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H6I4,\ Ch
A DICTIONARY OF PRACTICAL MATERIA MEDICA
The amount of matter dealt with in this volume having been Sound to require much more space than was anticipated (upwards
of 1,600 pages), it has been deemed advisable to bind it in two farts, It ts paged throughout as one.
A
DICTIONARY
OF
PRACTICAL
MATERIA MEDICA
BY
JOHN HENRY CLARKE, M.D.
IN TWO VOLUMES
VOLUME l1.—iIN TWO PARTS.
PART I.—PENTHORUM SEDOIDES—ZIZIA.
LONDON THE HOMCGOPATHIC PUBLISHING COMPANY
12, WARWICK LANE, PATERNOSTER ROW, E.C. 1902
(ENTBRED AT STATIONERS’ HALL. ]}
PENTHORUM SEDOIDES 737
Penthorum Sedoides.
Penthorum sedoides. Virginia Stone-crop. MN. O. Crassulacez. Tincture of fresh plant.
Clinical.—Coryza. Diarrhoea. Hzmorrhoids. Headache. Post-nasal catarrh. Sacrum, pain in. Varicocele.
Characteristics.—Penth. was proved by Dr. D. B. Morrow (twice), Dr. Scudder, and a young man, who all took substantial doses. The majority of the symptoms are Morrow’s, including the catarrhal symptoms, which have been verified in practice: ‘A peculiar wet feeling in nares as though a violent coryza would set in,” but it did not ; the secretion became thickened and pus-like but not increased. The same “ wet feeling” was experienced at the same time in trachea and bronchi, which passed from above down as if coryza would set in, followed by a slight feeling of constriction in the chest, which also passed from above down. The next day the nose felt stuffed. The third day the first symptoms were repeated, and the discharge became thick, pus-like, and streaked with blood, and there was an odour in the nose as if from an open sore. Scudder had “fulness in nose and ears.”” Morrow experienced itching at anus, hemorrhoids, and pains and sensations in rectum, sacrum, and sacro-iliac joints ; his first proving cured “ heat and soreness in sacrum with a dull, heavy headache.” Hale says Penth. is reputed to be curative in catarrh and in diarrhcea. A scalded sensation in the tongue is one of the symptoms. A sense of levitation was also produced. The symptoms proceed from above downward. Morrow (Med. Adv., xviii. 540) reports these cures: (1) Miss P., 17, blonde, had severe cough of several weeks’ duration. < Talking or singing. Frothy, greenish sputa. Pul. and Pho. failed ; Penth. s. soon cured. (2) Decrepit old lady, 75, sufferer from eczema for twelve years. Previous winter cured of asthma (probably from suppressed eczema) with Sul. cm. Now paretic right side, for which Pho. was given. But Pho. did not relieve a loose, continual, rattling cough, caused by tickling at bifurcation of bronchi, with raising much thick, frothy, greenish sputa. Penth. pellets quickly cured. ,
Relations.—Compare : Sedum., Hydrangea. In scalded sensation on tongue, and in catarrh, Sang. Catarrh, Puls. Levitation, Can. i., Coccul., Phos. ac.,; Sticta, Sul., Thu. Jerking of limbs, Meny., Pso.
SYMPTOMS.
I, Mind.—Dull ; discouraged ; desponding.—Mind is dull, study im- possible.
2. Head.—On closing eyes, felt like floating; vertigo.—Dull, heavy headache, with heat and soreness in sacrum (cured during proving).—Catarrhal aching in forehead.—Weight in sinciput.—Itching of hairy scalp.
3. Eyes.—Inner, upper tarsal borders itched and burned.—Full sensa- tion in supra-orbital region.
VOL. II 48
455035
738 PENTHORUM SEDOIDES
4. Ears.—Ringing and singing in both ears.
5. Nose.—Discharge from nares thick, pus-like, streaked with blood, and an odour as if from an open sore.—A peculiar wet feeling in nares, as though a violent coryza would set in, which did not ;. the secretion from the nose became thickened and pus-like, but not increased.—Nose : stuffed as if swollen ; fulness of nose and ears.—Contractile feeling of muscles of side of nose affected with catarrh (a secondary symptom).—Itching in nares.
8. Mouth.—Prickling, burning sensation on tongue as though scalded. -~-Increased flow of saliva (bloody).
g- Throat.—Posterior nares feel raw as if denuded of epithelium.
11. Stomach.—Appetite increased.—Forcible eructation and dejections of small quantities of odourless flatus.—Disgust and nausea.
12, Abdomen.—Borborygmus.—Parieties of abdomen felt thickened.— A clawing, uneasy sensation about umbilicus, which gradually passed to lower bowel.—Twitching in muscles of abdomen.
13. Stool and Anus.—Crawling in lower rectum as though a worm tried to escape.—Burning in rectum at stool, continuing after.—Itching of anus ; hemorrhoids with aching in sacrum and sacro-iliac joint.—After being constipated, semi-fluid evacuation next morning.—Constipation ; an atonic condition of bowels and rectum.
14, Urinary Organs.—Dull aching in kidneys.—Bladder sore to pres- sure.—Urine increased ; burning along urethra when micturating.—Urine alkaline. :
15. Male Sexual Organs.—Sexual orgasm.—Erethism, almost saty- riasis ; followed by long-continued depression, approaching impotence.— Varicocele (cured).
17, Respiratory Organs.—(Connected with wet feeling in nose) wet feeling in trachea and bronchi; passing from above down, as if a coryza would set in, followed by a slight feeling of constriction, which passed from above down through chest.—In morning a cough (dry, “as though he would cough his insides out”) from deep in chest, with soreness throughout chest.
20. Neck and Back.—Aching through basilar region from back to front.—Aching in sacrum and sacro-iliac joint—Heat in sacrum with head- ache (cured).
22. Upper Limbs.—Arm numb.—Hand felt swollen.
23. Lower Limbs.—Trembling feeling of legs for several days, with soreness of knees.—While on lounge muscles of 1. leg suddenly contracted, jerking foot up as in stepping; in a moment r. leg performed same manoeuvre.
24. Generalities.—General malaise, headache, weakness of limbs, inability to attend to business.
25. Skin.—A long-cured impetiginous eczema reappeared on both legs. —A few hot prickings in skin.—Itching on face and forehead.
26. Sleep.—Dreams: fantastic ; voluptuous and increased desire sym- pathetic with urinary excitement.
27. Fever.—A very few cold chills rushed in succession up spinal column.
PERSICA 739
Pepsinum.
A proteolytic ferment found in the gastric juice. The Pepsin in eneral use is extracted from the stomach of the pig. Alcohol, tannin, and the alkaline carbonates destroy its power. It is prepared in granular form or in glycerinated extract for general use. Homoeopathic attenuations may be made by triturating the secretory layer of a fresh pig’s-stomach ; by triturating the granular Pepsin with sugar of milk; or by making the lower attenuations of the liquid extracts with dis- tilled water.]
Clinical.—Dyspepsia.
tics.—Pepsin. has been supposed to act purely as a digestive, but recent discoveries in regard to the action of the sarcodes makes this now scarcely tenable. Pepsin. may digest the contents of the stomach ; but, like the secretions of other glands, it will in all probability act also, by its specific affinity, on the secretory tissues of the stomach itself.
Persica.
Amygdalus persica. Peach. N. O. Rosacez. Tincture of the flowers. Infusion of the bark. Infusion of the leaves.
Clinical.—E yes, irritation of. Gastric irritation. Genital weakness. Smell, loss of. Sprains. Taste, loss of. Toe-nails, affections of. Vision, disordered. Wrists, affections of.
os.—The symptoms were obtained by Demeures whilst pounding the flowers for the purpose of making a tincture, and from later provings with the tincture on himself. The sense of vision was disordered and the eyes irritated. The senses of smell and taste were abolished. Pains in vertical lines in abdomen, heart, limbs ; weak wrists; pains under great toenails and persistent itching were the chief effects observed. O.S. Haynes (H.R., v. 214) relates a case apropos of remarks by C. C. Edson on the value of an infusion of Peach bark in the gastric irritability of children. An infant in its second summer had acute dyspeptic diarrhoea, with persistent vomit- ing of all food. No remedy helped, and the child was sent to the mountains ; but the change made it worse, and death was hourly expected, when an old local practitioner was called in and prescribed : Two or three fresh Peach leaves to be put into a cup of boiling water ; the infant to have a drink of the infusion at frequent interv: The effect was rapid ; food was soon retained and the child got well. Relations.—Compare : Amyg. (the peach is hardly distinguishable from the almond, A. communis, botanically ; almonds have been known to have fleshy drupes), Pru. spi., Pru. virg.
740 PERSICA—PETIVERIA SYMPTOMS.
3. Eyes.—Pressure and itching in eyes from reading, evening ; sensa- tion of foreign body in eyes.— Lachrymation from reading.—Dazzling before eyes ; objects wave in zigzags ; reading impossible ; < candle-light.
4. Ears.—Tumour size of nut on lobe of r. ear, very painful to touch.
5. Nose.—Nasal cartilage and upper jaw painful as if bruised (only when touched); nasal cartilage feels thinner than usual.—Persistent loss of smell.
6. Face.—Raw pain middle of lower lip.—Swelling on 1. lower jaw.
8 Mouth.—Persistent loss of taste.
1 Abdomen.—Vertical internal pain in line from tip of 1. tenth rib cartilage to anterior superior spine of 1. ilium.
15. Male Sexual Organs.—During stool ejaculation of semen, without erection, followed by empty feeling in hypogastrium and pain in genitals as after excess ; painful lassitude in legs, then pain above hips, < in sacral region.
18, Chest.—During dinner stinging pain under false ribs, as from a sharp point, also under scapulz.—Severe deep-seated prickings above I. nipple.
19. Heart.—Sharp vertical pains in heart region.
a2. Upper Limbs.—Wrists sprain easily.—Fatiguing pains in both wrists, and at same time in feet.
23. Lower Limbs.—Vertical lancinations in r. thigh—Pain in both knees and r. ankle.—Pricking and lancinations, numbness, stiffness of legs.— Itching and sharp pains under great toenails.
24. Generalities.—A single glass of wine is sufficient to intoxicate him.
25. Skin.—Obstinate, intolerable itching on different parts of body, pimples appear.—Sudden local itching.
Persicaria Urens, sce Polygonum.
Pestinum.
Plaguinum. Nosode of Plague. Trituration of the virus. Clinical. Bubo. Plague. Typhus.
Characteristics.—The prophylaxis and treatment of plague with injections of more or less modified virus of plague by old-school prac- tioners affords evidence that the nosode of plague is available, like other nosodes, for the treatment of cases of the disease from which it is derived.
Petiveria.
Petiveria tetrandra (Gom.). Erva de Pipi. N.O. Phytolaccacez. Trituration of fresh root. Olinical.—Conjunctivitis. Paralysis. Paraplegia.
Characteristics.—Mure proved Petiv., and I have given his ter- minology. Allen says in a note that it is probably identical with the
PETIVERIA 741
Mexican and West Indian species, P. alliacea. Mure’s figure corre- sponds to this, and he says the roots, which are branching and fibrous, “ smell strongly of garlic.” P. alliac. (according to Treas. of Bot.) is called “‘ Guinea-hen Weed” in West Indies,” and “ Raiz de Guine” in Brazil, in which country “it is put into warm baths to restore motion to paralysed limbs.”’ Mure does not mention these names or this fact ; but his proving brings out some strongly con- firmative symptoms in numbness and paralytic sensations ; weariness and weight of eyelids. Cold saliva ; internal coldness ; coldness inside bones were experienced. The symptoms in general were < by movement ; in the morning on waking and on rising ; after breakfast and during and after dinner ; bending backward.
Relations.—Compare: Botan., Phytolacc. In paralysis, Rhus. Cold saliva, Cist.
SYMPTOMS.
1. Mind.—Excessive gaiety ; inclination to sing, laugh, jest ; followed by sadness and tears.—Vanishing of thought.
2. Head.—Head heavy.—Compressed feeling as if head bound with a warm cloth.—Head feels as if it would split—Headache & by motion.—Sen- sation of hot water on scalp penetrating to brain.—Weight at vertex pressing into brain.
3. Eyes.—Eyes half-closed, swollen, surrounded by blue rings, esp. next to nose.—Rapid inflammation of 1. eye while at dinner, lasts three days. —Weight on lids compelling to close eyes ; on doing so sees a variety of figures.—Pain in eyes as if the balls were pushed out of their sockets.— Painful burning at margin of lids, < on closing them.—Lachrymation.—Con- junctivitis—Dim sight.
4. Ears.—R. ear deaf, as if stopped.
5. Nose.—Coryza.—Veins of nose swollen, bluish.—Redness of 1. wing of nose and cheek.—Dull pain over root of nose, evening.—Nose slightly inflamed and shining.—Intense and sudden itching of bridge of nose.
6. Face.—Redness of 1. cheek.—Bruised pain in zygomatic process.— Sensation as if needle stuck in upper lip from within out.
8. Mouth.—Burning tongue as if scalded, morning, on rising.—Dry mouth.—Flow of watery cold saliva, depositing ashy sediment and whitish granules.—Offensive breath.
9. Throat.—Sensation in throat as after eating something astringent.— Pain in throat with difficulty of swallowing saliva.
1rx. Stomach.—Sharp lancinations in epigastrium from within out; evening ; after dinner ; on rising—Stomachache with sensation of internal coldness. |
12. Abdomen.—Long blue horizontal spots on r. hypochondrium.— Lancinations: in hypochondria; through spleen from below up.—Bor- borygmi, on moving in bed.—Dull pain in hypogastrium.—Circumscribed acute pains in groins.—Colic of descending colon.
13. -Stool.—Diarrhoea of dark mucus, mixed with fecal matter in separate hard pieces.—-Constipation. |
742 PETIVERIA—PETROLEUM
1%. Urinary Organs.—Micturition every five minutes from 11 a.m. till evening, with heat in urethra.—Urine : pale, copious.
17. Respiratory Organs.—Voice seems to come from afar.—Voice hoarse from coughing.—Suffocation, with cold feet.
18. Chest.—Deep-seated, dull pain beneath sternum, < moving neck or bending head forward.—Violent lancinations under r. breast at each inspi- ration.
19. Heart.—Contraction and throbbing in region of heart, evening.
20. Back.—Strained feeling in spine, < sitting upright and bending back, > bending forward.
21. Limbs.—Paralytic numbness, heaviness, and weariness in all limbs ; after rising from bed.— Bruised pains in arms and legs.
22. Upper Limbs.—Twitching sensation in shoulder-joint on stooping. —Pricking, burning, crampy pains in arms; with inflammatory redness.— Numbness ; at r. arm ; at wrist; at fingers (r.) ; at finger-tips.—Lancinating and heat as from whitlow at tip of r. thumb.—Itching in 1. palm.
23. Lower Limbs.—Weakness of lower limbs.—Sudden numbness of knees with dull pain in tibia—Numbness, itching and weakness of legs ; from knees to soles.
24. Generalities.—General rigor when lying down.—Prostration as from drowsiness but without inclination to sleep.— When walking seems as if she does not touch the ground and would fall—On lying down body numb.
25. Skin.—lItching, pricking, and formication of skin.
26. Sleep.—Drowsy : all day ; with frequent yawning ; after dinner.— Sleep deep and prolonged.—Dreams : of corpses and starts up in cold sweat ; sad ; unpleasant ; of quarrels.
27. Fever.—Excessive coldness of hands and feet piercing to bones,— Cold feeling in interior of bones.—Febrile heat with pale face and cold hands. —Dry heat all over, esp. of palms.—Profuse cold sweat all over, with shudder- ing, after first sleep.—Sweat in palms.
Petroleum.
Oleum petrz. Rock-oil. Coal Oil. Trituration and tincture of the rectified oil, (Preparations of the non-rectified oil should also be made.)
Glinical.—Addison’s disease. Albuminuria. Amamia. Angina pectoris. Anus, fissure of. Bed-sores. Breath, offensive. Burns. Chilblains. Chlorosis. Constipation. Cracks in skin. Deafness. Diarrhea. Dysmenia. Dyspepsia. Ear, affections of. Eczema. Face, rough. Facial paralysis. Feet, soles painful. Fester, tendency to. Fistulz. Frost-bite. Gastric ulcer. Gonorrhcea. Heamor- rhoids. Hands, chapped. Headache; occipital. Herpes. Herpes preputialis. Irritation. Faw, castly dislocated. Myopia. Nose, sore. Otorrhoea. Perspiration, offensive, Pregnancy, sickness of. Presbyopia. Prostatitis. Psoriasis. Rheuma- tism. Sea-sickness. Skin, affections of. Sprains. Syphilis. Tabes mesenterica. Wootnache. Urethra, stricture of ; chronic inflammation of. Varices. Vomiting.
8.
_ Characteristics.—The Petrol. proved by Hahnemann is made by agitating the liquid commercial Petroleum with Sulphuric Acid and
PETROLEUM 743°
then rectifying the portion which this acid does not act upon. It is “a light oily fluid, colourless or of a pale straw colour, and strong characteristic naphthalic smell. Dropped on white paper it evapo- rates completely, leaving no greasy stain.” Under Pararrin I have described the relation between Petrol., Naph., and Paraff. Commer- cial “ Petroleum” and commercial “ Paraffin oil” are one and the same. The Petrol. of homcopathy is this substance purified and rectified. But in the pathogenesis are included effects observed on those engaged in petroleum works, and those who use “ Paraffin oil ” in various trades ; it would therefore be well to have also a prepa- ration of the crude, non-rectified liquid. Petrolatum (Vaseline) con- sists of hydrocarbons of the Paraffin series, obtained from residues after distillation of lighter oils from crude petroleum ; or deposited from crude petroleum on standing. The affections met with in petroleum extractors and refiners are—(1) Diseases of the skin and subcutaneous tissue ; depressed nutrition, anemia, dyspepsia, nerve troubles, irritability, insomnia, respiratory affections. In addition to these is a species of intoxication. A man, a patient of mine who suffered from inveterate eczema, and who had formerly been employed in a factory where much petroleum was used, noticed that his eczema was much better whilst working with petroleum. He told me that the vapour had the singular effect of making some of the workmen insane, causing: Desire to kill; hallucinations, they will see things not actually visible ; for instance, ‘ they will see the rails in a station when a train is on them.” Boys (who are much affected) will jump at a straight wall and try to scramble up it. A rickety boy, zt. 24, who had an unconquerable desire to drink anything liquid within his reach, took one day a good draught of paraffin oil. An Ipecacuanha emetic and a Castor Oil purge got rid of a good deal of it, and a month after he was brought to me with these symptoms: Appetite bad. Pale, dark rings round eyes. Every now and then seems to collapse ; goes into a corner and will not play; after tea quite bright. Cold sweat in bed ; complains of burning heat ; then goes cold and clammy. I prescribed Phos. 2. In three weeks he was brought back much better. He had lost the pallor and dark rings round the eyes, and had ceased to mope ; but he had come out all over small boils which discharged, the discharge having the odour of paraffin. There was a slight recurrence of the old symptoms a fortnight later, and after that I did not see the boy again till a year later, when he was brought to me for diphtheritic paralysis. Two years after this he was brought to me again. He was now well grown and had no sign of rickets, but some of the old symptoms came back : Languid ; inclined to be
uiet ; averse to play. At times clammy all over body. This time Petrol 30 soon put him right. In the case of a woman who drank paraffin oil when intoxicated, there was epigastric pain so severe that she thought she would go out of her mind, > lying with knees drawn up ; tenderness of ileo-czcal region and of epigastrium ; swollen feeling of abdomen, without actual swelling ; blood and albumen in urine ; pain in back and slight return of menses, which had ceased a week before. These cases show the profound action of Petrol. on the organism. It is one of Hahnemann’s leading antipsorics, and is
TAA PETROLEUM
especially closely related to Graph. It is sutted to long-lasting, deep- seated, wasting diseases ; lingering gastric and intestinal troubles with or without ulceration. In my experience no remedy corresponds to more cases of chlorosis in young girls, with or without ulceration of the stomach. Petrol. (says Kent) corresponds to low conditions in which there is inability to throw out eruptions on the skin ; or condi- tions in which an eruption has disappeared without improvement in health : to reflexions of disease on mucous membranes setting up catarrh. Ozzena; intestinal catarrh. Soreness and cracks about muco-cutaneous orifices, Irritability of skin and irritability of mind are both found in Pefrol., as in many other remedies: Excitable ; angry at trifles. Anxiety with fear. Mental weakness and forgetful- ness are also very characteristic, and are generally met with in con- nection with deep-seated disease. An illusion that there is another person, or another baby in bed, is very characteristic of the remedy, and has led to cures with Peirol. of cases of typhoid and puerperal fever. “Falling out of the hair” is a characteristic symptom of Petrol., and accounts for the popularity of Petroleum hair-restorers. [ Petrol. “ probably acts on the sebaceous rather than the sudoriferous secretions of the skin, and its local action is on parts where the sebum is abundant.”—R.T.C.]. The use of these hair- restorers has caused many violent headaches. So has the use of Coal Oil” (a tablespoonful to a bucketful of water) by washer- women to improve the colour of linen. M. T. Bleim (quoted H. W., xxvi. 318) thus describes the result in one case: Severe occipital headache, loss of strength, emaciation, diarrhoea, dyspepsia with fulness on eating very little ; accumulation of gas ; very severe attacks of suffocation, > by eructations of gas. The headaches of Petrol. may be in any part, but they are most marked in occiput. Heaviness like lead ; pressure, sticking ; pulsating ; < on shaking head or any jar. Pain travels from occiput to eyes, and is associated with tem- porary loss of sight and fainting. The vertigo and heaviness of Petrol. are often associated with nausea and bilious vomiting. This (nausea with or without vomiting) is one of the grand characteristics of the remedy. It is < by motion in a carriage or on the sea ; hence Petrol. is one of the first remedies in train-sickness or sea-sickness. The other side of this nausea is another grand characteristic: Awful ravenous hunger, the “ sinking”’ of the chief antipsorics. It is par- ticularly noticed immediately after a stool, in diarrhoea, nervous affections, spinal disease, &c. (Kent). In pulmonary affections Petrol. has gained much repute of late in the form of an emulsion. A leading indication for it is “‘ Oppression of the chest ; < in cold air.” Petrol. has a peculiar cough, not infrequently met with in young girls and boys, coming from deep down in the chest, and frequently waking the patient up at night. A student who had a deep, hollow-sounding, hacking cough, excited by laughing, waking him up in the middle of the night, I cured with Petrol. 30 after Arg. n. and Arg. met. had failed to do anything. The cough had persisted some time and caused his family no little anxiety. e discharges of Petrol. are thick, purulent, and yellowish green. For the cracked nostrils accompanying and following cold in the head I find the application of vaseline more
PETROLEUM . 745
often useful than other forms of unguent. The Jocalsties of Petrol. are very like those of Graph. : Scalp, behind ears, scrotum, genitals. The modality ‘‘< in winter” has given Nash the key to several cases of eczema, chapped hands, chilblains, and one case of chronic diarrhoea, as soon as he discovered that the patient had eczema of the hands in winter. Petrol. 200 was given. The skin is extremely sen- sitive ; all clothing is painful; slight injuries sappurate. Allen’s Appendix quotes an important case reported by O. Lassar in Virchow’s Archiv. A man used for four days extensive inunctions with Petrol. to relieve himself from scabies. A week later his feet began to swell, and the dropsy, increasing rapidly, spread over abdomen and thorax. In a fortnight it disappeared, but tight days later returned and per- sisted till death, four months after the inunction. The urine was highly albuminous, and contained hyaline and granular cylinders ; but the necropsy revealed no lesion of any organ to account for the dropsy. The body was extremely cedematous ; there was cedema of the lungs and dropsy of the cavities, and whilst in hospital the wrist pulse was small, empty, and of low tension ; the blood corpuscles were few, but their relative proportions were normal. Temperature normal, and the skin showed localised areas of inflammation. Along the veins and lymphatics a small-celled growth existed, and in all the layers of the cutis there was a widely distributed nuclear proliferation. Peculiar symptoms are : Brain as if wrappedin a fog. As if everything in head were alive. As if head made of wood, or as if bruised. As if a cold breeze were blowing on head. As if head would burst. Veil before eyes. Sand in eyes. As if skin over bridge of nose drawn stiff and tight. As if something were tearing off from pit of stomach. As if a cold stone at heart. Splinterinheel. Upper and lower limbs as if stiff without joints. Jaw as if distended. There is great weak- ness ; fainting ; tremor ; twitching of limbs; catalepsy ; tonic spasms ; left-sided paralysis. The notes of the skin affections are: Itching ; burning ; rawness; bleeding. Burning sensations are very marked ; and as Petrol. is accountable for so many burning accidents it is fitting that it should make a very good application for burns in the form of vaseline, cosmoline, or Petrol. mixed with equal parts of olive oil. Petrol. is suited to : Persons with light hair and skin. Especially for lean, slender persons. The symptoms are < by touch ; by con- tact of clothing ; by scratching ; by riding in carriage or ship. Pinch- ing the parts > hemorrhoids. < From mental exertion. Headache < on shaking head ; > by epistaxis ; < from light and noise. After stool : hunger immediately. Ravenous hunger ; frequently awakened by it at night ; easily satisfied, with aversion to meat, fats, cooked or hot food; desire only for dainties, which are eaten with avidity. Eating > gastralgia. Gastralgia comes on whenever the stomach is empty. Empty, weak sensation in stomach. < After eating or drinking. After eating : giddiness ; heat in face ; cutting in abdomen ; eructations ; drowsiness ; uneasiness. Cabbages, saurkraut == diar- theea. Colic > by bending double. Exertion, motion, riding, sitting <. Lying down < cough, and distension of abdomen. Vertigo when head lies low. < Cold air. < Winter. < Open air. < Before and during thunderstorm. < Bathing. ‘S Warmth and
746 PETROLEUM
warm air. < Warmth of bed (itching). Cough is < at night and 2, 4, and 6 a.m. Smoking befogs him; = cough. < After coitus (nervous irritability). Cough < by laughing (cured). < During day (diarrhoea and dysentery). Throat affections go right to left. Head- ache back to front.
Relations.—Antidoted by: Coccul., Nux, Phos. (in my case), Antidote to: Lead poisoning (one of the best remedies), Nit. ac. Complementary : Betore Sep. Compatible: Bry., Calc., Lyc., Nit. ac., Nux, Puls., Sep., Sil., Sul. Compare: Graph., Naph., Paraf., Eupn., Kreas., and other Carbons. In sea-sickness, Arn., Coccul., Tab. Nausea of pregnancy, Coccul., Sep. Cracking of joints, Caust. Gas- tralgia > by eating, Chel., Anac., Graph., Lach. Imagines he has a limb double ; illusions of shape, Bap., Stram. Epistaxis > headache (Borax <). Aversion to hot food, Pho. (opp. Lyc.). < From thunderstorms, Pho., Merc., Sil., Rho., Pso. Head as if made of wood ; eruptions behind ears and on genitals, Graph. Cold feeling about heart, Nat. m. (< when exerting mind), K. chlo., Graph., K. nit., Ruta. Diarrhoea in early morning, Sul. (Petro. also during day). Loses his way in well-known streets, Glo. (from heat or sun). Moist eruptions about genitals, Thuj. Hot, burning eructations, K. ca., Sep. Faintness during or connected with evacuations, Crot. t., Dulc., Ox. ac., Sul. (these have it with scanty stools ; the rest with copious stools :) Apis, Nux m., Pul., Spi., Ver. Sinking immediately after, meals, Ars., Cina, Lyc., Sil., Stp., Urt. ur., Calc., lod. Brownish scattered spots on dark-haired people, Nit. ac. Loquacity, Lach. (Petrol. on one subject). Hunger after stool (Alo. during stool). Symptoms appear and disappear rapidly, Bell., Mag. p., Lyc.—opp. Plat., Stan. Imagines two babies in bed, Val. Vertigo on rising, Bry. Skin sensitive to clothing ; every injury suppurates, Hep. Tender feet, which are bathed in foul-smelling sweat, Graph., Sanic., Sil. Heat and burning of soles and palms, Sang.,Sul. Skin < in winter, > in summer, Alm.
