A native of Europe, where it grows on banks of streams and in meadows ; also found in United States. The tincture is prepared from the fresh root. Introduced by Jeaues. Fragmentary proving by Macfarlan. Clinical Authorities. — Injury to eye, Gross, Kiick. Kl. Erf., vol. 1, p. 317 ; Inflammation of inferior maxillary bone, Gate, B. J. H., vol. 34, p. 378 ; Paiii in knee, Funk, Eiick. Kl. Erf., vol. 5, p. 928 ; Fracture of bones, Gilchrist, Med. Inv., vol. 9, p. 79; Non-union of fracture, Hendrichs, A. H. Z., vol. 107, p. 71. ^ Inner Head. Headache in occiput, in top of head, in fore- head, changing places. * Sight and Eyes, i iPain in eyes after a knock or contusion of an obtuse body. VOL. X. — 14. SYMPHYTUM. 210 . I I After being struck upon eye with a cane by a child, no visible injury, but a sensation on closing eye as if upper . lid passed over an elevation on bulb of eye ; on waking eye could not be easily opened, seemed spasmodically closed. ^Hearing and Ears. Cannot hear well ; feels as if ears were stopped up. Inflamed ears. ® Lower Face. ' i Inflammation of inferior maxillary bone; hard, red swelling. " Scrobieulum and Stomach. Pains across epigastrium from one side to other, < opposite spleen, in walking; when sitting < about navel ; griping pain. " Female Sexual Organs. Menses stopped ; headache, weight in forehead when she stoops ; has it almost all time; a good deal of fever every other hour ; cold all day, cramp and diarrhoea ; nose sore inside alee, wants to pick it ; wants to rub her eyes; inflamed ears; feels as if some- thing were in them, stopped up, cannot hear well. ^^ Neck and Back. ' i Psoas abscess. ^^ Lower Limbs. ' i More than a year ago fell and struck knee upon a stone ; wound healed and left scarcely any trace, but there remained an acute stitching pain in place, felt when clothing touched part, or when knee was bent. I I Man suffering with a spontaneous luxation of thigh since childhood, fell and received a fracture of affected thigh ; after two months fragments were quite movable, and as union was despaired of, an apparatus was made which allowed him to sit on a chair during day; Sym- pJiytum 4, four globules every six hours, brought about complete union in twenty days. ^^ Rest. Position. Motion. Sitting : pain about navel. Stooping : weight in forehead. Walking: pain opposite spleen. *^ Attacks, i?eriodicity. Every other hour : fever. All day : cold. *^ Sensations. As if upper lid passed over an elevation on clos- ing eye ; as if ears were stopped up. Peculiar pain: in periosteum, after wounds have healed. Pain : in eyes after a knock or contusion ; across epigas- trium. Stitching pain : in healed wound on knee. Griping pain : about navel. Weight: in forehead when stooping. *' Tissues. Bruises, sprains; sore breasts. I I Inflammation of bones; diseased spinous processes. I I Psoas abscess. 211 . SYMPHYTUM— SYPHILINUM. I Facilitates union of fractured bones and lessens peculiar pricking pain ; favors production of callous. ^^ Touch. Passive Motion. Injuries. Touch of clothing : acute pain in injured knee, after wound healed. Wants to rest eyes. ■ Mechanical injuries, bad effects from blov.'s, bruises, thrusts on eye. Non-union of fracture, particularly when trouble is of nervous origin. Injury to bones; for example, when a blow on eyes injures orbital plates of frontal bone. Irritable stump after amputation. Peculiar pain in periosteum after wounds have healed. Irritability of bone at point of fracture. Gunshot wounds. " Stages of Life, Constitution. Girl, eet. 7, psoas abscess. Miss P., set. 48; inflammation of inferior maxillary bone. ^'^ Relations. Compare: Arnic. in blows; Fluor, ac, Hepar, Calc. phos. and Silica in injuries to bones. SYPHILINUM. (Luesinum.) Syphilitic Virus. A Nosode. Provings by Swan, Med. Adv., 1880, vol. 21, pp. 123-142. Authorities quoted by Swan, Boardman, Wildes, Ballard, Eggert, Morgan, Ostrom, Bradshaw, Skinner, Theobald, Morrison, Clausen, Berridge, Burritt, Nichols, Jackson, Foster, Nash, Schmidt, Boyce, Hawley, Morrow, Haynes, Carr, Allen, H. C, Kent, etc. The