Helleborus

Χριστοφόρου ρόδο· Μαύρο Ελλέβορος. Ranunculaceae.

Εισήχθη από τον Hahnemann και αποδείχθηκε με proving (δοκιμασία φαρμάκου) από τον ίδιο και άλλους. Βλ. Encyclopedia του Allen, τόμ. 4, σ. 547.

Το βάμμα παρασκευάζεται από την αποξηραμένη κονιοποιημένη ρίζα.

Κλινικές πηγές Υστερική μανία, Zwingenberg, B. J. H., τόμ. 34, σ. 165· Μελαγχολία μετά από τυφοειδή (2 περιπτώσεις), Knorre, Rück.

Kl. Erf., τόμ. 1, σ. 25· Εγκεφαλική πάθηση, Knorre, Rück. Kl. Erf., τόμ. 1, σ. 124· Φλεγμονή του εγκεφάλου, Hartmann, Rück.

Kl. Erf., τόμ. 5, σ. 44· Παθήσεις των μηνίγγων, Chapman, B. J. H., τόμ. 8, σ. 226-7· Εγκεφαλονωτιαία μηνιγγίτιδα, Wells, Raue's Rec., 1873, σ. 57· Διάσειση του εγκεφάλου, Farrington, MSS.· Άφθες (2 περιπτώσεις), Ehrhardt, Brennfleck, Rück.

Kl. Erf., τόμ. 1, σ. 507· Ασκίτης, Ozanne, B. J. H., τόμ. 10, σ. 122· Χολέρα, Altschul, Rück.

Kl. Erf., τόμ. 1, σ. 942· Κυστίτιδα, Moszbauer, Kreuss, Rück. Kl. Erf., τόμ. 2, σ. 17· Αμηνόρροια (5 περιπτώσεις), Thomas, B.

J. H., τόμ. 16, σ. 327· Τραυματικός τέτανος, Kimball, Organon, τόμ. 2, σ. 233· Τυφοειδής πυρετός, Trinks, Raue's Rec., 1871, σ. 199· Ανασάρκα, Martini, Rau, Seidel, Hromada, Rück. Kl. Erf., τόμ. 4, σ. 347-9· Ανασάρκα και ασκίτης, B.

J. H., τόμ. 34, σ. 709· Ύδρωπας μετά από οστρακιά (3 περιπτώσεις), Müller, Tietze, Wiedemann, Rück. Kl. Erf., τόμ. 4, σ. 50· Newton, Raue's Rec., 1871, σ. 218· Μετα-οστρακινικός ύδρωπας, Miller, Raue's Rec., 1873, σ. 226.

Ψυχισμός. Πλήρης απώλεια συνείδησης.

Αδύναμη μνήμη.

Όταν ερωτάται απαντά αργά· ηλίθια κατάσταση που συνορεύει με την αναισθησία.

Μειωμένη δύναμη του νου επί του σώματος· δεν μπορεί να εστιάσει τις ιδέες του· αργός στις απαντήσεις, κοιτάζει ακατανόητα· οι μύες δεν λειτουργούν σωστά αν η θέληση δεν είναι έντονα προσηλωμένη στη δράση τους, όπως όταν του μιλούν, η προσοχή εκτρέπεται έτσι, και εκείνη αφήνει να πέφτουν τα πράγματα.

Τέλεια εικόνα οξείας ιδιωτείας.

Ιδιωτεία και κρετινισμός.

Βαθύς, δεν λέει τίποτα.

Παραλήρημα.

Μανία δαιμονική· βλέπει κακά πνεύματα τη νύχτα.

Μανία μελαγχολικού τύπου, με σταθερές ιδέες.

Ψυχικές καταστάσεις που καταλαμβάνουν μια θέση ανάμεσα στη μελαγχολία και τη μανία, και σε καταστάσεις όπου υπάρχει αληθινή κατάθλιψη και αδυναμία, στις οποίες ο ασθενής κυβερνάται από μια σταθερή ιδέα.

Μια γριά γυναίκα που κατηγορήθηκε για κλοπή από τις

529 HELLEBORUS.

γυναίκες γύρω της, το πήρε τόσο βαθιά στην καρδιά που κρεμάστηκε. Αυτή η αυτοκτονία προκάλεσε βαθιά επίδραση στις γυναίκες του χωριού. Η μία μετά την άλλη κατηγορούσε τον εαυτό της ότι προκάλεσε τον θάνατο της γριάς με τις νύξεις τους· έκλαιγαν και ούρλιαζαν, έτρεχαν εδώ κι εκεί, μέρα και νύχτα έσφιγγαν τα χέρια τους και απελπίζονταν για τη σωτηρία εξαιτίας της αμαρτίας τους· έγιναν εντελώς ανεξέλεγκτες και παραφρονικές. Με αυτόν τον τρόπο είκοσι τέσσερις ή είκοσι πέντε γυναίκες επηρεάστηκαν, κάθε νέα περίπτωση ακολουθούμενη από άλλη.

