Ipecacuanha

Ipecac. Ruhiacese.

A plant native to Brazil. The tincture is prepared from the dried and finely powdered root.

Provings by Hahnemann and his provers. See Allen's Encyclopedia, vol. 5, p. 137.

Clinical Authorities Hypochondriasis, Hufeland, B. J. H., vol. 27, p. 621 ;

Apoplexy, Eummel, Riick. Kl. Erf., vol. 1, p. 92 ; Choroiditis, Tamhayn, B.

J. li., vol. 18, p. 252 ; Ophthalmia, Jousset, B. J. H., vol. 28, p. 19 ;

Turrel, Hom. Clin., vol. 3, p. 30 ; Nasal catarrh, Bigel, Kiick. Kl.

Erf., vol. 1, p. 388 ; Influenza, Ger- ner, Euck. Kl. Erf., vol. 3, p. 42 ;

Riickert, B. J. H., vol. 26, p. 569 ; Vomiting, Lobeth, Genzk, Diez, Riick.

Kl. Erf., vol. 1, p. 557 ; Hughes, B. J.

H., vol. 18, p. 38 ; Nervous vomiting, Jousset, B. J. H., vol. 27 p. 622 ;

Chronic vomiting, Hughes, B. J. H., vol. 23, p. 677 ; Smith, Allg.

Horn. Ztg., vol. 109, p. 32 ; Hcetnatemesis, (5 cases), Goullon, Nunez, Riick. Kl.

Erf, vol. 5, p, 265 ; Goullon, B. J. H., vol. 26, p. 583;

Melmna, Pomeroy, Raue's Rec, 1872, p. 151; Diarrhma, Kafka, Riick. Kl. Erf, vol. 5, p. 418 ;

Huber, Ruck. Kl. Erf, vol. 5, p. 418 ; Knorre, Goullon, B.

J. H., vol. 27, p^ 632; Lobethal, Boenninghausen, Muller, B. J.

H., vol. 27, p. 630; Jahr, Horn. Clin., vol. 1, p. 195; Dysentery, Henke, B.

J. H., vol. 27, p. 627; (2 cases), Drysdale, B. J.

H., vol. 33, p. 738 ; Thayer, Raue's Rec, 1872. p. 43 ; Cholera infantum, Miller, Raue's Rec, 1874, p. 196 ; Cholerine, Goullon, Kafka, B.

J. H., vol. 27, p. 632 ; Cholera, D|:ysdale, B. J.

H., vol. 8, p. 161 ; Widman, Rupprig, Roth, Riick. Kl. Erf., vol. 1, p. 948;

Hannaturia, Gaspary, B. J. H., vol. 26, p. 583; Uterine hemorrhage, liawkes, Organon, vol. 2, p. 132;

Teller, B. J. H., vol. 26, p. 580; Hartmann, Kallenbach, Gaspai-, Riick.

Kl. Erf, vol. 2, p. 312; Menorrhagia, Patzak, Riick. Kl.

Erf, vol. 2, p. 235 ; Nausea and vomiting of pregnancy, Miiller, Schreter, Wolf, Knorre, Riick. Kl. Erf, vol. 2, p. 382 ;

Miiller, Rummel, Schreter, Rau, Knorre, B. J. H., vol. 27, p. 622; Hemorrhage with abortion, Kiisemann, Kallen- bach, B.

J. H., vol. 26, p. 582 ; Eclampsia, Rummell, B. J.

H., vol. 28, p. 10 ; Post- partum hemorrhage, Raue's Rec, 1870, p. 271 ; Miller, Raue's Rec, 1873, p. 183 ; Bell, Hah.

Mo., vol. 4, p. 405; Laryngismus stridulus, B. J. II., vol. 12, p. 457 ;

Laryngitis,

IPECACUANHA. 234

sp<mn of corc?s, Pemer], Eaue's Eec, 1870, p. 156; Emphysema, Meyer, Petroz, Miiller, B. J. H., vol. 26, p. 567 ;

Asthma, Frank, N. A. J. H., vol. 8, [>. 96 ;

Kreuss, Sonnenburg, Kiimpfer, Bethmann, Eiick. Kl. Erf., vol. 3, p. 189 ; Miiller, Meyer, Eiick.

Kl. Erf., vol. 5, p. 799 ; Cough, Hughes, B. J.

H., vol. 18, p. 39 ; Knorre, Lobethal, Bernstein, Hering, Kasemann, Hirsch, B, J. H., vol. 26, p. 568-9 ; Knorre, Lobethal, Bernstein, Kasemann, Hering, Bigel, Hirsch, Eiick.

Kl. Erf., vol. 3, p. 16 ; Hartmann, Schron, Kasemann, Schelling, Bethmann, Eiick. Kl.

Erf., vol.3, p. 79 ; Whooping cough Meyer, B. J. H., vol. 15, p. 43 ;

Miiller, Kafka, B. J. H., vol. 26, p. 570; Hcemoptysis, ChaAraevs, Eaue's Eec, 1870, p. 195;

Eidherr, Eiick. Kl. Erf., vol. 5, p. 805 ; Hysteria, Eummel, Eiick.

Kl. Erf., vol. 2, p. 286 ; Hysterical spasms, Attomyr, Eiick. Kl.

Erf., vol. 4, p. 574; Spasms, Jahr, Eiick. Kl. Erf., vol. 4, p. 574 ;

Schreter, Nenning, Eiick. Kl. Erf., vol. 4, p. 574 ; Spasmodic conditions, Eum- mel, Eiick.

Kl. Erf., vol. 4, p. 573; Tetanus, Trismus, Schneider, Hahnemann, Ack- erman, Bogel, B.J. H., vol. 28, p. 11;

Epilepsy, Tietzer, Eiick. Kl. Erf., vol. 4, p. 573; Ague, Hering, Loebthal, Nagel, Tripi, Escallier, Hencke, Hirsch, Biirkner, Vehseman, Miiller, Horner, Thorer, Neumann, Szontagh, Kasemann, Baertl, Eiick.

Kl. Erf., vol. 4, p. 928-40; Lobethal, Ecallier, Wurmb, Caspar, Hencke, B. J.

H., vol. 28, p. 4; (34 cases), Muller, N. A. J.

H., vol. 4, p. 271-273; Hawkes, Organon, vol. 2, p. 114; Allen, Organon, vol. 2, p. 239 ; Hoffman, Organon, vol. 3, p. 112;

Morrison, Allen's Int. Fever, p. 152; Intennittent fevei^. Stow, Eaue'sEec, 1871, p. 196 ;

Edmundson, Eaue's Eec, 1874, p. 279 ; Frost, Eaue's Eec, 1875, p. 272 ; Carr Organon, vol. 2, p. 204; Measles, Hartmann, Eiick.

Kl. Erf, vol. 4, p. 97; Scarlet fever, Hahnemann, Trinks, Eiick. Kl.

Erf., vol. 4, p. 53; Yellow fever, Taft, Eiick. Kl. Erf., vol. 4, p. 665;

Anceinia, Haubold, Eiick. Kl. Erf., vol. 5, p. 604; Opium poisoning, Korndoerfer, Hom.

Clin., vol. 1, p. 266.

^ Mind. Is awkward and stumbles against everything. Wrapt in thought; taciturnity. I I Full of inexpressible desires.

iMoaning and sighing with the fever. ^Intermittent. iChild cries and screams violently and incessantly; sticks fist into mouth ; face pale, body cool.

■ Every 6 or 8 weeks anorexia and hypochondria, with

pressure and tension, and tympanitis of epigastrium; constipation, with disgust and impatience of labor; at- tacks preceded by nausea, and tendency to diarrhoea. ^Hypochondriasis.

I I Dejected mood, morose, enjoys nothing.

I Peevish; irritable; impatient; morose, scornful mood.

nil humor, despises everything.

I I Fretfulness. intermittent. ^Cholera in fjintum.

I I Extremely impatient.

I I Morose mood that scorns everything, and desires also that

others shall not appreciate or value anything.

I I Ailments from vexation and reserved displeasure.

^ Sensorium. BApoplexia nervosa et serosa; vertigo; droop- ing of lips; impaired speech; dribbling of saliva from mouth ; paralysis of extremities.

■ Vertigo when walking and when turning.