- Causation.—Vexation. Riding in carriage or ship. Nitric acid (deafness from). Cabbage. Suppressed eruptions. Sprains.
SYMPTOMS.
1. Mind.—Anxious and timorous disposition.—Sadness and mental dejection.—Great irresolution—Uneasiness respecting the future.—Hypo- chondriacal humour.—Inclination to anger and to scold.—Violent, irascible, insolent temper.—Frequent tears ; on slightest provocation.—Loss of memory. —Does not know where she is in the street.—Unfitness for reflection.— Weak- ness of. apprehension.—Delirium ; thinks another person is lying with him in bed (or that he is double, or one limb is double) ; or always and continu- ously delirious talk of the same distressing subject.—Imagines he has a third leg which will not keep quiet.—Desire to kill—Hallucinations of vision.
2. Head.—Head bewildered.—Feeling as if brain wrapped in fog.— Frequent vertigo, esp. on raising eyes.—Vertigo, like that produced by a swinging motion.—Vertigo on stooping, or on rising frédm bed, or from a seat. —Headache after a fit of anger, or when fasting in morning, as also after a walk in evening.—Attacks of semi-lateral headache, which compel patient to
PETROLEUM 747
lie down.—Heaviness and fulness in head in morning, and when stooping.— Pressive or lancinating pressive pains in head, esp. in occiput.—Headache < by all kinds of intellectual labour, to the extent of complete stupefaction.— Tension in head, as if dura mater were tightened.—Cramp-like, drawing, pinching pains in head.—Neuralgic headache, beginning in occiput and extending forward.—Occipital headache, extending to vertex, with vertigo.— Occipital headache, with nausea, esp. in sea-sickness.—Pulsative headache, esp. in occiput (cerebellum).—Pressing stinging in the cerebellum.—Sensation as if all were alive in head.—Scalp painful to touch, as if bruised or ulcerated (followed by numbness and very sore on scratching, < in morning and on becoming heated),—Headache in forehead ; every mental exertion causes him to become quite stupid—Drawing pains in head, forehead, and temples, extending into teeth.—Seborrhoea of scalp.—Eruption on head and nape of neck.—CEdematous swelling and scabs on scalp.—Hair falls off.
3. Eyes.—lItching in eyes.—Itching of lids ; obliged to rub them.—_(Lids everted.)—Aching, smarting, shooting, and burning pain in eyes.—Conjunc- tivitis and blepharadenitis——Inflammation of eyes (with itching and stitches in eyes).—Lachrymal fistula (with dryness of r. side of nose).—Lachrymation. —Jerking and quivering of eyes and lids.—Convulsion of eyes.—Myopia or presbyopia.—Diplopia.—Scintillation and appearance as of a veil before sight; or sparks and black spots.
4. Ears.—Inflammation and painful swelling of meatus auditorius.— Otalgia, with cramp-like and jerking pain.—Dryness, and distressing sensation of dryness, in interior of ear—Discharge of blood and pus from ears.—Erup- tion of ears.—Redness, excoriation, and oozing behind ears.—Deafness.— Tinkling, rolling, roaring, ringing, rumbling, cracking, and buzzing in ears,— Excessive secretion of cerumen.
5. Nose.—Epistaxis.—Slight epistaxis > headache.—Purulent blisters on nose.—Ulcerated nostrils (and stopped catarrh).—Ozzna, scabs, purulent mucus, cracked nostrils—Swelling of nose, with discharge of pus, and pain above root of nose.—Stoppage of nose.—Dryness, and distressing sensation of dryness, in nose. Much mucus in nose.—Itching on tip of nose.—Coryza with hoarseness.
6. Face.—Heat in face, sometimes after a meal, and with thirst.—Dry- ness and constriction of skin of face and eyelids as though covered with a thin layer of albumen ; cheeks look glazed and contracted.—Pale, yellowish com- plexion.—Facial paralysis (from inflammatory products in Fallopian canal).— Eruption of pimples on face.—Scurfs around mouth.—Scabby pimples, with shooting pain on lips, and commissures.—Furuncles on lower lip.—Swelling of sub-mazxillary glands,—Easy dislocation of maxillary joint in bed in morning with sharp pains.
9. Teeth.—Toothache from contact with open air, < at night, with swelling of cheek.—Numbness of teeth, with pain on clenching them.—Pus- tule above a hollow tooth like a fistula.—Fistulous vesicles in gums.—Swelling of gums, with shooting pain on being touched.
8. Mouth.—Fetid breath, sometimes like garlic——Ulcers on inner surface of cheeks (painful when closing teeth).—Much mucus in mouth and throat.—Tongue coated white.—Painful soreness on chewing.—Great dryness of mouth (and throat in morning) with violent thirst (for beer).
748 PETROLEUM
9. Throat.—Sore throat, with shooting pain during deglutition.—Swell- ing and great dryness of throat.—Swelling of the submaxillary glands.— Rawness (stitching and burning) in pharynx, € on swallowing.—Tickling on swallowing, extending to ear.—Dryness and burning in pharynx.—When swallowing the aliment rises towards nasal fosse.— Hawking up of mucus in morning.
10. Appetite.—Putrid, mawkish, mucous, or else bitter or acid taste — Excessive thirst for beer.—Bulimy.—Hunger with speedy satiety.—Voracity. —Daintiness.—Anorexia.—Repugnance to meat and fat, also to hot and cooked aliments; < by eating cabbage.—Uneasiness during digestion, after almost every kind of food, however little may have been eaten.—After a meal: obscuration and vertigo ; nausea; heaviness and pressure at stomach ; sleep ; or colic, with eructations ; or sour risings, congestion in head, cramp in chest, &c.
ir, Stomach.—Noisy eructations.—Sour (or bitter eructations or) risings and regurgitations.—Pyrosis.—Frequent nausea, esp. in morning, often with accumulation of water in mouth, obstructed respiration, sour risings, tongue dry and white, stitches in hepatic region, heat in face, vertigo, &c.—After eating, vertigo and giddiness.—Nausea from motion of a carriage.—Nausea and vomiting of pregnant women.—Water-brash.—Heartburn toward even- ing.—Inclination to vomit.—Greenish, bitter vomiting.—Aching of stomach. —Cramps in stomach.—Pressure on the stomach ; colic (at night).—Sensation of emptiness and weakness in stomach.—Weak digestion.—Diarrhoea from suppressed eruptions.—Pain in epigastrium, as if something were being torn away.—Swelling of epigastrium, with pain when touched.—Sensation of fulness in epigastrium.
12, Abdomen.—Pain (cutting) in abdomen, shortly after a meal.—Scn- sation of great emptiness in abdomen.—Distension and tension in abdomen, with cramp.—Pinchings and cuttings in abdomen, sometimes with pressing want to evacuate.—Colic, with diarrhoea, at night, towards morning.—Colic > from bending double.—Borborygmi in abdomen, with sensation as if abdomen were entirely empty.—Inguinal hernia.—Fetid flatus.—Sensation of coldness in abdomen.
13. Stool and Anus.—Difficult, hard, knotty, and insufficient evacua- tions.—F requent diurnal stools, sometimes with evacuation of serous, yellowish -matter.—Diarrhoea, often preceded by cuttings (colic only during the day).— Mucous stools, often mixed with blood.—Burning pain in rectum after evacua- tion.— Itching tetters in perineum.—Diarrhcea < from riding in carriage.— In anus burning itching ; pressure.—Weakness of rectum.—Piles with great itching, < at night from heat of bed; < from rubbing or scratching.— Fissure with great rawness.
14. Urinary Organs.—Constant dribbling of urine after micturition.— Discharge of mucus with the urine.— Frequent emission of urine, with scanty stream of 2 red or brown and fetid urine—Urine bloody and turbid ; it deposits a red, slimy sand, that adheres tightly to vessel; urine contains albumen, hyalin, and granulated casts ; covered with a glistening film and with a red sediment.—Involuntary discharge of urine-—Emission of urine at night.—Wetting the bed.— Burning in urethra.—Stricture of urethra.—{Chronic urethritis.)
PETROLEUM 749
15 Maile Sexual Organs.—Burning pain, itching, redness, excoriation, and oozing, or itching pimples and tetters, on scrotum and between scrotum and thigh.—Diminished sexual desire.—Frequent pollutions.—Discharge of prostatic fluid.—( Prostatitis. —Weakness and nervous irritability after coition. —Reddish eruption on glans, with itching.
16. Female ‘Sexual Organs.—lItching, soreness, and moisture on external parts.—Repugnance to coition.—Catamenia too early, with a men- strual flux which excites itching —Leucorrhoea like white of egg.—Leucorrhcea with lascivious dreams.—During pregnancy diarrhoea and vomiting.—Itching and furfur on the mammz ; the nipples itch, and have a mealy coating.
17, Respiratory Organs.—Hoarseness, with or without coryza.— Cough, with dryness in throat.—Vexatious cough that takes away the breath ; cannot cough it out.—Suffocating cough at night.—Dry cough at night, or in evening, after lying down.—At night dry cough, coming deep from chest, caused by a scratching in throat.—Cough from low down in chest.—Hollow, hacking cough, coming on when laughing, waking him in middle of night (cured).—Dry cough, with shootings under sternum.
18. Chest.—Respiration obstructed in cold air.—Rattling and snoring in trachea.—Sensation of heaviness, anxiety, and uneasiness in chest.—Oppres- sion of chest at night.—Shootings in sides of chest.—Herpes on chest.
19. Heart.—Palpitation of heart.—Feeling of coldness about heart ; - as if there was a cold stone in heart.—Fainting, with ebullitions, heat, pressing on heart, palpitation.
20. Neck and Back.—Herpes on nape of neck.—Heaviness and pain in nape of neck.—Painful drawing extending from nape to occiput—Swelling of glands and eruption on nape of neck.—Sacral pains, which do not permit standing upright.—Coccyx painful on sitting.—Stiffness in coccyx.—Pain in back, which obstructs every movement.—Weakness and stiffness in back and loins.—Suppuration of the axillary glands.
a1. Limbs.—Cracking of the joints.—Inflexibility of the joints.—Sprains ; chronic sprains.
22. Upper Limbs.—Fetid sweat of axilla. Drawing pains in arms and fingers.—Great weakness of arms.—Stiffness of arms and fingers.—Erysipe- latous inflammation in arms.—Brown or yellow spots on arms.—Furunculi on forearm.—Tearings in hands.—Burning sensation in palms of hands.—Sweat- ing of hands.—Pain in wrist-joint as if sprained—Brown spots on wrist.— Bleeding fissures in hands and fingers, esp. in winter.—Salt-rheum, red, raw, burning ; moist or covered with thick crusts.—Chilblains and warts on fingers. —Pricking and pain in warts on fingers, evening in bed.—Arthritic stiffness in joints of fingers.—Finger-nails painful when touched as if bruised.—Finger- tips rough, cracked, fissured, with sticking, cutting pain.
Lower Limbs.—Cracking in joints of legs—Cramps in thighs, calves, and feet (all day ; in soles at night)—Furunculi in thighs and calves. —Tension in the ham.—Lancinations in knee.—Weakness of knee.—Herpes on knee.—Tuberous, itching eruption on calves of legs——Herpes on ankle bones.—Burning sensation in soles.—Profuse perspiration on feet.—Fcetid perspiration of feet with tenderness.—Coldness of feet.—Swelling of feet.— Hot swelling of soles.—Swelling and redness of heel with burning pain and shootings, < by walking.—Heels blistered.—Sensation of splinter in heel.—
750 PETROLEUM
Chilblains on toes, esp. when they itch and are moist; itch and burn ; inflamed in cold weather.—Ulcers on the toes, originating in blisters on the toes.—Corns on feet.—Burning and stitching in corns.—Obstinate superficial ulcers on toes, with elevated margins and red bases, with oozings.—Eruption between toes.
24. Generalities.—Affections in general of any kind, appearing on the r. eye ; internal or external occiput ; behind ears; inner surface of thighs ; ball or under part of toes; knee-joint—Drawing pains in limbs.—Stiffness and tendency to numbness of limbs.—Cracking of joints, with arthritic rigidity and drawing, tearing pains.—Swelling and induration of glands, also after a contusion.—Jerking of limbs by day and during sleep.—Catalepsy ; tonic spasms.—Epileptic fits.—Fainting fits, with ebullition of blood, heat, palpita- tion, and pressure at heart——Great weakness after least exertion, sometimes with confused sight, trembling of body, buzzing in ears, and nausea.—Weak- ness, nausea, and other sufferings, from motion of a carriage.—-Weakness in morning in bed.—Many of the symptoms appear, or are <, during stormy weather.—Transient heat, ebullition of blood, and perspiration after a walk, or after a fit of anger.—Emaciation ; also in children.—Sensation of insupport- able and general uneasiness, with trembling and dejection.—Heaviness and lassitude in all limbs.—Great lassitude morning and evening.—-Great tendency to take cold.—Repugnance to open air, with shivering when exposed to it— Several symptoms manifest themselves in morning.
25. Skin.—Swelling and induration of the glands ; also after contusions. —Great sensibility of the surface of skin.—Miliary urticaria—Itching tetters. —Itching, excoriated, and running spots on skin.—Brown and yellow spots on skin.—Eruption of itching and burning pustules.—Pruritus of the aged.—Dreadful irritation all over body, very intense in vagina, anus and perineum, preventing sleep (cured—R. T. C.).—Papular eruptions, esp. on face and lips.—Skin sore, crawling sensations.—Rhagades.—The skin is hard to heal.—Skin unhealthy ; every injury tends to ulceration.—Furunculi. —Ulcers with shooting pains ; often deep ulcers, with raised edges.—Proud flesh in ulcers.—When a person complains of eruption or itching at night (affecting scrotum particularly), the eruption being either dry or moist.— Chilblains particularly where they itch a good deal and are moist.—Exanthema corroding and spreading; very difficult to heal.—Sensibility of the skin in general.—Sores produced by lying in bed.—Warts.-—Corns on feet.—Chil- blains, sometimes painful.
26. Sleep.—Disposition to sleep by day and in evening when sitting quietly (yawning).—Broken and agitated sleep at night, with many vivid, anxious, and frightful dreams (as if somebody were lying alongside of him in bed), frequent awakening with a start, and heat with anxiety.—Sensation in morning as of having slept too short a time.
27. Fever.—Shivering with headache, and coldness in hands and face.— Chilliness in open air.—Frequent shivering over whole body, and, on becoming warm, excessive itching of skin.—Shivering or coldness, generally in evening (with heat at the same time), and sometimes with blueness of nails——Sweat immediately after shivering.—Intermittent fever : Violent chilliness and cold- ness of hands and face at 10 a.m.; half an hour later heat in the face, esp. in the eyes, with thirst.—Shaking fits, 7 p.m., followed by perspiration, first in
PETROSELINUM | 751
face, later ali over, except in legs, which are quite cold.—Fever in evening, with hot face and cold feet, after shivering.—Frequent flushes of heat.—Heat after midnight and in morning in bed.—Fever, with full pulse and burning sensation in skin.— Pulse accelerated from every exertion ; as soon as reposing, pulse becomes again slow.—Nocturnal heat.—Nocturnal sweat.
Petroselinum.
Carum petroselinum. Petroselinum sativum. Apium petroselinum. N. O. Umbelliferz. Tincture of whole fresh plant when coming into bloom.
Clinical.—Catheter fever. Cystitis. Dysuria. Gleet. Gonorrhoea. Gravel. Intermittent fever. Night-blindness. Priapism.
Characteristics.—Petrosel. is referred to by Hahnemann as a gonorrhceal remedy when frequent desire to urinate exists. It was proved by Bethmann. He obtained only thirty-six symptoms, all in the genito-urinary sphere, but these were very characteristic, and have given the remedy a definite place in homceopathic medicine, especially in gonorrhoea and gleet. The leading indication is: Sudden urging to urinate; and drawing, tingling, crawling, or itching in navicular fossa. During micturition, burning and tingling from peri- neum through whole urethra. After micturition cutting biting in fossa navicularis. Milky or yellow discharge. Parsley tea is a re- cognised remedy for gonorrhcea in domestic country practice. Parsley eaten after meals, with or without salad oil, is reputed to act as a solvent on uric acid if there is a tendency to its formation in the urine. I have seen a case in which this effect was apparently pro- duced. In gonorrhoea and gleet I have confirmed its efiiciency, given in ten-drop doses of the tincture. In a case of dysuria from prostatic enlargement (quoted in Critique, vii. 84) there was frequent urging to urinate every half to three-quarters of an hour, with burning pains in bladder and urethra. Petrosel. 4x, three drops every hour, took away all the pains and relieved the tenesmus in a few days. The prostate gland itself was not influenced. Hering has collected symptoms from other observers. Farrington says Petrosel. is a great “baby medicine ” in urinary difficulties. It has cured numbers of cases of intermittent fever ; and traumatic or other urethral fevers. [Parsley is said to be poisonous to ferrets. Fresh butter and parsley applied warm is an old remedy for bruises. An infusion is given to all children recovering from scarlatina by the matron of a suburban infectious hospital. An old gleet has been known to disappear from parsley infusion ; and an old Edinburgh surgeon used to give it in all nephritic and vesical diseases that were chronic.—R. T. C.]
Relations.—Compare: In gonorrlicea with sudden and frequent urging, Cann. s., Canth., Merc. Screams before urinating from irrita- tion of mucous membrane, Aco., Caust., Borax (Sars., Lyc., and Benz. ac. have screaming before urinating when due to gravel). Gonorrhea,
752 PETROSELINUM—PHALLUS IMPUDICUS
strangury, frequent urging to urinate ; white stools, Dig. (Dig. has slow pulse ; often puffed prepuce ; Sul. ‘indurated prepuce). Cystitis, Con. (Con. has intermittent urination ; Petrosel. has inflammation that has travelled back, sudden, irresistible desire). Bubbling in back ; urinary disorders, ‘Berb. Uric acid tendency, intermittent fevers, Ort. ur.
‘SYMPTOMS.
3. Eyes.—Blind at night, with swelling of eyes. 4. Ears.—Shrill singing in ears, like a bell ringing’ out of tune, which affects the whole organism.
11. Stomach.—Thirsty and hungry, yet as soon as they begin to eat or drink they lose all desire.—Twitching, jerking pains in epigastrium, flatulent eructations, colic, nausea, and vomiting.
13. Stool and Anus,.—Whitish evacuations, like clay ; chronic diarrhoea. —Burning at anus.
1. Urinary Organs.—Sudden urging to urinate.—Child suddenly seized with desire to urinate ; if not gratified immediately, jumps up and down with pain.—So much pain when he passes urine as to cause him to shiver and dance round room in agony.—Discharge of a milky fluid from urethra.—Albuminous yellow discharge from urethra ; gonorrhoea.—Orifice of urethra agglutinated with mucus.—Creeping and crawling throughout whole length of urethra.—Frequent and almost fruitless want to urinate, every half-hour.—Tingling, lancinating, pressure and drawing, in urethra.— Crawling and pressure in region of Cowper’s glands in morning in bed, > while standing and sitting—During micturition, burning and tingling from perineum through the whole urethra.—Drawing, afterwards itching in fossa navicularis ; burning in navicular fossa while urinating.—Frequent desire to urinate, caused by crawling stitch behind navicular fossa.—Frequent volup- tuous tickling in navicular fossa.
15. Male Sexual Organs.—Priapismus, without curvature of penis.— Pollutions ; profuse emission toward morning.
20. Back.—Jerking (or bubbling sensation) in muscles of back and arms.
25. Skin.—Urticaria.
26. Sleep.—Sleep late, with many anxious dreams.
27. Fever.—Ague, esp. quotidian ; marked periodicity ; stages regular ; acute fevers from defective assimilation or perverted innervation, accom- panied by flatulent dyspepsia.—Intermittents, complicated with abdominal affections. —Intermittent fevers ; complicating traumatic or chronic inflamma- tion of urethra, or even stricture.
Phallus Impudicus.
Stinkhorn. WN. O. Fungi. Tincture or infusion of whole fungus. Clinical.—Gastro-enteralgia. Sweat, viscid. Vertigo. Vomiting.
Characteristios.—Kalieniczensko took five or six teaspoonfuls of an infusion of Phallus in twenty-four hours, and the symptoms of the
+1
PHASEOLUS 753
Schema are the effects observed. There is a general resemblance to the effect of the Agarici—vertigo, disordered vision, gastro-enteric disturbance and viscid sweat. .
SYMPTOMS.
2. Head.—Vertigo. 3. Eyes.—Vision: difficult; obscured.—Objects seem coloured grey, as in smoke. 8. Mowth.—Profuse salivation. g Throat.—Great dryness of throat, with irritation as from black pepper. 11, Stomach.—Loss of appetite ——Devouring thirst.—Violent vomiting with profuse salivation.—Gastro-enteralgia. 12, Abdomen.—Painful sensitiveness of whole abdomen. 13. Stool.—Watery diarrhcea. 1%. Urinary Organs.—tUrine deep red, depositing a sediment of urates of ime and soda. 17, Respiratory Organs.—Dry, oppressive cough. 24. Generalities.—Great feebleness of whole body. 26. Sleep.—Sleepiness. 27. Fever.—After four days all the pores became opened, profuse, viscid
perspiration.
Phaseolus.
PHASEOLUS NANUS, Dwarf-bean. N.O. Trituration of the dried bean. Decoction of dried beans and pods. PHASEOLUS VULGARIS. Kidney-bean. Leguminose. Trituration of the dried bean. Decoction of dried beans and pods.
Clinical.—Albuminuria. Breast, tumour of. Diabetes. Dropsy. Hzmaturia. Headache. Heart, affections of ; failure of ; palpitation of. Hernia. Hydrothorax. Impotence. Pericarditis. Pleurisy. Prostate, diseases of ; hemorrhage from. Wounds, punctured.
Characteristics.—I have included under the heading Phaseolus both P. nanus and P. vulgaris, as 1 cannot discern any difference in their action. The proving of P. vulg. is by Demeures. Some effects of eating mildewed beans in a child recorded by W. Dale are distin- guished in the Schema by (D). A. M. Cushing proved P. nanus, but has only published the symptoms observed on the heart. These are distinguished by (C). Cured symptoms are bracketed. Some symp- toms observed in patients taking the remedy are included in the Schema. The New Eng. Med. Gaz. (quoted by Lambert, H. W., xxxi. 125) published a translation of a pamphlet by Dr. Heinrich Ramm on the uses of “ Bean tea.” A lady whom Ramm had treated in vain for mitral disease with liver and kidney complications and dropsy, pre- sented herself one day apparently cured by drinking Bean tea. This led Ramm to try it in other cases, and he found that renal and cardiac
VOL, II. . 49
754 PHASEOLUS
dropsies were speedily relieved; urine largely increased in quantity, and in cases of albuminuria, the albumen quickly disappeared. Dropsical effusion into pleura, peritardium, and peritoneum, according to Ramm, also yield to it ; and all chronic disorders of the urinary tract from kidneys to urethra ; pyelitis, vesical catarrh, gravel, calculi, uric acid, he says, quickly disappear; Ramm considers Phas. a most important remedy in gout and in diabetes. Ramm used a decoction of the whole dried ripe pod “ of the taller variety.” He names it P. vulgaris. [The inside of the pod rubbed on warts is said to cure them. —R. T. C.] We owe to A. M. Cushing (New Eng. Med. Gaz., January, 1897) the best definition of the power and sphere of action of this remedy. He names it from Gray P. nanus, “the common white bean.” His paper was read in Boston, and he refers to the “‘ bean-eating city”’ and to its reputation “ for sudden deaths from brain or heart trouble,” and for premature ageing of young men. I am not quite sure whether this was jest or earnest, but it points the action of the remedy which in Cushing’s proving caused disturbance of the nervous system, genital organs (impotence), stomach, bowels, and kidneys, and this symptom, which brought the proving to an abrupt close : “ I suddenly felt a curious sensation in the region of the heart. It was so sudden and strange I immediately felt my pulse, and found it very irregular and feeble, so much so I think I was frightened ; at least, 1 did not take any more of the medicine.” “ Irregular, weak pulse,” “ Heart failure,” are the chief keynotes of the remedy in heart cases, and correspond with the one heart symptom recorded by Allen, Demeures in his proving experienced severe headache from fulness in the brain. Cushing relates two experiences bearing on this. (1) He gave a decoction of the dried pods in a hopeless case of uterine cancer with severe general dropsy with apparent relief. Calling one day and expecting to find the patient comfortable, he found her dead. “She suddenly screamed, ‘Oh, my head !’ grasped it with both hands and was dead.” (2) A lady doctor, 30, married, no children, never ill except with children’s diseases, had had much mental trouble two years before, and had done much cycling. Since then her heart had given trouble. About five times in a minute the heart would give one hard, unpleasant throb, then omit one beat. During the night it was much worse and prevented sleep. Phas. 10 was given. Thirty-six hours later the heart would beat a hundred beats without varying, and improvement continued ; but the patient had to give up the remedy on account of the headache it caused, ‘‘ as if something were pressing hard against each temple, much worse after each dose of the medicine. The patient was never subject to headaches. Other cases of Cushing’s were: (3) Man, 45, dropsy, heart, and other complica- tions, Bean pod decoction enabled him to lie down on a couch, and markedly diminished the dropsy. (4) Clergyman, 69, many years invalided on account of heart disease, after unusual exertion was
reatly exhausted, and became entirely pulseless, and so remained our days in spite of treatment till Phas. 9x was given. In a few hours pulse returned. In thirty-six hours it was regular and strong, and so remained till his death, which occurred two weeks later. (5) Lady, 50, weak, tired, badly acting heart for some years. Phas. 9x
PHASEOLUS 755
was given, and in forty-eight hours “her heart wheeled into line all right and remains so.” (6) Lady, 87, heart acted badly, every third beat omitted. After taking Phas. two days pulse quite right. i?) Confinement case, primapara, urine loaded with albumen, frighttul convulsions, forceps delivery. Two hours later the heart failed and no stimulants would start it. Phas. 9x was given, and in ten minutes the heart was all right. Twice in the night the dose had to be repeated, but that was all. The albumen rapidly disappeared and a quick recovery was made. ®) Man, 92, had been passing bloody urine (apparently as much blood as urine) for a week. Had pre- viously had urinary troubles, urinating several times in the night, and passing catheter twice in twenty-four hours ; but for a little time past had not had to use the catheter. Cushing diagnosed prostatic trouble and gave Phas. 4x, No. 25 globules in water, a teaspoonful every two hours. (9) Another case of prostatic hemorrhage in a man, 70, was cured by Phas. 4x globules dry on the tongue. Well in four days. (10) Cushing gives an interesting account (Med. Vis., xiii. 375) of Phas. asavulnerary. Fifty years ago he accidentally ran one tine of a hay fork into the top of his foot. A backwoods doctor promised to have him all right next day. He split a medium-sized white bean, bound one half, the flat, split side, on the wound. The pain was so severe Cushing became delirious, went to sleep, and woke well. In forty- one years of practice he has tried it in punctured wounds by rivets, nails, &c., and with perfect success every time. (11) A lady, 30, took a tablet containing gr. 124 of Morphine placed in the middle of a baked bean with suicidal intent. It was in the evening, having fasted since noon. She went to sleep and woke at 7 a.m. next morning, surprised to find herself in this world. She slept again till 11 a.m., when she had to get up, but could not walk. A doctor was sent for. She vomited a little mucus, some dark specks like blood, and a small piece of lettuce, eaten the previous noon. Query : Did Phas. antidote Morph.? (12) Robust man, 50, had grippe, which developed rheuma- tism, worse in arms, occasionally below elbows. Pain so severe he could not lie in bed at nights. Drank much water. Passed much urine, which Cushing found to contain 3°5 per cent. of sugar. Phas. 5x every four hours removed all but a trace of sugar in eight days, and the patient was in other respects well. S. R. Stone (Amer. Hom., xxiv. 123) reports the case of Mr. T., 69, whom he found semi-con- scious, yet suffering severely, having been seized with distress in heart region ; respiration laboured ; pulse 51. Had had attacks previously, but lighter, and the pulse in them had always been slow. Phas. 6x was given, at first every half-hour, then every hour. Next day patient was nearly well, and said he “could feel every dose working.” Ina case reported by Cushing, a nurse, 50, “had fearful time with her heart palpitating and feeling as if she should die;” Phas. 15x cured. Patient “never took anything in her life that did her so much good ” (H. R., xii. 237). Remarkable symptoms of the proving were : Sore- ness to touch—eyeballs, right rib, epigastrium, right humerus. The headache was < by movement of the head or any mental exertion, reading, writing, &c. Pressure <. Breathing slow; pulse slow or extin
756 PHASEOLUS
Relations.—Compare : The Leguminosz. In heart, Dig., Crateg., Spig., Lach., Thyr. Punctured wounds, Hyper., Led. Diabetes, Syzyg., Thyr., Nat. sul., Uran. nit.
