1 . Scrofulous, plethoric persons with very red lips ; subject to skin eruptions especially acne ; hasty in temper and motion ; often untidy and dirty - "ragged philosopher" - spare, stoop-shouldered, slack, shiftless, sensitive, sedentary. Emaciated children with big bellies, intolerant of bathing and covering ; often dirty habits. 2 . Mental and physical inertia ; selfish, self-important, obstinate ; chronic grumbler ; melancholy yet often full of daydreams (even illusions) producing a foolish kind of happiness ; lack of concentration ; weak memory especially for names and recent events ; over sensitiveness to bad odours. 3 . Burnings everywhere , especially vertex, palms and soles at night ; puts feet out of bed ; > cold. 4 . All discharges burning, excoriating and generally offensive. 5 . Local congestions especially at climaxis ; flashes of heat, faintness followed by sweating ( Sepia, Lachesis ) ; often assoc. with sinking, all-gone sensation in the forenoon ( Phosphorus, Sepia ). 6 . Gastro-intestinal disorders ; marked hunger and thirst yet stays thin ; or drinks much, eats little ; much flatulence with borborygmus and emissions of gas ; < milk ; liking for sweet things ; usually constipation with piles ; stools large and painful (makes child afraid to go to stool) ; acute attacks of diarrhoea especially in the morning ; urgent , driving out of bed ( Aloe ). 7 . Skin dirty, diseased ; every injury suppurates ; eruptions of every kind especially pustular ; < warmth, especially of bed at night, washing ; must scratch but leaves burning ; boils in crops ; chronic ailments with history of suppressed eruptions. 8 . Catnap sleep ; slightest noise awakens then difficulty in getting to sleep again ; sleepy yet always wakes up unrefreshed. 9 . Complaints constantly relapsing ; also arouses defective reaction especially in acute diseases ; facilitates absorption of serous and inflammatory exudations ; when paucity of symptoms often serves to bring out the true drug picture. 10 . Modalities ; < heat (except headache) must have air yet may be sensitive to cold ; < warmth of bed ; slightest change of temperature especially skin symptoms ; midday and midnight ; standing still ; bathing. Notes : Chronic of Aconite . Most used remedy in dark-skinned races. Prescribe with caution in phthisical patients. Sulphur and Lycopodium do not follow one another well ; remember Sulphur, Calcarea carbonica, Lycopodium order. Syphilinum (Luesinum) 1 . Subjects with specific history whose chancres-have been treated by local means resulting in many years of suffering, especially with skin and throat troubles ; also congenital syphilis. 2 . Weakness or loss of memory, especially for names ; feels as if going insane ; terrible dread of the night season owing to aggravation of all symptoms then ; despairs of recovery. 3 . In syphilitic affections when best selected remedy fails to relieve or permanently improve. 4 . Great falling of the hair . 5 . Pains increase and decrease gradually ; shift locality < night . 6 . Craving for alcohol in any form ; hereditary tendency to alcoholism ; constipation the rule. 7 . Eruptions of the skin ; dull red, copper-coloured spots becoming blue when patient is cold. 8 . Leucorrhoea ; profuse, soaks through napkin and runs down to the heels ( Alumina ). 9 . Rheumatic complaints especially of shoulder or at insertion of deltoid, < raising arm laterally. 10 . Modality : always < twilight to daylight (rev, Medorrhinum ).
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