Nux vomica

Natural History.
      Strychnos Nux vomica. Poison nut.
      N.O. Loganiacae. Tincture and Trituration of imported seeds.

      Acne rosacea.
      Anger, effects of.
      Bilious attack.
      Biliousness: Bladder, affections of.
      Bone, nodes on.
      Brain, affections of.
      Breath, sour.
      Eyes, affection of, gouty inflammation of.
      Heart, affection of, Hernia. Hydrocele. Hypochondriasis.
      Intermittent fever.
      Liver disorders.
      Locomotor ataxy.
      Musce volitantes.
      Night-blindness, Nightmare. Nose, affection of.
      Paralysis, spastic.
      Pregnancy, affections of, spurious.
      Pylorus, disease of.
      Renal calculi.
      Sexual perversion.
      Sleep, abnormal.
      Speech, disordered.
      Taste, disordered.
      Tea, effect of.
      Tobacco habit.
      Tongue, affection of.
      Trachea, affections of.
      Urethra, spasm of.
      Urine, frequent passing of.
      Uterus, prolapse of.
      Vagina, prolapse of.
      Water brash.

      Strychnos Nux vomica is a moderate-sized tree native of the Coromandel Coast and Cochin China. The fruit is very like an orange in appearance and contains numerous seeds of flattened circular outline, about the size of a half penny, ash-grey in color, covered with fine silky hairs.
      The seeds are intensely bitter owing to the presence of Strychnia and Brucea which exist in the seeds together with certain peculiar acids, but the pulp is innocuous and is said to be eaten by birds.
      If nitric acid be added to the seeds a deep orange-yellow color is produced.
      The wood of the tree is very bitter.
      It is used in India in cases of intermittent fever and snakebites.
      A decoction of the leaves is used externally in rheumatism (abridged from Treas. of Bot.).
      Under Brucea antidysenterica I have told how the bark of the tree was imported into Europe in mistake for Angustura. The tree from which the Ignatia "beans" are obtained is unknown, but it is not doubted to be a Strychnos, the seeds actually contain a larger proportion of Strychnia than those of Nux vomica. The difference in the character of the two remedies proves the wisdom of Hahnemann’s method of studying medicines.
      If there was nothing more than the chemistry of the drugs to go by Ignatia and Nux vomica might be used indifferently, with the knowledge, Hahnemann has given us of their characteristic features they are seldom even thought of in connection with the same case.
      In the case of poisoning with Nux-v., the most marked feature is the spasms and convulsions which cause death by arresting respiratory movements.
      "Convulsions with consciousness." "Spasms with tetanic rigidity of nearly all the muscles of the body, with interruption of a few minutes, during which the muscles were relaxed, the pulse became soft and the patient recovered consciousness and speech, the spasm was renewed by the slightest touch, though at time it would immediately cease when the patient was tightly grasped, or the elbow was straightened up." "During the spasms evident relief was afforded by forcible extension of the body." In the case of two persons, a man and wife, who both took the poison, the reporter says: "As the convulsions came on the heads were drawn back, there was spasmodic clenching of teeth, heels fixed to the ground, eyes as if protruding from their sockets, and both, curiously enough, kept exclaiming.
      ‘Hold me – Hold me !’ although there was a person on either side of each." One of the patients afterwards said that if a fire had been lit under him he could not have moved, although at the same time he kept crying, "Hold me !" Convulsions came on beginning with slight twitching in muscles of lower extremities." "Convulsions with red face and closed eyes." The general effect of the spasms was to cause opisthotonos and throwing back of the head, though in some the body was spasmodically drawn sideways.
      The tetanus of Nux differs from traumatic or idiopathic tetanus in that the spasms of the former are less continuous, do not invariably begin with the muscles of the jaws, but preferably in the lower extremities, and are not accompanied by rise of temperature.
      "Spasm" is the first keynote of Nux and the second is "exaggerated sensitiveness." Both are brought to the front in the poisoning cases, and the provings bring out their developments in almost all regions of the body.
      The spasms affect all the voluntary muscles of the body and the involuntary muscles as well – esophagus, stomach, intestines, uterus, bladder, rectum, and the spasms and irritability go through the pathogenesis.
      There is irritability of bladder and rectum at the same time, constant urging and desire and very little passed, prolapse of rectum with constipation, or there may be incontinence of both urine and feces.
      Uterine bearing down and prolapse, cramps at menstrual periods and pressure on bladder and rectum.
      The irritability and extensive sensitiveness of Nux depicted in the tetanic seizures and drawn facial expression applies to mind as well as body.
      Nux is especially suited to: (I) Very particular, zealous persons, inclined to get angry and excited, or of a spiteful, malicious disposition.
      (2) Ardent persons, or disposed to anger, spite, or deception, always irritable or impatient.
      (3) Nervous, melancholic people, troubled with indigestion, venous constitution with tendency to hemorrhoids.
      (4) Thin, irritable, choleric persons with dark hair, who make great mental exertion or lead a sedentary life.
      (5) Vigorous persons of dry habit, tense fibre, ardent and irascible temperament and tenacious disposition.
      (6) Bilious temperament (7) Persons addicted to wine, coffee, or pepper and condiments, who life a sedentary life with much mental exertion.
      (8) Debauches, thin, irritable, venous.
      (9) Drugged subjects. Throughout all these classes moral, mental, nervous, and muscular tension or spasms may be traced (but ennui, loss of energy may also be indications for Nux: they are alternating states).
      There are few drugs which produce a greater degree of irritability than Nux-v., running, as it does, to the verge of homicidal and suicidal impulse.
      Intestinal spasms is exemplified in the spasms which follow eating unripe fruit and other digestive irregularities, and sometimes they take the form of incipient hernia.
      Hernia, inguinal and umbilical, has been cured with Nux-v., and I have seen a case of strangulated hernia resolved by Nux while preparations for operation were in progress.
      Although there are many pains in connection with the rectum, constipation or spasm is the leading feature: "Constrictive sensation at times as if he would be obliged to go to stool." "After a stool it seemed as if some remained behind and could not be evacuated, with a sensation of constriction in rectum, not in anus." "Discharge of bright blood with the feces, with sensation of constriction and contraction in rectum during stools." "Stool daily though always with a colicky sensation in abdomen, and with the stool, it always seems as if it was not enough." "Frequent, ineffectual desire for stool, after the usual evacuation." Nux is very far from being a panacea for constipation and hemorrhoids, but its indications are perfectly clear and when they are present it will not disappoint the prescriber.
      The diarrhea of Nux is sudden and drives patient out of bed, or is involuntary, or comes on after a meal.
      Alternate constipation and diarrhea.
      In the dysentery of Nux the straining ceases as soon as the motion passes.
      This distinguishes Nux from some other remedies.
      There is tendency to faint after diarrheic stools, and also after vomiting.
      This tendency to fainting is another example of the Nux sensitiveness. It occurs from odors, in a warm room, after eating, after every labor pain.
      Nux has proved curative in epilepsy when the fit occurred during stool.
      Nux is hemorrhagic.
      There is metrorrhagia (in high livers), and also menorrhagia.
      Menses too early and profuse, flow dark, faints easily, irregular, cease flowing at night-time.