SYMPTOMS.
I, Mind.—Could only be roused by speaking loudly (D).—Frightened by irregular action of heart (C)—(Feeling that she would die, with palpi- tation.)
2. Head.—Headache, chiefly in forehead and orbits, from fulness of brain ; < every movement of head ; from 12 noon to bedtime; > in bed, < again 10 a.m, next day.—Pain r. side forehead while writing.—Severe head- ache, as if something pressing hard against each temple, much < after each dose of Phas. (in patient cured of heart symptoms, not a subject of head- aches).—Suddenly screamed, “Oh, my head!” grasped it with both hands, and was dead (in cancer case taking a decoction of Phas., including dried pod, C).
3. Eyes.—Eyebalis (esp. r.) painful to touch as from a blow.—Scalding pain in r. orbit—Pain in r, orbit when wrinkling skin of forehead.—Very smart itching in inner canthi.—Pain over r. orbit < by any mental exertion.— Pupils widely dilated and insensible (D).
6. Face.—Features expressed suffering (D).
1x. Stomach.—Pain in epigastrium when touched, esp. in region of pylorus.—(Severe, dull pain in epigastrium, vomiting, &c., Phas. 4x cured.)
12, Abdomen.—Pressure on abdomen apparently gave pain, child shrank from it and drew up legs (D).—Pain like hernia in r. inguinal ring, lasting all day.
14%. Urinary Organs.—Bloody urine.—Diabetes.—Uric acid gravel.
15. Male Sexual Organs.—Complete impotence (C).—Prostate, en- largement of.
17. Respiratory Organs.—Breathing slow and sighing (D).—(Respira- tions eight a minute.)
18. Chest.—Cartilage of last true r. rib painful as if bruised.—A hard, rounded, projecting, movable tumour, painful to touch, appears suddenly, above r. nipple, in full state of development (15th day).—{ Hydrothorax.)
19. Heart.—Pulse at wrists rapid and almost imperceptible (D).—Sudden curious sensation in region of heart; so sudden and strange he immediately felt his pulse and found it very weak and irregular ; was frightened and dis- continued the proving (C).—{Sick feeling about heart with weak pulse.}—(Last stage of heart disease, pulseless.—Phas. 9x restored pulse, and it remained good till death, three weeks later.}—(For two years, about five times each minute heart would give one hard throb, then omit one beat; < night. Phas. 10 cured this and caused headache.)—(Restored heart action in case of puerperal convulsions and albuminuria when heart failed.}—{Unconscious, pulseless, respirations eight a minute.)—(Distress in region of heart, pulse very slow.— Stone.)}—Dropsy of pericardium.)—(Fearful palpitation and feeling that she should die.)
22. Upper Limbs.—Pain to touch in extremity of head of r. humerus,
27. Fever.—Bedewed with cold perspiration (D).
PHELLANDRIUM 757
Phellandrium.
CEnanthe phellandrium. Phellandrium aquaticum. Water drop- wort. Fine-leaved water-hemlock. orse-bane. N. O. Um- belliferz. Tincture of fresh ripe fruit.
Clinical.—Abdomen, coldness in. Asthma. Breasts, affections of. Bronchitis. Catarrh. Ciliary neuralgia. Coryza. Cough. Headache. Influenza. _ Inter- mittent fewer. Nipples, painful. Phthisis. Sleeplessness, excessive. Tongue, soreness of.
Characteristics.—Phelland. which, like Cnanthe croc., grows in moist places, and even in the water itself, has not shown the poisonous properties of the latter. The provings were made by Nenning and Richter with tincture of the seeds. The symptoms show a general resemblance to those of the poisonous Umbelliferze—vertigo, head- ache, nausea, vomiting, diarrhcea, drowsiness and weakness, but Phelland. is easily distinguished from the rest in its particular features. The provings developed many symptoms in both mammz2, especially the right, stitches shooting inward being most marked. Clinical ex- perience in nursing women has further brought out its characteristics. The keynote is “ Intolerable pain in lactiferous tubes between the acts of nursing.” It has also “ Pain in nipples on each application of child.” Either breast may be affected, but the right breast and nipple were more affected than the left. The breast and chest symptoms have led to the use of Phelland. in phthisis and other chest affections, and it is in right-side affections that Phelland. has done its best work. The cough is continuous and suffocating; the sputa purulent and horribly offensive. There are also offensive eructations, smelling of bed-bugs. There is burning as from vesicles on the tongue, and again the right border is most affected. Nausea; sick, empty, faint feeling at epigastrium. Burning and stitches. ‘“ Desire for acids” is a leading symptom. The headaches and eye-pains are a leading feature of Phelland. Headaches involving the eyes; with inflammation of the eyes. Heavy headaches ; as if a crushing weight were on vertex ; as if the head would be drawn back bya weight in the nape. Ciliary neuralgia. Obscured vision. Phelland. has the sense of enlargement of the head with fulness. Abnormal sleepiness following confinement has been cured by it. Goullon, junr., calls attention to the value of Phelland. as a cough remedy (H. R., iii. 151). He regards it as a “universal cough remedy,” but particularly useful in phthisicy coughs. He gives this case : Mrs. E., of spare build, has almost always a slight cough, and has had repeated attacks of influenza of weeks’ and even months’ duration. Of late she suffers early in the morning with con- tinuous cough for an hour or more accompanied by dyspnoea and prostration. Phelland. 2x in water, thrice daily, effected a rapid cure. Phelland. 2x also cured a young teacher who was harassed by a chronic persistent cough. A. J. T. (H. R., i. 170) with Phelland. 200 removed in an inveterate coffee-drinker this symptom: “In the evening turns purplish-red in the face, with staring eyes and extreme difficulty in breathing.” He found in an old repertory under
758 PHELLANDRIUM
Pheliand.: “ Livid redness of face 7 to 8 p.m.” Ussher (H. W.,, XXiv. 20) had a patient who suffered from excessive sleepiness after the birth of her last child. She would even go to sleep standing over her washtub. Phelland. ¢, and later 200, repeated thrice daily, quickly relieved her. Peculiar sensations are : As if head were moving to and fro. Sound in brain as if striking a piece of silver. As if a stone or lump of lead on vertex. As if a red-hot iron were moved close to left side of neck. As if blood-vessels in whole body were in vibrating motion. Though there were many symptoms of heat and burning, symptoms of coldness are also pronounced. Coldness of head with headache (also sweat with headache) ; coldness in abdomen, with movements ; icy coldness after stool. Phelland. is sutted lo: Persons of a feeble, irritable, lymphatic temperament, with weak and deficient nutrition. The symptoms are < in open air; after dinner ; during and after eating; on appearance of menses ; sitting ; stand- ing ; lying down ; after spirituous drinks ; after drinking water ; while swallowing ; after stool (coldness in abdomen). > In open air (vertigo and head symptoms); during dinner (headache); eating bread (sore throat) ; motion, in open air ; lying on left side ; scratch- ing ; rubbing. Chilliness predominates, and the catarrh and asthma of Phelland. are > in warm and < in cold seasons. Open air = sense of intoxication; < vertigo. < During increasing moon. elations.—Antidoted by : Rheum (diarrhoea). Compare : Breast symptoms, Con., Phyt., Bry., Ol. an. (Ol. an. has stitches shooting out ; helland. stitches shooting i). Painful nursing, Crot. t. (pains in breast go through to back when nursing), Bov. (empty ‘eeling). Stitches, K. ca. Headache involving eyes, Onos. Pains in right chest, Zn. (right apex, Calc., Ars.; r. middle, Sep. ; right base, Chel., Lachn., K. ca., Sep.; left apex, Ars. ; left base, Ox. ac., Sul.). Last stage of phthisis, sputa terribly offensive, Sil. Offensive breath with cough, Caps. Sleepiness, Op., Nux m.
SYMPTOMS.
1. Mind.—Character sad, anxious, profoundly meditative, sometimes given to extravagant merriment.—Peevish arrogance.
2. Head.—Confusion in head, as from intoxication.—Heaviness of head, as if too large and too full ; as if it would be drawn back by a weight in nape. —Vertigo, which almost occasions falling backward, forward, or sideways, esp. to side to which one turns in room ; < (sometimes >) in open air, > by lying down.—Sound in brain as if one were beating on a metal that was freely swinging, which woke him, after which the sound died away (5 a.m.),—Head- ache, which disappears in open air, and during dinner.—Headache with per- spiration on top of head, fifteen minutes after dinner, soon followed by coldness of the head.—Dizzy headache in (1.) forehead with increased warmth of head and hands without perspiration Headache involving nerves going to eyes, crushing feeling on vertex with burning of eyes and lachrymation.— Painful heaviness of vertex as if a hard body were lying on it.—Pain like weight on vertex with aching, burning, shooting pains in temples.—Compres- Sive pain in sides of head.—Digging pain in head.—Ebullition of blood, with
PHELLANDRIUM 759
heat and throbbing in head.—In occiput: intermitting pressure ; burning, constrictive sensation ; tearing ; burrowing; stitches.—Itching, biting like fiea-bites in scalp.
3. Eyes.—lItching in eyes.—Burning sensation in lids, morning and evening.—Frequent twitching of I. lids.—T witching of lids, which close easily from a sensation of heaviness and sleepiness.—Dryness of eyes, with shooting and burning pain.—Frequent tearing in upper r. orbital margin in the bone.— Ciliary neuralgia, < attempting to read or sew ; fearful intolerance of light ; lids swollen and half-closed.—Lachrymation, esp. in open air.—Sight cloudy, as if directed through a fog, < when looking intently at any object.
4. Ears.—Tearings and boring in ears.—Singing and noises in r. ear.
5 Nose.—Nostrils red, burning, and (with upper lip) swollen.—Itching, confluent vesicles in nostrils—Loss of smell.—Coryza, with obstruction of nose, can only breathe through mouth.
6. Face.—Heat in face.—Livid redness of face from 7 to 8 p.m.— Tension in skin of face.—Violent, and almost tearing, quivering in cheek.
8 Mouth.—Toothache with tearing or shooting pain.—Gums red, swollen, and painful.—Dryness of mouth and throat at night.—Increase of frothy saliva in mouth, which it is necessary to expectorate.—Burning pain and burning vesicles on tongue (r. margin towards lip).—Clammy or cheese- like taste.—Sweetish taste after drinking water.—Beer has a bitter taste.
g Throat.—Sore throat, with pressive and shooting pain when not swallowing, and during empty deglutition, but not when swallowing food.
1%. Stomach.—Thirst for milk and for beer, with repugnance to and dread of water.—Desire for acid drinks with thirst.—Disgust and nausea with inclination to vomit and to eructate.—Offensive risings, which have the smell of bugs, or with taste of food—Pain in stomach, as if it were empty.— Sensation as if stomach were full of water, that would run up, followed by a sensation as if a large round body were twisting about in stomach, that afterwards fell downward, followed by rumbling in stomach.—Burning pain in stomach.
12. Abdomen.—Pinchings in the abdomen.—Sensation of coldness in the abdomen, with movements in intestines.—Icy coldness in intestines ; after stool; after spirituous drinks.—Burning extending from abdomen up into stomach, following eructations of the drug.—Pinching and cutting pains as if diarrhoea would come on.—Cutting and pinching in hypogastrium.—Dull stitch in r. flank ; on bending to that side violent shock in r. inguinal region, after dinner.—Incarcerated flatus in hypochondria and lumbar region.
13. Stool and Anus.—Hard faces, with clawing and pressure at anus. —Liquid evacuation, with tenesmus, followed by pain as of excoriation in anus.—Abundant expulsion of flatus during and after the evacuation.— Burning in anus.—Itching in anus that becomes a burning after rubbing.
14. Urinary Organs.—Pale and scanty urine.—Desire to urinate, but only very little passed, with violent burning in evening.—Urine pale, almost greenish.
15 Male Sexual Organs.—Itching on prepuce, > by scratching.
16. Female Sexual Organs.—Menses too early.—At commencement of menses, lassitude, yawning, and bruised pain in thighs.—She could neither sit, stand, nor lie for the pain—Menses flowed only morning and evening,
760 PHELLANDRIUM
and rather more profusely than usual.—Menses that had just begun ceased.— Menses twelve days early, lasting only a day and a half, very scanty, though without any difficulties, quite unusual.—Pain in nipples on each application of child.—Always after nursing intolerable pain in r. breast along course of lac- tiferous tubes; physical and mental distress; hysterical weeping; this occurred some time after micturition, the nipples were sore with purulent discharge, the pain appearing after nipples were healed.—Intolerable pains in lactiferous tubes between the acts of nursing.
17. Respiratory Organs.—Hoarseness and roughness in throat and fluent coryza.—Suffocating, dry cough, with shortness of breath.—Nocturnal cough from accumulation of mucus in throat—Frequent expectoration of mucus, without cough, in morning.—Shortness of breath, esp. when walking.
18. Chest.—Oppression of chest when standing and taking a deep inspiration,—Stitches in chest.—(Phthisis, esp. of r. lung ; cavity ; burning on breathing ; continuous cough ; profuse sweat ; diarrhoea ; vomiting of food ; copious purulent sputa, terribly offensive ; emaciation.)}—Pressure on side of chest in bed in morning, which disappears when lying on the side affected.— Sharp stitches, extending inward beneath 1. mamma, not affected by breath- ing.—Painful tearing stitches extend through whole 1. mamma.—Violent stitch through r. mamma, near sternum, extending to back between shoulders, then down into r. side of sacrum, that was very painful on breathing, im- mediately after dinner.—Biting sticking in r. nipple, evening before lying down.
20. Neck and Back.—Sensation on l. side of neck below jaw as if red- hot iron were moved along close to the part.—Tearing in 1. side of neck to jaw.—Stitches : between shoulders ; in lower end of |. scapula ; in sacrum.— Pain as from a bruise in loins when seated.
22. Upper Limbs.—Tearing in shoulders and arms.
23. Lower Limbs.—Tearing along anterior surface of r. thigh —Vibra- tion in calves.—Sensation as of congested blood in knees.
24. Generalities.—Tearing pains in limbs.—Sensation of trembling in all the vessels of the body.—The majority of symptoms appear when patient is quietly seated, standing, or lying down ; they are 5 by movement and in open air.—Great dejection and lassitude.
25. Skin.—Itching, sometimes burning or smarting, disappearing quickly when the parts are scratched.—Small blue spots, like petechiz.
26. Sleep.—Sleepiness during day, with frequent yawning.—So sleepy would fall asleep standing at work, lasting an hour.—Retarded sleep.—Fre- quent and early waking, or prolonged sleep in morning.—Dreams : of light- ning with fright; of a robbery in which he received many blows.
27. Fever.—Predominance of shivering, sometimes with shaking chills, generally neither accompanied nor followed by heat or thirst—Shuddering, generally in evening, sometimes as if cold water had been poured over body. —Inability to urinate the day after ague attack.—Accelerated pulse.
PHENACETINUM 761
Phenacetinum. Para-acetphenatidine. Cs.H,OC,H,NHC,H,O.
cal.—Cyanosis. Face, eruption on. Fevers. Headache. Perspiration, excessive. Typhoid fever. Urzemia.
Characteristics.—Phenacet. belongs to the Aniline group, and was introduced into old-school practice as a remedy in febrile states and neuralgias, free from the dangers of Antfeb., Antipyr., Exalg., &c. Though not so dangerous as these, it is not free from ill effects. These have been well summed up by F. G. Oehme (H. R., xv. 506), and I have put them in Schema form, and added a symptom observed by myself on a young lady who had taken Phenacel. for headaches: A circumscribed rash on both cheeks which came out red, lasted four days and then peeled, and as soon as it was clear the process was repeated. I tried many remedies with varying success, but it finally disappeared under Alm. 30, one powder at bedtime.
SYMPTOMS.
1. Mind.—Anxiety.
2. Head.—Vertigo, faintness —Headache and flushed face.
3. Eyes.—(Cdema of lower lids and fingers.
4. Ears.—Permanent deafness,
6. Face.—Circumscribed, erythematous, exfoliating eruption on both cheeks ; fading away and recurring for several weeks (finally cured with Alm. 30).
11. Stomach.—Nausea ; epigastric pains.
14. Urinary Organs.—Large doses may cause uremia.—Frequent urination at night (cured in two cases).
17. Respiratory Organs.—Dyspneea.
19. Heart.—Decrease of cardiac vigour ; pulse slow, almost impercep- tible.
24. Generalities.—Severe cyanosis, esp. of limbs, chilliness, nausea, epigastric pains, faintness, vertigo._-Trembling from nervous excitement.— Weakness and numbness of whole body, cold perspiration, collapse.
25. Skin.—Febrile exanthema; patches profusely scattered on limbs, scanty on trunk ; disappearing on pressure, headache, flushed face (from five grains daily).
26. Sleep.—Incessant yawning; drowsiness.
27. Fever.—Chilliness.—Sweating ; frequently profuse in low states of the system.
762 PHOSPHORICUM ACIDUM
Phlorizinum.
Phiorizin. (A substance discovered in the fresh bark of the Apple, Pear, Cherry, and Plum.) C,,H,,0,. Solution. Trituration.
Glinical.—Diabetes. Herpes preputialis. Intermittent fever.
Characteristics.—Phloriz. exists in fine, silky, four-sided, colour- less needles, soluble in water. It has a bitter and slightly astringent taste, and has been used in old-school practice as a remedy for inter- mittent fever, and whilst being administered for this it has produced glycosuria. This observation has led to its successful use by homoso- paths in cases of diabetes. Successes with the 3x and 6 have been reported. A patient to whom it was given by Burnett accused him of having given him a preparation of apples. The man discovered it because it produced herpes along the dorsum of the penis, an effect which in- variably occurred whenever he ventured to eat apples. V. Mering. “i. W., xxiv. 535) produced glycosuria in dogs with Phlor. ; but if
yayg. was given simultaneously with Phlor., no glycosuria appeared.
Phosphoricum Acidum.
Phosphoric acid. H,PO,. Dilution. (The dilute acid of B.P. forms the homceopathic 1x. In U.S. the first solution is made of glacial Phosphoric Acid.)
Glinieal.—-Amblyopia. Asthma. Boils. Brais-fag. Bronchitis ; capillary. Chancre. Chilblains. Cholera. Climacteric flushes and vertigo. Coccygodynia. Condylomata. Corns. Cough. Coxalgia. Debility. Diabetes. Diarrhea. Dys- pepsia. Emissions. Enteric fever. Enuresis, Feel, sore. Flatulence. Ganglion. Gout. Gravel. Hair, falling off. Headache ; of schoolchildren. Hectic. Herpes. Hip-joint disease. Home-sickness. Impotence. Foints, scrofulous. Lactation defec- tive. Levitation. Lienteria. Locomotor ataxy. Love, disappointed. Masturba- tion. Mental weakness. Mercurial syphilis. Navel, pains in. Neurasthenia. Nymphomania. Osteo-myelitis. Persptration, profuse. Phosphaturia. Physometra. Pimples. Pregnancy, diarrhea of ; nausea of. Prepuce, warts on. Psoas abscess. Puerperal eclampsia. Purpura. Rheumatism. Sciatica. Scurvy. Self-abuse. Spermatorrhea. Spinal caries. Sycosis Hahnemanni. Syphilis. Tetters. Typhus fever. Ulcers. rine, phosphatic. Uterus, prolapse of. Varices. Vertigo. Warts. Wens. Worms.
cs.—Phos. ac. is less poisonous than Phos. Our chief knowledge of it is derived from Hahnemann’s provings in M. M. P. These show a marked action on the emotional and sensorial faculties, a drowsy, depressed, apathetic state being pro- duced, such as is not unfrequently met with in typhoid fevers. The keynote of the Phos. ac. stupor is that the patient is easily aroused and then is fully conscious. Indifference ; prostrated and stupefied with grief ; effects of disappointed love. Home-sick. The mind is confused ; thoughts cannot be connected ; thinking makes him dizzy. The legs tremble in walking and the limbs are as difficult to control
PHOSPHORICUM ACIDUM 763
as the thoughts. Many symptoms of vertigo are produced, and one is peculiar. Phos. has a sensation as if the chair he was sitting on was rising ; Phos. ac. has this: Sensation as if the feet were rising until he stood on his head. This very symptom occurred in a patient of Skinner’s suffering from small-pox. The disease had been cut short by Variol., when the patient, a lady, complained that her feet were rising to the ceiling, and begged her nurses to keep them down. Phos. ac. speedily put her straight. Phos. ac. causes illusions of the senses as well as of the sensorium, bells are heard, ciphers, sparks, &c., are seen. At the same time there is exalted sensitiveness to light, sound, and odours ; “odours take away his breath.” A remarkable effect was noted by Becher, one of Hahnemann’s provers (the same who experienced the topsy-turvy symptom just mentioned), namely, that the right pupil became widely dilate while the left remained normal : the more he strained the eye the wider the pupil became until the iris almost disappeared. Franz had this symptom : “ Sees things lying near him (outside the sphere of vision) moving.” Meyer had a somewhat analogous mental symptom : ‘“ When reading a thou- sand other thoughts came into his head, and he could not rightly com- prehend anything ; what he read became as if dark in his head, and he immediately forgot all ; what he had long known he could only recall with difficulty.” Such states of mind and the senses are frequently observed in those under the influence of grief and other depressing emotions ; from over-study; and in the subjects of venereal excesses and seminal loss. But whilst these losses produce extreme weakness of mind and body, and an abashed, sad state of mind with despair of cure, there is one drain which does not debilitate—a diarrhea. “ Persistent, painless, watery diarrhoea, often containing undigested particles of food, and which does not debilitate,” is a keynote of Phos. ac. Another characteristic in connection with the debility of Phos. ac. is that though the weakness is very great the patient is rested by a short sleep. (Phos. also has > by sleep, but not so markedly by a short sleep.) The copious discharges of Phos. ac. appear in the sweat and urine. The keynote of the enuresis of Phos. ac. is that the child passes a great quantily of urine. The polyuria and dry mouth and throat give leading correspondences for Phos. ac. in diabetes ; and when there is in addition a history of sexual excess, or of severe mental or emotional over-strain, the indications will be very clear. White, milky urine ; and also white stools, are very characteristic of Phos. ac. The urine may be passed clear but turns milky at once, and is very offensive. If flatulence is to be regarded as an excretion that is another instance of the excess of Phos.ac. There is meteoristic distension and passing of flatus in large quantities ; sometimes with odour of garlic. “ Meteoristic distension ; rumbling or gurgling and noise as if there were water in abdomen, < when touched and when the body is bent backward and forward.” A case quoted from H. Maandblad. illustrates the action of Phos. ac. in gastric affections. A married woman, 36, mother of eight children, had for some time been so melancholy and depressed as to be unable to fulfil her house- hold duties. There was no discoverable mental cause, though her condition had been made < by a sudden death in the family. The
764 PHOSPHORICUM ACIDUM
beginning of the illness was apparently a weakness of the stomach : small appetite ; always pain and distension after eating ; the food seemed to lie long in the stomach undigested. Phos. ac. 6x, ten drops
three times a day, soon restored the patient. In connection with the ( flatulence-of-R
hos, ac. there is even bloating of the uterus with gas. The menses are excessive and premature ; and there are many symp- toms connected with the pregnant and puerperal state, including debility from lactation. Phos. ac. has many respiratory symptoms, and this is a keynote : “ Weak feeling in chest from talking, coughing, or sitting too long; > by walking.” Hoarseness and nasal voice ; dyspnoea ; capillary bronchitis. The cough seems to be caused by tickling of a feather from middle of chest to larynx, low down in chest, about ensiform cartilage, pit of stomach; is < evening after ying down ; expectoration muco-purulent ; salty ; bloody ; offensive. very draught of air == fresh cold. Cough = headache; nausea and vomiting of food; spurting of urine. A very prominent sensation running through the proving is that of pressure ; pressure as from a crushing weight in vertex, forehead, sternum. Pressure in eyes ; in navel ; in left breast. Squeezing above the knee; in the sole. The hemorrhages of Phos. ac. are dark, profuse, with passive hzmor- rhages. A case of land scurvy (quoted Amer. Hom., xxii. 421) con- tracted in mining camps presented the usual condition of the gums, and also purpureal spots covering the whole body. Patient was able to be about, and had little pain, but was despondent. Pulse weak, ver slow. Had been months ill under old-school treatment. Merc. sol. was given but did not relieve. Phos. ac. given strong enough to taste acid speedily cured. A peculiar symptom of Phos. ac. is involuntary biting of tongue in sleep. The sphincters are weakened, and there is involuntary escape of faeces and urine, the latter especially on cough- ing or movement. Peculiar sensations are: As if intoxicated. As if head would burst. Asif feet going up. As if weight in head. As if brain crushed. Bones as if scraped with a knife. As if eyeballs too large. As if white of egg had dried on face. As if lower jaw were going to break. Nausea as if in soft palate ; in throat. As if stomach being balanced up and down. Heavy load in stomach. Ants crawl- ing over body. Uterus as if filled with wind. Tickling in chest as with a feather ; as with down in larynx. Red-hot coal on arm and shoulder. Phos. ac. is suited to: (1) Persons of originally strong con- stitution weakened by loss of fluids ; excesses ; violent, acute diseases ; chagrin or a long succession of moral emotions. (2) Persons of mild disposition. (3) Children and young people who have grown too rapidly, tall, slender, and slim ; with pains in back and limbs as if beaten ; growing pains. Lutze (Hahn. Adv., 1900, 664) cured with Phos. ac. a German woman, 66, of chronic, early morning, painless diarrhoea after the failure of Pod. and partial success of Gels. The patient had been ill two years, dating from the time she came to Brooklyn from Germany to be near her daughters, One of the latter gave Lutze the keynote of the case by telling him that her mother was me-sick, and wanted to return to Germany, though she had not a single relative there—The symptoms are: < By music (every note & stitch in ears; violent pains in head). Slight shock or noise = pressure in
PHOSPHORICUM ACIDUM 765
head to be extremely violent. Odours = vomiting. Bad news; depressing emotions == cough, diarrhoea, &c. Touch <. Movement of child = escape of stool. Many symptoms are < evening and night. > After short sleep. Many symptoms are > walking. Sitting <. Standing <. < Lying on left side. < Side on which he lies. < Talking. < From mental affections ; suppressed eruptions ; loss of fluids, especially seminal ; masturbation ; perspiration ; urination. There is desire for warm food ; which > pressive pain in stomach. Warm room <. Warmth of bed > pains in bowels. Aversion to uncover in heat. < By draught; wind; snowy air. Cannot bear draught on chest. Every draught == fresh cold. Catching cold in summer == diarrhoea. Least cold = arthritic pains. Coldness of part < pains. Fresh air = invigoration.
