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Pulsatilla

Natural History.
      Pulsatilla nigricans.
      Anemone pratensis.
      Pulsatilla pratensis.
      Pasque Flower. (Sunny, sandy pastures in Central and Northern Europe and parts of South of England.) N. O. Ranunculaceae. Tincture of entire fresh plant when in flower (it flowers in spring and again in autumn).

Clinical.
      Acne.
      Amaurosis.
      Amenorrhoea.
      Anemia.
      Appetite, depraved.
      Bladder, catarrh of.
      Blepharospasm.
      Breasts, pain behind.
      Bronchitis.
      Cataract.
      Catarrh.
      Chaps.
      Chest, pains in.
      Chilblains.
      Clavus.
      Cold.
      Cough.
      Diarrhoea, of phthisis.
      Distension.
      Dysmenia.
      Earache.
      Epilepsy.
      Epistaxis Eyes, lachrymal sac, inflammation of, granular ophthalmia.
      Fear.
      Feet, soles painful.
      Foetus, mal-position of.
      Freckles.
      Gonorrhea. gout.
      Hemorrhoids.
      Hands, pains in.
      Heart, palpitation of.
      Heartburn.
      Hydrocele, congenital.
      Hysteria.
      Intermittent fever.
      Faints, synovitis of.
      Labor, spurious pains of.
      Lactation, disorders of.
      Leucorrhoea.
      Measles.
      Menstruation, abnormal, vicarious.
      Moles.
      Mumps.
      Neuralgia.
      Nymphomania.
      Ovaries, pain in, inflammation of.
      Phlegmasia alba dolens.
      Pregnancy, bladder trouble of, sickness of, heartburn of, diarrhoea of.
      Priapism.
      Prostate, inflammation of.
      Prostatorrhœa.
      Puerperal convulsions.
      Puerperal fever.
      Puerperal mania.
      Retained placenta.
      Rheumatism, gonorrheal.
      Side, pain in.
      Smell, illusions of.
      Spine, curvature of.
      Stye.
      Synovitis.
      Tape-warm.
      Taste, depraved, lost.
      Tongue, coated.
      toothache.
      Urine, incontinence of.
      Uterus, inflammation of, prolapse of.
      Veins, inflammation of, varicose.
      Whitlow.