collection of cures and observations, by Thomas Wildes, Kingston, Jamaica published in the Homoeopathic Physician, 1891, is incorporated. The n signifies nosodes or symptoms from cases of disease. Clinical Authorities. — Chronic syphilitic headache affecting mind, Wildes, Hom. Phys., vol.11, p. 272; Rheumatic ophthalmia, Berridge, Org., vol. 2, p. 461 ; Inflam- mation of cornea, Norton, Ophth. Tl;er;ip., p. 180 ; Ozana syphilitica, Wildes, Hom. Phys., vol. 11, p. 274; Ptosis, Wildes, Hom. Phys., vol. 11, p. 269; Cancer of r. maxilla (relieved nightly pain), W. L. Eeed, MSS., per Kent ; Faded paralysis, W^ildes, Horn. Phys., vol. 11, p. 269 ; Aphasia, Parcdysis, Wildes, Hom. Phys., vol. 11, p. 269 ; Pain along spermatic cords, Boardman, Org., vol. 2, p. 448 ; Pubo, etc., Swan, MSS.; Leucorrhma, Berridge, Hom. Phys., vol. 3, p. 194; Asthma, Os- trom, Org., vol. 2, p. 262 ; Caries of spine, Nash, Hom. Phys., vol. 6, p. 15 ; Nervous chills, etc., Swan, MSS.; Rheumatism, Schmitt, Hom. Phys., vol. 4, p. 293 ; Papular SYPHILINUM. . 212 eruption, 'Wilde'f, Horn. Phys., vol. 11 ; Blood-boil, Xepra-syphilis from vaccination, Wildes, Horn. Phys., vol. 11 ; Osteosarcoma in labia, Wildes, Horn. Phys., vol. 11 ; Syphilitic destruction of hard and soft palates, Wildes, Horn. Phys., vol. 11, p. 274; Syphilis, Skinner, Med. Iiiv., vol. 4, p. 568; Syphilitic neuralgia (worse at night), W. L. Keed, MSS., per Kent; Syphilitic prurigo and herpes, Wildes, Horn. Phys., vol. 11. ^ Mind. Loss of memory, n. Loses remembrance of passing occurrences, names, dates, etc., while all occurrences previous to inception of dis- ease are remembered as distinctly as ever. n. Great difficulty, and sometimes impossibility of concen- trating thoughts on particular subjects; yet at same time can recollect consecutive events and details which occurred twenty-five or thirty years previously, in order of occurrence, almost without effort, n. Cannot remember names of persons, books or places. Difficulty in making arithmetical calculations. Very nervous, weeping without cause. I I Cross, irritable, peevish. ^Periodical neuralgia in head. I I Very despondent, does not think will ever get better. ^Syphilitic sore mouth. I I Terrible dread of night, not on account of cough so much as on account of mental and physical exhaustion when she awakes ; it is intolerable, death is preferable ; she fears to prepare for night and is positively in abject fear of suffering, in form of exhaustion, on waking ; it is < by cough, but it is quite independent of cough as she wakes in this awful state ; always < as night ap- proaches; leaves her about daylight, which she prays for. ^Spring cough. Feeling as if going insane, or about to be paralyzed. A far-away feeling, with apathy and indifference to future. ^ Sensorium, Vertigo on looking up, seems to be caused by heat. ^ Inner Head. ■ Headache : linear, from or near one eye backward ; lateral ; frontal ; from temple to temple ; deep into brain from vertex; as from pressure on ver- tex ; in either temple, extending into or from eye, > by warmth ; in bones of head ; < by heat of sun ; after sun- stroke. Sick-headache, pains intolerable, arteries of head full and pulsating violently ; high fever, frequent retching on trying to vomit; menses regular, but very scanty. I I Lancinating pain in occiput, invariably < at night, n. Headache and great debility. I Neuralgic cephalalgia causing sleeplessness or delirium 213 . SYPHILINUM. at night, always commencing about 4 p.m.; < at from 10 to 11, and ceasing at daylight. Great loss of hair. n. I I Nervous chills preceded by aching pains in head, espe- cially in occiput and integuments thereof, head feeling heavy, sore, congested ; also frontal headache about one- half or two-thirds inch wide across forehead under eye- brows; aching pains below waist, in pelvis and extrem- ities, especially in tibia, which is sensitive to touch ; pains commence about 4 p.m., culminate about midnight in delirium, and cease entirely at daylight. Bursting sensation in vertex as from severe cold. Pain from eyes through to occiput, with sensation of weight in occiput drawing head back, or as if it were pulled back ; eyes ache and smart. I I Constant linear headache, commencing at both angles of forehead and extending in parallel lines backward — a precursor of epileptic attack. Heavy, crushing, cutting pain across base of cerebellum. Heavy, clouded, dull feeling in base of brain. 