Phytolacca Decandra

Poke Root. Phytolaccacese.

Tliis plant is indigenous to North America and grows abundantly in all parts of the United States. It is also found in the north of Africa and south of Europe.

The fresh root is cliopped and pounded to a pulp; from this is made the alco- holic tincture.

Provings by Burt, Fellows, Marshall, Hale's New Eemedies, Cooley, Horn. Med. Soc, N. Y., 1870; toxicological reports are numerous. See Hering's Monograph.

CiiiNicAL Authorities Difficult dent'tion, Merrill, A. H. O., vol. 3, p. 554;

Nash, Hom. Phys., vol. 5, p. 122; Stomatitis ulcerosa, Lilienthal, A. H.

O., vol. 4, p. 256; Syphilitic affections of mouth. Small, A. H.

Z., vol. 110, p. 158, from Hom. World, Nov., 1884; Tonsillitis, Guernsey, Hom. Phys., vol. 4, p. 357 ;

Enlarged tonsils, Brown, A. H. O., vol. 1, p. 108 ; Enlarged^ tonsils and nvula, Haggart, Med.

Journ., vol. 8, p. 161 ; Sore throat, Knerr, Heiing's Monograph, p. 63 ; Edmunson, H. M., vol. 9, p. 358 ;

Lodge, A. li. O., vol. 7, p. 333 ; Gregg, N. E.

M. G., vol. 4, p. 175; Aphthous patches on tonsils, Stillman, Times Ret., 1876, p. 72, from Med. Journ., 1876, p. 488 ;

Diphtheritic sore throat, 'Saah, Hom. Phys., vol. 5, p. 122; Diphtheria, Scales, Mass. Trans., vol.4, p. 657;

Times Eet., 1875, p. 73; Small, R.uie's Eec, 1873, p. 84, from U. S. Med. and Surg.

Journ., vol. 7, p. 151 ; Hughes, B. J. H., vol. 28, p. 736;

Matheson, Hom. Rev., vol. 10, p. 117 ; Blake, Bubb, Reed, Hom. Rev., vol. 10, p. 240;

Newton, Hom. Rev., vol. 14, pp. 403-10 ; Burt, A.H. O., vol. 1, p. 35;

Lee, A. H. O., vol. 1, p. 183; Eldridge, A.

H. O., vol. 4, p. 435 ; Merryman, M. J., vol. 6, p. 37 ;

James, Hom. Phys., vol. 4, p. 360 ; Bayes, Hom. Rev., vol. 9, p. 065 ;

Chronic sore throat, Ussher, Hom. Rev., vol. 14, p. 421 ; Pharyngitis, Nash, Hom. Phys., vol. 7, p. 113;

Chronic pharyngitis, Allen, Am. Hom. Rev., 1865, p. 454; Spasm of stomach and pain in hip joint, Gate, Hale's Tlierap , p. 499, from Boston Qiiar., vol. 1, No. 4;

Constipation, Gause, Hah. Mo., vol. 6, p. 452; Orchitis, Schmucker, H. M., vol. 11, p. 200;

Dysmenorrhea and constipation, Williamson, Hering's Monograph, p. 77 ; Irritable breast, Hale, Hale's Therap., p. 515 ; Pain in breasts, Qi^bme, Organon, vol. 2, p. 132 ; Tumor of breast, Huglies, B.

J. H., vol. 23, p. 258; Mastitis, Small, Raue's B.ec., 1873, p. 187; (3 cases) Riggers, Raue's Rec, 1874, p. 238;

Sanford, N. E. M. G., vol 4, p. 175;

Lukens, A. H. O., vol. 5, p. 77; (3 cases) Riggers, A.

H. O., vol. 10, p. 562 ; Car- penter, Hom. World, vol. 4, p. 260;

Guernsey, Hom. Phys., vol. 4, p. 358 ; Mam- mary abscess, Searle, Times Ret., 1875, p. 140, from Med. Union, vol. 11, p. 174;

Compton, Times Ret.. 1875, p. 99, from O. M. and S. Rep , vol. 9, p. 28 ; Ulceration of mamma.

Hale, Hale's Therap., p. 513; 3Iamm.ary fistula, Caryienter, Raue's Rec, 1875, p. 181 ; Cracked nipples, Small, U. S. Med. and Surg.

Journ., vol. 7, p. 153 ; Disease of breast. Hale, B. J.

H., vol. 21, p. 201 ; Aphonia, Usslier, Hom. Rev., vol. 14, p. 421 ; Laryngismus stridulus, Knapp, Amer.

Journ. Horn., vol. 6, p. 141 ; also, Raue's Rec, 1870, p. 157 ; Cough, Stillman, Raue's Rec, 1873, p. 104, from Med. Journ., vol. 5, p. 542;

A. J. H. M.

M., vol. 6, p. 184; Carter, Horn. Recorder, vol. .3, p. 125 ; Rheumatism of back, Small, Raue's Rec, 1873, p. l'J3, from U.

S. Med. and Surg. Journ., vol. 7, p. 152; Mhemnatvsm inback.

Smith, Hering's Muno-

PHYTOLACCA. 412

graph, p. 83; Aching in scLcrum, Neidhard, Bering's Monograph, p. 83; Pain in r. shoulder, Neidhard, Hering's Monograph, p. 83 ; Sciatica, Guernsey, Horn.

Phys., vol 4, p. 358 ; Periostitis of femur, Smart, Hale's Therap., p. 502 ; Ulceration of leg, Wood, T. P.

H. M. Soc, 1871, Hering's Monograph; Aching of heels, Hale, Pane's Eec, 1875, p. 206; from A.

J.H. M. M., vol. 7, p. 206 ; Ulcers of feet.

Hale, B. J. H., vol. 26, p. 488; Rheumatism, Hering's Monoa;raph, p. 87;

Sarchet, Smith, Times Pet., 1876, p. 149, from M. J., vol. 3, p. 452, and vol. 4, p. 266 ; Kendall, Kimball, Cate, O'Brien, Hale, Gushing, Smart, Neidhard, Hale's Therap., pp. 499-502; Syphilis, Mercer, Hah.

Mo., vol. 1, p. 458; Secondary syphilis, Blu- menthal, Times Ret., 1875, p. 92, from Med. Union, vol. 1, p. 44; To control sup- puration, Ussher, Hom.

Eev., vol. 14, p. 421 ; Chronic ulceration, Wood, T. H. M.

S. Pa., 1871, p. 132; Scarlet fever, Sibly, M. J., vol. 5, p. 38;

Times Pet., 1877, p. 37 ; Rupia syphilitica, O'Brien, B. J. H., vol. 26, p. 327.

^ Mind. I I Delirium.

■ Indisposition to mental exertion; disgust for business of

day, on waking early in morning.

■ Melancholy, gloom ; indifference to life.

■ Great fear; is sure she will die.

I i Complete shamelessness and indifference to exposure of her person.

■ Irritability; restlessness.

■ ■Irresistible desire to bite teeth together.

■ Cannot be persuaded to take nourishment.

■ Remarkable nervous phenomena in diphtheria. I I A form of insanity with albuminuria.

■ Oversensitiveness to pain; pain is unbearable.

^ Sensorium. ■Vertigo: cannot walk; staggering, with danger of falling; with dim vision; ■■when rising from bed feels faint.

^ Inner Head. ■Headache: severe; violent; one-sided, just above eyebrows, with sickness of stomach; dull, heavy in forehead; dull, pressive, with vertigo and impair- ment of vision; in diphtheria; rheumatic, syphilitic or neuralgic.

