Category: Materia Medica

Materia medica is a Latin term from the history of pharmacy for the body of collected knowledge about the therapeutic properties of any substance used for healing. The term derives from the title of a work by the Ancient Greek physician Pedanius Dioscorides in the 1st century AD. The term materia medica was used from the period of the Roman Empire until the 20th century but has now been generally replaced in medical education contexts by the term pharmacology. The term survives in the title of the British Medical Journal’s Materia Non Medica column.

  • Mercurius Iodatus Flavus (Proto-iodide of Mercury.)

    Mercurius Iodatus Flavus (Proto-iodide of Mercury.)
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 121 of 180
    Source pages 2286–2287 of the Nalanda Digital Library edition (public domain)

    There are sore throats that especially call for the proto-iodide.

    When in sore throats the inflammation and pain predominantly affect the right side, and there is a tendency to remain on the right side, or if the Merc. state is present and the sore throat goes from right to left, it is the proto-iodide you want.

    The patient that needs this remedy for constitutional troubles will be worse during rest and from a warm room and better in the open air.

    This is especially true when the patient needs Merc. prot. in neuritis of the right arm that comes on in writers.

    The arm then is very painful when writing, from passive motion, from rubbing, from pressure, from both beat and cold, but better from walking in the open! air.

    Complaints are nearly all worse on the right side of the body.

  • Opium

    Opium
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 137 of 180
    Source pages 2473–2484 of the Nalanda Digital Library edition (public domain)

    Generals: Among the striking features of Opium is a class of complaints marked by painlessness, inactivity, and torpor.

    Many of the provers taking small doses had torpor, inability to realize or feel their surroundings, or to take in the nature of states and judge of things.

    Deception in vision, taste, touch; deception of the state he exists in; in his own realization; a perversion of all the senses with much deception.

    The general characteristic is painlessness, but now and then an alternate state is produced, in which a small dose of Opium will cause pain, sleeplessness, inquietude, nervous excitability; the very opposite state from that produced in the majority of cases.

    The majority are constipated, but in some there is dysentery and tenesmus. The patient is sleepy, yet at times the drug is characterized by sleepless nights, anxiety, increased sensitiveness to noise, so that he says ho can almost hear the flies walking on the wall, and hears the clock striking in the distant steeple.

    It is generally supposed that in these opposite conditions one is primary and the other is secondary. This is true, e. g., those exhibiting stupor and painlessness will go into a state of increased insensibility, inquietude, anxiety, and irritability, and also one who has a state of increased sensibility first will have a docile state following.

    Head and mind: Some oversensitive provers will get a basilar headache in the first hour after taking a dose, so that they cannot raise the head from the pillow; they are paralyzed from it; the pain holds them down. This does not come on in most provers until the waning of a large dose. This has been debated over as the primary and secondary actions. What is the action in one is the reaction in another, but all are the effects of the drug, and all the actions that follow are the symptoms of the remedy.

    The sluggishness and painlessness are most striking. The inaction is shown in the lack of reaction to the properly selected homeopathic remedy. It here competes with Sulphur. On studying the case you may find many Opium symptoms, and when given thus indicated, it rouses the system out of the state of sluggishness and causes reaction.

    Ulcers which are perfectly painless, which do not granulate, and do not eat or spread, with numbness or lack of sensibility in the ulcer that ought to be sensitive; Opium will often heal insensibility in parts that are in a high grade of inflammation.

    Paralytic conditions or paresis, partial paralysis; inactivity, sluggishness. Such a condition is found in the bowels so that they do not move, and rectum fills with round, hard, black balls, which can be dug out with the finger or spoon. There is no activity, no ability to strain at stool.

    The bladder is in a similar state. There is no ability to use the abdominal muscles; he cannot strain to urinate retention of accelerator muscles are in a state of paresis.

    When drinking the oesophagus seems to have no action and the fluid does not go down but passes out through the nose; a paresis fluids go down the wrong way or out through the nose.

    Weakness of limbs and muscles; weakness and paralysis.

    Often there is a state of peace. Wants to be let alone. She tells you she is not sick; and yet she has a temperature of 105-106°, is covered with a scorching hot sweat, has a rapid pulse; is delirious. You ask her how she is and she says she is perfectly well and happy; no pains or aches; wants nothing and has no symptoms. But the nurse tells you that the patient has passed no stool or urine.

    Face: The face looks besotted, bloated, purple; the eyes are glassy and the pupils contracted. The brain is in a state of confusion, yet she can answer questions. Or the mental symptoms may be more marked and the physical condition less prominent; there is confusion of mind, delirium, loquacity, but this is rare, more commonly only talks when aroused; a condition of stupor in which the patient will say nothing and do nothing. Delirium with a happy turn of mind.

    The stomach is in a state of undue warmth, sinking, all-gone, hungry, and this is not relieved by eating. He fills the stomach full and yet the faint feeling remains. The food sours in the stomach and is vomited. He can take no more food. He becomes covered with a cold sweat; great exhaustion; nausea, retching and the vomiting continues. This nausea is a troublesome symptom following the administration of Opium or Morphine. It is a prolonged vomiting and nausea. He can take nothing into the stomach and nothing will stop the vomiting for him.

    The homoeopath knows the use of Chamomilla and one dose will give wonderful relief at once and stop the deathly sinking and nausea.

    There is never any use for the crude Opium in the sick room. In surgery at times it is admitted that something seems necessary, and we will not quarrel with the surgeon. But in disease, in sick people, it is not necessary. It performs no use and in the end it is an injury; it prevents finding the homoeopathic remedy. It has masked the symptoms and spoiled the case, and you cannot do anything for days.

    Opium has been much abused and much has been learned about it, but this abuse has not helped much in its proving, for the individualizing symptoms are not obtained. Big doses cause gross effects, and the symptoms thus obtained are sometimes useful, e. g., in cerebral apoplexy with stertorous breathing, jaw dropped, pupils dilated or contracted, generally the latter, face mottled, purple, or hot, hot sweat, one sided paralysis.

    You would wonder on seeing such a case whether be had been paralyzed, had Opium, injured himself in a fall or bad been indulging in the bottle, and you would.. examine the case to distinguish. This is a mechanical trouble, there is pressure of blood on the brain. This alone may not kill but later on inflammatory action is set up around the clot.

    Opium causes a flow of blood to the brain, and when given homeopathically it checks this, and in six hours he will become rational, his skin cool, face normal color, pulse normal. We thus see the usefulness of the crude effects of Opium in giving us a picture of apoplexy.

    Nervous headaches beginning in the back of the head and spreading over the whole face; worse in the morning. He feels as if his head were held down to the pillow by the intense aching pain in the base of the brain and yet when he gets up he is unable to lie down again.

    Women: This is common in women; a false plethora; excitable; going through pregnancy or menstruation; headache. The patient sits up and is unable to lie down. The pain begins in the morning and is so violent that the patient cannot move, cannot wink the eye, turn the head, cannot bear the least jar or the ticking of the clock; face is mottled, purple, blue; eyes injected. It is difficult to get symptoms from her. Opium will relieve at once.

    But most of the complaints are painless.

    It takes on the appearance of drinkers, besotted; fever with besotted countenance. Delirium tremens with awful anxiety, vomiting, congestive headache, contracted pupils; violent headache after drinking, exhaustion; not able to get out of bed; delirium. Most of the complaints are attended with stupor; lies in a stupor like apoplexy, cannot be aroused.

    Convulsions: The Opium patient is full of convulsions. The patient wants to be uncovered, wants the cool air, the open air. Convulsions if the room, is too warm. Opisthotonos; head drawn back, cerebro-spinal meningitis.

    In a case of cerebro-spinal meningitis we find convulsions approaching, opisthotonos, head drawn back, kicks the covers off, wants a cool room; skin red; face red and mottled, pupils contracted. Now if the mother puts that child into a hot bath, to relieve the convulsions, it will become unconscious and cold as death. If you are called to see such a case be sure to give Opium, and in twelve hours you will be astonished to see the state of quietude. It competes here with Apis. Puerperal convulsions.

    A mental state appears in these constitutions. Fear and its results. The Opium patient, when not too stupid, rouses up as if startled, rouses up with the appearance of awful fear or anxiety. The old Opium eater is overwhelmed with anxiety and fear. If a dog jump at him suddenly, he will be thrown into convulsions, have diarrhea, fits of some sort, and it will be days and weeks before that fear is gone.

    Complaints from fear when the fear remains, or the idea of the fear remains, or the cause of it comes before the eyes. A pregnant woman is frightened and an abortion is impending, and the object of the fright continually looms up before her eyes. Epilepsy dating back, to a fright, and that object comes up before the eyes before the attack comes on, and the fear of the fright remains.

    Hysterical attack; physical shock with diarrhea and sometimes constipation; retention of urine or return of the menstrual flow as results, or it may stop the menses for months. In these conditions there is great fear and the object of the fear remains before the eyes.

    An Opium prover, when coming out from under the influence of the drug, sees frightful images, black forms, visions of devils, fire, ghosts, someone carrying her off, murder. Imagines that parts swell and that he is going to burst.

    There is also a sensation of bodily well being; great happiness great state of confidence in the first hours of the drug. Hence, complaints from sudden joy, anger, shame, sudden fright. Coffea has a similar state of beatitude. It is both a physical and mental beatitude in Opium. Opium and Coffea are related; they antidote each other.

    Opium eaters like whisky drinkers are constitutional liars. They have no conscience left. “Great sensibility to sound, light, and faintest odors.”

    “Drowsiness with headache, amounting almost to stupor.”

    “Marasmus; child wrinkled and looks like a little dried up old man; stupor.”

    Old cases of lead poisoning. Pulsatilla cures the diarrhea following the abuse of Opium.

  • Mercurius Iodatus Ruber (Bin-iodide of Mercury.)

    Mercurius Iodatus Ruber (Bin-iodide of Mercury.)
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 122 of 180
    Source pages 2288–2288 of the Nalanda Digital Library edition (public domain)

    Again, if in a Merc. patient with diphtheria, tonsillitis, etc., the inflammation and pain begin on the left side, and incline to remain there or spread to the right, the bin-iodide is indicated.

    These two iodides have more rapid and greater induration beneath ulcers and chancres than Merc., and in old syphilitics the iodides are sometimes more useful.

  • Lachesis

    Lachesis
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 108 of 180
    Source pages 2056–2096 of the Nalanda Digital Library edition (public domain)

    Lachesis is a frequently indicated remedy, and one that you will need to study much in order to know how to use. Lachesis seems to fit the whole human race, for the race is pretty well filled up with snake as to disposition and character and this venom only causes to appear that which is in man.

    Generals: We will first give a survey or the general symptoms, those which characterize the remedy and are of greatest importance, and the circumstances under which the symptoms appear, are brought out or are aggravated.

    One who is a constitutional Lachesis patient will find himself suffering from an aggravation of his symptoms in the Spring, when he goes out from the cold weather into the milder weather, and especially is that so if it mild and rainy, or cloudy weather. Or if he goes from a cold into a warmer climate the symptoms of Lachesis will come out. The warm south winds excite the Lachesis symptoms.

    The symptoms of Lachesis are worse on entering sleep. He may have felt nothing of his symptoms when awake, but when sleep comes on they are aroused, and they gradually increase as the sleep is prolonged, so that a very long sleep will aggravate all the state and condition of a Lachesis patient, and when awakening from sleep he looks back on that sleep with sorrow.

    The sleep has been disturbed by attacks of suffocation and by awful dreams, and now, after having slept a long time, he arouses with dreadful headaches, with palpitation, with melancholy, with sorrows from head to foot. His body is full of suffering and his mind sees no brightness in anything.

    There is a cloudy state, sadness, melancholy, insane notions, whims, jealousy and suspicion. When taking a warm bath, or applying warm water to places that are inflamed, his mental symptoms are aggravated. After a warm bath or after getting warmed up, or, if he becomes chilled from being out on a cold day and then goes into a warm room, the symptoms come on. After going into a warm bath, palpitation comes on; it seems as if his head would burst, his feet become cold, and he is shocked all over, pulsation all over, or feeble heart. Fainting in a warm bath. Girls sometimes faint when going into a warm bath. The patient may be cold and chilly yet the warm room increases or brings out the symptoms.

    The general aspect of the patient and the localities will point some times to Lachesis. Upon the face there is an appearance of anxiety, of unrest and distress. The face is spotted or purple and the eyes are engorged. The eyes look suspicious. If there is an inflamed spot, it is purple. If there is an inflamed gland, and Lachesis is full of inflammation of the glands and cellular tissues, there is a purple or mottled appearance.

    If there is an ulceration the ulceration bleeds black blood, which soon coagulates and looks like charred straw. From the wounds there is much bleeding. Small wounds bleed much like Phosphorus and Kreosote. A prick of a pin will ooze great drops of blood. Ulcers eat in, have false granulations, are putrid, bleed easily, and the blood is black, and all round the ulceration there is a purple, mottled appearance, looking as if about to become gangrenous.

    Often gangrene does come; gangrene of parts that have been injured. Sloughing with great offensiveness. The parts turn black and slough. The veins become varicose. These are found upon the limbs, having the appearance of the varicose veins that come after gestation. Enlargement of the veins is a prominent condition of Lachesis.

    From the slightest exertion of the mind or from the slightest emotion the extremities become cold, the heart becomes very feeble, the skin is covered with sweat and the head is hot. Warmth does not seem to relieve the coldness of the feet and hands; they are so cold. They may be wrapped up in flannels and still they remain cold, but suffocation is brought on. He cannot breathe and wants the windows open. It is weakness of the heart; sometimes so weak that it can hardly be heard or felt, and the pulse is feeble and intermittent. At other times there is audible palpitation of the heart.