      The pains are cramping and cause nausea and fainting, twisting, moving about in abdomen, soreness across pubes, cramps in bladder.
      During pregnancy: hiccough, morning sickness, varicose veins, hemorrhoids, false pains.
      Labor pains are violent and causes fainting.
      Lochia scanty, offensive, nipples sore, white spot in center, tensive pains when nursing.
      Desire is excited in both sexes, and here again the sensitiveness of Nux is observed – the slightest provocation suffices to excite the sexual passion.
      Spasm is the chief note of Nux in the respiratory sphere, where it produces a variety of asthmatic states, a dry, persistent fatiguing cough which causes headache as if the skull would split.
      The general conditions of Nux are the best guides in such cases.
      But it must not be supposed that Nux cannot cure cases which are not purely spasmodic.
      I have cured with Nux many cases of bronchitis with copious moist rales and expectoration.
      In addition to spasms, Nux causes languor, great nervous debility (as from sexual or other excesses), trembling, excitement with trembling, paralysis.
      Paralysis after apoplexy, parts cold, numb, emaciated.
      Locomotor ataxy has been relieved by it.
      Nux is a drowsy medicine and it also produces sleeplessness.
      Wakes three AM and lies awake for hours, falls asleep when it is time to rise and feels heavy and unrefreshed.
      It is curative in cases where sleep is unattainable except from a stimulant.
      The symptoms of Nux are better after undisturbed sleep, worse when sleep is disturbed.
      The third keynote of Nux is Chilliness. Nux is one of Grauvogl’s chief hydrogenoids, and, like so many other "bitters, it is a great remedy in intermittents – intermittent fevers, periodic neuralgias.
      Chilliness: Cannot get warm in bed at night.
      Coldness of whole body with blue hands,’ with blue skin.
      Cold, moist hands with cold tip of nose.
      Repugnance to cold or cold air: chilly on least movement, from being uncovered, must be covered in every stage of fever, chill, heat, or sweat.
      In the fever there is great heat, whole body burning hot, face red and hot, yet patient cannot move or uncover without being chilly (H. C. Allen).
      But Nux may have "Intolerance of covering during sweat with heat." Nux has hunger with aversion to food, loss of appetite, and sudden satiety.
      A patient to whom I gave Nux 30 said that immediately after each dose she felt as if she had nothing to eat for a week.
      Another patient from the same medicine developed: "Hot feeling up in throat.
      General heat and scarlet redness of face.
      Headache." The red face of Nux is a characteristic feature.
      Nash gives a characteristic of the menses of Nux: "Catamenia a few days before the time, and rather too copious, or keeping on several days longer, with complaints at the onset which remain until it is over." Nash remarks that Calc. has the same, but the temperaments differ, and he adds this useful note: He found that patients that required Nux for this condition could hardly ever take Puls. for anything.
      For instance, if they had a green, bland, thick discharge, and Puls. were give, it would often bring on too early and profuse menstruation.
      Sep., on the other hand, would cure the catarrh and not interfere with the menses.
      Nash deservedly italicizes Boenninghausen’s keynote: "Feels worse in morning, soon after walking, also after mental exertion, after eating and in cold air." Sour breath I have noticed to be a very leading indication for Nux. Hering gives the gastric disorder of Nux thus: "After eating, sour taste, pressure in stomach an hour or two afterwards, with hypochondriacal mood, tightness about waist, must loosen clothing, confused, cannot use mind two or three hours after a meal, epigastrium bloated, with pressure as from a stone in stomach." The pressure two or three hours after eating distinguishes Nux from Nux m. and kali.
      Bi., which have it immediately after.
      Nux has many eye-symptoms.
      Sircar cured cases of night-blindness with Nux 6.
      He connected the disorder with the liver (Calcutta F. of Med., xiv. 454).
      F. A. Griffith (H.P. ix. 211) gives an interesting example of the use of Nux in cases which have been much drugged.
      Living in a part where there are no other homeopaths he had mostly heavily drugged patients to deal with.
      His plan was to give Nux 30 four times daily for four days and then see the patient again and take a new picture.
      A man, 45, had sciatica for six months and had taken a great deal of strong medicine internally.
      After four days of Nux 30 Griffith was surprised to find his patient almost well, the trouble having "got well from above downward," at last localizing in the heel.
      One dose of Sep. c.m. completed the cure.
      O. W. Smith (H.P., ix. 210) reports this symptom as having been caused by Nux: "Sensation under middle of sternum like a lump of hot lead as large as two fists." Among the peculiar sensations are: As if something heavy fell into head.
      As if his head were immensely larger than his body.
      As if pressing a nail into brain, into vertex.
      As if brain beaten or cleft with an axe.
      As if skull pressed asunder.
      As if hot water in eye.
      As if eye would be pressed out.
      As if he had received a bruise over eye.
      As if a hot plate of iron were nearly in contact with face.
      Face feels as if he were sitting before a hot fire.
      As if a ball or plug in throat.
      As if skin scratched off throat with a sharp instrument.
      As if throat too narrow.
      As if a stone in abdomen.
      As if abdomen raw and sore.
      As if bowels, bladder, and rectum were pressed with a sharp instrument.
      As if hernia would occur.
      As if everything in region of umbilicus were being shattered and torn.
      Navel as if drawn in.
      Chest as if drawn together.
      As if room had been exhausted of air.
      As if something torn loose in chest.
      As if blood would be jerked out of veins.
      As of a band above knees, round body.
      Symptoms are worse in morning, in open air, by motion, by mental exertion.
      Each of these is a characteristic, a combination of two or three of them may be considered a keynote.
      Worse In morning is the greatly predominating feature of Nux. (The best time to give Nux is in the evening at bedtime, that is, well away from the time of its chief aggravations.] Cough and some other symptoms are worse in night, worse after midnight, worse 3 or four AM
      During day, drowsiness.
      Menses return at full moon.
      Although Nux is sensitive to chill, draft, and air, most symptoms being worse by cold, cold water, and by getting wet, still the symptoms generally are worse in dry weather, better in wet weather.
      But wet weather worse facial neuralgia, and wet, warm, weather causes gastric and bilious fever.
      Warm room and warm covering better headache.
      But warm room causes fainting.
      Summer heat is unsupportable, sunshine worse headache.
      Open air better flatulence and asthma and worse all other symptoms.
      Worse In wind. Rest better.
      Better Lying down, on side.
      Motion worse.
      Exertion, physical or mental, worse.
      Worse From shaking head.
      Eating worse.
      Milk sours on stomach.
      When eating: heat in head.
      Worse From coffee, cold food, cold water, wine.
      Alcoholic drinks both worse and better.
      Tough worse.
      Pressure better, but cannot bear tight clothing.
      Rubbing better.
      Riding in carriage causes sickness.
      Coughing worse, shocks are felt in pit of stomach with every cough.
      Worse From pollutions. Worse From stomach derangement.
      Worse After stool, before urinating, when yawning, worse during and after menses (old symptoms are renewed and new ones occur).
      worse On waking at night.
      When "all medicines disagree" Nux will often cure the morbid sensitiveness and other troubles with it.
      Worse From music. There is very great better for a short time after a stool.

