Chelidonium majus

Volume I — Special Symptomatology

{Great Celandine?)

Description. — Root cylindrical, reddish-brown, with many fibres; stem upright, hairy, branched, one to three feet high. Leaves soft, pinnate, netted, bright green above, glaucous beneath, with large trifid terminal lobes; tip oval, sinnate, or crenate; petioles winged, hairy. Flowers of four petals, yellow, in four-to-nine-flowered axillary cymes, each flower with a peduncle and bract ; petals nearly round ; calyx of two convex, green, deciduous, nearly smooth sepals; stamens twenty; divergent, equal.

Fruit a siliquose, many. seeded, knotty capsule, with two carpels.

Seeds shining, blackish-brown, with little pits. Duration, perennial.

There are, besides, but two species known as yet — one of which grows in Japan (Ch. Japanicum, Thumberg), and one in North America (Ch. diphyllum, Mich.)

In the whole of Europe no other plant grows which, when injured, gives out golden-yellow milk; and from this peculiarity, no plant is so well known to every village child. The milk of the root has a redder tinge than elsewhere.

This fluid is contained in special canals which reticulate over the leaves and open into main vessels along the ribs. Schultz first made known the movement of the juice, called by him Cyclosis.

If a recently gathered tender leaf be placed under a good microscope, one can see the reticulated canals colored by the yellow juice, and plainly distinguish the slow movement of the fluid, whilst crowds of globules pass through the petioles

If a leaf be torn across, the yellow juice issues in drops out of the larger veins on both sides of the ribs.

On the skin the juice makes yellow spots, which on drying turn brownish-black, and also colors the dried root black.

The smell of the recent plant is disagreeable; the taste sharp and bitterish, especially of the root.

On drying, it, almost entirely loses the smell.

The milk, when dry, tastes more bitter than sharp.

After chewing the plant, the taste remains for several hours, and gives a sensation of heat in the mouth, throat, and stomach. Eight pounds of the fresh plant lose one pound eight ounces by drying in the shade.

Officinal Preparation. — Tincture of the whole plant; dilutions.

Analogues. — Agaricus, JEsculus, Bryonia, China, Carduus, Dioscorea, Lycopodium, Leptandra, Mercurius, Nux vomica, Podophyllum, Phosphorus, Sulphur, Sanguinaria, Myrica.

Mental Sphere. Depression of spirits; extraordinary dejection. Incapacity for thought. Cross, quarrelsome disposition, (p.) Great calmness of spirits and cheerfulness, (s.) 0 Restlessness and uneasy conscience, as if she had committed

a great crime and could find rest nowhere. 0 She thinks she must die.

° Thinking becomes difficult to her, and she easily forgets what she wants to do or has done.

Head.

• Tearing in left side of the occiput, over the ear and toward

the front.

• Repeated attacks of violent throbbing pains from nape to

occiput.

• Frontal headache and itching of the skin. Shooting in the forehead under the skin. Aching pains in both temples.

Tensive, heavy feeling in the top of the head extending to the occipital protuberance, and the head feels as if surrounded by a band; inwardly a pressing heaviness.

• Great weight in the occiput, and drawing in the nape from

above downwards.

Giddiness, with weight in the upper part of the head.

On moving the head the neck is stiff on both sides, and painful on taking a deep breath.

Feeling of undulation and weight of the whole head. Shooting in the frontal bone over the left eye; thereafter on

left side of the occiput. Violent throbbing in the temporal arteries with headache;

aching pain in right temple, then in right parietal bone,

lastly close over the right eye. ° Throbbing headache. 0 Twitch in 2: here and there in the head. Congestion of blood to the head.

0 Feeling of a cord about the forehead and temples, close over the eyebrows, as if the head were compressed.

0 Pain in the head, increased by fresh air, cough, blowing the nose, and stooping.

Twitching here and there in the head.

0 Vertigo on sitting up in bed.

Vertigo, with shivering over the upper part of the body. Vertigo on closing the eyes, as if everything were turning in a circle.

0 Vertigo, with tendency to fall forwards.

Great pain in the head, passing from within outwards, especiallg toward the forehead, all day. Pressive, tearing pain between the eyebrows and over the right

eye, tending to close the eyes. 0 Neuralgic pain over the right eyebrow, periodically, every

morning.

Violent throbbing in the temples, with great anxiety. Periodical stupefying pains in the crown and left temple, so

that her ideas are lost. 0 Violent drawing pain from the crown to the nape, so that

she is forced to draw up her shoulders, close her eyes, and

tread lightly.

0 Splitting pressure, and painful throbbing, in the occiput, worse on lying down.

Sensation of cold mounting up from the nape to the occiput.

"When she wants to sit up in bed she has to raise her head with her hand, because the occiput seems to be fastened to the pillow and broken off from the rest of the skull.

Creeping on the whole of the hairy scalp, and also on individual spots, passing off more or less when scratched.

Scalp on the crown painful; hot to the touch.

0 Great falling off of the hair on the occiput when combed.

Pain in the roots of the hair when combed, as if there was ulceration beneath.

° Pressive headache, and heat in the head with the pains.

0 Pressure as if from a band around the forehead and temples

° Weight in forehead, as if it were falling outwards.

° Pressing pain in left parietal region.

° Drawing pain in the occiput, with feeling as if the head were drawn backwards.

Eyes.

• Lids of both eyes are closed with dry mucus in the morning.

• Tearing, pressure and shooting in right eye, soon afterwards

in left. Pressure in the orbits.

Shooting in left eyelid; 0 burning in lower eyelids.

• Tearing pain in the left eye and close above it. ° Photophobia, with pain in forehead.

° Violent pressive pain in left eye, in the middle of the ball, as if it was so large that the upper lid could not be let down over it.

• On moving the eye, pain in the eyeballs and feeling of sand

in the eyes.

[increase of the pain by lamplight, relief on closing the eyes. Pricking between the eyebrows toward the right eye. ' Stupefying pressure in the right orbit, as it were from without inwards.

• Pressure and pain in the upper part of the eyeballs, as if

they were squeezed in, more in the left than the right eye. Sudden jerk in the left eye, in the middle of the ball, as if it was so large that the upper lid could not be let down over it.

Continual pricking and burning, as if from a grain of sand, in

the inner canthus of the left eye. Redness and swelling of the lower tarsal edges. Twitching and burning in the eyelids.

Flickering and dazzling and brilliant specks before the eyes. She sees blackish-gray specks before the eyes. When reading or writing the letters run into each other. Blackness before the eyes, with a sensation of faintness. Yellow, jaundiced color of the eyes.

Ears.

Ringing, buzzing and rushing in the ears. Burning in the left ear, while the right is cold. Shooting in the ears.

Tearing in the meatus auditorius and temporal bone. Frequent tearings from right ear into right teeth. Hoarse roaring in the ears like a distant storm of wind. A tearing pain behind the right ear, downwards.

