(Dig out the root of the plant previous to flowering, squeeze the juice from the recent root, and mix it with equal parts of alcohol.) A large dose of this drug acts a couple of weeks. Many of the effects of Bryonia are analogous to those of Rhus tox. Bryonia affects the mind differently from Rhus ; the fever of Bryonia is mostly composed of the cold stage, and its symptoms are chiefly excited or aggravated in motion, although the secondary effects of Bryonia of relieving symp- toms by motion, are not altogether rare. It is for this reason that even in cases where Bryonia was indicated and had been exhibited in a proper dose, it does not always produce the desired effect in the first 24 hours ; the existing symptoms constituting the series of the secondary effects of Bryonia, a second dose had to be given (which, when given immediately after the first, neutralizes in part the effects BRYONIA ALBA. 153 of the first dose of any remedy), which would bring the true primary action of Bryonia to bear upon the case before us as the truly homoeopathic and therefore curative principle. This peculiarity is witnessed in a few other drugs (see the preface to Ignatia), but rarely in Bryonia. Rhus generally relieves the injurious effects of an injudi- ciously administered dose of Bryonia ; or else some otherremedy, which is homoeopathic to the untoward symptoms. Camphor, for instance, above all other drugs. The curative powers of Bryonia are very comprehensive, as may be seen from the vast series of its symptoms. It will be found very useful in some fevers, and in some kinds of ab- dominal spasms of the other sex. In violent, acute diseases, characterized by a high irrita- bility of the system, a pellet of the 30th potence will be found sufficient for the cure. In a very few cases a full drop of the 30th potence may be necessary, but never a drop of the tincture. I have learned this gradually by experience. FROM NOACK AND TRINKS. Bryonia is especially suitable to nervous, dry, thin and bilious individuals with a choleric temperament ; to people with brown complexion, brown or black hair, irritable charac- ter, and disposition to inflammation of the dermous tissues. — Diseases of women and children are especially influenced by Bryonia, inasmuch as it corresponds with quick irrita- bility, little energy, constancy of reaction, inclination to effu- sions and accumulations of lymph, nervous diseases, and likewise active congestions. Bryonia excites both the peri- pheral nerves and capillary vessels, thus giving rise to symptoms intermediate between inflammation and nervous irritation. — Bryonia has striking relations with the secretory organs of the bile and the uterus, likewise with the serous membranes, and is especially suitable in hyperemia of the latter. — Bryonia is especially indicated in affections where resorption is necessary, in typhus infiltrations, serous effu- sions and sugg illations. — Bryonia is especially efficacious in affections, where the catarrhal, pituitous, and rheumatic cha- racter prevails, or where synochal symptoms pass into the nervous stage ; likewise in affections of a typhous character. — Morbid conditions brought on by catching cold in dry cold weather and sharp wind ; bad consequences of chagrin, an- ger, excessive bodily exertions and a sedentary mode of life ; 154 BRYONIA ALBA. conditions which are accompanied by ill-humor, and chills and coldness of the whole body are especially related to Bry- onia. — Bryonia ought particularly to be considered in dis- eases of a rheumatic-bilious and catarrhal nature. — Equally violent irritations of the nervous aud circulatory system are characteristic indications for the use of Bryonia. Acute and chronic inflammations of single organs. — Arthritic affections, xuith inflammatory swelling of the affected parts and feverish feelings ; arthritis nodosa. — Dropsical condi- tions, especially anasarca and ascites, dropsy consequent upon scarlatina (alternating with Ars. and Helleb., or with Lycop. and Digit.) — Jaundice — Scrofulous affections. — Hysteric con- vulsions. — Tetanus hystericus. — Paralytic conditions of the limbs. — Spontaneous luxations. — Indurations of the cellular tissues (afterwards Merc). — Cutaneous affections : papulous : Lichen simplex, squamous : psoriasis : exanthematic : mor- billi, (especially when the catarrhal affection of the organs of the chest has become complicated, and has been increased to an inflammation of the chest,) secondary affections consequent upon measles, scarlatina miliaris, and morbid conditions consequent upon suppressed scarlatina, urticaria (especially that kind of urticaria which is influenced