Curare

A powerful poison used by the South American Indians upon their arrows. Supposed to have been first introduced into Europe by Sir Walter Kaleigh, in 1595, who became acquainted with it in Guiana.

"Authorities differ as to the composition of this poison. Probably several totally different kinds of poison are designated by the same name. According to M. Goudot, who learned the mode of preparation from an Indian tribe, it is made by adding to the concentrated juice of a creeping plant called Curari, the poison obtained from the virus bags of some of the most venomous serpents.

Another author and traveller, M. de Castellnau, who witnessed the preparation of the poison by another tribe, says that it is composed of the inspissated juice of the Cocculus toxicoferus, and of a new species of Strychnos. Further observations will doubt- less show that there is a great difference in the effects of different specimens of curara poison. M. Eoulin asserts that the poison is obtained from a species of toad by half roasting the animal over a slow fire, when tlie venom exudes from the pores of its skin and is carefully collected on small wooden knives and pre- served in small earthenware vessels.

The curara poison, which lias found its way to Europe, is usually a brownish- black, resinous looking substance, something like the extract of liquorice. It seems to keep well for an indefinite length of time. A heat of 212° does not seem to destroy its power. The active principle is soluble in all animal fluids whether acid or alkaline. The aqueous and alcoholic solutions are of a fine red color, the former the darkest. A peculiar substance called Curarine has been obtained from it."— Bernard, B. J. H., vol. 16.

Fragmentary proving of the oOOth by McFarland.

Proving in the Xouvelles Donnees, par L. T. Houat, translated by S. Lilien- thal, H. M., Vol. 4, pp. 137 and 177.

Clinical, Authorities Ptosis, Freeman, Hom. Kev., v. 9, p. 511 ; Ozcena,.

Hardenstein, Hom. Clinics, v. 4, p. 100 ; Facial and buccal paralysis, Freeman,, Hom. Rev., v. 9, p. 561 ;

Paralytic failure of power to swallow, Freeman, Hom. Rev., v. 9, p. 562; Schirrhous ulcer of os uteri, Hardenstein, Horn. Clinics, v. 4,. p. 104;

Vaginitis, Hardenstein, Hom. Clinics, v. 4, p. 102; Debility and cough of phthisis, Freeman, Hom. Rev., v. 9, p. 564;

Paralysis of deltoid. Freeman, Hom. Rev., v. 9, p. 562; Nervous debility, T.

F. Allen, Organon, v. 3, p. 108; Paralysis, Freeman, Hom. Rev., v. 9, p. 562;

General motor paralysis. Freeman,. Hom. Rev., v. 9, p. 562;

Epilepsy (nine cases) in conjunction with Acid mur., Kunze, Hah. Mo., v. 12, p. 405 ; Epilepsy (five cases) cured by injections, Benedict, B. J.

H., V. 24, p. 684; Lyssa humana, Zeitsch. f. Med., 52, 1875.

^ Mind. I Indecision, no longer wishes to think and act for herself. ^Nervous debility.

55 CURARA.

I Very much depressed about herself, desire only to shut herself up away from people. ^Nervous debility.

■ Despairing. ^Ulcer of os uteri. I Hydrophobia.

^ Sensorium. Instant giddiness; falling down in a swoon or fainting while standing or walking.

^ Inner Head. Nervous headache; lancinating, piercing pains all over head, forcing him to lie down and stretch himself; head drawn backward, with stiffness of neck; painful oscillation of brain, as if it were full of fluid ; neuralgic pains, starting in front and radiating to neck and face; violent blows in region of cerebellum.

■ Sharp sticking pains over r. eye, extending backwards

over r. side of head. ^Nervous debility. Head beats like a hammer, with vomiting of bile. ■Vertical and frontal headache. ^Paralysis.

■ Occasional rush of blood to head. ^Nervous debility. Congestion of blood to head, with pulsative vibrative

pains and loss of consciousness. * Outer Head. ilHead drawn backward, with stiffness of

neck, swinging and trembling of hands. ^Headache. ^ Sight and Eyes. lEyes haggard, sunken. ^Nervous debilty.

■ Black spots before vision (patient quite myopic), espe-

cially < from reading. ^Nervous debility.

■ Ptosis on r. side.

^ Hearing and Ears. Different noises in ears, as of whistling, or crying of animals. Unbearable earache; loses consciousness. Lancinating nervous pains, starting from ears, and reach- ing down to legs, obliged to lie down. Internal otitis, driving one crazy; purulent discharge. ^ Smell and Nose. ■ Ozsena, with fetid lumps of pus, of six

years standing. ^ Upper Face. iDull, anxious expression, with clay-colored skin. ^Ulcer of os uteri. Redness of face, head beats like a hammer, after fever.

■ Aching of r. side of face. ^Paralysis.

■ Facial and buccal paralysis; in some cases with difficulty

in swallowing. ^ Lower Face. Blueness of lips, body purple, with fever. " Taste and Tongue. Tongue deep red, cracked and bleeding.

■ Tongue and mouth drawn to r. side. ^Paralysis. ^^ Inner Mouth. ' i Dry mouth. ^Diabetes.

^^ Throat. Paralytic failure of power to swallow.

" Appetite, Thirst. ■Appetite variable. ^Paralysis.

Thirst and great hunger with the fever.

I 1 Great thirst, especially evenings and at night. /^Diabetes. '^ Eating and Drinking. Amelioration after first mouthful of food.

CURARA. 66

^^ Hiccough, Belching, Nausea and Vomiting. ■ Hiccough frequent and annoying. ^Nervous debility. I Nausea in morning. ^Nervous debility. ^Paralysis. I Gastric troubles, nausea after eating, or in morning. Dry, spasmodic cough provokes vomiting. Vomits green bile all night, nasty taste; bad feeling in stomach; so weak, cannot stand on her feet. ^^ Scrobiculum and Stomach, i Rheumatic pain in pit of stomach, at times quite sharp, followed by nausea. I I Shooting in stomach. ^Diabetes.

■ Digestive functions entirely prostrate, cannot bear any-

thing on stomach, pyrosis, pain and distension after eating ever so little; can eat only cornmeal mush and drink coffee. ^Ulcer of os uteri.