Nose.

0 Dryness and itching in left nostril. Fluent coryza, with frequent sneezing.

On blowing the nose in the morning, thick blood appeared among the mucus. (Was subject to epistaxis.)

Prolonged pressing pain from the root of the nose to the nasal bone.

Itching and burning in the tip of the nose. Tearing in the nostrils, most severe in the left. ° Feeling of soreness in the nostrils.

Face.

• Sunken countenance, with grayish -yellow face.

• Complexion strikingly yellow, as if from jaundice.

• Redness of the left cheek, passing gradually from bright red

to dark red.

A small, defined, burning, dark red, circular, somewhat ele

vated spot on the left cheek. Feeling of great cold in the face; cheeks pale and feeling cold. Glowing heat in the face, with dark, obscure red complexion. Vesicles on the lip and alee nasi, forming scabs. Burning, as if from nettles, here and there on the face. Isolated stitches in the face, worse in the evening in bed:

warmth aggravates, cold water relieves, the pain.

of the left cheek, especially at night. Toothache every night (for eight days). Drawing pain in the molars of the right side. Sudden jerk in the teeth, as if torn out.

Violent pains in the molars of the left side, which extend to the left ear and draw into the left eye, with swelling and redness of the left side of the face, whereupon an abscess formed on the hard palate (after rubbing the tincture into the eyelids).

0 Jerking pain in right zygoma, as if torn to pieces.

Mouth.

Dry, chapped, and scabby lips.

Vesicle full of serum, as clear as water, on the mucous membrane of the lower lip. Bleeding of the gums.

Dryness, so that the tongue almost clave to the palate. Abscess on the left side of the hard palate, near the furthest

molar, of the size of a bean (after rubbing the tincture

on the eyelids).

Tongue in the morning covered with gray, shaggy, thick coat,

which can be partly rubbed off. Pricking on the end of the tongue; stitch in end of the

tongue, left side. Collection of water in the mouth, with nausea and giddiness. ° Dryness in the mouth and lips, with thirst. ° Redness and swelling of the uvula and tonsils.

Appetite and Taste. ° Bitter taste, whilst food and drink taste naturally. Bitter in the mouth and burning in the stomach. Loss of appetite, especially in the evenings (for six days). Increased appetite, such as occurs in bilious affections. * Great thirst, with dryness in the mouth and throat. Much thirst for milk, (it previously produced flatus). Longing for wine, which relieves the abdominal pain. Whilst taking the medicine, inclination for warm drinks;

after the proving, continual thirst for cold water.

Great dislike to cheese, boiled food, especially flesh, and cold drinks.

Fauces and (Esophagus.

Slight irritation in the oesophagus, imperceptible when swallowing.

Slight shooting in the tonsils on empty swallowing. Contractive spasm in the gullet, forcing him to swallow. Scraping and pricking in the throat; roughness. Smoking causes burning pain and acidity from the cardia up

into the throat. Heat and burning from the mouth down to the stomach. A feeling as if some foreign body was mounting up in the

throat, obliging him to swallow, and then going down

again.

Hawking up of lumps of mucus.

0 Feeling of dryness in the throat, with difficulty of swallowing.

Gastric Symptoms. Bitter eructations, and bitter taste in the mouth. Great nausea, with increased temperature of the body. Nausea, with inclination to vomit; (from the external application).

° Nausea and retching during a fit of anxiety. ° Vomiting of tough mucus after severe nausea. ° Eructation, with heartburn.

Stomach.

• Pressure and oppression of the stomach, drawing up toward the chest.

Pinching, pressing pain in and below the scrobiculus cordis,

increased by the touch. Stomach pain for one hour, with eructation of wind, relieved

by lying on the left side with the legs drawn up. Spasmodic pain in scrobiculus cordis, toward the right. ° Violent pain in the scrobiculus cordis, as if the stomach was

constricted. ° Digging pain in the epigastric region. Feeling of heat in the stomach, with pressure and pricking. Stitches in the pit of the stomach. Cutting in the stomach, increased by pressure.

Peculiar feeling of gnawing and clawing in the stomach, which passes off after eating. {See Arnica and Lachesis.)

L Pressure on the stomach, with eructation of wind.

0 Pressure in the pit of the stomach, with oppression of the chest and difficult breathing.

° Distension of the stomach.

Hypochondria and Liver.

Stitches in the liver.

Dull throbbing and pressing pain in the region of the liver.

• Pressing pain in the region of the liver, on the edge of the

ribs ; the pressure of the clothes increases the pain.

• Pain in the region of the liver, which extends quickly downwards across the navel into the intestines. 0 Spasmodic pain in the region of the liver. ° Congestion of the liver, also chronic disease of the liver. ° Jaundice, even the most obstinate functional kinds; also

when caused by obstruction of the gall ducts from calculi,

or biliary concretions. {Hale.) ° Biliary calculi; specific in many cases. {Hale.)

Abdomen.

Spasmodic contraction of the navel, with transient nausea. Constricted feeling over the navel, as if the abdomen was tied round with a string.

• Violent pressing, periodically returning, and also continued

spasmodic pain in the umbilical region.

• Painful distension.

• Pinching about the umbilical region as if stool were coming on. Pain over the left hip, as if there was something thick and

bulging there.

Spasmodic drawing pains in the inguinal regions, with pressure on the bladder.

Tensive, spasmodic pain on each side, extending from above down and inwardly, followed by a discharge of turbid lemon-colored urine.

Labor-like pain, drawing from the lumbar vertebrae over the hips toward the hypogastrium.

0 Abdomen distended and hard, without pain on being touched.

When coughing, the whole abdomen is painfully contracted.

Cutting in the intestines, as if from knives.

° Accumulation of flatus, with a full, bloated feeling in the

abdomen. Burning in the bowels.

Cold feeling and pressure in the abdomen, especially below the umbilical region, with cold of the whole body.

Pinching, extending toward the chest and back, relieved by passing flatus.

Constant pinching and commotion here and there in the intestines.

Feeling as if the intestines were torn out of the abdomen.

Sensation of turning and moving about the navel, as if an animal was wriggling through the bowels.

Rumbling, with diarrhoea following.

Stool and Anus.

Stool very hard and difficult, with pains in the anus in consequence.

Costiveness; stool like sheep-dung for two days. Repeated thin fluid stools daily, from four to eight days duration.

° Mucous diarrhoea ; ° painless diarrhoea. Brown watery stools.

c At night, once, severe watery, whitish diarrhoea, with nausea after severe chill in the evening.

• Small, thin, bright yellow stools (characteristic of its primary action).

Soft, greenish stool, with cutting pain in rectum and higher up.

Pressure in the rectum, with urging to stool.

Periodic straining and pressure on the rectum, as if before

stool, without result. Sensation as if the rectum was forced out, with spasmodic

constriction of the anus, lasting all day. Cutting pains in the anus and rectum during a hard stool. Burning and cutting in the rectum, with alternation of itching

in the anus; vertigo; fainting sensation and failure of

appetite.

