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Causticum

Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 29,416 chars · source ↗

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General

Causticum.

Tinctura acris sine Kali. Potassium Hydrate. Obtained by distilling a mixture of slaked lime and a solution of potassium sulphate. Tincture with spirit.

Clinical

Acne rosacea. Agalactia. Amaurosis. Apoplexy.

Arthritis deformans. Bladder, affections of. Bronchitis. Burns.

Cataract. Chorea. Coccygodynia. Constipation.

Convulsions. Cough. Deafness. Dentition.

Diphtheritic paralysis. Ears, otorrhoea. Emaciation. Enuresis.

Epilepsy. Eyes, affections of. Facial paralysis. Fistula.

Fistula dentalis. Goître. Haemorrhoids. Headache.

Heart affections. Heel, blistered. Herpes zoster. Hip disease.

Hydrogenoid constitution. Impotence. Influenza. Intermittent fever.

Intertrigo. Laryngitis. Lead poisoning. Leucorrhoea.

Locomotor ataxy. Menière's disease. Menstruation, disorders of. Myalgia.

Nails, crippled. Neuralgia. Nose, crusts in; acne on. Paralysis.

Pemphigus. Pregnancy. Prostatitis. Ptosis.

Rheumatism. Scabies. Scrofula. Skin, eruptions of.

Small-pox. Stammering. Syphilis. Tendons, contracted.

Throat, affections of. Tongue, affections of; paralysis of. Ulcers. Urethritis.

Urine, disordered. Varicose veins. Voice, lost. Warts.

Whooping-cough.

Characteristics

Causticum is one of the great polychrest medicines of the Chronic Diseases. It is both antipsoric and antisycotic and antisyphilitic. The leading feature of the Causticum effects is Paralysis, showing itself both in voluntary and involuntary muscles. The weakening effect of potassium in allopathic overdosing is well known, and is strongly brought out in the Causticum provings.

Paralytic weakness. Paralysis of single nerves or single parts. Ptosis; facial paralysis; paralysis of tongue; of extremities; of vocal cords; of bladder; of rectum; lead paralysis. Allied to paralysis are convulsions, chorea, cramps, starting, restlessness, twitching.

Contraction of flexor tendons. Trembling. Neuralgic and rheumatic affections; tearing, drawing pains. There is a headache which draws and tears through the body.

Glandular indurations are prominent. In children there are many symptoms of scrofula. There is a weakened and emaciated appearance, especially about the face, the abdomen being large. Skin dirty-white.

Scrofulous inflammations about eyes, ears, and scalp. The paralytic element comes out in slow learning to talk and walk, and stumbling on attempting to walk. In chorea the right side is more affected than left words seem to be jerked out. During the night the legs are constantly "on the go." This kind of restlessness is characteristic of Caus.

The mental state is timid, nervous, anxious. Apprehensive of impending misfortune. Conscience-stricken as if she had committed a crime. Full of fearful fancies, < at twilight.

Sees fearful images when closing eyes. Melancholy. Taciturn and distrustful; inclined to fits of anger with scolding. Memory fails (mental paralysis), any attempt at mental exertion = symptoms, such as stitches in temples, tension in head and scalp, especially forehead to temples.

There is a sensation as if there was an empty space between the bone of the skull and the brain, > by warmth. Headache; cannot keep upper eyelids up. Vertigo, excitement of brain and spine, incapable, tends to fall forward or sideways (locomotor ataxy); with anxiety, weakness in head, sight as if through a fog; skin dry and hot; constipation. Eruptions on scalp behind ears.

Sounds re-echo unpleasantly an ordinary voice sounds loud. Facial paralysis from cold draught neuralgia of right cheekbones to mastoid process < at night. Jaw joints affected with rheumatism. Sickly, sallow, low-spirited expression.

Nash cured an obstinate case of prosopalgia with Caust. The patient was emaciated and debilitated by long Suffering; pains came in paroxysms, and were of a drawing nature. She had suffered from eczema at times before the neuralgia appeared. Sulph. had been given in vain.

