Helleborus. (Helleborus Niger.)
By Constantine Hering — The Guiding Symptoms of our Materia Medica
Christmas Rose ; Black Hellebore. Ranunculaceæ.
Introduced by Hahnemann and proved by himself and others. See Allen's Encyclopædia, vol. 4, p. 547 .
The tincture is prepared from the dried powdered root.
CLINICAL AUTHORITIES.
- Hysterical mania , Zwingenberg, B. J. H., vol. 34, p. 165 ; Melancholia after typhoid (2 cases), Knorre, Rück. Kl. Erf., vol. 1, p. 25 ; Brain affection , Knorre, Rück. Kl. Erf., vol. 1, p. 124 ; Inflammation of brain , Hartmann, Rück. Kl. Erf., vol. 5, p. 44 ; Meningeal affections , Chapman, B. J. H., vol. 8, p. 226-7 ; Cerebro-spinal meningitis , Wells, Raue's Rec., 1873, p. 57 ; Concussion of brain , Farrington, MSS ; Aphthæ (2 cases), Ehrhardt, Brennfleck, Rück. Kl. Erf., vol. 1, p. 507 ; Ascites , Ozanne, B. J. H., vol. 10, p. 122 ; Cholera , Altschul, Rück. Kl. Erf., vol. 1, p. 942 ; Cystitis , Moszbauer, Kreuss, Rück. Kl. Erf., vol. 2, p. 17 ; Amenorrhœa (5 cases), Thomas, B. J. H., vol. 16, p. 327 ; Traumatic tetanus , Kimball, Organon, vol. 2, p. 233 ; Typhoid fever ; Trinks, Raue's Rec., 1871, p. 199 ; Anasarca , Martini, Rau, Seidel, Hromada, Rück. Kl. Erf., vol. 4, p. 347-9 ; Anasarca and ascites , B. J. H., vol. 34, p. 709 ; Dropsy after scarlet fever (3 cases), Müller, Tietze, Wiedemann, Rück. Kl. Erf., vol. 4, p. 50 ; Newton, Raue's Rec., 1871, p. 218 ; Post-scarlatinal dropsy , Miller, Raue's Rec., 1873, p. 226.
MIND [1]
Total unconsciousness.
Weak memory.
When questioned answers slowly ; stupefaction bordering on insensibility.
Diminished power of mind over body ; cannot fix ideas ; slow in answering, stares unintelligently ; muscles do not act properly if will is not strongly fixed upon their action, as when spoken to, the attention being thereby diverted, she drops things.
A perfect picture of acute idiocy.
Idiocy and cretinismus.
Dull, says nothing.
Delirium.
Mania demonic ; sees evil spirits at night.
Mania of a melancholy type, with fixed ideas.
Psychical conditions occupying a place between melancholia and mania, and in conditions where true depression and weakness is present, in which the patient is governed by a fixed idea.
An old woman having been accused of theft by the women around, took it so much to heart that she hanged herself. This suicide produced a profound effect upon the women of the village. One after another accused herself of having caused the death of the old woman by their insinuations ; they wept and howled, ran about day and night wringing their hands and despairing of salvation on account of their sin ; they became quite irrepressible and deranged. In this way twenty-four or twenty-five women were affected, every fresh case being followed by another. θ Hysterical mania.
Thoughtless staring.
Stares at her surroundings in a strange, stupid manner, and, if questioned, stares in the same way at one, or glances wildly about grasping her head ; when walking reels about, allowing her head to hang ; the sensorial apathy and constant staring at one spot alternates occasionally with unintelligible muttering ; constipation. θ Melancholia after typhoid.
Constantly picking his lips and clothes.
Much lamenting, moaning.
Involuntary sighing.
Frequent screams in meningitis, or hydrocephalus.
Tries to escape, to throw herself into the river.
After typhoid, great mental dejection and apathy ; dull and indifferent to all external impressions ; will not speak ; sits quietly in bed and seems lost in brooding ; face pale, disturbed ; languid, unsteady glance of eye ; pupils dilated ; pulse slow and weak ; will take proffered food but never expresses desire for anything ; sleep infrequent, restless ; constantly seeks to escape, but is not violent ; without a word quietly climbs out of window, and if she succeeds in escaping, goes in direction of river ; finally threw herself into privy, from which she was rescued.
Stubborn silence.
Excessive anxiety and anguish.
Restless and anxious.
Dread of dying ; feels unhappy in presence of cheerful faces.
