Inula Helenium

Elecampane; Scabwort Corymbiferx.

Αρχαίο φάρμακο γνωστό στον Ιπποκράτη, τον Διοσκουρίδη, τον Eben Sina κ.ά.

Το φυτό είναι ιθαγενές της Ευρώπης, της Κεντρικής Ασίας και της Σιβηρίας, αλλά φύεται αυτοφυές κατά μήκος των δρόμων στο Βόρειο τμήμα των Ηνωμένων Πολιτειών.

Το βάμμα παρασκευάζεται από τη φρέσκια ρίζα που συλλέγεται το Φθινόπωρο του δεύτερου έτους της.

Proving (δοκιμασία φαρμάκου) με τον χυμό της ρίζας σε γυναίκα δοκιμάστρια, από τον Fischer. Βλ. Allen's Encyclopedia, τόμ. 5, σ. 112.

Κλινικές πηγές. — Βρογχίτιδα, Charg^, Hahn. Mo., τόμ. 10, σ. 228; Λαρυγγίτιδα, Lingen, MSS.

^ Νους. Έντονη ανησυχία και τρέμουλο όλου του σώματος,

τρίξιμο δοντιών από κρύο, κατά τη διάρκεια της εμμήνου ρύσης. ^ Αισθητήριο. Ίλιγγος, όταν σκύβει.

Σύγχυση κεφαλιού με ναυτία, το βράδυ. Κεφαλαλγία, στη δεξιά πλευρά, κατόπιν στην αριστερή. Σουβλιές κεφαλαλγίας στη δεξιά πλευρά. Σπασμωδικός, διαρρηκτικός πόνος στον ινίο. ^ Εσωτερικό κεφάλι. Εξάλλωμα αίματος στο κεφάλι με αϋπνία. Διαρρηκτικός, παλλόμενος πόνος στο μέτωπο και στην κορυφή, μετά το φαγητό. Καυσαία κεφαλαλγία στον αριστερό κρόταφο, σε σημείο μεγάλο όσο ασημένιο δολάριο, το βράδυ. ^ Όραση και μάτια. Τικ στο άνω βλέφαρο. Κάψιμο στον αριστερό οφθαλμό.

Κολύμπι μπροστά στα μάτια και πίεση στους κροτάφους και στο μέτωπο. ^ Ακοή και αυτιά. Θαμπές σουβλιές στο αριστερό αυτί, με παροδικές

σουβλιές πάνω από το δεξί φρύδι, το βράδυ. '^ Όσφρηση και μύτη. Σουβλιές στη δεξιά πλευρά της μέσης της μύτης.

Σουβλιές, σέρνοντας αίσθηση στη ρίζα της μύτης, που εκτείνεται στα φρύδια. ® Άνω πρόσωπο. Η αριστερή πλευρά του προσώπου κόκκινη και καυτή, λευκό σημείο κοντά στη μύτη. Κύματα καύσωνα· το αριστερό μάγουλο φλογισμένο. ^^ Δόντια και ούλα. Πόνος σε χαλασμένα δόντια, επιδ. τη νύχτα. '^ Εσωτερικό στόμα. Ξηρότητα στόματος με ξύσιμο και γαργάλησμα στο λαιμό, δύσκολη κατάποση. 13 Λαιμός. Πόνος στο λαιμό κατά την κατάποση· γαργάλησμα που προκαλεί

^^ Hiccough, Belching, Nausea and Vomiting. 1 1 Nausea

in morning coming from stomach. ^^ Scrobiculum and Stomach. Twisting as of a ball in epi- gastric region, above umbilicus.

197 INULA.

INULA. 198

Fine stitches in index finger.

Tearing in r. little finger, it seems dead. ^^ Lower Limbs. Tensive drawing in hips extending to nates.

Sticking in r. hip extending to groin; in middle toes of r. foot; in r. heel.

Stitches: in thighs; in left ankle, when walking; as if sprained; in r, heel.

Spasmodic sticking beneath bend of r. knee, hot face and chilliness.

Obliged to remain lying: on account of pain in uterus.

Stooping: vertigo. ^^ Sleep. Sleep restless, starting and crying out.

Dreams: lascivious; disgusting. ^^ Time. Morning : nausea.

Evening: confusion in head with nausea; burning in 1. temple; sticking above r. eyebrow.

urinate. *" Locality and Direction. Right: sticking headache; tran- sient sticking above eyebrow; stitches in side of middle of nose; sticking side of umbilicus; cutting between umbilicus and groin; transient pain in scapula; stitches and tearing pain in shoulder; tearing, jerking in arm; tearing in little finger; sticking in hip, in toes, in heel; spasmodic sticking beneath bend of knee.

Left: burning in temple and eyeball; dull stitches in ear; side of face red and hot; cheek glowing; stitches be- tween seventh and eighth rib; tearing, cramp-like pain in tip of shoulder, in muscles of side of neck; tearing in palm of hand.

Right then left: headache. *^ Sensations. As though some one was poking him with finger, in various parts of body, especially in diaphragm, so painful he awoke and clenched his teeth ; as of a ball twisting in epigastric region ; as though something liv- ing was moving about beneath hypochondrium; stick- ing as with two pins to r. of umbilicus; as from a knife between umbilicus and r. groin ; as if a substance would come out of rectum and genitals; pain as from suppu- ration in middle of chest ; neck as if pulled with pincers; itching as from fleas.

Pain: in decayed teeth; in throat; in uterus; in small of back; through back and chest.

Violent pain : in back.

199 INULA.

Tearing pain: in r. shoulder and wrist ; in palm of 1. hand;

r. of umbilicus ; in r. hip to groin ; in middle toes of r.

in region of uterus and genitals; behind sternum and

beneath 1. seventh and eighth ribs, in r. shoulder and

with burning after scratching, in bed. *^ Relations. Compare: Crocus and Thuja (movements as of

Sulphur (psora).

lODOFORMUM. 200

lODOFORMUM.

Iodoform. CHI^

Provings by Underwood and Haines. See Allen's Encyclopedia, vol. 5, p. 116.

^ Mind. Feels happy and elated.

^ Sensorium. Confusion of head, with slight nausea.

Stitch pain in r. side of head.

Heavy feeling in head, and a dull aching in top of head. Stitching pains in head.

201 lODOFORMUM.

bending forward. Dryness and stinging of lips.

Dull aching, increasing to a heavy pain, like something pressing heavily in r. lower maxillary bone. ^^ Teeth and Gums. Teeth feel sore and as if too long.

Toothache; pain leaving teeth and going quickly to

lODOFORMUM. 202

Sharp pain in r. chest.

Stitch in r. chest, through to angle of shoulder blade. ^^ Heart, Pulse and Circulation. Occasional stitches through

straining. ^^ Upper Limbs. Stitching pain in 1. arm and shoulder.

Severe aching in 1. humerus; muscles around bone feel as

as pain increases muscles feel as if ulcerated. Severe pain in 1. arm and leg, < at lower half of tibia

of head, r. shoulder, r. arm, hand and fingers, thigh,

203 lODOFORMUM.

Feeling of faintness.

Pain seems to sharply define course of nerves.

Neuralgic pains in various parts of body.

Neuralgic pains flying all over him at times. ^^ Sleep. Very drowsy.

Slept soundly until 1.30 a.m., then awakened suddenly; restless and unable to sleep any more till 4.30 ; then slept about an hour and a half, being partially conscious, and then followed a deep, heavy sleep ; on awaking it seemed as though he could not get aroused.

Wakefulness.

Restless sleep, tossing, turning, full of dreams. i

Dreams : confused ; of accident. ^ Time. Night: aching in 1. breast <. *

1.30 A.M.: awakened suddenly, restless and unable to sleep until 4.30. ^^ Temperature and Weather. Lays covers off the bed.

Open air : when walking, cutting pains in 1. ankle.

Heat of weather: susceptible to. *" Fever. Shuddering after urination.

Heat, lays covers off the bed.

Perspiration on head.