Relations.—Antidoted by: Camph., Coff., Staph. Compatible : Chi., before or after, in colliquative sweats, diarrhoea, and debility ; after Nux in fainting after a meal; after Rhus in typhoid. Followed well by: Ars., Bell., Caust., Lyc., Nux, Puls., Sep» Sul., Calc. p., Fer. p., K. ph., Nat. p. Compare: Effects of grief, &c., Ign. (Phos. ac. deeper, more settled despair, hair turns grey, crushing weight on vertex). Growing too fast, Calc. (Calc. fast and fat ; Phos.ac. fast and tall). School headaches, Nat. m., Calc. ph. Typhoid and typhus, Rhus (both have nose-bleed at beginning of typhus, with Rhus it > ; with Phos. ac. not: Phos. ac. follows Rhus; both have > by move- ment). Cina (bores fingers in nose). Pho. (Pho. has more dryness of tongue, more sensorial excitement and intolerance of noises or odours ; if diarrhcea is present it is blood-streaked and looks like flesh water). Nit. s. d. (sensorial apathy) ; Arn. (more developed stupor) ; Op. (stertor ; countenance deeper red, almost brownish red ; Phos. ac. sunken hippocratic). Home-sickness, Caps. (Caps. has red cheeks). Lienteric diarrhoea, Chi. (Chi. exhausts rapidly; Phos. ac. not). Loss of seminal fluids, Chi. (Chi. acute; Phos. ac. chronic effects). Tuberculosis, Pho. (Phos. ac. better than Pho. when there is cough from tickling at ensiform cartilage, < evening and lying down at night; weakness causing dyspnoea; < from draught on chest). Diabetes, Lact.ac. Growing pains, Guaiac. Bad news, effects of, Coloc., Gels. As if white of egg had. dried on face, Alm., Bar. acet. Aftections of palate, Mang. Aversion to bread; effects of masturbation, Nat. m. Effects of music, Ambra, Pho. Over-lifting, Calc. Nausea at sight of food, especially during pregnancy, Eu. perf. ; at sight of food, Colch., Lyc., Mosch., Phos. ac., Saba., Spi. ; at smell of food, Colch., Eu. perf. Inquietude about health and life, Calc., Pho. Apathy, K. ca. (Phos. ac. sensorial; K. ca. from exhaustion—puer- peral mania, puerperal fever). Cerebro-spinal exhaustion from over- work, Pic. ac. Apathy with indifference (Mur. ac. taciturnity with indifference ; Sul. listless ; Hell. n. not easily roused). Mild, yielding disposition, Puls. Headache > by lying down, Bry., Gels., Sil. Neurosis in stump after amputation, Cepa. Masturbation when patient distressed by culpability of act, Dros., Staph. Sycosis, Thuj., Sabi. Escape of urine during cough, Caust., Nat. m., Puls. Nausea in throat, Cupr., Cycl., PuL, Stan. Feet as if in air, Passif.
Causation.—Bad news. Grief. Chagrin. Disappointed love.
766 PHOSPHORICUM ACIDUM
Separation from home. Loss of fluids. Sexual excesses. Injuries. Operations. Over-lifting. Over-study. Shock.
SYMPTOMS.
1. Mind.—Disposition to weep, as from nostalgia.—Bad effects from grief, sorrow, unfortunate love, with great emaciation, sleepiness, and morn- ing sweat.—Sadness and uneasiness respecting the future.—Anxious inquiries respecting the disease under treatment.—Restlessness and precipitation.— Silent (sadness) peevishness and aversion to conversation.—Great indifference. —A complete indifference to everything ; not a soporous, delirious, or irrit- able condition, but simply an indifferent state of mind to all things ; patient does not want anything, nor to speak, shows no interest in the outside world (may occur in any disease in fevers of very low type).—Difficulty of compre- hension, patient will think a little while about a question, perhaps answers it, then forgets all about it ; dizziness of the mind.—When reading, a thousand other thoughts came into his head, could not rightly comprehend anything ; what he read became as if dark in his head and he immediately forgot all ; what he had long known he could only recall with difficulty.—lInability to endure noise or conversation.—Dulness and indolence of mind, with want of imagination—Weakness of memory.—Imbecility—Cannot connect his thoughts.—Paucity of ideas and unfitness for intellectual labour.—lIllusions of the senses ; hears a bell pealing; sees only ciphers before his eyes.
2. Head.—Vertigo : head sinks forward or backward ; on closing eyes ; at climaxis with flushes and sweat ; in typhus ; when lying in bed, as if feet were going up and he was standing on his head ; after reflection.—Stupefac- tion in forehead, with somnolency without snoring, eyes closed.—Head bewildered, as after intoxication or immoderate pollutions.—Sensation as if intoxicated, evening, in warm room, with humming in head, which feels as if it would burst when coughing.—Stunning vertigo when standing and walk- ing, esp. in evening.—Pressure as from a weight in head, or as if vertex had been beaten.—Headache in morning.—Aching with tingling in head.—Head- ache usually from behind forward.—Constant headache, which compels to lie down, < to an insupportable degree by the slightest commotion or by noise. —Heaviness of head, as if full of water.—Violent pressure in forehead in morning on waking.—As if temples and sides of head were squeezed together by forceps.—Cramp-like and hard pressure in head, < by pressing on head and by turning it; also by meditation and by going up stairs, but esp. after midnight, in the part which presses pillow.—Compression in brain.—Tearing headache.—Lancinations in temples or above eyes.—Stitches over one (the r.) eye.—Jerks or shocks, blows and hammering in head.—Drawing pains in — bones of occiput.—Grey, lank hair, like tow.—The hair becomes grey early or flaxen, and very greasy, falls off; also hair of beard, esp. after grief and sorrow.—7Pain in bones of skull ; it feels as if somebody scraped the swollen and tender periosteum with a knife, € at rest, > from motion ; caries of skull with burning pain.—Itching of scalp.
3. Eyes.—Eyes dull, glassy (but without lustre), downcast.—Pressure in eyes, with sensation as if eyeballs too large; as if eyeballs were forcibly pressed together and into head.—Coldness in internal surface of lids.—Eyes
PHOSPHORICUM ACIDUM 267
dazzied on looking at bright objects.—Burning pain in lids and their angles, esp. by candle-light in evening.—Inflammation in eyes, with congestion of veins in internal angies.—Agglutination, mornings.—Inflammation of lids.— Hordeolum.—Yellow spot in sclerotica.—Lachrymation.—Pupils dilated.—R. pupil much dilated, 1. pupil constantly normal.—Fixed look.—Sight confused as if directed through a mist.—Myopia.— Black band before eyes ; ciphers ; sees objects lying near him (outside sphere of vision) moving.—A dull, shoot- ing, burning pain forced r. eyeball to its outer canthus ; could then see nothing with this eye but a limitless white expanse with fiery points falling on it ; later, expanse became fiery and the falling points dazzling white.
4. Ears.—Shootings in ears, sometimes with drawing in cheeks, jaws, and teeth, < only by sound of music.—At every stroke of a bell or masical note stitches in ears like earache, also on singing himself ; non-musical sounds had no effect.—Cramp-like drawings in ears.—Inability to endure music, noise, and conversation.—Every sound re-echoes loudly in the ears.—Nervous deafness, shrill sounds most painful and most distressing (R. T .C.).—Deaf- ness for distant sounds.—Squeaking in ear on blowing nose.—Roaring in ears with difficult hearing.
5 Nose.—Swelling on bridge of nose with red spots.—({Redness of tip of nose with dyspepsia.—R. T. C.)}—-Each dose (3x) goes to his nose as effervescing waters do, and < the redness (agg.—R. T. C.).—Scabs on nose. ~—Disposition to put fingers into nose.—Itching on point of nose ; must scratch there.—Fetid exhalation from nose.—Discharge of (bloody) pus from nose.— Epistaxis (dark blood).—Violent coryza, with redness of margins of nostrils. —Fluent coryza, with cough and burning pain in chest and throat.
6. Face.—Face pale, wan, with (lustreless) hollow eyes surrounded by a blue circle, and pointed nose.—Drawings in cheeks and jaws.—TIrregular features.—Heat of side of face on which he is not lying.—Heat in face, with tension of skin of face, as if the white of an egg had dried upon it.—Large pimples on face.—Burning pain in cheeks.-Humid and scabious tetters on cheeks, lips, and commissures.—Lips dry, scurfy, covered with suppurating cracks, with pains as from excoriation—Yellow-brown, crust-like eruptions, with pus on lower lip towards corner of mouth.—Pimples and scabs on red part of lips.—Violent burning pain in r. lower lip, persisting when moving it. —Pimples on chin.—Swelling of sub-maxillary glands,—Pain in lower jaw as if dislocated.
97. Teeth.—Toothache with tearing pain (burning in the front teeth), < by heat of bed and by cold or hot things.—Violent pains in incisors at night.—Violent aching in a hollow tooth when particles of food get into it, going off when they have been removed.—The teeth are yellow.—Gums bleeding easily, swollen, stand off from teeth.—Painful nodosities in the
8. Mouth.—Dryness of mouth and palate without thirst.—-Viscid, tena- cious phlegm in mouth and on tongue.—Shootings and burning sensation on tongue.—Involuntary biting of tongue at night—Swelling of tongue, with pain when speaking.—Red streak in middle of tongue, widens in front.— Nasal tone of voice.—Smarting in mouth during mastication of solid food.— Excoriation and ulceration of velum palati, with burning pain.
9. Throat.—Pain as from excoriation in throat, with smarting, scraping,
768 -PHOSPHORICUM ACIDUM
and shooting, esp. during passage of food.—Contractive pain in pit of throat. —Hawking up of tough mucous phlegm.
1o. Appetite.—Loss of appetite.—Putrid, acid, herbaceous taste.—Pro- longed after-taste of food, and esp. of bread.—Repugnance to bread, which seems bitter —Aversion to coffee.—-Violent thirst for cold milk or for beer, as well as in general for cool and juicy things; bread appears too dry.—In- satiable thirst, excited by a sensation of dryness in whole body.—Acids excite bitter risings and other inconveniences.—Ate heartily, much oppressed after with flatulence.—After a meal pressure, or a sensation of wavering in stomach, with confusion of head, uneasiness, fulness, and disposition to sleep, or dejection, as if about to faint.
11. Stomach.—Sour, incomplete, or burning risings.—Constant nausea in throat.—Nausea which compels lying down.—Nausea at sight of food.— Vomiting of food.—Sour vomiting.—Pressive pain in stomach, as from a weight, when fasting, and after any food whatever (with sleepiness), as also on touching pit of stomach.—Sensation of coldness or of burning in stomach. —Feeling in stomach as if everything had stuck fast and was dry.
12. Abdomen.—Spasmodic aching, with (pressure and) anguish in hypochondria, and esp. in liver.—Sensation as if liver were too heavy.— Shootings in regions of liver and spleen.—General tympanites with enlarged spleen.—In navel periodical aching, squeezing.—Contractions in abdomen on both sides of umbilical region.—Spasmodic pains in abdomen, esp. in umbilical region.—Shootings and cuttings in abdomen.—Sensitiveness in lower czcal region.—Burning sensation in hypogastrium.—Meteoristic dis- tension of and frequent grumbling and borborygmi in abdomen, as if from water in it ; esp. when it is touched, and when the body is bent backwards and forwards.—Production and expulsion of much flatus, esp. after eating acid things.—Swelling of inguinal glands.
13. Stool and Anus.—Hard fzces in small portions, difficult to evacuate.—Frequent evacuations.—Diarrhoea, particularly painless, which may be very fetid.—Diarrhoea lasting a long time, apparently without any weakening effect.—Stools : loose, slimy, whitish-grey ; undigested, greenish- white.—Yellowish and very offensive.—Escape of stool when child is moved or turned.—Involuntary stoois of the consistence of pap (bright yellow), with sensation as if flatus were expelled—Choleraic diarrhcea as if rectum remained open.—({Chronic diarrhoea, thin and greenish, almost involuntary with gastric irritability—A. E. Small.).—In evening great discharge of garlic- smelling flatus; great yawning.—Protrusion of hemorrhoidal tumours from rectum during stool_—Intolerable pain in hzemorrhoids when sitting.—After stool tenesmus ; sickening pain about navel.—Tearing, smarting, and itching in anus and rectum.—lItching prick on outer circumference of anus.
14. Urinary Organs.—Urgent want to urinate, with scanty emission of urine, paleness of face, heat, and thirst—Frequent and profuse emission of aqueous urine, which immediately deposits a thick and white cloud.—Urine like milk, with sanguineous and gelatinous coagulum.—Fetid urine.—Flow of urine with spasmodic pains in loins.— Urgent and irresistible desire to urinate.—Urine like that which passes in diabetes mellitus—Anguish and uneasiness before urinating.—Nocturnal enuresis.—Children pass a great deal of water in bed at night; persons get up in the night to urinate and pass a
PHOSPHORICUM ACIDUM 769
great deal.—Burning pain in urethra during and after emission of urine; cutting before.—Creeping in urethra when not urinating. —Spasmodic (painful) constriction of bladder (without urging).—Incisive pains in urethra when making water.
15. Male Sexual Organs.—Lancinating pains in glans.—Fine pricking
at point of penis——Burning cutting in glans with an out-pressing pain in both groins.—A feeling of heaviness in glans, esp. when urinating.—Tingling and oozing vesicles round frzenum.—Sycotic excrescences with heat and burning.— Crop of warts on prepuce.—A crop of pedunculated warts come round corona giandis after taking Pho. ac.in summer drinks (agg.—R. T. C.).—-Condylomata. —Eruption on penis and scrotum.—Inflammatory swelling of scrotum.—Pain in testes when touched.—Gnawing pain in testes.—Swelling of testes (1.), while spermatic cord is enlarged, hard, and tightened.—Absence of sexual desire.—Frequent erections (in morning in bed ; in morning when standing), without desire for coition Weakness of sexual organs, with onanism, and little sexual desire.—Exhaustion after coition—Frequent and very debilitating pollutions, esp. where the patient is much affected by the flow.—Onanism ; esp. when patient is much distressed by the culpability of the act.—Discharge of semen when straining during an evacuation.
16. Female Sexual Organs.—Oophoritis, metritis, or prolapsus from debilitating or emotional influences ; amenorrhcea.—Very irritable uterus.— Uterine ulcer, with copious, putrid, bloody discharge, itching or corroding pain, or no pain.—Hepatic pains during menses.—Menses too early and too long ; too copious ; too late ; dark clotted ; preceded by leucorrhcea, and for one or two days by griping and rumbling in abdomen.— Yellowish, itching leucor- rhoea after menses.—Distension of uterus as by gas.—Itching pricking like flea-bites between mammz2, obliging her to rise at night—Dysuria during pregnancy ; cutting pains.—Vomiting at sight of food during pregnancy.— Puerperal convulsions; albuminuria; hzmorrhage.—Scanty milk with debility and great apathy.—Deterioration of health during nursing.—Con- stant vomiting of milk in a suckling ; waxy face; blue rings round eyes ; child does not cry ; mother has little milk.—Sharp pressure on 1. breast ; and nipple.
17, Respiratory Organs.—Voice nasal.—Great hoarseness and rough- ness in throat.—Pain in pit of throat, which contracts throat.—Cough excited by a tickling and a scraping in larynx; or above epigastrium, which is dry in evening, and with a yellowish-white expectoration in morning.—The cough is < morning and evening; during rest if one sits or lies long in the same position ; after sleeping ; from cold air ; from loss of fluids.—(Cough after food of any kind.}—Cough with (nausea) vomiting of food and headache; in- voluntary emission of urine.—During cough expectoration (of dark blood, or of tough white mucus, tasting acid), having an herbaceous smell and taste. —Cough with purulent (very offensive) expectoration and pains in chest.— Salty expectoration in morning.
18. Chest.—Shortness of breath and inability to speak long, from weak- ness of chest.—Capillary bronchitis, < evenings, with fever, pain under sternum, then violent sneezing, thirst and coryza, profuse, purulent secretion.—- Spasmodic and contractive oppression of chest, as if tightened.— Weakness in chest after speaking.—Pressure at chest often spasmodic or incisive.—Pressive
VOL. II. 50
770 PHOSPHORICUM ACIDUM
pain in middle of chest, < when expiring ; felt as if sternum would be pressed out ; < by pressure with hand, stooping, coughing, &c.—Pressure behind sternum rendering inspiration difficult—Lancinations in sides of chest.— Burning and pressure in chest.
19. Heart and Pulse.—Stitches through heart.—Palpitation : in young persons growing too fast; after onanism.—Pulse irregular, with irregular beating of heart; pulse intermitting.—Swollen veins.
20. Neck and Back.—Tension and cramp-like drawing in muscles of neck, esp. on moving head.—Miliaria on neck.—Boils under axillz ; on nates. —Boring pain between scapulz.—Spondylitis of cervical vertebrze.—Eruption, painful to touch, on back, shoulder-blades, neck, and chest.—Burning pain in a spot above small of back.—Itching stitch in coccyx ; fine stitches in coccyx and sternum.—Crawling (formication) tingling in back and loins.
a1. Limbs.—Bruised feeling in hips, thighs, arms, nape, like growing pains ; at same time repeated single tearing stitches in all these parts at once ; the stitches occur on commencing to walk, esp. to go up stairs ; bruised pain continues all the time.—Bruised pain in all joints in morning, and in arms and legs.—Burning, gnawing, tearing pains in bones of extremities —Weak- ness of extremities after loss of fluids.
22. Upper Limbs.—Boring, digging, drawing pain in 1. shoulder-joint, intermittent, € lying on 1. side, 5» moving arms.—Cramp-like pressure in arms, hands, and fingers.—Drawings and jerking tearings in arms and fingers. -——Eruption of pimples on arms.— Drawing, incisive pains in joints of elbows, hands, and fingers.—Sharp, shooting, boring pains under 1. forearm near elbow, < at rest-—Numbness in course of r. radial nerve.—Weakness and trembling of arms.—Trembling of hands (when writing).—Ganglion on back of hand.—Skin of hands and fingers dry, shrivelled, parched.—Fingers dead, sometimes on one side only, and within well-defined limits.—Lancinations (stitches) in fingers and joints of fingers.
23. Lower Limbs.—Swelling and furunculi on buttocks.—Contusive pains in hips and thighs, esp. when walking or rising from a seat.—On 1. hip- joint and 1. thigh, a neuralgic or rheumatic pain, from gluteal muscles or hip- joint, running down leg to knee, and often to calf or ankle; gets a little > after walking, but is still very bad.—Cramp in coxo-femoral joint, with tearing throughout the limb, insupportable when seated, and during repose.—Aching, cramp-like pains in thighs, legs, feet, and toes.—Tearing throughout leg, with heaviness in joints.—Weakness of legs, so that a false step (or tripping) occa- sions falling.— Burning tearing in tibia at night—Pimples on knees and legs, which become confluent, and are transformed into easily bleeding ulcers.— Itching ulcers on legs.—Burning sensation in feet and soles, with excoriation between toes.—Swelling of feet.—Feet swollen and sore on putting on walk- ing shoes.—In evening spasmodic drawing in feet, <r. sole and ball of great toe, preventing sleep till midnight.——Sweating of feet—Corns on feet.— Blisters on balls of toes.—Chilblains on toes.—Swelling of joint of great toe, with burning, throbbing, and incisive, dull pains on being touched.
24. Generalities.—Affections of any kind in inner navel; lower part of . chest, buttocks, thighs, external side.—Squeezing or contracting pain ; lassi- tude of the body; feeling very weak.—Drawings and jerking tearings in limbs.—Cramp-like, pressive pains.—Painfulness in general in bones or
PHOSPHORICUM ACIDUM 771
periosteum.—Sensation as if the periosteum were scraped with a knife; after contusions.—Aching, burning, tearing pains at night —Swelling (and spongi- ness) of the bones or periosteum ; burning sphacelus.—Caries with smarting paias.—Neurosis of stump after amputation.—Ulcers with stinking pus ; pain- less—Burning through lower half of body from small of back and pit of stomach downwards, while extremities are cold to touch.—Weakness from loss of fluids without any other pain than burning,—Swellings of glands.— Contusive pain in limbs and joints, as from paralysis, or like growing pains, esp. morning and evening.—Numbness and weakness of limbs.—Heaviness in limbs and joints, with great indolence.—Great fatigue after walking.—Great general weakness, physical or nervous, with strong tendency to perspire, during day (esp. in morning), or with burning sensation in body.—Very pale face ; nausea in throat.—Emaciation, with sickly complexion, and eyes sur- rounded by a livid circle.—Sensation as if body and limbs were bruised, as from growing, esp. in morning.—Formication in different parts.—Agreeable feeling of buoyancy and lightness.—Violent ebullition of blood, with great agitation.—_The pains are < during repose, and > by movement, and those which manifest themselves at night are > by pressure.—Symptoms < from mental affections; after suppression of cutaneous eruptions, #.¢., any bad result that ensues from such suppression ; from loss of fluids, particularly seminal ; sunlight ; masturbation ; after perspiration ; sexual excesses, talking, esp. when it causes a weakness in the chest ; while urinating.
25. Skin.—Insensibility of skin.—Crawling tingling under skin.—Formi- cation of skin.—Red and burning spots on limbs.—Eruption like scarlatina.— Erysipelatous inflammations.—Eruption of small pimples, and of miliary pimples collected in clusters and red.—Eruption of pimples with burning pain, or pain as from excoriation.—Scabious vesicles.— Humid and dry tetters, Squamous ; variola—Corns with shootings and burning pain.—Chilblains,— Wens.—Warts: large, jagged, often pedunculated, exuding moisture and bleeding readily ; indented.— Condylomata. — Furunculi.— Flat, indolent ulcers, with secretion of a dirty-looking pus, and having a serrated bottom.— Itching ulcers.
26. Sleep.—Great tendency to go to sleep during day, early in evening, and in morning, with difficulty in waking.—Coma.—Retarded sleep and sleep- lessness at night, caused by agitation and dry heat.—Arithmetical figures appear before eyes on falling asleep.—Profound sleep; can scarcely be roused in morning.—Jerking and involuntary movements of hands, moaning, talking, and singing, or an aspect during sleep at one time of laughing, at another of weeping, with eyes half-opened and convulsed.—Anxious dreams of death, with fear on waking.—Lascivious dreams, with emissions.— Awakened by : canine hunger ; dry heat; sensation of falling ; sad thoughts. —Patient though quite weak is rested by a very short sleep.
27. Fever.—Pulse irregular, sometimes intermitting one or two beats, generally small, weak, or frequent, at times full and strong.—Violent ebulli- tions with great restlessness.—Swollen veins.—Shuddering and shivering, sometimes with shaking, or with coldness in hands and fingers, generally in evening, and without thirst (followed by heat without thirst, or by excessive heat, depriving one almost of consciousness).—Sensation of coldness on one side of the face.—Sensation of coldness, with shiverings and coldness in
772 PHOSPHORICUM ACIDUM—PHOSPHORUS
abdomen.—Internal dry heat without being hot to touch ; and without any complaint at any time of the day.—General heat with loss of consciousness and somnolence.—Heat in head with cold feet.—Febrile heat in evening, without thirst, with anguish, and great activity of the circulation.—Shiveringalternately with heat.—Malignant (typhus) fever with great weakness (quiet delirium with dulness of head), apathy, stupidity, aversion to conversation, diarrhoea, &c.—Tertian ague with profuse perspiration, anxiety of look, thirst and vomiting.—Night-sweat.—Sweat in morning.—Perspiration mostly on back part of head and in neck, with sleepiness during the day.—Profuse perspira- tions during night and in morning, with anxiety—Great inclination to perspire during day and night ; clammy perspirations.
Phosphorus.
The Element. P. (A. W. 30.96). Saturated solution in absolute alcohol. Trituration of Red amorphous Phosphorus.
Clinioal.—Alopecia areata. Amaurosis. Amblyopia. Anaemia, acute pernicious. Anus, fissure of. Anirum, disease of. Arlerics, disease of. Asthma. Bone, diseases of Brain, affections of ; softening of. Brain-fag. Breast, abscess of ; fistulz of. ronchitis; membranous. Cancer; of bone. Cataract. Catarrh ; intestinal ; nasal. Chilblains. Chlorosis. Chorea. Ciliary neuralgia. Coccygodynia. Cold. Con- stipation. Consumption. Corfulency. Cough. Croup. andruff. Diarrhoea. Dropsy. Ecchymosis. Enteric fever. Ephelis. Epilepsy. Erotomania. Exoph- thalmos. Exostosis. Eyes, affections of. Fainting. Fatty degeneration. Fistula. Flatulence. Fungus hzematoides. Gastritis. Glaucoma. Gleet. Gums, ulceration of. Hamoglobinuria. Heemorrhagic diathesis. Headache. Heart, degeneration of ; murmurs of. Hydrocele. Hydrocephalus. Hysteria. Impotence. Intussusception. Jaundice ; malignant; of pregnancy ; of anemia. Yaw, disease of. YFoints, affec- ions of. Keratitis. Lactation, disorders of. Laryngitis. Levitation. Lightning, effects of. Lienteria. Liver, diseases of; acute yellow atrophy of. Locomotor ataxy. Lumps, heemorrhage from; cedema of; paralysis of. Marasmus. Menorrhagia. Menstruation, symptoms before. Mollities ossium. Morphawa. Musce volitantes. Nevus. Nails, ulcers round. Neuralgia. Nightmare. Nipples, sore. Nose, bleed- ing from. Numbness. Nymphomania. Odour of body, changed. (Esophagus, pain in. Ozeena. Pancreas, disorders of. Paralysis; pseucdo-hypertrophic; general of insane. Periostitis. Persftration, abnormal. Petit mal. Plague. Pneumonia. Polypus. Pregnancy, vomiting of. Proctalgia. Proctitis. Progressive muscular atrophy. Pruritus ani. Psoriasis. Puerperal convulsions. Purpura. Pylorus, thickening of. Retinitis. Rheumatism; paralytic. Rickets. Screaming. Scurvy. Shiverings. Sleep, disordered. Somnambulism. Sine, curvature of. Spleen, enlargement of. Sprains. Stammering. Sterility. Syphilis. Syringo-myeclia. Throat, mucus in. Tobacco habit. Trachea, tickling in. Tuberculosis. Tumours ; erectile ; polypoid; cancerous. Tyfhus fever. Ulcers. Urethra, stricture of. Vaccinia. Variola. Voice, loss of. itlow. Wounds. Yellow fever.
