A plant native to Brazil. The tincture is prepared from the dried and finely powdered root. Provings by Hahnemann and his provers. See Allen's Encyclopedia, vol. 5, p. 137. Clinical Authorities. — Hypochondriasis, Hufeland, B. J. H., vol. 27, p. 621 ; Apoplexy, Eummel, Riick. Kl. Erf., vol. 1, p. 92 ; Choroiditis, Tamhayn, B. J. li., vol. 18, p. 252 ; Ophthalmia, Jousset, B. J. H., vol. 28, p. 19 ; Turrel, Hom. Clin., vol. 3, p. 30 ; Nasal catarrh, Bigel, Kiick. Kl. Erf., vol. 1, p. 388 ; Influenza, Ger- ner, Euck. Kl. Erf., vol. 3, p. 42 ; Riickert, B. J. H., vol. 26, p. 569 ; Vomiting, Lobeth, Genzk, Diez, Riick. Kl. Erf., vol. 1, p. 557 ; Hughes, B. J. H., vol. 18, p. 38 ; Nervous vomiting, Jousset, B. J. H., vol. 27 p. 622 ; Chronic vomiting, Hughes, B. J. H., vol. 23, p. 677 ; Smith, Allg. Horn. Ztg., vol. 109, p. 32 ; Hcetnatemesis, (5 cases), Goullon, Nunez, Riick. Kl. Erf, vol. 5, p, 265 ; Goullon, B. J. H., vol. 26, p. 583; Melmna, Pomeroy, Raue's Rec, 1872, p. 151; Diarrhma, Kafka, Riick. Kl. Erf, vol. 5, p. 418 ; Huber, Ruck. Kl. Erf, vol. 5, p. 418 ; Knorre, Goullon, B. J. H., vol. 27, p^ 632; Lobethal, Boenninghausen, Muller, B. J. H., vol. 27, p. 630; Jahr, Horn. Clin., vol. 1, p. 195; Dysentery, Henke, B. J. H., vol. 27, p. 627; (2 cases), Drysdale, B. J. H., vol. 33, p. 738 ; Thayer, Raue's Rec, 1872. p. 43 ; Cholera infantum, Miller, Raue's Rec, 1874, p. 196 ; Cholerine, Goullon, Kafka, B. J. H., vol. 27, p. 632 ; Cholera, D|:ysdale, B. J. H., vol. 8, p. 161 ; Widman, Rupprig, Roth, Riick. Kl. Erf., vol. 1, p. 948; Hannaturia, Gaspary, B. J. H., vol. 26, p. 583; Uterine hemorrhage, liawkes, Organon, vol. 2, p. 132; Teller, B. J. H., vol. 26, p. 580; Hartmann, Kallenbach, Gaspai-, Riick. Kl. Erf, vol. 2, p. 312; Menorrhagia, Patzak, Riick. Kl. Erf, vol. 2, p. 235 ; Nausea and vomiting of pregnancy, Miiller, Schreter, Wolf, Knorre, Riick. Kl. Erf, vol. 2, p. 382 ; Miiller, Rummel, Schreter, Rau, Knorre, B. J. H., vol. 27, p. 622; Hemorrhage with abortion, Kiisemann, Kallen- bach, B. J. H., vol. 26, p. 582 ; Eclampsia, Rummell, B. J. H., vol. 28, p. 10 ; Post- partum hemorrhage, Raue's Rec, 1870, p. 271 ; Miller, Raue's Rec, 1873, p. 183 ; Bell, Hah. Mo., vol. 4, p. 405; Laryngismus stridulus, B. J. II., vol. 12, p. 457 ; Laryngitis, IPECACUANHA. 234 sp<mn of corc?s, Pemer], Eaue's Eec, 1870, p. 156; Emphysema, Meyer, Petroz, Miiller, B. J. H., vol. 26, p. 567 ; Asthma, Frank, N. A. J. H., vol. 8, [>. 96 ; Kreuss, Sonnenburg, Kiimpfer, Bethmann, Eiick. Kl. Erf., vol. 3, p. 189 ; Miiller, Meyer, Eiick. Kl. Erf., vol. 5, p. 799 ; Cough, Hughes, B. J. H., vol. 18, p. 39 ; Knorre, Lobethal, Bernstein, Hering, Kasemann, Hirsch, B, J. H., vol. 26, p. 568-9 ; Knorre, Lobethal, Bernstein, Kasemann, Hering, Bigel, Hirsch, Eiick. Kl. Erf., vol. 3, p. 16 ; Hartmann, Schron, Kasemann, Schelling, Bethmann, Eiick. Kl. Erf., vol.3, p. 79 ; Whooping cough Meyer, B. J. H., vol. 15, p. 43 ; Miiller, Kafka, B. J. H., vol. 26, p. 570; Hcemoptysis, ChaAraevs, Eaue's Eec, 1870, p. 195; Eidherr, Eiick. Kl. Erf., vol. 5, p. 805 ; Hysteria, Eummel, Eiick. Kl. Erf., vol. 2, p. 286 ; Hysterical spasms, Attomyr, Eiick. Kl. Erf., vol. 4, p. 574; Spasms, Jahr, Eiick. Kl. Erf., vol. 4, p. 574 ; Schreter, Nenning, Eiick. Kl. Erf., vol. 4, p. 574 ; Spasmodic conditions, Eum- mel, Eiick. Kl. Erf., vol. 4, p. 573; Tetanus, Trismus, Schneider, Hahnemann, Ack- erman, Bogel, B.J. H., vol. 28, p. 11; Epilepsy, Tietzer, Eiick. Kl. Erf., vol. 4, p. 573; Ague, Hering, Loebthal, Nagel, Tripi, Escallier, Hencke, Hirsch, Biirkner, Vehseman, Miiller, Horner, Thorer, Neumann, Szontagh, Kasemann, Baertl, Eiick. Kl. Erf., vol. 4, p. 928-40; Lobethal, Ecallier, Wurmb, Caspar, Hencke, B. J. H., vol. 28, p. 4; (34 cases), Muller, N. A. J. H., vol. 4, p. 271-273; Hawkes, Organon, vol. 2, p. 114; Allen, Organon, vol. 2, p. 239 ; Hoffman, Organon, vol. 3, p. 112; Morrison, Allen's Int. Fever, p. 152; Intennittent fevei^. Stow, Eaue'sEec, 1871, p. 196 ; Edmundson, Eaue's Eec, 1874, p. 279 ; Frost, Eaue's Eec, 1875, p. 272 ; Carr Organon, vol. 2, p. 204; Measles, Hartmann, Eiick. Kl. Erf, vol. 4, p. 97; Scarlet fever, Hahnemann, Trinks, Eiick. Kl. Erf., vol. 4, p. 53; Yellow fever, Taft, Eiick. Kl. Erf., vol. 4, p. 665; Anceinia, Haubold, Eiick. Kl. Erf., vol. 5, p. 604; Opium poisoning, Korndoerfer, Hom. Clin., vol. 1, p. 266. ^ Mind. Is awkward and stumbles against everything. Wrapt in thought; taciturnity. I I Full of inexpressible desires. iMoaning and sighing with the fever. ^Intermittent. iChild