Perspires easily from motion. *^ Attacks, Periodicity. At times: neuralgic pains flying all

over him. *^ Lacality and Direction. Right: pain in maxillary bone; pain in temple < ; stitch pain in side of head ; shooting in ear; stitches in ear; heavy pain in maxilla; stitch pain in r. side of throat; sharp cutting in inguinal re- gion; sore pain in inguinal region; cutting in r. ingui- nal region; dull, sore pain in apex of lung; sharp pain in chest; stitch in chest; pain alongside of dorsal verte- brae; rheumatic pain in arm; stitch pain in instep.

Left: neuralgic pain in ear; severe pain in breast; aching in breast; stitching pain in arm and shoulder; severe aching in humerus; pain in course of median nerve of arm ; sharp pain in nerves of arm ; pain in elbow ; sharp pain in nerves of hand; pain along course of crural nerve; neuralgic pain in knee; cutting pain in ankle; pain in foot; arm and leg pain as if bruised; severe pain in arm and leg. *^ Sensations. Feels strangely.

Thinks he has taken a bad cold.

Fine, sharp pains all over.

Head feels as if he had been intoxicated the day previous; temples feel' as if something heavy was pressing on them; head as if he could not lift it from pillow; r. eye felt sore as if bruised; sensation as of smelling fumes of

lODOFORMUM. 204

Iodine; as if something was pressing heavily on r. lower maxillary bone; teeth as if too long; anus felt as if drawn up into rectum ; as if something heavy was rest- ing on chest; felt as though smothering; on breathing lung felt as though two ulcerated surfaces were in con- tact; both lungs felt as if a heavy cold had been taken; breast felt as if a deep ulcer had formed there; as if a hand was grasping base of heart; base of neck sore as if bruised; muscles around bone feel as if severely bruised; 1. arm and leg as if bruised; muscles of 1. arm and leg feel as if ulcerated.

Pain: in r. maxillary bone; in eyes; in teeth extending to temples; in deca3^ed teeth; in back along spine; along r. side of dorsal vertebrae; in lumbar region; in 1. elbow; in course of median nerve of 1. arm ; along course of 1. crural nerve; in knees; in inside of knees; in 1. foot; in 1. arm and leg.

Severe pain: concentrated in 1. breast; in 1. arm and leg.

Sharp cutting: in r. inguinal region.

Cutting pain : in bowels ; in r. inguinal region ; in pharynx ; in 1. ankle.

Sharp pain: in upper teeth; in r. chest; in angle of shoul- der blade; in nerves of 1. arm and back; in nerves of 1. hand.

Shooting: in ear.

Sharp, neuralgic pains: in forehead; in temples, extend- ing to back of head behind ears.

Stitches: in temples; in r. ear; in r. chest through to angle of shoulder blade ; through heart.

Stitching pains: in head; in 1. arm and shoulder.

Stitch-like pain: in r. side of head; in r. side of throat; in r. instep.

Severe aching in 1. humerus.

Neuralgic pain: in 1. ear; in 1. knee.

Rheumatic pain: in r. arm; in flexor muscles of legs; in both gastrocnemii.

Aching in 1. breast.

Drawing and pressing: in malar bones.

Dull, pressing pain : in both temples.

Smarting, burning, stinging: in eyes.

Dull pain: in forehead; in malar bones.

Sore pain: in r. inguinal region.

Heavy pain: in r. lower maxillary bone.

Slight pain: in zygomatic muscles.

Dull, sore pain: in apex of r. lung.

Dull aching: in top of head; in r. loWer maxillary bone.

Sore feeling: in teeth; inchest; in base of neck ; in spine.

Dryness and stinging; of lips.

205 lODOFORMUM— lODUM.

Feeling of stiffness : in zygomatic muscles.

Weakness: in knees.

Rawness: of throat.

Dryness: of throat and lips.

Feeling of warmth : in bowels and rectum.

Heavy feeling: in head.

Violent itching: of occiput. ** Tissues. I Relieves pain of cancerous tumors, (locally).

Pains renewed: when riding in cars. *^ Relations. Antidbted by : Hepar.

Compare: lodum, and the iodides; Mercur.

lODUM.

Iodine. The element.

Obtained principally from the ashes of seaweeds.

Provings by Hahnemann, Jorg, Hering, Macfarlan, Eobinson, etc. See Allen's Encyclopedia, vol. 5, p. 119.

lODUM. 206

^ Mind. I Feeling as of having forgotten something and does

was stirred up, felt as if going crazy. Restless, inclined to move about, not permitting to sit or

sleep ; thought she could tear everything to pieces.

■ Melancholy mood, low spirited.

Fear and anxiety, shuns even the doctor.

I Mind very sensitive during digestion, felt like crying.

■ Irritability and sensitiveness.

Cross, with excessive nervous excitability.

■ Excessive kind of impatience, she is running about all the

time and never sits down or sleeps at night.

■ Consequences of amorousness.

■ At night, especially when thinking of real or imaginary

wrongs, heart palpitates "like lightning," pulsations being felt also at pit of stomach and in petrous por- tion of temporal bone, being especially violent in latter locality; the violent palpitation and accompany- ing arterial excitement drives him out of bed ; by use of cold baths and friction obtains temporary relief; at times most terrible thoughts take possession of him, and

207 lODUM.

he hardly dares go home for fear of doing some dread- ful deed; on one occasion was seized with an almost irresistible impulse to murder a woman who was acting as a guide for him, he having lost his way; these attacks of mania come on at most unexpected times ; troubles all < by quiet and meditation ; must be constantly in action, in some laborious occupation. ^Mania. ^ Sensorium. l l Confusion of head, with great aversion to earnest work.

■ Vertigo: only on 1. side, < from stooping; weakness in

morning; with throbbing headache; very weak and tremulous ; rising aggravates it, and produces faintness ; with throbbing all over body; tremor at heart and fainting, < after just rising from a seat or bed, or on sitting or lying down ai'ter slight exercise; very sickly look of patient.

■ Goitre; hypertrophy of 1. ventricle, with great congestions

to head and face; hysteria and nervousness. ^Vertigo. ^ Inner Head. ' i Sharp pressive pain in upper part of 1. side of forehead. I Headache: 1. side and top; as if a tape or band was tightly drawn around head; so violent it almost makes him crazy; with paralytic feeling of arms.

■ Pressure on a small spot above root of nose. I Pressive pains in vertex.

■ Congestions to and pulsations in head.

I I Throbbing in head at every motion; < in warm air.

■ Brain feels as if stirred around with a spoon; must keep

in motion day and night. Violent aching at base of occiput, in afternoon. ■Persistent, annoying, but not very violent headache;

head feels heavy, as though a foreign substance was

inside of brain, < by fatigue; oppressive, dull feeling,

inclining head to seek a support.

■ Chronic headache; dizziness on active exertion; care-

lessly loquacious; languid, uneasy, and of fitful humor.

■ Chronic congestive headache, in old people with dark

hair and eyes. Headache <: in warm air; when riding a longtime in a carriage; from walking fast.

■ During course of acute articular rheumatism inflamma-

tion in hands subsided and brain symptoms developed ; became delirious and very restless, sat up in bed and then threw himself upon it. I I Cholera encephalitica.

■ Acute hydrocephalus of scrofulous children. Atrophy of brain ; apoplexy.

* Outer Head. Falling off of hair.

lODUM. 208

Scald head. ^ Sight and Eyes. Small sparks before eyes while sewing.

■ Optical illusions in bright colors; flimmering; double

vision ; obscuration of sight, like a veil before eyes.

■ Dilatation of pupils with constant motion of balls.

■ White of eye dirty yellow.

■ Constant tearing pain around r. eye, passing backwards

from inner can thus to articulation of jaw.

■ Smarting in eyes; pain as from excoriation. I I Inflamed eyes.

■ Scrofulous conjunctivitis, with induration of glands.

■ Protrusion of balls; or feeling of protrusion. Sarcoma conjunct! vse.

■ iStaring with wide, open eyes; lids seem to be retracted.

■ Twitching of eyes; lower lids. (Edematous swelling of lids; dark rings.

■ Trembling of lids.

^ Hearing and Ears. ■Sensitiveness to noise.

■ Hearing first sensitive, then dull.

■ Buzzing in ears.

