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A DICTIONARY OF PRACTICAL

MATERIA MEDICA
By John Henry CLARKE, M.D.
Presented by Médi-T ®

Natrum Muriaticum.
Sodium chloride. Common Salt. NaCl. Trituration.
Solution.

Clinical.─Addison's disease. Anæmia. Aphthæ. Atrophy.

Brain-fag. Catarrh. Chorea. Constipation. Cough. Cracks in
the skin. Debility. Depression. Diabetes. Disparunia.
Dropsy. Dyspepsia. Epilepsy. Erysipelas. Eyes, affections of.
Eye-strain. Face, complexion unhealthy. Gleet.
Glossopharyngeal paralysis. Goître. Gonorrhœa. Gout.
Headache. Heart, affections of. Hemiopia. Hernia. Herpes.
Herpes circinatis. Hiccough. Hodgkin's disease.
Hydroa. Hypochondriasis. Intermittent fever. Leucocythæmia.
Leucorrhœa. Lips, eruption on. Lungs, œdema
of. Menstruation, disorders of. Mouth, inflammation of.
Nettlerash. Pediculosis. Ranula. Seborrhœa. Self-abuse.
Somnambulism. Speech, embarrassed. Spermatorrhœa. Spinal
irritation. Spleen, enlarged. Sterility. Stomatitis.
Sunstroke. Taste, lost; disordered. Tongue, blistered; white
coated; heavy. Trifacial-nerve paralysis. Ulcers. Varices.
Vaginismus. Vertigo. Warts. Whooping-cough.
Worms. Yawning.

