Phytolacca Decandra
Phytolacca · Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 32,654 χαρακτήρες · πηγή ↗
General EN
Phytolacca.
Phytolacca decandra. Virginian Poke. Poke-root. Red Ink Plant. Garget Weed. N. O. Phytolaccaceae. Tincture of fresh root dug in winter. Tincture of the ripe berries. Tincture of fresh leaves. Solution of the resinous extract, Phytolaccin.
Clinical EN
Abortion, threatened. Albuminuria. Angina pectoris, Anus, fissure of. Asthma.
Barber's itch. Boils. Bone, diseases of; tumours of. Breasts, affections of.
Cancer. Cholera. Cicatrix. Ciliary neuralgia.
Constipation. Corpulence. Cough. Dentition, difficult.
Diarrhoea. Diphtheria. Diplopia. Dysentery.
Dysmenia. Ears, affections of. Erythema nodosum. Eustachian tubes, affections of.
Glands, enlarged. Gleet. Glossitis. Gonorrhoea.
Gout. Granular conjunctivitis. Haemorrhoids. Headache.
Hearing, altered. Heart, affections of; hypertrophy of; fatty. Impotence. Influenza.
Intestinal catarrh. Itch. Lactation, abnormal. Laryngismus.
Leucorrhoea. Lichen. Liver, affections of. Lumbago.
Lupus, Mercury, effects of. Mouth, ulcerated. Mumps. Neuralgia.
Nipples, sore; painful. Nursing, painful. Orchitis. Ozaena.
Panophthalmitis. Paralysis, diphtheritic. Parotitis. Prostate, affections of.
Rectum, cancer of. Respiration, abnormal. Rheumatism; syphilitic; gonorrhoeal. Ringworm.
Rodent ulcer. Salivation. Sciatica. Sewer-gas poisoning.
Spinal irritation. Spleen, pain in. Stiff-neck. Syphilis.
Syphilitic eruptions. Tetanus. Throat, sore; diphtheritic; herpetic; granular. Toothache.
Tumours. Ulcers. Uterus, affections of. Warts.
Wens.
Characteristics EN
Phyt. dec. is a branching herbaceous plant, with a thick perennial root, sometimes larger than a man's leg in diameter. The young shoots, though extremely acrid, are rendered harmless by boiling, and are eaten like asparagus in the United States. The berries have a popular repute as a remedy for cancer and rheumatism. The berries of P. octandra are used in Mexico and the West Indies as a soap.
According to Raffinesque, quoted by Hale (who introduced the remedy into homoeopathy), the ash of the plant (which has been used as an escharotic in cancers, ulcers, &c.) contains 45 per cent. of caustic potash; and the plant contains besides an acid, Phytolaccic acid, which is closely allied to Malic acid. The plant is common throughout North America, the Azores, North Africa, and China. It grows in damp places. Some rather severe cases of poisoning have been reported.
Vomiting, diarrhoea, frontal headache, sore throat, are the most common symptoms observed. One boy who drank two or three drachms of a tincture of the root had none of these symptoms, but developed complete tetanus: Extremities stiff; hands firmly shut; feet extended; toes flexed; lower lids drawn down; teeth clenched; lips everted and firm, general opisthotonos. Respiration difficult, râles heard all over the room. For an hour muscular rigidity increased generally, with convulsive action of muscles of face and neck; chin drawn close on sternum.
This condition would last five or ten minutes, to be succeeded by perfect relaxation, and return in twenty minutes more with the same violence. After cold-water affusion, cupping, and sinapisms, the boy slept about twenty-five minutes. On awaking some twitchings, especially of lower limbs; pain in back of head and stomach. Next day he was quite recovered.
A boy, 8, who ate a quantity of berries, was found in great agony, complaining that his stomach was "pinched together." He had nausea, violent vomiting; throat sore and dry; fauces dark red, tonsils swollen. After vomiting ceased, purging set in; stools dark brown and thin; severe pain in stomach on pressure, extorting cries. Later he had burning griping in umbilical region; dim vision; tongue coated white; spasmodic jerkings in arms and legs. In a woman, 45, who took Phyt. as a "blood purifier," a general rash, in appearance not unlike the rash of secondary syphilis, was set up.