    As we go over the symptoms of the text we will notice something singular about the complaints, that is, their tendency to affect the left side, or to, begin on the left and extend to the right. The paralysis begins by gradually appearing weakness upon the left side. Which extends to the right side. It has a strong affinity for the ovaries, and in this it will be found that the left ovary is affected first. So, in inflammation of the ovaries, the left will be affected first, and later the right.

    The inflammation begins on the left side of the throat and gradually goes to the right. The left side of the head is commonly most affected. The left eye becomes painful and the pain extends to the right. The left side of the back of the head, in the occipital headache, will be more affected than the right. This does not always follow, and if the reverse is true it does not contra-indicate Lach., but such is the common feature of it. Left upper and right lower has been observed.

    In many symptoms of Lachesis, there is morning aggravation. This is the well-known Lachesis aggravation after sleep; the patient will sleep into the aggravation. In the milder symptoms this aggravation is mild and is not felt until after the patient wakes up from a long sleep, but if the aggravation is one that is of considerable violence, the patient may feel it immediately on going to sleep, and it arouses him; for instance, the heart symptoms. As soon as he goes into a sleep he rouses up with palpitation, with dyspnoea, with suffocation, with exhaustion, with vertigo, with pain in the back of the head, and many other circulatory disturbances.

    Mind: The next most important thing to be studied is the mental state. Nothing stands out more boldly than the self-consciousness, the self conceit, the envy, the hatred, the revenge and the cruelty of the man. These things, of course, are matters of self-consciousness, an improper love of self. Confusion of the mind to insanity.

    All sorts of impulsive insanity. The mind is tired. The patient puts on an appearance like the maudlin of a drunkard, talks with thick lips and thick tongue, blunders and stumbles, only partly finishing words; the face is purple and the head is hot.

    There is choking and the collar is uneasy about the neck; and the more uneasiness about the neck, the more choking, the more confusion of mind and the more appearance of intoxication. You will see if you talk with one who is intoxicated with whiskey symptoms like Lachesis, he stumbles through, hardly realizing what he says, half finishing his sentences and his words, leaving his “g’s” off, all the present participles; he stumbles and blunders, he mutters, and tells you first one thing and then another.

    These symptoms are increased under the circumstances mentioned in the Spring; in the warm weather following a cold spell; in rainy weather; after a warm bath; after sleep.

    The mental state is large. Jealousy without any reason. Unwarranted jealousy and suspicion. Many times this medicine has cured suspicion in girls, when they were simply suspicious of their girl friends. She never sees a whispered conversation going on but they are talking about her, to her detriment.

    Suspects that they are contriving to injure her, and she will resort to any scheme to see if they were not talking of her to her detriment. A woman imagines that her friends, husband, and children are trying to damage her; that her friends are going to put her in an insane asylum.

    Apprehension of the future. Thinks she is going to have heart disease, and is going insane; and that people are contriving to put her in an insane asylum. Imagine her relatives are trying to poison her and she refuses to eat. She thinks sometimes that it is only a dream and she can hardly say whether she dreamed it or whether she thinks it. She thinks she is dead, or dreams that she is dead, and in the dream preparations are being made to lay her out, or that she is about to die.

    Thinks she is somebody else, and in the hands of a stronger power. She thinks she is under superhuman control. She is compelled to do things by spirits. She hears a command, partly in her dream, that she must carry out. Sometimes it takes the form of voices in which she is commanded to steal, to murder, or to confess things she never did, and she has no peace of mind until she makes a confession of something she has never done.

    The torture is something violent until she confesses that which she has not done. Imagines she is pursued. Imagines that she has stolen something, or that somebody thinks she has stolen something, and fears the law. She hears voices and warnings, and in the night she dreams about it. The state of torture is something dreadful, and it then goes into a delirium with muttering. The delirium is carried on like one muttering when drunk. This state increases until unconsciousness comes on and the patient enters into a coma from which he cannot be aroused. The patient also goes through periods of violence and violent delirium.

    It is full of religious insanity. You will find a dear, sweet old lady who has always lived what would be called an upright and pious life, yet she is not able to apply the promises that are in the Word of God to herself; these things seem to apply to somebody else but not to her. She is full of wickedness and has committed the unpardonable sin. She is compelled to say these things; she is overwhelmed by these things and she is going to die and going to that awful hell that she reads about. The physician must listen to this with attention. The physician might make the mistake in this instance of making light of such feelings. If he does, the patient will not return, and he will be deprived of the chance of benefiting her.

    No matter what her whims are, no matter what her religious opinions are, her state of mind must be treated with respect. It must be treated as if it were so.

    She must have sympathy and kindness. It is an unfortunate thing for a doctor to get a reputation of being an ungodly man, among pious people, as he will be deprived of doing these people an immense amount of good. He must be candid with all the whims and notions of the people that he visits in the world. He must be everybody’s friend and he can be such without any hypocrisy if he is simply an upright and just man.

    The state of religious melancholy, with religious insanity, is not uncommonly attended with much loquacity, with talkativeness, which Lachesis is full of. It is commonly among women, very seldom among men, that we find this religious melancholy. Now, this woman is impelled to tell it; she will annoy her intimate friends, day and night, with this story of the damnation of her soul and her wickedness and all, the awful things she has done. If you ask her what things she has committed she will say everything, but you cannot pin her down to the fact that she has killed anybody. If you allow her to go through with her story she will tell you all the crimes in the calendar that she has committed, although she has been a well-behaved and well-disposed woman.

    There is another kind of loquacity belonging to Lachesis. The patient is impelled to talk continuously. It is found in another. state in which the patient is compelled to hurry in everything she does and wants everybody else to hurry, With that state of hurry is brought out the loquacity, and this is something far beyond comprehension, until you have once heard it.

    There is no use attempting to describe it, it is so rapid, changing from one subject to another. Sentences are sometimes only half finished; she takes it for granted that you understand the balance and she will hurry an. Day and night she is wide awake, and with such sensitiveness to her surroundings that you, would naturally think, from what things she hears and how she is disturbed, by noise, that she can hear the flies walk upon the walls and the clock striking upon the distant steeple.

    You do not get all these things in the text, you have to see them applied. But the things I give you that are brought out clinically are those things that have come from applying the symptoms of the remedy at the bedside to sick folks.

    “Most extraordinary loquacity, making speeches in very select phrases but jumping off to most heterogeneous subjects.”

    “One word often leads into the midst of another story.”

    These states may come on in acute diseases like typhoid, when it will take the usual typhoid delirium, or they may come on in conditions like diphtheria, or in any of the diseases that are characterized by blood poisoning; they may come on in the puerperal state, or may take the form of insanity. It is a long acting remedy, and if it has been abused its effects will last a life time.

    In many cases a close connection between the mental symptoms and the heart symptoms will be noticed, especially in young women and girls who have met with disappointment, who have been lying awake nights because of disturbance of the affections, or from disappointment, or from shattered hopes, or from grief.

    Prolonged melancholy, mental depression, hysterical symptoms, weeping, mental prostration and despair, with pain in the heart, with a gone sensation or sensation of weakness in the heart, with difficult breathing. She meditates upon suicide, and finally settles back into an apathetic state, in which there is an aversion to, everything, to work, and even to thinking.

    I might impress upon your mind the head symptoms if I related the case of a patient who described her symptoms probably more typically than you can find in the books. She was sitting up in bed and unable to lie down; she was worse from lying down, her face was purple, her eyes were engorged, the face puffed and tumid and the eyelids bloated. She sat there perfectly quiet in bed and described the pain as a surging sensation, which came up the back of the neck and head and then over the head.

    That is a typical feature of Lachesis. A surging in waves. Waves of Pain that are not always synchronous with the pulse. They may not relate to the flow of blood at all. The surging is aggravated by motion, not so much in the act of motion, but after moving. It is sometimes felt after walking or changing to another place, and sitting down again; that is, a few seconds after the motion is completed the pain begins, and it comes to its height instantly and then gradually subsides into a very steady surging or a more steady ache.

    Head: In the head there is a continuous steady ache, which may be aggravated or aroused into a surging which is so violent that it seems as if it would take the life of the patient.

    The headache begins in the morning on waking. The milder Lachesis headaches begin in the morning on awaking and wear off after moving about a while. With the headaches and complaints in general there is a momentary vanishing of thought; all sorts of vertigo. Vertigo, with nausea and vomiting. The vertigo inclines the patient to turn to the left.

    Lachesis has bursting pains in the head congestive pains with a feeling as if all the blood in the body must be in the head, because, the extremities are so cold and the head pulsates and hammers. This pulsating headache is part of a general pulsation from head to foot. In all arteries and inflammed parts, there is pulsation. The inflamed ovary pulsates, and it feels at times as if a little hammer were hammering upon the inflammed part with every pulsation of the artery. Lachesis has a number of times cured fistula in ano when associated with this feeling as if a hammer continually hammered the little fistulous pipe.

    It has cured fissure of long standing when it felt as if the inflamed part were being hammered. Haemorrhoids have been cured when this sensation of hammering was present. So that we see this pulsation in the head is not a special symptom, but is a general symptom, brought out in relation to the head.

    Some symptoms are valuable because of the frequency of their association, and when such is the case their concomitant relation. becomes important. The cardiac symptoms are frequently connected with the headache symptoms in Lachesis. It is seldom that you will see Lachesis headaches without cardiac difficulty. A weak pulse or the pulsation felt all over the body, is more or less associated with violent Lachesis headaches.

    In the text we find weight and pressure as a strong feature of the Lachesis head symptoms. With almost any complaint of the body, with typhoids, at the menstrual period, during the congestive chill, it seems that the body becomes cold, the extremities become cold, the knees are cold, the feet are cold, and it is impossible to keep them warm, while the face is purple and mottled, the eyes are protruding and engorged, and this awful pain in the head, with a tendency to become unconscious, incoherent speech, difficulty of articulation, and finally actual unconsciousness.

    In relation to the head symptoms and mind symptoms and the sensorium in general, the oversensitiveness that is found in Lachesis ought to be mentioned. His symptoms become very intense. The vision becomes very intense; the hearing becomes intense; the sense of touch especially is overwrought. The touch of the clothing becomes very painful, while hard pressure may be agreeable. The scalp becomes so sensitive to the touch of the hand that it is painful, while the pressure from a bandage is agreeable.

    Oversensitive to noise, oversensitive to motion in the room, to conversation and to others walking over the floor. By these circumstances the pains are increased. The patient becomes extremely sensitive throughout all the senses of the body.

    The oversensitiveness to touch is probably extensively in the skin, because of the fact that hard pressure often gives relief. In one who is suffering from peritonitis, front inflammation of the ovaries or uterus, or any of the abdominal viscera, the skin is so sensitive to. the clothing that contrivances are sometimes necessary to relieve the suffering from, the touch of the bed clothing. Something in the form of a hoop will be found in the bed, or the patient will have the knees drawn up, or with the hands will hold the clothing from touching the body. The ordinary weight of the hand may bring out the soreness that is in the abdomen, which is an entirely different soreness, whereas the clothing touching the abdomen only brings out the oversensitiveness of the skin. The mere touch of the skin with the finger or hand is unbearable.

    Eyes: There are many inflammatory and congestive conditions of the eyes.

    The eye symptoms are worse after sleep, and the eyes are oversensitive to touch and light. With the eye symptoms we have headaches, because the brain and eyes are so closely associated. In the sore throats, when the spatula or tongue depressor happens to touch the wall of the throat, the tonsil, or the root of the tongue, there is a feeling as if the eyes would be pressed out. Violent pain in the eyes from touching the throat.

    Lachesis is a great jaundice medicine, because it produces much disturbance in the liver. Yellowness of the skin and whites of the eyes, and thickening of tissues about the eyes.

    “Fistula lachrymalis,” which is accompanied by long standing eruptions about the face.

    Oversensitiveness of the meatus auditorius externus. Anything introduced into the canal of the ear will cause violent, spasmodic coughing and tickling in the throat. So sensitive is the mucous membrane of the ear that a violent cough, like whooping cough, will come on from touching the mucous membrane of the ear. This only shows the oversensitiveness of reflexes, and the oversensitiveness in general. With the hearing there is the same oversensitiveness that we have spoken of elsewhere. The Eustachian tube becomes closed with a catarrhal thickening, stricture of the Eustachian tube.

    Nose: The catarrhal symptoms of the nose are prominent. Frequent bleeding of the nose and body, watery discharge from the nose. Always taking cold in the nose. Stuffing up of the nose, with disturbance of smell. Oversensitiveness to smell, and oversensitiveness to odors, finally loss of smell.

    Lachesis has inflammatory conditions, very chronic in character, with crusty formations in the nose, sneezing, watery discharges from the nose and catarrhal headaches. Sometimes the headache goes off when the catarrhal discharge comes, and when the catarrhal discharge stops the headache comes on. Violent headache with discharge, with sneezing and coryza. Congestive headaches with coryza.

    This catarrhal condition has led to the use of Lachesis in syphilis. It is sufficiently similar to cope with the severe forms of nasal syphilis; syphilis where it has affected the nasal mucous membrane, producing crusts and finally affecting the bones. Fetid oezena; very offensive discharges from the nose. Bleeding from the nose need not surprise you, because Lachesis is a hemorrhagic remedy.

