Stannum. (Stannum Metallicum.)

Tin. The Element.

Trituration of the pure metal.

Introduced by Hahnemann, proved by himself, Franz, Gross, Guttmann, Hartmann, Haynel, Herrmann, Langhammer, Wislicenus, Chronische Krankh., vol. 5.

CLINICAL AUTHORITIES.

• Headache , Dudgeon, B. J. H, vol. 29, p. 610 ; Schrön, B. J. H., vol. 11, p. 301 ; Rück. Kl. Erf., vol. 5, p. 193 ; Ciliary neuralgia , Nash, Org., vol. 3, p. 94 ; Nash, Med. Couns., vol. 1, p. 181 ; Facial neuralgia , Guernsey, Hom. Phys., vol. 6, p. 172 ; Toothache , Villers, A. J. H. M. M., vol. 1, p. 148 ; W. V. R., Hah. Mo., vol. 24, p. 391 ; Gastralgia , Hartmann, Lobethal, Rück. Kl. Erf., vol. 1, p. 663 ; Miller, Hah. Mo., vol. 10, p. 161 ; Solar neuralgia (5 cases), Jones, T. H. M. S. Pa., 1880, p. 197 ; Colic , Lilienthal, N. A. J. H., vol. 9, p. 447 ; Köck, A. H. Z., vol. 103, p. 161 ; Hernia , Guernsey, Hah. Mo., vol. 5, p. 63 ; Use in tapeworm , Hahnemann, Rückert, Hartmann, Rück. Kl. Erf., vol. 1, p. 809 ; Leucorrhœa , Miller, Hah. Mo., vol. 8, p. 44 ; Complaints during pregnancy , Kunkel, A. H. Z., vol. 83, p. 176 ; Affection of larynx , Wurda, Rück. Kl. Erf., vol. 3, p. 173 ; Asthma , Cheney, Med. Inv., vol. 9, p. 56 ; B. J. H., vol. 30, p. 415 ; Affection of larynx simulating phthisis , Müller, Rück. Kl. Erf., vol. 5, p. 790 ; Asthma , Cheney, Med. Inv., vol. 9, p. 56, also Br. J. H., vol. 30, p. 415 ; Asthma and Albuminuria , Villers, Med. Adv., vol. 20, p. 108 ; Cough , Spooner, Hah. Mo., vol. 11, p. 107 ; Grant, Hom. Phys., vol. 8, p. 539 ; Pertussis , A. R., Rück. Kl. Erf., vol. 5, p. 729 ; Affections of chest , Kunkel, A. H. Z., vol. 107, p. 20 ; Chronic catarrhal affection of chest , Diez, Rück. Kl. Erf., vol. 3, p. 28 ; Müller, Rück. Kl. Erf., vol. 5, p. 790 ; Phthisis , B. in A., Gross, Rückert, Schreter, Diehl, Schulz, Schubert, Rück. Kl. Erf., vol. 3, p. 399 ; Müller, Rück. Kl. Erf., vol. 5, p. 843 ; Brigham, C. M., vol. 6, p. 96 ; Intercostal neuralgia , Villers, A. J. H. M. M., vol. 1, p. 149 ; Scrivener's cramp , Battmann, Rück. Kl. Erf., vol. 4, p. 615 ; Neuralgia , Villers, N. A. J. H., vol. 8, p. 79 ; B. J. H., vol. 17, p. 165 ; Rückert, A. H. Z., vol. 8, p. 77 ; Spasms, Epilepsy , Altmüller, Caspari, Hartmann, Attom., Rück. Kl. Erf., vol. 4, p. 592 ; Hemiplegia , Hartmann, Rück. Kl. Erf., vol. 4, p. 484.

MIND [1]

Sadness, with aversion to men and disinclination to talk.

Continued restlessness and anxiety.

Uneasy, does not know what to do with himself, pains > by walking, yet so weak he soon must rest. θ Anemia.

Sullen, answers unwillingly and shortly.

Her distress of mind ceases as soon as menses begin to flow.

A woman, æt. 39, pregnant in fourth month ; continued anxiety and restlessness ; must keep in bed not only on account of bodily weakness, but also on account of her inability to do anything, as she cannot muster sufficient courage, and is forgetful and absent-minded ; feels like crying all the time, but crying makes her feel worse ; great palpitation of heart and anxiety, especially if she has to give directions in her domestic affairs ; thinking makes her feel wretched, and she cannot get rid of what once gets fixed in her mind ; oversensitive smell ; vertigo on moving head ; visions in morning and through day of all kinds of fancied things ; drawing pains in different places ; difficult evacuation even of soft stool ; urging to stool ; urine profuse and pale and then scanty and brown, sometimes white like milk ; flatus ; dry, tiresome cough ; lies always upon her back with one leg stretched and the other drawn up. θ Pregnancy.

SENSORIUM [2]

Vertigo : when reading, with loss of thought ; < walking in open air or raising head ; it seems as if all objects were too far off ; dizzy pressure through head ; head feels heavy, with sadness.

INNER HEAD [3]

Sharp jerking pains in anterior lobe of brain above orbit.

Headache in frontal region.

Pain as if forehead were shattered.

Dull pressure from within outward, in forehead.

Pressive tearing : in forehead ; in right half of forehead, at intervals ; < by stooping.

Pressure in left temple beginning slight, then increasing and so again diminishing as if forehead would be pressed inward.

Crushing pain, like a pressing inward in temples, all day.