Characteristics.─If Nat. carb. is the typical salt of the Natrum

group (as Kali carb. is of the Kalis), Nat. m. is the most
important. In power and range it stands in the first rank of
homœopathic remedies, but it has an additional significance, in
that it exemplifies the power of attenuation in a remarkable
way. The problems involved in Nat. m. may be regarded in a
sense as the pons asinorum of homœopathy. Those who are
able to grasp in a practical way the homœopathic uses of this
remedy are not likely to meet with any insuperable difficulties
elsewhere. Those who can see nothing but "common salt"
in Nat. m. may conclude that they have not "the root of the
matter" in them. It may be inconceivable to some that the
attenuations of Nat. m. should act independently, as curative or
pathogenetic, at the same time that crude salt is being ingested
in quantities; and it may seem that an infinitesimal amount of a
substance which is a necessary constituent of our tissues
cannot possibly have any action at all; but this problem is
constantly before the homœopathist, and if he cannot master it
in respect to Nat. m. he need not trouble his brains to try
elsewhere. Nat. m. has been extensively proved, both in the
lower triturations and in the 30th and higher attenuations, and
the latter produced the most marked effects. I have mentioned
in the Preface an experience of my own, which I will give here
in more detail. For a common cold which had proved
troublesome I took eight globules of Nat. m. 200. The next day
the cold was not better, but I felt ill, and presently a copious,
gushing, watery, light-coloured diarrhœa set in, and persisted
for some days, draining all my tissues and reducing my weight
by half a stone before I could think of the cause. Then the dose
of Nat. m. flashed on my mind, and I at once began to smell at
a bottle of Sweet Nitre, the antidote. The diarrhœa and all other
symptoms vanished in a way I have never forgotten; and the
lesson was well worth all the suffering I had undergone. My
weight came back as rapidly as it had disappeared. In Nat. m. is
illustrated the antidotal action of a substance of high
attenuation over the effect of a lower. A large number of
people are steadily poisoning themselves by taking excessive
quantities of salt with their food; and it is generally useful to
ask patients if they are fond of salt. Without restricting the
amount of salt taken, Nat. m. 30 will antidote most of the
effects of the crude, and enable the patient to cut down the
quantity taken afterwards. But the effect of a high potency can
also be antidoted by a higher. A patient to whom I gave Nat. m.
1m developed this new symptom: Aching pain deep in left
shoulder and down the arm; < lying on right side; no
tenderness. A single dose of Nat. m. c.m. quickly removed
it. Nat. m. is one of the remedies adopted by Schüssler from
homœopathy. Though arrived at by a different route, his
indications are for the most part identical with Hahnemann's,
and a recital of them will serve to emphasise some points; and
there is no need to accept Schüssler's semi-material theories as
an all-sufficient explanation of the remedy's action, for they do
not anything like cover the field. Says Schüssler: "The water
which is introduced into the digestive canal in drinking or with
the food enters into the blood through the epithelial cells of the
mucous membrane by means of the common salt contained in
these cells and in the blood, for salt has the well-known
property of attracting water. Water is intended to moisten all
the tissues, i.e., cells. Every cell contains soda. The nascent
chlorine which is split off from the Nat. m. of the intercellular
fluid combines with this soda. The Nat. m. arising by this
combination attracts water. By this means the cell is enlarged
and divides up. Only in this way can cells divide so as to form
additional cells. If there is no common salt formed in the cells,
then the water intended to moisten them remains in the
intercellular fluids, and hydræmia results. Such patients have a
watery, bloated face; they are tired and sleepy and inclined to
weep. They are chilly, suffer from cold extremities, and have a
sensation of cold along the spine. At the same time they have a
strong desire for common salt. (The cells deficient in salt cry
for salt.) The common salt, of which they consume
comparatively large quantities, does not heal their disease,
because the cells can only receive the common salt in very
attenuated solutions. The redundant common salt present in the
intercellular fluid may in such cases cause the patients to have
a salty taste in their mouth, and the pathological secretions of
the mucous membranes, as also of excoriations of the skin,
may be corrosive (salt-rheum)." Disturbances in the
distribution of salt in the cells cause: Lachrymation; salivation;
toothache with salivation; watery diarrhœa; mucous diarrhœa;
lack of mucus; catarrh of stomach with vomiting of mucus;
water-brash; vesicles clear as water on skin or conjunctiva;
constipation.─Thus far Schüssler. But whilst using his theory
as a useful means of stringing many characteristics of Nat. m.
together, it is necessary to free oneself from them entirely in
order to see the remedy in all its range of action. A complete
view of the symptom picture can alone give that. In old-school
practice Nat. m. is used chiefly in solution as a douche or spray
in nasal and other catarrhs, and in the mixture of "Brandy and
Salt," in which large quantities of salt are given for pulmonary
hæmorrhages. The relation to catarrh, which Schüssler brings
out, is specific. Excessively fluent coryza, with much sneezing;
sore nose, especially the left wing; cold sores on lips and nose;
loss of smell and taste, are indications which I have verified
repeatedly in acute colds and the tendency to them. With the
coryza there is copious lachrymation; and whether or not
Schüssler is right on the chemistry of the process, Nat. m. is
indicated by tears. ("Flow of tears with cough" is Burnett's
keynote of Nat. m. in whooping-cough, H. W., xviii. 179.) The
characteristic of the tearful Nat. m. patient is that she (or he)
wants to be alone; any attempt to console irritates beyond
endurance. "Wants to be alone to cry." "Very much inclined to
weep and be excited." There are even tears with laughter. For
in addition to the sadness there is hysterical laughter; laughs
till she weeps at things not at all ludicrous. The excitement
of Nat. m. is always followed by melancholy. The
hypochondriasis and hysteria of Nat. m. generally go pari
passu in the degree of constipation; and Nat. m. is one of the
most commonly needed remedies in that complaint. The most
characteristic symptom in this connection is a sensation of
"contraction of the rectum during stool; hard fæces at first
evacuated with the greatest exertion, which causes tearing in
anus, bleeding and soreness; afterwards thin stools also passed;
constipated every other day." There is also retention of stool;
and a feeling after stool as if there were more to pass. Nat. m.
answers equally well to constipation and diarrhœa when the
collateral symptoms correspond. The constipation is often
found associated with anæmia; with chilliness, cold feet and
chills down the back; with indigestion such as is met with in
victims of masturbation: Nat. m. is one of the most helpful of
remedies in such cases. The unclean complexion of earthy line,
"dirty face" in spite of any amount of washing, is a still further
indication. The skin is greasy from excess of sebaceous
secretion. Nat. m. corresponds to affections due to loss of
fluids. This recalls China, with which it has a very important
antidotal relation. Both correspond to the effects of
masturbation, hæmorrhages, and loss of fluids; both are
remedies for intermittent fever, and Nat. m. is the chief
antidote to the effects of over-dosing with China and Quinine.
Another important antidotal relation of Nat. m. is to Arg. n.