      Antidoted by: Wine., Coffee, Aco., Bell., Camph., Cham., Coccul., Op., Pal., Plat., Stram., Thuj. (ineffectual desire to pass water).
      It antidotes: Narcotic, drastic, and vegetable remedies.
      Bad effects of anomalies on foods, e.g., Ginger, Nutmeg, Pepper, and so-called "hot" medicines, mag.
      cit., Alcohol, Merc. (tremors), Mez. (neuralgia), Ether, Thuj. (urination).
      Compatible after: Ars. Ipec., Mg-m., Pho., Sep., Sul. Compatible before: Bry., Pul., Sul.
      Complementary: Sul. (Calc.).
      Incompatible: Zinc. (Nix and Puls. have many symptoms in common, but are opposite in temperament and conditions.
      For all that they may be required by the same patient when temperaments and conditions are mixed.
      In clearly Nux cases Sep. Follows better than Puls.)
      Compare: In tetanus, Picrotoxin, Veratrine., Theban. Cic., Hy-ac., Bell., Aco., Physo., Phyt., Cura., Camph. Cerebrospinal affections, Pic-ac. Fainting in nervous women, Ign., Nux-m., Mosch., Gastric troubles, Bism., Ars., Kreos., Lyc., Pul., Carb-v. (Carb., v. often follows Nux well in ill effects of debauchery).
      Asthma, Zingib., Carb., v., Lyc, Nat-s. Paralysis of sphincters, Sep., Bell., Sul. (Nux at any time, Sep. in first sleep, Sul, and Bell. in deep sleep).
      Bad temper before and during menses, Cham. (Cham. does not know it, Nux does), Mag-m. (Lyc., Before menses).
      Wakes three AM and cannot get to sleep, Kali-ca., Ars. Calc., Sep. Night-watching effects, sensitiveness, effects of noise, travelling by land or sea, umbilical hernia, Coccul. Fever of losing senses, Calc., Lyc., Sul., Desire to kill those there is most reason to love, Hep., Ars., Fainting or faints after every evacuation, Dig., Nux-m. Piles, Esc. Leucorrhea staining yellow, Agn. C., carb.
      an., Chel., re. (Nit-ac., Sep., Pru. sp., Thuj. Bloody sweat, Nux-m., Lyc. Calc. Impotence from abuse, Calc., Sul. Stricture of rectum, Nat. m., Op., better In wet weather, lam.
      Renal colic, Ocim., Tabac. Bad effects of masturbation, Chi., Nat-m., Calc., Sul., Con., Lyc., Cobalt. Sensitiveness, Amb,.
      Asar., Castor., Nux m. Scraped feeling in throat, Apis. "Stopped-up" Nose, Cham. (Cham. feels stopped, but discharges hot water, Nux no secretion whatever).
      Pain with stool, better after Coloc. (Merc. pain and tenesmus continue after stool).