^^ Abdomen. ■ Wearing ache from throat to 1. hip. ^Paralysis.

^° Stool and Rectum, l Diarrhoea, with constant urging, fetid, thin, mush-like feces, excessive pain in hsemorrhoidal tumors. ^Ulcer of os uteri. Extreme watery diarrhoea.

^^ Urinary Organs. Clear and frequent urine, with digging, crampy pains in kidneys; shooting in stomach; dry mouth; great thirst, especially evenings and at night; sugar in urine, with great emaciation. Diabetes, acute cases.

^ Female Sexual Organs, i Ulcer of os uteri, funnel-shaped, upper diameter one inch; whole neck of womb of a horny-like character, dark red, purplish, gnawed as if from mice all over surface of ulcer; two small opaque pustules of size of pea on inner edge, containing in middle a translucent bloody fluid. Ichorous discharge, corroding, fetid; indurations of abdominal parietes towards inguinal and ovarian regions, excessively painful to touch. Vaginal corrugations tumefied, red- dish, inflamed; very sensitive hsemorrhoidal fissures and swelling of rectum and anus.

General appearance of scirrhous cachexia. Digestive functions entirely pros- trate. Diarrhoea with constant urging. Excessive pain in hsemorrhoidal tumors; bearing down of womb, pains and shocks, sharp shooting stitches; quivering in womb; burning in womb and all around it; dull, anxious expression; aching in all the limbs and body; rigors at 2 a.m., no more sleep; some fever; seldom moisture, except under arms; despairing.

Ulcerations on os uteri; smarting in vulva and thighs; shooting and digging pains in womb.

■ Indolence, does not like to work or move about; night

sweats; repugnance to sexual intercourse. ^Vaginitis. Menses very capricious, either too soon or too late.

57 CURARA.

During menses colic, headache, pains in kidneys, general malaise and hypochondriasis.

Scanty, thick, purulent, foul smelling leucorrhoea, in clots. ^ Voice, Larynx, Trachea, Bronchia. ' i Frequent hoarse- ness; suflFocating attacks, with sensation as if larynx were stopped up. ^Cough.

I 1 Burning and shooting in larynx ; hoarseness which oc- casions almost complete loss of voice. ^Cough.

Sensation of roughness and dryness in whole course of respiratory passages. ^ Respiration, l Shortness of breath. ^Nervous debility.

1 I Respiration difficult, stitching pains in r. side. ^Cough.

D Dyspnoea from weakness of respiratory motor nerves, as in phthisis and emphysema. ^ Cough. I Short, hacking cough, no expectoration, always dry, with soreness of walls of chest, < in damp weather, or laughing. ^Nervous debility.

Cough, dry, spasmodic, shakes whole body, provokes vomiting, and is often followed by fainting.

1 Chronic cough, always troublesome in morning. ^Ner- vous debility.

Cough < by breathing cold air, laughing, moving and eating.

I Cough with white gelatinous expectoration. ^Paralysis.

I Debility and cough, with free gray expectoration, in phthisical patient.

Expectoration yellow, gray, greenish, bordering upon black.

Expectoration of red blood, often without cough. ■^ Inner Chest and Lungs, i i Burning heat in chest with sensation of distension. ^Cough.

■ Severe pains in lungs, especially 1.; sharp piercing pain through chest, always much < in damp weather; short- ness of breath; chronic cough. ^Nervous debility. ^^ Heart, Pulse and Circulation, i i Pra^cordial anguish, with

palpitation and stinging pains in heart. ^Cough. ^^ Outer Chest. I Great soreness of chest, can hardly bear

pressure of stethoscope. ^Nervous debility. ^^ Neck and Back. iDull, tired ache in shoulders and across back; numb, tired pains up and down spine and in head. ^Nervous debility.

I Pain in loins. Paralysis. ^^ Upper Limbs. • Complete paralysis of r. deltoid muscle; no pain ; after an apoplectic attack.

iPain and numbness on 1. side of chest and 1. arm; tongue and mouth both drawn to r. side ; both eyes and both ears fairly good; grasp of 1. hand fair; vertical and frontal headache; r. face aches at times; fear of falling forward

CURAEA. 58

on rising; nausea in morning; appetite variable; per- spires with every exertion; pain in loins; prolapse of uterus for several years; wearing ache from throat to 1. hip; cough with white gelatinous expectoration. I Arms and fingers weak, as after a long illness; arms become numb, and as if sprained or broken at elbows; this pain extends to shoulders and across back, a dull tired ache; feeling as if heavy weights were hanging to arms; same pains up and down spine and in head, numb tired pains; similar pains in knees; desire to stretch elbows, but muscles of arm are sore; feeling along arm as if it had been burnt; pains much < in damp weather. ^Nervous debility.

■ Leaden heaviness in arms, with increasing difficulty in

playing piano. ^Nervous debility. I In evenings, arms and hands swollen, more painful and heavy. ^Nervous debility.

■ Great weakness especially of wrists and hands. ^Ner-

vous debility. ^^ Lower Limbs. Legs tremble and give way in walking. Sciatica, with great stiffness.

■ Corns. ^Nervous debility.

^* Limbs in GeneraL ■Aching in all the limbs and body. ^Ulcer of OS uteri.

Paralysis of extremities with burning heat and chills. ^^ Rest. Position. Motion. Lying: in bed < aching in feet and back.

Lie down and stretch : pain in head forcing him to.

Always desires to put her feet out of bed.

Cannot stand : so weak.

Standing: fainting.

Laughing: cough, soreness of chest <.

Rising: fear of falling forward.

Stretch : desire to stretch elbows.

Moving: cough < ; crampy pains.

Does not like to move.

Motion : perspires.

On least movement: crampy pains in hips.

Walking: fainting while walking ; legs give way. ^^ Nerves. ■ Nervous debility.

■ Debility of the aged, great failure of strength; no cough,

pain, or disordered digestion.

■ After being bitten by a dog suspected to be rabid, muscu-

lar restlessness, spasms, hydrophobia, and photophobia,, and instead of the anguish she was in good humor ; (cured by injections, which were followed by symptoms of paralysis, from which patient liad not entirely recovered even after a few months).