■ ■Painful pressure on forehead and upperpartof both eyes.

■ Dull pressing pain in forehead, accompanied by slight

nausea, with cool perspiration in forehead and feeling of weakness. I I Shooting pain from 1. eye to vertex.

■ Pain extending back from frontal region. I I Sharp, shooting pains in r. temple.

I I Pressure in top of head with dryness.

■ Pain in top of head and a feeling as if brain were

bruised, when stepping from a high step to ground.

■ Heavy aching feeling in head at 1.30 p.m.

■ Sore pain over head, < r. side.

■ Sensation of soreness deep in brain.

■ Sick-headache: in forehead; with backache and bearing

down ; weekly.

413 PHYTOLACCA.

iPain in back of head and neck. * Outer Head. iRheumatism: of r. frontal region, with

nausea, < in morning; of scalp; dull pains, come on

every time it rains, with depression of spirits ; especially

following diphtheria. I I Scaly eruption on scalp. I Eczema capitis, moist, fearful itching, little raw tubercles

on scalp, face and arms. iTinea capitis; < washing it when he is warm.

■ Syphilitic nodes on skull.

^ Sight and Eyes. iPhotopliobia.

I I Double vision with giddiness and headache.

I Dimness of vision.

I I Pupils contracted ; tetanus.

■ Ej^es staring.

■ Blue around eyes.

■ Feeling of sand in e3^es, with soreness and burning.

■ Burning and smarting in eyes and lids, with profuse

lachrymation, > in open air.

■ Sharp pain goes through ball of eye on reading or

writing.

■ Dull aching pains in eyes, < from motion, light, or

exercise.

■ Rheumatic pain in and about eye.

I I Pressure around eyes in afternoon, as if eyes were too large.

■ Circumorbital pains in syphilitic ophthalmia.

I I Suppurative choroiditis (pan-opthalmitis) in r. eye of a child, after a needle operation for cataract; lids' enor- mously swollen, very hard and red, conjunctiva in- jected, chemosis, anterior chamber filled with pus and cornea tending towards suppuration ; child pale, weak and restless.

■ Cellulitis: inflammation slow in its course and not at-

tended by severe pain; infiltration of cellular tissue of orbit very pronounced, hard and unyielding to touch; eyelids reddish-blue, hard and swollen ; eyeball pressed forward and its mobility impaired or lost entirely ; che- mosis; more or less dull aching pain; lachrymation; photophobia. Eyes inflamed.

■ Rheumatic ophthalmia; lids much swollen.

■ Catarrhal ophthalmia; burning, smarting, tingling pain;

itching < by gaslight ; abundant flow of tears.

■ Granular conjunctivitis, with circumorbital pain; sore-

ness in periosteum and scalp, as of rheumatic origin.

■ Motions of one eye independent of the other.

■ Lachrymation, with coryza.

PHYTOLACCA. 414

I I Fistula lachrymalis.

I I Lids feel as if granulated and tarsal edges have a scalded, hot feeling, as if raw ; granulated, sandy sensa- tion in lids, with same sensation upon edges.

■ Lids feel as if on fire. ^Acute rheumatic ophthalmia.

■ Eyelids agglutinated and oedematous.

I Reddish-blue swelling of eyelids, < on 1. side and in morning ; hard, unyielding cellulitis.

■ Scrofulous swelling of glands of eyelids.

I I Malignant ulcers on lid: lupus, epithelioma, etc. ^ Hearing- and Ears. iShooting pains through both ears when swallowing; r. side worse.

■ Eustachian tubes feel obstructed.

"^ Smell and Nose, i Drawing sensation about root of nose. I I Sensation in nostril as if tickled with a stiff feather.

■ Feeling iii nose and eyes as if cold would come on.

■ Total obstructions of nose, when riding must breathe

through mouth ; not > by blowing nose ; mucus dis- charged with difficulty ; constant hawking. ^Coryza.

■ Flow of mucus from one nostril, while the other is

stopped; both stopped up while riding. ^Coryza. I I Wakes at 3 a.m., with nose stopped up, discharges clinkers from both nostrils in morning.

■ Thin watery discharge from nostril, increasing until nose

becomes stuffed.

■ Cor3'za and cough with redness of eyes and lachryma-

tion, photophobia; feeling of sand in e3'^es, with sore- ness and burning.

■ Acrid discharge from nose excoriating nose and uj^per

lip. ^Scarlatina.

■ Syphilitic ozsena, with bloody, sanious discharge and

disease of bones.

■ Noli me tangere and cancerous affection of nose.

^ Upper Face. Stupid expression of face, enlarged pupils, violent headache, staggering. I I Distortion of face.

■ Face: sunken; pale, hippocratic; blue around eyes;

yellowish complexion ; looking blue and suffering. I I Cool sweat on forehead. I I Heat in face (1. side), after dinner; with redness of face,

cold feet, eruption on 1. upper lip.

■ Pains in bones of face and head, at night.

■ Prosopalgia in syphilitic and rheumatic subjects.

■ Blotches in face; < in p.m., after washing and eating.

■ Swelling around 1. ear and side of face, like erysipelas;

thence over scalp ; very painful.

■ Ulcers and eruptions (scaly) on face.

^ Lower Face. ■Chin drawn closely to sternum by convul- sive action of muscles of face and neck. ^Tetanus.

415 PHYTOLACCA.

I Lips everted and firm. ^Tetanus.

■ Upper lip excoriated. ^Coryza. I I Eruption on upper lip.

i Cancerous sore on upper lip and nose (application of leaf and root).

I Ulcers on lips.

I Parotid and submaxillary glands swollen. ^° Teeth and Gums. ■ ' Disposition to bite teeth together.

iTeeth all ache: feel sore and elongated.

I Rheumatic, neuralgic, mercurial or syphilitic toothache.

iDiflBcult dentition; child crying, moaning, restless and feverish, particularly at night; in hot weather vom- iting and diarrhoea; retarded dentition; wants to bite on something hard continually and seems relieved by it. '' Taste and Tongue, i Taste : disagreeable, metallic.

• Great pain in root of tongue, fauces, etc.

I Burnt feeling on back part of tongue.

iTongue: thickly coated at back ; coated yellow and dry; furred; fiery red at tip; feels as if scalded; coated greyish-yellowish ; hot, rough, tender and smarting at tip; small ulcers like those caused by mercury; thick; protruding.

I I Tongue and lips dry, much pain in fauces when swal- lowing. ^^ Inner Mouth, i Profuse saliva, sometimes yellowish, often thick, ropy, tenacious ; mercurial ptyalism, with in- flamed gums.

■ Salivation with metallic taste in mouth. ^Diphtheria.

■ Sensation of dryness in mouth with cough.

■ Roof of mouth sore ; profuse salivation.

■ Ulcerated sore mouth.

■ Small ulcers on inside of r. cheek, very painful; he can-

not chew on tha.t side.

I I Inflammation of posterior nares, pharynx, tonsils and soft palate ; uvula and tonsils ulcerated ; extreme sensi- tiveness of mucous membrane; deglutition painful; tongue coated ; fetor oris ; eruption on face, arms and body ; has taken much mercury. ^Syphilis.

I I Severe glossitis ; deep ulceration of tongue and gums ; looseness of teeth ; tonsils, uvula and velum palati ul- cerated ; in consequence of large doses of mercury, ^Syphilis. 13 Throat. ■Fauces and pharynx look dry.