Melancholia in girls at puberty before menstruation has been established, or if menses have appeared and then failed to return.
Melancholy : silent ; during puberty ; with anguish.
Homesickness.
Woeful, despairing mood.
Indifferent.
Irritable ; easily made angry ; < from consolation, does not want to be disturbed.
A noise or shock shortens the attack. θ Eclampsia.
Thinking about symptoms lessens them.
SENSORIUM [2]
Confusion of head, as if bruised, with fluent coryza.
Vertigo : with nausea, watery vomit and loose bowels ; while stooping, ceasing when becoming erect.
Dull and heavy in head.
Brain feels too large and occiput empty ; afterwards reverse in forehead ; occiput feels as if it would fall forward ; wants to lie down and roll head from side to side ; feels helpless as an infant.
Sensorial apathy.
Stupefied ; head hot, heavy ; boring head in pillows, chilly ; fingers cold.
Stupor, blunting of general sensibility ; vision unimpaired, nevertheless sees imperfectly and does not regard the objects he sees ; apparatus of hearing intact, yet hears nothing distinctly nor comprehends ; organs of taste in working order, yet finds not the proper taste in anything ; often distraught, hardly remembers the past or what has just happened ; has no pleasure in anything ; slumber light and unrefreshing ; undertakes to work without having the power or strength.
All perceptions by the senses grow but slowly or not at all conscious. θ Typhoid fever.
Obtuseness of sensory nervous system. θ Brain disease in children.
Thorough unconsciousness ; all impressions on senses and all expressions of will wanting ; heart beat and pulse very slow ; skin only moderately warm ; bowels inactive ; involuntary micturition ; difficult swallowing ; constantly picking his lips and clothes.
Sopor and coma.
INNER HEAD [3]
Violent pains in head, especially pushing out at forehead ; > only in getting head down and remaining perfectly quiet.
Heat deep within head.
Burning heat in head ; pale face ; cold hands.
Intense and intolerable pain in head. θ Spasms of children.
Shooting pains in whole head with giddiness. θ Anasarca after scarlatina.
A shock passes through brain, as from electricity, followed by spasms. θ Puerperal convulsions.
Pain in vertex as if a nail were driven in.
Pressing headache from within outward, with stupefaction and heaviness of head ; < on moving head, from exertion ; > in open air and from distraction of mind.
Stupefying headache : with coryza (4 to 8 P. M.) ; < from stooping ; > at rest and in open air.
Violent pressive headache, with great heaviness, < in occiput, on awaking.
Headache, stupefying, mostly in occiput. θ After scarlet fever.
Sensation in occiput as from a blow. θ Meningitis.
Stupefying headache in occiput, < on stooping, from nape of neck to vertex, changing to burning pain on rising to erect posture, > only by lying quiet with closed eyes.
Headache from nape to vertex.
Headache nearly always with scalp symptoms.
Congestion of brain.
Chills with vomiting ; sensation in occiput as from receiving a blow ; then flushed face, unconsciousness, delirium ; livid spots on body and limbs ; head thrown back ; neck rigid ; eyes rolled upward ; pulse 120 ; frequent convulsions. θ Cerebro-spinal meningitis.
Inflammation of brain, with stupefaction ; heat and heaviness of head ; boring with head in pillow, with chilliness of whole body ; coldness of fingers ; < from thinking of pain.
Acute meningitis when exudation is completed ; reaction almost nothing ; paralysis more or less complete.
Hydrocephalus when fever has abated and following symptoms set in : difficult breathing, want of sensation, trembling and moving of hands towards head, squinting of eyes with insensibility to light, chewing motion of mouth, and sopor.
For a whole week has lain only upon back in apparent slumber, eyes half closed, pupils contracted, cornea and albuginea dim and dull, as if covered with dust, with dry mucus in corners of eyes ; eyes sunken, surrounded by blue circles, with squinting towards nose ; face pale and emaciated ; nose pointed, orifices sooty ; lips dry and cracked ; body emaciated, with dry, flaccid skin ; epigastrium sunken ; lower limbs spread apart, legs flexed upon thighs ; on endeavoring to change this position, moaning, anxious, complaining outcries ; face distorted with pain ; head sinks, helplessly back ; on forcing eyes open dilatation of pupils, spasmodic action of iris, the light falling into the eye making as little impression upon him as calling or speaking to him ; drinks eagerly, bites spoon without being aroused from apathetic condition ; distorts face ; chewing motion of mouth ; grasps head with hands ; grinding of teeth ; cramps in muscles of back ; constipation ; involuntary urination ; partial sweat on scalp ; pulse slow, soft and intermittent. θ Brain affection.