Caust. 200 rapidly cured. The Caust. weakness may result from grief of long standing or from disease. Accumulations of mucus in larynx and fauces; catarrh of throat and Eustachian tubes with tinnitus and reverberation. Difficult swallowing of liquids.

Constant sensation as if lime were burning in stomach; with water-brash. Pressure and fulness in abdomen as if it would burst, much < by food. Griping cutting > by bending double, < after least food or tightening clothes; menstrual colic (Caus. will cure after failure of Coloc.). Obstinate constipation (paralysis of rectum); stools covered with shiny coating of mucus; piles, unbearable by walking, by thinking of them, by touch.

No remedy has such well-marked aggravations of anal symptoms as Caus. A characteristic is "Passes stool best standing." Spasm of rectum prevents walking. Painful pustules near anus discharging pus, blood, serum. Itching at orifice of urethra.

Difficult, frequent micturition; with spasm of rectum. Paralysis of bladder is apparent. Enuresis, especially during first sleep; < winter, > in summer.

Tendency to escape during the day, from any extra exertion, laughing, walking. Epilepsy has been cured by Caust., when fit occurs in sleep and urine escapes. Coughing expels urine. (Kraft has cured cases of incontinence following over-distension of the bladder owing to want of opportunity to attend to the call to urinate at the time, such as occurs in shop-girls and school-girls, who cannot leave their tasks.) Prostatitis and urethritis.

Itching scrotum; cannot retain urine. Blood with semen. Sexual appetite in women is abolished. Constant indifference, the only time there is any inclination is after the period.

Sadness during period. Period too early, too abundant; after it, a little blood passes occasionally, smelling badly. Nursing women lose their milk after exertion or long sleep. Hoarseness (with dry cough and redness of fauces), the result of weather or catching cold, < in morning.

Aphonia: paralysis of vocal cords. Dry, hollow cough with mucus on chest; patient cannot expectorate, must swallow phlegm raised. A characteristic is: "Cannot cough deep enough for relief." Rawness and burning down throat and trachea. Rheumatism tends to stiffen joints and contract limbs.

Warts are a notable feature in Caust.—on hands, on face, and especially on margins of eyelids. When on hands they are usually found on finger-tips or close to nails. Nails are crippled. Old, large, inflamed and indurated warts.

Burning itching on face, discharging acrid fluid which forms crusts. Guernsey commends Caust. in the after-effects of burns and scalds. Patients say, "I have never been well since that burn." Its caustic properties may be its "signature" here. "Burning," indeed, is one of the notes of Caust.

Guernsey gives "sensation as if lime were being slaked in the stomach." "Soreness" or "rawness" are also very characteristic, appearing in piles and anal affections (< walking or sitting), in which Caust. is in the very first rank among remedies. Soreness and rawness accompany cough symptoms and urinary symptoms. Malcolm Macfarlan confirms the following symptoms: "Forearms in front very sore to touch and pressure; muscles of extremities sore generally." "Sudden severe pain commences in left hip-joint; lasts a short time; feels as if it had been injured; legs very sore, or rather the lower extremities ache and feel tired." Caust. is a remedy to be remembered in intermittent fevers.

One peculiar symptom is, "sweat coming after the chill without intervening heat." Teste places Caust. at the head of a group (including Coccul., Coff. c., Corall., Nux v., Staph., Ars.) the common characteristic being according to him: "Two series of successive and opposite phenomena; the former of short duration, consisting in a sort of universal exaltation of all the functions; the latter, which succeed the former more or less rapidly, consist in a general depression of the vital forces, and constitute the real and permanent action of the drugs of this group." Among instances, he gives mirthfulness followed by ill-humour; sleeplessness followed by yawning and drowsiness; moisture of skin followed by dryness; flow of saliva followed by dry mouth and throat; coryza fluent, then dry.

Teste found Caust. of great efficacy in small-pox in alternation with Merc. cor. Periodicity is marked: Periodic, paroxysmal attacks; twice a day to every two, three, or four weeks an attack; at new moon. Symptoms are < at night (great restlessness of body, especially legs). < Early morning (cramp).

