Chininum Sulfuricum

Sulphate of Quinine or Chinin. ^C^f^H^^N^ 0^,H2SOrj-\-1H2 0.

One of the earliest provings was that by A. Noack, in 1839, Journal fiir Arz- neimiitellehre,Y. 2, p. 379; who also proved Cinchoninum sulfuricum, in 1842, Hy- gea, v. 16. For other provings, see Encyclopedia, v. 3.

The pernicious and dangerous effects of crude doses of this drug, given in ex- cess, are too well known to need mention. When indicated, as this remedy often is, in the worst forms of intermittent, there is more safety and reliability to be found in the use of the potencies, even the higher, which act promptly and well, than in the use of massive doses. In the words of Dr. H.

C. Allen, the author of Therapeutics of Intermittent Fever, wliich should be in the hands of every homoeo- pathic practitioner: "there is a wide difference between suppressing and curing a fever paroxysm, or any other disease ; the homoeopath can and ought to cure, not 'break up' the chill, 'suppress,' or 'cover up' the disease."

Clinical Authorities. — Intermittent cephalalgia, Frank, v. 2; Periodical, suborbital neuralgia, Escallier, N. A. J. H., v. 13, p. 385; Periodical supraorbital, neuralgia, B, Hughes, B. J. H., v. 26, p. 131; Intermittent supraorbital neuralgia, Frank, v. 3 ; Intermittent ophthalmia, 3 cases, Frank, vols. 1 and 3 ; Eye and Ear Symptoms, Scarlatina, E. W. Berridge, A. J. H. M. M., v. 4, p. 90-95 ; Tinnitus, Winslow, H. M., p. 121 ;. Intermittent prosopalgia, 2 cases, Frank, v. 1 ;* Enlarge-

* The same author mentions thirteen cases of cholera, giving a careful analysis of symp- toms, treated, however, with Chin, salph. in conjunction with Opium, which preparation was also used successfully as a prophylactic in two epidemics. These cases are not included in our arrangement, on account of the compound prescription.

Dr. Aegidi, an old German practitioner, says: " For the precursory stage of cholera, I gave Chin, sulph., 0.01 to 0.06, one dose every evening for eight days. None of the persons thus treated were attacked by cholera. If I ever should live to see another cholera epidemic, I would give Chin, sulph. and ozonized water."

67 CHININUM SULFURICUM.

ment of spleen, 3 cases, Frank, v. 4; Intermittent colic, Elb, Eiickert's Klinische ErfahrLingen, v. 5, p. 364; Intermittent, diarrhoea, Eiickert, K. E., v. 5, p. 410 ;

Intermittent uterine neuralgia, Frank, v. 4 ; Menorrhagia with headache, Frank, V. 2; Puerperal convulsions, Arnold, Riiek. K.

E., v. 5, p. 660; Intermittent pul- monary hemorrhage, Frank, v. 1 ; Intercostal neuralgia during convalescence from typhus, Kafka, Hirscli, Zeitschrift, 1, 123; Periodical cervical neuralgia, Escal- lier, N.

A. J. H., v. 13, p. 387 ; Sciatic neuralgia, Escallier, N.

A. J. H., v. 13, p. 387; Acute articular rheumatism, Escallier, Horn.

Rev., v. 4; Acute rheuma- tism, Frank, v. 4, p. 103 ; Spinal irritation, Schleicher, Eiick. K.

E., v. 5, p. 868 ; Epilepsy, Frank, v. 1 ; Intermittent apoplexy, Frank, v. 2 ; Intermittent paraplegia, 2 cases, Frank, v. 1 ;

Ordinary cases of Ague, B. J. H,, v. 23, p. 104 ; Intermittent fever, 11 cases, Eiick.

K. E., v. 4, p. 895; C. H. von Tagen, A.

J. H. M. M., v. 4 p. 123; 2 cases, Watzke, Oestr.

Zeit. fiir Horn., v. 2; H. V. Miller, Allen's Thera- peutics of Intermittents;

J. W. Eouth, 3 cases, Med. In v., v. 10. p. 28;

Escallier and Jeans, B. J. H, v. 32, p. 723 ; W.

