HEPAR SULPHUR

Índice
Hepar sulphur....................................................................................................................................... 1
Selecta Materia Medica.......................................................................................................................... 2
1.1 Mind – Allen´s Enciclopedia........................................................................................................ 2
2.1 Allen´s Handbook........................................................................................................................ 4
2.2 Vermeulen´s Concordant........................................................................................................... 14
2.2 Vermeulen´s Prisma................................................................................................................... 27
3.2 Sankaran – The Substance of Homeopathy................................................................................31
3.2 Sankaran – The Soul of Remedies............................................................................................... 33
Schema e Siinopse................................................................................................................................ 35
Schema REC2021............................................................................................................................. 35
Introdução........................................................................................................................................ 42
Sinopse............................................................................................................................................ 43
Indicacoes agudas............................................................................................................................ 46
Outros.................................................................................................................................................. 47
Didier Grangeorge........................................................................................................................... 47
Memory cards.................................................................................................................................. 47
Dr. Shama........................................................................................................................................ 50
Case..................................................................................................................................................... 54
 SELECTA MATERIA MEDICA

1.1 MIND – ALLEN´S ENCICLOPEDIA

Hepar Sulphuris Calcareum
1. Ghostly image of one who was dead, in the morning, in bed, after waking and
while conscious, which frightened him; it also seemed as though he saw his neighbor's
house burning, which also frightened him, [e.1]. [f.a1]
2. *Sad mood for many hours, she has to cry bitterly, [e.1]. [f.a1]
3. Very hypochondriac, [e.1]. [f.a1]
4. Everything of which she only thought was disagreeable and not right, [e.1]. [f.a1]
5. She remembers everything that has been unpleasant during her life, [e.1]. [f.a1]
6. Depressed, sad, apprehensive, [e.1]. [f.a1]
7. He became completely depressed from stretching out upon the sofa, [e.1]. [f.a1]
8. Great anxiety and uneasiness in the whole body, with painful jerking for several
hours, after lying down, at 10 P. M.; two evenings in succession, [e.1]. [f.a1]
9. Frightful anxiety for two hours in the evening; he believed that he would die, and
was sad, even to suicide, [e.1]. [f.a1]
10. Fearful concerning sickness in the family, especially when walking alone in the
open air, [e.1]. [f.a1]
11. *Violent fright on slumbering, even after eating, [e.1]. [f.a1]
12. Fretful and impatient, [e.1]. [f.a1]
13. Extremely fretful and obstinate, [e.1]. [f.a1]
14. Discontented with himself, [e.1]. [f.a1]
15. Extremely discontented and fretful about his pains, and discouraged, [e.1]. [f.a1]
16. Irritable mood; everything that she undertook was wrong; she desired to be alone
(first day), [e.1]. [f.a1]
17. Very irritable, every trifle fretted her, [e.1]. [f.a1]
18. Peevish about trifles, [e.1]. [f.a1]
19. Contrary mood, he does not wish to see the members of his own family, [e.1]. [f.a1]
20. Out of humor in the morning after rising, he will not speak; but he was happy in
bed, [e.1]. [f.a1]
21. The slightest thing made him break out into the greatest violence; he could have
killed some one without hesitation, [e.1]. [f.a1]
22. Desire for nothing, [e.1]. [f.a1]
23. She made mistakes easily when talking and writing, [e.1]. [f.a1]
24. He was quite stupid, he could neither understand nor remember anything, [e.1].
[f.a1]
25. The thoughts vanish suddenly while at his work, [e.1]. [f.a1]
26. *Weak weakness of memory while peevish; he was obliged to think a long time
about anything, [e.1]. [f.a1]
27. Unconsciousness, with irrational talking, on being aroused during the chill, [e.10].
[f.a1]
28. Frequent short attacks of unconsciousness when walking in the open air, [e.1]. [f.a1]
29. After some time the patient lost consciousness perceptible pulse, sunken pale face,
extremely cold skin and extremities, vomiting and diarrhea, [e.11]. [f.a1]
30. Stupefaction and heaviness in the forehead, [e.1]. [f.a1]
Dreams
1. *Loss of sleep after midnight, [e.1]. [f.a1]
2. *Numerous thoughts prevent his sleeping after midnight, [e.1]. [f.a1]
3. Difficult falling asleep and uneasy sleep, [e.1]. [f.a1]
4. He sprang up from sleep before midnight, full of anxiety, called for help, and it
seemed as though he could not get his breath, [e.1]. [f.a1]
5. Many dreams immediately on falling asleep and anxious the whole night, without
waking, [e.1]. [f.a1]
6. Anxious dreams, with sweat on the back, on waking, [e.1]. [f.a1]
7. *Anxious dreams of conflagrations, of falling from a precipice, etc, [e.1]. [f.a1]
8. Dreams of danger, fright and anxiety, [e.1]. [f.a1]
9. Dreams of flying from danger, [e.1]. [f.a1]
10. Heavy dreams, after waking from which he still remains frightened, [e.1]. [f.a1]
11. Peevish dreams, [e.1]. [f.a1]
12. Dreams full of strife, [e.1]. [f.a1]
13. Dream of the expectoration of blood and pus, [e.1]. [f.a1]
14. Dreams of hearing shooting, [e.1]. [f.a1]
15. Dreams of broken windows two nights in succession, [e.5]. [f.a1]
2.1 ALLEN´S HANDBOOK

Hepar Sulfuris Calcareum.

Calcium sulphide, prepared as directed by Hahnemann, is triturated for use.
General Action:- A "tissue" drug of wide action. It simulates Mercury in its action on the
glandular system, especially on the liver and kidneys, Sulphur in its action on the skin and
mucous membrane of the intestinal tract, Calcarea in affecting the respiratory tract, and all
of the foregoing in its general action on connective tissue. Extreme sensitiveness to a
draught of air, easy perspiration, profuse secretions and suppurative tendencies are
marked characteristics of the drug.
Allies:- Mercury, Calcarea, Sulphur, Silicea, Nit. acid, Kali in general, Phos., Puls., Bry., Tell.,
etc.