< On waking. < In morning: hoarseness. < Evening: 6 to 8 p.m. heat. Causticum is one of Grauvogl's hydrogenoid remedies, hence is a chilly medicine;

< washing, bathing, open air, draught, becoming cold, after wetting; < every change of weather. Heat, especially getting warm in bed > (rheumatism ceasing on getting warm in bed, but beginning again as soon as he gets up.) On the other hand cold water > face and eruptions, and a swallow of cold water > cough; headache is < entering a warm room; damp weather > pains in scalp, ulcers; rhinitis. Heat < eruptions.

< In dark; fear of darkness. < From coffee. < After stool. < From walking.

< From taking hold of anything. < In clear, fine weather. Suited to dark-haired persons with rigid fibre; delicate skins; lymphatic, torpid temperament.

Relations

Caust. is antidoted by: Asaf., Coff., Coloc., Dulc., Guaj. (rheumatic contractions); Nit. spir. dulc., Nux. Is antidote to: Asaf., Chi., Coloc., Euphras., Plumb.

(lead poisoning); type-poisoning; abuse of Merc., and Sulph. in scabies. Incompatible: Acids, Coff., Pho. Compatible: Before—Calc.; Kali i.

(facial paralysis from an abscess); Lyc., Nux, Rhus, Ruta, Sep., Sil., Sul. Intercurrently—Ars., Cupr., Ign., Pod., Puls., Rhus, Sep., Stan. After—Calc., Coccul., Coloc., Cup., Hyo., Ign., Petrol., Petrosel., Rhus, Sep., Stram., Sul.

Complementary: Petrosel. Merc. cor. assists the action of Caust. and vice versâ (in small-pox, according to Teste). Compare: Nit. ac. is like Caust. in being at once antipsoric, antisycotic, and antisyphilitic. Phos. touches Caust. at many points, and is too near it to be compatible with it.

(This only applies to cases in which either of the two has done good; if one has been given without any result the other, if indicated, will very likely succeed.) Both Caust. and Phos. are taciturn and distrustful, or inclined to fits of anger; both are < at twilight; both have sensations of tension. The hoarseness of Phos. (like that of Carb. v.) is < in evening. Phos. has extreme sensitiveness of larynx and dreads to cough or talk.

The Caust. cough is > by cold drinks. Carb. v. has rawness and burning down throat (like Caus.) and hoarseness from damp evening air. Compare also: Calc. (images on closing eyes);

Nat. m. and Sep. (spurting of urine with cough); Rhus (rheumatism from damp and cold; but With Rhus there is restlessness and > from motion always—Caus. has restlessness at night only); Eup. perf.

(hoarseness < in morning; influenza with aching all over body; has more soreness on chest than Caust.); Salic ac., Chi., Carbo. sul. (Menière's disease); Coloc.

(colic); Lyc. (sweat and heat < 6 to 8 p.m.); Bar. c.

(mental weakness, paralysis; < damp weather); Sep. (enuresis in first sleep;—in deep sleep, Bell., Sul.);

Calc. (scalding urine); Sars. (urine, especially in women, passed without patient's knowledge);

Bell., Hyo., Ign., Lach., Lyc. and Pho. (difficult swallowing of liquids); Calc., Carb. an., Stro. and Stram. (fear of darkness);

Tarentula (restlessness) Gels. (ptosis, paralysis, faint-like weakness and trembling, blindness) Ant. t. (laryngeal affections); Lyc.

(contraction of brow with pain in head); Cepa (sore heel); Sep. (sadness, especially before menses.

Face yellow); Am. c. (rawness and burning in chest); Aco.

(paralysis from cold); Puls. (cystitis; failure of milk after labour); Euphorb.

(ptosis from cold); Nat. c. Sul. and Sul. ac. (falls easily);

Kali bi. (blindness with headache;—Kali bi. has blindness >, as headache <).

Causation

Burns or scalds. Fright. Grief or sorrow. Night-watching. Suppressed eruptions. Ulcers maltreated with lead.