Painful jerks through left temple, forehead and cerebellum, leaving a dull pressure, < during rest, > from motion.

Throbbing headache in temples.

Stupefying, aching pain in brain.

Constriction and sudden pressure in whole upper part of head, slowly increasing and decreasing.

Heaviness in head, during rest and motion, evenings.

Headache every morning, over one or other eye, mostly l., gradually extending over whole forehead, increasing and decreasing gradually ; often with vomiting.

Soon after rising, dull, stupefying pain over eyes, sometimes more over left, increasing gradually in intensity and involving whole forehead, attaining its climax in about two hours, after which it as gradually subsided and in about two hours was quite gone ; pain of a pressing in, cramping, crushing character.

Regularly at 5 A. M. awakened by headache, occupying forehead and both eyes ; severe pressive or grinding pains, < from motion ; great sensitiveness to noise and light ; pain not particularly severe at first, but it gradually increased, maintained its intensity when at its height for some time (generally from 8 to 9), then gradually diminished, finally disappeared.

Violent, glowing, beating pain, extending from upper part of forehead to vertex ; felt as if head would burst from inward blows ; skin of forehead seems swollen, eyelids were forced together and could be but slightly opened ; least noise increased pain to an intolerable degree, so that he crept to farthest corner of house ; daily paroxysm lasting from 10 A. M. to 4 P. M., attaining its greatest intensity about noon.

For a week past has had a slight cold, sneezing, some heated excoriating water running from nose and eyes ; after third day of this cold he had an aching pain over l. eye, in left temple, coming on about 4 A. M., very gradually increasing until 11 A. M., and from 3 P. M. as slowly decreasing, until by 6 P. M. it was entirely gone, not to return until 4 A. M., at first, pain only aching, but after a few days it became sharp, cutting and boring, with a terrible sense of fulness ; by end of a week so excruciating at its acme that patient, whose ability to bear pain was more than ordinary, would roll or toss over bed, exhibiting usual expressions of greatest agony ; lachrymation of eye on affected side, with slight excoriation of lower lid ; pain > for a time by pressure. θ Solar neuralgia.

Neuralgia of head ; begins lightly and increases gradually to its highest point and then gradually declines.

OUTER HEAD [4]

Burning in forehead, with nausea, > in open air.

SIGHT AND EYES [5]

Sees a rainbow about the candlelight.

Weak, sunken, lustreless eyes.

Pupils contracted.

Neuralgia in left eye, gradually increasing from 10 A. M. to noon, then gradually decreasing, with lachrymation during pain.

Biting in eyes, as from rubbing with a woolen cloth.

Agglutination of lids at night.

Pressure in left inner canthus as from a stye, with lachrymation.

Pustular swelling at inner canthus of left eye ; like a lachrymal fistula.

Pressive pain in right inner canthus.

Burning stitches in eyelids. θ Styes.

Blennorrhœa of lachrymal sac ; profuse yellow-white discharge.

Ptosis from sympathetic paralysis ; returning every Tuesday.

HEARING AND EARS [6]

Ringing in left ear.

Shrieking noise in ear when blowing nose.

Ulceration of ear-ring hole.

SMELL AND NOSE [7]

Oversensitive smell.

Stuffed feeling and heaviness, high up in nostrils.

Dry coryza on one side, with soreness, redness and swelling of nostril.

UPPER FACE [8]

Flushes of heat in face from any movement, > in open air ; one cheek hot and red.

Face pale, eyes sunk, mind dull.

Face pale and sunken, sickly, features elongated.

Face pale, sickly-looking, flushing easily on exertion.

Drawing pain in face, in malar bone and orbits.

Malar bone painful to touch before menses, during the flow it is painful even to move muscles of face.

Contusive pain in region of malar bone during menses.

Prosopalgia : pains increase and decrease gradually ; after suppressed chills by quinine.

Intermittent supraorbital neuralgia from 10 A. M. to 3 or 4 P. M., gradually increasing until attaining its acme, and then again decreasing as gradually ; after abuse of quinine.

Violent neuralgia of face and head, pains stealing on in a "slow-and-sure" fashion, requiring hours to reach its maximum, then beginning its decrease, which is quite as slow.

TEETH AND GUMS [10]

Teeth feel loose, elongated, with painful jerking shortly after eating.

Neuralgia from temples down over upper and lower maxilla and lips, a drawing, gnawing pain, begins at a certain hour for several days, rises up to its greatest severity and then decreases again gradually (from morning until evening).

Pain in upper incisors for four days ; pains severe, coming at first lightly, gradually increasing in intensity, and then gradually subsiding.

Epileptiform convulsions from teething ; child is more comfortable by lying with abdomen across some hard substance ; clenching of thumbs.

TASTE, SPEECH, TONGUE [11]

Taste : sour ; sweet ; offensive ; everything bitter but water.

Difficult, weak speech, occasioned by weakness, particularly in chest.

Tongue : red ; yellow ; coated with yellowish mucus.

INNER MOUTH [12]

Fetid smell from mouth.

PALATE AND THROAT [13]

Permanent rawness and dryness in throat ; during deglutition a painful feeling of being denuded.

Extreme rawness and dryness of throat, without thirst, these sensations are much more painful during deglutition ; thick greyish or greenish mucus adheres to throat ; strong efforts are required to raise it, and these excite inclination to vomit.

Rawness in throat, in morning. θ Chronic catarrh.

Stinging dryness in throat.

Cutting in throat as from knives, when swallowing.