Characteristics.—Phosphorus (Light-bearer, Morning Star) “ was discovered in 1673 by Brandt, an alchymist of Hamburgh, and shortly afterwards by Kunkel, in Saxony.” Teste, from whom I quote, says that attempts were made to use Phos. in medicine immediately after discovery. Kunkel made it into his “luminous pills,’ and Kramer claimed to have cured with it diarrhoea, epilepsy, and malignant fevers. Teste gives a list of old-school cures, which include : Con- tinuous, bilious, and intermittent fevers; general cedema; measles ;
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two cases of pneumonia of left lung, with ataxic symptoms ; chronic rheumatism of the legs ; apoplexy ; hydrocephalus ; periodic head- aches (in one case with menstrual irregularity) ; catalepsy ; epilepsy ; gutta serena ; asthenia facilis ; chronic lead poisoning,—a list which shows a very good idea of the range of action of Phos. Hahnemann’s proving brought out the fine indications, without which the generals are of little service, and to Hahnemann’s symptoms have been added those of later provings and of numerous cases of poisoning, and the effects on workers in match factories, especially necrosis of the lower jaw. The vapour given off by unignited Phos. is Phosphorus oxide. The jaw affection, called ‘‘ Phossy-jaw ” by the workpeople themselves, is accompanied by profound adynamia, and not unfrequently ends in death. ‘The form of the disease differs according to whether the upper or lower jaw is attacked. In the former case it pursues generally a chronic and mild course, ending in exfoliation, cicatrisa- tion, and cure. In the latter the necrosis may be either acute or chronic, but is always severe, and the patients usually die of “ con- sumptive fever” (C. D. P.). Here is a typical case quoted in C. D. P. from B. §. H., iv. 287: J. D., 21, had been four years in a match factory. For two and a half years he had only laryngeal irritation from the local action of the fumes. He then began to cough very much and expectorate thick white mucus. Then most violent tooth- ache set in, with swelling on right side of face. A molar was extracted but without relief, and one tooth after another dropped out. He became too weak to walk. A swelling as big as an egg formed below right orbit, burst in a fortnight, and discharged a large quantity of white pus. He grew worse; all the teeth fell out; gums of lower jaw were retracted. Examination found right cheek swollen. At right angle of lower jaw an opening discharging laudable pus, through which a probe can be passed two inches along bare bone, and two inches anterior to this another aperture leads to the same. On open- ing mouth the whole lower jaw as far as ascending rami and down to reflection of mucous membrane is denuded and of leaden greyish colour. On right upper jaw probe can be passed over bare bone. Pareira (C. D. P.) has observed in phosphorus workers ‘‘a peculiar sallow, bloated complexion, with dull expression of eye and gastric derangement,” when there was no affection of the jaws. [Wagner found Phos. symptoms long before local disease appeared, ¢.g., car- dialgia, anorexia, eructation of gas smelling of Phos. ; also dizziness, faintness, and cachectic appearance. The first symptoms in the jaws are tearing pains, the teeth being sound, swelling and suppuration of the gums, and loosening of the teeth follow, and the bone becomes denuded. Langenbeck objects to the term “ necrosis,” stating that it is 2 periostatics in which bony deposit occurs, enclosing the jaws more or less as in a sheath. There is no exfoliation. This osteo- periostitis may arise from rheumatism.—Klin. Woch, Jan. 2, 1872.] In cases of acute poisoning the most remarkable effect noted is acute fatty degeneration of the liver and engorgement of the lungs. At first there is tenderness of the liver, but as it shrinks this passes away. The right lung is more affected than the left. The symptoms of acute Pkos. poisoning are exceedingly painful if consciousness is
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retained ; violent tearing pains in oesophagus, chest, stomach ; vomiting 4nd diarrhoea; rectal, vesical, uterine tenesmus; bloat- ing of abdomen; sensitiveness to touch; haemorrhages from all orifices. Death may take place in a few hours, or it may be delayed for months. In the case of a child of 24 who had sucked the heads of matches, two days afterwards there was some feverish excitement, later violent convulsions, lasting three hours, and ending in death. There were found after death no fewer than ten invaginations of the small intestines, which, however, were empty, and there was no sign of strangulation (C. D. P.). Ina woman, 45, who swallowed the Phos. from 120 matches, Ozanam found a yp oid febrile state, profound prostration ; inability to raise herself ; dry tongue; much thirst; stomach sensitive ; vomiting of black, sooty matter. Death took place on the second day (C. D. P.). A man, 48, inhaled vapour of burning Phos. Among his symptoms were: A sensation as if some- thing twitched under skin or was creeping between skin and flesh. Twitching of single bundles of fibres at different times like playing on a piano. Tongue when speaking often refuses to move, so that he stammers (C. D. P.). A case reported by J. O. Miller and translated in C. D. P. brings out some very characteristic symptoms of Phos. A strong woman, 30, took about three grains of Phos. from matches. Among her symptoms were: After eight hours violent and noisy vomitings. Prostrated, cold, pallid, as if moribund and unconscious. Cold, clammy sweat, general; skin here and there waxy yellow ; complexion leaden grey ; dark blue rings round eyes; pulse small, hard, slow, unrhythmic, intermitting. Abdomen distended, very sen- sitive all over, the slightest touch causing violent pains; could not bear weight of nightdress, Senses and mind in unconscious apathy ; could only be roused by loud calling into her ear. Aco. 1 every ten minutes revived her. She complained of very violent burning pain in lower chest (cesophagus ?), stomach, and whole abdomen < by ‘every touch or change of posture. Vomiting and diarrhoea had ceased, but she still had retching and ineffectual straining at stool with burning like fire in large intestine and anus. She passed with difficulty small quantities of dark yellow urine, smelling strongly of garlic, after micturition very severe burning. Boring, burning pains in bones, especially of skull, palate, nose, jaws, and teeth, < taking cold or warm things into mouth or chewing, only tepid liquid nutriment could be borne. At times numb pain in teeth; they felt loose as if they would fall out. Apathy alternating with angry words and actions. After menses, burning leucorrhoea that made the parts sore. Soft parts of joints swollen. Considerable rigidity of joints. The skin, which had been pale, put on a yellow tint, bloated swellings appeared in places on eyelids and face, pitting on pressure. On nape, back, and other parts the skin could be raised by the fingers in large folds, which slowly smoothed down again. Finally a peculiar exanthema appeared on the skin about the joints like eczema ; vesicles in groups turned rapidly into scabs and frequently recurred. Sulph. was given and gradual recovery occurred. Ina youth poisoned by Phos. there was nausea and sour taste ; milk tasted burnt ; every smell (tobacco, wine, beer) < the nausea. One of the provers had: Loathing of
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butcher’s meat and bad appetite. Phosphorus burns are among the most painful of all burns, and the burning sensations of the poisonings are prominent also in the provings : “Glowing sensation throughout epigastrium and chest.” “A flame seemed passing through me.” “Warming sensation right side of heart and below left clavicle. This heat spread to apex of left scapula and to acromion, when it left the heart.” “From 11 a.m. till 4 p.m. remarkable numb feeling in left leg from knee to toes, sometimes sensation as if hot blood flowed into it.” Other symptoms from the provings are: “ Drawing forcing towards pelvis and rectum as if menses coming on.” Intense sexual excitement in men with erections, emissions ; later impotence. Dr. Sorge, 34, had this symptom : “ Weight in occiput and nape, down whole spine a dull feeling as if over-filled with blood, and in sacrum a peculiar paralytic feeling like what one feels in the limbs when exposed. to unavoidable danger ; heaviness of feet, which were not placed on ground with usual energy. Walk less strong, often stumbled on a smooth road. Diminished sexual appetite, and feeling as if the penis would not become erect when excitement was present. Mental indifference (quite unusual).” E. R. Heath had some decidedl
‘‘ phosphorescent ”’ symptoms : Darting, cutting pains, causing muc
distress, starting from different points and Hashing over whole abdomen ; imagined an aurora borealis and seemed to hear distinctly voices shouting ‘‘ Beautiful, oh | was not that splendid ?” as the pains became more severe and lasting. He sprang from bed and tried to collect his thoughts ; had numbness all over with sensation of myriads of needles slightly pricking him. Throat dry and parched; a flame seemed to pass through him. Feet seemed glued to the floor. With great difficulty he reached the vessel, and as soon as the bowels began to act the pains changed to cramps. Stools were like scrapings of intestines, almost constant, with tenesmus, for over two hours, after which he lay down in bed, weak, sore, almost helpless. The same prover had: Intolerable thirst; drink did not quench it, but caused cold, clammy sweat to exude the moment the water entered the stomach. Later : Involuntary passages, periodic ; rectum insen- sible ; sphincter paralysed ; slight prolapse after each stool. Stools inodorous save for a slight mouldy smell. H. Noah Martin proved Red amorphous Phosphorus. The symptoms do not differ from those of transparent Phos., and are included in the Schema.—Such are the materials out of which the picture of the great remedy known in homoeopathy by the name Phosphorus has been drawn, the charac- teristic features being pointed up with the added light and shade of clinical experience. The types of constitution in which Phos. has been found particularly sustable are strongly,marked : (1) Tall, slender persons, of sanguine temperament, fair skin, blonde or red hair, quick, lively perceptions and sensitive nature. (2) Young people who grow too rapidly and are inclined to stoop ; chlorotic; anemic. [In ex- periments on young animals Phos. has produced rickets. Kessel (H. W., xxxi. 394) gave Phos. to young dogs, in whom it caused fatal disturbance of digestion and ratty liver, and “ marked atrophic process where bone was being deposited.”] (3) Persons of waxy, translucent skin ; half anzemic, half jaundiced. (4) Tall, slender, narrow-chested,
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phthisical patients ; delicate eyelashes, soft hair. (5) Tall, slim, dark- haired persons, especially women, disposed to stoop. (6) Nervous, weak persons who like to be magnetised. (7) Hzmorrhagic patients ; slight wounds bleed profusely. Phos. profoundly affects the nutrition and function of every tissue, notably the hardest (bone) and the softest (nerve and blood). It causes irritation, erethism, exaltation of all the senses, and later a typhoid state and fatty degeneration. In fevers of typhoid type and in pneumonia Phos. has an important place. It 1s indicated especially when the morbid action becomes localised in the right lung, particularly the lower lobe. In the year 1876, in the course of a severe attack of typhus fever during my residence in Liverpool, my state, as I am told (for I was in delirium), suddenly became very critical through pneumonic consolidation of the right lung. Phos. was the remedy selected by Drs. Drysdale, Hayward, and Hawkes, who attended me, and under its action I made a rapid recovery.—Hard, dry cough, rusty sputa; < at twilight and till midnight ; < lying on left side ; > ying on right side ; abdomen distended, sore, very sensitive to touch ; stools offensive, bloody, involun- tary ; the anus appearing to remain open. Each one of the symptoms I have italicised is a keynote of Phos. When any of them are present (with or without the pneumonia) Phos. is likely to be the remedy. The delirium is low, muttering, stupid ; or violent ; or there may be a state of ecstasy ; or odd ideas, that his bones are in fragments and he cannot fit the pieces together. As a leading constituent of nervous matter Phos. has a deep action on the organ of mind and sensation. It pro- duces an excitable condition, exaltation of mental faculties, and the condition which follows over-exertion. The mind, like the special senses, is too excitable and impressionable. Easily angered and becomes vehement; actually gets beside himself with anger and suffers physically in consequence. At other times anxious and rest- less, especially in the dark and at twilight (the restlessness of Phos. is universal ; patient cannot sit or stand still a moment; it belangs to the stage of irritation, and is succeeded by apathy if the condition is not arrested). Imagines he sees faces grinning at him from the corners of the room. Such conditions are found in cases resulting from losses of fluids ; over-work of brain ; sexual excesses and abuse, and take shape in general paralysis of the insane with mania of gran- deur ; and in apoplexy and its sequelz; in Duchenne’s pseudo- hypertrophic paralysis, in locomotor ataxy and other paralyses. A very characteristic condition of Phos. in nervous cases is fibrillary tutiching of individual bundles of fibres in muscles. Numbness and formication in paralysed limbs indicate it in hemiplegia and para- plegia. Spasms on paralysed side. In other cases the burning pains of Phos. are prominent: burning between the scapulz ; burning in spots along the spine ; feeling of intense heat running up the back (no other remedy has exactly this symptom). The uncertain gait, neuralgic pain, and fuzzy feeling of the feet, give the correspondence with locomotor ataxy, when the conditions correspond. Epilepsy from masturbation. Petit mal: epilepsy with consciousness. Mau of Itzehoe (H. R., xv. 268) cured this case of sciatica : An elderly lady had for eight weeks a continual burning pain running along back of
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left thigh and leg, compelling her to spend most of the day in bed. Entire limb so weak that she could hardly walk. < Lying on left side. > Lying on right side or on back. < By movement. < By cold air. > Being warmly covered. < In evening. Phos. 6x, every two hours, caused aggravation for the first three days, and after that gave relief, but did not cure. Phos. 30, one powder every evening, completed the cure in 2 week. But the action of Phos. is not confined to the brain and spinal cord, it also affects the cranial bones and spinal column. I cured mainly with Phos. 1m a case of spinal caries with paralytic symptoms in a lady aged 67. That is, I cured the caries and removed the paralysis, though the curvature remained. There was a history of a strained back thirty-five years before, and of lumbago and sciatica five years before I sawher. She had many pains in the scapula and chest, and could not walk unless supported about the waist. Incidentally Phos. set up a symptom of its own: Dryness of mouth, lips, and throat. Phos. has burning thirst for cold water ; cold water relieves, but as soon as it becomes warm in the stomach it is vomited. Thisis one of the keynotes of Phos., and distinguishes it from all other remedies in cases of vomiting. Desire for cold foods and preference for cold meat is very characteristic of Phos., and the cold food, like the cold drink, may be vomited as soon as it becomes warm inside. Ice cream > the gastric pains. There is nausea on putting hands into warm water; sneezing and coryza from putting hands in water. Regurgitation of ingesta in mouthfuls. During pregnancy the sight of water = vomiting. The appetite of Phos. is remarkable : Must eat often or he fainis. Hungry soon after a meal; hungry in the night, must eat. Craving for salt (Phos. remedies the effects of excessive salt-eating). The sinking, faint feeling of Phos. is felt in the whole abdominal cavity ; also in head, chest, and stomach. The stools of Phos. are peculiar, whether constipated or diarrheic : Long, tough, hard fzeces (like a dog’s) ; voided with great difficulty and straining. Diarrhoea as soon as anything enters the rectum ; pro- fuse pouring away as from a hydrant ; watery with sago-like particles ; with sensation as if the anus stood open ; involuntary ; during cholera- time ; painless ; morning of old people ; bloody stool ; blood-streaked stool ; stool like shreddy membranes, With the stool there is burn- ing in the anus and tenesmus. There are also pains of all descriptions in the anus, notably stitches shooting up rectum. A man suffering from pneumonia, to whom I gave Phos. 3, after a few days developed attacks of violent pain in rectum and anus, with distension of abdomen and desire for stool ; stool light, lumpy, constipated, only passed by aid of glycerine enema ; after stool, complete relief of pain ; some- times the attack waked him from sleep. With Phos. 200 I cured a very severe proctalgia coming on at every menstrual period. During urination, and also when not urinating, there is burning in the urethra. Another very characteristic burning of Phos. is burning palms, cannot bear to have the hands covered. Flashes of heat beginning in hands and spreading to face. The fever is more of the yellow fever, typhus, or typhoid, nervous or hectic, type. In intermittents when there is heat at night beginning in stomach ; faint and hungry in night; heat of hands. There is also chilliness towards evening ; icy coldness of
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hands, knees, and feet, even in bed. Sweat is anxious, profuse, exhausting on slightest exertion ; profuse at night ; cold and clammy, smelling of sulphur or of garlic. Phos. corresponds to yellow fever in many particulars ; disorganisation of the liver and blood with jaundice ; hzmorrhages. It has caused acute fatty degeneration of the liver ; and corresponds also to fatty degeneration of pancreas with gastric symptoms and oily stools, and fatty and amyloid degeneration of the kidneys. Phos. stands at the head of hzmorrhagics, and corresponds to the hzmorrhagic diathesis. The blood loses its coagulability. Very small wounds bleed profusely. Blood-streaked discharges are very characteristic when from lungs, nose, bowels, or other orifices. Hzmorrhoids. Menses are more profuse and longer-lasting than usual. There may be vicarious menstruation in the form of hemoptysis, epistaxis, or hematuria. Left ovarian pain. Leucorrhcea which causes blisters. Sexual excitement is great in both sexes, going to the extent of satyriasis and nymphomania. Frequent erections in men, and sexual thoughts entirely beyond the patient’s control. Erections in spite of efforts to control passion in young men. Impo- tence from over-indulgence or from celibacy. The female breasts are the seat of many burning, shooting, cramping pains, and Phos. has proved a leading remedy in mammary abscess and fistula. The charac- teristics are: Erysipelatous appearance ; red streaks starting from opening ; thin, ichorous discharge. The hzmorrhagic action of Phos. is seen in many forms of pulmonary hemorrhage and congestion : blood- streaked or rusty sputa; tasting salty ; when patients with delicate chests bring up phlegm tinged with blood whenever they take cold Phos, will generally clear up the case. Phthisis florida may also need Phos. It has also a ‘‘stomach-” or “ liver-”? cough ; cough comes on after eating, and starts from a tickling in pit of stomach. Cough < when strangers enter the room. Cough < from strong odours (part of the general sensitiveness of the drug). Bronchial catarrh > in all grades may require it. Cough = tearing pain under sternum as if something was being torn loose. Suffocative pains in upper part of chest with constriction of larynx and engorgement of lungs ; mucous rales ; panting and laboured breathing, even emphysema. After the cough an asthmatic attack. The Conditions of Phos. will generally decide when it should be given. T. D. Stow (¥. of Homeopathics, August, 1890) reports the case of H. B., 52, farmer, who had for six months a sharp pain with soreness in third intercostal space, three inches to left of sternum, limiting inspirations. Dyspnoea on exercise ; dry cough during the day till 1o p.m. Thick, yellow, sweetish sputa from 6 a.m. to 10a.m. Cough *< lying on left side ; when talking ; when eating and just after eating ; on going into cold air ; by change of weather. > In fairly warm room; lying on right side. Prefers cold food. Has become alarmed by the persistence of the attack and loss of flesh. Three doses of Phos. 500 (Dunham), taken on three successive days, cured. This case was translated in Hahn. Month., September, 1890, from Aig. H. Zeit.: Whilst walking rapidly against the west wind three months before, X. felt a pain under middle of sternum with sensitiveness of the part to pressure. Pulse rapid. Phos. 6 removed the symptoms for two weeks, when pain and sensi-
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tiveness returned, and with the pain a sensation as though gas would rise from epigastrium. Phos. 3 cured. W. A. Nicholas (H. W., xxv. 495) reports the case of T. B., 51, whom he saw after a four months’ illness, which began with congestion of the brain on the sudden death of his wife, and was followed by bronchitis. During all this time he was heavily drugged. A rather long walk brought on a severe attack of angina pectoris. Bell. 1x gave much relief. Nicholas noticed the patient at times put his hand to the back of his neck. Phos. 1 relieved entirely. Phos. corresponds to head- ache and other sufferings from grief. Hot vertex after grief. It has shocks in occiput; coldness in cerebellum; congestion of brain seeming to rise from spine into head. Phos. has “ splitting headache caused by cough.” Neuralgic pains of many kinds, and impending paralysis. The attacks are induced by mental exertion; worry ; washing clothes ; and are < by music ; noises ; strong odours. Gale, of Quebec, discovered in Phos. a remedy for “ washerwoman’s headache” (Organon, iii. 30). His patient had these symptoms : Whenever she washes clothes or walks fast she has—rush of blood to head, red face and eyes, heat on head, scalp sensitive to touch, sudden shooting pains, especially in vertex. Phos. cm cured. I cured a somewhat similar case (H. W., xxiv. 455) with Phos. 30 every four hours ; only in my case the headaches always appeared the morning after washing : violent shooting pains left side of vertex, > wrapping head in flannel. I had given several medicines previously which had improved the general health, but had done very little for the head- aches. Phos. affects all parts of the eye—retina, choroid, vitreous and crystalliné lenses, cornea, and conjunctive. It has arrested cataract and glaucoma, and cured retinitis albuminuria from suppressed menses. The leading symptoms are: Colours appear black before the eyes. Always sees green. Halo round candle. Letters appear red whilst reading. As if a grey veil over everything. Blindness after typhoid ; sexual excess ; loss of fluids; lightning. T witching of lids. Pustule on cornea. Burning pains. The characteristic skin of Phos. is waxy, and either clear and pale or yellow. Under a “ Phos- phorus treatment” which was in vogue a generation ago, patients had a peculiarly waxy, fine, clear complexion ; and in one case which came under my observation there was also very marked enlargement of the liver. In acase of rheumatism in an old lady who had w
pallor, Cooper gave Phos. and set free all the joints. All kinds of eruptions may be set up. Exanthema with pustules (like small-pox), ulcers, psoriasis, lichen, eczema, blood boils, purpura. Hansen cured acase of purpura in a girl of ten (H. W., xxxv. 105). The disease began with loss of appetite and pains in the stomach, but as soon as the purpura spots appeared the pains ceased and the appetite returned. The inner aspects of the thighs were affected. Phos. 2 cured. The ulcers of Phos. bleed easily at the slightest touch, and open cancers or fungus hzmatodes with this characteristic have been cured with Phos. “ Large ulcers surrounded by smaller ones.” Ulcers affecting the nails. Inflammation and eruptions about joints. Fistula with callous edges from glands. The joints most affected by Phos. are the hip and knee. The left side of the lower jaw is more affected than
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the right. Caries and exostoses of spine and other parts have been cured with Phos. De Noé Walker cured with Phos. 6 a large exostosis of the femur which had been pronounced osteo-sarcoma by old-school authorities. There are some forms of rheumatism which only Phos. can cure. These are characterised by great stiffness of the joints, more stiffness than pain. A drawing, tearing, tight feeling in parts. Stiffness of old people. Paralytic rheumatism from exposure to rain. The tight sensation appears in the girdle pain of spinal affections; tightness of skin of face and forehead. (Also stiffness in brain ; in eyes.) Allied to the rheumatic symptoms of Phos. is its sensitiveness to effects of storms, especially thunderstorms. Phos. has cured more cases of headache always coming on when thunderstorms are about than any other remedy in myexperience. It has also cured blindness from lightning stroke. The headaches from inhaling the steam of a washtub perhaps come in the same category as effects of vapour- laden air when storms are about. Mills (quoted H. W., xxxi. 33) relates a typical case of thunderstorm effect : Mrs. F., tall, thin, dark, of mild and gentle disposition, was seen by the doctor during a thunderstorm. He found her sitting on the stairs, trembling and cold and bathed in cold, clammy sweat, full of nervous dread, and almost beside herself. One dose of Phos. cm cured. Some weeks later she witnessed a worse storm with complete unconcern. The power of Phos. over septic conditions is illustrated in a case of Howard Crutcher’s (quoted H. W., xxxiii. 405). A girl, 16, had perforating appendicitis, operation having been delayed too long in consequence of opposition of friends. Although he deemed it useless he was per- suaded to operate, and found a large abscess behind the colon, freely communicating with the peritoneal cavity. Up to the fourth day the patient progressed favourably. Then there was a collapse: pulse 130, mind wandering, urine and faces passed without restraint. The patient was rapidly sinking ; Arsen. gave no help. The doctor sent word to the students who were nursing the patient that they might try a hot saline enema. On attempting to give it the rectum was found to be open, no resistance being offered by the sphincter. Greyish-white fecal discharges, watery and offensive, passed constantly. ‘‘ The students, recognising the indication for Phos., gave a dose of that remedy, and instead of dying the girl got well.” Peculiar sensations are: As if about to die. As if immersed in hot water. Anxiety as if below left breast. As if he had been lying at night with head too low. As if everything had stopped in head. As if chair were rising. As if eyes would be pressed out ; or pressed down by weight about them. As if painful nodes under scalp. As if pulled by hair. As if head would burst. As if something exploded in head. As if skin of face too tight. As if something were pulled tight over ears. As if dust in right eye; sand in left eye ; eyeballs large. As if something lay before ears ; foreign body in ears. As if nose stuck together. As if nails driven into jaws. As if food did not digest properly. As if heavy weight in stomach. Stomach as if freezing. As if something cooking in stomach. Anus as if open. Larynx as if lined with fur. As if skin on larynx. Asif a piece of skin hanging loose in larynx. As if something in middle of sternum torn loose. As if heart had
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grown fast. As if chest eviscerated. As if anarrow band encircled body and lay upon heart. As if great weight lying on middle of sternum. Back as if broken. As if quicksilver moved up and down spinal cord. Coccyx as if ulcerated. Soles as if he had walked too much. Feet as if asleep. Ankles as if sprained. Suddenness is a feature of Phos. : Sudden prostration such as may occur in diphtheria, measles, scarlatina, or any disease in which the system has sustained a profound shock. The left side is somewhat more affected than the right, the venous more than the arterial system. The symptoms of Phos. are < from touch (cannot bear touch of nightdress) ; from pres- sure (but pressure > feeling as if something before ears and pains in chest). Rubbing >. Mesmerism >. Rest < pain in arms and shoulders. Lying down = intense pains in eyes; < colic and tear- ing in jaws ; > heat of scalp and incarcerated flatus. Weakness after stool and after urinating, compelling lying down. Lying on back < diarrhcea ; asthma ; > pneumonia ; pain in arm. Lying on left side <; on right side >. Sitting <. Motion; exertion; walking, especially fast walking, <. Exertion physical or mental <. Laugh- ing < (cough). Coughing = headache. Talking < pain in larynx. < From spraining parts. < Lifting arms. < Before sleep, > after. (Some symptoms are < on waking, but this is less characteristic.) < Morning ; evening (especially twilight); before midnight. Heat < boring in teeth ; back pains ; itching spots of skin. Warm food and drink < (but hot drinks > flatulent colic). Warm water, putting hands in s= toothache. Warm wraps > neuralgia of head and heat of scalp. Weather changes (either way) <. Open air > pain in forehead ; hemicrania ; stuffed feeling in nose; < vertigo; tooth- ache ; cough ; == tearing in labia ; == taking cold easily. Wind <. Thunderstorm <. Washing with cold water >. Washing clothes ; wet weather <. < Light; noise; music ; piano playing. > In the
Relations.—Antidoted by: Nux, Coff., Tereb. ; Kali permang. well diluted and given freely (Dr. Antal). Jt antidotes: Tereb., Rhus ven., Camph., Iod., Nat. m. (excessive use of salt), Petrol. Complemen- lary : Ars., Cepa (all three have alliaceous odours), Carb. v., Ipec. Incompatible: Caust. Compatible: Ars., Bapt., Bell., Bry., Calc., Carb. v., Chi., K. ca., Lyc., Nux, Pul., Rhus, Sep., Sil., Sul. Compare: Ars., Merc., Petr., Sul. Asthma after cough, Ars. (Ars. before and after). Fancies himself in pieces, Bapt. Stitches up vagina, Sul., Sep., Pul., Nit. ac., Alum., Berb., Am. c. Weakening night-sweats, Chi., Calc., Lyc. Sweats towards morning, Calc., Lyc. (Phos. on awaking). Tongue glazed, Lach..(Lach. red; Phos. dry, cracked, black). Lienteria, Chi. Cough < entering cold air from warm room (Bry. opposite). Fear of darkness, Am. m., Calc., Stro., Val., Stram. Fear of ghosts, Pul. Sense of insecurity in bowels, Alo. Piles during menses, Collins., Ign., Lach., Pul. Effect of raising arms high to lift things, Rhus. Chilblains ; general paralysis, Agar. Headache with increased intellectual powers (Phyt. with increased hearing). Hunger at night, Chi. s., Pso., Pul., Ign., Lyc. (Pho. unappeasable hunger with febrile heat). Left ovarian pain, Coloc., Thuj., Lach., Bry. Somnam- bulism, Can. i., Sul., Luna. Sensation of anus open, Phos. ac., Apis
782 PHOSPHORUS
(Lach. as if vagina open). < Walking fast, Pul. Regurgitation of food, Sul. Nocturnal salivation, Cham., Nux, Rhus. Difficult swallow- ing of liquids, Bell., Caust., Can., Hyo., Ign., Lach., Lyc. Blood from bowel, Merc, Nit. ac., Sul., Caps., Merc. c. Menorrhagia, Calc. Laughs at serious things, Anac., Lyc., Nux m., Plat. Hzmorrhage, blood does not coagulate, Sanguisuga. Fatty changes in blood, kid- neys, spinal cord; brain-fag; crawling and tingling sensations ; sexual excitement with erethism ; backache as 7 it would break Pic. ac. (Phos. has more irritability and over-sensitiveness to external impressions with the weakness ; the senses are too acute, or if failing. accompanied by photopsies ; Pic. ac. has more intense erections and less lasciviousness than Phos.). In general features; taciturn and distrustful ; inclined to be angry and scold; sensation of tension ; nervous weakness and restlessness, Caust. (Phos. has great soreness of larynx, fears to cough or talk ; Caust. has cough > by cold drink, Hoarseness of Phos. is < evening, of Caust. < morning). Scrofula, tuberculosis, swelling of glands, indolent ulceration, difficult learning to talk and walk (Phos. has delicate, refined skin, features sharp and rather handsome ; Calc. large, swollen lips). Small ulcers surround- ing large ones (Hep. pimples round sore eyes). Phthisis florida, Fer. (Fer. has apparent plethora with great oppression of chest from least exertion). Weakness and goneness in stomach at 11 a.m. ; softening of brain; enervation accompanied by trembling; restlessness, Zn. (Zn. has ptosis; < from wine ; restlessness of feet, Phos. of entire body). Functional paralysis from fatigue or emotion, Stan., Coccul., Ign., Nat. mur., Collins. Hoarseness, < evening, weak chest, cough, copious expectoration, hectic, Stan. (Phos. has more blood-streaked sputa ; tightness across chest). Bone disease, abscess, especially of breast, with fistulous openings ; over-excitability of nervous system ; cough excited by speaking, Sil. Phthisis ; rapidly growing young people, Iod. (Phos. is nearest Iod. in phthisis). Aphonia with raw- ness of larynx, Carb. v. Heat at vertex ; imperfect growth of tissue ; morning diarrhcea, Sul. (Sul. has hunger at 11 a.m. with the heat at ver- tex, Phos. has not; Phos. has green painless stools, Sul. stools changing colour, and raw sore anus). Irritation of respiratory tract, sore larynx (Phos. has irritation lower down; sore larynx, < from talking or pressure, Bell. only from pressure). Capillary bron- chitis, Ipec. (Phos. more inflammatory). Prostration, Chi. (Phos. sudden, Chi. not). Vicarious menstruation, Bry., Puls., Senec. Typhoid, Rhus ; and erotic mania, Hyo. Cold; cerebral softening, Nux (Phos. follows Nux in both; if cold goes to chest in spite of Nux). Cough from reflex nervous influence, Ambra (Amb. < when strangers in room). [Irritability ; intolerance of mental strain, Nux. Vomiting : after drinking cold water, Ars. (Ars. immediately ; Pho. as soon as warm in stomach), Bism. (immediately after eating, with burn- ing cardalgia), Kre. (of undigested food hours after eating). Diarrhoea as soon as he eats, Ars. Weakness after stool, Con., Nux. Sensitive to storms and electricity, Rhod., Merc., Morph. Polypi. Teuc., Calc., Sang., Pso., Lemn. > From cold drinks and food (Lyc. opposite). Hysteria, Ign. Deafness, especially to human voice (Ign. opposite). Small wounds bleed much, Lach. < Putting hands in water, Lac. d.