Painful nodule on the margin of the anus.

Crawling, pricking, and itching in the rectum, and on the perineum.

0 Soft bright yellow stool, with straining and moderate pain

in the anus afterwards. 0 White, clay-colored stool, destitute of bile. {Hale.)

Urinary Organs. Pressing pain in the left renal region. Stitch in the left kidney on deep inspiration. * Pain in region of both kidneys, which are very sensitive to

pressure, even the bands of the underclothing give pain

there.

In the morning on rising, violent stitches in renal region,

making her cry out and then fall down. She cannot lie on her back owing to pain in the renal region,

and must also often change from side to side. Gets most

relief by lying on her face. Spasmodic pain in right kidney, with sweat on forehead and

hands.

Spasmodic pain close above the os pubis, with frequent urging

to pass urine. Burning in the urethra when passing urine. Shooting and cutting in the urethra on passing urine, and on

moving the body. ° Shooting pains in the region of the bladder. Frequent call to pass urine; pale, watery. Call to make water every quarter-hour, passing some five

times within one and one-half hours. Had to make water ten to twelve times a day, and two or

three times a night, and a great deal each time. ° Urine reddish and turbid immediately after being passed. 0 Xapkins reddish-brown from the urine; after drying still

more darkly colored. 0 Urine dark brown, turbid, forming bubbles on the edge like

brown beer. Urine has an excess of uric acid salts.

s Urine turbid as soon as passed, lemon yellow after previous pains in the inguinal region. In four hours a grayish yellow, mucus, cloudy sediment, without the urine being

cleared. The inner surface of the utensil is covered with reddish crystals of uric acid as far as the urine reaches. The urine is turbid from an excess of acid uric salts, is deficient in chlorides, contains crystals of hippuric acid, mucous epithelium, and compact urinary cylinders.

° Urine bright red, with a sharp acid smell.

Urine with a strong ammoniacal smell.

Generative Organs.

Male. — Pressure and forcing toward the root of the penis.

Shooting and creeping on the glans.

Frequent erections even in the day time.

Pressure and tensive pain in the testicles downwards, with pressive pain in the occiput.

Drawing and stitching pain in the testicles.

Redness, heat and swelling of the scrotum. On the following day, on both sides there is here and there a raising of the epidermis from yellowish serum in flat vesicles the size of a pin's head, and from that to a small lentil, painful to the touch. In the evening the vesicles burst and the red and swollen skin, stripped of the epidermis, discharges a little fluid. On the morning of the third day the scrotum is covered with dry, thin, cracked, red scales.

Female. — Daily for 14 days constant burning in the vagina at precisely the same hour, forenoon and afternoon.

Menstruation set in two days earlier than usual, but more copious.

Menstruation four days too early, and rather in excess, after vertigo, staggering, pricking, itching pains in the head and limbs.

Menses very copious the ninth day, going on increasing for three days; about four days too late, with pains, lasting seven days.

A mucus discharge from the vagina for some days, coloring

the linen yellow. Menstruation passing gradually into leucorrhoea (suffered

from this previously.)

Larynx and Trachea. Sensation as if the larynx were pressed from without on the

oesophagus, whereby swallowing, not breathing, is rendered difficult.

Severe shooting in the larynx, with a constrictive sensation. Choking sensation in the throat, aggravated by breathing. Pressure, with sense of constriction in the trachea, mounting

from the sternum towards the larynx. ° Sense of constriction in the trachea, with deadly anguish,

and a wish for eructation without success (at night on

awaking.)

Rapidly following stitches in the larynx toward the outside

and inside of the throat. Scraping in the larynx, exciting a cough. Frequent hoarseness, with dry cough.

Heat mounting from .the chest to the throat, quite into the larynx.

Congestion of blood toward the larynx, with dull throbbing there.

Sensation of dust in the trachea, and throat, and behind the sternum, which could not be removed by cough. Cough.

• Infrequent, slight fits of coughing, with spasms of the glottis

on expectoration.

• Dry, hollow cough; violent spasmodic cough. Cough, with severe tickling in the larynx in the evening. ° Whooping-cough. (Specific in certain epidemics.)

0 Short cough, with short breathing.

0 Frequent fits of short cough, with stitches in right side and

difficulty of breathing. ° Much exhausting cough, especially in the morning, with

much expectoration deep out of the lungs. Strong fit of coughing, without expectoration. Dry cough, lumps of phlegm being sometimes thrown out. 0 Pain in the larynx when coughing, with pains in chest and

sacrum.

° Shooting pain in the throat and region of the larynx.

Chest.

• Tightness of the chest, with oppression.

Shortness and difficulty of breathing, with tightness and anxiety of the chest.

Difficulty of breathing, with shooting in the left thoracic region backwards.

• He can only breathe short, and with difficulty and anxiety,

as if he must choke.

° Respiration impeded in the evening in bed.

° Short breathing and oppression, as if the breast were constricted and the breath could not pass.

Her clothes cause tightness of the chest, so that she has to loosen them.

Longing for fresh air to breathe more easily.

He cannot at each breath inspire as much air as he wishes, therefore expires quickly in order to be able to inspire again soon.

° Difficult respiration, with short fits of coughing, preceded by pain first in the right then in the left side of the thorax.

She must breathe quick and short in order to make somewhat tolerable the pains in the chest and back.

She cannot take a deep breath for violent stitches in the right side.

° Anxiety in the chest and oppression.

Congestion in the apices of the lungs, with dull throbbing in them.

• At each breath pain inside the chest, with short dry cough,

which increases the pains and returns after short pauses. (Pulse 90.)

On stooping low, pain deep in the chest, especially toward the bodies of the vertebrae, so that the stooping could not be continued; also after walking fast, blowing the nose, and sneezing; at the same time more externally along the spinous processes.

Inward burning between the chest and shoulder-blades, with internal heat and want of breath.

On deep inspiration, painful tension around the inside of the base of thorax.

Stitch in the chest, with interruption of the breathing.

Stitches in the right side behind the ribs.

Stitches in the lower part of the left lobe of the lungs.

In the left lobe soreness like a wound, aggravated by deep

breathing, coughing and sneezing. High up behind the sternum a spot which smarts like a

wound.

Spasmodic pressure behind the sternum, in the middle, on a surface about two inches in diameter, on awaking in the night.

High up behind the sternum a feeling of dust, not to be removed by coughing. Tensive pain in the whole thorax.

Constrictive pressure under each arm, as if the chest was tight-laced.

Drawing pressure from the right shoulder-blade, through the chest towards sternum.

On inspiration fine stitches like needles in the chest, passing from the left to the right side.

The seventh and eighth rib of each side are painful to the touch, and on drawing the breath, as if they were wounded, worse on the -right side; a cold sensation steals from the spine to those ribs on the way to the sternum, worse on the right side.