235 IPECACUANHA.

^ Inner Head. iLacerating pain in forehead, excited and aggravated by feeling the heart, or by stooping. I Aching in forehead ; fine stinging pains in forehead.

■ Headache over 1. eye. Stitches in vertex, or forehead.

■ Lancinating in head.

I I Short paroxysms of fine and violently stinging pains in head, increasing to an aching.

■ Stinging headache, with heaviness of head, also with

drowsiness.

■ ■Headache, as if bruised, all through bones of head and

down into root of tongue; nausea, vomiting; > outdoors.

■ ■Headache as of a bruise of brain and skull, which pierces

through all the cranial bones into roots of teeth, with nausea.

■ Headache as though brain were mashed, with nausea and

vomiting; miliary eruptions on forehead and cheeks by spells; pale face, and pale mucous membranes; scanty and short menses; weak pulse, cold hands; morose, enjoys nothing. ^Chlorosis.

■ Lacerating headache, from morning till noon. I I Dull drawing in head, to and fro.

■ Beating pain in head and pit of stomach after coughing.

■ Heat and throbbing in head, with red cheeks.

■ Semilateral headache, with nausea and vomiting.

I I Tensive headache in occiput and nape of neck, extend- ing as far as shoulders.

■ Pain in occiput and nape of neck.

■ ■Gastric headaches, occurring in nervous, sensitive per-

sons, commencing with nausea and vomiting.

■ Malarial headache; loss of appetite and vomiting.

■ Hydrocephaloid: fontanelles open; painful soreness of

occiput and neck; blue rings under eyes; frequent nosebleeding; pale face; nausea and vomiting; green, putrid discharges from bowels. * Outer Head. iCold sweat on forehead. ^Diarrhoea.

■ Open fontanelles ; occiput and neck sore. ^Hydrocephaloid. ^ Sight and Eyes. ■ Worse from light, especially of a candle.

■ Blue and red halo around light.

■ Optical illusions in bright colors.

■ Obscuration of sight; eyes inflamed.

I I Eyes sunken ; blue margins around them. /^Cholera in- fantum. I I Dilated pupils.

■ Severe shooting pains through eyeballs, profuse lachry-

mation on looking steadily ; blue and red halo around flame, pupil normal and mobile, with no external in- flammation or lesion, except slight palpebral conjunc- tivitis. ^Choroiditis.

IPECACUANHA. 236

■Phlyctenules and ulcers of cornea or conjunctiva, espe- cially if there is much photophobia; cornea may be vascular ; redness of conjunctiva, lachrymation and pain and nausea.

■ Pustular inflammation of cornea and conjunctiva.

■Child after catching cold : lids red and swollen ; photo- phobia, lids being kept tightly closed ; copious, purulent discharge, < at night; conjunctiva injected and swollen, especially on r. side, where engorgement was so severe that pupil appeared buried in a circular depression ; dis- charge from eyes so copious that it soiled hair and ears ; continual copious, green, diarrhoeic stools, with colic ; great emaciation ; sleepless day and night ; edges of lid red, without oedema; r. imbedded cornea ulcerated, also 1., but in a less degree.

■Inflammation of eyes ; on opening r. lids, which were swollen, copious gush of tears ; conjunctiva of bulb in- jected and infiltrated, and on close examination number of small depressions were noticed ; intense tearing or tensive pains in eyes ; great photophobia.

■Scrofulous ophthalmia when there is keratitis with ulcer- ation or infiltration of cornea ; redness of eye, extreme photophobia, pain in temples and forehead.

■ Catarrhal conjunctivitis with profuse yellow discharge

and chemosis.

■ Scleroticse yellow.

I I Hardened mucus in external canthi.

■ Twitching of eyelids.

*^ Hearing and Ears, i Cannot endure the least noise.

■ Ears cold during febrile heat.

^ Smell and Nose. Coryza: dry ; with stoppage of nose ; loss of smell ; nausea ; epistaxis. ■Stoppage of nose; loss of smell; heaviness of head ; dry cough, particularly at night coming on in long lasting paroxysms, with painful shocks in head and stomach ; nausea followed by vomiting, general sweat and great weakness. ^Chronic catarrh.

■ ■Nosebleed, blood bright red; face pale.

Nose itches ; when nausea is over, violent hunger. * Upper Face. BFace : pale and puffed ; pale, and body cool; sunken ; deathly pale, sunken eyes with blue margins ; livid, yellowish.

■ Convulsive twitches in muscles of face and lips.

■ Rash.

^ Lower Face. ' iSkin around the mouth red.

Smarting eruption and'aphthse on margin of lips.

■ Lips: blue, during chill; W'hite, during hemorrhage.

^^ Teeth and Gums. I Child thrusts its fist into mouth ; screams

237 IPECACUANHA.

violently; face pale; body cool ; vomiting and watery stools ; prostration ; spasms. ^Dentition.

I I Pain in a hollow tooth when biting on it.

I I Pain in molars > while eating; < in afternoon and still more at night.

I Teeth chatter, with chill. ^Intermittent. " Taste and Tongue. ' i Loss of taste.

Taste: bitter; sweetish, bloody ; like rancid oil, when swal- lowing; earthy; flat, with white, thickly coated tongue.

I Tongue: clean; yellow or white ; pale.

■ Disinclined to talk; tongue dry.

^^ Inner Mouth, ii Profuse accumulation of saliva; is con- stantly obliged to swallow it. •Smarting in mouth and on tongue. 13 Throat. I Fauces dry, sore, rough, stinging.

■Spasmodic contractive sensation in throat and chest ; difficult deglutition.

■ Pressure in throat, with pains in diaphragm. I I Deep red color of tonsils and pharjmx.

I I Rapid congestion of mucous membrane of pharynx ; secretion of a thick, plastic, whitish, nauseous humor, appearing at first under form of small white or grayish points, either on tonsils or velum palati or pharynx. " Appetite, Thirst. Desires, Aversions. 1 1 Thirst or thirst- lessness.

■ Desire for dainties and sweets.

■ ■Averse to all food, no appetite; earthy taste; stomach

feels relaxed ; nausea.

■ ■Great disgust and loathing of any sort of food.

^^ Eating and Drinking. ■Indisposition from indigestible substances, lemon peel, berries, raisins, sweets, cake, pastry and unripe fruit, salads, pork, fats^ sour beer, etc. After eating: nausea; vomiting; stool.

■ Colic, with nausea and vomiting, after cold drinks or ice

cream. ^^ Hiccough, Belching, Nausea and Vomiting. ■ Hiccough : with nausea; of children.

■ Eructations every eight to ten minutes; with rumbling

in abdomen.

■ Waterbrash.

■ ■Nausea: distressing; constant, with almost all com-

plaints; as if from stomach; with empty eructations; accumulation of much saliva; qualmishness, and efforts to vomit.

■ Nausea and retching from smoking; primary effects of

tobacco.

■ Faintness, nausea, retching. ^Post-partum hemorrhage.

■ Inclination to vomit without nausea.

IPECACUANHA. 238

I Nausea, profuse saliva; vomiting of white, glairy mucus;

< stooping.

I I Nausea, with distension of abdomen and dryness in throat; after vomiting inclined to sleep.

■ Constant but unavailing desire to vomit; or immediately .

after vomiting wishes to do so again.

■ Incessant retching with vomiting of watery fluids and

cutting pain in belly.

■ Constant nausea and vomiting of yellowish mucus.

■ Vomiting: of ingesta; of bile; of grass green mucus;

bilious, putrid; copiously of jellylike mucus; of blood, or of a pitchlike substance; of a dark colored liquid, with or without blood; of a sour fluid ; of large quanti- ties of mucus; always with nausea; during pregnancy; with thirst, sweat, bad breath; with diarrhoea, colic, dis- tended abdomen; with clean tongue. I I Vomiting causes great pain in loins and hips.

■ Nervous vomiting, frequent and with constant nausea. ■Vomiting due to irritability or other abnormal condition

of nerves of stomach, particularly when tongue is clean, and persons are weak and nervous, and of large build ; constant nausea and retching of hysterical w^omen; morning vomiting in weakly persons who are affected by worms; nausea in nervous fevers and that which remains after an attack of indigestion.

