Silica Marina

Pure Silica triturated.

Introduced by Hahnemann.

Provings by Hahnemann, Froissac, Goullon, Gross, Hering, Stapf, Wahle, Knorre, Ruoff, Baker, Robinson (with liigh dilutions), see Allen's Encyclopedia, vol. 9, p. 1.

Clinical, Authorities Mental disturbance, Jahr, B. J. H., vol. 12, p. 476;

Vertigo, Martin, T. H. M. S.

Pa, 1880, p. 241 ; Berridgp, Hom. Phys., vol. 3, p. 198; Headache, Tietze, Ruck.

Kl. Erf., vol. 1, p. 203; St ens, B. J.

H., vol. 34, p. 723 ; A. H. Z., vol. 91, p. 188 ;

(with Calc), Weber, p. 156 ; Allen, Hom. CI., vol. 4, p. 61; Cochran, H.

M., vol. 6, p. 396 ; Berridge, Org., vol. 1, p. 264; P^arley, Med. Adv., Apr., 1890, p. 212;

Neuralgic headache, Hirsch, N. A. J. H., vol. 22, p. 243 ;

Chronic headache, Goullon, A. H. Z., vol. 83, p. 41 ; Meningeal sclerosis, Baldwin, A.

H. O., Sept., 1877 ; B. J.

H., vol. 36, p. 196; Tenderness of scalp, Mar- tin, Org., vol. 3, p. 364; Eruption of occiput, Becker, Riick. Kl.

Erf., vol. 4, p. 261 ; Eczema capitis (3 ca-es), Aroularius, N. A. J.

H., vol. 20, p. 285 ; Impetigo capitis. Small, B. J.

H., vol. 24, p. 314; Abscesses on head, Richards, Hom. World, Apr., 1870, p. 84; Cephalhmnatoma, Goullon, A.

H. Z., vol. 83, p. 151 ; (locally), Goul- lon, Raue's Rec, 1870, p. 18; Enchondrosis on head, Grauvogl, A.

H. Z., vol. 92, p. 29; Keloid on temporal region, Clarke, Med. Adv., vol. 20, p. 108;

Parenchyma- tous iritis, Schlosser, N. A. J. H., vol. 7, p. 515;

Ulcer on cornea. Skinner, Hom. Phys., vol. 6, p. 113 ; Lead particles in cornea, Shiildham, Org., vol. 2, p. 107 ;

Use in opacity of cornea, 3 onez, Med. Art. Jour., 1876, p. 227; Ophthalmia, Stens, A.

H. Z., vol. 91, p. 188; Miller, H. M., vol. 12, p. 309 ;

Stens, B. J. H., voh 34, p. 724; Scrofulous ophthalmia, Becker, Riick.

Kl. Erf., vol. 1, p. 279; Schlosser, N. A.

J, H., vol. 7, p. 514 ; Recurrent phlyctenular conjunctivitis. Corneal ulceration, Foster, Amer. Hom., Aug.,' 1878, p. 67 ;

Blepharitis, Norton, N. A. J. H., vol. 23, p. 355 ;

Swelling of lids, Hirsch, Riick. Kl. Erf., vol. 5, p. 109 ; Tumor on lid, Stens, A.

H. Z., vol. 89, p. 1 56 ; Inflammation of lachrymal sac. Dudgeon, B.

J. H., vol. 13, p. 135 ; Fistula lachrymalis, Payr, N. Z.

H. Kl., vol. 14, p. 124; Raue's Rec, 1870, p. 101;

363 SILICA.

Curies of the orbit, Norton (see Oplitli. Thei'ap., p. 166) ; Dysecoia, GoiiUon, A. H.

Z., vol. 81, p. 29 ; Affection of ear, Goullon, Horn. Recorder, vol. 3, p. 73, from Pop. Zeit. f.

Horn., Jan., 1888 ; Use in suppurative inflammation of labyrinth, Searle, A. H. O., Dec, 1872, p. 368 ;

Otorrhcea, Cliamberlin, N. E. M. G., vol. 8, p. 497 ;

Nan- kivell, H. W., 1871, p. 136 ; Chronic sinus in front of ear, Kankivell, H. W., vol. 7, p. 106;

Loss of smell and taste, Hirsch, I. Pr., 1873, p. 348 ; Ivflammation of nasal duct, Chapnsot, Horn. CI., vol. 3, p. 26;

Coryza, Kafka, Rane's Rec, 1870, p. 129; Chronic coryza, Rosenberg, Riick. Kl. Erf., vol. 5, p. 168;

Ozcena, Guernsey, A. H. Z , vol. 1 10, p. 143, from Med. Adv., Oct., 1884 ;

Itchiny of nose, Hale, H. M., vol. 9, p. 265; Hard swellincj of face, Goullon, Horn. CI., vol. 1, p. 197 ;

Eruption on face, Kampfer, Riick. Kl. Erf, vol. 4, p. 261 ; Rhagades around lids and lips, Goullon, N.

A. J. H., vol. 22, p 379 ; Induration of cheek, Kretsclimar, Riick.

Kl. Erf., vol. 1, p. 446; Tumor of lip, Petroz, N. A.

J. H., vol. 2, p. 312; Cancer of lip, Pancin, (de Corveirac), Bib. Horn., p. 150;

Raue's Rec, 1875, p. 81 ; Mastoid periostitis, Sherman, Boericke and Dewey's Tissue Remedies, p. 135; Toothache, Bonningh., Alts., T., Riick. Kl.

Erf., vol. 1, p. 478; Cancer of tongue, K. in L., Riick. Kl. Erf., vol. 1, p. 499;

Tumor of moidh, Slocomb, N. E. M. G., vol. 5, p. 485;

Angina, Goullon, Riick. Kl. Erf, vol. 1, p. 541 ; Affection of throat, Berridge, Horn.

Rev., vol. 16, p. 499; Anorexia, Krummacher, A. H. Z., vol. 95, p. 164;

Pressure in

stomach, Payne, Hah. Mo., vol. 6, p. 199 ; Gastric disorder, Riick. Kl. Erf.,

vol. ], p. 663; Hepatic disorder, T., Riick. Kl. Erf, vol. 1, p. 703;

Ascites, Brew- ster, H. M., vol. 4, p. 57 1 ; Tnguincd abscess and hernia, Slocomb, N. E.

M. G., vol. 5, p. 486 ; Use in enteritis, Bauer, Hom. Times, vol. 5, p. 177 ;

Summer complaint, Moore, U. S. M. and S. Jour., Jan., 1871 ;

Chronic diarrhoea, Maischler, N. A. J. H., vol. 19, p. 415;

Constipation, Bowie, T. H. M. S.

Pa., 1885, p. 184; Nichols, Org., vol. 3, p. 345; Johnson (see Hemple and Arndt's Mat. Med.) ;

Hemorrhoids and constipcdion, Miller, H. M., vol. 7, p. 372 ; Anal abscess, Clements, Hom. World, vol. 6, p. 81 ;

Fistula in ano, Stow, Hali. Mo., vol. 8, p. 353; Slow, Raue's Rec, 1874, p. 202; (6 cases), Hendricks, A.

H. Z., vol. 103, p. 175; Enuresis, Gause, Hom. CL, vol., 4, p. 132;

Incontinence of urine, Metcalf, N. A. J. H., vol. 3, p. 342;

Seminal emissions, Wesselhoeft, N. E. M. G., vol. 8, p. 53;

Masturbation, Gallavar- din, N. A. J. H., vol. 22, p. 242;

Hydrocele, Hartm., Riick. Kl. Erf, vol. 2, p. 215; Guernsey, Raue's Rec, 1870, p. 242;

Richardson, Med. Inv., Oct., 1868, p. 2; Re- moved putrid odor in uterine cancer, James, Hom. Phys., vol. 7, p. 179 ;

Peri-uterine cellulitis, Carr, Times Ret., 1877, p. 110 ; Metrorrhagia, Teste, Boericke and Dewey's Tissue Remedies, p. 171; Vaginismus, Skinner, Orij., vol. 1, p. 76 ; Leucorrhnea, Hahnemann, Riick.

Kl. Erf., vol. 2, p. 366 ; Gro.ss, H. M , vol. 10, p. 409;

Tumor in breast, Bell, N. E. M. G., vol. 4, p. 242;

Scirrhus mammce, Schneider, Hom. CI., vol. 3, p. 94; Bell, N. E.

M. G., vol. 4, p. 243; Thompson, Hom. CI., vol. 4, p. 80;

Mammary fistula. Gross, Riick. Kl. Erf , vol. 2, p. 425;

Suppressed lochia, Miller, H. M., vol. 8, p. 43; Asthma, Stem, A. H.

Z., vol. 91, p. 156; B. J. H., vol. 34, p. 719;

Cough, Williamson, Hom. CI., vol. 1, p. 205; Temple, Hom. CI., vol. 3, p. 101;

Boyce, Hom. Phys., vol. 5, p. 167; Pertussis, Pomeroy, Med. Inv., vol. 8, p. 168 ;

Pain in r. lung, Durand, Med. Adv., 1890, p. 179 ; Lung affection, Stens, I. H.

Pr., vol. 1, p. 357 ; Compression of lung after pleuritic exudation and curvature of spine, Schmitt, Hom. Phys., vol. 3, p. 132; Phthisis, Hartm., Gauwerky, Riick.

Kl. Erf., vol. 3, p. 398; Brigham, Boericke and Dewey's Tissue Remedies, p. 180, from Brigham's Phthisis; Pomeroy, Med.

Inv., Jan., 1871, p. 169; Brigham, Cin. Med. Adv., vol. 6, p. 97 ;

Palpitation of heart, Brauns, Hom. CL, vol. 3, p. 95 ; Svjelling on chest, Nunez, Hom. Phys., vol. 9, p. 324;

Absces,i on chest, Fornias, Hom. Phys., vol. 7, p. 169; Necrosis of acromio-clavicidar articulation, Mass. Trans.,

SILICA. 364

vol. 4, p. 94; Swellinrj of neck, Berridge, Horn. Rev., vol. 16, p. 496 ; Goitre, Beebe, Tr.

World's Horn. Conv., 1876, p. 768; Carbuncle on neck, Gross, Riick. Kl.

Erf., vol. 4, p. 195; Recurrent fibroid on neck, Kent, Horn. Phys., vol. 4, p. 193; Pain and swelling in cicatricial tissue about neck, Strong, Org., vol. 3, p. 368 ;

Disease of cervical vertibrce, Nankivell, B. J. H., vol. 29, p. 209; Psoas abscess, 0.

M. and S. E., vol. 7, No. 5; Affection of sacrum and spine, Pope, B. J.

H., vol. 29, p. 549; Coxitis, Eidherr, B. J. H., vol. 27, p. 52 ;

Bone disease of vpper limbs, Seidel, Hart- laub, Heichelheim, Goullon, Cliai-ge, Kiimpfer, Gauwerky, Kirsch, Theiierkauf, Battmann, Schindler, Riick. Kl. Erf., vol. 4, p. 441 ; Inflammation of arm, Berridge, H.

M., vol. 10, p. 108 ; Fungous growth on slump of arm, Preston, Hah. Mo., vol. 8, p. 83; Caries of ulna, Biegler, Horn.

Phys., vol. 7, p. 472; Swelling on wrist. Swan, N. A.

J. H., vol. 19, p. 254 ; Contraction of fingers, Holcombe, Riick. Kl.

Erf., vol. 4, p. 615, from Phil. Jour, of Horn., vol. 1, p. 548; Swelling and suppuration of thumb, Theuerkauf, Horn. CI., vol. 1, p. 19;

Caries of metacarpal bones, Grauvogl, from text-book ; Caries of bone of forefinger, C. T. M., Boericke and Dewey's Tis- sue Remedies, p. 107;

Enchondroma on finger, Knickerbocker, M. I., vol. 4, p. 193; Swelling of finger, Sager, A. H.

Z., vol. 90, p. 203; B. J. H., vol. 34, p. 155;

Injury to fingers, Berridge, N. A. J. H., vol. 22, p. 191 ;

Glass in finger, Turrill, Hom. Ph\s., vol. 4, p. 102; Panaritium, Hg., Sommer, Holeczek, Riick. Kl.

Erf., vol. 3, p. 566; McClatchey, Hah. Mo., vol. 10, p. 179, from Bib. Hom., May 1874 ;

Felon on finger, Gallupe, Org.j vol. 1, p. 482 ; Whitlow, Stow, Hah. Mo., vol. 8, p. 353 ; Eidherr, B.

J. H., vol. 27, p. 53; Abscess in buttocks, Goullon, H. M., vol. 13, p. 443 ;

Sciatica, Willard, T. H. M. S.

Pa., 1882, p. 159 ; Luxation of femur, Schnapfauf, Riick. Kl. Erf., vol. 5, p. 917 ;

Necrosis of femur, Gilchrist, Med. Inv., vol. 8, p. 8; Gilchrist, Med. Inv., 1870, p. 7 ;

Fistuke of thigh, Cigliano, Horn. CI., vol. 4, p. 133; Swelling of knee, Gross, Riick. Kl.

Erf., vol. 3, p. 589; Billig, Riick, Kl. Erf., vol. 5, p. 926; Bell, A.

H. O., vol. 10, p. 327 ; White swelling of knee, Bil- lig, Riick. Kl.

Erf, vol. 5, p. 927; Housemaid's knee, Newton, Hom. World, vol. 4, p. TOO;

Swelling and suppuration at knee, Schmitt, Hom. Phys., vol. 7, p. 472; Hygroma of patella. Swan, N.

A. J. H., vol. 19, p. 254 ; Enlarged patella bursa, New- ton, Hom.

Rev., vol. 15, p. 474; Chronic bursitis, Newton, Hom. Rev., vol. 14, p. 539 ; Gonitis, Terry, N.

A. J. H., vol. 25, p. 317 ; Periostitis of tibia, Eidherr, B.

J. H., vol. 27, p. 52 ; Injury of tibia, Lippe, Org., vol. 3, p. 26 ; Boil over tibia, Ber- ridge, H.

M., vol. 10, p. 108 ; Pain in leg, Low, Riick. Kl. Erf., vol. 5, p. 916 ;

Sup- puration of leg, Pavis, Med. Inv., 1875, p. 155; Chronic suppuration of leg, Gallupe, Org., vol. 1, p. 482; Pain in feet, Guernsey, Org., vol. 3, p. 92;

Guernsey, Med. Couns., vol. 1, p. 62; Traumatic inflammation of foot, Sircar, Calcut. M.

J., vol. 1, p. 416; Abscess of foot, McClatchey, Hah. Mo., vol. 10, p. 180; Abscess of foot and caries, McClelland, Hah.

Mo., vol. 8, p. 358; Suppuration of foot. Sircar, Calcut. Jour., vol. 1, p. 416 ;

Ulcer on foot, McClatchey, H. M., vol. 10, p. 180, from Bib. Hom., May, 1874; Enchondroma of toe, Knickerbocker, T.

W. H. Conv., 1876, p. 864; Suppressed foot sweats, Goullon, A.

H. Z., vol. 81, p. 47 ; Abnormal foot sweats, Gallavardin, N. A.

J. H., vol. 14, p. 137; vol. 15, p. 60; Hysteria, Knorre, Riick. Kl.

Erf., vol. 2, p. 289 ; Spasms, Schonfeld, Riick. Kl. Erf., vol. 4, p. 591 ;

Sparnis after vaccination, H., Hah. Mo., vol. 7, p. 374; Convulsions, C. Hg., Raue's Rec, 1870, p. 18;

Epilepsy, Hartm., Bonningh., Weber, Riick. Kl. Erf., vol. 4, p. 690; Lindsay, Org., vol. ], p. 471 ;

Hoyne, Boericke and Dewey's Tissue Reme- dies, p. 137 ; Somnambulism, Lindsay, Org., vol. 1, p. 471 ; Night sweats of phthisis, _Holcombe, N. E.

M. G., vol. 4, p. 9 ; /// effects of vaccination, Hering, Hah. Mo., vol. 7, p. 374; Scrofulosis, Knorre, Griessel., Sollier, Riick.

Kl. Erf., vol. 4, p. 410; Ulcerations, Knorre, Gross, Billig, Riick. Kl.

Erf., vol. 4, p. 289 ; Use in suppura-

365 SILICA.

tion, Noack, B. J. H., vol. 23, p. 424; Marwick, Horn.

Eev., vol. 12, p. 552 ; Chronic suppurations, Armstrong, Med. Inv., 1875, p. 228 ; Use in caries, Eadcliff, N.

E. M. G., vol. 11, p. 251 ; Areolar hyperplasia, Yeomans, Horn.

Times, vol. 4, 225; Threatened cancer, McClatchey, H. M., vol. 10, p. 180; Multiple cheloid, Clarke, Hom.

AVorld, Aug., 1885; Enchondroma, Laird, H. M., vol. 15, p. 193; Furuncle, Neumann, Riick.

Kl. Erf., vol. 4, p. 182; Acne simplex. Cooper, Hom.

Kev., vol. 14, p. 33; Eczema squamosum, Cooper, Hom. Kev., vol. 14, p. 36 ; Herpetic eruption and hydrocele, Williamson, Hom.

CI., vol. 1, p. 205; Lupus, Eidherr, B. J. H., vol. 34, p. 724;

McClatchey, H. M., vol. 10, p. 180, from Bib. Hom., May, 1876; Ele- phantiasis Arabum, Sana, N.

A. J. H , vol. 22, p. 443.

^ Mind. Indifferent, apathetic.

iConfusion of mind; difficulty in fixing the attention.

■ Mental labor is very difficult.

I Reading and writing fatigue, cannot bear to think. Becomes confused, makes mistakes ; she is unable to con- trol herself Affections from egotism. I Compunction of conscience about trifles.

■ Overanxious about himself; low-spirited; weeps every

evening. Longing for his relations and home.

■ Very irritable, low-spirited, peevish mood.

I I Sensitiveness to noise and anxiety therefrom.

■ Very sensitive, weeping mood.

■ Desponding, melancholy, tired of life. ^Spermatorrhoea.

■ Gloomy, feels as if she would die.