Generalities:- Emaciation, with chill in back, red cheeks, sleeplessness, larynx affected,
hoarse, weak voice, anxiety, apprehension and irritability, as in hectic fever. Inflammation
of affected parts. Stretching. Painful throbbing here and there from slight wetting of body.
Sensitiveness to open air, with chill and frequent nausea. Sensitiveness of nerves in various
parts, as for example, in septum of nose. Nervous irritability, every physical or mental im -
pression causes a kind of inward trembling. Weakness; in morning, and slumbering and
late rising; in morning on waking, with palpitation; in morning in bed, with uneasiness of
legs and stoppage of nose; in morning on rising after good sleep, with heaviness of body;
in evening, with palpitation; after eating; on walking in open air, after eating, with stretch -
ing as before ague, on walking farther cold sweat and in evening in bed heat, which pre-
vents sleep till 2 A.M.; with sleepiness; with bruised feeling in all limbs. Sudden faintness
towards evening, with slight pain. Heaviness of body. Aggravation of pain at night; dur-
ing nightly fever, especially during chill. Amelioration from frequent eructations and
emissions of flatus.
Clinical:- Sometimes indicated in the marasmus of children who have diarrhœa, agg. in
the daytime and after eating, with the peculiar sour odor to the sweat and stools. Cases re -
quiring Hep. are, as a rule, extremely sensitive to external impressions, especially to the
slightest cold; for example, it has removed the effects of malarial poisoning which have
been maltreated with calomel and quinine from the simple indications of profuse and easy
sweat, which is offensive, and of such extreme sensitiveness to air that the patient wears
an overcoat in hot weather. Hep. is generally indicated by extreme sensitiveness of in-
flamed parts, as if they were about to suppurate. The pains of Hep. are almost universally
splinter-like in character, even the neuralgia and toothaches are of this sort. It is indicated
in threatening suppurations, with great soreness and sharp pains as if about to suppurate.
General aggravation from cold dry winds.
Mind:- Irrational talking. Ghostly image of one who was dead, in morning in bed when
conscious, which frightened him, and it seemed as if he saw his neighbor's house burning,
which also frightened him. Fright on slumbering, even after eating; F. concerning sickness in
the family, agg. walking alone in open air. Anxiety at 10 P.M. after lying down, with
uneasiness in whole body and painful jerking up of lower limbs; A. in evening, belief that
he would die and sadness even to suicide. Sadness and bitter crying; S. and apprehension; S.
from stretching out on sofa. Hypochondriac. Remembers everything which has been
unpleasant during her life. Everything which has been unpleasant during her life.
Everything of which she only thought was disagreeable. Violent about trifles, he could
have killed some one. Irritable in morning after rising, he will not speak; I. about trifles;
about his pains, and discouraged; I. and desirous to be alone; and obstinate; and
impatient. Discontented with himself. Contrary, does not wish to see his own family.
Desire for nothing.
Memory weak during peevishness. Mistakes when talking and writing. Sudden vanishing
of thoughts when at work. Stupidity; with heaviness in forehead. Stupor, with contracted,
irregular, scarcely perceptible pulse, sunken, pale face, cold skin and limbs, vomiting and
diarrhœa. Unconsciousness in attacks when walking in open air.
Clinical:- Dementia, with complete stupidity, is silent and speechless. Melancholia, with
paroxysms of violence, hasty speech, ("words roll out, tumbling over each other"), in pa-
tients who have taken much mercury. Hypochondriasis.
Head:- Sticking; waking him at night, with confusion, as if skull would burst; after deep sleep in
morning, amel. walking in open air; on stooping, with bursting sensation, eyes close on
account of the pain; on rising from stooping and on every motion, agg. walking in open
air. Hammering. Burrowing mornings, amel. tight binding, with nausea. Aching; in
morning on waking; in morning, amel. rising; every morning on any shock; on shaking it,
with vertigo; contractive, before menstruation; contractive, grumbling, even when
walking, amel. open air, amel. in the room, with pressure against skull; tensive, confused.
Swashing. Vibration internally during cough. Confusion; during cough, with throbbing in
forehead and temples. Vertigo in morning after rising; in evening, with nausea; on rising;
during dinner, after eructations, with blackness before eyes; when riding in a wagon, so
that she could not stand alone on getting out; with heaviness of head; with faintness and
rigidity or vanishing of vision, as if he sat in thought; everything turned in a circle with her
on closing eyes for midday nap.
Forehead:- Jerking of muscles in afternoon when lying. Sticking. Tearing at night, with
general heat, without thirst. Tensive pain above root of nose. Pain like a boil from midnight
onward, with sticking on stooping and on coughing, also externally pain like a boil and
sticking on touch mornings. The pressure of the hat is painful. Bruised pain in morning,
agg. moving eyes, with similar pain in abdomen.
Pulsating sticking in left temple at 10 A.M. Boring in right T. extending upward into head.
Painful throbbing in right T. Pressure in T. during the day, with drawing. Pain in vertex,
with heat; P. in evening, with palpitation. Sticking in right parietal region on stooping,
with vanishing of senses. Pain in one-half of brain as from a nail or plug. Boring in spot
on side. Pressure in right hemisphere of brain, at times worse. Sticking in occiput and
temples as if a nail or plug were driven in (Thuj., Ign.); pulselike S. in occiput and lower part
of it. Pain externally in right side of occiput, gradually extending to nape, throat and scapulæ.
Hair falls out.
Clinical:- Headache following the abuse of mercury, of a neuralgic character, sometimes
boring at the root of the nose, sometimes feeling as if a plug or nail were driven into the
head (Thuj., Ign.); sometimes a feeling as if the eyes would be pulled backward into the
head; the headaches generally amel. tightly binding the head (Merc., Iod.). Falling of the
hair after mercury. Extreme sensitiveness of the scalp, could scarcely comb the hair, with
painful nodes on the scalp; the bones of the skull pain at night. Eczema of the head, with
great sensitiveness, tendency to ulceration, bleeding and offensive discharge.