Υστερική μανία.

Απερίσκεπτο βλέμμα.

Κοιτάζει το περιβάλλον της με παράξενο, ηλίθιο τρόπο, και, αν ερωτηθεί, κοιτάζει με τον ίδιο τρόπο ένα σημείο, ή ρίχνει άγριες ματιές γύρω της πιάνοντας το κεφάλι της· όταν περπατά σωριάζεται, αφήνοντας το κεφάλι να κρέμεται· η αισθητηριακή απάθεια και το σταθερό βλέμμα σε ένα σημείο εναλλάσσονται, κατά διαστήματα με ακατανόητο μουρμούρισμα· δυσκοιλιότητα. Μελαγχολία μετά από τυφοειδή.

Συνεχώς πιάνει τα χείλη και τα ρούχα του.

Πολλά παράπονα, γοερά.

Ακούσια αναστεναγμοί.

Συχνές κραυγές σε μηνιγγίτιδα ή υδροκέφαλο.

Προσπαθεί να διαφύγει, να ρίξει τον εαυτό της στο ποτάμι.

Μετά από τυφοειδή, μεγάλη ψυχική κατάπτωση και απάθεια· βαθύς και αδιάφορος για όλες τις εξωτερικές εντυπώσεις· δεν θέλει να μιλήσει· κάθεται ήσυχα στο κρεβάτι και φαίνεται χαμένος σε σκέψεις· πρόσωπο χλωμό, ταραγμένο· βλέμμα νωθρό, ασταθές των ματιών· κόρες διασταλμένες· σφυγμός αργός και αδύναμος· δέχεται την προσφερόμενη τροφή αλλά δεν εκφράζει ποτέ επιθυμία για τίποτα· ύπνος σπάνιος, ανήσυχος· συνεχώς επιχειρεί να διαφύγει, αλλά δεν είναι βίαιος· χωρίς λέξη σκαρφαλώνει ήσυχα από το παράθυρο, και αν καταφέρει να διαφύγει, πηγαίνει προς την κατεύθυνση του ποταμού· τελικά πέταξε τον εαυτό της στη λεκάνη, από όπου διασώθηκε.

Επίμονη σιωπή.

Υπερβολικό άγχος και αγωνία.

Ανήσυχος και αγχωμένος.

Φόβος θανάτου· νιώθει δυστυχισμένη παρουσία χαρούμενων προσώπων. Μελαγχολία σε κορίτσια στην εφηβεία πριν καθιερωθεί η έμμηνος ρύση, ή αν η έμμηνος ρύση εμφανίστηκε και μετά σταμάτησε να έρχεται. Μελαγχολία: σιωπηλή· κατά την εφηβεία· με αγωνία. Νοσταλγία. Οδυνηρή, απελπισμένη διάθεση. Αδιάφορος. Ευερέθιστος· εύκολα θυμώνει· < από παρηγοριά, δεν θέλει να τον ενοχλούν. VOL. V. — 34.

HELLEBORUS. 530

Ένας θόρυβος ή σοκ συντομεύει την κρίση. Εκλαμψία.

Η σκέψη για τα συμπτώματα τα ελαττώνει.

Αισθητήριακό σύστημα. Σύγχυση του κεφαλιού, σαν μωλωπισμένο, με ρινόρροια. Ίλιγγος: με ναυτία, υδατώδη έμετο και χαλαρά έντερα· ενώ σκύβει, παύει όταν ορθώνεται.

Βαθύ και βαρύ στο κεφάλι.

Ο εγκέφαλος φαίνεται πολύ μεγάλος και το ινίο κενό· κατόπιν το αντίστροφο στο μέτωπο· το ινίο αισθάνεται σαν να θα πέσει μπροστά· θέλει να ξαπλώσει και να κυλίσει το κεφάλι από πλευρά σε πλευρά· αισθάνεται ανήμπορη σαν βρέφος.

Αισθητηριακή απάθεια.

Ηλίθιος· κεφάλι ζεστό, βαρύ· τρυπά το κεφάλι στα μαξιλάρια, ρίγη· δάχτυλα κρύα.

Βαθύς λήθαργος, θόλωση της γενικής αισθητικότητας· η όραση ανέπαφη, εντούτοις βλέπει ατελώς και δεν προσέχει τα αντικείμενα που βλέπει· η ακουστική συσκευή άθικτη, όμως δεν ακούει τίποτα καθαρά ούτε κατανοεί· τα όργανα της γεύσης λειτουργούν, όμως δεν βρίσκει τη σωστή γεύση σε τίποτα· συχνά έκθαμβος, μόλις θυμάται το παρελθόν ή ό,τι μόλις συνέβη· δεν έχει ευχαρίστηση σε τίποτα· ύπνος ελαφρύς και αναζωογονητικός· αναλαμβάνει να εργαστεί χωρίς να έχει τη δύναμη ή την ισχύ.