Hawks mucus, with soreness in throat ; voice then becomes clearer for singing.

Inclination to hawk up much mucus from throat, in evening, followed by a sore pain in throat.

Mucus sticks in throat, efforts to raise it excite vomiturition.

Thick, grey-green mucus, mixed with blood, is detached from throat.

APPETITE, THIRST. DESIRES, AVERSIONS [14]

Canine hunger during day, with loss of appetite in evening.

Appetite irregular, with hypochondriasis.

Aversion to beer ; it tastes flat or bitter.

HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]

Eructations : bitter, after eating ; sour.

Nausea after eating, followed by vomiting of bile, or undigested food.

Vomiting : of blood ; of bile and mucus on awaking in morning ; of water on smelling cooking.

SCROBICULUM AND STOMACH [17]

Sinking, gone feeling in epigastrium.

Pressure and obstruction in pit of stomach.

Heavy pressure in stomach, with soreness of it to touch.

Oppression of stomach in hysterical women, with nausea, pale face, great weakness, phlegmatic temperament.

Uneasy, knows not what to do with himself ; pains > by walking, yet so weak he must soon rest.

Cardialgia, pains gradually come and go, extend to navel and are > from hard pressure ; sickly expression ; uneasy, does not know what to do with himself ; > by walking, yet so weak he must soon rest.

Gastralgia ; clawing, kneading pain, extending to umbilicus ; epigastrium sensitive to pressure ; tension, pressure, shortness of breath, with anxiety and nausea ; chronic diarrhœa ; frequent bitter belching ; distension of stomach ; hunger.

Hematemesis, < when lying, > from pressure on stomach ; slight touch causes a feeling of subcutaneous ulceration.

HYPOCHONDRIA [18]

Occasionally through day great epigastric weakness and hunger, but cannot eat.

Burning in hepatic region ; cutting pains about navel ; pain as if from an ulcer ; empty feeling after eating.

Burning in hepatic region ; stinging.

Boring stitches in left hypochondrium.

Hysteric spasms in region of diaphragm.

ABDOMEN AND LOINS [19]

Empty feeling, even after eating.

Sensation of soreness in whole abdomen, < by touch.

Digging in abdomen before every stool.

Cutting about navel ; with bitter eructations, hunger and diarrhœa ; > from hard pressure.

Sensitiveness of abdomen to touch ; sore as from subcutaneous ulceration.

Stitches from both sides through hips ; < from slightest motion, or touch, and when lying on right side ; > by bending double against a chair or table ; vomiting of water when smelling any kind of cooking. θ Colic.

Colic and twisting pains in region of spleen, lasting about six hours ; usually coming on at night, and when going off leaving a soreness, which wears off during course of week ; for last few days pains were constant ; pain commences lightly, gets worse and worse until it reaches its acme and then decreases, leaving a feeling as if there were a hole in his side.

Spasmodic colic above and below navel.

Colic > by hard pressure or by laying abdomen of child across knees, or against shoulder.

Babe 4 months old, double inguinal hernia ; diarrhœa of green, curdy stools and much colic, > by laying its abdomen across nurse's knee, or against point of shoulder.

STOOLS AND RECTUM [20]

Stools : green, curdy, with colic ; mucous ; with bitter eructations ; hard, dry, knotty or insufficient, with renewed desire afterward.

Diarrhœa : in nursing infants ; it is exhausting to talk much or read aloud ; it is more difficult to descend than to ascend, to sit down than to rise up ; although stool has been fully accomplished does not feel relieved.

Before stool : motion, pinching and distension in abdomen.

During stool : cutting in anus ; drawing from back through thighs ; rigors.

Rectum inactive ; much urging even with soft stool.

Constipation ; stool hard, dry, knotty, or insufficient and green.

Constipation appearing every Monday or on days after a fete, but only in winter, while for the rest of the week the stools were regular ; fulness in lower part of abdomen, with swelling, malaise, great heat in head, > in open air, returning when in house, with ill-humor and sadness ; felt hungry at noon but no appetite in evening.

Passes worms ; lumbrici ; colic ; sickly face ; spells of abdominal pain, during which wishes to lean over on something hard for relief.

Tenia.

URINARY ORGANS [21]

Urine : profuse and pale, then scanty, brown, and sometimes white like milk ; scanty and loaded with phosphates.

After urination continued urging.

Urging to urinate is wanting as if there were no sensation in bladder ; only a sensation of fulness indicates necessity to urinate ; atony of bladder.

MALE SEXUAL ORGANS [22]

Voluptuous sensation in genitals, ending in an emission.

Irritation, with great weakness and nocturnal emissions ; marked neurasthenia.

Spermatorrhœa with excessive prostration.

Emissions without lascivious dreams.

FEMALE SEXUAL ORGANS [23]

Excited sexual desire ; easy orgasm.

Scratching arm produces an intolerable sensation of pleasure in genital organs which extends to uterus and produces sexual orgasm. θ Neurasthenia.

Bearing down in uterine region ; prolapsus uteri and vaginæ ; < during stool ; feels so weak must drop down suddenly, but can get up readily. θ Neurasthenia.

Prolapse strangulated, tends to gangrene.

Menses : too early and too profuse ; preceded by melancholy ; pain in malar bones, continues during menses.

Leucorrhœa : with great debility ; weakness, seems to proceed from chest ; of yellow, white or transparent mucus ; thin, watery, in debilitated subjects ; profuse white or yellow, causing great general debility.