cries and screams violently and incessantly; sticks fist into mouth ; face pale, body cool. ■ Every 6 or 8 weeks anorexia and hypochondria, with pressure and tension, and tympanitis of epigastrium; constipation, with disgust and impatience of labor; at- tacks preceded by nausea, and tendency to diarrhoea. ^Hypochondriasis. I I Dejected mood, morose, enjoys nothing. I Peevish; irritable; impatient; morose, scornful mood. nil humor, despises everything. I I Fretfulness. intermittent. ^Cholera in fjintum. I I Extremely impatient. I I Morose mood that scorns everything, and desires also that others shall not appreciate or value anything. I I Ailments from vexation and reserved displeasure. ^ Sensorium. BApoplexia nervosa et serosa; vertigo; droop- ing of lips; impaired speech; dribbling of saliva from mouth ; paralysis of extremities. ■ Vertigo when walking and when turning. 235 IPECACUANHA. ^ Inner Head. iLacerating pain in forehead, excited and aggravated by feeling the heart, or by stooping. I Aching in forehead ; fine stinging pains in forehead. ■ Headache over 1. eye. Stitches in vertex, or forehead. ■ Lancinating in head. I I Short paroxysms of fine and violently stinging pains in head, increasing to an aching. ■ Stinging headache, with heaviness of head, also with drowsiness. ■ ■Headache, as if bruised, all through bones of head and down into root of tongue; nausea, vomiting; > outdoors. ■ ■Headache as of a bruise of brain and skull, which pierces through all the cranial bones into roots of teeth, with nausea. ■ Headache as though brain were mashed, with nausea and vomiting; miliary eruptions on forehead and cheeks by spells; pale face, and pale mucous membranes; scanty and short menses; weak pulse, cold hands; morose, enjoys nothing. ^Chlorosis. ■ Lacerating headache, from morning till noon. I I Dull drawing in head, to and fro. ■ Beating pain in head and pit of stomach after coughing. ■ Heat and throbbing in head, with red cheeks. ■ Semilateral headache, with nausea and vomiting. I I Tensive headache in occiput and nape of neck, extend- ing as far as shoulders. ■ Pain in occiput and nape of neck. ■ ■Gastric headaches, occurring in nervous, sensitive per- sons, commencing with nausea and vomiting. ■ Malarial headache; loss of appetite and vomiting. ■ Hydrocephaloid: fontanelles open; painful soreness of occiput and neck; blue rings under eyes; frequent nosebleeding; pale face; nausea and vomiting; green, putrid discharges from bowels. * Outer Head. iCold sweat on forehead. ^Diarrhoea. ■ Open fontanelles ; occiput and neck sore. ^Hydrocephaloid. ^ Sight and Eyes. ■ Worse from light, especially of a candle. ■ Blue and red halo around light. ■ Optical illusions in bright colors. ■ Obscuration of sight; eyes inflamed. I I Eyes sunken ; blue margins around them. /^Cholera in- fantum. I I Dilated pupils. ■ Severe shooting pains through eyeballs, profuse lachry- mation on looking steadily ; blue and red halo around flame, pupil normal and mobile, with no external in- flammation or lesion, except slight palpebral conjunc- tivitis. ^Choroiditis. IPECACUANHA. 236 ■Phlyctenules and ulcers of cornea or conjunctiva, espe- cially if there is much photophobia; cornea may be vascular ; redness of conjunctiva, lachrymation and pain and nausea. ■ Pustular inflammation of cornea and conjunctiva. ■Child after catching cold : lids red and swollen ; photo- phobia, lids being kept tightly closed ; copious, purulent discharge, < at night; conjunctiva injected and swollen, especially on r. side, where engorgement was so severe that pupil appeared buried in a circular depression ; dis- charge from eyes so copious that it soiled hair and ears ; continual copious, green, diarrhoeic stools, with colic ; great emaciation ; sleepless day and night ; edges of lid red, without oedema; r. imbedded cornea ulcerated, also 1., but in a less degree. ■Inflammation of eyes ; on opening r. lids, which were swollen, copious gush of tears ; conjunctiva of bulb in- jected and infiltrated, and on close examination number of small depressions were noticed ; intense tearing or tensive pains in eyes ; great photophobia. ■Scrofulous ophthalmia when there is keratitis with ulcer- ation or infiltration of cornea ; redness of eye, extreme photophobia, pain in temples and forehead. ■ Catarrhal conjunctivitis with profuse yellow discharge and chemosis. ■ Scleroticse yellow. I I Hardened mucus in external canthi. ■ Twitching of eyelids. *^ Hearing and Ears, i Cannot endure the least