Garcinia morella, Desrousseux ( var . pedicellata), (Hebradendron gambogioides, Graham).

Natural order , Guttiferæ.

Common names , Gamboge, Gummi Gutti.

Preparation , Tincture of the gum-resin.

Authorities. 1 , Noack and Trinck's Mat. Med. (from the MSS. of Dr. Cajetan Nenning), proving made with 30 drops of tinct., 25 of 1st, 20 of 2d, 25 of 3d dils.; 2 , Kolbani, Gift,-Historie, Vienna, 1807 (from N. Arch. f. Hom., 1, part 1).

MIND

Cheerful, talkative.
Ill-humor and vehemence on rising in the morning.
Ill-humor, vexed, anxious, with continued desire to work, although the work does not advance as he would wish.

HEAD

Vertigo.
Vertigo frequently, during rest and motion, in the morning on rising, or in the forehead when spinning (succeeded by anxiety).
General Head.
Heaviness in the whole head, with inertia, drowsiness and pain in the small of the back.
Pain in the whole head and beating in the forehead, towards the nose, in the forenoon.
Frequent mounting of heat to the head, with sweat.
Compressive pains in the head.
Oppressive headache, with heaviness in the forehead (in the afternoon, relieved in the open air), or with heat in the head and whole body.
Forehead. [10.]
Heaviness and beating in the forehead in the forenoon.
Temples.
Feeling of great coldness in the left temple, as if occasioned by a wet, cold cloth, for a quarter of an hour in the afternoon.
Transitory tearing in the left temple in the afternoon.
Vertex.
Headache in the vertex, as if bruised, relieved in the open air, in the forenoon.
Parietals.
Sharp stitches in the right side of the head and in the temples.
Compressive pain in the head, from both sides, in the forenoon.

EYE

Dryness of the eyes, with yawning and sneezing.
Violent burning of the eyes and photophobia in evening or afternoon, relieved by walking in the open air, but returning on the following morning.
Violent itching of the eyes in the evening.
Lids.
Nightly agglutination, burning in the morning , photophobia through the day, and frequent stinging pain in the eyes. [20.]
Pressure in the internal canthus of the right eye, as from a foreign body, obliging him to rub frequently.
Itching of the lower lid.
Itching of the inner canthi (and in the forehead) with discharge of acrid, corrosive tears after rubbing; relieved in the open air.
Vision.
Occasional dimsightedness of the right eye, as if looking through gauze.

EAR

Painful drawing from the right ear to the vertex in the forenoon.
Violent sticking in both ears.
Violent tearing deep in the ears.
Throbbing pain in the left ear, as from an abscess.
Hearing.
Frequent noises in the ears in the morning.
Frequent buzzing in the ear in the afternoon and evening, going off after a sensation as if a leaflet was bursting in the ear.

NOSE

Objective. [30.]
Sneezing.
Violent chronic sneezing, only in the daytime, generally in the forenoon; excited to an intense degree by strong smells, with irritation in the right nostril above the wing of the nose; dryness of the right nostril ; pressure in the internal canthus of the right eye, as from a foreign body (obliging him to rub frequently); occasional dimsightedness of the right eye, as if looking through a gauze, without any catarrhal feeling, without stoppage of the nose, without bleeding at the nose, or diminution of smell. [The sneezing occasioned the following complaints; Violent tearing pain in the forehead, acute stitches in the left side, heaviness of the lower limbs, flushes of heart all over the body; this symptoms has been observed on a lady florist, of nineteen years, and an exquisitely lymphatic constitution, who had been suffering with this affection for a year past, with scarcely any interruption, in consequence of pounding half an ounce of Gamboge.

Sil . relieved her somewhat, but the lady gave up the treatment.]

A quantity of mucus in the nose smelling like pus.
Catarrh, at first dry, afterwards with discharge of offensive mucus.
Stopped coryza.
Bleeding from the right nostril in the evening.
Hæmorrhage from the nose, mouth, throat.
Subjective.
Dryness of the right nostril.
Tearing in the nasal bones.
Ulceration of the right nostril, with burning pain. [40.]
Itching in both nostrils from evening until morning.