Όλες οι αντιλήψεις των αισθήσεων γίνονται μόλις συνειδητές ή καθόλου. Τυφοειδής πυρετός.

Αμβλύτητα του αισθητηριακού νευρικού συστήματος. Εγκεφαλική νόσος σε παιδιά.

Πλήρης απώλεια συνείδησης· όλες οι εντυπώσεις των αισθήσεων και όλες οι εκφράσεις της θέλησης απόντες· καρδιακός παλμός και σφυγμός πολύ αργοί· δέρμα μόνο μέτρια ζεστό· έντερα αδρανή· ακούσια ούρηση· δύσκολη κατάποση· συνεχώς πιάνει τα χείλη και τα ρούχα του.

Βαθύς ύπνος και κώμα.

Εσωτερικό κεφάλι. Βίαιοι πόνοι στο κεφάλι, ιδίως σπρώχνουν προς τα έξω στο μέτωπο· > μόνο όταν κατεβάζει το κεφάλι και παραμένει απολύτως ακίνητος.

Θερμότητα βαθιά μέσα στο κεφάλι.

Καυτή θερμότητα στο κεφάλι· χλωμό πρόσωπο· κρύα χέρια.

Έντονος και αφόρητος πόνος στο κεφάλι. Σπασμοί παιδιών. Σουβλιώδεις πόνοι σε όλο το κεφάλι με ζάλη. Ανασάρκα μετά από οστρακιά.

Ένας σοκ διαπερνά τον εγκέφαλο, σαν από ηλεκτρισμό, ακολουθούμενος από σπασμούς. Λοχειακοί σπασμοί. Πόνος στην κορυφή σαν να καρφώνεται ένα καρφί.

Πιεστική κεφαλαλγία από μέσα προς τα έξω, με ηλίθια κατάσταση και βαρύτητα του κεφαλιού· < με την κίνηση του κεφαλιού, από κόπωση· > σε ανοιχτό αέρα και με την εκτροπή του νου.

531 HELLEBORUS.

Ηλίθια κεφαλαλγία: με ρινόρροια (4 έως 8 μ.μ.)· < με το σκύψιμο· > σε ηρεμία και σε ανοιχτό αέρα. Βίαιη πιεστική κεφαλαλγία, με μεγάλη βαρύτητα, < στο ινίο, κατά την αφύπνιση. Κεφαλαλγία, ηλίθια, κυρίως στο ινίο. Μετά από οστρακιά

■ Sensation in occiput as from a blow. ^Meningitis. IStupefying headache in occiput, < on stooping, from

nape of neck to vertex, changing to burning pain on rising to erect posture, > only by lying quiet with closed eyes.

■ Headache from nape to vertex.

I Headache nearly always with scalp symptoms.

1 I Congestion of brain.

I Chills with vomiting; sensation in occiput as from re- ceiving a blow; then flushed face, unconsciousness, delirium; livid spots on body and limbs; head thrown back; neck rigid; eyes rolled upward ; pulse 120; fre- quent convulsions. ^Cerebro-spinal meningitis.

■ Inflammation of brain, with stupefaction; heat and heav-

iness of head ; boring with head in pillow, with chilli- ness of whole body; coldness of fingers; < from think- ing of pain.

1 Acute meningitis when exudation is completed; reaction almost nothing; paralysis more or less complete.

1 Hydrocephalus when fever has abated and following symptoms set in: difficult breathing, want of sensation, trembling and moving of hands towards head, squinting of eyes with insensibility to light, chewing motion of mouth, and sopor.

iFor a whole week has lain only upon back in apparent slumber, eyes half closed, pupils contracted, cornea and albuginea dim and dull, as if covered with dust, with dry mucus in corners of eyes ; eyes sunken, surrounded by blue circles, with squinting towards nose; face pale and emaciated; nose pointed, orifices sooty; lips dry and cracked; body emaciated, with dry, flaccid skin; epigastrium sunken; lower limbs spread apart, legs flexed upon thighs; on endeavoring to change this po- sition, moaning, anxious, complaining outcries; face dis- torted with pain; head sinks helplessly back; on forcing eyes open dilatation of pupils, spasmodic action of iris, the light falling into the eye making as little impression upon him as calling or speaking to him; drinks eagerly, bites spoon without being aroused from apathetic con- dition; distorts face ; chewing motion of mouth; grasps head with hands; grinding of teeth; cramps in muscles of back; constipation; involuntary urination; partial

HELLEBORUS. 532

sweat on scalp; pulse slow, soft and intermittent. ^Brain affection.