■ Wishes to drown herself

■ Yielding, faint-hearted, anxious mood.

■ Restless, fidgety, starts at least noise.

■ Child becomes obstinate, headstrong; cries when kindly

spoken to.

i I When crossed has to restrain himself to keep from doing violence. ^Megrim.

I I Screaming violently, groaning. ^Epilepsy.

I I She screams during increase of moon. ^Somnambulism.

Imagines to be in two places at the same time.

I I Complains of pain in throat on swallowing ; although there is no indication of any inflammation, the condi- tion of her throat is the sole thing occupying her mind ; believes she has swallowed pins, and asks those about her whether she has not done so ; seeks for hours for lost pins ; will take no sewing into her hand, and carefully examines her food for fear of pins ; very indifferent to friends and former amusements ; restlessness ; anxiety ; vertigo, < stooping ; headache daily, < mornings ; loss of appe- tite; constipation; emaciation; entire absence of menses ; < during increase of moon. ^Hysteria. ^ Sensorium. ■Vertigo : as if one would fall forward ; ascend-

SILICA. 366

ing from dorsal region, through nape of neck into head ; inclining to fall backward ; < from motion or looking upward ; accompanied by nausea ; with rachitis ; from excessive use of eyes; when riding; with sleepiness; all day, while stooping at work ; during sleep ; when rising from a recumbent position ; is obliged to walk to the r. side; commencing in cerebellum ; in neuras- thenia and epilepsy; as if drunk; is obliged to sit down ; when closing eyes ; from lying on 1. side.

The brain feels muddled and thick.

I I Heaviness in head. ^Paralysis.

Disagreeable feeling, as if head were teeming with live things whirling around it.

■ Fainting; when taking cold ; from suppressed foot sweat. ' Inner Head, l Headache or cold feeling rising from nape

of neck to vertex ; extreme heaviness of head. iCongestion to head ; cheeks hot ; slight burning in soles of feet.

■ Burning in head, with pulsation and sweat of head ; <

at night from mental exertion, talking ; > by wrapping head up warmly.

■ Shooting from nape to vertex.

I Violent periodic headache, in vertex, occiput or forehead ; one-sided, as if beaten; throbbing in forehead; coming in night, with nausea, vomiting.

■ Violent headache, with loss of consciousness or reason.

■ Loud cries, nausea to fainting; subsequent obscuration

of sight. ^Megrim.

■ Obstinate morning headaches, with chilliness and nausea.

■ Headaches, with or followed by severe pain in small of

back; heaviness and uncomfortable feeling in limbs.

■ Tearing, frequently one-sided, with stitches through eyes

and in cheek bones.

■ Pulsating, beating, most violent in forehead and vertex,

with chilliness.

■ Headache worse: from mental exertion ; excessive study;

noise ; motion, even jarring of room by footstep ; light ; stooping; pressing at stool ; talking; cold air; touch.

■ Headache better: from wrapping head up warmly; hot

compresses ; in warm room ; lying down in dark.

■ Headache every seventh day.

■ Vibratory shaking sensation in head when stepping hard,

with tension in forehead and eyes.

■ Headache caused by hunger.

■ Headache as if everything would press out and burst

skull ; as if brain and eyes were forced forward.

■ Headache wakes him at night.

Tearing in whole head starting from occipital protuber- ances and extending upward and forward over both sides.

367 SILICA.

Tearing pain as if head would burst, with throbbing in it, commencing at crown as if internal and external at same time, with chilliness; was obliged to lie down and tossed about in bed for four hours ; > by binding head tightly.

Violent tearing in head asif forehead would be torn asunder.

A^iolent headache above eyes so that he could scarcely open them.

Stitches in temples.

Hard jerklike pressure in top of head, extending deep into brain, in paroxysms lasting one or two minutes.

The hat causes acute pain in occipital protuberance.

Pressive headache in occiput as if in bone.

Pressure in occiput, followed by stitches in forehead, with chilliness in nape of neck and back.

Pressure in both sides of occiput.

Bruised pain above eyes, could scarcely open them ; first affected 1. side of forehead, a sticking extending to r. side, pressive, < by opening eyes.

Pressive jerking in middle of forehead renewed by sud- denly turning around, stooping or talking.

Pressure as from a heavy weight in forehead over eyes.

Tearing in frontal region.

Acute sticking pain in forehead.

Roaring and shattering in brain when stepping hard or knocking foot.

Tension and pressing in head as if pressed or forced asunder.

Pressive headache at night; could not remember where she was; everything turned around, with throbbing at heart.

Violent pressive headache in morning, extending into eyes, with violent chill in afternoon, nausea and weak- ness, thought she would faint ; eyes painful on turn- ing them sideways or closing them, and when closed are still more painful to touch.

Constant pressive headache from above downward over whole head, with intermittent itching at vulva.

Pressure at occiput and nape of neck in morning.

■ Headache wnth small lumps or nodules on scalp.

I Diseases of brain, spinal marrow and nerves of a para- lytic nature.

Fluttering feeling in both temples and aching at occiput.

I 1 Frontal sinus affected; pounding and throbbing in forehead and up into head. ^Chronic coryza.

Feeling like water pipes bursting in head.

■ Headache from organic causes, excessive study, nervous

prostration with vertigo and weak memory. Sickening pain in 1. side of head, < from pressure or least

movement. When coming into dark s!ie feels a pressure on vertex as

if a tremendous weight were falling on it.

SILICA. 368

Strange coldness about breadth of two fingers across vertex in a line with forepart of ears; rush of blood to forehead.

■ Extreme heaviness of head; she cannot hold it up, it

feels so weighty.

■ Rushes of blood to forehead.

I I Congestion to head, hot cheeks and burning in soles of feet. ^Chronic hepatitis.

I Heat in head. ^Spermatorrhoea.

I I For years terrible headaches coming on in evening in bed, with shivering and coldness over body ; the pain began in cervical vertebrae, extending to cerebellum and from there went to forehead where it was most se- vere ; pain > wrapping head warmly ; feeling in neck as if some one pulled downward on cords of neck.

I I Chronic headache ; never entirely free, at times fearful ; when it reaches its height scalp becomes covered with papules and is then so sensitive that she cannot comb her hair ; these violent spells are caused by draft and scrubbing ; cannot bear cold or heat ; during headache she has violent roaring in ears, as if something alive were in them ; chronic sweat of feet ; habitual constipation.

I I Head felt constantly as if it were in a cushion and some one were pressing his two fingers in it at occi- put, as if feeling for pins in side ; with occasional lightning-like flashes in eyes and feeling as if some- thing obscured vision ; < in cold weather or in a draft ; > wrapping head up warmly.

I I Cephalalgia from spinal irritation ; pain began in spine and neck, coming up and over r. temple and thence to 1. temple ; scalding feeling in vertex ; burning pain in head ; feeling of internal soreness as if sore brain col- lided with skull ; pain very hard to bear ; < from light, noise, least jar and odors ; sore aching in nape, < by moving head, > from wrapping head in pillow and from contact of any warm hand.

I I Pain at one time in vertex and occiput, at another in forehead ; sometimes affects only one side, head then paining as if bruised and being very sensitive to touch ; throbbing in forehead, with weakness of sight ; is awak- ened from sleep by the pain and has then nausea and vomiting; pain < from touch, motion, open air; food tastes like clay ; discharge of particles of tapeworm ; trembling of limb and general feeling of weakness with the pains. ^Headache.

I I Severe headache, every two or three weeks, lasting from thirty-six to fortj^-eight hours ; pain commences in nape of neck and base of brain and extends up and over whole head in paroxysms ; pain so severe that she calls for some one to hold her head tightly to keep it from bursting.

369 SILICA.

I I Feeling of waves of water from occiput over vertex to forehead, making her feel with each wave as if she would gradually lose her senses, > from warm wraps around head ; vomiting of bitter yellow substance on moving, > when perfectly quiet.

I I Chronic sick headaches since some severe disease in youth ; rising from nape of neck to vertex, as if coming from spine and locating in one eye, especially r ; > by pressure and wrapping up warmly.

■ Congestive, gastric, nervous and rheumatic headaches.

I Headaches from excessive mental exertion, from over- heating, from nervous exhaustion.

■ Cerebral apoplexy, preceded by deep-seated stitches in r.

parietal region and dull, heavy, crampy pain in arms.

■ Child grasps at its gums continually, as if they were

painful ; profuse sweat about head at night, scrofulous diathesis. ^Meningitis. ^Hydrocephalus. ■* Outer Head. ■■Open fontanelles; head too large and rest of body emaciated, with pale face; abdomen swollen, hot.

■ Rolling of head from side to side.

■ Head feels as if too large.

Head feels as if falling off, causing straining pains at back of neck as if head were hanging by a piece of skin at nape.

■ Head falls forward. ^Spinal disease.

Strange coldness, about breadth of two fingers, across ver- tex, in a line with forepart of ears.

■ ■Tendency to take cold in head, which cannot be un-

covered.

■ Tearing in scalp, < from pressure and at night.

I I Tenderness of scalp in region of coronal suture ; brush- ing or combing hair causes violent attacks of sneezing.

■ ■Head sore to touch externally; sensibility of pericra-

nium ; scalp sensitive to pressure of hat and to contact ; she cannot brush her hair, the scalp is so tender.

■ Much itching on scalp.

■ ■ Itching spots on head painful, as if sore, after scratching.

■ ■Itching on occiput. Pricking and itching of scalp.

Burning and itching, mostly on back part of head ; < from scratching, which causes burning and soreness ;. < when undressing in evening and on getting warm in bed.

■ ■Lumps rise on head, hair falls out, scalp sensitive to>

touch ; tearing pains.

■ ■Profuse head sweat ; body dry; likes wrapping up;,

sweat sour ; face pale ; emaciated ; large abdomen ; wenk ankles.

VOL. IX. — 24. »

SILICA. 370

■ Profuse sweat of bead, body being dry or nearly so. llHead wet from sweating, particularly at nigbt, likes

wrapping up.

■ Profuse perspiration on bead, sour-smellingand offensive,

in first sleep.

■ Patcbes of eruption on scalp, exfoliated tbin, dr}^ furfur-

aceous scales.

■ ■Eruption on back of bead, moist or dry, offensive,

scabby, burning, itching, discharging pus. I I Impetigo capitis; entire bead covered; eruption liumid, discharging a greenish fluid of somewhat putrid odor.

■ Eczema capitis ; patch of eruption on scalp, over occip-

ital protuberance, dry, furfuraceous scales, with some itching ; enlarged cervical glands ; headache with shooting pains from nape of neck to vertex ; leucorrboea ; backache.

■ Scaly eruption on scalp; > in Summer, but < upon ap-

proach of Winter ; cervical glands enlarged.

■ Itching pimples on head and nape of neck.

■ Itching pustules on scalp and neck very sensitive, >

wrapping up warmly.

■ ■Moist eruption on occiput.

■Scalp becomes covered with papulae and is then so sensi- tive that she cannot comb her hair. ^Chronic headache.

■ Itching pustules and bulbous swellings on hairy scalp

and on neck.

■ Hair falls out; premature baldness.

■ Suppurating wound of scalp.

■ Phagedenic ulcer on forehead painful and discharging

offensive pus.

I I Keloid on temporal region ; frontal headache.

I iCephalhaematoma ; almost the whole 1. parietal bone is covered with a large, soft, elastic swelling ; the charac- teristic ring of the bone can be traced by the finger.

■ Cephalatoma neonatorum.

I lEnchondrosis ; large, hard swelling, but soft in some places, on a child's head, beginning above ears and ex- tending to larynx ; whistling, breathing and suffocative attacks.

■ Painful distension of frontal bone; periostitis. 'Sight and Eyes. ■Long-lasting photophobia; daylight

dazzles the eye.

■ ■Letters run together, appear pale.

■ Dim vision after suppressed foot sweat.

■ Occasional lightning-like flashes in eyes and a feeling

as if something obscured vision ; nervous sensation in head. 8 Black spots, or sparks, before eyes ; a persistent speck be- fore r. eye.

371 SILICA.

■ Momentary loss of sight, with uterine affections; preg-

nanc3^

Eyes weak ; vision indistinct, misty, with flickering before eyes.

Dimness of vision; could neither read nor write; every- thing ran together ; as if looking through a grey cover.

lAnablyopia: from checked foot sweat; from abuse of stimulants ; nervous, sensitive persons ; after diphtheria.

I I Momentary attacks of sudden blindness.

I Day blindness, with sudden appearance of furuiicles.

Slight fluttering before eyes.

I I Cataract ; a decided, greyish cloudiness of lens of r. eye was reduced to a small spot size of head of pin ; smoke or vapor before eyes, cannot discern objects ; eyes red, inflamed, watering.

I iSclero-choroiditis ant. relieved by this remedy; con- junctiva and sclera injected and a bluish irregular bulg- ing around cornea ; retina hazy, no vitreous opacities ; severe pains extending from eyes into head on one side, >by warmth; severe aching in back of head on one side, corresponding to eye which is worse ; symptoms alternate from one eye to the other.

I I Choroiditis in a myope, in w^hom upon any exertion of eye excessive pain extended to head and ears.

Ilrido-choroiditis and other forms of inflammation of uveal tract.

I I Irido-choroiditis and other forms of inflammation.

I I Irido-choroiditis, great tenderness of eye to touch, deep ciliary injection, contraction of pupils, posterior syne- chias, excessive sensitiveness to a draft of air.

I I Parenchymatous iritis with abscess in upper part of iris, violent supraorbital pain, night and day.

■ Ciliary neuralgia.

■ Iritis, with hypopion and corneitis.

■ Fungus medullaris.

I I Formation of abscess size of a lentil in upper portion of iris, having appearance of a yellowish-red swelling, col- oring the pupil ; the pus of which a small portion had entered the anterior chamber was absorbed.

■ Cataract: after suppressed foot sweat; preceding worms.

I I Cataract of right eye (diagnosis confirmed by two phys- icians) cured in one year by repeating Silica once a month. <?Cataract.

I I Cataract of r. eye in a man, set. 61.

■ Perforating or sloughing ulcer of cornea.

■Small round ulcers, with a tendency to perforate, espe- cially if situated near centre of cornea and having no bloodvessels running to them.

SILICA. 372

■ Deep or cresceiitic ulcers of cornea.

I I Sloughing ulcer with hypopion in a syphilitic patient; iris inflamed ; ulcer quite deep with profuse purulent discharge, small flakes on cornea, chemosis of conjunc- tiva,

I Ulcus corneee sloughed through ; sticking pains night and morning.

■ Pustular keratitis after psoriasis.

■ Opaque cornea after smallpox.

■ Spots and cicatrices on cornea.

■ Corneal fistula.

I I Total pannus in a boy set. 9; both cornese completely opaque, presenting a wholly whitened appearance.

I I Cornea thick, rough, -warty as if it were a mass of hyper- trophied tissue loosened up little by little and scaled off from cornea leaving it clear and healthy.

I lUlceration of cornea; painless tumefaction of lids.

■ Fungus hsematodes.

I \ Silica 3x caused the discharge of lead particles (arising from lead lotion) from cornea.

■ Eyes painful as if too dry and full of sand in morning. Tension in eyes and forehead, with weakness of body. Piercing stinging pain in 1. eye.

■ Tearing, shooting, or at times throbbing, stinging pains

in eyes, in paroxysms.

■ Smarting of eyes.

Aching in upper lid, with severe stitches in it as from a splinter, with vanishing of sight.

■ Pressure and soreness in orbits.

■ Ciliary neuralgia: especially over r. eye ; darting pain&

through eyes and head upon exposure to any draft of air or just before a storm.

I I Every day about 1 o'clock, severe burning pains in r. eye and flow of tears over cheek, which feel scalding ; these symptoms last for several hours ; r. conjunctiva injected ; pain on pressure in r. lachrymal sac, which feels somewhat swelled ; mucous secretion in eye in morning; finally great swelling of lachrymal sac, form- ing a little lump at coriKer of eye exquisitely painful to touch, the seat of throbbing pains, the skin over it being red ; hot tears run over cheek ; nasal duct quite ob- structed.

A feeling as if both her eyes were dragged back into head with strings.

■ Pain over eyes from wearing steel spectacles. Pressive pain over 1. eye about size of a sixpence.

Pain from occiput to eyeball, mostly r., sharp darting and a steady ache ; eyeball sore and painful when revolved.

373 SILICA.

Smarting and pricking in 1. eye.

Redness at first around eyes then also of conjunctivae, with inflammation and lachrymation.

■ Redness of whites of eyes with pressive pain.

I I Trachoma of conjunctiva of r. eye, hyperaemia and swelling of conjunctiva and copious secretion of tears and mucus, after exposure to a storm the inflammation increased and there was also cloudiness of lenticular capsule ; horizontal oval dilatation of pupil ; violent supraorbital pain day and night; urine strongly am- moniacal, deposited a yellowish sediment and con- tained a large amount of albumen ; sight very much diminished ; copious muco-serous secretion from con- junctiva; after some time there was an abscess arising from upper part of iris, having a yellowish-red colora- tion, and covering whole pupil. ^Parenchymatous iritis.

I I Pain and photophobia and inability to open eyes even in dark; ulceration of r. cornea, with a deep, transparent base, threatening perforation ; great hypersemia of lids, of conjunctiva, and of epithelial layer of cornea; en- gorgement of submaxillary gland ; moist vesicular erup- tion on back of head. ^Scrofulous ophthalmia.

I I Woman, set. 28, has suflPered for two months with recur-

rent phlyctenular conjunctivitis ; phlyctenules have varied both in size and location, being at times very large and isolated, appearing almost like pustules and coming on any part of ocular conjunctiva; again they are smaller, like minute vesicles but more numerous, and some- times form almost a complete circle at sclero-corneal junction ; conjunctival redness, profuse lachrymation, intense photophobia, at times very severe pain ; pain neuralgic, < at exit of supraorbital nerve ; duration of attacks from eight to twelve days.

I I Eye inflamed from traumatic causes ; foreign particles have lodged in the eye ; abscesses.

1 1 Hypopion.