noise. ■ Ears cold during febrile heat. ^ Smell and Nose. Coryza: dry ; with stoppage of nose ; loss of smell ; nausea ; epistaxis. ■Stoppage of nose; loss of smell; heaviness of head ; dry cough, particularly at night coming on in long lasting paroxysms, with painful shocks in head and stomach ; nausea followed by vomiting, general sweat and great weakness. ^Chronic catarrh. ■ ■Nosebleed, blood bright red; face pale. Nose itches ; when nausea is over, violent hunger. * Upper Face. BFace : pale and puffed ; pale, and body cool; sunken ; deathly pale, sunken eyes with blue margins ; livid, yellowish. ■ Convulsive twitches in muscles of face and lips. ■ Rash. ^ Lower Face. ' iSkin around the mouth red. Smarting eruption and'aphthse on margin of lips. ■ Lips: blue, during chill; W'hite, during hemorrhage. ^^ Teeth and Gums. I Child thrusts its fist into mouth ; screams 237 IPECACUANHA. violently; face pale; body cool ; vomiting and watery stools ; prostration ; spasms. ^Dentition. I I Pain in a hollow tooth when biting on it. I I Pain in molars > while eating; < in afternoon and still more at night. I Teeth chatter, with chill. ^Intermittent. " Taste and Tongue. ' i Loss of taste. Taste: bitter; sweetish, bloody ; like rancid oil, when swal- lowing; earthy; flat, with white, thickly coated tongue. I Tongue: clean; yellow or white ; pale. ■ Disinclined to talk; tongue dry. ^^ Inner Mouth, ii Profuse accumulation of saliva; is con- stantly obliged to swallow it. •Smarting in mouth and on tongue. 13 Throat. I Fauces dry, sore, rough, stinging. ■Spasmodic contractive sensation in throat and chest ; difficult deglutition. ■ Pressure in throat, with pains in diaphragm. I I Deep red color of tonsils and pharjmx. I I Rapid congestion of mucous membrane of pharynx ; secretion of a thick, plastic, whitish, nauseous humor, appearing at first under form of small white or grayish points, either on tonsils or velum palati or pharynx. " Appetite, Thirst. Desires, Aversions. 1 1 Thirst or thirst- lessness. ■ Desire for dainties and sweets. ■ ■Averse to all food, no appetite; earthy taste; stomach feels relaxed ; nausea. ■ ■Great disgust and loathing of any sort of food. ^^ Eating and Drinking. ■Indisposition from indigestible substances, lemon peel, berries, raisins, sweets, cake, pastry and unripe fruit, salads, pork, fats^ sour beer, etc. After eating: nausea; vomiting; stool. ■ Colic, with nausea and vomiting, after cold drinks or ice cream. ^^ Hiccough, Belching, Nausea and Vomiting. ■ Hiccough : with nausea; of children. ■ Eructations every eight to ten minutes; with rumbling in abdomen. ■ Waterbrash. ■ ■Nausea: distressing; constant, with almost all com- plaints; as if from stomach; with empty eructations; accumulation of much saliva; qualmishness, and efforts to vomit. ■ Nausea and retching from smoking; primary effects of tobacco. ■ Faintness, nausea, retching. ^Post-partum hemorrhage. ■ Inclination to vomit without nausea. IPECACUANHA. 238 I Nausea, profuse saliva; vomiting of white, glairy mucus; < stooping. I I Nausea, with distension of abdomen and dryness in throat; after vomiting inclined to sleep. ■ Constant but unavailing desire to vomit; or immediately . after vomiting wishes to do so again. ■ Incessant retching with vomiting of watery fluids and cutting pain in belly. ■ Constant nausea and vomiting of yellowish mucus. ■ Vomiting: of ingesta; of bile; of grass green mucus; bilious, putrid; copiously of jellylike mucus; of blood, or of a pitchlike substance; of a dark colored liquid, with or without blood; of a sour fluid ; of large quanti- ties of mucus; always with nausea; during pregnancy; with thirst, sweat, bad breath; with diarrhoea, colic, dis- tended abdomen; with clean tongue. I I Vomiting causes great pain in loins and hips. ■ Nervous vomiting, frequent and with constant nausea. ■Vomiting due to irritability or other abnormal condition of nerves of stomach, particularly when tongue is clean, and persons are weak and nervous, and of large build ; constant nausea and retching of hysterical w^omen; morning vomiting in weakly persons who are affected by worms; nausea in nervous fevers and that which remains after an attack of indigestion. ■ Vomiting of food soon after eating, tasting very sour and accompanied by much retching; tongue coated in middle, edges red ; region of stomach and hypochondria sensitive to pressure; three or four stools daily; general weakness; menses irregular; urine dark, depositing urates. ■Vomits everything taken ; food