And here another interesting fact appears-namely, the parallel
between chemical and the dynamic action. Salt is the best
antidote to poisoning with nitrate of silver, as it changes the
soluble nitrate of silver into the insoluble harmless
chloride. Nat. m. in the attenuations is also the best remedy for
the ill effects of Arg. n. whether used as a cautery or
administered as a medicine. Whenever there is a history of
cauterisation and Arg. n. has been used, Nat. m. will do great
good. Scrofulous ophthalmia which has been treated locally in
vain with Arg. n.; sore throats that have been cauterised; the
effects local and remote of uterine injections of Arg. n., or
cauterisings of the os uteri. W. J. Guernsey (H. P., vii. 127)
relates a striking instance of the last. Mrs. P., 32, complained
of "lump" in the throat which could not be swallowed, and yet
required constant efforts to do so. < On empty swallowing; yet
on swallowing food it seemed to pass over a sore spot. Bar. c.,
Lach., Bell. were given in succession in vain. Remembering
the injunction of the Organon, § 207, to inquire as to what
allopathic treatment a patient has been subjected to in order to
discover if there is anything to correct, Guernsey discovered
that the patient had had a severe ulceration of the womb which
had been "burnt out" several times and was "now well." She
had had a very profuse discharge, but that had stopped, and on
the same day she had commenced to "choke" with the throat
trouble. Nat. m. 295m (F.) was given. In a few days the throat
was better and the discharge had returned, much to the patient's
horror. Without further treatment throat and vaginal discharge
were both cured. Lambert has recorded (L. H. H. Rep., vii.
144) several cases of headache associated with errors of
refraction and consequent eye-strain cured with Nat. m. 30.
The headaches were noticed on waking. In one case it was like
a cloud over brain with intense depression and had lasted ten
years. It disappeared before the vision was corrected. The
effect of living too exclusively on salt food in producing
scurvy gives a key to the use of Nat. m. in many conditions of
blood degeneration, hæmorrhage, and skin disorder and
ulceration. In aphthous and ulcerative conditions of the mouth
it is a leading remedy. The characteristic tongue of Nat. m. is
either a mapped tongue, with red islands; or a clean shining
tongue with froth along each side. There are many
characteristic symptoms in connection with the tongue: hair
sensation; numbness and stiffness of one side; heavy,
embarrassing speech. Nat. m. corresponds to children who are
late in talking. The tongue is blistered; sticks to roof of mouth.
Dryness of mouth and throat. Unquenchable thirst. Nausea.
Vomiting. The drying-up property of Nat. m. is general. One
very characteristic effect is dryness of vagina, with painful
coitus; aversion to coitus (in the female); aversion to men.
Menses may be early and profuse; or scanty and delayed. Nat.
m. corresponds to many cases of anæmia, and especially to
delay in the first appearance of the menses. Much bearing
down and much leucorrhœa. Backache generally accompanies
these, and the backache has this peculiarity, that it is > by
pressure; by lying down with the back on something hard.
There is also sensitiveness of the back and spinal irritation.
With the menses there is generally headache, both before,
during, or after. The headaches of Nat. m. are intermitting.
They come on in the morning on first waking up and last
throughout the day; or else they come on at 10 or 11 a.m. They
are < from mental exertion. Nat. m. is one of the first remedies
for headaches of schoolgirls. Headache with partial blindness.
Headache much < by coughing. Throbbing; beating as with
little hammers; pain as if the head would burst. The throbbing
headache has its analogue in palpitation of the heart. Nat. m. is
a great heart remedy. Fluttering palpitation with faint
feeling, < lying down. In one case of huge hypertrophy with
degeneration of most of the valves, the patient told me nothing
gave her so much relief as Nat. m. (which I had given for some
incidental condition). Very characteristic is sense of coldness
at heart or precordia with trembling of heart. Constrictive
sensations run throughout this remedy: in heart; chest scalp;
throat; rectum; of anus (sensation as if anus were closed)
cramps in uterus; vaginismus; contraction of hamstrings.
Paralytic symptoms with numbness are the counterpart of
these. Nat. m. has the sinking sensation of the antipsorics.
Great hunger, with no appetite. Eats heartily but emaciates.
Heartburn after eating. Emaciates whilst living well. Ravenous
appetite but grows thin, especially about neck. There are some
very characteristic desires and aversions: Desires: bitter things;
beer; farinaceous foot; sour things; salt; oysters; fish;
milk. Aversion to: bread; meat; coffee; tobacco. While eating,
sweat on face. Is > when stomach is empty. After eating:
empty eructations; nausea; acidity; sleepiness; heartburn;
palpitation; epigastric pressure and heat radiating up to chest.
Violent hiccough. The nausea and vomiting of Nat. m. have
been turned to account in the morning sickness of pregnancy.
One patient, who said she could "eat the brine out of a
mackerel kit," was cured with a single dose of Nat. m. (Amer.
Hom., xxiii. 385). Nat. m. is a great periodic remedy. It not
only antidotes Quinine, but it causes intermittents on its own
account. Chilliness predominates. Chill 10 to 11 a.m. with
thirst, drinks after a meal; fever blisters round mouth. Fever
with violent headache; great thirst; nausea; vomiting; blueness;
faint; averse to uncover. Fever may come on without chill 10
to 11 a.m. Sweat > headache and other symptoms though it
weakens; averse to uncover. There are many eruptions, herpes,
hydroa, eczema. Eczema on hair margins, especially at back of
head. Warts on palms of hands. Corns. Painful scars. Nat. m.
is suited to: Cachectic persons; old people; teething children;
anæmic, chlorotic people with catarrhal troubles; tuberculous;
scrofulous; dropsical; emaciated persons. Among Peculiar
Sensations are: As if head too heavy and would fall forward; as
if some displacement in head had taken place; as if cold wind
blowing through head; as though forehead would burst on
coughing; as if head in a vice; pain like a rope round head
drawing tighter and tighter; as if nail driven in left side of head.
As if eyeballs too large; as if foreign body in eyes; as if eye
being torn open. As if a small worm squirming in nose. Of hair
on tongue. Splinter in throat. Plug in throat. As if one had to
swallow over a lump. Difficulty of talking, as if organs of
speech weak. As if foreign body sticking in cardiac orifice
behind sternum. When walking, as if abdominal viscera loose,
dragging. As if rough, hard, foreign substance in rectum. As if
there was a string between uterus and sacrum in hind part of
fornix. Back as if beaten; broken. Nat. m. corresponds to
effects of going to seaside; and if patients say they are
always < at seaside or cannot stay by the sea, Nat. m. will
probably be the remedy. Constipation at seaside. But > at
seaside may also indicate it. There is great desire for open air
and washing in cold water. < Heat of stove; of room; of
sun. < In summer. Warm food < toothache. Drawing in
air < toothache; cold drink < toothache. Likes to be covered
but it does not >. Lying down > vertigo, headache, constriction
of scalp; < cough; fluttering of heart. Lying on left side <.
Moving, least exertion <. Exercising arms > breathing.
Walking <. In back troubles, can stoop readily but it hurts to
straighten. < Mental exertion; talking; writing; reading. < After
sleep. Coitus <. Most symptoms are < in morning; < after
sleep. < 10 to 11 a.m. < During full moon. < By eating. < From
bread, acid food, fat, wine. < After breakfast. > Going without
regular meals. < Touch and pressure. Full sensation is > by
tight clothes. Back > lying on something hard. > Rubbing.

