Home / Clarke / Graphites

Graphites

Clarke - Dictionary of Practical Materia Medica · John Henry Clarke · 33,473 chars · source ↗

All books on Graphites → Antidoted byAconitum NapellusArsenicum AlbumCinchona OfficinalisEuphorbium OfficinarumNux Vomica
General

Graphites.

Plumbago. Black Lead. An allotropic modification of carbon. (The finest specimens contain traces of iron, 0.04 to 0.6 per cent.; poor qualities as much as 4 per cent.) Trituration of prepared Black Lead from finest English drawing-pencils.

Clinical

Acne. Amenorrhoea. Anus, affections of. Blepharitis.

Breasts, indurated; cancer of. Cancer. Catarrh. Chaps.

Chlorosis. Colic. Constipation. Deafness.

Dropsy. Dysmenorrhoea. Ears, affections of. Eczema.

Epistaxis. Erysipelas. Eyes, affections of. Face, erythema of.

Feet, affections of. Fissures. Gastralgia. Glandular swellings.

Gleet. Gravel. Haemorrhoids. Headache.

Herpes. Hydrocele. Influenza. Irritation.

Lachrymal duct inflamed. Leucorrhoea. Lips, cracked. Liver, indurated.

Menstruation, disorders of. Mentagra. Nails, disorders of. Noises in head.

Nose, affections of. Nose-bleed. Obesity. Ovarian tumours.

Paralysis. Parotitis. Pityriasis. Priapism.

Pruritus vaginae. Psoriasis. Ptosis. Rectum, affections of.

Rhus poisoning. Scar., inflamed. Scrofula. Seminal emissions.

Skin, affections of. Smell, disorders of. Stomach, cramp in. Sycotic diathesis.

Syphilis. Trichiasis. Tumours. Ulcers.

Urine, disordered. Uterus, cancer of. Vaccination, effects of. Wens.

Whooping-cough. Worms. Zona.

Characteristics

The first idea of using this substance as a drug, says Hahnemann, is due to S. Weinhold, who was led to it by seeing workmen in a mirror-factory use it as a local application for tetters. Ruggieri followed him, using it both internally and locally. Hufeland relates the cure of a lady, 41, by the internal and external use of Graph., of an acne rosacea which had defied all other modes of treatment.

Teste classes Graph. in the Pulsatilla group with Silic., Calc., Hepar, and Phos. He gives the following among other symptoms as common to Puls., Silic., and Graph.: "Anxious, changeable, wavering mood; aversion to work; vertigo with cloudiness; a sort of intoxication in the morning; sense of fulness or emptiness in the head; drowsiness in daytime; single, acute, deep shocks in right half of brain; flickering before eyes; suspension of visual power; photophobia; lachrymation in open air; foul smell before nostrils; amenorrhoea; swelling of right testicle; swelling of veins; wandering pains; pain in the parts not lain upon; heaviness in affected parts; rheumatism at nape of neck; sweat at night having odour of urine; drowsiness in daytime."

Hahnemann was quick to perceive that Graph. was much more than a mere remedy for skin affections. Like that other great skin remedy, Sulphur, Graph. proved to be a leading antipsoric. Hahnemann's provings and observations defined its powers over skin affections. Its special characteristic is: "Eruptions oozing out a thick, honey-like fluid." Wherever such eruptions are found Graph. is in all probability the remedy.

I have cured many cases, notably some occurring on the occiput, and behind the ears. It is no less frequently a remedy for the results of repelled eruptions of the kind. Nash records such a case: A child had been "relieved" of an eczema capitis under old-school treatment, whereupon entero-colitis set in, and became so alarming that it was pronounced "consumption of the bowels." Nash when called in found the child greatly emaciated, with little or no appetite, very restless, passing "stools of brown fluid mixed with undigested substances, and of an intolerably fetid odour." Graph. 6m (Jenichen) cured promptly.