In a family of four poisoned by eating the root in mistake with their food, these symptoms were observed: Dread of movement; seems stupid; falls asleep after a paroxysm of cramping pain has ceased; pain in forehead < after eating; vomiting of clotted blood and slime; copious discharge of blood and mucus which looked like scrapings of intestines; involuntary stools from straining, which occurred even in sleep. In the mother of the family, seven months pregnant, it very nearly produced miscarriage; the uterus could be felt contracting under the hand; involuntary straining and haemorrhage from the vagina; intense griping pain in small of back and cramps in legs coming and going suddenly, coldness and withered appearance of extremities, whole body cold.
In all the above cases the spasmodic action of the drug is evident in some form. From inhaling the dust of the powdered dried root, or the odour given off on slicing the fresh root, intense irritation of eyes, nose, and throat, and severe headache and diarrhoea have occurred. Given to animals, Phyt. has caused convulsive symptoms, vomiting, and vomiting of worms. Wild pigeons and other birds which eat the berries acquire a highly red colour and lose their fat.
This last observation has led to the use of a tincture of Phyt. berries as an anti-fat, and many successful results have been reported. This observation may be taken as the key to one of the great spheres of the action of this remedy—the absorption of tissues, especially new growths. There are few remedies which have a wider range in the cure of tumours and indurations, particularly of the female breast. Hale tells us that among dairymen in America the root is used to regulate any abnormality in the milk of cows—scanty; thick; watery; curdy; containing blood or pus.
But its chief repute is in caked udders. In breast induration and abscesses of nursing women, and even in cancers (internally and sometimes externally as well), its action has been well confirmed. But it must not be supposed that this action is purely physiological, as is the absorption of fat in birds. A patient of mine, about forty-five, took Phyt. 30 for sore throat.
After a few-doses she was compelled to desist because of its effects on her breasts; both became full and uncomfortable, and in the left one appeared a large lump in its upper segment, which lasted five days, and was only got rid of by dint of vigorous rubbing with camphorated oil. A case of cancer of the rectum has been cured with Phytolaccin 3x. In the uterus and the prostate gland (the male uterus) specific symptoms were evoked in the poisonings and provings. Muscles, joints, bones, brain, and spinal cord, as well as the special senses, were all more or less disordered.
The intense action of the drug on the throat has led to its being used as a routine remedy in diphtheria. It is not a specific; but it has some very characteristic symptoms which will indicate it when present. Among these are: Great pain at root of tongue when swallowing; pains shooting from throat into ears on swallowing; hot feeling as if a red-hot ball in throat; burning < by hot drinks; dark redness of fauces. Eclectics (H.
R., xi. 429) give the expressed juice of the berries in "spasmodic or membranous croup, or diphtheria." There is one form of sore throat in which I have found it of the greatest service-the so-called "diphtheritic sore throat." Dark red, swollen mucous membrane and tonsils, pain on swallowing, eruption of herpetic, whitish, or grey spots on fauces, swelling and tenderness of the glands externally at the angle of the jaw. With these symptoms there are generally headache, backache, wandering rheumatic pains and fever.
I have cleared up numberless cases of this kind with Phyt. 30. Not infrequently epidemic influenza has taken this form, and then Phyt. has been my most successful remedy. (Nash has relieved chronic follicular pharyngitis in public speakers when there has been much burning, as if a hot substance in throat.) One of the provers had "swollen and tender gland right side of neck"; and swollen and tender glands in many other localities have been remedied with Phyt. The headaches of Phyt. are chiefly frontal, pressive, involving eyes, < right side.
One headache is peculiar, being associated with increased sense of hearing. The irritation of the mucous membrane of the throat extends to nose, ears, and eyes, producing characteristic symptoms in each. The discharges are tough, stringy, difficult to detach, and may take the form of clinkers. Offensiveness and acridity are also common features.
