Lithium Carbonicum

(Lithm Oarbonm.) PHABMACOLoaT. — TliIs IS ft White powder, sparingly solulile ia water, and having a, ftebie alltaiine reactioa. It disaolrea witli efferreBcence In dilute aulpburio acid, and forms a freely soluble salt. It imparts to tho flame of buroing alcohol a carmine red color. OppicraAL Prkparatioms, — ^Triturations to the 3d. Analoqces. — Lach. Graph. I/yc. (?)

Mental Sphere. Disposition to weep about his lonesome condition. "The whole night anxiety and feeling of helplessness. Difficulty in remembering names.

" Heaviness in the sinciput, especially in the frontal eminence. Toward evening, pain and heaviness over the brows, with rest- lessness in the stomach, unchanged by eating supper and by walking out, continuing until he goes to sleep. Fullness in the right temple the whole afternoon. Pressure in both temples from without inwards, with a press- ing pain in the middle of the chest, extending outwards and toward both sides, in the region of the fourth rib. ° Tearing, sticking headache on the right side, worse on assuming the erect position and on motion, better during repose.

Early on awaking, violent headache in vertex and temples (after sudden cessation of the menses), second and third day; less on the fourth and fifth days, but on the sixth day, in the afternoon, again very severe in the left eye, temple and small spot in the occiput; in the temple and vei-tex very severe, with nausea.

dbyGooglc

LTTHITIM CAEBOHICDM. 411

Heavy weight upon the vertex, with pressure upon tlie left temple; tlie whole head is as if too large; at the same time it feels as if it were violently squeezed in a small spot, which greatly increases the nausea; could hardly keep the eyes open ; they pained as if sore ti-om morning till noon; when looking at anything the headache grows worse; she can't continue lying down; it pains every- where; somewhat better when sitting, relieved by going out.

' Headache relieved or ceases while eating, but returns after- wards.

Bye3.

On the second day of the menses, after being obliged to get up from reading and go into the open air, she noticed on taking up the book again, an uncertainty of vision and an entire invisibility of the right half of whatever she looked upon; if tiyo short words occurred in succession, the one toward the right hand was invisible; both eyes similar in this respect.

Pains internally in the globe of the right eye, above the exter- nal can thus.

" Pains in the eyes, as if little grains of sand were in them.

Feeling of dryness in the eyes, although they wei^e moist, worse in the left.

Throbbing, drawing pain about the right eye, around, outside, above and deep in the orbit.

Pain behind the left ear, in the bone, extending toward the neck

* Earache, left side, from the throat, with prosopalgia.

Obstruction of the nose.

Constant discharge of mucus in the evening.

Dropping from the nose in the open air.

° NosG red, swollen and dry,

"Nose, especially on the right side, somewhat swollen, red, sore internally— shining crusts form in it; it is dry and as if iniiaraed; (at the same time frequent urinating at night, disturbing the sleep.) ' ~ "

dbyGooglc

413 UTHITJM CARBONIOrai.

" Nausea, with gnawing in the stomach, fullness of the temples

° Violent pain in the hepatic region, between ilium and the

the urethra. '■ Frequent and copious urination.

dbyGooglc

LITHITJM OAEBONICDM. 413

On rising to urinate, a pressing in the region of the hearty

which is difficult. * Very frequent urination, disturbing in sleep. Dark reddish brown deposit in the urine.

been hard and difficult. Violent, painful, dull stitch in the perineum near the anus,

from above downwards, from within outwards; when

walking, being sharp, quick, short, itching in the anus in

the evening.

violent on the left side; when taken after the menses, on

the right side. {Male.) * Burning in the nrethra. ° Pains on the right, side in the urethra and through spermatic

Thorax. ° On inspiration, the air feels so cold that it seems to be felt

unpleasantly, even in the lungs, in heart disease. Preasive pain in the middle of the chest, from within outwards

toward both sides. Violent cougli late in the evening, while lying down, compell-

ing to rise, without expectoration; the irritation which

provokes the cough is in a little spot postei-iorly and

dbyGooglc

414 LITHTUM OAKBONICUM.

inferiorly in tlie throat; cough consists of very qnici shocks, which do not seem to come out of the chest, but out of the throat, and to be very violent and prostrating in short paroxysms.

Constriction of the chest when walking out, after breakfast, then expectoration of mucus in great qnantity brought up bj hawking; the mucus seems to come from the middle of the sternum.

Pains in the region of the heart, throbbing, like a dull stitch.

As she bent forward over the bed, in the morning after rising, a very violent pain in the region of the heart.

Pressure in the region of the heart on rising to urinate, pass- ing away after urination.

° Rheumatic soreness in the region of the heart.

° Pains in the heart before and at the time of the commence- ment of the menses,

" Often, in deficiencies of the valves especially after mental agitation of a vexatious character, to which she is very subject, a trembling and fluttering of the heart, distress- ingly painful in the heart and as far as between the shoul- ders; it extends upward also into the head where it is felt as an equally painful throbbing; at the same time the air, on inspiration, seems so cold tiiat it is felt unpleasantly cold even in the lungs. {Nddkard.')

Pain and weakness in the sacrum.

Feeling of prostration in the sacrum at night.

In the morning, on rising, a feeling of soreness on tlie right side near the spine, below the loins, upon a spot not larger than the point of the finger, sensitive to pressure, lasting all day.

Upper Extremities.

Pain OB the anterior side of the riglit shoulder joint, near the point of insertion of the pectoralis major muscle on the margin of tlie same.

Burning stitch in the ball of the hand.

Itching, throbbing, very sensitive pains in all the fingers,

dbyGooglc

LITHIUM CAEBOKICUM. 41S-

GBpecially in the second and third fingers of the left handy as if it were in and upon the bonee, extending from the hand to the end of the fingers, only during repose; it ceases upon pressure, when grasping and diiring motion.

Left middle finger very painfnl, through and through.

Soreness at the margin of the nail, redness and pain, more at

the external angle, first of the left thumb, then of the

right fourth finger, then of several fingers of the left

hand, then of the rightmiddlefinger, lasting several weeks.

Iiower Extremities.

Itching, burning pain in a small spot on the right hip, then on the thigh, then on the little toe; all on the external aspect of the limb.

Itching, burning pain internally on the left thigh, and at the left knee.

Occasional rheumatic pains in the lower extremities.

Great weakness of the knees, with pain, especially on going Tip stairs.

" Paiiifulness of the feet, ankles, metatarsus, all the toes, es- pecially at the border of tlie foot and the sole as if it were gontj.

Ankle joints pain when walking, first the right then the left.

Itching, burning of the feet,

A paralytic stiffness in all the limbs and in the whole body.

Prostration of the whole body, especially in the knee joints and in the sacrum.

Over the whole body, as if beaten, stiff and sore in all the bones, joints and muscles.

Anxious and restless at night.

Voluptuous dreams, tenesmus (vesical,) and erection which subsides after ni'ination, on awaliening.

Offensive diarrhtea awakening from sleep.

Sleep disturbed by the pains in the feet and sacrum.

Coldness of the feet, especially of the soles, then sndden heat beginning in the soles of the feet and extending over the whole body.

dbyGooglc

416 LOBELIA CAEDINALia,

General feeling of heat in the hody; sweat on the back of the hands and very copious sweat. [No akin symptoms of importance,]