Characteristics.
      As some confusion has arisen as to the Pulsatilla of homeopathic use, I will give Jahr's description of the plant: "Stems simple, erect, rounded, 3 to 5 inches high, leaves radical bipennatifid, oblong, flowers solitary, terminal, having folioles of calyx campanulate, bent at the point, the odor of the herb but slightly evident, taste acrid and pungent.
      The fresh plant contains an acrid and vesicating principle, and furnishes a corrosive oil, as well as a kind of tannin, which colors iron green, in the dry state it is entirely deprived of this acrid quality.
      Grows in sandy pasture grounds, on hills and declivities exposed to the sun." He further distinguishes this Black Pulsatilla from the Common Pulsatilla (Pulsatilla vulgaris, Anemone pulsatilla) which "grows only on dry and sterile hills and flowers in spring only, while the black-colored Pulsatilla flowers a second time in August and September." P-vulg. is much less downy than P-nig.: "Its flowers clear violet or pale red, straight and not hanging, seeds surmounted by a long silky tail." It is called Pasque Flower because it is in bloom at Easter, and its flowers are used for coloring Easter eggs. The Anemone is a medicine of ancient date, and its affinity for the eyes seems to have been noted from the first.
      Perhaps its tearful propensities gave rise to the legend that it sprang from the tears of Venus. Dioscorides mentions it as a remedy for headache and ophthalmia.
      Stoerck was the forerunner of Hahnemann in the modern use of Pulsatilla, which he employed especially in chronic affections of the eyes (catarrh, amaurosis, spots on cornea).
      A young girl who had had amaurosis of both eyes since infancy he cured in two months, administering an extract internally, and insufflating a dry powder.
      The latter "caused at first an acute pain and profuse flow of tears, after which the pains, which had existed previous to the lachrymation, diminished as soon as it commenced, and finally disappeared with it" (Teste).
      Other cures by Stoerck are: (1) Foul ulcers on foot with serpiginous tatters on neck and shoulder.
      (2) Paralysis of right arm of five years' standing.
      (3) Paralysis of thighs.
      (4) White swelling of knees.
      (5) Melancholia. Hahnemann quotes Stoerck's experiences in the proving of Puls. in M. M. P. "Of the numerous provings left us by Hahnemann," says Teste, "that of Puls. seems to be the one to which he has contributed himself more than any other, it is one of the most interesting and most characteristic provings of his materia medica." Teste himself has given a very luminous account of the remedy.
      He puts it at the head of a group with Silica., Calc., Hep. as its chief members (Graph., Phos. in less degree, with Fer., Cham., and Gadus as analogues).
      These drugs act principally, says Tests, on the vascular apparatus.
      All the symptoms which they have in common depend upon a small number of primordial symptoms (e.g., impeded respiration, engorgement of air passages, irregular beating of heart), indicating vascular disturbance.
      Hence arise(1) Throbbings here and there synchronous with the pulse.
      (2) Blackness and diminished fluidity of the blood.
      (3) Swelling of veins, capillary engorgement, a sort of ill-conditioned plethora.
      (4) Diminished vital heat and action.
      (5) Congestion of blood to head and engorgement of the sinuses.
      (6) Sensation of heaviness and fullness of brain, and (7) the same kind of pain sometimes with apoplectic shocks, in center or (more usually) on right side of brain.
      (8) Vertigo and cloudiness as in complete apoplexy, especially when atmospheric pressure is low, as at the approach of storms, and on heights [Others follow from which I make a selection.
      J. H. C.] Soft stools, and a passive diarrhoea without colic, which seems to ease the patient rather than weaken him, and continues for an indefinite period, e.g., in phthisical patients.
      Sort of numbness, torpor of the genital organs, with absence of erections and pleasurable sensation (especially among women) during an embrace, or else permanent sexual excitement, "probably from compression of the cerebellum by the blood which flows to it in excessive quantity and remains there, as is the case in certain forms of asphyxia, this is the cause of the sexual excitement with which phthisic persons are so often troubled." Delay of menses in spite of evident symptoms of a flow of blood towards the uterus, the menstrual blood is black, coagulated, impoverished if menses either too early or too late.
      One is obliged to lie with the head much higher than the rest of the body.
      Pains which manifest themselves principally in the parts on which one is not lying, but on changing position aggravated breaking out of those pains on the parts on which one has just been lying.
      This idea of vascular engorgement usefully strings together many of the leading characteristics of Puls., which will serve to indicate its use in a great variety of disorders.
      The leaves of the recent herb have an acrid, burning, and nauseous taste.
      Its juice draws blisters "to the extent, it is said, of causing gangrene, if allowed to remain in contact with the part for a sufficient length of time, but these properties are, in a great measure, lost by dessication, and ruminating animals, such as sheep and goats, eat the dry Pulsatilla, if mixed with other herbs, without aversion or inconvenience." An active principle, Anemonin, has been isolated, it is inflammable and crystallizes in colorless, odorless neutral needles.
      Hahnemann says of Puls.: "This powerful plant produces many symptoms on the healthy human body which often correspond to the marked symptoms commonly met with, hence, also, they admit of frequent homeopathic employment, and often do good.
      We can therefore unquestionably reckon it as a remedy of many uses (poly crest).
      It is useful in acute as well as in chronic diseases, as its action, even in small doses, lasts from ten to twelve days.
      The homeopathic employment of this, as of all other medicines, is most suitable when not only the corporeal affections of the medicine correspond in similarity to the corporeal symptoms of the disease, but also when the mental and emotional alterations peculiar to the drug encounter similar states in the disease to be cured, or at least in the temperament of the subject of treatment." Hahnemann now gives in masterly fashion the picture of the Puls. disposition and temperament: "A timid, lachrymose disposition, with a tendency to inward grief and silent peevishness, or at all events a mild and yielding disposition, especially when the patient in his normal health was good-tempered and mild (or even frivolus and good-humored, waggish.
      It is therefore especially adapted for slow, phlegmatic temperaments, on the other hand, it is but little suitable for persons who form their resolutions with rapidity and are quick in their movements, even though they may appear to be good-tempered.
      It acts best where there is a disposition to chilliness and adipsia.
      It is particularly suitable for females when their menses come on some days after the proper time, and especially when the patient must lie long in bed at night before he can get to sleep, and when the patient is worse in the evening.
      It is useful for the ill effects caused by eating pork." Hering gives these additional touches to the Puls. type: Sandy hair, blue eyes, pale face, easily moved to laughter or tears, affectionate, mild, timid, gentle, yielding disposition, women and children, women inclined to be fleshy, the pregnant state.
      The behavior of the "Wind Flower," the sport of every gust, has been said to typify the action of the remedy.
      Changeableness is one of its most important keynotes: Erratic temperatures in fevers.
      Wandering pains shift rapidly from one part to another, also with swelling and redness of the joints.
      Hemorrhages apparently stop and in a few hours return.
      Stools constantly changing color, no two stools alike.
      Alternate pallor and redness of face.
      When one set of symptoms comes on another vanishes.
      A patient of mine, after a mental strain and fright, had severe occipital pain.
      I gave Puls. 30.
      Each dose caused the pain to fly from the occiput to the left leg, the mental balance was soon restored.
      Metastasis of mumps to testes or mammae.
      Nash says Puls. will often clear up those cases which have no "head or tail" to them, in which the symptoms are always changing and contradicting, pains run here and there.
      The Puls. patient is chilly, but at the same time there is extreme aversion to heat.
      The chief of all the keynotes of Puls. is worse by warmth, in arm, close room, by warm coverings, warm applications, and better in open air, cold air or cool room, eating or drinking cold things, cold applications.