The nervous irritability of Phyt. has led to its successful use in disorders of dentition, a keynote symptom being: Irresistible inclination to bite the teeth or gums together. The pains of Phyt. come and go suddenly; move about, radiate from a centre, or change place. Pain in sore nipples of nursing women radiate all over the body when the child is put to the breast. When pain in intestines disappears pain in extremities comes on.
Pain leaves heart and appears in right arm (this association is unusual, and therefore important). Pains in head and chest go from before backward. Pains run down spine from nape; from sacrum down outer aspect of thighs to toes. The outer aspects of the limbs are chiefly affected.
The shreddy discharge of Phyt. mark it as a remedy in certain forms of intestinal catarrh and dysmenorrhoea. It is haemorrhagic and haemorrhoidal, acting strongly on rectum and anus, curing tenesmus, bloody discharges and heat. One characteristic pain (noted in a case of constipation) is: Shooting pain from anus to lower part of rectum, along perinaeum to middle of penis. "Gurgling in the prostate gland, repeatedly in the afternoon," was noted by one prover, and pains in spermatic cords.
Entire suspension of sexual appetite with relaxation of the genitals was caused. Stiffness is a characteristic effect of Phyt., noted in the tetanus case, and in others in less degree. Stiff neck, especially right side. The prostration is so rapid and profound that it has led to the successful use of Phyt. in diphtheritic paralysis.
Faint and dizzy when standing. Soreness of all the muscles. Restlessness, but he fears to move because motion < the pains. The rheumatic swellings are hard, tender, and intensely hot.
Phyt. is suited to rheumatic or syphilitic subjects who are sensitive to damp weather. Peculiar sensations are: Brain as if bruised. Right side of head as if pressed firmly. As if sand in eyes.
As if eyes too large. As if lids granulated. As if tarsal edges raw. As if lids on fire.
Nostril as if tickled with a stiff feather. Nose and eyes as if a cold would come on. Tongue as if scalded. As if a ball of red-hot iron in throat.
As if lump in throat. As if apple core in throat. Throat so full it felt choked. Pharynx feels like a cavern; chest as if it were a big empty cask.
Body as if bruised; pounded all over. As if joint were being chopped with an axe. The right side is most affected, and many symptoms were experienced in the liver; there were also some severe ones in the spleen. The liver-pains were < lying on right (painful) side.
The spleen pain was > lying on left (painful) side. Nash has removed many breast tumours by giving a single dose of Phyt. cm during the wane of the moon. The symptoms are < by touch (liver, &c). There is great general sensitiveness.
Pressure < pain in joints and ulcers. Pressure with hand > pain in breasts. Pressure on trachea facilitates expectoration. Rubbing > pain in hip.
Riding < nose and breathing. < Stepping down high step. Rising from bed = faint feeling. Sitting up = sick and giddy.
Standing = faint and dizzy. Gaslight < eyes. Swallowing <. After breakfast head and throat >, gastric symptoms <.
Vomiting < headache, > nausea. Hunger soon after eating. (This is like the deadly sinking so often met with in the cancerous diathesis.) < At menstrual periods. Must lie down.
< Lying right side. > Lying left side. > Lying on stomach. < Standing and < motion.
< Walking. < Raising arm. < Night. < Morning; 3, 4, or 5 a.m.; on waking.
< Damp weather; washing; hot drinks. < Exposure to air; open air (but it > eyes). The external use of Phyt. has been attended with good results in cases of ulceration, and I have found a gargle of a few drops of the Ø to a tumbler of water useful in many throat cases. A preparation of the leaves has been used successfully by Hurndall (H.
W., xxxi. 217) as an external application for carcinomatous growths in dogs; and an ointment prepared with a strong tincture of the leaves as well as the juice of the leaves have been used for malignant ulcers in human beings.