Inflammation of brain with moderate fever, pulse weak, not accelerated, with occasional deep sighing ; patient lies in an apathetic condition, cannot raise himself ; involuntary trembling of hands and grasping of head ; on being raised head sinks back ; frequent rubbing of nose ; eyes half open, pupils dilated, eyeballs turned to side or rolled upward ; convulsive twitching of eyelids ; forehead wrinkled and covered with cold sweat ; no appetite ; desires only drink, which is eagerly taken in large quantities, and is preceded and followed by chewing motion of mouth ; easily angered, especially after being kindly spoken to ; strikes about him ; face pale and bloated ; dulness and drowsiness ; frequently starts up shrieking and crying ; nostrils dry and dirty ; dropping of lower jaw.
No sign of having sight or hearing, utters no articulate sound for two weeks. θ Acute hydrocephalus.
Concussion of brain from a blow on head ; pupils dilated, almost inactive to light ; pulse full, easily compressed ; could arouse him, but he would become drowsy again at once ; breathing heavy and slow ; especially < at 3 to 6 P. M. ; after Arnica failed.
Dropsy of brain : post-scarlatinal, acute or chronic ; mostly in scrofulous subjects.
Serous apoplexy.
OUTER HEAD [4]
Boring with head in pillows, with sensation as if scalp on occiput were pulled down tight.
Rolls head night and day, moaning. θ Hydrocephalus. θ Typhoid.
Throws head back, and from side to side. θ Brain affections.
Sore feeling, as if bruised, < in back part of head ; > on stooping.
Occiput sore to touch.
Partial sweat on scalp. θ Hydrocephalus.
Hair falls off, with pricking on scalp, < on occiput ; face and body œdematous.
Humid scurf on scalp.
Scald head ; moist scales, with engorgement of glands of neck.
SIGHT AND EYES [5]
Vacant look, pupils dilated, eyes wide open or half closed. θ Typhoid. θ Hydrocephalus.
Eyeballs turned upwards, squinting. θ Hydrocephalus.
Eyes sunken, blue edges.
Nyctalopia.
Photophobia without inflammation.
Worse from light, particularly daylight.
Insensible to light. θ Hydrocephalus.
Hippus ; alternate contraction and dilatation of pupil, tremor iridis, after every attempt to arouse patient from stupor and especially if we move the head. θ Hydrocephalus.
Early stage of gutta serena.
Pupils : contracted ; dilated ; alternately contracted and dilated.
Eyeballs red, glassy. θ Hydrocephalus.
Cornea and albuginea dim, as if covered with dust. θ Hydrocephalus.
Cannot keep eyes open on account of heaviness.
Lids, sticky, dry, sensation as if they were pressed down.
Loses hair, from eyebrows.
Twitching in elevator of brows.
HEARING AND EARS [6]
Roaring and ringing in ears.
SMELL AND NOSE [7]
Smell diminished.
Nostrils look as if smoked, sooty. θ Hydrocephalus.
Nose pointed ; nostrils dirty, dry. θ Hydrocephalus.
Frequently rubs nose. θ Hydrocephalus.
Sneezing.
UPPER FACE [8]
Stupid expression. θ Typhoid.
Forehead or face wrinkled. θ Hydrocephalus.
Wrinkled forehead, bathed in cold sweat. θ Hydrocephalus.
Face : red ; hot, but pale ; flushes red and then becomes pale ; pale, œdematous ; distorted ; yellowish ; pale, sunken, icy-cold ; livid, with cold sweat.
Paleness of face with heat of head.
Twitching in levatores palpebrarum and cheeks, with heat in face.
Left-sided neuralgia ; parts so tender, cannot chew.
Dull pain in right malar bone.
LOWER FACE [9]
Constant chewing motion.
Corners of mouth sore ; steady flow of saliva ; upper lips cracked ; lips dry, cracked.
White blisters on swollen lips.
Sore lips.
Lower jaw hangs down.
TEETH AND GUMS [10]
Grinds the teeth.
When biting teeth together feels a pain near the roots in third molars, opposite each other.
Pricking toothache in molars, evening and night, can bear neither cold nor heat.
Toothache during the chill.
TASTE, SPEECH, TONGUE [11]
Taste bitter.