      Another keynote of Puls. is thirstlessness, and Teste gives a useful clue to that in suggesting that it depends on the congestive action of the remedy.
      The loss of thirst and even aversion to liquid food is "as if one had an instinctive dread of increasing the excessive fullness of the vessels." The wandering pains of Puls. are generally distensive, again suggesting congested vessels, and the headaches are congestive, worse on stooping forward, better by tightly bandaging, as if the brain would burst and the eyes would fall out of the head.
      The three characters, "chilly, worse by warmth, thirstless," serve to define the fever of Puls. in whatever from it may be measles, mumps, typhoid, bilious, catarrhal, intermittent, rheumatic, &c.
      The chilliness may be one-sided, and associated with numbness, it may be flitting, in spots now here, now there.
      With the heat there are distended veins and burning hands that seek cool places, and still there is no thirst.
      In the rheumatic the pains shift from joint to joint.
      The sweat is profuse, may be one-sided, sour, sweetish sour, or musty in odor.
      The last completes the similarity of Puls. to the "mousey" odor of measles, the cough, catarrhal symptoms, and rash giving other strong points of correspondence.
      The ear trouble which is a common sequela and complication of measles or other fever is frequently met by Puls., which also meets the consequences of suppressed exanthemata and metastases, as of mumps to testes or mamma.
      As a prophylactic against measles Puls. has a reputation almost equal to that of Bell. Against scarlatina: I generally give Puls. 3 three times a day.
      The generative organs of both sexes are strongly acted on by Puls., which may almost be regarded as an organ-remedy in relation to them.
      Gonorrhea, with thick, purulent secretion, and the effects of suppressed gonorrhea, orchitis, and cystitis, prostatitis, sarcocele, varicocele, hydrocele all come within the sphere of Puls. In the female Puls. ranges over the whole sexual period, from puberty to the climacteric, including disorders of menstruation, pregnancy, the puerperium and lactational of which present many points of correspondence with the symptoms of Puls. Epilepsy with absence or irregularity of menses has been cured with Puls. Bojanus (B. J. H., xxxix. 218) relates two cased: (1) Girl, 18, of good constitution, with no hereditary predisposition, had amenorrhoea for six months, and a fit occurred at the time each period was due.
      Aura: sad, pale as death, chewing movements.
      Puls. 6 one dose a day.
      Next month menses returned and there were no more fits.
      (2) Robust girl, 14, with no hereditary predisposition.
      Fits twelve months.
      Exciting cause: non-appearance of menses.
      One great fit per month, small fits daily.
      Aura: self willed, angry, stands on one spot, stares into vacancy, stamps her foot.
      In fit: cries, deathly paleness, biting tongue, flow of urine, continuing the occupation she was engaged with at commencement of fit.
      Puls. 30 one dose a day.
      Some weeks after a slight fit.
      Month later menses came on for first time, no great fits, small ones rare.
      Puls. 30 one dose a week.
      Month later a great fit.
      Puls. once a day.
      No more great fits, only a few small ones.
      Cure permanent.
      A patient to whom I was giving Puls. 3 for some heart affection complained that she could not take it because it caused her to wake up in the night with a dry cough, and she was compelled to sit up in bed to get relief.
      That is a characteristic cough of Puls., and I have frequently cured it in other patients.
      Puls. has a cough with copious expectoration, and this is the more usual, but they may be alternating conditions.
      The congesting action of Puls. is well shown in the respiratory symptoms.
      Remarking on this symptom, "Pressure upon the chest and soreness," Hahnemann says that in the catarrhal condition they refer to, "the glands of the air passages appear to be swollen and inflamed, and unable to secrete the mucus necessary to moisten the, hence the sensation of dryness, rawness, painfulness, and the illusory sensation as if the air passages were internally constricted by an excessive amount of tenacious and firm mucus which could not be loosened." Commenting on another symptom of Puls. ("dyspnoea or vertigo, with weakness of the head on lying outstretched upon the back, wholly disappearing on sitting upright"), Hahnemann elucidates some of its Conditions: "The symptoms of Puls. caused by lying down, sitting up, rising from sitting, by walking and by standing, consist of varying alternate conditions, all of which belong to the primary action of the drug, but which vary in their character.
      Usually the symptoms of Puls. which occur while lying still upon the back are better by sitting upright, seldom the reverse, frequently the symptoms that appear while sitting still are better or removed by gradual motion and by walking, seldom the reverse.
      Yet the act of rising, before one begins to walk, causes symptoms more numerous and more severe the longer the sitting has continued, so also longer continued and more violent motion causes aggravation no less long than sitting still, which, however, are only really felt and noticed after one has sat down and become quiet." Other leading indications of Puls. are: First serious impairment of health is referred to age of puberty, "never been well since" anaemia, bronchitis, phthisis.
      Secretions (of eye, ear, nose, vagina, &c.) are generally thick, bland, and yellowish green.
      The pains appear suddenly and leave gradually, or tension much increases till very acute, then "lets up with a snap." Great dryness of mouth without thirst.
      All-gone sensation in stomach, especially in tea-drinkers.
      Worse At twilight, in evening (the wide-awake on first going to bed comes within this modality).
      Suffering parts emaciate.
      Peculiar Sensations are: As if beside himself.
      As if in a hot atmosphere.
      As if death were near.
      As if looking through a sieve.
      Limbs as if bruised, as if asleep.
      As if one had turned in a circle a long time, as if he would fall, as if he were dancing.
      As if brain would burst and eyes fall out of head.
      As if skull of forehead too thin.
      As if skull were lifted up.
      As if one had eaten too much.
      As if a nail driven into occiput.
      As if head between screws.
      As if gimlet piercing skull.
      As if eyes tightly bound by cloth.
      As if foreign body pressing in eye, sand in eye, thick body forcibly driven into ear, something crawling out of ear, worm creeping into throat.
      As if nose would be forced asunder.
      As if face being drawn tighter and tighter, then suddenly let loose as if a string cut.
      As if a nerve in tooth put on stretch and then let loose.
      As if he had to swallow over a lump.
      As of stone in stomach.
      As if bladder too full, as if it would fall to side on which he is lying, as of a stone in bladder or in abdomen or chest.
      As if joints would be easily dislocated.
      Small of back as if sprained.
      As if a hand passed through back and everything were constricted.
      Chill as if drenched with cold water.
      As if head would burst on coughing.
      Tongue as if burnt.
      Pain as from subcutaneous ulceration.
      As of a hot coal above ulcer.
      The symptoms are worse by touch, better by hard rubbing and pressure (but stomach, bladder, uterus, very sensitive to pressure).
      better Uncovering. Aversion to and worse from meat, butter, fat food, pork, bread, milk, buck-wheat, ice cream, smoking.
      Desire for: sour, refreshing things, herring, lemonade.
      better From cold, worse from warm foods.
      Rest worse (ameliorates pain in testes, labor-like pains, weakness in joints).
      Cannot rest though motion worse.
      The longer he lies in the morning the longer he wishes to lie.
      better Lying with head high.
      Worse Lying on left side, on sound side.
      Pains which come on when lying on back are better by turning to either side (also vice versa), must sit up and turn.
      When rising up the red face turns deathly pale.
      Great inclination to stretch feet.
      Gentle motion better, slow walking better.
      Violent motion worse.
      Misstep worse stitching pains in stomach.
      Intellectual labor, or watching will causes headache, meditation will sometimes better.
      Most symptoms worse evening and night.
      Worse Twilight: "As evening comes on begins to fear ghosts," all symptoms worse alternate evenings.
      Worse Before thunderstorm. Sun worse.
      Worse Hot food, is vomited immediately, worse toothache.
      Worse Changes of weather.
      Worse Getting wet. Wind worse.
      Draught of air ameliorates toothache.