causes pain during short time it remains in stomach; tongue brown and cleft; bowels regular; urine thick, ^Chronic vomiting. ■ Loss of appetite nine months ago, without assignable cause; then followed vomiting of all food, with great debility; bowels much relaxed; smarting of eyes; cata- menia regular. ■ Vomiting almost constantly for days. ^Remittent fever. ■ Emaciated, scrofulous child, suffering from disease of mesenteric glands, vomited everything taken and cried the whole day ; the vomited matter and accom- panying chopped stools smelt very sour. ■ ■Constant nausea often M'ith vomiting large masses of mucus, generally green. ^Diarrhoea of children. ■ Tormina and bilious vomiting, coming on at first every fourth day, but latterly ever}^ Saturday; nausea with extreme weakness and repeated fainting; frequent at- 239 IPECACUANHA. tacks of violent, bilious vomiting, obliging her to keep in bed all day ; on other days perfectly well. ■ Vomiting of infants at the breast. ■ Stooping causes vomiting, ^^ Scrobiculum and Stomach, i i Uncomfortable feeling in epigastrium. ■ Violent distress in pit of stomach; attacks of pain; beating. ■ ilndescribable sick feeling in stomach. ■ iSensation as if stomach hung down relaxed. I I Pressure in stomach; clutching pains; beating. ■Cardialgia; typical form. ■ ■Pain most severe in front of abdomen, extending to 1. hypochondrium, to sides, to back, and base of chest, with swelling of stomach; great agitation; constant nausea proceeding from stomach, with em[)ty eructations and accumulation of much saliva; easy vomiting; diarrhoea. ■ Stomachal catarrh, with abhorrence of all food, and tobacco; with nausea, vomiting, colic and diarrhoea; tongue always clean. ■ Gastric catarrh from indigestible food or ice cold things; pain and mucous vomiting. ■ After eating fat pork, headache, loss of appetite, nausea, vomiting; prostration and debility; pain in forehead; pale, bloated face; photophobia without redness of eyes; flat taste, slimy coated tongue; great thirst; frequent vomiting preceded by pressure and pain in stomach; frequent, offensive, flocky stools; slight, dry cough; oc- casional twitchings of muscles of face, lips and eyelids; restless sleep with frequent startings. ■ Indigestion, from overloading stomach. ■ Dyspepsia every day, or every other day, at same hour. ■ After slight digestive disturbance, sudden vomiting of blood, occurring three times within seven daj^s; blood at first dark and coagulated, in subsequent attacks fluid and bright red, followed by bloody stools; great pros- tration; frequent fainting fits; dimness of sight; slight- est motion or cough causes nausea; tongue brown, dry, like earth; unquenchable thirst; obstinate constipation. ■ After chagrin, constant pressing pain in pit of stomach, loss of appetite, frequent nausea; eight days after this, in consequence of anger, sudden vomiting, first of clotted, then of fluid blood, amounting to about two pounds; deathly pale; almost pulseless; faintness. ■ Acute distress in epigastric region; forcibly vomiting im- mense quantities of black, tarlike matter, gushing from nostrils as well as mouth; extremities cold; hippocratic countenance; pulse almost imperceptible; cold, clammy sweats; extreme prostration and exhaustion. ^Meleena. IPECACUANHA. 240 I After long continued, pressing pain in stomach, which alternated with toothache, sudden vomiting of blood, with great faintness; blood dark, thin, about one pound in quantity ; pulse full ; a second attack with great faint- ness, anxiety, feeble pulse, pale, cold face and cold hands. I Pale, ansemic girl, subject to pains in stomach and irri- table conditions of mind, was suddenly seized with vom- iting of blood after indulging in strong coffee ; blood at first brownish black, then black and half coagulated, escaping in great quantities ; between each attack of vomiting, which occurs about every half hour, anxiet}^, pressure in stomach, fainting; pulse small and feeble; face and hands pale and cold ; thirst and internal heat. ■After exposure to cold and wet, rigors and dyspnoea, fol- lowed by copious spitting of blood ; cannot speak ; sits on a chair, gasping, and every few seconds brings up a large mouthful of bright colored, frothy blood ; pulse small and frequent; respirations short and very fre- quent; face livid and expressive of anxiety. ^HEemop- tysis. iSudden attack; blood dark, black, sour; paleness; cold- ness; pulse scarcely perceptible; fainting; anxiety; pressure in stomach ; great