■ Dryness: of throat; in throat and posterior fauces ; in

upper part of pharynx, disposition to hawk and clear throat, without aff'ording relief; in fauces provoking hacking, dry cough; in throat inducing cough; in

PHYTOLACCA. 416

throat < morning and evening ; of throat soon pro- duces soreness.

I Throat: very dry, rough and sore; dryness, roughness, burning and smarting in fauces.

I Hot feeling, as if a ball of red-hot iron had lodged in throat.

■Sensation of a lump in throat, causing a continuous de- sire to swallow; like a plug in throat; < 1. side.

I I Sensation of throat being so full that it felt choked; hawking to rid throat and posterior nares of mucus.

■ Pressing pain in r. side of throat.

I I Increased discharge of mucus from posterior nares, de- tached with difficulty, continually excited a disposition to hawk.

■ Uvula large, almost translucent.

■ Strings of mucus adhering to upper part of pharynx.

■ Deglutition: painful; difficult; with every attempt ex-

cruciating shooting pains through ears ; regurgitation through nostrils; unable to swallow even water; almost impossible because throat felt so dry and rough.

■ Tonsils: and palate congested, bluish or dark-purple;

sore, red and swollen ; r. much enlarged, dark-red, burn- ing in fauces and whole length of oesophagus; large, bluish, ulcerated ; throat feels as after eating choke- pears; induration and ulceration; chronic enlargement; aphthous patches with rheumatic pain in lumbar re- gion; follicular sore throat; quinsy.

■ Cannot drink hot fluids; choking; ulcers on tonsils.

/^Syphilis.

■ Feeling of rawness, scraping and excoriation in throat.

■ ■Throat sore; the isthmus congested and of a dark-red

color; dryness of throat, with some swelling of tonsils.

■ General soreness of posterior fauces and apparent exten-

sion of irritation into Eustachian tubes.

■ Darkish-red inflammation of fauces, tonsils swollen;

ulcerated ; thick, white or yellow mucus. I I Soreness of throat, and a feeling as of a lump when swallowing saliva ; same sensation felt on turning head to 1. side.

■ Sore throat, with derangement of digestive organs; fetid

breath and constipation ; after diphtheria or scarlatina ; tubercular ; after syphilis. I I Sore throat on r. side; throat red and tumefied; no pain when swallowing food, but when swallowing saliva ; low-spirited, indiff"erent to his surroundings, wishes some one would knock him on the head and kill him ; tongue coated white and slimy ; has to drink often to keep throat moist; weight on back of neck ; pressing

417 PHYTOLACCA.

pain going up back of neck, on r. side only; r. side of head feels as if firmly pressed, causing pain in eyes; pain in throat from root of tongue downward towards outer attachment of clavicle ; cannot bear clothes on throat; drawing, stinging, pressing pain down r. side of neck towards shoulder blade. ■Scarlatina anginosa : tending to suppuration or ulcera- tion ; fever rages with unwonted severity ; no eruption ; nose and upper lip much excoriated by an acrid dis- charge; slight delirium; great prostration.

■ Hoarseness and persistent sore throat after diphtheria.

I I Chronic sore throat: fauces and pharynx look dry and of a dark color, with a few adherent strings of mucus high up ; hawking of phlegm morning and evening ; aphonia.

iPharynx dry, rough, feels like a cavern.

I I Chronic follicular pharyngitis; membrane lining fauces and pharynx as well as velum pendulum and uvula pale, puffed and flabby; uvula large, almost translucent; dis- tressing sensation of enlargement of calibre of pharynx and oesophagus from choanse to epigastrium, provokes a cough, paroxysmal, extremely distressing, and attended by very profuse and exhausting expectoration of thick starchlike mucus; whole chest feels like a big empty cask, as if its calibre were enlarged tenfold ; great de- bility; patient, who is intolerant of stimulants, can take whisky to any extent and with great temporary relief.

■ Chronic granular phar3'ngitis ; burning sensation as of

a hot substance in throat; voice gives out; burning and soreness, greatly < by prolonged use of voice.

■ Catarrhal inflammation of head and throat, closely simu-

lating diphtheria ; tough, white mucus iVom posterior nares, clinging tightly to posterior wall of throat, resembling large patch of diphtheritic membrane. I I Swollen glands; tonsils swollen and covered with greyish patches; dizziness and backache.

■ Diphtheritic inflammation and ulceration of throat.

■ ■Diphtheria: sick and dizzy when trying to sit up; frontal

headache ; pains shooting from throat into ears, espe- cially on trying to swallow; face flushed ; tongue much coated, protruded ; thickly coated at back, fiery red at tip; breath fetid, putrid; vomiting; difficulty of swal- lowing; tonsils swollen, covered with membrane, first upon 1., three or four patches; tonsils, uvula and back part of throat covered with ash-colored exudation ; ton- sils covered with dirty, white, pseudo membrane; small white or yellow spots on tonsils coalesce and form VOL. VIII.— 27.

PHYTOLACCA. 418

patches of membrane; membrane has appearance of dirty washleather; exudation pearly or greyish white; great thirst ; < from hot drinks ; dyspnoea ; ropy, offensive mucus lining mouth and throat; glands of neck very tender; pain in neck and back, body sore as if bruised, groans with pain, especially when trying to move or turn in bed ; aching limbs ; great prostration ; violent chill, soon followed by high fever ; fever with- out chill ; pulse 120, 140, weak ; rash on skin ; remark- ably nervous phenomena; consecutive paralysis; leaves vision impaired, hearing dull; in cold weather gener- all}^ epidemic ; usually of catarrhal or rheumatic ori- gin, brought on by exposure to damp and cold atmos- phere or sleeping in damp, ill-ventilated rooms. I I Ulceration of mucous membrane of upper part of ali- mentary tract. ^Diphtheria.

■ Scarlet fever, with diphtheritic complications, I Induration of parotid glands in diphtheria.

■ Parotitis: inflammation of submaxillary glands.

^' Appetite, Thirst. Desires, Aversions. ■ Great thirst. I I Hunger soon after eating.

■ Loss of appetite.

^^ Hiccough, Belching, Nausea and Vomiting. ■ Violent etibrts to eructate to relieve restricted sensation in r. hy- pochondrium.

■ Nausea: with eructations of flatus and sour fluids; with

severe pain in umbilical region.

■ Vomiting: easy, without much nausea; of ingesta, bile

and blood, with great accumulation of flatus in stomach and bowels; violent, every few minutes; comes on slowly, preceded by nausea and is excessive; of mucus, bile, ingesta, worms, blood ; and purging with griping pains and cramps in abdomen, without relief ; of food and milk, in teething children ; in diphtheria.

■ Frequent vomiting, prostration, sometimes fainting, even

convulsions, followed slowly by gripes, cramps, vomiting of dark bilious substance. I 1 Violent vomiting of clotted blood and slime, with retch- ing, intense pain and desire for death to relieve. ^^ Scrobiculum and Stomach. ■Bruised and sore feeling at pit of stomach.

■ Heat in stomach.

i I Pain in pit of stomach as from a heavy blow or concus- sion there, followed by cramps in abdomen and coolness.

■ Cutting in pit of stomach, which is tender to touch.

I I Pains in cardiac portions of stomach < by a full inspi- ration and by walking.

■ Pain in region of pylorus.

419 PHYTOLACCA.

^* Hypochondria. lA sore spot in r. hypochondrium not larger than a dollar, extremely sensitive to touch.