I Blennorrhoea with suppuration ; sensitive to cold air, wishes to keep warmly covered.

I I Twitching of eyelids.

• Blepharitis: with agglutination in morning ; caused or aggravated by M^orking in a damp place or from being in cold air ; objects seem as if in a fog, > by wiping eyes, fluent coryza, corners of mouth cracked, with ])soriasis on arm.

I I For four months, constant discharge and ulceration un- der r. lower lid, the result of a severe inflammation ; over r. inferior orbital ridge, cicatrices which everted tlie lid and three openings as found over dead bone,

SILICA. 374

(liscbargiDg a yellow white pus, on probing caries of lower orbital arch was found extending over malar and superior maxillary bones and connected by sinuses with the upper jaw opening over first molar tooth, through which opening the discharge escaped into mouth. I Boils around eye and lids.

■ Cystic tumors of lids.

■ Tarsal tumors; styes.

I I Cystic tumor of lower lid existing one year.

■ Styes, nodules and indurations on eyelids.

■ Affections appearing in angles of eyes.

■ Swelling in region of r. lachrymal gland and sac.

■ Lachrymation in open air.

■ ■Fistula lachrymalis; bone affected.

I I Swelling of r. lachrymal sac, skin over it inflamed; glistening ; throbbing pain ; tears hot ; < evening.

I I Obstruction of canaliculi attending an attack of oph- thalmia of six weeks' standing and affecting both eyes; acrid tears overflowed lower lids.

I I A completely established fistula of sac, with disorgani- zation of walls of sac, denudation of internal horny w^all and closure of nasal canal.

■ Stricture of lachrymal duct.

■ Blennorrhoea of lachrymal sac.

I 1 Swelling of r. tear bag forming a perceptible protrusion, skin covering it inflamed and glistening; throbbing in it; the flowing tears are hot, particularly in evening. ^Swelling of lachrymal sac. Soreness and smarting of eyelids, she cannot close them. ® Hearing and Ears. ■ Oversensitive to noises ; ears painfully sensitive to loud sounds.

■ Ringing or roaring in ears. The ears seemed stopped.

■ Stoppage of ears, which open at times with aloud report.

■ Difficult hearing, especially of human voice and during

full moon.

■ Diminished hearing from roaring in head.

I I Hardness of hearing, of long standing; < from wash- ing and changing of linen ; > from application of electricity.

Dulness of hearing with swelling and catarrh of Eus- tachian tubes and tympanic cavity.

■ Deafness without noise in ear, disappearing on blowing

nose and coughing.

■ Hardness of hearing: of nervous origin ; suddenly after

a faint; ringing in ears and deafness with paralysis.

■ During headache roaring in ears as if something alive

were in them.

375 SILICA.

I I Deafness in a hemorrhoidal patient of twelve years' standing.

■ Meniere's disease.

I Itching: in Eustachian tubes, chronic coryza ; in both ears, in ear, especially on swallowing.

Drawing pain in meatus auditorius, like otalgia.

I Stitches in ears.

I Otalgia; with stitches from within outward.

Shooting pain in 1. ear, with a feeling as if humor were flowing from it.

Pricking, aching and itching in ears, 1. chiefly.

I I Sleep disturbed by pain in ears. ^Scarlatina.

I I Boring pain, /^Otorrhoea.

I Inflammation of labyrinth after cerebro-spinal menin- gitis.

I I After overexertion, heaviness of head, earache and difficulty of hearing ; hypersensitiveness to sounds, even sound of voices in speaking ; catarrhal cough, pain in stomach and severe pain in back ; between the shoul- der blades any pressure on spinal column produced a violent and long-continued pain, so that she had a well- marked spinal irritation.

■ Constant, watery, curdy and ichorous discharge without

pain except after a fresh cold ; pain drawing, shooting < at night and from change of weather or movement, also after being long seated.

I External meatus dry at outer portion, ulcerated farther in and at drumhead.

I Child bores into its ears with fingers when asleep, caus- ing a discharge of blood and pus ; it enjoys having the ear cleansed.

• Feeling of sudden stoppage in ear, > by gaping or swal- lowing.

I Hissing sounds in perforated ear.

■ Increased secretion of thin cerumen.

llOtorrhcEa: off'ensive, watery, curdy; with soreness of inner nose and crusts on upper lip, after abuse of mer- cury ; with caries.

I 1 Constant discharge, usually thin and watery, sometimes ichorous and curdy, from r. ear ; quite deaf on affected side ; after scarlatina, six years ago. ^Otorrhoea.

■ Purulent discharges from ears.

■ Swelling of external ear, with discharge of pus from ear. 1 I Discharge of bloody mucus. /^Suppuration of middle

ear. I I Offensive discharge from ears, of several years' stand- ing, with soreness of inner nose and crusts on upper lip. ^Otorrhoea scrofulosa.

SILICA. 376

I Discharge from ear after abuse of mercury.

I I Chronic sinus in front of 1. ear; an ill-conditioned fis- tulous wound, had existed three years. ^

I I For six days pain in mastoid region ; membrana tym- pani highl}^ injected ; tuning fork heard indifferently on either side when pressed against parietal bones ; temperature 1(J2 ; very weak and nervous; complete muscular paralysis of r. side of face ; found some relief and sleep by placing head in a warm poultice of Indian meal. ^Mastoid periostitis.

I I Child put& hand behind ears. ^Scarlatina.

I I Caries of mastoid process. 1 1 Scabs behind ears.

I Itching of outer ears.

I Hard swelling of parotid ; suppuration, especially if slow,

painless. ^ Smell and Nose, i iLoss of sm^ll.

I I Smell of blood or of recently slaughtered animals.

^Chronic corj'za. I Fetor from nose. ^Nasal catarrh.

■ Nosebleed.

Complete stoppage of nose, could scarcely speak.

Soreness on back of nose as if nasal bone had been beaten.

Drawing in root of nose and in r. malar bone.

I Itching in nose.

I Much sneezing, sometimes ineffectual ; with acrid coryza.

■ Painful dryness of nose.

■ Troublesome itching, feeling of dryness in nose extend-

ing to forehead and antrum ; periosteum is affected.

■ Dryness and stoppage after checked foot sweat.

■ Long-continued stojDpage of nose from hardened mucus.

■ Coryza: fluent; violent for several weeks; dr}^ could not

get air through nose ; long-lasting, oft-returning ; acrid, corroding; chronic, with swelling of mucous membrane ; constant.

■ Nose stuffed up, or alternately dr}^ and fluent; obstructed

mornings, fluent during day.

■ With every fresh cold, stoppage and acrid discharge;

makes inner nose sore and bloody.

■ Obstruction of nose in morning, followed by coryza dur-

ing day.

■ Discharge of acrid water from nose, making inner nose

and nostrils sore and bloody. ^Chronic coryza.

■ Food and drink rise into choanse.

■ Nose inwardly dry, excoriated, covered with crusts.

■ Swelling of nasal mucous membrane. ^Chronic coryza. A smarting, painful scab deep in r. nostril.

■ ■Gnawing and ulcers high up in nose, with great sensi-

tiveness of place to contact.

377 SILICA.

I Sore, painful scabs below septum of nose, with sticking

pain when touched. llOz^nawith fetid, offensive discharge when the affection is seated in submucous connective tissue or in peri- osteum.

I I Offensive smelling nasal catarrh ; every morning blows from nose hard, dry masses of mucus, followed by a quantity of offensive-smelling pus ; headache ; lassitude ; loss of appetite ; miserable appearance ; profuse, offen- sive-smelling foot sweat ; excoriation between toes when walking much.

II Chronic catarrh: with stoppage of nose, loss of smell and taste ; slimy, tough, purulent secretion stopping fre- quently in morning; swelling of nasal membrane; chronic inflammation of tonsils and painless swelling of submaxillary glands; tough slime in fauces, with hoarseness and rough cough ; stoppage in morning fol- lowed by thick, green-yellow fetid masses after getting up ; frontal sinuses inflamed, with pounding and throb- bing pain in forehead ; fauces dry and painful ; uvula swollen; Eustachian tubes itching; chronic inflamma- tion of tonsils and swelling of submaxillary glands.

I 1 Miss A., set. 26, lymphatic and delicate, suffers since two years from inflammation of nasal duct, discharging large clots of blood mixed with dry mucus of a very foul smell; corner of eye red, oculo-palpebral mucous mem- brane slightly inflamed and itching, sac on 1. side swol- len so that the sore appears larger; frontal headache.

I Caries of nasal bones from syphilis or scrofulosis.

I Intolerable itching of tip of nose.

I I Man, set. 48, ten years ago was much shocked on seeing tip of a friend's nose destroyed by cancer; since then his own has itched intolerably, < when thinking of it, and often keeping him awake at night.

Voluptuous itching about nose obliges constant rubbing in evening.

Tip of nose red.

iNose cold.

Herpetic eruption around nostrils and lips.

Burning, shooting pains in tip of nose flying up to fore- head.

■ Tetters on nose (after Calc. osir.). * Upper Face. iFace: pale; cachectic, body cool, sweaty; earthy ; yellow, distorted ; waxy ; white and red spots.

Paleness of face before fainting.

iPale, cachectic appearance. ^Eczema capitis. ^Cancer of lip. /? Panaritium. i^Coxalgia. /^Mastitis. ^Tumor of eye. /^Caries of tibia.

SILICA. 378

I I Yellowish color of face. ^Gastralgia. ^Perforating

ulcer of stomach. I I Face emaciated, pale, yellowish. ^Abscess of 1. arm

after dissecting wound. iRhagades about lids and lips. I Skin of face cracks. I Acne on forehead and back of hands. Face distorted, eyes closed.

■ Neuralgia of face, head, eyes, teeth and ears; pains <

after being in bed a short time. I I Boring, tearing pains day and night, < during night, spreading over whole chest, also in bones of face.

■ Prosopalgia; with hemorrhoids; with affection of peri-

osteum; itching, with sensation of dryness in inner nose, extends into frontal cavities and antrum ; with small lumps and nodules on scalp and face.

I I Large hives on face and body before appearance of caries on lower jaw; after caries got well, vesicles appeared on whole body, with fever.

I I A thick crop of papules on forehead, face and back of both hands. ^Acne.

I I Slight papular eruption upon forehead, similar to vari- cella. ^Pertussis.

I I An induration extending from 1. corner of mouth to a great portion of cheek.

I I Liduration of cellular tissue on one side of face, after parulis.

I Lupus; serrated ulcers, with greyish purulent surfaces; corroding, threatening to perforate cheek.

1 I Lupus; whole face corroded; tubercles on face, with ulceration of their apices; suppressed perspiration of feet (improved).

I I Lupus in face, at interior extremity of cicatrix a deep ulcer threatening to perforate cheek, border of ulcer ser- rated, its surface greyish, bathed in a purulent sanies.

I I Lupus in face, began on r. ear lobe, healing one side, corroding on other, advancing downward and forward, leaving irregular cicatrix (after Bellad.).

■ Comedones.

1 I Swelling on r. cheek, made its appearance after scratch- ing a pustule ; burning pain on centre of swelling formed a black vesicle which broke and discharged burning ichor.

I Red spots on cheeks with burning heat.

I Blood-boils on cheeks.

Sycosis menti.

■ Herpes on chin.

^ Lower Face. ■Articulation of jaw spasmodically closed.

379 SILICA.

Rheumatic pains in jaw and decayed teeth extending to

temple. Aching of both jaws. I I Pricking and lancinating pains in region of r. inferior

maxillary, with cancerous diathesis. I I Pains more in jawbone than in teeth, swelling of jaw. I I Bony swelling of the inferior maxillarj^ size of half a

walnut.

■ Swelling and caries on lower jaw. I I Caries of 1. lower jaw.

■ Necrosis of lower jaw.

Boil on chin, with stinging pain when touched.

Ulceration of corners of mouth.

Painful ulcer in corner of mouth.

Corner of mouth ulcerated with an itching sensation with

scabs for many days. I Nose and lips large, swollen and distorted. I Dry and parched feeling of lips. I I Foam ^t mouth. ^Epilepsy. Swelling of lower lip. I I Blisters on margins of lips.

■ Scabby eruption on lips, which smarts.

■ Large, hard, brownish crusts on lips, especially about

corners of mouth.

I I Woman, set. 61, cancer of lower lip after having picked lip. ^Cancer of lip.

I I External third of lower lip on r. side swollen and con- gested with an induration size of an apricot-stone in centre of swelling, on red border superficial ulceration with greyish base; excrutiacing pain. ^Cancer of lower

lip- . . ,

I I For more than a month, felt an itching, sometimes burn- ing, in a very circumscribed spot in a part of lower lip, finally succeeded by intolerable shooting pains; a hard spot became perceptible in thickness of lip which soon made its appearance externally in shape of a conical pimple ; tumor soon became black, wrinkled and as large as a good-sized hazelnut.

■ Cancer of lower lip; ulcer greyish, superficial, excruciat-

ingly painful.

■ ■Painful or painless swelling of submaxillary glands.

'° Teeth and Gums. ■■Difficult dentition : teething delayed; gums sensitive, blistered ; frequently grasping at gums; scrofulous children having worms, with profuse saliva- tion ; fever toward evening and all night with heat in head ; difficult stools ; stool recedes before child can effect its passage ; feet smell badly, notwithstanding every effort to prevent it; profuse sour-snielling perspi-

SILICA. 380

ration upon head in evening; fontanelles large, head larger in proportion than rest of body ; protruding gum seems blistered and is sensitive; stools when loose are usually dark and sometimes offensive. I Teeth feel too large and too long for the mouth.

■ Looseness of teeth.

Teeth loose and gum painful to slightest pressure. iCaries of teeth, pains < at night and on inhaling cold

air. • Throbbing toothache, swelling of periosteum.

■ Stinging toothache, preventing sleep. Constant aching in all the teeth.

i I Neuralgia in all the teeth, with heat and tearing pain in head ; constant spitting of tenacious slimy saliva ; raging at night; not affected by cold or warmth.

In scrofulous and rachitic subjects with carious teeth tooth- ache is particularly < at night from inhaling cold air.

■ Throbbing toothache with swelling of periosteum or

lower jaw^, where the pain is more severe than in teeth ; unable to sleep on account of general heat ; every hurt festers and is slow to heal.

I I Erysipelatous swelling on gums and roof of mouth after

extraction of teeth.

■ Tedious,, boring, tearing pains day and night, < during

night, spreading over whole cheek, and into bones of face; discharge of offensive matter from openings near roots of teeth or from gums ; swelling of jaw.

■ Burning stitching in several teeth, < at night, < by cold

air in mouth, with heat in head and burning in chest; pain in submaxillary glands, with or without swelling. Gum is painfully sensitive on taking cold water into mouth.

■ ■Gums very sore, inflamed; gum-boils.

Cool feeling in upper gums, soreness of palate, lips feel much parched.

I I Tumor, size of a walnut, in place of two bicuspid teeth. " Taste and Tongue. ■Taste: of blood, morning; of soap- suds ; bitter, morning, with thick mucus in throat ; of rotten eggs.

■ Loss of taste and appetite.

■ Water tastes badly ; vomits after drinking.

■ Tongue feels sore.

Sensation as if a hair were on tip of tongue extending into trachea, where it causes a crawling so that he is frequently obliged to cough and hack.

I I Whitish, trembling tongue. ^Abscess of 1. arm.

Soreness of tongue.

■ Tongue coated with brownish mucus.

381 SILICA.

I Glossitis.

I Indurations in tongue.

I I Ulcer on r. border of tongue eating into it and discharg- ing a great deal of pus. ^Carcinoma.

■ One-sided swelling of tongue.

^^ Inner Mouth, i l Acidity in mouth, after eating.

■ Bad odor from mouth in morning.

■ Constant dryness in mouth ; without thirst. ■Accumulation of mucus in mouth.

■ Saliva runs out of mouth.

■ ■Inflammation and suppuration of salivary glands.

I I Irritable condition of mucous membrane of mouth ; skin of body pale and flabby. ^Neuralgia.

■ Stomacace ; mouth gangrenous, with perforating ulcer of

palate. ^^ Throat. Soreness of palate, which assumed a pale yellow color.

■ Swelling in palate; swelling of uvula. ^Chronic coryza. I i Fauces affected, dry painful throat. ^Chronic coryza.

■ Tough slime in fauces.

■ Hawking up of thick, green, yellow, fetid mucus, or yel-

low, very offensive balls.

I I Swelling in front of throat, region of thyroid body ex- tending around to parotids, commencing on 1., extending to r. side, cannot move, holds neck stiffly.

Sensation as of a lump in r. side of throat ; she could only swallow with great difficulty.

■ Pricking in throat, as from a pin, causing cough, 1. side.

■ Tonsils swollen, each effort to swallow distorts face.

■ ■Tonsillitis when suppurating gland will not heal ; pu&

continues to flow, but gets thinner, less laudable, darker and more fetid.

■ Periodical quinsy.

■ ■Inflammation of tonsils when too late for absorption.

■ Chronic inflammation of tonsils.

■ Throat feels as if filled up, as if he could not swallow;.

frequent cough bringing up white, frothy, saltish mucus ; < toward evening.

■ Swallowing painful, no inflammation. ^Hysteria. Sore throat, as from a lump in I. side, on swallowing. Burning in throat.

Dryness of throat as from a cold.

Soreness of throat, as if he swallowed over a sore spot, at

times stitches in it. Pressive soreness on 1. side of throat when swallowinj. Sticking sore throat only on swallowing, with p. tin in

throat even to touch.

■ Feeling as if throat were filled up, as if he could not

swallow. ^Chronic sore tliroat.

SILICA. 382

iWlien swallowing, soreness and stitches in throat. I When swallowing food easily gets into choanae. iSequelse of diphtheria ; amaurosis.

■ Swallowing difficult as from paralysis.

■ Paralysis of velum pendulum palati.

■ Chronic pharyngitis with constipation.

■ Mouth gangrenous with perforating ulcer of palate.

■ Swelling of submaxillary and cervical glands.

■ Submaxillary glands painful to touch but not swollen.

■ Enlarged thyroid gland.