H. Holcombe, U. S. Med. & Surg.

Journ., 1872 ; Lembke, N. A. J.

H., v. 4, p. 277 ; Chronic intermittent fever. Anon., Med. Ind., V. 7, p. 296;

Typhus, Frank, v. 3; Dropsy with enlarged spleen, Frank, v. 4; Confluent hemorrhagic variola, Frank, v. 3.

^ Mind. I I Indifference, stupid expression, vacant stare, averse to answering questions. ^Typhus. I I Great mental depression. ^Variola.

■ Despondency.

I Semi-consciousness, she is f)artly insensible to pain. ^Spinal irritation.

I Unconsciousness. ^Puerperal convulsions.

I I Unconsciousness, with red face, deep and noisy respira- tion, pulse full and very slow, recurring every other day at same hour. ^Intermittent apoplexy.

Decrease of imaginative faculty, with inability to remain standing.

■ Anxiety, down-heartedness, moroseness, despondency,

laziness, lassitude, and aversion to all kind of work. ^Cholera.

I Recurrence of feeling of impending evil.

Anguish and general sweat.

I Loud sobbing and weeping. ^Spinal irritation.

I I Delirium all night while lying quietly on his back. ^Typhus.

Delirium as if from intoxication, with humming in ears.

I 1 Furious delirium with screaming and jumping out of bed.

I I Furious delirium at night, with great restlessness, fol- lowed by stupor in morning.

■ Delirium during heat.

^ Sensorium. i l Apathy, with stupid facial expression. ^Typhus.

■ Head heavy and gidd}^, he wants to lie down. ^Periodi-

cal cervical neuralgia.

CHININUM SULFURICUM. 68

Dizziness and enlarged feeling of head.

1 1 Whirling in head like a mill-wheel.

II Vertigo, with buzzing in ears, difficult breathing, and sickness at stomach. ^ Inner Head. Pain in temple and forehead at noon, increas- ing gradually till temporal arteries throb obviously, with heat in head, tingling in ears, thirst, copious mic- turition, anxiety and great debility.

I Frontal headache, where frontal bone verges toward top of head, a shaking pain, she feels every step, begins towards noon with chill.

■ Beating in vertex. ^Scarlatina.

Violent headache, particularly on left side, with throbbing of temporal arteries.

I Heaviness in head as from a cold. ^Cholera. Dull headache, with debility or with numbness.

I I Intermittent neuralgia at regular hours.

1 1 Intermittent headache, violent throbbing, with vertigo and heat in face, involuntary closing of eyelids from sheer prostration.

I I Headache with nausea, chilliness, cold feet, great pros- tration. ^Menorrhagia.

I lA^iolent attacks of left-sided hemicrania occurring in evening.

■ Headache, the pain is not severe, but day after day, and

week after week, the brain is one continued ache. * Outer Head. Sensitiveness and tightness of scalp, and sore- ness of roots of hair.

■ Distension of veins about head and neck. ^Puerperal

convulsions. ^ Sight and Eyes. ■ Bright lights and sparks before eyes.

■ Black spot, size of pin's head, about eighteen inches from

r. eye, and moving with eye, for some weeks.

■ Dimness of vision as from a net before eyes, and once as

from a dark fog. ^Typhus. 1 I Blindness; amblyopia; amaurosis.

■ Can only see objects when looking at them sideways.

■ Great sensitiveness of eye to light, with lachrymation in

full glare of light.

■ Disk and retina both very anaemic.

■ Eyes staring and lustreless. ^Spinal irritation. Eyes lustreless and restless.

■ Dilatation of pupils. ■Supraorbital neuralgia occurring daily.

■ Neuralgic twinges in suj)ra and infraorbital nerves gen-

erally periodic in character.

■ Intermittent strabismus ; child would squint one day and

be entirely well on the next.

69 CHININUM SULFURICUM.

I Conjunctiva injected, lids red and swollen, pupils con- tracted, lachrymation, extreme photophobia, tearing in orbit and headache, with thirst and fever ; all appearing every second day.