■ Vomiting of food soon after eating, tasting very sour and

accompanied by much retching; tongue coated in middle, edges red ; region of stomach and hypochondria sensitive to pressure; three or four stools daily; general weakness; menses irregular; urine dark, depositing urates. ■Vomits everything taken ; food causes pain during short time it remains in stomach; tongue brown and cleft; bowels regular; urine thick, ^Chronic vomiting.

■ Loss of appetite nine months ago, without assignable

cause; then followed vomiting of all food, with great debility; bowels much relaxed; smarting of eyes; cata- menia regular.

■ Vomiting almost constantly for days. ^Remittent fever.

■ Emaciated, scrofulous child, suffering from disease of

mesenteric glands, vomited everything taken and cried the whole day ; the vomited matter and accom- panying chopped stools smelt very sour.

■ ■Constant nausea often M'ith vomiting large masses of

mucus, generally green. ^Diarrhoea of children.

■ Tormina and bilious vomiting, coming on at first every

fourth day, but latterly ever}^ Saturday; nausea with extreme weakness and repeated fainting; frequent at-

239 IPECACUANHA.

tacks of violent, bilious vomiting, obliging her to keep in bed all day ; on other days perfectly well.

■ Vomiting of infants at the breast.

■ Stooping causes vomiting,

^^ Scrobiculum and Stomach, i i Uncomfortable feeling in epigastrium.

■ Violent distress in pit of stomach; attacks of pain;

beating.

■ ilndescribable sick feeling in stomach.

■ iSensation as if stomach hung down relaxed.

I I Pressure in stomach; clutching pains; beating. ■Cardialgia; typical form.

■ ■Pain most severe in front of abdomen, extending to 1.

hypochondrium, to sides, to back, and base of chest, with swelling of stomach; great agitation; constant nausea proceeding from stomach, with em[)ty eructations and accumulation of much saliva; easy vomiting; diarrhoea.

■ Stomachal catarrh, with abhorrence of all food, and

tobacco; with nausea, vomiting, colic and diarrhoea; tongue always clean.

■ Gastric catarrh from indigestible food or ice cold things;

pain and mucous vomiting.

■ After eating fat pork, headache, loss of appetite, nausea,

vomiting; prostration and debility; pain in forehead; pale, bloated face; photophobia without redness of eyes; flat taste, slimy coated tongue; great thirst; frequent vomiting preceded by pressure and pain in stomach; frequent, offensive, flocky stools; slight, dry cough; oc- casional twitchings of muscles of face, lips and eyelids; restless sleep with frequent startings.

■ Indigestion, from overloading stomach.

■ Dyspepsia every day, or every other day, at same hour.

■ After slight digestive disturbance, sudden vomiting of

blood, occurring three times within seven daj^s; blood at first dark and coagulated, in subsequent attacks fluid and bright red, followed by bloody stools; great pros- tration; frequent fainting fits; dimness of sight; slight- est motion or cough causes nausea; tongue brown, dry, like earth; unquenchable thirst; obstinate constipation.

■ After chagrin, constant pressing pain in pit of stomach,

loss of appetite, frequent nausea; eight days after this, in consequence of anger, sudden vomiting, first of clotted, then of fluid blood, amounting to about two pounds; deathly pale; almost pulseless; faintness.

■ Acute distress in epigastric region; forcibly vomiting im-

mense quantities of black, tarlike matter, gushing from nostrils as well as mouth; extremities cold; hippocratic countenance; pulse almost imperceptible; cold, clammy sweats; extreme prostration and exhaustion. ^Meleena.

IPECACUANHA. 240

I After long continued, pressing pain in stomach, which alternated with toothache, sudden vomiting of blood, with great faintness; blood dark, thin, about one pound in quantity ; pulse full ; a second attack with great faint- ness, anxiety, feeble pulse, pale, cold face and cold hands.

I Pale, ansemic girl, subject to pains in stomach and irri- table conditions of mind, was suddenly seized with vom- iting of blood after indulging in strong coffee ; blood at first brownish black, then black and half coagulated, escaping in great quantities ; between each attack of vomiting, which occurs about every half hour, anxiet}^, pressure in stomach, fainting; pulse small and feeble; face and hands pale and cold ; thirst and internal heat.

■After exposure to cold and wet, rigors and dyspnoea, fol- lowed by copious spitting of blood ; cannot speak ; sits on a chair, gasping, and every few seconds brings up a large mouthful of bright colored, frothy blood ; pulse small and frequent; respirations short and very fre- quent; face livid and expressive of anxiety. ^HEemop- tysis.

iSudden attack; blood dark, black, sour; paleness; cold- ness; pulse scarcely perceptible; fainting; anxiety; pressure in stomach ; great thirst; oppression of breath- ing. ^Hsematemesis.

iHsematemesis of children. ^^ Hypochondria, l Pinching pain in both hypochondria and in region of pit of stomach.

I Pain in 1. hypochondrium.

■ Diaphragm feels as if pressed between two millstones,

front to back. ^^ Abdomen, iiDistressing feeling in abdomen, as though

stomach were hanging down, relaxed. I Sore feeling in abdomen. llGriping, as from a hand, each finger sharply pressing

into intestines ; > during rest, much < by motion.

■ Clutching and squeezing in abdomen.

■ ■Flatulent colic about navel, as though bowels were

grasped with hand. ^Dysenteric diarrhoea.

■ ■Cutting colic near umbilicus; sometimes shivering.

■ ■Tenderness and pain about umbilicus, towards uterus.

■ Stitches from navel to uterus.

■ Cutting pain almost constantly running from 1. to r. w4th

every movement.

■ Paroxysms of shooting across abdomen from 1. to r.,

causing nausea and vomiting, vomits froth and bile with difficulty ; when vomiting, coughs to bring it up ; sweats ; offensive black stools ; vomiting causes great pain in loins and hips, as if all the bones in body were being torn to pieces.

241 IPECACUANHA.

■ Severe pains in abdomen, radiating to all sides.

■ Flatulent colic, with frequent loose stools.

iColic of children: with diarrhoea, uneasiness, screaming and tossing about"; from indigestion ; after acid or un- ripe fruit, beer, etc.

I Inguinal hernia, readily reducible, or strangulated. ^'^ Stool and Rectum. Stool : bloody ; as if fermented ; consist- ence and appearance of fermented j^east; spurting out with much flatus ; very oflensive ; light yellow ; lemon colored; green as grass; greenish mucus; lump}^ greenish watery; white mucous, bloody; 3'ellow, liquid, covered with bloody mucus; pitchlike or like frothy molasses; slimy, bloody, offensive, followed by tenesmus; putrid smelling; containing blood and matter.

■ Diarrhoea of teething children, yellow, white or green

discharges, no pain or emaciation, but serious because of its long continuance; particularly indicated at period of weaning when food disagrees.

■ Diarrhoea: with pain, causing unceasing screaming and

tossing about, in children; from taking cold; from dis- ordered stomach, after late suppers; of infants, with vomiting of green or whitish matter; due to chill or to mental emotions; after overloading stomach with sweets, or fat pastry; in the Autumn. ■Summer complaint of children, with crying, tossing, large abdomen, frequent, small, yellow, fermented stools.

■ Colliquative diarrhoea of dark colored stools, or of green-

ish matter, with particles having appearance of coagula.

■ Chronic diarrhoea, of miasmatic origin; clean tongue and

frequent nausea, constant pain at umbilicus. ■Acute internal catarrh.

■ Epidemic dysentery, with nausea, vomiting, pain in epi-

gastrium, pressive frontal headache, loaded tongue, tenesmus, mucous fetid diarrhoea, < at night.

■ Dysentery: stools frequent, slightly tinged with blood, and

often entirely composed of blood and slime; in the Fall, with vomiting of bile, tenesmus after stool and simulta- neous affection of coeliacus; stools almost black, and fer- mented like frothy molasses; of children; cold nights after hot days.

■ Cholera infantum: nausea, vomiting, colic, diarrhoea;

especially in fat, pale children; nausea and vomiting of yellowish mucus; lumpy, greenish, watery stools; pale- ness of face; blue margins around eyes; wants to lie down, ill humor; copious, fermented, flatulent, lemon colored stools, with thirst, fever and fretfulness. ■Stools light green or an arsenic green.

■ First symptoms of cholera Asiatica ; the nausea and vom-

iting predominates, headache and tightness of chest.

VOL. VI. — 16.