^' Appetite, Thirst. Desires, Aversions. ■Excessive hunger.

■ Canine hunger, but on attempting to eat has sudden dis-

gust for food.

■ Canine hunger, with nervous, irritable persons.

■ Want of appetite ; excessive thirst.

No desire for anything but small quantities of preserves.

■ I Thirst.

■ Averse to warm, cooked food ; desires only cold things,

disgust for meat.

■ ■Aversion to mother's milk and vomiting whenever tak-

ing it. ^^ Eating and Drinking. • i While eating, pain in head much better. In evening, while eating, an acute pain extending from abdomen to testes.

■ After eating: sour eructations, fulness and pressure in

stomach ; waterbrash and vomiting; sleepiness, vomits

large masses of water. I I Painfulness of epigastrium upon pressure, griping pain

also after eating. ^Gastralgia. I I Regularly after eating chilliness on back ; icy-cold feet

in evening. ^Chronic hepatitis. I I Pyrosis and vomiting after eating. ^Perforating ulcer.

■ Hectic fever in debilitated persons, < after meals. Small quantities of wine cause ebullitions and thirst. Vomits after drinking.

I 1 Screwing, pressing, twisting pain in stomach after drink- ing. ^Perforating ulcer.

■ Dry cough after drinking cold water. Diarrhoea after milk.

^^ Hiccough, Belching, Nausea and Vomiting. ■ Eructa- tions : sour ; tasting of food ; loud, uncontrollable, with pain in stomach.

■ Intense heartburn, sensation of a load in epigastrium.

■ Waterbrash: with chilliness; with a brownish tongue. Ineffectual retching, waterbrash with nausea.

■ Nausea: with violent palpitation; after every exercise

that raises bodily temperature ; after eating a little ; and

383 SILICA.

vomiting of tenacious mucus, hiccough ; sense of empti- ness at stomach ; after stools.

■ Nausea and vomiting of what is drunk < in morning.

■ Vomiting while drinking, especially if drinking be

hasty.

■ Water tastes badly ; vomits after drinking.

■ Child vomits as soon as it nurses.

■ Vomits : ingesta, at night.

Morning vomiting, with nausea, much exhaustion.

■ Nausea and vomiting during pregnancy.

1 I Nausea and vomiting of mucus in morning, much ex- hausting a young and vigorous man. ^Suppressed foot sweat. " Scrobiculum and Stomach. ■ Anguish in pit of stomach, attacks of melancholy.

■ Burning or throbbing in pit of stomach.

■ Sensitiveness of pit of stomach to pressure.

■ Pressure as after eating too much.

■ Heaviness like lead in stomach.

■ Cutting feeling, at other times weight, crampy sensation,

tightness at pit of stomach.

Felt as if knives were running into her stomach.

Cold pain at epigastrium as if a cold stone were in stomach.

I I Nearly every morning after partaking of any kind 'of drink a digging and twisting, followed by retching and vomiting of bitter, salty water, coming with such force as to make him sweat and tremble all over. ^Gastralgia.

■ Gastralgia : with pyrosis, hiccough or nausea and glairy

vomiting ; heat, weight, sensitiveness and a feeling of constriction ; flatulency, eructations, somnolency, lan- guor, coldness of extremities, loss of appetite, slow and painful digestion, often hunger which cannot be satisfied.

I I After a meal, load as of a stone or lead in stomach, par- ticularly after eating raw vegetables.

I I Yellowish complexion; screwing, pressing, twisting pain after drinking, pyrosis and vomiting after eating. ^Ulcer of stomach.

■ Induration of pylorus.

^^ Hypochondria. Pressure or aching pain in hypochon- drium.

■ Beating soreness in liver; < on motion, when walking,

when lying on r. side. I I Sore, ulcerative pain and frequent throbbing, two fin- gers' breadth below r. floating ribs ; cannot tolerate least pressure; cannot step upon r. foot without greatly aggra- vating pain to an intolerable degree; confusion of head; dull pain in occiput; pressing pain in forehead; ver- tigo on stooping; loss of appetite; pressure in stomach

SILICA. 384

after eating; stool delayed two or three days; constant severe cough all day, awakening her at night, < from motion; scanty, slimy expectoration; sensation as if sternum were grasped ; tearing in limbs, stitches, and a dropping or running sensation ; muscles weak, flabby; emaciation; after eating, chilliness along back, conges- tion to head, heat in face, slight burning in soles of feet; feet ic3'-cold in evening; sweat on slight motion, pro- fuse and debilitating in morning in bed ; pulse small, weak, rapid, irregular ; lassitude, desire to sleep, restless sleep, at night suddenly starts from sleep, trembling and frightened ; despondenc}'. ^Hepatic disorder. iLiver complaint with obstinate constipation; want of expulsive power in rectum ; hardness and distension in region of liver; abscesses; throbbing, ulcerative pain < from touch and motion; < at night and during new and full moon ; scrofulous diathesis.

I I Neurosis of chest with pain in region of spleen and inde-

scribably quick breathing. Morbus maculosisWerlhofli, with disorganization of spleen. '^Abdomen. ■ Pressure in abdomen, especially after eating, clothing feels too tight.

■ Tightness transversely across abdomen.

Abdomen constantly hard, greatly distended, making him very uncomfortable.

■ Hard, hot, distended abdomen, especially in children.

I I Large abdomen in children.

Abdomen feels thick and heavy like a weight.

Abdomen hot, tense, constant rumbling and grumbling in it, diarrhoea.

1 1 Flatulence: much rumbling; incarcerated; very offen- sive; shifting; difficult to discharge; with costiven ess; with distended abdomen ; rumbling and gurgling in abdomen ; fetid, smelling like wet brass.

Violent cutting in lower abdomen with incarcerated flatus; every step is painfully felt.

Colicky pains in lower abdomen, with straining and in- creased pain during stool.

I Tenderness about hernial tumor.

I Colic; from worms; with constipation or difficult stool; with yellow hands, blue nails; with reddish, bloody stools ; > by warmth.

Momentary pinching pain at navel.

Cutting pain in region of navel going through to back and coming on at intervals.

llAbdominal pains relieved by warmth.

I I Abdominal dropsy; eff'usion so great that his weight was thirty-six pounds in excess; frequent attacks of

385 SILICA.

watery diarrhoea, lasting several clays, leaving him ex- hausted, emaciated and unable to leave his bed ; would then rally and filling-up process recommence.

■ Rhagades and cracks on surface of abdomen.

I I Discharge of pus, intestinal gases and fecal matter

through abdominal fistula. I Inflamed inguinal glands, painful to touch.

■ Inguinal hernia.

I I Mr. D., fet. 67; abscess in r. groin, hernia both sides; irritation of truss the supposed cause; syphilitic taint; tumor increased till it contained as much as two gills of matter ; got well without breaking ; both hernia got well without further treatment. ^^ Stool and Rectum. I Stools : frequent, scanty, liquid, offen- sive as carrion ; pasty; paplike; offensive; contain un- digested food, with great exhaustion, but painless; mucous, followed by itching in anus ; watery, weaken- ing; liquid, slimy, frothy, mucous or bloody; mushy, horribly offensive; purulent; cadaverous-smelling; pu- trid; sour (during dentition).

I Diarrhoea .-from exposure to cold air; after vaccination; with griping pains in bowels; in morning before rising', from 6 to 8 a.m.; watery, weakening; chronic, from ulcer- ation of bowels ; in thin, scrawny children with sweaty head and sweaty, offensive-smelling feet; child very much emaciated, nurses well but food passes through undigested, open fontanelles : much perspiration about head; great thirst; emaciation; cold hands and feet with cold sweat on them; rolling of head; suppressed secre- tion of urine.

Before stool : pain in bowels.

During stool : chilliness and nausea in throat; colic; itch- ing and stinging in rectum ; piles ; succus prostaticus.

After stool : burning and smarting in anus ; remission of abdominal pains; pressing and burning in anus ; burn- ing in prepuce; eructation.

I I Child, 1 year old; on mother's side dyscrasia, scrofula,

softening of brain, tuberculosis; teething process delayed ; relapsing summer complaint; feet very dry and smelled like an old person's. ■ Natural stool, evacuated with much pressure and strain -

I I Constipation: very hard, unsatisfactory stools, with very great effort; constant but ineffectual desire for stool in evening; stool dry, hard and light-colored; stool very hard, followed by burning in anus; very hard, nodular,, like clay stools, evacuated only with great effort; stool scanty, difficult, after great urging and straining until,

VOL. IX. — 2j.

SILICA. 386

abdominal walls are sore, the stool that has alredy pro- truded slips back again; stool remains a longtime in rectum as if there were no power to expel it ; from inac- tivity in rectum, with pain and inefiectual desire for stool ; prolonged efforts during stool render muscles of abdomen sore; before and during menses; stool conies to verge of anus then slips back into rectum ; with spinal affections, as if rectum w^ere paralyzed.

I Loss of expulsive power with a large but soft stool.

I I Constipation; large slime-covered feces ; stools five to seven days apart and occurred then only upon use of injections or cathartics ; copious sweat on head and face directly upon falling asleep ; child, set. 8 mos., suffering since birth.

I In rectum : sharp stitches when walking ; jerking, almost dull sticking pain; cutting; stinging; burning, sting- ing, itching during stool.

■ Hemorrhoids; intensely painful, boring cramping from

anus to rectum or testicles; protrude during stool, be- come incarcerated ; suppuration ; discharge of bloody mucus from rectum ; intense pain wdth slight protru- sion.

I In anus: tension ; boring cramplike pain extending into rectum and testicles ; pain as if constricted, during stool; sticking; burning after a dry hard stool ; itching; stitches and shooting pains ; moisture.

iFissura ani, great pain half an hour after stool, lasting several hours.

I IFissura ani and fistula in ano.

I I Aching, beating throbbing pain in lumbo-sacral region,

with occasional perineal tumefaction which discharged blood and pus ; constipation, stools slipping back after much effort; great anxiety.

I I Fistula in ano; also with chest symptoms.

^^ Urinary Organs. ■ Suppuration of kidneys ; abscesses.

■ Diabetes mellitus.

■ Purulent blennorrhoea of bladder.

■ Tenesmus of bladder and anus.

■ Paralysis of bladder.

Obliged to rise nearly every night to urinate. Desire to urinate without emission.

■ Continuous urging, with scanty discharge; also at night.

■ Weakness in urinary organs ; constant desire to urinate.

■ Profuse urination relieves headache.

■ Involuntary micturition at night; also in children, with

worms and in chorea. I 1 Nightly incontinence of urine, after a blow upon head, when three years old, in a girl set. 7.

387 SILICA.

1 1 A boy, set. 15, troubled ever since his recollection with nocturnal enuresis nearly every night, until he was thirteen, when he left home ; by a strong effort of will and care it was not so frequent, but still quite beyond his control.

■ Enuresis nocturna, complicated with worms or chorea.

I Urine: light-colored; suppressed; turbid; sediment of red or yellow sand.

During urination : burning and soreness in urethra ; press- ure in bladder; itching of vulva; cutting pain.

Strangury.

After urination : involuntary discharge of urine.

Suppression of urine.

I Renal and vesical calculus. ^^ Male Sexual Organs, i Sexual desire increased, or decreased.

■ Painful erections, before rising in morning; frequent

violent erections.

■ Sexual erethism, with spinal or paralytic disease.

■ After an embrace, sensation on r. side of head as if par-

alyzed with soreness of limbs.

■ Lascivious thoughts and dreams; nocturnal emissions,

followed by great exhaustion; prostatitis. Violent erections without sexual desire.

■ Sexual desire very weak.

I I After masturbation seminal emissions twice a week, be- tween 3 and 5 a.m.; great depression of spirits ; aching in sacrum ; sweat of scrotum ; heat in head ; burning of feet with sweat; weakness and heaviness of arms; melancholy ; < a.m. and before an emission ; > after an emission.

■ ■Discharge of prostatic fluid while straining at stool.

I I Prostate gland enlarged, without pain, but irregularly indurated, one point being hard, another soft.

■ Prostatitis ; suppuration, thick fetid pus from urethra.

I I Gonorrhoea, with thick fetid pus ; < after exertion to the extent of sweating.

■ Gonorrhoea; pus or puslike bloody discharge; slight

shreddy discharge.

■ Chronic syphilis ; suppurations and indurations.

■ Chancres: with raised edges; inflamed, painful, irrita-

ble, discolored ; thin bloody discharge ; granulations in- distinct or absent.

■ Red spots and itching on corona glandis.

■ Painful eruptions on mons veneris; itching, moist or

dry eruptions of red pimples or spots on genitals. /^'Syphilis.

■ Slight swelling of penis and testicles.

■ Squeezing pain in testicles.

SILICA. 388

At the height of chill penis and testicles are hot.

Sharp pricking pains in penis.

Prepuce red and itching; swollen and itching humid pim- ples on it.

I Itching moist spots on genitals, mostly on scrotum ; sweat on scrotum.

I I Pale-red, sensitive swelling hard as a stone extending^ from 1. inguinal region across mons veneris, with burn- ing stinging tearing pain in swelling, sacrum, and 1. thigh, preventing sleep ; slimy fluid discharges from twO' fistulous openings.

llHydrocele; men and scrofulous children. " Female Sexual Organs, i Sterility.

■ Increased sexual desire, with paralytic or spinal affec-

tions. I I She feels nauseated during coition. ^Uterine c.incer.

■ Nymphomania due to plethora or spinal irritation.

■ Prolapsus uteri in consequence of myelitis.

■ Serous cysts in vagina.

■ Pressing-down feeling in vagina.

■ Indurations of cervix uteri.

■ Ulceration of neck of womb and os.

■ Periuterine cellulitis; areolar hyperplasia.

I I Metrorrhagia of six weeks' duration in a washerwoman who attributes her sickness to constantly standing in cold water.

■ Metrorrhagia: offensive foot sweat; icy-cold body; pain-

ful hemorrhoids.

■ Bloody discharge between periods.

■ Menses: too early and scanty; too late and profuse; ir-

regular, every two or three months ; during lactation ; strong-smelling, acrid ; repeated paroxysms of icy cold- ness over whole body.

■ Before menses : pressing pain in forehead; violent colic,,

shuddering all over body whole day, acrid leucorrhoea ; sensation as if vulva were enlarged, with soreness in perineum.

■ During menses: pain in abdomen; tearing pain in

tibia ; toothache and obscuration of sight ; violent press- ure in forehead, with discharge of plugs from nose; constipation ; sensation as of a heavy lump in anus ; cold feet ; burning and soreness about vulva ; eruption on inside of thighs; drawing between shoulders; mel- ancholy, anxiety and weariness of life.

■ Discharge of a quantity of white water from uterus in-

stead of menses.

■ ■Amenorrhoea with suppressed foot sweat ; pain in ab-

domen.

389 ^ SILICA.

M Mucous surfaces of external genitals red, vascular, moist and exquisitel}' sensitive to touch ; married six months, but there was no possibilit.y of sexual inter- course ; examination of internal surfaces impossible with- out inducing anaesthesia artificially; chronic headache of a pressing, pulsating or tearing character, < by mental exertion, stooping, talking, or cold air ; > by warmth and warm wraps; frequently profuse, sour perspiration on head in evening ; tendency to take cold in head from slight causes, especially if head is uncovered ; weight or pressure in vagina, with painful bearing down, vagina being tender to touch, ^Vaginismus.

Discharge of a quantity of white watery fluid from vagina.

1 1 Serous cysts of vagina ; vaginal fistula.

I lltching of pudenda.

■ Violent burning and soreness of pudenda, with eruption

on inner sides of thighs, during menses, lltching of vulva; acrid leucorrhoea,

■ Ascarides of vulva.

I I Leucorrhoea : profuse, acrid, corroding; milky, preceded by cutting around navel ; causes biting pain, especially after acrid food; during urinating; in gushes; with cancer of uterus.

I I Profuse, yellow, excoriating leucorrhoea; discharge te- nacious ; astringent injections produced a peculiar sen- sation at pit of stomach ; continual headache ; feels > with head covered up warmly.

IS Inflammation, induration, and suppuration of breasts; fistulous ulcers, discharge thin and watery or thick and offensive ; substance of mamma seems to be discharged in pus; one lobe after another ulcerates and discharges into one common ulcer, often with pain, or there may be several orifices, one for each lobe.

I Inflammation of nipples; they crack and ulcerate.

I I Hard nodular tumor of breast.

I iScirrhus of r. breast in an old lady, set. 70; great itch- ing of swollen gland.

I iScirrhus mammae, in a woman set. 40, weakly constitu- tion ; since frequent catarrhal affections, somewhat asth- matic; for some time observed a lump in r. mamma; near nipple toward right, a scirrhus as hard as carti- lage, of uneven surface, movable, and size of a hazelnut.

I I A lady, set. 65, thin ; for six months a tumor of r. breast, making it twice natural size ; had itch twenty years ago ; palpation showed fluctuation ; trochar detected pus ; further examination showed carious rib. '*' Parturition. Pregnancy. Lactation, i Threatened abor- tion ; liemorrliaiie after abortion.

SILICA. ^ 390

I I Hemorrhage after abortion, < from least motion, men-

tal or sexual excitement; painful hemorrhoids and ob- stinate constipation.

■ Promotes expulsion of moles ; shooting pains. liSFausea and vomiting of pregnancy; menses had been

accompanied by palpitation. Soreness and lameness of feet from^ instep to sole, during pregnancy.

■ Too violent motion of foetus.

■ After-pains felt in hips.

Suppressed lochia followed by boring pain in 1. temple, 1. supraorbital nerve, and orbit of eye ; < by talking, or mental exertion ; before suppression, nursing produced a venous metrorrhagia.

I I While nursing: sharp pain in breast or uterus, pain in back, increase of lochia ; pure blood flows every time child nurses ; complains every time she puts child to breast.

1 1 Aversion to mother's milk; child refuses to nurse, or if it does nurse, it vomits.

I Milk suppressed.

iMammte sw^ollen, dark red, sensitive, burning pains pre- vent rest at night.

I I Hard lumps in mammae.

