Natrum Carbonicum

Sodium Carbonate. NA^ CO^, IOH2 0.

Introduced by Hahnemann and proved by himself, Gross, Hering, Lang- hammer, etc. (Materia Medica Pura, vol. 3, p. 290).

Clinical Authorities.— -E;^ec/s of overstudy, Hering, Hah. Mo., vol. 10, p. 457; Pain in head, Berridge, Raue's Rec, 1875, p. 208; Loss of hearing, Berridge, Raue's Rec, 1875, p. 79 ;

Hah. Mo., vol. 10, p. 108 ; Coryza, Hills, Raue's Rec, 1873, p. 81; Hirsch, Horn.

Clin., vol. 1, p. 257; Nasal catarrh, Blakely, Raue's Rec, 1870, p. 131; Toothache, Plainfield, Horn. Phys., vol. 2, p. 318;

Affection of chest, Morgan, Horn. Clin., vol. 4, p. 99 ; Raue's Rec, 1872, p. 110; Goitre, Wolffin, Desguidis, Trans.

Horn. Med. Soc. Pa., 1883, p. 210;

Suppression of sweat and chronic coryza, Hirsch, Horn. Clin., vol. 1, p. 258; Albuminuria, Knerr, MSS. ; Effects of exposure to sun, Martin, Trans.

Horn. Med. Soc. Pa., 1880, p. 242 ;

Anosmia, Morgan, Hom. Clin., vol. 3, p. 48 ; Scrofulous affectiom, Hartmann, Riick. Kl.

Erf., vol. 4, p. 409 ; Affection of skin, Hering, Riick. Kl. Erf., vol. 4, p. 222.

^ Mind. ■ 1 Inability to think or to perform any mental labor ; head feels stupefied if he tries to exert himself.

■ Memory gradually failing; inaptitude for meditation or

hard work ; difficulty of conception or combining ideas when listening or reading; figures and diagrams were void of expression to him and seemed enveloped in mist. ^Effects of overstudy.

■ Difficulty in grasping and connecting thoughts when

reading or listening.

■ Aversion to mankind and society; estrangement from

individuals and society, even from her husband and family.

■ ■Sadness; depression of spirits; hypochondriacal mood.

■ ■Intolerable melancholy and apprehension; she is wholly

occupied with sad thoughts.

NATRUM CARBONICUM. 542

Irritable, excitable mood. Avarice; maliciousness.

■ Restlessness, with attacks of anxiety, especially during a

thunderstorm ; < from music.

■ Anxiety; trembling and sweat during pains.

I In evening restlessness of body, unless he exerts himself mentally.

I Affected by playing on piano a short time, with painful anxiety of chest, trembling of body and weariness; must lie down.

Constant fear and forebodings.

I I Great timidity.

I lln difference. ^ Sensorium. i Vertigo: from mental exertion ; when work- ing in sun; < from rest, > on exercise in open air; from exposure to sun; from drinking wine.

iDulness of head when at rest or when in sun.

I iDulness in occiput, as from pressure, in morning. ^ Inner Head. iHead feels too large.

■ Tension in head, as if forehead would burst.

■ Frontal headache when suddenly turning head.

I I Shooting pain in 1. frontal eminence to 1. lower occiput.

■ Stitches in head and out of eyes.

I I Pulsating headache in vertex every morning.

I I Tearing pain in forehead, at certain hours of day.

I I Stupefying, pressing headache in forehead, nausea,

eructations and dimness of sight in evening; < in room. I I Stitching, tearing, throbbing in forehead, temples and

vertex, with vertigo, melancholy and great physical

prostration. I I Pain in 1. frontal eminence to 1. lower occiput.

■ ■Headache from slightest mental exertion.

I I Painful sense of emptiness in occiput, with weakness

and hoarseness of voice. 1 i Pain from occiput to vertex. I I Drawing and tension in r. side of occiput as if head

would be drawn back, I I Long continued pressure in r. side of occiput. I I Dull pressure from occiput to nape, with drawing pain,

at last extending to forehead. I ! Headache at noon, < low down in occiput. I I Headache and tension in nape before menses.

■ Headache: from sun; from working under gaslight. * Outer Head. ■ Pains in head at certain hours of day.

I I Falling out of hair. I I An almost painless boil on occiput. ^ Sight and Eyes. ■Dim eyes; has to wipe them constantly.

■ Black spots floating before vision while writing. ■Sensation as of feathers before eyes.

543 ■ NATRUM CARBONICUM.

■ Dazzling flashes before eyes on awaking.

I I Flashes and streaks of light before closed eyes at night.

■ Cannot read small print. I I Ulceration of cornea.

■Small corneal ulcers or phlyctenules, with great photo- phobia and stinging pains, particularly in scrofulous children.

Needlelike stitches in both eyes after dinner.

■Stitches in eyes from within outward.

■ Dermoid swelling of conjunctiva.

■ Inflammation of eyelids, with photophobia. Dry eyes.

■ Heaviness of upper lids; could hardly open them; they

close involuntarily. I I Agglutination of eyes in morning; lachrymation dur- ing forenoon. ^Hearing and Ears. ■Oversensitiveness of hearing; sensi- tive to noise.

■ Hard hearing, as if ears were closed up.

■ Loss of hearing of r. ear for seven or eight months ; sounds

seem to come from 1. side when they really come from right; at times singing in r. ear, or a noise like a bubble bursting in ear; fulness in r. ear when eating; on swal- lowing feeling as if something moved in ear.

■ Hardness of hearing and roaring in 1. ear, with caries of

1. molar teeth; pain in 1. side of face; stiffness of neck and 1. shoulder; pain in small of back and 1. leg, < from motion, > in rest; menses irregular and scanty; all < before menses. ^Chronic otitis media.

■ Otalgia with sharp piercing stitches in ears.

^ Smell and Nose. ■Loss of smell and taste, with coryza. I I Violent sneezing, with rush of blood to head.

■ Coryza with discharge of thin mucus and frequent

sneezing.

■ Coryza: fluent; violent sneezing; very profuse; < at

night, when nose is obstructed ; < from least draft of air or change of clothing; on alternate days; > after sweat. ■Troublesome stoppage of nose every night. ^Chronic catarrh.

■ Stoppage of nose with hard, ofl'ensive pieces from

nostril.

■ ■Much nasal mucus passes through mouth.

■ Yellow ofiensive discharge from nose. ■Thick green mucus blown from nose.

■Thick yellow greenish, musty smelling discharge, ceas- ing to flow frequently after a meal, with stoppage of nose. ^Cor3^za.

NATRUM CARBONIC UM. 544

I Hard fetid clots from one nostril.

iCoryza with discharge of copious, thick, mucous masses during day, and obstruction of nose at night; speech has a disagreeable nasal twang; resistent swelling of middle lobe of thj^roid gland; pale face and dark streaks under eyes; menses scanty and postponing.

■ After getting a thorough wetting, skin which formerly

perspired easily became dry; also sufi'ered from a coryza, with profuse discharge and a disagreeable in- fluence on her voice.

■ Ozsena; bad smell of nasal secretion.

■ Nostrils ulcerated high up.

■ Bleeding of nose.

■ Humid, herpetic eruptions and ulcers on nose, around

mouth and on lips.

■ Peeling off of dorsum and tip of nose, painful when

touched.

■ Red nose with white pimples on it.

I I Squeaking sensation at root of nose.

■ Inflammation of external nose.

^ Upper Face. ■ ■ Pale face with blue rings around eyes^ swollen eyelids.

■ Face puffy. ^Albuminuria.

■ Burning heat and redness of face, cheeks swollen.

I I Pains in bones of face. ^Chronic naso-pharyngeal

catarrh. I I Much eruption on nose and mouth.

■ Yellow blotches on forehead and upper lip. I I Freckles on face.

I I White pimples on red nose. ^ Lower Face. iSwelling of upper lip.

■ Lips swollen and tettery ; burning rhagades on lower lip. I I Humid eruption or ulcers around nose and mouth.

■ Pimples on face and lips. ■Swelling of submaxillary glands.

^^ Teeth and Gums. ■Digging, boring toothache, especially during or after eating sweetmeats or fruit.

■ Sensitiveness of teeth, especially lower.

■Nightly pressing toothache, with swelling of lower lips

and of gums. ■Toothache: in lower jaw; < when eating; < from sweet

things; > by smoking. "Taste and Tongue. ■ Taste: bitter or metallic; sour,

thickly coated tongue ; of blood ; of pus in throat.

■ Dry tongue and dislike to talk.

■ Tongue not facile; speech difficult.

■ Stuttering on account of heaviness of tongue.

■ Burning about tip of tongue, as if it was cracked.

545 NATRUM CARBONICUM.

■ Pimples on tip of tongue.

^^ Inner Mouth, i Saliva generally increased.

■ Constant dryness of mouth and lips, which she was con-

stantly obliged to lick, as if caused by heat of breath. I Dry mouth and throat, with inclination to drink.

■ Slight redness of mucous membrane of mouth and fauces,

with rawness and scraping ; desire to hawk and hem ; mucus collects at night and is hawked up in morning.

■ Redness and soreness of mouth, with flat, painful blisters ;

increased appetite; great thirst for cold water, but < after drinking it ; yellow stools discharged with a gush ; frequent urination of dark, sour smelling urine. ^Sto- matitis.

■ Flat ulcers and blisters inside of mouth, burning and

painful when touched. ^^ Throat. iThroat and oesophagus feel rough, scraped, dry.

■ ■ Accumulation of mucus in throat and posterior nares.

■ ■Violent hawking up of thick mucus that constantly

collects.

■ Throat painful when swallowing and gaping, I iGlanduhir swellings in throat.

^* Appetite, Thirst. Desires, Aversions. ■Incessant hunger.

■ Increased and ravenous hunger in forenoon, from sen-

sation of emptiness in stomach.

■ Thirst: in afternoon; incessant; great desire for cold

water a few hours after dinner.

■ ■Aversion to milk and diarrhoea from it.

^* Eating and Drinking, i After eating: hypochondriacal; weak digestion ; pressure in stomach ; eructations ; dis- tress and tenderness, with palpitation (may also follow abuse of soda crackers).

■ Indigestion especially marked after vegetable diet, par-

ticularly starchy foods.

■ Bad effects of a cold drink while overheated.

■ ■ After milk, diarrhoea.

^^ Hiccough, Belching, Nausea and Vomiting. 1 1 Fre- quent hiccough. Eructations frequent; empty; sour; in afternoon.

■ \Vaterbrash.

■ Violent retching in morning, without actual vomiting.

■ Nausea and retching, with pain and soreness in stomach ;

< from touch ; > from eating.

■ Continuous qualmishness and nausea.

■ Vomiting of bile, bitter.

^^ Scrobiculum and Stomach. ■ Gnawing and pressure in stomach, with distension and "gone," weak feeling about 10 or 11 A.M., > from eating. ■Stomach weak and easily disordered.

VOL. VII— 35.

NATRUM CARBONICUM. 546

■ Heaviness and pressure in stomach; nausea; frequent

hiccough.

■ Violent pressure in stomach after dinner and breakfast.

■ Pit of stomacli sensitive to touch and when talking. I Cramp in stomach, pressing, drawing, cutting pain.

■ Depressed and exceedingly irritable, particularly after

dinner; hypochondriasis; > as food passes out of stomach into duodenum and down into bowels ; averse to society, even to his own family ; indigestion, < after vegetable diet, particularly starchy foods ; sour eructa- tions; waterbrash; retching in morning; spasmodic contraction of oesophagus and stomach, with little or nothing coming to mouth ; copious salivation ; abdo- men hard and swollen, especially after eating ; accumu- lation of flatus, fetid when passed ; griping colic just after a meal ; stool difficult to expel, though not hard. ^Indigestion. ^^ Hypochondria. ' ' Violent, sharp stitches in r. hypochon- driac region, followed by griping in lower abdomen.

iStitches in 1. hypochondrium ; < after drinking very cold water.

iStitches in hepatic and splenic regions. ^Chronic hepa- titis.

I I Violent stitches in region of spleen. ^^ Abdomen. I Colic with constriction around stomach ; con- traction of navel, hardness of integuments of abdomen.

■ Hard, bloated, swollen abdomen.

■ Accumulation of flatus; loud rumbling; swellings here

and there as from incarcerated wind.

■ Flatus changing place and causing pain.

■ Distension of abdomen, especially after eating.

■ Griping in abdomen like colic, immediately after eating. ■Pressure in lower abdomen, extending to genitals, as if

everything in abdomen would fall out and menses come.

■ Itchlike eruption on lower part of abdomen.

■ Swelling (generally painful) of glands of groin and axilla. ^ Stool and Rectum. " ■Passes much sour smelling or fetid

flatus ; feces escape. ■Stools: yellow; soft or watery, with violent, sudden urging and tenesmus; watery, yellow, discharged with gush ; < from milk or after eating and from taking cold ; spotted with blood ; sour smelling ; yellow, with burn- ing and tenesmus ; frequent, ineffectual urging, alter- nately with liquid stools ; soft, preceded by colic.

■ Discharge of blood during stool.

■Yellow substance, like pulp of an orange, in stool; cli- macteric period.

547 NATRUM CARBONICUM.

I Difficult evacuation of stool that was not hard; was obliged to make great effort before it could be discharged.

Ilnsufficient stool, with tenesmus, followed by burning in eyes and urethra; great sexual excitement. ^Consti- pation.

I I Constipation, alternating with soft and liquid stools.

■ Before stool: cutting; strong urging; severe colic with

rumbling in abdomen. During stool : tenesmus ; burning and cutting in anus and

rectum ; sexual excitement. 1 After stool; pain in rectum. I I Itching in anus.

■ Tapeworm with stool; itching creeping in anus. ^^ Urinary Organs. Pressure in region of bladder.

■ Frequent desire to urinate, discharge scanty or copious.

■ Nocturnal, involuntar}' micturition.

■Urine: dark yellow, fetid, sour, or like horse's urine; deposits a mucous sediment like well water, when she must go often, pain mostly in r. leg as if veins were bruised.

■ ■Burning in urethra during and after micturition.

^ Male Sexual Organs. ■ Increased sexual desire ; priapism.

■ Nocturnal erections and pollutions, or emissions without

erections.

■ Incomplete coition, short erection, speedy emission.

■ Chronic hypertrophy of prostate, small and painless,

only detected by physical examination suggested by discharge of prostatic fluid at stool and when urinating.

■ Straining and tenesmus, with a voluptuous sensation in

genitals.

■ Prostatorrhoea after urinating and after difficult stool.

■ Inflammation, swelling and easy excoriation of prepuce

and glans penis.

■ Soreness between scrotum and thighs.

■ Heaviness and drawing in testicles; testicles feel bruised. ^^ Female Sexual Organs. ■Pressure in hypogastrium as if

everything would come out; indurated cervix and ill shaped os. ■Bearing down as if everything would come out; melan- choly; oversensitive to music ; backache; heaviness, < sitting, > moving; bruised pain over back at night, tension, boring from tip of 1. scapula through; skin dry, rough.

■ Passive congestion of uterus, causing pulsation there dur-

ing and after coitus, due to extra influx of blood caused by sexual erethism.

■ Pressure as if uterus would protrude. ■Motion as from foetus in uterus.

NATRUM CARBONICUM. 548

I Moles in uterus.

■ Menses: too early and long lasting; preceded by drawing

in nape of neck and headache; with tearing headache, distended abdomen in morning, > by diarrhoea; ner- vous, cannot bear music; < in a thunderstorm.

■Metrorrhagia.

• Deficient menstruation in adult females.

I Dysmenorrhcea ; sterility.

■ Congenital defective growth of anterior vaginal wall,

with ill shaped os.