■ Deafness, due to morbid condition of Eustachian mucous

membrane; catarrhal deafness; scrofulous subjects.

■ Adhesions in middle ear.

■ Painful glandular enlargement in front of tragus, with

indolent ulcers of membrana tympani and a pinched, dried up look of face. ^ Smell and Nose. ' i Loss of sense of smell.

Crowing in nares, like the vibrations of a string.

■ Loss of smell; nose dry and stuffed up, cannot breathe

through it ; or painful and swollen, with chronic fetid discharge.

■ Sensation as if alse were spread wide open and nose dry;

loss of smell; sneezing in evening.

■ Dry coryza, becoming fluent in the open air.

■ Nose running a clear, continuous stream.

■ Fluent coryza, hot water drops out; general heat.

■ Irritation of mucous membrane and secretion of a great

deal of glassy mucus; same state of Eustachian tube, with dulness of hearing and noises in ears ; stoppage of nose by mucus, especially in evening; loss of smell; itching, stinging in front part of septum narium ; watery, fluent coryza in night, and with much sneezing; dul- ness of head, with great disinclination to serious labor; thinking is difficult; dull pressure in frontal sinuses.

■Severe coryza, attended by fever, severe headache and excessive secretion with much sneezing.

■Fever, fluent coryza and continual tickling in middle of chest.

209 lODUM.

I Nose runs a clear stream, hot fever, no appetite, hot, dry-

skin all day long, creepy sensation, face fiery red, pain in occiput and temples, teeth sticky with yellow phlegm.

I I Nasal catarrh thin, excoriating.

■ Ulceration of Schneiderian membrane; great fetor. ■Small scab in r. nostril.

■ Small yellow scurf at each nostril and concha.

■ Chronic fetid discharge from nose; nose painful and

swollen.

■ Large discharge of yellow mucus from nose.

■ Hard and red condition of mucous surfaces; scrofulous

subjects; enlargement of cervical and subcutaneous glands. ^Nasal catarrh.

■Nose bleeding. ^ Upper Face. Face: pale or alternately red; sallow, dis- tressed; yellowish, or greenish; pale yellow or soon changing to brown.

Brown color of face, and copious and papescent stools; seems to be > after eating.

■Coldness of face in very fleshy children.

■ Convulsive twitchings of facial muscles.

I I Facial paralysis following reduction of goitre.

■ Red, burning spot on nose; under eyes; itching protu-

berance on nose. ^ Lower Face. ■ Bluish lips, swelling of superficial veins.

■ Lij^s peel off.

I I Suppurating ulcer on 1. cheek.

■ Swelling of submaxillary glands.

Pain from inner canthus to articulation of jaw. ^^ Teeth and Gums. iTeeth yellow, covered with much mu- cus in morning, and more easily blunted than usual by vegetable acids.

■ Toothache, gums swollen and bleeding.

■ Little blisters form on gums.

■ Gums puffed, red, inflamed, painful to touch, bleed easily. ■Softening and bleeding of gums.

centre, white at edges. I I Tongue hypertrophied, painful, nodular or fissured. ^^ Inner Mouth. ■Mouth filled with mucus on awaking in morning, with putrid taste, not > by washing mouth.

■ ■Increase of saliva; mercurial salivation.

■ Offensive odor from mouth, voii. VI. — 14.

lODUM. 210

■Aphthous ulcers in mouth with putrid smell; profuse

fetid ptyalism. I Gums red and swollen, receding from teeth, bleeding

slightly; small ash colored, painful ulcers; abuse of

mercury.

■ Croupous inflammation of pharynx, affecting also ton-

sils and softened gums; thick, grayish white deposit; difficult deglutition; ptyalism; very off'ensive odor from mouth.

I Thick, brown, croup-like exudation in mouth and fauces.

Glands on inside of cheeks intensely painful as though he had sharp vinegar in the mouth.

I I Discharge of mucus from posterior nares. 13 Throat, l Swelling and elongation of uvula.

I Deglutition: so difficult that a considerable pause is re- quired between each act; impeded from ulceration of oesophagus.

I Ulcers in throat, with swelling of glands of neck.

■ Mercurial cachexia; salivation and ulcers in the throat.

■ Follicular catarrh with ulceration.

■ Inflammation of throat, with burning pain.

■ Early stage of diphtheria; much glandular irritation;

disease threatens to attack larynx; formation of speck; or patches of exudation, with sore throat; enlargement of tonsils and of glands of neck; disinclination for food ; difficulty of breathing; cough and alteration of voice.

■ Velum palatinum and tonsils covered with thick, gray-

ish white exudate; much pain in throat, painful swal- lowing; salivation; strong fetor oris. ^Diphtheritis. I I Pain in oesophagus increased by pressure.

■ Inflammation and ulceration of oesophagus.

" Appetite, Thirst. Desires, Aversions. ■Remarkable and continued increase of appetite.

■ ■Suff'ers from hunger, must eat every few hours; gets

anxious and worried if he does not eat; feels > after eating.

■ Eats too often and too much; loses flesh all the while.

1 I Great longing for food, about 11 a.m.; can scarcely wait for his meals.

■ ■Ravenous hunger, cannot be satisfied.

■ Alternate canine hunger and want of appetite. I I Appetite for meat.

■ Thirst; desire for spirituous liquors.

^^ Eating and Drinking. ■ Fasting causes pain in chest.

■ ■Most symptoms are better after eating. 1 I Food distresses her.

Spasmodic pains in stomach > by eating. ^® Hiccough, Belching, Nausea and Vomiting. ■ ■ Hiccough.

211 lODUM.

I lEmpty eructations from morning till evening, as if every

particle of food was turned into air. iSour eructations, with burning therefrom.

■ Heartburn, after heavy food.

■ Qualmishness, nausea, with spasmodic pain in stomach.

■ Vomiting: of bile, with violent colic; of milk; first

water, then food; of saltish tasting, oily or greasy sub- stances,

■ Violent vomiting renewed by eating.

■ Dyspepsia with great weakness and loss of energy,

■ Gastric derangement, with constipation.

^^ Hypochondria, i Region of liver sore to pressure.

■ Jaundice with much pain in liver through to shoulder-

blade, no appetite, constant nausea; sluggish, clay col- ored stools, porter colored urine, debility, emaciation; skin brownish yellow; tenderness about hepatic region. ■Pain in hepatic region, loss of appetite, emaciation, ex- cessive weakness, diarrhoea; pressure and stitches in hepatic region, painful to touch. ^Cirrhotic liver.

■ Jaundice: dirty, yellowish skin; great emaciation; de-

pressed, irritable mood ; yellow, almost dark brown color of face; thickly coated tongue; great thirst; nausea; constipation alternating with white diarrhoeic stools; dark, greenish yellow, corroding urine; after abuse of mercury; in organic lesions of liver; dyscratic states of system accompanied by hectic fever.

■ Eyes, skin and nails completely jaundiced; nausea and

vomiting after eating almost any kind of food; intense canine hunger; every third day attacks of gastrodynia; frequent eructations; heartburn; distension of stomach; pain when pressing on epigastrium ; pain in r. hypo- chondrium ; constipation; urine scanty, dark and turbid; menses absent six months. ^Chronic jaundice.

■ Swelling and hypertrophy of liver.

■ ■Left hypochondriac region hard and acutely painful to

pressure ; enlarged spleen after intermittent.

■ Pressure in region of stomach, with much empty belch-

ing, occasionally vomiting of small quantity of tough, sour mucus; no actual pyrosis; constipation; ptyalism, constant expectoration; tongue moist, with mucous streak at sides; great thirst; appetite appeased by smallest quantity of food; urine scanty, brown; sallow face; depressed, irritable; constant profuse sweat; from pit of stomach to navel and in a corresponding region

lODUM. 212

in back, sensitiveness to pressure; pancreas enlarged; abdominal pulsations. ^/Chronic inflammation of pan- creas. ^^ Abdomen. iSwelling and distension, or emaciation and sinking in of abdomen.

■Pulsations in abdomen; throbbing of abdominal aorta.

I Incarceration of flatus in 1. side of abdomen.

I I Rumbling in abdomen with gnawing hunger.