I I Digging pain in r. hypochondrium, in upper and lower portions of liver.

I 1 Cannot lie on r. side on account of penetrating pain in r. hypochondrium.

I I Soreness and pain in r. hypochondrium during preg- nancy.

I I Chronic hepatitis, with enlargement and induration. ^^ Abdomen, l Griping and cramps in abdomen.

■ Burning, griping pains in umbilical region.

■ Great rumbling in abdomen and pain in umbilicus, with

stools of mucus and blood ; gastro-enteritis.

I Bearing-down pains.

I I Violent pains in abdomen during menstruation in a barren female.

I I Chronic inflammation of bowels, of five years' standing.

I I Ulceration of mucous membrane of upper part of ali- mentary tract. ^Diphtheria.

■ Rheumatism extending to abdominal muscles.

^^ Stool and Rectum. I l Continual inclination to go to stool, but passes constantly fetid flatus. I I Diarrhoea with sickly feeling in bowels; copious dis- charge of blood, mucus and what looked like scrapings of inner surface of intestines.

■ Diarrhoea early in morning; after lemonade.

■ Stools : thin, dark brown ; of mucus and blood ; like intes-

tinal scrapings ; tenesmus ; of bile.

■ Dysentery,

I I Intense vomiting and. purging, with prostration and cramps, as in cholera.

1 I Feeling of fulness in abdomen before stool, which re- mains after stool as if all had not passed.

■ Constipation: hard stools; from torpor of rectum; ha-

bitual, says bowels will not move without aid of purga- tives; of long standing, pain shooting from anus to lower part of rectum along perineum to middle of penis ; of the aged or those with weak heart.

■ Ulceration and fissure of rectum.

■ Hemorrhoids: permanent and obstinate; bleeding and

mucous. I I Bloody discharge with heat in rectum.

■ Fissures of anus.

^^ Urinary Organs, i i Weakness, dull pain and soreness in

region of kidneys; most on r. side and connected with

heat; uneasiness down ureters; chalklike sediment in

I I Albuminuria: after scarlatina or diphtheria; chills at

PHYTOLACCA. 420

night without special fever, accompanied by a form of insanity.

I Pain in region of bladder before and during urination.

Pain in region of bladder, dark red urine which stains vessel and is hard to remove, urine excessive in quan- tity, decidedly albuminous, with greatly increased spe- cific gravity.

■ Urgent and painful inclination to pass water. I I Copious nocturnal urination.

I Urine: albuminous; excessive or scanty ; dark red, stains vessel ; color of coffee, stains clothes yellow. ^^ Male Sexual Organs, i Impotence.

■ Gonorrhoea and gleet; orchitis.

iSyphilis: chancres; ulcerated throat; ulcers on genitals; inguinal bubo ; rheumatism.

I I Much soreness and rheumatic pains in spermatic cords, with rheumatic orchitis.

I I Orchitis: acute and chronic, with suppuration and fist- ulous ulcer. ^^ Female Sexual Organs, l Ovarian neuralgia and ovaritis ; sometimes with rheumatic complications.

■ Uterine leucorrhoea, proceeding from glandular portion

of cervix ; ulceration of os ; scirrhus.

■ Metrorrhagia.

■ Menses: too frequent and too copious ; mammse painful ;

increase of tears, saliva, bile and urine ; rheumatic females.

I I Menorrhagia ; involuntary straining and hemorrhage per vagina.

I I Shreds of membrane passed with menstrual flow.

I I Violent pains in abdomen during menstruation, in a barren woman.

I I Dysmenorrhoea and costiveness from the time menstru- ation commenced ; for several years has been subject to attacks of colic, preceded by weakness, oppression, incli- nation to take a deep breath, soon followed by a sore spot, in beginning not larger than a dollar, in r. hypochon- drium, extremely sensitive to touch ; spot enlarged and became very painful, with sensation of constriction or choking in part as if from flatus, which gave rise to vio- lent eff'orts to eructate, frequently ending in vomiting, which gave no relief; slightly > by sitting up in bed and leaning forward ; could lie in no position, except on stomach, when pain got easier she fell asleep in that position ; sometimes painful inclination to pass urine the color of coflee, which stained her clothes yellow ; disagreeable taste in mouth, as soon as pain moved downward she was > ; attack generally commenced

421 PHYTOLACCA.

about an hour and a half after dinner, sometimes about an hour and a half after supper, never at any other time.

■ Dysmenorrhea, accompanying erosion or ulceration of

cervix. I I Amenorrhoea, complicated with ovarian irritation or disease.

■ Leucorrhoea : uterine, thick, tenacious and irritating;

profuse, thick, tenacious from swollen Nabothian glands in women who have suffered from inflamed or broken breasts and various glandular swellings and abscesses.

■ Neuralgic affections of breast.

■ Irritable mammae: no swelling, induration or tumor,

only a painfulness at menstrual period ; during lactation.

■ Neuralgia of mammae.

I I Irritable tumor of breast; very sensitive and painful, < at menstrual periods; pain extended down arm of affected side, and at times caused sympathetic enlarge- ment of a gland in axilla.

I I Mastitis (after Bryonia).

■ Inflammation, swelling and suppuration of mammae.

■ ■ Abcesses or fistulous ulcers of mammae.

I I Tumors, scirrhus and cancer of mammae.

■ Hyperthrophy of breast and uterus.

■ Left breast fearfully tumefied for six weeks.

■ Nipples cracked and excoriated.

I I Suppression of lochia.

I I Every two or three hours sudden, severe stinging pains throughout breasts, lasting several minutes, > from pressure with hands; at same time milk began to ooze out; is nursing second child three months old.

I I On second day after confinement excessive flow of milk ; nipples so sensitive that nursing produced in- tense suffering, seeming to start from nipples and radi- ate over whole body, going to backbone and streaking up and down it, causing unbearable pain ; nipples ex- coriated and fissured.

■ Right breast seems full to overflowing, stony hard and

painful ; for several days excessive flow of milk, causing prostration; fever; indifferent to life; predicts death. M Hardness of mammae; breast hard as a stone, after weaning.

■ Four days after confinement severe chill, followed by

fever ; in a few hours both mammae hard, swollen and painful ; nipples very sensitive.

PHYTOLACCA. 422

I Mamma hot, painful, swollen ; third week after confine- ment.

I I Breast inflamed, tender, greatly swollen, hard, pain- ful ; on using breast-pump milk that came was thick and stringy; in former pregnancy suffered from mam- mary abscesses.

■ ■Mammary gland full of hard, painful nodosities.

■ Redness, tenderness and nodulated indurations of breast,

with an acuminated appearance of nodules; chills and great tendency to early suppuration. I I Few days after confinement breast suddenly became hard and inflamed and flow of milk ceased ; blistered and poulticed for six weeks and finally lanced, but all to no purpose; 1. breast greatly swollen; sharp, lanci- nating pains.

■ ■Breast shows an early tendency to cake; especially use-

ful when suppuration is inevitable ; when child nurses

pain goes from nipple all over body. I llnflammation of mammse ; pus formed, w^as lanced;

fistulous openings downward and backward ; four

inches in extent; emaciated, cold hands and feet and

trembling. I I Mammary abscess; several painful nodules and three

fistulse discharging ichorous pus; erratic rheumatic

pains, the two alternating in intensity.