FACE

Tearing in the right malar bone for a quarter of an hour in the evening, and in the right lower jaw frequently during the day.
Burning vesicles on the inner surface of the upper lip.

MOUTH

Teeth.
Feeling of coldness in the points of the incisors.
Tearing in the right molars, also in the gums, with sensation as if the gums were sore and swollen.
Beating in one of the right lower molars in cold air.
Tongue.
Burning of the anterior half of the tongue.
Burning of the tip of the tongue, which feels hard.
General Mouth.
Dry Mouth.
Extreme sensitiveness of the palate, like a smarting or soreness, relieved by cold.
Saliva. [50.]
Accumulation of water in the mouth.
Sweetish taste in the mouth and throat, with subsequent expectoration of bright red blood.
Sweetish taste in the throat and expectoration of bloody mucus.
Bitter taste in the mouth.

THROAT

Feeling of swelling in the throat.
Choking sensation in the throat, ascending from the chest, arresting the breathing.
Sticking in the throat, always on swallowing, disappearing after eating.
Violent stinging in the right side of the throat, when swallowing, and when not.
Sore pain in the throat, which is felt on external touch.
Roughness and burning in the throat, obliging one to hawk constantly.
Fauces. [60.]
Burning soreness low down in the fauces when not swallowing.
External Throat.
Tearing in the tendons of the sides of the throat, with choking sensation in the throat, lancinating tearing in the left side of the throat under the ear, aggravated by external pressure, thence descending to the region of the larynx, with stinging in the throat during deglutition.
Stinging in the goitre.

STOMACH

Appetite.
Appetite much increased, almost amounting to ravenous hunger, with much thirst (loss of thirst during the first day of the proving).
Violent hunger.
*Aversion to food.
Thirst.
Thirst after dinner, and especially in the evening.
Violent thirst in the evening, also at night, preventing falling asleep.*
Eructation and Hiccough.
Frequent, violent, empty eructations.
Hiccough in the morning after rising.
Nausea and Vomiting. [70.]
Nausea and aversion to food.
Nausea, proceeding from the stomach (as if the stomach would become everted) during a walk in the open air, with accumulation of water in the mouth, gulping up of sour water and movements in the stomach.
Nausea, inclination to vomit, ptyalism, roughness of the throat.
Qualmishness on eating soup in the morning, relieved after eating bread.
Slight qualmishness and frequent attacks of nausea.
Inclination to vomit, followed by painful twitching in the umbilical region, and diarrhœic stools.
Constant heaving, going off after dinner.
Violent vomiting, 2.
Horrid vomiting and purging, with fainting.
Stomach.
Weakness of the stomach, as after long fasting, with accumulation of water in the mouth. [80.]
Contractive and sore feeling in the stomach, with sensitiveness to the touch.
Painful feeling of constriction of the stomach after dinner.
Aching in the stomach, with slight qualmishness.
Gnawing in the stomach, with slight moving of flatulence in the abdomen.
Pressure in the stomach and chest, arresting the breathing, in paroxysms, going off after an eructation.
Dartings in the stomach , causing one to start.
Constant pain in the innermost parts of the stomach, as if sore, with sensitiveness of the integuments to the touch.
Ulcerative pain of the stomach, going off after eating, succeeded by rumbling in the abdomen during a walk in the open air, and papescent stool.

ABDOMEN

Hypochondria.
Extremely painful burning in the region of the liver.
Umbilical. [90.]
Extremely painful contraction, as with pincers, in the umbilicus.
Feeling of constriction and twisting beneath the umbilicus, with urging to stool.
Pain gnawing in a small spot beneath the umbilicus.
General Abdomen.
Inflammation of the intestines, 2.
*Inflation and accumulation of flatulence.
Inflation and tension of the abdomen, with pinching in the umbilical region.
Rumbling in the bowels.
Emission of fetid flatulence, preceded by cutting in the bowels.
Frequent emission of flatulence , particularly in the evening and at night.
Empty feeling in the abdomen and stomach. [100.]
Burning and moving of flatulence in the abdomen.
Pinching in the abdomen after eating.
Frequent violent pinching in the entire abdomen, without urging, or else succeeded by diarrhœa and burning in the anus, after which the pinching ceases.
Immediately after eating, twitching in the abdomen or sleep.
Sensation of flatulence in the hypogastrium, most painful in the small of the back, succeeded by urging.
Tension in the groins.
Tension in the groins when standing.
Constrictive pain deep in the left inguinal region.
Pinching in the groins , without flatulence.
Pinching, as with nails, in the right groin. [110.]
Sticking in the groins (as from flatulence).
Sudden dart in the right groin, causing one to start, when sitting.