thirst; oppression of breath- ing. ^Hsematemesis. iHsematemesis of children. ^^ Hypochondria, l Pinching pain in both hypochondria and in region of pit of stomach. I Pain in 1. hypochondrium. ■ Diaphragm feels as if pressed between two millstones, front to back. ^^ Abdomen, iiDistressing feeling in abdomen, as though stomach were hanging down, relaxed. I Sore feeling in abdomen. llGriping, as from a hand, each finger sharply pressing into intestines ; > during rest, much < by motion. ■ Clutching and squeezing in abdomen. ■ ■Flatulent colic about navel, as though bowels were grasped with hand. ^Dysenteric diarrhoea. ■ ■Cutting colic near umbilicus; sometimes shivering. ■ ■Tenderness and pain about umbilicus, towards uterus. ■ Stitches from navel to uterus. ■ Cutting pain almost constantly running from 1. to r. w4th every movement. ■ Paroxysms of shooting across abdomen from 1. to r., causing nausea and vomiting, vomits froth and bile with difficulty ; when vomiting, coughs to bring it up ; sweats ; offensive black stools ; vomiting causes great pain in loins and hips, as if all the bones in body were being torn to pieces. 241 IPECACUANHA. ■ Severe pains in abdomen, radiating to all sides. ■ Flatulent colic, with frequent loose stools. iColic of children: with diarrhoea, uneasiness, screaming and tossing about"; from indigestion ; after acid or un- ripe fruit, beer, etc. I Inguinal hernia, readily reducible, or strangulated. ^'^ Stool and Rectum. Stool : bloody ; as if fermented ; consist- ence and appearance of fermented j^east; spurting out with much flatus ; very oflensive ; light yellow ; lemon colored; green as grass; greenish mucus; lump}^ greenish watery; white mucous, bloody; 3'ellow, liquid, covered with bloody mucus; pitchlike or like frothy molasses; slimy, bloody, offensive, followed by tenesmus; putrid smelling; containing blood and matter. ■ Diarrhoea of teething children, yellow, white or green discharges, no pain or emaciation, but serious because of its long continuance; particularly indicated at period of weaning when food disagrees. ■ Diarrhoea: with pain, causing unceasing screaming and tossing about, in children; from taking cold; from dis- ordered stomach, after late suppers; of infants, with vomiting of green or whitish matter; due to chill or to mental emotions; after overloading stomach with sweets, or fat pastry; in the Autumn. ■Summer complaint of children, with crying, tossing, large abdomen, frequent, small, yellow, fermented stools. ■ Colliquative diarrhoea of dark colored stools, or of green- ish matter, with particles having appearance of coagula. ■ Chronic diarrhoea, of miasmatic origin; clean tongue and frequent nausea, constant pain at umbilicus. ■Acute internal catarrh. ■ Epidemic dysentery, with nausea, vomiting, pain in epi- gastrium, pressive frontal headache, loaded tongue, tenesmus, mucous fetid diarrhoea, < at night. ■ Dysentery: stools frequent, slightly tinged with blood, and often entirely composed of blood and slime; in the Fall, with vomiting of bile, tenesmus after stool and simulta- neous affection of coeliacus; stools almost black, and fer- mented like frothy molasses; of children; cold nights after hot days. ■ Cholera infantum: nausea, vomiting, colic, diarrhoea; especially in fat, pale children; nausea and vomiting of yellowish mucus; lumpy, greenish, watery stools; pale- ness of face; blue margins around eyes; wants to lie down, ill humor; copious, fermented, flatulent, lemon colored stools, with thirst, fever and fretfulness. ■Stools light green or an arsenic green. ■ First symptoms of cholera Asiatica ; the nausea and vom- iting predominates, headache and tightness of chest. VOL. VI. — 16. IPECACUANHA. 242 I Vomiting after all ingesta, and as often as every quarter of hour, without cause; vomiting copious, preceded by shivering all over; no coldness or cramps; pulse slow; tongue furred. ^Cholera. Before stool : colic, nausea, vomiting. During stool: colic, nausea, vomiting; violent tenesmus; lassitude, coldness, paleness of face. After stool: lassitude; tenesmus; twitching of face. I Hemorrhoids bleeding very profusely. I Itching at anus. ^^ Urinary Organs. Urine: scanty, dark red; turbid, with red sediment. ■ Yellowish red sediment in urine. ^Quotidian ague. ■ Unsuccessful urging to urinate. ■ Ischuria, with convulsions. ■ Hsematuria: with cutting in abdomen and urethra; from suppressed itch ; with vesical spasm. ■ After becoming chilled, felt ill all over; very weak; could hardly move about from