■ Gathered breasts with large fistulous, gaping and angr}"

ulcers, discharging a watery, fetid pus. I I Enlarged mammary gland, with fistulous opening of five years' standing. "

■ Fistulous ulcers and unhealthy granulation with fetid

discharge.

■ ■Caked breasts; nipples cracked and excoriated.

I I Ulcer of breast, an inch in diameter, gaping, angry, filled with unhealthy granulations; probe passed ob- liquely downward until it reached a hard, sensitive tumor, about size of hen's egg; discharge offensive and sanious.

■ Nipples ver}^ sensitive.

■ Nipples sore and fissured, with intense suffering on put-

ting child to breast ; pain seems to start from nipple and radiate over whole body. ^^ Voice and Laryax. Trachea and Bronchia. ■Hoarse- ness and aphonia.

■ Aphonia in consequence of a cold.

■ Dryness of larynx and trachea, < towards evening. I I Tickling in 1. side of larynx with hacking cough.

I I Burning in larynx and trachea, with a sensation of con- traction of glottis; labored breathing.

423 PHYTOLACCA.

I I Laryngismus stridulus; frequent spasmodic closure of larynx ; drawing of thumbs into palm ; flexion of toes ; distortion of face ; muscles of eye affected so that mo- tions of one eye were independent of other. iDry bronchial cough, with sensation of roughness and slight increase of heat in trachea and bronchia ; can only expectorate when pressing finger against sore spot in trachea. ■Influenza with derangement of digestive organs; thin, watery discharge from nose, increasing till nose became stuffed; cannot breathe through nose; difficulty of swal- lowing; dry, hacking cough, with hawking, excited by tickling in larynx and dryness of pharynx. ^^ Respiration, l Respiration difficult, oppressed ; loud mucous rales.

I Constant moaning and gasping for air. ^Diphtheria. I Faint with sighing, slow breathing. ■ Panting for breath. Asthma. ^ Cough. iCough: hacking, dry, with hawking; excited by tickling in larynx or dryness in pharynx; < at night as soon as he lies down ; hard, accompanied by scraping and tickling in throat; harassing, hacking after every cold ; incessant, with sensation of an ulcerated spot in windpipe just above breastbone ; could only expectorate (pus) by pressing on this spot; paroxysmal, distressing, with pharyngitis; with pain in chest and side; chronic, generally hard and dry.

I I Hoarse, dry, croupy cough ; burning pain in larynx and trachea; < at night; pains have upward direction; breathing labored ; cough became loose and ceased with copious expectoration of yellow mucus. II Barking, harsh, croupy cough; < out-doors and at night in bed ; tonsils enlarged, fauces congested, dry and glazy-looking ; the boy had had this cough for at least two years, as soon as damp, cold weather put in an ap- pearance. iCough with burning pains in trachea and larynx, with a sensation of contraction of glottis ; labored breathing.

I Expectoration : thick, tough ; of thick, starchlike mucus, profuse and exhausting with pharyngitis. ^^ Inner Chest and Lungs, i Pains and suffocating feeling in throat and lungs. I Aching pains in chest and side, with cough. I I Aching pain in r. side of breast, passing through to back ;

PHYTOLACCA. 424

^^ Heart, Pulse and Circulation. 1 1 Occasional shocks of pain in region of lieart, as soon as pain in heart ceases a sim- ilar pain appears in r. arm. ^Angina pectoris.

I I Rheumatic diathesis ; lame feeling in 1. side of chest near cardiac region, with much nervous restlessness, < from motion and particularly during expiration ; pains and suffocating feeling in throat and lungs; pulse weak and soft or intermittent ; weak heart's action, with constipa- tion ; constrictive feeling at prsecordium, with pressure on temples; feeling of lassitude and indisposition to move ; great exhaustion and prostration ; occasional shocks of pain in region of heart, and as soon as it ceases a similar pain appears in r. arm; fatty degenera- tion of heart. ^Angina pectoris.

1 I Awakens with lameness near heart; < during expira- tion ; cannot go to sleep again.

I 1 Fatty degeneration of heart ; feeling of lassitude and in- disposition to move.

■ Pulse: small, irregular, with great excitement in chest,

I I Hard tender swelling about midway between nipple and sternum, but nearer latter ; restless nights ; in a baby a few months old. ^^ Neck and Back, l i Convulsive action of muscles of face and neck. /9Tetanus.

■ Stiff neck ; tonsils swollen.

■ Glands of r. side of neck hard.

I I Bronchocele ; swelling nodulated ; great weight in parts. I I Pale red spots on neck. ^Syphilis.

■ Back very stiff, every morning and in damp weather.

■ Pain streaking up and down backbone.

■ Rheumatism: of spine; pain passes up neck to back of

head; in small of back for several weeks; chronic of back and hip joint ; in lumbar muscles.

■ Constant dull, heavy pain in lumbar and sacral regions.

■ Persistent, unremitting aching in lumbar region day and

night (no position giving relief), with severe sore throat with numerous white ulcerated spots on both tonsils ; thickly coated tongue and bad odor from mouth.

■ Lumbago; back is very stiff every morning.

425 PHYTOLACCA.

I Pains shooting from sacrum down both hips.

■ Aching in sacrum.

I I After confinement aching pain in sacrum, very suddenly- down limbs to knees, like in bone, passing down gradu- ally to ankle and returning again to sacrum, jerking pain in different parts of body,

■Spinal irritation.

■ Backache with diphtheria.

^^ Upper Limbs, l i Glandular enlargements in axillse.

■ Both scapulae ache continually.

I I Shooting pain in r. shoulder joint, with stiffness and in- ability to raise arm ; aching and tenderness along top of r. trapezius ; after dislocation.

I I Rheumatism of 1. shoulder without fever.

■ Rheumatic affections of shoulder and arms, especially in

syphilitic subjects ; pains fly like electric shocks from one part to another, < at night and in damp weather.

I I Pains in arms always about midway between articula- tions, especially about attachment of" deltoid ; pain dull, aching, < at night ; had syphilis a year ago.

I I Pain in muscles of both arms.

■ Rheumatic pains in arms.

I I Pain from tumor in breast extending down arm. I I Inability to raise arm.

■ Lame feeling in arms.

■ Pale red spots on arms, in syphilis.

■ Rheumatic drawing in both forearms.

■ Hands tremble.

I I Rheumatic pains in hands; sudden pricking, I I Rheumatism for several years; past year joints of all the fingers badly swollen; very painful, hard and shining. I I Bony growth on palmar aspect of one finger (internally and externally for three months reduced its size one- half).

■ Whitlow; felon.

^ Lower Limbs. ■Pains shooting from sacrum down outside of both hips.

■ Sharp, cutting pains in hip, drawing ; leg drawn up, can-

not touch floor ; hip disease on r. side after mercury or in syphilitic children.

■ Syphilitic and gonorrhoeal sciaticas, with sharp, lanci-

nating pain, not inclined to remain in one part long at a time; often darting along whole length of limb in quick, successive impulses, rendering leg powerless, numb and heavy, even to extremity of toes. I I Pain in outer side of thigh ; soreness in 1. groin ; press- ing, shooting, drawing, aching in thigh; great lassitude and desire to lie down, ^Sciatica.

PHYTOLACCA. 426

■ Sciatica; periostitis; nodes on tibia.

I Chronic rheumatism of 1. hip joint, use of which was lost; synovial membrane implicated ; considerable tumefac- tion from effusion ; no swelling of limb ; pain obtuse, heavy, aching, < in damp weather; complained of coldness of limb; pain < in warmth; much emacia- tion ; night sweats, acid in reaction ; urine generally scanty, but sometimes very clear; enlargement of glands of neck and axillae.