Mind

Mirthfulness sometimes, and soon after, ill-humour

Melancholy and vexatious thoughts, day and night, with tears

Hypochondriacal sadness

Restlessness, apprehension, and great anguish

Anxiety of heart

Fearfulness, esp. at night

Afraid at night (in the dark room; the child does not want to go to bed alone)

Mistrust of the future

Discouragement

Irascibility and passion, with great sensitiveness of disposition

Quarrelsome and wrangling spirit

Indisposition to labour

Disposition to be frightened

Weakness of memory

Absence of mind

Tendency to make mistakes when speaking.

Head

Confusion in the head, as if it were compressed

Feeling of intoxication, and as if momentarily on the point of falling

Vertigo, with sensation of weakness in the head, and anxiety

Attacks of headache, with nausea

Headache in the morning, sometimes on waking, with sensation, as from a bruise, in the brain

Nocturnal pain in the head, as if from an abscess in the brain

Dull and pressive headache, which occasions gloominess, and is felt chiefly in the forehead or in the occiput

Shooting pains, esp. in the temples

Digging, with sudden shocks in the head

Congestion in the head, with ebullition and noise internally

Tensive or compressive pains in the head

The headache sometimes exhibits itself only on one side (l.)

Heat and sensation of burning in the head

Tightness and shootings in the head

Tension and tightness in the head, and of the scalp (forehead and temples)

Sensation of torpor in the occiput.

Eyes

Pain in the eyes, as if the eyeball were dilating

Aching in the eyes, as if from sand, sometimes aggravated by the touch

Itching, smarting, and burning pair, in the eyes

Inflammation of the eyes, with burning and itching of the eyes and eyelids

Ulceration of the eyes

Lachrymation

Difficulty in opening the eyes, with a sensation as if the eyelids were swollen

Visible quivering of the eyelids

Obscuration of the eyes, often sudden, and sometimes as if the eyes were covered by a skin

Sight confused, as if a gauze or mist were before it

Ophthalmia where there is opacity of the cornea which has spread over the pupil

Movements before the eyes, as of a swarm of insects

Dark nets, which seem to dance before the eyes

Lights and sparks before the eyes

Photophobia

Warts of old-standing in the eyebrows; on the upper eyelid (and nose).

Ears

Otalgia, with pressive pain outwards, as if the inner parts were pressed out

Shootings, and pain, as of excoriation, in the ears

Swelling of the ears, externally, with shooting and burning pain

Stitches in the (r.) ear

Discharge of fetid pus from the ear

Itching in the lobe of the ear, as if from a tetter

Words spoken and steps re-echo in the ear

Tinkling in the ears

Loud resounding noises in the ear, with hardness of hearing

Rumbling and buzzing, rolling and murmuring in the ears, and in the head

Sensation of stoppage in the ears.

Nose

Itching at the point, and the alae nasi

Scaly nose, externally and internally, with burning and itching

Eruption at the point of the nose

Warts of long standing on the nose (orbits, upper eyelids)

Blowing of blood from the nose, every morning

Epistaxis

Loss of smell

Obstruction of the nose

Dry chronic coryza

Coryza with hoarseness preventing loud speech

Fluent coryza, with nocturnal cough, rough hoarseness and headache

Discharge of fetid mucus from the nose

Sneezing in the morning.

Face

Yellow colour of the face, esp. in the temples, with bluish lips

Burning sensation in the cheeks, and esp. in the cheek-bones

Arthritic and tensive pains in the bones of the face, in the cheek-bones, and in the jaws

Swelling of the cheeks, with pulsative pains

Sensation of tension and of swelling under the jaw, which impedes its opening

Itching eruption on the face

Eruption of red pimples on the face

Semi-lateral (r.) paralysis of the face, from the forehead to the chin

Cramps in the lips

Excoriation and eruption on the lips, and at the commissures of the lips

Tetter on the lower lip

Tensive, dragging pain in the jaws, with difficulty in opening the mouth

Inflammatory swelling of the chin, with burning pain.