1 I Syphilitic cephalalgia in occiput, intolerable, extending to nervous ganglia of ne<3k, causing hardening of cords ; attacks at irregular intervals, especially after excitement. ^Secondary syphilis. I Headache through temples, thence vertically, like an inverted letter T. I I Coronal headache. ^Secondary syphilis. ■ Headaches accompanied by great restlessness, sleepless- ness and general nervous erethism. I 1 Syphilitic headache for many months, piercing, pressing, excruciating over r. eye, extending deep into brain ; losing continuity of thought and memory; makes re- peated mistakes in figures. * Outer Head. Suffusion and full feeling in face, throat and head, with innumerable small enlarged cervical glands. Sore, one and a half inches in diameter, on occipital bone, covered with a thick, yellow-white scab. I I Dirty eruption on scalp. ^ Sight and Eyes, l iRed papulous eruption around 1. inner canthus, with isolated pimples on side of nose, cheek and eyebrow; these pimples were red, with depressed centre, circumscribed areola, became confluent where they were most dense; pimples bleed when scabs come off; agglutination of lids. Myopia, n. Sensation of heat with a little pain in outer half of 1. lids. Sharp pulsating pain, occasionally at outer end of supe- rior border of r. orbit, apparently in periosteum. SYPHILINUM. 214 ■ Upper lids swollen. I During sleep lids adhere. ^Infantile syphilis. ■ Ptosis : paralytica; eyes look sleepy from lowering of upper lid. Diplopia, one image seen lower than other. Strabismus paralytica, eye turning inward, and pupil can only be turned outward as far as median line. ■ Paralysis of superior oblique. ■ Chronic recurrent phlyctenular inflammation of cornea; successive crops of phlyctenules and abrasion of epi- thelial layer of cornea; intense photophobia; profuse lachrymation ; redness and pain well marked ; delicate scrofulous children, especially if any trace of hereditary syphilis remains. Interstitial keratitis. ■ Chronic congested spots on eye, more often on temporal side, usually about one to three lines behind cornea, of a dark-red color, apparently embedded in sclera. ^Syph- ilis. Photophobia, black spots, shreds or veils before sight. Itching of 1. inner canthus. I I Left eyeball covered with funguslike growth, pain in- tense, < at night. I I Eyes red and inflamed. ■ Acute ophthalmia neonatorum, n. I I Eyes swollen and closed with syphilitic ophthalmia, pus running out of them. ^Infantile syphilis. I I Redness and swelling of outer halt of both lower tarsal edges. I 1 Acute ]. conjunctivitis, with considerable pain in eye- ball, photophobia and lachrymation, followed by iritis; nocturnal aching in eyeball, pain extremely violent from 2 to 5 A.M.; sight impaired. ^After syphilis three or four years ago. I I Syphilitic iritis, intense pain steadily increasing night after night; < between 2 and 5 a.m., coming almost to the minute and ceasing same way. ^Secondar}' syphilis. Iritis with photophobia, congestion of conjunctiva and sclerotica, with puffiness of conjunctival mucous mem- brane ; chemosis, pupil immovable, diminution of sight; supraorbital pain. I I Pain in r. inner canthus as if blood went there and could go no further, also in r. temple. ^Rheumatic iritis. I I At 1 P.M. scalding lachrymation of r. eye with shooting therein, followed by shooting from around eye into eye; eye red and closed ; this lasted about an hour, then de- creased, ceasing about 3 p.m.; recurred for two succes- 215 SYPHILTNUM. sive da^^s and again four da3'S afterward in a slighter degree, but at same hour. ^Rheumatic