Tongue : dry ; white mornings ; dry and red, previously black, in typhus ; slightly protruded and oscillating ; trembling ; feels stiff ; numb, insensible ; swollen ; full of vesicles ; pimples on tip ; yellow with red edges.
INNER MOUTH [12]
Mouth and palate dry, with cutting, scraping in palate on moving mouth to swallow.
Vesicles in mouth.
Mouth, gums and tongue full of flat yellow ulcers, with elevated gray edges, or red, swollen bases ; carrion-like odor ; salivation ; will take no food except drink ; glands of neck and under chin swollen ; eruption of blisters around mouth ; face red and hot ; stool watery and slimy, with tenesmus ; pulse feverish ; restlessness ; moaning and crying. θ Aphthæ.
Aphthæ, with lienteria.
Painless ulcer in mouth.
PALATE AND THROAT [13]
Water rattles down throat.
APPETITE, THIRST. DESIRES, AVERSIONS [14]
Hunger : child nurses greedily ; with disgust for food.
Wants food occasionally, but rejects it when offered.
Thirst.
Greedily swallows cold water ; bites spoon, but remains unconscious. θ Hydrocephalus.
Thirst with disgust for drink.
Absence of thirst in all complaints.
Aversion to vegetables.
HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]
Nausea. θ Cystitis. θ Hydrothorax.
Nausea, yet hungry ; still food is repulsive although taste is natural.
Nausea during pregnancy.
Vomiting.
Nausea and violent vomiting, with much heat in stomach.
Vomiting of a greenish slimy substance.
Vomiting of greenish-black substances, with colic.
SCROBICULUM AND STOMACH [17]
Intense burning in œsophagus.
Intense painful burning in stomach extending into œsophagus. θ During pregnancy.
Pit of stomach sunken. θ Hydrocephalus.
Fulness and distension of pit of stomach.
Pressing in region of stomach. θ Anasarca.
Burning and scraping in stomach.
Stomach painful when coughing or walking.
HYPOCHONDRIA [18]
Liver complaint, particularly after abuse of Cinchona.
ABDOMEN AND LOINS [19]
Sensation of coldness in abdomen.
Rumbling in abdomen.
Much rumbling in abdomen, excessive colic, debility.
Gurgling, as if bowels were full of water.
Excessive distension of abdomen.
Abdomen swollen, distended, painful to touch.
Griping, pinching about navel, followed by gelatinous stools. θ Ascites.
Excessive colic ; weakness, features sunken, face cold, pale, covered with clammy sweat ; pulse thready ; thin diarrhœa.
Ascites : especially after scarlet fever ; in scrofulous children.
STOOLS AND RECTUM [20]
Watery diarrhœa, nausea, colic a great debility.
Stool consisting solely of clear, tenacious, colorless mucus.
White, jelly-like mucus, with burning and smarting in anus ; diarrhœa preceded by colic, which is > after every stool.
White, gelatinous stool, like frog spawn is passed three or four times a day, with much pressure.
White, jelly-like stools with tenesmus.
Diarrhœa : during pregnancy ; during dentition ; during acute hydrocephalus.
Involuntary stools.
Diarrhœa and vomiting, with cramps in extremities, coldness of whole body, great thirst, altered features, weak, hoarse voice. θ Cholera.
Cholera acuta with heaviness and dulness of head, cramps in abdomen, fever, slow pulse, vertigo, nausea, watery vomiting and diarrhœa.
Feeling as if intestines had no power to evacuate feces, during soft stool.
Constipation.
Before stool : nausea and colic.
During stool : urging ; tenesmus ; nausea.
After stool : burning, smarting, at anus ; relief of colic.
Blenorrhœa of rectum, with spasm of bladder.
Hemorrhoids.
URINARY ORGANS [21]
Congestion of kidneys with extensive effusion of serum in abdominal cavity and tissue of lower extremities.
Dropsy after scarlet fever with albumen and fibrin casts in urine.
Suppression of urine, or urine highly albuminous, dark color, no sediment ; breathes easier lying down ; acute dropsies.
Nephritis causing dropsical symptoms. θ Syphilis infantum.
Bladder overdistended ; retention of urine from atony of muscular coats.
Cystitis ; the inflammatory process increases slowly to greatest violence, with constant desire to urinate, causing spasms ; little urine is voided ; constant nausea ; distended abdomen.