PREGNANCY. PARTURITION. LACTATION [24]

Melancholia. (See Chapter 1 symptom 6).

Spasmodic labor pains ; they exhaust her, she is out of breath.

Child refuses mother's milk.

VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]

Voice husky, deep, hoarse, hollow ; clearer or higher after hawking up mucus.

Roughness and hoarseness, momentarily > by coughing.

Talking weakens, particularly the chest.

Cannot read to her children, it causes aching in throat, chest and deltoids.

Complete aphonia ; pain in larynx ; severe cough, with profuse purulent expectoration ; hectic fever ; debilitating night sweats ; diarrhœa.

Hoarseness, weakness and emptiness in chest on beginning to sing, so that she was constantly obliged to stop and take a deep breath ; at times a few expulsive coughs removed hoarseness for a moment.

Rawness in larynx.

Irritation to cough in trachea, as from mucus, on breathing, with a cough neither loose nor dry, felt more while sitting bent over than when walking.

Mucus in trachea, in forenoon, easily expelled by a forcible cough, with great weakness of chest as if eviscerated ; weakness of body and limbs, in which sensation of weakness extended upward and downward, several mornings in succession.

Bronchial dilatations, with purulent expectoration.

Cough, tickling in throat, loss of appetite, fever, debilitating night sweats ; deglutition gradually became more difficult, caused severe cough and attacks of suffocation, expectoration more and more profuse, at first mucous, finally purulent, more than a pint in twenty-four hours ; hoarseness ; emaciation ; epiglottis ulcerated, edges eaten away.

Laryngeal phthisis, with constant short hacking cough and aphonia ; empty feeling in chest.

Accumulation of great quantities of mucus in trachea, easily thrown off by coughing. θ Bronchitis.

RESPIRATION [26]

Disposition to take a deep breath, causing a feeling of lightness.

Crowing, snoring respiration.

Oppressed breathing : from every movement ; when lying down ; in evening ; from coughing.

Short, difficult respiration, caused by weakness of respiratory organs, with great emptiness in chest, though without dyspnœa.

Dyspnœa and want of breath on ascending steps and on slightest motion.

Evening dyspnœa ; must loosen clothing.

Mrs. ---, æt. 27, spare, brunette, subject to asthma for many years ; attacks, preceded by symptoms of ordinary cold, usually set in about 4-5 A. M., lasting from thirty-six to forty-eight hours ; attacks increase and decrease gradually.

A man, æt. 40, had for a year and a quarter asthmatic attacks, which, day or night, did not permit him to lie down ; paroxysms increased and decreased gradually ; retinitis albuminurica ; albumen in urine and œdema of feet.

COUGH [27]

Cough : in fatiguing paroxysms ; epigastric region painful, as if beaten ; violent, shattering, deep ; short, from time to time, as from weakness in chest, with a hoarse, weak sound ; tickling as from soreness low down in trachea, a scraping extending upward into throat ; constant inclination to hack, as if caused by much mucus in chest, with an internal sensation of scraping and rattling ; frightful, with expectoration and spitting of blood ; dry, in evening in bed ; concussive in paroxysms of three coughs ; caused by mucus in chest and by stitches in trachea, and dryness ; with copious, green, salty sputum, most profuse in morning.

Scraping cough, with greenish expectoration of an offensive sweetish taste, < in evening before lying down with a hoarse voice ; a sore sensation in chest and trachea after every cough (the irritation which provokes it is low down in trachea).

Accumulation of much mucus in trachea, easily thrown off by coughing ; afterward, soreness or stitches in chest.

Cough caused by talking, singing, laughing, lying on side and from drinking anything warm.

Phthisis pituitosa.

Cough, particularly during day, with shortness of breath ; profuse, white, thick, tasteless expectoration, without effort.

Cough, returned every February and lasted until Summer or warm weather ; had measles three years before, and taken cold ; severe racking cough ; inclination to vomit during cough ; < in morning ; expectoration of yellowish mucus of a sweetish taste.

Whooping cough, with hoarseness, loss of breath, soreness and heaviness in chest, inclination to breathe deeply, sore or empty sensation in epigastrium, profuse offensive or salty tasting, yellowish or greenish expectoration, < at night lying down, face pale and emaciated, eyes sunken.

Expectoration of a globular, greyish lump of thick mucus, containing a clot of black blood, and appearing to come from throat.

Sputum : like white of an egg ; yellow green pus ; sweetish ; putrid, sour or saltish ; during day.

INNER CHEST AND LUNGS [28]

Oppression of chest as if it were internally constricted.

Distressing oppression in upper part of chest, was frequently obliged to take a deep breath, with a sensation of great emptiness in pit of stomach.

Tension across upper part of chest with emptiness in lower.

Constriction of chest with anxiety in evening.

Chest so weak he cannot talk ; empty feeling in chest.

Great dyspnœa, with anxiety, in evening, compelling one to loosen clothing.

Drawing a long breath causes a pleasant sensation of lightness, for a short time.

Great sore feeling in chest ; bruised pain.

Stitches in chest and sides hinder respiration.

Sudden, sharp, knifelike stitches in left side of chest.

Stitches in left side of chest, when breathing or lying on that side.

Sudden drawing beneath left breast on rising up in bed, followed by sharp knifelike stitches, extending thence into clavicle, toward shoulder, where pain persisted, and into left side, extending downward into lower abdomen, < by bending inward, pressing upon it, and especially by inspiration and hacking which also caused a painful shock.

Itching tickling in chest.