IPECACUANHA. 242

I Vomiting after all ingesta, and as often as every quarter of hour, without cause; vomiting copious, preceded by shivering all over; no coldness or cramps; pulse slow; tongue furred. ^Cholera.

Before stool : colic, nausea, vomiting.

During stool: colic, nausea, vomiting; violent tenesmus; lassitude, coldness, paleness of face.

After stool: lassitude; tenesmus; twitching of face.

I Hemorrhoids bleeding very profusely.

I Itching at anus. ^^ Urinary Organs. Urine: scanty, dark red; turbid, with red sediment.

■ Yellowish red sediment in urine. ^Quotidian ague.

■ Unsuccessful urging to urinate.

■ Ischuria, with convulsions.

■ Hsematuria: with cutting in abdomen and urethra; from

suppressed itch ; with vesical spasm.

■ After becoming chilled, felt ill all over; very weak;

could hardly move about from vertigo; confused ideas; severe pain in kidneys, with heat in lower bowels as if. hot water was poured into them; towards evening vio- lent pain in abdominal region and bladder, with desire to urinate, with passage of scalding urine and blood, fluid and clotted; next day, too weak to stand; feet quite cold, and as if paralyzed; head stupefied, could not sit up; more blood, followed by swoon, with deadly pallor, hardly perceptible pulse, and cold extremities; could hardly speak; heaviness of head, uneasiness and inclination to vomit, pressure on pit of stomach, pain in lower bowels and kidneys, weight and coldness of feet ; frequent micturition. ^Hsematuria.

■ During urination: burning in urethra; pains in back and

epigastrium. ^Female Sexual Organs. ■Prolapsus and hemorrhage; profuse, clotted blood, with heavy, oppressed breathing; constant flow of bright red blood, with cutting about umbilicus; constant nausea and vomiting; feels cold and is very pale; dizziness and headache; chili and coldness of body while internal heat rises up into head, W'ith a bearing down pressure to uterus and anus; fainting; blood spitting, hEematemesis; faintness with convulsions.

■ Great debility and leucorrhoea during intervals of menses.

■ Continual discharge of bright red blood.

Profuse menstruation, with constant nausea, not a mo- ment's relief, not even after vomiting; nausea proceeds from stomach, and the discharge of bright red blood is increased with every effort to vomit, and flows with a

243 IPECACUANHA.

gush; violent pressure over uterus and rectum, with shuddering and chilliness; heat about head and debility; gasping for breath, faintness; after childbirth, after re- moval of placenta or after miscarriage; < when getting out of bed. ^Uterine hemorrhage.

I Menses appeared four times in seven weeks, and last time so seriously that blood passed in large clots, and such a quantity of black fluid that it brought on swooning, loss of consciousness ; vomiting of mucus, wdth cold skin look- ing like wax, blue lips, small, scarcely perceptible pulse. ^Congestive menorrhagia.

■Menses: too early and too profuse; blood bright red; menses return every two weeks ; great weakness after menses; peevish humor; aching in head; lancinating in forehead; pale face; blue rings around eyes; vomit- ing of ingesta; distress in umbilical region.

■ Profuse menstruation, with constant nausea; not a mo-

ment's relief, not even after vomiting. I Discharge of blood before the proper period. I I Scanty or short menses. Dysmenorrhoea. ■Severe pain about umbilicus, extending towards uterus,

most distress about navel, but it runs off into uterus

■ With every movement a cutting pain, almost constantly

running from left to right.

■ Uterine pains running down.

■ Pain extending towards and passing off into uterus.

^* Pregnancy. Parturition. Lactation. ■■Vomiting of pregnancy; in some cases more nausea than vomiting. I I Vertigo in pregnancy, with pale, bluish, puffed face, blue lips and nails; undulation of jugular veins.

■ Threatened abortion, often with a sharp or pinching pain

around umbilicus, which runs downward to uterus, with constant nausea and discharge of bright red blood ; con- vulsions.

■ In sixth week of pregnancy seized suddenly with abdomi-

nal pains, heat in epigastrium and vertigo; flooding soon followed by shooting in kidneys, weakness and heavi- ness of thighs and general debility; flooding increased hourly, soon passing through mattrass, and flowing in abundance under bed; colic increased, face pale and eyes encircled with blue; miscarriage followed, accom- panied by acute pain; hemorrhage became more serious; pains in heart followed by dryness of mouth and great thirst; great exhaustion, could hardly speak.

■ After abortion occasional slight loss of blood, for four

months, when an alarming hemorrhage took place with the usual symptoms, besides vomiting after least drink.

IPECACUANHA. 244

llncessant flooding; complete prostration; breathing heavy; oppression; colorless face and lips; ringing in ears; faint on raising head from pillow; flow bright red ; much persistent nausea; pain in umbilical region, run- ning down to uterus.

I During labor pains great hemorrhage, apparently from

placenta.

■ Labor pains spasmodic; cutting across from 1. to r. ;

nausea; clutching about navel.

I I Uterine pains accompanied by severe cutting pains in umbilical region, interfering with true pains; faintness and nausea.

■ Uterine pains running downward.

■ ■Stitches darting off from umbilicus towards uterus.

■After removal of placenta, sudden and alarming disten- sion of abdomen in region of atonic uterus; face and tongue pale; sighing respiration; faintness, nausea, retching; cutting pains about umbilicus. ^Post-partum hemorrhage.

■ Arterial bleeding from partial separation of placenta.

■ Post-partum hemorrhage ; placenta attached ; hemorrhage

frightful, very fluid and gushing.

■ Metrorrhagia, often after confinement, heralded by slow

pulse, nausea, etc. ; steady flow of bright, red blood.

■ Nausea and vomiting in nursing women.

^^ Voice and Larynx. Trachea and Bronchia. ■Voice hollow.

■ Spasm of cords; constant, alternate contraction and re-

laxation of cords, following each other in rapid succes- sion.

■ Contraction accompanied by a sensation of tickling at

entrance of trachea. ■Spasm of glottis; blueness of face and coldness of extrem- ities.

■ Inflammation of fossa; very little oedema. ^Laryngitis.

■ ■Rattling in bronchi, when drawing a long breath;

large accumulation of mucus in bronchi, difficult to raise.

■ I Rattling noises in air passages during respiration.

■ Suffocative attacks from foreign substances in windpipe.

■ Bronchitis, with loud mucous rales; difficult expectora-

tion; cough with nausea, even vomiting, or oppression, > by abundant expectoration. '^^ Respiration. 'Oppression of chest in forenoon, with short- ness of breath, as from inhaling dust.

■ Breathing: anxious and hurried; short and hurried;

short and panting; heavy. ■Rattling noise in bronchi when drawing breath. ■Breath fetid, with vomiting and sweat.

245 IPECACUANHA.

1 1 Difficulty of breathing from least exercise.

I I Pain in diaphragm takes away breath.

I I Violent degree of dyspnoea, with wheezing, and great weight and anxiety about prsecordia.

M Attacks of suffocation; > in open air; < from least motion ; constriction in throat and chest.

■ Threatened suffocation from accumulation of mucus.

■ Cough impedes respiration, even to suffocation.

■ Loses breath with the cough, turns pale in face and

stiffens. ^Whooping cough.

■ Suffocative cough with dyspnoea, nausea vomituritio, at

end of attack. ^Whooping cough.

■ Urgent dyspnoea, with sense of constriction across chest,

accompanied by violent and convulsive cough. ■Dry, spasmodic, shattering cough; during attack arrest of breathing, patient falling senseless to floor; each at- tack threatens to end fatally, and can only be overcome by use of cold water.

■ Difficult expiration.

■Severe and convulsive paroxysm of asthma.

■ Violent constriction of throat and chest, peculiar, panting

sound; gasps for air at open window; face pale; scarcely perceptible pulse; < from least motion; threatened suf- focation. ^Asthma.

■Spasmodic asthma: with great constriction in throat and chest; with peculiar wheezing noise; with danger of suffocation; with bronchial catarrh; of adults; in hys- terical subjects ; after suppressed miliary eruptions.

■Asthma, cyanosis supervening during fit, with frequent dry cough, cold sweat on face and extremities, constitu- tional vomiturition, nausea or even vomiting after cough.

■ Nightly suffocative fits. ^Asthma.