I I Occasional spasms of stomach and diaphragm for some years, and for the last six months severe pain in hip joint, mostly behind, trochanter major ; pains sharp,

• cutting, drawing, and occurred from 4 to 5 a.m., driving him immediately from bed ; on first rising leg drawn up so that only toe would reach floor; rubbing and heat would afford some slight relief, but energetic walking was the only means of rendering it endurable ; after a few hours in morning severe pains passed off and only a soreness and dull pain disturbed him till next morn- ing ; pains sometimes appeared in middle of tibia and fibula and down great toe.

■ Neuralgic pain on outer side of thighs.

I I Tearing pains in front and exterior surface of r. thigh, when standing; much < sitting down ; > lying down ; frequently in r. heel alone. ^Rheumatism.

■ Almost constant pain in outer and back part of r. limb,

< at night, but never absent entirely; unable to bear weight of limb or to move it without extreme pain, which is dull, aching, and at times lancinating; pain came first in hip and extended thence into lower por- tion of limb.

I I Periostitis of r. femur after exposure to cold and wet ; after five months limb greatly swollen, surface red and shining; inability to stir limb; much pain, < towards evening ; chills occasionally and nearly constant fever ; no appetite; furred tongue.

I I Dull heavy pain in joints, < from exposure to air, especially in damp weather ; sensation like shortening of tendons behind knee when walking ; pains extend either upward or downward along shafts of femur and tibia, r. side, < from motion and pressure. ^/Synovitis.

■ Legs tremble.

■ Leg is drawn up.

■ Aching down limbs to knee and ankle and returning.

■ Severe rheumatic pains in lower extremities, with

nightl}^ bone pains.

■ Chronic rheumatism in lower extremities.

■ Ulcers and nodes on legs.

427 PHYTOLACCA.

I Rheumatic pain in r. knee, < in open air and damp weatiier.

■ Rheumatism of 1. knee; hamstrings feel shortened.

■ Chronic inflammation of knee joints.

■ Rheumatic pain below knee and in feet.

■ Nightly pains in tibia. ^Periosteal rheumatism.

■ Pain in middle of tibia and fibula.

■ CEdema of ankles; swollen feet.

I I Pain on dorsum of r. foot, 4 a.m.

■ Feet puffed, soles burn ; severe pains through ankles, feet

and on dorsa of feet.

I I Obstinate ulcers (probably syphilitic) on inner sides and bottoms of both feet; ulcers appear as if punched out, round, with sharp edges, smooth sides, lardaceous base and about one-sixteenth of an inch deep, five on one foot and several on other ; feet swollen, ankles oede- matous; burning, aching pain, with soreness on press- ure, < walking or using sewing machine ; dark, knotted veins traversed sides of feet near ulcers.

I i Aching of heels of a dull, wearing character, making life almost intolerable ; > elevating feet higher than body; subject to rheumatism.

I I Flexion of toes.

■ Neuralgic pains in toes.

■ Pain in great toe. Limbs in General. ■ Pains in middle of long bones, or at- tachment of muscles.

I I Pain in joints with great heat tormented him for weeks, first in fingers of 1. hand, then in other joints, then in r. side,_ changing locality continually; when it attacked one joint it increased for five or six hours to an unbear- able height, as if joint were being chopped with an axe; then it decreased for five or six hours, but before it had fully abated it had begun in another joint; > from midnight till morning; after pain had left joint re- mained immovable for a long while.

■ Rheumatic pains below knees and in arms.

■ Severe pains in arms and legs from elbows and knees to fingers and toes ; < from motion and contact ; syphilis.

I 1 Ulceis on arm and leg from one-half of an inch to three inches in size, irregular in shape, with ragged edges and surface studded with minute granulations which bled readily ; ankles and knees swollen and inflamed, skin over swelling glistening and exceedingly sensitive to touch. ^Secondary syphilis.

■ Cold hands and feet.

in groin and pains in thigh.

PHYTOLACCA. 428

Lying down: a L night, cough.

Lying on r. side: pain in breast <.

Cannot lie on r. side: pain in r. hypochondrium.

Can lie in no position except on stomach: pain in r. hy- pochondrium.

When rising from bed : feels faint.

Elevating feet higher than body : aching of heels >.

Cannot raise arm : pain in r. shoulder joint.

Turning head to 1. side : feeling of a lump in throat.

Sitting up: sick and dizzy; and leaning forward pain in hypochondrium slightly >.

Standing: tearing pains in thigh ; faint and dizzy.

When stepping from a high step to ground : feeling as if brain were bruised.

Indisposition to move : fatty degeneration of heart.

Motion: pains in eyes <; groans with pain; rheumatic diathesis <; of limb causes extreme pain; of limb im- possible, rheumatism; pains in joints < ; pain in arms and legs <; complains of soreness ; rheumatism <.

Swallowing: pains shooting from throat into ears.

Cannot chew on r. side : ulcers on inside of cheek.

Exercise: pains in eyes <.

Walking: pains in cardiac region <; energetic, relieved pain in hip ; sensation of shortening of tendons behind knee; ulcers on feet <.

Cannot walk : vertigo. Nerves, l Feeling of soreness in all the muscles; aching of back and legs, feeling as if pounded all over, with pros- tration.

■ Restlessness and moaning from general pains.

■ General and rapid prostration, in diphtheria.

■ Great exhaustion, prostration, muscular paresis.

■ Legs heavy, weak; he staggers.

flexed, teeth clenched and lips everted, opisthotonos ; chin drawn to sternum. STetanus; extremities stiff; hands firmly shut; feet ex- tended and toes flexed ; eyes bleared and dancing ; pu- pils contracted ; teeth clenched ; lips everted and firm ; general muscular rigidity ; opisthotonos ; respiration difficult and oppressed ; convulsive action of muscles of face and neck followed by partial relaxation, which again was succeeded by same tetanic condition.

429 „ PHYTOLACCA.

^^ Sleep. I I Frequent gaping ; drowsiness.

liiestlessness at night; pains drive him out of bed.

I I On awaking feels wretched. ^® Time. Morning: rheumatism <; swelhng of eyelids <; discharge of clinkers from both nostrils ; dryness of throat < ; diarrhoea ; awoke with stiff neck ; pain in hip passed off.

8 A.M. : wakes with nose stopped up.

4 A.M. : pain in dorsum of r. foot.

4 to 5 A.M. : pains in hip joint drive him out of bed.

Afternoon: pressure around eyes; blotches in face <.

1.30 P.M. : heavy aching feeling in head.

Evening: dryness of throat < ; pain in r. femur <.

Day and night : persistent aching in lumbar region.

Night : pains in bones of face and head ; child restless and feverish < ; chills without fever ; cough < ; rheuma- tism < ; rheumatism in r. limb <.

From midnight till morning: pains in joints >.

After midnight : stiff neck. ^^ Temperature and Weather. Heat : slightly relieves hip joint.

Hot drinks : diphtheria <.

Hot weather : vomiting and diarrhoea.

Warmth: pain in hip joint <.

Exposure to air: pains in joints <.

Open air : burning and smarting in eyes and lids > ; cough <.

Washing: blotches in face <.

When it rains : rheumatism comes on.

Exposure to damp and cold weather: diphtheria; cough; rheumatism of lower intercostal extending to abdominal and lumbar muscles ; stiff neck ; rheumatism < ; peri- ostitis of r. femur; pains in joints <. *° Fever, l Coldness, faintness, dyspnoea ; limbs cold, head and face hot.