Teeth

Odontalgia, provoked by the introduction of air on opening the mouth

Pain, as from excoriation, or tractive pains, and acute pulling, throbbings, or shootings in the teeth; in the under jaw, in the lower teeth, (particularly on the (l.) side)

Painful loosening and elongation of the teeth (incisors)

Fistula in the gums

Prolonged ulceration of the gums

Painful sensibility, swelling, and ready bleeding of the gums.

Mouth

Dryness of the mouth and tongue

Accumulation of mucus in the mouth

Pain, as of excoriation and burning in the mouth, in the palate, and at the point of the tongue

Stuttering, embarrassed, wheezing, and very indistinct speech

Paralysis of the tongue

Swelling of the inner side of the cheek; he bites it when chewing

Distortion of the mouth and of the tongue, when speaking

Burning ulcer on the inner surface of the upper lip.

Throat

Sore throat on using exertion, as if it were lacerated internally

Pain as of excoriation, roughness, scraping, and burning pain in the throat

Shooting pain in the throat on swallowing

Audible cracking in the throat

Constant urging to swallow, with sensation of swelling or of contraction of the gullet

Difficulty in swallowing, from paralysis of the organs of deglutition

Sensation of cold which ascends to the throat

Dryness of the throat, without thirst

Accumulation of mucus in the throat, and behind the palate, with expectoration by hawking.

Appetite

Putrid, greasy, rancid, or bitter taste

Burning thirst for cold drinks and for beer

Sensation as if lime were being slaked in the stomach

Dislike to sweet things

At the commencement of a meal, loss of appetite and disgust

Fresh meat causes nausea; smoked meat agrees

Sensation of suffering as from indigestion

Pressure in the stomach, after eating bread

After every meal, pressure on the whole abdomen, or on the stomach, or else nausea and inflation of the abdomen, or else, again, shivering or heat in the face.

Stomach

Empty risings, with a taste of undigested food

Abortive risings, with strangulation in the gullet

Nausea, esp. after a meal, or during one, or else in the morning

Sensation of faintness, as though about to swoon

Water-brash

Vomiting of acidulated water, followed by acid risings

Vomiting of food

Nocturnal vomiting of coagulated blood

Pains in the stomach with heat in the head, increased by every quick movement, mitigated by a recumbent posture, and shuddering when the pains are aggravated

Pressive squeezing, as if from claws, constriction and cramp-like pains in the stomach, and in the epigastrium

Shooting pains in the epigastrium.

Abdomen

Pressure of the clothes on the hypochondria painful

Tension and shootings in the hepatic region

Pains in the abdomen in the morning

Pressure on the superior and inferior part of the abdomen

Painful and tensive inflation of the abdomen

Violent distension of the abdomen after a meal (breakfast)

Swelling of the navel, which is painful on being touched

Enlargement of the abdomen in children

Contractive pains in the abdomen

Susceptibility to cold in the abdomen, whence results diarrhoea, or pressure at the stomach

Incarceration of flatus, with hard faeces

Frequent expulsion of offensive flatus, in small quantities.

Stool And Anus

Chronic constipation

Frequent and ineffectual efforts to evacuate, with pains, anxiety, and redness of the face

The faeces are passed more easily, in an erect posture

Faeces knotty, or of a very small size

Faeces hard, tough, covered with mucus; viscid, and shining, as if with fat, or of a bright and whitish colour

Diarrhoea in the evening and at night

Diarrhoea, with tenesmus and burning in the rectum

Diarrhoea, after the abdomen has been chilled

Flow of blood and incisive pains in the rectum, during the evacuation

After the evacuation, anguish, with palpitation of the heart and burning in the anus

Itching in the anus

In the anus, appearance of haemorrhoidal tumors, which are hard, swollen, painful, and which impede evacuation

Walking and meditation aggravate the haemorrhoidal pains, so as to render them insupportable

Varices of the rectum, hindering stool; large; painful; stinging; burning when touched

Pressure in the haemorrhoidal tumors of the rectum, so as to cause them to protrude

Pulsation in the perineum

Fistula in the rectum

Abscess in the anus

Pain of excoriation, and moisture in the anus.