ISwelling of mesenteric glands.

■ Marked irritability of mind; exceedingly cross, screamed

in anger when simply looked at, talked to, or touched; large, tumid, doughy abdomen; loss of appetite; emaci- ation; diarrhoea, with copious, slimy, fetid stools. ^Tabes mesenterica. iTabes mesenterica, with rapid emaciation, night sweats, slow fever, dry laryngeal cough and diarrhoea.

■ Inflammation and swelling of mesenteric glands, with

bloating and distension of abdomen, which does not permit one to lie down ; painful pressure and tension in abdomen, with incarceration of gas in 1. side, < after eating; stools in beginning hard, knotty and dark; then alternate constipation and diarrhoea and finally profuse, frothy, bloody, even purulent diarrhoea, with itching and burning in anus, especially at night; ptyalism, con- striction of throat, ulcers in mouth and putrid breath ; constant and tormenting thirst with canine hunger, which cannot be satisfied; child wants to eat all the time; eats a large quantity and frequently without in- digestion, yet becomes more and more emaciated; occa- sionally canine hunger is alternated with anorexia; burning heat after eating heavy food, with nausea or vomiting, pressure and hiccough. ^Tuberculosis mes- enterica. ISwelling of inguinal glands. ^'^ Stool and Rectum, l l Brown color of face, with copious papescent stools.

■ Diarrhoea in morning; stools watery, foaming, whitish ;

pinching around navel and pressive pain in vertex. ■Purulent stools, with cutting pains in intestines, nausea,

vomiting and sour taste in mouth. ■Stools: blackish, watery; brownish; frothy; bloody;

whitish, mucous ; thick, mucous ; purulent ; copious ;

fetid ; of mucus and blood ; whey-like ; fatty.

■ Chronic diarrhoea of an exhausting character, with con-

stant desire for change of place.

■ Morning: diarrhoea of scrofulous children.

■ Diarrhoea adiposa from pancreatic affections.

■ Summer complaint with swollen glands on neck.

213 lODUM.

I I Dysenteric mucous stools without feces.

■ Discharges of thick mucus, or purulent matter; part of

milk. During stool : cutting pain in bowels ; bearing down in

genitals ; painful pressure on vertex. After stool : burning in anus ; soreness in rectum ; pressing

in hypogastrium.

■ Itching and burning of anus in evening.

■ Piles protrude and burn ; < from heat.

^^ Urinary Organs. iUrasmia; croupy exudation in mouth and fauces; tongue covered with thick brown, leather- like coating. ^Senile hypertrophy and induration of prostate, stricture of urethra and ammonsemia.

■ Bright's disease, with albuminous urine; much emacia-

tion and debility.

I I Obstinate retention of urine.

■ Copious and frequent or involuntary micturition.

I I Continued desire to urinate; nocturnal urination.

■ Incontinence of urine in the aged.

■ Urine: dark, thick, ammoniacal ; dark yellowish green;

acrid; milky; with a variegated cuticle on its surface; red and turbid. ^^ Male Sexual Organs. ■ Complete loss of sexual power; tes- ticles atrophied.

■ Bearing down, or twisting sensation in seminal cord. ■Aching, pressing or forcing pain in spermatic cords and

testicles, after sexual dalliance.

■ Testicles hypertrophied, with sexual excitement. ■Testicles swollen and hard, as large as hen's eggs, with

pressure and tension extending into abdomen; on scro- tum several swollen and inflamed openings, from which escapes a constant turbid, w^atery discharge; several of these openings penetrate through scrotum, others form canals running in different directions through skin.

■ Painless swelling of testicles, with offensive sweat. ■Swelling and induration of testicles and prostate gland.

■ After stool a milk-like fluid runs from urethra.

■ Chancre with torpid, watery discharge.

■ Hydrocele.

■ Offensive sweating of genitals.

^^ Female Sexual Organs. ■ Atrophy of ovaries and mam- mary glands, with sterility.

■ Induration and swelling of uterus and ovaries.

■ Pain commencing in r. ovary, passing down broad liga-

ment to uterus.

lODUM. 214

I Great sensitiveness of r. ovarian region during or after menses.

M Pain in ovaries and back during menses.

I Dull, pressing, wedge-like pain, as if a dull plug was driven from r. ovary toward womb.

I Pain in lower part of abdomen; < 1. ovarian region; comes on about 3 a.m.; > by motion and eating; likes acid things; 1. ovary tender to pressure; pains before, during and after stool ; leucorrhcea thick, yellow, burn- ing; vertigo, staggering when walking; faint on get- ting up in morning; has to lie with head high on account of shortness of breath; menses too early; stoppage of urine, or it flows, stops, and flows again. ^Chronic ovaritis.

I Abdomen as large as in pregnancy at sixth month from accumulation of fluid; rapid, irritable pulse; thirst; general prostration, able to sit up only part of day; loss of appetite; pain and tenderness in r. ovarian region, and fluid rapidly accumulating. ^Ovarian cyst.

■Pressing, bearing down towards genitals; constipation; acrid leucorrhcea, corroding linen; dwindling and fall- ing away of mammae; strumous constitution. ^Ovarian dropsy.

I Swelling and induration of uterus.

■ Uterine leucorrhcea with swelling of cervix, os uteri feel-

ing hard and indurated; uterus enlarged; tendency to menorrhagia; corroding leucorrhcea, rendering thighs sore.

■ During course of inflammatory disease affecting uterus

and surrounding parts; colliquative sweats; great ema- ciation and weakness ; catarrh of chest, constantly grow- ing more severe; sudden appearance of menses, very profuse and accompanied by severe abdominal pains, particularly in region of ovary.

■ Cancerous degeneration at neck of uterus.

■ Metrorrhagia: with acute pain in mammae, or mammae

dwindle away and become flabby; at every stool, with cutting in abdomen, pain in loins and small of back; long lasting; after abuse of mercury. ^Cancer of womb.

■ Menses: sometimes too early, at others too late; prema-

ture, violent and copious.

■ Chronic menorrhagia in thin, delicate women, subject to

corrosive leucorrhcea, with other indications of congested uterus and ovaries.

■ Premature and too copious menses, with goitre; dwin-

dling away of breasts, and great weakness on going up stairs. I I Violent dysmenorrhoea with very scanty discharge.

215 lODUM.

■ Irregular menses; delaying eight days, with vertigo and

palpitation of heart.

■ Chronic amenorrhoea of long standing.

Before menses: flashes of heat, with palpitation; tension

and swelling of neck; abdominal pains. During menses: pains in back and ovaries; lassitude;

coughing up of blood; great weakness and loss of breath. After menses : palpitation.

■ Thin, yellow leucorrhoea in scrofulous women, with in-

duration and swelling of os uteri, and engorgement of vagina.

■ ■Chronic leucorrhoea most abundant at time of menses,

rendering thighs sore and corroding linen.

■ Mammary hypersesthesia.

I I Heaviness of mammse, as if they would fall off.

■ Acute pain and soreness in mammae, with metritis;

cachectic state of system, with feeble pulse.

■ Bluish red nodosities, size of a hazel nut; in both mam-

■ Excessive flow of very thin, watery milk; great weakness

and rapid emaciation. 6'Galactorrhoea.

■ Suppression of milk ; atrophy and relaxation of mammae.* ^ Voice and Larynx. Trachea and Bronchia. ■ Voice:

nasal, hoarse ; has a deep, hoarse, rough sound, becom- ing continually deeper.

■ Hoarseness : in morning and insupportable tickling and

tingling in larynx ; lasts all day, phlegm in small quan- tities and tough, constant hemming and hawking.

■ Sensation of constriction (fulness or pressure) in larynx,

with impeded deglution.

■ Tightness and constriction about larynx, with soreness

and hoarseness.

■ Swelling and contraction of larynx. I I Contraction and heat in larynx.

■ Spasm of glottis in rachitic children ; cannot bear warmth. ■Enlargement and induration of cervical and mesenteric

glands ; loss of appetite, utter indiff'erence to food ; scanty, high colored urine ; clayey evacuations ; emaci- ation ; yellow skin ; action of heart feeble and much in- creased by motion. ^Spasm of glottis.