■ Discharge of mucus from vagina after an embrace, caus-

ing sterility.

■ Profuse leucorrhoea, after frequent attacks of colic, with

writhing about umbilicus.

■ Leucorrhoea, with frequent copious urination.

■ Leucorrhoea thick, yellow, putrid, ceasing after urinating. ^ Pregnancy. Parturition. Lactation. Expels moles, pre- vents false conception.

■ Labor pains weak or accompanied by anguish and sweat,

wath desire to be rubbed.

^^ Voice and Larynx. Trachea and Bronchia. ■Hoarse- ness, with roughness of chest, coryza, chilliness and scraping, painful cough.

^ Respiration. ■Dyspnoea and shortness of breath from ten- sion of chest.

^^ Cough. ■Cough: dry, with stopped catarrh; violent, dry, < when entering a warm room; short, with rattling in chest; with rumbling, incarcerated flatus; wdtli salty, purulent, greenish sputa.

^^ Inner Chest and Lungs. ■Pressing stitches in chest.

I I Burning soreness in r. mid chest ; loose cough, no sputum; coldness between scapulae, seems unable to give any exact voluntary statement; pain in r. rhomboid muscle when sewing or exercising, and in damp weather; moves to opposite side sometimes.

^ Heart, Pulse and Circulation. ■ Painful cracking in region of heart. ■Violent, anxious palpitation of heart when ascending and

at night when lying on 1. side. ■Burning and distress along spine, with palpitation ; thinks he has heart disease.

■ Palpitation: woke her at night, while lying on 1. side; on

going up stairs ; prevents lying on side.

■ Pulse excited at night, with ebullitions.

^° Outer Chest. Chilliness in one (1.) side of thorax. ^^ Neck and Back. ■Cervical glands swollen.

■ Goitre pressing pain; round, hard swelling on upper

r. part of gland.

549 NATRUM CARBONICUM.

■ Stiffness of neck.

■ Cracking of cervical vertebrae on moving head. Rigidity and drawing between scapulae in open air, or in

back, extending as far as anus, in paroxysms and termi- nating in a stitch w^hen sitting or lying. Stitch in back, sometimes as far as 1. side of chest, evening and night.

■ Backache; violent after walking.

■ Stitches in small of back while sitting.

■ Tingling (formication) in back. I I Pustules on small of back.

32 Upper Limbs. ■Rheumatic pain of shoulder, arms and elbows, with weakness of arms.

■ Pressing pain on shoulders.

■ Has to stretch arms, with anxiety.

■ Twitches and twitching sensation in arms and fingers on

taking hold of anything. I I Drawing pain in elbow. I I Warts on arms and backs of hands; painful to touch.

■ Cutting pain in hands.

■ Trembling of hands, morning.

■ Contraction of fingers.

■ Swelling of hands in afternoon.

• Eczema, skin of dorsa of hands rough, dry and chapped.

■ Jerking sensation in finger joints.

■ White bullae, with red areola on index finger.

■ Panaritium.

^ Lower Limbs. ■ Tearing and bruised pain in r. hip. ^Dys- menorrhoea.

■ Jerkings in lower extremities and in parts of lower body.

■ Unsteadiness while walking, stumbling, slipping.

■ Lower extremities feel very heavy and bruised.

■ Heaviness of legs and feet, with tension in them while

sitting or walking. ■Creeping, stinging in muscles of thighs and beneath epi- gastrium.

■ Blotches (as in lepra) on legs.

■ Hollow of knee painful on motion.

■ Tension in bend of knee; muscles shortened.

■ Cramp of calves.

I I When walking in open air sensation as if a knife pierced calf of leg and as though blood trickled down it.

■ Lower legs swollen, inflamed, red and covered with ulcers.

■ ■Easy dislocation and spraining of ankle; ankle is so

weak that it gives way; foot bends under.

■ Cutting pain and cramps in feet.

■ Very cold feet.

■ Burning in feet, especially soles, while walking.

NATRUM CARBONICUM. 550

■ Swelling of feet and soles of feet, with stinging in them

when walking or stepping on them.

■ Soreness of feet, particularly of soles.

iStitches as with needles in sole of r. foot; sole swollen.

■ Throbbing and crawling in heels.

■ Ulcer on heel from spreading blisters.

■ Black, ulcerated pustules on heel.

■ Blisters on points of toes, as if scalded.

■ Smarting and soreness between toes; excoriation.

■ Swelling, tearing and soreness in (big) toes, no sleep. I I Red spot on big toe, as if contused,

I I Violent stitches in a corn.

■ Boring, drawing and stinging in corns.

■ ■Cold feet.

■ Pressing pain in dorsa of feet.

^* Limbs in General. ■ Great weakness of lower extremities and heaviness of arms.

■ Cutting pains in hands and feet.

■ Vesicular places of tips of all fingers and toes, as if

scalded, extending around nails as if they would come off. ^ Rest. Position. Motion. Rest: vertigo < ; dulness of head. Lying: on 1. side, palpitation; stitch in back to anus. Must lie down : weariness.

Sitting : backache, heaviness < ; stitch in back to anus. Sewing: pain in r. rhomboid muscle. Most symptoms appear while sitting and go off on motion,

pressing and rubbing. Moving: backache and heaviness >; of head, cracking-

of cervical vertebrae; hollow of knee painful; causes

profuse sweat. Suddenly turning head : frontal headache. On taking hold of anything: twitches in arms and fingers. Has to stretch arms : with anxiety. When ascending: anxious palpitation. On stepping : foot bends. Walking : violent backache ; unsteadiness ; heaviness of

legs and feet with tension ; as if knife pierced calf of

leg; burning in feet; swelling of feet with stinging. Exercising: pain in r. rhomboid muscle; causes great

debility. 2^ Nerves. ■ Great debility from any exertion ; unsteady walk,

any little obstruction on pavement causes him to fall, or

falls without apparent cause.

■ Is ready to drop after a short walk.

■ Exhaustion from mental effort.

■ Great prostration and heaviness of whole body.

■ Great lassitude and vertigo from effects of exposure to sun. I I Uneasiness.

551 NATRUM CARBONICUM.

I Twitching in muscles and limbs.

I Contractions of muscles, hands, bends of knees, neck, etc. 1 Hysteria. ^^ Sleep. I Sleepiness: in morning; during day, with yawning. I Falls asleep late at night. I Awakes too early in morning.

■ During sleep: starts, twitches; vivid dreams, violent erec-

tions and sexual excitement; restless, with ebullitions, palpitation and nightmare.

■ Dreams: anxious; confused; pleasant; amorous.

^ Time. Morning: dulness in occiput; agglutination of eyes ; mucus hawked up ; violent retching ; distended ab- domen ; trembling of hands ; sleepiness ; awakes too early ; shivering for one hour ; sudden chilliness not followed by heat; bloating of whole body.

About 10 or 11 A.M. : weak feeling in stomach.

During forenoon : lachrymation ; ravenous hunger ; chilli- ness <.

During day: coryza; sleepiness; feeling of coldness in lower extremities; cold and chilly.

Noon : headache.

Afternoon : thirst ; frequent eructations ; swelling of hands; bloating of whole body <.

After dinner : needlelike stitches in both eyes.

Evening : restlessness of body ; headache in forehead with nausea, eructations and dimness of sight; stitch in back.

Night: flashes and streaks of light before closed eyes; coryza < ; mucus collects in throat; bruised pain over back ; palpitation ; pulse excited ; stitch in back ; falls asleep late. ^^ Temperature and "Weather. Sequelee of exposure to heat of sun • inability to think ; head feels stupefied and aches when in sun ; dazzling flashes or black spots be- fore eyes; dimness of sight; palpitation; trembhng of hands ; debility from least exertion ; restless, unrefresh- ing sleep ; profuse sweat from least exertion.

■ Great debility caused by heat of summer.

■ Chronic effects of sunstroke; may have been overcome

by heat years ago, and now, with return of hot weather, suffers from headaches.

Open air : exercise, vertigo > ; rigidity and drawing be- tween scapulse ; when walking, as if knife pierced calf of leg.

In room: headache <; cough <.

In sun : vertigo ; dulness in head ; exposure to, causes vertigo and great lassitude.

Draft of air: coryza <.

NATRUM CARBONICUM. 552

Averse to uncovering.

Damp weather: pain in r. rhomboid muscle.

Change of clothing : coryza <.

After getting a thorough wetting: skin perfectly dry,

formerly perspired easily, and chronic coryza. Cold water : great thirst for it, but < after drinking it ;

stitches in 1. hypochondrium. Bad eiTects of a cold drink while overheated. *° Fever. I l Chilliness and shivering for one hour in morning. I I Sudden chilliness, not followed by heat in morning.

■ Feeling of coldness in lower extremities even during day,

■ Continued chill in 1. side.

I Cold hands and feet, with hot head. iCold and chilly all day, < in forenoon; hands and feet cold, head hot, or hands and feet hot, with cold cheeks.

■ Evening chilliness, dulness of head; then heat and sleep.

■ Heat, with general sweat.

■ Flushes of heat from (nose) down back ; irritability ; averse

to uncovering.

■ Heat of face.

■Sweat profuse from every exertion ; anxiety.

■ Burning sweat on forehead where hat presses.

■ Night sweat, alternating with dry skin.

■ Morning sweat.

■ Cold, anxious sweat.

^' Attacks, Periodicity. At certain hours of day : tearing pain in forehead returns.

Alternately : ineflectual urgings and liquid stools ; consti- pation and liquid stools ; night sweat and dry skin.

Alternate days: coryza <.

Worse during full moon.

Every morning : pulsating headache in vertex.

Every night: troublesome stoppage of nose; pressing toothache ; involuntary micturition.

Before menses : chronic otitis media.

For seven or eight months : loss of hearing in r. ear. ■*^ Locality and Direction. Right : drawing and tension in r. side of occiput ; long continued pressure in side of occiput; loss of hearing; singing in ear; fulness in ear; as if something moved in ear; violent sharp stitches in hypochondriac region ; pain in leg ; burning soreness in chest; pain in rhomboid muscle; hard swelling on upper part of gland ; tearing and bruised pain in hip.

Left : shooting pain in frontal eminence to lower occiput ; sounds seem to come from 1. side when they really come from r. ; roaring in ear; caries of molar teeth; pain in side of face; stiffness of shoulder; stitches in hypo-

553 NATRUM CARBONICUM.

chondrium ; boring from tip of scapula ; chilliness in side of thorax ; stitch in back as far as side; stitches in sole of foot ; chill in side.

Particularly upper r., lower 1. side.

From within outward : stitches in eyes. *^ Sensations. Head as if too large ; as if forehead would burst ; as if head w^ould be drawn back ; as of feathers before eyes; as if ears were closed up; as of a bubble bursting in ear ; on swallowing, feeling as if something moved in r. ear ; as if tip of tongue was cracked ; dry- ness of mouth as if caused by heat of breath ; swellings as if from incarcerated wind ; as if veins of r. leg were bruised; pressure in hypogastrium as if everything would come out ; as if uterus would protrude ; motion as from a foetus in uterus ; as if a knife pierced calf of leg and as though blood trickled down it; stitches as of needles in sole of r. foot ; blisters on points of toes, as if scalded ; red spot on big toe as if contused ; as if nails would come off; itching as from fleas.

Pain: in forehead ; in 1. frontal eminence to lower occiput ; from occiput to vertex; in 1. side of face; in small of back and 1. leg; in bones of face; in stomach; in rec- tum ; in r. rhomboid muscle ; in back.

Stupefying pain: in forehead.

Stitching, tearing, throbbing : in forehead, temples, vertex.

Tearing pain : in forehead ; in r. hip ; in big toes.

Shooting pain: in 1. frontal eminence to 1 lower occiput; in vesicles.

Violent sharp stitches : in r. hypochondriac region ; in region of spleen ; in a corn.

Sharp piercing stitches : in ears.

Needlelike stitches: in both eyes.

Pressing stitches: in chest.

Stitches: in head and out of eyes; in 1. hypochondrium; in hepatic and splenic region; in back; in small of back ; in sole of r. foot.

Cutting: in stomach; in anus; in rectum; in hands; in feet.

Pulsating pain : in vertex.

Digging, boring: toothache.

Boring : from tip of 1. scapula.

Boring, drawing stinging : in corns.

Stinging : in eye.

Pressing, drawing, cutting : in stomach.

Griping : in stomach ; in lower abdomen.

Writhing: about umbilicus.

Cramp : in stomach ; of calves ; in feet.

Rheumatic pain : of shoulder, arms and elbows.

Pressing pain : in forehead ; in teeth ; in goitre ; in stomach ; on shoulders ; in dorsa of feet.

NATRUM CARBONICUM. 554

Drawing pain : from occiput to nape ; in stomach ; in elbow.

Bruised pain : over back ; in r. hip.

Smarting : between toes.

Burning soreness : in r. mid chest.

Burning : about tip of tongue ; of blisters in mouth ; of

eyes and urethra ; in anus; in rectum; along spine;

in feet. Soreness: of mouth; in stomach; between scrotum and

thighs; of feet, < soles; between toes; in big toes. Stinging : in feet. Creeping, stinging: in muscles of thighs and beneath

epigastrium. Throbbing and crawling: in heels. Tingling: in back. Painful cracking: in region of heart. Painful sense of emptiness : in occiput. Burning heat : of face.

Bruised, heavy feeling: in lower extremities. Drawing: in r. side of occiput; in testicles ; in nape of neck. Violent pressure: in stomach. Long continued pressure: in r. side of occiput. Dull pressure: from occiput to nape; in stomach; in

region of bladder ; in hypogastrium. Tension: in head; in r. side of occiput; in nape; in legs

and feet ; in bend of knees. Heaviness: of upper lids; of tongue; in stomach; in

testicles; of legs and feet; of arms; of whole body. Fulness : in r. ear. Constriction: around stomach. Stiffness: of neck and 1. shoulder. Obstruction : in head. Dryness: of mouth and lips; of throat. Squeaking sensation : at root of nose. Voluptuous sensation : in genitals. Gone, weak feeling: in stomach. Twitching sensation : in arms and fingers. Jerking: in finger joints ; in lower extremities and in parts

of lower body. Itching: in anus; over whole body ; in vesicles. ** Tissues. I Emaciation, with pale face, dilated pupils; dark

■ Bloating of whole body mornings, > in afternoon. I Pallid anaemia, with great debility, with watery or milky

whiteness of skin, when disease is due to an original

inertia and phlegmatic state. I Putrid leucorrhoea, uterine troubles; vitality below par. ■Subacute, inflammatory irritation of whole alimentary

mucous membrane, from mouth to anus.

555 NATRUM CARBONICUM.

I Swelling and induration of glands; scrofulosis.

Cutting pain, burning and stinging in wounded parts.

Touch : peeling off of dorsum and tip of nose painful ; ulcers and blisters painful ; soreness in stomach < ; pit of stomach sensitive; warts on arms and backs of hands

Desire to be rubbed : during labor pains.

Where hat presses: burning sweat on forehead.

Easily sprained ; disposition to be sprained by any exer- tion ; old sprains. *® Skin. I Itching over whole body as from fleas.

■Sensation of formication.

iSkin of whole body becomes dry, rough and cracked in places.

■ Red vesicles filled with fluid in bend of elbow, in fold

between genitals and thigh and on chin.

I I Vesicles, with shooting pains and itching.

■ Spreading and suppurating herpes.

I Herpes: iris; circinatus; suppurating.

■ Yellow rings like remains of herpes.

■ Itchlike eruption on lower part of abdomen. ■Light brown spots (freckles) on face.

■ Warts: ulcerate; sensitive to touch.

■Ulcers, with swelling and inflammatory redness of affected parts; burning, pricking and pulsating; pus corroding, acrid, putrid and yellow.