Yellowness of whole body, nausea with aversion to food, dry tongue, great thirst, abdomen painful and distended on account of enormous swelling of bladder, discharge of urine gradually became less, and for last three days ceased entirely ; after great pressure he passes, with much pain, a few drops of blood ; lower limbs swollen and œdematous, swelling finally extending to abdomen ; whole body cold to touch, and in many places covered with clammy sweat ; pulse small and quick ; great restlessness ; introduction of catheter difficult on account of great pain and sensitiveness of parts. θ Cystitis.
Bladder becomes paralyzed and greatly distended during pregnancy.
Irritation of neck of bladder threatening inflammation.
Passes blood and slime, with burning and stinging. θ Uterine complaints.
Frequent urging to urinate, with scanty discharge.
Constant desire to urinate, passing very little and of dark color. θ During pregnancy.
Spasmodic urging to urinate causing spasms.
Suppressed urinary secretion with dropsy.
Urine : scanty, dark, with floating, dark specks ; like coffee-grounds ; albuminous, scanty.
Dark urine, feeble stream.
Urine with dark sediment like coffee-grounds, top part is clear.
Coffee-grounds sediment. θ During complaints of pregnancy. θ Diarrhœa. θ Amenorrhœa. θ Uterine dropsy. θ Spasms of children. θ Hydrocephalus. θ Scarlatina. θ Dropsy after scarlatina. θ Anasarca.
(In sick :) Large quantity of pale, watery urine.
Unconscious discharge of urine. θ Hydrocephalus. θ Typhoid.
MALE SEXUAL ORGANS [22]
Sexual desire suppressed ; genitals relaxed ; no erections.
Hydrocele after suppressed eruptions, either side.
FEMALE SEXUAL ORGANS [23]
Uterine dropsy ; secretion of urine almost suppressed.
Pain under left nipple, pains all over her, forced her menses on ; had to get up at night to make water.
Suppression of menses.
Amenorrhœa from disappointed love.
Amenorrhœa consequent upon getting feet damp, and getting wet through.
Menses absent for many months.
Voice weak ; speech unintelligible. θ Hydrocephalus.
Loses hair from pudenda.
PREGNANCY. PARTURITION. LACTATION [24]
Puerperal convulsions.
RESPIRATION [26]
Sighing.
Breathing difficult, with anxiety, < every evening ; must sit up.
Chest constricted, gasps for breath, with open mouth ; propped up in bed. θ Hydrothorax.
Constriction of throat, nose and chest.
Suffocative attacks, as from constriction of lungs.
Maltreated pneumonia, with moderate fever ; breathing very difficult, anxiety ; torments most towards evening ; patient has to sit up.
COUGH [27]
Dry, < at night, with gagging ; dry, while smoking tobacco.
Constant hacking cough, appearing suddenly while smoking.
Tension in region of left short ribs during cough.
INNER CHEST AND LUNGS [28]
Inner Chest and Lungs
Sharp cutting in region of lower-most true ribs across chest, from within outward, < by inspiration.
Hydrothorax.
HEART, PULSE AND CIRCULATION [29]
Anxiousness about heart, which prevents him from resting anywhere.
Pulse : often slower than beating of heart ; frequent, soft, intermittent in hydrocephalus ; small, wiry, in hydrothorax ; almost imperceptible ; rapid, small and tremulous ; slow.
NECK AND BACK [31]
Neck rigid, in spotted fever.
Cervical muscles stiff as far as occiput.
Cervical glands swollen.
Severe pain down neck, in left side of face and in teeth.
Cramp in spinal muscles. θ Hydrocephalus.
Pain as from stagnation of flatulence ; contractive pains.
Sudden amelioration in myelitis, with cold sweats which do not relieve, followed by symptoms of paralysis.
UPPER LIMBS [32]
Arms moving continually, automatically, except when asleep.
(In sick :) Frequent twitching in right arm. θ Hydrocephalus.
Complete loss of power of muscles in both hands, with numbness in arms.
Thumb drawn in to palm.
Boring, sticking in wrist and finger-joints.
Small vesicles on fingers of right hand, humid for a long time, and then covered with scurf.
Humid, painless vesicles between fingers.
Ulceration around the nails.
LOWER LIMBS [33]
Hip and knee-joints stiff.
Pricking in left hip.
Violent, somewhat slow stitches, as with several pins.
Needle-like stitches in left hip.
Inflammation of psoas muscle in a scrofulous case ; spasms in bladder ; burning and stinging when urinating.