■ Region of trachea smarting, accompanied by frequent

lancinating pain.

■ Pains in larynx: with great hoarseness, or complete

aphonia ; with desire to cough ; with discharge of hard- ened mucus.

lODUM. 210

I Painful pressure mingled with stitches in region of larynx and sublingual glands, returning several times during day.

Roughness, painful pressure and stitches in larynx and pharynx, as if swollen ; increased secretion of mucus in trachea; dry, short and hacking cough.

Soreness of throat and chest ; wheezing ; drawing pains in lungs ; child grasps throat and chest with its hands.

I Chronic laryngitis in scrofulous subjects; more or less hectic fever, especially serviceable when the trachea is implicated.

0 Intense membranous laryngitis ; head and face hot; par- oxysmal, dry, short, barking cough ; respiration irregu- lar, short and quick; active motion of alee nasi.

• Increased secretion of mucus in trachea; long lasting laryngeal catarrh.

Paralysis of throat.

B Membranous croup, with wheezing and sawing respiration, dry, barking cough, especially in children with dark eyes and dark hair; child grasps throat with hand.

■ Violent attack of cough threatening suffocation, with

whistling tone and great anguish. ^Membranous croup.

■ Tracheal and bronchial croup, with tendency to torpor;

extensive membrane; jerking breathing.

iCougli is peculiar in that it has lost the metallic, loud timbre, so characteristic of croup, and has become muf- fled and indistinct; the more plastic the exudation, the more lodum is indicated. ^Croup.

■ Delicate constitutions, with quick pulse, tendency to

bronchial and pulmonary congestion and hemorrhage; overgrown young people, with weak chest and dry cough, subject to spitting of blood and cardiac palpita- tion; swelling of cervical and bronchial glands; noctur- nal sweats and progressive emaciation, notwithstanding good appetite and regular function of bowels; cough from every effort to expand chest; much dry cough; suffocative feeling; shortness of breath at least exertion. ^Bronchitis.

■ Chronic bronchitis in a scrofulous subject; dyspnoea at

night, compelling him to sit up; raw sensation in 1.

217 lODUM.

bronchus, particularly in morning; early in day cough dry, later transparent, occasionally grayish sputa ; exac- erbation after every cold. ^ Respiration, l l An effort to expand chest produced cough but no pain.

I Breath comes in wave-like expansions.

■Shortness of breath, palpitation and feeling of weakness on going up stairs.

■ Tightness of respiration ; out of breath from least exercise, ■Respiration, especially inspiration, difficult; constriction

of throat prevents swallowing.

■Asthma, breathes heavily even when quiet.

■Rachitic children, swelling of bronchial glands; tightness and constriction about larynx, with soreness, hoarse voice; enlarged glands may cause paralysis of laryngeal, tracheal and bronchial nerves; mesenteric glands en- larged and indurated ; tendency to marasmus ; excellent appetite and yet grows thin, or indifferent to food; stools clayey; urine high colored, scanty; skin yellow; heart's action feeble and increased by any motion; un- bearably irritable ; well marked, painless goitre.

■Swelling and distension of abdomen; when assuming a wrong position he is threatened with suffocation (has to lie on back). ^ Cough. llDry morning cough, from tickling in larynx.

■ Constant tickling, in trachea and under sternum, with

inclination to cough.

■ Unendurable tickling th rough whole chest, causing cough ;

during attack undulating inspiration ; cough preceded

by great anxiety and followed by depression; emaciation. ■Cough as from a feather in throat, especially in morning;

sneezing; vomiting; stitches in chest and side, dyspnoea

and great weakness. ^Liver complaint. ■Annoying, tickling cough in phthisical persons. I I Expansion of chest produces cough but no pain.

■ ■Dry cough, with stitches and burning in chest.

■ Cough with copious collection of mucus in bronchi and

inability to expectorate; moderate amount of fever,

■ Dry, croupy cough, with titillation; sensation of soreness

in larynx; barking, with gray or white salty, sweetish expectoration; shrill whistling and rattling in chest; sawing, hissing respiration; oppression; hoarseness, difficult speech; expectoration of tough mucus; soreness and pain extending to upper third of sternum.

■ Cough moist but harsh as from tickling all over chest;

lODUM. 218

throat ; < by expiration ; frequent paroxysms of severe, short, but continuous coughs, one rapidly following the other, can scarcely utter a word; cough sounds as if mucus was deep down in chest; expectoration of yellow pieces, tasteless, or during day salty.

1 Cough caused and aggravated by tobacco ; often accompa- nied by retching ; could not lie down, sat bent forward.

Cough: after catching cold on damp day; > by expectora- tion; sputa very scanty; cough suffocating, can hardly get breath ; weight and tightness at stomach after food ; cough exhausts and chokes her, and causes retching and pain in forehead; < in warm room; during day chilly, cold chill runs up back; at night in bed subjective, dry heat, especially of head; bitter taste of solid food, not of drinks; burning pain below r. hip from back to front.

■ Chronic cough excited by pressure in throat, < at night,

in a very nervous, tall, thin and careworn old lady. I Dry, croupy cough; mucous membrane of larynx and

trachea dry; mucus hard and tough. I Croupy, hoarse cough, < in warm, wet weather.

■ Patients are weak, sallow, short of breath, emaciated and

have enormous appetites. ^Tussis convulsiva.

■ Great weakness with the cough.

During cough: tickling and burning pain in throat; op- pression, pressing, burning and stitches in chest; rat- tling; anxiety; nausea; vomiting; sneezing.

■ Cough, with expectoration of large quantities of mucus,

frequently blood streaked. ■Short, loose cough, with thick mucus and puriform ex- pectoration, often bloody.

■ Cough < towards morning. ^Tuberculosis. Dyspnoea, cough, palpitation and pains < by movement.

■ Expectoration: salty; sweetish; sourish ; putrid ; gray or

white; yellow; blood streaked. ^ Inner Chest and Lungs. ' i A feeling of great weakness in chest; can hardly walk up stairs. I I Constriction of chest. ■Sharp, quick, piercing pains in chest.

■ ■Itching: low down in lungs, behind sternum; causing

cough ; extends through bronchi to nasal cavity.

■ Rattling in chest: yet nothing seems to loosen; with

roughness under sternum and oppression.

■ Tendency to bronchial and pulmonary congestion and

hemorrhage. ■Violent chills, followed by fever and pain in chest; short, anxious breathing, violent cough; lip and chin sore; urine high colored and scanty ; creaking, leathery noise over middle and lower third of r. lung. ^Pneumonia.

219 lODUM.

■Violent chill, followed by violent dry heat, pain in back and r. side, from cough and dyspnoea; rust colored sputum and fresh blood, crepitant rales, pulse 120, skin hot and dry. ^Pneumonia.

I Violent chill followed by great pressure on chest: respi- ration impeded, interrupted, imperfect and rapid; pulse 110; urine scanty and red; frequent short cough, with expectoration of tenacious, yellowish matter, occa- sionally tinged with blood; troublesome "cold sore" on lips and nose; lower lobes of r. lung affected. ^Pneu- monia.

■ Sensation of weakness in chest, with anxiety, oppression,

and burning, tearing, stabbing pains; sensation as if something resisted expansion; cough, with dyspnoea and blood streaked expectoration; also during third stage, where slow suppuration sets in without marked febrile symptoms in tuberculous patients, and causes a slowly progressing hectic condition, entirely confined to lungs. ^Croupous pneumonia.

■ Continuous delirium; great dyspnoea; respiration 60;

unquenchable thirst, tongue dry; great prostration; sputa gluey, rusty yellow, mingled with blood streaks, is dislodged with difficulty and sticks fast to handker- chief ^Pneumonia.

■ Pneumonia, when the disease localizes.

■ Pleuritic effusions.