PHOSPHORUS 783
Apathy ; weakness and prostration from loss of fluids, Pho. ac. (Phos. has more dryness of tongue and sensorial excitement). Diarrhoea blood- streaked and looking like flesh water, Canth., Rhus. Shreddy, mem- branous diarrhoea, Ars., Caust. < Twilight, Puls. Hepatisation of lungs, Ant. t., Sul, Lyc. (these correspond to the later breaking-up stage). Can only lie right side (Merc. can only lie left). Levitation, Phos, ac., Stict. pul. Desire for acids, Phell. Affections of skin about joints, Sep. Tongue as if burnt, Sang. Deafness after typhoid, Ars., Petrol. Nymphomania, Calc. ph., Orig. Tuberculosis, Bacil., Tuberc. Explosion in head, Alo. jerks in head during stool, Indm. Numb, stiff feeling in brain, Graph. Duchenne’s paralysis, Curar. Growing ends of bones, Conch. Effects of hair-cutting, Bell. Teste puts Phos. in three of his groups, of which Puls., Ipec., and Fer. are the
Causation.—Anger. Fear. Grief. Worry. Mental exertion. Strong emotions. Music. Strong odours. Gas. Flowers (fainting). Thunderstorms. Lightning (blindness). Sexual excesses. Loss of fluids. Sprains. Lifting. Wounds. Exposure to drenching rains. Tobacco (amblyopia). Washing clothes. Having hair cut.
SYMPTOMS.
s. Mind.—Affections of the mind in general; amativeness; dizziness of the mind.—Nymphomania.—Melancholy sadness and melancholy, some- times with violent weeping, or interrupted by fits of involuntary laughter.— Laughs at serious things.—Stupor, low, muttering delirium ; loquacious.— Thinks he is several pieces, and cannot adjust the fragments.—Stupor from which he could be aroused for a moment only to lapse back into a muttering lethargy ; and forgetfulness.—Great apathy ; very sluggish ; dislike to talk ; answers slowly or not at all_—Anguish and uneasiness, esp. when alone, or in stormy weather, principally in cvening, with timorousness and fright.— Anguish respecting the future ; or respecting the issue of the disease.—Sus- ceptibility to fright—Fear : in evening ; of darkness ; of spectres ; of things creeping out of corners.—Hypochondriacal sadness.—Disgust to life.—Apathy alternating with angry words and acts.—Becomes easily vexed and angry, which makes him exceedingly vehement, from which he suffers afterwards.— Any lively impression = heat, as if dipped in hot water.—Great irascibility, anger, passion, and violence.-—Involuntary and spasmodic weeping and laughter.—Misanthropy.—Repugnance to labour.—Shamelessness, approach- ing insanity.—Great indifference to everything, and even to patient’s own family.—-Great forgetfulness, esp. in morning.—Great flow of ill-assorted ideas. —Zoomagnetic condition ; state of clairvoyance.—Ecstasy.
2. Head.—Cloudiness and dizziness, esp. in morning.—Vertigo when rising from bed in morning; when rising from a seat, with faintness and falling to the floor ; < morning and after meals.—Dulness of head > washing face with cold water.—Frequent attacks of vertigo at different times, and at different hours in the day, esp. in morning, in middle of day, and in bed in evening.— Vertigo when seated ; with hypochondriasis, during which chair appears to rise.—Vertigo with nausea and pressive pains in head.—Obstinate vertigo ; falls back whenever he attempts to rise from bed.—Vertigo very
784 PHOSPHORUS
pronounced; up and down vertigo; things move up and down, or else patient feels sinking through the floor (R. T. C.).—Apoplectic unchanging vertigo (R. T. C.}—Vertigo with loss of ideas.—Stupefying headache, morning, when moving, and <€ on stooping ; ceasing for a short time after eating ; > when lying down and in cold air.—Attacks of headache, with nausea and vomiting, and throbbing, jerking pains.—Nocturnal headache, preceded by nausea in evening.—Headache caused by vexation Headache in morning.— Headache with increased mental power.—Weakness of head, which is fatigued by music, laughter, a heavy step, a warm room, &c.—Pain in brain as if it had been bruised.—Stunning headache, sometimes with violent ebullition of blood, and paleness of face.—Congestion to head, with burning, singing, and pulsations in head, red face, puffiness under eyes, < morning when sitting and in evening in bed.—Sensation of emptiness in head with vertigo.—Headache as if too full of blood from intense study.—Headache above 1. eye with floating spots before vision.—Numb, dizzy sensation in brain, inability to work.—Feeling as if everything had stopped in brain.—Jerks in head, esp. during stool.—Sensation as if brain stiffened on remaining in open air.—Sensation of heaviness, of fulness, and pressure in head.—Tearing in head, and esp. in temples, or semi- lateral.—Lancinations in different parts of head, esp. in evening.—{Incessant shooting pains through brain with sensation as if eyes being pulled out, beginning in forehead, lasting day and night, with vomiting, > by either warmth or cold.—R. T. C.}—Shocks in occiput, loud snaps; shocks in whole head, with shattered sensation as if something had exploded ; brought on by over-work or worry.—Washerwoman’s headache.—Burning in forehead, with pulsations, morning and afternoon, after eating < in warm room, > in open air. —Pulsation in head, with singing and burning in it, mostly in forehead, with nausea and vomiting from morning till noon ; < from music, while masticating, and in warm room.—Congestion in head, with beating, buzzing, heat, and burning sensation, esp. in forehead.—Splitting headache from cough.— Sensation of coldness in head.—The headaches are > by open air.— Neuralgia of head, when it must be kept warmly wrapped up night and day.— External shootings in side of head.—Distressing sensation, as if skin of fore- head were too tight, and tension in face, as if the skin were not large enough, frequently only on one side; < from change of temperature and while eating ; > after eating, with anxiety —Tendency to suffer from a chill in head, with a sensation in open air as if brain were congealed.—(Sensation of coldness in cerebellum, with sensation of stiffness in brain.)—Inflammation of brain with pulsations and singing in head; the heat enters head from the spine, and from it extends to feet ; < in warm room, > when moving about in cold air.—Headache over 1. eye.—Headache extending to eyes; to root of nose.—Itching in scalp, < from scratching, with dandruff.—Falling off of hair (in large bunches on forepart of head, and) esp. above ears (alopecia areata).—Dry scabs and great scaliness of scalp.—-Dry, painful heat of scalp, compelling one to uncover head ; temperature of body not increased ; > when lying down.—Clammy perspiration on head only, and in palms of hands, with discharge of much turbid urine.—Sensation as if pulled by the hair.—Exostosis on cranium.
3. Eyes.—Pains in eyes, as if in orbital bones.—Pressure in eyes as from a grain of sand.—Frequent itching in eyes——Pressure as if eyes would
PHOSPHORUS 985
be pressed out.—Shootings, smarting, heat, and burning sensation in eyes, esp. in external canthi.—({Eyeballs feel sore, with tendency to cold sweat and giddiness.—R. T. C.)}-Eyes sore to touch and feel full (cured. Qy. glaucoma ? —R. T. C.).—Congestion of blood in eyes.—Redness of sclerotica and of conjunctiva.—Yellowish colour of sclerotica.—{Episcleritis shifting from one eye to the other.—R. T. C.).—Inflammation of eyes of various kinds (with pressing and burning pains).—Lachrymation, esp. in open air, and when facing the wind.—Agglutination of eyes, morning, with lachrymation in open air, < in wind.—Sees better in morning, in twilight, or by shading eyes with hand.— Small burning spots on eyeballs.—Balls seem large, difficult to get lids over them.—Stiffness in eyes.—Nocturnal agglutination of eyes.—Hordeolum.— (Styes constantly appearing ; suppurate.—R. T. C.).—Quivering of eyelids and of their angles.—Difficulty in opening eyelids.—Swelling of eyelids —Pupils contracted.—(Cdema of the lids and about the eyes.—Amblyopig.— Weakness of sight on waking in morning.—Eyes give out while reading.—Myopia.— Diurnal blindness, which is sometimes instantaneous (as from fainting) ; every- thing seems to be covered with a grey veil.—As if a black veil were before the eyes.—Clouded sight by candle-light.—Weak-eyed people who see a halo around the lamplight.—Shortsightedness ; momentary loss of sight.—One sees variegated colours when there may be only one colour.—Black reflections or sparks, and black spots before sight.—Sensibility of eyes to both daylight and candle-light (aversion to light).—-Greenish (or red) halo round candle.— Cataracta viridis.
4. Ears.—Otalgia.—Acute tearings and shootings in ears and head.— Beating and pulsation in ears.—Congestion of blood in ears.—Sensation of dryness in ears.—Yellow discharge from ears, alternating with deafness.— Acuteness of hearing.—Strong echoing of sounds, esp. of human voice, in ears, with vibration in head.—Deafness, esp. to human voice.—Feeling as if something were in front of the ears.—(Deafness after typhoid, &c.)—Deafness, 1. side, and throbbing headache (produced.—R. T. C.).—Deafness from cold in head.—_{ Deafness with decayed teeth.—R. T. C.)}—Murmuring before ears.— Buzzing in ears.—Roaring, ringing in the ears.—Aching ; tickling ; itching in ears.—Frequent tinnitus sometimes changing into beautiful tunes.—(Never- ceasing tinnitus like steam ; seems to cause vertigo and feeling of falling through floor.—R. T. C.).
5- Nose.—Nose red, swollen, and painful to touch.—Dry and hard scabs in nose.—Polypus in nose (bleeding easily).—Excoriation at angles of nose.—Ulcerated nostrils—-Numerous freckles on nose.—Fetid exhalation from nose.—Blowing of blood from nose (every time it is blown).—Profuse nose-bleed ; slow bleeding.—Epistaxis, sometimes during a stool or in even- ing.—Acute sense of smelling, esp. during the headaches.—Foul imaginary smells.—-Loss of smell.—Uncomfortable (painful) dryness of nose.—Constant (profuse) discharge of yellow, greenish, bloody, purulent mucus from nose ; without coryza.—Coryza ; with inflammation (soreness) of throat and dulness (confusion) of head; fluent and dry alternating.—Frequent sneezing.— Obstruction of nose, esp. in morning.
6. Face.—Face pale, wan, sallow, earth-coloured, with hollow eyes, surrounded by a blue circle.—The colour of the face is very changeable.— Paleness, alternately with redness of face, and transient heat.—Redness and
VOL. II. 5!
786 PHOSPHORUS
burning heat of cheeks.—Circumscribed red spots on cheeks.—Ashy, anzmic ; blue lips ; waxy.—Bloatedness of face, esp. round eyes.—Jerking of muscles of face.—Tension of skin of face and forehead, sometimes on one side only.— Desquamation of skin of face.—Painful sensibility of one side of face on opening mouth.—Painfal, drawing, and tearing shootings in bones of face, esp. in evening, or at night in bed, or after the slightest chill—The pains in face are renewed by speaking or by slightest touch.—Eruption of pimples and of scabs on face.—Lips bluish.—Lips dry and parched, swollen, covered with brownish scabs.—Cracked lips ; crack in middle of lower lip.—Tetters and pimples round the mouth.—Ulceration of corners of mouth.—Cramp in jaw. —Necrosis of lower jaw, more rarely of upper.—Necrosis of 1. lower jaw; swelling of jawbones.—Engorgement of submaxillary glands.
97. Teeth.—Drawing or tearing (pricking, stinging) toothache, or else gnawing, boring, pulsative, jerking, and shooting, esp. in open air, or in evening and morning, sometimes at night only, esp. in heat of bed, or else from contact with hot food.—Toothache after washing clothes ; from having the hands in cold water.—Toothache with salivation, after slightest chill._— Pains as of ulceration in teeth during a morning meal.—Caries in teeth.— Teeth become very loose.—Bleeding of teeth.—Grinding of teeth.—Painful sensibility, inflammation, unfixing, tlceration, swelling and ready bleeding of gums.—Gums separated from teeth, and bleed easily, esp. from touch.
8. Mouth.—Excoriation of mouth.—Bitter taste in mouth ; sour after milk ; bloody erosions on inner surface of cheeks.—Accumulation of saliva, which is watery, saltish, sweetish ; or excessive dryness of mouth.—Soreness of mouth.—Spitting of blood.—Viscid mucus in throat.—Hzmoptysis.—Puru- lent vesicles in palate.—Skin of palate shrivelled, as if about to be detached. —Tongue swollen, dry, loaded with a blackish brown coating.—The tongue swells (agg.—R. T. C.).—Stinging in tip of tongue.—Tongue : chalky white ; dry and white ; dry and red ; dry and brown in centre ; coated yellow.— Difficult articulation ; speech slow ; tongue refuses to move so that he stammers.
9. Throat.—Dryness of throat day and night.—Aching in throat.— Smarting, scraping, and burning pain in throat.—Burning in cesophagus.— (Spasmodic) stricture of cesophagus.—Tonsils and uvula are much swollen. —Hawking up of mucus in morning.—Pain as from excoriation in throat.
10. Appetite.—Clammy or cheese-like taste-—Bitterness in mouth and throat after eating, with roughness.—Taste saltish, sour, or sweetish in mouth, esp. after a meal.—Loss of taste——Want of appetite from a sensation of ful- ness in gullet and violent thirst—Excessive craving for cooling things.— Longing for acids and spicy things.—Hunger after a meal.—Bulimy, even at night (during an attack of gout), with great weakness, so great that he faints if the hunger is not soon allayed.—Thirst, with longing for something refresh- ing.—Sensation of faintness and softness in abdomen after breakfast.—After a meal drowsiness and indolence, heat and anxiety, burning sensation in hands, acidity increased, pressure and fulness in stomach, chest, and abdomen, accompanied by obstructed respiration, vomiting of food, inflation of abdomen, or headache, risings of sour ingesta, hiccough, debility, colic, and many other sufferings.—Throwing up of ingesta by mouthfuls.
11. Stomach.—Risings, with pain in stomach, as if something were being torn out of it—Tobacco smoke produces nausea and palpitation of
PHOSPHORUS 987
heart.—Frequent risings, generally empty, esp. after a meal and after drink- ing ; sometimes also abortive, or spasmodic, or else sour, or with taste of the food.—Sour regurgitation of food.—Pyrosis.—Hiccough.—Nausea of various kinds, esp. in morning or in evening, or else after a meal.—Nausea with violent hunger or thirst, which disappears on eating or drinking water.—As soon as the water (or food) becomes warm in the stomach it is thrown up.— Waterbrash, esp. after eating acid things.—Vomiting with violent pains in stomach and great weakness.—Greenish or blackish vomiting.—Vomiting of acid matter.—Vomiting of food, esp. in evening.—Vomiting of bile or of mucos at night, sometimes with coldness and numbness of hands and feet.— Vomiting of blood.—Vomiting with diarrhcea.—Pain in stomach, esp. when it is touched and when walking.—Violent pains in stomach, > by a cold drink. —Sensation of contraction in cardia ; the food, scarcely digested, returns into throat.—Fulness in stomach.—Shootings and pressure in stomach, esp. after a meal, with vomiting of food.—Pain in scrobiculus when it is touched, also in morning.—Sensation of coldness, or heat and burning sensation in stomach and scrobiculus.—Inflammation of stomach.—Ulceration of stomach in anemic girls (R. T. C.).—Spasmodic pain, sensation of clawing and con- traction in stomach, sometimes with choking—The pains in the stomach are > by cold food (ice-cream, ice).—General uneasiness, but which is felt more particularly in stomach.—The pains in stomach manifest themselves chiefly after a meal, as well as in evening and at night.—Oppression and burning in epigastrium.—-Drawing pain in pit of stomach, extending to chest.
12, Abdomen.—A very weak, empty, or gone sensation, felt in whole abdominal cavity (this is an indicative point whether found existing among a complication of troubles or occurring alone, and esp. when accompanied by sensation of heat in the back between shoulder-blades.—H. N. G.).—Sharp pains through abdomen.—Shootings in hepatic region.— Distension of abdomen, esp. after 2 meal.—Abdomen hard and distended.—{Distended abdomen with bilious tendency.—R. T. C.).—Acute yellow atrophy of the liver—Enlargement and induration of liver, with pain.—Pain in hepatic region on pressure.—Enlargement of spleen.—Sensitiveness in hepatic region, < when lying on r. side, with pain on touch.—Painful pulsa- tion in r. hypochondrium.—Contractive pain in abdomen.—Spasmodic colic. —Pinchings, cuttings, and tearings in abdomen, esp. in morning, in bed at night, and in evening, and often with urgent want to evacuate and diarrhcea. —Shooting pains in abdomen, sometimes with pallid face, shiverings, and headache.—Sensation of coldness, with heat and burning sensation in abdomen.—Inflammation of intestines.—Intussusception.—Uneasiness in abdomen after breakfast.—Pressure outwards against sides of abdomen.— Soreness of abdomen to touch when walking.—Flaccidity of the abdomen, —OQbliged to lie down from weakness across abdomen.—Inguinal hernia,— Large yellow spots in abdomen.—Swelling and suppuration of inguinal glands.—Incarcerated flatus.—Flatulent colic, deeply seated in abdomen ; < when lying down, with grumbling (rumbling and rolling in bowels) and borborygmi.—Flatus in general.
13. Stool and Anus.—A very characteristic symptom is found in the stool, which is long, slim, hard, and dry, and is evacuated with a great deal of difficulty ; it may be compared to a dog’s stool in appearance and in manner
788 PHOSPHORUS
of evacuation, is often accompanied with the same straining, trembling of the limbs, &c.—Diarrhcea : in great quantity, like water from a hydrant, and is very exhausting to the patient (often accompanied with a very weak, empty, or gone feeling in abdomen) ; painless ; stools large ; involuntary ; mucous.— (Emaciating diarrhoea, skin dry and hard.—E. A. Small).—Constipation.— Feces hard, small, slow, interrupted, difficult to evacuate, and much too dry (like a dog’s)—Urgent and distressing want to evacuate.—Pro- longed looseness of bowels.—Fzces of the consistence of pap.—Serous diarrhoea.—Diarrhoea with diminished strength (< in morning).—Mucous diarrhcea.—Bloody diarrhoea.—Undigested fzeces.—Greenish, grey (or whitish- grey), or black fzces (with flakes of mucus).—Stools watery, with whitish- yellow and cheesy masses ; lumps of white mucus.—Stools odourless save for a slight mouldy smell.—Stools like scraping of intestines.—Involuntary evacuations.—Discharge of mucus from anus, which remains continually open.—Tenia, or ascarides from rectum, during stool—Discharge of blood during the evacuation.—After stool : pressure, burning pain, and tenesmus in anus and rectum, with great exhaustion.—Dartings and shakings in rectum and anus (this may occur in children, causing them to cry out, is usually < in evening or night; they appear to have worms ; they will put their hands to the seat, and show by various signs where and what the matter is).—Nettle- like stitches in rectum when not at stool—Stitches in anus.—Biting and itching in anus.—Tearing in rectum ; and genitals, even to sinking down.— Pain in anus so violent it seemed as though the body would be torn asunder, with cutting and movements in whole abdomen, constant ineffectual desire for stool, heat in hands and anxiety ; > only by application of warm cloths. —Shaking and clawing |. side of anus.—Crawling stitches.—Pruritus ani.— After stool, frightful tenesmus for some time.—Paralysis of lower intestines ; of sphincter ani.—Anus wide open.—Sensation of rectum paralysed.—Cramps and contraction of rectum.—Protrusion and ready bleeding of hzmorrhoidal tumours in rectum and anus, with pain as from excoriation, when sitting or lying down.—Fissure of anus,
14. Urinary Organs.—lIncreased secretion of watery urine.—Frequent emission of a scanty stream of urine (only a small quantity each time).— Urine with white, serous, sandy and red, or else yellow sediment.—Turbid urine, with sediment like brick-dust—Pale, aqueous, or whitish urine.— Variegated pellicle on surface of urine.—H zmaturia (with acute pain in region of kidneys and liver, and jaundice).—Smarting and burning sensation when urinating.—Tension and jerking, or burning pain in urethra when not urinating (with frequent desire to urinate).
15. Male Sexual Organs.—Very strong sexual desire, with constant wish for coition.—Impotence after excessive excitement and onanism.—Erec- tions which are too energetic in evening or morning.—Frequent (involuntary) pollutions.—Feeble erections or none at all.—Feeble and too speedy emission during coition.—Pains in testes and swelling of spermatic cord.—Hydrocele.
16. Female Sexual Organs.—Nymphomania.—Aversion to coitus.— Tearing in genital organs, and stitches upward from vagina into uterus.— (Small pustulation of vulva with great irritation—R. T. C.)—Cedema of labia (< 1.), later gangrene.—Catamenia too early and too profuse (and of too long duration), or too early and too scanty and serous,—[Phos. patients
PHOSPHORUS 789
generally menstruate regularly but profusely, and not uncommon symptoms are, vertigo on rising in morning, with weakness of legs, so that for a few moments after getting out of bed, they cannot stand.—H. N. Martin.]—Dis- charge of blood from uterus during pregnancy.—Catamenia of too long dura- tion, with toothache and colic.—Before menses: abundant bleeding of ulcers ; leucorrheea ; want to urinate ; and weeping.—Frequent and profuse metror- rhagia——On appearance of menses ; incisive, griping pains in the back and vomiting.—After menses: weakness, blue circles round eyes, and anxiety.— Menses: of too short continuance; retarded.—During menses: shooting headaches ; fermentation in abdomen; expectoration of blood; pains in (small of) back ; soreness of limbs; great lassitude and fever; or palpitation of heart ; shiverings ; swelling of gums and cheeks, and many other suffer- ings.—Sterility on account of excessive voluptuousness, or if the menstruation comes on too late and is too profuse.—Smarting, corrosive leucorrhcea (draw- ing blisters).—Hard and painful nodosities in breasts.—Inflammation (erysipe- latous) of breasts, even after formation of pus.—Erysipelatous inflammation of mammz, with swelling, burning pains, and shootings.—Anxious feeling beneath 1. breast, with bitter eructations.— Burning, pinching in r. breast, heat mounting to head.—Cramp pain in breast, high up, under sternum, with eructations.— At 3.30 p.m. pain from |. nipple to r. nipple, thence to r. shoulder andi r. little finger.—Pain below nipple shooting like electricity Nipples hot and sore.— Papular eruption on breasts.—Abscess in mamma, also with fistulous ulcers ; bluish colour. ° 17. Respiratory Organs.—Hoarseness and scraping in throat, some- times prolonged.—Aphonia, soas to be unable to speak except in a whisper.— Catarrh with cough, fever, and fear of death.—Very painful sensibility of larynx, which prevents speaking.—Stitches, soreness, roughness, and dryness in the larynx.—Croup ; bronchitis.—Great sensibility of larynx with burning pain.— Dryness in trachea and chest.—Expectoration of mucus from larynx. —Cough excited by a tickling and itching in chest, or with hoarseness and sensation as if chest were raw.—Hollow, hacking, spasmodic, tickling cough, esp. if caused by tickling in chest; at night, preventing sleep.—Cough with shootings in throat, chest, and scrobiculus, sometimes only at night.—Dry cough every day, which continues several hours, with pains in stomach and abdomen.—Cough with stitches over one eye-—Cough from a change in the weather and from strong odours; from lying on 1. side or on back.— Cough from going from warm into cold room (H. N. Martin). — Dry, shaking cough, with sensation as if head were going to burst, excited by cold air, by drinking, or by reading aloud.—Cough with vomiting.—Cough excited by laughing.— Dry cough, as if caused by tubercles, or chronic pneumonia.— Cough in paroxysms, brings up a viscid, muco-purulent expectoration, branched like the bronchial tubes.—Cough with purulent and saltish expec- toration, esp. morning and evening.—Cough with expectoration in morning, without expectoration in evening; expectoration frothy, pale red, rust- coloured, streaked with blood ; white and tough ; cold mucus, tasting sour or sweet ; transparent mucus in morning after rising.—Greenish expectoration from cough.—Cough with expectoration of slimy mucus or of blood, with smarting in chest. 18, Chest.—Noisy and panting respiration.—Difficult respiration, esp. in
790 PHOSPHORUS
evening, with anguish in chest, < by sitting down.—Respiration oppressed, quick, anxious.—Difficult inspiration ; heaviness, fulness, and tension on chest.—Obstructed respiration and oppression of chest of various kinds, esp. in morning or evening, as also during movement.—Spasmodic asthma.— Constrictive spasms in chest.—After a cough, asthma.—Fits of suffocation at night.—Pressure at chest.—Heaviness, fulness, and tension in chest.—Con- tractive spasms in chest.—Tearing in chest.—Lancinations in chest, and esp. in 1. side, sometimes prolonged, or else when the parts are touched.—Burning pain as from excoriation in chest.—Inflammation of lungs (1. side).—Pneu- monia nervosa (lungs hepatised).—Tuberculosis (phthisis mucosa).—Sensation of fatigue in chest.—Anguish in chest.—Congestion in chest, with sensation of heat which ascends to throat.—Pain under 1. breast, when lying upon it.— Yellow spots on chest.
Ig. Heart and Pulse.—Anxiety about heart with nausea and a peculiar hunger, somewhat > by eating, distressing even in bed.—Sensation of warmth about r. side of heart.—Pressure ; heaviness ; aching in heart.—Rush of blood to heart and palpitation, that becomes very violent after eating.—Palpitation of heart of different kinds, esp. after a meal, morning and evening, as also when seated, and after all kinds of mental excitement.—Palpitation of heart with obstructed respiration ; palpitationfrom every mental emotion.—Violent palpitation with anxiety, evenings and mornings in bed ; on slight motion.— Blowing sounds in heart.—Pressure in middle of sternum and about heart.— Pulse rapid, full, and hard ; small, weak, easily compressed.