vertigo; confused ideas; severe pain in kidneys, with heat in lower bowels as if. hot water was poured into them; towards evening vio- lent pain in abdominal region and bladder, with desire to urinate, with passage of scalding urine and blood, fluid and clotted; next day, too weak to stand; feet quite cold, and as if paralyzed; head stupefied, could not sit up; more blood, followed by swoon, with deadly pallor, hardly perceptible pulse, and cold extremities; could hardly speak; heaviness of head, uneasiness and inclination to vomit, pressure on pit of stomach, pain in lower bowels and kidneys, weight and coldness of feet ; frequent micturition. ^Hsematuria. ■ During urination: burning in urethra; pains in back and epigastrium. ^Female Sexual Organs. ■Prolapsus and hemorrhage; profuse, clotted blood, with heavy, oppressed breathing; constant flow of bright red blood, with cutting about umbilicus; constant nausea and vomiting; feels cold and is very pale; dizziness and headache; chili and coldness of body while internal heat rises up into head, W'ith a bearing down pressure to uterus and anus; fainting; blood spitting, hEematemesis; faintness with convulsions. ■ Great debility and leucorrhoea during intervals of menses. ■ Continual discharge of bright red blood. Profuse menstruation, with constant nausea, not a mo- ment's relief, not even after vomiting; nausea proceeds from stomach, and the discharge of bright red blood is increased with every effort to vomit, and flows with a 243 IPECACUANHA. gush; violent pressure over uterus and rectum, with shuddering and chilliness; heat about head and debility; gasping for breath, faintness; after childbirth, after re- moval of placenta or after miscarriage; < when getting out of bed. ^Uterine hemorrhage. I Menses appeared four times in seven weeks, and last time so seriously that blood passed in large clots, and such a quantity of black fluid that it brought on swooning, loss of consciousness ; vomiting of mucus, wdth cold skin look- ing like wax, blue lips, small, scarcely perceptible pulse. ^Congestive menorrhagia. ■Menses: too early and too profuse; blood bright red; menses return every two weeks ; great weakness after menses; peevish humor; aching in head; lancinating in forehead; pale face; blue rings around eyes; vomit- ing of ingesta; distress in umbilical region. ■ Profuse menstruation, with constant nausea; not a mo- ment's relief, not even after vomiting. I Discharge of blood before the proper period. I I Scanty or short menses. Dysmenorrhoea. ■Severe pain about umbilicus, extending towards uterus, most distress about navel, but it runs off into uterus ■ With every movement a cutting pain, almost constantly running from left to right. ■ Uterine pains running down. ■ Pain extending towards and passing off into uterus. ^* Pregnancy. Parturition. Lactation. ■■Vomiting of pregnancy; in some cases more nausea than vomiting. I I Vertigo in pregnancy, with pale, bluish, puffed face, blue lips and nails; undulation of jugular veins. ■ Threatened abortion, often with a sharp or pinching pain around umbilicus, which runs downward to uterus, with constant nausea and discharge of bright red blood ; con- vulsions. ■ In sixth week of pregnancy seized suddenly with abdomi- nal pains, heat in epigastrium and vertigo; flooding soon followed by shooting in kidneys, weakness and heavi- ness of thighs and general debility; flooding increased hourly, soon passing through mattrass, and flowing in abundance under bed; colic increased, face pale and eyes encircled with blue; miscarriage followed, accom- panied by acute pain; hemorrhage became more serious; pains in heart followed by dryness of mouth and great thirst; great exhaustion, could hardly speak. ■ After abortion occasional slight loss of blood, for four months, when an alarming hemorrhage took place with the usual symptoms, besides vomiting after least drink. IPECACUANHA. 