I I At 12 o'clock, daily, violent paroxysms of pain in and around 1. eye, conjunctiva inflamed, photophobia, pupil contracted, lachrymation, pressure > pain; aggravation lasts until 8 p.m.

I 1 A sudden attack of violent pain above 1. eye, at 8 p.m., four days in succession, accompanied by slight delirium, muscular twitching and excessive sensitiveness to light and noise.

I I Violent stitching, throbbing pain in 1. eye, extending to forehead and temple, with photophobia, lachrymation, and inflamed conjunctiva, beginning at 1 p.m. daily, and lasting until 7, followed by perspiration. ^Intermittent.

■ Lancinating pain under r. eye, commences at 7 a.m.,

lasting until after 3 p.m., when it disappears, leaving a sensation within cranium as if there was water drop- ping.

Peculiar dryness of eyes.

Eyes close from weariness. ^ Hearing and Ears. Violent ringing in ears during a chill.

I iRinging in ears, especially noticed in 1., seldom in right.

I Ringing as of bells. ^Spinal irritation.

I I Buzzing in ears. ^Typhus.

Deafness from concussion of brain, especially of region of auditory nerve.

Hardness of hearing, with violent headache.

Tingling in ears, continually or only during headache, with giddiness when stooping.

;rTinnitus, with injection of vessels along handle of mal- leus, with fulness in head and giddiness. ^ Smell and Nose. Frequent epistaxis.

■ Violent epistaxis of young persons.

^ Upper Face. Dull and stupid expression, with flushed face . I While writing sudden ache above 1. zygoma, also at tem- poral ridge. I Aching about 1. malar bone in evening. Flushing of face with redness of eyes and ears.

■ Face pale and suffering, lips and nails blue.

I Very pale, anxious face. ^Spinal irritation.

Paleness of face, violent thirst, nausea, weakness of feet

with deafness when walking, and occasional sweat over

whole body.

■ Jaundiced hue of face and conjunctivae. ^Intermittent. I I Face emaciated, stupid. ^Typhus.

1 I Attacks of prosopalgia, occurring at 10 a.m., 3 p.m. and

10 P.M.

CHININUM SULFURICUM. 70

I I Right-sided prosopalgia daily, from 7 a.m. until noon, accompanied by fever and lachrymation of r. eye; the suffering parts become moist.

I Facial neuralgia, morning periodicity, pains usually com- mence on 1. side, but sometimes on r. side, and occasion- ally on both ; attacks commence every morning, and continue from 7 to 12 o'clock; pains are lancinating, commence under eye, and soon extend into and around eye, causing considerable lachrymation; pains > by pressure. ^ Lower Face. ' ' Swelling of submaxillary region. ^Variola. " Taste and Tongue. Tongue flabby, coated white or yellow in centre, pale on margin.

Bitter taste with clean tongue.

I I Tongue and mouth dry ; bitter taste. ^Typhus.

Inability to pronounce names, and slowness of sense. 1* Thirst, Aversions. Thirst during chill and apyrexia.

Excessive thirst, with dryness of mouth and fauces, just before and during hot stage.

BReal thirst mostly only during sweat.

lExcessive repugnance to all food. ^^ Eating and Drinking. After eating, oppression, nausea

and desire to sleep. ^'^ Nausea and Vomiting. ■ Nausea and loathing of food.

^Cholera. ^^ Scrobiculum and Stomach, i Pressure in pit of stomach up into throat, and pressure in stomach, < after drink- ing water. ^Cholera.

I After eating, pressure in stomach, followed by cutting in upper and middle abdominal region.

I Even the slightest food causes pressure in stomach and a return of the usual symptoms.

Pain in epigastrium, < by pressure.

Sw^elling and sensitiveness of epigastrium.

■ Dyspepsia or cardialgia, with nausea, loathing of food,

bitter eructations, bitter taste in mouth, vomiting of bile, oppression of stomach, heartburn or burning in stormach and oesophagus, and feeling of constriction and pulling sensation in stomach. Severe cardialgia. ^^ Hypochondria. iPain in region of liver, shortly before going to bed.