Pains and jerking in the left clavicle.

Oppressive pain under the left clavicle up the neck.

Shooting in the right side, close under the mammary gland.

Tensive pain from the left pectoral muscle up toward the neck.

Lancinating pains in pectoral muscles.

° Violent pains in the sternum at each respiration.

0 Shooting, jerking pain a little to the right from the lower part of the sternum right through toward the back, aggravated by breathing. By laying the trunk forwards the pain is worse in the chest; by laying it backwards, worse in the back.

° She must sit upright, and dare not move; otherwise the pains

in the chest are intolerable. Deep, pressive pain on the right side without cough, which

does not allow deep inspiration. Pain as if from a deep seated abscess.

Pain in the lower part of the wall of the chest on the right,

quite to the right side, for the breadth of a hand, aggra vated by each inspiration. c Sudden, violent pain of the right side in the region of the seventh and eighth ribs, increased by respiration and movement for two hours, preceded and followed by burning headache.

Drawing pains from lower part of the sternum toward the right, quite round to the spine, with sore pain there, so that even the touch of the clothes increases the pain.

Repeated stitches, lasting some minutes, compelling short breathing; on attempting deeper breathing, intolerable stitches.

Stitches in right side for two hours, with chill, heat, and red cheeks.

0 Violent stitches in the under part of throat, right side, aggravated by breathing, movement, and cough.

0 Violent stitches for three hours, in right side, obliging her to inspire slowly and carefully, and also to speak softly; sometimes not to move or speak at all.

Tearing pressure in left axilla and thence toward the nipple.

Pain in left side as if bruised, aggravated by movement.

Awaking with stitches, confined chest, and anxiety; she cannot take a deep inspiration for the stitches.

Heart.

Stitches in the cardiac region on coughing. Oppressive pressure in cardiac region.

Stitches in the region of the heart through the left side of the chest, so that she has to breathe short and quick.

Lancinating pains in the heart; and stitches under the heart.

Palpitation toward evening, after sitting down somewhat tired; and in the evening directly after lying down.

° Violent stitches in the cardiac region, followed by strong palpitations, with anxiety and agitation all day.

0 Sudden great anxiety, with palpitation. (The beating of the heart is not accelerated nor irregular, but so strong that the clothes are lifted by the movement communicated to the thoracic parietes, and she hears it so plain that she fancies others must hear it too.)

Neck.

• Drawing pain, tearing and stiffness in the muscles of the nape. Weight in the nape of the neck and occiput.

Sensation of constriction in the muscles of the nape, as if the

head were drawn back. ° Sensation as if the neck was broken.

Cracking and creaking in the cervical vertebra on moving the neck.

Pains in the first cervical vertebra for seven hours, increased

by moving the head and by pressure. Feeling as if the vertebra in the nape were torn out of their

place.

Back.

• Drawing pains in the muscles of the back, with stitches and

stiffness.

• Drawing pain between the shoulder-blades down to the

sacrum.

• Burning in the back. Shudder running down the back.

Tensive and pressive pain in the whole of the back, extending around toward the chest.

0 Pain in the back, as if after excessive muscular straining.

° Wound -like pain in the lower dorsal vertebra, the five lowest ribs on the right, and the lumbar vertebra, aggravated by pressure and movement.

Violent pain at every breath, around the lower angles of the shoulder-blades.

Tearing pressure on the lower lumbar vertebra forward toward the haunch bones, as if the vertebra were broken asunder y only on bending forward and when he bends back; perceptible for many days even when walking.

Wound-like pain in the lowest lumbar vertebra}, as if it were dislocated or smashed.

Upper Extremities.

• Pinching, spasmodic pain on the inner edge of the right

shoulder-blade, which hinders him from moving the arm..

• Stitches under right shoulder blade.

• Violent pains on the lower angle of the left blade/ from thence violent stitches right through the chest forwards.

The hands hot up to the middle of the forearm, and swollen, with distension of the superficial veins.

0 Paralysis and weight of the arms, as if weights were hung upon them.

Drawing pain from the right shoulder down to the wrist, with

cold and stiffness of the arm. ° Paralytic pains in the left shoulder and the whole arm. Drawing pain from the left shoulder to the fourth finger. In the evening in bed, violent pains in the right shoulder, with

a feeling on moving the arm as if it was smashed; the

arm is cold and stiff. 0 Pain in left shoulder, as if broken or dislocated, with cold

feeling in the upper arm. ° Pain in the right shoulder. Tearing in the muscles of the right upper arm. ° Pain in the deltoid and biceps on moving the arm, all day. Rheumatic pains from left shoulder to the elbow. Paralytic drawing in the wrist joints. Distension of the superficial veins of both hands. Tearing, shooting pain in right metacarpals, much increased

by pressure.

Burning in the ball and scalpel joint of the right thumb. Tips of the fingers cold.

Stitch in the second and third joint of the right forefinger. Fine tearing in the tips of the fingers. Itching in the fingers (constant symptom).

Lower Extremeties.

0 Lancinating pains.

° Bruised pain from the thighs to the calves, worse on walking and when touched.

From the hip bone to the toes of the right foot paralytic drawing pain, continuing the same whether walking, lying, or sitting, disappearing suddenly.

Legs feel as if bruised.

Tensive pains and sense of swelling in the thighs, for the breadth of two hands, midway between the hip and knee.

° Shoe ting in the right hip.

Pain as if from a blow in the middle of the right thigh. Burning, itching, and shooting pain in left hip joint. Pain like dislocation in the left hip, preventing walking. 0 Pain in right hip when on rising from a seat. Giving way of the knees when standing and walking. Weight and stiffness, and jerking and trembling in the knee joints.

Boring, drawing pain in the right knee.

0 Pain in right knee, aggravated by movement.

Violent pain in the left knee.

° Feeling of stiffness in left knee joint, with burning. She cannot extend the left leg without violent pains in the knee.

° In walking she is obliged to advance the left leg at full stretch, and can only extend it slowly for pain like a wound in the knee joint, when it is once bent.

Feeling of icy coldness in the legs, especially the calves and sides.

The right foot up to the knee actually cold while the other is warm.

Great weight in the legs.

Shooting, boring sensation in the bones of the left leg.

Drawing pains in the calves, aggravated by pressure.

Some burning, painful spots, with stitches in the middle above the tendo- Achilles; the pain is increased by scratching.

0 Painful pressure on the outside of the ankle.

° Ankle joints painful, especially the right; worse when walking.

" Pressive pain in right ankle joint when sitting. 0 Pain in left ankle joint, especially when walking. Feet first cold then burning hot. ° Feet as if dead, and cold.

Tensive, burning pain in the bones of the right foot, on the

joints of the toes. Continued dryness of the feet, which usually perspire. Stitches in the right heel; violent pain, hindering walking. Cramp in the sole of the right foot, which near the toes was

bent under; the cramp ceased on compression with the hand.