I Great itching of swollen mammae. ^Scirrhus.

■ Inflammation of nipples.

I Darting, burning in 1. nipple.

I Nipple is drawn in, like a funnel.

I iScirrhus near r. nipple, hard as gristle, uneven surface.

I Nipple ulcerates ; is very sore and tender.

I Hard-edged fistulous ulcers remaining after mammary abscesses.

I Fistula of mammae discharging serum or milk.

iRhagades of mammse, or other parts covered with deli- cate skin, or on parts affected by tettery eruptions.

I I Pain in nodular swelling of 1. breast, cutting pains in abdomen.

■ Inflamed breast, deep-red in centre, rose-colored toward

periphery, swollen, hard and sensitive to touch; con- stant burning pain prevents her from resting at night ; high fever, face sunken, but excited. ^Mastitis. *^ Voice and Larnyx. Trachea and Bronchia, i Hoarse- ness, roughness of larynx. I Husky voice ; < in morning; chronic coryza. 1 I Fibrous, painless swelling of larynx, connected with thyroid cartilage.

■ Foreign bodies in larynx.

• Laryngeal morning cough commencing immediately on

391 SILICA.

rising, with tough, gelatinous and very tenacious ex- pectoration,

■ Bronchial affections of rachitic children ; copious puru-

lent or transparent expectoration. Tickling in larynx with slight cough and hoarseness. •Roughness and soreness in trachea and bronchia. '^ Respiration. Deep sighing breathing.

I Shortness of breath and panting from walking fast, or

from manual labor.

■ Dyspnoea : when lying on back; when stooping; when

running; also after running; when coughing.

■ Oppression of chest, cannot take a long breath.

I Asthma : < when lying down ; spasmodic cough ; spasm of larnyx ; pulsations in chest ; often with profuse, pur- ulent sputa ; cannot bear a draft of air on back of neck.

I I Nervous asthma, dry spasmodic cough; oppression does not permit him to lie down or stoop ; spasm of larynx and pulsations in chest.

I I Breathing so difficult that eyes seemed to protrude from their sockets and the doors and windows had to be thrown open; attacks came only during a thunder- storm.

I Hay asthma coming on about the last of August. ^^ Cough. I Cough : dry, with hoarseness; with soreness in chest; excited by tickling in throat pit; hollow, spas- modic; loose, day and night; with profuse expectora- tion; vomiting of tenacious mucus in morning; with thick purulent sputa ; awakens him at night; < from motion ; scanty mucous expectoration ; especially troublesome after lying down in evening and after waking in morning; hacking caused by nightly tick- ling in pharynx ; at first caused by tickling in throat, gradually seeming to come from lower down in throat until it came from chest and shook the abdomen, during day consisting of sudden explosive coughs without ex- pectoration, < in evening.

• Cough and sore throat with expectoration of small badly smelling granules.

I I Cough with purulent expectoration ; prevented the ul- cers in lungs from spreading.

■ Phthisis; cough with profuse expectoration, vomiting of

tenacious mucus in morning, during attack of cough; dyspnoea; blood-spitting; night sweats. I I Child 3 years old, strongly marked scrofulous constitu- tion ; suffocative cough ; obstructed, difficult, rattling respiration; profuse expectoration of purulent matter; great emaciation ; frequent, copious, fetid, papescent stools, with great exhaustion ; slight pustular eruption, (similar to varicella) upon forehead.

SILICA. 392

iCough < from cold, > from warm drinks. ^Chronic bronchitis.

I Influenza with difficulty of hearing, at times ringing in

I I Stonecutters' pulmonary affections, copious fetid expec- toration.

I I After artificial evacuation of an empyema continuing

suppuration, hectic fever, emaciation, night sweats and diarrhoea. ^Phthisis.

I I Expectoration : profuse, fetid, purulent, green; only during day ; of viscid, milky, acrid mucus ; at times pale frothy blood ; tastes greasy; makes water turbid, that which sinks to bottom has an offensive odor ; when thrown into water falls to bottom and spreads like a heavy sediment.

■ Painless throbbing and beating in breast bone.

■ Sticking pains in chest on inspiration. Pressive pain in sternum toward pit of stomach.

■ Pressing pain, stitches; general sensation of weakness in

chest ; can hardly speak, is so weak. ^Phthisis.

I I Severe stitching pain in r. lung two inches below nip- ple, extending through to back; < on motion of any kind and deep breathing.

Painful stitches in chest, shooting from sternum around to back.

Tensive pain across chest lasting for some hours.

Tight feeling around chest, as if she were tted in with a tape.

Pressure at lower sternum as from a stone; pain under sternum.

■ ■Inflammation of lungs resulting in suppuration.

■ Dropsy of chest, or empyema; motion produces severe

palpitation of heart ; from anaemia and lack of nutrition ; also in stonecutters.

■ Empyema after pleuris3^

■ Congestion to chest; body chilly.

■ Chronic neglected pneumonia, passing over into suppura-

tion.

■ ■Chronic bronchitis and phthisis.

■ Phthisical abscess of lungs ; formation of cavities.

I I Several attacks of hsemoptysis, after which he gradually declined ; about eight months afterward large cavity in r. lung at second intercostal space about three inches to r. of sternum ; heavy rales in 1. bronchus with decided in-

393 SILICA.

dications of breaking down of parench^^matous struct- ure and cavernous lesions there, also sputa very heavy and largely purulent; cadaverous odor present, musty and offensive; no appetite; could hardly sit up long enough to have bed made ; skin cold, clammy ; drench- ing night sweats ; marked absence of vital warmth. ^Phthisis. I I Hemorrhage from lungs for nine months; cavities in both lungs ; symptoms of septicsemia from absorption of pus from cavities; clammy, cadaverous sweat covering whole body', which had the feeling as if mould was form- ing ; no appetite ; large quantities of thick, heavy muco- pus, largely purulent. ^Consumption.

I Stonecutters' consumption.

"Heart, Pulse and Circulation, i Palpitation: while sit- ting, the hand in which he is holding something trem- bles ; violent hammering after every quick or violent motion; and throbbing over whole body while sitting.

Awoke with rapid pulse, palpitation and sensation of heat.

Orgasm of blood at night; throbbing in all the vessels.

The circulation is easily agitated.

■ Heart troubles from nervous exhaustion.

iPulse: small,hard, rapid ; frequently irregular and then slow; imperceptible, with earthy complexion (car- buncle). ^ Outer Chest. I Painless throbbing in sternum.

■ Tightness across chest ; after suppressed foot sweat.

I I Sensation as if a hand had grasped her breast bone. ^Chronic hepatitis.

llA scrofulous child set. 11, swelling size of a plum, occasionedby closing of an issue; between fifth and sixth ribs on r. side, below nipple.

A man, «t. about 60, had a tumor in 1. breast, one and a quarter inches in diameter, and a half inch in depth, the nipple occupying the centre; it slowly increased and became painful, pain sharp, stinging and twinging; almost intolerable itching of whole breast, had an ulcer about three inches long and one inch wide on r. leg, over upper end of fibula, which had been carious and a part of it removed, but the ulcer did not heal. ^Can- cerous tumor.

nWhen convalescing from a severe attack of typhoid fever, a tumor appeared in one of the right intercostal spaces, which, after being frequently poulticed, broke open and commenced to discharge first a thick, creamy pus, mixed with some blood, but becoming thinner and more offensive every day ; was pale and weak, and the discharge, which, by its long duration, was causing de-

SILICA. 394

cided harm to the organism, consisted of thin, dirty, fetid ichorous fluid, and the surrounding parts were hard, swollen and bluish ; pain in ribs < in a warm room, but as soon as he would go out into cold air (be- ing Winter) his sufferings became unbearable.

I I Necrosis of acromio-clavicular articulation with com- plete anchylosis of 1. shoulder joint.

I I Malignant scrofulous ulcers and fistulous openings of lymphatic glands of neck, with caries of clavicle.

I I Fistulous opening near sixth rib from an abscess, with gnawing pain ; a spongy growth size of a nut, broken by fistulous openings, protrudes ; fistulous openings have a scarlet border, discharge ichorous, stinking pus.

I I Small tumor in 1. breast of a man, set. 60, with sharp, stinging, twinging pain and intolerable itching.

■ Eruption like varicella, covering breast and itching vio-

■ Rheumatism of lower cervical vertebrae. Stiffness and chilliness at nape of neck, and chilliness all

down back.

■ Stiffness: of nape of neck; of one side of neck, cannot turn head on account of pain; of nape of neck, with headache.

■ A recurrent fibroid tumor the size of a hen's egg and very hard in 1. side of neck, not connected with parotid, though growing a little below it, he w^as > by wrap- ing up, even head ; timid about going into a new enter- prise ; lacks confidence in his own ability.

I I Purulent infiltration of tissues of neck, following car- buncle.

■ ■Cervical glands and parotids swollen, indurated.

■ ■Glandular swellings of neck and in armpits, with sup- puration.

■ Scrofulous swelling and induration of cervical and paro- tid glands, coming gradually, of long duration, often attaining an enormous size ; hot skin, without pain or redness.

■ ■Boils or carbuncles on nape of neck; anthrax; want of vital warmth ; slow progress of disease.

I I Swelling hard, discolored, purplish-red, discharging from an opening near edge, acrid, corroding, stinking, yellowish-green ichor. ^Carbuncle.

I I Large dusky patch on front of neck, and another on

395 SILICA.

nape of neck, extending to scalp, covered with minute scales. ^Eczema.

Itching pimples, like nettlerash, on nape of neck.

1 1 Swelling and soreness in old cicatricial tissues about neck and breast, the result of scrofulous abscesses.

I I Right lobe of thyroid gland swollen, having the appear- ance of an elastic cyst.

■ Struma, with suppurating fistula.

I Rheumatism of lower cervical vertebrae; violent tearing

pain between scapulee.

Tearing pain beneath scapulae while walking.

Frequent sticking in r. scapula.

lln small of back : violent pain; pain after stooping; pain as if beaten, at night; pain when getting out of bed in morning; feeling as if dead after suppressed foot sweat; spasmodic pain does not allow him to rise ; stiffness and pain on rising from a seat ; spasmodic drawing compel- ling him to lie still.

Weakness of back and a paralyzed feeling in lower ex- tremities, could scarcely walk.

II Pain in curved spine.

Burning in back while walking in open air and becoming

and over r. hip joint.

I Constant aching in centre of spine.

I I Spinal irritation, paralytic symptoms; cold feet; consti- pation.

I Aching in loins, shooting down legs.

iSpinal curvature to the right, painful to touch and motion.

I IH., £et. 16, eighteen months ago fell; after first shock felt well until nine months, when pain appeared in sacrum and hip; applied Rhus liniment; now suffers from pain from sacrum upward to lumbar region, and across 1. ilium to superior spinal process ; pain throb- bing, < on pressure over lumbar vertebrae, and this, when severe, gives rise to a pain in nape of neck and a sense of loss of power in lower extremities; stooping causes severe pain darting up spine. ^Traumatic peri- ostitis of sacrum and lower vertebrae.

I I Disease of cervical vertebrae in a boy, set. 3 ; when six- teen months old head would fall forward, chin resting on sternum, and he began instinctively to support head by placing hands under chin, and when lifted up, espe- cially if hands were not supporting chin, opened his

SILICA. 396

mouth in u gaping manner; by-and-by had no longer any power to hold things in hands, soon after the power of walking and then of standing ceased, nor could he even sit up; bowels costive; urine free; intellect preco- cious ; memory excellent ; emaciation.

I I Bony structure of spine affected ; chronic gouty nodosi- ties." ^Myelitis.

iCaries of lumbar vertebrae.

■ Spina bifida.

I Psoas abscess.

■ Diseases brought on by exposure of back to draft of air.

I Aching in sacrum. ^Spermatorrhoea.

I I Lame feeling in region of sacrum.

I I Swelling on 1. scapula seven inches broad, five inches

long, of thickness of a finger, raised in middle and in- flamed, after two weeks it opened in several places and- discharged profuse matter.

I I Swelling, induration and suppuration of axillary glands. iiOfFensive axillary sweat.

■ Right arm and wrist weak ; cannot raise anything heavy. I Arms go to sleep when resting on them; pricking in

them. I I Limbs tremble; forearm jerks so could not feel pulse;

I I A child, aet. 2, vaccinated three weeks ago; about ninth

or tenth day, arm was inflamed and swollen ; in a few days an ulcer as large as a half-penny, excavated, laying bare the muscles, occurred in the spot where the oper- ation had been performed.

I I After vaccination, red and inflamed swellings sometimes extending over whole arm ; fever; sickness at stomach; headache ; backache ; abscess in axilla, etc.

■ Blood-boils and warts on arms.

I I Abscess and oedematous swelling of arm after dissection wound.

397 SILICA.

I Caries or necrosis of humerus.

I I Inflammation of elbow joint, with considerable swelling, a fistulous opening led to rough bone discharging thin, greenish pus ; hectic fever and great emaciation. ^Ca- ries of elbow joint.

I I Anchylosis of elbow joint, with swelling and pain at every attempt to move, almost complete stiffness of fingers.

I I Stinging, drawing, tearing pain in bones of elbows day and night, < from slightest touch or motion.

I 1 Suppuration of cellular tissue of whole r. forearm.

I I Caries of ulna.

I I Fungous growth involving stump of arm after amputa- tion for cancer.

I I A large fleshy wart on 1. forearm.

■ Furuncle on arms.

Tearing pain in wrist and ball of hand.

Stitches in wrist at night, extending to arm.

I Caries of wrist joint.

1 I Exudation of synovial fluid in wrist resulting from a

account of lameness in r. hand. Tonic spasm of hand while writing.

■ Paralysis of hands. ^Leprosy.

llEnchodroma on r. hand, metacarpal bones enlarged, all the joints stiff", exposed in many places by ulceration of skin, bones carious.

1 I Wen on tendons of extensors of middle finger; hygroma.

A pustule on back of hand.

Cracking of skin on arms and hands.

A bursa on back of hand.

I Moist tetter on hand.

I I Profuse sweat on hands.

iContraction of flexor tendons; painful when moving

fingers. Left middle finger flexed and stiff'ened, on bending it out

tlie bone enlarged. Paralytic drawing in fingers.

SILICA. 398

Tearing in fingers and in joints of fingers and thumbs.

Sticking pain as if asleep, now in one now in another fin- ger, also in arms.

Stitches in ball of thumb.

Drawing feeling in joints of r. finger as if they were being pulled out of their sockets.

I Atrophy and numbness of fingers.

■ Burning in finger tips.

I Gouty deposits in large joints of fingers.

I I A corroding blister with violent itching on first joint of index finger.

I I A robust middle-aged man was bitten in 1. thumb by a man, four weeks previous ; the thumb was swollen to double its size ; the whole length was hot, red ; a small opening on the inside of the middle of the first phalanx surrounded by a red elevated margin ; the probe could be introduced to ball of thumb ; there was great pain on pressure with a ver}^ copious discharge of a very offen- sive fluid, appearing like the yeast of wine; burning, shooting pain, < on pressure, from motion and at night.

A small crack in index finger began to burn and pain, a lymphatic becomes inflamed, extending thence over wrist, and in the sore spot a corroding vesicle forms with burning, pressing, stinging pains.

I I Mrs. H., set. about 50, called to have r. index finger am-

putated ; one year ago she ran a fine splinter of glass into apex of index finger and did not succeed in remov- ing all the glass, as it became finely comminuted ; gave no trouble until early last Summer, when end of finger became painful and very sensitive ; pain extended up r. arm to axilla, thence to r. side of thorax ; some lym- phatic swellings and loss of power in r. arm, threaten- ing paralysis; was unable to perform household duties without pain; pain no longer durable; worn out in body and mind; face pale, cachectic; scrofulous diathesis; restless, fidgety ; r. arm and wrist weak ; felt as if she could not lift or do anything; nails yellow and brittle; insomnia from pain ; feels unrefreshed in morning ; after Silica fine splinters of glass came out ; general health improved and she resumed her duties, which are arduous, and has had no more pain or trouble in side, arm or finger.

I I Whitlow; panaritium; lancinating pains; inflammation extends deep to tendons and cartilages and bones.

I I Burning, itching, stinging, aching in r. forefinger. ^Whitlow.

I Caries on fingers.

I I After a bite thumb swollen to double its size, hot, in- flamed, painful to pressure.

399 SILICA.

I I After cuttiDg one finger andgrazingthe skin off another the wounds would not heal ; they suppurated, pus being a dirty white color ; throbbing pain in abraded surface.

I I Painful hard swelling on middle joint of little finger, with reddened skin over swelling.

I I Disease of bone of forefinger midway between knuckle and next joint; slight whitish discharge from a minute opening and flesh much swollen and discolored at the place.

I I Metacarpal bones of first four fingers of r. hand swollen

to such a degree that oval, hard, knobby masses of uni- form surface were formed ; joints obliterated and immov- able ;in places ulcerated surfaces under which the bones gave a rough sound to the probe ; formation of sinuses ; no appetite ; great pain ; drowsiness during day ; lassitude and depression.

I I Bone felons; deep-seated pains; < from warm bed; burning stinging, aching in superficial parts.

I I Felon on lower third of second phalangeal bone of r. middle finger, from the first very painful and much swollen, preventing sleep ; a free opening had been made (lengthwise) an inch long and was now widely spread out in centre, but this had only relieved for two or three hours and it had been much more painful since ; it was much swollen and highly inflamed nearly to wrist with a red streak extending nearly to elbow ; pain felt up to shoulder, severe throbbing, twinging; ichorous dis- charge ; felt exhausted from pain.

I I Whitlow on r. forefinger where matter had already formed ; the whole finger was swollen, bluish-red and painful to touch; palm of hand also much swollen ; in a few days four separate deposits of pus were formed, one in each of the three phalanges, the fourth on metacarpal bone of r. forefinger ; the destruction of soft parts was so great that in some places the bone was visible; small necrosed osseous splinters came away from metacarpal bone and the first phalanx.

iRun-arounds; ulceration about nails ; hang-nails.