Relations.
      Antidoted by: Cham. (Cham. and Puls. antidote each other and follow each other well.
      If either one has over-acted the other will probably neutralize the ill effect and carry on the good), Coff., Ign., Nux (Teste adds Sul., and says when the improper use of Puls. has affected the air passages Calc. ph. has proved his best antidote).
      Antidote to: Chi., Chi. sul., Fer. (in chlorotic girls who have been damaged by Iron, Puls. has excellent effect), Mag. c., Sul., Sul. Ac., vapors of Mercury and Copper, Bell., Cham., Coff., Colch., Lyc., Plat., Gels., Strm., Saba., Ant-t., Whisky, Toad-stool poisoning.
      Compatible: Ars., Bry., Bell., Ign., Kali-bi., Lyc., Nux, Pho., Rhus, Sep., Sul.
      Complementary: Lyc., Sul-ac., Arg-n. (if Arg-n. flags, give Puls., Arg-n. follows Puls. in ophthalmia), Stn. (Stn. has menses too early and too profuse).
      Compare: Tearfulness, Sep. (Puls. cries when telling her symptoms, Sep. weeps when questioned about her symptoms, Sep. Irritability and anger, indifference to household affairs), Nat. m. (Nat. m. is worse by consolation), Ign. (Ign. hides her grief).
      Varicose veins, varicocele, orchitis, phlegmasia alba dolens, Ham.(Ham. has soreness of affected part).
      Ophthalmia, Arg-n. Cold, Cycl. (Cycl. has spasmodic sneezing), Cep. (both have worse in room, better open air, but Cep. discharge is thin and excoriating, Puls. thick and bland), Pen. sed. (Pen. sed. has rawness in nose and throat, and "constant wet feeling without coryza," later thick and purulent like Puls.).
      Stinging pains in throat worse swallowing saliva and after eating, Apis. Feeling as if food lying in oesophagus, Chi., Abies n. Effect of fat food, Ip. Thuj., Carb-v. Effect of ice-cream, Ars., Carb-v., Ip., Bells. Mixed diet, Nux, Ip., Chi. Desire for lemonade, Cy c., Sabi., Bell. Gastric ailments from pork, Ant. c. (tongue as if whitewashed, vomiting predominates, Puls. stool greenish and slimy), Ip. (tongue clean, nausea predominates).
      Spasmodic, irregular pains causes faintness, Nux. Retained placenta, Canth. After-pains, Cham., Xan., Cup. (in women who have borne many children).
      Non-appearance of milk, Urt-u., Ric. com., Agn. c. Uterine affections, Caul., Helon., Since., Alet. F., Cycl., Hydras., Lil. Measles, Morbillin, Kali-bi. Backache worse sitting, Zn., Cobbalt., Sep., Can-i. Earache, Borax. Knee-joint affections, Anac. (Anac. chronic).
      worse From wine, Zn. (Puls. from sulphurated wine,) Rho., Glo., Nux, Sel., Lach., Fl. ac., Ant. C., Bov., Sil. Thick, yellowish, green nasal discharge, Merc. (Puls. bland, Merc. has moist mouth and intense thirst, and Puls. and Nux m. dry mouth without thirst).
      Sudden vanishing of sight with scanty menses, Sep., Cycl. Diarrhoea from fright, Gels. (Puls. stools greenish, yellow, or slimy, or very changeable).
      Hypertrophy of heart, better from slow motion, Rhus. Menstrual colic, Coccul. (Coccul. as if sharp stones rubbed together with every movement).
      Vicarious menstruation, Bry., Pho. Ozaena with thick greenish discharge, gleet, gonorrheal rheumatism, effects of tea, Thuj. (the gleet of Puls. is thicker than that of Thuj.).
      Scanty menses, Graph. better Open air, Sul. (Lyc. desires open air, but is worse in cold, damp air).
      Climacteric state, Lach. better Uncovering, Lyc., Camph., Aco., Sec. worse From heat, Apis, Iod. Nausea in upper chest and in hypogastrium, Puls. (nausea in hypogastrium, generally with uterine bearing down, Rhus).
      Nausea when fasting, Calc., Lyc., Silica., when beginning to eat, Nux, Sul. Nausea in chest, Ant. t. Acid stomach, Chi., Calc., Sul., Sil., Robin. Menstrual pain begins with the flow (opp.
      Lach., pain subsides as flow begins).
      Acquisitiveness, Ars., Lyc. Dread of disease, Calc., Lach., Nux. Worse Lying on left side, better cold food and drink, Pho. Ribbon-like stools (Pho. like dog's).
      Fears darkness, Am. m., Ars., Bar. C., Berb., Calc., Carb-a., Carb-v., Caust., Lyc., Pho., Rhus, Stro., Val., Stram. Fear of ghosts, Aco., Ars., Bro., Lyc., Ran. b., Sep., Sul., Zn. Piles during menses, Am. C., Ars., Carb-v., Coccul., Collins., Graph., Ign., Lach., Mur-ac., Pho., Sul. Faintness connected with stools, Ap., Nux-m., Spi., Ver. (with scanty stools, Crot-t., Dulc., Ox-ac., Pet. Sars., Sul.) Stoppage of menses form wet feet, Rhus., Lob. i. Chilblains, Agar. Vertigo on looking up (Calc. on turning head, Sul. on looking down).
      worse In bed at night, Sul., Merc., Cham. Taste bitter with biliousness of a morning, the taste felt chiefly in upper chest, Sul. One hand cold the other hot, Chi., Dig., Ip., Mosch. Metastasis of mumps of testes, Bell., Kali-ca., Rhus (to brain, Bell., Hyo.).
      Effect of taking cold, fever, Aco. (Aco. has great thirst and anguish).
      Inter-menstrual hemorrhage, Bov., Ham. Worse Hair-cutting, Bell. better Lying on painful side, Bry. Erratic temperatures (Zn. nervous high temperatures).
      Puls. is a close analogue of Cycl. in many respects, but Cycl. has profuse menses, the flow being worse sitting and better walking (Puls. worse during day, Kre. worse lying down), and Cycl. has worse in open air.
      Puls. and Nux are in most respects antipodal, though they follow each other well, Puls. has better lying on back, worse turning to either side, Nux has worse lying on back, better turning to either side.
      Silica is the chronic of Puls., and Sul. also in many respects.