Relations.─Antidoted by: Smelling Nit sp. dulc.; Phos.

(especially abuse of salt in food); Ars, (bad effects of sea-
bathing). Nux will relieve headache if persistent, or prostration
if prolonged after Nat. m. Antidote to: Arg. n. (abuse of, as
cautery); Quinine (when diseases continue intermittent and
patients suffer from headache, constipation, disturbed sleep);
Apis (bee-stings). Nat. m. should not be given during the
paroxysm of fever. Complementary: Apis, Sep., Caps. Nat. m.
is the Chronic of: Ign. (its vegetable analogue); also of Apis
and Caps. Compatible: Before─Sep., Thuja; after─Kali m.,
Kali p., Kali s., Nat. sul., Calc. ph., Fer. p. Compare: Borax,
Nat. c., Nat. hyp., K. chl. In mapped tongue, Ars., Rhus, K. bi.,
Tarax., Ran. s. (acidity). Hypochondriasis with indigestion,
Nat. s. (Nat. m. melancholy keeps step with the constipation;
Nat. s. melancholy with degree of indigestion). Lachrymose,
Puls. (> consolation), Sep., Ign. Schoolgirls' headache, Calc.,
Calc. p. Headache coming and going with sun, Spi., Gels.,
Glo., Sang. Headache with partial blindness, K. bi., Ir. v. Half
sight, Aur., Lith. c., Lyc., Titan. Headache with cough, Caps.,
Bry., Sul. (Sul. occiput, Nat. m. forehead). Spurting of urine
with cough, Fer., Scill., Caust., Pul. Ravenous yet wastes, Iod.
(Nat. m., especially neck). Distended stomach > tight clothing,
Fl. ac. (opp. Lach., Hep.). Hydroa labialis, Hep., Rhus, Ars.,
Camph. Herpes circinatus, Sep., Bar. c., Tell. Chill 10 a.m.,
Stn. (Stn. hectic, Nat. m. intermittent). Paralysed by emotion,
Gels., Staph. Amenorrhœa, K. ca. (acts when Nat. m. fails).
Backache, spinal irritation, K. ca. Cold feeling about heart,
Petrol. Spinal irritation, Act. r. (Nat. m. > lying flat, Act.
r. < from touch). Oily sweat on face, Bry. Intermittents, chill
beginning in small of back, Eup. pf.; Rhus (chill begins in one
leg, or thigh, or between shoulders), Gels. (runs up spine).
Prolapsus uteri, Sep., Lil. t. Sensation of foreign body in anus,
Sep. (ball). Constriction in anus, Lach., Bell., Caust., Nit. ac.,
Ign., Op., Pho. Sadness during menses, Lyc., Nit. ac., Sep.
(Nat. m. < or > 10 a.m.). Stitches in heart, Spi., Ars., K. ca.,
Carb. v. < After sleep, Lach., Sul. Ripping-up sensation of
anus after stool, Sep. Stomatitis, Caps., Sul. ac. Dreams persist
after waking, Chi. Chilblains on feet only, Lyc. Sinking 11
a.m., Sul. Breasts painful before menses, Calc., Con. Umbilical
hernia with absence of urging, Bry., Ver. (with urging, Nux,
Cocc.). Laughs at serious things, Anac., Pho., Lyc., Plat.
Weeps if looked at, Kissingen. Hair sensation on tongue, Sil.
Head and face > uncovering, Nat. c., Lyc. Headache from eye-
strain, Onos. (Teste includes Nat. m. in his Lycopod. group,
with Viol. t. and Ant. c.)

Causation.─Disappointment. Fright. Fit of passion. Loss of

fluids. Masturbation. Injury to head. Quinine. Lunar caustic.
Bread. Fat. Wine. Acid food. Salt.

SYMPTOMS.

1. Mind.─Melancholy sadness, which induces a constant

recurrence to unpleasant recollections, and much weeping; all
attempts at consolation <.─Obliged to
weep.─Hypochondriacal, tired of life.─Joyless,
taciturn.─Great tendency to start.─Hurriedness, with anxiety
and fluttering of heart.─Prefers to be
alone.─Anthropophobia.─Anxiety respecting the
future.─Anguish, sometimes during a storm, but esp. at
night.─Indifference, laconic speech, moroseness, and unfitness
for labour.─Impatient precipitation and
irritability.─Timidity.─Hatred to persons who have formerly
given offence.─Irascibility and rage, easily
provoked.─Inclination to laugh.─Laughs so immoderately at
something not ludicrous that tears come into her eyes and she
looks as if she had been weeping.─Alternate gaiety and ill-
humour.─Laughs immoderately and cannot be
quieted.─Difficulty of thinking; absence of mind.─Weakness
of memory and excessive forgetfulness.─Heedlessness and
distraction.─Tendency to make mistakes in speaking and
writing.─Brain-fag, with sleeplessness, gloomy
forebodings.─Exhaustion after talking, embarrassment of
brain.─Incapacity for reflection, and fatigue from intellectual
labour.─Distraction; does not know what he ought to
say.─Awkwardness.

2. Head.─Painful confusion in head.─Emptiness of head with

anguish.─Weariness in head.─Vertigo, during which
everything seems to turn round before eyes, with tendency to
fall forwards, esp. on walking and getting out of bed.─Vertigo:
in forenoon; pressing head down when sitting; on rising from
bed and on waking; on stooping; on turning round (on turning
in bed from r. side to l.); everything seems to turn in circle;
with flickering before eyes and dulness of head; and nausea
woke her 5 a.m., > lying with head high; on crossing a stone
bridge the stones seemed to sink under feet; > lying down;
keeping quiet; by cold applications.─Intermittent reeling like
vertigo; < moving head, like a thrust from vertex to forehead,
for the moment depriving him of his senses.─Burning on the
vertex.─Vertigo, with shocks in head and dizziness.─Violent
headache, as if the head would burst.─Sensation of congestion
of blood to head; head feels heavy.─Stitches through head,
extending to neck and chest.─Heat in head, with redness of
face, nausea and vomiting.─Periodical headaches during, after,
or before menses.─Headache in morning, on waking; on
turning, and while moving body or head; when running; or in
cold air; or after being thwarted.─Heaviness of head, every
day, esp. in occiput, forcing eyes to close; < in the morning;
from warmth and motion; > when sitting, lying, or
perspiring.─Headache, as if head were about to split; or as if it
were tight and compressed, esp. when writing.─Fits of
headache, with nausea and vomiting (eructations, colic, and
trembling of limbs).─Aching and compression in head, esp. in
temples and above eyes, < by frowning.─Acute pullings and
shootings in head, esp. above eyes, with want to lie down, and
clouded sight.─Lancinating shocks across head.─Throbbing,
pulsation, and hammering in head, esp. during
movement, > when lying with head high; > by
perspiration.─Rheumatic (tearing) pain in head, from root of
nose extending to forehead, with nausea, vomiting, vanishing
of sight; < in morning when waking from sleep, from mental
exertion and motion; > sitting still or lying down.─Throbbing
and drawing pains in forehead.─Sensation on moving head as
if brain wavered.─Painful sensitiveness of scalp, as if
excoriated.─Contraction and mobility of scalp.─Tendency of
head to become easily chilled.─Sweat on head, esp. in morning
and at night.─Scurf on scalp.─Great sensitiveness of scalp;
with greasy, shining face; sensitiveness of forehead and the
borders of hair; < in warm room, > in open air.─Itching
eruption of margins of hair at nape of neck.─Abundant falling
off of hair (as soon as it is touched, more on forepart of head
and temple), even of whiskers; and on the genitals, esp. during
child-bed.