I i Inflammation of brain with moderate fever, pulse weak, not accelerated, with occasional deep sighing; patient lies in an apathetic condition, cannot raise himself; in- voluntary trembling of hands and grasping of head ; on being raised head sinks back; frequent rubbing of nose; eyes half open, pupils dilated, eyeballs turned to side or rolled upward; convulsive twitching of eyelids; fore- head wrinkled and covered with cold sweat; no appetite ; desires only drink, which is eagerly taken in large quan- tities, and is preceded and followed by chewing motion of mouth; easily angered, especially after being kindly spoken to; strikes about him; face pale and bloated; dulness and drowsiness; frequently starts up shrieking and crying; nostrils dry and dirty; dropping of lower jaw.

I 1 No sign of having sight or hearing, utters no articu- late sound for two weeks. ^Acute hydrocephalus.

■ Concussion of brain from a blow on head; pupils dilated,

almost inactive to light ; pulse full, easily compressed ;

could arouse him, but he would become drowsy again

at once; breathing heavy and slow; especially < at

3 to 6 P.M. ; after Arnica failed. I Dropsy of brain: post-scarlatinal, acute or chronic;

mostly in scrofulous subjects. I Serous apoplexy. * Outer Head. ' ' Boring with head in pillows, with sensation

as if scalp on occiput were pulled down tight. I Rolls head night and day, moaning. ^Hydrocephalus.

^Typhoid.

■ Throws head back, and from side to side. ^Brain affec-

tions. I Sore feeling, as if bruised, < in back part of head; >

on stooping. I Occiput sore to touch.

■ Partial sweat on scalp. ^Hydrocephalus.

I Hair falls off, with pricking on scalp, < on occiput ; face

^ Sight and Eyes, i Vacant look, pupils dilated, eyes wide

open or half closed. ^Typhoid. ^Hydrocephalus. • Eyeballs turned upwards, squinting. ^Hydrocephalus. BEyes sunken, blue edges.

■ Nyctalopia.

I Photophobia 'without inflammation.

533 HELLEBORUS.

■ Hippus; alternate contraction and dilatation of pupil,

tremor iridis, after every attempt to arouse patient from stupor and especially if we move the head. ^Hydro- cephalus. I Early stage of gutta serena.

■ Pupils: contracted; dilated; alternately contracted and

dilated.

■ Eyeballs red, glassy. ^Hydrocephalus.

I Cornea and albuginea dim, as if covered with dust. ^Hydrocephalus.

Cannot keep ej^es open on account of heaviness.

I Lids, sticky, dry, sensation as if they were pressed down.

I I Loses hair, from eyebrows.

• Twitching in elevator of brows. ® Hearing and Ears. ' Roaring and ringing in ears. ''Smell and Nose, i Smell diminished.

I Nostrils look as if smoked, sooty. ^Hydrocephalus.

■ Nose pointed; nostrils dirty, dry. ^Hydrocephalus.

■ Frequently rubs nose. ^Hydrocephalus. I I Sneezing.

* Upper Face, i i Stupid expression. ^Typhoid.

■ Forehead or face wrinkled. ^Hydrocephalus.

■ Wrinkled forehead, bathed in cold sweat. ^Hydro-

cephalus.

■ Face: red; hot, but pale; flushes red and then becomes

pale ; pale, oedematous ; distorted ; yellowish ; pale, sunken, icy-cold ; livid, with cold sweat.

■ Paleness of face with heat of head.

■ Twitching in levatores palj^ebrarum and cheeks, with

heat in face.

■ Left-sided neuralgia; parts so tender, cannot chew. I i Dull pain in r. malar bone.

^ Lower Face. ■Constant chewing motion.

■ Corners of mouth sore; steady flow of saliva; upper lips

cracked ; lips dry, cracked.

■ White blisters on swollen lips. ■Sore lips.

■ Lower jaw hangs down.

^•^ Teeth and Gums. ■Grinds the teeth.

When biting teeth together feels a pain near the roots in

third molars, opposite each other. I Pricking toothache in molars, evening and night, can

bear neither cold nor heat. I I Toothache during the chill, " Taste and Tongue. ■Taste bitter.

■ Tongue: dry; white mornings; dry and red, previously

HELLEBORUS. 534

black, in typhus; slightly protruded and oscillating; trembling; feels stiff; numb, insensible; swollen; full of vesicles; pimples on tip; yellow with red edges. ^^ Inner Mouth. l l Mouth and palate dry, with cutting, scraping in palate on moving mouth to swallow. Vesicles in mouth.