iritis. I I On turning eye to 1. feels momentary coldness in inner half of r. eye. ^Rheumatic iritis. I I On waking, gum in r. canthus. ^Rheumatic iritis. I I On walking across room, r. eye sensitive to air, aches on using it. ^Rheumatic iritis. I 1 Both eyes glued in morning; conjunctiva injected; photophobia, constantly wears a shade. ^Ozsena. I I Eyes dull. ^Infantile syphilis. i I Ophthalmic pains, < at night, > by cold water. I I Right eye alone affected, congestion of conjunctiva and sclerotica, with some chemosis; lids inflamed, espe- cially at outer canthus; sensation of sand in eyes; lids agglutinated in morning ; great photophobia. ^Heredi- tary syphilis. I I Left eye closed, upper lid swollen as large as half an English walnut ; deep red, not much pain, with oozing of purulent matter from between lids. I I Neuralgia every night, beginning about 8 or 9 p.m., gradually increasing in severity until it reached its height about 3 or 4 a.m., and after continuing thus for two or three hours gradually decreased and finally ceased about 10 a.m. ; attacks gradually get more severe and. last longer ; first feels cold all over, almost a shiver; then soreness as if beaten in r. half of head, extending a little beyond middle line on vertex ; in about thirty minutes scalding lachrymation from r. eye, with shoot- ing backward increasing to a boring backward therein; eye is very red and closes, with photophobia; gnawing pains extend down r. side of face and whole of nose; head is worst when eye is bad ; during paroxysm r. eye feels as if lids were open wide, and cold air blowing on exposed eye ; she perceives a horizontal band across pupil of r. eye hindering sight; this came on soon after paroxysms commenced; eye > by placing handker- chief on head and letting it hang over eyes, also by gentle pressure, though she cannot bear much pressure; it is more painful when lying on r. (aff'ected) side when also r. side of head feels sore ; r. eye red, and red vessels run all over it, converging toward iris; r. pupil horizon- tally oval ; r. iris looks dull and there is a slight brown hue around pupil ; 1. eye normal ; attacks seem to have originated from sitting at a window in a cold draft, r. eye being next window. ^Rheumatic ophthalmia. ^ Hearing and Ears. ' ' Intense earache in r. ear, incisive pains thrusting into ear; purulent, watery discharge from ear with pain. SYPHILINUM. 216 I I Gathering in 1. ear which discharges a great quantity of pus. ^Hereditary syphilis in a child. I I Deafness gradually increasing until she could scarcely hear at all. I I Complete deafness ; nothing abnormal to be seen. I Catarrhal or nerve deafness with marked cachexia. I I Calcareous deposit on tj^mpanum. I I Small, acrid, water}'^ discharge occasionally from ears, no deafness. ^OzEena. '' Smell and Nose. Left side of nose, inside ala, itching. Nose stuffed up and burning. I Attacks of fluent coryza. I I Offensive, thick yellow-green nasal discharge ; during sleep dry scabs form in both nostrils ; following an ap- plication of salve for sore eyes ; 1. submaxillary gland, which had been swollen and indurated, softens, dis- charges and, after forty-five days, begins to heal slowly. I I Ozsena syphilitica; /^p/i. brought out an eruption of sores with a fiery-red base on nose and over frontal sinuses. I I Left side of nose inside and out very sore, likewise lips and chin ; sores itching and scabbing over. ^Heredi- tary syphilis. Iltching in nostrils. ^ Upper Face. Face drawn to one side, difficulty of speak- ing, masticating, blowing, n. I I Spasmodic twitching of many muscles, especially in face (paralysis agitans), with great melancholy and depression of spirits. ' (Facial paralysis r. side, thick speech, hemicrania, jacti- tation of r. eye and lid. An old gentleman has had, for some years, cancer on r. malar bone ; no rest, his agonies excruciating in ex- treme (relieved). I I Face pale. ^Curvature and caries of cervical spine. Iltching, scabby, eczematous eruptions singly or in clus- ters, looking like