3. Eyes.─Itching in eyes.─Shootings, smarting, and burning in

eyes.─Inflammation of eyes.─Corrosive lachrymation
(morning).─Frequent lachrymation.─Secretion of humour in
external canthi.─Nocturnal agglutination of eyes.─Eyelids
continually red and ulcerated.─Inflammation of eyes with
ulcerated lids and glutinous mucus in (external)
canthi.─Spasmodic closing of lids, esp. in morning, in the
evening (during twilight) and at night.─Eyes give out on using
them.─(Headache associated with eye-strain; esp. headache on
waking.).─Feeling as if balls were too large and
compressed.─Pressure in eyes on looking intently at
anything.─Sensation of sand in eyes, mornings.─Cloudiness of
sight when stooping and walking, as well as on reading and
writing.─Sight confused, as from down before eyes, or looking
through a veil.─Letters appear confused, when
reading.─Diplopia.─Hemiopia
(perpendicular).─Presbyopia.─Weakness of sight, as from
incipient amaurosis.─Black specks, luminous marks, and
sparks before eyes.─Fiery, zigzag appearance around all
things.─Affections of r. eye; angles of eyes; momentary loss of
sight.─Myopia.

4. Ears.─Shootings in ears.─Pulsations and beatings in

ears.─Swelling and heat of ears.─Discharge (of pus) from
ears.─Hardness of hearing.─Tinkling, ringing, rumbling, and
humming in ears.─Painful cracking in ear when
masticating.─Itching behind ears.

5. Nose.─Numbness and insensibility of one side of

nose.─Inflammation and swelling of nose, on one side (l.)
only, with pain when touched.─Boring in bones of nose.
Excoriation of interior of nose, with swelling of interior
wings.─Scabs and scurf in nose.─Scurf on the nose.─Loss of
smell and taste.─Abortive sneezing.─Obstruction and dryness
of nose.─Dry coryza, sometimes in morning only.─Violent
coryza, fluent or dry, with loss of smell and taste, and
sneezing.─Bleeding of nose (when coughing at night) when
stooping.─Blood clotted.─Painful burning pustules below
septum of nose, afterwards confluent and covered with a scab.

6. Face.─Face yellowish, pale, livid, earthy.─Face shining, as

if greasy.─Swelling of face.─Itching and eruption of pimples
on face and forehead.─Heat in face.─Pains in zygomatic
process, during mastication, like those of ulceration.─Lips dry,
chapped, cracked, or excoriated and ulcerated, with scabs, and
burning and smarting eruption.─Fever blisters on the
lips.─Ulcer on (l.) cheek.─Tingling and numbness of
lips.─Tettery eruption round mouth.─Swelling of
lips.─Sanguineous vesicles in internal surface of upper lip,
with burning pain when touched.─Granulated and ulcerated
eruption on chin.─Frequent swelling of submaxillary glands.

7. Teeth.─Teeth very sensitive to air and touch.─Drawing, like

extraction, in teeth, extending into ear and throat, after a meal,
and at night, with swelling of cheek.─Lancinations, boring,
and pulsation in carious teeth.─Looseness and caries of
teeth.─Fistula in gums.─Gums swollen, easily bleeding, and
very sensitive to cold or hot things.─Putrid inflammation of
gums.─Ulcers in gums.

8. Mouth.─Ulcers and vesicles on tongue and in mouth, with

burning smarting, and pain from contact with food and
drink.─Blisters like pearls about the mouth; esp. in intermittent
fever.─Hæmoptysis.─Speech embarrassed in consequence of
heaviness of tongue.─One half of tongue numb and
stiff.─Tongue stiff and, with hard palate, unusually
dry.─Prolonged sensation, as of a hair on tongue.─Dryness of
mouth, lips, and esp. of tongue.─Burning at tip of
tongue.─Mapped tongue; red insular patches; ringworm on r.
side.─Tongue: clean, shiny, bubbles of frothy saliva along
sides; clean in front, dirty at back; broad, pallid, puffy, with
pasty coat.─Swelling under tongue, with stinging pain;
ranula.─Numbness on lips and one side of tongue (trifacial and
glosso-pharyngeal paralysis.).─Copious salivation; saliva salty.

9. Throat.─A sensation during deglutition as of a plug in

throat.─Spasms in the throat.─Swelling; sensation of
constriction and stitches in throat.─Long-continued sore throat,
with sensation as if she had to swallow over a
lump.─Inflammation of throat, with shooting pain and
ulceration.─Expectoration of mucus, on hawking, esp. in
morning.─Frequent hawking of salty-tasting mucus.─Swelling
of cervical glands.