RECTUM AND ANUS

Sticking in the anus before stool.
Frequent urging, with pinching around the umbilicus, from morning till evening, and protrusion of the rectum (after ten drops of the eighteenth potency).

STOOL

Diarrhœa.
Diarrhœa, with cutting pains, 2.
Diarrhœa, with burning pain and tenesmus of the rectum, protrusion of the anus, and constant pinching around the umbilicus, sometimes attended with discharge of mucus.*
Frequent diarrhœa, evacuated with great force, with burning and tenesmus, without pain in the abdomen.
Profuse watery diarrhœa, with colic and tenesmus.
Fecal diarrhœa, stools evacuated with great force , with long-continued burning in the anus, preceded for half an hour by violent cutting in the abdomen, waking him from sleep about midnight, and relieved by firmly compressing the abdomen, which is small, as if eviscerated; after he had fallen asleep again, he was awakened by a pain in the small of the back.*
Repeated diarrhœic stools, with discharge of green mucus, preceded by pinching in the bowels.* [120.]
*Discharge of yellow and green diarrhœic fæces, mixed with mucus, preceded by excessive cutting around the umbilicus.
Frequent soft stools, with rumbling in the bowels, or with pain about the umbilicus, succeeded by tenesmus.
Repeated evacuations, rather hard than soft; afterwards, first a hard, then a soft stool.
Stool late in the evening, with emission of a good deal of flatulence, which seems to press upon the bladder, occasioning a stinging pain, hardness and tightness in the region of the bladder, and shortness of breath.
Constipation.
Constipation.
Soft, scanty stool, with sensation as if the passage of the fæces were arrested by a hard body obstructing the anus.
Hard stool, succeeded by burning at the anus and passage of a lumbricus, or with sticking in the groins and emissions of flatulence.
Hard, insufficient stool, with violent urging, pressing and protrusion of the rectum.

URINARY ORGANS

Increased secretion of urine.
Frequent micturition, but little at a time. [130.]
Micturition seldom.
Scanty emission of urine.
Emission of one or three drops of urine at a time, then intermitting, and finally returning, with burning at the orifice.

SEXUAL ORGANS

Leucorrhœa.
The menses appear too soon and are too profuse.
The menses, which had been suppressed for six weeks, reappear.

RESPIRATORY ORGANS

Scraping in the region of the larynx, inducing a dry cough, at night.
Cough, especially at night, with soreness in the chest.
Frequent dry and hacking cough in the daytime.
Very dry cough at night, obliging him to sit up. [140.]
Cough in the afternoon, with some hoarseness and hawking of mucus.
Violent cough at night, with expectoration of loose mucus.
The cough is most violent at night after lying down.

CHEST

Great tightness and heaviness in the chest, with stitches extending to the back, especially in the lower costal regions.
Repeated digging or gnawing in both subcostal regions, in the evening.
Pressure upon the chest (without affecting respiration).
Pressure in the middle of the chest , and stitches going from both sides of the chest towards each other.
Oppression and heaviness in the chest, with stitches in the back, particularly in the subcostal regions.
Weight on the chest, at night, occasioning sleeplessness, two nights in succession.
Transient stitches in the chest, axillæ. [150.]
Pain in the chest, as if every part of it were sore , even when not coughing.
Front.
Stitches in the forepart of the chest from time to time, in the afternoon and evening.
Stitches deep in the forepart of the chest, frequently alternating with stitches in the right mamma, in the evening.
Repeated extremely painful stitches in the forepart of the sternum (in the afternoon and evening).
Sides.
A painful stitch, arresting the breathing, in the right side, extending from the ribs towards the axilla (after carrying a heavy load).
Mammæ.
Stitch beneath the right mammary region.
Sharp stitches beneath the breast (lasting five minutes), followed by pressure in the middle of the chest, with want of breath (lasting an hour), after awhile disappearing, in the evening.