by a change in the weather,) purpura contagiosa et hemorrhagica, erythema intertrigo, erysipelas, especially erysipelatous inflammations of the joints ; pustulous : impetigo, porrigo, varioloid (especially in the pre- cursory eruptions of the small-pox and varicella, or when affections of the joints and violent pains in the small of the back are present) ; vesicular : herpes (palpebrarum), 'miliaria, especially in children, also recently born, and lying-in women ; Bryonia corresponding specifically to acute rheumatism, is one of the best remedies against rheumatic miliaria ; tuberculous : furuncles. — Bedsore. — Swelling and induration of the glands; glandular ulcers. — Acute rheumatism (rheumatic pains in the temples, in the forehead, with a feeling of numb- ness in the occiput and wry-neck) ; rheumatic fever, Avith catarrhal and gastric complication, tearing pains in the whole body, concentrated with especial violence in both wrists, elbows, knees, and tarsal joints, swelling of certain parts in the joints, hot reddened skin, marked with red irradiations and increase of pain when touching the parts, or when trying to move the limbs ; fever, with violent headache, beating, in the forepart of the head and vertex, pressing out over the eyes, tearing pains extending along the back, and in the upper and lower limbs ; paroxysmal going to sleep and subsequent numbness and insen- sibility of the tips of the fingers and toes ; vomiting of a watery BRYONIA ALBA. 155 and slimy, bitter liquid ; pains in the region of the liver and spleen ; uneasiness and heat, especially at night, with increase of the pains in the head and limbs by motion ; rheumatic and rheumatic-gastric fevers, with intense action of the circulatory system, accompanied with increased sensibility. — Intermit- tent fevers, with gastric symptoms ; rheumatic ailments, aggravated by motion, and accompanied with a tendency to constipation ; tertian intermittent, appearing in the morning, with vertigo ; pressure in and oppression of the head, after- wards shuddering with stretching and drawing of the limbs, increasing to shaking chills, accompanied with a good deal of thirst and loathing of food or drink ; heat, first alternating with chilliness, afterwards burning, with unquenchable thirst, and afterwards profuse sweat ; simultaneously with the fever appears a dry cough, exciting vomiting, and accompanied with stitches and tightness of the chest ; tertian intermittent, with anticipating type, characterized by vertigo, headache, stitches in the chest when breathing, moderate chilliness, and subse- quent great heat, delirium, unquenchable thirst, Math dry cough, and lastly sweat ; fever, consisting mostly of the cold stage ; intermittent fever, with stitches in the sides and abdo- men. — Pituitous fevers after the cholera has been subdued. — Gastric, bilious, pituitous nervous fevers (Merc, being like- wise a good remedy in such affections) ; nervous fevers, with pleuritic stitches, nausea, and yellowish-coated tongue ; nervous fevers, in which the transition of the synochal into the nervous stage is not yet distinctly marked, especially versatile nervous fevers : febris nervosa versatilis, with morbidly excited sensibility and erethism, violent congestions to the head, dry, burning heat, dry lips, dry, coated tongue, pressure in the pit of the stomach and constipation ; febris nervosa versatilis. with continued delirium day and night, burning, dry heat of the whole body, dry, brown, parched tongue, and lips of the same appearance, great thirst, screaming, when some one touches the scrobiculus cordis, constipation, and pain during micturition ; febris nervosa versatilis, with headache, unsteady, wild looks, indistinct speech, violent delirium, desire to escape, sleeplessness, violent fever, quick, soft pulse, viscid, moist skin, tremor of the hands, and difficult deglutition. — Abdominal typhus ; typhus bellicus (in alternation with Rhus) ; typhus, in the precursory stage (Aeon., Bell., Nux v., may likewise be used to break the disease at this stage) ; first stage of typhus, with swelling of the cheeks, sore throat, prickings in the throat and glandular swellings, or with spas- modic tension and pressure in the stomach, sometimes the pit 156 BRYONIA ALBA. of the stomach being sensitive to the touch ; second stage of typhus (in alternation with Rhus, or Cocculus ; according to Cammerer, Bryonia is more suitable for the aphthse in the mouth occurring in the third stage of typhus, and being sensi- tive to pain ; whereas Belladonna is more adapted to the second stage) ; third stage of typhus, especially when there is an exhausted and depressed