herpes. I I Nose and cheeks covered with eruptions and scabs; scabs in layers rising to a point. I Dark purple lines between alse nasi and cheeks. I I A boy, £et. 20 months, fretful, peevish, cross and crying, tossing in his sleep, grinding his teeth, face dotted with papules filled with a watery yellowish matter, most on edges of lids ; teeth irregular, arms and legs emaciated, very tottery on his feet, very nervous. ■* Lower Face, l ' Lips and teeth covered with bloody mucus. ^Infantile syphilis. Sores on lips and chin, especially 1. side scabbing over. '° Teeth and Gums. Single small lunse cleft in upper inci- 217 SYPHILINUM. sors, permanent set, which incisors are dwarfed in their general dimensions, and converge at their tips; inherited syphilis, n. First central upper incisors serrated, permanent teeth point toward each other, inner side concave, edges serrated, n. Children's teeth are cupped. Teeth decaying at edge of gum and breaking off. n. Pain in r. upper jaw, as if from teeth, with swelling of face. Painless fluttering occasionally in teeth, very peculiar, as of something alive, cannot detect which tooth it is. I I Felt like a worm in tooth, could not tell which tooth. Singular feeling as if teeth had all got out of place, and on closing jaws teeth do not come well together. Occasional aching in 1. upper teeth. ^^ Taste and Tongue. Tongue red and thick ; two deep cracks running lengthwise in it; one on each side of median line. I 1 Aphasia; facial paralysis 1. side; ptosis and sudden pa- ralysis of 1. optic nerve, causing many weeks of blind- ness ; partial paralysis of tongue, which also protruded, crooked ; sluggish heaviness of speech, complete hemi- plegia for first thirty-six hours, afterward partial for several weeks. I I Aphasia, difficulty of finding words ; debility. '^ Inner Mouth, l l Fetid breath. ^Secondary syphilis. I Tongue coated ; white, edges indented by teeth. Tongue turns to one side when protruded ; difficulty in mastication, cannot turn food with tongue so readily from r. to 1., as in other direction, n. I I Putrid taste in mouth before epileptic fit. I I Tongue very red and thick; covered with herpetic erup- tion, two deep cracks running lengthwise on each side of median line, making it difficult to swallow, ^Secon- dary syphilis. Tongue thickly coated, dirty, edges indented or serrated by teeth, n. I I Twenty ulcers in mouth, every part of which was in- volved, on top and under side of tongue, on lips, in . buccal cavity, fauces and in nose; two large ones, one on each side near apex of tongue, very much swollen, one on r. side had a gangrenous centre, rest lardaceous bottoms with bright, fiery-red edges, and were cut down as with a knife, felt hard like an indurated chancre; septum of nose threatened, both alee nasi very painful, smarting with burning as if on fire ; pains and burning prevented sleep ; hungry but could eat nothing but fluids as mastication was impossible; tongue heavily SYPHILINUM. 218 coated white, large' quantities of stringy viscid saliva ranning from mouth, of a sweetish taste ; a putrid sick- ening odor filled whole house ; all symptoms < toward night. ^Secondary syphilis. ■ Herpetic eruption in mouth, tonsils, hard palate and fauces, completely covering inside of mouth and throat, making it very difficult to swallow even liquids. ^Sec- ondary syphilis. I I Syphilitic destruction of hard and soft palates. "Throat. l Chronic hypertrophy of tonsils. ^Hereditary syphilis. I iChancrous ulcer extending across velum palati to 1. pil- lar of pharynx. ^Secondary syphilis. lAcute pharyngitis. ^Secondary syphilis. ^* Appetite, Thirst. Desires, Aversions, i i Appetite indif- ferent and capricious. ^Psoas abscess. I 'Total loss of appetite for months, little or nothing satis- fies him ; formerly was generally ravenous. ^Caries of dorsal vertebrae. I I Loss of appetite. ^Rheumatism. Thirst. ■ Tendency to heavy drinking; alcoholism. ■ Aversion to meat. ■ Dyspepsia; flatulence, belching of wind; nervous dys- pepsia. ^® Hiccough, Belching, Nausea