59 CURARA.

Great weakness and prostration, burning in hips, and crampy pains on least movement.

i Frequent epileptic fits with convulsions, loss of conscious- ness, lasting from a quarter to half an hour, followed by somnolence of many hours, or even mental disturbance for two days.

jFor four years fits of "petit mal," and for the last five months, seven fits of complete epilepsy of great intensity.

i Two brothers, suffering from a disease intermediate be- tween raging mania, chorea major, and epilepsy, had fits twice a day, of one to three hours, in which partial loss of consciousness and delirium were present, but

. generally with retention of consciousness, involuntary movements, springing, pirouetting, creeping, scratching on the floor, etc., between which intervened paralytic symptoms, numbness, aphonia ; besides these fits, there was general weakness, especially in morning.

I Pure paralysis; nervous debility, from loss of fluids, or exhausting illness.

■ Double facial and right lateral paralysis (in consequence

of repeated epileptic attacks), swallowing and articula- tion also afl'ected. Instant giddiness ; paralysis of the lower extremities and in fact everywhere.

■ Considerable general motor paralysis, no pain. I I Paralysis from mechanical injury.

i Traumatic tetanus. Progressive locomotor ataxyia. ^^ Sleep. ■ Nights restless, always desires to put feet out of bed, especially towards morning.

1 I Cannot sleep "^late enough to obtain a good night's rest;

dreams of fire and of the business of the day; < from lying long in bed, must get up as her feet and back ache.. ^Nervous debility. 38 Time. 2 a.m. : rigors.

Morning: nausea; cough troublesome; heat >; general weakness.

2 or 3 P.M.: fever continuing into night; 4 p.m., fever. In evenings : arms and hands swollen ; great thirst.

At night: restless; great thirst; heat «< ; cold and bloody

sweat. All night : vomits green bile. '^ Temperature and Weather. Aggravation by dampness,,

damp weather, change of weather, or cold wind. Open air: heat <. Cold air: cough < by breathing. Damp weather : cough and soreness of chest < ; soreness-

and pains in arms <.

CURARA. 60

^^ Fever. Sensation of shivering, starting from stomach and

spreading over whole body. Chill: without thirst; commencing on abdomen and

spreading all over. I Rigors at night, about 2 o'clock; no more sleep; some

fever; seldom moisture, except under arms. ^Ulcer of

OS uteri. Burning heat accompanied by partial and transient chills,

incoherent speech, and often by paralysis of extremities. Pernicious fever, with constant chilliness. Incoherent speech, with burning heat and chills. Yawning and stretching, hot head and hands, convulsive

paroxysms and fainting. Burning in hips, great weakness and prostration, crampy

pains on least movement. Lips get blue, and body purple, with fever; after fever

(every day at 4 p.m.), gets very red in face, and head

beats like a hammer. Daily fever, commencing at 2 or 3 p.m., and continuing

well into night. Fever with thirst and great hunger.

Heat: with thirst; especially in head, on back and legs. Heat < at night or in open air, less in morning. I Perspires with every exertion. ^Paralysis. I Sweat cold and bloody, especially at night. ■^^ Attacks, Periodicity. Attacks: suffocating.

Apoplectic attack followed by paralysis of r. deltoid.

Acute spasmodic affections.

Instant: giddiness and falling.

Frequent: annoying hiccough; clear urine; hoarseness;

epileptic fits with convulsions. Occasional rush of blood to head. At times: r. face aches; quite sharp rheumatic pains in

pit of stomach. Quarter to half hour : duration of epileptic fits. One to three hours : duration of fits. Many hours: somnolence following epileptic fits. Twice a day : fits.

Two days : mental disturbance after epileptic fits. In five months: seven fits of complete epilepsy. Several years : prolapse of uterus. Four years: fits of "petit mal." Six vears: ozsena. ^'Locality and Direction. Left: ache from throat to hip;

pains in king ; numbness and pain side of chest and arm. Right: sharp sticking pains over eye, extending backwards

over side of head; ptosis; aching side of face; tongue

and mouth drawn; stitching pains in side; paralysis;

complete paralysis of deltoid muscle.

61 CURARA.

Both sides: facial paralysis.

From ears reaching to leg: lancinating nervous pains.

Radiating to neck and face : neuralgic pains.

Spreading from abdomen : chilliness.

As if brain were full of fluid ; noise in ears as of whistling or crying animals; as if larynx were stopped up ; as if broken or sprained at elbows, extend- ing to shoulders and across back; as if weights were hanging to arms, spine and head ; feeling along arm as if it had been burnt.

Pain : in ears; 1. side of chest and arm ; in loins; in he- morrhoidal tumors.

Anguish : in prsecordial region. _

Driving one crazy : internal otitis.

Lancinating : all over head ; ears to legs.

Piercing: all over head; in chest.

Sharp sticking: in r. eye.

Sharp shooting stitches :^ in womb.

Shooting : in stomach ; in larynx.

Severe, pain: in lungs.

Sharp pain : in chest.

Blows: violent in region of cerebellum.

Pulsative pain : in head.

Beating: in head, like hammer.

Stitching : in r. side.

Stinging: in heart.

Smarting : vulva and thighs.

Crampy pains : in kidneys ; in hips.

Rheumatic pains : in pit of stomach.

Digging pains: in kidneys ; in womb.

Nervous pains : ears to legs.

Aching: in limbs and body.

Dull tired ache: in shoulders and back; in knees.

Wearing ache: from throat to 1. hip.

Soreness: walls of chest; muscles of arms.

Burning: in larynx; in womb; in limbs; in chest; in hips.

Heat : in head ; in chest ; in back ; on legs ; in limbs.

Dryness : in respiratory passages.

Roughness : in respiratory passages.

Distension : in chest, with burning heat.

Bearing down : of womb.

Weakness : especially of wrists and hands.

Heaviness : in arms.

Numbness : of arms.

Numb tired pains : up and down spine and in head.

Swinging, trembling : of hands. Quivering : in womb.

•CURARA. 62

V^ibrative feeling : in head.

Oscillation : of brain, painful.