Graph. being one of the forms of Carbon, it is therefore related to Carbo anim., and Carbo veg.; and as it contains a small percentage of iron, it is also related to Ferrum.

Graph. causes slight erethism at first, then a weak, relaxed, condition; anaemia; chlorosis. The typical Graphites patient is "fat, chilly, and costive." Lymphatic glands are swollen. Like the skin, the mucous membranes are cracked and fissured, and have scanty secretions. Irregularities in the distribution of the blood occur, pallor of skin and mucous membranes.

The circulation is at first excited, then follows loss of energy and consequent venous hyperaemia. Fainting readily occurs with great anxiety; motion is impaired and the tissues relaxed, but paralysis is not complete. A marked characteristic of Graphites is a rush of blood to head, with flushed face. I have cured two very severe cases of nose-bleed in elderly people where this symptom was present.

In one case there had been flushing of head and neck for many months previous to the attack, and flushing preceded and accompanied each occurrence of the bleeding. In the other case the patient said the precursory flush seemed to come up from his toes. He had had his nostrils plugged, without avail, before I saw him. Graphites, in a high potency, cured promptly in both instances.

Hahnemann gives the symptom on which I based the prescription as follows: "Bleeding of the nose at 10 p.m.; preceded in the afternoon by rush of blood to the head, and heat of face," There is also "rush of blood to head, with distension and flatulence."

Graphites is suited to persons who have a tendency to put on unhealthy fat. Defective animal heat from defective oxygenation; always cold, indoors or out. Chlorotics. Affections of glands, skin, and mucous membranes, especially at orifices.

The Graphites condition is not sensitive and herein it differs from Hepar, which has extreme sensitiveness of affected parts. The tone of mind is sad and foreboding. The eyes, ears, and nose are affected, especially the integumentary parts. There is a very characteristic symptom in reference to the hearing: "hardness of hearing > when riding in a carriage." There is a sore throat like that of Lachesis; sensation of a lump, < on empty swallowing.

It has also a "lump" sensation at the stomach. It resembles Lachesis, too, in its flushings; in gastralgia > by eating. Hurries to meals to relieve violent pain at epigastrium; especially to dinner and supper. Goullon cured two notable cases of cramps in the stomach with "improvement of the cramps by eating." There was also clean tongue.

Milk agreed well, especially hot milk. In one case roast meat agreed, but not boiled meat, and, still less, potatoes. In the morning there was a fishy taste, disappearing later in the day. Another cure by Goullon was of a young lady who was troubled with salivation, coming on any time; sometimes just before sitting down to dinner; oftenest when riding in a carriage, less often when riding in a train.

She was prevented by it from seeing company, and was low-spirited. There was also habitual costiveness. Graph. 12 at first aggravated and then rapidly cured. Goullon understood the power of Graphites, perhaps, more completely than any other writer, and I will give another of his cures, as it illustrates several points in the drug's action.

A well-grown, healthy-looking girl of fifteen had violent headache in right temple every four weeks; the pain was stinging. Glittering before the eyes frequently preceded and followed the attack, which recurred to the hour, and sometimes also on the following day. Drowsiness accompanied the attack, deep sleep, heat and redness of the head, followed by a chill. Sep. 6 relieved the headache, but the glitter remained.

The heaviness of the eyelids led Goullon to Graph. (which causes ptosis). His choice was strengthened on learning that there had been no menstruation, and finally she "had a degree of hoarseness that indicated chronic hypertrophy of the tonsils. (A.

Vogel claims this to be a sign of scrofula derived from syphilis.") Graph. 2x trit., in two-grain doses, was given six mornings in succession. The period for the headache passed without recurrence, and the sensation of lights completely disappeared (H. R., vi. 271). Graphites causes suffocative spells which arouse the patient from sleep, he must jump out of bed, < after midnight (Lach.

< after sleep). There is a diarrhoea of thin, offensive, partly digested stools. Constipation is more common, the stools being in lumps coated with mucus, and with mucous shreds. Habitual costiveness and, in females, scanty menses form a keynote indication when found associated with other complaints, as headache, skin-affections, &c.