Tension in chest. θ Hydrothorax.

After great fright, and in consequence of a severe cold, dull paralyzing pain in left arm which on continuing to walk extended to left side of chest, obstructing respiration and forcing him to stand still, pain then soon diminished, but was soon obliged to make another halt ; during night suddenly aroused by violent pain at a point in left breast which could not be definitely pointed out ; pain increased gradually and was accompanied by an indescribable terror which drove him out of bed ; could find relief in no position ; profuse, cold sweat on head and upper part of trunk ; when pain was at its height was unable to make a motion or utter a sound ; for an hour was obliged to remain sitting, with head and trunk bent forward, with gasping, noisy respiration, spasmodically clutching arms of a chair ; pain then diminished as gradually as it had increased and disappeared by morning. θ Neuralgia of left phrenic nerve.

Several days after a fright, while walking, an unusual feeling of weakness which appeared to proceed from chest and obliged her to loosen her dress and lie down ; after remaining quiet for an hour the attack disappeared, but returned in a few days and gradually changed into a gnawing pain, seated at middle of sternum, commencing gently, gradually increasing for two hours and then disappearing just as gradually ; at beginning of paroxysm, which returned more and more frequently, irresistible inclination to lie down, and at the height of attack was unable, for half an hour, to make any motion or sound ; she became more chlorotic and menses more scanty and pale. θ Neuralgia.

Hæmoptysis ; tendency to copious expectoration.

Weakness in chest : with copious expectoration ; as if eviscerated, with weakness of whole body and limbs ; and emptiness on beginning to sing, she was constantly obliged to stop and take a deep breath.

Chronic catarrhal affections of chest, with copious expectoration of yellowish, greenish, offensive-tasting mucus ; great prostration ; emaciation ; œdema of limbs.

Shortness of breath ; profuse but difficult expectoration of thick, offensive, salty-tasting mucus ; expectoration entirely absent for nine or ten weeks, then recurs and lasts for five or six weeks ; oozing of a watery clear fluid from umbilicus during the periods when she expectorates ; sleep disturbed ; sleeps upon back with head flexed upon chest ; cannot lie upon side ; stooping posture ; great prostration ; large mucous and whistling rales in chest ; after a pneumonia several years previously.

Profuse expectoration ; wheezing, oppressed breathing, < from motion ; cough day and night, with nausea ; expectoration white, thin, slimy ; frequent stitches in sides of chest, < from breathing and coughing ; prostration ; cannot sleep on account of shortness of breath ; can do no work ; menses and stool normal.

Cough with copious, greenish, or yellowish offensivetasting expectoration ; cough generally dry in evening and at night, or else expectoration is difficult, while during day and in morning it is profuse and easy. θ Phthisis.

Pulse 150 to 160 ; hectic fever ; racking, exhausting cough day and night ; expectorating every twenty-four hours about a quart of tough glairy mucus, mixed with purulent matter ; large cavity in upper third of right lobe ; Calc. 30 reduced pulse to 120 and diminished sputa about one-fourth ; in four or five weeks pulse quickened and improvement ceased, Stannum then cured. θ Phthisis.

Cough which seemed to come from low down in chest, < at night, with profuse expectoration ; tension across chest ; dyspnœa < from motion ; cannot lie down at night ; rattling of mucus in chest ; anorexia ; night sweats ; prostration ; weakening of limbs ; emaciation. θ Phthisis.

Teeth loose, feel too long ; accumulation of much mucus in throat ; scratching in throat in evening ; hoarseness ; tickling cough ; cough with greenish expectoration, of offensive whitish taste, < evenings ; constriction of chest and anxiety in evening ; shortness of breath, < from least motion ; must unloosen clothing ; stool scanty, greenish ; intense burning of hands and feet ; general prostration ; very tired and sleepy ; profuse sweats every morning at 4 o'clock ; emaciation ; despondent, will not talk, is dissatisfied. θ Phthisis.

Cough day and night, copious expectoration ; great emaciation ; pulse weak, rapid ; burning heat of palms of hands, < in afternoon ; profuse sweats early in morning ; tongue red ; severe diarrhœa ; great prostration, compelling her to stay in bed. θ Phthisis.

Prostration ; pain in all limbs ; constant irritation to cough ; frequent shivering during day, and profuse sweats early in morning in bed ; is no longer able to get up ; constant cough ; copious expectoration of masses of tasteless white mucus ; unquenchable thirst ; craving for sour things. θ Phthisis.

Pale and emaciated ; respiration rapid, short ; cough often dry, often with profuse greenish-yellow sweetishtasting mucus ; < morning and evening ; stitching pains in head, < in forehead, < after paroxysms of cough ; abnormal appetite ; pressure in stomach after eating ; scanty stool ; heaviness, coldness and swelling of hands and feet ; in evening transient flushes of heat and thirst. θ Phthisis.

Mucous expectoration in first stage of consumption, or when a neglected catarrh or grippe threatens to pass into phthisis ; can talk only a few words at a time for want of breath ; more or less hoarseness ; roughness of throat and sore pain in chest ; feeling of weakness in chest as if deprived of its contents after expectorating or talking ; constriction of chest and constant chilliness, alternating with flushes of heat ; profuse night sweats ; pressure and bloatedness of stomach always after eating ; great lassitude, hands and feet heavy and cold or else burning hot. θ Phthisis.

Phthisis mucosa, with the characteristic cough, weakness and sputa ; profuse sweats.