Shocks : in womb.

Shivering : starting from stomach, spreading over whole body. ^ Tissues. Acute spasmodic affections of a very severe char- acter; tetanus.

Paralyzes motor portion of nervous system from periphery towards centre.

Paralyzes vaso-motor as well as musculo-motor nerves. ^^ Touch, Passive Motion, Injuries. Touch : induration on abdomen painful.

Pressure : can hardly bear stethoscope.

After being bitten by dog : muscular restlessness, spasms, hydrophobia ; photophobia.

Mechanical injury : paralysis. *^ Skin. Body blue and yet fever.

Eczema. ^^ Stages of Life, Constitution. In older, scrofulous children.

Boy, set. 12, and another, set. 16, also two brothers, set. re- spectively, 12 and 10; epilepsy.

Anna M., set. 20, married 3 months, pregnant in seventh month; vaginitis.

Stone cutter, set. 20, for nine years; epileptic fits.

Girl, set. 24, eighty days after being bitten by a dog sus- pected to be rabid, lyssa humana (injections 0.2 grammes in 7 doses during five hours).

Lady, graduate of Conservatory of Stuttgart, where she practised excessively; nervous debility.

Laundress, set. 30; paralysis of r. deltoid after an apoplectic attack.

Mrs. Van N., set. 30, three children, blond, blue eyes; ulcer of OS uteri.

Woman, set. 35, had phthisis for many years; debility and cough, with expectoration.

It antidotes: Strychnia, but Chloral is better. Probably antidotal to Lyssin.

Compatible: after Arnica in paralysis from injury; after Bellad. in paralysis after apoplexy ; Baryt. curb, is often indicated after Curara in nervous debility of the aged.

63 CYCLAMEN EUROP^EUM.

CYCLAMEN EUROP>EUM.

Sow-bread. Primulacex.

A plant indigenous in the south of Europe. The tincture is made from the fresh root gathered in Autumn.

"The Cyclamen Europseum, or Sow-bread, was extensively used in medicine by the ancients. Their descriptions of its properties are vague enough, but it is re- markable that they ascribe to it a power to afiect the uterus and its appendages — which ascription Avas not physiologically verified until the most recent provings.

It used to be considered that the root of Cyclamen, ajiplied externally, hastened difficult labors, and assuaged the pains. Also, that to touch Cyclamen, or take it internally, would produce abortion, or bring on premature labor."

The remedy was introduced into our Materia Medica by Hahnemann, and proved by members of the Austrian Society of Homoeopathic Physicians at Vienna.

^ Mind. Consciousness almost extinct.

Very active memory, which alternates with weak memory.

Mental labor impossible on account of dullness or stupe- faction.

Absorbed in deep thought, seeks solitude, thinks about his future.

Confusion of head ; questions answered incoherently.

iLoss of former cheerfulness; love of solitude; aversion to work and to open air; sensation as if room was too small, with reluctance to going into open air ; solitude and weeping give relief. ^Suppression of menses.

I Disinclined to work, w^ith weakness.

CYCLAMEN EUROPiEUM. • 64

Taciturn, depressed, out of humor.

Joyful feeling with trembling ; exuberant spirits.

Joyous feeling, alternating with irritability.

Serene humor changes suddenly into seriousness or peev- ishness.

Great sadness, as if he had committed a bad action or not done his duty.

Great sadiiess and peevishness; menses suppressed, or scanty and painful.

Melancholy ; inclined to tears, and silent grief.

I Vertigo, with pain in head and nausea; vomits nearly every day, and often all the food taken, with slime and bile; greatly reduced, can scarcely walk across floor ^ pains in head continuous, but very much worse at times; < in r. temple; but extend all over head; mind so affected as to make her indifferent to what transpired about her, and rendered her incompetent to describe her own case; finally consciousness almost extinct; questions answered incoherently ; feces and urine pass involuntarily and unconsciously. ^Mental derangement at climacteric period.

I On awaking, weariness, clammy mouth and irritable mood.

nil humor; disposition to weep ; fear of death, or an illu- sion of being deserted or persecuted by every one.

Anxiety, with nausea, at night.

Ill humor, after vomiting.

nil humored, morose mood; could easily take offence at every trifle.

Obstinate, irritable, fault-finding disposition.

Solitude and weeping give relief.

■ Attacks of faintness, cloudiness or obscuration of sight. Sensation as if brain were moving within cranium, or as

it does when riding in a wagon with closed eyes.

I Feels as if brain was in motion when leaning against

something. Vertigo with dyspepsia when lying down, > by motion, in nervous subjects.

I I Vertigo: objects turn in a circle, or about her, or make a see-saw motion; when walking in open air; > in a room and when sitting; with dimness before eyes.

■ Confusion of head, with obscuration of vision.

I Dizzy, fulness and heat of head; congestion of blood.

iDuliiess of all the senses. ^ Inner Head. I Pressing pain in forehead, vertigo, and fre- quently unconsciousness, with chilliness over whole body. ^Dysmenorrhcea.

65 CYCLAMEN EUROPIUM.

Pains violent, pressing, darting, stitching, boring, chiefly in forehead, temples and vertex, accompanied by sad- ness and melancholy ; chilliness and nausea ; obstinate, irritable, fault finding disposition.

I Pain in forehead towards evening, with vertigo.

when lying on back or on painful side. Pains one sided, generally 1. temple.

■ Headache on rising and again in evening; < 1. side, in-

■ Slight pressure in vertex, as if brain was enveloped in a

cloth, which would deprive him of his senses.

■ Oppressive stupefaction of whole head, with obscuration

of vision ; it seems as though a fog were before sight, and as though eyes were about to close.

■ Headache with obscuration of vision; pale complexion,

rings around eyes, depraved appetite, enfeebled diges- tion and menstrual irregularities. ^Anaemia.

■ ■Headache with flickering before eyes on rising in morn-

ing.

■ Sensation as if brain wobbled about while walking;

menses suppressed or scanty ; patient chlorotic. Attacks of heat and throbbing in head.

■ Rush of blood to head with anxiety and confusion ; obscu-

ration of vision; dizziness; general coldness, after dinner.

applications of cold water. Gastric headache. * Outer Head. ■ Tearing pressing, externally in head.