Causation.
      Chill.
      Wetting feet.
      Eating: Pork, Fats, Pastry, Ice-cream, Mixed diet. Thunderstorm.
      Tea.

Mind.
      (This remedy is particularly applicable for complaints which are found to occur in patients of a mild, yielding, or good-natured disposition, also in those who by their sickness, or naturally, are very easily excited to tears
      they are very apt to burst into tears whenever spoken to, or when they attempt to speak, as in giving their symptoms, &c.
      Affections of the mind in general, covetous, mistrustful, absent-minded, low-spirited (H. N. G.) Melancholy with sadness, tears, great uneasiness respecting one's affairs or about the health, fear of death (tremulous anguish, as if death were near), care and grief.
      Involuntary laughter and weeping.
      Great anguish and inquietude, mostly in precordial region, sometimes with inclination to commit suicide, palpitation of heart, heat, and necessity to loosen the dress, trembling of hands, and inclination to vomit.
      Fits of anxiety, with fear of death, or of an apoplectic attack, with buzzing in ears, shiverings, and convulsive movements of fingers.
      Apprehension, anthropophobia, fear of ghosts at night or in evening, with an impulse to hide or to run away, mistrust and suspicion.
      Covetousness.
      Taciturn madness, with sullen, cold, and wandering air, sighs, often seated with the hands joined, but without uttering any complaint.
      Despair of eternal happiness, with continual praying.
      Discouragement, indecision, dread of occupation, and obstructed respiration.
      Disposition envious, discontented, and covetous, exhibiting itself in a wish to appropriate everything.
      Caprice, with desire at one time for one thing, at another time for something else, either being rejected as soon as obtained.
      Hysterical laughter after meals.
      Hypochondriacal humor and moroseness, worse evening, often with repugnance to conversation, great sensitiveness, choleric disposition, cries, and weeping.
      Ill-humor, sometimes with a dread of labor, and disgust or contempt for everything.
      Inadvertence, precipitation, and absence of mind.
      Difficulty in expressing thoughts correctly when speaking, and tendency to omit letters when writing.
      Giddiness, patient neither knows where he is nor what he does.
      Great flow of very changeful ideas.
      Nocturnal raving, violent delirium and loss of consciousness.
      Frightful visions.
      Weakness of memory.
      Fixed ideas.
      Stupidity.

Head.
      Fatigue of head from intellectual labor.
      Sensation of emptiness and confusion in head, as after long watching or after a debauch, and sometimes with great indifference.
      Stupefaction in evening, in warm room, with chilliness.
      Stupefying headache, with humming in head, worse when lying or sitting quiet, or in the cold.
      Vertigo as during intoxication, or vertigo to such an extent as to fall, and staggering, worse evening, or morning when rising up, when getting up after lying down, when sitting, when stooping, when walking in open air, or after a meal, as well as on raising eyes, and often with great heaviness and heat in head, paleness of face, inclination to vomit, sleep, cloudiness of eyes, and buzzing in ears.
      Meditation and conversation worse the vertigo.
      Fits of dizziness and loss of consciousness, with bluish redness and bloatedness of face, loss of motive power, violent palpitation of heart, pulse almost extinct, and respiration rattling.
      Pain as from a bruise in brain (as if brain were lacerated, on or soon after waking), as in typhus fever or after intoxication with brandy.
      Headache as from indigestion, caused by eating fat food (or from the abuse of Mercury).
      Pain in head as if forehead would split, or as if brain were tight, compressed, or contracted.
      Headache on moving eyes deep in orbits as if forehead would fall out, and frontal bones were too thin, with dulness of head, evening.
      Semilateral headache as if brain would burst and eyes fall out of head,
      Soreness as from subcutaneous ulceration in one or both temples, worse in evening, when at rest, and in warm room, better by walking in open air.
      Twitching-tearing in temple on which one lies, and going to the other side when turning on it, worse in evening and on raising eyes upwards.
      Congestion of blood to head, with stinging pulsation in brain, especially when stooping.
      Shootings, or sharp drawing and jerking pains, or tingling pulsation, and boring in head,
      Headache across eyes like a drawing-up and letting go again.
      Roaring, buzzing, and crackling in head, or painful sensation, as if a current of air were crossing brain.
      The headache is often only semilateral, extending as far as ear and teeth, where it affects forehead (generally in one temple) above eyes, penetrating into sockets, or it is experienced in occiput, with painful contraction in nape of neck (with vertigo, ringing in ears, and vanishing of sight).
      Appearance or worse of headache in evening, after lying down, or at night, or in bed in morning, as well as on stooping, on moving eyes or head, when walking in open air, and during intellectual labor, compression sometimes better.
      Headache better by meditation.
      Headache with nausea and vomiting, or with congestion and heat in head, or else with shuddering and syncope, vertigo, cloudiness of eyes, loss of sight, and buzzing in ears, photophobia, and weeping.
      Pain in scalp on turning up hair (or on brushing hair backwards).
      Tickling and itching in head.
      Purulent pustules and small tumours, with pain in scalp as from ulceration (suppurating and affecting the skull, more painful when lying on the opposite well side).
      Tingling, biting-itching on scalp, mostly on temples and behind ears, followed by swelling and eruptions, sore pain, worse in evening when undressing and on getting warm in bed.
      Fetid, frequently cold perspiration, at times only on one side of head and face, with great anxiety and stupor, worse at night and towards morning, better after waking and rising.
      Disposition to take cold in head, worse when it gets wet, sweat of scalp and face.