■Rose colored blotches in leprous patients.

■Spots and tubercles all over face, arms, thighs and legs, which ulcerate; leprosy.

I I Elephantiasis grsecorum.

Amelioration by gently pressing parts or rubbing. *^ Stages of Life, Constitution. Leuco-phlegmatic constitu- tions, with aversion to open air and dislike to exercise, physical or mental.

Boy, set. 15; goitre.

Girl, set. 16, lymphatic habit; coryza.

Man, set. 27, private secretary ; goitre.

Woman, set. 40, large, leuco-phlegmatic; affection of chest.

Woman, music teacher, suffering from chronic coryza, after getting wet ; suppression of sweat. ^^ Relations Antidoted by: Camphor, Spir. niir. dul.

It antidotes : Cinchona.

Compatible : Calc. ostr., Nux vom., Pulsat, ■ tSepia, Sulphur.

Natr. sulph., which is preferable for yeastlike vomiting, with pallid, dirty and broad tongue ; Arsen., Carbo veg., Lycop., 3Iercur., Natr. mur., Phosphor., Silic.

NATRUM MUEIATICUM. 556

NATRUM fflURIATICDM.

Common Salt. Na CI.

The provings were made with dilutions ranging from the 1st to the 30th.

557 NATRUM MURIATICUM.

NATRUM MURIATICUM. 558

^ Mind. Weakness or loss of memory ; remembers nothing

of yesterday. ■Absent minded or distracted while talking; does not

know what he ought to say ; awkward in talking ;

happen. I Tries to recollect past disagreeable occurrences for the

purpose of thinking on them and indulging the grief

which it causes. I He concluded from the look of everyone, that he was

pitied on account of his misfortune, and he wept.

■ Delirium, with starting of body, picking at bedclothes,

wandering and muttering.

■ Delirium tremens.

■ Mania, especially when accompanied by paralytic debility. I I After becoming thoroughly wet, severe headache with

maniacal paroxysms, during which he uttered the most atrocious blasphemies, swore against God and the ele- ments, and after raging for awhile became exhausted, and had to keep his bed from great debility ; dryness of tongue; unquenchable thirst; pulse irregular and in- termittent.

■ No desire to work, mental or physical.

■ Taciturnity; offended at every word ; avoids company;

hates persons because they have offended him ; spleen.

■ Likes to be alone.

■ Whenever alone she wished to cry, she did not know why.

■ ■Very much inclined to weep and to be excited.

■ Laughed so immoderately at something not ludicrous

that she could not be quieted, and tears came into her eyes, so that she looked as though she had been weeping.

559 NATRUM MURIATICUM.

1 1 Hurriedness, with anxiety and fluttering at heart. I I Hastiness and impatience. ^Chlorosis.

I 1 Attacks of great cheerfuhiess and merry disposition,

witli great inclination to laugh, sing and dance, iGloomy thoughts, recalls insults long since suffered; likes to dwell upon past unpleasant occurrences.

I I Depression of spirits.

I I Prevailing depression of mind, with spells of irritable-

ness and crossness. ^Addison's disease.

■ Lachrymose depression, < from being spoken to; con-

cern about the future.

I I Sad and weeping mood without cause.

1 1 Sad and weeping; consolation aggravates, a fluttering

of heart follows ; intermittent pulse. ■Very sad, gloomy and foreboding. ^Dysmenorrhoea.

■ Excessive sadness during menses, with palpitation and

morning headache.

■ Alternately sad and excessively merry; hysteria.

■ Melancholic depression and sad apprehension, disheart-

ened all day without definite cause; palpitation.

■ Hypochondriacal mood, with constipation.

■ Apprehension, feels as if something was going to happen.

■ Brain fag, with sleeplessness, gloomy forebodings, exhaus-

tion after talking, embarrassment of brain.

■ A pregnant woman saw a man who had a disfiguring

nasal cancer ; this haunted her, and she was sure her child would be marked ; she was melancholy, avoided society, wept continually.

■ Fear of loss of reason.

■ Despairing, hopeless feeling about the future.

■ ■Hypochondriacal; tired of life.

■ Joyless, indifferent, taciturn.

■ Weak will.

■ Great irritability ; child irritable and cross when spoken

to ; crying from slightest cause.

■ Very ill humored in morning.

■ Quarrelsome fretfulness, gets into a passion about trifles;

passionate vehemence.

■ Hateful and vindictive natures.

■ When trying to comfort him he gets into a violent rage.

■ Anthropophobia.

■ Fearfulness ; very easily startled.

■ Bad effects from anger.

■ Consequences of fright, anger, vexation, mortification, or

reserved displeasure.

I I After a fright, chorea.

I I After violent fits of passion, paralysis. "^ Sensorium. ■ Weariness in head.

NATRUM MURIATICUM. 560

■ Empty feeling in head, with anguish.

I I Weak, faint feeling in head and chest walking in sun. llDulness: of head, as if too heavy; in morning or fore- noon ; after thinking.

I Feeling of heaviness ni head, as if it would fall forward,

increasing with headache across forehead.

I I Vertigo: great dulness of head, with flickering before eyes ; objects turn around, tendency to fall forward ; after shooting in head, as if she would fall to left ; when rising from bed in morning ; periodical, with nausea, eructations, colic and trembling limbs; nausea and headache ; as if a cold wind was blowing through head ; with feeling of fainting; when rising, > lying down awhile; congestive, from suppressed hemorrhoidal flow ; in pregnancy ; from spirituous liquors, tea, coffee, to- bacco, opium ; from straining eyes or close study ; on walking ; when standing near a window.

^ Inner Head. ■ Pressure: in frontal region ; dragging.

■ Weight in forehead, pressing in, < bending head down,

> from pressure.

■ Dull pressure in forehead with confusion.

■ Pressive pain in forehead and eyeballs so violent that

lids can only be raised with exertion and pain , he could no longer read.

■ ■When coughing it seems as though forehead would

burst.

■ Headache: in forehead; during and after sneezing; as

from a blow, < from laughing; on waking in morning, throbbing and weight; face flushed; every other day, from 10 A.M. to about 3 p. m.

■ Pressive, throbbing headache, especially in 1. frontal re-

gion, all day.

■ Throbbing and tension in forehead.

■ Beating and pulsation in head, mostly in forehead, with

nausea and vomiting, < in morning and when moving;

> lying with head high ; > by perspiration.

■ Pains in and over r. eye, going off" with sun ; cannot bear

light of any kind.

■ Rheumatic tearing from root of nose to forehead ; nausea,

vomiting ; vanishing of sight.

■ Tearing, stitching headache, compelling one to lie down.

■ Stitches over eyes ; in head; fine, through head ; extend-

ing to neck and chest.

■ ■Headache as if head would burst.

■ Beating and throbbing in head on motion of body.

1 ■Throbbing as from little hammers ; awakens with head- ache every morning ; < from reading or talking.

■ Rush of blood to head ; head feels heavy.

561 NATRUM MURIATICUM.

I Heat in head, with redness of face, nausea and vomiting.

■ Violent jerks and shocks in head.

■ Pressing headache from both sides, as if in a vice.

■ Headache immediately after waking in morning, lasting

■ Dull headache, almost constantly.

I I Dull, heavy headache, with profusion of tears, drowsi- ness and unrefreshing sleep.

■ Headaches with constipation, from torpor and dryness of

a portion of intestinal mucous tract, when tongue is clean or covered with bubbles of frothy saliva.

■ Head ache, with red face, nausea and vomiting, before,

during and after catamenia.

■ Headache of schoolgirls; during menses with burning

on vertex.

■ Pain like a nail driven into 1. side of head. /^Intermittent

■ Hemicrania: with sour vomiting and eructations; sudden

bloating of and rumbling in abdomen, nausea, loss of consciousness and twitching of limbs.

■ Sick headache from morning till noon.

■ Right sided headache, comes on at 10 a.m., with dizziness

and dull heavy pains, glimmering before eyes, fainting and smking at epigastrium, slight fever and thirst ; > m open air and while perspiring; sore nostrils.

■ Headache, with vomiting of transparent phlegm or water.

■ Headache ceases on one side of head; continues more

violent on other.

■ Left sided clavus.

■ Headache beginning with a blinding of eyes.

I I Pain like a rope around head, drawing tighter and tighter; after walking awhile feels as if stepping on air

I I Sick headache whenever she eats rich food; attacks com- mence m morning, with zig-zag dazzling in eyes, like lightning, lasting half an hour and ushering in throb- bing headache in forehead and vertex, with nausea; can hardly hold her eyes open; cold feet; creeping chilli- ness all over; sometimes vomits sour water or bile* somewhat > going to bed in a dark room; attacks usually last twenty-four hours,

■Severe headache, maniacal paroxysms, blasphemous- weak; tongue dry; very thirsty; intermittent pulse; caused by getting wet.

■ Burning on vertex.

■ ■Heaviness in back part of head; draws eyes together.

NATRUM MURIATICUM. 562

■ Headache coming on in early morning or at 10 a.m., after

suppressed ague. I Headache < in morning on waking, moving head or

eyes, mental exertion, warmth; > from sitting still or

lying down and from sweat. I Chronic effects after injury to head. ■Sunstroke.

■ Increased quantity of water in brain in acute diseases

(typhus, scarlet fever, smallpox), manifested by sopor, convulsions, etc.

* Outer Head. ■Head involuntarily nods forward; weakness.

■ Cold sensation on vertex ; scalp sensitive; spasm of eyelids.

■ Scalp feels constricted; < talking and in open air; >

sitting or lying.

■ Liability to take cold in head.

■ ■Violent itching on head and nape of neck.

■Hair falls out if touched; mostly on forepart of head, temples and beard ; scalp very sensitive; face oily, shiny, as if greasy.

■ Itching eruption, impetigo, < on boundaries of hairy

scalp, especially about nape of neck and behind ears; eruption glutinous, thin, gummy scabs ; skin sore and red.

■ Light crusts form on back of head and neck, along border

of hair, which are irregular and resemble peach gum. •Scabs on head and in axillae; eczema raw, oozing a cor- roding fluid destroying hair.

■ Humid eruption, gluey discharge, matting hair.

■ White scurf on scalp; dandruff; alternating with catarrh

and loss of smell.

■ Chronic eruption over whole head had eaten off hair, sur-

face raw as if scalped.

■ From a blow on forehead bone was exposed and a small

piece exfoliated ; three months after wakes each morn- ing with headache, which lasts till 10 a.m., when scalp begins to sweat and headache passes away ; when he lies down at night head begins to ache; hears a ringing and roaring noise till he falls asleep, starts from sleep fright- ened, having dreamed of robbers, fire, murder or other horrible things.

■ After blow upon 1. parietal bone there remained a sensi-

tive spot over seat of injury, least touch upon this spot caused trembling over whole body ; pains day and night, with twitching of limbs. I I Jerking of head, in chorea.

* Sight and Eyes. ■■Fiery, zig-zag appearance around all

objects; black spots and streaks of light; sudden dark- ness, everything turns black.

■ Vision double, or sees only one half (perpendicular) of an

object.

563 NATRUM MURIATICUM.

■ Unsteadiness of vision; objects become confused.

I Dim sight, as if looking through gauze or feathers; ob-

jects seem covered with a thin veil.

■ Frequent obscuration of sight, especially when stooping,

walking, reading, writing.

I I Amaurosis, from debilitating nervous losses. 1 1 Eyes give out in reading or writing.

■ Amblyopia and amaurosis; pupils contracted, dependent

on menstrual disorders in chlorosis.

1 1 Asthenopia, particularly muscular; drawing, stiff sen- sation in muscles of eyes when moving them ; letters and stitches in sewing run together; aching in eyes when looking intently; often caused by general muscu- lar weakness, spinal irritation and overuse of eyes, or reflex irritation from uterus.

I Retinal images are retained too long.

llHyperaesthesia of retina, lachrymation and burning in morning; conjunctival injection; on looking at a bright light, great photophobia, severe sticking in temples, on reading, objects seem to swim before sight; chlorosis.

■ Iritis; pupil contracted ; iris discolored; violent stitches

in temples on looking into light or when light is changed.

■ Ulcerations of cornea, after cauterizing with nitrate of

silver, with dread of light, so that child lies with head buried in pillow ; lids swollen, bleed on opening, much lachrymation and eruption on face and lips; sharp, piercing pain above r. eye on looking down, with throb- bing headache, < in evening.

■ Blepharitis, ulcers on cornea when there is smarting,

burning; feehng of sand in eyes, mornings; acrid, ex- coriating tears; photophobia marked, with spasmodic closure of lids.

■ Keratitis pustulosa, with granular lids. ■Scrofulous ulcers on cornea, with photophobia. ■Blisters on cornea, white spots; acts especially on corpus

vitreum.

■ Ciliary neuralgia; pain in and above eye (especially r),

coming on and going off with sun; eye congested,"^sore and painful when moved ; can bear neither natural nor artificial light; pam from lamplight; could not hurt more if eye was pulled from socket ; discouraged ; craves salt.

■ Sharp pain over r. eye on looking down, with throbbing

headache; < in evening.

■ Neuralgic pains in eyes, periodical, with flow of tears and

reddened conjunctiva. I I Eyes itch and burn like chilblains; must wipe them often and pull at lashes.

NATRUM MURIATICUM. 564

I Divergent strabismus since childhood in a patient, aet. 20;

following inflammatory rheumatism ; after Ehus tox. eyes parallel for one day, then squint, came on from fatigue; more marked in hot weather and < in winter.

II Weakness of internal recti muscles.

1 1 Redness of whites of eyes, with lachrymation.

HRedness and inflammation of white of eye, with a feel- ing as if balls were too large and compressed.

Ilnflammation of eyes, lachrymation in every slight wind.

iLids were very much swollen, dark, purplish, canthi cracked ; conjunctiva swollen, chemosed, protruding, small points on upper part of cornea and profuse, muco- purulent discharge.

liScrofulous ophthalmia, after abuse of nitrate of silver.

■ Follicular conjunctivitis; follicular formations chronic

and chiefly confined to oculo-palpebral folds; also when case is complicated with some trachoma.

I Conjunctivitis, with white mucous secretions and acrid lachrymation.

I Sensitiveness of eyes ; after using they smart, itch andburn.

I Sticking in r. eye.

I I Sensation as if sand was in eyes, in morning. I Pain as from a foreign body in eyes.

■ Burning in eyes, with increased secretion of mucus; lids

agglutinated in morning; great sensitiveness to lamp- light.

■ Violent burning in eyes in evening.

■ ■Pressure in eyes on looking intently at anything.

■ Dark veil passes before eyes from r. to 1. every morning

at 10 A.M.

■ Eyes too large.

■ Dermoid swellings of conjunctiva.

■ Lachrymation : in open air; biting, in morning; appear-

ing daily at a regular time; acrid, making canthi red and sore; with eruption of small vesicles causing scald- ing; skin of face about eye glossy and. shining; tears stream down face whenever he coughs; with obstruction of tear duct, < after use of nitrate of silver. I I Irritability of margins of lids and their conjunctiva.

■ Catarrhal affection of margins of lids; lids red, with burn-

ing, especially in evening while reading, they secreted mucus and were agglutinated in morning on waking and covered with thick scabs.

■ Borders and corners of eyelids raw and ulcerated.

■ Excessively sore, red, disgusting eyelids; lids look like

565 NATRUM MURIATICUM.

I Old cases of granular lids, with or without pannus, espe-

cially if they have been treated with caustics. iLids heavy when using them.

I I Spasmodic closing of eyelids. I Eyes close with headache.

■ Entropion from caustic treatment of granular lids.

■ Dermoid tumor on edge of lid.