Moist itching excoriation around anus and fissures. The male sexual organs are affected as well as the female: Uncontrollable sexual excitement, with violent erections. Priapism. (I have frequently seen this condition produced in patients taking Graph. for other things; and have frequently relieved priapism with Graph.) Impotence.

In the female the breasts are affected. Pain under left breast at menstrual period, often waking patient in the night. Hysterical melancholia with occipital headache. Leucorrhoea profuse, in gushes, excoriating.

It has many symptoms in common with Sepia, but Graph. affects the ovaries more markedly than the latter. There is a feeling as if the uterus would press out at the vagina. Stiffness of knees. The skin of Graphites is rough, hard, and dry.

Eczematous and herpetic eruptions predominate. Eruption on occiput exuding gluey humour; eczema of ears; moist eczema round anus. Pimples, acne. Wens.

Gastro-intestinal affections alternating with acne and erythema of face, herpetic lesions or scrofulous hypochondriasis. Excoriations between toes. Syphilitic and "constitutional" ulcers. Recrudescence of scars.

Cracks and fissures. Offensive discharges and secretions. Sweat: stains yellow; sour, offensive.

The senses are abnormally acute: music causes weeping; cannot tolerate the smell of flowers. Weak, exhaustion of whole body. Spasms; contractions of muscles; twitching of eyelids. Cataleptic condition.

Sensitiveness of internal parts; numbness in various parts; drawing pain in whole body. Pain as if head were numb, or pithy, or made of wood. Pain as if constricted in occiput, extending to nape of neck, which pains as if broken. "Intense, heavy weight in occiput, as if head drawn back, must rest it, unable to read or think" (result of 2x and 3x, on three separate occasions in a patient of Dr.

W. Epps. Chi. 1x. relieved in a few days—Hom. Rev., xl. 162).

As if skin of forehead was drawn into folds. As if a skin were before ear. As if a hard body as large as an egg were behind ear. As of a cobweb over the face.

As of a lump in stomach, with beating as of two hammers. As if intestines were torn; croaking as of a frog in abdomen. As if everything would be torn to pieces during menstruation. Bearing-down pains in various parts.

Rest >; motion <. Riding in a carriage < many complaints; but > hardness of hearing. < Lying on left side. Cold drinks, cold air, damp, wet atmosphere, washing <.

Warmth < tearing pain in teeth; warmth of bed < itching; > crampy pain in stomach; scrofulous affections of bones. Eating > cramps in stomach; hot drinks, especially hot milk, >. < In open air; in wind.

Bathing after measles = paralysis of face. Getting feet wet = delayed menses. Attacks occur during summer and autumn. Ears feel stuffed at the full moon.

Suffering parts emaciate. Overlifting easily. Haemorrhages. (When giving Graphit. internally in cases of anal eruption I have found the external use of an ointment made with a drachm of the 3x trituration to an ounce of Cetacean ointment of great service.

Hirsh, of Prague, has also used Graph. locally in cases of disease of the nails, with very good results.)

Relations

Antidoted by: Acon., Arsen., Chi., Nux v. Antidote to: Arsen., Iod., Rhus t. It follows: Calc., Lyc., Puls., Sep., Sul. Complementary: Caust., Hep., Lyc.

Compare: Petrol., Lach., Carb. v., Carb. a., Caust., Nit. ac., Rhus (erysipelas, left then right; Graph., right then left), Ant. c., Ratan., Paeon, Nit. ac., Sil. In priapism, Pic. ac. In affections of right ovary, Pallad., Op.

Laughing and weeping alternately, Aur., Pul., Lyc., Stram., Alum. Hears better in ears, Nit. ac. Obesity, Calc. ars. Trichiasis, Borax.