I Mouth, gums and tongue full of flat yellow ulcers, witli elevated gray edges, or red, swollen bases ; carrion-like odor; salivation; will take no food except drink; glands of neck and under chin swollen; eruption of blisters around mouth; face red and hot; stool watery and slimy, with tenesmus ; pulse feverish ; restlessness ; moan- ing and crying. ^Aphthae.

I Aphtha, with lienteria. Painless ulcer in mouth.

I I Thirst.

I Greedily swallows cold water; bites spoon, but remains

^Cystitis. ^Hydrothorax. I Nausea, yet hungry; still food is repulsive although taste

is natural.

■ Nausea during pregnancy. I Vomiting.

Nausea and violent vomiting, with much heat in stomach. Vomiting of a greenish, slimy substance.

■ Vomiting of greenish-black substances, with colic.

^^ Scrobiculum and Stomach. Intense burning in oesophagus.

■ Intense painful burning in stomach extending into oesoph-

agus. ^During pregnancy.

■ Pit of stomach sunken. /^Hydrocephalus. I I Fulness and distension of pit of stomach.

■ Pressing in region of stomach. ^Anasarca. Burning and scraping in stomach.

I I Stomach painful when coughing or walking. ^^ Hypochondria. Liver complaint, particularly after abuse

of Cinchona. ^^ Abdomen. iSensation of coldness in abdomen.

■ Rumbling in abdomen.

Much rumbling in abdomen, excessive colic, debility.

■ Gurgling, as if bowels were full of water.

535 HELLEBORUS.

■ Excessive distension of abdomen.

■ Abdomen swollen, distended, painful to touch.

■ Griping, pinching about navel, followed by gelatinous

stools. ^Ascites.

■ Excessive colic; weakness, features sunken, face cold,

pale, covered with clammy sweat; pulse thready; thin diarrhoea.

■ Ascites: especially after scarlet fever; in scrofulous

children. ^° Stool and Rectum. ■ AVatery diarrhoea, nausea, colic and great debility.

■ ■Stool consisting solely of clear, tenacious, colorless mucus. ■White, jelly-like mucus, wdth burning and smarting in

anus; diarrhoea preceded by colic, which is > after every stool.

■ White, gelatinous stool, like frog spawn is passed three

or four times a clay, with much pressure.

■ White, jelly-like stools with tenesmus.

II Diarrhoea: during pregnancy; during dentition; dur- ing acute hydrocephalus.

■ Involuntary stools.

■ Diarrhoea and vomiting, with cramps in extremities, cold-

ness of whole body, great thirst, altered features, weak, hoarse voice. ^/Cholera.

■ Cholera acuta with heaviness and dulness of head, cramps

in abdomen, fever, slow pulse, vertigo, nausea, watery vomiting and diarrhoea.

■ Feeling as if intestines had no power to evacuate feces,

during soft stool.

■ Constipation.

Before stool: nausea and colic.

During stool: urging; tenesmus; nausea.

After stool : burning, smarting, at anus ; relief of colic.

■ Blenorrhoea of rectum, with spasm of bladder.

■ Hemorrhoids.

^^ Urinary Organs, i l Congestion of kidneys with extensive effusion of serum in abdominal cavity and tissue of lower extremities.

■ Dropsy after scarlet fever with albumen and fibrin casts

in urine.

■ Suppression of urine, or urine highly albuminous, dark

color, no sediment ; breathes easier lying down ; acute dropsies. I I Nephritis causing dropsical symptoms. ^Syphilis in- fantum.

■ Bladder overdistended ; retention of urine from atony of

muscular coats.

■ Cystitis; the inflammatory process increases slowly to

HELLEBORUS. 536

greatest violence, with constant desire to urinate, caus- ing spasms; little urine is voided; constant nausea; distended abdomen.

I Yellowness of whole body, nausea with aversion to food, dry tongue, great thirst, abdomen painful and distended on account of enormous swelling of bladder, discharge of urine gradually became less, and for last three days ceased entirely; after great pressure he passes, with much pain, a few drops of blood; lower limbs swollen and cedematous, swelling finally extending to abdomen; whole body cold to touch, and in many places covered with clammy sweat; pulse small and quick; great rest- lessness ; introduction of catheter difficult on account of great pain and sensitiveness of parts. ^Cystitis.

1 I Bladder becomes paralyzed and greatly distended during pregnancy.

1 I Irritation of neck of bladder threatening inflammation.

1 Passes blood and slime, with burning and stinging. ^Uterine complaints.

■ I Frequent urging to urinate, with scanty discharge.

I I Constant desire to urinate, passing ver}^ little and of

dark color. ^During jjregnancy.

■ Spasmodic urging to urinate causing spasms.

■ Suppressed urinary secretion with dropsy.