■ Severe pain in 1. hypochondrium, with shaking chill.

I Pain in region of liver and spleen, on bending, taking a

deep breath, or coughing. ^Intermittent.

I I Painful enlargement of spleen after intermittent. I Enlargement of spleen with dropsy.

^^ Abdomen. iPain in bowels, especially after eating. 6'Cholera.

71 CHININUM SULFURICUM.

Griping and tearing in abdomen, extending to chest, with pressing toward groin during menses, ^Dysmenorrhoea. Flatulent colic of an intermittent type. I I Abdomen distended. ^Typhus. ^Variola.

■ Visceral obstructions, especially engorgement of spleen

and liver. I I Coecal region distended, gurgling on pressure. ^Typhus. ■Relaxed condition of digestive organs of old people,

under the form of dyspepsia. ^ Stool and Rectum, i Nightly diarrhoea.

Diarrhoea; stools watery, slimy, dark, or even blackish,

having an offensive smell.

■ Constipation or soft stools followed by weakness. I I Involuntary diarrhoeic stools. ^Typhus. Stool hard, resembling sheep dung.

^^ Urinary Organs. Burning in urethra during urination.

The urine soon becomes turbid, with slimy flocks and a clay-colored, greasy sediment.

I Urine fatty and deposits a straw-yellow, brick-dust sedi- ment.

I I Involuntary urination. ^Typhus.

Diabetes.

■ Albuminuria. ^Puerperal convulsions. Phosphates increased.

■ Urine loaded with lithates. /^Supraorbital neuralgia. Hsematuria.

^ Female Sexual Organs. Menses too early and too profuse. Violent uterine contractions sufficient to produce abortion. I I Profuse menstruation followed by headache, with nau- sea, chilliness, cold feet, and prostration.

■ Passive metrorrhagias, with diminished irritability.

^ Pregnancy, Parturition, Lactation. 1 1 Two weeks after confinement, in consequence of fright, violent uterine neuralgia, returning at the same hour every afternoon, accompanied by dyspnoea, small pulse, and clammy sweat on extremities, uterine region sensitive to touch.

■ The labor pains appear like tonic spasms, and are accom-

panied by convulsive twitches, unconsciousness after parturition, tetanic convulsions, in the intervals convul- sive action of muscles of face, eyes, etc.; want of con- sciousness, oppressed respiration, distended veins on head and neck, weak, rapid and intermitting pulse, and albuminuria.

^^ Voice and Larynx. Intermittent aphonia.

More or less complete loss of voice, about 4 p.m. ; preceded by thirst, cough, constriction of neck, headache or neu- ralgia ; heat in head and frequent pulse.

^ Respiration. ■Can scarcely breathe from weakness. ^In- termittent.

CHININUM SULFURICUM. 72

I I Respirations 28. ^Variola.

■ Oppressed respiration. ^Puerperal convulsions.

■ Painful sense of pressure and weight on chest. ^Spinal

irritation. I Anxiety and dyspnoea with intercostal pain. ^Typhus. I Respiration very much accelerated, abnormal rising and

falling of thorax. ^Spinal irritation. Respiration slow and irregular. ^ Cough. I I Troublesome, moist cough. /^Variola. ^ Inner Chest and Lungs, b Oppression of chest.

■ Stitches in 1. side, below short ribs.

Lancinations in r. half of chest, extending towards shoul- der, arresting breathing, > by bending trunk forward.

I I Rattling of phlegm through entire r. side of chest. ^Typhus.

1 I Hemorrhage from lungs; with diarrhoea, fever, cold sweat and prostration.

I Pain in chest during chill. ^^ Heart, Pulse and Circulation. iWeak, rapid and inter- mitting pulse. ^Puerperal convulsions.

I Pulse 100, very small, heartbeat not perceptible, the sounds scarcely audible. ^Spinal irritation.

I I Pulse 120. ^Variola. '

■ Palpitation from a little exercise. Angina pectoris with marasmus.