    The blood from the nose or any part, when it dries or clots, looks like charred straw or becomes black. Parts bleed easily. Copious and prolonged uterine hemorrhage, copious and prolonged menstruation, bleeding front the nose, vomiting of blood, hemorrhage from the bowels in typhoids.

    “Great sensitiveness of the nostrils and lips, swelling of the lips, great swelling and tumefaction of the nose in old cases of syphilis.” The nose swells up and becomes purple. The nasal bones are very sore, soreness upon sides of the nose. Lachesis is an especially useful medicine in old drunkards who have red nose, and in heart affections with red nose. A red knob on the end of the nose, a strawberry nose.

    Face: The face is purple and mottled, the eyelids are tumid, very much puffed; not bloated as in oedematous subjects, but puffed. There is not the pitting upon pressure that we find in oedema, although Lachesis has that, but there is a puffiness peculiar to Lachesis, the face looks swollen and inflamed, due to a venous stasis, so that the face is purple and mottled.

    The nose is tumid, yet it will not remain pitted upon pressure. The lips feel as if inflamed, yet are not inflamed, simply sensitive to pressure. The face has also an oedematous appearance in which there is pitting upon pressure, in cardiac affections, in cases of Bright’s disease. On the other hand the face becomes very pale, pale and cold; the skin covered with scaly eruptions.

    Eruptions that bleed easily, with crusty eruptions, with vesicular eruptions. Eruptions that fill with blood, bloody vesicles and large blood blisters, such as occur sometimes in burns, with burning. The face becomes jaundiced and very sallow. At times it takes on the appearance also of a chlorosis.

    If you have once seen the chlorotic color, it need not be described. It is a condition of anemia, with yellowish pallor, ash colored or grey, intermingled with a sort of greenish color, so that the ancients often referred to it as green sickness. Again the face becomes livid and puffed like the bloated aspect of drunkards, the mottled purple appearance of drunkards who have been drinking for years, until they are bloated and broken down and have a besotted aspect. You see that in Lachesis.

    In Lachesis we have a remedy for erysipelas and gangrenous affections, and about the affected part there is the Lachesis appearance, that is the mottled, purplish appearance. Lachesis has become clinically a marked remedy for erysipelas and for gangrene. As provers do not follow up remedies until they produce these things, we have to gather them from the poisonous effects and clinical observation.

    Mouth: In Lachesis there is oozing of blood around the teeth, the gums bleed easily. Dry crusts appear upon the teeth in zymotic diseases, often black formations, sordes, and the tongue takes part in the appearance of the mouth and becomes slick. This occurs in typhoid conditions when there is a total loss of assimilation, the appetite is entirely gone, the stomach will not take food, and when food is put into the stomach it is rejected. There is also paresis of the tongue. The tongue seems to be like leather in the mouth, it is moved with great difficulty. And the speech is like that of one half intoxicated; he is unable to articulate.

    The tongue swells and is protruded very slowly. It is dry and catches on the teeth and seems to have lost its stiffness. Seems like a rag, or as if the muscles did not act upon it so that it cannot be protruded, or if it is protruded it trembles and quivers and jerks and catches on the teeth. Again it is swollen, it is denuded of its papillae, and smooth, shiny and glassy as if varnished.

    In the mouth there is a soapy appearance of the saliva. The saliva runs into the mouth copiously and the patient will often lie with the head over the side of the bed, and the saliva dripping into a pan or commode. The saliva is stringy and can be pulled out of the mouth in strings; white mucus or saliva.

    This is not an uncommon feature in diphtheria, in sore throat, in inflammation of the tongue and mouth and gums, and in inflammation of the salivary glands. When this mucus is thick, tough, yellow, stringy and ropy it is like Kali bichromicum. You will often find in severe sore throat that the patient will lie and gag; and cough, and attempt with difficulty to protrude the tongue to expel the saliva from the mouth.

    Very often the pain is so severe in the root of the tongue that he cannot expel the saliva by the tongue and he will lie with the open mouth over a commode, or with a cloth over the pillow, to receive the thick, ropy saliva. In such a state with sore throats, especially those that commence on the left side and go to the right, you hardly need to question longer, for it is the aspect of Lachesis.

    This state of affairs would lead to Lachesis in ordinary inflammatory conditions of the tongue and in cancerous affections of the tongue. Lach. has in its nature the tendency to formation of malignant scabs and malignant ulcers, such as we find in epithelioma. It has cured a number of cases of epithelioma. It has been a very useful remedy in lupus. It is an important remedy in syphilitic sore throat, in syphilitic ulceration of the throat, tongue and roof of the mouth with this copious, stingy saliva.

    Pharynx: The muscles of the pharynx become paralyzed and will not act, and hence the food will collect in the pharynx, that is, the bolus to be swallowed goes to the pharynx and stops, and then a tremendous effort at swallowing, with gagging and coughing and spasmodic action of the chest, takes place in order to carry on respiration, and he will not again attempt it. This state often occurs with diphtheria.

    I have a number of times seen it brought about by the physician, who has, instead of giving just enough Lachesis, high enough and similar enough to the disease to cure, given it as low as he could get it, the 8 th or 10 th, dissolved it in water and fed it all through the diphtheritic state.

    When you come across cases that have been treated in this way you need not be surprised if a post-diphtheritic paralysis comes on, because Lachesis will produce it. It may cure the diphtheria, but it will leave its poisonous effects which will last that patient a lifetime. Every spring the symptoms of Lachesis will crop out. In all the circumstances of aggravation described the symptoms of Lachesis will crop out if he has once been poisoned by it.

    In the sore throat we have a combination of symptoms. Lachesis has produced this state, going from left to right; but with the sore throat there is a sensation of fullness in the neck and throat, difficult breathing, pallor or plethoric appearance of the face, choking when going into sleep, the peculiar kind of saliva and aggravation of the throat symptoms from warm drinks.

    There is not always an aggravation of the pain itself from warm drinks, but the patient is often unable to swallow warm fluids. The swallowing of warm fluids often causes choking, and after a swallow of warm tea is taken the patient will clutch at the throat and it seems as if he would suffocate. He says,

    “Oh I do not give me any more warm drinks.”

    Something cold will relieve. The dyspnoea and the distress about the throat is increased by swallowing something warm. Now, in the sore throats of Lycopodium, warmth often benefits, but it is also true in some cases of Lycopodium sore throat, they want cold drinks and cold feels good to the throat.

    Very often in the more acute symptoms of Lachesis a warm drink in the stomach is hurtful and causes nausea and suffocation and increases the choking and palpitation and the fullness in the head, whereas in the chronic cases of Lachesis, those that have been poisoned years before, there will be a sensation of nausea and tendency to vomit from taking a drink of cold water and then lying down.

    The nausea comes on after lying down, that is, let the patient take a drink of ice cold water and go to bed and nausea will come on. Such a state is peculiar to Lachesis. It has been a later observation of those who have long before proved Lachesis. The symptoms of Lachesis have sometimes to be taken years after.

    Lachesis has ulcers in the throat. It has aphthous patches, it has red and grey ulceration, it has deep ulceration. The tendency to ulceration upon the margins of mucous membranes is peculiar to Lachesis.

    Also ulceration upon the skin, where the circulation is feeble. It seems that the pain in the throat is particularly marked between the acts of swallowing, and the pressure of the bolus going over the inflamed tonsils relieves the pain.

    Always choking when swallowing, choking and gagging in the throat.

    The cough is a choking cough and produces a sensation of tickling. This is like the Bell. cough. Bell. antidotes a Lach. cough, it has a cough so much like Lach. that no one can tell them apart.

    Again the throat takes on extreme dryness in Lach., and this dryness is without thirst, dryness with aversion to water. Much inclination to swallow; the tendency is to continuously swallow, yet it is painful. Empty swallowing is more painful, than the swallowing of solids. Some Lach. patients suffering from cardiac affections are annoyed with constriction of the throat, choking in the throat when anything warm is swallowed, and sometimes when going into a warm room, choking and palpitation of the heart.

    Tendency to chronic sore throat or recurrent sore throat and ulceration with every recurring sore throat. Liquids, of course, you will see, are analogous to empty swallowing, and empty swallowing causes more pain than the bolus which presses upon the sore throat, because it is of the nature of a slight touch. The slight touch increases the soreness and pain in the throat. Slight pressure of the collar increases the pain in the throat.

    With the sore throat the muscles and glands about the neck become painful, inflamed and swollen, and very tender to the touch. With the sore throat, very commonly, there is pain in the base of the brain or in the back of the head, and soreness of the muscles of the back of the neck, which is often relieved by lying on the back and aggravated by lying on either side.

    If you look into the throat it has a mottled, purplish appearance. Put all these things together, with the copious flow of tenacious saliva, and you will be able to manage cases of diphtheria that commence on the left side and spread to the right, whether the membrane is scanty or copious.

    Tonsilitis with suppuration of the tonsils, when the left tonsil becomes inflamed and after a day or two the right one becomes inflamed and swollen, and they both finally go on to suppuration, or when one swells and suppurates and the other swells and suppurates. Diphtheritic appearances of the throat, spreading from left to right. The pharynx is full of thick, white, ropy mucus in the morning; must hawk out a mouthful of mucus in the morning.

    Abdomen: The abdomen is distended with flatus. The abdomen is tympanitic in typhoid condition, much rumbling in the distended abdomen. The clothing cannot be tolerated, not even the slightest touch of the clothing, and yet it may require hard pressure to bring out soreness that is deep in the abdomen. This state is as it is in inflammation of bowels, ovaries and uterus, the patient lies on the back with the clothing lifted from the abdomen.

    Violent labor-like pains, menstrual colic, present in typhoid, in puerperal fever, in malignant scarlet fever, in the more malignant affections of zymotic forms of the continued fever.

    Lach. has a series of liver troubles with jaundice; congestion of the liver, inflammation of the liver, enlarged liver and the nutmeg liver. Cutting like a knife in the region of the liver. Vomiting of bile; vomiting of everything taken into the stomach. Extreme nausea; continuous nausea with jaundice. White stool. It has cured cases with gall stone.

    “Cannot endure any pressure about the hypochondria.”

    In the chronic state the sensitiveness of the skin is so great over the abdomen, and about the waist and hips, that the wearing of the clothing creates pain, great restlessness and uneasiness, the patient grows increasingly nervous and finally goes into hysterics. Sensitiveness over the lower abdomen; can scarcely allow her clothes to touch her.

    Female: It seems strange at first reading that Lachesis can be such a common remedy at the menstrual period.

    It is also laid down as a remedy for the climacteric period. Now if you will study the cases of many women at the climacteric period you will find that many of them have the flushes of heat and the surgings in the head and the great circulatory disturbances that are found under Lachesis. This is also true of the complaints, the headaches, etc., that come in women at the climacteric period and at the menstrual period.

    The Lachesis symptoms are strong in women during menstruation. There is violent headache, boring pain in the vertex, nausea and vomiting during menses.

    The discharge in the female, either as a menstrual flow or as a hemorrhage, is black blood. Pain in the left ovarian region, or going from left to right. Induration of one or both ovaries. It has cured suppuration of the ovaries. The uterine region is very sensitive to touch, to the slightest contact of the clothing; in inflammation of the ovaries, pains in the ovaries and uterus going from left to right. Pains in the pelvis going upwards to the chest, sometimes a surging of pain going upwards, grasping the throat. Labor pains surge up, with clutching at the throat, or the labor pains cease suddenly, with clutching at the throat.

    The menstrual pains increase violently until relieved by the flow. The menstrual sufferings are before and after the flow, with amelioration during the flow. The menstrual flow intermits one day and then goes on for one day, and during the intermission there is likely to be pain or headache.

    Menorrhagia with chills at night and flushes of heat in the daytime. During the menstrual period violent headache, especially at such times as the flow slackens up.

    It is a general feature of Lachesis to be relieved by discharges.

    Catamenia flow but one hour every day; on stopping, violent pains follow in region of left ovary, alternating with gagging and vomiturition.

    It is especially useful at the menopause, because of the flushes of heat. Uterine hemorrhage, fainting spells, suffocation in a warm room; orgasm of blood most violent. Complaints during pregnancy.

    Inflammation of the veins of the leg. Varicose veins, blue or purple, extreme sensitiveness along the veins; sensitive to the slightest touch, though relieved by pressure.

    The study of Lachesis is only a commentary on some of its important parts.

    Editorial notes

    • “meatus auditorus” corrected to “meatus auditorius” (transcription error in the digital source text).
  • Lac Vaccinum Defloratum

    Lac Vaccinum Defloratum
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 107 of 180
    Source pages 2097–2110 of the Nalanda Digital Library edition (public domain)

    The untrained mind naturally rebels at the idea of giving skimmed milk to sick people as a remedy, but when potentized like any other substance it becomes one of the most useful remedies.

    Every physician has seen a few cases in his practice; men, women and children who cannot drink milk. They say they are made sick by drinking or using milk, and that milk is poison to them.

    It is the work of the true physician to study cases and ascertain in each case what symptoms are observed after taking milk. These symptoms constitute a proving of it and it is the best kind of a proving as it is produced upon sensitive persons.

    The writer has made it his duty to study each and every one of these cases until the image of the sickness produced by, milk has dawned upon him both from the individual symptoms and from a collective view.

    Much can be learned by meditating upon the milk constitution some may think there is a difference of importance between milk skimmed and new milk, but for all practical purposes the skimmed milk is sufficient and cures the oversensitiveness to milk, if used in a high potency. It is useless in low potency.