Burning: itching in soles of the feet.

Shooting in the right great toe.

Pain as if from a blow in the toes in bed.

° "Weight in the- legs, as if she could not step out, and as if she

had to drag a great burden. ° (Edematous swelling about the malleoli.

Skin.

On the upper part of the right cheek many red, elevated pimples, raised in the centre and feeling pointed. ° Elevated exanthema on the face.

Red, inflamed, elevated spot, with a pimple in the middle; in the centre of the forehead itching and pricking, which disappeared again in a few hours.

Large pustules on the forehead.

The whole face, except the forehead, is covered on awaking in the morning with bright red, lentil sized, round spots, with pointed pimples in the centre.

Vesicles on the lip and also nose forming scabs.

Papular exanthema on a red base on the upper lip and right cheek.

° Red, round, burning spots on the forearm. Pimples like pocks on the back of the right nates, with red areola.

Eruption of the face Tike miliar j rash and measles. Reticulated, red, itching, coroding spots, with swelling on the

back of the hand. * Skin yellow all over, as in jaundice. c All the skin feels cool in spite of a very warm room.

Fever.

Chilliness and shuddering all over toward evening.

Cold all over, especially in the hands and feet.

° Chill, with cold feet, in the morning on awaking.

Chill, internal and external, with weight in the occiput, and

drawing in the nape. 0 Heat. — Heat without thirst, after lying down in the evening. ° Glowing heat in the head,, with sharply defined, darkish redness of the cheeks; pulsation in the arteries; full pulse (at 90); faintness; difficulty of speech; nausea; short breath; and cold feet. Much dry heat all over, especially in the face, with full pulse, and thirst.

Increased temperature all over, especially in the hollow of the hands, from whence the heat seems to proceed.

° Rigor in the evening, with chattering teeth and rigor; thereafter great heat, especially all over the head.

0 Perspiration at night on awaking, especially in the palms of the hands.

0 When lying in bed at night, a rigor comes over him, lasting nearly an hour, with external warmth all over, yet with goose skin; then follows perspiration for the whole night.

° Heat inside and out, with warm perspiration on the face.

Pulse 62, full and hard.

Pulse 50; after previous palpitation of the heart, with withered looking, pale face.

Sleep.

• Sleepy condition; she falls asleep as she sits; lethargy in

the daytime in jaundice and hepatic congestion. Sleepiness, with yawning, and stretching, and languor. When awakened she falls asleep again directly. 0 From 10 till midnight, phantasies in a half-waking state,

without meaning or connection, and images of death and

soldiering. 0 Restless sleep, full of dreams.

° She cannot get to sleep for a long time, then sleeps well.

0 Frequently in the evening, in bed, restlessness and excitement till toward midnight, preventing sleep.

0 Sleep prevented by a sensation of numbness and coldness in lower extremities.

On awaking he cannot remember what he has dreamed.

Dream of a journey, remembering most minute particulars.

Dreams of corpses and burials.

Generalities.

• Periodical neuralgia of the facial nerves.

19S

• After food, very great distaste for work, and laziness with

sleepiness. 0 Great distaste for mental occupation.

° Prostration, exhaustion, and languor, with weakness in walking.

0 Weariness and exhaustion of all the limbs, as after a long walk.

° Feeling ill, as if from influenza. 0 Loss of consciousness. ° Drawing pains through *,he whole body. ° "Wandering pains in the joints of the extremities, especially left side.

° On awaking, slight twitching in the muscles here and there.

° Twitching in arms and legs.

° Great emaciation, with total loss of appetite.

Sudden restlessness of all the limbs, compelling her to move;

she cannot stand still, and on trying to do so steps with

her feet.

Anxiety, vertigo, and heat of the head drive her into the fresh

air; she feels better. Long-continued fainting, with cold extremities.

Volume II — Special Therapeutics

This plant — the Great Celandine — belongs to the family of Papaveracece, to which also belongs Papaver (Opium), Sanguinaria (Blood-root), Argemone, Stytophorum, and Glaucium — all members of the above family, and growing wild in the United States.

When the critics reviewed the third edition of my “New Remedies,” they disputed my statement that no complete pathogenesis had ever before been published. But I was right. In the “ Symptomen Codex ” was a brief pathogenesis which had been partiallycopied by Lippe; while my pathogenesis was made up from Buchman's splendid provings, found in the twenty-third volume of the “British Journal of Homoeopathy,” together with previous provings and clinical cases scattered through our journals. Teste’s provings and observations were referred to, although I consider them of but little value.

The chemical analysis of Chelidonium is of some interest. It contains Chelidonic acid, which with Malic acid is combined with the organic bases and lime in the plant itself.

It contains a principle called Chelerythrin, which is also found in Sanguinaria and Glaucium.

I believe we can trace pathogenetic affinities between all the plants of this (Poppy) family, especially between the Chelidonium and Sanguinaria.

The sphere of action of Chelidonium includes the liver, portal system, lungs, and kidneys.

Voigt, in “Lehrbuch der Pharmacodynamik,” 1838, gives, in the language of that day, a good idea of its action : “ It causes an increased secretion from the outer skin and kidneys, especially a more active circulation of the fluids of the portal system, and in the lymphatic vessels, and the abdominal glands ; and, in general, a more active metamorphosis of the vegetative organs of the abdomen.”

Rademacher, a close observer, says it acts on the internal structure of the liver, and he believes that all its general effects are due to this specific action.

It was proven by Buchman and others, with the mother tincture in massive doses, and in the 6th dilution.

In Buch man’s summing up of its physiological effects, he says: “The power of exciting the whole arterial and capillary system is possessed by Chelid., in common with Aconite, as appears from the great similarity of the febrile symptoms, but it does not agree with the transient character of the action of Aconite on the vascular system. This is especially evident from its effects on the vena porta and its functions, inasmuch as it calls forth all the phenomena of fully developed abdominal plethora. This effect is always, for the most part, produced by defective circulation in the

liver , and continual catarrhal excitement of the mucous membrane of the abdominal viscera. There is no room to doubt that the attacks of palpitation, slowness of the pulse (50), the distension of the veins of the hands, the paralysis, weight, and stiffness of the limbs, and the coldness of the extremities, the oedematous swelling of the legs, dull pains in the head, vertigo, pressure in the occiput, pains in the back and sacrum ; weakness, indolence, irritability, illhumor, alternation of diarrhoea with costiveness, fits of colic, yellow-gray color of the skin, renewal of the symptoms on change of weather, etc., are to be referred to a congestive retention of blood in the 'portal system , and the hypersemia thereby determined in the abdominal organs.

In the cutaneous system it is primarily the mucous membranes upon which this medicine acts, by exciting catarrhal inflammation. We have accordingly observed catarrhal inflammation of the eyes, nostrils, larynx, and bronchial tubes. Even the stomach and alimentary canal, and mucous membranes of the female sexual organs, partake of this catarrhal inflammation. It extends also to the mucous lining of the canals through which flow the gall and urine.