      Anger, Coffee. Alcohol. Debauchery.
      Sexual excess.

      Hypochondriacal, peevish, morose (stubborn), thoughtful and sorrowful humor, sometimes with inclination to weep, without being able to do so.
      Hypochondriac humor of persons of sedentary habits, and of those who dissipate at night, with abdominal sufferings.
      Inclined to find fault and scold, morose, stubborn, an insane desire when alone with her husband, whom she adores, to kill him.
      Melancholy, with great uneasiness respecting the health, eagerness to speak of the disease, despair of a cure, and fear of approaching death.
      Desire for solitude, repose, and tranquillity, with repugnance to conversation.
      Anguish, anxiety, and excessive uneasiness, often with agitation which allows no rest whatever, as from consciousness of having committed a crime, and which urges even to suicide, but is afraid to die.
      The fits of anguish take place mostly on lying down in evening, or after midnight, towards morning, and are sometimes accompanied by palpitation of heart, heat and sweat, nausea, and vomiting, dilation of pupils, and oppression of heart.
      After anger, chilliness alternating with heat, vomiting of bile and thirst.
      Moral exaltation and excitability, with extreme susceptibility of all organs, great sensitiveness to least pain, to least smell, noise or movement, extraordinary readiness to take fright, and sensibility so great that music even causes tears to flow.
      Light and music unbearable.
      Anxiety and restlessness in the evening.
      Does not wish to be touched, wants to be alone.
      Dizziness of the mind, i.e., an unsteady, wavering conditions.
      Incontrollable irritability, and lamentations, complaints and cries (during the sufferings), sometimes with heat, and redness of cheeks.
      Timidity, mistrust, and suspicion, with wavering and indecision.
      Frightfully apprehensive about getting married, girl lies on a sofa and throws here arms and legs about and refuses to see a doctor (cured with high potency, Skinner).
      Inclination to weep, with great susceptibility and irritability, disposition to be angry (habitual), to yield readily to passion, to criticize, and to utter reproaches.
      Spiteful, malicious.
      Delirium tremens with oversensitiveness, nervous excitability, and malicious vehemence.
      Every harmless word offends, every little noise frightens, cannot bear the least, even suitable medicine.
      Humor peevish and malevolent, quarrels, insults, and invectives, with immodest expressions and excessive jealousy, mingled with tears and cries.
      Fiery, excited temperament.
      Ill-humor, vexation, and anger, breaking out in acts of violence.
      Awkwardness and drowsiness.
      The time passes too slowly.
      Ennui (great laziness), with dislike to and unfitness for bodily and mental labor.
      Incapacity for meditation, tendency to misapply words when speaking, difficulty in finding suitable expressions, mistaking weights and measures, frequent confusion when writing, with omission of syllables, or entire words.
      Extravagant and frantic actions, frightful visions, loss of consciousness and delirium, sometimes with murmuring.