Eyes:- Inflammation and swelling, with redness of white. Blue under E. Sticking. Pain from day-
light; in bright daylight if he moves them; P. at every step; agg. moving them, with redness; fre-
quent P. during the day, causing lachrymation; as if they would be drawn into head. Sore, aggluti-
nated at night, hard mucus. Lachrymation from tickling cough. Pain in balls, with bruised pain on
touch. Boring in upper wall of orbit. Obliged to wink after writing. Redness of upper lid, with in-
flammation, swelling and pain more pressing than sticking; R. of lids, with pressure as if sleepy.
Cannot open lids in morning on waking. Smarting in external canthus, and hard mucus. Cutting
in external canthus. Flickering; and everything looks dark, then great weakness. Dim vision in
evening by candle-light; D. when reading. Blindness on rising and standing up after sitting bent
over.
Clinical:- A great variety of scrofulous inflammations of the eyes, particularly ulcerations
of the cornea involving the inner layer and accompanied by collection of pus in the ante-
rior chamber. The cases requiring Hep. are generally of a very sluggish type, anæmic,
sweat easily, agg. night, very sensitive to open air, and perhaps have been salivated. Ker-
ato-iritis, involving also the ciliary body. Chronic catarrh of the conjunctiva, margins of the
lids and inflammation of the Meibomian glands. Subacute inflammation of the lachrymal
sac, with very free secretion of pus in the inner angle of the eye. Inflammation and ulcera-
tion of the margins of the lids, with collection of much dry matter in the lashes. Erysipela -
tous inflammation of the substance of the lids threatening suppuration. Moist, offensive
eczema of the lids. Herpes following the course of the supraorbital nerve, with severe pain
as if the eyes would be drawn back into the head.
Ears:- External red, hot and itching. Wax increased. Purulent discharge. Sticking on
blowing nose. Jerking pain through E. Pain in external, at night when lying on it. Itching in
E. Cracking on blowing nose; C. as from electric sparks. Whistling on blowing nose; in
right. Roaring in left. Murmuring in left; before E. in evening after lying down till sleep,
with throbbing.
Clinical:- Inflammation of the outer and middle ear; ulceration and offensive, bloody dis-
charge (Tellur.), generally with violent pain, perforation of the dry, especially following
over-dosing with mercury.
Nose:- Redness and heat internally and externally, with swelling of it. Scabs in right
nostril. Pain in bones on touch (Merc.); ulcerative P. in nostrils; bruised P. in tip; sore P. on
back on touch; drawing P. in morning, extending to eyes and becoming a biting. Crawling
in left half on blowing, as from a foreign body. Rush of blood. Contractive feeling. Burning
lasting into the night. Stoppage after stool. Sneezing at night waking; S. after paroxysms of
cough; S. caused by tickling; from itching in nose; frequent. Coryza, with much spitting of
saliva; C., with inflamed swelling of nose, which pains like a boil, with cough; with scraping in
throat; stopped; obliged to blow nose every moment, with too great appetite; mucus from
posterior nares mixed with blood; blowing of offensive mucus, even without catarrh; dropping of
yellow, glutinous water from the nostril. Bleeding; after singing; blowing of clotted blood;
drops of blood exude every morning. Smell sensitive; lost.
Clinical:- Inflammation of the nostrils, with great soreness of the nose, which is swollen
and red, with profuse, greenish-yellow discharge. Ozæna, with soreness of the bones heat,
ulceration, nose very sensitive internally to air and to touch, discharge very offensive
(Puls., Kali iod., Graph.). Chronic diseases of the nose resulting from abuse of mercury.
Face:- Red cheeks; in morning; in evening, and burning. Yellow, with blue margins about
eyes. Pale if she becomes heated on moving about. Swelling of left cheek; erysipelatous S. of
cheeks in morning. Pain in bones on touch. Lip, swelling of upper (Calc. c.), with tension and
with pain on touch; eruption in corner, with heat; crack in middle of lower (Puls.); crack, with
pimples in red of lower and burning pain; smarting painful pimple in red of upper; ulcer
in corner; twitching of left side of upper, with trembling; pain; tension in middle of upper.
Mouth:-
Teeth:- Looseness (Merc.); of all, with tenderness of gums (Merc.); of hollow, with pain on
biting on it. Sticking. Aching; in all after cold drinks or opening mouth (Merc.); agg. eating; in
hollow, with sensation as if too long; jerklike, extending into ear; drawing, in hollow in
evening, as if too much blood pressed upon nerves; drawing, in evening, in a T. which
begins to be loose, agg. warm room, amel. open air, agg. biting teeth together, which causes
jerking in a tooth. Gum, ulcer; inflammation on inner side of front, with swelling; swelling
of back, with pain as if a new tooth would come through, agg. touch and biting upon it;
bleeding easily; jerking.
Tip of tongue sensitive; burning pain in tip, even waking at night. White aphthous pustules
on inside of lips and cheeks and on tongue (Kali chl.), with pain, agg. touch and drink. Dryness.
Much mucus. Salivation. Driveling from right side. Offensive odor. Bitter taste; in back of
throat, with natural taste to food; B., slimy in morning; to food. Taste metallic; and sourish; T.
as of bad eggs; doughy in morning; earthy in throat, with natural taste to food; lost.
Clinical:- Abscesses at roots of teeth which have been filled. Unhealthy gums, which ulcer-
ate and bleed, with offensive odor.
Throat:- Sticking like flea-bites externally and behind ears. Pinching near right side of
thyroid cartilage. Hawking of mucus in evening after eating; what she hawks up is mixed
with blood. Mucus causing hoarseness. Sticking as from a splinter on swallowing,
extending towards ear on yawning (Compare Nit. ac.); S. on turning head, extending to ear;
every morning, with dryness; on deep breathing; during cough, with pain as if everything
would come out of forehead; beneath larynx after supper. Fear of constriction; suffocative C.
towards evening. Smarting, agg. swallowing solids, with rawness and scraping. Rawness
with pain on swallowing saliva. Scraping; in morning, with roughness as from burnt lard;
and constantly full of water. Feeling as of a plug of mucus or swelling at entrance in morning;
feeling as of a plug in pharynx. Feeling as if he had to swallow over a swelling (Phyt.); with
bruised pain in external muscles of throat. Difficult swallowing of food without pain in
throat. Constant sensation as if water rose after sour things. Ticking, and moist, providing
cough.