We find three different conditions of the secretion of bile caused by the Chelidonium.

(1.) Diminished secretion. We find, e. g., light, gray, or yellowish-white stools, without deposit. of biliary coloring-matter in the skin, and without separation by the urine.

(2.) Suppressed secretion, with resorption into the blood.

(3.) Absorption, without stopping its escape into the intestinal canal.

The urine in most cases was sour to the smell, and reddened litmus-paper like a powerful acid. In intimate connection with the increased acidity of the urine we find a diminution of the acid of the stomach.

Analogues. — Buchman says: “Its symptoms combine a great part of those of Bryonia and Arsenic. It is allied to Arnica, Nux vomica, Ledum, Thuja, Nitric acid, and Sulph. acid ; ” to which I shall add Agaricus, .ZEsculus, Benzoic acid, Oarduus, Lycopodium, Leptandra, Mercurius, Podophyllum, Phosphorus, and Sanguinaria (Chionanthus) ?

Clinical Observations. — Buchman gives a list of what might be termed pathological keynotes, for the use of Chelid., namely: Vertigo, stumbling, dizzy confusion of the head ; trembling and twitching in the limbs; grayish-yellow (sallow) amber countenance; increased secretion of the meibomian glands; inflamed sebaceous glands ; so-called worms in the face; heat in the face; fits of rigor in the evening; cold extremities ; restless sleep before midnight; dreams about corpses and funerals; sweat in morning; being terrified out of sleep by the urinal sufferings ; cessation of the sufferings after dinner ; drowsiness during the day ; shortness of breath and anxiety, relieved by eructation ; a feeling of constriction, tension, and sensitiveness in the region of stomach and right hypochondria; dryness in the throat; nausea, and dislike for flesh-meat; bright-colored (yellow) slimy stools; sour-smelling, reddish, and turbid urine.

Buchman thinks it especially indicated in spare subjects, where there exists a disposition to abdominal plethora, cutaneous disease, catarrh, and neuralgia. He agrees with Teste, that it acts with special effect upon persons of blonde complexion. (Bry. for dark complexion.)

Chelidonium is certainly not used by homoeopathists as much as its merits demand. Its pathogenesis, as recorded in the “ British Journal/’ vol. xxiv, 1866, contains many very important symptoms, which point to very decided pathological conditions. It could be prescribed successfully (perhaps more successfully) in many cases where we think Nux vomica, Bryonia, Mercurius, and Iris are indicated.

In certain forms of headache it is indispensable. It is indicated particularly in bilious headache, or those which arise from a deficiency in the eliminating function of the liver. The characteristic symptoms are :

“ Tension of the head as from a bandage close over the eyebrows, as if the head was compressed ; or,

“ Weight on the head, as if bound or compressed in a vise.

“ Violent pulsating pains from the nape and occiput to temples and forehead (Sanguinaria also).

“Great pain in the liea d, pressing from within outwards , espedaily towards the forehead, as if everything was falling out (like Bryonia).

“ Pressure and weight in the occiput, with painful throbbing there ; this weight is so great that the head can hardly be lifted from the pillow (Silica, Eupat. perf., Bromides).”

The headaches are generally increased by fresh air (contra Puls.)5 by cough, blowing the nose, stooping (Bry., Ferr.) ; revered by eating (contra Nux).

Concomitants. — Vertigo, feeling of congestion, flickering, and bright or dark spots before the eyes ; white or gray coated tongue ; nausea, retching and vomiting of tough mucus.

“ In some sick headaches ,” or “ neuralgic headaches” it is very useful.

In periodic neuralgic headache located in the region of the eyebrow and temple, especially of the right side, it has effected some brilliant cures. In vol. xx, “British Journal of Homoeopathy/’ page 47, Dr. Ferivat, of Madrid, reports jive cases of neuralgia of the eyebrow and temple (four in the right, one in the left), marked by the following symptoms :

“ Shivering, followed by pulsating pains in the eyebrow and temple, occurring at the same hour every day (on getting out of bed at 9 a.m., 11 a.m., 3 p.m.).

“The pain, at first slight, increases gradually, until it becomes almost insupportable, driving the patient to distraction. There is a bruised sensation in the eye from the front to the back. The eye becomes red and watery, and very sensitive to the light. Aggravated by fresh air, moving, and holding down the head. Ameliorated a little by pressure. The attacks end with slight perspiration (often sour). Nux was used ineffectually, but Chelidonium in the 2d and 3d dilution, every two hours, promptly arrested the paroxysms.”

I have cured several cases similar to the above, but only when the neuralgia was now-malarial. If it is a form of masked ague Chelidonium will rarely cure, but generally Gelseminum, Quinia, Cedron, or Nux will have to be used.

In diseases of the eye Chelidonium always had a reputation, even in the time of Dioscorides and Aristotle.

Dr. Ferivat, above quoted, says: “I have often proved its efficacy in acute inflammations of the eyes , where they are swollen, injected, with a sensation of burning, as if from the presence of a foreign body. When there is excessive photophobia, laehrymation, abundant sebaceous secretion, agglutination of the eyelids in the morning; shiverings from time to time; pain, which generally extends, not only to the forehead, but sometimes all over the head ; this pain, beginning to be felt towards 2 or 3 P.M., is at its height about 8 or 9, and prevents sleep, or even lying down, till nearly daybreak.”

Amaurosis , in some of its varieties, may come under the curative sphere of this medicine; also tinnitus aurium and other nervous affections of the ear.

It is the value of Chelidonium as a remedy for diseases of the liver to which I wish particularly to call your attention.

Its action on the liver is strongly marked in all the provings. It causes pain, both acute and dull, and tenderness of that organ ; pain in the right shoulder (“ under the right scapula” is a keysymptom); stools either soft or bright yellow, or whitish and costive ; deeply-tinged urine. In three the skin became yellow or dark, and in one regular jaundice was set up.

Rademacher , who was a kind of embryo homoeopathist, declares Chelidonium to be a specific in “ affections of the internal structure of the liver,” the symptoms of which he enumerates as follows :

“The perfect form of the internal hepatic disease is distinguished by white, quite colorless faeces, as in jaundice, and by the complete absence of all the other symptoms of jaundice. The skin is, and continues white, and has not even a dirty appearance, and the urine is nearly straw-colored as in healthy persons.” (He admits that this disease is very rare. He only saw five cases in his practice.) “The unknown organ (in this disease) whereby the bile is formed from the blood is itself diseased ; no bile is present, none is therefore absorbed, none therefore deposited in the skin, or urine, consequently no jaundice.”

I have never seen but one case of this peculiar disease. The patient died. Rademacher implies that he has cured cases of this nature with Chelidonium.

But Chelidonium certainly cures cases of acute and chronic hepatitis, jaundice from absorption of bile, jaundice caused by

catarrh of the biliary ducts, jaundice from gallstones, jaundice complicated with pneumonia, and many other common and anomalous hepatic disorders.