HEART, PULSE AND CIRCULATION [29]

Pulse frequent and small.

OUTER CHEST [30]

A lady, æt. 50, formerly healthy, suffers since her climaxis from disease of liver ; looks yellow, has no appetite, nauseous taste, tongue coated yellow, obstinate constipation ; tongue villous, yellow, heavily coated, somewhat dry ; weak voice, sounds of heart slow, weak, hardly 60 to minute, but regular ; urine strongly saturated with sour secretion and vermilion precipitate firmly adhering to walls of vessels ; some withered varices on anus ; whole appearance anemic ; every Saturday morning wakes up with nausea and choking ; feels a shock in region of liver, leaving behind, along second and third false ribs, a spasmodic pain, which increases gradually in severity up to 3 or 4 P. M., when she vomits up food taken day before, and then pain decreases gradually so that by 10 o'clock in evening she is entirely relieved ; next two days so weak that she is obliged to keep in bed ; next four days tolerably well, until Saturday brings on return of her sufferings ; during paroxysm passes a large quantity of watery urine. θ Intercostal neuralgia.

NECK AND BACK [31]

Weakness of nape of neck.

Stitches in back, in small of back and into limbs.

UPPER LIMBS [32]

Jerking in muscles of arm when resting it ; fingers jerk when holding pen.

Weakness and heaviness of arms, especially right ; < from motion.

Paralytic weakness of arms, if he holds a light weight for only a short time.

The arms easily become fatigued from moderate exercise, so that everything he holds is allowed to fall.

Aching in deltoids from reading.

Swelling of hands evenings.

Weakness and trembling of hands.

Cramping of fingers of writers and shoemakers ; on attempting to pick up a small object, as a needle or a pen, or when they have been used a long time, fingers become suddenly rigid, distorted, spread out or contracted, in which position they remain for some time ; the spasm can often be ended by opening fingers with unaffected hand ; usually right hand is affected ; the toes in one case were also affected.

Burning in hands.

Chilblains on hands.

Painful hangnails.

LOWER LIMBS [33]

Weakness and heaviness, especially of thigh and knee joint, must sit down.

Paralytic heaviness and weakness, especially in thighs and knee joints.

Stiffness and tension in bends of knees.

Swelling of ankles, evenings.

Burning of feet.

LIMBS IN GENERAL [34]

Paralytic heaviness of limbs ; < using arms or walking, particularly descending.

Insupportable restlessness of all the limbs.

Swelling of hands and feet in evening.

Pains in limbs increase gradually and decrease in same manner.

REST. POSITION. MOTION [35]

Rest : pains in head < ; heaviness in head ; of arm, jerking in muscles.

Lying : hematemesis < ; asthma does not permit ; whooping cough <.

Lying on back : one leg stretched, other drawn up during pregnancy ; head flexed on chest ; shortness of breath.

Lies on stomach : when asleep.

Lying on right side : pain through hips < ; causes cough.

Constantly wishes to lie or sit down : excessive prostration.

Must lie down : weakness of chest.

Cannot lie down : phthisis.

Obliged to remain sitting with head and trunk forward : pain in left breast.

Sitting bent over : irritation to cough >.

Bending double against chair or table : > pains through hips.

Bending inward : stitches in abdomen <.

Must sit down : weakness and heaviness of thighs and knee joint.

Stooping : tearing in forehead < ; with shortness of breath.

Raising head : vertigo <.

Rising up in bed : drawing beneath left breast.

Rising from bed : sudden weakness.

Motion : pains in head > ; heaviness in head ; headache < : flushes of heat in face ; stitches through hips < ; oppressed breathing ; want of breath ; impossible from pain in breast ; impossible, neuralgia of chest ; wheezing < ; dyspnœa < ; shortness of breath < ; weakness of arms <.

Walking : pains >, but must soon rest ; vertigo < ; pain goes from arm to chest ; heaviness of limbs < ; great lassitude.

Ascending steps : want of breath ; weariness of body <.

Descending more difficult than ascending, sitting than rising ; heaviness of limbs <.

Going down stairs : faintness.

Exertion : face flushes easily.

Exercise : arm easily fatigued ; slow trembling <.

NERVES [36]

Feels as if she would faint.

Faintness from going down stairs.

Great lassitude when walking.

Weariness of whole body, especially after ascending steps.

Was suddenly attacked by weakness ; she could scarcely breathe, while dressing, after rising from bed.

Great weariness during day ; was obliged to lie down.

Excessive prostration ; constantly wishes to sit or lie down, and when about to sit down falls upon chair because she has not the power to sit down slowly.

Extreme exhaustion of mind and body.

Loss of power as if limbs were beaten.

Very much exhausted from talking or reading aloud.

Great sense of weakness in larynx and chest, thence all over body.

Trembling, < from slow exercise.

Neuralgia ; the pain increases gradually to a very high degree, and decreases again as slowly.

Hysterical spasms, with pain in abdomen and in diaphragm.

Hysteria with frightful pains in head ; full of notions.

Renewal of convulsions with cutting of every tooth ; also in consequence of worms ; child is weak ; looks miserable.

Epilepsy : with tossing of limbs, clenching thumbs ; opisthotonos ; unconsciousness ; with sexual complications ; during dentition, with symptoms of worms ; in evening ; paleness of face, twitching of hands and eyes.

Hemiplegia, paralyzed parts constantly moist from perspiration ; especially on left side, with a feeling of a heavy load in affected arm and corresponding side of chest, and frequent night sweats.