■ Fine, sharp, formicating stinging on scalp, changing

■ Papulous eruption on scalp.

■ Head feels bound.

^ Sight and Eyes. lEyes sunken and dim, have a weary look, and are surrounded by blue rings.

■ ■Dimness of vision and spots before eyes, especially on

waking; dim vision with headache.

■ Fog before eyes, was obliged to stop knitting in afternoon.

VOL. V. — 5.

CYCLAMEN EUROPiEUM. 66

Sight: as if looking through dark blue glass; like mist before eyes; figures cannot be clearly distinguished.

■ Dimness of sight, with fiery sparks before eyes.

1 1 Flickering before eyes, as of various colors, glittering needles, visions of smoke or fog.

■ Burning in eyes and flickering of light on attempting to

read in evening in bed.

■ Vision of colors before eyes, now yellow and again green,

or fiery specks and sparks; halo around light.

■ Muscse volitantes.

■ Diplopia; especially if dependent on convergent squint,

arising from helminthiasis, convulsions, falls, etc. 1 1 Dilated pupils; or contracted and dilated alternately. 1 (Amblyopia after suppression of an eruption; has never

menstruated, though has much headache and vertigo

at time menses ought to appear. I I Hemiopia, only 1. half of object is visible.

■ Heat in eyes.

Strabismus; after convulsions, or measles.

I ■ Convergent strabismus.

iLeft eye drawn toward inner canthus.

I Lids slightly oedematous. ^Dysmenorrhoea.

J Swelling of upper eyelids.

■■Dryness and pressure in lids, as if swollen, with violent

formicating stitches therein, and in eyeball. Itching of eyelids. ® Hearing and Ears. ■ Roaring, humming or ringing in ears.

■ Dulness of hearing, as if cotton was in ear or something

lying before (right) ear.

■ Drawing pain in r. internal ear; hearing impaired.

■ Itching of ears, with increase of cerumen.

^ Smell and Nose. ■Sense of smell diminished. ^Chronic coryza.

■ Dryness of nose, or fluent coryza (morning).

■ Frequent sneezing, with profuse discharge from nose, and

loss of smell and taste; various nervous symptoms of head and ears present; itching in ears. ^Coryza. Catarrh with excessive sneezing and rheumatic pains in head and ears.

■ Pressing pain over nasal bones. ^Coryza.

■ Contraction of forehead.

■ Pimples soon filling with whitish-yellow lymph and then

-67 CYCLAMEN EUROPIUM.

Sensation of numbness of upper lip or as of an induration. Dry lips, without thirst. ^^ Teeth and Gums. iGums and lips pale. ^Dysmenorrhoea.

■ Tearing, stitching, boring in teeth (more right).

I Dull jerking, especially at night, in arthritic patients. ^^ Taste and Tongue. Taste: flat; offensive; jDutrid; fatty; bitter.

I Food tastes flat, or is almost tasteless. H Salty taste of all food.

Tongue coated yellowish-white; white.

Fine stitches on tongue.

Tip of tongue red, with small burning blister thereon,

impeding speech and chewing; saliva increased. Burning on tip of tongue (evening). ^^ Inner Mouth, l Accumulation of watery saliva in mouth,

pasty taste.

I I Saliva has a salty taste, which is communicated to all the food eaten.

Viscid mucus in mouth.

Heightened redness of mouth. '^^ Throat. Dryness of palate evenings, with thirst and hunger.

Tonsils and palate are shrivelled and white.

Scraping and dryness in pharynx, suffocative cough.

Dryness in throat.

Sensation of painful constriction in throat.

Burning and scraping in throat.

Nausea in throat. ^* Appetite, Thirst. Desires, Aversions, i Entire loss of appetite.

■ After eating but little, aversion to food, with nausea in

1 1 No thirst all day, but it occurs in evening as face and hands become warm,

■ Thirst during night. ^Intermittent, ■Thirstlessness.

Desire for lemonade.

■ Aversion: to bread and butter; to beer; to fatty things;

to ordinary food, and desire for inedible things.

■ Constant disgust for meat; craving for sardines; frequent

vomiting in morning. ^Dysmenorrhoea. ^^ Eating and Drinking. ■ Feeling of satiety after a few mouthfuls of food, the rest becomes repugnant and nauseates him; nausea felt in throat and palate.

■ Complete loss of appetite, on taking a little beef-tea or a

cup of tea, indescribable pain in scrobiculum cordis, which seldom went off until she threw up what she had taken ; melancholy, could not engage in any occupation. After eating: nausea; sleepiness; hiccough, rumbling in bowels.

CYCLAMEN EUROPIUM. 68

1 1 Pork disagrees.

Aggravation after coffee. ^^ Hiccough, Belching, Nausea, Vomiting, i Violent hic- cough.

I While eating, and. for some time afterwards, hiccough or hiccough-like eructations, particularly in pregnant women.

■ Eructations: with oppressive sensation in stomach; fre-

quent, sometimes sour tasting; of food; of a fatty taste.

■ Qualmish nausea after dinner and supper, and an un-

easiness and qualmishness in epigastric region, as after

of blood.

■ Vomiting in morning. ^Dysmenorrhoea.

■ Every day, vomiting of foocl with slime and bile. ^Men-

■ Burning in oesophagus, and aching pains in stomach,

extending through to back, coming on when at rest,

> by motion.

Fulness and jDressure in pit of stomach, as if he had eaten

Ball-like distension in bowels, on r. side below liver. ^^ Abdomen. Digestion retarded.

I I Tearing, piercing, through and through stitches in upper

abdomen beneath stomach, on moving about. Hypogastrium sensitive to pressure.

■ Full feeling and distension of abdomen.

■ Intestines painful to touch.

Abdomen sensitive to pressure and motion.

Pain and uneasiness in bowels in evening, with nausea;

> by motion.

I I Discomfort and nausea in lower abdomen.

■ Constant gnawing pain in bowels; all food caused great

discomfort and swelling, with frequent eructations; debility, consequent upon lack of nourishment; stools infrequent and hard, expelled with great effort. ^En- teralgia.