■Stricture of lachr^anal duct, fistula and blenorrhoea of lachrymal sac.

I I Catarrhal stenosis of lachrymal duct in a baby ; eye con- stantly watering.

■ Fissure in external canthi, first 1., then r., with dragging

pains, craving salt; subsequently fissure in 1. external canthus, with pain as if it was being torn open. ■Stye in corner of eye; stye on r. side.

■ Glutinous substance collects in external canthi.

■ Itching in eyes and canthi.

■ ■Itching eruption in eyebrows.

■ Morbus Basedowii, palpitation ; short breath on least ex-

ertion. ^ Hearing and Ears. ■ Buzzing, humming, roaring or ring- ing in ears.

■ Hardness of hearing.

I I Deafness from swelling of tympanitic cavity, with watery conditions of tongue.

■ Catarrh of tympanitic cavity and Eustachian tube; non-

suppurating.

■ Drawing and stitching pains from ear down to neck and

shoulder, or from teeth up to ear.

■ Throbbing and beating in ears; ears red from congestion;

otorrhoea.

■ Painful cracking in ear when masticating.

■ Pulsation and beating; or stitches in ear.

■ Discharge of pus from ear.

■ Swelling, burning and heat of ears.

■ Chronic catarrhal otitis, with acrid discharges.

■ ■Itching behind ears.

'' Smell and Nose. ■ ■ Loss of smell and taste, especially with catarrh.

■ Feeling of dryness in nose; stoppage.

■ Dry coryza or dry nasal catarrh.

■ Easily takes cold in head ; is constantly obliged to wrap

it up; if he allows it to be uncovered during day has stoppage of nose at night.

■ Coryza fluent, alternately with stoppage; posterior nares

dry, with hawking in morning; spasms of sneezing each' morning, or ineffectual attempts.

■ Great swelling of mucous membrane in upper portion of

NATRUM MURIATICUM. 566

nose, with difficulty of breathing through nose, and speak- ing through nose; loss of smell. ^Coryza.

I 1 Excessive fluent coryza, with loss of smell and taste.

I I Catarrh, secretion clear mucus, transparent like white of egg.

■Severe coryza, consisting of clear white discharge so pro- fuse that it was necessary to lay a towel under nose; awoke every morning with a headache, and after rising discharge from nose continued with violent and fre- quent sneezing; loss of taste and smell; troublesome cough from tickling in throat pit.

■ Squirming in nostril as of a small worm. ^Hay asthma. I Hay fever; watery discharge from eyes and nose.

I Colds causing vesicular eruptions with watery contents, which burst and leave thin scurfs or crusts ; scurf and scabs in nose.

■ Cold in head; lips and alse nasi thickly set with fever

blisters.

■ Influenza, watery running at nose, great sleepiness.

■ Thick mucus, with loss of smell and taste; membrafie

thickened. ^Catarrh.

I I Burning pains in nasal bones, especially at roof of nose and in malar region.

I 1 Redness, heat and swelling of 1. side of nose, with sore pain, especially on blowing nose.

I I Burning in nose, internal soreness; nasal wings full of pimples.

I I Loss of sensibility, feeling of deadness on inner part of nose.

I I Many small, burning pimples under septum, with sen- sation as if acrid water flowed from nose.

■ ■Chronic naso-pharyngeal catarrh.

■ Continual lachrymation from obstruction of nasal duct;

roaring and buzzing in ears and head, with inability to work, read or think ; loss of smell and taste. ^Ozsena.

■ Chronic catarrh of anaemic patients.

■ Nasal catarrh accompanied by excessive use of salt. ■Nosebleed when stooping, or when coughing at night.

■ In place of chill profuse nosebleeding. ^Intermittent. I I Much clotted blood is blown from nose.

■ Nose sore, interior of wings swollen ; scabs in nose. ■"Left sided inflammation and swelling of nose; painful

to touch.

■ Exfoliation of skin on dorsum of nose; redness of nose

with pimples, vesicles and painful nodules.

■ Nose on one side feels numb.

" Upper Face. ■Face: very pale ; wan ; pasty ; livid ; swollen ; sallow ; leaden ; shines as if greasy ; yellow ; earthy ;

567 NATRUM MURIATICUM.

yellowish, with leucorrhcBa ; pale or bloated, in diph- theria ; blue, oedema of lungs.

I Earthy, yellow color of face; brown spots on back of hands. ^Addison's disease.

I Redness of 1. cheek ; heat in face.

I Cheek bones pain as if bruised, when chewing.

I I Prosopalgia : recurring periodically, especially after checked ague; with constipation; tongue showing a clear, mucous slime and little frothy bubbles at edge; with vomiting of clear phlegm or water; after quinine; pains produce paralytic symptoms,

■ Neuralgia of ophthalmic branch of trigeminus on 1. side ;

blepharospasm, photophobia, contracted pupil, red con- junctiva, increased lachrymation, restless sleep ; regu- larly at 7 A.M., increasing till noon, and then decreas- ing, never leaving entirely.

■ Facial supraorbital neuralgia, going from r. to 1., with

bronchitis from eating salt.

■ Pain in malar bones, < when chewing; falling off of

whiskers. I I On each side of upper forehead below hair, a round, slightly scabby patch, with red areola, with itching.

■ Pustular eruption on forehead.

■ Itching eruption on face. ^Crusta lactea. ^Barber's itch.

■ Pimples on face. ^Acne faciei. I I Ulcer on 1. cheek.

I I Sweating while eating. ■Mumps with profuse flow of saliva. I I Suppuration of parotid after typhus. ^ Lower Face, i Small vesicles about mouth, forming a kind of tetter ; hydroa, " cold sores."

■ Blisters like pearls around mouth. ^Intermittent.

■ Lips and corners of mouth ulcerated and cracked.

■ Lips dry and cracked, with rhagades or bleeding scabs;

humid sores in commissures.

■ ■Upper lip swollen.

■ Eruption with smarting pain on red of lips.

■ Lips tingle and feel numb.

■ Small vesicles on upper lip, below septum of nose, which

burn, become confluent and covered with a scab, which falls off after several days and leaves a red spot lasting two weeks.

■ Deep, painful fissure in middle of upper lip.

■ Swelling of lower lip and tip of tongue, with violent

burning on it ; wakes him at night.

■ ■Great swelling and some burning of lower lip, followed

by appearance of a large vesicle, which next day formed a scab and desquamated.

NATRUM MURIATICUM. 568

Crack in middle of lower lip.

I I Severe drawing pain in lower jaw, painful to touch

■ Eruptions and ulcers on chin.

■ Itching, humid eruption on chin; angry looking. I Hair of beard falls out profusely. ^Barber's itch, ■Sycosis; whiskers fall out with much itching, vesicles

with watery contents.

■ Submaxillar}^ glands swollen.

'" Teeth and Gums. ■ ■Teeth sensitive to air or touch ; molars pain when chewing.

■ Pain, drawing, tearing from teeth to ears and throat, after

eating and at night; cheek swollen.

■ Toothache: pressure; teeth too long, loose, dull; swollen

■ Pain in malar bones, < when chewing.

I I Toothache with involuntary flow of tears or salivation.

■ Decayed teeth feel loose, burn, sting and pulsate. ■Teething, with dribbling of saliva.

I I Loose teeth.

■ ■Gums: sensitive to warm and cold things; swollen,

bleed easily; aphthae; putrid; burning, smarting when eating; inflamed, with swelling of cheek; scorbutis.

■ Difficulty of talking, as if organs of speech were weak.

■ Ulcer on gum; painful day and night.

■A bluish red swelling of a spongy nature on gums be- tween lower incisors, commencing on 1. side, extending to r., bled often, blood had a saltish taste.

■ Epulis.

■ Fistula dentalis.

" Taste and Tongue. ■Taste: bad, in morning; bitter; all food tastes bitter; bitter, with clean tongue in old women; sour; salty on lips; salty, dry tongue, loss of appetite, thirstlessness; water tastes putrid; putrid or sour, while fasting.

■ i Loss of taste. ^Catarrh.

■ ■Food and drink have no taste.

■ ■Tongue heavy, difficult speech; children are slow in

learning to talk.

■ One side of tongue numb and stiff".

P Dryness of tongue: in diphtheria; in fever; with con- stant thirst or without any.

■ ■Complains much of dryness of tongue, which is not

very dry.

■ Sensation of a hair on tongue.

569 NATRUM MURIATICUM.

I Burning at tip of tongue.

I Dry, white tongue in apyrexia. /^Intermittent.

I I Tongue coated, with red insular patches.

■ Mapped tongue: with diphtheria; with amenorrhoea ;

frothy saliva along its sides.

I Tongue moist and clean anteriorly, back part coated with

light colored mucus.

■ Tongue broad, pallid, puffy, with a pasty coat.

I I Blisters on tongue; vesicles on tip.

■ Herpes on tongue, from sea bathing.

I I Sore, ulcerated tongue; superficial ulcers.

I I Swelling under tongue, with a stinging pain; ranula.

■ Numbness of lips from paralysis of trifacial nerves and

numbness of one side of tongue from paralysis of glosso- pharyngeal nerve. ^^ Inner Mouth. ■Mouth, lips and tongue dry.

■ Mouth feels dry, but is not.

■ Blood blisters on inside of upper lip.

■ Sore places in mouth very sensitive, even to liquids. ■Vesicles and ulcers in mouth and on tongue, smarting

and burning when touched by food, stomacace.

■ Aphthae on tongue, gums and cheeks, with great burn-

ing and impeded speech.

■ Saliva: profuse, watery; salty; bloody; constant spitting. ■Salivation : with thrush, mumps or toothache ; after use

of mercury; in smallpox ; obstinate.

■ Ranula; chronic inflammation of salivary glands.

'^ Throat. ■Throat feels very dry, yet constantly hawks trans- parent mucus.

■ Hawking of salty tasting mucus.

■ Sensation of splinter sticking in throat.

■ ■ Feeling as of a plug in throat, with chronic sore throat.

■Sensation as of a plug in throat, also when not swallow- ing, with rawness and burning pain and an anxious sensation as if throat would be closed.

■ Sensation of swelling or lump in throat which could not

be swallowed, yet required constant effort to do so ; empty deglutition troubled her more than swallowing either food or drink, yet food seemed to lodge in throat and then felt as if passing over a sore spot; prostration from loss of sleep; lips covered with hydroa; above condition brought about by application of nitrate of silver for ulceration of womb, with profuse discharge, latter com- plaint returning after Natr. mur.

■ Uvula elongated ; muscles so weak " food goes down wrong-

way ; " post-diphtheritic paralysis.

NATRUM MURIATICUM. 570

■ Great difficulty in swallowing, only fluids can be taken;

solids reach a certain point and then are violently ejected with fearful gagging and suffocation ; frequent hawking of mucus in morning; obstinate constipation, stool every five or six days. ^Stenosis. ■Swelling, with sensation of constriction and stitches in throat.

■ Mucous membrane looks glazed, but is not granulated.

■ Hypertrophy of tonsils.

■ Sore throat, with transparent mucus covering tonsils.

I I Irritation to cough seated in epigastrium, < mornings; severe paroxysms on going to bed, with nausea and vomiting ; tired sensation in hypochondria. ^Pharyn- gitis.

■ ■Follicular inflammation of pharynx; after swabbing

with nitrate of silver.

■ Chronic inflammatory condition of throat in tobacco

smokers, particularly in those smoking many cigars; mucous membrane of mouth and pharynx pale, dark red, connective tissue infiltrated, small burning ulcers.

■ Putrid ulcerated patches in throat and on gums ; scorbutus.

■ Face puffy and pale; heavy drowsiness; watery stools;

flow of saliva, or vomiting of watery fluid; dryness of tongue ; stertorous breathing ; swelling of submaxillary glands and lymphatics ; map tongue; Jburning in throat, after application of caustics, especially nitrate of silver. ^Diphtheria.

■ Post-diphtheritic paralysis, food goes down wrong way;

■ Excessive hunger; canine hunger, especially for supper,

with weak body and depressed mind.

■ Great desire to eat, almost amounting to ravenous hunger

towards noon; after eating, great weariness and sleepiness.

■ Loss of appetite, aversion to eating.

■ iThirst: constant, without desire to drink ; great in even-

ing; fever and apyrexia; violent, with dry, sticky mouth; < in evening; copious drinking; violent, un- quenchable.

■ Great longing: for bitter things, beer; for farinaceous

food; for sour things; for salt, oysters, fish, milk.

■ Aversion: to meat; to bread; to coffee.

■ Complete loss of desire for smoking, to which he was

accustomed. ^^ Eating and Drinking. ■ Feels better on an empty stom- ach; < after breakfast; feverish.

■ While eating, sweat on face.

571 NATRUM MURIATICUM.

I After eating: empt}' eructations, nausea, acidity in mouth, sleepiness, heartburn, palpitation; epigastric pressure and heat radiating upward to chest.

I Bad effects from acid food, bread, fat and wine. ^® Hiccough, Belching, Nausea and Vomiting, i i Violent hiccough.

■ Singultus of ten years' standing, brought on by abuse of

quinine and renewed after every dose.

I Eructations: incomplete; empty after eating; sour; sev-

eral hours after eating; offensive after fatty foods and milk; during pregnancy.

I I Acid eructations and malaise after eating.

I Heartburn: after eating; with palpitation in pregnancy. I I Sweet rising from stomach at menstrual nisus.

■ Waterbrash: water coming up into throat, not acid; like

limpid mucus, profuse, constant in pregnancy.

■ Gulping up of sour water, with headache.

■ Nausea: in morning; after eating; continuous, with thirst

and profuse waterbrash; immediately after eating, with heaviness of head and bitter eructations; after drinking; felt in stomach ; in pregnancy.

■ Belching and vomiting of food. ^Ague.

■ Vomiting: food; first food, later bile, oppression of stom-

ach; watery, stringy, transparent mucus; acid, sour fluids, not food; watery fluids, in diphtheria; with head- ache; bitter, bilious, like that of pregnant women; bile, between chill and heat; curdled masses and acid fluids, clayey substances; dark substances like coffee grounds;

I I After grief, severe pains in abdomen; nausea; anxiety; trembling of whole body; severe cramps, Avith vomit- ing of much dark, coagulated blood ; discharge of black blood from anus ; pale, yellow color of skin ; emaciation. ^Hsematemesis.

I 1 A merchant, who had crossed the ocean seventeen times, seasick each time, had his throat maltreated with nitrate of silver, for which he received Natr. mur. with benefit, and crossed the ocean next voyage without being seasick. " Scrobiculum and Stomach. Un epigastrium: faintness and sinking; goneness; clawing; jerks; throbbing after eating; pressure, sensitive to touch ; burning in parox- ysms; bruised feeling when pressed, with swelling ; swol- len, ulcerative pain to touch.

■ Red spots on pit of stomach.

■ In stomach : great weakness by spells ; pressure and dis-

tension; pressure early in morning; pressure, with nausea and rapid sinking of strength ; heaviness and fulness ; sensation as if a foreign body was sticking in cardiac orifice and behind sternum ; burning extending

NATRUM MURIATICUM. 572

upward ; sensation of coldness ; constricting, stitching, burning pains one or two hours after eating ; cramps. iStomachache, with great accumulation of saliva in mouth,

■ Slight pressure of clothing is painful. I Cramp, > from tightening clothes.

■ Indigestion, with vomiting of clear, frothy water and

■ Severe pain in r. side for several years, could give no

idea of character of pain, " but must have relief;" aver- sion to bread. ^Pain in liver.

■ Bending to left causes stiffness in liver.

■ Jaundice, with drowsiness.

■ Liver disease causes dropsy.