Legs œdematous.
Legs drawn up, with every attempt to change her position. θ Hydrocephalus.
Boring, stinging in knee and foot-joints.
Weakness of feet ; tottering of knees ; he could only walk slowly ; numbness of both feet ; prickling in toes.
Humid, painless vesicles between toes.
LIMBS IN GENERAL [34]
Involuntary throwing or whirling about of one arm and one leg.
Piercing in limbs, with uterine dropsy.
REST. POSITION. MOTION [35]
Slides down in bed. θ Typhoid.
Lies on back, limbs drawn up. θ Typhoid.
Worse from bodily exertion.
Cannot rest anywhere on account of anxiousness about heart.
Has lain upon back for a whole week.
Lying quiet with closed eyes.
Lying down : breathes easier ; heat with sweat.
Wants to lie down and roll head from side to side.
Getting head down and remaining perfectly quiet : > violent pain in head.
Propped up in bed : chest constricted, gasps for breath.
Must sit up : on account of difficult breathing.
Legs drawn up : with every attempt to change her position.
Stooping : vertigo with nausea ; stupefying headache < ; sore feeling in back part of head <.
Standing erect : vertigo ceases ; headache >.
Motion : of head, < pain ; external head painfully sensitive ; chill <.
Moving head : hippus ; alternate contraction and dilatation of pupils.
Arms and hands moving continually.
Chewing motion of mouth.
Grasps head with hands.
Involuntary throwing or whirling about of one arm and one leg.
Boring head in pillow.
Throws or rolls head from side to side.
Can walk but slowly on account of weakness of feet.
Walking : reels about allowing her head to hang ; stomach painful.
NERVES [36]
Great debility.
Heaviness of parts.
Sudden relaxation of muscles.
Want of bodily irritability.
Muscles refuse their service when not governed by strong attention and will.
Automatic motion of one arm and leg in hydrocephalus.
Convulsive twitching of muscles.
Spasmodic twitching in muscles of lower limbs.
Horrible convulsions, with extreme coldness.
Convulsions of sucklings.
Epilepsy, with consciousness, followed by deep sleep.
Rigidity of muscles of neck and limbs.
Traumatic tetanus.
Chiefly indicated when all reaction is past and we deal with the consequent paralysis.
Paralysis of detrusor ; œdema of legs ; vomiting of all he eats ; constipation ; sleeplessness ; despair of getting well.
SLEEP [37]
Drowsy ; when left alone, he goes to sleep.
Constant somnolence ; can be aroused, but not to full consciousness. θ Typhoid fever.
Soporous sleep, with shrieks and starts.
(In sick :) Starting with fright in sleep. θ Hydrocephalus.
During sleep muscles twitch.
Dreams : confused, anxious, cannot be remembered.
TIME [38]
Morning : tongue dry, white ; chill commences ; sweat with heat <.
Day : rolls head.
From 4 to 8 P. M. : headache with coryza.
Evening : pricking toothache in molars ; difficult breathing < ; burning heat all over body between 5 and 6 ; hot head and cold body.
Night : sees evil spirits ; rolls head ; pricking toothache in molars ; had to get up to make water ; dry cough <.
TEMPERATURE AND WEATHER [39]
Worse from uncovering ; > in warm air or wrapping up.
Feels better in open air ; sensation as after a long illness.
Open air : headache >.
Getting feet wet and getting wet through : amenorrhœa.
Aversion to uncovering.
After getting out of bed : chill <.
Cold to touch : whole body.
Can bear neither heat nor cold.
FEVER [40]
Coldness over whole body, with cold hands and feet.
Pale, sunken face, loss of pulse, icy-coldness, cold sweat all over, so that a drop is on the end of every hair.
Chill in alternation with pain in joints.
General shaking chill, with goose-flesh ; painful sensitiveness of external head to touch and motion ; drawing tearing in limbs, and frequent sticking in joints, especially in elbows and shoulders ; without thirst ; commences in morning.
Chill spreads from arms ; goose-flesh, pains in joints ; face hot ; drowsy ; < after getting out of bed, and from motion.
Heat with shuddering.
Repeated attacks of, first heat, then chill with pains in abdomen.
Burning heat, followed by chill and colic.
Burning heat over whole body, especially violent in head, with internal shivering and chilliness, without thirst, in evening between five and six, and especially after lying down ; when he desires to drink, it becomes repugnant to him, and can drink only a little at a time.