I I Urine: scanty, dark, with floating, dark sjDecks; like coffee-grounds; albuminous, scanty.

1 1 Dark urine, feeble stream.

I Urine with dark sediment like coflee-grounds, top part is

clear.

I I Coffee-grounds sediment. ^During complaints of preg- nancy. ^Diarrhoea. ^Amenorrhoea. ^Uterine dropsy. ^Spasms of children. ^Hydrocephalus. ^Scarlatina. ^Dropsy after scarlatina. 6'Anasarca.

^Large quantity of pale, watery urine.

■ Unconscious discharge of urine. ^Hydrocephalus. ^T}''-

phoid: ^ Male Sexual Organs. iSexual desire suppressed; genitals relaxed ; no erections.

■ Hydrocele after suppressed eruptions, either side. "Female Sexual Organs. i Uterine dropsy; secretion of

urine almost suppressed. Pain under 1. nipple, pains all over her, forced her menses on ; had to get up at night to make water.

■ Suppression of menses.

■ Amenorrhoea from disappointed love.

■ Amenorrhoba consequent upon getting feet damp, and

getting wet through.

■ Menses absent for many months.

mi HELLEBORUS.

■ Voice weak; speech unintelligible. ^Hydrocephalus. Loses hair from pudenda.

■ Breathing difficult, with anxiety, < every evening;

must sit up.

■ Chest constricted, gasps for breath, with open mouth;

propped up in bed. ^Hydrothorax.

■ Constriction of throat, nose and chest.

I ! Suffocative attacks, as from constriction of lungs.

I I Maltreated pneumonia, with moderate fever; breathing

very difficult, anxiety ; torments most towards evening ;

patient has to sit up. ^ Cough. 'Dry, < at night, with gagging; dry, while

smoking tobacco. I I Constant hacking cough, appearing suddenly while

smoking.

■ Tension in region of 1. short ribs during cough.

^ Inner Chest and Lungs. Sharp cutting in region of lower- most true ribs across chest, from within outward, < by inspiration.

■ iHydrothorax.

^.^ Heart, Pulse and Circulation. Anxiousness about heart, which prevents him from resting anywhere.

■ Pulse: often slower than beating of heart; frequent, soft,

intermittent in hydrocephalus ; small, wiry, in hydro- thorax; almost imperceptible ; rapid, small and tremu- lous; slow. ^^ Neck and Back. iNeck rigid, in spotted fever.

■ Cervical muscles stiff as far as occij^ut.

■ Cervical glands swollen.

■ Severe pain down neck, in 1. side of face and in teeth.

■ Cramp in spinal muscles. ^Hydrocephalus.

Pain as from stagnation of flatulence; contractive pains. I I Sudden amelioration in myelitis, with cold sweats which

do not relieve, followed by symptoms of paralysis. ^ Upper Limbs. ■Arms moving continually, automatically,

except when asleep. ;rFrequent twitching in r. arm. ^Hydrocephalus. Complete loss of power of muscles in both hands, with

numbness in arms. • Thumb drawn in to palm.

■ Boring, sticking in wrist and finger-joints.

Small vesicles on fingers of r. hand, humid for a long time, and then covered wuth scurf.

■ Humid, painless vesicles between fingers. J I Ulceration around the nails.

HELLEBORUS. 538

^ Lower Limbs. 1 1 Hip and knee-joints stiff.

I I Pricking in 1. hip.

I I Violent, somewhat slow stitches, as with several pins.

Needle-like stitches in 1. hip.

Inflammation of psoas muscle in a scrofulous case; spasms in bladder; burning and stinging when urinating.

■ Legs oedematous.

I Legs drawn up, with every attempt to change her posi- tion. ^Hydrocephalus.

I Boring, stinging in knee and foot-joints.

iWeaknessof feet; tottering of knees; he could only walk slowly; numbness of both feet; prickling in toes.

I I Humid, painless vesicles between toes. ^ Limbs in General. ■ Involuntary throwing or whirling- about of one arm and one leg.

I Lies on back, limbs drawn up. ^Typhoid.

I I Worse from bodily exertion.

Cannot rest anywhere on account of anxiousness about heart.

Has lain upon back for a whole week.

Lying quiet with closed eyes.

Lying down : breathes easier ; heat with sweat.

Wants to lie down and roll head from side to side.

Getting head down and remaining perfectly quiet : > vio- lent pain in head.

Propped up in bed : chest constricted, gasps for breath.

Must sit up : on account of difficult breathing.

Legs drawn up : with every attem23t to change her position.

Stooping: vertigo with nausea; stupefying headache < ; sore feeling in back part of head < .

Standing erect: vertigo ceases; headache >.

Motion : of head, < pain ; external head painfully sensi- tive; chill <.