■ Distension in r. hypochondrium, with dull, heavy ach-

ing pain in same region, coming on two or three hours after eating and partly relieved as digestion is com- pleted. ^Dyspepsia.

I I Much pain and soreness in 1. hypochondrium, going through to lower border of r. scapula, < lying on 1. side.

I I Pain in hypochondria and abdomen. ^Addison's dis- ease.

■ Stitches and pressure in region of spleen; spleen swollen.

■ Liver and spleen swollen, skin earthy, sallow, infiltrated.

^Intermittent. ^^ Abdomen. ■ Abdomen swollen; rumbling and incarcera- tion of flatus ; fermentation ; loud gurgling.

I I Pressure in upper abdomen.

I I Cutting, griping, with rumbling in abdomen.

I 1 After a stool griping colic, as in diarrhoea, without result.

I I Pinching pain in r. side of abdomen.

I I Pressive pain : running from navel to pelvis; in 1. side of abdomen.

■ Cramping pains in lower abdomen during menses.

■ Colic, with nausea, > by emission of flatus.

I I Bilious colic presenting belching of Carbo veg. and pains

of Diosc. and Coloc. 1 I Flatulent or laborlike colic.

■ Burning in intestines.

■ When walking abdominal viscera feel as if loose, dragging.

■ Continuous severe pain in abdomen, frequently with affec-

tion of ovaries, especially of r. one; pale face; difficult digestion. ■Sensation of pressure from navel downwards, with leaden heaviness across bladder and pelvis ; constipation.

573 NATRUM MURIATICUM.

iSensation as of a weight hanging across pelvis and blad- der, < during motion and compelling patient to bend forward when seated.

■ When coughing, pain in abdominal ring, extending into

testicles, as if spermatic cords would be torn to pieces.

■ Tightness of skin across abdomen from hip to hip, must

loosen clothes.

■ Abdomen sunken.

■ Discharge from naval yellowish, of peculiar odor, after

suppressed gonorrhoea.

■ Gastro-duodenal catarrh causing jaundice.

^^ Stool and Rectum, i Wants to pass wind, but does not know whether flatus or feces will escape. ■Stool: frequent; watery, discharged with a gush; in- voluntary; excoriating; frothy; black, watery ; green- ish, watery ; greyish ; transparent, glassy, slimy, like white of an egg, without feces ; bloody ; profuse ; gush- ing ; corrosive ; involuntary ; alternating with consti- pation.

■ Watery diarrhoea, with colic; incessant thirst, with

nausea; emaciation beginning at or principally on neck; abdomen bloated. ^Cholera infantum.

■ Vomiting and diarrhoea, < during day; great thirst;

general emaciation, most conspicuous around neck, which appears thin and shrunken. ^Summer complaint.

■ ■Diarrhoea: chronic, watery; with fever, dry mouth,

■ Chronic diarrhoea < in morning after getting up and

moving about and after farinaceous food; profuse emis- sion of flatus, mostly fetid; patient suffers much from inflammation and suppuration around nails.

■ Digestive disturbances and tendency to diarrhoea after

abuse of opium.

■ Chronic diarrhoea of children.

■ Sporadic cholera, stools white, watery, like whey, with a

dry tongue; no thirst; vomiting and cramps.

■ Cholera in drunkards (a teaspoonful of salt in a glass of

water).

■ Alternate constipation and papescent stool.

■ Irregular stools, sometimes two or three a day, then

constipation. I I Hard, difficult and painful stool, followed by liquid stool, pain lasting a long time afterwards. ^Pregnancy.

NATRUM MURIATICUM. 574

I Chronic soft stools.

I Frequent ineffectual desire for stool.

I I Constipation: obstinate retention of stool ; stools irregu- lar, hard, unsatisfactory; on alternate days; stool hard, dry, crumbling; during menses; stool in large masses; stool like sheep's dung; from inactivity of rectum; anus contracted or torn, bleeding, smarting, burning after- wards; stitches in rectum, causing hypochondriasis or ill humor; great torpor without pain; from want of moisture, dryness of mucous linings, with watery secre- tions in other parts ; difficult expulsion, fissuring anus, with flow of blood, leaving a sensation of much sore- ness; with uterine displacement; hemorrhoidal; in Addison's disease.

■ Before stool: rumbling in abdomen; frequent desire

without result; inactivity of rectum and no desire; burning in rectum; pressure upon bladder and rectum; contraction in urethra and rectum ; cutting abdominal pain; soreness in hypogastrium.

■ During stool: pulsation, contraction and lancinating pain

at anus as from ulceration; tenesmus; hemorrhage from rectum; scratching and burning in rectum;' laborlike abdominal pains, > by pressure; succus prostaticus.

■ After stool : burning, tearing, itching about anus; pinch-

ing abdominal pain and ineffectual straining; stupe- faction, nausea, vertigo; burning and smarting in anus and rectum ; ripping up sensation in anus; tenesmus; fissures with bleeding and smarting, burning pains; hemorrhoids with stinging pains and soreness at anus; prolapsus ani; weakness. ■Sensation as if a foreign substance, or very rough hard feces were lying in rectum ; with constant looseness of bowels.

■ Dryness and smarting of rectum and anus. ■Smarting and pulsation in rectum; stitches.

■ Itching stitches in rectum, in evening in bed.

■ Protrusion of rectum; prolapsus ani.

■ Hemorrhoids: with protruding rectum and much

smarting; with stinging pains; moisture oozes from anus; herpetic eruption about anus. ■Soreness at anus and around it when walking.

■ ■Seat worms.

■ Lessens disposition to have worms.

■ Herpes around anus.

^^ Urinary Organs. ■Tension and heat in renal region. ^Addison's disease. ^Morbus Brightii. ^Diabetes. ■Stitches in bladder; burning during urination.

575 NATHUM MURIATICUM.

1 1 Increased desire to urinate, light watery urine.

■ Violent desire to urinate, and inability to retain urine. I Urination every hour at night.

■ Polyuria, especially if accompanied with waterbrash and

emaciation; also in diabetes.

■ ■Involuntary escape of urine while walking, coughing

or sneezing.

■ Incontinence of urine: whenever he sat down urine

came away, day and night, necessitating very frequent change of clothing and bedclothes; continual craving for salt.

■ Has to wait long for urine to pass, especially if others

are near by.

■ Urine: pale, clear; turbid and dark; dark, like coffee;

brickdust sediment ; alkaline, with red sediment ; con- • taining mucus ; bloody.

■ Ha3maturia from scurvy; cutting and burning after

urination.

■ Excessively painful urination; morbid appetite for salt.

■ Before urination : contraction in urethra and rectum.

■ During urination: stitches in bladder, smarting, burn-

ing and cutting in urethra ; pressing in hypogastrium ; smarting and soreness in vulva.

■ After urination : burning and cutting in urethra; spas-

modic contraction in abdomen ; discharge of thin, glutinous substance. '^ Male Sexual Organs. ■Excessive irritability of sexual organs and fancy with physical weakness. ■Sexual desire, with frequent erections and pollutions.

■ Seminal emissions: every night; soon after coition;

followed by chilliness and lassitude, with increased sexual desire.

■ Embrace weakens; coldness of joints.

■ Genital organs smell badly and strongly.

■ Feeling of weakness in sexual organs; sexual instinct

dormant, with retarded emission during an embrace.

■ After sexual excesses, physical weakness, even paralysis;

emission of prostatic fluid without erection when think- ing of sexual things.

■ Erection in morning without sexual excitement.

■ Impotence; spermatorrhoea; poor digestion ; spinal irri-

tation,

■ Discharge of prostatic fluid.

■ Urethra painfully sore to pressure.

■ A thin liquid is discharged from urethra ; causes itching

and burning.

■ Yellow, purulent discharge from urethr^, makes spots on

linen like gonorrhoea; no pain when urinating; some tension in inguinal glands, which are not swollen.

NATRUM MURIATICUM. 57G

I Gonorrhoea resulting from acrid leucorrhoea or menstrual discharge ; yellow, black discharge.

■ Gonorrhoea, especially when chronic ; discharge usually

clear; sometimes yellowish,; cutting in urethra after urination.

B I Gleetlike discharge of clear mucus; transparent, watery slime; after injection of nitrate of silver.

Iltching and crawling sensation at corona glandis.

I Iltching and stinging on glans penis and on scrotum.

I I Prepuce retracted behind glans.

I Aching in testicles; orchitis; after suppression of gon- orrhoea or mumps.

iScrotum relaxed, flabby; buttocks emaciated in infants.

■ Most violent itching on scrotum, disturbing sleep at night. Iltching, soreness and moist herpes between scrotum and

thighs.

I Puslike smegma on glans. •Scrotal oedema; hydrocele.

I I Loss of hair from pubes.

^'Female Sexual Organs, i Diminished sexual desire.

■ Averse to coitus; painful, from dryness of vagina ; burn-

ing, smarting during coitus; ansemic women with dry mouth and dry skin,

■ After embrace feels easy and light hearted at first, later

ill humored.

■ ■Sterility ; menses too early and too profuse, or too late

and scanty.

■ ■Every morning pressing and pushing towards genitals,

must sit down to prevent prolapsus.

■ ■Prolapsus uteri, with aching in lumbar region, > lying

on back; cutting in urethra after micturition.

■ Uterine cramps, with burning and cutting in groins.

I I Pain in uterus or r. ovarian region, extending down thighs, from reading or writing.

■ Uterus painful, collum uteri thickened, swollen, with

ulcers on os. I I Glassy phlegm from uterus, obstinate constipation ; a string felt between uterus and sacrum in hind part of fornix, exceedingly sensitive to touch.

■ ■Menses: too early; seven days too soon ; too profuse;

of too long duration; too late and too long; delaying; too late and scanty; more at night; scanty a day or two, then copious ; thin, watery, pale ; scanty and de- laying, with anaemia and chilliness. ■Delayed menses cause bloody saliva, heat in face, heavy abdomen.

■ ■Delaying catamenia in young girls.

I I Scanty catamenia with endocarditis.

577 NATRUM MURIATICUM.

■ Suppressed menstruation from putting feet in cold

water, followed by general debility, headache, back- ache, etc.

I Chlorosis of long standing, nervous palpitation in ca- chectic persons.

iDysmenorrhoea, with convulsions (salt sitz bath).

• Before menses: anxious, sad ; irritable, qualmish ; nau- sea, sweetish eructations in morning ; headache ; eyes heavy ; palpitation ; disposition to faint ; expectoration of bloody saliva; burning, cutting tearing ; sore burn- ing in vagina; leucorrhoea; contraction in hypogas- trium ; stitches from loins into uterus ; lassitude and trembling ; twitching of eyelids ; pressing headache ; scraping faceache ; toothache.

■ During menses: sadness; headache; colic; palpitation.

■ After menses: headache; congestion of head; itching

vulva; dryness of vagina and aversion to coition; leu- corrhoea; milky urine; colic; diarrhoea; difficult re- spiration, palpitation, accelerated pulse, dulness, sting- ing and cutting in head, paleness; twitching before falling asleep.

■ Leucorrhoea: very profuse; with excessive debility ; acrid,

greenish; in morning, transparent, watery; with yellow complexion; greenish, particularly after walking ; with headache: preceded by colic and bearing down; pro- ducing itching of pudendum; at night; with smarting pain; glassy, with constipation; lasting only a few hours; yellow, before catamenia; excoriating, tetterlike; scald- ing, irritating, causing itching and falling off of hair on pubes; corroding, transparent mucus.

■ Gleet: with clear discharge; green, intensely itching.

■ Dryness, or coolness and paleness of vagina.

■ Burning and soreness of vagina after urinating.

■ Vulvitis, with falling off of hair.

■ Itching of external parts, with falling off of hair. I I Pimj)les on mons veneris.

■ Frequent and severe attacks of vomiting, first of food,

then mucus, and finally blood; < in morning; during latter half of pregnancy.

■ During pregnancy: dysuria; albuminuria, faint, gone

feeling at pit of stomach ; hunger without appetite ; fond of salt and salted food ; congestion to chest, palpitation ; hemorrhoids; cough; escape of urine.

■ ■ Labor progresses slowly, pains feeble, seemingly from

NATRUM MURIATICUM. - 578

I I Puerperal convulsions.

■ Losing hair in childbed or during period of lactation.

llChild is slow in learning to talk, on account of imper- fect development of muscles of tongue and larynx.

I Hoarseness: in morning, with much mucus in throat; throat sore, dryness in larynx; unable to talk or sing; feels as if one had to swallow over a lump ; throat has been pencilled with nitrate of silver ; pain on both sides of larynx, mostly r. side.

nil effects of long speaking.

I I Scraping in larynx, with rough voice ; violent hoarse- ness, < early in morning ; rough, short, hacking cough, making child breathless; soreness in larynx and trachea when coughing ; oppression of chest, with burning in hands. ^Croup.

■ Dry catarrh of larynx and trachea; cough dry, tickling,

or with yellow or bloody sputa; voice hoarse; breathing anxious, oppressed.

■ Soreness and feeling of dryness in larynx and trachea.

■ ■Accumulation of transparent mucus in larynx in

morning.

■ Acute or chronic inflammation of windpipe, with clear,

water}^ frothy phlegm, loose and rattling, sometimes raised with difficulty.

■ Chronic bronchial catarrh of anaemic persons.

^® Respiration. ■■ Breathing: anxious, oppressed, wheezing ; short, on walking fast; > in open air and when exer- cising arms; difficult, on ascending steps; oppressed and anxious, with chlorosis.

■ Dyspnoea from manual labor ; emphysema.

■ Attacks of suff'ocation.

I I Pains generally take away breath and almost paralyze.

■ Asthma, with profuse, frothy, or watery mucus.

■ Breath hot.

I I Offensive breath. "Cough. ■ Cough: excited by empty deglutition ; caused by tickling in throat or pit of stomach ; with hawking of mucus, especially in morning ; sequel to intermittent ; tickling, while walking and on deep inspiration ; vom- iting of food ; sputum in morning of yellow or blood- streaked mucus, with bursting pain in forehead and shocks or beating as of hammers ; with involuntary urination; with stitches in liver; tears stream down

579 NATRUM MURIATICUM.

cheeks ; hacking ; short, obstinate ; dry, with rattling in chest; with long uvula, < lying; with loss of breath, day and night; with vomiting of food ; cutting, tearing in chest ; bursting pain in head ; spasmodic, with escape of urine ; with palpitation ; every morning, with phlegm tinged with blood ; in evening after lying down ; spasmodic, suffocative at night in bed ; when sit- ting erect.

■ Spasmodic cough, with serous, frothy expectoration.

^(Edema of lungs.

I Cough < : from rapid motion ; exertion or manual labor; deep inspiration ; evening in bed ; on becoming warm in bed ; empty swallowing, drinking ; from sour food ; air of the room.

iDuring cough : pain in head, throat, trachea, chest, testi- cle, spermatic cord ; cutting and stinging in chest ; catching of breath ; retching, vomiting of food ; shocks in hypogastrium ; shocks and bursting pain in head ; discharge of leucorrhoea.

■ Whooping cough, excited by tickling in throat and in

epigastrium ; in evening without, in morning with ex- pectoration of yellow mucus, often streaked with blood, generally with a flat taste, sometimes sourish, more rarely saltish.

■ Whooping cough, with watering from eyes; tears stream

down face whenever he coughs.

■ Whooping cough at seasons of intermittent fever.

■ Moist rales are heard and patient cannot cough up mucus.

■ Chronic cough of tuberculous subjects.

■ ■Catarrh, with clear, transparent mucus.

■ Expectoration: of bloody mucus; white, salty mucus;

in clots most in morning ; flat or sourish ; early in morning. ^^ Inner Chest and Lungs. ■Oppression of chest; as if con- stricted, or lungs were too tight, burning hands ; while at work.