NECK AND BACK

Neck.
Tearing in the nape of the neck and in the left shoulder.
Lancinating tearing in the side of the neck.
Lumbar.
Sharp sticking in the region of the left kidney. [160.]
Sudden painful stitches in the small of the back, relieved by walking.
Pain as if bruised in the small of the back, as if sprained.
Sacral.
Sticking in the right sacral region.
Repeated gnawing in the os coccygis.

EXTREMITIES IN GENERAL

Violent burning stitch at times in the fingers, at times in the hand, also in the malleoli, afterwards over the whole body.

SUPERIOR EXTREMITIES

Shoulder.
Stitch from time to time in the top of the right shoulder.
Repeated very acute stitches under the left axilla, disappearing on rubbing for a short time.
Tearing in the shoulders, or in the axilla, in the tendons of the extensor muscles of the fingers, in the ball of the thumb and index finger, and between the metacarpal bones of the index and middle fingers, so that the skin is thereby drawn backward.
Arm.
Pinching in the right humerus.
Hand.
Sharp sticking through the palm to the back of the hand, followed by burning in the hand.
Fingers. [170.]
Sharp stitches in the last joint of the left index finger.
Stinging and numb feeling in the ball of the right thumb and middle finger, followed by stitches in the palm of the hand going to the dorsum of the hand, and extending to the forearm, attended with a feeling of heat.

INFERIOR EXTREMITIES

Spasmodic conditions of the lower limbs.
Hip.
Violent tearing in the left hip.
Thigh.
Frequent drawing and tearing in the bend of the left thigh.
Sharp stitches in the bend of the left thigh, lasting an hour.
Knee.
Violent pain, as if bruised, below the left patella; the part is painful to touch, as if ulcerated.
Leg.
Violent pain and feeling of stiffness in the right leg along the tibia; the foot could only be stretched out by great exertion, in the afternoon and evening, in bed.
Cramp and tearing pain above the calf, attended with contraction of the toes (going off by rubbing).
Several stitches in the left calf. [180.]
Tearing in the bone from the middle of the right tibia, extending above the knee.
Tearing and drawing in the tendo Achillis, as if too short.
Ankle.
Painful spasmodic constriction in the region of the right malleolus externus and great toe, compelling him to limp, especially while walking.
Pressure as with the hand above the left malleolus externus, and sensation as if gone to sleep, going off when pressing the foot to the ground.
Foot.
Great heaviness and languor of the feet.
Painful pinching in the dorsum of the right foot towards the toes.
Violent sticking in the sole of the right foot, relieved by rubbing.
Cramp in the right great toe (when walking, and again in the evening, in bed).
Some stitches beneath the right great toe.
Spasmodic tearing in two smaller toes of the right foot.

GENERAL SYMPTOMS

Objective. [190.]
Congestions of the head, chest, uterus.
Faintness, 2.
Subjective.
Feeling of ease, great lightness in all his motions (primary effect).
Burning (eyes, tongue, fauces, abdomen, region of the liver, anus, hands).
Constrictive or contractive pains (stomach, umbilicus, foot).
Pinching (abdomen, groin, humerus, dorsum of the foot).
Drawing (head, bend of the thigh, leg).
Gnawing (stomach, subcostal region, umbilical region, os coccygis).
The sticking pains appear for the most part at night, or are then worst.
Stitches resembling a slow fine pinching over the whole body. [200.]
Tearing , particularly in the bones and tendons (head, ears, dorsum of the nose, malar bone, lower jaw, teeth, cervical tendons, nape of the neck, shoulder, wrist, fingers, hip, bend of the thigh, leg, toes).
Pricking (head, stomach, chest, region of the kidneys, hands, fingers, bend of the thigh).
Stinging (ears, goitre, neck, groin, anus, chest, small of the back, shoulder, thumb, middle finger, calves, toes).
Burning stinging (hand, malleolus).
Pain as from soreness (gums, neck, stomach, chest).
Pain as if bruised (head, small of the back).
Beating or throbbing (ear, teeth, stomach).
The symptoms of the right side predominate.
The symptoms are particularly apt to occur in the evening or night.
The majority of the symptoms come on while sitting and go off during motion in the open air.