    It is a useful remedy as it may demonstrate to the unbeliever the wonderful power of the high potency. It has aggravation during the whole twenty-four hours; some cases manifest symptoms only during, the daytime, and amelioration comes with the going down of the sun – but this is uncommon.

    The chronic milk subject is very cold and bloodless and cannot get warm even in a warm room and by warm clothing; she is so chilly and so sensitive to cold that she feels the air blowing on her in the room, as if she were fanned, even where there is no possible draft and others feel the room to be very warm.

    She is very sensitive to wet weather. She is subject to neuralgic and rheumatic pains all over the body but more especially in the head. The pain in the head is better from cold, applications, but the pains elsewhere are better from heat. The sufferings are all worse by motion and better by rest; pains are better by pressure.

    The bones are sore to touch. Great lassitude and even weakness, can endure no exertion. There is marked restlessness and she is unable to hold up after loss of sleep; extreme weariness from a short walk.

    She looks and acts as though she had been suffering long or as if she were going into a decline. The skin all over the body is violently sensitive to cold objects and touch of cold sponge. There is marked periodicity in the nature of the remedy, most noticed in the recurrent headaches. This remedy has had a reputation for curing diabetes and this is not to be wondered at when it is known to have cured the weakness, anaemia and copious, watery urine and great thirst; also copious, dense urine.

    Many invalids cured by this remedy have appeared to the writer much like the typical diabetic patient; but it can cure only where the peculiar symptoms agree. It will not cure simply when the common symptoms are present.

    Let all observers faithfully and minutely study all patients who have an aversion to milk; all who have diarrhoea, nausea, vomiting, sick headaches, eructations, foul stomach after drinking milk and in time the general idea of the milk sickness will be known.

    It is a most useful and frequently needed remedy for infants and children who cannot take milk, not always as their specific remedy, but as one of the remedies that will help many infants to grow up some grow morbidly fat and others become lean when fed on milk.

    It has been useful in dropsy from weak heart; from liver complaints and from suppressed malaria. People who drink milk habitually become anemic and catarrhal; fatty degeneration of muscles, of heart and liver. Malassimilation, is the most marked feature of milk poison.

    The pains become violent in many parts; in the spinal cord; in eyeballs; in supra-orbital nerves; in forehead and through the head; in the stomach; in lower part of the abdomen. Many people are made sick by milk who use cream with safety and delight.

    Lac defloratum is often the remedy for such patients and after a careful examination, their symptoms appear like the proving of skimmed milk.

    Mind: Loss of memory, listlessness and aversion to mental work; sadness, desires death and meditates upon the easiest method of self-destruction; sadness with weeping and palpitation; aversion to seeing and talking to people; weakness and vacillating mind. He is sure he is going to die. She imagines that all her friends will die and, that she must go to a convent; a horror when in a small closet lest the door will be closed and she will suffocate.

    She becomes faint and dizzy when raising her hands high to thread her needle; vertigo on turning in bed; on moving the head from the pillow; on opening the eyes when lying; in the act of lying down. Faintness and nausea when stepping upon the floor in the morning. Vertigo when reaching up with the hands; tendency to fall to the right when standing or walking.

    Head: In sickly, pale, careworn women, when the headache is over the eyes and through the frontal region and the pain is violent; is better from, pressure and tight binding up, is better lying down in a dark room; is better from cold applications; is better from perfect rest; is worse from least motion, worse from light, noise, and conversation; when the headache comes on from drinking milk and is attended with copious, pale urine; with nausea and vomiting of food, mucus and bile.

    Violent pain in occiput, vertex and sides of the head; marked pulsation in the head with all headaches; during the headaches the face is pale and cold. There is also marked congestion with heat of the head and flushed face; the headache often comes with marked periodicity though sometimes not with regularity. Weekly headaches are the most common.

    Great soreness all over the head on jarring or coughing; sensation as if top of head was lifted off; pain first in the forehead extending to occiput, making her nearly frantic. Intense headache in forehead and through head, worse in vertex, afterwards head felt bruised.

    With all the frontal headaches there is strong pulsation in temples. It has cured many violent, periodical, sick-headaches, that have been present since childhood and said to be inherited. During these violent headaches there is sometimes a sensation as though the head were expanding; it has cured headaches that come before and after menses. Morning sickness during pregnancy.

    Eyes: Dim vision before the headaches; can only see light, not objects sensation as if eyes were full of stones; extreme photophobia; dull pain in eyes, worse in left, even while lids are closed; better by cold applications, better by closing eyes, in a dark room; drawing pain in eyes when reading, could only read a few minutes at a time; great pain in eyes on first going into the light; pain in and above eyes, worse by heat and motion. Lids feel heavy, sleepy and dry. Pain most marked over left eye with lachrymation.

    Painful pressure or tightness at the root of the nose.

    Face: Deathly paleness of the face; wasted, thin and excessively sallow, with dark stains beneath the eyes. Sallow complexion with eczema. Flushes of heat in left side of face; sensation as if flesh was off the bones of the face, and edges were separated and sticking out.

    Grinding teeth during sleep, with pain in stomach and head, with vomiting.

    Taste insipid, sour; month dry; breath offensive; mouth clammy and frothy, especially during conversation.

    Globus hystericus; sore throat, worse when swallowing. The mucous membrane of the throat is very pale.

    Stomach: Entire loss of appetite; great thirst for large quantities of water eructations empty or sour; distension from gas; nausea after drinking cold water in the evening, worse after lying down; nausea from a recumbent position or from motion or on rising in the morning; deathly nausea, but cannot vomit, with groans and cries of great distress; great restlessness and sensation of coldness although the skin was hot and pulse normal.

    Vomiting, first of undigested food intensely acid, then of bitter water and, lastly, of a brownish clot which in water separated and looked like coffee grounds. Incessant vomiting which has no relation to her meals; vomiting of bile, with headaches; violent pain in stomach. It is a very useful remedy for vomiting in pregnancy in women who loath milk. Cramping in the stomach.

    Chronic gastro-enteritis with chronic diarrhoea and vomiting; tenderness of abdomen; flatulence and distension. Heaviness and feeling of stone in abdomen. Severe pain across the umbilicus, with headache.

    Chronic constipation where rectum seems paralyzed and injections and cathartics have failed; the stool is large, hard and difficult; after prolonged straining the stool recedes. It has cured after Silica failed. Constipation in very chilly patients; constipation with periodical headaches and vomiting, frequent but ineffectual urging to stool; diarrhoea from drinking milk.

    Urines: Frequent scanty urination; profuse, pale, watery urine with headache; urine very dark, and thick; albuminous urine. It cured involuntary urinations when walking in cold air, or when riding on horseback. It cured a lack of sensation when the bladder was full.

    Genitals: It cured a yellow-brown leucorrhoea, worse before and after menses it cured a profuse yellow leucorrhoea. Bearing down in ovarian region menses too. late and scanty; menses too late, pale and watery. Pain in back and ovarian region during menses; sudden suppression of menses after putting hands in cold water; pains all over, especially in head; when the milk is diminished or fails it is of great service. The breasts are dwindling.

    Chest: Asthma with bloating of stomach; cardiac dyspnoea.

    Short, dry cough; worse in a cold room or in cold air.

    Soreness of chest with oppression; rheumatic pains in chest in cold, damp weather; tubercular deposits in apices of both lungs.

    Pressure in the region of the heart with dyspnoea and a feeling that he must die; cutting as with a knife apex of the heart. Pulsation of the heart and flashes of heat in the left side of face and neck; palpitation from least exertion or excitement.

    Heat up and down the back and across from shoulder to shoulder; extreme sensitiveness of back to cold sponge. Herpes on side and neck; itching and burning after scratching; hard pressive pain at fourth cervical vertebra; chills creeping along back between scapulae; intense burning pain in small of back and sacrum; constant pain in small of back.

    Ends of fingers icy cold – rest of hand warm; numbness and loss of sensation over outer and anterior surface of thighs; pain pressing down sciatic nerve and heel; morning on rising, with nausea and faintness; weakness and aching in the swollen ankles. Skin thickened on edges of foot; feet cold as ice. Aching pains in wrists and ankles cold hands and feet during headache.

    Great restlessness; extreme and protracted suffering from loss of sleep at night; sleepy all day; extreme insomnia.

    Fever at 9 A.M., until morning; wakes in profuse sweat, which stains linen yellow. Hectic fever. Sensation as if sheets were damp.

    The skin is so very sensitive to the touch of a cold hand or sponge that the prover could bathe only in very warm water. The skin is cold and pale and veins look blue and very prominent. Herpetic eruptions; itching of the skin; burning, after scratching.

  • Laurocerasus

    Laurocerasus
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 109 of 180
    Source pages 2111–2116 of the Nalanda Digital Library edition (public domain)

    The many strange constitutional symptoms indicate feeble circulation and weak heart.

    Great general coldness, that is not ameliorated by external warmth. It is like wrapping up a dead man. Yet if he approaches a warm stove nausea comes on. If he is in a warm room the sweat breaks out on the forehead and the forehead is cold; but if he moves about slowly in the open air the sweat ceases and the forehead warms up.

    Want of animal heat. Want of reaction. Remedies act only as palliatives, act only as short acting remedies in constitutional disease, or the symptoms partially subside but the patient does not react. The patient does not convalesce.

    It often cures the heart failure due to Digitalis in Old School hands, or when convalescence is attended by weak heart if there is cold skin and external heat is objectionable. It should be compared with Camph., Am. c. and Secale.

    A prolonged fainting spell; twitching of the limbs, gasping for breath. Complaints after deep sorrow or fright. Chorea after every excitement. Spells of profound sleep with snoring or stertorous breathing.

    In the spells of suffocation, he must lie down (Psorinum) but the dry hacking cough comes on as soon he lies down.

    Weakness of body and mind. Fainting. Motionless. Apprehensiveness.

    Vertigo in the open air; he must lie down.

    Coldness of the forehead in a warm room, ameliorated in the open air.

    Stupefying pains in the head, with pulsation.

    Stitching pains in the head.

    Periodical paroxysms of aching pain under the frontal bone.

    Sensation as if brain fell forward on stooping.

    Tension in the brain. Headache is sometimes ameliorated by eating. The scalp itches.

    Dim vision. Veil before the eyes. Objects larger.

    The face is blue, sunken, bloated, and expressionless; jaundiced yellow spot.

    Formication of the face. Lockjaw.

    Mouth and tongue dry. The tongue is dry, cold and numb; stiff and swollen.

    Spasmodic contraction of throat and oesophagus; drink rolls audibly down the oesophagus and through the intestines.

    Emptiness in stomach after eating (Dig.) as if he were still hungry.

    Violent thirst. Loathing of food. Nausea on coming near a warm stove. Vomiting of food with the cough.

    Eructations, tasting like bitter almonds. Violent pain in stomach, with cold skin.

    Coldness in stomach and abdomen. Contractions like cramps in stomach and cutting in abdomen. Pain in liver as though an abscess were forming. Stitching pain in liver on pressure. Rumbling in bowels.

    Diarrhoea, with green mucus, and green watery stools, with tenesmus.

    Constipation, with difficult stool. It cures cholera infantum with green watery stools when drinks gurgle down the oesophagus and there is general coldness, blueness, and fainting spells.

    The whole urinary apparatus is in a paralytic state. Suppression of urine or retention, or urine passed in a very feeble stream. Involuntary urination. Pain, in stomach when passing urine. These urinary symptoms sometimes come with palpitation and suffocation, and fainting spells, or other cardiac symptoms and Laurocerasus must be consulted.

    Menses too frequent, profuse, thin, with tearing in vertex at night. Uterine hemorrhage, with flow dark and clotted during climaxis. Fainting spells with coldness during menses. Pain in sacrum during menses.

    Heart patients that often suffer much from constriction of the larynx are helped by this remedy. Laryngismus stridulus.

    Difficult breathing. Suffocation, oppression of chest, gasping in heart complaints, ameliorated by lying down. Clutching at the heart and palpitation. It has cured mitral regurgitation many times,

    Short, hacking, dry, nervous cough. Cardiac cough.

    Whooping-cough in puny children when there is a history of feeble heart, blue cold skin, and laryngeal spasm. Paralytic chest symptoms.

    Irregular action of the heart, slow pulse, fluttering heart. Sitting up causes gasping; lying ameliorates the oppression. Feeble pulse, cold blue surface, twitching of muscles of face and limbs. Slight exertion aggravates all the symptoms. Cyanosis neonatorum.

    Burning in chest on inspiration.

    The veins of the hands are distended. Cold clammy feet and legs. Painless paralysis of limbs. Stinging and tearing in limbs. Feet numb from lying with limbs crossed.

  • Ledum Palustre

    Ledum Palustre
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 110 of 180
    Source pages 2117–2130 of the Nalanda Digital Library edition (public domain)

    Surgeon: This remedy comes up well after the study of Lachesis, for we find in the pathogenesis many features similar to those in Lachesis.

    It has the mottled aspect and the same puffed and bloated appearance of the face. It is antidotal to Lachesis, to the poison of insects, to the poison of Apis and to animal poisons.

    Ledum is a remedy for the surgeon, and is closely associated in traumatism with Arnica and Hypericum. The symptoms very much resemble such as follow certain kinds of injury, for instance an injury from stepping on tacks, from puncturing with needles, wounds that bleed scantily but are followed by pain, puffiness and coldness of the part.

    Causation: Stepping on a nail and it pierces the sole of the foot or the heel, or he receives such a wound in the palm of the hand from a splinter, or he runs a splinter under the nail.