Rademacher, after using and observing the use of Chelidonium in massive doses, became afraid of it in such quantities (as did Hahnemann of other medicines), and reduced his doses to a few drops or fractions of a drop. He mentions one case of a jaundiced patient who had previously taken a thimbleful of the juice four times a day, and the disease was thereby so much aggravated that the bright yellow of the skin had turned dark yellow, and the tension of the upper abdominal region was greatly increased. Fifteen drops of the tincture, three times a day, restored him without further trouble.

In the “ British Journal of Homoeopathy,” 1867, are recorded several cases of biliary calculi cured by large doses of Chelidonium. These cases were not ordinary ones, but obstinate, severe, and with dangerous symptoms. In every case the prompt curative action of the medicine was unmistakable. In my own practice, in 1869, one of the most protracted cases of gallstones on record (so far as my reading extends) came under my care. The patient was a gentleman, an old resident of Chicago. He had been jaundiced nearly two years, and during that time had suffered intolerably with “congestive chills,” terrible cardialgia, periodic; intense hepatic pains, and his appearance when I first saw him was frightful. He was bronze-yellow ; emaciated in the extreme; urine scanty and nearly black; stool hard and white; total inability to retain food; pulse intermittent and almost imperceptible. Like the ease above alluded to, he had been drugged constantly for the two years, without the slightest benefit. I began with two drops Tincture of chelidonium every three hours, increasing it a drop each dose every day, until he took ten drops, when he was seized with intense pains in the gall-bladder, followed by the expulsion from the bowels of a stone, dumb-bell shaped, nearly an inch long and half an inch in diameter. He rapidly recovered.

Induration of the liver was cured by Dr. Benedix with the Extract of chelidonium, after the disease had lasted a year and a half, and had been (mal)treated by a host of drugs.

Dr. Neidhard considers it an excellent remedy in hepatic diseases, and has reported several cures.

You will find no better remedy, and none oftener indicated in the disorders of the liver met with in general practice. Study your cases carefully, and select the medicine with equal care, and avoid the routine treatment, so common, of giving Podophyllum or Mercurius in every case. In my opinion Chelidonium is oftener indicated than either of them.

A disorder of the secretory functions of the liver, described by Flint under the name of Cholesteramia, may be successfully treated with Chelidonium. One case came under my care which closely resembled that disorder. Chelidonium 1* removed the symptoms (like acute rheumatism) in a week.

Buehman says he “cured the fatty liver of a scrofulous girl, aged 4, — the border of the organ extended as far as the navel, with accompanying icterus,— in six weeks, by three doses of the 6th of Chelidonium.”(!) It is just possible the cure was one of nature’s making.

The gastro-intestinal disorders in which Chelidonium maybe used to advantage are comprised under two classes, namely, intestinal catarrh and bilious diarrhoea. Buehman gives several cases illustrative of its action in the former disorder. It was not usually attended by pains in the abdomen; it occurred at night; was yellow-slimy or whitish-yellow; the face was pale or sallow; and there was much debility.

The bilious diarrhoea was attended with much debility, but not much pain.

My studies and experience with Chelidonium convince me that the action of Chelidonium on the liver and intestinal tract is as follows :

Primary. — Irritation of the secretory function of the liver, with yellow fecal discharge, debility, etc., followed by yellow mucous diarrhoea, showing irritation of the intestinal mucous membrane- (6th.)

Secondary. — Arrest of secretory function from overstimulation (reaction), or obstruction of hepatic ducts, with white stools, or brown, watery — with jaundice; urine brown or yellow, and sour (loaded with bile). (3d to 0.)

It is important to understand this dual action, for thereupon

hinges the selection of the proper dose, which I have designated above.

Bell, in his admirable monograph on diarrhoea, says “the Chelidonium diarrhoea is aggravated at night, ameliorated from (colic) wine, and attended by rumbling in the abdomen, both before, during, and after stool, with slimy, white-coated tongue, disgusting or bitter taste, desire for wine, milk, which agrees; for hot drinks, which agree; aversion to cheese and boiled meat.” I am of the opinion that the 'pain is not sufficiently mentioned, for it is not possible for a bilious diarrhoea or intestinal catarrh to be attended with only rumbling , and no pain.

In the summer diarrhoea of children , I have found it at certain seasons one of the best of remedies. It is especially indicated in the diarrhoea which attends infantile pneumonia or capillary bronchitis. Sanguinaria is also indicated here, although it has been but little used.

Buchman was quite enthusiastic that Chelidonium would prove a valuable renal remedy. He based his hopes on one proving, — his wife’s. Her symptoms were “ pressive pains in renal region, not confined to the kidneys, but extending to the ureters and bladder — accompanied by turbid urine.” He says he discovered “renal cylinders” in the urine, from which he divines a condition of “croupose inflammation, and consequent degeneration of the glandular epithelium.” “Just as in this proving, so in morbus Brightii, we found increased uric acid, diminished chloride of sodium, and dissolved haematin in pale-yellow, slightly turbid urine, which, when albumen is abundant, is colored reddish.” His wife had, also, other symptoms of Bright’s disease : “ (Edematous swelling of the extremeties, neuralgia in the region of the trigeminus and supraorbital is.”

Ho subsequent experience has been published in relation to Chelidonium in diseases of the kidneys. Buchman, however, gives one case with the following symptoms, which he removed with the 6th : “ Pain in the region of the kidneys, and in the head, with sparks before the eyes; urine reddish, turbid, containing fibrin, flakes, and sand.”

I doubt if Chelidonium will prove a very valuable renal remedy. It certainly needs further proving in that direction. I am of the

opinion that its renal symptoms mostly depend on the hepatic derangement it causes.

Chelidonium is recommended by both Buchman and Teste in laryngitis , bronchitis, pneumonia, influenza, whooping-cough, asthma , spasm of the glottis, endocarditis, pericarditis, pleurisy, typhoid fever, hemorrhoids, worms, chorea, acute rheumatism, measles, erysipelas of the face, acne, eczema rubra, ulcers, and, finally, injuries (instead of Arnica).

I do not propose to go into detail and examine the homoeopathicity of the drug in these diseases. If you would investigate the extensive history of this medicine, I refer you to vols. xxiv and xxv of the “ British Journal.”

I will only say that the therapeutics of Chelidonium has been almost too elaborately worked up. It has a pathological keynote, which should be the guide, next to the totality of the symptoms, for its selection. That keynote I believe to be derangement of the hepatic system.

I do not believe that Chelidonium is capable of causing idiopathically all of the diseases mentioned above; but they may appear in some forms during the provings, if heroic enough, as concomitants of the central hepatic irritation. With this explanation, you will have no difficulty in adapting it to any of the diseases for which it is recommended.

My experience with it in pneumonia is, that when the liver is implicated, and the right lung is affected, it will prove useful, if a yellow, slimy diarrhoea is found.