Eyes.
      Affections in general appearing on the cornea, margins of the eyelids, dimsightedness, with a sensation as though there were something over the eye which the patient wishes to rub away, amaurosis, cataract.
      Pain in eyes as if scratched with a knife.
      Burning sensation, pressive pain as if caused by sand, or sharp or shooting pain in eyes, or else boring and incisive pain.
      Burning itching in eyes, chiefly in evening (inducing rubbing and scratching).
      Inflammation in eyes and margins of lids (and meibomian glands), with redness of the sclerotica and conjunctiva, and copious secretion of (thick) mucus (and nightly aggultination).
      Swelling and redness of eyelids.
      Trichiasis in eyelid.
      Styes, especially on upper lid.
      Crystalline lens clouded and of a greyish color.
      Stye with inflammation of sclerotica, and tensive drawing pains on moving the muscles of the face.
      Dryness of eyes and lids, especially during sleep.
      Profuse lachrymation, principally in the wind, as well as in open air, in the cold, and in clear, bright daylight.
      Acrid and corrosive tears.
      Abscess near angle of eye, like a lachrymal fistula (discharging pus on pressing it).
      Nocturnal agglutination of lids.
      Pupils contracted or dilated.
      Amaurosis, paralysis of optic nerve.
      Look fixed and stupid.
      Dimness of sight, especially on getting warm from exercise.
      Cloudiness of eyes and loss of sight, sometimes with paleness of face and inclination to vomit, (all objects present a sickly hue).
      Loss of sight in twilight, with sensation as if eyes were covered with a band.
      Sight confused, as if directed through a mist, or as if caused by something removable by rubbing, principally in open air, in evening, in morning, or on waking.
      Incipient cataract.
      Diplopia.
      Luminous circles before eyes, and diffusion of light of candles.
      Great sensibility of eyes to light, which causes lancinating pains (and in sunshine).

Ears.
      Pain in ears, as if something were about to protrude from them.
      Shootings with itching, or sharp, jerking pain, and contraction in and round ears, the pains sometimes come on by fits, affect whole head, appear insupportable, and almost cause loss of reason (may be accompanied by high fever, &c.).
      Earache with shooting down to teeth of lower jaw, worse when warm in bed.
      Earache in both ears with violent headache, frontal and occipital, worse at night.
      Inflammatory swelling, heat, and erysipelatous redness of ear and auditory duct, as well as of surrounding external parts.
      Painful swelling of bones behind ears.
      The cerumen is hard and black.
      Bland, nearly inoffensive discharge of mucus and pus from ear.
      Discharge of pus, of blood, or of a thick yellowish humor from left ear.
      Discharge from one or both ears, which may come on after measles or any other disease, or may occur spontaneously.
      Otorrhoea with throbbing tinnitus.
      Warbling, pulsative murmurs, tinkling, roaring, and humming in ears.
      Hardness of hearing, as from an obstruction (especially from cold, from having hair cut, of after suppressed measles).
      (Deafness after washing head.
      R. T. C.)
      Burning, gnawing scabs at the tragus (with swelling of glands of neck).
      Shootings in parotids.

Nose.
      Pressure and pain as from an abscess in root of nose (near inner canthus, as if a lachrymal fistula would form).
      the nose feels sore internally and externally.
      Ulceration of nostrils and of the alae nasi (emitting a watery humor).
      Discharge of fetid and greenish or yellowish pus from nose (like old catarrh).
      Old catarrh, frequently a profuse discharge every morning, in mild and pleasant persons.
      Nasal catarrh accompanied by special discomfort in the house, cannot breathe well in a warm room, and great better by going out into the open air.
      Blowing of blood from nose and nasal hemorrhage (blood coagulated, with dry coryza, with suppressed menses), sometimes with obstruction of nose.
      Obstruction of nose and dry coryza, principally in evening and in the heat of a room.
      Coryza with loss of taste and smell, or with discharge of thick (yellowish green) and fetid mucus.
      Tickling in nose and frequent sneezing, principally in morning an evening.
      Constant shivering during coryza.
      Imaginary smells.
      Constant smell before nose, as from a coryza of long standing, or as of a mixture of coffee and tobacco.
      Swelling of nose.
      Nasal bones pain as if they would be forced asunder.