Paralysis, from worms, onanism, spasms, emotions.

SLEEP [37]

Sleeplessness.

Sleepy during day ; goes to sleep late at night.

Restless, child moans during sleep, or supplicates in a timid manner.

So weak on waking it puts her out of breath to dress.

TIME [38]

Morning : visions of all kinds of fancied things ; rawness in throat ; vomiting of bile and mucus ; mucus in trachea ; inclination to cough < ; expectoration easy ; debilitating sweats ; sweat < after 4 A. M.

At 10 A. M. : finger tips numb.

During day : canine hunger ; great epigastric weakness and hunger ; copious green salty sputa ; cough <, with shortness of breath ; expectoration easy ; cough exhausting ; frequent shivering ; great weariness ; sleepy.

Afternoon : burning heat of palms of hands <.

Evenings : heaviness in head ; inclination to hawk up much mucus from throat ; loss of appetite ; dyspnœa ; dry cough ; cough < before lying down ; constriction of chest ; dyspnœa ; scratching in throat ; cough, with expectoration < ; swelling of hands ; swelling of ankles ; swelling of feet ; epilepsy.

Night : agglutination of lids ; colic comes on ; whooping cough < ; cough exhausting ; cough < ; goes to sleep late ; debilitating sweats.

TEMPERATURE AND WEATHER [39]

Warm drinks : cause cough.

Open air : while walking vertigo < ; burning in forehead > ; flushes of heat in face >.

FEVER [40]

Chill : 10 A. M., finger tips numb ; in evening, over back ; only on head, with thirst ; slight, but with chattering teeth, as from convulsions, of masseter muscles ; over whole body, lasting half an hour.

Heat : from 4 to 5 P. M., with sweat ; burning, in limbs, mostly in hands, every evening ; anxious, as if sweat would break out.

Sweat : smells mouldy, musty ; debilitating, night and morning, most profuse on neck ; debilitating, from least movement ; profuse, after 4 P. M., every morning ; in morning, mostly on neck, nape of neck and forehead.

Sweat principally on forehead and nape of neck, in morning after 4 A. M.

Hectic fever.

Worm fever, in a very excitable and restless boy ; pain in stomach, lay upon stomach when asleep.

ATTACKS, PERIODICITY [41]

Increasing and decreasing gradually ; headache over eyes ; cramping, crushing pain in head ; grinding or pressive pains ; neuralgia of head ; neuralgia in left eye ; colic and pain in region of spleen ; paroxysms of asthma ; pain in left breast ; weakness in chest ; spasmodic pain in region of liver ; pains in limbs.

Alternating : chilliness and flushes of heat.

Every morning : headache ; profuse sweat at 4 o'clock.

Several mornings in succession : weakness of body and limbs.

At 5 A. M. : regularly awakened by headache.

Daily : paroxysms from 10 A. M. to 4 P. M.

Every evening : heat in limbs.

Half an hour : chill lasts.

From 4 to 5 P. M. : heat.

For six hours : colic or twisting pains in region of spleen.

Every twenty-four hours : expectorates about a quart.

For four days : pain in upper incisors, increasing and decreasing gradually.

Several days after a fright : weakness in chest.

Every Monday : constipation.

Every Tuesday : ptosis from sympathetic paralysis.

Every Saturday morning : wakes up with nausea and choking.

For nine or ten weeks : expectoration absent, then recurs and lasts for five or six weeks.

Every February : cough returned.

For a year and a quarter : asthmatic attacks.

LOCALITY AND DIRECTION [42]

Right : tearing in half of forehead ; pressive pain in inner canthus ; heaviness and weakness of arm ; spasm of hand.

Left : pressure in temple ; jerks through temple ; headache < over eye ; aching over eye and in temple ; neuralgia in left eye ; pressure in inner canthus ; pustular swelling at inner canthus ; ringing in ear ; boring stitches in hypochondrium ; stitches in side of chest when lying on side ; drawing beneath breast ; paralyzing pain in arm, thence to side of chest ; violent pain at a point in breast.

From within outward : pressure in forehead.

SENSATIONS [43]

As if all objects were too far off ; as if forehead were shattered ; as if forehead would be pressed inward ; pain as if from an ulcer in hypogastrium ; as if there were a hole in his side ; as if there were no sensation in bladder ; chest as if eviscerated ; epigastric region as if beaten ; tickling as from soreness in trachea ; inclination to hawk as if mucus were in chest ; as if it were internally constricted ; as if chest were deprived of its contents ; as if she would faint ; as if limbs were beaten ; as of a heavy load in affected arm and side of chest ; as if sweat would break out.

Pain : in frontal region ; in upper incisors ; larynx ; in all limbs ; in abdomen and in diaphragm ; in stomach.

Violent pain : at a point in left breast.

Frightful pains : in head.

Sharp jerking pains : above orbit.

Beating pain : from forehead to vertex.

Throbbing pain : in temples.

Cutting pain : in forehead and eyes ; in throat ; about navel ; in anus.

Pressive tearing : in forehead ; in right half of forehead.

Boring pain : in forehead and eyes.

Crushing pain : in temples.

Stitches : from both sides through hips ; in trachea ; in chest ; in left side of chest ; in back ; in small of back and into limbs.

Burning stitches : in eyelids.

Boring stitches : in left hypochondrium.

Sharp, knifelike stitches : in left side of chest ; from chest into clavicle.

Stitching pains : in head.

Bruised pain : in chest.

Gnawing pain : seated at middle of sternum.