      Head bewildered, and confused, with cloudiness, as after a debauch, principally in open air, and in sun.
      Intoxication, stupor, and dizziness.
      Intoxication from the drunkenness of the previous day, with vanishing of sight and hearing, worse after dinner and in sun.
      Vertigo with sensation of revolving and of wavering of the brain, principally during or after a meal, as well as when walking and exercising in open air (better when wrapping head up in warm, room and when at rest,) on sneezing, on coughing, on stopping or on rising up again, in morning or in evening in bed, when lying on back, and often with cloudiness of eyes, danger of falling, staggering, fainting, buzzing in ears, and loss of consciousness.
      Heaviness and pressure in head after dinner, especially on moving eyes.
      Congestion of blood to head (with burning in it and with heat and redness of the bloated face, worse in morning, on moving head and when walking in open air), with humming in ears.
      Loss of consciousness, with coma somnolentum, and paralysis of lower jaw, of organs of deglutition, and extremities.
      Pressing headache in forehead, with sour vomiting, worse morning in bed, better when leaning head against something or when lying on back.
      Pressing in head as if something heavy were sinking down in forehead or head.
      Tension in forehead as if it were pressed in at night and in morning, worse on exposing head to cold air.
      Periodical headache in forehead, sore as from ulceration, with constipation.
      Stunning headache in the morning, after eating, and in sunshine.
      Pressing headache as if skull pressed asunder.
      Heaviness, pressure, and sensation of expansion in head, as if forehead were bursting, principally above eyes.
      Burning in forehead in morning on waking and after eating, worse from mental exertion and when exercising in open air, better when at rest and in the warm room.
      Bruised sensation of brain, generally one – rt.
      sided, better when lying on painless side.
      Sensation as from a bruise in the back part of the head.
      Tearing, drawing or jerking pains in head, or shootings, or blows or pulsative pains, or digging, and sensation as if a nail were driven into brain, or tension and squeezing, or pain as of ulceration.
      Violent jerking or dull stitches in left side of brain, from orbit to parietal bone or occiput.
      Pain in occiput and cervical spine with pressure as of a stone in stomach, with vomiting of food and sour mucus, followed by languor and weariness (cured with 30th, R.T.C.).
      Pressing in vertex.
      Shocks and sounds in brain at every step.
      Semi-lateral headaches from excessive use of coffee.
      The headache are often deeply seated in brain, or in occiput, or on one side only, or in forehead, as far as eyes, and at root of nose, they appear principally in morning after waking, or rising, or after a meal, or in open air, or recurring at same hour every day, and they are worse or renewed, by intellectual labor and meditation, by wine, coffee, rough and hot weather, by walking, stooping, or moving head.
      Rheumatic headache with nausea and acid vomiting.
      Headache with unfitness for meditation, or with loss of consciousness and delirium, or with nausea, eructations, and vomiting, or with heat and redness of the cheeks, and shiverings in rest of body, or with fatigue, lassitude, and great need to lie down.
      Head is turned backwards, during convulsions.
      Small, painful swelling (nodes) on forehead.
      Soreness of scalp, and roots of hair, with great sensitiveness to touch.
      Pain, like excoriation, in scalp, from a rough wind (better warmly covering head).
      Liability to take cold on head mostly from dry wind, draft of air.
      Small painful tumours on forehead.
      Clammy sweat on forehead, when walking in open air.
      Semi-lateral, fetid sweat on head during the semi-lateral pains (head cold to touch, the pain with anxiety and dread worse from uncovering).

      Eyes surrounded by a livid circle, and full of tears.
      Pressive and tensive pains in eyes, worse on opening them, and looking into the air.
      Tearing pains in eyes by night, or burning pain, smarting, sensation of dryness, itching and tickling, as from salt, worse in canthi (itching better from rubbing).
      Smarting, dry sensation in inner canthi, in morning in bed.
      Bruise-like pain in eye.
      Eyes inflamed, with redness and swelling of sclerotica, or of conjunctiva.
      Inflammation of sclerotica, with stitches and aversion to light of sun.
      Yellow color of sclerotica, principally in lower part of eyeballs.
      Ecchymosis of the sclerotica, and sanguineous discharge from eyes.
      Painless, circumscribed red spots, like extravasation of blood, in white of eye.
      Canthi red, and full of humor, with nocturnal agglutination.
      Pupils dilated, or contracted.
      Burning itching, or sharp drawing pains, or sensation of excoriation in lids and in margins, worse in morning on being touched.
      Twitching of lids.
      Swelling and redness of the lids.
      Movement of lids difficult on account of stiffness of muscles.
      Contraction of lids as from heaviness.
      Eyes fixed and brilliant.
      Anxious starting look.
      Excessive sensitiveness of the eyes to light of day, worse in morning.
      Sparks, or black and greyish spots before eyes.
      Amaurotic cloudiness of eyes.
      Sensation, as if all objects were brighter than they really are.
      Sparks (or streaks), like lightning before eyes.

      Otalgia with tearing-stinging pains.
      Tension in the ears when he raises his face.
      Squeezing in ear, worse when chewing, and clenching teeth.
      Tingling and itching in ears, especially at night.
      Itching in the ear and through the Eustachian tube, which compels frequent swallowing.
      Deafness from blockage of right Eustachian tube with hard mucus.
      The pains in the ear are worse after entering the room and in bed.
      Acute and painful blows (tearing) and shootings in ears, which extort cries, worse in bed, in morning.
      Stitches in ear when swallowing.
      Pain in ear on swallowing, as if it were pressed from outside.
      (Pain shoots from one ear to the other when swallowing).
      Ringing, roaring and hissing in ears.
      Humming in ears.
      Sighing, whistling, buzzing, and tinkling in ears, or cracking when masticating.
      Words sound loudly in the ears of the speaker.
      Swelling of parotids.

      Insupportable itching in nose.
      Sensitiveness and inflammatory redness of the internal nose.
      Pain, as of excoriation, or ulceration, in nostrils, also margins.
      Obstruction of nose, sometimes on one side only, and often with itching in nostrils, and discharge of mucus.
      Troublesome, dry catarrh of nose which usually comes on very early in morning.
      (Dry sneezings, chronic coryza, much mucus after getting up as if cold air caught her nose, and which lasted an hour, right T. C.).
      Obstruction in head, worse in morning, or at night, and dry coryza with heat and heaviness in forehead, and stoppage of nostrils (in infants).
      Fluent coryza by day, or in morning, with dryness and nocturnal stoppage of nose.
      Tip of nose cold.
      Scraping (crawling) in nose and throat, heat in nostrils (with headache, heat in face, chilliness) and frequent sneezing during coryza (which is fluent during day, worse in warm, room, better in the cold air, dry coryza during evening and night).
      Acrid discharge from the obstructed nose.
      Sanguineous mucus in nose.
      Bleeding in nose, and discharge of clots of (dark) blood from nostrils.
      Fetid exhalation from nose.
      Great acuteness of smell.
      Odor before nose, like burning sulphur, decayed cheese, or snuff of a candle.