Clinical:- Tonsillitis in the suppurative stage; it is indicated after Bell. and Baryta; these
three remedies may follow in succession; Bell. in the very outset, Baryta after the Bell. dry-
ness and fever have subsided, then in suppuration threatens Hep., the indications for
which are the fetid odor of the salivation, sharp splinter-like pains on swallowing and
great sensitiveness to air, or even chilliness. Sometimes indicated in follicular inflamma-
tion of the pharynx, with splinter-like pains and the general symptoms of the drug.
Stomach:- Unusual hunger in forenoon. Appetite for only sour pungent things; A. for
something at times and when he gets it he does not like it. Appetite lost; with emptiness in
abdomen. Disgust for everything, especially fat (Puls.). Thirst greater than hunger; T. from
morning till evening; T., but she is afraid to drink much because it distends the stomach.
Desire for vinegar. Longing for wine. No thirst.
Eructations, with burning in chest; E., with burning in throat; E. after eating, of sourish
fluid; frequent, without odor or taste; constant empty, during mental exertion, with
distention of stomach and abdomen; tasting of food; hot, after eating. Waterbrash, with
flow of saliva from mouth two days at the same hour. Hiccough; after eating. Nausea; in
morning when sitting and standing, amel. lying; at night, with vomiting; agg. movement;
with flow of saliva from mouth; frequent; like a foreboding of faintness, in morning.
Vomiting every morning; V. of bile in morning after long violent retching; of mucus and bile, the
slightest drink caused retching and vomiting; sour, in afternoon; of mucus mixed with
clotted blood; spasmodic.
Flatulent distension, with cold hands. Gastric enteritis. Pain in pit every morning on
waking; P. after eating a little; in pit on blowing nose; when walking, as if it hung loose; as if
lead were in it; drawing, in epigastric region and back. Gnawing as from acids, rising into
throat. Burning during cough. Heartburn; and eructations as from too fat meat. Tension
across pit, he must loosen his clothes and cannot sit. Uneasiness in pit during digestion, with
heaviness and acidity.
Clinical:- Dyspnœa following the abuse of mercury or even quinine, indicated by the
longing for highly-seasoned food or for acids.
Abdomen:- Distended, tense (Graph., Lyc., Carb. v., etc.); D. after stool; D., worse when
walking than when sitting, with sensitiveness; D. and hard. Rumbling. Noisy movements.
Emission of flatus; every morning, with colic, agg. sides; at night. Sticking; here and there
many hours after meal-time, agg. every pulsation, with cutting and griping, as from
flatulence. Cramp. Cutting; towards evening. Griping mornings, with soft stool; G. as after
taking cold. Pain rising to pit of stomach, amel. emission of flatus; periodic P. during fever;
drawing P.; bruised P. when walking. Constriction; before eating. Tension all day;
frequent spasmodic pinching T. Empty feeling in intestines. Heat after eating.
Pressure beneath pit of stomach, with feeling as if everything in stomach were hard like a
stone. Drawing pain in upper A. and across small of back. Flatulent distention of left
hypochondrium. Sticking in hepatic region when walking; in spleen when walking; beneath
left ribs; in right hypochondrium in morning. Cramp in right hypochondrium, with
nausea, then ineffectual urging to stool. Pressure in right H. as from a stone, with cramps
in stomach. Painful rush of blood to H., with pain on every step. Congested feeling in H.
on every step.
Fermentation above umbilicus, with eructations of hot air. Paroxysmal clawing in umbilical
region, from sides of abdomen, towards middle and sometimes to pit of stomach, causing nausea,
with anxious heat of cheeks. Twisting above U. Sore pain above U. Pressure, almost sticking,
in left side when riding in a wagon. Smarting in left side. Suppuration of inguinal glands,
buboes (Calc. c., Merc., Thuj., Nit. ac.). Pain in an I. gland, agg. on touch, with swollen
sensation. Pain about hips. Fulness of lower abdomen after eating. Smarting in lower A.
Clinical:- Threatening or actual abscess of the liver.
Rectum and Anus:- Rumbling in R. Crawling in R. as from thread, worms. Urging, but
large intestines are wanting in peristaltic action and cannot expel soft fæces, only a part
can be forced out by air of abdominal muscles; ineffectual U., with many eructations.
Protrusion of hæmorrhoids. Soreness of anus, with discharge of moisture after stool.
Burning in A.
Stool:- Diarrhœa; with colic, inclination to lie down, hot hands and cheeks; three times,
with rumbling and nausea in abdomen; frequent, slight, preceded by griping with
flatulence before and after stool; of bloody mucus, with rumbling in back. Liquid, dark
brown-greenish, frequent, with yellow lumps of green bloody mucus, smelling like bad
eggs, with rumbling and urging so that they were frequently passed in bed, preceded by
cutting tearing in abdomen, agg. umbilical region, extending deep into pelvis, the pain
agg. before every stool. Soft, difficult; S., with blood. Thin, more frequent at night. Difficult,
scanty, not hard, with much urging; D., of hard pieces mixed with yellow moisture. Hard
and unsatisfactory, with inactivity of rectum and swelling of anus. Clay-colored. Greenish.
Blood with stool. Frequent, even at night, but little is passed, with pressure, tenesmus and
weakness.
Clinical:- Bowels very inactive, the soft stools are evacuated slowly and with effort. Stools
may be light-colored with enlargement of the liver. Diarrhœa white, sour, undigested, or
sometimes mucous, yellow or green and of decayed odor. The sour odor of the stools and
sweat is often an indication for the drug (Bry., Rheum). Chronic catarrh of the intestines,
abdomen distended, tender, with fermentation or with a feeling of clawing or cutting ex-
tending towards the umbilicus.
Urinary Organs:- Discharge of prostatic fluid during stool. Bladder weak, urine drops
down vertically and he must wait before urine flows (See Caust., Op.). Micturition
impeded, he must wait and then urine flows slowly. He can never finish urinating, some
urine always seems to remain in bladder (Helo.). Urging in morning on waking, but
difficult slow micturition; frequent desire. Meatus urinarius red and inflamed. Urethra,
sticking; cutting in female, during micturition; sore pain during micturition. Urine acrid;
and burning, making inner surface of prepuce sore and ulcerated (Merc.); U. burning; last drops
bloody; milky, even when passing, with white sediment; pale, clear, becoming on standing turbid
and thick, with white sediment; dark yellow and burning; blood-red; brownish-red; dark and
scanty; copious; copious, pale, with pressure on bladder; shimmering film (Graph., Sul.);
pellicular fat upon U.