■ Sensation and pain in chest as from tension. ■Sore pain or bruised feeling in chest.

I I Severe pain in r. side for several years.

■ Lungs feel raw and sore from continual coughing.

■ ■Pain like a cutting cramp through 1. chest to scapula. I I Tearing, stitching pain from 1. upper region of chest to

shoulder joint; after suppressed facial neuralgia.

■ iStitches in chest and sides, especially on deep inspira-

tion and when coughing. ■Stitches under 1. ribs. I I Single stitches along sternum.

■ Pinching in diaphragm on stooping.

NATRUM MURIATICUM. 580

I I Pains in chest in upper middle part, going through to r. shoulder after eating, < from talking.

■Rattling in chest.

I Inflammation of lungs, with much rattling; phlegm clear, serous and frothy, coughed up with difficulty.

I Pleurisy when serous exudation has taken place.

I Acute oedema of lungs, wants air; spasmodic cough; face blue. ^ Heart, Pulse and Circulation, i Sensation of violent con- striction in heart, with intermitting pulse and feeling of oppression in lower portion of chest, as if lungs had no room to expand.

■ Severe pressure below heart in evening in bed.

I I Stitches in region of heart, after reading aloud.

I Cold feeling about heart, especially when exerting mind.

I I Fluttering of heart : with a weak faint feeling, < lying down ; long standing chlorosis ; torpid skin and sup- pressed menses.

■ Irregular intermission of beating of heart and of pulse;

< lying on 1. side.

■ Irregular beat of heart, at one time slow, then again

quick, especially from slightest motion.

■ Palpitation: with anxiety and sadness; in ansemic con-

ditions; from slightest movement; while standing; without anxious thoughts, even for hours ; on going up stairs ; with hysteria ; on falling asleep and on getting awake ; lying on 1. side ; with morning headache ; when moving or exerting one's self, I I Increased impulse of heart, the beats strong, but clear.

■ ■The heart's pulsations shake the body; aching as if a

pressure came from abdomen and compressed heart.

■ Beating of pulse in whole body, even during rest; often

felt in epigastrium. Pulse : at one time rapid and weak, at another full and slow; rapid and intermittent; irregular and inter- mittent; intermits every third beat.

■ Frequent palpitations during movement; flickering be-

fore eyes ; crawling sensation all over body, beginning at feet and gradually ascending ; sensation as from pressure upon a nerve (getting asleep) ; severe pressure below heart in evening in bed ; sensation of weakness, exhaustion and heaviness. ^Affection of heart. ■Valvular disease ; chronic forms, with weak, faint feeling, must lie down; fluttering heart, < lying on 1. side; cold feeling about heart from mental exertion ; < from least motion.

■ Eccentric dilatation of heart with systolic bellows' sound;

difficulty of breathing, even when keeping quiet, on

581 NATRUM MURIATICUM.

standing, walking, with trembling of hands and feet. ^Morbus Brightii.

■ Hypertrophy of heart.

• Overworked heart, but primary organ affected is spleen. I Heart disease causing dropsy.

■ Every motion excites the circulation.

^^ Neck and Back, i Stitches in neck and back of head. I Painful stiffness of neck.

llThroat and neck emaciate rapidly. ^Summer com- plaint. ^Atrophy.

■ Cervical glands enlarged, sore when coughing; scabs in

axillae.

■ Goitre with chronic sore throat.

■ Impetigo on boundaries of hair, on nape of neck; itch-

ing tetter. ■Spine oversensitive to touch or pressure; tension and

drawing; pains > lying on something hard; weak,

nervous ; fluttering of heart. ■Sensation of weight in back and shoulders, with dyspnoea,

■ Pain in back, after prolonged stooping, as if bruised,

mostly while straightening.

■ ■Beaten, bruised, lame feeling in back, with stitches;

cutting, pulsating fe'eling.

■ Sharp drawing in back and through hips.

■ Pains in back at night.

■ Severe backache, > from pressure and lying on back.

■ Tiredness in back.

■ Feeling of coldness in back.

■ Weakness early, on rising, like paralysis, in small of back,

sometimes also near abdomen.

■ Paralytic pain in small of back, as if beaten ; in morn-

ing on rising.

■ ■Pain in small of back, as if broken.

I I Sharp stitches transversely through small of back, close above hips.

■ Pain in region of kidneys in apyrexia. ^Intermittent,

■ Feeling in sacral region as if beaten.

■ Pain in back is > by lying on something hard.

■ Spinal irritation; sensitiveness between vertebrae ; partial

■ Weakness, heaviness and sinking down of arms. I I Arm almost lost its power after a fit of anger.

I I Bruised or burrowing pain in upper arm.

■ Cramp in arms, hands, fingers and thumb.

NATRUM MURIATICUM. 582

iRound herpetic spots on arms. I I Small red vesicles on arms.

■ Whitish itching hives on arms and hands, becoming red

after rubbing, with violent itching.

■ Involuntary movements of hands.

■ Trembling of hands when writing.

■ Numbness of arms and hands > from rubbing. ■Stitches in wrist joint.

I I Stitches in muscles and joints of hands and fingers. I I Swelling of r. hand.

■ Hands burn or are sw^eaty.

■ ■Skin of hands, especially about nails, dry, cracked ;

hangnails.

■ Warts in palms of hands. I I Brown spots on hands.

I I Finger joints move with difficulty.

1 I Blistering festers on fingers, containing watery fluids (often caused by arsenical wall paper).

■ Panaritium starts from a hangnail

^ Lower Limbs. iPain in hip as if sprained, with stitches. I I Stitches in r. hip joint.

■ Coxalgia, first stage, emaciation not great, but thighs and

neck particularly atrophied.

■Sciatica, chronic cases, with painful contraction of ham- strings; intermittent; abuse of quinine.

I I Drawing pain in r. thigh, extending to knee.

■Sensation as if limb had gone to sleep.

■ Twitching of muscles of thighs.

■ Trembling of lower extremities from weakness, on rising

from sitting, > on continued walking.

■ Involuntary jerkings of legs, fidgets or jerks in sleep.

■ Paresis of lower limbs after sexual excesses or onanism ;

after grief or violent outbursts of passion.

■ ■Painful tension in bends of limbs.

I I Drawing pain in knees while sitting.

I I Pain as if knees and ankles were sprained.

■ Stitches in 1. knee.

■ Gnawing pain in knee, < at night; tightness, cannot

move it.

■ Weakness in knees and calves. •

■ Chronic sw^elling of knee, particularly if scrofulous.

■ ■ Housemaid's knee, enlargement of bursee.

■ Herpes in bend of knee.

■ Restless in legs, must move them constantly.

■ Great heaviness of legs and feet.

■ Legs feel as if paralyzed, especially the ankles.

■ Legs hurt after least exertion; tarsal joints feel bruised.

■ Drawing pain in lower limbs.

583 NATRUM MURIATICUM.

I Cramps in lower legs and calves ; tension while walking.

I I Swelling of lower extremities, from middle of leg down-

ward, with a feeling as though feet were filled with lead, in evening.

■ Varicose ulcer of leg, of six years' standing, covering

nearly entire surface of anterior and inner leg, and ex- tending on to foot ; borders not raised ; ulcer n^ot deep nor callous ; bottom of ulcer of a dirty greenish yellow color, covered more or less with yellow serum ; much itching at night in bed ; heaviness and stiffness in both legs ; symptoms < in wet weather (salt bath).

I I Children do not learn to walk. I Ankles weak and turn easily.

iLame feeling of ankle joint, while sitting or walking.

■ Urticaria about joints, particularly about ankles.

1 Uneasiness of feet, so that she was constantly obliged to move them ; < while walking.

■ Great heaviness of feet.

I I Sensation in tarsal joint as if bruised, when walking and

when touching it. I Cramplike stitching pain in feet. ■Swelling of feet.

■ Burning of feet or great coldness. ■Suppressed foot sweat.

■ Veins of feet distended.

■ Feet emaciated.

I I Herpes on ankles.

■ Big toe red, with tearing and "stinging on walking or-,

standing.

■ Soreness of toes or between toes.

■ Cracks between toes, with violent itching.

■ Corns: stitching, boring, stinging pains.

■ Periodical attacks of gout.

^* Limbs in General. ■ Restlessness in limbs; they have to be moved constantly.

■ Weakness of arms, heaviness ; also of knees and feet.

■ Pressing, drawing in limbs.

■ On motion all muscles are painful, especially those of

thighs and upper arms, as if flesh was loose.

■ Limbs feel weak and as if bruised, < in morning after

rising.

■ Sensation as if limbs had gone to sleep.

■ Tingling in limbs, especially in tips of fingers and toes.

■ Cramps in arms, hands and calves.

■Sensation of coldness in joints, a feeling as if water was trickling over them in open air.

■ Stiff*ness, rigidity of a paralytic nature.

■ Shortening contraction of muscles.

NATRUM MURIATICUM. 584

■ Stiffness and arthritic swellings. Rheumatism; chronic, of joints.

■Cracking of joints on moving them; stiffness; arthritic

swellings. Swelling of r. hand ; also of feet.

■ Coldness of hands and feet.

■ Eruption in bends of knees and elbows.

Position in bed : showed intense debility.

Lying down : vertigo > ; headache > ; constriction of scalp > ; at night head begins to ache ; cough < ; flut- tering of heart <.

Lying with head high : beating in head >.

Lying with head buried in pillow: ulceration of cornea.

Lying on 1. side : pain from 1. hypochondrium to r. scapula ; irregular beating of heart and pulse <.

Cannot lie on r. side: pain under ribs.

Lying on back: aching in lumbar region > ; backache >.

Must lie down: weak, faint feeling, with valvular diseases.

Compelling one to lie down: tearing headache.

Bending head down: weight in forehead <.

Sitting still: headache > ; constriction of scalp >; erect, cough; pinching in diaphragm.

When he sat down : urine came away.

Must sit down : to prevent prolapsus.

Must bend forward when seated: weight across pelvis.

When standing: palpitation ; eccentric dilatation of heart; tearing and stinging in big toe; weariness.

When standing near a window: vertigo.

Stooping: fj-equent obscuration of sight; nosebleed; pro- longed, causes bruised pains in back.

Disinclination to move and walk: lassitude.

Moving: beating in head <; causes beating and throb- bing of head ; eyes, feeling of stiffness in muscles ; eye sore and painful; sensation of weight across pelvis <; diarrhoea < ; rapidly, cough < ; slight, irregular heart beat; slightly, palpitation, finger joints with difficulty ; all muscles painful; joints crack; leg causes great pain; head, twitching headache.

Least exertion: short breath; cough <; palpitation; great weakness; tendency to sweating.

Ever3r motion: excites circulation.

After violent exercise : nettlerash.

Exercising arms: breathing >.

Rising: vertigo <.

Walking: vertigo; after a while as though stepping on air; frequent obscuration of sight; soreness about anus;

585 NATRUM MURIATICUM.

involuntary escape of urine ; leucorrhoea < ; breathing <, cough, tickling; eccentric dilatation of heart; tearing and stinging in big toe; tendency to sweating.

Going up stairs: palpitations; twitching; headache.

Cannot stretch 1. leg, must walk with a hitch.

Must move limbs constantly: restlessness.

Manual labor: dyspnoea; cough <.

While at work : oppression of chest.

When writing : trembling of hands.

Laughing: headache <.

Chewing: pain in malar bones. ^^ Nerves, i Restlessness with chilliness; limbs have to be moved constantly.

I Twitching in muscles and limbs; frequent starts of up- per part of body.

■ Muscles of back and extremities stretched, whilst wrists

and joints of feet are flexed, every morning at 8 o'clock, lasting until 11; loss of appetite; palpitation of heart and loss of breath from least exertion ; hydrsemic con- stitution. ^Intermitting tonic spasms.

■ Hysterical spasms which in course of time developed into

severe convulsions and finally into cataleptic attacks, which often lasted for hours; attacks begin with head- ache and painful tension in spine, followed by loss of consciousness; usually once a week. I I Spasms: with full consciousness; chronic and hysteri- cal; come on at full moon; from water on brain; in feverish diseases.

■ Lethargic state, jerking or starting of limbs, excessive

drowsiness, stupor, eyes half open.

■ During attacks almost inconceivable motions of arms,

head and legs, often distorting whole body, and jump- ing about room regardless of furniture, so that he often injures himself; often jumps as high as afoot and a "half from floor; all these movements are extremely rapid, and are accompanied by most curious distortions of face; attacks last from four to fifteen minutes and are followed by prostration and sleep; occur from four to six times a day, and at times are absent for several days; < during full moon and when vexed. ^Chorea.

■ Chorea for two years, caused by fright; pale, delicate,

auEemic; drinks much water; feverish; white tongue; .sore mouth.

■ Jerkings of r. side and head.

■ Epileptic attacks between 9 and 10 a. m. for three years;

usually preceded for a few days by twitching of arms and legs; aversion to bread.

■ Epilepsy with consciousness.

NATRUM MURIATICUM. 586

■ Trembling: of whole body; in nerves at night.

■ Tobacco smoking causes sweat and trembling.

■ Pains make tears come into eyes.

■ Neuralgic pains recurring at certain times, with flow of

saliva or tears.

■ ■Easily fatigued; lassitude after rising; disinclination

to move and walk, with great heaviness and indolence ; limbs feel weak and as if bruised.

■ Weakness of whole body ; feet heavy, weary while stand-

ing; painful sensitiveness of skin to slightest touch,

mostly on loins. ■Awkward; hasty; drops things from nervous weakness. I I Great prostration from carrying of heavy child and

losing sleep. ■Great debility; excessive thirst; great inclination to

weep. ^Hysteria.

■ Feels so weak that he declines to move, feels weak when

at rest {Arsen., feels weak on attempting to move).

■ ■Great weakness and relaxation of all physical and

mental powers, from exertion or after long talking.

■ Prostration, knows that he is weak and does not want to

move.

■ Hysterical debility; weakest in morning in bed.

■ Debility resulting from loss of fluids, particularly after

onanism. I I Sensation of numbness in suffering parts.

■ ■Paralysis: from intermittents ; from sexual excesses or

other nervous exhaustion; from diphtheria; from anger or emotions ; from pains ; of flexors.

■ Threatened collapse with intermitting pulse and great

thirst. ^Shock of injury.

■ Useful for congenital malformation caused by contrac-

tions of muscles (externally with friction).

■ Takes cold easily.

^^ Sleep. ■ Frequent yawning and stretching ; aversion to motion ; sleepy, but cannot sleep.

■ Sleepy by day, sleepless at night.

■ Drowsiness with inability to sleep.

■Sopor: from water in brain; in diphtheria; in acute diseases ; in smallpox.

■ On falling asleep twitching in limbs and electric shocks

awaking.

■ ■Dreams: anxious; vivid, like a living reality; frightful;

587 NATRUM MURIATICUM.

of robbers in the house and will not believe the con- trary until search is made; about which she is busy for a long time after waking; of burning thirst; during siesta.

■Starts and talks in sleep, tosses about.

1 1 Somnambulism ; rising and sitting about room.

■Sleeplessness : from nervous restlessness, with desire to sleep ; restlessness especially marked in legs ; awakes agitated ; unrefreshed ; with great nervous irritability and, coldness in extremities ; coldness is subjective ; a kind of struggle between sleep and wakefulness ; tor- menting; after gnawing grief ; from depressing events.

■ Awakens often: with pain causing dyspnoea and one sided paralysis ; with fright, violent headache, sweat, erethism, throbbing of arteries, thirst, desire to urinate.