Pulse: accelerated; large; full during chill and heat, weak and trembling at close of paroxysm, from fifty to sixty per minute; slow, particularly after eating; ful or small, but weak and slow; frequent during heat.

^^ Outer Chest. ■ Stinging, tearing pain in intercostal space, between eighth and ninth ribs, r. side, extending from spine to sternum, sensitive to pressure, < from 4 to 7 P.M., produces anxiety and dyspnoea. ^Typhus.

^' Neck and Back. ■ Every day at about 4 p.m. violent pain in lateral muscles of neck, which appear to him to be swollen and contracted, his head is giddy and heavy, and he wants to lie down. ^Periodical cervical neu- ralgia.

■ ■Sensitiveness of last cervical and first dorsal vertebrae to

pressure.

■ ■Spine painful on pressure in all stages of fever par-

oxysm.

■ Three upper dorsal vertebrae are sensitive and painful to

touch; pressure causes dyspnoea. ^Spinal irritation.

■ Periodical pain in back, returning about midnight and

extending into head. ^Spinal irritation. "^ Upper Limbs. Rheumatism of right shoulder.

■ Hands cold and cold sweat.

73 CHININUM SULFURICUM.

^ Lower Limbs, i Sciatic neuralgia, on r. side, of many weeks

duration. I I Acute rheumatic pain in 1. ankle-joint after taking cold,

accompanied by fever and profuse sweat. I I Paralysis of lower extremities, involuntary stools and

urination, occurring every other day during fever epi- demic. I I Paralysis of lower extremities, first occurring at 6 p.m.,

then half an hour earlier every day, with headache,

chill, heat and sweat. I Cutting pains in feet during chill, ankles swollen. ^^ Limbs in General, l Heaviness and aching in all the limbs

and especially in joints. ^Cholera. I I Stiffness of nearly all the joints, r. wrist and knee-joint

very painful and much swollen. ^Acute rheumatism.

I Acute articular rheumatism.

*^ Rest. Position. Motion, i Wants to lie down. ^Periodi- cal cervical neuralgia.

Lying on back : delirium all night.

Bending: taking a deep breath or coughing; pain in re- gion of liver and spleen.

Bending trunk forward : > lancinations in chest.

Stooping: giddiness.

Motion : during fever produces chilliness.

While writing : sudden ache above 1. zygoma and at tem- poral ridge.

Walking: she feels every step, frontal headache ; deafness.

Exertion : the least excites sweat.

Exercise: palpitation. ^^ Nerves. Great irritation of whole body.

Extreme restlessness.

iGreat sensitiveness against external influences; general weakness. ^Cholera.

I I Feels weak and nervous, a little exercise gives him pal- pitation.

■Lassitude and inability to attend to his studies, has lost all zest for sport and exercise.

llDebility caused by considerable losses of fluids; par- ticularly after weakening loss of blood.

■ General weakness, especially of the feet. ■Weakness and trembling in limbs and slow pulse. ■Trembling in extremities; the power of will over them

seemed to be very much hampered. I I Subsultus tendinum. ^Typhus.

■ Twitching, or clonic spasm in limbs. ^Spinal irritation. Epileptic attacks returning every seven days, of short

duration.

■ Tetanic spasms with loss of consciousness during partu-

CHININUM SULFURICUM. 74

rition and afterwards ; swollen veins on head and neck ; pulse frequent, intermittent and weak ; albuminuria.

I Tetanic convulsions; during the intervals unconscious-

ness. Falling in the streets. Paralj^sis.

I I Intermittent neuralgia, pains return with great regu- larity.

^ Sleep. I Sleeplessness from overstimulation of the nervous

system. ^ Time. All night: delirium; high fever.

At night: furious delirium; diarrhoea.

About midnight : pain in back returns.

In morning: stupor after delirium; facial neuralgia.

8 A.M.: chill.

10 A.M.: attacks of prosopalgia.

7 A.M. until noon: right-sided prosopalgia ; facial neuralgia.

Towards noon: frontal headache, with chill.