    If, after such punctured wounds, the part becomes cold and then pale, paralyzed and mottled think of Ledum. The horse sometimes steps on a nail. If that nail goes through and strikes the margin of the coffin bone, tetanus will follow. It is known to be almost sure death. Put Ledum on the tongue of that horse and there will not be any trouble, for it prevents such conditions.

    When tetanus comes on from punctured wounds in the palms or soles, or in other parts, think of Hypericum, or when you have a punctured wound to treat, give Ledum at once and you will prevent tetanus.

    When the finger nails have been torn, or the nerves in sentient parts like the ends of the fingers have been torn and lacerated, Hypericum becomes the remedy.

    For bruising of various parts, and when the patient feels as if braised all over, no matter how extensively he is bruised, Arnica is generally the remedy.

    It may be said, for punctured wounds study Ledum; for lacerated wounds of sentient nerves, study Hypericum; for bruises, study Arnica; for open lacerations and cuts, study Calendula.

    The conditions that come from the external, ought to be remedied to a great extent by external means. A solution of Calendula is excellent in conditions that come from the external, and it should be applied externally. When you have lacerated wounds and cuts with knives or other sharp instruments, apply Calendula, because the injury is external without internal effects.

    The symptoms that arise from internal cause, treat with internal remedies, and symptoms that arise from external cause, when all that there is of the case is external, treat locally; in other words, for local causes use local means, and for internal or dynamic causes, use internal means.

    Let internal wrongs be treated by the homoeopathic remedy and external or local conditions be treated by such soothing dressings as are most comfortable. Always protect surfaces that are exposed, and raw, and bleeding with something of a bland and superficial character.

    Wounds must be dressed with as simple a means as possible, and there is no simpler dressing than Calendula, one part to four or six of water. The tincture will smart too much. Your open wounds will granulate most beautifully under Calendula, and you will have no constitutional effects. When the constitutional state is orderly and there is an open injury let the constitution alone, but put on some soothing application externally. In doing this there is no law to govern the action of the physician.

    Air is an irritant to a raw part and will keep up an unnecessary discharge of pus, even from a perfectly healthy sore.

    Calendula will keep it protected. The sides of a cut must be drawn together, and if it is perfectly tight it will heal itself by first intention. If it does not, then you may know there is a constitutional condition that you must ferret out and find the remedy for. Local treatment must then be suspended.

    These remedies that I have mentioned, to a great extent, cover the management of wounds, and it is simple. Anyone has sense enough to draw together and close up a yawning wound, and to properly dress it. The muscles that naturally draw a wound open have to be overcome by stitches or by strappings. They do not belong to prescribing, they belong to the surgeon.

    Coldness: The Ledum patient is very often subject to what may be called constitutional coldness, coldness to touch, coldness in the lady and coldness in the extremities with hot head, and again we see the other extreme, where the whole body is overheated, and the head also is in a state of great heat. There is throbbing and pulsating all over the body; the skin is purple or is too highly colored; he wants the covers all off at night. It is not uncommon to hear a patient, who has a Ledum headache, say that she wants the head out in the cold air, wants to put it out of the window, does not want any covering upon the head; delights to bathe it with very cold water.

    Ledum has a bloated condition of the hands, face, and feet; bloated and purple from the knees down in certain dropsical conditions. With this purple, mottled, bloated condition from the knees to the feet the swelling as big as the skin will allow, and the pain excruciating.

    The only relief that patient gets is by sitting, with the feet in a tub of ice cold water. I remember the first time I ever saw this in a patient. He was an old syphilitic, whose nasal bones had been eaten cut by syphilis, and his nose was a flabby piece of skin; it had no stiffening in it. He was a drunkard, and was extremely abusive to his family when drunk.

    He had been for several years unwilling to work, having lost his ambition, and he would sit in the house and allow his wife to wait upon him. He had practically become a tramp, only he could not tramp, for this dropsical condition had come on and his feet were so badly swollen and sensitive that he sat in the house day after day. When I first saw him he had before him a good-sized old-fashioned wash-tub, and there he sat with the ice water two-thirds up to his knees and pieces of ice floating around on the top of the water, which he liked to have coming in contact with the skin.

    When that ice was out he would put in more. The wife described his sufferings by saying he “suffered agonies something; dreadful.”

    Ledum took his feet out of the ice water so that he never used it afterwards. It caused the purpleness to disappear, the bloating went out of his feet, and he quit drinking. Ledum cured him of his syphilitic trouble, and he never had a return of that original state.

    Pulsatilla and Ledum are the two principal remedies that want the feet in very cold water. But Ledum suited that man.

    Bleeding: Where there are inflamed surfaces the tendency in Ledum is to bleed, and the blood is black. Ledum patients are full-blooded and plethoric, of a robust character. Such plethoric patients bleed easily, have red faces; they are fleshy, strong and of robust constitution. Hemorrhages sometimes occur in the chamber of the eye, hemorrhage of the nose, hemorrhage in cavities, bloody urine. Old painful ulcers that spread, that are mottled round about, in a constitution that always wants to be cold. The ulcers are relieved by cold,

    Rheumatism: This remedy is of a rheumatic nature, rheumatic and gouty. It is a gouty medicine, having complaints in persons who suffer from gout, and have chalk stones in their joints, deposits in the wrists, fingers and toes.

    The deposits go from below upwards. The gouty joints become suddenly inflamed and are relieved by cold. Ledum especially singles out the knee; it is suitable in old prolonged cases of inflammation of the kneejoint, of rheumatic knee-joint. You will find such patients sitting with the joint exposed to the cold, fanning the joint, or putting evaporating lotions upon the joint, such as chloroform, or ether, which give relief to the joints while evaporating to dryness.

    Rheumatic and gouty extremities with pain and swelling; pain worse from motion, worse at night and from warmth of bed; better from cold applications with copious pale urine. The pains and swelling go upwards and the heart becomes affected.

    Face: The face I have already described as puffy or bloated like the Lachesis face. It is a besotted face and looks very much like the face of an old drunkard. Ledum counteracts the effect of whiskey, and takes away the appetite for whiskey. Ledum is to whiskey what Caladium is to the smoking habit. You can break patients from the habit of smoking so that they go to the other extreme, and have an aversion to it.

    It has erysipelas, as you might expect. It has a blue, mottled and puffed and sometimes oedematous appearance. It takes on an acute character and becomes burning. Phlegmonous erysipelas of any part of the body, but particularly of the face, or the injured part.

    Urines: You might naturally suppose that a medicine that has such a gouty nature in it would have more or less kidney symptoms.

    “Urination frequent, quantity diminished or increased, stream often stops during the flow.”

    “Burning in the urethra after urinating.”

    “Itching redness and discharge of pus.”

    It has red sand in the urine as marked as Lycopodium. It has great quantities of sandy deposit of various colors. When the patient is feeling at his best, there are great quantities of sandy deposits passing away. When there is little deposit in the urine, the gouty deposits in the joints become marked, and he does not feel so well.

    It has another symptom that was verified by Lippe:

    Copious clear, colorless urine, light in specific gravity and from its being light or deficient of salts in the urine we have an aggravation of the gouty manifestations.

    Remember that the rheumatic tendency spreads upwards from the lower extremities, from the circumference to the centre.

    “Menstruation too early, too profuse, bright red; absence of vital heat.”

    Genitals: Great coldness of the body at this time, yet the patient wants the cold air. Copious menstrual flow. Old gouty subjects, with mottled face with the puffiness that is not oedema, simply a venous stasis, with copious menstrual flow, with great pain during menstruation.

    The uterus is extremely sensitive to touch, and the pelvic organs are. so sensitive that any deep touch becomes painful to the patient. Dysmenorrhoea in gouty subjects. It turns the constitution into order and prevents the after formation of gout. When such cases are very deep-seated, the uterine troubles will be cured in middle life, and the gouty appearance will come separately. The better the internal is, in an incurable disease, the worse the external becomes, and, when this is so the external trouble is essential to health, and so long as the external manifestations are in the extremities, and the joints are being increasingly affected, so long the internal is in a state of order.

    When the remedy works in that way, do not change it and try to get something that will drive the external away. So long as the patient is improving and the external is growing worse, that is the right direction. Ledum acts in this direction. Its tendency is to make the complaints go away from the centre, for its complaints begin in the circumference and go towards the centre. It is sometimes impossible to manage a gouty patient without giving him some sort of explanation.

    Lycopodium also keeps conditions coming to the surface. It will send them back to their own place in the externals when they have a tendency to go in. Lycopodium often causes a return of the red sand in the urine.

    “Emaciation of suffering parts.”

    A nerve is injured by a puncture and a slight infection takes place, so that the wound becomes congested, with a mottled, oedematous appearance, and the part becomes cold, just such a condition as Ledum will cure. The nerve that supplies that part takes on an ascending neuritis, pains shoot along the nerve, the muscles that are supplied by that nerve dwindle and the part withers. We have in Pulsatilla a similar state.

    “The diseased limb withers.”

  • Lilium Tigrinum

    Lilium Tigrinum
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 111 of 180
    Source pages 2131–2143 of the Nalanda Digital Library edition (public domain)

    So far as proved Lilium Tigrinum has shown itself adapted to the complaints of women.

    It is especially suited to hysterical women, who suffer from uterine troubles, cardiac troubles and various nervous manifestations; suitable to a woman who is extremely irritable, full of fanciful notions, insanity, religious melancholy and imaginations, with cardiac affections and prolapsus.

    These conditions often alternate; when the mental symptoms are most marked the physical symptoms are relieved. The “dragging down” that is associated with prolapsus seems to be a dragging down from the region of the stomach, and even sometimes from the throat.

    A bearing down, as if all the interior organs were dragging down. With this state of extreme relaxation there is great fidgetiness and most marked of all, palpitation. She can lie only on the back, and is aggravated from lying on either side. From every emotion the heart flutters, and is irregular and excitable. These mental symptoms and heart symptoms and uterine symptoms often rotate or alternate, and constitute the principal features.

    Mind: She can hardly speak a decent word to anybody. She will snap even when spoken to kindly. She is so irritable that her friends cannot pacify her. Even consolation aggravates. When spoken to she is irritable. She lies awake nights, and is tormented either by fanatical religious ideas, or a religious melancholy, and seems inclined to dwell upon insane, ideas concerning religion and modes of life unreasonable, illogical and fanciful.

    Has wrong ideas concerning everything. Receives wrong impressions and everything is inverted. It is impossible to please her. Now these states are present with a state of irritability of the sexual organs, nymphomania; violent sexual excitement associated with spasms, with palpitation, with sweats, with periods of exhaustion. She sits alone and broods over imaginary troubles, and when spoken to is crabbed.

    “Ideas not clear; they become more so if she exercises her will.”

    “Makes mistakes in writing, in speaking, cannot apply the mind steadily; tormented about her salvation.”

    The patient tries to describe an indescribable feeling by saying she has a “crazy feeling” in the head, as if the ideas scattered, and the more she attempts to think rationally the more irrational she becomes. The more she attempts to think of something the less likely she is to recall it. When putting the mind upon something else it comes back again. This remedy has all kinds of symptoms from sexual excesses in overwrought and nervous women, from sexual excitement, causing confusion of mind with palpitation.

    It says in the text:

    “Listless, inert, yet does not want to sit still.”

    This patient will sit still and brood and think over the past, and when spoken to will jump up and run hastily and excitedly and slam the door without any cause; when spoken to kindly by members of the family, or a friend, it seems that she will go wild. A patient once under an aggravation from this remedy said to me:

    “I was spoken to to-day in a street car, and I was so mad I wanted to fling something at his head.”

    She was thinking over something about herself, and did not want to be disturbed. It is a violent state of temper, a violent state of irritability, a loss of balance. She says:

    “It seems as if I must fly when spoken to or disturbed.”

    When coming in contact with her friends she has these feelings. The contact seems to arouse her out of a state of lassitude and quietness. Strange things occur in this remedy. The sensations described in the text are so vague and so varied that you can see that it is an effort on the part of the provers to describe what they feel. The sensations are numerous and indescribable.

    This patient very commonly is a warm-blooded patient.

    She is like the Pulsatilla patient; warm-blooded, wants a cool room, likes to walk in the open air, except at times when the prolapsus is aggravated by walking. The head is generally relieved by moving about in the open air, > when walking in the open air. The headache and most of the complaints are relieved from cold, or from a cool room, and aggravated from a warm room. The dyspnoea comes on in a warm room. The patient suffocates in a crowded room, in the theatre, in church, like Apis, Iodine, Kali i., Lyc. and Puls.

    Head: A crazy feeling comes up from the back of the head to the top of the head.

    What that is only one that feels it can describe. It is described sometimes as a tingling, or an electric sensation. A slight tingling comes up the back of the head and goes to the top, and is associated with vertigo. When you come to sift that thought it really brings nothing to mind. Very often you have to get those things clinically, and think about them to get at the idea.

    The pains in the forehead are very marked, and they are associated with great disturbance of vision, a loss of vision, the room looks dark, or the eyes are unable to focus. Nervous disturbance of vision, photophobia, twitching of the lids, jerking about the eyeballs, and inflammation of the mucous membrane of the eyes, of the lids and balls, conjunctivitis. Very often with the complaints of the head the eyes are turned in, a convergent strabismus, or there is threatened syncope, with the pain in the forehead.