10. Appetite.─Loss of taste (and smell).─Bitter taste in

mouth.─Putrid or acid taste, as when fasting.─Putrid taste of
water.─After-taste of food, esp. of acids.─Continual thirst,
often with nausea, distension of abdomen, and other unpleasant
symptoms after drinking.─Loss of appetite, esp. for bread, and
repugnance to tobacco smoke.─(Vomiting of pregnancy with
aversion to bread.).─Dislike to food, esp. when fat.─Sufferings
from acid food, from bread, fat, and wine.─Immoderate
appetite in afternoon and evening.─Bulimy, without appetite,
with fulness and satiety, however little may have been
eaten.─Desire for acids.─Longing for bitter food and
drink.─Sweat on face during a meal.─After a meal, empty
risings, nausea, fulness and inflation of the abdomen and
stomach, somnolence, head confused, acidity in the mouth, and
pyrosis, palpitation, and intermittent or accelerated
pulse.─Disagreeable risings after fat food or milk.

11. Stomach.─Risings, with taste of food.─Violent

hiccough.─Sensation as if a foreign body were sticking in the
cardiac orifice and behind sternum.─Acid and acrid risings,
sometimes with taste of food.─Pyrosis, which ascends from
stomach.─Nausea, esp. in morning.─Waterbrash, with
revolving sensation in stomach, sometimes followed by a sour
vomiting of food.─Vomiting of food and bile.─Aching of
stomach in morning, or during the day, with nausea, and
sudden sinking.─Pressure at epigastrium, as if there were a
hard body in stomach.─Epigastrium swollen and painful, when
touched and pressed, as if it were ulcerated.─Contractive
cramps in stomach, sometimes with nausea.─Shocks and
clawing in pit of stomach.─Pulsation in epigastrium.─Red
spots on pit of stomach.
12. Abdomen.─Drawing, tension, pressure, pinching, and
shootings in hepatic region (chronic inflammation of
liver).─Pain, shootings, and pressure in splenic
region.─(Reduces size of enlarged spleen.).─Cramp in
diaphragm on stooping.─Inflammation of abdomen.─Swelling
of abdomen.─Tensive, pressive, and hypochondriacal
uneasiness in abdomen.─Pressive pain in abdomen.─Drawing
and contractive pains in abdomen, like labour pains.─Daily
cuttings and pinchings in abdomen, sometimes in morning, and
at night.─Rigidity in l. side of abdomen.─Incarceration of
flatus, sometimes at night.─Colic with nausea > by discharge
of flatulence.─Loud grumbling and borborygmi in
abdomen.─Burning in intestines.─Pain in ring when coughing,
extending into testicles, as if spermatic cords would be torn to
pieces.─Protrusion of hernia.

13. Stool and Anus.─Constipation, sometimes prolonged, or

every second day.─Frequent, urging, and ineffectual effort to
evacuate, or scanty evacuation.─Stools difficult to discharge,
hard, dry, crumbling, like sheep's dung.─Hard and broken
evacuations.─Difficult evacuation of fæces, often with tearing
and shooting in rectum and anus.─Evacuations too
frequent.─Prolonged relaxation of abdomen.─Diarrhœa like
water, with colic.─Alternate constipation and diarrhœa,
irregular unsatisfactory stools.─Diarrhœa, with colic, and
evacuation of mucous matter.─Painless watery
diarrhœa.─Involuntary evacuations.─Discharge of blood
during evacuations.─Burning in anus and rectum, during and
after stools.─Shootings, excoriation, and pulsation in
rectum.─Cramp-like constriction, and feeling of contraction in
rectum.─Prolapsus recti, and burning pain in anus, with oozing
of sanguineous and sanious matter.─Painful and shooting
hæmorrhoidal tumours in anus.─Excoriation in anus, and
between the buttocks, esp. when walking.─Tetters in
anus.─Lumbrici.

14. Urinary Organs.─Frequent and urgent want to urinate,

day and night, sometimes every hour, with copious
emission.─Involuntary emission of urine, sometimes on
coughing, walking, laughing, or sneezing.─Nocturnal emission
of urine.─Clear urine, with red sediment, resembling brick-
dust.─Discharge of mucus from urethra, after the emission of
urine.─Discharge of mucus from urethra during and after
urination, causing itching and biting.─Discharge of mucus
from urethra, which is sometimes yellowish, as in
gonorrhœa.─After micturition spasmodic contraction in
abdomen; burning, drawing, and cutting in urethra.─During
micturition stitches in bladder, smarting, burning in urethra;
smarting and soreness in vulva.─Urine dark, like coffee, or
black.

15. Male Sexual Organs.─Itching, tetters, and excoriation

between scrotum and thighs.─Itching and stinging on glans
and scrotum.─Secretion behind glans, like gonorrhœa
balani.─Phimosis.─Excessive excitement of genital organs,
and of the amative feelings; or dulness of sexual desire.─Want
of energy during coition.─Impotence.─Pollutions after
coition.─Strong fetid odour from genital
organs.─Hydrocele.─Loss of hair from pubes.

16. Female Sexual Organs.─Pressure and general bearing

down towards genital organs every morning; has to sit down to
prevent prolapsus.─Prolapsus uteri with aching in
loins, > lying on back; cutting in urethra after
micturition.─Catamenia premature and profuse; or retarded
and scanty.─Sterility, with too early and too profuse
menstruation.─Prolonged catamenia.─Suppression of
catamenia.─Difficulty in appearance of first
menses.─Headache before, during, and after
catamenia.─Before catamenia, moroseness and irritability.─At
commencement of catamenia, sadness.─During catamenia,
cramps in abdomen.─Spitting blood at menstrual nisus; bloody
saliva.─Itching in genital organs.─Repugnance to
coition.─Coition: painful from dryness of vagina; burning
smarting during; in anæmic women with dry mouth and dry
skin.─Leucorrhœa, with headache, disposition to diarrhœa,
colic, and mucous evacuations.─Acrid (greenish) leucorrhœa
(increased discharge when walking), with yellow colour of
face.─Abundant discharge of transparent, whitish, and thick
mucus from vagina.─Vulvitis with falling off of hair.─Itching
of external parts with falling off of hair.─Pimples on mons
veneris.─Nausea and vomiting during pregnancy; morning
sickness with vomiting of frothy, watery phlegm.─During
pregnancy: dysuria; albuminuria; craves salt; congestion to
chest; palpitation; hæmorrhoids; cough; escape of
urine.─Labour slow, pains feeble, apparently from sad feelings
and forebodings.─Loss of hair in children or during
lactation.─Child refuses breast; nursing sore
mouth.─Lancinating pains in breasts.─Stitches beneath
nipples.─Dull stitch beneath r. nipple, also in
abdomen.─Breasts sensitive to slightest touch.