Erysipelas beginning on nose, Canth. Fat constitutions, Calc. Burning excoriating discharge from eyes, Ars. (but with Ars. there is spasmodic closing of lids);

Sul. has margins of lids reddened; with Graph. they are paler than usual; Euphr. has thick, purulent discharge, Graph. has thin. Profuse salivation, Bism. Graph. is a chronic, or over-grown Puls.

(but Puls. has <, and Graph. has > from milk).

Causation

Grief. Fear. Overlifting.

Mind

Dejection, sadness and profound melancholy with discouragement and much weeping

Feels miserably unhappy

Agitation, compression of the heart, and anguish, as if at the point of death, or under the fear of some calamity, often with headache, vertigo, nausea, and perspiration

Anxious agitation (with inclination to grief, anxiety about the future), sometimes when seated at work, or at night, with impulse to quit the bed

Agitation and inquietude in the morning

Much inclined to grieve and cry in evening, whilst in forenoon she had laughed about every trifle, contrary to her habit

Weeping without cause

Obliged to weep at music

Timid disposition

Irresoluteness with excessive cautiousness and hesitation

Too great susceptibility to impressions

Tendency to be frightened

Irascibility

Dread of labour

Extreme hesitation; unable to make up her mind about anything

Absence of mind

Forgetfulness with misapplication of words in speaking or writing.

Head

Fatigue in consequence of intellectual labour

Sensation of numbness in the head

Intoxication and vertigo, esp. in the morning on rising, or on awaking (the forehead is contracted, with nausea and vomiting); as well as in the evening, with want to lie down

Confusion in the head

Attacks of headache, sometimes semi-lateral, with nausea and acid vomiting

Feeling of looseness of the whole brain

Violent headache with eructations and nausea, during menstruation

Periodical unilateral headache, with constipation and amenorrhoea

Pain in the head as if the head were numb and pithy

Violent headache in the morning, driving out a cold perspiration, and inducing syncope

Headache from the motion of a carriage, as well as on moving the head, or during and after a meal

Headache on the side which presses the pillow

Tension and pressive constriction in the occiput, with stiffness at the nape of the neck

Intense heavy weight, or dull pressure, in upper part of occiput, with a feeling as if the head were drawn back, obliging him to rest his head; unable to read or work while pain lasts

Sensation of compression and contraction in the forehead

Compressive pain in the vertex in the afternoon, with rotatory movement in the head

Burning on the top of the head on a small spot

Ebullition of blood, with beating and buzzing in the head

Fulness in and congestions to the head, the menstruation being suppressed

Tearing and pulling in the scalp, in the teeth, and in the glands of the neck

Itching in the scalp

Humid scabs on the head

Humid, spreading, scurfy eruption on the top of the head, painful to the touch, as if from subcutaneous ulceration, and emitting a disgusting odour; extending down to sides of the head into the whiskers; after scratching, more sore and humid; later drying up to a white scurf

Sweat on the head, while walking in the open air

Smooth large wens on the hairy scalp; the hairy scalp is very hot, and itches very much, esp. when walking in the open air

Abundant desquamation of the scalp

Falling off of the hair, even on the sides of the head and the whiskers

Rheumatic pains in the scalp, principally in the sides, extending to the teeth and cervical glands;

< when walking and becoming cold in open air, > from warmth and while getting warm when walking

Perspiration smelling acid or very offensive, colouring the linen yellow; on the head (as on the whole body) at night and during the day, from the least exercise;

< even while talking, > when walking in the open air

The hair turns grey.

Eyes

Eyelids heavy and falling, as if paralysed

Aching in the eyes and eyelids, as if sand had been introduced into them

Shootings in the eyes

Heat and burning sensation in the eyes, esp. by candle-light

Inflammation of the eyes, with redness of the sclerotica, injection of the veins, swelling and abundant mucous secretion of the eyelids

Hordeolum, with drawing pain

Dry humour in the eyelids, and in the eyelashes

Agglutination of the eyelids and lachrymation

Pressure and stinging in the eyes, with lachrymation

Agglutination of the eyes early in the morning

Dry gum in the eyelashes

Obscuration of the sight on stooping

Myopia

Confusion of characters on reading

Sparkling before the eyes

Photophobia, esp. by day, inflammation and red, swollen eyelids

Intolerance to the light of day.