In cardiac affections, consequent on hepatic derangements, it is a good remedy (on the contrary, if the hepatic trouble is caused by cardiac disorder, Digitalis).

I have found it useful in haemorrhoids, in some phases of typhoid fever, and in influenza.

I have not used it enough in whooping-cough to give any favorable opinion of its virtues. It is highly praised by some.

Dr. Clifton, of England, writing of his experience in dyspepsia, speaks highly of Chelidonium. He recommends it for the following conditions :

1. Tongue dry and white.

2. Appetite. (Desires and dislikes.)

а. Desire for milk which produces comfort, though it formerly caused flatulence.

б. Great longing for wine, which does not as before produce congestion and heat in the head.

.c. Prefers hot things, dislikes those which are cold.

d. Dislikes boiled flesh.

e. Must eat more breakfast than usual, in order not to get faint before dinner.

/. Disgusting taste ; food tastes naturally.

1. Eructations relieve nausea.

2. Stomach, aching and gnawing pain in ; constrictive feeling over, aggravated by pressure, but relieved by eating or during the early hours of digestion.

3. Sensation of constriction and sensitiveness in the scrobiculus cordis and right hypochondrium.

4. The first of these symptoms or “ characteristics ” relates to the tongue. All that is said of it is, that “ it is dry and white.” The description I would give of the Chelidonium tongue is, that it is moderately dry or moist, of a good natural color, but slightly coated white, and sometimes streaky, the shape of it being narrow and pointed. It has been, in cases of dyspepsia, where there are other symptoms indicating Chelidonium, that I have found the tongue to answer to this description. Where the liver is more affected, there is often a yellowish fur.

5. Appetite, desires, dislikes to food. a. “Desire for milk, which does not cause flatulence as it used to do, but produces comfort.” In several cases of dyspepsia, where Chelidonium has been otherwise indicated, this symptom has been very marked.

In all cases of dyspepsia where the appearance of the tongue answers to that indicating Chelidonium, I generally find that when such persons are in health milk gives rise to flatulence.

One such case was a man, 64 years of age, suffering from hypertrophy of the heart, with gastric dyspepsia, giving rise to loud, tasteless, or bitter eructations. He had suffered from gallstones, and I had successfully treated him with Berberis. To relieve his dyspepsia, I unavailingly gave him Carbo v., Argentum nit., and Bismuth, as well as other medicines; Chelidonium greatly relieved the dyspepsia, though it failed to check the eructations.

I kept him on a milk diet (not skim milk) for a month with benefit. Previously he had had the desire for milk, but was unable to digest it.

Another patient, who suffered frightfully from spasmodic pains in the stomach, followed by bitter and bilious vomitings, had noticed that when well she could not take milk, but was able to do so when ill, provided it was warm. She obtained rapid relief from Chelidonium (1st dec.) in two attacks, and the dyspeptic symptoms which ordinarily preceded and followed an attack were quite cured by the same remedy.

1. “ Great longing for wine, which does not cause congestion or heat in the head as before.” I have occasionally noticed these symptoms in cases of dyspepsia indicating Chelidonium, though not to so marked an extent as the incapacity to digest milk just referred to. In one case — to be noticed presently — there was a longing for beer, which I did not gratify, as it manifestly disagreed with the patient, but I permitted him to take wine with advantage.

c. “ Prefers hot things.” This I have often noticed in dyspeptics cured by Chelidonium.

d The dislike to boiled flesh, said to be a characteristic of the Chelidonium dyspepsia, I have not noticed.

e. The feeling a necessity to eat a larger breakfast than usual in order to prevent faintness before the next meal, I have seen something like in the desire for food to prevent stomach pains.

1. Eructation relieving nausea I have occasionally observed to occur in dyspeptics relieved by Chelidonium.

2. Stomach. — “ Aching-gnawing pain in the stomach, with a sense of constriction, aggravated by pressure, but relieved by eating or during the early hours of digestion,” is, I believe, a very marked characteristic of Chelidonium dyspepsia.

3. “Sensation of constriction and sensitiveness in the scrobiculus cordis and right hypochondrium,” are often associated with the foregoing; or rather, whilst in the former, the aching gnawing is relieved, during the early hours of digestion, this is often aggravated slightly, and in my experience is more frequently indicative of Nux vomica, if other symptoms correspond, than of Chelidonium.

As an illustration of symptoms 4 and 5, I will adduce the following case :

A gentleman, aged fifty-two, of spare habit, accustomed to a moderate amount of exercise by day, but poring over his books and plans till one or two in the morning, had frequently suffered from indigestion. On one occasion he had jaundice, and once had had intermittent fever. When he consulted me he had been suffering for two months, and had taken from his own medicine case Bryonia, Nux, Chamomilla, Sulphur, etc., without benefit. He complained of giddiness in the morning, and of headache on waking. His sleep was unrefreshing from vivid dreams of business matters. He disliked his usual mental studies. The appetite was diminished, but when he had eaten a little he could eat more, because he then felt better. An aching pain in the stomach was nearly constant, but was better after food. Constrictive feeling across the stomach from right to left hypochondrium, so much so as to oblige him to loosen his clothes two hours after a meal. Slight eructations ; bad taste in mouth ; desire for beer, which, though he relished it, caused heartburn and headache; his stools were pappy and light-colored ; urine normal ; his tongue was only slightly coated white, and rather moist, thin, and narrow in shape, like that in persons of a nervous temperament, or where there is nervous irritability; his face was pale, and of a yellowish tint. For a month I gave him Nux, China, and Ignatia of various dilutions, but without benefit. I therefore turned to a record I keep of characteristics, where, under “ Stomach and Appetite,” I found No. 4 characteristic of Chelidonium. I next consulted the Repertory of the Hahnemann Publishing Society (a work it is disgraceful to us as a body not to have completed long since). In this I found that, under Petroleum and Nitric acid, there is “aching pain when fasting, relieved bv food ;” under Pulsatilla, “gnawing pain when fasting, relieved by food ;” under Nux vomica, “ contusive pain when fasting, relieved by food.” None of these corresponded so well, especially in the mental sphere, in the totality of their symptoms to the case under consideration, as did Chelidonium. One drop of Chelidonium, 3d dilution, taken four times a day, gave relief in three days, and in a fortnight my patient was well. He has had a similar attack since, when a few doses of the same medicine soon cured him.

Such are the chief characteristics of the Chelidonium dyspepsia I have been able to verify clinically. I have in addition seen one case of mental distress cured by this medicine. Without much dyspepsia, there was a dry, white, narrow, and pointed tongue ; with a desire for wine and but little appetite. The mental symptoms were restlessness and uneasiness of conscience. She felt that she had committed the unpardonable sin, and that she would be eternally lost — a condition very similar to one described by Dr. Buchman in his proving of Chelidonium. — “ Hom. Review.”