Clinical:- Valuable in certain stages of inflammation of the kidneys, especially after abuse
of mercury, with soreness in region of kidneys, incessant urging to urinate, sour sweat, di-
arrhœa, etc. Occasionally in albuminuria during diphtheria. Atony or paralysis of bladder,
urine passes very slowly and without any force, the bladder does not seem to empty itself.
Oily film upon the surface of the urine.
Sexual Organs:- Excitement and emission without amorous fancies or desire for women.
Weakness, testicles relaxed, penis hard. Itching of glans; and frænum; on scrotum. Ulcers
externally on prepuce; similar to chancre (Nit. ac.). Sticking in prepuce; S. in region of frænum
præputii. Painful erection during caresses, with soreness and pinching in penis extending
from bladder. Desire diminished. Soreness between pudenda and thighs. Itching of
pudenda during menstruation. Discharge of blood from uterus after distention of abdomen.
Menstruation delayed and diminished.
Clinical:- Venereal ulcers, with fetid discharge. Profuse secretion of an offensive odor
from the glans penis. Figwarts of an offensive odor. Herpes of the prepuce, which is very
sensitive and bleeds easily. Suppurating inguinal glands, with offensive moisture in the
folds of the skin. Enlargement of ovaries, with great soreness, pain in back (Helo.), etc. Ab-
scesses of the labiæ, which are very sensitive, with splinter-like pains. Extremely offensive
leucorrhœa of a decayed odor. Ulceration of the uterus, with offensive discharge.
Respiratory Organs:- Weakness of organs of speech and of chest, so that she cannot speak aloud
(Phos., Caust.). Tickling in larynx waking her about midnight and provoking cough and
expectoration. Cough day and night; in morning, waking her frequently; in evening;
evening and morning; agg. walking; agg. deep breathing, so as to cause vomiting; paroxysmal,
if slightest portion becomes cold, with sensitiveness of nervous system (Compare Nux
vom.); paroxysmal, forcible, deep painfully shocking larynx and causing retching; almost
uninterrupted, from tickling in left upper part of throat, agg. from talking and stooping and till late
in evening, then suddenly ceasing; tickling at 3 P.M.; suffocative, from tightness of breath;
provoking vomiting; scraping, rough. Dry cough; in evening in going to sleep; and paroxysmal, in
evening; and short; hacking, after eating; and deep, in paroxysms on deep inspiration, from
tightness of breath, with sore pain in chest. Cough, with expectoration; paroxysmal; of
mucus, all day, from scraping in larynx and agg. throat; of mucus, and violent, from 11 till
12 in bed; of bloody mucus; bloody, preceded by sensation of a hard body in pit of
stomach, offensive sweat after the cough, then weakness of head. Expectoration of acid
mucus at night, almost without cough; bloody E. from chest, with peevishness and
weakness. Dyspnœa. Frequent deep breathing, as after running.
Clinical:- Subacute inflammation of the larynx, with considerable secretion of mucus. In a
late stage of membranous croup, with hoarseness, profuse collection of mucus, difficult
respiration; Hep. should be given very cautiously even in a late stage of membranous
croup; overdosing with it is apt to cause recurrence of the more acute symptoms, to lessen
the secretion of mucus, rendering the cough dry and tight, and to increase difficulty in
breathing; it follows well after Spong., Spong. should be given after Hep. only when Hep.
has aggravated the cough and caused a return of the former symptoms; Hep. is never to be
given when there is a hot, dry skin; the dry skin; the child is always sweaty and weak; it is
to be carefully differentiated from Kali bi. and Bromine, neither of which is indicated when
there is fever; the tenacious character of the expectoration indicates Kali bi., while Bromine
is indicated by the spasmodic character of the cough and expiration, and a tendency to
cyanosis. Subacute bronchitis, cough loose and rattling, agg. cold air, always agg. towards
morning; (the profuse collection of mucus in the chest, which cannot be removed by
coughing, with free sweating, is like Tart. emetic).
Chest:- Tenacious mucus. Suppuration on last right rib, with sticking in it and great pain
on touch. Sticking in side extending to back; S. in sternum when breathing and walking.
Pain in left side inside on which he lies at night. Flesh of right side and beneath right arm
sensitive on touching breast or moving arm. Oppression, with burning. Feeling as if hot
water moved about in it. Heat above heat. Itching of left nipple.
Clinical:- Late stage of pleuritis, with exudation, with the general indications of the drug.
Chronic pneumonia, with profuse purulent expectoration and threatening abscess. Ab-
scess of the lungs, when the symptoms indicate.
Heart and Pulse:- Sticking in region of heart; and in left chest, with palpitation. Palpitation
after dinner, with tightness of chest and need to breathe deeply. Pulse rapid and hard.
Neck:- Pain in muscles of nape on touch, agg. beneath ears. Bruised pain in muscles, with
painful swallowing as from a swelling; B. pain in nape on bending head backward.
Back:- Sticking; in left side. Tensive pain, agg. turning body at night. Drawing in B. and
sacrum in morning, pain in whole B. after rising, so that she can scarcely move, with
weakness of limbs, aversion to eating or working, shivering, chilliness and loss of thirst.
Weakness of spine. Scapulæ, sticking between; S. in right on blowing nose, hawking and
deep breathing; pain between S.; sensation during micturition as if something were
running internally in right. Loins, sticking, with cough; S. in left; in region of left kidney;
pain, agg. walking, extending across back and backward; frequent pain; pain as if cut in
two, so that she can neither stand, walk nor lie; sprained pain in loins and ischia on sitting
and on turning body when walking; bruised pain on walking; bruised and sharp pain in
loins and lumbar vertebræ, agg. articulation of sacrum, with pelvis extending into lower
limbs, causing limping; pain as from fatigue, on stooping and leaning against anything
when sitting.