Internal heat of head with coldness of hands.
Hot head with cold body, towards evening.
Heat principally in head.
Fever with painful sensibility of head to touch and motion ; with drawing, tearing pains in limbs and stitches in joints.
After lying down in bed, heat generally with sweat.
Heat in evening and through day, as soon as he lies down, generally with sweat.
Heat or sweat, with aversion to uncover.
Sweat with heat, in bed, < toward morning.
Cold sweat.
Whole body covered with cold, clammy sweat.
Sweat : sticky ; less after sleep ; towards morning, temperature unchanged.
In consequence of catching cold after scarlet fever ; stitching pains in head ; vertigo ; pale swollen face unrecognizable ; loss of appetite, bitter taste in mouth, nausea after eating and drinking, gagging and vomiting with relief ; constipation ; urine very scanty and brown ; no sweat ; skin hot and dry ; abdomen swollen, but soft ; great depression of mind, fears she will die ; sits about despondent the whole day.
Stupid expression, though face is not collapsed ; vacant look of eyes with dilated pupils ; constant somnolence, out of which patient may be roused, but does not gain full consciousness ; he stares at physician, is slow in comprehending and answering questions ; all perception by senses grow only slowly or not at all conscious ; utters no desire ; when left alone sinks into slumber ; lies upon back with limbs drawn up ; sliding down in bed ; mucous membranes but little or not at all affected ; abdomen not bloated, unpainful ; no diarrhœa ; sometimes unconscious discharge of urine ; slow action of heart ; pulse only 80 ; respiration slow ; temperature of skin nearly normal ; no miliary eruption ; no sign of putrid dissolution of blood ; loss of flesh trifling ; only brain seems to be invaded. θ Typhoid.
Temperature 106. θ Typhoid.
ATTACKS, PERIODICITY [41]
Repeated attacks of first heat, then chill, with pain in abdomen.
Three or four times a day : white, gelatinous stool, like frog spawn.
For two weeks : no sign of having sight or hearing, uttered no articulate sounds.
LOCALITY AND DIRECTION [42]
Right : dull pain in malar bone ; frequent twitching in arm ; small vesicles on fingers of hand.
Left : neuralgia of face ; pain under nipple ; tension in short ribs ; severe pain side of face ; pricking in hip ; needle-like stitches in hip.
Within outward : pressing headache ; sharp cutting in region of lower end of true ribs ; pain in forehead.
SENSATIONS [43]
Confusion of head, as if bruised ; occiput feels as if it would fall forward ; brain as if too large ; shock as from electricity passes through brain ; as if a nail was driven into vertex ; sensation in occiput as from a blow ; cornea as if covered with dust ; as if scalp on occiput were pulled down tight ; as if eyelids were pressed down ; nostrils look as if smoked ; gurgling as if bowels were full of water ; as if intestines had no power to evacuate feces.
Pain : under roots in third molars ; under left nipple ; all over patient ; pain as from stagnation of flatus ; in joints ; in abdomen.
Violent pains : in head, especially in forehead.
Intense and intolerable pain : in head.
Severe pain : down neck ; in left side of face ; in teeth.
Great pain : in urinary organs.
Violent pressive pain : in head.
Drawing tearing : in limbs.
Sharp cutting : in region of lowermost true ribs across chest.
Shooting pains : in whole head.
Cutting scraping : in palate.
Piercing : in limbs.
Violent slow stitches : in lower limbs.
Needle-like stitches : in left hip.
Stitching pains : in head.
Stitching : in wrist and finger-joints ; in joints.
Pricking, tearing, pressing pains, running across affected parts.
Pricking : about navel.
Pricking pain : in molars ; in left hip.
Boring : in wrist and finger-joints ; in knee and foot-joints.
Cramps : in muscles of back ; in extremities ; in spinal muscles.
Griping : about navel.
Neuralgia : left side of face.
Contractive pains : neck and back.
Pressing pain : in head ; in region of stomach.
Burning pain : in head.
Smarting : in anus.
Scraping : in stomach.
Dull pain : in right malar bone.
Stupefying headache.
Burning heat : in head ; in œsophagus ; with pain in stomach ; in anus ; in urinary organs ; all over.
Sore feeling : in head.
Soreness : of corners of mouth ; of lips.
Sensitiveness : of urinary organs ; of external head.
Stinging : of urinary organs.
Prickling : in toes.
Dull and heavy : in head.
Constriction : of chest ; of throat ; of nose.