■ Asthma Millari, with tickling in larynx, retching and

vomiting. ■Asthma of emphysematous subjects, when auscultation detects considerable quantity of mucus accumulated in bronchi, which patient cannot by any effort throw up in sufficient quantity; coughing brings on nausea. ^ Cough. 'Dry cough, caused by tickling in upper part of larynx.

■ Cough caused by a constrictive tickling from upper por-

tion of larynx to lowest extremity of bronchi. •■Cough dry, spasmodic, capricious, provoked by tickling and irritation of larynx, after coryza, at first dry, then fluent.

■ Spasmodic or catarrhal titillating cough, or suffocating

cough with dyspnoea, nausea, vomiturition, especially at end of paroxysm, or with expectoration of scanty,

IPECACUANHA. 246

albuminous, nauseous mucus; mucous rales and vom- iting of food. ■Violent spasmodic cough, cannot cough soon enough at first; covers mouth with hand, in order not to inhale too much air.

■ Frequent attacks of spasmodic cough, shaking, racking,

hollow; quicklj' following coughs from tickling in. up- per part of larynx, as from vapor of sulphur; expecto- ration of blood and mucus in morning. ■Spasmodic cough with tendency to vomit, or with vomit- ing of whitish mucus; mucosity is easily produced in chest, and cough produces sonorous and bubbling rales.

■ Dry, spasmodic cough without vascular excitement.

■ Dry, spasmodic cough of old persons, coming on in fits,

particularly at night after going to bed, or after dinner; tends to emphysema.

■ Cough with pain in abdomen, especially about navel, or

pressure on bladder, hindering passage of urine; beat- ing in head, or in pit of stomach ; sense of excoriation in chest; after paroxysm of coughing respiration continues short, and forehead streams with perspiration; < in open air. ■Cough coming on after a meal, especially p.m.; cough ex- cited by each inspiration; tickling and constriction of upper part of trachea, coming on in open air; sudden precipitate fit of coughing; failure of breath; danger of asphyxia from mucus; anguish from choking; eyes starting out of head; face bluish red; buccal and nasal hemorrhage; eflbrts at vomiting; fit ending with vom- iting of food ; swooning during fit. ^Influenza. ""■Suffocative, racking, very exhausting cough, lasting an hour, towards evening.

■ ■Suffocating cough, whereby child becomes quite stiff'

and blue in face.

■ ■Loses breath with cough, turns pale in face, and stiffens. ■Suffocative evening cough; continuous cough, with sweat

on forehead, shocks in head, retching and vomiting. ■Strangling with cough till blue in face. ^Pertussis.

■ Incessant and most violent cough with every breath.

■ ■Cough causing inclination to vomit without nausea.

■ Cough, with retching, much mucous expectoration and

considerable dyspnoea.

■ Cough causes gagging, vomiting is followed by relief.

■ Cough with expectoration of blood.

■ Convulsive evening cough, expectoration having a repul-

sive metallic taste.

■ Cough especially at night, with loathing and vomiting.

■ Croupy coughs occurring at night.

247 IPECACUANHA.

I Cough: nervous, spasmodic; rough, shakmg; dry, from

titillation in upper part of larynx ; with every breath ; returning after exertion ; < from cool air; with inclina- tion to vomit; with spitting of blood from least effort; constant, no phlegm yields, though chest seems full; strangling, so much mucus seems accumulated in bron- chia; croupy, at night; fat children; in hysterical women; in teething children.

During cough: headache; sore pain in chest; paroxysms of suffocation, with rigidity of body ; painful concussions (shocks) in stomach and head; pains in epigastrium and umbilical region; bleeding from mouth and nose; nau- sea, retching, vomiting ; perspiration of forehead ; blue- nessof face; jarring of body; loss of consciousness and falling down.

iSpasm of glottis before paroxysm; bleeding from nose and mouth during coughing fits; vomiting of mucus or food; convulsions and stiffening of body backwards; vomiting of food without coughing; rattling of mucus in bronchial tubes; rash, eruption. ^Whooping cough.

■ Convulsion of glottis continuing so long that child re-

mains for a time without respiring; cough dry, vomit- ing after the fit without expelling much mucus ; dysp- noea; fine rales in back at lower part of thorax. ^Whooping cough.

■ Violent, shattering, hollow coughs, following each other

in quick succession, and do not admit recovery of breath; expectorates mornings some light red blood, mixed with mucus, of a putrid, sweetish taste. ^Tussis convulsiva.

I I Whooping cough : with nosebleed ; bleeding from mouth ; vomiting; loses breath, turns pale or blue, and becomes rigid.

■ Febrile cough (principally after Pulsat. and Nux vom.), in

women and children ; irregular periods of heat, during which the dry cough gets worse.

■ Tussis abdominalis, with vomiting which relieves.

■ I Phlegm rattling on chest, sometimes vomited, with

young children. Expectoration of mucus with metallic taste. I I Sputa scanty, albuminous.

■ Expectoration: mornings, of a light red blood, mixed

with mucus, or of ropy mucus, often vomited; of blood from least effort. ^^ Inner Chest and Lungs. ^Spasmodic tightness of chest, with contraction of throat and panting breathing.

■ Great oppression of chest, can hardly breathe. ^Inter-

mittent fever.

IPECACUANHA. 248

■ Acute catarrh of children ; suffocating cough, with con-

gested and bluish face, and loss of breath, or when cough . . is accompanied by nausea and vomiting, or provoked by a tickling in larynx, with throbbing of head and heart and longing to pass water. ■Rattling of large bubbles; fever, but face rather pale; cough and gagging.

■ Collection of mucus which is difficult to expectorate;

expectoration gives but temporary relief. I I Strangling as if from mucus in chest. EBronchitis: of children; with accumulation of phlegm,

which threatens to suffocate; spasmodic cough ; rash on

■ Fine, rattling noises in chest, spasmodic cough; nausea;

oedema pulmonum.

■ Pulmonary congestion and simple pneumonia, consequent

upon repercussion of scarlatinal eruption.

■ Infantile pneumonia; respiration rapid, difficult; surface

blue; face pale.

■ Profuse hemorrhage, of a bright red color, provoked by

a dry, tickling, racking cough, or even by a little hawk- ing, < from least exertion; preceded by a sense of bub- bling in chest and accompanied by nausea, chills, heavy breathing, oppression, livid face, small and frequent pulse, anxiety and debility ; cannot utter a word ; pro- tracted taste of blood in mouth.

■Hemorrhage from lungs after venesection, especially if bleeding is scanty, constituting an expectoration of blood streaked mucus ; or a blood spitting, from least effort, without cough.

■Blood frothy and bright colored; gasping for breath pulse small and frequent ; face livid and anxious.

■ ■Hemorrhage from lungs: bright red ; coming up with

slight effort ; < from least exertion; frequent hacking, with expectoration of blood streaked mucus; with or without cough ; after disturbed catamenia ; after me- chanical injuries; after former bleedings have weakened lungs ; with dry cough in phthisis.

■ Hsemoptysis ; recent cases.

■ Vomiting and complication of asthma in emphj^sematous

subjects. ^Influenza.

■ Cyanotic symptoms with spasms of chest and d3'spnoea.

■ Spamodic affections of chest.

■Shooting pain with remissions, not inflammatory, can- not breathe, puts both hands down, bends forward, opens windows, gasps for breath ; attacks < at night.

■ Emphysema of old people

'^ Heart, Pulse and Circulation. Pulse: large and soft; accelerated but weak ; sometimes imperceptible.

249 IPECACUANHA.

iCold hands. ^ Lower Limbs. ■ Sensation in femur, as if dislocated, on sit- ting down.

■ Cramps in thighs, at night, with lumps in thighs.

■ Convulsive twitchings of legs and feet. ^Hemorrhage. I I Itching of calves.

■ ■Pain, as if bruised, in all the bones.

■ Cold hands and feet.

Restless, tosses about from side to side.

Hands clenched and arms thrown violently forward.

Puts both hands down, bends forward: on account of shooting pain in chest.

Sitting down : sensation in femur as if dislocated.

Sits on a chair gasping: after blood spitting.

Could not sit up: after pain in abdomen.

Falling down: during cough, with unconsciousness.

Wants to lie down : cholera infantum.

Lies upon back unconscious: during spasms.

Head thrown back: during spasms.

Body bent backwards: during hysterical spasm.

Body rigid, stretched out, jerking of arms.