At noon : pain in temple and forehead ; violent neuralgia in and about 1. eye; chill.

Afternoon: uterine neuralgia.

7 A.M. until after 3 p.m.: lancinating under r. eye.

3 P.M. : prosopalgia ; shaking chill. About 4 P.M. : cervical neuralgia.

4 P.M.: aphonia; chill.

4 to 7 P.M.: intercostal neuralgia <. 6 P.M. : paralysis of lower extremities. From 12 to 8 p.m.:. neuralgia around 1. eye.

I to 7 P.M. : stitching, throbbing pain in 1. eye.

8 P.M. : attack of pain above 1. eye.

10 p.M : prosopalgia; dull; fever reaches its height. 6 P.M. to 4 A.M. : duration of fever.

Evening: attacks of hemicrania; aching about malar bone.

^^ Temperature and Weather. Heat: partially > symptoms in chill.

'"' Fever, l Paroxysms ushered in with a mere transitory, at times almost imperceptible chilly feeling, principally across shoulders and nape of neck, up and down spine, lasting for a few moments only, occurring at different times throughout the day.

I I Chill, regular paroxysms at the same hour.

1 1 Decided shaking chill at 3 p.m.

■ During chill, blue lips and nails, ringing in ears, pale

face,

■ Internal chilliness.

■ Chilliness, especially in back, alternating with flushes of

heat. ^Cholera.

75 CHININUM SULFURICUM.

I Chill every third day at 10 p.m., with intense thirst and pain in chest, followed by heat with headache, after- wards profuse perspiration ; little thirst during heat and sweat.

I Chill every third day at 10 a.m., with cutting pains in feet, and swollen ankles.

■ Quartan; chill at 4 p.m.; chilly and hot flashes in alter-

nation for an hour, introducing a high fever, which lasts all night, with profuse sweat ; during the fever motion produces chilliness; constant burning in stomach; thirst satisfied for a moment with a swallow of cold water; lips covered with colorless vesicles.

■ Quotidian; chill at 8 a.m.; chill, fever and sweat well

marked, each lasting about two hours ; thirst for large draughts of cold water during whole paroxysm ; nausea continually and lasting till next chill.

I Fever and ague, no symptoms during apyrexia except

some lassitude ; the paroxysms are regular and not at- tended with very obvious disturbances of any organ.

I I Distinct cold, hot and sweating stages, and perfect apy- rexia.

Paroxysm anticipates about two hours each time; apy- rexia clear.

■ Tertian; chill at twelve o'clock, m.; chill illy defined,

lasting one-half hour, followed by intense fever, lasting ten hours, and terminating in scanty sweat; constant frontal headache ; severe aching in limbs ; heat partially relieves all symptoms, particularly the chilliness.

■ Fever and ague with spinal irritation, cervical and dor-

sal vertebrae very tender to touch, pains in loins, thighs, and lower limbs generally, convulsive movements and jerks of single muscles, slight cramps, often only of muscles of 1. side, dyspnoea and oppression of chest, noises in ears with vertigo and dulness of mind.

■ Fever sets in about 6 p.m. and reaches its height about

10, continues until about 4 a.m., when sweat usually fol- lows, with great prostration.

■ Fever with fulness in head, ringing in ears, together with

hardness of hearing, dimness of vision, jaundiced hue

of face and conjunctiva. ^Intermittent fever. Fever heat with delirium, fulness of head, ringing in ears,

and hardness of hearing. Strong heat over whole skin, with accelerated pulse. Great heat of skin and dryness of mouth and fauces. Violent heat with frequent yawning and sneezing. Heat gradually breaks into sweat while perfectly quiet. Profuse perspiration, especially on back and neck, when

he sleeps.

CHININUM SULFURICUM. 76

Sweat easily excited through least exertion.

I Sweat relieves all symptoms but headache, w^hich is in-

creased.

I I Debilitating sweat.

■ Typhus w^ith great prostration, stupid facial expression, headache, diarrhoea, nosebleed, alternate chill and fever, aversion to move. ^^ Attacks, Periodicity. I Chill comes at 10 or 11 a.m. or be- tween 3 and 10 p.m.