Tension : in left rib.
Heat : deep within head.
Anxiousness : about heart.
Heaviness : of head ; of limbs.
Numbness : of both feet.
Twitching : in right arm.
TISSUES [44]
Red parts become white ; anemia.
Great emaciation.
Loss of flesh ; aphthæ.
Hydrocephalus and kidney troubles after exanthema.
Diseases of serous membranes, approaching insidiously, rather as a sequel from some other diseases than as a natural termination of an inflammation of brain.
Acts especially upon kidneys and serous membranes, giving rise to dropsical effusions of brain, thorax, peritoneum and cellular tissue.
Dropsy : of brain, chest, or abdomen ; sudden swellings ; anasarca ; after scarlatina, nephritis, intermittents, etc.
Concomitants : debility, fever, pains in limbs, diarrhœa, suppressed urine, etc.
Anasarca and effusion into pericardium and pleura ; black urine.
Scarlatinal dropsy without much fever or pain in kidneys.
Face swollen ; respiration difficult ; urine blood-red. θ After scarlet fever.
Anasarca, ascites, hydrothorax, etc., and especially for acute dropsies where there is great weakness, drowsiness, fever, stitching pains in limbs, diarrhœa and suppressed urine.
Syphilitis infantum.
Stinging boring, in periosteum ; < in cool air.
TOUCH. PASSIVE MOTION. INJURIES [45]
Touch : occiput sore ; abdomen painful ; painful sensitiveness of external head.
From a blow : concussion of brain.
SKIN [46]
Skin : pale ; yellow ; cold and clammy.
Skin peels off ; hair and nails fall out.
Livid spots on skin.
Miliary or humid eruptions.
Elephantiasis.
Repercussion of exanthemata.
Sudden dropsical swelling of skin.
Sudden severe chill, burning fever, headache, pain in all the limbs, pressure on chest, dry cough, unquenchable thirst ; after 36 hours face and body greatly swollen, pitting upon pressure ; dull headache, difficult in answering questions, cannot concentrate his mind, low-spirited ; want of appetite, pressure in region of stomach ; frequent griping in umbilical region followed by urging to stool, with bilious mucous discharges ; frequent urging to urinate with scanty discharge ; great weakness ; pulse small and slow. θ Anasarca.
Anasarca after scarlet fever ; urine dark, frequent and scanty ; stupefying headache, < in occiput ; pupils dilated.
Whole body enormously swollen on account of the œdematous infiltration of the connective tissue ; cannot sit up, lies in a drowsy condition ; complaining, dissatisfied when he is disturbed ; urine greatly diminished ; paleness of face and body. θ After purpura.
Painless ulcers.
Itching unchanged by scratching.
STAGE OF LIFE, CONSTITUTION [47]
During dentition, brain symptoms.
Weakly, scrofulous children.
Girl, æt. 5 weeks ; eclampsia.
Boy, æt. 15 months ; ascites.
Child, æt. 18 months ; aphthæ.
Child, æt. 2 ; aphthæ.
Boy, æt. 2 1/2 ; hydrocephalus.
Girl, æt. 2 1/2 ; brain affection.
Girl, æt. 2 1/2, weak and scrofulous, after purpura ; dropsy.
Small, weak, emaciated child ; aphthæ.
Boy, æt. 3, another 4 ; hydrocephalus.
Girl, æt. 6 ; cerebro-spinal meningitis.
Girl, æt. 8 ; brunette, brown eyes, lively temperament ; dropsy after scarlet fever.
Girl, æt. 17 ; amenorrhœa.
Girl, æt. 19, suffering for five weeks ; melancholia after typhoid.
Girl, æt. 20, after typhoid ; melancholia.
Girl, æt. 22 ; amenorrhœa.
Phlegmatic patient ; amenorrhœa.
Man, æt. 40, dwarfed, hunchbacked ; anasarca.
Nervous woman, æt. 42 ; neuralgia.
Man, æt. 47 ; sanguine temperament, three weeks ago had fever, which was treated with China ; cystitis.
Woman, æt. 50 ; anasarca and ascites.
RELATIONS [48]
Antidoted by : Camphor., Cinchon .
Compatible : Zincum (hydrocephalus) ; Bellad., Bryon., Cinchon., Lycop., Nux vom., Phosphor., Pulsat., Sulphur .
Compare : Apis, Apoc., Arsen., Canthar., Digit., Kali brom., Laches., Phos. ac .