, bloody chunks.

    He breathes part of the night through the nose, and then his nose clogs up so that he breathes, through the mouth. It has cured a great many times polypi of the nose.

    The homeopathic physician, trusting so much to his symptoms, knows so well the remedy after studying the case, that be very likely will prescribe for the patient on the symptoms alone. He says:

    This patient needs Calcarea, there is no doubt about it. He prescribes for him and sends him away.

    After three or four weeks the patient comes back with a gelatinous looking tough thing on a handkerchief, and says:

    “Doctor, look there at what came out of my nose.

    Do you suppose your medicine had anything to do with that?”

    Perhaps you did not know he had polypus, it does not make any difference, your prescription cannot be any different if he has polypi in the nose, and you do not know it is there; you cannot by any process of torsion remove it before you prescribe, so you will have to leave that torsion to those that do not know about Homoeopathy; and hence the examination is not so important as it is to those who prescribe for the polypi, and forget about the patient.

    Affections of the bones of the nose. That is, the catarrhs go on so long, and they are so deep-seated, that the bones of the nose and the cartilage of the nose are infiltrated, any they break down.

    Then operators cut out bones, remove cartilage, and perform operations too numerous to mention; and every one must have the same operation; but in order for him to be cured, he must even after that go to an homoeopathic physician. He should first be cured and then if there is anything to be removed let him be operated on.

    Face: The face is sickly, cold, covered with sweat. Sweats on the slightest exertion, and sometimes it sweats in the night, on the forehead.

    “Cold sweat on the face. Face pale and cachectic,” such as we see in advanced cases of cancer, and consumption.

    Face sallow, pale, sickly, dropsical. Eruptions on the face. Eruptions about the lips; and the lips are chapped and the mouth is raw. The lips are cracked and bleeding. Painful swelling on the parotid glands; painful swelling of the sub-lingual and sub-maxillary glands.

    The glands all take part in the Calcarea troubles.

    Throat: Calcarea is a medicine for chronic sore throats. The throat appearance itself is not always sufficient to prescribe on, but the complaints in the throat are those that come on in persons taking cold so frequently that the patient has not time to get over one before be goes into another, and this engrafts upon him a chronic sore throat.

    It may in the beginning be a Bell. throat, which is quite likely, but before he gets over it he has taken another cold. Remember that this is a part of the Calcarea patient, that he takes cold so easily; he takes cold from every, draft, from very exposure, and from damp weather.

    When getting over a Bell. sore throat – about the time he thinks he is over it he takes a new cold. Perhaps it has been relieved two or three times with Bell., and then it settles down into a chronic state, and there are little red patches, perhaps little ulcers in the throat, this extends all over . It extends to the roof of the mouth, a sore tongue, and a constant dry, choking feeling in the pharynx, covering the tonsils and extending, up into the posterior nares, filling with thick, yellow mucus.

    Chronic inflammation. The uvula may be puffed; swollen.

    “Parts swollen, red, tumid,” but it patches.

    The throat very painful on swallowing; dry, choking feeling.

    Stomach: The stomach in Calcarea is slow in its action.

    “Food taken into the stomach remains.”

    It does not digest, it turns sour.

    “Sour vomiting.”

    Milk sours. Milk disagrees; the digestion is also slow, feeble. He has a feeling of tumefaction and fullness; enlargement after eat ing; and everything sours in the stomach; everything disorders the stomach.

    Weak digestion. The Calcarea patient has a very strong longing for eggs. Little children crave eggs; at every meal they will eat eggs, and eggs, will digest better than anything else. It is very seldom that little children naturally long for eggs; children with cold feet, emaciated extremities, large heads, enlarged abdomen; stomach distended like an inverted saucer, rounded out; bloated abdomen, and slender extremities; cold and sensitive to cold; pale skin; pale, waxy surface.

    Then, there is complete loss of appetite, no desire for any kind of food. If any desire at all, it is for eggs. Aversion to meat; aversion to warm food.

    This with enlarged glands, with goitre. Flatulency. Sour vomiting; sour diarrhoea; that is, it has a pungent, sour odor, especially in children.

    In infants living on milk, the milk passes in an undigested form; the stool is so sour that it is pungent. It excoriates the parts, and keeps the nates raw in infants where the diaper comes in contact with the parts.

    There are times when the abdomen is emaciated; the gases go out and the abdomen sometimes becomes flabby; but most of the time it is distended with flatulence. When it is flabby it can be observed that there are nodules in the abdomen.

    The lymphatic glands are hard, and sometimes can be felt through the emaciated abdomen. There is a tubercular tendency, and tabes mesenterica is one, of the natural endings of the lime constitution, with this we get the glandular affections of the bowels.

    Tubercular deposits in the mesenteric glands. Diarrhoea comes on sour; watery diarrhoea; gradual emaciation, especially of the extremities. Every cold brings on more indigestion, and more sour vomiting.