    By all these things mentioned it may be known what an over-sensitive, extremely nervous, hysterical person the Lilium tig. patient must be. These things are commonly associated with patients who are extremely nervous, who have fluttering of the heart, who have pain down the spine, and more or less prolapsus, with a great sense of dragging down. When one condition is present, the other is commonly absent; they alternate, or they may exist all together.

    “Wild feeling in the head, as tho’ she would go crazy, with pain in the right iliac region.”

    These provers seemed to like the expression, “crazy feeling in the head, as if she would go crazy”.

    That crazy feeling is a confusion of mind, as if the mind were quite unable to concentrate itself. That is what is interpreted by this crazy feeling the patients have. It is sometimes like a vertigo, as if things were going round, or as if she would lose her mind. Then it comes again as a terrible, tearing headache, described as a crazy headache in the forehead. Headache in which there is confusion of the mind, or as if the mind would go crazy.

    Abdomen: The abdomen, stool, urinary and sexual organs, furnish us a field for the use of this medicine.

    The whole abdominal viscera seem to be dragging down from the stomach. The patient wants to hold up the abdomen, pendulous abdomen. It seems as if the pelvic organs would protrude. The patient must lie down, wants to wear a T bandage. Wants to grasp the abdomen from the sides and lift up for support. It is a sensation of weakness or bearing down in the pelvis as if everything were coming into the world through the vagina.

    This remedy has a very urgent diarrhoea, driving out of bed in the morning; he must make great baste. You may get this confused with Sulphur, because Lilium tig. has great heat in the head, emptiness in the stomach, and great burning of the palms and soles. It has also a dysentery that you will hardly be able to distinguish from Merc. cor., so marked is the tenesmus, mucus and blood.

    The stool is merely mucus mingled with blood, and the tenesmus is as great and the burning in the anus as marked as in Merc. cor. It is especially suited for those attacks of dysentery that come on as an occasional chronic manifestation in nervous patients such as I have described. Now, do not think that because this patient is nervous that she is weak, or liliputian, or lean; for it is especially suitable for those with full veins; apparently plethoric, full blooded, fleshy, rotund women who are very nervous, and especially at the change of life.

    Recurrent dysenteric attacks with every cold in those who suffer from pelvic and abdominal relaxation, mental irritability as described, palpitation and fluttering of the heart, with nervous constitutions. You do not see Merc. cor. in such a picture. If it were a dysentery alone I would not be able to tell which it was.

    All of these dysenteric manifestations have been left out of the Guiding Symptoms, yet I have seen them verified over and over. Again, it has a most inveterate and troublesome constipation.

    It has also a tenesmus of the bladder and rectum. Teasing to urinate, as well as urging to stool. Sit a long time with much urging, and after long straining no stool.

    Frequent urging, with a sensation as if a ball were in the rectum. When the fundus of the uterus is turned back to the rectum it gives a sensation as if the rectum were full of faeces; it brings on urging to stool and the patient will sit and strain, and the tenesmus of the bladder and rectum is unbearable. Constant urging to stool, and no stool in the rectum. You will be astonished to know that the remedy that is indicated with such symptoms will relieve the patient of all distress in a short time.

    But you ask, will this remedy put the uterus right again? Well, the patient will get relief of her sufferings and will not feel this uncomfortable state after the administration of the remedy. The bowels become regular, the disturbance of micturition is relieved and the patient gradually returns to health and later the uterus will be found in place.

    “Pressure in the rectum, with almost constant desire to go to stool.”

    Lilium tigrinum has cured the most inveterate protruding hemorrhoids with burning.

    “Haemorrhoids after delivery, sore to touch, bearing down after stool as if all would protrude from the vagina.”

    It does not mean that we shall apply that simply to hemorrhoids that come after delivery, but it has cured hemorrhoids in such a constitution, and not only hemorrhoids, but relaxed uterus and vagina.

    A paralytic relaxation is present in all the abdominal tissues. I have mentioned the uterine symptoms incidentally in connection with other parts.

    “Menses scanty, flow only when moving about.”

    This will make you think of Puls., the menses being so scanty, and because the Puls. patient is of similar nervous temperament. Puls. has scanty menstruation and relief in the open air. It has also much dragging down in the pelvis, though not so extreme as a rule as in this medicine. But there is much in this medicine quite different from Puls.

    The come the heart symptoms.

    “Seems as if the heart were grasped or squeezed in a vise, hard, as if violently grasped.”

    “Constrictive pain in the heart.” “In fresh air, chilly, but vertigo is >.”

    Pain in the back and down the spine; irritable and sensitive spine with trembling. It competes very closely with Platina.

  • Lycopodium

    Lycopodium
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 112 of 180
    Source pages 2144–2181 of the Nalanda Digital Library edition (public domain)

    Lycopodium is an antipsoric, anti-syphilitic and anti-sycotic, and its sphere is broad and deep. Though classed among the inert substances, and thought to be useful only for rolling up allopathic pills, Hahnemann brought it into use and developed its power by attenuation.

    It is a monument to Hahnemann. It enters deep into the life, and ultimate changes in the soft tissues, blood-vessels, bones, liver, heart, joints. The tissue changes are striking; there is tendency to, necrosis, abscesses, spreading ulcers and great emaciation.

    Generalities: There is a predominance of symptoms on the right side of the body, and they are likely to travel from right to left or from above downward, e. g., from head to chest.

    The patient emaciates above, especially about the neck, while the lower extremities are fairly well nourished. Externally there is sensitiveness to a warm atmosphere when there are head and spine symptoms. The head symptoms also are worse from the warmth of the bed and from heat, and worse from getting heated by exertion.

    The patient is sensitive to cold and there is a marked lack of vital heat, and worse in general from cold and cold air and from cold food and drinks. The pains are ameliorated from warmth except of the head and spine.

    Exertion aggravates the Lycopodium patient in general. He becomes puffed and distressed, and dyspnoea is increased by exertion. He cannot climb, he cannot walk fast. The cardiac symptoms are increased as well as the dyspnoea by becoming heated from exertion. The inflamed parts are sometimes relieved from the application of heat. The throat symptoms are generally relieved from the application of heat, from drinking hot tea or warm soup. The stomach pains are often relieved by warm drinks and taking warm things into the stomach. Nervous excitement and prostration are marked.

    In the rheumatic pains and other sufferings the Lyc. patient is ameliorated by motion. He is extremely restless, must keep turning, and if there is inflammation with the aches and pains the patient is better from the warmth of the bed and relieved from motion, and he will keep tossing all night.

    He turns and gets into a new place and thinks he can sleep, but the restlessness continues all night. He wants cool air, wants to be in a cool place with head symptoms. It is true that the headache is worse from motion enough to warm the patient up, but not from the motion itself. The headache is worse from lying down and from the warmth of the room, and better in cold air and from motion until he has moved and exercised sufficiently to become heated, when the headache becomes worse. That is quite an important thing to remember concerning Lycopodium, because it may constitute a distinguishing feature.

    The head symptoms are worse from warm wraps and warm bed,

    The complaints of Lyc. are likely to be worse at a fixed time, viz., from four till eight o’clock in the evening. An exacerbation comes on in the acute complaints and often in the chronic complaints at this time.

    The Lyc. chill and fever is worse at this time, and in typhoid and scarlet fever the patient is especially worse from 4-8 P.M. In gouty attacks, in rheumatic fevers, in inflammatory conditions, in pneumonia, in acute catarrhs, which are complaints especially calling for Lycopodium, it is always well to think of this remedy when there is a decisive aggravation from 4-8 P.M.

    Stomach: The Lycopodium patient is flatulent, distended like a drum, so that he can hardly breathe. The diaphragm is pushed upwards, infringing upon the lung and heart space, so that he has palpitation, faintness and dyspnoea. It is not uncommon to hear a Lycop. patient say,

    “Everything I eat turns into wind.”

    After a mere mouthful he becomes flatulent and distended, so that he cannot eat any more. He says a mouthful fills him up to the throat. While the abdomen is distended he is so nervous that he cannot endure any noise. The noise of the crackling of paper, ringing of bells or slamming of doors goes through him and causes fainting, like Ant. crud., Borax and Natr. mur.

    These general conditions go through all complaints, acute and chronic. There is an excitable stage of the whole sensorium in which everything disturbs. Little things annoy and distress.

    The Lyc. patient cannot eat oysters; they make him sick. Oysters seem to poison the Lyc. patient, just as onions are a poison to the Thuya patient.

    The Oxalic acid patient cannot eat strawberries. If you ever have a patient get sick from eating strawberries, tomatoes or oysters, and you have no homoeopathic remedies at hand, it is a good thing to remember that cheese will digest strawberries or tomatoes or oysters in a few minutes.

    Skin: The skin ulcerates. There are painful ulcer, sloughing ulcers beneath the skin, abscesses beneath the skin, cellular troubles. The chronic ulcerations are indolent with false granulations, painful, burning, stinging and smarting, often relieved by applying cooling things and aggravated by warm poultices. It is somewhat a general in Lycopodium that warm poultices and warmth ameliorates; warm applications ameliorate the pain in the knee, the suppurating condition and the gouty troubles. in an unusually warm bed, and in a warm room hives come out.

    The hives come out either in nodules or in long and irregular stripes, especially in the heat, and itch violently. Lyc. has eruptions upon the skin, with violent itching. Vesicles and scaly eruptions, moist eruptions and dry eruptions, furfuraceous eruptions, eruptions about the lips, behind the ears, under the wings of the nose and upon the genitals; fissured eruptions, bleeding fissures like salt rheum upon the hands.

    The skin becomes thick and indurated. The sites of old boils and pustules become indurated and form nodules that remain a long time. The skin looks unhealthy, and it will slough easily; wounds refuse to heal. Surface wounds suppurate as if they had contained splinters, and this suppuration burrows along under the skin. Ulcers bleed and form great quantities of thick, yellow, offensive, green pus. Chancres and cancroids often find their similimum in Lyc.

    The Lyc. state when deciphered shows feebleness throughout. A very low state of the arteries and veins, poor tone and poor circulation. Numbness in spots. Emaciation of single members. Deadness of the fingers and toes. Staggering and inability to make use of the limbs. Clumsiness and awkwardness of the limbs. Trembling of the limbs.

    Mind: The mental symptoms of Lyc. are numerous.

    He is tired. He has a tired state of the mind, a chronic fatigue, forgetfulness, aversion to undertaking anything new, aversion to appearing in any new role, aversion to his own work. Dreads lest something will happen, lest he will forget something. A continually increasing dread of appearing in public comes on, yet a horror, at times, of solitude.

    Often in professional men, like lawyers and ministers, who have to appear in public, there is a feeling of incompetence, a feeling of inability to undertake his task, although he has been accustomed to it for many years.

    A lawyer cannot think of appearing in court; he procrastinates, he delays until he is obliged to appear, because he has a fear that he will stumble that he will make mistakes, that he will forget, and yet when he undertakes it he goes through with ease and comfort. This is a striking feature also of Silicea. No medicines have this fear so marked as these two.

    Lyc. also has a religious insanity, which has a mild and simple beginning, a matter of melancholy. This religious melancholy grows greater and greater until he sits and broods. He has very often aversion to company, and yet he dreads solitude.

    “Dread of men and dread of solitude; irritability and melancholy.”

    This dread of men is not always a state of dread in women. It is a dread of people, and when that is fully carried out in the Lyc. patient you see that she dreads the presence of new persons, or the coming in of friends or visitors she wants to be only with those that are constantly surrounding her does not want to be entirely alone; wants to feel that there is somebody else in the house, but does not want company; does not want to be talked to, or forced to do anything; does not want to make any exertion, yet at times when forced to do so she is relieved.

    “Taciturnity, desires to be alone.”

    Now, let us follow that out a little further. The taciturnity is because the patient does not want to talk, wants to keep silent, yet, as I have said already, very glad to feel there is somebody else in the house and that she is not alone. She is perfectly willing to remain in a little room by herself, so that she is practically alone, yet not in solitude. If there were two adjacent rooms in the house you would commonly find the Lyc. patient go into one and stay there, but very glad to have somebody in the other.

    The Lycopodium patient often weeps in the act of receiving a friend or meeting an acquaintance. An unusual sadness with weeping comes over this patient on receiving a gift. At the slightest joy she weeps, hence we see that the Lyc. patient is a very nervous, sensitive, emotional patient. Here it is:

    “Sensitive, even cries when thanked.”

    When lying in bed suffering from the lower forms of fevers, there is delirium and even un consciousness. He picks at imaginary things in the air, sees flies and all sorts of little things flying in the air.

    “Excessively merry and laughs at simplest things.”

    A condition of insanity.

    “Despondent.”

    The Lyc. patient wakes up in the morning with sadness. There is sadness and gloom. The world may come to an end, or the whole family may die, or the house may burn up. There seems to be nothing cheering, the future looks black. After moving about a while, this passes off. This state precedes conditions of insanity, and finally a suicidal state comes, an aversion to life.

    See how this remedy takes hold of the will and actually destroys man’s will to live. That which is first in man is his desire to be, to exist, and to be something, if ever so small. When that is destroyed, we see what a wonderful thing has been destroyed. The very man himself wills then not to be. It is a perversion of everything that makes the man, the destruction of his will.

    “Apprehensiveness, difficult breathing and fearfulness.”

    “Anxious thoughts as if about to die.”

    “Want of self-confidence, indecision, timidity, resignation.”

    “Loss of confidence in himself and in everything.”

    “Misanthropic, flies even from his own children.”

    “Distrustful, suspicious and fault finding.”

    “Oversensitive to pain; patient is beside himself.”