■ Neck long and thin; clavicular region, particularly r. side,

sunken ; empty percussion sound in upper portion of chest, but especially on r. side; bronchial respiration on r. side; chest flat, sunken; respiration short and ac- complished only by lower portion of chest and dia- phragm; strong impulse of heart; anaemic murmurs; voice hoarse, toneless, weak; irritation in larynx; con- stant pressure and burning in throat; sensation of raw- ness in larjmxand bronchial tubes extending into chest, causing hawking and coughing; disagreeable tickling in throat at night, causing severe and violent cough ; short, dry, irritating cough, < at night, followed in morning by sw^eat ; occasionally severe attacks of spas- modic cough, greatly prostrating patient, and causing loss of breath and glowing heat in head and face; scanty, tough, slimy expectoration, often streaked with blood; pressure and heaviness on chest; loss of breath after least exertion or talking. ^Consumption.

■ Face pale, anxious, earthy; cheeks red, eyes languid,

appetite greatly impaired; pressure at stomach, par- ticularly after eating ; abdomen sunken ; frequent col- icky pains ; diarrhoea, or scanty and delayed stool ;

lODUM. 220

menses scanty and delayed ; pulse small, frequent, par- ticularly in evening; fever; every afternoon dry heat, thirst, confusion of head; restless and sleepless at night, sweat towards morning ; skin dry, hot, pale, dirty gray in color; ansemia; great emaciation, lassitude and de- bility. ^Consumption.

■ Voice weak, rough, hoarse; face pale; respiration im-

peded; pain in chest. ^Tuberculosis.

■ Tickling all over chest; tough, stringy, blood streaked

sputa; hunger, yet emaciation; cannot bear a warm room. ^Phthisis.

■ Phthisis pulmonalis, with constant tickling and inclina-

tion to cough, in trachea and under sternum ; expectora- tion of transparent mucus streaked with blood; morning sweats; emaciation; wasting fever; rapid pulse; diar- rhcea; amenorrhoea.

■ Emaciated almost to a skeleton; for several months has

been compelled to stay in bed; decubitus; almost con- tinual fever, remitting only for two or three hours in afternoon; profuse night sweats ; continuous cough with copious expectoration. ^Consumption.

■ For several years obstinate leucorrhoea, alternating with

a cough which greatly reduced her strength and threat- ened to develop into consumption.

■ Advanced stage of tuberculosis, when glands and lym-

phatics are affected; much expectoration of blood, or even hemorrhages. ■Swelling of cervical and bronchial glands. ^^ Heart, Pulse and Circulation. ■ Great praecordial anxiety, obliging constant change of position. I I Sensation of weakness in heart.

■ Constant, heavy, oppressive pain, in region of heart.

■ Sharp, quick, piercing, and movable, but heavy, oppressive

pain in region of heart.

■ ■Sensation as if heart was squeezed together.

■ Feeling as if heart was grasped by an iron hand.

■ ■Palpitation of heart: < from least exertion; with

faintness. I I Tumultuous, irregular or intermitting action of heart.

■ Cardiac action excessive. ^Exophthalmic goitre.

■ Pericarditis in complication with croupous pneumonia.

■ Mitral insufficienc}' and periodical attacks of pain about

heart, following long fit of sickness with typhoid en- docarditis; ventral dilatation of heart, with marked projection of 1. second and third ribs; loss of strength; difficult breathing; violent palpitations.

■ Dilatation of heart, after scarlatina.

■Darker color of skin, with sensation of heat; skin turns

221 lODUM.

brown, grows parchment-like, peels off, and shows underneath the loosened scales a fatty transpiration ; thickening of epidermis; sudden turning of yellowish color into brown, as if smoked ; excessive weakness and debility; muscular weakness and trembling; sadness and depression of spirits; mental torpor; dulness and pain in head; vertigo; nausea; violent, continuous vomiting ; violent, excruciating pain in stomach ; con- stipation; frequent attacks of gastralgia ; drawing and pressing in region of kidneys; twitchings, convulsions; epilepsy; paralysis; the formerly yellow face turns brown ; red hair turns to chestnut brown, ^Addison's disease.

Pulse: large, hard and accelerated, with orgasm of blood and beating in bloodvessels; rapid, but weak and thread-like; small, very quick, irregular; w^eak, thread- like; accelerated, by every slight exertion.

Extremely troublesome pulsations in larger arterial trunks.

Pulsation in arteries at every muscular effort.

Ebullition in chest and audible palpitation. ^ Outer Chest. Burning stinging tension in integuments of

^^ Neck and Back. Redness on neck and chest as if ecchy mosed.

Yellow spots on neck.

Neck swells up when talking.

I Swelling and induration of cervical glands,

I Hard and red condition of mucous surfaces, scrofulous subjects; enlargement of cervical and subcutaneous glands.

■ Enlargement and induration of glands, cervical and

mesenteric; want of appetite; utter indifference to food; scanty, high colored urine; clayey evacuations; emacia- tion; yellow skin; action of heart feebler and much < by motion,

■ Gradual increase in size of neck, especially on r. side,

until it measured fourteen and a half inches over isth- mus of thyroid body; soft and without any fluctuation, ^Goitre.

Marked increase of thyroid gland, which had been already slightly enlarged; acute pain in gland upon pressure or on slightest movement of head,

iNon-lobulated tumor in anterior and median portion of neck as large as a child's head ; rosj^^ red color heavy in weight and of soft consistency; voice for past, two years slightly rough, and respiration difficult, especially when he lies on back. l?Goitre.

■ Hypertrophy of two lobes of thyroid gland; tumor be-

coming more swollen and painful at each return of menses, which were irregular and painful. ^Goitre.

lODUM. 222

I Sensation of constriction in goitre.

I Goitre: recent and soft; with marked hardness ; hard and

I Hot, dark red, lymphatic swelling in r. axilla, size of a walnut, discharging a cheesy pus.

■ Weariness of arms, as if paralyzed, in morning, in bed.

■ Trembling of arms and hands.

■ Painful weakness in extensors. I iSubsultus tondinum.

I I Back of 1. hand painful, as if swollen, painful to pressure

and when turning hand, not when closing fingers. I I Brown discoloration on back of hand.

■ Sweating in palms of hands.

■ Coldness of hands and feet.

■ Fingers "go to sleep."

Round spot between thumb and index finger covered with two whitish vesicles. ^^ Lower Limbs. ■Intermittent, sharp, tearing pains between 1. hip and head of femur, < by moving joint; ear swell- ings; abuse of mercury.

I I Jerking pain in legs each time after taking cold, follow- ing pressure in pit of stomach. ^'Jaundice.

I I Numb feeling in thighs and legs.

■ Violent itching nettlerashon thigh and inside of 1. knee. Flat blister on knee looks as if full of bile.

■ After neglected injury, large, elastic and fluctuating

swelling of knee ; pale redness of skin upon which there are several very red, hot and painful spots ; temperature at knee elevated; dull pain deep in knee-joint w^hen lying quietly with leg stretched out, becoming very se- vere upon least motion or pressure; foot must be kept very quiet; febrile attacks; finally small opening over patella through which oozed laudable pus, later followed by a profuse, clear, yellow, serous discharge, particu- larly early in evening.

■ Knee greatly swollen, puffed and round on both sides;

sensation of fluctuation; temperature elevated; pain when stretching leg or when attempting to stand ; limps when attempting to walk and can only place tip of foot

223 lODUM.

upon floor; pressure upon patella causes great pain; no pain during rest.

■ Hot, bright red, sinning swelling of knee, with shooting.

stitches and burning; in several places, small, highly inflamed openings through which oozes a watery, bloody pus ; least motion of body or foot, or least touch or pressure upon swelling cause very severe pain. ^Scrofulous inflammation.

iHot, bright red swelling of knee, with inflammation, pricking and burning; < by touch or pressure.

I White swelling of knee; dropsical swelling of knee joint.

■Second and third stage; fistulous openings, discharging a thin, watery ichor, and surrounded by pale, spongy edges, which bleed easily; feverish; emaciation, ^Go- narthrocace.

■ Much swelling, with erratic tearing pains. ^Synovitis,

■ Chronic hydrarthrosis of knee joint.

.■Violent itching nettlerash, particularly around knee; on

outer side of 1. knee especially. I I Subsultus tendinum of feet.

■ QLdematous swelling of feet.

■ Acrid, corrosive sweat of feet.

■ Painful corns.