Relations EN
Antidoted by: Milk, Salt, Coffee (vomiting), Nit. sp. dulc., Bell., Ign., Merc., Mez., Sul. (eyes), Op. (large doses). Compare: Botan., Petiver.
Diphtheria, Ar. t., Lach. [Lach. has not the great pain at root of tongue when swallowing of Phyt. S. M. Pease (Med.
Adv., xxv. 27) found bleeding from the buccal cavity a keynote symptom of Phyt. in one epidemic.] Hypertrophy of heart, Rhus (Phyt. has right arm numb; Rhus has left arm numb, also Aco., Act. r., Puls.). Breast abscess, Bry. (Phyt. follows Bry. when suppuration seems inevitable; pain goes from nipples all over body).
< Motion, Bry. Tetanic spasms, Nux (Phyt. is slower than Nux, has everted lips, alternate relaxation and spasm). Pain in breasts when suckling, Crot. t., Phell., Lac c., Borax (Borax, like Phyt., has > from pressure; Borax alone has empty, sucked-out feeling).
Sensation of apple core in throat, Hep., Nit. ac. Stringy discharges and clinkers, electric shocks, flying pains, K. bi. Desires cold water (Physt. opp.). Symptoms fly from centre outward (Abrot. opp.) Pains in breast at menstrual period, Calc., Con.
Diarrhoea with shreddy membranes, Caust., Ars. < In damp weather, Rhus, Dulc. Pains in tibia, Carb. v., Lach. < After sleep, Lach.
Loss of fat (Sabal ser. opp.). Loss of sense of delicacy, Hyo. Bruised, sore feeling, Arn. Hale says K. iod. is the nearest analogue (rheumatism, syphilis, wasting);
Merc. and its antidotes are also closely related.
Causation EN
Exposure to cold and damp.
Mind EN
Delirium
Indisposition to mental exertion; disgust for business on waking early in morning
Melancholy, gloom
Indifference to life
Great fear; is sure she will die
Loss of personal delicacy, complete shamelessness and indifference to exposure of her person
Irritability; restlessness
Irresistible desire to bite teeth together
Cannot be persuaded to take nourishment
Over-sensitive; pain intolerable.
Head EN
Vertigo: staggering with danger of falling; with dim vision; when rising from bed feels faint
Headache: with nausea; dull; heavy; neuralgic; rheumatic; syphilitic; with backache and bearing down; weekly;
< from wet weather
Sore pain over head, < on r. side
Pain in vertex; and sensation of soreness deep in brain as if bruised; when slipping from a high step to ground
One-sided pain, just above eyebrows, with sick stomach;
< in forehead, or above eyebrows (glabella most affected); comes every week
Dull, pressive pain in forehead, with slight nausea, cold sweat on forehead and feeling of weakness
Shooting pain from l. eye to vertex
Violent pain at back of l. eye and over eyebrow extending down side of head
Heavy aching in forehead after dinner
Slight pain in forepart of head with increase of hearing
Heaviness of head, with feeling in back part of tongue as if burnt
Headache commencing in frontal region and extending backward
Nausea and headache > by eating, but returning soon with vomiting which < headache and > the nausea
Pressive pain on forehead and upper part of both eyes; on vertex with dryness
Pain in back of head and neck
Head thrown backward
Pain in occiput; and stomach
Rheumatism of r. frontal region with nausea, < morning; of scalp when it rains, with depression
Syphilitic nodes on skull
Tinea capitis
Crusta lactea, moist, fearful itching, with little raw tubercles on scalp, face, and arms.