Bod}'^ violently bent backwards and drawn in same direc- tion by spasmodic jerks.

Slightest motion causes : nausea, cutting pain in abdomen ; attacks of suffocation ; constriction of throat < ; cutting pain from 1. to r. through uterus.

Motion: griping in intestines <; sweat <; cramp be- tween scapulae; sweat <.

Least effort: 'difficulty of breathing; spitting of blood; profuse hemorrhage.

Exertion: cough returns.

On raising head from pillow: faintness.

Getting out of bed: vertigo and weakness of knees; men- struation <.

Tossing about: from diarrhoea.

Tossing up body: during spasm. ^ Nerves. ■Oversensitive to heat or cold.

■ Restlessness with the fever. ^Intermittent.

IPECACUANHA. 250

I Very weak, averse to all food ; nausea; sudden prostration. I Extreme prostration and exhaustion ; seemingly the last

straits of vitality are reached. ^Melsena. 1 I Wants to lie down. ^Cholera infantum. I Awkward, stumbles against everything.

■ Fainting; convulsions; apoplectic sopor.

I Hysterical spasms, coming on several times a day, and gradually growing more severe; body bent backwards; muscles of face distorted ; groaning.

■ Hysteria; every fresh development of hysterical symp-

toms brings on a sensation of continual nausea.

■ Nervous attacks with feeling of suffocation.

■ Convulsive twitching in limbs, a painful tremor.

■ Spasms without loss of consciousness.

■ Tetanic rigidity of body with bluish redness of face.

■ Body rigid, stretched out, spasmodic jerking of arms.

■ Body violently bent backwards and drawn in same direc-

tion by spasmodic jerks. ^Tetanus.

■ Spasms after catching cold during purpura; lies upon

back unconscious; face pale and swollen; eyes at one time closed, again open; horrible twitching of muscles efface, lips and eyelids; spasms of arms and legs often tossing up the body; attacks come on every five minutes, lasting ten to fifteen minutes, and are followed by great prostration; occasional retching.

■ Clonic or tonic spasms in children and hysterical women;

head thrown back ; loss of consciousness; outcries; pale, puffed face; distortion of muscles of face and of half closed eyes; convulsive twitchings of muscles of face, lips, eyelids and limbs; asthma; nausea; vomiting.

■ Awoke from sleep in evening with wide open, staring

eyes; hands clenched and arms thrown violently for- ward ; lies quiet several minutes, then gasps and groans ; constant staring with spasmodic contraction of r. arm ; eleven attacks in twenty-four hours.

■ Frightful spasms affecting whole of 1. side, followed by

paralysis; eyes fixed and turned to right; pupils dilated and insensible ; frequent opening and shutting of lids ; slight contractions of r. corner of mouth; at times regu- lar movements of r. arm and hand; pulse frequent and feeble ; tracheal rale, as in paralysis of lungs ; discharge of brown mucus from mouth; respiration irregular; in- spiration short, followed by slow, sighing expiration; skin hot, but r. ear cold. ^Eclampsia.

■ Eclampsia in pregnancy or childbed; violent cutting

around navel; vomiting; pale face.

■ Fainting, summer heat or hot rooms, with nausea.

■ Convulsions: in whooping cough ; from suppressed exan-

thema ; from indigestible food, etc.

251 IPECACUANHA.

1 1 Tetanic spasms from swallowing tobacco. M Tetanic spasms in old lady, with starting, twitching; coughs up bloody phlegm.

■ Tetanus; trismus.

■ Opisthotonos and emprosthotonos.

■ Catalepsy.

■ Epileptiform spasms, with shrieks; opisthotonos; face

pale, puffed ; gastric derangement.

■ Epilepsy of children or secondary epilepsy, when its

starting point is the pneumogastric nerve. ^^ Sleep. ■Yawning and stretching.

■ Shocks on falling asleep.

■ Sleep, with half open eyes; moaning, groaning. I I Starts up in sleep.

I I Sleepless.

■ When deprived of sleep: nausea and languor.

^ Time. Morning: vomiting; expectoration of blood and mucus; expectorates light red blood with mucus; par- oxysms of chill lasting half an hour, heat lasting two hours; bitter taste in mouth.

From morning till noon: lacerating headache.

9 A.M.: chill.

] 1 A.M. : chill.

Forenoon : oppression of chest.

Day: sleepless.

All day: cried continually; obliged to keep in bed on ac- count of bilious vomiting.

Afternoon : pain in molars < ; severe chill ; yawning with chilliness.

Till 2 P.M.: nausea and vomiting.

3 P.M.: severe chill lasting one hour.

Towards evening: lasting one hour, suffocative, racking, very exhaustive cough; violent pain in abdominal re- gion and bladder.

Evening: suffocative cough; anxious, dry heat; sensation of great weakness; awoke from sleep with wide open, staring eyes; general heat; dry heat very troublesome.

Lasts till 7 P.M. : fever.

Night: discharge from eyes <; sleepless; dry cough < pain in molars < ; dry, spasmodic cough ; croupy cough attacks of shooting in chest < ; very profuse sour sweat disagreeable heat; epidemic dysentery <; cramp in thighs; irritable, irascible; fever <. ^^Temperature and Weather. ■Oversensitive to heat and cold.

Worse in winter and in dry weather.

■ Worse in warm, moist wind, south winds; catarrhs;

asthma, etc.

IPECACUANHA. , 252

Warm room: chill <.

Summer heat or hot room : fainting.

External heat: < chill.

Oversensitiveness to heat or cold.

Out of doors: headache >; sweat <.

Open air: suffocation >; cough <; cough comes; chill <; chill >.

Covers mouth with hand not to inhale too much air.

Gasps for air at open window: constriction of throat.

Cool air: nervous cough <.

After exposure to cold and rain: hemorrhages <.

After exposure to cold and wet: rigors and dyspnoea, then spitting of blood.

After catching cold: lids red and swollen.

Drinking: chill >.

After cold drink or ice cream : colic.

Cold water: > spasmodic cough. ^ Fever. iParoxysm begins with an internal chill, made < by external heat.

I Chilliness, cold hands and feet, which are moist or drip- ping with cold sweat.

■ Coldness of upper, part of body.

■ Chill but slight with many gastric ailments.

BChill: preceded by violent retching; mostly with thirst but also without ; with great oppression of chest ; with nausea and vomiting; with diarrhoeic stools; < in a warm room or from external heat; > by drinking, and in open air ; at 9 a.m. ; every other day at 11 a.m. ; of short duration soon changing to heat; with great lassi- tude and weariness. I I After a short chill, dry heat, with parchmentlike skin, ■Severe chill in afternoon with nausea, followed by heat with sweat of several hours' duration, and ending with sour SW' eat; during apyrexia, coated tongue; pressure at stomach. ^Quartan ague.

■ Great nausea before chill and during whole paroxysm,

cannot stir eyes without nausea, but no vomiting; great thirst during chill, none during fever or sweat; very nervous, trembling, during chill shook inside; intense headache during paroxysm, and in a modified degree during apyrexia, extending dow^i to root of nose and throat; sweat like rain; paroxysms irregular. ^Ague.

■ Chill irregular, light and short; fever long, but not very

violent; no thirst during chill, but much thirst all through heat; thick, white, pappy coating on tongue; complete loss of appetite ; great weakness and prostra- tion during apyrexia; constant nausea and occasional vomiting.

2^3 IPECACUANHA.

I Chill from 9 a.m. to 3 p.m., with intense aching in back and bones; nausea and vomiting after chill; intense fever with thirst and throbbing frontal headache; be- comes unconscious during fever, which lasts till 8 p.m., when sweat comes on for about one hour, together with great shaking all over, and great thirst; continued jumpmg headache, very thirsty all the time with ano- rexia. ^Ague. lln afternoon yawning with chilliness, extending from back, soon followed by coldness of extremities, internal shaking, trembling and cramps in chest; in evening, general heat accompanied by great impatience and de- spondency; great heat, particularly in head and face, cheeks red, pulse soft, small, slightly increased; pain in hmbs as if they were broken ; heat followed by sweat; no thirst during fever; loss of appetite; escape of saliva from mouth during sleep; next day lassitude, headache, flat taste, several diarrhoeic stools, with cutting pains in abdomen. dAgue. Paroxysm at 10 a.m.