■ Painful restlessness in bed; must get up and walk about

for relief; gurgling in intestines combined with malaise; always > by moving about. ^Enteralgia.

69 CYCLAMEN EUROPIUM.

Painful gurgling in intestines every night, with general malaise, > abstaining from food after noon and from walking about; gnawing pains in the abdomen at 7 p.m., extending thence over whole body, > from walking till tired ; pale, herpetic face and red nose.

I I Rumbling of flatus.

I Stitches in umbilical region.

iStitches, or pinching in abdomen; cramp-like pains.

I Running and crawling in bowels, as of something alive.

■ Paroxysms of colic coming on during night, especially

■ Diarrhoea renewed after every cup of coffee.

■ Diarrhoea of chlorotic women subject to sick headaches

and menstrual irregularities. Mucous diarrhoea; in evening.

■ Constipation. ^Menstrual irregularities.

■ Frequent passage of hard stool (hard lumps). Before stool: nausea; pinching colic; urging.

During stool: straining and burning in anus; colic; palpi- tation; tenesmus.

After stool: ineffectual straining; pinching in abdomen, dulness and forgetfulness.

■ Heat in rectum, with swelling of hemorrhoidal veins.

■ Pressure in rectum or anus; tenesmus.

I I Drawing pressive pain in and about anus and perineum, as if a spot was suppurating ; when walking or sitting.

■ Hemorrhoidal flow.

^^ Urinary Organs. Frequent micturition, with pressure on bladder and rectum.

■ Urine profuse, watery and frequent.

■ Frequent urination or fruitless desire to urinate. Frequent copious emission of whitish urine.

■ Frequent urging, with scanty discharge; also seldom and

scanty.

■ Urine dark red, containing much fiocculent matter; acid;

iridescent cuticle. Stitches in urethra with desire to urinate, followed by a

CYCLAMEN EUROPIUM. 70

Prepuce and corona glandis feel sore, from slight rubbing.

■ Prostatic troubles, with stitches and pressure, urging to stool and micturition. ^ Female Sexual Organs, i Menses : too profuse and frequent;, too early, black and clotted; membranous.

Abdomen bloated and swollen before menses, with labor- like pains; flow when established, black and clotted.

1 1 Menstruation too early, with some relief of melancholy mood and heaviness of feet.

I Labor-like, constricting pains commencing in small of back and running down each side of abdomen to pubes; attacks every few minutes, during which time no dis- charge occurs; after the attacks, blood more watery ; vertigo ; headache ; after cessation of menses, great sore- ness in abdomen. ^Dysmenorrhoea.

iMenses troublesome for two months; flow had continued all through each month; discharge pale and watery,. at first dark and clotted; general appearance somewhat exsanguined; mouth, tongue and lips pale; she always felt best when moving about; flow almost ceased as long as she was moving about at work, but as soon as she sat down quietly in the evening, the flow reappeared and continued after she w^ent to bed.

• Menorrhagia, with stupefaction of head and vision ob- scured, as from a fog.

IMenses suppressed or scanty, and painful; dread of fresh air ; vertigo ; headache ; swollen eyelids ; pale face, lips and gums; loss of appetite; no thirst; constipation; palpitation; constant chilliness; disinclination to move and to work ; constant drowsiness ; wants to be alone^ and weeping does her no good.

I No appearance of menses for 2| months, loss of former cheerfulness; love of solitude; ofl'ended at every trifle; aversion to work; sleeps late in morning; face, lips and gums pale; lids swollen; tumultuous action of heart; great lassitude; great anxiety; sensation as if room was too small, with reluctance to going into open air; solitude and weeping relieve ; in morning frequent pressing pain in forehead, with vertigo; appetite poor; stool tardy.

■ In a young woman of thirty who has never menstruated^

every 3 to 4 weeks rush of blood to head, headache^

pressing vertigo; heaviness, frequent trembling of lower

limbs, and pressure towards vulva. llScanty or suppressed menstruation with headache and

^Χλωρωσία. ■Καταστολή της εμήνου ρύσης μετά από υπερβολικό χορό ή υπερθέρμανση.

■ Εμμηνορρυσιακές ανωμαλίες, συνοδευόμενες από ημικρανία και τύφλωση.

71 CYCLAMEN EUROP.EUM.

iΛευκόρροια σε ξανθά, λευκοφλεγματικά άτομα, με καθυστερημένη ή ολιγομήνεια· χλωρωσία και αναιμία, κρίσεις λιποθυμίας και συνεχές ρίγος σε όλο το σώμα.

Πριν από την έμμηνο ρύση: μελαγχολία· τάση και ζεστασιά στην κοιλιά με αϋπνία.

Κατά τη διάρκεια της εμήνου ρύσης: βελτίωση της διάθεσης και της βαρύτητας των ποδιών· πόνοι σαν λοχείας στην πλάτη και την κοιλιά· κεφαλαλγία· ίλιγγος· σκοτάδι μπροστά στα μάτια.

Μετά την έμμηνο ρύση: πρήξιμο των μαστών, με έκκριση σαν γάλα. ^* Εγκυμοσύνη, Τοκετός, Θηλασμός. i Λόξιγκας κατά την εγκυμοσύνη.

I Αποστροφή και ναυτία στο στόμα και τον λαιμό.

I Παθήσεις μετά τον απογαλακτισμό. ^ Φωνή, Λάρυγγας, Τραχεία, Βρόγχια. < Αδύναμη φωνή κατά την ανάγνωση δυνατά.

I Γαργάλημα στον λάρυγγα τη νύχτα, με βίαιο βήχα.

I Πολλά ξύσιμο στον λάρυγγα, πόνος στον φάρυγγα με βίαιη και παχιά απόχρεμψη τη νύχτα.

^^ Αναπνοή. I Πίεση στον θώρακα, με δυσχερή αναπνοή.

■ Βίαιος βήχας τη νύχτα, με πολλά ξύσιμο στον λάρυγγα, πόνο στον φάρυγγα και παχύ βλεννώδες. iΠνιγηρός βήχας, προκαλούμενος από ξύσιμο και ξηρότητα στην τραχεία.