Eyes EN
Eyes staring
Blue round eyes
Eyes sunk deep in sockets with livid circles
Sclerotica dark yellow
Sharp pain through ball of eye on reading or writing
Dull aching in eyes, < from motion, light, or exercise
Pressure around eyes in afternoon as if eyes too large
Circum-orbital pains in syphilitic ophthalmia
Panophthalmitis
Aching along lower half r. orbit
Orbital cellulitis
Lids feel granulated; tarsal edges feel scalded, hot, raw
Burning and smarting sensation (feeling of sand) in eyes and lids, with profuse lachrymation and coryza, which is > in the open air
Smarting in inner canthi (< l.), < by gaslight in evening
Lids agglutinated and swollen, as if poisoned
Reddish-blue swelling of lids (< l.), < morning; cannot close eyes without pain all forenoon, > afternoon
Fistula lachrymalis
Lids feel on fire
Lupus, epithelioma, &c., of lids
Pupils: contracted (tetanus); much dilated
Photophobia
Motion of one eye independent of that of the other
Double vision; with giddiness and headache
Objects quintupled
Far-sighted.
Ears EN
Shooting in r. ear
Pains in both ears, < r.;
< swallowing
Obstruction in l.
Eustachian tube, rushing in l. ear, a feeling as if hearing were dull, while at same time sensitive to minutest sounds
Irritation in one Eustachian tube
Increased sense of hearing (most r.); with pain in forehead
Very peculiar pressure and tension in parotids.
Nose EN
Flow of mucus from one nostril while the other is stopped
Drawing sensation at root of nose
Feeling in nose and eyes as if a cold would come on
Acrid, excoriating discharge
Wakes 3 a.m. with nose stopped up, discharges clinkers from both nostrils in morning
Sensation in nostrils as if tickled with a stiff feather
Total obstruction of nose, when riding must breathe through mouth; not > by blowing nose; mucus discharged with difficulty
Syphilitic ozaena with bloody sanious discharge and disease of bones
Rodent ulcer.
Face EN
Face: pale; sunken, blue, suffering; hippocratic distorted
Stupid
Cool sweat on forehead
Heat in face (l.) after dinner with redness of face, coldness of feet, eruption in upper lip (l.)
Face very red, almost purple; alternately very pale
Pains in bones of face and head at night, keeping her awake many nights; proceeding esp. from "nodes" on frontal bone, very much like pains of periostitis
Pains in upper jaws
Jaws ached awfully the whole time, it seemed he could not open or shut them
Blotches in face, < afternoon, after washing and eating
Swelling round l. ear and side of face, like erysipelas; thence over scalp; very painful
Ulcers and scaly eruption on face
Chin drawn closely to sternum by convulsive action of muscles of face and neck; lips everted and firm (tetanus)
Eruption on upper lip
Ulcers (cancerous) on lips.
Teeth EN
Teeth all ache; feel elongated and are very sore
Shooting pains in r. upper and lower molars
Irresistible inclination to bite teeth together
Difficult dentition; crying, moaning, restless at night; diarrhoea in hot weather;
> biting something hard.
Mouth EN
The mouth fills with saliva; tenacious, yellowish, ropy, with metallic taste
Cold, sticky, stringy saliva
No saliva
Taste: disagreeable; metallic; burnt; nutty; bitter at first; leaving smarting and coldness towards tip of tongue
Burnt feeling on back of tongue (with heavy head)
Tongue: coated white; furred; thick at back; dry, and lips; feels scalded; thick; protruding
Tongue feels rough, with blisters on both sides, and very red tip; great pain in root of tongue when swallowing
Roof of mouth sore
Mouth dry
Submaxillary glands swollen.
Throat EN
Sensation of dryness in throat and the posterior fauces (provoking cough, with disposition to hawk and clear the throat); tonsils swollen
Uvula large, almost translucent
Fauces congested and of a dark red colour
Sore throat (roughness and rawness), swelling of soft palate in morning, with a thick, white, and yellow mucus about the fauces
Sensation of a lump in throat (when swallowing), causing a continuous desire to swallow; also when turning head to l
Could not swallow, throat so dry and rough
Throat feels like a cavern.—< From hot drinks
Difficult swallowing; with every attempt excruciating shooting pains through both ears
Sensation of apple-core in throat
While riding in forenoon sensation of plug in throat, not > by hawking; this sensation was replaced by increased discharge of mucus from posterior nares, discharged with difficulty, constantly exciting attempts to expel it
Sensation of rawness and scraping in throat and tonsils
Burning heat in throat as from coal of fire, as if red-hot iron ball lodged in fauces and whole length of oesophagus; catarrh in throat; diphtheria
Eruption on fauces and oesophagus
Herpes pharyngalis
Soreness of posterior fauces extending into Eustachian tube
Fulness in throat.