Paroxysms return every other day, or anticipate one to three hours every day.

1 1 Stages of chill, fever and sweat well marked and distinct.

Attacks of prosopalgia: at 10 a.m., 3 p.m. and 10 p.m.

Every other day: at same hour, unconsciousness; con- junctivitis; paralysis of lower extremities; chill.

Every seven days: epileptic attacks.

Daily: supraorbital neuralgia; stitching, throbbing pain in 1. eye; prosopalgia; uterine neuralgia; cervical neu- ralgia; paralysis of lower extremities.

At regular hours : neuralgia; chill. [ Periodic: neuralgic twinges in supra and infraorbital nerves; ophthalmia; facial neuralgia ; pulmonary hemor- rhage ; pain in back ; nervous and congestive paroxysms ; trismus; paraplegia.

Intermittent: neuralgia; headache; strabismus; colic; uterine neuralgia; pulse.

Anticipates about two hours each time : fever paroxysm.

Half an hour earlier every day: paralysis of lower ex- tremities.

Four days in succession : violent pain above 1. eye at 8 p.m.

For some weeks : black spot before r. eye.

Of many weeks duration : sciatic neuralgia.

Day after day and w^eek after week : continuous headache. ^ Locality and Direction. Left: headache and throbbing of temporal arteries; hemicrania; neuralgia around eye; pain above eye; stitching, throbbing in eye; ringing in ear; sudden ache above zygoma; aching about malar bone ; pain in hypochondrium, with chill ; stitches be- low short ribs; acute rheumatic pain in ankle-joint cramp in muscles in fever and ague, with spinal irritation

Right: black spot before eye; lancinating under eye ringing in ear more seldom than in left; prosopalgia with lachrymation of eye; lancinations in half of chest stinging, tearing in intercostal space, between eighth and ninth ribs; rheumatism of shoulder; sciatic neu- ralgia; wrist and knee-joint painful and swollen. ^Sensations. Unternal bad feeling, as of coming illness. ^Cholera.

77 CHININUM SULFURICUM.

As of water dropping in cranium ; as if swollen and con- tracted, lateral muscles of neck.

Pain: in temple and forehead ; in epigastrium; in region of liver ; in 1. hj^pochondrium ; in bowels ; in chest, dur- ing chill; in lateral muscles of neck; in r. wrist and knee-joint.

Lancinating: under r. eye; in face; in r. half of chest, towards shoulder.

Cutting: in upper and middle abdomen; in feet during chill.

Stitches: in 1. eye, forehead and temple; in 1. side, below short ribs.

Stinging: in intercostal space.

Tearing: in head; in orbit; in abdomen; in intercostal space.

Neuralgia: in head; in eyes; around eyes; in face.

Rheumatic pain: of r. shoulder; in 1. ankle-joint.

Shaking pain : in frontal region.

Griping: in abdomen.

Burning : in stomach ; in urethra.

Soreness: of roots of hair.

Aching: in brain; above 1. zygoma and at temporal ridge; about 1. malar bone; in all the limbs.

Throbbing: headache; in 1. eye, forehead and temple.

Beating: in vertex.

Pressure: in pit of stomach up into throat; in stomach; on chest.

Constriction: in stomach; of neck.

Tightness: of scalp.

Pulling sensation : in stomach.

Heaviness : in head ; in all the limbs.

Numbness: with headache. ■ Tingling: in ears.

Heat: in head; in face.

Dryness: of eyes. ■" Tissues. " Debility of ganglionic nutritive fibres."

" Builds up and prevents destruction of nerve tissue."*

Phthisis intestinalis, nausea, gagging, loss of appetite, dis- tension of the abdomen, constant pressure in the umbili- cal region, constipation, emaciation, hectic fever and delirium.

* " Binz and his disciples found that Chininum sulfuricum in solutions of one to ten thousand, acts fatally to infusoria, vibriones, etc., but not on fungi of mould and on salt water amoeba, prevents the fermentation of lactic acid and of alcohol, but not the diastatic action on starch and on the digestive juices ; that it destroys the movements of the white blood globules in the protoplasma, and thus prevents their emigration in inflammations ; that it diminishes the quantities of urea, and diminishes and retards the change of tissue in the animal body."