I I Subcutaneous whitlow of r. forefinger; finger swollen,

red, on its dorsum a large collection of pus beneath skin ; burning, itching, stinging, aching; every little injury caused ulceration.

I I Nails : rough, yellow, crippled, brittle ; white spots ; blue, in fever; stimulates growth of new ones.

Great dryness in tips of fingers, in afternoon. ** Lower Limbs, i Hip joint inflammation. 1 Hip disease with fistulous openings. Tearing pain in hips.

SILICA. 400

Violent bruised sensation in hips and small of back, pain- ful on stooping,

I iSuppuration and caries of hip joint; fistulous openings very tender to touch.

I I Spontaneous luxation of head of femur backward, in a babe eight days old ; shortening of limb half an inch.

I I Severe pain extending from hip to foot; > at night so that she moans and cries and cannot sleep ; slightest pressure causes trembling of whole body and at times spasms; cannot move foot; temperature elevated; loss of appetite; great thirst ; stool difficult ; emaciation.

I I Sciatica of seven years' standing.

Weakness of lower extremities ; great weariness from a short walk.

Heaviness of lower extremities.

Limbs and feet feel very tired and as if paralyzed.

■ Trembling of legs with extreme nervousness.

■ Sensation of loss of power in legs.

I I Left thigh affected below trochanter. /^Necrosis.

Aching pains in loins, shooting down both legs.

Pricking and shooting pain in left thigh.

Dragging feeling from r. hip down to toes.

The femur pains as if beaten while walking, sittings

■ Phlegmasia with contraction of tissues and sheaths of

tendons. I I Inflammation of cellular tissue of thigh which has-

reached double its size, rest of body emaciated ; motion

and touch cause violent pain. I I Abscess on inside of r. thigh ; 1. ankle and foot swollen.

■ Furuncles on thighs.

I I Two fistulse at inferior third of femur. ^Caries.

1 I Pains and fistula in upper third of r. leg. ^Caries.

I I Necrosis of femur of two years' standing.

I I Swollen and necrosed femur with sequesters.

I iTwo fistulse at inferior third of femur, which (in spite of caustics) refused to close ; whole foot swollen and red,, and caries easily demonstrated.

I I Boy, set. 15, two years ago had a painless soft swelling on outer side of 1. femur, just below trochanter, as large as a hen's egg, which in a few days opened and discharged thin, excoriating, watery pus; soon spicules of bone of a dark color were thrown out, some almost black and oc-

401 SILICA.

casionally in form of scales ; there were three openings about size of a wheat straw, with elevated rounded edges ; limb flexed, walked with the aid of a cane ; oc- casional attacks of constipation, when, after much straining, feces were brought to verge of anus, they seemed to slip back. ^Necrosis of femur.

I Blood-boils on thighs and calves.

■ Weakness of knees.

Knee is painful as if too tightly bound.

Tearing in knees, while sitting, disappearing on motion.

Weakness of legs particularly on descending steps, trem- bling of knees.

I 1 Violent stinging or lacinating pains in knees. ^Gonor- throcace.

I I Inflammation of knee joint with considerable swelling and lacinating pain deep in joints. ^Tumor albus of 1. knee.

I I Left knee joint double size of healthy one, white shiny

doughy swelling, temperature but slightly raised, motion limited, leg contracted, moderately emaciated.

I I For years inflammation of r. knee ; unable to get about at times; joint fully one-half larger than its mate, oede- matous and painful on pressure, or from exercise.

1 1 Enlarged bursa over patella.

I I Large cyst on r. patella, not inflamed but extremely

sensitive to contact, interfering with walking, or work- ing on sewing machine ; cold feet, especially at night, and cramps in calves; feet always cold during menstru- ation. ^Hygroma of patella.

I I Gonocace, pains stinging, lancinating ; swelling doughy ; flstulous openings with hard edges, discharging green- ish-yellow pus.

I Chronic synovitis of knee with great swelling and anchy- losis.

I I Incipient anchylosis of knee. ^Caries.

I I In bend of 1. knee, thin crusty eruption eating its way

and discharging thin, corroding ichor.

I I Elephantiasis Arabum; both feet, legs and lower part of thighs affected ; back of hand also aff'ected ; now and then erysipelatous manifestations.

Red, smarting spot on r. tibia.

Ulcers on lower leg on tibia.

1 1 Caries of tibia.

1 1 A boy, set. 18 months, injury of tibia after a fall about

VOL. IX. — 26.

SILICA. 402

nine months ago; almost entirely deprived of use of leg, walked with apparently great pain; upper part of tibia much inflamed, pus discharged from two openings.

I I Periostitis on inside and anterior ridge of tibia from its upper third to within two inches of ankle.

I I Boy, set. 16, lymphatic temperament, from a bruise eighteen months ago, the leg sore, discharging a thin excoriating watery pus ; spiculse of bone were thrown out.

I I Anterior border of tibia hypertrophied. ^Caries.

I 1 A swelling size of a walnut in r. popliteal space.

Furuncle on calves.

Lameness of legs, < in morning with heaviness in head

and buzzing in ears. When one leg is in great pain the other is quite numb.

■ Ulcers on lower leg with pale face.

I Cold legs and feet after suppressed foot sweat.

When walking sensation as if calves were too short, im- mediately disappearing on sitting.

■ Tension in calves as from cramp when walking.

I I Cramps : in calves ; in soles. Calves tense and contracted.

I 1 Four months after cutting r. calf of leg with an axe ; wound was about three and a half inches long and mid- dle spread out a full inch and filled up with soft fungoid granulations, discharging a thin serous secretion like meat-washings, of fetid odor, which had also traversed down fascia, covering muscles to ankle so as to fill space just above and beside ankle, it got quite full during day, had to raise foot above knee to let it discharge by the opening ; cavity was about nine inches deep ; whole calf swollen and in hard, knotted bunches, tender to press- ure, with dull, heavy aching.

I Boils on calves.

■ Weak ankles. Spasmodic pain in ankle.

I I John D., set. 34, sat with his feet in water; next day glands of neck swollen ; a large abscess then formed on inside of r. thigh, and at same time 1. ankle and foot swelled up, with formation of pus; seven weeks later abscess in thigh still discharging, and from five to six fistulous openings in ankle and foot a large quantity of unhealthy pus is being discharged; foot enormously swollen ; general health greatly impaired ; hectic fever ;

403 SILICA.

pulse 130; appetite poor; amputation probable result; openings were enlarged by free incisions; internal mal- leolus was found to be carious and tarsal bones similarly- affected; after ISilica 2c., one dose a day and warm poultices of linseed meal, there was marked improve- ment in two weeks; abscess in thigh had closed; after Silica 6m., in four weeks more, sw^elling was almost gone and discharge had ceased ; there was slight motion in ankle joint, this gradually improved, and when the man left the hospital several weeks later he could walk with a cane.

I Weakness of feet.

I I Cannot walk on account of a lameness or soreness in feet, from instep down through foot to sole, and all through that part of foot. ^Pregnancy.

Painful tonic spasm in feet and toes during a long walk.

Pains through foot from ankle to sole.

Feet insufferably tender.

Burning of feet.

Feet give way under her when w^alking.

Swelling of feet as far as ankles.

Swelling of feet with redness in which pressure caused a white spot in a short time; with pains extending from toes to malleoli.

I I Man, £et. 55, from wearing tight boots, a blister size of silver quarter on dorsum of r. foot which peeled leaving an ulcer which did not heal, increasing in depth.

I I Woman, set. 80, sprained toes of r. foot lay slipping ; signs of abscess here and there; on opening one of them, blood and fluid oozed out ; blisters formed ; gangrene threatened.

I I Mme. P., set. 25, in delicate health, had been afflicted for three years with a malady' which annually began at commencement of Winter and caused intense suffering for two or three months, during which time she was obliged to remain in bed ; there appeared on dorsum of foot, pains, redness and swelling; this became an abscess and suppurated for two or three months with much vio- lent pain ; discharge ichorous and sometimes brought away fragments of bone.

I Caries of tarsus.

Pricking and stitches in 1. heel.

I I Cramps in soles.

■ Voluptuous tingling in soles, driving to despair.

I Caries in bones of heel.

I Icy-coldness of feet.

I Hot feet in evening, at other times extremities are cold.

I I Feet very dry, smelled like an old person's. ^Diarrhoea of dentition.

SILICA. 404

■ Burning of soles of feet.

Intolerably bad, sour or carrion-like odor of feet, without perspiration, every evening.

liFoot sweat: offensive, making feet sore; rawness be- tween toes ; fetid, suppression causes other ailments ; excessive.

I I Extreme perspiration of feet which were cold in Winter and sore in Summer.

I I Feet perspire constantly but get easily cold, then follows fainting, afterward great exhaustion ; before fainting fit, paleness of face and trembling ; must sit down ; for- merly had nosebleed almost every week.

I I A young vigorous farmer, who had never been sick, caused a suppression of sweat of his feet by getting them wet; from that time on, two months since, he can- not get his feet warm ; feels prostrated and as if beaten all over; has pressure and tightness over chest; small of back and whole of back feel as if dead ; in morning nausea and vomiting of slimy substances, whereby he becomes much exhausted.

■ ■Suppressed foot sweat: mist before eyes; cataract;

continual toothache ; loss of appetite ; icy-cold feet even- ings in bed.

A large corrosive ulcer with violent itching on heel.

Constant violent pain in great toe so that he can scarcely step.

■ Pains beneath nail of great toe and stitches in it. Frequent boring pain in great toe.

Tearing in great toe in evening.

Violent stitches in corns.

Stitches in corn, jerking up the feet.

Itching cutting pain beneath toe nail.

Itching, suppurating scabs upon toes that had been frozen.

■ ■Ingrowing toe nails.

I I Ulceration of big toe, with stinging pain.

I I Enchondroma in a little boy began in index finger,

this was amputated ; soon the other had the same history

and the toe became affected.

■ ■Offensive toe sweat.

Drawing feeling in joints of toes as if being pulled out of their sockets.

■ ■Caries of 1. great toe and metatarsal bone discharging

■ Weakness in limbs.

■ Twitching of limbs day and night.

■ Limbs: go to sleep easily; sore and lame, evenings.

405 SILICA.

■ Stinging in limbs at night.

I Limbs cold ; transient local sweats of feet and armpits.

■ Rheumatic pains in limbs.

■ Obstinate pains in limbs, < when weather changes ;

after a cold. I I Tearing pain in limbs, dropping and running sensation.

^Chronic hepatitis. ■Sweat on hands and feet after fever.

■ Frequent ulceration about nails.

■ Nails grey, dirty as if decayed, when cut scattering like

pow^der and splitting into layers.

■ ■Crippled nails on fingers and toes.

Lying down : asthma < ; compulsory drawing in back ; femur pains.

Lying on side : fainting.

Lying on r. side: pains in liver <.

Lying on 1. side : vertigo.

Lying on back : dyspnoea.

Wants to lie down : sense of great weariness ; debility.

Must lie down : headache.

Cannot lie down : oppression.

Resting on arms : they go to sleep.

Sitting : long, earache < ; palpitation ; throbbing over whole body; femur pains; tearing in knees; sensation as if calves were too short disappears ; long, great rest- lessness of body.

Gaping or swallowing: stoppage in ear >.

Must sit down : vertigo.

Stooping: vertigo; headache; renews jerking in forehead; headache <; dyspnoea; pain in small of back; severe pain up spine; bruised sensation <.

Rising from recumbent position: vertigo; impossible; pain in back.

Rising from a seat: pain in small of back.

Motion : vertigo < ; headache < ; pains in head < ; vom- iting of bitter, yellow substance ; pain in ears < ; beat- ing soreness in liver < ; cough < ; sweat ; pain in re- gion of liver < ; least, < hemorrhage ; pain in lungs ; curvature of spine painful ; pain in stiff fingers ; pain in elbows < ; of fingers, flexor tendons painful ; of sore swollen thumb pain < ; of foot impossible from pain; tearing in knees disappears; of leg limited, swelled knee ; muscles painful ; causes chilliness.

Opening eyes: pressive pain <.

Writing: tonic spasms of hand.

Sudden turning around : renews jerking in forehead.

SILICA. 406

Walking : excoriation between toes ; beating soreness of liver < ; sharp stitches in rectum ; shortness of breath and panting ; difficult, weakness and paralyzed feeling in back, burning in back; causes great weariness ; femur pains; as if calves were too short; tension in calves; long, tonic spasms in feet and toes ; feet give way.

Stepping hard : vibratory shaking sensation in head.

Every step is painfully felt ; incarcerated flatus.

Cannot step upon r. foot without greatly aggravating pain in liver.

Descending stairs : weakness of legs and trembling of knees.

Exercise : after every, nausea ; to sweating gonorrhoea < ; inflamed knee painful ; want of vital warmth.

Exertion : slight pain and lameness of hand ; least, sweat.

Running: dyspnoea. ^^ Nerves, n Strong desire to be mesmerized.

1 1 Sense of great weariness and debility, wants to lie down.

Great weakness, in morning.

Very weak and tremulous, after walking in evening,

I I Excessive debility. ^Typhus.

I I Protracted convalescence. ^Cerebro-spiiial meningitis.

Sensation of great debility and sleepiness during a thunder- storm .

Great nervous debility ; emaciation ; fainting when lying on side.

The child is slow in learning to walk.

I I Cannot hold things. ^Spine disease.

I I Feels prostrated and as if beaten all over. ^Suppressed foot sweat.

1 1 Great nervous debility ; exhaustion with erethism; de- pression may be overcome by will force.

1 1 Dissipation, hard work, with close confinement, cause obstinate neuralgias, hysterical attacks or paralysis.

I Oversensitive persons imperfectly nourished, not from

want of food but from imperfect assimilation, they are usually constipated and are subject to sudden neural- gias, erethism and melancholy.

Dreadful trembling in limbs, hands in particular at times quite unable to lift a cup of tea.

iTremulousness when working.

■ Great restlessness in body when sitting long. Internal restlessness and excitement.

• Restless; fidgety; starts at least noise.

I I Sensitiveness to cold air; takes cold very easily.

■ Takes cold easily, especially when uncovering head or

feet.

■ Want of vital warmth, even when taking exercise.

407 SILICA.

I The limbs go to sleep easily, especially the parts on which

one lies. Easy orgasm of blood, and constant excitement.

■ Ebullition with thirst from drinking small quantities of

wine.

Easily overstrained by lifting.

Bruised pain over whole body, as if he had lain in an un- comfortable position.

Bruised feeling over whole body, after coition.

All the muscles are painful on motion.

■ Progressive sclerosis of posterior column.

Great coldness of whole 1. side of body, followed by fre- quent slumbering and starting up, as if she would go away without knowing whither, then she begins to lose consciousness, speaks unintelligibly, recognizes no one, and becomes so weak that she cannot turn over alone ; after this violent convulsion, with staring look, distor- tion of eyes, twitching of lips, lolling of tongue, stretch- ing and distortion of head and limbs, lasting quarter of an hour.

■ Epilepsy: spasms spread from solar plexus to brain;

come at night or at new moon ; attacks preceded by coldness of 1. side, shaking and twisting of 1. arm.

■ ■Convulsions after vaccination.

I I Spasms (probably due to worms) in a child, set. H, with- in three weeks gradually increasing in number until there were fifteen attacks daily, and finally paralysis of r. side.

■Spasms or paralysis from checked foot sweat.

■Spasms or paralysis depending on alterations in connec- tive tissue in brain or spinal cord.

■Spasms ; aura, like a mouse running through limbs or from solar plexus to brain; 1. side cold; 1. arm twists; starts in sleep ; moaning, loud groaning.

■ Spasms from slight provocation.

I I Woman, set. 30, epileptic convulsions occurring monthly at exact full of the moon.

■ Paralysis from tabes dorsalis.

■ Progressive locomotor ataxia. '' Sleep. Excessive gaping.

Drowsiness with lassitude and depression.

Sleepiness : after eating ; in evening.

Restless sleep: frequent waking with chilliness; dreams

crowding one upon another ; starting with trembling of

whole body. Woke at 2 a.m. and could not fall asleep again on account

of rush of thoughts.

■ During sleep: whining and laughing; loud talking;

SILICA. 408

starts, jerkings of limbs, snoring ; night sweats ; night- mare.

iNight walking; gets up while asleep, walks about and lies down again ; somnambulism.

I 'Child wakes and throws arms about and screams. ^Scarlatina.

I I Sleep walking at new and full moon. ^Lumbricoid worms.

I Sleepy but cannot sleep.

■ Sleepless; from ebullitions, orgasm of blood. Sleeplessness or sleep broken by lascivious or frightening dreams ; heat and congestions.

I I Sleeplessness with tuberculosis.

I Dreams: pleasant; lascivious; anxious, of murders, horrid things ; vivid of past events ; with violent weep- ing ; of some one choking her.

I Night sweats ; obstinate morning headache ; chilly, nau- seated.

Erections and urging to urinate awake him.

1 Feels unrefreshed, wishes to remain in bed. ^ Time. Between 1 and 7 a.m. : violent chill.

2 A.M. : woke and could not go to sleep again from rush of thoughts.

6 A.M.: sweat.

From 6 to 8 a.m.: diarrhoea.

Morning: headaches; violent headache ; pressure at occi- put and nape of neck ; sticking pains in cornea ; mucous secretion in eye ; agglutination of eyes; nose obstructed ; taste of blood ; bitter taste ; bad odor from mouth ; nau- sea and vomiting ; profuse debilitating sweat ; diarrhoea; painful erections before rising ; husky voice < ; vomit- ing of tenacious mucus ; cough after waking ; pain in small of back when getting out of bed; unrefreshed; femur pains ; lameness of legs < ; great weakness ; obsti- nate headache ; sweat.

Day: supraorbital pain; coryza ; tearing pains in chest and bones of face ; sudden explosive cough ; expectora- tion only; drowsiness; chilliness; acne eruption itch- ing only.

Afternoon : violent chill ; dryness of finger tips ; chilli- ness ; violent heat and thirst.

3 to 5 p.m.: sweat.

5 p.m.: shaking chill.