244 llncessant flooding; complete prostration; breathing heavy; oppression; colorless face and lips; ringing in ears; faint on raising head from pillow; flow bright red ; much persistent nausea; pain in umbilical region, run- ning down to uterus. I During labor pains great hemorrhage, apparently from placenta. ■ Labor pains spasmodic; cutting across from 1. to r. ; nausea; clutching about navel. I I Uterine pains accompanied by severe cutting pains in umbilical region, interfering with true pains; faintness and nausea. ■ Uterine pains running downward. ■ ■Stitches darting off from umbilicus towards uterus. ■After removal of placenta, sudden and alarming disten- sion of abdomen in region of atonic uterus; face and tongue pale; sighing respiration; faintness, nausea, retching; cutting pains about umbilicus. ^Post-partum hemorrhage. ■ Arterial bleeding from partial separation of placenta. ■ Post-partum hemorrhage ; placenta attached ; hemorrhage frightful, very fluid and gushing. ■ Metrorrhagia, often after confinement, heralded by slow pulse, nausea, etc. ; steady flow of bright, red blood. ■ Nausea and vomiting in nursing women. ^^ Voice and Larynx. Trachea and Bronchia. ■Voice hollow. ■ Spasm of cords; constant, alternate contraction and re- laxation of cords, following each other in rapid succes- sion. ■ Contraction accompanied by a sensation of tickling at entrance of trachea. ■Spasm of glottis; blueness of face and coldness of extrem- ities. ■ Inflammation of fossa; very little oedema. ^Laryngitis. ■ ■Rattling in bronchi, when drawing a long breath; large accumulation of mucus in bronchi, difficult to raise. ■ I Rattling noises in air passages during respiration. ■ Suffocative attacks from foreign substances in windpipe. ■ Bronchitis, with loud mucous rales; difficult expectora- tion; cough with nausea, even vomiting, or oppression, > by abundant expectoration. '^^ Respiration. 'Oppression of chest in forenoon, with short- ness of breath, as from inhaling dust. ■ Breathing: anxious and hurried; short and hurried; short and panting; heavy. ■Rattling noise in bronchi when drawing breath. ■Breath fetid, with vomiting and sweat. 245 IPECACUANHA. 1 1 Difficulty of breathing from least exercise. I I Pain in diaphragm takes away breath. I I Violent degree of dyspnoea, with wheezing, and great weight and anxiety about prsecordia. M Attacks of suffocation; > in open air; < from least motion ; constriction in throat and chest. ■ Threatened suffocation from accumulation of mucus. ■ Cough impedes respiration, even to suffocation. ■ Loses breath with the cough, turns pale in face and stiffens. ^Whooping cough. ■ Suffocative cough with dyspnoea, nausea vomituritio, at end of attack. ^Whooping cough. ■ Urgent dyspnoea, with sense of constriction across chest, accompanied by violent and convulsive cough. ■Dry, spasmodic, shattering cough; during attack arrest of breathing, patient falling senseless to floor; each at- tack threatens to end fatally, and can only be overcome by use of cold water. ■ Difficult expiration. ■Severe and convulsive paroxysm of asthma. ■ Violent constriction of throat and chest, peculiar, panting sound; gasps for air at open window; face pale; scarcely perceptible pulse; < from least motion; threatened suf- focation. ^Asthma. ■Spasmodic asthma: with great constriction in throat and chest; with peculiar wheezing noise; with danger of suffocation; with bronchial catarrh; of adults; in hys- terical subjects ; after suppressed miliary eruptions. ■Asthma, cyanosis supervening during fit, with frequent dry cough, cold sweat on face and extremities, constitu- tional vomiturition, nausea or even vomiting after cough. ■ Nightly suffocative fits. ^Asthma. ■ Asthma Millari, with tickling in larynx, retching and vomiting. ■Asthma of emphysematous subjects, when auscultation detects considerable quantity of mucus accumulated in bronchi, which patient cannot by any effort throw up in sufficient quantity; coughing brings on nausea. ^ Cough. 'Dry cough, caused by tickling in upper part of larynx. ■ Cough caused by a constrictive tickling from upper por- tion of larynx to lowest extremity of bronchi. •■Cough dry, spasmodic, capricious, provoked by tickling and irritation of larynx, after coryza, at first dry, then fluent. ■ Spasmodic or catarrhal titillating cough, or suffocating cough with dyspnoea, nausea, vomiturition, especially at end of paroxysm, or with expectoration of scanty, IPECACUANHA. 