Extremities:- Sticking in joints. Drawing pains, agg. thighs and legs, with paralytic
sensations; D. pain in joints of shoulders, hips, agg. knees. Crawling pains, agg. walking
and standing, which bend him up. Sick in all, as if getting cold.
Clinical:- Very valuable in run-rounds and even in felons, with sharp suppurative pains.
Hip-joint disease in the suppurative stage.
Upper Extremities:- Axillary glands suppurate. Shoulders, tearing in left; pain on raising
arms; sprained pain; drawing pain; pain as from a weight. Arms, jerks here and there in
left; bruised pain; weariness; falling asleep of one on which he leans at night. Bruised pain
in humerus. Drawing pain in left upper pain or bruised feeling in tip on moving it after
violent walking, amel. open air. Forearm, boring sore pain on inner side of F. and across
back of hand after midnight, agg. touch, amel. during the day; bruised pain in a spot;
painful drawing in flexor tendons; drawing tearing in extensor muscles of F. and fingers.
Wrist painful. Hands tremble when writing; swelling of right. Fingers, swelling of all
when lying down, with stiffness; swelling of all, with tension on moving them; swelling of
joints, with gouty pains; easily put out of joint, they crack if pressed when hand is
outspread; sticking in one.
Lower Extremities:- Uneasiness during the day when at rest. Pain in nates and posterior part
of thighs when sitting. Thighs, cramp at night, extending into foot; C. in muscles of T. and
pelvis if T. is drawn up; tearing in right; T. in left hip on undressing; T. when sitting, with
numb crawling; T. as from weariness, and in legs; pain in hip when walking in open air;
bruised pain in anterior muscles; B. pain transversely through centre; sprained pain in hips on
walking in open air; sudden weary pain when walking. Knees, swelling; cramp; trembling
on walking in open air, with anxiety, general heat and burning in soles; frequent sticking
in right during the day; tearing in outer side as from weariness; pain in hollow during
motion; pain as if broken; bruised pain; tension in hollow of right, making walking
difficult.
Cramp in calves; in morning in bed; on bending, knees. Legs, tearing in tibiæ, above
malleoli, at night; T. in tendo-achillis in bed, when walking a sticking in it; cramplike pain
in muscles on walking; cramplike drawing pain beneath right knee on walking;
uneasiness; U. at night, with trembling; U. and necessity to keep them outstretched;
weariness, agg. ascending; heaviness; tension at night preventing sleep; T. morning in bed,
with heaviness. Ankle, cracking; pain as if suppurating; broken pain in right on walking;
paroxysmal sprained pain on walking; stiffness, with numbness and dead sensation.
Foot:- Swelling about malleoli, with difficult breathing; cramp; C. in soles and toes; C.,
between great toe and heel; sticking on instep; S. in heel; itching S. on back, at base of toes;
tearing at night; T. in soles, with drawing; bruised pain on outer side of one on which he
had lain, in evening after uneasy sleep, amel. touching and stroking; pressure in heel on
walking, as from a stone; soles sensitive to walking over uneven stones; drawing burning
pain in evening in bed, extending to malleoli; burning pain in morning in bed, agg. on
their backs. A hitherto painless corn begins to burn and stick on slight pressure. Toes,
sticking extending into great; S. in hard places on little; S. in fleshy part of right little; tearing
in great, worse when walking than when standing; pain in nail of great on pressure.
Skin:- Yellow. Jaundice, with blood-red urine and yellow whites of eyes. Unhealthy, slight
injuries suppurate (Silic.). Nettle-rash on face. Painless swellings on forehead. Chilblains on
feet, so sensitive after healing that she cannot wear the shoe. Itching miliary eruption on
hands and wrists. Red itching elevation on upper part of left nates. Red itching spot beneath
lower lip, soon covered with yellow blisters, which change to scurf. Pimples here and there; on
upper lid and beneath eyes; on nape and sides of throat; on side of forehead, feeling worse
in room; above anus, with feeling as if anus were swollen. Pimples like hives sore on
touch, on scalp and nape; on chin, above and below lips and on throat. Itching pimples on
chin; on top of left shoulder and beneath left patella; about knee. Warts become inflamed,
with sticking in them. Erysipelas on diseased leg.
Soreness and moisture in fold between scrotum and thigh (Sulph.); with smarting biting.
Cracking and smarting of hands and feet (Graph.). Scabby eruption on hands. Scurfy eruption
beneath left corner of mouth. Itching pustules on left elbow; P., with sore pain on sternum.
Boils; on nates; on leg, with inability to let leg hang down. Vesicles as from nettle-rash, for
example, on wrist; corroding V. on last phalanx of thumb, with sticking on pressure;
burning V. and ulcers on right side of chin towards lower lip. Ulcer bleeding on slight
wiping (Nit. ac.); sour-smelling matter from U.; sticking in U. on laughing; corrosive pain;
itching corrosion; burning at night, with throbbing.
Sensitiveness to touch and to slightest cold (Nux v.). Tickling in soles. Crawling in tips of
fingers; in soles; toes. Itching of nose; on zygomata; about mouth; in bend of elbow; in palms;
on inner side of knee; on tibiæ and backs of feet; on soles; here and there at night, agg. on
ankles, between fingers, on wrist, back, under knees, preventing sleep; on hands, with
rough, dry, shrivelled skin; sudden in toes; near nail of left index, as if a paronychia would
form; sticking; crawling in toes at night. Burning itching in toes; on forehead and cheeks
during dinner; agg. morning on rising, with white vesicles after scratching, which
discharge a white fluid.
Clinical:- General moist eruptions, which smell badly, suppurate and bleed. General in-
flammations and blisters, which threaten to suppurate, and in which there are sharp sup-
purative pains.
Sleep:- Yawning from morning till noon; frequent Y., causing pain in chest. Sleepiness
towards evening, with almost convulsive yawning; sleep-weariness in evening, so that he
slept from after supper till morning; sleeps in evening sitting up, with weariness. Sleep too
long and dull, then confusion of head, with pressure in temples, troubles from a
disordered stomach, eructations tasting of food and scraping in throat as before heartburn;
sleep long and confused, with thoughts of his business passing through his head like
drifting clouds. Slumbering sleep for several days, with dreams of the business of the day
and many thoughts, which passed through his brain like clouds, at times he woke
somewhat, not stupid, gave right answers, attended to his needs and immediately fell
asleep again. Sleeps on his back.