Moving head : hippus ; alternate contraction and dilata- tion of pupils.

Arms and hands moving continually.

Chewing motion of mouth.

Grasps head with hands.

Involuntary throwing or whirling about of one arm and one leg.

Boring head in pillow.

Throws or rolls head from side to side.

Can walk but slowly on account of weakness of feet.

Walking : reels about allowing her head to hang ; stomach painful.

539 HELLEBORUS.

^^ Nerves. ' Great debility. ■Heaviness of parts. iSudden relaxation of muscles. 1 1 Want of bodily irritability. I Muscles refuse their service when not governed by strong

attention and will. I Automatic motion of one arm and leg in hydrocephalus.

■ Convulsive twitching of muscles. ■Spasmodic twitching in muscles of lower limbs.

■ Horrible convulsions, with extreme coldness.

■ ■Convulsions of sucklings.

■ Epilepsy, with consciousness, followed by deep sleep. ■Rigidity of muscles of neck and limbs.

■ Traumatic tetanus.

■ Chiefly indicated when all reaction is past and we deal

with the consequent paralysis.

■ Paralysis of detrusor; oedema of legs; vomiting of all he

eats; constipation; sleeplessness; despair of getting well. ^ Sleep. ■Drowsy; when left alone, he goes to sleep.

■ Constant somnolence; can be aroused, but not to full consciousness. ^Typhoid fever.

■ Soporous sleep, with shrieks and starts. TrStarting with fright in sleep. ^Hydrocephalus.

■ During sleep muscles twitch.

■ Dreams: confused, anxious, cannot be remembered.

^^ Time. Morning: tongue dry, white; chill commences; sweat with heat <.

Day : rolls head.

4 to 8 P.M. : headache with coryza.

Evening: pricking toothache in molars; difficult breath- ing < ; burning heat all over body between 5 and 6 ; hot head and cold body.

Feels better in open air ; sensation as after a long illness.

Open air: headache >.

Getting feet wet and getting wet through : amenorhoea.

Aversion to uncovering.

After getting out of bed : chill <.

Cold to touch : whole body.

Can bear neither heat nor cold. *" Fever. ■ Coldness over whole body, with cold hands and feet.

I 1 Pale, sunken face, loss of pulse, icy-coldness, cold sweat all over, so that a drop is on the end of every hair.

I I Chill in alternation with pain in joints.

I I General shaking chill, with goose-flesh; painful sensi-

HELLEBORUS. 540

tiveness of external head to touch and motion; drawing tearing in Hmbs, and frequent sticking in joints, espe- cially in elbows and shoulders; without thirst; com- mences in morning.

I Chill spreads from arms; goose-flesh, pains in joints; face hot; drowsy; < after getting out of bed, and from motion.

Heat with shuddering.

Repeated attacks of, first heat, then chill with pains in abdomen.

■ Burning heat, follow^ed by chill and colic.

I I Burning heat over whole body, especially violent in head, with internal shivering and chilliness, without thirst, in evening between five and six, and especially after lying down; when he desires to drink, it becomes repugnant to him, and can drink only a little at a time.

i I Internal heat of head with coldness of hands.

I Hot head wdth cold body, towards evening.

iHeat principally in head.

I I Fever with painful sensibility of head to touch and mo- tion; withdrawing, tearing pains in limbs and stitches in joints.

■ After lying down in bed, heat generally wdth sweat. Heat in evening and through day, as soon as he lies do"^n,

generally with sweat. I Heat or sweat, with aversion to uncover.

I I Sweat with heat, in bed, < toward morning.

I I Cold sweat.

I I Whole body covered with cold, clammy sw^eat.

I I Sweat: sticky; less after sleep; towards morning, tem- perature unchanged.

I In consequence of catching cold after scarlet fever: stitch- ing pains in head; vertigo; pale swollen face unrecog- nizable; loss of appetite, bitter taste in mouth, nausea after eating and drinking, gagging and vomiting with relief; constipation; urine very scanty and brown; no sw^eat; skin hot and dry; abdomen swollen, but soft; great depression of mind, fears she will die; sits about despondent the whole day.

I Stupid expression, though face is not collapsed; vacant look of eyes with dilated pupils ; constant somnolence, out of which patient may be roused, but does not gain full consciousness; he stares at physician, is slow in comprehending and answering c{uestions; all perception by senses grow only slowly or not at all conscious; utters no desire; when left alone sinks into slumber; lies upon back with limbs drawn up; sliding down in bed ; mu- cous membranes but little or not at all affected ; ab-

541 HELLEBORUS.

domen not bloated, unpainful ; no diarrhoea ; sometimes unconscious discharge of urine ; slow action of heart ; pulse only 80; respiration slow; temperature of skin nearly normal ; no miliary eruption ; no sign of putrid dissolution of blood; loss of flesh trifling; only brain seems to be invaded. ^Typhoid.