17. Respiratory Organs.─Hoarseness, and sensation of

dryness in larynx.─Dry cough with rattling in
chest.─Accumulation of mucus in larynx in morning.─Chest
embarrassed with catarrh and cough.─Cough excited by a
tickling in throat, or in epigastrium, day and night, esp. on
walking or taking a deep inspiration.─Cough in
morning.─Choking, spasmodic cough in bed, in
evening.─Short, chronic cough, with expectoration of mucus
and swelling in chest.─Cough, with expectoration of bloody
mucus.─Cough, with sanguineous expectoration, retching and
vomiting.─Pains in head, on coughing, as if forehead were
about to burst.─Whooping-cough caused by tickling in throat
or pit of stomach, with expectoration (only in morning) of
yellow or blood-streaked mucus, with violent pain in head, or
with shocks; beating and hammering in head; involuntary
micturition; stitches in liver.─Tears stream down his face
whenever he coughs (whooping-cough). Breath: hot;
offensive.─Shortness of breath, esp. when walking
quickly.─Obstructed respiration, esp. during manual
labour, > when exercising arms and in the open air.─Wheezing
respiration in bed, in evening.

18. Chest.─Pains in chest (dyspnœa on ascending stairs and

shortness of breathing), as if caused by internal
tension.─Stitches in the chest and sides with shortness of
breathing, esp. when taking a long inspiration.─Breath short
and chest tight, and as if a dry stick of wood were down the
throat, with cough.─Lancinating pains in chest and sides of
chest, with impeded respiration, sometimes when taking a full
inspiration, and when coughing.

19. Heart.─Anxious and violent palpitation of heart at every

movement of body, but principally when lying on l.
side.─After eating, breath impeded, with violent
palpitation.─Jerking and shooting pain in region of
heart.─Fluttering motion of heart.─Irregular and intermittent
palpitation of heart.─Jerking movement of heart.─Enlargement
of heart.

20. Neck and Back.─Aching, rigidity, and tension in

nape.─Stitches in neck and back of head.─Painful stiffness of
the neck.─Throat and neck emaciate rapidly, esp. during
summer complaint.─Goître of a large size.─Scurf under
axillæ.─Scabs in axilla; painful soreness of cervical glands
when coughing.─Engorgement of axillary glands.─Contusive
pain and feeling of paralysis in sacrum, esp. in
morning.─Paralytic weakness nearly all day, > from
lying, < from eating.─Shootings, incisive pains, and violent
pulsation in sacral region.─Tearing across loins and
hips.─Nocturnal pains in back.─Over-sensitiveness of
spine.─Pain in back > by lying on something hard.─Lassitude,
pressive tension, and pulling in back.

22. Upper Limbs.─Wrenching pains in joints of shoulders and

fingers.─Lassitude and paralytic heaviness of
arms.─Contusive pain in arms and hands, but esp. in shoulder-
joints (sensation of lameness and of a sprain), which prevents
arms from being elevated or moved.─Digging in
arms.─Shocks in elbow.─Lancinations in muscles and joints of
hands and fingers.─Brownish spots on back of hand.─Warts
on palms.─Skin of hands dry and cracked, esp. round the
nails.─Coldness of hands.─Cramp in arms, hands, finger and
thumb.─Sweat on hands.─Difficulty in bending the joints of
the fingers.─Numbness and tingling in the fingers.─Tingling
in the hands (and feet), esp. on joints and tips of fingers and
toes.─Trembling of hands when writing.─Swelling of r.
hand.─Numerous flaws in the nails.─Hang-nails.─Whitish
hives on arms and hands.─Panaritium.

23. Lower Limbs.─Wrenching pain in hips, with

shootings.─Drawing pains in thighs, knees, and
legs.─Restlessness and jerking in limbs (in legs, compelling
one to move them constantly).─Paralytic weakness of legs, and
esp. of joint of foot.─Pain as if knees and ankles were
sprained.─Weakness and trembling of lower extremities, on
rising from a seat, > from continued walking.─Jerking of
muscles of thighs.─Tension in bends of limbs and sensation as
if the tendons were shortened; painful contraction of tendons of
ham.─Wrenching pain in joints of knee and foot.─Lassitude in
knees and calves.─Cramps in lower legs and calves.─Tetters in
hams.─Tension in legs and calves.─Great heaviness in legs
and feet.─Burning in feet.─Swelling of feet.─Coldness of
feet.─Pain as from ulceration in malleoli, when putting down
foot, and on touching the parts.─Sensation as if limb had gone
to sleep (feet, fingers).─Suppression of perspiration of
feet.─Redness of great toe, with acute pullings and shootings,
when walking, and after standing a long time.─Tetters on
malleoli.─Corns on feet, with shooting and boring pains.