condition of the system (together with Rhus, Acidum phosp., and Puis.) ; state of convalescence, when the patient feels yet weak, out of bed (together with Valeriana). — Gastric-bilious fevers, with pain in the forehead, coaled tongue, bitter taste, nausea, with inclination to vomit, pressure in the stomach, and stool rather retarded ; febris gastrica saburralis, with prevailing chills. — Febris puerperalis, with a glowing red face, profuse sweat, short, frequent oppressed breathing, sad mood, dry, yellow-coated and parched looking tongue, sensitiveness of the tongue (every thing which is brought in contact with the tongue, smarting like salt), loss of appetite, loss of taste, continual lancinating pains in the region of the ovaries increased by pressure, distention of the abdomen, constipation, cessation of the lochias, continual violent heat through the whole body, with violent thirst for cold water, the heat being interrupted by slight chills causing paleness of the face ; sometimes violent, cutting pains in the thighs, aggravated by motion, and hard, frequent, small pulse. — Milk fever ; spontaneous somnambulism. — Cephalalgia, brought on by affections of the mind or heart and by cold ; cephalagra and tearing of the head in females; megrim and hemicrania ; pain in the forepart of the head, extending through the forehead and the temple, oppressive, pressing from within outwards, as if the head would burst to pieces, with violent lancinations shooting through the parts ; conges- tion of blood to the head, aggravated by stooping, by moving the head, coughing or sneezing ; headache, continuing from morning till night, compressive and affecting the whole head, with faint, small glassy eyes ; pale countenance, sensitiveness to bright light and noise, ill and quarrelsome humor, palpitation of the heart and oppression of the chest in the afternoon, nausea, retching and inclination to vomit. — Encephalitis, meningitis and arachnitis, especially in the second stage of the latter. — Cerebral affections consequent upon the cholera. — Ophthalmia, also ophthalmia neonatorum ; ophthalmia, consequent upon operations upon the eye, with violent pains and vomiting. — Otitis. — Hard hearing. — Chronic obstruction of the nose. — Ozasna ; bleeding at the nose after a cold, with gastric symp- toms ; acute bleeding from the nose, even when consequent BRYONIA ALBA. 157 upon menostasia. — Inflammatory prosopalgia. — Rheumatic pains in the cheeks. — Scrofulous swelling of the lips. — Rheu- matic, inflammatory toothache, especially when the pain passes from one tooth into another, or even into the cheeks and head. — Stomacace. — Metaphlogosis of the cellular tissue of the neck. — Spasmodic hiccough. — Diaphragmitis. — Gastric conditions ; chronic dyspepsia, even with vomiting ; water- brash ; vomiting of drunkards. — Constriction of the orifice of the stomach (?) — Chronic gastritis. — Chronic cardialgia ; vio- lent spasm of the stomach and heartburn ; spasm of the sto- mach brought on by an affection of the spleen. — Splenitis. — Gastrodynia, enterodynia. with constipation (in alternation with Nux v.), especially in individuals whose digestive powers have been weakened by a sedentary mode of life, and by the use of spirituous liquors. — Hepatalgia and hepatitis, half-inflam- matory conditions of the liver. — Chronic affections of the ab- domen, owing to a disturbance of the peristaltic motion, chiefly brought on by a sedentary mode of life, and characterized by constipation, this being their most troublesome symptom (in alternation with Nux v. and Sulphur). — Colic, especially when of an inflammatory kind ; attacks of colic of pregnant and lying-in women; hysteric abdominal spasms. — Peritonitis musctdaris; peritonitis, with violent and considerable exuda- tion ; puerperal peritonitis (giving Aconite first). — Dysentery. — Diarrhoea brought on by a cold ; diarrhoea, alternating with constipation. — Obstinate constipation ; constipation of the re- cently born. — Asiatic cholera, when the liver appears to be the seat of the affection, (also Merc. Calc. China, Sulph.) or when there are congestions tc\ the head. — Miserere ? — Spasmodic labor-pains. — Metrorrhagia (accompanied with burning at the stomach during motion, which becomes a paroxysm of anguish and chilliness! — Galactirrhea (next to Belladonna). — Phlegmasia dolens ; mastitis (together with Mercury) ; mamma, as hard as stone in lying-in women icho do not nurse; painful, unequal knotty swelling of the mamma, owing to a morbid development of the same, or to a suppression of the secretion of milk in nursing women ; bad consequences from nursing, especially pains in