    Head: Lyc. is subject to periodical headaches, and headaches connected with gastric troubles. If he goes beyond his dinner hour a sick headache will come on. He must eat with regularity or he will have the headache which he is subject to. This is somewhat like a Cactus headache.

    Cactus has a congestive headache which becomes extremely violent with flushed face if he does not eat at the regular time. One distinguishing feature is that with the Lycopodium headache, if he eats something, the headache is better while the Cactus headache is worse from eating. Lyc. and especially Phos. and Psorinum have headaches with great hunger.

    At or about the beginning of the attack there is a faint all-gone hungry feeling which eating does not satisfy. Such is the nature of Phosphorus and Psorinum when the appetite and headache are associated.

    The Lycopodium headache is < from heat, from the warmth of the bed, and from lying down, > from cold, from the cold air, and from having the windows open. Lean, emaciated boys are subject to prolonged pains in the head. Every time this little fellow takes cold he has a prolonged, throbbing, congestive headache, and from day to day and from month to month he becomes more emaciated, especially about the face and neck. This same trouble is present when a narrow chested boy has a dry, teasing cough, without expectoration, and emaciates about the neck and face.

    This remedy is especially suitable in these withered lads, with a dry cough or prolonged headache. In children who wither after pneumonia or bronchitis, emaciate about the face and neck, take cold on the slightest provocation, suffer with headache from being heated, have nightly headaches, and a state of congestion that affects the mind more or less, in which they rouse out of sleep in confusion.

    The little one screams out in sleep, awakes frightened, looks wild, does not know the father and mother, or nurse or family until after a few moments, when he seems to be able to collect his senses and then realizes where he is and lies down to sleep again. In a little while he wakes up again in a fright, looks strange and confused. That repeats itself.

    The headaches are throbbing and pressing, as if the head would burst; but this is not so important as the manner in which they come on, the circumstance of their cause, the things that the child does and the fact that they are better from cold, worse from noise and talking, worse from 4 to 8 P.M., and he emaciates from above downward.

    These are more important than the quality of the pain that the patient feels, but if he describes the quality of the pain it is spoken of as a throbbing, pressing, bursting or as a fullness.

    Upon the scalp we find eruptions in patches, smooth patches with the hair off. Patches on the face and eczematous eruptions behind the ears, bleeding and oozing a watery fluid, sometimes yellowish watery.

    The eczema spreads from behind the ears up over the ears and to the scalp. Lyc is a very important remedy to study in eczema of the infant.

    Eczema in a lean, hungry, withering child with more or, less head trouble, such as has been described, with a moist oozing behind the cars, red sand in the urine, face looking wrinkled, a dry teasing cough, in a child that kicks the covers of a child whose left foot is cold and the other warm, with capricious appetite, eating much, with unusual hunger at times and great thirst, and yet losing steadily, will often be cured by Lyc.

    It will throw out a greater amount of eruption at first, but this will subside finally and the child will return to health. The head in general is closely related to one symptom, viz., red sand in the urine. A long as the red sand is plentiful, the patient is free from these congestive headaches, but when the urine becomes pale and free from the red pepper deposit; then comes the bursting, pressing headache, lasting for days.

    It might be said that this is a uraemic headache; but it does not matter what you call it, if the symptoms are present the remedy will be justified. In old gouty constitutions, when the headache is most marked, the gout in the extremities will be > and vice versa.

    The headaches is present only in the absence of pain in the extremities. Again, when there is a copious quantity of red sand in the urine the gouty state, either in the head or extremities, will be absent, but whenever he takes cold the secretion seems to slacken up with an < of the pain.

    There is another feature of the Lyc. headache related to catarrhal states. The headache is < when the catarrh is slacked up by an acute cold. The Lyc subject often suffers from thick, yellow discharge from the nose.

    The nose is filled with yellow, green crusts, blown out of the nose in the morning and hawked out of the throat. Now, when the patient takes cold the thick discharge to a great extent ceases, and he commences to sneeze and has a watery discharge. Then comes on a Lyc. headache, with great suffering, with pressing pains, with hunger, and finally the coryza passes away, and the thick yellow discharge returns and the headache subsides.

    We have many eye symptoms in Lycopodium, but most prominent are the catarrhal affections of the eyes. The symptoms are so numerous, they describe almost any catarrhal condition of the eyes, so that you cannot discriminate upon the eye symptoms alone. Inflammatory conditions with copious discharge, with red eyes, ulceration of the conjunctiva and lids, and granular lids.

    Ears: For the ears Lyc. becomes an important remedy, because this selfsame emaciating child, with the wrinkled countenance and dry cough, has had, since an attack of scarlet fever, a discharge from the ears, thick, yellow and offensive, with loss of hearing.

    If the suitable remedy be given in a case of scarlet fever, there will be no ear trouble left, because ear troubles do not necessarily belong to scarlet fever. They are not a part of scarlet fever, but are dependent on the constitutional state of the child. Lyc. has also most painful eruptions of the ears, otitis media, abscess in the ear, associated with eczema about the cars and behind the ears.

    Nose: The nose symptoms I have only partly described in association with the head.

    The trouble often begins in infancy. The little infant will lie at first with a peculiar rattling breathing through the nose, and finally it will breathe only through the mouth, as the nose is obstructed. This goes on for days and months. The child breathes only through the mouth, and when it cries it has the shrill tone, such as is found when the nose is plugged up. If you look you will see the nose is filled up with a purulent matter and hanging down the throat is a muco-purulent discharge. Much stuffing up of the nose is a chronic state of Lyc.

    The child will go on with this trouble until it forms into great cruse, yellow, sometimes blackish, sometimes greenish, and the nose bleeds. It is most useful in those troublesome catarrhs associated with headaches; in such patients as lose flesh about the neck. It may seem strange and unaccountable that Lyc. can cause emaciation about the neck and shriveling of the face when the lower limbs are in a very good state of preservation. In old chronic catarrhs of adults they must keep continually blowing the nose.

    He cannot breathe through the nose at night, as crusts form in all portions of the mucous membranes. Crusty nostrils with eczema, with oozing eruptions about the face and nose. The mucous discharge is almost as thick and tenacious as in Kalium bichromicum.

    Face: The face is sallow, sickly, pale, often withered, shriveled and emaciated.

    In deep-seated chest troubles, bronchitis or pneumonia, where the chest is filled up with mucus, it will be seen that the face and forehead are wrinkled from pain, and that the wings of the nose flap with the effort to breathe.

    This occurs with all forms of dyspnoea. We see something like it in Ant. tart., the sooty nostrils being wide open and flapping. In Ant. tart. the rattling of the mucus is heard across the room and the patient is seen to be in distress, but if you see the patient lying in bed with the nose flapping and the forehead wrinkled, with rattling in the chest, or a dry, hacking cough and no expectoration, you will often find the particulars of the examination confirm your mind that it is a case for Lyc.

    In that exsudative stage of pneumonia, the stage of hepatization, Lyc. may save the life of that patient. It is closely related in the period of hepatization to Phos. and Sulph.

    The Sulph. patient is cold; there is no tendency to reaction; he feels the load in the chest, and examination of the chest shows that hepatization is marked. He wants to lie still and is evidently about to die. Sulphur will help him.

    It does not have the flapping of the nose, nor the wrinkles upon the forehead, like Lyc. In the brain complaints of Stramonium, the forehead wrinkles, and in the chest complaints of Lyc. the forehead wrinkles, and their wrinkles are somewhat alike. You go to a semi-conscious patient suffering from cerebral congestion and watch him; he is wild, the eyes are glassy, the forehead wrinkled and the tendency is to activity of the mind.

    That is not Lyc. but Stram. By close observation these practical things will lead you to distinguish, almost instantaneously, between Stramonium in its head troubles, and Lyc. in the advanced stage of pneumonia.

    The face is often covered with copper-colored eruptions, such as we find in syphilis, and hence it is that Lyc. is sometimes useful in old cases of syphilis, cases which have affected the nose, with necrosis or caries of the nasal bones, and the catarrhal symptoms already described. About the face also there is much twitching.

    You will see by the study of the face that his face conforms to his sensations. lie is an oversensitive patient and at every jar or noise, such as the slamming of a door, or the ringing of a bell, he wrinkles his face. He is disturbed, and you see it expressed upon his countenance. He has a sickly wrinkled countenance, with contracted eyebrows in complaints of the abdomen as well as in chest complaints.

    We also see that the jaw drops as in Opium and Muriaticum acid. This occurs in a state marked by great exhaustion and indicates a fatal tendency, It is especially marked in typhoid when the patient picks at the bed clothes, slides down in bed, wants almost nothing, and can hardly be aroused.

    It is the expression of the last stage of the disease, a low type of fever, typhoids, septic and zymotic diseases. Under the jaw there is often glandular swelling, swelling of the parotid and submaxillary glands. The swelling is sometimes cellular and the neck muscles are involved. The tendency is to suppuration of these glands, and swellings about the neck in scarlet fever and diphtheria.

    Throat: The next important feature we notice are the throat symptoms.

    It was mentioned when going over the general state that the striking feature of Lyc. in regard to direction is that its symptoms seem to spread from right to left; we notice that the right foot is cold and the left is warm; the right knee is affected; if the pains are movable they go from right to left.

    Most complaints seem to travel from right to left, or to affect the right side more than the left. This is also true of sore throats; a quinsy affecting the right side will run its course, and when about finished the left tonsil will become inflamed and suppurate if the appropriate remedy be not administered.

    The common sore throat mill commence on the right side, the next day both sides will be affected, the inflammation having extended to the left side. This remedy has all kinds of pains in the throat and fauces. It is useful in cases of diphtheria when the membrane commences on the right side of the throat and spreads over towards the left.

    Patches, will be seen one day on the right side and the next day on the left side. We have noticed also that complaints in Lyc. spread from above down, so it is with these exudations.

    They often commence in the upper part of the pharynx and spread down into the throat. Lyc. has cured many such cases. It is the case sometimes that Lyc. is better lay holding cold water in the mouth, but the usual Lyc. sore throat is better from swallowing warm drinks. It is a feature whereby it is possible to distinguish Lachesis from Lycopodium. Lachesis is better from cold and has spasms of the throat from attempting to drink warm drinks, while Lyc. is better from warm drinks, though sometimes better from cold drinks. Lyc. does not sleep into the suffocation and constriction of the throat and dyspnoea as in Lach. The throat is extremely painful, it has all the violence of the worst cases of diphtheria. It has the zymosis.

    Stomach and abdomen: The stomach and abdominal symptoms are intermingled.

    There is a sense of satiety, an entire lack of appetite. He feels so full that he cannot eat. This sense of fullness may not come on until he has swallowed a mouthful of food; he goes to the table hungry, but the first mouthful fills him up. After eating he is distended with flatus, and gets momentary relief from belching, yet he remains distended. Nausea and vomiting; gnawing pains in stomach as in gastritis; catarrh burning in ulcers and cancer; pains immediately after eating; vomiting of bile, coffee ground vomit, black, inky vomit.

    Under Lyc. apparently malignant cases have their life prolonged. The case is so modified that, instead of culminating in a few months, the patient may last for years. Right hypochondrium swollen as in liver troubles.

    Pain in liver, recurrent bilious attacks with vomiting of bile. He is subject to gall stone colic. After Lyc. the attacks come less frequently, the bilious secretion become normal and the gall stones have a spongy appearance as though being dissolved.

    Lyc. patients are always belching; they have eructations that are sour and acrid like strong acid burning the pharynx.

    “Sour stomach,” sour vomiting, flatus, distension and pain after eating, with a sense of fullness.

    Awful goneness,” or weakness, in stomach, not relieved by eating (Digit.).

    The stomach is worse by cold drinks, and often relieved by warm drinks. In the stomach and intestines there is a great commotion, noisy rumbling, rolling of flatus as though fermentation were going on.

    Lyc., China and Carbo veg. are most flatulent remedies and should be compared.

    The stomach symptoms are worse or brought on from cold drinks, beer, coffee or fruit, and a diarrhoea follows. Old chronic dyspeptics, emaciated, wrinkled, tired and angular patients, everything eaten turns to wind. Lycopodium is useful in old tired patients with feeble reaction and feebleness of all the functions, with a tendency to run down and not convalesce.

    This patient has most troublesome constipation. He goes for days without any desire, and although the rectum is full there is no urging. Inactivity of intestinal canal. Ineffectual urging to stool. Stool hard, difficult, small and incomplete.

    The first part of the stool is hard and difficult to start, but the last part in soft or thin and gushing following by faintness and weakness. Lyc. patients have diarrhoea and all kinds of stool. So you will see from reading the text that the characteristic of Lyc. is not in the stool. Any kind of diarrhoea, if the other Lyc. symptoms are present, will be cured by Lyc. It has troublesome hemorrhoids, but they are nondescript. Any kind of hemorrhoids may be cured by Lyc. if the flatulence, the stomach symptoms, the mental symptoms, and the general symptoms of Lyc. are present, because the hoemorrhoidal symptoms are numerous.

    Kidneys: The kidneys furnish any symptoms and may be the key to Lycopodium in many instances.

    There seems to be the same inactivity in the bladder as in the rectum. Though he strain ever so much, he must wait a long time for the urine to pass. It is slow to flow, and flows in a feeble stream. The urine is often muddy with brick dust, or red sand deposits, or on stirring it up it looks like the sediment of fermenting cider. We find this state in febrile conditions. In acute stages of disease; where the red sand appears copiously, Lyc. is often the remedy.