Stomach EN
Intense thirst
Canine hunger; soon after eating
Loss of appetite
Eructations: of air; sour fluid; food in evening
Hiccough, with great inclination to vomit but no nausea
Nausea followed by violent vomiting of mucus, bile, ingesta, worms; of clotted blood and slime, with retching, intense pain, and desire for death to relieve
Vomits undigested food
Frequent vomiting; prostration, fainting, even convulsions, followed by gripes, cramps, vomiting of dark bilious substance
In great agony; said his stomach was pinched together
Bruised and sore feeling at pit of stomach
Heat in stomach
Cutting in pit of stomach, tender to touch
Pains in cardiac portion of stomach, < full respiration and by walking
Pain in region of pylorus.
Abdomen EN
Intense vomiting and purging, with griping pains and cramps in abdomen
Soreness and pain in r. hypochondrium (during pregnancy)
Sore spot, r. hypochondrium, size of dollar, extremely sensitive to touch
Digging in upper and lower portions of liver
Lying on r. side = penetrating pain in r. hypochondrium
Violent dull pressing pain l. hypochondrium, cannot remain in sitting posture, lies on painful side all night and pain is gone in morning
Heavy aching pain in hypochondrium which left as soon as leucorrhoea commenced
Chronic hepatitis, with enlargement and induration
Burning, griping pain in umbilical region
Much rumbling, pain in umbilicus, stools of blood and mucus; gastro-enteritis
Bearing-down pains
Violent pains in abdomen during menstruation in a barren female
Rheumatism extending to abdominal muscles.
Stool And Anus EN
Constipation, hard stools
Stool with mucus and straining
Constipation habitual; patient says the bowels will not move without the aid of purgatives; feeling of fulness in abdomen before stool, which remains after stool, as if all had not passed
Constipation from torpor of the rectum
Constipation: of the aged; of persons with weak heart
Diarrhoea with sickly feeling in bowels; passage only of mucus and blood, or like scrapings from intestines
Tenesmus
Continual inclination to stool but passes constantly fetid flatus
Diarrhoea early in morning after lemonade
Dysentery
Intense vomiting or purging, with prostration and cramps, as in cholera
Stools: thin, dark brown; of mucus and blood; of bile; from 1 or 2 a.m. till after breakfast; mushy; yellow, then greenish, then dark, bloody; dark, lumpy
Haemorrhoids permanent and obstinate; bleeding and mucus
Neuralgic pains in anus and lower part of rectum, shooting along perinaeum to middle of penis; in middle of night (with constipation)
Bloody discharge with heat in rectum
Heat in rectum with burning in stomach
Ulceration; fissure.
Urinary Organs EN
Weakness, dull pain, and soreness in region of kidneys, < r., connected with heat; uneasiness down ureters; chalk-like sediment in urine
Albuminuria; after scarlatina or diphtheria; chills at night without special fever, accompanied by a form of insanity
Pain in bladder before and during urination
Slight suppression of urine, with pains in loins
Violent, painful urging to pass urine
Copious nocturnal urination
Thick, chalk-like sediment
The dark-red urine leaves a mahogany stain in the chamber
Urine: acid and albuminous; excessive or scanty; stains clothes yellow.
Male Sexual Organs EN
Sharp pains (and hard, grinding pain) running up each spermatic cord; later continued soreness in place of the pains
Gurgling sensation in prostate gland
Complete loss of desire, absence of erections and relaxation of parts during the proving
Impotence
Gonorrhoea; gleet; orchitis, with suppuration and fistulous ulcer
Syphilis: chancres; ulcerated throat; ulcers on genitals; bubo; rheumatism.