Ears

Shootings and beatings in the ears

Dryness of the internal ear

Fetid smell and discharge of blood and of pus from the ears

Scabs, tetters, running, and excoriation, behind the ears

Hardness of hearing

Hardness of hearing, > by the motion of a carriage

Singing, tinkling buzzing, and rumbling like that of thunder in the ears

Buzzing in the ears at night

Sensation, as if air were enclosed in the Eustachian tube

Sensation as if the (l.) ear were filled with water

Sensation as if a skin were before the ear

Whistling in the ears

Cracking in the ears when moving the jaw.

Nose

Swelling of the nose

Sensation of tension in interior of nose

Black pores on nose

Dry scabs in nose

Painful dryness of nose

Nostrils, excoriated, cracked and ulcerated

Fetid smell from nose

Discharge of blood when the nose is blown

Epistaxis, esp. in the evening and at night; preceded by rush of blood to head, and heat in the face

Discharge of fetid pus from the nose

Sense of smell sharpened (too sensitive, cannot bear the smell of flowers)

Stoppage, and troublesome dryness of nose

Quotidian coryza, on being chilled

Dry coryza, with headache and nausea, which compel the patient to lie down

Flow of mucus from the nose, liquid, or yellowish, or thick, with putrid smell

Fluent coryza, with catarrh (as soon as he becomes cold).

Face

Pale yellow complexion, with livid circles under eyes

Flushes of heat in face

Erysipelatous inflammation and swelling of the face (burning and stinging; the erysipelas spreading in rays), with eruption of vesicles

Erysipelas preceded by chills and heat alternating; beginning r. side of face, going to l

Encysted tumour on the cheek

Constant sensation, as if the face were covered with cobweb

Semi-lateral paralysis, and distortion of the muscles of the face, with difficult articulation

Drawing and tearing pains in the bones of the face

Eruption on the face, in appearance as if the skin were raw

Scabs and moist pimples on the face

Ephelis

Falling off of the beard

Ulcers on the internal surface of the lips

Fissures in the ulcerated lips

Ulcerated corner of the mouth

Lips cracked

Scabby eruption on the chin and round the mouth

Painful nodosities in the lower jaw

Swelling and hardness of the submaxillary glands.

Teeth

Toothache at night, or in the evening in bed, < by heat, and sometimes with heat of the face and swelling of the cheek

Pains in the molars, on closing the jaws

Lancinating and drawing toothache, esp. after drinking anything cold, and < by warmth

Pain, as from excoriation, in teeth and gums, during and esp. after a meal

Easy bleeding and swelling of the gums

Fetid odour from the gums and mouth

Discharge of black and sour blood from the teeth.

Mouth

Dryness of the mouth in the morning

Putrid and urine-like smell from the mouth, gums, and nose

Pain, as from excoriation, vesicles and ulcers on the tongue

Bitter taste in the mouth, the tongue being much coated

Taste of rotten eggs in the morning, after rising

Profuse salivation, and accumulation of mucus in the palate and throat

Speech impeded by paralysis of the muscles.

Throat

Almost constant soreness of the throat, on swallowing, generally lancinating, with feeling of strangulation

Pain in the throat, even at night, as if there were a plug within it, or as if the food had stopped there

Swelling of the tonsils, with pain when swallowing

Cramps in the throat, with feeling of strangulation

Roughness and scraping in the throat.

Appetite

Bitter or acid taste, with sourness in the mouth and throat

Great thirst in the morning, and after a meal

Immoderate hunger (with acidity of the stomach)

Repugnance to cooked food, and to meat: also to anything saline or saccharine

Weakness of digestion, with drowsiness, headache, pains in the stomach, fulness, and inflation of the abdomen, after a meal

Hot things disagree with stomach.