24. Generalities.─Pressive drawing in limbs.─Rigidity of all

joints, which crack when moved.─Contraction of tendons
(muscles shortened).─Jerking in the muscles and
limbs.─Jerking of r. side and head.─Tendency to dislocation,
and to strain back.─Old sprains.─Paralysis.─Swelling of
glands.─Fungus hæmatodes; polypus; hang-nails.─Fits of
uneasiness, esp. in morning or evening, with nausea, weakness,
deadly paleness in face, headache, numbness of limbs, want to
lie down, &c.─Bad effects of a disappointment.─After fright,
chorea.─After fit of passion, paralysis. The symptoms manifest
themselves, are renewed, or <, generally when lying down, and
esp. at night, or in morning; and are > by rising up in bed.─The
nocturnal pains suspend respiration, and occasion a sort of
semi-lateral paralysis.─General ebullition of blood, with
pulsation over whole body, on slightest movement.─Trembling
of whole body, caused by tobacco smoking.─Congestion in
head, chest, and stomach, with coldness of legs.─Obstruction
from inactivity of the bowels.─Affections of the pit of the
stomach; rectum; external belly.─Reddish urine; complaints
after making water.─Uneasiness and inconvenience after
prolonged speaking.─Great relaxation of all physical and
moral powers, after fatigue.─Heaviness and indolence, esp.
after having risen in morning, with repugnance to movement
and walking.─Excessive soreness and lassitude in limbs, esp.
in morning, and when seated.─Hysterical debility; in morning
in bed.─Great weakness.─Alternate weakness and agility in
limbs.─Great emaciation (more of body than face).─Tendency
to take cold.─Inquietude in body, with shivering.

25. Skin.─Miliary eruption, with shooting pain.─Itching and

pricking in skin.─Rash over whole body, with stinging
sensation in skin.─Red tetter in hollow of knees.─Pain and
redness of an old cicatrix.─Skin of hands, esp. about nails, dry,
cracked; hang-nails.─Whitish hives on arms and
hands.─Itching tubercles.─Nettle-rash after violent exercise
(itching).─Tetters.─Furunculi.─Exanthema on mouth; lips; in
intermittent fever where there are large exanthematous spots
looking like large peas, on lips (cold sores); lips look
puffy.─Warts; on palms of
hands.─Panaritium.─Varices.─Corns.
26. Sleep.─Great drowsiness during day, with frequent
yawning.─Retarded sleep, and sleeplessness at night, with
ineffectual efforts to go to sleep.─Difficulty in falling asleep
again, at night, after awaking.─Difficulty in waking, and
excessively drowsy lassitude early in morning.─Agitated sleep,
full of vivid and lascivious dreams, with prolonged erections
and pollutions.─Anxious, distressing dreams, with tears and
talking during sleep.─Frightful dreams of quarrels, murders,
fire, thieves, &c.─Dreams of thieves in the house, making so
strong an impression that patient wakes up and cannot go to
sleep again until the house has been searched; fantastic
dreams.─Dreams of burning thirst; starts and talks in sleep and
tosses about.─Dreams which still keep possession of the mind
after waking, and which are believed to be realities.─Ebullition
of blood at night, with anxious heat (perspiration, violent
throbbing of the arteries) and palpitation of
heart.─Nightmare.─Somnambulism.─At night, pains in back,
quivering, apparently of the nerves, frequent emission of urine,
headache, colic, asthmatic sufferings, and great anguish of
body.

27. Fever.─Frequent, internal, shudderings.─Continued

shivering and want of vital heat.─Chill predominates;
chilliness internally, as from want of vital heat, with icy
coldness of hands and feet (evening).─Continued chilliness
from morning till noon.─Shivering, with and without
thirst.─Shivering and shuddering, with drowsiness, followed
by slight perspiration.─Flushes of heat and shivering
alternately, with headache; chilliness over back and
perspiration in axilla and on soles of feet.─Continuous heat in
afternoon, with violent headache and unconsciousness; they
are gradually > during the perspiration which follows.─Violent
perspiration > the painful symptoms present during
fever.─Debilitating, somewhat sour-smelling
perspiration.─Chilliness with increasing headache in forehead
every day at 9 a.m. until noon; afterwards heat with gradually
increasing perspiration and thirst, the headache decreasing
afterwards gradually.─Heat with burning thirst.─Dejection
before fever.─Before shivering, headache; during shivering,
short breathing, yawning, and desire to sleep.─During heat,
violent headache, dizziness, cloudiness of eyes, vertigo, and
redness of face.─Fever, with pains in bones, pains in back,
yellowish complexion, headache, weakness, bitter taste in
mouth, ulceration at commissures of lips, want of appetite,
pressure at pit of stomach, with great sensitiveness of that part
 to touch; quotidian or tertian fever, generally commencing in
morning by shiverings, followed by heat and thirst.─In
forenoon chilliness for three hours, with blue nails and
chattering of teeth; this is followed by heat, lasting as long,
accompanied by obscuration of sight, stitches in head much
thirst, pains in back, followed by perspiration.─[Ague, fever at
noon, generally 9 to 11 hard chill, great thirst for large
quantities of water, longing for salt food, headache during the
heat, profuse sweat and complete apyrexia leaving languor and
debility.─Spleen and liver enlargement and obstinate
constipation.─Pernicious fever and fever with anæmia often
benefited by Nat. m. (Majumdar)].─Typhus fever, with
debility, dryness of tongue, and violent thirst.─Pulse irregular
and often intermittent (esp. when lying on l. side).─Pulse at
one time rapid and weak, at another full and slow.─The
pulsations shake whole body.─Intermittent fever: chilliness
with great thirst; afterwards great heat with violent thirst and
excessive headache; at last profuse perspiration.─Intermittent
fevers after the abuse of Chininum sulph. (< during hot
stage).─During apyrexia: stitches about the liver; languor;
emaciation; fever blisters on lips.─Sweat in morning.─Profuse
sweat, too easily excited by movement.─After the fever passes
off the patient wishes to retain a recumbent position, does not
"feel able" to get up or go about anything.

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