Sleeplessness after midnight; from numerous thoughts; from midnight till 4 A.M., then sleep,
sweat at 7, all night after lively conversation in evening; all night, with moaning and
groaning; all night, only slumber; S., with chill; with tossing about. Difficult falling asleep
and uneasy sleep. Frequent waking, with erections and desire to urinate. Sprang up from
sleep before midnight, full of anxiety and it seemed as if he could not get his breath.
Dreams:- Anxious all night; A., of conflagrations, of falling from a precipice, etc.; A., with
sweat on back on waking. Of flying from danger. Of danger, fright. Full of strife. Heavy,
and he remained frightened after waking. Peevish. Of hearing shooting. Of expectoration
of blood and pus. Of broken windows two nights in succession.
Fever:- Chill; every day at 6 or 7 P.M.; at 6 P.M., with weakness and slow pulse; at 8 P.M.,
with chattering of teeth, coldness of hands and feet, then heat, with sweat, agg. chest and
forehead, and slight thirst; at night; in open air and a painful sensation presses her down so
that she must walk bent over; with frequent nausea and sensitiveness to open air;
alternating with heat, with photophobia. First bitter taste, then chill, with thirst, then heat,
with interrupted sleep, all twice on the same day. Shaking chill; with chattering of teeth,
coldness and pallor of hands and feet, pallor of face, change of expression,
unconsciousness, coma, when aroused he talked irrationally or stared without expression,
then heat slight in comparison with the chill, with dry mouth, periodic colic and liquid stools.
Shivering; then heat; waking at 2 A.M., with hot, dry skin, frequent S. from nape down
back and over chest, then sleep, from which he woke with sweat, pain in back, in and
about hips and in abdomen and nausea; frequent S. in forenoon in open air; frequent S.
extending to head, where hair is sore to touch. Chilliness in arms and legs in morning; in
feet during the day.
Catarrhal fever, weakness, with sensitiveness of skin to touch and to slightest cold, constant chill,
with sore throat as if raw, pain on swallowing saliva, muscles of nape, agg. beneath ears, painful to
touch, with dry cough, to appetite, no thirst, sleeplessness all night, with moaning and groaning; C.
fever, with internal chill and fretfulness; V. fever, with sick feeling in all limbs. Orgasm of
blood preventing sleep. Heat; three nights in succession, from 4 P.M. through night, with
great thirst, headache, delirium; so that sleep was bad; with violent vomiting of green acid
water and tenacious mucus and nausea; dry, at night, with sweaty hands, which cannot
tolerate uncovering; H. in forehead; hands palms and wrist; face night and morning on
waking; in soles in morning in bed; of one hand, with redness and swelling and bruised
pain extending into arm on moving; it; flushing, in face and head.
Constant offensive exhalations from body. Sweat at night; as soon as he lies down, agg.
head, then S. in drops on face; about midnight, agg. back; before midnight; after midnight
in bed; from midnight on, then chill in morning; S. on slightest motion (Merc.); S. even on
writing a few lines; frequent without heat; general, at night when awake. Profuse sweat;
general in morning; general, with burning of skin; and sour-smelling at night (Bry.); and
clammy, at night; between upper part of legs; on head in morning. S. on perineum. Cold S.
on hands; on feet.
Clinical:- The easy chill from exposure to air, even from putting the hand out of bed (caus-
ing cough), and the general tendency to sweat are the general indications in febrile states;
there is comparatively little fever. Sour sweats.
2.2 VERMEULEN´S CONCORDANT
Hepar Sulphuris
Hepar sulphuris calcareum {hep}
<Characteristics> Unhealthy skin. Great sensitiveness to all impressions. Sweating patient
pulling blanket around him. Locally, it has a special affinity to the respiratory mucous
membrane, producing croupous catarrhal inflammation, profuse secretion; also easy
perspiration. After abuse of Mercury. Infected sinus & pus forming. The tendency to
suppuration is most marked, and has been a strong guiding symptom in practice. The
lesions spread by the formation of small papules around the side of the old lesion.
Chilliness, hypersensitiveness, splinter-like pains, craving for sour and strong things are
very characteristic. Feeling as if wind were blowing on some part. The side of the body on
which he lies at night becomes gradually insufferably painful; he must turn. Pellagra
2
[material doses required]. Syphilis after antispecific gross medication. An impure
sulphate of calcium. Affects the NERVES, making the patient OVERSENSITIVE to all
impressions; to cold; to pain; touch, noise, odours, to draught of air; slightest pain =
fainting. All the discharges are profuse; foul; like old cheese; sour; stools, smell of body,
sweat, etc. SWEATS EASILY and profusely; but dare not uncover; sweats without relief.
The patient is CHILLY; even wears an overcoat in hot weather. Takes cold from exposure
to damp cold weather. Pains are sore, STICKING; like sharp splinters. Abscess,
threatening; much thick pus. Establishes suppuration around and removes foreign body.
Yellow; sputum, sclerae, sweat, etc. Mastoiditis. Hard, burning nodes. Touchy mentally
4
and physically. Spasms after injury. Pains in bones; caries. When touching the involved
areas pain is felt as from sub-cutaneous ulceration. INFLAMMATION ENDING IN
SUPPURATION. If given low it will favour suppuration, and if given high it will
6
sometimes abort the suppurative process [it comes always after Bell.]. Hep. is never to be
given where the skin is hot and dry, only when the child is sweaty and weak [in croup].
Sweats easily in perineum, groins and thighs. Removes the weakness of ether. Marasmus
of children; diarrhoea < during the day and after eating; sweat and stool have a peculiar
7
sour odour. Rheumatic swelling & heat, redness and sensation as if sprained. General <
11
dry, cold wind. Anxiety and bending backwards of body in lying, during cough.