I Βήχας που ήταν συνήθως πιο βίαιος κατά τον ύπνο, δεν προκαλούνταν ποτέ από ομιλία ή περπάτημα, ακόμη και ενάντια σε κρύο άνεμο.

^^ Καρδιά, σφυγμός και κυκλοφορία. i Βούισμα στην περιοχή της

^Chlorosis.

■ Palpitation, with a murmur; severe headache and vertigo,

great indolence. ^Chlorosis.

■ Tumultuous action of heart; great lassitude; frequent

palpitation. ^Suppression of menses.

■ Sensation as of something alive, running in heart.

■ Stitches about apex of heart.

Pulse : double beat, very rapid ; scarcely perceptible.

■ Chlorosis, with paleness of skin and mucous surfaces;

clamminess of skin, flabbiness of muscles, great lassitude, severe headache and vertigo ; palpitation and venous murmurs.

CYCLAMEN EUROPIUM. 72

I Chlorosis from checked menstruation, witli headache,

< by the reverse. Deep penetrating dull stitches in region of r. kidney, <

during inhalation. Pain in small of back, ceases when rising from a seat. ^^ Upper Limbs, l Tearing terminating in a stitch, over

and deep seated muscles; extending to fingers, impedes

writing.

■ Bruised pain above elbow-joint, outside; < from motion

tips approach each other and can only be extended by

force. Numbness in r. hand.

Fine prickling between fingers, ceasing after scratching. Red blisters, preceded by severe itching on ring and little

fingers, 1. hand. Distension of veins on dorsum of hand.

■ Writer's spasm, cannot open thumb and index-finger.

^ Lower Limbs, l Rheumatic drawing in 1. gluteus maximus

near spine, while sitting; ceases when standing.

I I Cramp-like pain on r. thigh above popliteal space.

■ Drawing pain in flexors of leg, seeming to start from

■ Burning sore pain in heels, when walking in open air;

hysterical vertigo.

Y3 CYCLAMEN EUROPIUM.

Slight tremor in all the joints.

Limbs feel as if their mobility were impaired.

I Muscles have a doughy feeling and are powerless. ^Chlo- rosis.

Drawing and pressure in muscles and bones.

During inhalation : stitches in r. kidney.

Lying down : vertigo ; dyspepsia ; on back or painful side <.

Rising: headache; flickering before eyes; from a seat, pain in small of back >.

Sitting: in a room, vertigo > ; drawing pain in anus and perineum; flow < during menstruation; rheumatic drawing in gluteus maximus ; pain in heel.

Drawing shoulders forward : twinges up back <.

Drawing shoulders backward: twinges up back >.

Stooping: stitches in forehead.

Standing: rheumatic drawing in gluteus maximus ceases; pain in heel.

Walking : vertigo ; feeling as if brain wobbled ; headache > ; painful restlessness > ; gurgling in intestines > ; pain in abdomen > ; drawing pain in anus and peri- neum ; pain in heel ; after walking, toes feel dead.

Fatigue : from slightest cause ; can scarcely walk across floor; aversion to move a single limb.

Motion: vertigo <; headache <; burning in oesophagus > ; aching pain in stomach > ; stitches in abdomen ;. pain in bowels > ; gurgling in intestines > ; during menstruation > ; stitches in chest; bruised pain above elbow-joints < ; weakness >; aversion to move.

Dancing: suppressed menses. ^^ Nerves. Hysterical vertigo with general nervous erethism.

Hypersesthesia of cutaneous nerves of extremities.

■ Extremely restless and uneasy at night.

Weakness in evening, with ill humor and sleepiness ; >

when moving about. ■Weakness, relaxation and prostration of whole body. • Weakness, paleness of face, eyes sunken, pulse 108.

■ Great lassitude of body, particularly of knees, though

spirits may be good.

■ Fatigue from slight cause. ^Chlorosis.

■ Enervation of whole body, burdensome to move even a

limb. ^^ Sleep. ■ Frequent yawning.

■ Great inclination to slumber, mornings.

CYCLAMEN EUROPIUM. 74

Sleepiness and chilliness.

I Snoring, deep sleep, or sleep disturbed by anxious dreams.

I Great restlessness, sleep unrefreshing and disturbed by- frightful dreams. ^Dysmenorrhoea.

iMiglit restless, interrupted by dreams.

Falts asleep late and awakens early, with feeling of great lassitude and weakness.

■ Restless sleep, dreams of money.

■ Nightmare soon after falling asleep.

iSle'ep disturbed, and toward morning full of dreams; also a pollution.

■ Dreams: lascivious; frightening; vivid.

■ Early awaking, yet so tired and sleepy, cannot arise.

nose ;" fluent coryza; vomiting; sleeps late; pressing

of tongue; dryness of palate ; thirst; hunger; pain and

uneasiness in bowels ; diarrhoea ; during menstruation

flow <; weakness; chill. Night: anxiety; nausea; jerking in teeth; thirst; painful

gurgling in intestines; vomiting; colic; erections;:

tickling in larynx ; violent cough ; scraping in larynx ;

pain in fauces; expectoration; restless; uneasy; sweat;

headache < ; pain in heel ; increase of symptoms ; >

parts and from bathing. Clothing: does not > chilliness.

■ Chilblains.

*" Fever. iChilliness all over body, not relieved by any amount of clothing.

■ Chilliness with irregularities in menstrual function, in

uncovering, chill predominates. Heat principally of face, but without thirst, succeeds chill;,

hands continue cold a long time. Heat and chill alternately.

75 CYCLAMEN EUROPIUM.

Sensation of heat through whole body, particularly in face and on hands.

Heat of various parts with swelling of veins of hands.

Heat of various parts, but not of face.

General heat after eating.

Sweat at night during sleep, moderate, of offensive odor.

Sweat sometimes only on lower part of body. *^ Attacks, Periodicity. Attacks : heat ; throbbing in head.

Frequently: unconsciousness; sneezing; vomiting; sour taste of food ; eructations ; passage of hard stools ; micturition; copious emission of whitish urine; urging with scanty discharge of urine ; trembling of lower limbs; palpitation during menses ; yawning.