■Aching in bones and pain through temples, with heavi- ness m forehead; chills up and down back, with great thirst, ^^ lasting fifteen minutes, was not a "regular shake," accompanied by great languor and weakness, so that "he fell down in a bunch," then came nausea and vomitmg, followed by a burning fever, which lasted until 2 p.m.; thirst and throbbing headache during fever, followed by profuse sour sweat; paroxvsms post- poning. ^Ague.

■ Chill at 9 A.M.; teeth chatter; nails and lips blue; no

thirst; next fever, slight thirst, moaning, sighing- slight heat; restlessness; pulse large and soft; tongue coated white and thick; frontal headache; diarrhoea stools yellow and painless; internal heat, with external coldness; drinks little; much nausea and vomiting; al- bugmese yellow; perspiration stains linen yellow

■ External coldness with internal heat.

■Sujiden attacks of general heat, with cold hands and feet.

■ One hand cold, the other hot.

■ Hands and feet icy cold and bathed in cold sweat, with

redness of one cheek and paleness of the other.

■ Heat all over, with alternate coldness and paleness of

lace; cold sweat on forehead.

■ Heat with nausea and vomiting; anxious, oppressed

breathing ; dry, hacking cough, often exciting nausea and vomiting.

■ Anxious dry heat in evening,

■ Heat, with or without thirst.

IPECACUANHA. 254

iSour sweat with turbid urine.

■ Very profuse sour sweat, mostly during night. I Profuse sweat after abuse of quinine.

■ Paroxysm sets in with yawning, stretching, and a collec-

tion of saliva in mouth; chill generally of short dura- tion, soon passing over into heat; internal chill, as if under skin, < by hot applications, > by drinking and in open air; no thirst or but little during chill; violent thirst for large quantities during heat. ^Intermittent.

I In evening sensation of great weakness; restless, tosses about from side to side ; slowly opens eyes and then closes them again ; speaks in a low voice of things which have occurred previous day ; spasmodic stretch- ing and yawning; cold feet; paroxysm lasts one to two hours followed by sleep, after which patient is not aware of having had attacks. ^Quotidian ague.

■Paroxysms occur in morning and consist of moderate chill lasting .about half an hour, followed by scarcely perceptible dry heat, lasting about two hours, during which pulse is full, soft and moderately frequent ; with chill severe raging headache, brings tears to patient's eyes ; nausea, pain in stomach, and short dry cough ; headache continues until evening; during apyrexia, vertigo, loss of appetite, pain in small of back and limbs. ^Quotidian ague.

■Shivering, with goosefiesh, followed by flying heat, both of short duration ; loss of appetite ; tongue white ; stool scanty and hard; heat in stomach and sensation of hunger; bitter taste in mouth in morning; waterbrash and retching; red, itching spot on r. chest, burning after scratching. ^Quotidian ague.

■ Severe chill 3 p.m. without thirst, lasting one hour, fol-

lowed by heat with stupefying headache and great thirst; sweat long and profuse with thirst; during apyrexia great weakness and lassitude ; on getting out of bed vertigo and weakness of knees ; disagreeable heat at night ; restless, unrefreshing sleep ; anorexia ; bitter taste ; white tongue ; thirstlessness. ^Quotidian ague.

■ Tertian ague anteponing half hour; chill one and a half

hours' duration ; high fever with sweat, lasting rest of day; during whole attack great thirst, water taken being- soon vomited; headache with the fever; during apyrexia, earthy taste, pressure in stomach, debility.

■ Chilliness with yawning and vomiting; after an hour

heat in head and redness of face, hands and feet being

255 IPECACUANHA.

scarcely warm, followed by sweat on face; during apy- rexia despondent, will not play, lies about a good deal, loss of appetite, grayish yellow diarrhoea, scanty red urine, restless sleep. ^Tertian ague.

I Hard chill every other day, at 1 or 2 p.m. ; continual nau- sea and vomiting of bitter, bilious matter, and of every- thing taken into stomach; chill very violent, with great thirst, and drinking only a little at a time; towards the last has chills and flushes of heat, then great heat and profuse sweat.

I Chill every other day, at about 11 a.m.; shivers awhile, then shakes for twenty minutes; headache; hands first cold; nausea all the time; no thirst with the chill, but with the heat; chill followed by fever; sweat after fever. ^Intermittent.

llBackache, short chill, long fever; heat, usually with thirst, headache, nausea and cough.

I I Recent cases, occurring in young, previously healthy persons; paroxysms violent and regular, generally of tertian type. 6' Ague.

■ Predominance of gastric S3'^mptoms during paroxysm as

well as during apyrexia. ^Intermittent.

■ Relapses from improprieties in diet.

■ ■Paroxysms suppressed by quinine.

■ Intermittent fevers after abuse of quinine; also in begin-

ning of irregular cases, especially if there is much nausea.

■ Worse during sweat; better after it.

Type: quotidian; tertian; quartan; apt to postpone and become irregular.

Prodroma: nausea; violent retching; j^awning, stretching, backache, headache, and profuse flow of saliva.

Apyrexia: never clear; disturbed by gastric troubles; pale face; herpes labialis; anorexia; taste of insipid water, salivation; sense of emptiness and weakness of stomach, nausea; loose stools; bruised feeling of limbs; restless sleep; difficulty in collecting one's thoughts; sadness.

■ Infantile remittent fever.

■ Yellow coating on tongue, with dry mouth; loathing of

food, with desire to vomit; fetid odor from mouth; bitter taste in mouth, and of food; nausea, with regurgitation of ingesta, and vomiting of undigested food; pressure and painful fulness in pit of stomach; colic; diarrhoeic, yellowish stools, or fetid, putrid stools; pale, yellowish color of skin; headache, especially in forehead; febrile heat, with thirst or shivering. ^Bilious fever. ■Yellow fever, in first stage; dizziness, chilliness, pain in back and limbs, uncomfortable feeling in epigastrium, with nausea, vomiting and great weakness.

IPECA.CUANHA, 25G

I Dry and extremely troublesome heat, especially in even- ing, with thirst; great restlessness, burning in palms of hands and night sweats; parchmentlike skin; desire for dainties only; very listless. ^Hectic fever.

I Worm fever, with retching, blue rings around eyes, vom- iting with a clean tongue. *^ Attacks, Periodicity, i Attacks of illness, with loathing of food.

Paroxysms: of abdominal pains; of great weakness, last one to two hours ; of suffocation ; intermittent.

Fits : of dry, spasmodic coughing.

Following each other in quiet succession: violent shatter- ing, hollow cough.

Sudden attacks : of general heat.

For a time: child remains without respiring; during whooping cough.

Every few seconds: brings up a mouthful of bright colored frothy blood.

Every five minutes : lasting ten to fifteen minutes; spasms.

Every eight to ten minutes: eructations.

Evening, 10, 15 minutes: attacks in pit of stomach.

Every quarter of an hour: vomiting.

Fifteen minutes: chill lasts.

Twenty minutes: shakes.

Half hour: tertian: ague anteponing; attacks of vomiting of blood.

One hour: chill lasts; heat in head; sweat after chill.

Eleven attacks in twenty-four hours: of spasms.

After a meal, especially p.m. : cough.

After dinner: dry, spasmodic cough.

Three or four stools a day.

Chill irregular.

Several times a day : hysterical spasms.

Every day at same hour : dyspepsia.

Every night : suffocative fits.

Every other day at same hour : dyspepsia.

Every fourth day : tormina and bilious vomiting.

For days : constant vomiting.

Every Saturday : tormina and bilious vomiting. .Every two weeks : menses.

Ever}^ six or eight weeks : anorexia and hypochondria.

Sixth week of pregnancy: abdominal pains, heat in epi- gastrium and vertigo.

Four times in seven weeks: menses.

For four months: occasional slight loss of blood.

In Autumn: diarrhoea; dysentery. *^ Locality and Direction. Right: eye <; imbedded cor- nea, ulcerated; opening lid gush of tears; shooting

257 IPECACUANHA.

pain from kidney down thigh to knee; spasmodic con- traction of arm ; slight contraction of corner of mouth; regular movements of arm and hand; ear cold.

Jjeft: headache over eye; cornea ulcerated; pain in hypo- chondrium; frightful spasms affecting side.

Downwards: pain from umbilicus to uterus.