Face.
      Face pale (or yellowish, with sunken eyes) and sometimes with an expression of suffering.
      Painful sensitiveness of skin in face.
      Boring in left malar bone.
      (Neuralgia of right face, worse and then better by warmth, tightness across forehead as from a tight-string, keeps her awake at night.
      R. T. C.)
      Pallor of face, alternating with heat and redness of cheeks.
      Heat and redness of right cheek only.
      Sweat on face and scalp, shuddering or one (right) sided sweat of face.
      Face (and nose) puffed and of a bluish red color.
      Convulsive movements and muscular palpitations in face.
      Tension and sensation of swelling in face, or painful sensibility of skin, as if it were excoriated.
      Erysipelas in face, with shooting pain and desquamation of skin.
      Red nodosities in region of cheek-bones.
      Lower lip swelled and cracked in middle.
      Swelling, tension, and cracks in lips, with desquamation of skin.
      Gnawing and smarting around mouth.
      Sharp and contractive pain in jaws.
      Swelling of submaxillary and cervical glands.

Teeth.
      Sharp, shooting pains in teeth, or drawing, jerking pains, as if the nerve were tightened, then suddenly relaxed, or pulsative, digging, and gnawing pains, often with pricking in gums.
      Jerking and stinging in teeth, extending to ears and eyes.
      Toothache which affects the sound as well as the carious teeth, often only semilateral, and frequently extending to face, side of head, ear, and eye, on the side affected, being sometimes accompanied by paleness in face, shivering, and dyspnoea.
      Toothache worse or appears principally in evening or afternoon or at night, as well as in heat of bed or of a room, renewed by eating, as also by partaking of anything hot, and by irritation with the toothpick, better by cold water or fresh air.
      Toothache from cold (in the first warm spring days), with otalgia, paleness of the face, and chilliness.
      The toothache is also sometimes worse by cold water as well as by fresh air or by wind, but these cases are rare.
      Sensation of burning or swelling, pain as from excoriation, and pulsation in gums (worse by the heat of the stove).
      Looseness of teeth.

Mouth.
      Dryness of mouth in morning (without thirst).
      Offensive smell, and even putrid fetor from mouth, principally in morning or at night, and in bed in evening.
      Flow of sweetish and watery saliva from mouth, sometimes with inclination to vomit.
      Sensation as if tongue were too large.
      Tongue feels dry, and clammy.
      Painful blister on right side of tip of tongue.
      Sensation in middle of tongue, even when it is moistened, as if it had been burned and were insensible, at night and in morning.
      Edges of tongue feel sore as if scalded.
      Tongue loaded with a thick coating of a greyish, whitish, or yellowish color (and covered with tough mucus).
      Accumulation of tenacious mucus in mouth and on tongue, these parts are, as it were, coated with a white skin.
      Cracks and painful vesicles on tongue.
      Sensation as if the palate were swollen, or covered with tenacious mucus.
      Constant spitting of frothy, cotton-like mucus.

Throat.
      Pain as from excoriation in throat, as if it were all raw, with scraping, burning sensation and smarting.
      Redness of throat, tonsils, and uvula, with sensation as if those parts were swollen, worse swallowing.
      Difficult deglutition, as from paralysis, or from contraction of throat.
      Shootings in throat, with pressure and tension during empty deglutition.
      Inflammation of throat, with varicose swelling of veins.
      Dryness in throat (in morning) or accumulation of tenacious mucus, which covers the part affected (especially night and morning).
      The sore throat is generally worse in evening or afternoon.
      Sensation of a worm creeping up into throat.

Appetite.
      Insipid mucus, putrid taste in mouth, empyreumatic, earthy, or pus-like taste.
      Taste: fatty, lost, in colds where there is an entire loss of taste.
      Sweetish, acid, or bitter taste in mouth, and of food, principally meat, bread, butter, beer, and milk, substances which also often appear insipid or cause disgust.
      Bitter or sour taste in mouth immediately after eating, as well as in morning and evening.
      Wine has a bitter (beer a sweet or bitter) and meat a putrid taste.
      Food appears either too salt or insipid.
      Want of appetite and dislike to food.
      Hunger and desire to eat, without knowing what.
      Ravenous hunger, with gnawing pain in stomach.
      Complete adipsia, or excessive thirst, with moisture on tongue, and desire for beer, or spirituous, tart, and acid drinks.
      Thirstlessness with all complaints.
      Sensation of derangement in stomach, similar to that caused by fat pork or rich pastry.
      Repugnance to tobacco smoke.
      After eating, nausea and eructations, regurgitation and vomiting, inflation, and aching in pit of stomach, colic and flatulence, headache, obstructed respiration, ill-humor and melancholy or involuntary laughter and weeping, and many other sufferings.
      Bread, esp., lies heavy on stomach.

Stomach.
      Frequent eructations, sometimes abortive, or with taste of food, or acid, or bitter, and principally after a meal, like bile in evening.
      Regurgitation of food.
      Water brash.
      Frequent hiccough, principally on smoking tobacco, after drinking, or at night, and sometimes with fit of suffocation.
      (Constant hiccough with jaundiced look and burning pains about shoulders.
      R. T. C.)
      Insupportable nausea and inclination to vomit, sometimes extending to throat and into mouth, with distressing sensation as of a worm crawling up oesophagus.
      Morning sickness (during pregnancy).
      Attacks of constriction and choking in oesophagus.
      Scraping sensation in stomach and oesophagus, like a heartburn.
      Vomitings, sometimes violent, of greenish mucus, or bilious and bitter, or acid matter (especially in evening and at night).
      Vomiting of food.
      Hematemesis.
      The nausea and vomiting take place principally in evening or at night, or after eating or drinking, as well as during a meal, and they often manifest themselves with shivering, paleness of face, colic, pains in ears or back, burning sensation in throat, and borborygmi.
      (Persistent indigestion in fits, with great weight on chest and sickish feeling, from mental and physical upset.
      R. T. C.)
      Cold in stomach from ice-cream and fruit.
      Colic, with nausea, ceasing after vomiting.
      Painful sensibility of region of stomach to least pressure.
      Disordered stomach (digestion) from eating fat food (pork).
      Pressive, spasmodic, contractive, and compressive pains in stomach and precordial region, principally after a meal or in evening or in morning, and often with vomiting or nausea and obstructed respiration.
      Tingling or pulsations in pit of stomach, or shooting pain on making a false step, or on uneven pavement.
      Pain in epigastrium, which is greatly worse when sitting (during pregnancy).