■Unrefreshed in morning. ^ Time. Morning: headache; dulness of head; when rising from bed, vertigo; beating and pulsating in head <; headache after waking and lasting till towards noon; sick headache, lachrymation and burning in eyes; feel- ing of sand in eyes; biting lachrymation ; agglutination of eyelids; hawking; bad taste; irritation to cough; nausea; early pressure in stomach; chronic diarrhcea <; erections; sweetish eructations; leucorrhoea; vomit- ing <; hoarseness; accumulation of transparent mucus in larynx ; sputum of yellow or blood streaked mucus, with burning pain in forehead; cough with expectora- tion; expectoration in clots; expectoration early; pal- pitation with headache; early on rising weakness in back; after rising limbs feel weak; weakest in bed ; un- refreshed from sleep; sweat; profuse epistaxis.

10 A.M.: right sided headache.

Forenoon: dulness of head; horripilations.

Towards noon: ravenous hunger.

Afternoon: heat; indescribable pain in knees; chill.

All day: depressed, sad, disheartened; pressing, throbbing headache.

During day: vomiting and diarrhoea; brownish diarrhoea; sweat.

Evening: pain above r. eye < ; violent burning in eves; catarrhal affection of limbs < ; great thirst > ; in "bed itching stitches in rectum; cough after lying down; cough without expectoration; severe pressure below heart; icy coldness of feet <.

Day and night: ulcer on gum painful; incontinence of urine; cough with loss of breath.

Night: coughing causes nosebleed ; wakened with burning on tip of tongue; toothache; itching on scrotum disturbs

NATRUM MURIATICUM. 588

sleep; menses more; leucorrlioea; in bed suffocative cough; pains in back; trembling in nerves; talking in sleep and restless; profuse sweat; fever nearly all night.

Before and after midnight: toothache. ^^ Temperature and Weather. Great inclination for open air and washing in cold water.

Heat of stove unbearable.

Worse in heat of sun (feel exhausted); ailments < at sea- side ; < in summer.

Open air: right sided headache >; constriction of scalp <; lachrymation ; teeth sensitive; breathing >; as if water was trickling over joints.

Desire for air: oedema of lungs.

Air of room : cough <.

Sultry air: sensitive, but not to drafts.

Drawing in air: toothache <.

Likes to be covered up, though no relief is experienced from it.

When becoming warm in bed: cough.

From warm food: toothache <.

Warmth: headache <; gums sensitive.

In hot weather : squint more marked.

In sun: walking, faint, weak feeling in head and chest.

Uncovering head during day causes stoppage of nose at night.

In every slight wind: inflammation of ej^es.

Cold water: putting feet in, suppressed menstruation.

Cold drinking: toothache <.

Cold : toothache < ; gums sensitive ; sensitive.

In winter: squint <.

Getting wet: causes severe headache. *" Fever, i l Horripilations, especially in forenoon. ^Amenia.

■ Constant chilliness and want of animal heat.

I Frequent internal chilliness.

iChill predominates, mostly internal; hands and feet cold.

I I Coldness in joints ; a feeling as if water was trickling over them.

I I Chilliness over whole body, with heat in forehead, pressure in region of root of nose and violent thirst.

I Chilliness, with frequent yawning.

I I Chill : with thirst, drinking often and much at a time; with languor, yawning, severe headache, great dyspnoea ; stupefaction or unconsciousness ; face cyanotic ; from morning until noon ; fever blisters around mouth ; in nursing children; 10 toll a.m., beginning in feet or small of back; blue nails; thirst; bursting headache; nausea and vomiting ; debility ; pale face ; tearing- pains in bones ; chattering of teeth ; internal as from

589 NATRUM MURIATICUM.

want of animal heat; icy coldness of hands and feet, principally in evening. 1 1 Fever: with violent headache; much heat in face; great thirst, drinks much and often ; excessive weak- ness ; with nausea and vomiting ; stitches in head ; unconsciousness ; blindness, blurred sight ; faintish- ness ; aversion to uncover; without chill, 10 to 11 a. m.

■ Flushes of heat with violent headache; chilliness over

back and sweat in axillae and soles of feet. I Sweat: with aversion to uncover; in hands; in axillae

and soles of feet ; sour, weakening ; relieving headache

and other pains, though it weakens ; profuse at night ;

in morning; during day; from exertion ; while walking. I I Tendency to sweating, and sensitiveness to cold or

sultry air, not to drafts. ^Amenia.

■ Violent chill, with thirst, every fourth afternoon; blue-

ness of lips and nails, spasmodic tightness of breathing ; one hour after, heat, lasting until night ; sweat after midnight; during apyrexia, pressure in region of liver, sometimes alternating with pain in spleen ; laborlike drawing in abdomen, in intestinal canal ; sensation of pressure in chest ; weakness and appearance as if worn out. ^Ague.

iChill every other day at 10 a.m., continuing one and a half hours with severe shaking ; heat all afternoon ; profuse and offensive sweat all night ; severe aching in knees and legs, during chills ; during heat much thirst, terrible headache and delirium ; complete relief during sweat. ^Ague.

iFebris intermittens quartana, since two years ; paroxyms violent, with great thirst; probable cause suppressed itch ; eight days after Natr. mur.*^^ a fine vesicular eruption appeared between fingers, which itched very much, and chills and fever disappeared.

B Chill begins in hands and feet, with no shaking, becomes general ; likes to be covered up, though no relief is ex- perienced from it ; before chill, dull headache, < dur- ing chill ; no thirst; chill begins generally about 5.30 P.M. and last half an hour; paleness; heat felt first in face; headache very severe in forehead; restless; dry lips; bitter taste; belching up of tasteless, inodorous gas; urine high colored, smarts and burns urethra; great thirst; fever lasts nearly all night; face flushed; eyes reddened; sweat not profuse ; apyrexia; constant thirst; anorexia; painless diarrhoea; constant dull headache; hypochondriac mood. ^Tertian ague.

■ Quotidian, from 1 to 3 p.m. ; before attack, tearing cough,

oppression on chest, numbness of fingers and toes.

NATRUM MURIATICUM. 590

trembling of limbs; during chill, nausea, sometimes vomiting, passes much red urine; during heat, thirst, delirium, at times stupor, pain in head; during sweat; some thirst, pain in head ; delirium during apyrexia, depression, bitter taste, craves fruit. ^'Ague.

I I Complains first of intense itching over entire body, lasting from twelve to fifteen hours, followed by par- oxysm ; skin looking like gooseflesh ; chill accompanied by tremendous shuddering; hydroa on lips. ^Ague.

I Hard chill at 11 a.m., lasting until 1 p.m.; headache dur- ing fever; little sweat; sallow complexion; no appetite; food tastes bitter ; swelling in r. hypochondriac region.

Iln early life suffered severely from ague and had taken much Quinine ; every Spring and Autumn has symp- toms of chill and fever ; after exposure to malarial influ- ences suffered first from a diminished appetite, followed by frequently returning watery, but painless diarrhoea; several weeks after felt very cold on retiring, and was awakened about 2 a.m. by a very heavy chill which made her teeth chatter; she had to rise, feeling nausea and a desire to have a stool ; after a very profuse, watery evacuation was overcome by weakness and fell to the floor ; chattered and shook all over from chill, became stiff and icy cold to touch, and in an unconscious state was carried"^ to bed ; heat was applied ; when conscious- ness returned was totally blind, not being able to see with the strongest gaslight; about 4 a.m. fever set in and she fell into a doze, breathing being very much oppressed; next morning great prostration, complained that the external and icy coldness was not to be com- pared with the icy coldness she had felt about the heart; slight headache and backache; no perspiration after slight fever heat ; pulse weak and irregular, small and less than 50; dry mouth, but no thirst; aversion to food ; her position in bed showed intense debility, of which she complained bitterly. ^Ague.

■ Continual stitches in hepatic region during apyrexia; urine red and muddy, with sandy deposit. ^Ague.

iPain in r. side under ribs; cannot lie on r. side; calves very painful to touch, hard and stiff; 1. leg semiflexed, cannot stretch it, must walk with a stick, hobbling gait, great pain from motion; urine muddy and red; skin tawny; conjunctiva yellow. Mgue suppressed by Cinchona.

I After suffering one and a half years with ague, for which much Quinine had been taken, body bent and ema- ciated, eyes sunken, yellowish, earthy color of face, entire loss of interest in work and life generally, de-

591 NATRUM MURIATICUM.

spondent, anxious, wishes himself rid of his miserable existence, slinks about like a ghost; attacks at times quotidian, at times quartan, latterly of an anteponing tertian type ; chill lasts two to three hours, accompanied by great thirst; heat with great thirst and severe tear- ing in head, lasting about as long as chill and followed by profuse sweat ; during apyrexia loss of taste, ano- rexia, thirst.

■ Obstinate, anteponing, tertian ague; thirst during chill;

during fever and apyrexia severe twitching headache on moving head or ascending steps; profuse epistaxis in morning.

I Chill and heat in alternation, at various times of day, without sweat. ^Ague.

I Headache and vertigo with gauze before eyes and feeling as though some displacement in head had taken place, and he felt moidered and homesick; face haggard; chills excessive; perspired copiously when not in chill.

I Very hard chill at 11 a.m., with great thirst which con- tinued through all the stages; during fever violent headache and sensation as if eyes were filled with sharp salt; temperature 1 05-6 ; tongue white, taste bitter when taking food, salty when not; water tasted bad ; no appe- tite. ^Ague.

I Chill at 9 or 10 a.m., lasting an hour; then fever three hours; intense headache; a sort of paralysis of limbs, he would lie as if dead; thirst during chill; fever sub- sided with moderate sweat. ^Tertian ague.

■ Indescribable pain in knees in afternoon, followed next

■ Chronic cases with great enlargement of spleen and

liver; great hydrsemia and weakness; constipation and loss of appetite. ^Ague.

■ Intermittent after abuse of quinine, living in damp re-

gions, or newly turned ground.

■ Paralysis after intermittent fevers.

■ Prodroma: patient dreads chill; languor; headache;

thirst.

■ Apyrexia: stitches about liver and spleen; great languor ;

emaciation; sallow complexion; urine muddy, with red sandy sediment ; loss of appetite; fever blisters ; sexual desire diminished or lost; drawing in limbs, etc.

■ Scarlet fever, with drov/siness, twitching, vomiting of

watery fluids.

NATRUM MURIATICUM. 592

I Rheumatic fever, with chilliness.

I Hay fever, with watery discharges from eyes and nose.

1 Typhus fever when stupor and chilliness are great;

twitchings; watery vomiting ; after typhus suppuration

of parotis. ■ Typhus versatilis; gastric symptoms; on getting up

sinks down to floor ; unquenchable thirst, dry tongue ;

water tastes spoiled ; nausea from drinking; uncon- sciousness. *^ Attacks, Periodicity. Periodical : vertigo with nausea ;

pains in eyes; prosopalgia; attacks of gout; attacks of

neuralgic pains. Alternately: stool and constipation; pressure in region of

stomach ; distension in r. hypochondrium. Four or six times a day, or absent for several days: attacks

trigeminus. 9 or 10 A.M.: chill.

11 A.M. : hard chill lasting until 1 p.m. Every night: seminal emissions.

Every morning: awakes with headache; at 10 a.m. dark veil passes before eyes; spasms of sneezing; pressing and pushing towards genitals; cough with phlegm

tinged with blood. Every morning at 8 o'clock, lasting until 11 : muscles of

back and extremities stretched, while wrists and joints

of feet are flexed. After midnight : sweat.

From morning till noon : sick headache; diarrhoea < ; chill. From 1 to 3 p.m. : quotidian.

2 A.M. : awakened by very heavy chill. 4 AM. : fever set in.

5.30 P.M. : chill begins and lasts half an hour.

593 NATRUM MURIATICUM.

Daily : at regular time, lachrymation ; two or three stools.

Lasting twenty-four hours : attacks of sick headache.

Going off with sun : pains in and over r. eye.

Coming on and going off with sun : neuralgia in r. eye.

From sunrise till sunset, < at midday : headache.

From twelve to fifteen hours : intense itching.

Day after pain in knees : chill.

Every other day from 10 a.m. to 3 p.m. : headache ; tooth- ache ; constipation.

Every other day from 10 a.m. for one and a half hours: chill with severe shaking.

For a day or two : menses scanty, then copious.

Every fourth afternoon : violent chill.

Every five or six days : stool.

Seven days too soon : menses.

Once a week : hysterical spasms which last for hours.

During latter half of pregnancy : vomiting.

At full moon : spasms.

Spring and Summer: toothache.

Every Spring and Autumn : has symptoms of chill and fever.

One and a half years : suffered with ague.

For several years : severe pain in r. side.

For two years : febris intermittens quartana.

Ten years' standing : singultus. *' Locality and Direction. Right : pains in and over eye ; eye congested ; headache on side ; piercing pain above eye; sticking in eye ; stye on side; ringworm on side of tongue; severe pain in side; distension in hypo- gastrium; pain from 1. hypochondrium to scapula; pinching pain in side of abdomen ; affection of ovary with pain in abdomen ; pain in ovarian region ; pain in throat < side; pain from middle chest to shoulder; swelling of hand ; jerking of side and head ; swelling in hypochondriac region ; cannot lie on side.

Left : as if she would fall towards ; pain in frontal region ; pain like a nail driven into side of head ; clavus on side ; fissure in external canthi ; swelling of side of nose ; redness of cheek ; neuralgia of ophthalmic branch of trigeminus; ulcer on cheek; bending towards side causes stiffness in liver ; pain and soreness in hypo- chondrium; lying on side pain goes to r. scapula; pressive pain in side of abdomen ; pain like a cutting cramp through chest; tearing stitching pain from upper region of chest to shoulder joint ; stitches under ribs ; leg semiflexed.

From r. to 1. : dark veil passes before eyes ; facial supra- orbital neuralgia.

VOL. VII. — 38.

NATRUM MURIATICUM. 594

From 1. to r. : swelling on gums.

First 1. then r. : fissure in external canthi. *^ Sensations. As if something was going to happen ; head as if too heavy ; head as if it would fall forward; as if she would fall to 1.; as if a cold wind was blowing through head ; when coughing seems as though forehead would burst; as if head would burst; throbbing in head as from little hammers; head as if in a vice; as if a nail was driven into 1. side of head ; pain like a rope around

. head drawing tighter and tighter; after walking feels as if stepping on air ; dazzling like lightning before eyes ; as if knives were in occiput; face shiny as if greasy; surface of head raw as if scalded ; as if looking through gauze or feathers; as of sand in eyes ; as if eyeballs were too large ; as if foreign body was in eyes ; as if it was being torn open; as if a small worm was squirming in nostril; as if acrid matter flowed from nose; face shines as if greasy ; cheek bones pain as if bruised ; as of a hair on tongue; as if a splinter was in throat; as of a plug in throat; as if everything in throat would be closed; as of a swelling or lump in throat, as if passing over a sore spot ; difficulty of talking as if organs of speech were weak ; as if a foreign body was sticking in cardiac orifice and behind sternum ; when walking, abdominal viscera feel as if loose, dragging ; as of a weight hanging across pelvis and bladder; pain as if spermatic cord would be torn to pieces ; as of a foreign substance or ver}-- rough, hard feces lying in rectum; as if there was a string between uterus and sacrum in hind part of for- nix; as if one had to swallow over a lump; beating as of hammers in head ; chest as if constricted or as if lungs were too tight; pain in chest as from tension ; as if lungs had not room to expand; as if a pressure came from ab- domen and compressed ; as from pressure upon a nerve ; back as if bruised ; back as if beaten ; back as if broken ; sacral region as if beaten ; as of a sprain in shoulder joint; hip as if sprained; as if limb had gone to sleep; as if knees and ankles were sprained ; legs as if para- lyzed ; as if feet were filled with lead; tarsal joints as if bruised ; as if muscles of thighs and arms were loose; as if water was trickling over joints; weakness as if worn out; as if some displacement in head had taken place; as if eyes were filled with sharp salt.