Evening : terrible headaches ; pain in swelling of lachry- mal sac < ; the flowing tears are hot ; itching of nose causes constant rubbing ; fever ; toward, throat < ; acute pain from abdomen to testes; icy-cold feet; constant desire for stool ; perspiration on head ; cough after lying

409 SILICA.

down ; cough < ; hot feet ; cold feet ; tearing in great toe; limbs sore and lame; very weak and tremulous after walking ; sleepiness ; chill in bed ; legs icy-cold ; violent heat and thirst; sweat on scrotum;

Day and night : toothache ; trembling of limbs.

11 P.M.: sweat.

Night : burning in head < ; headache wakes him ; sweat about head ; tearing in scalp < ; head wet from sweat- ing ; supraorbital pain ; sticking pains in cornea ; shoot- ing in ears < ; tearing pains over whole chest < ; fever ; pain in teeth < ; neuralgia in teeth raging ; toothache < ; vomiting of ingesta ; pain in region of liver <; urging to urinate, involuntary micturition; burning pain prevents rest; cough wakes him ; orgasm of blood ; pain in small of back ; pain in shoulder and arm ; stitches in wrist ; falling asleep of hands ; pain in thumb < ; pain from hip to foot < ; cold feet; gonitis < ; stinging in limbs ; epilepsy ; sweats ; chilliness ; violent heat and thirst ; fever < ; profuse sweat ; itch- ing and pricking in various parts of body <. ^® Temperature and Weather. Hot compresses : headache >.

Overheating : headaches.

Sitting near fire : shivering; a cold, starved feeling.

Warmth : pains in eyes > ; colic > ; abdominal pains > ; headache > ; burning in back ; gonitis >.

Wrapping up warmly: burning of head >; feeling of waves of water over head > ; chronic sick-headache > ; desires it ; itching pustules on scalp > ; headache > ; feels > if head is wrapped ; tumor on neck > ; pain in shoulder >.

Wishes to keep warmly covered : blennorrhoea.

Warm poultice : > pain in mastoid region.

Warm room : headache > ; pam in ribs > ; chilliness.

Getting warm in bed : burning and itching of head < ; pain in felons <.

After being in bed a short time : neuralgia <.

Contact of warm hand : cephalalgia > ,

Warm food : averse to.

Warm drinks : cough >.

Uncovering head or feet: takes cold.

Cannot uncover head : tendency to take cold.

Undressing: burning and itching on back part of head <.

Changing linen : hardness of hearing <.

Open air : headache < ; lachrymation ; burning in back.

Draft : causes headache ; eyes sensitive ; cannot bear it on back of neck ; on back causes trouble.

Cannot bear cold or heat : headache.

Cold air : headache < ; sensitive to, blennorrhoea ; bleph-

SILICA. 410

aritis < ; inhaling, toothache < ; diarrhoea from expo- sure ; headache < ; sufferings unbearable ; sensitive- ness to.

Change of weather: pain in ears < ; pains in limbs <.

Washing : < hardness of hearing.

Cold water: gum is painfully sensitive; dry cough; stand- ing in, causes metrorrhagia.

Cold drinks: desire for; cough <.

Getting feet wet: suppressed foot sweat.

After sitting with feet in water : abscess on thigh.

Just before a storm : ciliary neuralgia.

During a thunderstorm : attacks of difficult breathing come only; great debility and sleepiness.

After exposure to storm: inflammation in eye <. *Tever. nWant of animal heat; always chilly, even when exercising.

■ Suffering parts feel cold.

iLeft side suddenly cold; before epilepsy. I Chill, in evening in bed.

I Frequent chilliness, with occasional feverishness.

I I Chilliness: constant, internal ; on every movement, all day; at night, while half awake; in evening; in after- noon, especially in arms, in a warm room ; in evening in bed so that he shivered.

Did not dare to put her hands out of bed.

Shaking chill at 5 p.m.

Icy-cold shivering, frequent creeps over whole body.

The legs so far as knees and feet are icy-cold in evening.

Shivering all over, a cold, starved feeling, if he sat ever so

near the fire he .could not get warm. Violent chills between 1 and 7 a.m.

■ Frequently short flushes of heat, principally in face and

I Violent general heat, violent thirst in afternoon, evening

and all night. I Fever < at night.

■ Periodical returning heat during day, no previous chill ;

followed by slight sweat. llSweat: on'head; of a strong odor; running from face;

wetting pillow; on scrotum, in evening; profuse sweat

on hands ; only on head and face ; from least exertion ;

warm, after epilepsy ; profuse in typhus ; periodically

11 P.M., 6 A.M. or 3 to 5 P.M.; profuse at night ; on loins ;

in morning. I Night sweats ; sour and off'ensive ; debilitating; mostly

after midnight; profuse from suppuration or in phthisis.

■ Fever during dentition.

I I In a child, set. 21 months, every day on awaking

411 SILICA.

after morning sleep, about 12 or 1 p.m., fever lasting till 4 or 5 P.M., followed by sweat on bands and feet; wdth the fever short, quick breathing, cold feet, no ap- petite; lies still ; arms cold and has cutis anserina.

I Worm fevers assume a slow chronic form in scrofulous

children with large bellies and much perspiration about head.

I I Hectic fever, particularly during long suppurative pro- cesses.

■ Intermittent fever, heat predominating.

iTj^phoid forms of fever, great debility, profuse sweat; desire to be magnetized.

jerklike pressure in head; pains in eyes.

Attacks: of whistling breathing and suffocation.

Periodic: headache; heat during day; sweats.

Alternation; symptoms from one eye to the other; dry and fluent nose.

Lasting several hours: pain after stool; pain across chest.

For four hours: tossed in bed with headache.

Every morning: blows from nose hard, dry masses of mucus followed by pus.

Every day ; about 1 o'clock, severe burning pains in r. eye; on waking, about 12 or 1 p.m., fever lasting till 4 or 5 p.m.

Daily : fifteen attacks of spasms.

Every evening: intolerable odor of feet without perspi- ration.

Nightly: incontinence of urine; tickling in pharynx.

Nearly every night : obliged to rise to urinate ; nocturnal enuresis.

For several days : attacks of watery diarrhoea.

Twice a week: seminal emissions.

Five to seven days: stools apart.

For six days : pain in mastoid region.

Every seventh day: headache.

Almost every week : nosebleed.

For several weeks: violent coryza.

Every two weeks: menses.

Every two or three weeks: severe headaches lasting thirty- eight to forty-eight hours.

Of six weeks' standing: ophthalmia.

For six weeks: metrorrhagia.

During new and full moon: pains in region of liver <.

At new moon: epilepsy; sleep walking.

At full moon: epileptic convulsions; sleep walking.

For two months : phlyctenular conjunctivitis.

Every two or three months: menses.

SILICA. 412

For four months: discharge and ulceration under r. lower lid.

For nine months : hemorrhages from lungs.

Last of August : hay asthma.

Summer: scaly eruption on scalp >; sore feet.

Approach of Winter: scaly eruption of scalp <; pain, swelling and suppuration of foot.

Winter: cold feet.

For one year: cystic tumor of lower lid.

For two years: suffered from inflammation of nasal duct ; necrosis of femur.

For three years: pain, redness and swelling on dorsum of foot, then abscess.

For years: terrible headaches; inflammation of knee.

Of several years' standing : offensive discharge from ears.

Seven years' standing: sciatica.

Of twelve years' standing: deafness. ** Locality and Direction. Right: must walk to side, ver- tigo ; stitches in parietal region ; persistent speck before eye ; cloudiness of lens of eye ; cataract ; neuralgia over eye ; burning pains in eye ; conjunctiva injected ; pains in lachrymal sac; trachoma of conjunctiva of eye ; ulcer- ation of cornea; discharge and ulceration under lower lid ; cicatrices over inferior orbital ridge; swelling in region of lachrymal gland and sac ; swelling of tear- bag; ichorous discharge from ear; muscular paralysis of side of face ; drawing in malar bone ; painful scab deep in nostril ; lupus on ear lobe ; swelling on cheek ; pain in region of inferior maxillary ; side of lower lip swollen ; ulcer on border of tongue ; as of a lump in side of throat ; lying on side soreness of liver < ; below float- ing ribs ulcerative pain ; cannot step upon foot without < pain in liver ; abscess in groin ; as if side of hand were paralyzed ; scirrhus in breast; lump in mamma; tumor of breast ; scirrhus near nipple ; great itching of swollen mamma ; stitching pain in lung ; large cavity in lung ; swelling below nipple ; ulcer on leg ; lobe of thyroid gland swollen ; sticking in scapula ; sore feel- ing side of spine over hip joint ; pain in shoulder joint; acute pain in shoulder blade ; weakness of arm and wrist; numb feeling in arm; suppuration of cellular tissue of forearm ; lameness in hand ; enchondroma on hand ; drawing in joints of finger ; index finger injured by splinter of glass, pain extending to arm, thence to thorax ; loss of power of arm ; weakness of arm and wrist; aching in forefinger; bones of fingers swollen; felon on middle finger ; whitlow on forefinger ; drag- ging from hip to toes; pulsative sensation in thigh;

413 SILICA.

abscess on inside of thigh ; pains and fistula on leg ; in- flammation of knee; large cyst on patella; smarting spot on tibia; swelling in popliteal space; wound in calf of leg ; aoscess on thigh ; blister on dorsum of foot ; abscess after spraining toes ; paralysis. Left: lying on side, vertigo ; sickening pain in side of head ; parietal bone is covered with a large, soft, elastic swell- ing ; piercing stinging in eye ; pressive pain over eye ; shooting pain in ear ; pricking, aching, itching in ear ; chronic sinus in front of ear ; sac swollen and itching ; abscess of arm ; induration from corner of mouth to cheek ; caries of lower jaw ; abscess of arm ; pricking in throat as of a lump in side of throat; soreness, swelling from inguinal region across mons veneris; tearing in thigh ; boring pain in temple, supraorbital nerve and orbit of eye ; darting in nipple ; pain in nodular swell- ing of breast ; heavy r^les in bronchus ; tumor in breast ; anchylosis of shoulder joint; small tumor in breast; tumor side of neck; swelling of scapula; shaking of arm ; a large fleshy wart on forearm ; a ganglion on wrist; middle fingers flexed and stiffened; pain in index finger ; thumb swollen from a bite ; necrosis of thigh ; shooting in thigh ; ankle and foot swollen ; painless soft swelling on femur; knee joint double size of healthy one; eruption in bend of knee; pricking and stitches in heel; caries of great toe; coldness of side; shaking and twisting of arm. From r. to 1.: pain in temples. First 1. then r.: bruised pain above eyes ; swelling in front

of throat. From above downward : pressive headache. From within outward : stitches in ears. ^^ Sensations. Susceptible to nervous stimuli, to magnetism; as if she were divided into halves and that the 1. side did not belong to her ; as if one would fall forward ; vertigo as if drunk ; as if head were teeming with live things whirling round in it ; headache as if beaten ; as if everything would press out and burst skull ; as if brain and eyes were forced forward ; as if head would burst with throbbing in it, internal and external at same time ; as if forehead would be torn asunder ; as from a heavy weight over eyes ; as if head were forced asunder ; as of water pipes bursting in head ; as if tremendous weight were falling on vertex ; as if some one pulled downward on cords of neck ; as if something alive were in ears ; head as if in a cushion and some one were pressing two fingers into it at occiput ; as if feeling for pins ; as if something obscured vision ; as if brain col-

SILICA. 414

lided with skull; head as if bruised; as of waves of water from occiput over vertex to forehead; as if gradually losing senses ; sick-headaches as if coming from spine and locating in one eye; head as if too large ; as if head were falling off; as if head were hang- ing by a piece of skin at nape ; as if looking through a grey cover ; as if cornea were a mass of hypertrophied tissue ; eyes as if too dry and full of sand ; as of a splin- ter in upper lid ; as if both eyes were dragged back into head by strings ; objects as if in a fog ; as if nasal bone had been beaten ; as if a hair were on tip of tongue extending into trachea ; as of a lump on r. side of throat; as of a pin in throat; throat as if filled up ; as if he could not swallow ; as if he swallowed over a sore spot; as of a load in epigastrium; as if knives were running into her stomach ; as if a cold stone were in stomach ; as of lead in stomach ; as if sternum were grasped ; as if there were no power in rectum to expel stool ; as if rectum were paralyzed ; as if anus were con- stricted ; r. side of head as if paralyzed ; as if vulva were enlarged; as of a heavy lump in anus; as if she were tied around chest with a tape ; as of a stone under ster- num ; as if mould were forming over whole body ; as if a hand had grasped her breast bone ; small of back as if beaten ; small of back as if dead ; arms and hands as if filled with lead ; as of a splinter in finger ; as if a pana- ritium would form. in index finger; as if tips of fingers were suppurating ; as if finger were thick and bone en- larged ; as if joints of fingers were being pulled out of sockets ; limbs and feet as if paralyzed ; as of loss of power in legs ; femur as if beaten ; knee as if too tightly bound ; as if calves were too short ; as if spasms in an- kles ; whole of back feels as if dead ; as if joints of toes were being pulled out of their sockets; nails as if de- cayed ; as if beaten all over ; as if he had lain in an un- comfortable position ; feels as if she would die. Pain : in spine and neck up and over r. temple, thence to 1. ; in vertex and occiput, at another time in forehead ; first in nape and base of brain, then up and over whole head; in r. lachrymal sac; over eyes; in stomach; in mastoid region ; in jaw bones; in submaxillary glands; in throat; in stomach; in region of spleen; in bowels; in abdomen; in back; in nodular swelling of 1. breast; under sternum; in ribs; in nape of neck; in curved spine; from sacrum up to lumbar region, across 1. ilium to superior spinal process ; in shoulder and arm ; in flexor surface of one finger; up r. arm to axilla, thence to r. side of thorax ; in ulcer; through foot from ankle

415 SILICA.

to sole; from toes to malleoli; beneath nail of great toe; in limbs.

Excruciating pain : in cancer of lower lip ; deep-seated pain in chest.

Terrible pain : from cervical vertebrae to cerebellum, thence to forehead.

Excessive pain : from eye to head and ears.

Violent pain: vertex, occiput or forehead; above eyes; in small of back; in abscess on foot; in great toe; in joints.

Severe pain : in small of back ; from eyes into head on one side; in back; from hip to foot.

Great pain : along extensor tendon on back of hand.

Acute pain: in occipital protuberances; from abdomen to testes; in r. shoulder blade.

Sharp pain: in breast or uterus; in r. shoulder joint.

Anguish : in pit of stomach.

Sickening pain : in 1. side of head.

Lancinating pains: in region of r. inferior maxillary; whitlow; in knees; deep in joints of knees ; gonocace.

Tearing: one-sided in head; in whole head in frontal re- gion ; in lumps on head ; in eyes ; over whole chest and bones of face ; in teeth and cheeks ; in limbs ; in swell- ing; in sacrum and 1. thigh; in tibia; between scapulse ; beneath scapulae ; in bones of elbows ; in wrist and ball of hand ; fingers, joints, thumbs ; in thighs ; in knees ; in great toe ; in limbs.

Cutting: at pit of stomach; violent, in lower abdomen ; in region of navel to back ; in rectum ; around navel ; beneath toe nail.

Pounding pain : in forehead and into head.

Beating: in lumbo-sacral region; in breast bone; in back.

Throbbing pain: in forehead and into head; in eyes; in lump in corner of eye ; in teeth ; in lumbo-sacral re- gion ; in abraded surface of finger.

Darting pains : through eyes and head ; sharp, from occi- put to eyeball ; in 1. nipple; up spine.

Spasmodic pain : in small of back.

Shooting : from nape to vertex ; in eyes ; in 1. ear ; in tip of nose ; in anus ; from sternum around to back ; in back between hips ; down both legs ; in 1. thigh.

Piercing, stinging pain : in 1. eye.

Stitches : through eyes and in cheek bones ; in temples ; in forehead ; deep-seated in r. parietal region ; in upper lid; in ears; in throat; in rectum; in anus; in sides and chest to back ; in wrist ; in ball of thumb ; in 1. heel; in great toe ; violent, in corns.

Acute sticking pain : in forehead.

Burning stitching: in several teeth.

SILICA. 416

Stitching pain : in r. lung.

Sticking pain : in ulcer on cornea ; below septum of nose ;

in rectum; in anus; in chest; in r. scapulae; in fingers;

in teeth and cheek ; in 1. temple, 1. supraorbital nerve

in stomach ; in forehead ; in sternum ; in chest. Neuralgic pains : at exit of supraorbital nerve ; of face,

head, eyes, teeth and ears ; in all the teeth. Rheumatic pains : in jaws and teeth to temple ; of lower

one side; in upper lid ; from occiput to r. eyeball ; in

ears ; of both jaws ; in all the teeth ; in hypochondrium ;

in lumbo-sacral region ; of sacrum ; in back ; in centre of

spine ; in loins ; in sacrum ; in r. forefinger ; in wound

in calf. Dull pain : in occiput.

Burning pain: in r. eye; in tip of nose in centre; in breast. Stinging pains : in eyes ; in boil on chin ; in teeth ; in

rectum; in tumor of breast; in os coccygis; in bones

of elbows ; in sore spot on finger ; in r. forefinger ; in

felon ; in whitlow ; in knees ; in ulcerated big toe ; in

Pricking : of scalp ; of 1. eye ; in ears ; in region of r. infe- rior maxillary ; in throat ; sharp, in penis ; in arms ; in

1. thigh ; in 1. heel.

417 SILICA.

Smarting : in eyes ; of 1. eye ; of eyelids ; of scab deep in r. nostril ; of eruption on lips ; in anus ; spot on tibia.

Scalding feeling: in vertex.

Bruised pain : above eyes ; in hips and back ; all over body.

Beating soreness: in liver.

Soreness : in limbs ; in perineum ; about vulva ; of pu- denda ; of feet ; in trachea and bronchia ; in chest ; in lungs ; in feet.

Soreness : internal, in head ; in orbits ; of eyelids ; of inner nose; on back of nose; of palate; of tongue; of throat; in urethra.

Stiff, sore feeling : down r. side of spine.