246 albuminous, nauseous mucus; mucous rales and vom- iting of food. ■Violent spasmodic cough, cannot cough soon enough at first; covers mouth with hand, in order not to inhale too much air. ■ Frequent attacks of spasmodic cough, shaking, racking, hollow; quicklj' following coughs from tickling in. up- per part of larynx, as from vapor of sulphur; expecto- ration of blood and mucus in morning. ■Spasmodic cough with tendency to vomit, or with vomit- ing of whitish mucus; mucosity is easily produced in chest, and cough produces sonorous and bubbling rales. ■ Dry, spasmodic cough without vascular excitement. ■ Dry, spasmodic cough of old persons, coming on in fits, particularly at night after going to bed, or after dinner; tends to emphysema. ■ Cough with pain in abdomen, especially about navel, or pressure on bladder, hindering passage of urine; beat- ing in head, or in pit of stomach ; sense of excoriation in chest; after paroxysm of coughing respiration continues short, and forehead streams with perspiration; < in open air. ■Cough coming on after a meal, especially p.m.; cough ex- cited by each inspiration; tickling and constriction of upper part of trachea, coming on in open air; sudden precipitate fit of coughing; failure of breath; danger of asphyxia from mucus; anguish from choking; eyes starting out of head; face bluish red; buccal and nasal hemorrhage; eflbrts at vomiting; fit ending with vom- iting of food ; swooning during fit. ^Influenza. ""■Suffocative, racking, very exhausting cough, lasting an hour, towards evening. ■ ■Suffocating cough, whereby child becomes quite stiff' and blue in face. ■ ■Loses breath with cough, turns pale in face, and stiffens. ■Suffocative evening cough; continuous cough, with sweat on forehead, shocks in head, retching and vomiting. ■Strangling with cough till blue in face. ^Pertussis. ■ Incessant and most violent cough with every breath. ■ ■Cough causing inclination to vomit without nausea. ■ Cough, with retching, much mucous expectoration and considerable dyspnoea. ■ Cough causes gagging, vomiting is followed by relief. ■ Cough with expectoration of blood. ■ Convulsive evening cough, expectoration having a repul- sive metallic taste. ■ Cough especially at night, with loathing and vomiting. ■ Croupy coughs occurring at night. 247 IPECACUANHA. I Cough: nervous, spasmodic; rough, shakmg; dry, from titillation in upper part of larynx ; with every breath ; returning after exertion ; < from cool air; with inclina- tion to vomit; with spitting of blood from least effort; constant, no phlegm yields, though chest seems full; strangling, so much mucus seems accumulated in bron- chia; croupy, at night; fat children; in hysterical women; in teething children. During cough: headache; sore pain in chest; paroxysms of suffocation, with rigidity of body ; painful concussions (shocks) in stomach and head; pains in epigastrium and umbilical region; bleeding from mouth and nose; nau- sea, retching, vomiting ; perspiration of forehead ; blue- nessof face; jarring of body; loss of consciousness and falling down. iSpasm of glottis before paroxysm; bleeding from nose and mouth during coughing fits; vomiting of mucus or food; convulsions and stiffening of body backwards; vomiting of food without coughing; rattling of mucus in bronchial tubes; rash, eruption. ^Whooping cough. ■ Convulsion of glottis continuing so long that child re- mains for a time without respiring; cough dry, vomit- ing after the fit without expelling much mucus ; dysp- noea; fine rales in back at lower part of thorax. ^Whooping cough. ■ Violent, shattering, hollow coughs, following each other in quick succession, and do not admit recovery of breath; expectorates mornings some light red blood, mixed with mucus, of a putrid, sweetish taste. ^Tussis convulsiva. I I Whooping cough : with nosebleed ; bleeding from mouth ; vomiting; loses breath, turns pale or blue, and becomes rigid. ■ Febrile cough (principally after Pulsat. and Nux vom.), in women and children ; irregular periods of heat, during which the dry cough gets worse. ■ Tussis abdominalis, with vomiting which relieves. ■ I Phlegm rattling on chest, sometimes vomited, with young children. Expectoration of mucus with metallic taste. I I Sputa scanty, albuminous. ■ Expectoration: mornings, of a light red blood, mixed with mucus, or of ropy mucus, often vomited; of blood from least effort. ^^ Inner Chest and Lungs. ^Spasmodic tightness of chest, with contraction of throat and panting breathing. ■ Great oppression of chest, can hardly breathe. ^Inter- mittent fever. IPECACUANHA. 248 ■ Acute catarrh of children ; suffocating cough, with con- gested and bluish face, and loss of breath, or when cough . . is accompanied by nausea and vomiting, or provoked by a tickling in larynx, with throbbing of head and heart and longing to pass water. ■Rattling of large bubbles; fever, but face rather pale; cough and gagging. ■ Collection of mucus which is difficult to expectorate; expectoration gives but temporary relief. I I Strangling as if from mucus in chest. EBronchitis: of children; with accumulation of phlegm, which threatens to suffocate; spasmodic cough ; rash on