Stomach

Frequent and sometimes abortive risings

Sour risings, with bitterness in the mouth

Sour regurgitation of food

Bitter and green regurgitations

Frequent hiccough, esp. after a meal

Nausea, esp. in the morning, or after every meal, with inclination to vomit

Water-brash, at night

Obstinate vomiting of food

Vomiting after the slightest loathing, with great nausea and pinching in the abdomen

Retching, with rising up of mucus

Acid vomitings

Colic, and pressure on the stomach, sometimes with vomiting, > by a recumbent position, and by the heat of the bed

Cramp-like pains, or squeezing, as from claws in the stomach

At night, pinching in the stomach, with digging in the chest

Burning pain in the stomach, which compels eating

Cramps in stomach > by eating.

Abdomen

Tension, shootings, and beatings in the hypochondria

Hepatic pains after breakfast, which render it necessary to lie down

Fulness and heaviness, in abdomen

Abdomen enlarged, tight, inflated.

Inflation of the abdomen, with congestion of blood to the head, heaviness in the head, and vertigo

Hardness in the abdomen

Nocturnal, cramp-like pain in all the intestines, with deficient secretion of urine

Incarceration and accumulation of flatus in the abdomen

Expulsion of an excessive quantity of fetid flatus, preceded by pinchings

Rumbling in the abdomen

Croaking, as of frogs in the abdomen

Painful sensitiveness of the groins

Painful swelling of the inguinal glands

Erysipelatous inflammation, with large vesicles near the navel

Pressive, stitching, boring pain in region of navel; extending into back and hypochondria; with habitual costiveness;

< evening.

Stool And Anus

Obstinate constipation, with hard faeces (the lumps being united by mucous threads), and hardness in the hepatic region

Faeces hard, knotty, of too great a size, and scanty

A quantity of white mucus is expelled with the stool

Faeces too soft

Stools of a putrid, sour smell (with burning at the rectum), or of sanguineous mucus

Mucous diarrhoea

Diarrhoea, with tightness of the abdomen

Faeces of a very small size, like a worm

Lumbrici and ascarides

Taenia

Itching, sensation of excoriation, and swelling of the anus

Large haemorrhoidal excrescences in the anus, with pain as from excoriation, esp. after a stool

Painful and burning cracks between the haemorrhoidal tumours

Prolapsus recti with the varices, as if the rectum were paralysed.

Urinary Organs

Urgent, anxious, and painful want to make water, with emission drop by drop, with a stitch in the urethra, when emitting it

Scanty secretion of a deep-coloured urine, soon becoming turbid, with white or reddish sediment

Urine of an acrid sour smell

Stream of water small, as if from contraction of the urethra

During micturition pain in the os sacrum

Involuntary emission of urine

Nocturnal emission of urine

Wetting the bed at night

Pain in the coccyx when urinating.

Male Sexual Organs

Tension and cramp-like pains in the genital parts, with troublesome voluptuous ideas

Eruption of pimples on the prepuce, and on the penis

Dropsical swelling of the prepuce and the scrotum

Dropsical swelling of the testes

Voluptuous excitation in the genital parts

Indifference, or extreme excitement of sexual desire

Violent erections

Uncontrollable sexual excitement

Priapism

Absence of erections in the morning

Emission of semen, almost involuntary, without erection

During an embrace painful cramps in the calves

After an embrace coldness of the legs, exhaustion, heat of the body, and perspiration

Absence of emission of semen during coition

Feeble enjoyment during coition

Flatulent colic during the excitement in the genital parts.