Twisting pains : in region of spleen.

Pinching pain : in abdomen.

Grinding pain : in forehead and eyes.

Clawing, kneading pain : about umbilicus.

Digging : in abdomen.

Severe pressive pain : forehead and both eyes.

Pressive pain : in right inner canthus.

Stupefying pain : in brain ; over eyes.

Dull paralyzing pain : in left arm.

Neuralgic pain : in left eye ; of face and head ; from temples to lower maxilla and lips.

Glowing pain : from forehead to vertex.

Aching pain : in brain ; over left eye ; in left temple ; in throat ; in deltoids.

Drawing pain : in different places ; in face, in malar bone and orbits ; beneath left breast.

Painful jerks : through left temple and cerebellum.

Sore pain : in chest.

Contusive pain : in region of malar bone.

Biting : in eyes.

Stinging : in throat ; in hepatic region.

Soreness : in nostrils ; in throat ; of stomach ; in abdomen ; in chest.

Burning : in forehead ; in hepatic region ; of hands and feet ; of palms of hands ; of feet.

Heat : in head.

Scraping : in throat.

Rawness : in throat ; in larynx.

Pressure : dizzy, through head ; in forehead ; in left temple ; in left inner canthus ; in pit of stomach ; in stomach.

Sudden pressure : in whole upper part of head.

Constriction : in upper part of head ; of chest.

Tension : across upper part of chest ; in bend of knees.

Heaviness : in head ; in nostrils ; in chest ; of hands and feet ; of arms ; in thighs and knee joints ; of limbs.

Distressing oppression : in upper part of chest.

Weakness : in chest ; of body and limbs ; in nape of neck ; of arms ; in larynx and chest.

Stuffed feeling : in nostrils.

Empty feeling : in epigastrium.

Gone feeling : in chest ; in epigastrium ; in pit of stomach.

Dryness : in throat ; in trachea.

Pleasant lightness : by drawing a long breath.

Insupportable restlessness : of all the limbs.

Fulness : in abdomen.

Itching tickling : in chest.

Coldness : of hands and feet.

TOUCH. PASSIVE MOTION. INJURIES [45]

Touch : malar bone painful ; stomach sore ; slight, causes feeling of subcutaneous ulceration ; soreness of abdomen < ; pain through hips <.

Pressure : headache > for a time ; cardialgia ; pains go to navel, are > by hard pressure ; epigastrium > ; on stomach > ; hematemesis > ; hard >, colic ; stitches in abdomen <.

Must loosen dress : weakness in chest.

Lying across something hard : abdomen more comfortable.

STAGE OF LIFE, CONSTITUTION [47]

Child, æt. 4 months ; hernia.

Girl, æt. 15 ; phthisis.

Girl, æt. 18, weak, poorly nourished, suffering ten weeks ; cough.

Girl, æt. 18, of remarkable beauty, somewhat scrofulous in early childhood, temperament lively and cheerful, after a violent shock ; neuralgia.

Miss W. P., æt. 18, plump, healthy, active ; solar neuralgia.

Mr. M. E., æt. 22, hardy, active, muscular, accustomed to outdoor exercise ; solar neuralgia.

Man, æt. 25, kicked by a horse in region of spleen thirteen years ago, since then suffering ; colic.

Man, æt. 25, just recovered from typhoid fever, after a cold ; affection of larynx.

Man, æt. 27 ; cough.

Lady, æt. 30, good constitution, somewhat reduced by the exhausting mode of life peculiar to St. Petersburg, and by domestic troubles ; headache.

Man, æt. 30, bottlemaker ; headache.

Man, æt. 30, for several years had cough ; phthisis.

Man, æt. 32, ill two years ; phthisis.

Woman, æt. 36, single, five months ago had severe catarrh of chest ; phthisis.

Woman, æt. 36, for several years had cough in Spring and Autumn ; phthisis.

Man, æt. 36 ; phthisis.

Mrs. ---, æt. 37, spare, brunette, suffering many years ; asthma.

Man, æt. 37, ill two years : phthisis.

Mr. E. J., æt. 38, fleshy, hearty, plethoric ; solar neuralgia.

Mrs. ---, æt. 39, four months pregnant ; disorders of pregnancy.

Man, æt. 40, suffering fifteen months ; asthma.

Woman, æt. 40, nurse, suffering several weeks ; headache.

Mrs. W. S., æt. 42, somewhat broken down by other diseases, suffering many days ; solar neuralgia.

Man, æt. 45, large frame, six feet high ; solar neuralgia.

Man, æt. 50, tall, thin ; phthisis.

Man, æt. 50, powerful, after a violent fright ; neuralgia.

Lady, æt. 50, formerly always healthy, suffering since climaxis with supposed disease of liver ; intercostal neuralgia.

Woman, æt. 53, single, weak, irritable, after la grippe ; phthisis.

Man, æt. 54, had itch, in consequence of much scratching foot became ulcerated, for five years was subjected to heroic treatment, and constitution was finally completely ruined, had many digestive disturbances, jaundice, dyspnœa, etc. ; affection of larynx simulating phthisis.

Woman, æt. 59, several years ago had pneumonia, since then suffering ; affection of chest.

Woman, rather stout, sanguine bilious temperament, lost her husband a few months previously, after having a scrofulous tumor discussed from neck by iodine ; phthisis.

RELATIONS [48]

Antidoted by : Pulsat .

Compatible : after Caustic., Cina .

Complementary : Pulsat .