Abdomen.
      Inflammation of abdomen, with great sensitiveness of integuments to pressure.
      Drawing tension in hypochondria, or pulsative shootings, as in an abscess.
      Hard distension of abdomen, principally in epigastrium, with tension, and sensation as if all were full, hard, and impassable, as if no stool or flatus could be expelled, though a stool does pass slowly but not hard, and yet the flatus is passed with difficulty and in small amounts.
      Chilliness extending from abdomen to lower part of back.
      Pressure in abdomen and small of back as from a stone, limbs go to sleep while sitting, ineffectual desire to stool.
      Spasmodic and compressive pains, sometimes at bottom of hypogastrium, with pressure on rectum or cuttings, principally round navel (low down in abdomen, penetrating into pelvis), or sharp and shooting pains in abdomen.
      Colic and labor-like pains in pregnant women.
      Colic with chilliness, while the menstruation is suppressed.
      Sensitiveness and inflammation of abdominal walls.
      The colics are often accompanied by vomiting or diarrhoea, they manifest themselves mostly in evening or after eating or drinking, and are sometimes better by squeezing the abdomen or by repose, while movement worse them.
      Annular swelling round navel, painful when walking.
      Retraction and soreness of abdomen, with great sensibility of integuments of abdomen, which appear swollen, with pain as from a bruise on touching them, or on yawning, singing, coughing, and at every movement of the abdominal muscles.
      Stitches and cutting in abdomen in evening, worse on sitting still.
      Flatulent colic, principally in evening, after a meal, or after midnight, or in morning, with pressive pains, produced by incarcerated flatus, tumult, borborygmi, and grumbling in abdomen and escape of fetid flatus.
      Painless rumbling of flatulence in upper abdomen.
      Constriction as from a stone extending to bladder.
      Purulent pustules in groins.

Stool and Anus.
      Constipation and difficult evacuations, sometimes with painful pressure on rectum and pains in back.
      Constipation, especially if faeces are hard and large, after intermittent fever suppressed by Chininum sulph. Frequent want to evacuate, even at night.
      Involuntary and unperceived evacuations during sleep.
      Stools frequent soft, diarrhoeic, consisting of yellow mucus or mixed with blood, preceded by cutting in abdomen, or with pains in small of back.
      Nightly diarrhoea, discharges watery or green like bile, after previous rumbling in abdomen.
      Stools consisting only of mucus, or acrid, or bloody, or very offensive, or white.
      (Diarrhoea, white, cream-colored stools, involuntary.
      R. T. C.)
      (White, clayey liverish stools resume their normal color.R. T. C.).
      Dysentery, with pain in back.
      Loose evacuations, even at night, and sometimes with colic and cuttings, shiverings and shudderings, and pains in anus.
      Diarrhoea, particularly when it is very changeable and no two stools are alike, flatus very fetid, sometimes obstructed, causing much pain.
      Diarrhoea during menses, particularly if it comes on at night.
      Frequent evacuations of whitish, yellowish, sanguineous mucus, or of greenish, minced, bilious, or watery, and sometimes corrosive matter (may contain tapeworm).
      Before and after evacuations, burning, smarting, and pains as from excoriation in anus and rectum.
      During stool congestions of blood to anus.
      Discharge of blood from anus even when not at stool.
      Blind and bleeding hemorrhoids, with itching, smarting, and pain as from excoriation.
      Protrusion to hemorrhoids.
      Hemorrhoidal tumours with great soreness.

Urinary Organs.
      Urine very scanty, bloody, with mucus, reddish, complaints before making water and during, when going to urinate there is a sensation as if it would gush away, and patients can scarcely wait.
      Retention of urine, with redness and heat in region of bladder, anxiety, and troublesome pains in abdomen.
      Tenesmus of bladder and frequent want to urinate, with painful pressure on bladder and drawing pain in abdomen.
      Involuntary micturition, at night in bed, especially in little girls.
      Involuntary emission of some drops of urine when coughing, walking, sitting down, expelling flatus (or during sleep).
      Wetting the bed (at night, especially in mild-tempered, tearful people, and in children).
      Enuresis of old people with distended colon (R. T. C.)
      Profuse emission of watery urine, with weakness in loins and diarrhoea, or scanty red or brown urine, sometimes with a violet-colored froth.
      Urine, with sediment, red, or of the color of brick-dust, or violet, or mucous, or gelatinous.
      Sanguineous urine with purulent deposit and pains in loins.
      Hematuria with burning at orifice of urethra, and with constriction in region of navel.
      Hematuria in cows and in human beings (R. T. C.)
      Discharge (thick) from urethra as in gonorrhea.
      Contraction of urethra with a very small stream of water.
      During micturition burning in urethra.
      Burning during and after emission of urine.
      Pulling and pressure in urethra, neck of bladder, and also in the bladder.
      Pressure and constriction in bladder, with soreness (sensitiveness) in that region.
      Swelling near neck of bladder, with soreness when touched, intermittent stream of urine, and spasmodic pain in pelvis and thighs after urinating.
      Urine watery, colorless, brown, bloody.

Male Sexual Organs.
      Itching and tickling in prepuce and scrotum, worse morning and evening.
      Itching-burning on the inner and upper side of the prepuce.
      Inflammatory swelling of testes and spermatic cords (sometimes only on one side), with pressive and drawing pa