Every few minutes : attacks of labor-like pains.

Nearly every day : vomiting.

Every three or four weeks : rush of blood to head ; head- ache ; pressing vertigo.

"Worse during full moon.

Two months and a half: no appearance of menses.

Ten months : suppression of menses. *^ Locality and Direction. Left : pain in temple ; side of head < ; eye drawn toward inner canthus ; half of ob- ject visible ; stitches and itching in inguinal canal ; stitches in side of chest ; rheumatic pain in side of neck ; red blisters and itching on fingers; rheumatic drawing in gluteus maximus; foot feels sprained.

Right: headache < in temple; dulness of hearing; draw- ing pain in ear; pain in teeth; distension below liver; stitches in side; stitches in kidney; laming pressure in arm ; cramp-like slow contraction of thumb and index- finger; numbness in hand; writer's spasm ; cramp-like pain in thigh; itching on calf; < side of head.

Lower part of body : sweat.

Changing locality: itching after scratching. ^Sensations. Sensation of fulness in internal parts; sore and bruised pain in external parts ; as if room was too small ; as if brain were moving within cranium, or as it does when riding in a wagon with closed eyes; as if brain was in motion when leaning against something; as if brain was enveloped in a cloth, which would deprive him of his senses; as though fog were before sight and as though eyes were about to close; as if brain wobbled about while walking; as if looking through dark blue glass, like mist before eyes; eyelids as if swollen; dul- ness of hearing, as if cotton was in ear or something lying before ear; as of an induration on upper lip; qualmishness as after eating too much fat; as if he had eaten too much ; crawling as of something alive in

CYCLAMEN EUROP.EUM. 76

bowels ; as if a spot was suppurating ; as if room was too small ; as if there was not strength enough to breathe; as of something alive running in heart; as if air streamed from nipples ; as if she must let fall that which is in hands ; as if sprained in foot ; limbs feel as if their mobility were impaired.

Pain : in head, with nausea ; in forehead ; one-sided ; 1. temple; in bowels; in fauces; in small of back; in bot- tom of foot.

Indescribable pain : in scrobiculum cordis.

Violent pain : in forehead, temple and vertex.

Tearing : externally in head ; in teeth ; in abdomen ; over scapulas; elbow; in wrist-joint.

Piercing: in upper abdomen.

Stitches: in temples; in eyes; in eyeballs; in inguinal canal ; in chest ; about apex of heart ; in r. side ; in mammse ; penetrating, deep and dull in kidney.

Stitching pains: in forehead; in temples; in vertex ; in teeth; on tongue; in stomach; in region of liver; in abdomen; in umbilical region ; in urethra.

Darting pain : in forehead ; in temples ; in vertex.

Stinging pain: in forehead and temples.

Pricking : at end of urethra ; between fingers.

Sticking : in scalp.

Gnawing pain : in bowels ; in abdomen, thence all over body.

Boring pains : in temples ; in teeth.

Pinching : in abdomen.

Cramp-like pains : in abdomen ; in thumb ; in index- finger ; on thigh.

Twinges : up back.

Labor-like pains : in abdomen ; commencing in small of back and running down each side of abdomen to pubes.

Drawing pain : in r. internal ear ; in and about anus and perineum; in 1. side of neck; in ulna; in wrist; in 1. gluteus maximus; in flexors of legs; muscles; in bones; in periosteum.

Rheumatic pains: in head and ears; in 1. side of neck; drawing in 1. gluteus maximus.

Aching pains: in stomach, extending through to back.

Formicating: on scalp.

Throbbing: in head.

Bruised pain: above elbow-joint. ^^ Tissues. Acts upon the cerebro-spinal system, affecting sensorium, eyes, gastrointestinal canal, and more esj^e- cially the female sexual organs.

Pressive, drawing or tearing pains at parts where bones lie near surface.

77 CYCLAMEN EUROPIUM.

^^ Skin. Itching, leaving a numb sensation.

Itching, pricking, < at night, in bed ; > by scratching, but re-appearing at once at another place.

Pressing, drawing pains, where the skin covers bones.

Papulous, scurfy or pricking eruptions.

Bright red spots, like burns, on thighs.

Painless eruptions.

Scars from varicelli, which have nearly disappeared, be- come dark red, and the forehead is covered with similar spots. *'^ Stages of Life, Constitution. Phlegmatic temperament.

Suitable for blonde leuco-phlegmatic subjects with chlo- rotic condition; disinclination for any kind of labor, easily fatigued ; special senses enfeebled or with func- tions suspended.

Patient pale, chlorotic, with disturbed menstrual function, accompanied by vertigo and headache.

Girl, £et. 3, lively disposition ; strabismus.

Hebrew, set. 16, of lively disposition ; suppression of mensem.

Young lady, set. 18; pain in scrobiculum cordis, and vomiting.

Girl, set. 18, menstruation not yet established, poorly de- veloped; headache.

Girl, set. 20, blonde, menstruating since 16th year, at 17 had chlorosis, since which time menses have been very scanty, although regular; headache, palpitation.

A woman, set. 30; amblyopia.

Young woman, set. 24, blonde, pale, delicate skin, men- struating since 19th year ; two years ago was drenched (by rain) during menstruation, whereupon menses ceased to appear for 10 months, at 11th month, after use of household remedies, menses appeared; dysmenorrhoea.

Girl, set. 28, blonde, chlorotic; non-appearance of menses for ten months.

Man, set. 35, suffering for years ; different mineral waters taken, on advice of allopathic physicians, with no bene- fit; enteralgia.

Man, set. 40; enteralgia.

Coachman, set. 40, strong and hearty; diplopia.

Mrs. , set. 44, of rather large frame, has in former

years had good health and has always worked hard ; excessive menstruation.

Mrs. B., set. 51, strong, healthy Irish woman; mental de- rangement during climacteric.

Woman, set. 60, after ten years' unsuccessful use of various remedies; coryza; malaise.

Weakly old man, with pale, herpetic face and red nose; enteralgia.

CYCLAMEN EUROP.EUM. 78

^'^ Relations. Antidoted by : Camphor, Coffea, Pulsat.