      Sickly aspects, with livid circles round eyes, and sharpened nose.
      Face pale, yellowish (especially round nose and mouth) and earthy.
      Yellowness around mouth and nose, or around eyes.
      Reddish-yellow face.
      Heat (swelling) and redness of face or (of one) of the cheeks, sometimes alternating with paleness.
      Patient feels as though sitting before a hot fire.
      Cold sweat on face.
      Muscular palpitations in bed, in evening, or tingling itching in face.
      Drawing in masseter muscles, with stiffness.
      Tearing and drawing pains in face, sometime only on one side, extending into ear, with swelling of cheek (and pain in cheek-bone).
      Tension round mouth, nose, and eyes, with swelling of the parts.
      Swelling of face, sometimes only on one side, swelling of a pale color.
      Pimples in face from the excessive use of spirituous liquors.
      Intermittent neuralgia, worse in infra-orbital branch of trifacial, always worse in morning, better sometimes when lying in bed, especially after abuse of coffee or liquors.
      Small, purulent pimples on cheeks and head.
      Painful dryness, fissure and desquamation of lips.
      Scabs and (corroding) ulceration on the red part of lips, and corners of the mouth.
      Small, purulent pimples round lips and chin.
      Sensation of excoriation, and small ulcers, on internal surface of lips (painful to touch).
      Tettery eruption on chin.
      Distortion of mouth.
      Side-to-side movement of jaws.
      Spasmodic clenching of jaws.
      Periodical prosopalgia nervosa, worse at night.
      Shooting (swelling) in sub-maxillary glands, when swallowing.

      Pains, as of excoriation, or ulceration, or drawing, jerking pains, with shootings, or searching and boring in teeth, and jaws, or only in carious teeth, worse at night, or in morning on waking, or after dinner, or when walking in open air, or when breathing fresh air, or in evening, or from meditation and any intellectual effort, often extending into head, ears, and zygomatic process, or with painful engorgement of sub-maxillary glands, swelling and soreness of gums, red and hot spots on cheek and neck, plaintive disposition, and dejection.
      Tearing in the teeth extending to head through bones of face, renewed from cold drink, better by warmth.
      Stinging in decayed teeth, burning-stinging in one whole row of teeth.
      Toothache often semi lateral, sometimes worse by heat of room, and better in open air.
      Toothache from taking cold, caused or worse by mental exertion, better heat.
      Drinks and hot soups, as well as cold water, wine, and coffee, equally renew of worse the toothache.
      Loosening and loss of teeth.
      Grinding teeth.
      Stomacace. Putrid and painful (white) swelling of gums, sometimes with pulsation, as in an abscess, burning, pulling, and ready bleeding.
      Ulcer in gums.

      Aphthe (of children).
      Small aphthous ulcers in mouth and throat, with putrid smell, bloody saliva runs out at night, gums scorbutic, spits coagulated blood.
      Fetid, putrid, and cadaverous smell from mouth, principally after a meal, and when fasting in morning.
      Great dryness, principally of fore part of mouth and tongue, especially after midnight.
      Pain in mouth, tongue, and palate as if the whole were raw and excoriated.
      Accumulation of yellowish white mucus in mouth.
      Ulcers of a fetid smell, pimples and painful blisters in mouth, tongue, palate, and throat.
      Inflammatory swelling of palate, throat, and gums, with difficult deglutition.
      Inflammatory swelling and stitches in palate.
      Accumulation of water in mouth, nocturnal salivation, bloody saliva, hemoptysis.
      Tongue covered with a (heavy) white, thick, or yellowish coating, or tongue dry, cracked (on edges), brownish or blackish, with bright red margins.
      Great heaviness of tongue, with difficulty of speech, and sensation when speaking, as if tongue had become thicker.
      Sour taste in mouth, sour odor of breath.

      Scraping (as after heartburn) and pain as from excoriation, in throat, worse when swallowing, and when breathing fresh (cold) air.
      Sensation of swelling in palate, and pain during empty deglutition, as if there were a tumour, or a plug in throat, or as if pharynx were contracted.
      Lancinations in throat, worse when swallowing, and sometimes extending as far as ears.
      Swelling of uvula, and tonsils, with pressive and shooting pains.
      Relaxed uvula with its attendant cough (many cases cured, R.T.C.).
      Choking, or spasmodic contraction in throat.
      Pain from pharynx to pit of stomach in morning.
      Tickling sensation in throat, with a desire to scratch.
      Burning in throat, worse at night, and sometimes extending to mouth and esophagus.