■ Trembling of limbs.

■ Acute articular rheumatism, with violent pericarditis and

pi euro-pneumonia.

■ ■Chronic arthritic affections, with violent nightly pains

in joints, no swelling. ■Subsultus tendinum of hands and feet; great drowsiness and continual dreaming of eating, with great prostration on rising from bed; picking of bedclothes and short, dry cough.

■ Much coldness of hands and feet.

lODUM. 224

Sitting: < tremor at heart and fainting; anxiety after

suffocation. Inclination to move about: not permitting one to eat or

> pain in lower part of abdomen; dyspnoea,

cough, palpitation and pains < ; action of heart feeble,

much <• Must keep in motion day and night.

Restless, inclined to move, not permitting her to sit or sleep. Violent palpitations drive him out of bed. ^^ Nerves, i Excessive excitability; irritability and sensi- tiveness.

■ Restlessness, with inclination to move about, not permit-

ting one to sit or to sleep.

llGreat weakness and loss of breath, on going up stairs.

■Remarkable and unaccountable sense of weakness and loss of breath on going up stairs ; leucorrhoea corroding the linen ; food does not nourish or strengthen her.

■ Great debility; sweats, even from talking.

225 lODUM.

I I Trembling of limbs or whole body.

■ Twitching of muscles.

■ Abdominal reflex chorea; the stomach, liver, pancreas,

abdominal glands, being at fault.

■ Facial paralysis or epilepsy, following suppression of

goitre. ^"^ Sleep. ■ Sleeplessness after midnight.

■ Kestless sleep, with vivid or anxious dreams. ^ Time. Towards morning: cough <.

Morning: weakness; teeth yellow, covered with much mucus; much mucus in mouth; diarrhoea; faint on getting up; hoarseness, and tickling and tingling in larynx; raw sensation in 1. bronchus; dry cough; cough as from a feather; cough moist but harsh; sweat follow- ing cough; weariness of arms; debilitating sweat.

From morning till evening: empty eructations.

3 A.M.: pain in lower part of abdomen.

II A.M.: longs for food. Early in day: dry cough.

During day: chilly; salty expectoration.

All day: hot, dry skin; hoarseness and tickling in larynx.

Afternoon: violent aching at base of occiput; for several hours fever remits.

Evening: sneezing; stoppage of nose; itching and burn- ing of anus; pulse small and frequent; discharge from knee <.

Night: heart palpitates "like lightning;" pulsations felt at pit of stomach; watery, fluent coryza; burning and itching at anus; subjective dry heat; sweats; dysp- noea; chronic cough < ; disagreeable tickling in throat; cough <; restless; sleepless; pain in bones of arms; pains in joints; cold feet; very profuse sweats.

After midnight: sleeplessness. ^Temperature and Weather. Aggravation: warmth; wrapping up head; cannot bear hat on.

Amelioration: cold air; washing in cold water.

Rachitic children cannot bear warmth.

Warm room: cough <; shaking chill.

Warm air: < throbbing in head.

Warm weather: great tendency to take cold.

External warmth: relaxed mammee <.

Cannot bear warmth or a warm room.

Heat: < piles.

Inclination to uncover.

Open air: dry coryza becomes fluent.

Wet weather: cough <.

Damp day: caught cold, cough.

Drinking cold milk: constipation >.

VOL. VI. — 15.

lODUM. 226

■ Internal heat, with coldness of skin.

I I Flushes of heat; ebullitions and pulsations. I I Heat or sweat, with inclination to uncover.

■ Burning heat of hands.

■ Intense pain in ileo-csecal region; bloody, watery diar-

rhoea; great irritation of nervous system; picking at flocks; delirium. C^Typhoid.

■ Palms of hands sweat continually.

■ Cold feet sweat easily; so acrid that it corrodes skin.

■ Debilitating, sour sweat in morning, with great weakness

of limbs; much thirst. I I Sweat with thirst.

■ Very profuse night sweat; profuse, cold, viscid sweat.

■ Profuse night sweats, with great emaciation and debility,

and tendency to take cold, especially in warm weather.

^^ Attacks, Periodicity. Frequent paroxysms of severe short

but continuous coughs, one rapidly following the other.

Periodical attacks of pain about heart.

Occasional severe attacks of spasmodic cough.

Every time after taking cold: jerking pains in legs.

Every few hours: must eat.

For several hours in afternoon : fever remits.

Every afternoon : dry heat; thirst; confusion of head.

Several times during day: pressure in region of larynx.

Every third day : attacks of gastrodynia.

Menses delayed eight days.

At each return of menses: thyroid gland painful.

For several months: has been compelled to stay in bed.

Six months: menses absent.

Often in Fall: cough.

For several years: leucorrhoea alternating with cough. ^^ Locality and Direction. Right: constant tearing pains around eye; small scab in nostril; pain in hypochon- drium; pain in ovary; sensitiveness of ovarian region; tenderness and pain in ovarian region; burning pain below hip; creaking, leathery noise, over middle and lower third of lung; pain in side; lower lobes of lung

227 lODUM.

affected; clavical region sunken; empty percussion sound on side of chest; bronchial respiration ; increase of size of neck ; swelling of axilla ; small boil on poste- rior surface of upper arm.

Left : vertigo on side ; hypertrophy of ventricle ; sharp, pressive pain in upper part of side of forehead ; head- ache on side ; suppurating ulcer on cheek ; hypochon- driac region hard and acutely painful to pressure; incar- ceration of flatus in side of abdomen; pain in ovarian region ; ovary tender to pressure ; raw sensation in bronchus ; marked projection of second and third ribs ; tearing in elbow ; back of hand painful ; sharp pain between hip and head of femur; violent, itching net- tlerash, inside of knee ; outer side of knee nettlerash ; hypochondriac region painful to pressure and hard.

Hard boil on forearm near wrist.

From back to front : burning pain below r. hip. ^^ Sensations. Brain felt as if it was stirred up ; as if going crazy ; as if a tape or band was tightly drawn around head ; brain feels as if stirred around with a spoon ; as though a foreign substance was inside of brain ; like a veil before eyes ; pain in eyes as from excoriation ; as if alee nasi were spread wide open ; as though he had sharp vinegar in mouth ; as if every particle of food was turned into air ; as if a plug was driven from r. ovary to womb; as if mammae would fall off; pharynx as if swollen ; cough as from a feather in throat ; as if some- thing resisted expansion in chest ; as if heart was squeezed together; as if heart was grasped by an iron hand ; arm as if paralyzed ; 1. hand as if swollen ; blister on knee looks as if full of bile.

Pain : in eyes ; in occiput and temples ; from inner can- thus to articulation of jaw ; in throat ; in oesophagus ; in chest ; in liver through to shoulder blade ; in hepatic region ; in r. hypochondrium ; in r. ovary passing down broad ligament to uterus ; in ovaries and back during menses ; in lower part of abdomen ; in 1. ovarian region; in r. ovarian region; in loins and small of back; in larynx ; in forehead ; extending to upper third of sternum; in r. side, about heart; in head; in sacrum and coccyx ; in bones of arm on which he lies ; in el- bows ; in bones.

Violent, excruciating pain in stomach.

Intense pain : in ileo-csecal region.

Acute pain: in mammae; in thyroid gland.

Violent nightly pain : in joints.

Great anguish : with cough ; praecordial.

Sharp, tearing pain : between 1. hip and head of femur.

lODUM. 228

Constant tearing pain : around r. eye, passing backwards

throat and chest ; in larynx ; extending to upper third

Burning: in anus; in piles; in throat; in chest; in knee. Heat : in larynx.

tubes to chest.

229 lODUM.

Tenderness : of epigastrium ; about hepatic region.

Dull pressure in frontal sinuses.

Dulness : in head.

Pressure : on a small spot above root of nose ; in hepatic region; in region of stomach; in testicles extending to abdomen ; in throat ; on chest ; in region of kidneys ; in pit of stomach.

Oppressive, dull feeling: in head; in chest; under sternum.

Heaviness : of both mammee ; on chest.

Confusion : of head.

Twisting sensation : in seminal cord.

Tightness : about larynx ; at stomach.