From 1. to r.: cutting pain in abdomen shooting across.

Turned to right: eyes.

From front to back : diaphragm feels as if pressed between two millstones.

Backwards: stiffening of body.

Down: uterine pains running. *^ Sensations. Pricking burning pains.

Headache, as if bruised, through bones of head and down to root of tongue; as of a bruise of brain and skull; as though brain was mashed ; as if stomach hung down relaxed; diaphragm feels as if pressed between two mill- stones; griping, as from a hand, each finger sharply pressed into intestines ; as though bowels were grasped with hand; as if all the bones in body were being torn to pieces; strangling, as if from mucus in chest ; oppres- sion of chest as from inhaling dust; tickling in upper part of larynx, as from vapor of sulphur; as if hot water was poured into bowels; feet as if paralyzed ; as if blood was vomited up; sensation in femur as if dislocated ; as if joints had gone to sleep; pain in bones as if bruised; as if limbs were broken ; as if chill was under skin ; as if forehead was being crushed ; as if all the bones were b.eing torn to pieces.

Pain : over 1. e3'e; in occiput and nape of neck ; in temples and forehead; in hollow tooth; in molars; in diaphragm ; in loins and hips; in stomach; most severe in ffont of abdomen, extending to 1. hypochondrium to sides, to back and base of chest; in teeth; in 1. hypochondrium; about umbilicus toward uterus; in abdomen; in heart; in uterus; in small of back; in limbs; at umbilicus; in epigastrium; in lower bowels and kidneys; in joints.

Violent pain : in abdominal region and bladder.

Intense tearing pains : in eyes.

Intense headache : extending to root of nose and throat.

Severe raging headache.

Acute pain: after miscarriage.

Violent distress: in pit of stomach.

Severe pains: radiating in abdomen; in kidneys; about umbilicus.

Cutting pain : in belly ; near umbilicus ; through abdomen from 1. to r. ; in abdomen and urethra.

Anxiety : about prsecordia.

VOL. VI.— 17.

IPECACUANHA. 258

Piercing pain : through all cranial bones into roots of teeth.

Pinching pain : in both hypochondria and region of pit of stomach ; around umbilicus downward to uterus.

Shooting pain: through eyeballs; from r. kidney down thigh to knee; across abdomen; in kidneys; in chest.

Stitches : in vertex or forehead ; from navel to uterus.

Fine and violently stinging pains : in head.

Stinging pain : in head ; in fauces.

Beating pain : in head ; in pit of stomach ; in stomach.

Throbbing : in head ; of heart ; frontal headache.

Jumping headache.

Painful concussions : in stomach and head.

Clutching pains: in stomach; in abdomen.

Cramp: between scapulae; in thighs; in chest.

Griping : in intestines.

Squeezing: in abdomen.

Stupefying headache. •

Pressing pain : in stomach.

Intense aching: in back and bones.

Aching : in forehead ; in head ; in bones.

Pressive frontal headache.

Constant pressing pain : in pit of stomach.

Bearing down pressure : to uterus and anus.

Tensive pain : in occiput and nape of neck, extending to shoulders ; in eyes.

Sense of excoriation ; in chest.

Painful soreness : of occiput and neck.

Burning: in urethra; in palms of hands.

Smarting: eruption on margin of lips; in mouth and on tongue ; of eyes.

Sore pain : in chest.

Sore feeling: in abdomen.

Soreness: of fauces.

Bruised feeling: of limbs.

Tenderness : about umbilicus.

Painful fulness: in pit of stomach.

Violent pressure: over uterus and rectum.

Indescribable sick feeling: in stomach.

Heat: in head; in epigastrium; in stomach; dry and ex- tremely uncomfortable.

Dull drawing: in head to and fro.

Dryness: of fauces; of mouth.

Distress: about navel.

Sense of emptiness: of stomach.

Pressure: in throat; in stomach; in bladder; in pit of stomach.

Uncomfortable feeling: in epigastrium.

Constriction : in throat and chest.

259 IPECACUANHA.

Oppression : of chest.

Heaviness: of head; of thighs; in forehead.

Strangling: with cough.

Spasmodic tightness : of chest.

Contractive feeling: in throat and chest.

Tickling: at entrance of trachea; from upper portion of

one hand. Internal chill.

Itching: spot on r. chest; at anus; of calves. ^* Tissues, i Muscular awkwardness.

1 1 Hemorrhages: bright red, from all the orifices of body;

after mechanical injuries. After exposure to cold and rain.

■ Plethora, fat children.

iSkin and mucous membranes pale; pulse small, soft; chilliness; little appetite; constipation ; marked anaemic murmurs; great debility and weakness; finally could hardly eat anything; nausea and vomiting following slightest amount of food; great emaciation; headache, as if forehead was being crushed, with nausea; erup- tion on forehead and cheek; scanty menses; querulous, not pleased with anything; hands cold; hysterical.

iCholerose gastric symptoms, nausea, vomiting, diarrhoea.

i Dropsy in internal parts.

iSkin and muscles lax.

I Pain as if bruised in all the bones.

■ Pains as if all the bones were being torn to pieces; with

vomiting and pains in bowels.

■ Icterus; rickets; atrophy:

■ Has an unmistakable relation to the voluntary muscles;

■ Itching of skin, with nausea; has to scratch till he vomits.

■ Miliaria rubra, with dyspnoea, colic and nausea.

■ Miliary rash on forehead, temples and cheek.

■ Rash of the lying in.

IPECACUANHA. ' 260

■ Suppressed eruption with cool skin.

■ Eruptions suppressed, or tardily appearing, with oppres-

sion of chest; vomiting and tickling cough.

Herpetic eruption at wrist joint and anus, with red blotches after scratching.

■Erysipelas, the redness leaves too soon, with renewed vom- iting.

■Reaction so weak that eruption developes tardily or does not appear at all; anxious oppression, or constriction of chest; irascible, irritable, particularly at night, prevent- ing sleep, and causing great anxiet^^; severe tickling cough, with blueness of face and dyspnoea. ^Measles.

■ Fever, < towards night; sleeplessness; complete loss of

appetite; nausea; despondent and lachrymose; groan- ing. ^Scarlet fever.

■Vascular erethism with tardy development of eruption ; anxious constriction of chest; restless tossing about. ^Scarlet fever.

■Delayed eruption in scarlatina, with vomiting, diarrhoea, oppression and anxiety. *^ Stages of Life, Constitution. Women and children; em- physematous individuals.

Girl, eet. 6 weeks, eight days after birth caught cold; in- flamed eyes.

Girl, set. 3 months, after receiving eight drops of laud- anum; opium poisoning.

Child, set. 17 weeks, scrofulous; vomiting and diarrhoea.

Child, set. 22 weeks; spasms.

Child, set. 30 weeks, pale, fat; spasmodic cough.

Boy, set. 3, after overloading stomach ; diarrhoea.

Boy, set. 4 ; ague.

Boy, set. 4; eclampsia.

Boy, set. 10, sanguine, scrofulous, after eating pork; diar- rhoea.

Girl, set. 11, black hair and eyes, subject to attacks of ague for which quinine was taken ; intermittent.

Boy, set. 14; chronic vomiting.

Girl, set. 15; ague.

Girl, set. 16; melsena.

Man, set. 17, sanguine temperament, suffering from pur- pura, after catching cold; spasms.

Girl, set. 18, graceful, menses profuse; ague.

Man, set. 20, weak, brunette, melancholic; ague.

Woman, set. 21; ague.

Woman, set. 22; ague.

Woman, set. 23, small, pale, irritable, brown hair, menses appeared at 17 but were very scanty; ansemia.

Woman, set. 23, blonde; hsematemesis.

261 IPECACUANHA.

four years; tormina and bilious vomiting. Swedish girl, ait. 26, ill for three years, has taken much

Woman, set. 38, has taken quinine; intermittent fever. Man, ast. 39, tuberculous, after exposure to wet and cold • haemoptysis. '

Woman, set. 39, married ; vomiting.

Woman, set 40, four months after abortion; hemorrhage Woman, aet. 42, suffering 2^ years; vomiting. Man, set. 44, ague.

Woman, a^t. 72, melancholic temperament, brunette, thin, tendency to hemorrhoids and abdominal affections' spasmodic cough. '

IPECACUANHA—IPOMCEA. 262

Cuprum.