the chest, stitches in the chest and pains in the back when weaning. — Scrofulous catarrh. — Ca- tarrh of the air-passages brought on by a cold and in measles. — Inflammatory affections of the organs of respiration, espe- cially when characterized by painful stitches. — Acute and chronic bronchitis. — Influenza with cough, the coughing fits causing a violent headache, and sometimes pains in the epi- gastrium, or where an inflammatory affection of the liver, dis- j 58 BRYONIA ALBA. tention and pain of the same to the touch, or when coughing or taking a deep inspiration, are characteristic symptoms, or lastly, when the cough is accompanied by retching or real vomiting (in this case Nux v. may be exhibited according to Gross). — Chronic cough, excited by the least irritation of the lungs, talking, especially violent early in the morning and in the evening, with scanty expectoration, in individuals whose lungs have been weakened by former pneumoniae, and by fre- quent spitting of blood. — Convulsive cough, with violent stitches in the chest during and between the attacks. — Periodi- cal spasmodic cough. — Neuralgia of the chest (afterwards Nux v.). — Haemoptysis. — Rheumatic inflammations of the chest ; pulmonitis and pleuritis (the synochal fever having first been subdued by Aconite), with nervous and gastric symptoms. — Muscular and serous pleuritis, especially the latter, in older people, the fever having first been subdued by Aconite, in hy- drothorax. N. B. According to Wurm, Bryonia has hitherto been employed too often and too soon in pleuritis. (Compare Wurm's excellent treatise on pleuritis in Griesselictts Hygea, vol. XII, p. 1.) — Rheumatic pleuritis, without any fever ; gas- tric pseudo-pleuritis. — Parenchymatous inflammations of the lungs, with typeremia of the lungs, especially such inflamma- tions as are characterized by prominent pleuritic symptoms, like- wise those which are concomitant morbid conditions of typhus abdominalis. Inflammations of the lungs, after the inflam- matory symptoms have been subdued by Aconite, and a dry, hot skin, with violent pleuritic stitches, tormenting cough with or without any blood-streaked expectoration remain. Inflamma- tions of the lungs, with less commotion of the circulatory sys- tem, the fever being mixed with chills in the very beginning, and the heat in the head being rather intense, the membranes of the brain being sometimes affected, with consequent inclina- tion to sleep and delirium ; bloated countenance, dryness of the tongue, difficult speech, rather hard and full pulse, tolerably easy breathing, oppressed chest, with pains which are rather of a burning nature in older people, and are excited by cough rather than by breathing ; loose, mucous, blood-streaked, yel- low expectoration ; or when there are rheumatic affections of the extremities or gastric symptoms {pneumonia biliosa) ; pneumonia in typhus abdominalis, with red hepatization of one of the lobes of the lungs, and especially when the pleu- ritic symptoms are prominent. Neglected, carelessly treated pneumonia, without any general reaction of the circulatory system. The previous exhibition of Aconite is the more in- BRYONIA ALBA. 159 dispensable in proportion as a purely inflammatory synochal diathesis prevails in the system, with intense feverish heat, painful stitches, and blood-streaked expectoration. In pure in- flammations of the lungs, Bryonia is not alone sufficient ; in these affections, Aconite frequently precedes, and Bellad. and Merc, are used in alternation with Bryonia (in drunkards it is used alternately with Nux v., and when the inflammation has been brought on by some external cause, in alternation with Arnica and Rhus.) ; Phosphorus, Tartarus emet., Sulphur, etc., have frequently to be exhibited after Bryonia. Wolfsohn re- marks, that Bellad. is very important, when the inflammatory symptoms do not yield to Aconite or Bryonia ; generally it may be said, that Phosphorus ranks before Belladonna. — Pulmonary phthisis, especially when accompanied by a slow inflammation of the pleura, or when complicated with hydrothorax. — Asth- matic conditions. — Carditis (?) — Psoitis. — Lumbago rheuma- tica. — Ischias. — Spontaneous limping, in the beginning of it. — Acute arthritis articularis, acute rheumatism of the joints, especially when accompanied with effusions of lymph into the articular capsules, and with or without simultaneous inflam- matory symptoms of the heart and pericardium. — Phlegmo- nous inflammations of the feet. — Pale, tight, hot swelling of the limbs. — (Edema of the feet, especially when coming on after scarlet or nervous fever. — Painful, inflamed corns.