I Chill: every morning; sudden, followed by fever after confinement; at night without special fever.

I Heat: with pain in joints; high fever.

■ Sweat: cold on forehead; toes sweat; night sweat, hav- ing an acid reaction. *' Attacks, Periodicity. Every few minutes : vomiting.

One hour and a half after dinner, sometimes one hour and a half after supper: pains in hypochondrium.

A few hours after chill : breasts hard, swollen and painful.

Every two or three hours : sudden severe pains throughout breasts.

For five or six hours : pains in joints increased, then de- creased same length of time.

PHYTOLACCA. 430

Ever}' morning: back very stiff; cliill.

Nightly : bone pains; pains in tibia.

For several days : excessive flow of milk.

Weekly: sick-headache.

Third week after confinement: mammse hot, swollen and painful.

For several weeks: rheumatism of spine.

For six weeks : fearfully tumefied tumor of 1. breast.

At menstrual period : tumor of breast <.

For six months : severe pain in hip joint.

Five years' standing: chronic inflammation of bowels; enlarged mammary gland with large fistulous opening.

For several years : attacks of colic ; rheumatism ; spasms of stomach and diaphragm. *^ Locality and Direction. Right: shooting in temple; pain over head < ; rheumatism of frontal region ; suppura- tive choroiditis in eje; shooting pains through ears ■when swallowing < ; small ulcers on inside of cheek ; pressing pain in side of throat; tonsil much enlarged; sore throat; pressing pain up back of neck; side of head feels as if firmly pressed ; constricted sensation in hypochondrium ; sore space in hypochondrium ; dig- ging pain in hypochondrium ; cannot lie on side on ac- count of pain in hypochondrium; soreness and pain in hypochondrium; pain in kidneys, < side; breast full to overflowing of milk ; aching ])ain in side of breast > lying on same side ; shocks of pain appear in arm ; stitch from side to back; stiff neck < side; glands of neck hard; pain in shoulder joint; aching and tender- ness along top of trapezius; tearing pains in thigh; rheumatism in heel ; constant pain in outer and back part of limb ; periostitis of femur ; pains in joints < ; rheumatic pain in knee ; pain on dorsum of foot.

Left : shooting from eye to vertex ; swelling of eyelids < ; heat in face < ; eruption on upper lip ; swelling around ear; sensation of lump in throat <; turning head to side feeling of a lump in throat; tumefied tumor of breast; tickling in side of larynx; lame feeling in side of chest; rheumatism of shoulder; soreness in groin; chronic rheumatism of hip joint; rheumatism of knee.

First in fingers of 1. hand, then in other joints, then in r. side, changing locality continually. *^ Sensations. As if brain were bruised ; as of sand in eyes ; as if eyes were too large ; lids as if granulated ; edges of eyelids as if raw ; lids as if on fire ; nostril as if tickled with a stiff feather ; nose and eyes as if cold would come on ; tongue as if scalded ; as if a ball of red-hot iron had lodged in throat ; as of a lump in throat ; as if throat

431 PHYTOLACCA.

were so full it felt choked ; r. side of head as if pressed firmly ; pharynx feels like a cavern ; as if chest were a big empty cask; body as if bruised; as if pounded all over; as if joint were being chopped with an axe.

Pain : from frontal region back ; in back of head and neck ; from_ root of tongue downward to outer attachment of clavicle in neck and back ; in pit of stomach ; in cardiac portions of stomach ; in region of pylorus ; in r. hypo- chondrium; in region of bladder; in sacrum to knees and ankles, thence up to sacrum ; in joints ; in chest and side; in throat and lungs; through midsternum; in region of heart, streaking up and down backbone; up neck to back of head ; small of back ; in arms midway between articulations; in muscles of both arms; from tumor in breast down arm; in outer side of thigh; in outer and back part of r. limb; in middle of tibia and fibula; on dorsum of r. foot; in great toe.

Unbearable pain : from nipples radiating over whole body.

Violent pains : in abdomen.

Great pain : in root of tongue ; fauces.

Severe pain: in head; in umbilical region ; in hip joint; through ankles; in arms and legs from elbows and knees to fingers and toes.

Sharp pain : through eyeball.

Lancinating pain: in breast; in limb.

Cutting: in pit of stomach; in hip.

Tearing pains : in front and exterior surface of r. thigh.

Shooting pain: from 1. eye to vertex; in r. temple; through ears ; from throat into ears ; from anus to lower part of rectum along perineum to middle of penis ; from sacrum down both hips; on r. shoulder joint; in thighs.

Drawing: about root of nose; down r. side of neck; in thigh ; in cicatrices.

Shocks of pain : in region of head ; then in r. arm.

Jerking pains : in different parts of body.

Stitch : from r. chest to back.

Digging pain : in r. hypochondrium ; in upper and lower portions of liver.

Griping pains: in abdomen ; in umbilical region.

Neuralgic pains : on outer side of thigh ; in toes.

Rheumatic pain : in and about eye ; in lumbar region ; in spermatic cord ; of 1. shoulder; inarms; in hands; of 1. hip joint; lower extremities; in knees; below knee and in feet.

Aching pains : in eyes ; in chest and sides ; in r. side of breast; in lumbar region day and night; in sacrum; down limbs to knees to ankles, returning to sacrum along top of r. trapezium ; in thigh ; up and down limbs to knees and ankles ; in feet ; of heels.

PHYTOLACCA. 432

Cramps : in abdomen.

Sore pain : over head.

Dull, pressive pain: in head; in r. side of throat; going up back of neck.

Dull, heavy pain : in forehead ; in lumbar and sacral re- gions; in joints.

Dull pain : in region of kidneys.

Heavy, aching feeling: in head.

Burning : in eyes ; in fauces and whole length of oesopha- gus; in umbilical regions; in larynx and trachea; in feet.

Heat: in face; in throat; in stomach; in rectum; in trachea.

Stinging : down r. side of neck through breasts.

Smarting: in eyes and lids; at tip of tongue; in fauces.

Soreness : deep in brain ; in eyes ; in periosteum and scalp; of teeth ; of roof of mouth ; at pit of stomach ; in r. hy- pochondrium ; in region of kidneys ; in spermatic cord ; in spot in r. hypochondrium ; in all the muscles; in 1. groin.

Excoriation : in throat.

Bruised feeling : at pit of stomach ; of muscles of chest and ribs.

Burnt feeling : on back part of tongue.

Scraping : in throat.

Rawness : in throat.

Roughness : in trachea and bronchia.

Suffocating feeling: in throat and lungs.

Tickling : in 1. side of larynx ; in larynx.

Dryness : in top of head ; in mouth ; of throat ; in fauces; pharynx ; of larynx and trachea.

Contraction : in glottis.

Pressure : on forehead and upper part of both eyes ; in top of head; around eyes; on temples; on thigh.

Constriction : in r. hypochondrium ; at prsecordium.

Fulness : in abdomen.

Distressing sensation of enlargement : of calibre of phar- ynx and oesophagus.

Sickly feeling: in bowels.

Lame feeling : in 1. side of chest, near cardiac region ; in arms.

Stiffness : in back.

I Ulceration of mucous membrane in any part of body, but particularly in nose, throat and rectum.

I Feels sore all over from head to foot, especially muscular soreness ; groans when he moves, he is so sore.