    Diarrhoea that can’t be stopped, because every time he gets a cold it renews the diarrhoea. When it, is an acute attack Dulc. often relieves it but when it has recurred several times Dulc. can no longer relieve it and Calcarea then becomes one of the remedies.

    Again, it is one of the most useful medicines in old, lingering, stubborn cases of constipation. When there is only a moderate diarrhoea the stool is white; and when this constipation is present, the stool is white, or like chalk.

    In infants taking milk you can account for the white or pale stool, because of the milk; but when the patient does not live on milk, and lives on ordinary substances, the stool becomes bileless and is very light colored; is yellow or white; and in the constipation, often the stool is very light colored and hard.

    Calcarea has a kind of indigestion, a fermentation that favors the formation of worms, so that Calcarea babies are sometimes wormy.

    Pass worms in the stool, and vomit worms. Calcarea so corrects this indigestion, when the symptoms agree, that worms no longer hatch out. The symptoms disappear, and we really wonder what becomes of the worms.

    The idea with the homoeopathic physician is not to give vermifuges, but to so correct the digestion that worms will not thrive; and it is true that worms will not thrive in the healthy stomach and intestines. Whether they leave by expulsion or whether they are destroyed, or what becomes of them, I do not know.

    To remove them by physicking them out, and by vermifuges, only makes a bad matter worse, because it increases the indigestion, it increases the turmoil. So it is with all worms in the stomach and rectum; all those worms will come if they are favored with just exactly the right kind of fluids to hatch out in.

    They come, and they grow. I suppose at least twenty-five times in the last twenty years have I known Calcarea to bring away tape worm, and in most instances I did not know it was present; but I simply prescribed for the patient. I was not aware of its existence. It is so with many remedies, but this more than others.

    Genitals: The Calcarea patient is weak sexually, with general relaxation and weakness. Sometimes an inordinate carving, sometimes an overwhelming desire keeps him awake at nights. But weak; weak in this way, that any indulgence is followed by weak back, sweating, weakness in general, so that he is compelled to abstain because of the sufferings.

    The woman is affected in a similar way. You need not be surprised, when you hear all of the constitutional weakness, that it is a common, thing for Calcarea women to be sterile. So tired, so relaxed; wholly unfit for reproduction.

    And the same as in the male, she suffers from lassitude, swelling, wakefulness, and weakness in general after every coition. The parts feel relaxed. The uterus drags down. Sensation as if parts would be forced out. State of general weakness and general relaxation of the sexual organs of both male and female. Calcarea has a tendency to grow warts and polypoid growths, pedunculated growths, that bleed easily, that are soft and spongy.

    The woman flows too much at the menstrual period; too long, and, of course, this naturally brings her around too soon. Often every three weeks, lasting a week, with a copious flow. Menstrual period too soon, lasting too long, and profuse. Calcarea is not always indicated; not unless all of the symptoms go together to make up the Calcarea patient.

    Sometimes it may occur to your mind to say, that with five or six key-notes, certainly you would give Calcarea; but suppose you did have five or six key-notes of Calcarea, and the patient should be a Puls. patient, would you expect to cure her with Calcarea?

    Suppose the patient always avoided warm things and much clothing, and wanted the cold open air, and still had a dozen key-notes, you would find every time that Calcarea would fail. Unless you combine the particulars with the things that are general, and the generals with the particulars, unless the remedy fits the patient from within out, generally and particularly, a cure need not be expected. That is why I say, do not prescribe on key-notes, but upon the symptoms of the patient.

    This great state of relaxation which we always have in every Calcarea patient is also manifested in leucorrhea, copious, thick, constant leucorrhea, discharging day and night. Leucorrhea that is acrid, keeping up an itching, and smarting, and burning,

    “Leucorrhoea thick and yellow,” from one menstrual period to another, and some times it intermingles with the menstrual flow.

    “Vaginal polypi. Burning soreness in the genitals” from leucorrhoea.

    “Itching and rawness” from leucorrhoea.

    Hemorrhage of the uterus from over-lifting; from excitement; from shocks; from anything that greatly disturbs; from fear, from any great emotion, or from straining the muscles. Such are the conditions of relaxation and weakness. Inability to strain the muscles, or to exert himself mentally or physically.

    The complaints of pregnancy are generally those of great relaxation and weakness. Threatened abortion. After delivery, weakness and prostration; sweating. Weakness from nursing.

    Voice: The Calcarea voice is that of painless hoarseness. The vocal cords are tired, and cannot endure strain; almost a paralytic weakness. Sometimes a copious flow of mucus from the larynx. Much irritation in the larynx, but weakness. Not that burning and rawness that we find in Bell. and Phos., but painless hoarseness. In Phos. it is painful, in Bell. it is very painful. He cannot speak without pain.