Female Sexual Organs

Great aversion to coitus

Vesicles and pimples on the vulva

Excoriation on the vulva and between the thighs

Soreness of the vagina

Painful swelling of the ovaries;

< every time she takes cold or gets her feet wet

Swelling and hardness of ovaries after menses

Tearing, grinding, bursting in r. ovary, as if it would burst, before and during menses

Tumour in r. iliac fossa; also l

Pain in uterus when reaching high with arms

Sensation of bearing down towards the genital parts

Catamenia too slow, too scanty, and too pale

The first menses delay

Suppression of catamenia, with heaviness of the limbs and congestions of blood to the head

Cutting pains on the appearance of the catamenia

During the catamenia, flow of blood from the anus, pains in the limbs, ulcers become worse, swelling of the cheeks or of the feet, catarrh, with hoarseness and coryza, toothache, or cramps and violent cuttings in the abdomen, headache, nausea, pain in the chest, and weakness

Before and during the menstruation, fatiguing cough (morning and during the day.)

Leucorrhoea, white and liquid, like water, with tension of the abdomen, and weakness in the back

Leucorrhoea, before and after the catamenia

Leucorrhoeic discharge occurs in gushes day or night

Painful sensibility and excoriation of the breasts, with eruption of running phlyctenae

Obstruction and induration of the mammary glands

Hard cicatrices remaining after mammary abscess.

Respiratory Organs

Sensitiveness of the larynx

Catarrhal roughness and hoarseness, with sensation of excoriation, burning pain and scraping in the throat, coryza and obstruction in the chest

Voice false (for singing)

Accumulation of slimy matter in the chest

Cough, produced by roughness of the throat

Cough at night, or in the evening in bed, excited by taking a full inspiration, with oppression of the chest.

Chest

Difficulty of respiration and oppression on the chest

Nocturnal attacks of suffocation, on going to sleep, or on walking in the open air

Suffocative paroxysm at night, awakens him out of sleep, usually after midnight; must quickly jump out of bed, hold himself firmly to something, and quickly eats whatever is at hand, which gives relief; or hoarse cough (asthma)

Wheezing respiration

Pain in the chest on ascending, on riding on horseback, on yawning, or on putting the hand on the chest

Perspiration on the sternum every morning

Swelling and induration of the mammary glands

Soreness of the nipples, with small corrosive blisters

Pressive, cramp-like pain in the chest

Spasms in the chest

Shootings in the chest on the least movement.

Heart

Palpitation of the heart on the least movement.—(Constant emptiness and coldness about the heart and in chest, with sadness.)

Region of heart: constriction; pressure; stitches

Sensation like electric shock from heart toward front of neck

Strong pulsations of blood in whole body, but esp. about heart, < by every motion

Throbbing in region of heart, in evening, after lying down, when lying on l. side so violent that the covering was moved thereby, with anxiety; disappearing on turning over.

Neck And Back

Stiffness in the nape of the neck

Violent pain in the nape of the neck and the shoulders, on stooping the head, and on raising the arms, like a tearing incision

Blisters on the neck

Swelling of the glands of the neck

Tearing in the glands of the neck

Bruising pains in the loins, or violent achings in the loins, like squeezing from claws, or from twisting the body

Contractive pain in the back (between the shoulders)

Sensation of tingling in the back

Formication in the back.

Upper Limbs

Tearing and lancinating in the shoulders

Sensation of contraction in the joint of the elbow, on extending the arms

Cramp and tearing in the hands

Emaciation of the hands

Erysipelas, callosities, dry skin, and cracks in the hands

Pain as from dislocation, in the joint of the thumb

Swelling and inflexibility, stiffness and distortion of the fingers

Granulated eruption and corrosive vesicles on the fingers

Arthritic nodosities on the fingers

Tettery excoriation between the fingers

Thickness of the nails of the fingers.