Female Sexual Organs EN
Menses: too frequent and copious; mammae painful; increase of tears, saliva, bile, urine; rheumatic subjects
Menses: amenorrhoea complicated with ovarian irritation or disease; very painful menstruation in apparently barren women when occurring in connection with rheumatism; shreds of membrane are passed with the menstrual flow
Leucorrhoea: uterine, thick, tenacious, irritating
Profuse, thick, tenacious, from swollen Nabothian glands
Threatened miscarriage; bearing-down pains; involuntary straining and haemorrhage per vaginum caused in woman seven months pregnant
Sensation as though menses would appear all the time
Dysmenorrhoea accompanying erosion or ulceration of the cervix; menses too often; too profuse, with corresponding increase of the tears, and other secretions
Metrorrhagia
Inflammation, swelling, and suppuration of the mammae
Neuralgia of breasts
Mastitis, where the hardness is very apparent from the first, with great burning; very sensitive nipples or breasts, which are more or less painful; even after suppuration these characteristics continue
Fulness of both breasts; lump in upper part of l
Abscesses;
Fistulae; tumours; cancer; hypertrophy
Irritable tumour; very sensitive and painful;
< at menstrual period
Nipples cracked and excoriated; intense suffering on putting child to breast; pains radiate from nipple all over body
Breasts hard as stones after confinement
Breasts full of hard, painful nodosities
Suppression of lochia
Pain in sacrum, down to knees and ankles, then up to sacrum, jerks here and there, after confinement.
Respiratory Organs EN
Hoarseness and aphonia
Tickling in l. side larynx with hacking cough, aching r. side of breast, great dryness of throat
Sensation of roughness in the bronchia
Laryngismus, thumbs and toes flexed; features distorted; eye muscles act independently
Respiration difficult and oppressed; loud mucous riles
Faint, with sighing, slow breathing
Panting
Cough: hacking, dry, hawking; from tickling in larynx or dryness in pharynx: < night, on lying down; dry, bronchial
Cough with: scraping and tickling in throat; burning pains in trachea and larynx, sensation of contraction of glottis, laboured breathing; sensation of ulcerated spot in trachea just above breast-bone, could only expectorate (pus) by pressing on this spot pains through mid-sternum
Hoarse, croupy, barking cough, < at night < out of doors
Expectoration: thick, tough; thick, starch-like mucus, profuse and exhausting with pharyngitis
Dryness of larynx and trachea, < evening.
Chest EN
Sharp pains through upper part of chest, preventing a long breath
Stitch from r. chest to back
Pain and suffocation in lungs, throat, and fauces
Pains in lungs, 7 a.m
Tenderness and lameness of muscles of chest, as if bruised.—(Chest feels as if it were a big empty cask.)
Rheumatism of lower intercostal muscles from exposure to cold and dampness
Spots size of lentil on chest
Hard, tender swelling midway between nipple and sternum, but nearer latter; restless nights;
(in baby a few months old).
Heart EN
In night awoke with lameness near cardiac region, with much nervous restlessness, < motion, esp.
< expiration; kept him awake long time
Constrictive feeling in praecordia with pressure in temples
Great pain in praecordia, much < walking
Occasional shocks of pain in heart region, as soon as this ceases similar pain appears in r. arm
Heart-beats distinctly felt
Fatty degeneration; lassitude and indisposition to move
Pulse: small, irregular, with great excitement in chest, esp. in cardiac region; full but soft; intermittent; weak.
Neck And Back EN
Hardness of gland in r. side of neck
Stiff neck, < on r. side; in bed; after midnight; on waking
Back very stiff every morning
Sensation as if cold iron were pressed on painful scapula
Both scapulae ache continually
Towards evening, while riding, laming pain began l. side back below scapula; 9.30 p.m. it had reached spine and was a pricking stitching
Severe pain behind scapulae when walking
Intense griping in small of back
Pain running down spine from nape
Pain in loins with suppression of urine
Constant, dull, heavy pain in lumbar and sacral regions
Pains shooting from sacrum down both hips to feet.