SKIN

Objective. [210.]
Small pimples on the inner surface of both forearms, with redness and itching, in the evening.
A small pimple above the upper margin of the orbit, with tensive pain.
Itching blisters on both hands, first pale, then red, for several days.
Subjective.
Biting as from ants over the whole body, especially in the evening and at night, even waking from sleep.
After scratching, a burning ulcerative pain generally remains, with swelling and redness of the scratched part; the itching is generally experienced in the evening and night.
Itching of the ball of the left thumb.
Intolerable itching here and there, head, left side of the forehead, eyes, eyelids, canthi, face, upper surface of the lower arm below the elbow-joint, ball of the thumb, index finger, bend of the foot, dorsum of the hand.
Violent, very voluptuous itching here and there over the whole body, usually with burning, at times followed by redness and swelling, especially in the evening and at night, and then even waking from sleep.

SLEEP AND DREAMS

Sleepiness, great inclination to sleep , the whole day; in the morning sleepiness longer than usual.
Very uneasy sleep at night. [220.]
Sleep disturbed by anxious dreams.
Vexatious dreams, making him anxious.
Dreams about dancing, lice, etc.

FEVER

Chilliness.
Chilliness the whole day, or only in the forenoon, two days in succession.
Sensation of chilliness and elongation of all the anterior teeth, in the morning.
The chilliness is accompanied by empty eructations and yawning, thirst, pain in the small of the back, and biting as of ants over the whole body (at night), or by excessive stitches in the ears, at the commencement.
Internal and external coldness , appearing in evening about 6 to 8.15, and lasting from a quarter to two hours, or the whole night to 5 A.M., sometimes with thirst.
Chills for two hours, with chattering of the teeth, the skin feeling warm to the touch, with violent thirst, so that the lips stick together.
Shaking chills proceeding from the back, with external coldness, even of the forehead; from 7 P.M., lasting the whole night till 4 A.M.
Sudden shaking chill at night, waking him from sleep, and disappearing after five minutes.
Heat. [230.]
Warmth, with frequent flushes of heat.
Increased warmth , with anxiety and sweat, in the afternoon.
The fever is remittent or intermittent, quotidian or tertian, rather postponing than anticipating.
Sweat.
Sweat all over in the morning without known cause.
Sweat over the whole body, on waking at 4 A.M.
Slight nocturnal perspiration.

CONDITIONS

Aggravation.
( Morning ), On rising, ill-humor, etc.; on rising, vertigo ; noise ear; after rising, hiccough; on eating soup, qualmishness; chilliness, etc.; sweat.
( Forenoon ), Pain in head, etc.; heaviness, etc., in forehead; drawing pain from ear to vertex; sneezing.
( Afternoon ), Feeling of coldness in temple; buzzing in ear; cough, etc.; stitches in forepart of chest; warmth , etc.
( Evening ), Bleeding from nostril; thirst ; emission of flatulence; digging in subcostal region; stitches in forepart of chest; the symptoms ; biting over body; itching.
( Night ), Itching in nostrils; thirst ; emission of flatulence; scraping in larynx; after lying down, cough; weight on chest; sticking pains; the symptoms ; biting over body; itching ; chills.
( Cold air ), Beating in molars.
( After dinner ), Constriction of stomach.
( Leaning against anything ), Beating in stomach.
( Sitting ), Most symptoms.
( Spinning ), Vertigo in forehead.
( Standing ), Tension in groins.
( Walking ), Constriction in region of malleolus.
Amelioration.
( Open air ), Headache, etc.; itching of inner canthi, etc.
( Walking in open air ), Burning of eyes, etc.; most symptoms.
( Cold ), Sensitiveness of palate.
( After dinner ), Heaving.
( Eating ), Sticking in throat; qualmishness; pain of stomach.

Gambogia