Lower Limbs

Heaviness, lassitude, and numbness of the legs in the open air

Excoriation between the legs

Arthritic tearing in the hip-joint, the feet, and the toes

Numbness and stiffness of the thighs, and of the toes

Restlessness in the legs

Tetters on the thighs, on the hands, and on the tibia

Sensation of contraction in the tendons of the ham, and in the tendo Achillis

Tension in the varices, on extending the legs

Stiffness and want of flexibility in the knee, which does not permit sitting squat

Cramps and starting of the muscles in the calves of the legs

Congestion in the legs and in the feet, when standing upright

Ulcers in the legs

Swelling of the legs and of the feet, with hardness and shooting pain

Stiffness of the instep

Shooting pain, like that of an ulcer, in the heel and in the soles of the feet, on rising from the sitting posture

Cold feet, even in the evening in bed

Feet burning

Fetid sweat on the feet

Contraction of the toes

Swelling and distortion of the toes

Sore pain of the corns

Callous skin, corrosive vesicles and ulcers on the toes

Ulceration on the borders of the big toe

Tettery excoriation between the toes, with violent itching

Thickness and deformity of the toe-nails.

Generalities

Cramp-like pains, cramps and contraction in different parts Tension in some parts, as from contraction of the tendons Starting and distortion of the limbs Arthritic pullings and tearing in the limbs and joints, esp. in ulcerated parts

Arthritic nodosities Tendency to strain the back Limbs become easily numbed Stiffness and complete inflexibility of the joints

Hard swellings, with shooting pains Nocturnal pains, which are felt even during sleep The symptoms disappear after a walk in the open air Varices, with shootings, tension, and itching

Swelling and hardness of the glands Pains during change of weather General uneasiness (sensation of debility), which extorts groans, without any distinct sensation of pain Strong pulsation in the whole body, and esp. in the heart, augmented by the least movement

Pulling in the whole body, with urgent inclination to extend the limbs Sensation of trembling in the whole body, with jerking of the limbs Great emaciation Great tendency to take cold, and fear of the open air, and of currents of air

General lassitude Rapid failure of strength.

Skin

Obstinate dryness of the skin, and absence of perspiration

Ephelides

Red spots on the skin, like flea-bites

Erysipelatous inflammations

Vesicular erysipelas, like zona, on the abdomen and on the back

Itching of the varices on the lower limbs

Itching-stinging on the surface of a mole

Eruptions oozing out a thick honey-like fluid

Tetters, and other humid or scabby eruptions, sometimes with secretion of corrosive serum, or with itching in the evening, and at night

Eruption of pimples and nodules (principally under hair and on covered parts) which itch very much

Swelling and induration of the glands

Encysted tumours

Corrosive nodules

Excoriation of the skin (in the bends of the limbs, groins, neck, behind the ears), esp. in children

Unhealthy skin, every injury tending to ulceration

Proud flesh, and fetid pus, in ulcers, with tearing pains, burning, and shooting

Scrofulous and syphilitic ulcers

Burning pain in an old cicatrix

Deformity and thickness of the nails.

Sleep

Great drowsiness during the day, and early in the evening

Difficulty in falling asleep

Agitated sleep at night, with frequent waking

Nocturnal sleep incomplete, as if only dozing

Unable to fall asleep before midnight on account of a fixed idea

Unrefreshing sleep at night, followed in the morning by a comatose sleep

At night, profusion of ideas, sometimes troublesome

Great agitation at night, with anxious and frightful dreams, oppression and choking

During sleep, starts, with fright

Dreams of death and of fire; dreams with meditations

At night, discomforting ideas, anguish, heat, inquietude, startings, gastric sufferings, and many other affections

Perspiration about the head, when falling asleep

Bleeding from the nose at night

Wakens at night from a suffocative attack

Constant talking during sleep

Wetting the bed at night while asleep.

Fever

Pulse full and hard, but not accelerated

Shiverings, morning and evening, with or without heat, and followed by perspiration

Chill and chilliness, principally in the evening, after 4 p.m

General dry heat, evening and night, preceded by a chill

Heat when riding in a carriage

Perspiration sour, colouring the linen yellow, of offensive smell

Inability to perspire

Perspiration, often very fetid, on the least movement, or on the least fatigue, even from speaking

Nocturnal sweat, sometimes fetid

Quotidian fever; shaking chill in the evening; an hour afterwards heat in the face, and cold in the feet, without any subsequent perspiration.