Limbs EN
Intense cramps, muscles gather in large knots, hard and ridged; come and go suddenly
Rheumatism of all joints 3 p.m
Sudden transference of internal pains to extremities
Pains in limbs always in outer aspects
Patient is subject to rheumatic pains on change of weather, esp. in hips and thighs; rheumatic muscular or chronic rheumatism
Rheumatic pains in arms and hands
Cold hands and feet.
Upper Limbs EN
Enlarged glands in axillae
Shooting in r. shoulder-joint with stiffness and paralysis
Rheumatism of (l.) shoulder (esp. in syphilitics); pains fly like electric shocks from one part to another;
< night and damp weather
Pains at attachment of deltoid
Weakness and aching in r. humerus, < motion and extension
Dull aching and excessive tenderness, as from a bruise, in outer muscle of r. arm
Hands tremble
Rheumatic pains in hands; sudden pricking
Painful, hard, shiny swelling of joints of all fingers
Bony growth in palmar aspect of one finger
Whitlow
Ends of fingers all throb and ache as if going to suppurate
Shooting like needles in finger-joints; in top of l. thumb.
Lower Limbs EN
Neuralgic pain in outer side of both thighs (shooting from sacrum); sciatica
Sharp, cutting pain in hip, drawing, cannot touch floor; pain runs down outside of thigh, < night, and esp.
< after sleep
Rheumatic pains in lower extremities, < damp weather
Sensation of shortening of tendons back of knee when walking
Leg drawn up
Legs tremble
Pain in dorsum of r. foot, 4 a.m
Syphilitic and mercurial rheumatism; nightly pains in periosteum of tibia, with nodes and irritable ulcers on lower leg
Stitches in various parts, always from without inward and near surface
Ankles swollen
Feet puffed, soles burn
Ulcers on inner sides of soles
Aching of heels, dull, wearing;
> raising feet above level of body
Pain in great toe waking him at night
Corn painful.
Generalities EN
Extremities stiff, hands clenched, feet extended, toes flexed, teeth clenched, lips everted, firm, chin drawn on sternum, opisthotonus.—Great desire for cold water, for bathing in it.—Pains are pressing, shooting, and sore.—Great exhaustion and prostration.—Sore and stiff.—Soreness from head to foot in all muscles.—Pains and numbness followed by itching and burning.—Pains came suddenly in full force and so continued till they ceased; followed by drowsiness, stupor, or sleep.—Bones and glands inflamed and swollen.
Skin EN
Skin cool, shrivelled, dry, lead-coloured
Syphilitic eruptions and ulcerations-secondary and tertiary
Squamous eruptions; tinea capitis; lupus
Shingles
Itch
Pityriasis
Psoriasis
Warts
Lipoma
Erythematous blotches, slightly raised, pinkish, slowly desquamating, ending in purple spot, as old ones died away others came
Suppuration of painless tumours
Drawing in cicatrices
Itching began on hands and feet and spread over whole body; rash followed four hours later; itching < by scratching;
< heat of bed
Itching and lichen-like eruption on l. leg, < fore part of night, preventing sleep till midnight
Boils; esp. near ulcers; on back; behind ears
Ulcers: punched-out looking; lardaceous base; pus watery, fetid, ichorous; shooting, lancinating, jerking pains; syphilitic; cancerous
Warts
Corns.
Sleep EN
Frequent yawning; drowsiness
Restlessness at night, pains drive him out of bed
On awaking feels wretched.
Fever EN
Great coldness, withered appearance of extremities
Coldness, faintness, dyspnoea; limbs cold, head and face hot
Internal shiverings during the pains
Chill: every morning; sudden, followed by fever after confinement; at night without special fever
Heat: with pain in joints; high fever; in face after dinner; with red face; on l. side of face
Sweat: cold on forehead; esp. under toes; night-sweat, acrid.