    But in Calcarea he wonders why he has so much trouble in the larynx, because he has no feeling in it. This goes on from bad to worse, and with the tubercular tendency, look out for tubercular laryngitis. Given early it may keep off such a tubercular tendency. It has cured tubercular laryngitis.

    Much rattling of mucus; rattling breathing; coarse rattling; that is, much mucus in the trachea, in the larynx, in the bronchial tubes, in the chest. Great dyspnoea.

    The dyspnoea comes on from going up stairs, from walking against the wind. Anything that has any exertion in it will bring on the dyspnoea. We find this in asthma, weak heart, weak chest and in threatening phthisis.

    That state of the lungs you will know very often by the kind of breathing; because all that are going into phthisis are tired and weak. He is too tired and weak to make any effort at breathing, so that he has difficult in going up stairs, climbing a hill, walking against the wind.

    Chest: The chest troubles furnishes one of our best fields for Calcarea.

    We having spiting of blood prolonged cough; copious expectoration of thick yellow mucus, or even pus; ulceration, or abscess. Tickling cough. We have, in threatening chest trouble, the beginning emaciation, the pallor, the sensitiveness to cold, changes, and to the cold air and to wet weather and to winds.

    He takes colds and they all settle into the chest; gradual emaciation in the limbs; always so tired. It corresponds to just such constitutional weakness as precedes, or is present in the first stages of phthisis. It stops the patient taking cold, which is the very beginning of it. The patient will begin to feel better after taking Calcarea, and it improves his general state, and it will even encyst tubercular deposits.

    It turns them from a caseous into a calcareous form, and cysts have been found in the chest long afterwards. Patients have lived a long time and improved, and gone into a general state of health, when quite well advanced with tubercular deposits. Of course, when any person is well into a tubercular condition, it may be expected that he will go.

    Do not believe or think favorably of cure for consumption. Every little while we have some one. Coming out with something or other that cures consumption, a new cure.

    Every one who know much about the real nature of phthisical conditions, cannot have much confidence in such things, and I certainly lose respect for an individual who has a consumption cure. He must either be crazy or something worse.

    Generally he is after the money that may be in it. Hardly any one who knows anything about it can conscientiously present a consumption cure to the world.

    To prevent those things is what we want to do, and this is the great sphere of Calcarea. The expectoration is sweetish very often, like Phos. and Stannum. White, yellow, thick.

    We might go over all the general symptoms here, the soreness, the tenderness, the kind of pains, the lassitude, and a great many symptoms of that sort, they are too numerous to mention, but they are non descriptive, for the reason that after you get these pains and study them carefully, you are no better off. You must study the constitution of Calcarea, the nature of Calcarea, its character.

    There are spine symptom s; plenty’ of them. Weak; all degrees of weakness. The Calcarea patient is so weak in the back that he slides down in the chair while sitting; cannot sit right in his chair.

    Rests on the back of his head. The back of his chair and the back of his head come in contact. A weak spine, a sensitive spine, and the glands of the neck are swollen. Again, a marked condition of the spine is where the lime element is deficient, and we soon get deformity; curvature.

    It may be surprising to you to hear that Calcarea is a great help, and has sometimes cured that without any brace or support whatever, when taken early.

    You take infants manifesting a weakness of the spine, let them lie flat on their back in bed, put them on the indicated remedy – it is sometimes Calcarea – and in a little while that knuckling will cease, and the little one will sit up straight.

    Such wonderful things occur under the use of Calcarea, when the symptoms agree. In the extremities we have all the rheumatic conditions that it is possible to describe.

    Gouty affections of the joints, with enlarged joints; gouty conditions, especially of the small joints, of the toe and finger. Rheumatic complaints of the joints from every exposure, from every change of the weather to cold, especially if it is cold and damp.

    The feet are always cold, or cold and damp, except at night in bed after piling clothing upon the feet more than any other part of the body, then the feet begin to get warm, and then they often go to the other extreme and burn; and so they burn at night in bed.

    But the feet are so cold that the patient has to put more clothing on the feet than the body will endure. Cold, damp feet. Late walking. Clumsiness; awkwardness; stiffness.

    Rheumatic conditions. Stiffness belongs to Calcarea all over. Stiff on beginning to move; stiff at night on rising from a seat. Stiffness in all joints on beginning to move; and if it turns cold or there is a cold rain, the Calcarea patient always suffers; suffers from coldness, stiffness, rheumatism has rheumatism in every cold change in the weather.

    The sleep is greatly disturbed. Late going to sleep, sometimes not till 2, 3 or 4 o’clock. Full of ideas; when closing the eyes horrible visions. Grinding the teeth. A child in sleep, chews and swallows and grinds the teeth. Sleeplessness a good part of the night. Cold feet at night in bed.

    Editorial notes

    • “Anything that bas” corrected to “Anything that has” (transcription error in the digital source text).