20. Neck and Back.—Rigidity of nape of neck.—Pressure on shoul- ders.—Swelling of neck.—Engorgement of axillary glands and of those of nape of neck and of neck.—Itching and shooting under axille2.—Fetid sweat under axillze.—Paralysed sensation in upper sacrum and lower lumbar vertebrz.—Contusive pain in loins and back (as if back were broken), ‘esp. after having been seated a long time, hindering walking, rising up, or making the least movement.—Pain in small of the back when rising from a stooping position—Burning in back or small of back (esp. with delayed menses).—Tabes dorsalis.—Burning pains in loins.—Sensitiveness of spinous processes of dorsal vertebrz to pressure.—Softening of spine.—Heat or burning in back, between scapulz.—Tearings and stitches in and beneath both scapulz.—Pain in coccyx impeding easy motion, can find no comfortable ‘position ; followed by painful stiffness of nape.—Coccyx painful to touch as from an ulcer.—Transient pain from coccyx through spine to vertex that R17 head back during the stool—Backache and palpitations prevail
. T. C.).
_ &i. Limbs.—Weakness in all the limbs as if paralysed ; esp. in joints, trembling from every exertion.—Swelling of hands and feet.—Bruised pain in limbs.—Extremities, esp. hands and feet, heavy as lead.—Numbness and falling asleep of limbs.—Exanthema on skin about joints.—Swelling of soft tissues of joints.—Joints stiff.
22. Upper Limbs.—Stiffness in morning on washing, with pressure— Rheumatic tearing (and lancinating pains) in shoulders, arms, and hands (particularly in joints), esp. at night—Burning pain in palms of hands and arms ; clammy perspiration in palms and on head.—Burning pain in hands and arms.—Numbness of arms and hands.—Lassitude and trembling in arms
PHOSPHORUS 791
and hands, and esp. when holding anything.—Furfuraceous tetters on arms. —Congestion of blood in hands, with swelling and redness of veins, esp. when allowing arms to hang down.—Wrenching pain in joints of hands and fingers, with tension.—Swelling of hands, even at night—Heat in hands.— Coldness of hands at night.—Contraction and jerking of fingers.—Deadness of fingers.—Paralysis of fingers.—Numbness of finger-tips.—Skin cracked at joints of fingers.—Chilblains on fingers.
23. Lower Limbs.—Uneasiness, weakness, < on ascending steps, with heaviness.—Pain as from ulceration (suppurative) in buttocks when seated.— Pain in r. hip-joint—({Exostosis of femur.}—Wrenching pain in coxo-femoral joints, and those of knees and feet, with external heat.—Swelling of tibia. —Bruised pain in periosteum of tibia.—Gangrenous periosteum of tibia, with fever ; the periosteum peeled off as far as knee, leaving the bone rough.— Painful fatigue and heaviness of legs.—Heaviness in hollow of knees.—Burn- ing sensation in legs and feet.—Tension and cramps in legs, esp. in knees.— Rheumatic stiffness of the knee.—Shocks in legs before going to sleep, day and night.—Drawing and tearing (rheumatic pain) in knees, extending into feet.—Paralytic weakness in legs, and arthritic rigidity of knees.—-Tetters on knee.—Spots like petechiz on legs——Ulcers on legs, with surrounding small pustules.—Exostosis on tibia.—Jerking, and cramp in calves.—Tearings and shootings in feet, esp. at night (in feet of a pregnant woman).— Swelling of feet, or only of the malleoli, esp. in evening or after a walk, sometimes with shooting pain.—Sprained pain in ankles on walking.— Easy dislocation of foot.—Coldness of feet, esp. at night.—Paralytic feeling in feet.—Pain (as if bruised) as from ulceration in soles when walking.—Shocks in feet day and night before going to sleep—Numbness of tips of toes.— Inflammation and redness of ball of great toe with lancinations.—Chilblains and corns on toes.
24. Generalities.—Affections of inner chest; shinbones ; bones of legs; of r. upper or r. lower extremity ; r. upper or r. lower side.—Profuse secretion of mucus.—Affections of axillary glands ; inflammation of glands in general ; glands painful, particularly stitching pains; hot swelling of glands. —Glandular diseases, esp. after contusion.—Bleeding from inner parts; threatened phthisis pulmonalis.—The pains of Phos. are continuous, or, at least, irregular as to time.—Arthritic and rheumatic tearings and stitching pains, principally in limbs, sometimes after a slight chill, esp. in bed at night.—Burning pain in limbs.—Tension, cramp, jerking, and distortion of some of the limbs.—Sprains, easy dislocations.—Ataxia and adynamia.—Con- vulsions.—Rigidity of some parts.—Fits of paleness and numbness in some of the limbs, which then appear dead.—Mucous membrane pale.—Trembling of limbs from least exertion, but chiefly during labour.—Tendency to strain the back.—Ebullition and congestion of blood, sometimes with pulsation through- out body.—Sensations: of fulness; of itching or tickling; of knocking, beating, or throbbing ; of darting ; darting pain ; of roughness—all occurring in inner parts.—Sensation of dryness or of festering in internal parts.— Bleeding from various (internal) organs.—Inflammation and stinging pain of inner parts—Itching of inner parts.—Small wounds bleed much.—Blood fluid non-coagulable.—Bleeding from all cavities; also from soft cancer.— Weakness and soreness in joints, esp. knees.—Great weakness and para-
792 PHOSPHORUS
lytic lassitude, which sometimes come on suddenly, esp. in bed in morning, or after a very short walk.—Can only lie on the r. side.—Lying on the 1. side at night causes anxiety.—Spasms of the paralysed side.—Paralysis, formi- cation, and tearing in limbs ; anesthesia ; increased heat.—Exostosis, esp. of skull.—Hip-joint disease, oozing a watery pus.—Epilepsy with consciousness. —Fainting fits ; from strong odours.—Excessive sensibility of all the organs. —Hysterical lassitude.—General dejection and nervous debility —Heaviness of limbs and sluggishness.—Paralysis with tingling in the parts affected.— Emaciation and consumption.—Inability to remain in open air, esp. when cold.—Strong tendency to take cold, which is often followed by headache and toothache, coryza, with fever, shivering, &c.—Effects of hair-cutting and chill to head.—Pains in limbs on change of weather.—The majority of symp- toms manifest themselves morning and evening, in bed, as well as after dinner, while several others appear at the beginning of a meal and disappear after it—<@: In morning; evening; before falling asleep; on waking ; before breakfast ; after taking cold ; while coughing ; before or after eating ; from violent bleeding ; from spraining parts ; while lying on back ; lying on 1. side ; from laughing (often producing cough) ; from light in general ; light of the lamp ; warm food (“very thirsty, takes water, likes it, feels better, gets warm in stomach and is vomited”); reading aloud ; from strong smells ; after stool (exhausted, &c.) ; while swallowing drink ; in the wind ; when singing ; when the weather changes either way.—> : In the dark; lying on r. side; from being mesmerised ; from rubbing ; from scratching ; after sleep ; from cold things ; cold food ; cold water (till it gets warm).
25. Skin.—Exanthema which comes out in pustules ; is scaly.— Ulcers in general.—Summer freckles——Hard swellings here and there on body.— Wounds which appear to have healed break out again and bleed ; wounds that continually heal and break out again.—Desquamation of skin.—Burning in the skin.—Excoriated spots on skin, with cracks and shootings.—Round, tettery spots over whole body.—Freckles (nose).—Dry, furfuraceous tetters.— Yellow or brown spots on skin (esp. chest and abdomen).—Copper-coloured or bluish spots, like petechiz.—Red spots.—Jaundice.—Pale skin.—Ecchy- mosis.—Furunculi.—Lymphatic abscess with fistulous ulcers (which have callous margins, secreting a fetid and colourless pus) and hectic fever.—Large ulcers surrounded by small ones.— Ulcers bleed on appearance of menses.— Fungus hzmatodes.—Copious bleeding even from very small wounds.— Polypus.—Chilblains (fingers and toes) and corns on feet, sometimes very painful.—-Tingling in skin.—Nettle-rash.
26. Sleep.—Falling asleep late—Complaints preventing sleep.—Over- powering sleep coming on after dinner, if only a moderate dinner has been eaten.—Sleeplessness before midnight.—Sleepy at 7 p.m. ; wakeful at night (produced.—R. T.C.).—Strong tendency to sleep by day, as from lethargy.— Stupefying sleep.—Sleep retarded in evening, and sleeplessness at night, or frequent waking, with difficulty in going to sleep again, caused by restless- ness, with anguish, tossing, heat, vertigo, and ebullition of blood.—Inability to remain lying on back or on side.—Coma vigil—Sleep unrefreshing ; sensation in morning as after insufficient sleep.—At night vertigo with nausea, painful sensibility of limbs, pains in stomach and abdomen, suffocating and spasmodic asthma, &c.—Frequent waking from feeling
PHOSPHORUS HYDROGENATUS 793
too hot, withont perspiration—Frequent waking, with starts and fright.— During sleep, jerks in limbs, cries, talking, tears, complaints, lamenta- tions, and moans.—Dreams : anxious, distressing ; lascivious ; frightful and horrible ; or vivid and uneasy ; of animals which bite ; of robbers; fire ; the business of the day (which he could not finish); bloodshed ; death ; quarrels ; creeping things, &c.—Nightmare.—Somnambulism.
27. Fever.—Shuddering and shivering, esp. in bed, in evening (without thirst, with aversion to being uncovered and with swollen veins on hands), sometimes with yawning, followed by heat or otherwise.—Coldness of limbs. —I nternal chilliness and chill not > by heat of stove.—Chilliness in evening till midnight, with great weakness and sleep.—Chill running down back.— Shiverings, followed by heat, with thirst and sweat, esp. at night, and in afternoon.—{Chronic feverishness with recurring albuminuria.—R. T. C.).— Internal or external heat of single parts.— Flushes of heat running up back.—Burning in back, between shoulder-blades.—Burning pain of external parts or of internal parts.—Transient or anxious heat.—Nocturnal heat (disturbing sleep).—Flushes of heat over whole body, beginning in hands. —Perspiration most profuse on head, hands, and feet, with increased secre- tion of urine.—Perspiration on fore part of body.—Perspiration frequently smells of sulphur or of garlic.—Intermittent fever ; heat and perspiration at night, with faintness and ravenous hunger, which could not be satished with eating ; afterwards chilliness with chattering of teeth and external coldness ; the chilliness was succeeded by internal heat, esp. in hands, while the external coldness continued.—Fevers with soporous condition, dry, black lips and tongue and open mouth.—Typhus fever (often with pneumonia and bronchitis, that developed into consumption).—Hectic fever, with dry heat towards the evening, esp. in palms of hands, sweat, and _ colliquative diarrhoea, circumscribed redness of cheeks (I. more than r.), &c.—Pulse changed ; quick, full, and hard ; occasionally small and weak.—Nocturnal and viscid sweat.—Sweat in morning.—Cold, clammy sweat.
Phosphorus Hydrogenatus.
Phosphoretted Hydrogen. Phosphine. PH,. Solution.
Clinical.—Amblyopia. Diarrhcea. Hyperzesthesia. Locomotor ataxy. Stam- mering. Teeth, crumbling.
Characteristics.— Breunar (quoted by Allen) relates the effects of inhaling this gas, given off in the preparation of some “ hypophos- phites.”’ The symptoms began to appear after three months in visional disturbances, diarrhoea, paralysis, and a complete state of locomotor ataxia, < on closing eyes. The teeth crumbled without pain. Articulation and swallowing were difficult. The diarrhoea was accompanied by weakness of the anus.
Relations.—Electricity antidoted the effects. Compare: Loco- qotor ataxy, Arg. n., Alm., Helod. ‘ Visional defects, Benz. din.,
b. s.
794 PHOS. HYDROGENATUS—PHOS. MUR.
SYMPTOMS.
3. Eyes.—Flickering points in field of vision, rapidly enlarging and rendering it impossible to fix vision on any object, esp. in reading.—Optic nerves very irritable to reflex stimuli. .
4. Ears.—Auditory hyperzsthesia.
8. Mouth.—Teeth, both healthy and carious, crumble, without pain.— Ataxia of muscles of articulation, great effort of will required to form the word.
g. Throat.—Swallowing somewhat difficult.
12, Abdomen.—Shooting pains in limbs and abdomen. 13. Stool and Anus.—Diarrhcea with weakness and unsteadiness of arms. :
22. Upper Limbs.—Weakness and unsteadiness of arms, making difficult to write.
23. Lower Limbs.—Limbs unsteady ; gait tottering ; associated with undercurrent shooting pains in limbs and abdomen.
24. Generalities.—Complete expression of ataxia; stood with limbs separated ; walking wholly impossible when eyes closed ; would stagger and fall.—No anesthesia ; electric irritability of muscles greatly increased.
Phosphorus Muriaticus.
Phosphorus pentachloride. PCI,. Solution. Clinical.—Asthma. Coryza. Ophthalmia.
Characteristics.—J. Meredith (H. W., xxxiii. 127) has recorded the effects observed on a science student from grinding up this salt and inhaling the fumes. Eye-soreness, coryza, sore throat and chest with difficult breathing, were the main symptoms. They lasted fourteen days from the exposure ; and were cured by Bell. 3x internally and a one per cent. Jodine lotion locally as a compress at night.
SYMPTOMS.
3. Eyes.—Great soreness of mucous membranes of eyes and nose, with copious intermittent runnings; lasts all night—Shades eyes from light reflected from tablecloth at dinner.—-Whites of eyes congested.
5 Nose.—lIrritation and copious intermittent running.—The intolerable smell of the fumes cannot be forgotten at night, and sleep is impossible.
g. Throat.—Throat and chest sore.
17. Respiratory Organs.—In morning breathing difficult ; lungs wheezy ; chest and throat sore. 26. Sleep.—Symptoms kept him awake all night.
PHYSOSTIGMA 795
Physalia.
Physalia pelagica. Portuguese man-of-war. N.O. Physophoridz. Clinical.— Urticaria.
Characteristics.—G. Bennett was stung by the animal on second and ring fingers. The sensation was as if stung by a nettle, succeeded in a few minutes by violent aching, affecting the finger-joints and spreading up arm, involving elbow-joint. The pain was < by applica- tion of water; < by motion; and < when joints became affected. The pain spread to the shoulder-joint and pectoral muscles causing oppression of breathing. After half an hour the symptoms began to abate, leaving numbness of the limb and a vesicle at the spot which was stung.
Relations.—Compare : Medusa, Urt. ur.
Physostigma.
Physostigma venenosum. Calabar Bean. Eséré. WN. O. Legu- minose. ‘Trituration of the bean.
Clinical. Astigmatism. Bathing, effects of. Blepharospasm. Chorea. Ciliary spasm. Climacteric. Constipation. Coccygodynia. Dentition. Diarrhoea. Dys- pepsia. Epilepsy. Eyes, affections of; injuries of ; strain of. General paralysis. Glaucoma. Hzmorrhoids. Headache. Heart, affections of. Hemiplegia (1.) Herpes, preputialis. Hiccough. Hysteria. Iris, prolapsed. Leucorrheea. Levita- tion. Locomotor ataxy. Myopia. Navel, inflammation of. Paralysis, local ; agitans ; spinal. Paraplegia. Progressive muscular atrophy. Prostration; muscular. Sleeplessness. Spinal irritation. Spinal sclerosis. Stiff neck. Tetanus. Throat, sore ; fish-bone sensation. Water, effects of. Wounds.
Characteristics.—‘ The Ordeal-bean ” of Old Calabar, the Eséré of the natives, is the type of a genus of Leguminosea of the tribe Phaseolea, with flowers very like Phaseolus, except that its bearded style is terminated by a great oblique hood, covering the blunt stigma.’’ It is this hood which distinguishes the genus and gives it its name. P. ven. is a great twining climber, and has purplish flowers. Its seeds are very poisonous, and are used by the Calabari as an ordeal, suspected persons being compelled to eat them until they either vomit or die. In the latter case they are considered
iity, in the former innocent. In cases observed in Calabar convul- sions have been noted, and twitchings, especially in the back, and death in thirty minutes. A number of cases of poisoning have occurred in this country, and in these the most notable feature was complete muscular prostration. According to Brunton, the tetanising properties of the bean belong to an alkaloid, Calabarine, and the paralysis to Eserine (or Physostigmine, as it is now called). In animals poisoned by it speedy general paralysis is set up, and death occurs from failure of respiration ; though the heart may be poisoned both directly and through its nerves. The paralysis is seated in the spinal cord itself. The muscles are affected by fluttering tremors ; involun-
796 PHYSOSTIGMA
tary muscles are excited to active movements and expulsive efforts. The intestines are often twisted up in knots. All the secretions are somewhat increased (C. D. P.), A crowd of children in Liverpool ate beans which they found among the sweepings of a ship from Africa. Forty-six were admitted to hospital with loss of muscular power, prostration, feeble, slow pulse, cold, perspiring skin, cold extremities ; vomiting in nearly all cases, diarrhoea in one-third of them. At first there was colic, but later on remarkable freedom from pain. Pupils contracted in many; in one contracted during sleep, dilated when aroused. Only one (a phthisical boy) succumbed. He staggered as he walked, then fell, kicking and rolling as if in pain, but afterwards became quiet ; much purged; pulse hardly perceptible ; skin cold, face livid ; quite conscious and able to swallow water. Directly after drinking he died without a struggle, some froth issuing from nose and mouth. After death the blood was found to be fluid ; the heart dis- tended with it, and its muscular substance very flaccid (C. D. P.). Many excellent provings have been made with Physo.. among which one made by Christison on himself is remarkable. Simpson and Douglas MacLagan were sent for to attend him in his collapsed state, which Simpson could only compare to that produced by severe flooding, though Christison’s only sensation was one of “extreme but not unpleasant faintness.” MacLagan thought it like Aconité poisoning. Christison could not get his wilJ into his muscles except by a tremendous effort. Warmth to feet and a sinapism to whole abdomen gave great relief, and he was then able to turn on his left side ; but only remained there a very short time on account of the tumultuous action of the heart it set up. He became drowsy and slept ; but his mind was so active in sleep that on awaking he did not know that he had slept. The tumultuous action of the heart con- tinued on waking, but strong coffee quickly restored the whole condi- tion and made the heart regular. A symptom observed by Christison and many other provers was one of indigestion, “as if large pieces of food had been suddenly swallowed.” It began under upper sternum, descending and increasing in intensity till it reached the epigastrium ; eructations then occurred, and a reversal of direction followed, the sensation ending where it began. With other provers there was a sensation of weight and hardness. Christison also had very much giddiness and dimness of vision. It is for its action on the eye, especially for its power of contracting the pupil, and thereby antago- nising Atropine, that Physo. and its alkaloid Esertne are best known in old-school practice. The effects are more definite when the drug (tincture, extract, or solution of alkaloid) is applied to the eye direct ; but one myopic prover had his myopia much diminished. In glaucoma it has been used with signal success to diminish intra- ocular tension ; and especially when glaucoma has been the result of injury. Dudgeon (B. ¥. H., xxxviii. 60) relates the case of A. E., 26, struck by the cork of a soda-water bottle on inferior and outer part of left eyeball. Intense burning pain and effusion into the eyeball followed. Under Arn., prescribed by Mr. Engall, the effusion disappeared, and later the pain and inflammation subsided under Aco. and Merc. c. The pupil was now egg-shaped, the long diameter perpendicular,
PHYSOSTIGMA 797
smaller end downwards; vision extremely myopic. Bell. dilated the pupil, but had no effect on the vision. Engall sent the patient to Dudgeon, who found the pupil was sluggish, and a book had to be held within four inches of the eye to be read. Physo. 3x, every three hours, was given. After the first dose objects could be seen at a considerable distance, and next day sight was nearly as good as ever. Dudgeon considers that the lens was tilted by the blow, and that Physo. restored the over-stretched or paralysed portion of the ciliary muscle. Woodyatt (Org. iii. 99) states that Physo. has produced corneal astigmatism in a young lady, who found any attempt at close work caused redness of tarsal edges and a hot, sandy teeling in conjunctiva. Lil. ¢#. 30 cured. Paralysis and tremors predominate over the cramps, twitchings, stiff- nesses, and tension of Physo., but these are also characteristic, and tetanus has been cured by Physo. Paralysis of left side is very pro- eminent, and the numbness is more apparent on left side, especially in left arm ; which may be associated with heart symptoms. The apex of the left lung is also affected. A feeling of levitation was observed in one prover on stepping. Ataxic gait and shooting pains down limbs show its appropriateness in locomotor ataxy. The inability to get the will into the muscles is a striking feature of many paralyses. Spinal, sacral, and coccygeal pains were experienced, and associated with some of them, numbness of the womb. The association of muscular prostration (in any form, of which laboured respiration is one) with any affection is a keynote of Physo. This case was cured: Great muscular prostra- tion with continual inclination to sigh ; leucorrlica < by exercising during the day, especially 4 p.m. ; sighing < when leucorrheea is < ; dread of cold water. This dread of cold water is a grand keynote of Physo. One of the provers (a water drinker) developed a perfect dis- gust for cold water and cold drinks ; and though used to a cold morning plunge, was obliged to omit it on account of his horror. Other provers felt uncomfortable after bathing, and had great reluc- tance to their bath. Weakness was felt on change of weather, and on cold, bracing days. A paralytic state of mind and body from grief has been cured with Physo. Sleeplessness of a peculiar kind occurs in Physo. Nash (Med. Adv, xx. 258) cured with Physo. 12 and 30 persistent sleeplessness in a patient who had been in an insane asylum, and feared she would have to go again. Her symptom was: “Tf she chanced to get a nap she awoke suddenly as if in a fright, and felt no > from what she had slept.” Pecular sensations are: As if stomach were full, As if she must lose her mind. As if a ball were coming up throat. Lower limbs as if asleep. Back as if para- lysed. Tongue as if burnt (left margin) ; as if swollen and paralysed. Sensations of contraction and tension. Wavering in brain. Weak feeling in stomach. H.L. Chase, one of the provers, had a “ very severe pain in the right popliteal space,” and he afterwards cured a patient who came to him with pain in the same region two years later (H. R., xii. 117). (Allen gives the symptom as in the /eft popli- teal space.) ‘The symptoms are < by pressure (of finger between vertebrze causing wincing) ; by falls and blows. < Motion ; descend- ing stairs (wavering in brain). < Walking; stepping ; jar of mis-
798 PHYSOSTIGMA
step. > Lying supine. < Lying 1. side; > lying on r. side. < 4p.m. < Night (headache unbearable). If pain began at any hour it always continued till 12 o’clock following, either noon or midnight. < Cold water ; perfect horror of cold drink; cold bath. < From bathing ; from change in weather ; on bracing days. < In church. > In cool open air. < On waking. > Closing eyes. > By sleep (hiceough). > Warmth to feet ; sinapisms to abdomen.
Relations.—Antidoted by: Coffee; Sinapisms; Arn. ; (emetics are of the first importance. Injection of Atropine antagonises its effects). Lil. t. cured astigmatism of Physo. Compare: Eserin. In paralyses, Lathyr., Oxyt., Strych., Ciner., Con., Gels. Heart, Phaseol., Phos. Eyes, Onos., Lil. t., Rut., Jabor., Bell. Headache with drowsiness, Brucea, Gins., Herac. Spinal irritation, hungry sensation, numbness, muscles of back rigid, wavering in brain, Act.r. Headache < by music, Phos., Phos. ac. (Physo. of organ.). Levitation, Phos., Phos. ac. Headache with inability to stop thinking (Phos. with increased mental power), Globus, Ign., Asaf. < Descending stairs, Borax. Increased irritability, tetanic spasms, cramp, tenesmus recti, stiff spine and legs, Strych. and Nux (Physo. has diminished reflexes, spinal paralysis ; unsteady gait with eyes closed ; death by paralysis, Strych. has death from respiratory spasm ; dilated pupils). Tetanus, Passif. Tongue as if scalded, Sang.
Causation.— Emotions. Grief. Bathing. Injuries. Blows.
SYMPTOMS.
1. Mind.—Uncommon mental activity.—Foolish actions, said it made him crazy.—Exhilarated in morning, gloomy towards noon.—Nothing was right, too many things in room; continually counting them.—Irritable.— Nervous, cannot endure pain.—Exhaustion, cannot remember anything.— Disinclined to work.—Difficult thinking ; cannot concentrate the mind.
2. Head.—Vertigo: on moving, with fainting and muscz volitantes ; with nausea ; in evening, if people stepped in front of her in the doorway ; at night; when reading; on getting up after dinner; when walking; on descending stairs, with dim vision and unsteady gait; wavering in brain ; as if drunk; with sensation of wavering in brain.—Confusion and dizziness ; dull, heavy, oppressive headache.—Intolerable pain over both eyes.—Head drooping listlessly.—Darting pain in various parts, < motion.—Aching in morning with epistaxis 1. side—Bruised pain in brain all day, < a heavy step ; < 1. temple, with general fatigue and sensitiveness to cold or change of temperature.—Pressure encircling head, with sleepiness.—Constriction as from a bandage or tight cap pressed down as far as temples.—Severe, dull, frontal headache, esp. in the morning.—Darting pain in forehead, < motion, and in temples.—Sharp pain in supra-orbital region, running off towards nose. —Pain : over r. eye, in morning on waking, by noon pain in whole cerebrum, fulness of blood-vessels of brain, and contracted feeling in forehead, which extended to eyelids, causing an effort to open or close them ; in I. side at ro a.m., with heat in abdomen and nausea, the pain is heavy at I1, pain over whole head from 4 till 10 p.m., with nausea and general sweat, headache next day with lame, bruised feeling in region of kidneys.—Pain in temples ; show-
PHYSOSTIGMA 799
ing from r. temple to 2nd bicuspid.—In evening sound of the organ caused headache, < forehead and temples.—One-sided headache with fear of open- ing eyes lest it should < the pain.—Inability to stop thinking with headache. —Sensation of rush of blood to frontal and temporal regions.-—Sharp, shooting pains in temples.—Throbbing of temporal and carotid arteries ; heart beats felt in head on lying down.—lIntense, painful pressure in vertex and both temples, the pressure in vertex extending over to occiput.
3 Eyes.—Eyes inflamed, first r., then 1.; sclerotic dry, red, and
swollen ; eyeballs pain and smart; lids feel sore.—Eyes bloodshot all the forenoon, with burning in them.—Pain on attempting to use binocular vision, as in reading, so that one eye must be closed, > by a weak concave glass.— Pressure ; with muscz volitantes, dark and light long worms or snakes, also tremulous vision.—Bright marks when looking at an object ; dark yellowish spots covering one or two letters when reading.—Sharp, shooting pains, and drawing, twisting sensation in eyes—Eyes sore and painful when moved from side to side.—Pain deep in, over top of eyeball, running up from inner canthus to r. frontal eminence, then down obliquely outward into temple.— Sharp stitches in r. eyeball, > by motion in open air.—The muscularis internus seems not to do its work rightly, and the axis of the eyes differs in each ; eyes feel weak, with lachrymation.—Eyes convulsed.—Sight blurred, hazy, or misty, film over eyes ; objects mixed ; after which dull pain over the eyes and between the eyes.—Aching in posterior part of orbit, extending back into the brain ; < on reading, causing nausea.—Lids (esp. 1.) heavy; cannot bear to raise them ; twitching of lids (upper, < 1.).—-Contracted sensation in lids with difficulty in opening them and lachrymation when wide open, diffi- culty in keeping I. eye open.—Lids immovable.—Tight feeling in ciliary region as if something were creeping about in it, with sharp pain, < reading.—Con- traction of pupils ; in morning ; by small and rapid jerks, with sensitiveness to light; then mydriasis, < morning, seeming to depend on fatigue of sphincter, which was > during day by reflex stimulus of light—Pupils dilated.—Pupils contracted when asleep, dilated when aroused.—Disturbed accommodation ; approximation of far point (myopia) and also of near point {the accommodation recovers before the pupil).—Vision abnormally acute ; double ; dim and indistinct ; blurred, hazy, misty —({Lens dislocated by blow.)