433 PHYTOLACCA.

■Swelling and redness, with rheumatism.

iSwelling hard but tender; intensely hot.

I Pains shifting rapidly; swelling pale, puffy, aneemic; no appetite ; constipation ; < from motion and at night. ^Rheumatism.

I Rheumatism of back and hip joints; chronic form; ob- tuse ; heavy, aching pain, generally < in damp weather.

■ Arthritis vaga, or wandering gout; passing from one

joint and place to another, with swelling and redness.

iRheumatism affecting periosteum, sheaths of nerves and fasciae.

IRheumatism : of r. frontal region, accompanied by nausea, pain < in morning; of shoulder and arm, pains fly from one part to another, like an electric shock, < at night ; of several years' standing, joints of all the fingers badly swollen, very painful, hard and shining ; chronic of 1. hip joint; pain obtuse, heavy, aching, generally < in damp weather ; coldness of limb, pain < by warmth ; pain in outer and back part of r. limb, < at night but never going away entirely, unable to bear any weight on limb or to move it without extreme pain, which is dull, aching and at times lancinating; chronic, of lower extremities, and knee joints with or without effusion ; periosteal, with syphilitic taint; enlargement of glands of neck and axilla.

■ Rheumatic and neuralgic affections after diphtheria. iRheumatic or syphilitic affections of fibrous tissues and

periosteum, it not only affects the fibrous coverings of muscles but the fibrous envelopes or sheaths of the nerves. ■Syphilitic and mercurial rheumatism ; nightly pains in tibia, with nodes and irritable ulcers on lower leg.

■ Gonorrhoeal rheumatism.

■ Rupial sores in great numbers all over body ; depression.

^S3^philis. I I Sore throat, ulcers on genitals ; severe pains in arms and legs, from elbows and knees down to fingers and toes, with oedematous swelling of affected parts ; pain < from mo- tion and contact; feet and legs covered with pale, red spots, about size of dime; more scattered on arms, face and neck ; previous use of mercury. ^Constitutional syphilis.

■ Bones inflamed, swoUen ; nightly pains.

■ Hard and painful nodosities.

I I Tumors : irritable ; fatty ; glandular. I iSuppuration of painless tumors.

■ Glands, inflamed, swollen, indurated.

■ Carcinoma mammae ; shooting, lancinating pains, < after

sleeping ; great exhaustion and prostration.

VOL. VIII. — 28.

PHYTOLACCA. 434

1 iGonorrhoeal buboes, epididymitis and other inflamma- tory glandular swellings, lit hastens suppuration.

I Fetid discharge from breasts.

■ Pus watery, sanious, fetid, ichorous.

Pressure: of hands > pain in breasts; of finger on sore spot of trachea the only way to expectorate ; pains in joints < ; on ulcers of feet causes soreness.

Rubbing: slightly relieves pain in hip joint.

When riding: total obstruction of nose, must breathe through mouth. "•^Skin. iSkin cool, shrivelled, dry, lead-colored.

I I Barber's itch (local application of tincture).

Itch (a salve made from the roots), old cases where Sul- phur did no good. I iSalt rheum and itch.

I I Tinea capitis ; shingles.

I I Ringworm ; herpes circinatus. llSquamous eruptions, pityriasis; psoriasis. I Tinea capitis; crusta lactea;" lupus ; ulcers.

■ Lipoma.

iBoils: disposition to boils; especially near ulcers; painful, on back, behind ears.

I Ulcers: looking as if punched out; lardaceous base; pus watery, fetid, ichorous; shooting, lancinating, jerking pains; syphilitic, cancerous (also on breast).

Cancer of mammae and other parts of body ; large cancer on forehead, and one size of hen's egg in breast.

iScirrhus especially of mammse; cancer of lips and can- cerous ill-conditioned ulcers of face.

I Erythematous blotches, irregular, slightly raised, pale red, ending in dark red or purple spots.

I Rash on body; measles.

I Scarlet eruption all over body.

■ Scarlatina; high fever, headache, both sides of throat

covered with membrane, with rash on body. I I Eruption dry, of a shrivelled appearance; in passing hand over skin it feels like brown paper; urine sup- pressed ; hands and feet burning hot, cannot keep them covered; restless and sleepless; tongue dry in centre;

435 PriYTOLACCA.

sides coated brown ; throat covered with a diphtheritic deposit of an ash color. ^{Scarlatina.

■ Scarlatina; with angina; acrid coryza ; delirium; non-

appearing eruption.

■ Red spots. ^Syphilis.

I I Drawing in cicatrices. *^ Stages of Life, Constitution. Patient is of a rheumatic diathesis, and is frequently afflicted with rheumatism of the periosteal and fibrous tissues, or is suffering from secondary or tertiary syphilis.

Child, set. 3 ; scarlet fever.

Boy, set. 4 ; diphtheria.

Henry , set. 4 ; diphtheria.

Boy, set. 10, after exposure to cold and wet ; periostitis of r. femur.

Girl, set. 20, servant, strong, healthy ; diphtheria.

Miss B., set. 20 ; diphtheria. "

Mrs. G., set. 21, nursing a babe; diphtheria.

Mrs. , set. 22, second child, delicate, nervous tempera- ment; irritable breast.

Miss-E., set. 23, light complexion, sandy hair, black eyes, nervous temperament, became ill a few hours after death of a niece whom she had nursed during attack of diphtheria; diphtheria.

Woman, set. 25, syphilitic, after large doses of mercury; inflammation and ulceration of mouth.

Miss H., set. 25; diphtheria.

Mariner, set. 25, bilious temperament, contracted syphilis two years ago, suffering for last eight months; rupia.

Man, set. 26; diphtheria.

Man, set. 30, tall, strong, muscular ; diphtheria.

Mrs. B., set. 31; diphtheria.

Mrs. L., set. 32, confined eight weeks ago ; mastitis.

M]"S. H., set. 36, of good family, mother of several chil- dren ; syphilis.

S. , set. 39 ; diphtheria.

Woman, set. 40, one year previously, after birth of seventh child, suffered from an abscess which was neglected; ulcer of breast.

Man, set. 40, had similar attack fourteen years ago, from which he did not recover for over a j'^ear ; rheumatism.

Mr. H., set. 40, blacksmith; chronic rheumatism.

Mrs. S., set. 40, scrofulous diathesis, fifteen years ago had severe attack of inflammatory rheumatism which be- came chronic ; rheumatism.

Mrs. S., set. 43, suffering several weeks; rheumatism.

Man set. 45, suffering several years; pharyngitis.

Mrs. B., set. 45, suffering several years ; rheumatism.

PHYTOLACCA. 436

Rev. W., aet. 50, suffering many months; rheumatism.

Merchant, syphilitic, was given mercury until salivated ; inflammation and ulceration of phar3'nx.

Primipara, very corpulent, in poor circumstances, few days after confinement had chills and fever; very im- properly breast was poulticed for nearly two weeks, when several large abscesses opened ; ulceration and fistulse of mammary gland.

Mrs. C, large, well-proportioned, sanguine temperament, strongly scrofulous diathesis, had mammary abscesses during former pregnancy; abscess of mammse.

Man, tall, splendid physique, suffering for years ; sciatica.

Young girl, suffering several weeks; periosteal rheu- matism.

Middle-aged woman ; ulcers of feet.

Camphor., Ar sen., Arum tri., Iris vers., Guaiac, Kali bich., Kalijod., Rhus tox., Ipecac.

437 PICRIC ACID.