      Salt, Sulphurous, sweetish, metallic, herbaceous, or mucous taste in mouth.
      Acid taste in mouth, worse in morning, or after eating (and drinking).
      Acid taste of food, especially of bread (of rye or of wheat) and of milk.
      Putrid taste, worse in the morning.
      Bitter taste in mouth, of sputa, of food, and especially of bread-Insipidity of food (hunger with aversion to food), especially of milk, bread, meat, coffee, and tobacco.
      Want of appetite, and dislike to food, especially rye-bread, tobacco, and coffee, and sometimes with constant thirst.
      No hunger.
      Thirst, sometimes with dislike to all drinks, principally water, milk, and beer, or with desire for beer or milk.
      Ravenous hunger after drinking beer.
      Craving for brandy or for chalk.
      Hunger, sometimes with dislike to food, or prompt satiety.
      Tastelessness for all food.
      Periodical bulimy in afternoon.
      During a meal, heat in head, sweat on forehead, nausea, and fainting.
      After a meal, risings and regurgitations, nausea, inclination to vomit, and vomiting of food, pressure and cramp-like pains in stomach, pressive inflation in epigastrium, colic, pyrosis, head bewildered and painful, uneasiness and hypochondriacal humor, anxiety, vertigo, and syncope, coldness and shivering, with heat in head and face, redness of cheeks, fatigue, and drowsiness.
      Drinks oppress the stomach, and often cause nausea, with inclination to vomit.
      Rye-bread and acids equally occasion sufferings, but fattest food is sometimes taken with impunity.
      Animal food worse.

      Abortive risings, with painful feeling of spasmodic contraction in esophagus.
      Frequent, and often bitter and acid risings and regurgitations.
      Frequent and violent hiccough.
      They want to belch, but a kind of esophageal constriction seems to prevent it.
      Belching of wind, which is difficult.
      Pyrosis, worse after taking acids, or fat food.
      Continual nausea, and inclination to vomit, worse in morning, or during a meal, or after eating or drinking.
      Constant sick feelings affecting body here and there.
      Scraped sensation in pit of stomach.
      Nausea, particularly where patient feels very sick at the stomach, feels " If I only could vomit, I would be so much better." – Water brash. Empty vomiturition, straining to vomit (in drunkards).
      Periodical attacks of vomiting, of food, of sour-smelling mucus, of dark, clotted blood, and during pregnancy.
      Retching, and violent vomiting of mucus and sour matter, or of food, or insipid matter, or bile, worse after having drunk or eaten, or in morning, or else at night, and often with headache, cramps in legs and feet, anxiety, and trembling of limbs.
      Regurgitation and vomiting of blood, mixed with clots and black substances, with cuttings, ebullition in the chest, and flow of black blood, with hard feces.
      After dinner (some hours after), pressure in stomach, dulness of head and hypochondriacal mood.
      Colic and pressure in stomach extending to shoulders in morning, fasting, and after eating.
      Pressure and tension in pit of stomach, with tension opposite, between shoulder-blades.
      Constrictive colic generally, with water brash.
      Colic of coffee and brandy drinkers.
      Pressure on stomach and epigastrium, as by a stone, or cramp-like, contractive, and gnawing pains, worse after drinking or eating, or in morning, or when walking in open air, or after partaking of coffee, or at night, and often with tension and inflation of the epigastrium, oppression and constriction of chest, eructations, retching, and vomiting.
      Sinking in pit of chest with craving appetite follows an overdose.
      Disordered stomach from over-eating, from debauchery, from high living, from drugs, from sedentary habits.
      Pain, as from a bruise, pulsation, burning pain, sensation of excoriation and distressing pains in stomach.
      Painful sensitiveness in pit of stomach to least pressure, tight clothes are insupportable.
      Great uneasiness in precordial region, as if heart would burst.
      Sensation in cardia as if the food were stopped there and returned into esophagus.

      Sensation as if everything in abdomen would fall down, obliging him to walk carefully.
      Affection in the inner belly generally, also upper belly, inner part, sense of stricture or tightness around hypochondriac region.
      Contractive pain in the hypochondria
      Cannot bear his clothes tight around hypochondria.
      Stitches in region of liver, worse from contact or motion.
      Throbbing pain as from hepatic abscesses.
      Jaundice, gall-stones.
      Painful sensitiveness of hepatic region to the slightest touch, and to every movement, with pulsative, shooting, pressive and tensive pains.
      Pressure and stinging in region of liver.
      Swelling (inflammation)and induration of the hepatic region.
      Aching, tension, fullness, and distension of abdomen, and especially of epigastrium, worse after a meal.
      Periodical (colic) pains in abdomen, especially after eating and drinking.
      Colic, with cramp-like, contractive, and compressive pains, or cuttings and shootings, or sharp and drawing pains in the umbilical region, in sides, and in hypogastrium, worse after a meal, or after having partaken of coffee, in morning, and often with inclination to vomit, eructations, heat of face, lassitude, and drowsiness.
      Pain in abdomen in open air, as from a chill, with sensation as of an approaching attack of diarrhea.
      Sensation of heaviness, and swelling in abdomen.
      Heat and burning, or sensation of excoriation, as if parts were raw, or pain, as from a bruise in abdomen.
      Congestion of blood and ebullition in abdomen.
      Movements in abdomen as from something alive, and commotion of intestines when walking.
      Labor-like spasms in abdomen and uterus, extending into legs.
      Flatulent colic, sometime in morning, but principally after eating or drinking, and often with pressive pains, as if caused by stones: great flatulency, which is incarcerated in hypochondria, or mounts towards chest, frequent borborygmi, and grumbling in abdomen, pressure on anus, perineum, and urinary organs (towards the genitals), sacral pains, distension of abdomen, anxiety, fatigue, and necessity to lie down.
      Pain, as from a bruise in integuments of abdomen, worse when moving, pressing on them, coughing, laughing, etc., with painful sensitiveness to touch.
      Jerking and twitching in abdominal muscles.
      Palpitation of abdominal muscles, with sensation as if something were running about in them.
      Sensation of weakness in inguinal ring, as if a hernia were about to protrude.
      Hernia, incarcerated hernia.
      Swelling of inguinal glands.
      Excoriation in angle of groin.