    This is a very prominent symptom. In chronic symptoms when the patient feels best the red sand is found in the urine Lyc. has retention of urine and suppression of urine. It has “wetting of the bed” in little ones, involuntarily micturition in sleep, involuntary micturition in typhoids and low fevers.

    A marked feature of Lyc. and one of the most prominent of all remedies, is polyuria during the night. He must arise many times at night and pass large quantities of urine, although in the daytime the urine is normal. Enormous quantities of urine, very clear and of light specific gravity.

    Male sexual organs: One of the most prominent remedies in impotency.

    Persons of feeble vitality, overwrought persons, overtired persons, with feeble genital organs, seldom need Phosphorus, but Lycopod. is a typical remedy where the young man has abused himself by secret vices and has become tired out in his spine, brain and genital organs.

    If this patient makes up his mind that he will live a somewhat decent life and marries, he finds that he is impotent sexually, that he is not able to obtain erections, or that the erections are too feeble, or too short, and that he is not a man.

    Lyc. has inflammation of the mucous membrane of the urethra, with a gonorrheal discharge. It is anti-sycotic and has troublesome fig warts upon the male and female genitals.

    “Moist condylomata on the penis, enlargement of the prostate gland.”

    Female sexual organs: It is a great friend of the woman in inflammation and neuralgia of the ovaries, and in inflammation of the uterus.

    The neuralgia especially affects the right ovary, with a tendency to the left. Inflammation of the ovaries, when the right is more affected than the left. It has cured cystic tumors of the right ovary.

    Lycopodium produces and cures dryness in the vagina in which coition becomes very painful. Burning in the vagina during and after coition. It has disturbance of menstruation. Absence or suppression of menses for many months, the patient being withered, declining, pale and sallow, becoming feeble.

    It seems that she has not the vitality to menstruate. It is also suitable in girls at puberty when the time for the first menstrual flow to appear has come, but it does not come. She goes on to 15, 16, 17 or 18 without development, the breasts do not enlarge, the ovaries do not perform their function.

    When the symptoms agree Lyc. establishes a reaction, the breasts begin to grow, the womanly bearing begins to come, and the child becomes a woman. It has a wonderful power for developing, and in that respect it is very much like Calc. Phos.

    “Discharge of flatus from the vagina.”

    “Varices of the genitals.”

    Chest: In the respiratory organs Lyc. furnishes a wonderful remedy.

    Dyspnoea and asthmatic breathing in catarrh of the chest. The colds settle in the nose, but nearly always go into the chest, with much whistling and wheezing, and great dyspnoea.

    The dyspnoea is worse from walking fast, after exertion and from going up a hill. Throbbing, burning and tickling in the chest. Dry, teasing cough.

    Dry cough in emaciated boys. After coming out of pneumonia, the dry, teasing cough remains a long time or there is much whistling and asthmatic breathing.

    The extremities are cold while whistling and face are hot, with much coughing and troubles in the chest. He wants to go about with the head uncovered, because there is so much congestion in the head.

    This patient has a feeble reaction. There is no tendency to repair and the history of the case is that The troubles have existed since an attack of bronchitis or pneumonia. Besides the dry, teasing cough, Lyc. goes into another state in which there is ulceration, with copious expectoration of thick yellow or green muco-pus, tough and stringy. Finally night sweats, with fever in the afternoon from 4 to 8 o’clock, come on. Its use in the advanced stage of pneumonia, in the period of hepatization, with the wrinkled face and brow, the flapping wings of the nose and scanty expectoration, we have already spoken of.

    Then it has marked catarrh of the chest with much rattling, especially in infants.

    Rattling in the chest flapping of the wings of the nose and inability to expectorate.

    The right lung is most affected, or more likely to be affected than the left, or it is affected first in double pneumonia and troubles that go from one side to the other. Think of Lyc. among the remedies for neglected pneumonia, in difficult breathing from an accumulation of serum in the pleura and pericardium.

    I have mentioned sufficiently the gouty tendencies of the limbs and the nerve symptoms. But there is a restlessness of the lower limbs and which comes on when he thinks of going to sleep and this prevents sleep until midnight.

    Much like Arsenicum. It is often a very distressing feature. Numbness of the limbs. Drawing, tearing in the limbs at night; better by warmth of bed and motion. These pains are sometimes found in chronic intermittent fever and are cured by this remedy. Sciatica that comes on periodically, better by beat and walking. Varicose veins of the legs. One foot hot the other cold. Oedema of the feet.

    It has all manner of fevers, continued intermittent and remittent. It is especially suitable in old age, and in premature old age, when a person at 60 years appears to be 80 years, broken down, feeble and tired.

    It is eminently suited in complaints of weakly constitutions. It is suitable in various dropsies, associated with liver and heart affections. Scabs remain upon the skin, do not separate; they crust over and the crust does not fall, or may become laminated like rupia.

    Sulphur, Graph. and Calc. are not longer acting or deeper acting than Lyc. These substances that seem to be so inert in their crude form come out strongest when potentized and form medicines of wonderful use.

  • Magnesia Carbonica

    Magnesia Carbonica
    From Lectures on Homœopathic Materia Medica by James Tyler Kent, A.M., M.D. – Lecture 113 of 180
    Source pages 2182–2193 of the Nalanda Digital Library edition (public domain)

    This remedy has only been partially proved, and comes to us now as Hahnemann left it.

    The mental symptoms and symptoms of some portions of the body and particulars have not been fully brought out. The remedy really needs reproving with high potencies upon sensitive provers that the finer shades may be understood. I would not speak of it but for the fact that it relates to a class of cases so very important that you will not be able to get along without it. It is related to the older and deeper psoric sickness. It is deep acting and long acting and permeates the economy as thoroughly as Sulphur.

    General features: Some of the most striking general features are: Amelioration from motion; desire for open air, yet very sensitive to cold air; wants to be covered during all stages of fever; daily evening fevers; symptoms recurring every twenty-one days. Sensation of heat and even sweat from eating and drinking warm things; evening thirst.

    Like other Magnesias it has most violent neuralgic pains, pains along the course of nerves, pains so violent that he cannot keep still, and he moves about and is relieved by motion. The provers felt these pains mostly in the head and face, but clinical experience has demonstrated that it has violent neuralgia everywhere.

    We are justified from the proving, in considering it as especially related to the left side of the face; neuralgia in the night; driving him out of bed, keeping him in constant motion. As soon as he stops moving the pain becomes very severe, shooting, tearing and cutting.

    It has varied eruptions upon the skin; dry scaly, dandruff-like eruptions upon the skin, very unhealthy hair and nails. Particularly does it affect the teeth and roots of the teeth. In every change of the weather the roots of the teeth become violently painful, burn, shoot and ache continuously. Toothache before and during menstruation.

    During pregnancy she suffers all the time with toothache, tearing pains in the left side of the face, although the roots of the teeth are perfectly sound. The hollow teeth are unusually sensitive, and painful. The teeth are so sensitive that they cannot be manipulated by the dentist.

    This is like Ant. crud., but Magnesia carb. especially affects the roots of the teeth, while Ant. crud. affects the dentine more particularly. Sensitiveness of the teeth, so that he cannot bite upon the teeth, and the teeth feel too long. Magnesia carb, and China, when no other symptoms are present, are prominent remedies among the affections of the teeth during pregnancy.

    There is a kind of marasmus that you will puzzle over if you do not know this remedy. If we analyze the remedy in general, we will see that it produces a state of the body like that prior to tuberculosis.

    He does not undergo, repair, he loses flesh, and the muscles become flabby as if some serious disease were coming. In children of tuberculous parents there is that tendency to go into marasmus. The child’s muscles are flabby, the child will not thrive in spite of feeding and medicines. It seems to be laying the foundations for some serious trouble.

    Finally, it emaciates and the back of the head begins to sink in, as if from atrophy of the cerebellum. The appetite increases for milk and meat and animal broths, and yet they are not digested, and when the milk is taken it continually passes the bowel in the form of white potter’s clay, or like putty.

    The stool is soft and of the consistency of putty. If you go through a china factory where the men are forming with their hands, in such wonderful manner, all sorts of beautiful dishes, and moulds, you will see that the original clay, as they are manipulating it, is white. It is a perfect picture of the Mag. carb. stool, composed of putty-like undigested milk.

    I have observed, especially among illegitimate infants, those that have been conceived by clandestine coition, that they have a tendency to sinking in the back of the head. The occipital bone will sink in, and the parietal bones jut out over it, and there will be a depression. That is not an uncommon thing in children that go into marasmus. They are very likely to have a potter’s clay stool. It does not run, and it is not hard.

    The white, hard stool is quite another symptom, and the soft semi-fluid white stool leads to another class of remedies, but this pasty stool, looking as if it could be moulded into any kind of shape, is a Magnesia carb. stool. I once had in charge an orphanage, where we had sixty to one hundred babies on hand all the time. The puzzle of my life was to find remedies for the cases that were going into marasmus. A large number of them were clandestine babies. It was a sort of Sheltering Arms for these little ones.

    The whole year elapsed, and we were losing babies every week from this gradual decline, until I saw the image of these babies in Magnesia carb., and after that many of them were cured.

    The Mag. carb. baby smells sour like the Hepar baby.

    Wash it as you will and it smells sour; the perspiration is sour, and the whole baby smells sour. It is not especially the stool. The stool smells strong and pungent putrid, and very often the whole child has a pungent odor, like an unclean baby, though it be well washed.

    The Magnesias produce inactivity of the rectum and anus – a paresis. The stool is large and hard, requiring great straining to expel. It is dry, hard and crumbling. The stool will remain partly expelled and then crumble, breaking up in many pieces. Another stool that is laid down in the books as a most striking condition of Magnesia carb. is green; it is the diarrheic stool, and the green part floats upon the watery portion of the stool.

    The stool is often lumpy, and liquid.

    The lumps lie in the bottom of the vessel, but floating upon the liquid portion of the stool is the green like the scum of the frog pond. This is recognized as one of the most striking features.

    “Stools green, like scum on a frog pond; sour, frothy; with white floating lumps like tallow, bloody, mucous.”

    Floating like lumps of tallow, is more characteristic of Phosphorus, and many a time has Dulcamara cured it.

    The face of the chronic adult case is pale, waxy, sickly and sallow. and you wonder why this patient will not right up, and will not thrive. She has a sickly countenance, her muscles are lax, she becomes so tired and sweats upon little exertion.

    She is disturbed in every change of the weather, and is worse at the beginning of menstruation, She seems to take cold whenever menstruation is coming on. She says:

    “I know my menstrual period is coming on, because I have a cold in my head.”

    Magnesia carb. has coryza every month before. the monthly period.

    These patients take on an appearance as if going into decline, and yet they go on year after year unable to do anything; not able even to keep house, have a violent craving for meat and an aversion to vegetable food, grow thin and increasingly flabby, muscles relaxed, and with tendency to prolapsus. The walls of the abdomen have a tendency to fall down and to be relaxed, and the rings favor the formation of hernia.

    That is the kind of relaxation. The nerves are painful, and the muscles are tired. When you have such a case and have prescribed, and they persist in spite of every remedy, you know that the case does not well indicate a remedy, that the conditions are latent and there is a tendency to some grave internal disorder. The organs are threatening to break down; the kidneys, the heart, the lungs, or the brain are about to undergo organic change.

    We have a catarrhal state in this remedy, but it is a dry catarrh, not much discharge. An old ulcer will dry up and become shiny and discharge almost nothing. The nose is dry and the eyeballs are so dry that the lids stick together and it is difficult to open the eyes. The skin becomes dry and itches and burns. Tendency to dryness of the mucous membranes and dryness of the skin. Dryness is a marked feature of this medicine.

    “Inordinate appetite for meat in children.”

    The stomach is a troublesome organ. The Magnesia carb. patient is always complaining of a sour stomach; sour eructations. Food comes up sour. There is nausea and coming up in the throat of sour food. Pains in the stomach after eating an ordinary amount of food; bloated after eating; much flatulence after eating. The stomach digests the food slowly and it becomes sour.

    This remedy is especially useful if the history has been a tubercular one. Losing flesh and craving for meat in those who are tubercular, or in those, that are from tubercular parents.

    Patients suffering from a dry cough.

    Dry cough before the evening chill like Rhus tox. There are persons who have simply this tendency who go along year after year in this withered state, with the little hacking cough, not rousing up into much. Finally some favorable circumstance arises and the tuberculosis comes on rapidly after it has remained in a sluggish state for a long time.

    There are a few remedies more likely to be associated with that condition than any others, Arsenicum, Calc. carb., Lycopodium, Magnesia carb. and Tuberc. They fit into this lingering state, this prelude to active phthisis.

    They sometimes set a patient thriving, but mind you, these cases are hard cases to manage. They are difficult to find remedies for. Their trouble is so latent, the symptoms do not come out, and sometimes you have to read between the lines. They are the one-sided cases spoken of by Hahnemann.

    In addition to this dry, tickling cough, which is not mentioned in the books, we find “Cough, spasmodic at night from tickling in the larynx.”

    “Sleepiness during the day and sleeplessness at night.”

    When you have seen many of these cases that are threatening to go into phthisis, you will notice that it is a general feature with all of them.

    “Doctor, I am so tired in the morning; while I sleep some in the night, in the morning I feel as if I had not slept.”

    Always tired and relaxed. Most of these subjects are cold and chilly. This, state has not been bought out yet in the remedy, but clinically it relates to cold and chilly patients. Patients who say that they have not much blood.

    Editorial notes

    • “all tho time” corrected to “all the time” (transcription error in the digital source text).