Burning: in soles; in head; on back of head; in chest; in throat ; in pit of stomach ; in anus ; in prepuce ; dur- ing stool in rectum; in urethra; of feet; of swelling; sacrum and 1. thigh ; about vulva ; of pudenda ; in 1. nipple; in back and finger tips; in sore spot on finger; in r. forefinger ; in felon ; in whitlow ; in and about ulcer on leg ; of feet ; of soles of feet.

Painfulness : of epigastrium.

Tenderness: about hernial tumor.

Peculiar sensation: at pit of stomach.

Running sensation : in limbs.

Dropping sensation : in limbs.

Shattering ; in brain.

Vibratory shaking : in head.

Violent tearing : in head.

Dragging: from r. hip to toes.

Fulness : in stomach.

Heaviness : in head ; in all the limbs ; in stomach ; of arms ; of lower extremities.

Hard, jerklike pressure: in top of head deep into brain.

Pressure: in occiput; in both sides of occiput; in fore- head ; nape of neck ; on vertex ; in orbits ; in stomach ; in hypochondrium ; in abdomen ; in bladder ; down- ward in vagina; at lower sternum; over chest.

Pressing : in head : in sore sjDot on finger.

Drawing: in root of nose and in r. malar bone; between shoulders; in fingers; in joints of r. finger; from thighs to feet; in joints of toes.

Tension : in forehead and eyes ; in eyes and forehead ; in anus ; in calves.

Tightness : at pit of stomach ; transversely across abdo- men ; around chest ; over chest.

Throbbing: in forehead; at heart; in pit of stomach; in breast bone; over whole body; in all the vessels; in back ; in lumbo-sacral region.

SILICA. 418

Pulsations: in chest.

Lameness : of feet ; of hand ; of legs.

Lame feeling : in region of saci-um.

Stiffness : at nape of neck in small of back ; of fingers.

Heat: in head; in penis and testicles; in affected parts;

on back part of head ; of eruption on back of head ; of

eczema capitis; of pimples on head and nape; pustules

on scalp and neck; in Eustachian tubes; of outer ears;

in nose; of tip of nose; in ulcerated corner of mouth;

in anus ; in rectum ; in rectum during stool ; of vulva ;

on corona glandis ; of eruptions on genitals ; of prepuce ;

of pudenda; of breast; of swollen mammse ; of whole

breast ; of eruption covering breast ; of pimples on nape

of neck; on first joint of index fingers; in r. forefinger;

in whitlow ; on heel ; beneath toe nail ; of scabs on toes ;

breadth of two fingers, across vertex. Coldness: of nose; of feet; over whole body; icy, of feet;

of extremities ; of 1. side; in ulcers. Cold pain : at epigastrium. ^' Tissues. ■ I Emaciation with pale, suffering expression.

I Fungi easily bleeding.

■ Discharges and excretions offensive: pus, stools, sweat of

feet, etc.

■ Hemorrhages from nose, stomach, bowels and lungs.

I I Swelling, inflammation and suppuration of glands, cer- vical, parotid, axillary, inguinal, mammary, sebaceous.

■ Inflammation of lymphatic vessels.

I iHard lumps on neck, not of glands, extending to 1. side, in a gouty subject.

419 SILICA.

I 1 Painless swelling of glands, very unpleasant itching.

I I Inflammation, swelling, caries and necrosis of bones. llExostoses; curvatures.

1 1 Inflammation of fibrous portions of joints, particularly knee.

• Children or young people suffering during growth with

fever, violent pains in joints, swelling of limbs and con- gestions.

I Gout.

M Multiple 'cheloid, which appeared after excision of a tumor, but rapidly returned and increased in size.

I I Rachitis ; open fontanelles; head too large, rest of body emaciated ; head sweats and body dry.

I Cellular tissues inflamed; deep-seated suppurations, in- cluding tendons, ligaments and bone.

• Suppuration : pus copious or scanty ; brown and w^atery ;

gelatinous ; thin and watery ; very putrid.

■ Suppurating chilblains.

■ Neglected cases of injury if suppuration threatens.

■ Inflammation followed by suppuration or gangrene.

■ Suppurative conditions after protracted disease.

■ i Proud flesh.

I Chronic gouty nodosities.

■ Mercurio-syphilitic ulceration of skin and bones.

■ Swellings which became hard after threatening to sup-

purate.

■ Indurations hardening as of a stye on eyelid, hardening

of tissues around a part formerly acutely diseased.

■ Anasarca. ^Stonecutters.

■ Old ulcers with burning and lancinating pains.

I Boils, carbuncles, felons, and malignant pustule, during suppurative stage.

■ Boils, little lumps, not mattering; blood-boils.

■ Carbuncles, if intractable and very Imrd, or with very

profuse discharge of matter. I During process of ulceration it seems to clear wound of its decayed masses and to promote healthy granulations. ^Carbuncle.

■ ■ Ailments following vaccination, abscesses, etc., even con-

vulsions. I Ulceration constantly extending in depth ; edges irreg- ular.

■ ■Malignant and gangrenous inflammations.

■ Tumors in persons with herpetic dyscrasia ;_wens smooth

and shining on scalp ; sebaceous cysts, particularly when atheromatous; pus scanty and smelling like herring- brine. I I Palpebral cyst.

SILICA. 420

■ Synovial cysts. I Fibrous tumor.

■ Epulis. *

■ Encephaloma oculi.

■ Scirrhus mammae; cancer.

1 I Uterine cancer, strong putrescent odor.

■ Enchondroma.

■ Tumor albus.

■ ■Fistulous openings, discharge offensive, parts around

hard, swollen, bluish-red.

■ ■Disease caused by suppressed foot sweat: exposing

back to any slight draft of air, from vaccination ; chest complaints of stonecutters, with total loss of strength.

Contact : ulcerated place in nose sensitive ; cyst on patella very sensitive.

Combing hair: causes violent attacks of sneezing; im- possible, scalp covered with papulse.

Wiping eyes : blepharitis > ; wants head tightly held.

Binding tightly : headache.

Pressure : of hat causes pain ; pain in head < ; chronic sick-headache > ; tearing in scalp < ; of hat, scalp sen- sitive ; pains in lachrymal sac ; gum painful ; epigas- trium painful ; sensitiveness of pit of stomach ; cannot tolerate, below floating ribs ; over lumbar vertebrae pain <; OS coccygis painful ; pain in swollen thumb ; slightest on hip causes trembling of whole body; inflamed knee painful ; whole wounded calf tender ; causes white spots in swelled feet ; the parts upon which he lies go to sleep.

Riding : vertigo ; coccyx hurts.

Scratching : itching spots on head painful.

Irritation of truss : supposed cause of abscesses.

From tight boot ; blister on dorsum of r. foot.

From a bruise: sore leg.

Strain : caused exudation of synovial fluid in wrist.

Sprain of r. foot : signs of abscess.

Every little injury causes ulceration; every hurt festers.

421 SILICA.

Pricked lip with a sharp point : cancer.

Splinter of glass : in r. index finger, pain and swelling.

From a bite: thumb swollen and painful.

After a cut : wound would not heal.

After a fall : pain in sacrum and hip ; injury of tibia.

After a blow upon head : nightly incontinence of urine.

Ailments following vaccination, abscesses, etc., even con- vulsions.

1 1 Small foreign bodies under skin or in larynx; fish- bones ; needles in hands or elsewhere ; to promote ex- pulsion of bone splinters. *^Skin. I Skin waxlike: tuberculosis, caries, etc.

• Icterus.

I Cutis anserina.

I Earthy, yellowish, dry, relaxed skin sometimes covered

Itching and pricking of skin of arms, face and back. Itching and sticking in various parts of body, especially

at night.

■ Itching exanthema; small pustules filled with lymph,

suppurate. I Small wounds suppurate profusely.

• Suppuration of skin and cellular tissues beneath it.

■ Intertrigo; impetigo; psoriasis inveterata; scabies ma-

ligna; herpes exedens; pemphigus; zona; zoster; ec- thyma.

■ Eczematous, impetiginous, or herpetic eruptions.

■ Rhagages around eyelids, lips, etc.

■ Rose-colored blotches; brownish-white spots.

■ Small blisters.

■ Phlegmonous erysipelas; excessive, ichorous, offensive

suppuration ; tendency to extend in depth rather than superficially. I I Large diisky patch on front of neck as large as a me- dium-sized orange, first appearing about a year ago as a very small discoloration after some boils on back had healed ; similar one on nape of neck rapidly extending up scalp; spots covered with minute scales, place being redder and darker than surrounding skin ; menses too profuse, every two weeks. ^Eczema.

■ Variola-like pustules on forehead, occiput, sternum and

spine, extremely painful and at last suppurate.

SILICA. 422

iCrusta lactea.

I Small foreign bodies under skin or in larynx.

■ Papulous psoric impetiginous forms of eruption with dry-

■ Malignant pustule.

■ ■ Ulcers : form suppuration of membranous parts ; pha-

gedenic ; extend in depth ; after abuse of mercury ; flat, with bluish-white base; offensive, with ichor, proud flesh, stinging, burning, itching; edges hard, high or spongy ; readily bleeding ; carcinomatous.

■ Sensation of coldness in ulcers.

■ Large fleshy warts, suppurating.

■ Variola; suppuration exhausts patient and desiccation

delays ; bone diseases as sequelae. I I Elephantiasis of lower limbs in a negro. ''^Stages of Life, Constitution. ■■Especially suitable for children, large heads, open sutures ; much sweat about head ; large bellies.

■ Nervous, irritable persons, with dry skin, profuse saliva,

diarrhoea, night sweats.

■ Weakly persons, fine skin, pale face; light complexion;

lax muscles.

■ Scrofulous diathesis.

■ Rachitic, ansemic conditions ; caries.

■ Oversensitive, imperfectly nourished, not from want of

food but from imperfect assimilation.

■ Stonecutters ; chest affections and total loss of strength.

■ Scrofulous children, who have worm diseases, during

dentition.

Baby, set. 4 days ; hydrocele.

Child, set. 8 months, fair and vigorous, suffering since birth ; constipation.

Boy, «t. 18 months, after a fall ; injury of tibia.

Child, set. 21 months, suffering six days ; ague.

Child, set. 1, scrofulous ; summer complaint.

Boy, set. 2 ; enchondroma of toe.

Child, set. 2; ulceration after vaccination.

Boy, set. 3, strumous constitution, after scarlet fever three weeks ago ; abscesses on head.

Child, set. 3 months ; pertussis.

Boy, set. 4 ; light hair and complexion, lymphatic temper- ament ; psoas abscess.

Boy, set. 4, swelling and suppuration of knee.

W. B., set. 5, after scarlet fever; otorrhoea and cough.

Boy, set. 7, affected since birth ; impetigo capitis.

Girl, set. 7, scrofulous, frequently troubled with cutaneous

423 , SILICA.

eruptions and inflammation of eye, since her vaccina- tion ; scrofulous ophthalmia.

Boy, set. 7, suffering three years ; sinus before 1. ear.

Girl, set. 7, after a blow upon head when three years old ; incontinence of urine.

Girl, aet. 7, blonde, blue eyes, four weeks ago had pleu- risy; compression of lung after exudation and curva- ture of spine.

Boy, £et. 8 ; eczema capitis.

Girl, set. 8, had scarlatina six years ago, since then af- fected ; otorrhoea.

Boy, set. 10, after vaccination ; spasms.

Boy, set. 11, tall; phthisis.

Scrofulous child, set. 11 ; swelling on chest.

Girl, set. 11 ; swelling of knee.

Boy, set. 12 ; caries of mastoid process.

Boy, set. 12 ; palpitation of heart.

G. N., set. 12, cachectic and ansemic ; fistulse of thigh.

Girl, set. 13, scrofulous ; caries of bones of leg.

Girl, set. 14, blonde, pale, phlegmatic, short in stature, cor- pulent; keloid on temporal region.

Girl, set. 14, suffering four months ; caries of orbit.

Boy, set. 14; caries of metacarpal bones.

Boy, «t. 15, suffering ever since his recollection ; noctur- nal enuresis.

Boy, set. 15, suffering tw^o years ; necrosis of femur.

Boy, set. 15, laborer ; acne.

Girl, set. 16 ; eruption on occiput.

Girl, set. 16, servant, after a fall eleven months previously ; affection of spine and sacrum.

Boy, set. 16, lymphatic temperament, from a bruise, eighteen months since ; suppuration of leg.

Boy, set. 16, after revaccination ; convulsions.

Boy, set. 17, farmer, light complexion, blue eyes, scrofu- lous during childhood, about nine months ago had ty- phoid pneumonia, has been suffering four months ; ab- dominal dropsy.

Girl, set. 17 ; goitre.

Girl, set. 17, after some boils on back had healed, a year ago; eczema squamosum.

Girl, set. 18 ; mental disturbance.

Miss B., set. 18, suffering many months ; headache.

Negro, set. 18 ; contraction of fingers.

Girl, set. 18, strong ; caries of tibia.

Girl, set. 18, phlegmatic, torpid disposition, mind poorly developed, subject to skin eruptions ; hysteria.

Girl, set. 20, suffering for weeks; hard swelling of cheek.

Girl, set. 20 ; epilepsy.

SILICA. 424

Girl, set. 21, nine months ago had nephritis, since then suf- fering ; hepatic disorder.

Man, set. 21, pale, transparent skin, suffering eight months ; fistula in leg.

Man, set. 23, light complexion ; seminal emissions.

Woman, set. 23, single, suffering five years ; epilepsy.

Woman, set. 24, married six months; vaginismus.

Man, set. 24; phthisis.

Governess, set. 24 ; housemaid's knee.

Woman, set. 25, brunette ; swelling of eyelid.

Miss A., set. 26, lymphatic and delicate, suffering two years; inflammation of nasal duct.

Mrs. H., set. 26, mother of three children, suffering since birth of last child, three months ago ; constipation.

Mrs. C., set. 26, has had two children ; periuterine cellu- litis.

Woman, set. 26, single ; pain in leg.

Housemaid, set. 26, suffering eighteen months; bursitis.

Mme. P., set. 26, delicate health, suffering three years; abscess of foot.

Country-woman, set. 26; elephantiasis.

Woman, set. 28, single, brunette, suffering a long time, headache.

Mrs. K., set. 28, suffering four months ; recurrent phlyc- tenular conjunctivitis.

Woman, set. 29 ; chronic headache.

Mrs. T., set. 29 ; ulceration of cornea.

Man, set. 30, sanguine bilious temperament, five feet ten inches high, weight in health 160, family consumptive, two sisters and a brother having died of this disease ; phthisis.

Woman, set. 30, suffering since death of her husband, six years ago ; epilepsy.

Woman, set. 30 ; epilepsy.

Woman, set. 32, blonde, sanguine temperament, formerly had scrofulous ophthalmia ; eruption about mouth.

Man, set. 32, in good health, a little pale, habitually sad and anxious, having lost his father at the age of 60 from cancer of face ; threatened cancer.

Woman, set. 33, single ; tumor albus.

Man, set. 34; abscess of ankle and foot with caries.

Man, set. 36, four months ago cut leg with an axe, since then suffering ; chronic suppuration.

Man, £et. 37, cigarmaker, after attack of typhoid fever; abscess.

Lady, set. 40, school-teacher, single ; vertigo.

Woman, set. 40 ; swelling of lachrymal sac.

Mrs. M., set. 40 ; inflammation of lachrymal sac.

425 SILICA.

Woman, eet. 40, suffering seven months; cancer of tongue.

Man, set. 40, face somewhat yellowish, with red cheeks, suffering six years ; gastric disorder.

Woman, set. 40, weakly constitution, subject to catarrhal affections, somewhat asthmatic; scirrhus mammse.

Mrs. B., set. 42, strong, well nourished; headache.

Woman, set. 44, married, medium stature, weak constitu- tion, light complexion, still menstruates regularly, has been cured of catarrh of stomach, and psoriasis diffusa; parenchymatous iritis.

Green-grocer, set. 45 ; enlarged bursa over 1. knee.

Mrs. H., set. 47 ; scirrhus mammse.

Man, set. 48, ten years ago saw a cancer of nose, since then affected ; itching of nose.

Woman, set. 50, married, Irish ; eczema capitis.

Man, set. 50, large, apparently good constitution ; pain in lung.

Miss M., set. 55, suffering for a year ; tumor in mouth.

Man, set. 55, suffering five days ; felon on finger.

Mrs. G., set. 55 ; glass in finger.

Man, set. 55, in good health, after wearing tight boots ; ulcer on foot.

Man, set. 60, formerly suffering from glandular swellings ; induration of cheek.

Man, set. 60 ; tumor in breast.

Mrs. P., set. 60, tall, dark complexion, dark hair, rather masculine appearance, predisposed to lung disease; cough for several weeks.

Woman, set. 60 ; carbuncle on neck.

Woman, over 60, in moderately good health ; elephan- tiasis.

Madam X. de Cerveirac, set. 61, enjoying good health, never been seriously sick, melancholic disposition ; can- cer of lip.

Mme. C., set. 63, apparently in good health but having a leaden-hued, earthy complexion, for about twenty years ; lupus.

Man, set. 67, syphilitic; inguinal abscess and hernia.

Lady, set, 70 ; scirrhus mammse.

Woman, set, 80, after a sprain ; inflammation of foot.

Young lady ; tumor of lip.

Young w^oman, delicate health, pale, earthy complexion, suffering a month ; panaritium.

Washerwoman, fat, robust, brown complexion, standing much in cold water; metrorrhagia.

Mrs. .J., mother of four children, apparently healthy, suf- fering several months ; constipation.

Robust, middle-aged man, bitten in thumb by a man four weeks ago; swelling and suppuration of thumb.

SILICA— SINAPIS NIGRA ET ALBA. 426

Hepar, Ignatia, Nitr. ac, Phosphor. ; before Hepar,

Fluor, ac, Laches., Lycop., Sepia. Incompatible : Mercur.

Phos. ac. Picric ac, Mur. ac, Sulphur, Kali carb.,

Nux vom.. Opium, Arnica, Hypericum, Ruta.