CHININUM SULFURICUM. 78

Intermittent fever in cachectic persons by loss of blood or from continued and long prostration.

Angina pectoris, where marasmus is a prominent symptom.

Fever with regular type, complete intermissions.

Periodical recurrence of nervous and congestive parox- ysms, trismus, paraplegia, ophthalmia, pulmonary hemorrhage, etc.

Diminished pulse and propelling power in arterial system, injures the muscular fibres.

Fever complicated with gastric troubles and torpidity of the bow^els.

Erethism of the circulatory system.

Prostration with hypersesthesia. *^ Touch. Passive Motion. Injuries. "Great sensitiveness against external influences. ^Cholera

Pressure: > neuralgia around 1. eye; > facial neuralgia; < pain in epigastrium ; intercostal space sensitive ; last cervical and first dorsal vertebrae sensitive ; dorsal verte- brae painful; spine painful; on dorsal vertebrae causes dyspnoea.

Touch: uterine region sensitive; third dorsal vertebrae painful; three upper dorsal vertebrae painful and sensi- tive; skin sensitive. *^ Skin. Inflammation of skin.

Skin flaccid and sensitive to touch.

Deadness and livid redness of skin, with formation of a gelatinous pseudo-membrane or thin superficial scurf.

Urticaria eruption over body.

Red rash over whole body with severe stinging followed by desquamation.

Gangrenous and fetid suppurations.

Cancerous ulcers, thick, livid, humid crust, which becomes dry and black, with red, humid, and finally yellowish dilated margins.

Recommended in plague, by Lorbacher.

Sudamina and red spots in typhus.

I I Confluent smallpox, eruption hemorrhagic; pulse 120, respiration 28, abdomen distended but painless, submax- illary region swollen, moist, troublesome cough, great mental depression. ^'^ Stages of Life, Constitution. > ■ Cachectic persons weak- ened by loss of blood.

Suits weakly, florid, sanguine and nervous constitutions.

Boy, ixit. 10 ; enlargement of spleen.

A young lady, inclined to hysteria.

A boy, aet. 13; epileptic attacks.

A boy, aet. 13; intermittent paralysis of lower limbs.

79 CHININUM SULFURICUM.

Boy, get. 15, growing very fast, and undergoing changes

incident to puberty ; lassitude. Young P., set. 16, jeweler; periodical cervical neuralgia. A youth, set. 17; enlargement of spleen. A robust brunette, set. '23 ; spinal irritation. Woman, set. 24, nervo-sanguineous temperament; inter- mittent fever. Mrs. A., set. 25, blue eyes, auburn hair, mirthful tempera- ment. ^Chronic intermittent. A woman, set. 26; intermittent cephalalgia. A primipara, set. 28, lymphatic, chlorotic; puerperal con- vulsions. A woman ; intermittent paraplegia.

A woman, two weeks after confinement ; intermittent uter- ine neuralgia. A woman, in first month of pregnancy; epileptiform

spasms. A very sensitive lady, in seventh month of pregnancy,

subject to hysteria; intermittent ophthalmia. A weakly, hectic woman, mother of four children, preg- nant; diarrhoea, with night sweats. Plethoric woman, set. 30 ; intermittent apoplexy. A young soldier, of middle stature, good constitution and

sanguine temperament; typhus. A man of plethoric habit; intermittent prosopalgia. Two men, with general dropsy and enlarged spleen. Man, set. 30, bilious temperament; intermittent fever. J., set. 30, clerk; suborbital neuralgia. A woman, set. 31, in sixth month pregnancy; intermittent

A man, set. 34; acute rheumatism.

ophthalmia. Man, set. 42, blonde, weakly constitution, subject to gastric

^^ Relations. Antidotes : Arnic, Arsen., Carb. veg., Ferrum, Hepar, Laches., Natr. mur., Fulsat.