and Vomiting. Nausea. ■ Heartburn with pain and rawness from stomach to throat pit, often with cough. I I Vomiting for weeks or months due to erosion from super- ficial ulceration of lining of viscus, herpetic, of S3''phi- litic origin. ^ Abdomen. Pain or distress deep in abdomen as if in omentum. Feeling of heat internally in hypogastric region. Pains in r. groin followed by swelling of glands. I I Large painless bubo in r. groin opened and discharged freely. ^Secondary syphilis. Slight lancinating pains in one groin, < at night. ■ Inguinal bubo. ^° Stool and Rectum, l i Bowels torpid for five weeks. ^Peri- odical neuralgia in head. I I Obstinate constipation for many years; rectum seemed tied up with strictures ; when injections were given agony of passage was like child-bearing. ■ Chronic constipation, with fetid breath, earthy com- plexion, gaunt appearance. I I Stools very dark and offensive. ^Infantile syphilis. I I Stools too light-colored. ^Rheumatism. 219 SYPIIILINUM. I I Bilious diarrhoea at seashore, painless, driving her out of bed about 5 a.m. ; stools during day, later causing excoriation ; face red, suffers from heat ; occasional pain- less, whitish diarrhoea when at home, always > by going to mountains. ■ Obstinate cases of cholera infantum. I I Lower portion of rectum hanging out like a ruffle, look- ing like a full-blown rose fully three inches in diameter, and sensitive; constant weak dragging sensation in rec- tum, extending as far as sacrum. I I Fissures in anus and rectum. 1 I Two indurated ulcers at mouth of anus somewhat sore; slight itching of moist anus. ^Primary syphilis. ^' Urinary Organs. Itching in orifice of urethra. -A sensation, in morning on going to urinate, as if male urethra were stuffed up, or clogged, about an inch from orifice. Scalding urine. I I Urination difficult and very slow; no pain, but a want of power, so that he has to strain. ^Secondary syphilis. I Urine infrequent, not oftener than once in twenty-four hours, scanty, of a golden-yellow color. I I Profuse urination after chill; passed during night nearly a chamberful. I I Rich lemon-yellow scanty urine. 1 I Frequent urging to urinate all night, at least from 5 to 7 P.M. until 5. A.M. '^^ Male Sexual Organs, i Chancre on prepuce. I Buboes. Burning in chancre size of a split pea, on prepuce above corona glandis; edges red and raised, bottom covered with lardaceous deposit ; glans purple, on 1. side covered by an exudation. I I Chancre on penis, third in two years, all on same spot. ^Secondary syphilis. Aching of genitals, could not sit still for over a month. 1 I After suppressed chancre, disease attacked testes and scrotum, wdiich became painful and swollen ; this was supposed to be cured, but ever since, every few weeks, if exposed at all to damp weather, would be seized with pains as if in kidneys, seemingly traversing ureters, but instead of passing into bladder followed spermatic cord, down groins and into testes; pain agonizing, chiefly in cord, in present attack in r. ; pricking in chancre. I I Constant pain in anterior part of r. thigh, < while standing, painful all night, preventing sleep; bubo in 1. inguinal region size of a pigeon's egg, purple, fluctuat- ing ; night sweats. SYPHILINUM. 220 I I Chancroid, phagedenic, spreading rapidly; buboes com- mencing in each groin. Ilnflammation and induration of spermatic coi"d. ^^ Female Sexual Organs, i ' Uterus and all surrounding parts loose, soft and flabby; profuse, thick, yellow leu- corrhcea; constant pain across small of back. Slight whitish leucorrhcea. lYellow offensive leucorrhcea, watery or not, so profuse it daily soaks through napkins and runs to heels of stock- ings if much on her feet. ■ Profuse yellow leucorrhcea, < at night ; in sickl}^, nervous children. ^Inherited syphilis. I iSoreness of genitals, and muco-purulent discharge, in a child. I I Acrid discharge causing violent itching and inflamma- tion of external organs, < at night from warmth of bed, parts very tender; itching and inflammation > during