1 I Temperature 106. ^Typhoid. *^ Attacks, Periodicity. Repeated attacks of first heat, then chill, with pain in abdomen.

Three or four times a day : white, gelatinous stool, like frog spawn.

For two weeks : no sign of having sight or hearing, ut- tered no articulate sounds. *^ Locality and Direction. Right : dull pain in malar bone ; frequent twitching in arm ; small vesicles on fingers of hand.

Left: neuralgia of face; pain under nipple; tension in short ribs ; severe pain side of face ; pricking in hip ; needle-like stitches in hip.

Within outward : pressing headache ; sharp cutting in re- gion of lower end of true ribs ; pain in forehead. *^ Sensations. Confusion of head, as if bruised; occiput feels as if it would fall forward ; brain as if too large ; shock as from electricity passes through brain ; as if a nail was driven into vertex ; s^isation in occiput as from a blow ; cornea as if covered with dust ; as if scalp on occi- put were pulled down tight ; as if eyelids were pressed down; nostrils look as if smoked; gurgling as if bowels were full of water ; as if intestines had no power to evac- uate feces.

Pain: under roots in third molars; under 1. nipple; all over patient; pain as from stagnation of flatus; in joints; in abdomen.

Violent pains : in head, especially in forehead.

Intense and intolerable pain: in head.

Severe pain: down neck; in 1. side efface; in teeth.

Great pain : in urinary organs.

Violent pressive pain : in head.

Drawing tearing: in limbs.

Sharp cutting: in region of lowermost true ribs across chest.

Shooting pains : in whole head.

Cutting scraping : in palate.

Piercing : in limbs.

Violent slow stitches : in lower limbs.

Needle-like stitches : in 1. hip.

Stitching pains : in head.

Stitching : in wrist and finger-joints ; in joints.

HELLEBORUS. 542

I Pricking, tearing, pressing pains, running across affected

■ Diseases of serous membranes, approaching insidiously,

rather as a sequel from some other diseases than as a natural termination of an inflammation of brain.

I Acts especially upon kidneys and serous membranes, giving rise to dropsical effusions of brain, thorax, peri- toneum and cellular tissue.

I Dropsy: of brain, chest, or abdomen; sudden swellings; anasarca; after scarlatina, nephritis, intermittents, etc. Concomitants: debility, fever, pains in limbs, diarrhoea, suppressed urine, etc.

■Anasarca and effusion into pericardium and pleura; black urine.

■ Scarlatinal dropsy without much fever or pain in kidneys.

643 ' HELLEBORUS.

I Face swollen; respiration difficult; urine blood-red, ^After scarlet fever.

■ Anasarca, ascites, hydrothorax, etc., and especially for

acute dropsies where there is great weakness, drowsi- ness, fever, stitching pains in limbs, diarrhoea and sup- pressed urine.

1 iSyphilitis infantum.

From a blow : concussion of brain. ^^ Skin. Skin : pale ; yellow ; cold and clammy.

I Skin peels off; hair and nails fall out.

■ ■Sudden dropsical swelling of skin.

■Sudden severe chill, burning fever, headache, pain in all the limbs, pressure on chest, dry cough, unquenchable thirst; after 36 hours face and body greatly swollen, pitting upon pressure; dull headache, difficulty in answering questions, cannot concentrate his mind, low- spirited; want of appetite, pressure in region of stomach; frequent griping in umbilical region followed by urging to stool, with bilious mucous discharges; frequent urging to urinate with scanty discharge; great weakness; pulse small and slow. - ^Anasarca.

Anasarca after scarlet fever; urine dark, frequent and scanty; stupefying headache, < in occiput; pupils dilated.

■ Whole body enormously swollen on account of the oede-

matous infiltration of the connective tissue ; cannot sit up, lies in a drowsy condition ; complaining, dissatisfied when he is disturbed; urine greatly diminished; pale- ness of face and body. ^After purpura. B Painless ulcers.

■ Itching unchanged by scratching.

^^ Stages of Life, Constitution. ■During dentition, brain symptoms.

HELLEBORUS— HELONIAS DIOICA. 544

Small, weak, emaciated child ; aphthae.

Boy, £et. 3, another 4; hydrocephalus.

Girl, £et. 6; cerebro-spinal meningitis.

Girl, set. 8, brunette, brown eyes, lively temperament;

Compatible: Zincuni (hydrocephalus); Bellad., Bryon.,

Cinchon., Lycop., Nux vom., Phosphor., Pulsat., Sulphur.

Ajyis, Apocyn., Arsen., Canthar., Digit., Kali

brom., Laches., Phos. ac.