Stool and Anus.
      Frequent but ineffectual and anxious effort to evacuate (in infants), or sensation as if anus were contracted or closed.
      A constipated feeling, whatever the state of the bowels.
      Constant urging sensation in rectum for a stool which never comes, or a small portion of fecal matter may be passed with this urging, leaving the sensation as though a little lump were left behind the rectum, which was yet to come away.
      Obstinate constipation, often as from inactivity or obstruction of intestines, with hard and difficult feces (often streaked with blood) of too large a size.
      Stools like pitch, with blood.
      Incomplete evacuations, with colic, and sensation of constriction in rectum.
      Constipation and loose evacuations, alternately.
      Feces, partly soft or liquid, partly hard with much flatus.
      Small, loose, aqueous evacuations, or mucous and sanguineous, with colic and cuttings, pains in loins and tenesmus, pain as from excoriation in rectum, and burning pain in anus.
      Whitish or greenish, deep-colored mucous evacuations.
      Dysenteric stools, with cutting at navel, pressing and straining on rectum, and discharge of bloody mucus with feces.
      Discharge of slimy matter and of bloody mucus, or of pure blood, also with loose evacuations.
      Contractive pain in rectum during evacuations, and at other times.
      Discharge of bright-red blood with feces with constriction and spasmodic contraction of rectum.
      Painful, spasmodically closed anus.
      Swelling and closing of anus.
      Painful blind hemorrhoidal tumours.
      Blind hemorrhoids, with sticking beating or pressive pain in rectum and anus, after a stool and after a meal.
      Hemorrhoids, with pain as from excoriation, shooting, burning pain, and pressure in anus and rectum, worse during meditation and intellectual labor.
      Bloodless piles in hysterical women (R.T.C.).
      Discharge of blood from anus.
      Jerking in anus when not at stool.
      Itching, tickling, and tingling in anus and rectum, as from ascarides.
      Discharge of ascarides.
      Aching and itching in perineum.

Urinary Organs.
      Strangury, complaints before making water.
      Abortive inclination to urinate, with pressure on urinary organs, troublesome pains in neck of bladder, and painful emission of urine, drop by drop.
      Spasmatic contraction of urethra.
      Painful emission of thick urine.
      Frequent emission of watery and pale urine, sometimes with discharge of thick mucus or purulent matter from urethra (during and after micturition).
      Tenacious mucus passes with urine, without pain.
      Urine: reddish with sediment of the color of brick-dust, turbid, with dirty yellow sediment in morning and when thinking.
      Urine sometimes scanty, sometimes copious, flatus passes with urination (cured, R.T.C.) – Pressure to urinate at night, with discharge of a few drops of red, bloody, burning urine.
      Pains in renal region, as if a foreign body were there, with inability to lie on side affected, scanty emission of some drops of a saturated urine, and discharge of blood from urethra.
      Burning pain in neck of bladder and in anterior part of urethra when making water.
      Constriction in fore part of urethra extending backward.
      Itching, and pains as of excoriation, in urethra, before, during and after emission of urine.

Male Sexual Organs.
      Tickling and itching in glans, and biting itching in inner surface of prepuce.
      Excoriation and retraction of prepuce.
      Prepuce sore on margin.
      Copious (increased) secretion of smegma behind glans.
      Itching, shootings, and constrictive pain in testes.
      Easily excited, strong sexual desire, with painful erections (especially in the morning, after midday nap).
      Increased sexual desire, with frequent erections and pollutions, worse in morning.
      Itching of scrotum.
      Pollutions, with flaccidity of penis, sometimes followed by coldness and weakness in lower extremities.
      Complaints from involuntary seminal emissions.
      Masturbation and its consequences.
      Sexual perversion.
      Nightly emission, with lascivious dreams, from high living etc., bad effects of sexual excesses.
      Dry heat of body and dryness of mouth after coition.
      Inflammatory swelling of testes, with painful sensitiveness to touch, hardness and retraction of testes (with stinging and spasmodic contraction extending to spermatic cords).
      Cramp-like pain and sensation of contraction in spermatic cord.
      Flaccidity of penis during coition.

Female Sexual Organs.
      Swelling of uterus, with great sensitiveness to touch.
      Prolapsus vagina, or prolapsus uteri.
      Cramp-like and contractive pains in uterus and hypogastrium, extending to thighs, with painful pressure towards the parts (and discharge of mucus).
      Congestion to and bearing down of uterus.
      Bearing-down with dysuria, cannot sit down without pain.
      Inflammation of the uterus and external parts.
      Burning in pudenda.
      Burning heat in the parts, with sexual desire.
      Ectasis erotica on slightest excitation, worse in bed in morning.
      Catamenia: premature and too scanty, too early and too profuse, with dark, black blood.
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