Urinary Organs

Frequent inclination to urinate, with thirst and scanty emission

More copious emission of urine

Emission of urine at night, and wetting the bed

Involuntary emission of urine (as in cases of children who wet the bed at night; in women, when urine spouts from them in walking, coughing, &c.), day and night

Acrid and corrosive urine, or pale, aqueous, of a deep-brown, or reddish colour

Stringy mucus in the urine

The urine becomes turbid, after settling

Sensation of burning in making water

Itching of the orifice of the urethra

Flow of blood from the urethra.

Male Sexual Organs

Increase of sexual desire

Absence of erections

Frequent pollutions

Escape of prostatic fluid after a stool

Emission of sanguineous semen, during coition

Pressure and shooting in the testes

Ulcers and itching scabs on the interior part of the prepuce

Red spots on the penis

Copious secretion of smegma behind the glans penis

Itching at the scrotum, glans, and prepuce.

Female Sexual Organs

Catamenia retarded, but more copious, with flow of blood in large clots

Difficult first menstruation

During the menses no blood is passed at night

Before the catamenia, melancholy, sacral pains, and colic

Catamenia too feeble; sexual desire too weak

During the catamenia, pains in the loins, cuttings, and paleness in the face; yellowness of the face; vertigo

Excoriation between the legs, at the vulva

Dislike to coition

Cramps of the matrix

Profuse leucorrhoea, having the smell of the catamenia, or which flows in the night

Leucorrhoea flows at night and not during the day

Nipples excoriated, cracked, and surrounded with tetters

Want of secretion of milk.

Respiratory Organs

Rough hoarseness, morning and evening

Prolonged hoarseness, with voice weak and stifled

Aphonia from weakness of the muscles of the larynx

Sensation of excoriation in the larynx, when not swallowing

Hawking up of abundant mucus, esp. in the morning

Cough, with short breath, and difficulty of respiration

Cough, excited by speech and by cold

Cough is worse: in the evening till midnight, from exhaling; drinking coffee; cold air; draught of air; when awaking from sleep

Cough is relieved by a swallow of cold water

Matutinal or nocturnal cough

Short cough, provoked by a tickling and a sensation of excoriation in the throat

Cough, dry, hollow, shaking, with sensation of burning, and pain as of excoriation in the chest

Rattling in the chest while coughing

Pains in the hips while coughing

Cough with involuntary passage of some drops of urine

Inability to expectorate the mucus, which is detached by coughing (the expectoration comes up far enough apparently, but it cannot be spat out; greasy taste of the expectoration.

The inability to expectorate is found in every species of cough, whooping-cough, &c.).

Chest

Breath short

Attacks of spasmodic asthma

Asthma, esp. when sitting or lying down

Fits of suffocation on speaking and walking quickly

Oppressiveness of clothes on the chest

Pressure on the chest

Shootings in the chest and thorax, on making a full inspiration, and during corporeal exertion

Burning, stitches, and soreness in the chest

Attacks of cramp-like compression and of constriction in the chest, with feeling of suffocation.

Heart

Palpitation of the heart, with languor

Oppression of the heart, with melancholy

Shootings in the heart.

Neck And Back

Stiffness and tension in the nape of the neck

Pain, as from a bruise in the nape of the neck

Miliary eruption at the nape of the neck, between the shoulder-blades

Itching and humid tetters at the nape of the neck

Goître-like swelling of the cervical glands

Pains in the loins which render the least movement exceedingly painful

Aching pains in the loins when seated

Painful stiffness (between the scapulae and) in the back, esp. on rising from a chair

Pulling and acute drawing pains in the shoulder-blades

Itching and tingling in the back.