Tension : in abdomen ; in testicles ; of neck.

Constriction: about larynx; of throat; of chest; in goitre.

Contraction: of larynx.

Throbbing: all over body; in head at every motion ; of abdominal aorta.

Palpitation : felt at pit of stomach.

Pulsations : in pit of stomach ; in abdomen.

Sensation of fluctuation : in knee.

Unendurable tickling : through whole chest.

Continual tickling : in middle of chest.

Tingling: in larynx.

Tickling: in larynx ; in throat ; in pit of throat.

Irritation : in larynx.

Roughness : under sternum.

Numb feeling: in thighs and legs.

Paralytic feeling : of arms.

Great weariness : of arms and legs.

Great weakness : in chest ; in heart.

Weight : at stomach.

Creepy sensation : in skin.

Violent itching nettlerash on thigh and inside of 1. knee.

Itching, stinging : in front part of septum narium ; in protuberance on nose ; of anus ; low down in lungs be- hind sternum, extending to bronchi and nasal cavity; of scars. ** Tissues. I Gradual or rapid emaciation, almost to a skeleton.

■ Atrophy of children, with inordinate appetite; restless;

desires to change position continually; face yellow, or brownish and shrunken; copious and papescent stools; glands swollen and painless, especially mesenteric ones.

■ Marasmus with intolerable irritability, child will be ap-

proached by no one. Scrofulosis with emaciation, in spite of necessity of eating

every few hours; swelling and induration of glands, the . whole of lymphatic system being involved; rachitic

lODUM. 230

affections; inflammation of eyes and eyelids; otitis and otorrhcea; swelling of mesenteric glands; frequent catarrhs; bronchocele; scrofulous women with dwin- dling of and falling away of mammae.

■A colored child, two years old, with the face of an old man, dry skin, large head and stomach, very large genitals, thin arms and legs, is hardly able to stand, sits by preference out doors in the burning sun of the tropics; is always hungry; has a blood boil on 1. fore- arm near the wrist; lodum was followed by a fine erup- tion, resembling itch when the child began to improve and got well.

I Low cachectic state of the system, with feeble pulse.

I In strumous habits, if expectoration or leucorrhoeal dis- charge corrode the linen.

Syphilis: mercurial cachexia; salivation; ulcers in throat; skin and muscles lax; nightly bone pain; very hard chronic buboes.

I Arthritic affections.

I I Hypertrophy and indaration of glands.

Inveterate cases of goitre; the harder they feel, and the more other symptoms are wanting, the better indicated.

I Felons.

■Bleeding ulcers, destitute of feeling; hard, spongy, and sensitive ulcers, with feeling of tenseness and soreness; pus copious, bloody, and corroding, or thin, watery, and yellow.

Pressure: < pain in oesophagus; region of liver sore; epigastrium painful ; 1. hypochondriac region very painful ; from pit of stomach to navel and in corre- sponding region in back sensitiveness ; 1. ovary tender ; causes acute pain in thyroid gland ; back of 1. hand painful ; pain in knee < ; on patella causes great pain; 1. hychondriac region painful.

Friction: > violent palpitations.

When riding long time in open carriage.

After neglected injury: large swelling of knee. ^^ Skin, i Skin : rough ; dry ; dirty yellow ; clammy ; moist ; cool.

Eruption: furfuraceous; humid; like scarlet rash; herpes; ringworm ; acne ; urticaria ; inveterate impetigo scro- fulosa.

I High fever with great weakness; for some days slight eruption, not distinctly characteristic; frequent attacks of anxiety and oppression of breathing, wdth faintness,

231 lODUM.

especially in night; weakness always increasing, so that

fatal paralysis of heart was apprehended ; developed the

eruption. ^Small-pox. ■Scarlatina: ulcers in throat; glands swollen, suppurating;

ever3'thing appears bright blue to him in the distance. Small, dry, red pimples on arms, chest and back.

■ Scars itch, break open, or pimples break out on them,

■ Tendency to papulae, small boils and abscesses.

■ Nodosities.

■ Overgrown boys with weak chest; aged persons.

■ ■Scrofulous diathesis.

■ ■Low cachectic condition with profound debility and

great emaciation.

Boy, set. 6 months, affection of eyes ; hydrocele.

Infant, set 10 months, early in life had marasmus ; spasms of glottis.

Boy, set. 14 months, dark eyes, light hair, rickets; laryngis- mus stridulus.

Colored boy, set. 2, old face and wise look; marasmus.

Girl, set. 2^, vigorous constitution; membranous laryngitis.

Bo}'^, set. 4; diphtheria.

Boy, set. 8, scrofulous; inflammation of knee.

Girl, set. 10, scrofulous, had swollen submaxillary glands for several months; diphtheritis.

Girl, set. 10, scrofulous ; croupous inflammation of pharynx.

Girl, set. 11; inflammation of knee.

Girl, set. 12, lymphatic temperament, fair complexion, delicate constitution, general health feeble, and menses not yet appeared, suffering one year; goitre.

Girl, set. 12, during attack of rheumatism; threatened in- flammation of brain.

Girl, set. 16, bilious-lymphatic temperament, suffering one year, since date of first menstruation; goitre.

Girl, set. 18, slender form, after exposure on ice, while skating; pneumonia.

Girl, set. 18, brunette, features regular but pale, mild, peace- ful disposition, almost phlegmatic, menses regular for some years and of general good health ; goitre.

Girl, set. 20, after neglected injury; inflammation of knee.

Girl, set. 20, large, thin, phthisical habits; threatened tuberculosis.

Woman, set. 20, after a long illness; heart disease.

Miss L., set. 21 ; deafness.

Man, set. 21, tailor, poor and ill nourished, lymphatic

lODUM. 232

temperament and scrofulous, suffering several months; goitre.

Woman, set. 22, medium height, blue eyes, light auburn hair, sanguine-nervous temperament, predisposed to consumption; galactorrhoea.

Young man, lymphatic temperament, full habit, suffering two years; headache.

Young man, swollen nose, enlarged thyroid; chronic _ bronchitis.

Girl, aet. 22, of phthisical family; consumption.

Woman, set. 25, married for three months, general health good, sudden attack; goitre.

Man, set. 27, after muscular exertion and subsequent ex; posure to cold; pneumonia.

Man, slender, nervous-bilious temperament, of strong likes and dislikes; mania.

Woman, set. 28, after being delivered of a healthy child, was found to be as large as at full term, from dropsical effusion ; a month afterwards four and a half gallons of a thick, dark and highly albuminous fluid were removed by ordinary paracentesis; about a year afterwards, at seventh month of a second pregnancy, four and a half gallons of fluid were drawn off', and six weeks later a normal labor occurred, and again, in about three months, four gallons of fluid were removed by aspira- tion; the effusion, however, continued, and ovariotomy was believed to be the only remedy; ovarian cyst.

Pregnant woman, set. 30; small-pox.

Man, set. 32, small and weak, dark hair, mild disposition, works much in coldw'ater; has suffered from cardiac and hemorrhoidal troubles; affection of testicles.

Man, set. 34; pneumonia.

Woman, suffering for one and a half years; chronic jaun- dice.

Man, set. 40, innkeeper; affection of pancreas.

Colored woman, set. 42, suffered for twenty years; chronic ovaritis.

Woman, set. 50, has suffered very much for several years; leucorrhoea.

Man, set. 58, general health good, could not remember when tumor first came; goitre.

Man, set. 58, suffering 15 years; goitre.

Man, set, 62, six years ago had itch; inflammation of knee.

Man, set. 64; jaundice.

Woman, set. TO, two months ago caught cold on a damp day; bronchitis.

Woman, set. 70, after catching cold; cough. ^^ Relations. Antidoted by : starch or wheat flour mixed

233 lODUM— IPECACUANHA.

with water in case of large closes ; small closes by : Ant.

tart., Arsen., Bellad., Camphor., Cinch, sulph., Cinchona,

Aeon., Argent, nitr., Calc. ostr., Merc, sol., Phosphor., Pulsat.

frequently follow well.

Bromine, Cactus, Caustic, Conium, Digit., Kali bich., Phos. ac.

Lycop.