4. Ears.—Sharp, shooting pains in the ears.—Shooting in 1. ear ; in r.— Pain in r. ear when writing.—Hammering in r. in evening, with feeling in external ear as from a hot wind.—Painful pressure on tympani.—Discomfort in r., with inclination to bore in with finger ; after removal of wax some pain ; with eructation a sudden pain from throat along Eustachian tube to middle ear.—Crawling in 1. ear—Fulness.—Stopped feeling.—Partial deafness of r.— Sensitive to every sound.—Singing or tuning like escaping steam, at night after lying down.—Hissing, buzzing, ringing in the ears.
5. Nose.—Fluent coryza, sneezing; burning, smarting, itching, and tingling of nostrils ; nose stuffed and hot.—Twitchings in nose and involun- tary expansion of nostrils—Small boil inside r. nostril—Epistaxis while at supper.—Smarting at end of nose, it feels as if burnt by hot liquid—Tension in skin of nose and forehead.
6. Face.—Face pale ; flushings of the face ; heat.—Neuralgic pain in r, side of face.—Sensation of cramps or spasms in face extending to neck ;
800 PHYSOSTIGMA
with numbness of 1. hand.—Sensation of contraction of L side of face, with numbness,—Severe pain in r. upper jaw like toothache (though all teeth on that side had been extracted).—Numbness of lips.
7. Teeth.—Dentition: nervous children with vacillating pupils who have trouble when nursing or taking food ; pain in stomach as soon as they begin, but going off if they continue to nurse.
8. Mouth.—Tongue sore on tip and rough.—Smarting of end of tongue ; feels as if burnt.—Scalding sensation |. side.—Tongue coated, more heavily at root—Numbness and tingling of tongue and lips, with constant desire to moisten them.—Bad taste in mouth.—Profuse salivation; thick, leathery saliva.—Difficult speech—Power of speech retained long after inability to swallow.
g. Throat.—Sore throat, painful swallowing.—Tonsils and soft palate dark red.—Burning, scraping, raw feeling in throat—Tonsils enlarged ; swollen, elongated uvula.—Small ulcers, with yellow centres in pharynx.— Feeling as of a fish-bone in throat ; swallowing saliva very painful.—Con- striction of throat and dysphagia.—Pain extending from throat to 1. ear when swallowing.—Feeling as if a ball were coming up in throat.—Submaxillary giand tender and tumefied.
10. Appetite.—Hunger but can find nothing to satisfy it; food has a flat taste.—No appetite, disgust for food, tobacco, and coffee; and esp. for cold drinks.
11, Stomach.—tTasteless eructations—Burning in stomach with hot eructations.—Violent hiccough.—Nausea and vomiting.—In stomach : prick- ling, sharp pains; darting pains, with paralysed feeling of 1. side ; heaviness and weight, as if undigested food were lying there; hard pain; griping; emptiness and weakness ; sensation of nervousness and trembling.—Soreness in region of stomach.—Sensation at epigastrium as when large pieces of food are suddenly swallowed.
123. Abdomen.—Lancinating pains in hypochondria.—Hard, sore pain in splenic region; descending to groin and across hypogastrium, < by motion.—Soreness and pain at navel, which was found much inflamed.— Severe pain in umbilical region.—Pain and soreness in umbilical region.— Stitches in 1, side of abdomen.—Much rumbling and distension in abdomen, with discharge of large quantities of flatus.—Dull pain in transverse and descending colon.—Colicky pains, with feeling as if diarrhoea would occur.— Shooting pains in |. iliac region and down thigh.—Sharp, cutting pains in lower part of abdomen.—Dull pain in groins,
13. Stool and Anus.—Stools : copious ; soft, thin ; watery ; yellowish ; bilious ; part natural, part black like tar ; lumpy, mixed with watery discharge ; dark and offensive.—Constipation ; from atony.—Sphincter ani swollen and rigid ; evacuation painful ; rectum protruding, swollen and very sensitive.— Tenesmus and burning, with diarrhoea; also tenesmus of bladder.—Stool irregular and loose, anus sore and inclined to protrude; piles (absent for three years) return.—Severe piles following childbirth.
14. Urinary Organs.—Bruised, sore feeling in region of kidneys.— Bladder feels distended.—Frequent desire to urinate, often ineffectual.—Fre- quent and copious urination.—Urine : yellow ; high coloured ; strong-smell- ing ; clear ; muddy ; pale and copious.
PHYSOSTIGMA 801
1§ Male Sexual Organs.—Frequent erections with but slight desire. —Two emissions without dreams or excitement.—Strong-smelling sweat about genitals, prepuce tender and swollen, many small vesicles on glans with burning itching.
16. Female Sexual Organs.—Leucorrhea ; < exercising during day, esp. about 4 p.m. ; with inclination to sigh; sighing < when leucorrheea is worse ; dread of cold water.—Menses irregular—Numbness of womb with pain in back.—Condition like that produced by flooding after delivery.— Metrorrhagia.— Pain as if menses were coming on.—Menstruation, with palpitation ; congestion of the eyes, with tonic spasms, rigidity, sighing respiration, consciousness retained.
17. Respiratory Organs.—Cough from tickling in throat—Slight constant inclination to cough from filling lungs.—Laboured, sighing respira- tion ; yawning.
18 Chest.—Stitches in the chest—Cannot fill 1. lung as inspiration == dull pain at 1. apex, > by pressure——Stitches under inferior angles of scapulz during expiration.— Heavy weight at chest.—Twitches across pectoral muscles.—Stitches in 1. breast, and unable to draw long breath.
19. Heart and Pulse.—Dull pain, uneasiness and distress about the heart.—Violent palpitation of the heart, with feeling of pulsation through whole body.—As the fresh, bracing air strikes me, a choking sensation with fluttering of heart—Heart’s action irregular and tumultuous, when lying on 1. side, > when lying on the back.—Pulse: variable ; accelerated ; small, frequent, slow, feeble, intermittent. )
20. Neck and Back.—Inclination to stretch out the neck.—Pain at base of brain as if it were cutting off body from head ; going through to back part of throat, which is stiff and sore.—Stiffness in neck.—On waking, pain in r. head and neck as if latter was stiff.—While taking morning bath suddenly stiff neck (r.).—_Drawing on turning head.—Rheumatic pains in 1. neck and shoulder.—Feeling of weakness passed down from occiput through back to lower limbs.—Cramp-like stitches up and down spine ; stiffness of 1. neck.— Chilly, creeping sensations up back, 7 p.m.—Back very weak, unable to stand erect.—Dull pain in back.—Backache (in renal region) kept him restless all night ; no > in any position; passed copious colourless urine.—Creeping numbness from back of head down spine.—Cramp-like stitches up and down the spine.—Pain under r. shoulder-blade.— Dull, heavy pain in lumbar region ; also over |. hip, extending to back.—Pain in back between hips, with numb- ness of womb.—Pain in (1) sacral region, as if strained by lifting, < on motion.—Contractive pain of anterior surface of coccyx; as if dysentery coming on ; (since verified).
21. Limbs.—Limbs feel weary, as after great fatigue.—(Pleasant) numb- ness in all the limbs ; and paralytic feeling.—Neuralgic pains in the limbs. —Stiffness or bruised feeling in the joints——Staggering gait—Cold ex- tremities.
2. Upper Limbs.—Wrists feel weak ; dull aching pain in them.—Sharp, shooting pain in 1. shoulder.—Itching of 1. palm.—Paroxysms of burning in palms.—Hands feel cold, then hot and red.—Pain in r. deltoid > only by violent motion.—Numbness in |, arm.—Sharp pain in |., then r. arm.
. 3. Lower Limbs.—Unsteadiness from knee downward when walking,
VOL, II. 52
802 PHYSOSTIGMA—PHYTOLACCA
esp. with eyes shut.—Dragging pain in 1. hip towards back.—Thrusts with aching down I. thigh from iliac region.—Stiffness in hip and knee.—Cramp- like pain in 1. (and r.) popliteal space.—Sensation of a drawing cord behind leg and knee, impeding walking.—Gnawing in 1. tibia—Legs feel asleep.— Numbness in 1. foot.
24. Generalities.—Indescribable torpidity as from opium ; “this is not debility but volition is inoperative ” (Christison’s experiment).—Great sense of fatigue and weariness ; weakness.—Convulsive twitchings.—Constant fibril- lary twitchings of the muscles.—Violent trembling all over the body.—Great prostration of the muscular system.—Diminished reflex action.—Omits bath on account of horror for cold water.—Sore and stiff all over, as from a cold,— Severe, sharp pains in various parts of the body.—In nerves in front of body waves like tremblings going up and down; at back nerves paralysed and numbed with pain as when the nerve of a tooth is being killed.—Stiff all over as after taking cold.—Paralysed feeling in 1. side.—On raising foot in walking, momentary feeling as if he were floating upwards, and on foot touching ground an unpleasant feeling making a shuddering sensation pass all over him.
26. Sleep. —Irresistible desire to sleep ; soporific sleep.—Restless sleep with dreams.—During sleep mind so active was unaware he had been asleep. —Falls asleep frequently, but awakes suddenly without relief ; following night scarcely closed eyes in sleep; thoughts very active; an idea once started kept on with unusual persistence.
27. Fever.—Creeping, chilly sensation in back; yawning ; every move- ment and draught == shuddering.—Hands and feet cold.—Cold, clammy skin. —Heat in head and face; flushed and hot.—Heat in face and down back with chilliness of legs—Dry burning in hands.—Perspires very easily.—Cold sweat in drops over whole body.—Strong-smelling sweat around genitals.— Copious sweat all over body.
Phytolacca.
Phytolacca decandra. Virginian Poke. Poke-root. Red Ink Plant. Garget Weed. N. QO. Phytolaccacee. Tincture of fresh root dug in winter. Tincture of the ripe berries. ‘Tincture of fresh leaves. Solution of the resinous extract, Phytolaccin.
Clinical.—Abortion, threatened. Albuminuria. Angina pectoris. Anus, fissure of. Asthma. Barber's itch. Boils. Bone, diseases of ; tumours of. Breasts, affec- tions of. Cancer. Cholera. Cicatrix. Ciliary neuralgia. Constipation. Corpulence. Cough. Dentition, difficult. Diarrhoea. Diphtheria. Diplopia. Dysentery. Dys- menia. Ears, affections of. Erythema nodosum. Eustachian tubes, affections of. Glands, enlarged. Gleet. Glossitis. Gonorrhoea. Gout. Granular conjunctivitis. Hzmorrhoids. Headache. Hearing, altered. Heart, affections of ; hypertrophy of ; fatty. Impotence. Influenza. Intestinal catarrh. Itch. Lactation, abnormal. Laryngismus. Leucorrhcea. Lichen. Liver, affections of. Lumbago. Lupus. Mercury, effects of. Mouth, ulcerated. Mumps. Neuralgia. Nipples, sore ; pain- ful. Nursing, painful. Orchitis. Ozzena. Panophthalmitis. Paralysis, diphtheritic. Parotitis. Prostate, affections of. Rectum, cancer of. Respiration, abnormal. Rihcumatism; syphilitic; gonorrheal. Ringworm. Rodent ulcer. Salivation,
PHYTOLACCA 803
Sciatica. Sewer-gas poisoning. Spinal irritation. Spleen, pain in. Stiff-neck. Syphilis. Syphilitie eruptions. etanus. Throat, sore; diphtheritic ; herpetic ; granular. Toothache. Tumours. Ulcers. Uterus, affections of. Warts. Wens.
Characteristics.—Phyt. dec. is a branching herbaceous plant, with a thick perennial root, sometimes larger than a man’s leg in diameter. The young shoots, though extremely acrid, are rendered harmless by boiling, and are eaten like asparagus in the United States. The berries have a popular repute as a remedy for cancer and rheumatism. The berries of P. octandra are used in Mexico and the West Indiesas_ ny, asoap. According to Raffinesque, quoted by Hale (who introduced—— , the remedy into homceopathy), the ash of the plant (which has been used as an escharotic in cancers, ulcers, &c.) contains 45 per cent. of caustic potash ; and the plant contains besides an acid, Phytolaccic acid, which is closely allied to Malic aad. The plant is common throughout North America, the Azores, North Africa, and China. It grows in damp places. Some rather severe cases of poisoning have been reported. Vomiting, diarrhoea, frontal headache, sore throat, are the most common symptoms observed. One boy who drank two or three drachms of a tincture of the root had none of these symp- toms, but developed complete tetanus : Extremities stiff ; hands irimly shut ; feet extended ; toes flexed; lower lids drawn down ; teet clenched ; lips everted and firm, general opisthotonos. Respiration difficult, rales heard all over the room. Foran hour muscular rigidity increased generally, with convulsive action of muscles of face and neck ; chin drawn close on sternum. This condition would last five or ten minutes, to be succeeded by perfect relaxation, and return in twenty minutes more with the same violence. After cold-water affusion, cupping, and sinapisms, the boy slept about twenty-five minutes. On awaking some twitchings, especially of lower limbs ; pain in back of head and stomach. Next day he was quite recovered. A boy, 8, who ate a quantity of berries, was found in great agony, complaining that his stomach was “ pinched together.” He had nausea, violent vomiting; throat sore and dry; fauces dark red, tonsils swollen. After vomiting ceased, purging set in; stools dark brown and thin ; severe pain in stomach on pressure, extorting cries. Later he had burning griping in umbilical region ; dim vision ; tongue coated white ; spasmodic jerkings in arms and legs. In a woman, 45, who took Phyi. as a “blood purifier,” a general rash, in appearance not unlike the rash of secondary syphilis, was set up. In a family of four poisoned by eating the root in mistake with their food, these symptoms were observed: Dread of movement ; seems stupid ; falls asleep after a paroxysm of cramping pain has ceased ; pain in fore- head < after eating ; vomiting of clotted blood and slime ; copious discharge of blood and mucus which looked like scrapings of intes- tines ; involuntary stools from straining, which occurred even in sleep. In the mother of the family, seven months pregnant, it very nearly produced miscarriage ; the uterus could be felt contracting under the hand; involuntary straining and hemorrhage from the vagina; intense gtiping pain in small of back and cramps in legs coming and going suddenly, coldness and withered appearance of extremities, whole body cold. In all the above cases the spasmodic
804 PHYTOLACCA
action of the drug is evident in some form. From inhaling the dust of the powdered dried root, or the odour given off on slicing the fresh root, intense irritation of eyes, nose, and throat, and severe headache and diarrhoea have occurred. Given to animals, Phyt. has caused convulsive symptoms, vomiting, and vomiting of worms. Wild pigeons and other birds which eat the berries acquire a highly red colour and lose their fat. This last observation has led to the use of a tincture of Phyt. berries as an anti-fat, and many successful results have been reported. This observation may be taken as the key to one of the great spheres of the action of this remedy—the absorption of tissues, especially new growths. There are few remedies which have a wider range in the cure of tumours and indurations, particu- larly of the female breast. Hale tells us that among dairymen in America the root is used to regulate any abnormality in the milk of cows—scanty ; thick ; watery ; curdy ; containing blood or pus. But its chief repute is in caked udders. In breast induration and abscesses of nursing women, and even in cancers (internally and sometimes externally as well), its action has been well confirmed. But it must not be supposed that this action is purely physiological, as is the absorption of fat in birds. A patient of mine, about forty-five, took Phyt. 30 for sore throat. After a few doses she was compelled to desist because of its effects on her breasts ; both became full and uncomfortable, and in the left one appeared a large lump in its upper segment, which lasted five days, and was only got rid of by dint of vigorous rubbing with camphorated oil. A case of cancer of the rectum has been cured with Phytolaccin 3x. In the uterus and the prostate gland (the male uterus) specific symptoms were evoked in the poisonings and provings. Muscles, joints, bones, brain, and spinal cord, as well as the special senses, were all more or less dis- ordered. The intense action of the drug on the throat has led to its being used as a routine remedy in diphtheria. It is not a specific ; but it has some very characteristic symptoms which will indicate it when present. Among these are : Great pain at root of tongue when swallowing ; pains shooting from throat into ears on swallowing ; hot feeling as if a red-hot ball in throat ; burning < by hot drinks; dark redness of fauces. Eclectics (H. R., xi. 429) give the expressed juice of the berries in ‘spasmodic or membranous croup, or diphtheria.” There is one form of sore throat in which I have found it of the greatest service—the so-called “diphtheritic sore throat.” Dark red, swollen mucous membrane and tonsils, pain on swallowing, eruption of herpetic, whitish, or grey spots on fauces, swelling and tenderness of the glands externally at the angle of the jaw. With these symp- toms there are generally headache, backache, wandering rheunratic pains and fever. I have cleared up numberless cases of this kind with Phyt. 30. Not infrequently epidemic influenza has taken this form, and then Phyt. has been my most successful remedy. (Nash has relieved chronic follicular pharyngitis in public speakers when there has been much burning, as if a hot substance in throat.) One of the provers had “swollen and tender gland right side of neck”; and swollen and tender glands in many other localities have been reme- died with Phyt. The headaches of Phyt. are chiefly frontal, pressive,
PHYTOLACCA 805
involving eyes, < right side. One headache is peculiar, being asso- ciated with increased sense of hearing. The irritation of the mucous membrane of the throat extends to nose, ears, and eyes, producing characteristic symptoms in each. The discharges are tough, stringy, difficult to detach, and may take the form of clinkers. Offensiveness and acridity are also common features. The nervous irritability of Phyt. has led to its successful use in disorders of dentition, a keynote symptom being: Irresistible inclination to bite the teeth or gums together. The pains of Phyit. come and go suddenly ; move about, radiate from a centre, or change place. Pain in sore nipples of nursing women radiate all over the body when the child is put to the breast. When pain in intestines disappears pain in extremities comes on. Pain leaves heart and appears in right arm (this association is unusual, and therefore important). Pains in head and chest go from before backward. Pains run down spine from nape; from sacrum down outer aspect of thighs totoes. The outer aspects of the limbs are chiefly affected. The shreddy discharge of Phyt. mark it as a remedy in certain forms of intestinal catarrh and dysmenorrhea. It is hzmorrhagic and hemorrhoidal, acting strongly on rectum and anus, curing tenesmus, bloody discharges and heat. One characteristic pain (noted in a case of constipation) is : Shooting pain from anus to lower part of rectum, along perinzum to middle of penis. “ Gurgling in the prostate gland, repeatedly in the afternoon,” was noted by one prover, and pains in spermatic cords. Entire suspension of sexual appetite with relaxation of the genitals was caused. Stiffness is a characteristic effect of Phyt., noted in the tetanus case, and in others in less degree. Stiff neck, especially right side. The prostration is so rapid and profound that it has led to the successful use of Phyt. in diph- theritic paralysis. Faint and dizzy when standing. Soreness of all the muscles. Restlessness, but he fears to move because motion < the pains. The rheumatic swellings are hard, tender, and intensely hot. Phyt. is suited to rheumatic or syphilitic subjects who are sensi- tive to damp weather. Peculiar sensations are: Brain as if bruised. Right side of head as if pressed firmly. As if sand in eyes. As if eyes too large. As if lids granulated. As if tarsal edges raw.. As if lids on fire. Nostril as if tickled with a stiff feather. Nose and eyes as if a cold would come on. Tongue as if scalded. As if a ball of red-hot iron in throat. As if lump in throat. As if apple core in throat. Throat so full it felt choked. Pharynx feels like a cavern ; chest as if it were a big empty cask. Body as if bruised ; pounded all over. As if joint were being chopped with an axe. The right side is most affected, and many symptoms were experienced in the liver ; there were also some severe ones in the spleen. The liver- pains were < lying on right (painful) side. The spleen pain was > lying on left (painful) side. Nash has removed many breast tumours by giving a single dose of Phyt.cm during the wane of the moon. The symptoms are < by touch (liver, &c). There is great general sensitiveness. Pressure < pain in joints and ulcers. Pressure with hand > pain in breasts. Pressure on trachea facilitates expectora- tion. Rubbing > pain in hip. Riding < nose and breathing. < Stepping down high step. Rising from bed = faint feeling. Sitting
806 PHYTOLACCA
up == sick and giddy. Standing = faint and dizzy. Gaslight < eyes. Swallowing <. After breakfast head and throat >, gastric symptoms <. Vomiting < headache, > nausea. Hunger soon after eating. (This is like the deadly sinking so ofteri met with in the cancerous diathesis.) < At menstrual periods. Must liedown. < Lying right side. > Lying left side. > Lying onstomach. < Standing and < motion. < Walking. < Raising arm. < Night. < Morning; 3, 4,0r5a.m.; on waking. < Damp weather; washing; hot drinks. < Exposure to air; open air (but it > eyes). The external use of Phyt. has been attended with good results in cases of ulceration, and I have found a gargle of a few drops of the ¢ to a tumbler of water useful in many throat cases. A preparation of the /Jeaves has been used successfully by Hurndall (H. W., xxxi. 217) as an external appli- cation for carcinomatous growths in dogs ; and an ointment prepared with a strong tincture of the leaves as well as the juice of the leaves have been used for malignant ulcers in human beings.
Relations.—Antidoted by: Milk, Salt, Coffee (vomiting), Nit. sp. dulc., Bell., Ign., Merc., Mez., Sul. (eyes), Op. (large doses). Com- pare: Botan., Petiver. Diphtheria, Ar. t., Lach. [Lach. has not the great pain at root of tongue when swallowing of Phyt. S. M. Pease (Med. Adv., xxv. 27) found bleeding from the buccal cavitya keynote symptom of Phyt. in one epidemic.] Hypertrophy of heart, Rhus (Phyt. has right arm numb ; Rhus has left arm numb, also Aco., Act. r., Puls.). Breast abscess, Bry. (Phyt. follows Bry. when suppuration seems inevitable; pain goes from nipples all over body). < Motion, Bry. Tetanic spasms, Nux (Phyt. is slower than Nux, has everted lips, alternate relaxation and spasm). Pain in breasts when suckling, Crot. t., Phell., Lac c., Borax (Borax, like Phyt., has > from pres- sure ; Borax alone has empty, sucked-out feeling). Sensation of apple core in throat, Hep., Nit. ac. Stringy discharges and clinkers, electric shocks, flying pains, K. bi. Desires cold water (Physt. opp.). Symp- toms fly from centre outward (Abrot. opp.) Pains in breast at men- strual period, Calc., Con. Diarrhoea with shreddy membranes, Caust., Ars. < In damp weather, Rhus, Dulc. Pains in tibia, Carb. v., Lach. < After sleep, Lach. Loss of fat (Sabal ser. opp.). Loss of sense of delicacy, Hyo. Bruised, sore feeling, Arn. Hale says K. iod. is the nearest analogue (rheumatism, syphilis, wasting) ; Merc. and its anti- dotes are also closely related.
Causation.— Exposure to cold and damp.
SYMPTOMS.
1. Mind.—Delirium.—Indisposition to mental exertion; disgust for business on waking early in morning.—Melancholy, gloom.—Indifference to life.—Great fear ; is sure she will die-—Loss of personal delicacy, complete shamelessness and indifference to exposure of her person.—lIrritability ; rest- lessness.—Irresistible desire to bite teeth together.—Cannot be persuaded to take nourishment.—Over-sensitive ; pain intolerable.
2. Head.—Vertigo : staggering with danger of falling ; with dim vision ; when rising from bed feels faint.—Headache: with nausea; dull; heavy ;
PHYTOLACCA 807
neuralgic ; rheumatic ; syphilitic ; with backache and bearing down; weekly ; <€ from wet weather.—Sore pain over head, < on r. side.—Pain in vertex ; and sensation of soreness deep in brain as if bruised ; when slipping from a high step to ground.—One-sided pain, just above eyebrows, with sick stomach ; < in forehead, or above eyebrows (glabella most affected); comes every week.—Dnull, pressive pain in forehead, with slight nausea, cold sweat on forehead and feeling of weakness.—Shooting pain from 1. eye to vertex.— Violent pain at back of I. eye and over eyebrow extending down side of head. —Heavy aching in forehead after dinner.—Slight pain in forepart of head with increase of hearing.—Heaviness of head, with feeling in back part of tongue as if burnt.—Headache commencing in frontal region and extending backward.—Nausea and headache > by eating, but returning soon with vomiting which < headache and > the nausea.—Pressive pain on forehead and upper part of both eyes ; on vertex with dryness.—Pain in back of head and neck.—Head thrown backward.—Pain in occiput ; and stomach.—Rheuma- tism of r. frontal region with nausea, < morning ; of scalp when it rains, with depression.—Syphilitic nodes on skull.—Tinea capitis.—Crusta lactea, moist, fearful itching, with little raw tubercles on scalp, face, and arms.
3. Eyes.—Eyes staring.—Blue round eyes.—Eyes sunk deep in sockets with livid circles.—Sclerotica dark yellow.—Sharp pain through ball of eye on reading or writing.—Dull aching in eyes, < from motion, light, or exer- cise.—Pressure around eyes in afternoon as if eyes too large.—Circum-orbital pains in syphilitic ophthalmia—Panophthalmitis.—Aching along lower half r. orbit.—Orbital cellulitis—Lids feel granulated ; tarsal edges feel scalded, hot, raw.—Burning and smarting sensation (feeling of sand) in eyes and lids, with profuse lachrymation and coryza, which is > in the open air.—Smarting in inner canthi (< 1.), < by gaslight in evening.—Lids agglutinated and swollen, as if poisoned.—Reddish-bluc swelling of lids (€ 1.), < morning ; cannot close eyes without pain all forenoon, > afternoon.—Fistula lachrymalis,— Lids feel on fire.— Lupus, epithelioma, &c., of lids——Pupils: contracted (tetanus) ; much dilated—Photophobia.—Motion of one eye independent of that of the other.—Double vision; with giddiness and headache.—Objects quintupled.—Far-sighted.
4. Ears.—Shooting in r. ear.—Pains in both ears, € r.; < swallowing. —Obstruction in 1. Eustachian tube, rushing in 1. ear, a feeling as if hearing were dull, while at same time sensitive to minutest sounds.—Irritation in one Eustachian tube.—Increased sense of hearing (most r.) ; with pain in forehead. —Very peculiar pressure and tension in parotids.
5. Nose.—Flow of mucus from one nostril while the other is stopped.— Drawing sensation at root of nose.—Feeling in nose and eyes as if a cold would come on.—Acrid, excoriating discharge—Wakes 3 a.m. with nose stopped up, discharges clinkers from both nostrils in morning.—Sensation in nostrils as if tickled with a stiff feather —Total obstruction of nose, when riding must breathe through mouth ; not > by blowing nose ; mucus dis- charged with difficulty.—Syphilitic ozzena with bloody sanious discharge and disease of bones.—Rodent ulcer.
6. Face.—Face: pale ; sunken, blue, suffering ; hippocratic ; distorted. —Stupid.—Cool sweat on forehead.—Heat in face (I.) after dinner ; with red- ness of face, coldness of feet, eruption in upper lip (1.).—Face very red,
808 PHYTOLACCA
almost purple; alternately very pale.—Pains in bones of face and head at night, keeping her awake many nights ; proceeding esp. from “nodes” on frontal bone, very much like pains of periostitis.—Pains in upper jaws.—Jaws ached awfully the whole time, it seemed he could not open or shut them.— Blotches in face, < afternoon, after washing and eating.—Swelling round 1. ear and side of face, like erysipelas ; thence over scalp ; very painful_—Ulcers and scaly eruption on face.—Chin drawn closely to sternum by convulsive action of muscles of face and neck ;