Upper Limbs

Pains in the arms at night

Drawing pains and acute pulling, in the arms and hands

Convulsive movements and shocks in the arms

Itching and eruptions on the arms

Warts on the arms

Pressure on the shoulders

Shooting pains in the front part of the arms, from the fingers to the elbow

Paralytic feeling in the r. hand

Sensation of fulness in the hands, on grasping an object

Tearing in r. wrist-joint

Drawing pains in the hands, and the joints of the fingers

Spasmodic weakness and trembling of the hands

Paleness and painful torpor of the fingers

Tension of the posterior joints of the fingers when bending them

Contraction and induration of the tendons of the fingers

Itching tetters on the fingers.

Lower Limbs

Pain as from dislocation in the coxo-femoral joint, with inability to walk and to continue standing

Pain as from a bruise in the thighs and legs, whilst in bed, in the morning

Tensive stiffness in the joints of the legs, and of the feet

Contraction and tension in the heel and tendo Achillis

Drawing pains and acute pulling in the thighs, the legs, the knees, and the feet, with swelling of the parts

Unsteady walk, and tendency to fall in children

Skin marbled, on the thighs and on the legs

Tension and cramp-like pain in the legs and calves of the legs

Cramps in the feet

Pains in the instep, in the ankle bones, in the soles of the feet, and in the toes, on walking

Neuralgic pains in the soles of the feet

Contraction in the instep, with tensive pain when stepping

Coldness of the feet

Swelling of the feet

Pains in the varices

Tingling in the soles of the feet

Festering vesicles and ulcerations on the heels

Whitlow on the great toe.

Generalities

Arthritic and rheumatic drawing and tearing pains, esp. in the limbs Acute and violent pulling in the joints and the bones, mitigated by the heat of a bed Contraction of the tendons, and stiffness in the flexor muscles of the limbs Cramp-like contraction of several limbs

Torpor and paleness of some parts, or of the entire l. side of the body Paralysis Jerkings and convulsive movements St.

Vitus' dance Convulsive attacks, with cries, violent movement of the limbs, grinding of the teeth, smiles or tears, eyes half-closed, fixed look, and involuntary emission of urine; the fits are reproduced by cold water, and are preceded by pain in the abdomen and in the head, frequent emission of urine, irascibility, and tears; after the fit the eyes are closed Epileptic convulsions (at night during sleep) Aggravation of the symptoms, generally in the evening, or in the open air, while those which have appeared in the open air disappear in a room

Coffee seems also to aggravate all the symptoms Semi-lateral sufferings Insupportable uneasiness in the whole body in the evening, and when seated, with anxiety in the region of the heart In the evening, great dejection and oppression of the whole body

Paralytic weakness, with trembling and tottering of the limbs Paralysis (one-sided) Great sensibility to currents of air, and to cold.

Skin

Violent itching, esp. in the back, and in the calves of the legs

Itching of the whole body at night (Itch)

Injuries of the skin, which had been healed, become sore again

Itch suppressed by mercury or sulphur; burning itch

Tingling (or stinging) swelling (sometimes called "buzzing" swelling) (Guernsey)

Eruptions resembling scabies

Miliary eruptions and nettle-rash

Itching and humid tetters

Ulcerative vesicles

Burning ulcers, with yellowish-looking skin; ulcers burning, with corroding pus, with thin or watery pus, suppurating; jerking pains running through the ulcers

Excoriation in children

Painful corns in the feet

Warts, also with pain and inflammation

Panaris

Painful varices.

Sleep

Drowsiness in the day, like coma

Nocturnal sleeplessness, caused by anxiety, inquietude, dry heat, and other annoyances, with frequent starts

Starts on going to sleep

Frequent movements of the arms and legs during sleep

Anxious dreams, about grievous things, or about quarrels, or confused and voluptuous, with talking and laughter

At night, vertigo, headache, dryness of the mouth, and painful heaviness of the legs.

Fever

Pulse only accelerated towards evening

Much shivering

Chilliness predominating, frequently with coldness of the l. side

Internal chilliness, followed by perspiration, without previous heat

Nocturnal shivering, with pains in the back, and followed by general sweat

Heat in the evening, from 6 to 8 p.m

Flushes of heat, followed by chilliness

Copious sweat while walking in the open air

Nocturnal sweat, sometimes of an acid smell

Morning sweat (smelling sour).