Pain : across forehead ; in and over r. eye ; on r. side of head; in malar bones; in stomach; in liver; in hypo- chondria and abdomen ; in abdominal ring to testicles ; after stool; in uterus; in r. ovarian region; on both sides of larynx, mostly r. side; during cough in head,

595 NATRUM MURIATICUM.

throat, trachea, chest, testicle, spermatic cord ; like a cutting cramp through 1. chest to scapula; in back; in region of kidneys ; in hip ; in knees and ankles ; in spleen ; in r. side under ribs ; in old scars ; muscles as if torn from bones.

Terrible pain : in head.

Violent pain : in head.

Indescribable pain : in knees.

Severe pain : in head ; in abdomen ; in r. side ; in back ; in forehead.

Sharp pain: over r. eye.

Much pain : in 1. hypochondrium.

Lancinating pain : at anus.

Severe tearing : in head.

Tearing: about anus; in chest; in big toe; in bones.

Tearing, stitching pain : from 1. upper region of chest to shoulder joint.

Tearing, stitching pain : in head.

Sharp, piercing pain : above r. eye.

Bursting pain : in forehead.

Shooting : in head ; in skin.

Cutting: in head; in abdomen; in urethra- in groins; in chest.

Cutting, pulsating feeling: in back.

Neuralgic pains: in eyes.

Violent stitches : in temples.

Sharp stitches : transversely through small of back.

Stitches: over eyes; in head ; to neck and chest; in occi- put; in ear; in throat; in stomach; in hepatic region; in region of spleen; in rectum; in bladder; from loin into uterus ; in liver ; in chest and side under 1. ribs ; single, along sternum ; in region of heart ; in neck and back part of head ; in back ; in wrist joints ; in muscles and joints of hands and fingers; in hip; in r. hipvjoint; in 1. knee.

Itching stitches : in rectum.

Stitching, boring, stinging pains : in corns.

Drawing and stitching pains : from ear down to neck and shoulder; from teeth up to ear.

Severe sticking : in temples.

Sticking : in r. eye.

Laborlike abdominal pains: during stool; in intestinal canal.

Pinching pain : in r. side of abdomen ; in diaphragm.

Gnawing pain : in knee.

Clawing: in epigastrium.

Griping: in abdomen.

Severe cramps : in abdomen.

NATRUM MQRIATICUM. 596

Cramp : in arms, hands, fingers and thumb ; in lower legs

head ; from navel to pelvis ; in 1. side of abdomen. Dull, heavy pain: in head; about liver; in r. hypochon-

in head ; in teeth. Drawing pain : in r. thigh to knee ; in knees ; in lower

Burning pains: in nasal bones; in throat; in stomach. Smarting, burning : in eyes ; of gums ; in anus ; during

lip, in throat; in epigastrium; in stomach; in intes- tines ; in anus ; in urethra ; in groins ; in vagina ; in

hemorrhoids. Stinging : in teeth ; in tongue ; in hemorrhoids ; on glans

penis and on scrotum ; in head ; in chest ; in big toe ;

in hypogastrium ; in vulva; between scrotum and thighs;

597 NATRUM MURIATICUM.

of vagina ; in larynx and trachea ; of toes and between toes.

Heat : in head ; in occiput ; in face ; in forehead.

Sensitiveness : between vertebrae. ' Tingling : in limbs.

Violent jerks and shocks : in head.

Jerks : in epigastrium.

Jerkings : of r. side and head.

Twitching : of muscles and limbs ; of arms and legs.

Beating : in head ; in ears.

Throbbing: in forehead ; in occiput; in ears; in epigastrium.

Pulsation : in head ; in ear ; in teeth; in rectum.

Severe pressure : below heart.

Pressure : in frontal region ; in region of root of nose ; in epigastrium ; in stomach ; in region of spleen ; in upper abdomen ; from navel downwards ; in region of liver ; in chest.

Pressing, pushing : towards genitals.

Violent constriction : in heart.

Contraction : in hypogastrium.

Constricted feeling ; of scalp : in throat ; in stomach.

Drawing, stiff sensation : in muscles ; of eyes.

Drawing: in spine.

Tension : in forehead ; in hepatic region ; in renal region; in inguinal glands ; in spine ; in lower legs.

Stiffness : in liver ; in legs ; of joints.

Lameness: in shoulder joint.

Lame feeling : of ankle joint.

Weight : in forehead ; in back and shoulders.

Heaviness : in head ; in stomach ; across bladder and pel- vis ; of eyes ; of arms ; of legs and feet ; of feet.

Oppression : of stomach ; of chest.

Fulness: at stomach.

Painful cracking : in ear.

Distension : of stomach ; about liver; in r. hypochondrium.

Uneasiness : of feet.

Restlessness : in legs ; in limbs.

Numb feeling : of one side of nose ; of lips ; of one side of tongue ; of arms and hands ; of fingers and toes.

Scratching: in rectum.

Dryness : of nose ; of tongue ; of throat ; in larynx ; of anus ; of vagina ; of mouth ; of skin.

Dulness: in head.

Fluttering : of heart.

Great weakness : in stomach.

Great prostration.

Great debility.

Sinking down : of arms.

NATRUM MURTATICUM. 598

Weak, faint feeling : in head and chest ; in heart. Weakness : in male sexual organs ; of arms ; in knees and

in canthi ; behind ears ; of herpes ; of eruption on face ;

on face; about anus; at corona glandis; on glans penis

and on scrotum ; between scrotum and thighs ; of vulva;

of pudendum ; on pubes ; of liver ; on arms and hands ;

Coolness : of vagina.

Chilliness : over whole body ; over back. ** Tissues. 1 1 Loses flesh while living well.

I B General emaciation, most conspicuous about neck, which

is very thin and shrunken.

■ Emaciation, anaemia, weariness and complete prostration

of vital forces.

■ Infantile marasmus from defective nourishment.

■ Chlorosis with dirty, flaccid, torpid skin.

■ Anaemia, particularly if provoked by loss of fluids; in

women from menstrual disease, in men from loss of semen.

■ Deterioration of blood, of a scorbutic nature.

■ Cachexia from ague plus Quinine.

■ Hemorrhages bright red or dark red, thin and watery,

not coagulated. ■Tendency to take cold.

■ Wounds become painful, suppurate; pain in old scars.

■ Muscles as if torn from bones.

■ Rheumatic affections, with shortening of tendons. ■Stiff'ness of joints ; they crack on moving them.

599 NATRUM MURIATICUM.

Acts upon cartilage, mucous follicles and glands, salivary and mesenteric glands.

■ Tendency to dryness or to erosions of mucous membrane;

secretion acrid, scanty; smarting, burning at edges of mucous surfaces.

■ Catarrhs of all mucous membranes, with secretions of

transparent, watery, coarse, frothy mucus; white mucus full of bubbles, color of white of egg or like boiled starch.

■ Watery vomiting, increased aqueousness of any part of

body, hydrocephalus; serous effusions.

■ Anasarca, accumulation of serum in areolar tissues;

puffiness.

■ Dropsy: after scarlatina; caused by heart, liver or kid-

ney complaints.

■ Collection of serum in joints and in closed sacs; hydrocele.

■ Chronic swelling of lymphatic and sebaceous glands.

■ Chronic inflammation of salivary glands, excess of saliva.

■ Gonorrhoea last stage; gleet.

■ Fistulous, phagadenic ulcers.

■ Varices.

Pressure : weight in forehead < ; toothache < ; causes bruised feeling in epigastrium ; slightest of clothing painful, of clothes > cramps; laborlike abdominal pains > ; urethra painfully sore ; spine oversensitive ; > back- ache.

Must loosen clothing : tightness of skin across abdomen from hip to hip.

Lying on something hard : > pains in spine.

Rubbing : hives on arms and hands become red ; > numb- ness of arms and hands.

After injury: to head; chronic effects; three months after a blow on head, headache; after blow on 1. parietal bone, there remained a sensitive spot over seat of injury. *^ Skin. Skin: yellowish color, delicate; dirty looking, dry, withered; irritable; itching, pricking, stinging; gnaw- ing, itching, shooting.

I I Crawling sensation all over body, beginning at feet and gradually ascending.

■ Great rawness and soreness of skin ; smarting ; intertrigo.

NATRUM MURIATICUM. 600

■ Vesicles, with watery contents, burst and leave a thin

scurf. llHerpes: about mouth and on arms and thighs; humid on scrotum and thighs; during fevers ; in bends of elbows and knees; moist oozing.

■ Herpes circinatus; pemphigus, blisters starting up on

burning spots, with clear, watery contents; watery blebs. ■Shingles or herpes zoster.

■ Rupia, blisters, not pustular.

■ ■White scales on scalp; dandruff.

■ ■Nettlerash : over whole body; large red blotches, with

violent itching ; after violent exercise; chronic urticaria. I I Red spots as large as head of pin over whole body, pre- ceded by sensation of heat in face.

■ Miliary eruption all over.

■ Rash on legs and in groups all over.

■ Stinging rash over whole body. I I Acne punctata.

■ Comedones.

■ Eczema, raw and inflamed; scurfy and discharging a

corrosive fluid, which eats hair; < in edges of hair, on genitals and legs.

■ ■Tetter in bends of joints, oozing of an acrid fluid; crusts

with deep cracks, scaly eruptions on flexor surfaces; scabs on head and in axillae.

■ Eczema from eating too much salt.

■ Suffused redness, but no rash; tongue resembling burned

appearance, produced by continual use of salt. ^Scarlet fever.

■ Superficial ulcers; red, angry looking, smarting, sur-

rounded by vesicles, no suppuration.

■ Dermoid swellings.

■ Fungus hsematodes.

I I Measles, with excessive secretion of tears or saliva.

■ Smallpox, with salivary flow, confluence of pustules and

drowsiness.

■ Boils, small; bloodboils.

■ Warts in palms of hands.

■ Corns.

■ Scars become painful and redden.

■ Effects of insect bites; stings of bees, mosquitoes. Stages of Life, Constitution, "Salt eaters seldom have

male issue." — Old book. Adapted to cachectic persons and to those who have lost

animal fluids; quinine cachexia. Suits old people, teething children, anaemic, chlorotic

people with catarrhal troubles, and tuberculous subjects

of scrofulous habit.

601 NATRUM MURIATICUM.

Baby, a few months old ; catarrhal stenosis of lachrymal duct.

iBo}^, set. 11 months; marasmus.

Girl, set. 8, dark hair and eyes ; incontinence of urine.

Child, set. 4; scarlatinal dropsy.

Girl, set. 6 ; fear of robbers at night.

Child, set. 6 ; ague.

Child, set. 7, suffering two years; chorea.

Girl, set. 8, brown hair, blue eyes ; ague.

Girl, set. 9, after easy recovery from diphtheria and scarla- tina ; dropsy.

Boy, set. 10, weak, small, irritable, after being frightened by dog two years ago ; chorea.

Boy, set. 10, ill four months ; quartan ague.

Boy, set. 12, living in paludal district; ague.

Boy, set. 13, scrofulous habits, much behind in corporeal and mental development, fat and lazy; scrofulous oph- thalmia.

Boy, set. 14, suffering two months; tertian ague.

Girl, set. 14, scrofulous ; hypertrophy of tonsils.

Girl, set. 16, small, scrofulous, pale, formerly suffering from eczema, menses not yet appeared; leucorrhoea.

Boy, set. 16, suffering ten days; quotidian ague.

Boy, set. 16 ; tertian ague.

Girl, set. 17, suffering three weeks ; hoarseness.

Girl, set. 18, blonde, suffering three months ; ague.

Girl, set. 19, suffering eight weeks ; double quartan ague.

Man, set. 20, after getting thoroughly wet ; mania.

Patient, set. 20, after an attack of inflammatory rheuma- tism during childhood ; strabismus.

Young lady, set. 20, salivated by abuse of calomel while sick during previous summer.

Man, set. 20, soldier, became sick while on march ; affec- tion of chest.

Girl, set. 20, suffering ten weeks, attacks at first tertian, now quotidian ; ague.

Man, set. 20, slender, blonde, troubled with pimples ; ague.

Man, set. 21, weak, two years ago suffered from cough, with hsemoptysis ; tertian ague.

Girl, set. 22, sick four weeks ; ague.

Mrs. A., set. 23 ; chronic headache.

Man, set. 23, suffering one and a half years, rubbing and electricity without benefit ; weakness of arms.

Woman, set. 24, slender, short, blonde ; dysmenorrhoea.

Man, set. 24 ; tertian ague.

Farmer, set. 24 ; ague.

Man, set. 24, strong, small, blonde ; ague.

Girl, set. 24 ; tertian ague.

NATRUM MURIATICUM. 602

Woman, £et. 25, suffering five weeks ; quartan ague. Workman, set. 25, Italian, dark complexion, previously

auburn hair, previously remarkably robust, after severe

and long continued mental application; brain ex- haustion. Man, set. 30, suffering from progressive locomotor ataxy ;

by heroic treatment, since then suffering headache. Man, set. 34, robust, suffering three weeks, chill at first

with muscular asthenopia, Man, set. 50, corpulent, healthy; lachrymal fistula. Man, set. 50,. weak, addicted to drink, suffering a long

time with abdominal troubles; hsematemesis.

603 NATRUM MURIATICUM.

Mrs. C, set. 50, in earl}^ life suffered severely from ague, and still more from enormous doses of Quinine.

Quinine which had been administered year after year, every Spring and Autumn, has sj^mptoms of chill and fever, after exposure to malarial influences ; ague.

Man, set. 50, bilious temperament, hard working farmer, living in an aguish locality; ague.

Mrs. C, set. 51, suffering for nineteen years ; constipation.

Man, set. 54, several weeks previously inflammation of , oesophagus; stenosis.

Mrs. W., set. 60, suffering three months; sleeplessness.

Man, set. 60; tertian ague.

Woman, set. 65 ; tertian ague.

Man, set. 65, six years ago had ague sixteen months in spite of Quinine, now suffering five months ; ague.

Woman, set. 70, has worn a green shade over eyes for many years ; inflammation of eyes.

Man, set. 72 ; chronic conjunctivitis.

Girl, hydrsemic constitution ; intermitting tonic spasms.

Young woman, after labor had necrosis of tibia, suffering thirteen years ; headache.

Man, suffering over three months, treated heroically seven weeks by crude doses of Cinchona ; ague.

Woman, tall, dark hair, eyes and complexion, suffering thirty years ; hemicrania.

Woman, tall, thin, brunette ; vomiting during pregnancy.

Patient suffering from bronchitis cured by Conium ; epi- lepsy.

Mrs. P., seamstress ; sick headache.

Elderly lady, teacher, after loss of daughter ; excessive grief.

It antidotes : nitrate of silver, in all cases wdiere this agent has been used for cauterization ; quinine, when diseases continue intermittent and patients suffer from headache, are constipated and have disturbed sleep ; bee stings.

Compatible: llSepia; after Kali mur. in articular and chronic rheumatism, itch, shingles and other eruptions, exudations, glandular swellings, deafness, aphthse, gonor- rhoea with orchitis; after Kali phos. in deafness, sup- puration of parotid, oedema of lungs, hemorrhages ; after Kali sulph. in catarrh of chest with rattling ; after Natr. sulph. in bitter taste, gastro-enteric diseases, erup- tions ; after Calc. phos. in glandular swellings, chronic rheumatism of joints, hygroma of patella, catarrhs in scrofulous subjects, hydrocele; aRer Ferr. phos. in per- tussis, headache of young girls during menses.

NATRUM MURIATICUM. 604

Apis mel.