Excessive nervous excitability, so that all impressions on body or mind cause internal
trembling. Traumatic convulsions, caused by excessive pressure on brain during delivery;
trismus of newborn babies. Paralysis from suppressed eruptions. Anasarca, & tendency to
formation of boils on hairy scalp; after scarlet fever. Anasarca from Bright's disease,
especially after so-called light cases of scarlatina. Preventive of dropsy after scarlet fever as
soon as traces of albumen are discovered in urine. Burning, throbbing pain, & chilliness.
{hep}
11
<Mind> Anguish in evening and night, & thoughts of suicide; impelled by
unaccountable attacks of internal anguish, which sometimes come on quite suddenly, to
7
attempt suicide. The slightest cause irritates him. Dejected and sad; bitter crying.
2 11
Ferocious; wants to kill who offends him; wants to set things on fire; a ferocious anger
which would lead to cold blooded murder even among those habitually gay and
2 2
benevolent. Hasty speech; and drinking. Sudden weak memory. Quarrelsome, hard to
get along with, nothing pleases him, dislikes persons, places; becomes cross and violent.
8
Irritable and DISSATISFIED, with oneself and others; discontented with everything.
Horrid impulses. Words roll out tumbling over each other. Cross children. Child doesn't
11 4
laugh, amuse itself; child doesn't incline to play. Sits silent and speechless in a corner.
6
Hypochondria; unreasonable anxiety. Easily angered, becomes abusive. Impulses; to stab
a friend; to throw her child into the fire. Dementia, complete stupidity, silent and
7 8
speechless. Oversensitiveness and irritability & quick, hasty speech. Cheerful in bed.
Delusion world is on fire; that members of the family are sick. Fear of impending disease,
< walking in open air. DISPOSITION TO CONTRADICT. Fear of thunderstorm. Fear in
open air. Furious gestures; violent. HURRY WHILE EATING. IMPETUOUS. Sudden
11
impulse to kill; threatens to kill. Malicious; feels as if he could murder some one with
11
pleasure. STARTING ON FALLING ASLEEP. Violent rage leading to violent deeds;
11
threatening to end in murder and arson. VIOLENT FROM PAIN. Irritability & great
weakness of memory. Frightful visions of fire and of dead persons. Violent, fretful,
passionate; spoke with great volubility, wouldn't listen to any remarks offered. Repulsive
mood, & desire to be left alone. Sad mood for hours; must cry vehemently. {hep}
7
<Vertigo> Vertigo and headache, when shaking head or riding. When closing eyes at
11
siesta. In morning; in evening, & nausea; & blackness before eyes. With acute sense of
smell. When riding in a carriage. Short attacks of stupidity, vertigo, dulness of mind and
want of memory. {hep}
 4 11
<Head> [Sensation]: As if a nail were being driven into right side of head. Heavy,
stupefied feeling in forehead. Of swashing in head. Burrowing, as if an abscess were
2
forming in forehead. [Pain]: Boring, in right temple and in root of nose every morning; <
2 5 11
motion; stooping. Constant pressive, in half of brain, as from a plug [ or nail]; at
night or when waking in morning, < moving eyes and stooping; > rising and binding head
6 8 11
up tightly. Better: bending head [backward]. UNCOVERING HEAD <; = TAKING
7
COLD. Sticking, waking him at night, & confusion, as if head would burst. Tensive,
above nose. Aching in forehead like a boil. Pressive, externally in right side of occiput,
11
gradually @ nape, throat and scapulae. Lancinating, > walking in open air. In morning,
< every jar. Over eyes, pressing down upon eyes. Pressing and drawing in temples by day.
Throbbing, in right temple. Aching in vertex, & palpitation of heart, in evening.
Hammering. When shaking head. Dull, every morning in bed, > after rising. Pulse-like
stitches in lower portion of occiput. In skull bones, at night. Throbbing in forehead and
11
temples, reverberation in head, during cough. [Objective]: Scalp sensitive and sore; can
hardly bear to comb the hair or have anything touch head. Humid scaldhead itching and
7 2
burning; < morning, burning and sore on scratching. Cold sweat on head. Hair falls off;
11
in spots, following chronic headache. Sore nodosities on head; > covering head warmly
11
and perspiration. Loss of hair & very sore, painful pimples and large bald spots on
head. Cold, clammy sweat, smelling sour, chiefly on head and face, & aversion to being
uncovered; < least exercise and during night; > warmth and rest. Boils on head and neck,
very sensitive to touch. {hep}
6
<Eyes> [Sensation]: As if pulled back into head; & herpes following course of supraorbital
7 11
nerve. Pressure in eyes, as from sand. As if eyes would be drawn back into head,
during headache. Of weight at back of eyeballs, during headache. As if eyes protude.
7
[Pain]: Boring, in upper bones of orbits. Eyes ache from bright daylight, when moving
them. Smarting, in external canthus. Pressing, in eyeballs; they feel bruised when touched.
11
Pressive, forcing her to close eyes occasionally. Stitches in eyes. Pressing, especially on
moving eyes, & redness. In eye, at each step. Burning, in bones above orbits. Cutting, in
outer canthus. [Objective]: Ulcers on cornea. Iritis, & pus in anterior chamber; purulent
conjunctivitis, & marked chemosis, profuse discharge, great sensitiveness to touch and air.
7 2
Eyes and lids red and inflamed; sore to touch, & lachrymation. Hypopion. Little
5
pimples surround inflamed eyes. General inflammation, & sharp, stinging pains.
7
Purulent inflammation of lachrymal sac. Agglutination of lids at night; secretion of
11
hardened mucus. Spasmodically closed lids in morning. Eyes protruded; in croup.
Eczema on eyelids where scabs are thick and honey-combed. Photophobia. Purulent
capsulitis after extraction of cataract. Prolapsus iridis. Eyes sensitive to light and air; must
be covered. Kerato-iritis & great photophobia and lachrymation; much pain from eye @
2 3
corresponding side of head, < at night, especially about or a.m. Swelling of lower lids.
Epithelioma of cornea. Eyes very red, great photophobia, lids red and swollen, & burning
pain in affected parts. Lids inflamed, excoriated, running, as if corroded, especially at
inner canthus; internal surface of lids, especially of lower, of deep red colour and
inflamed. Catarrhal conjunctivitis after inflammatory stage has passed. Lids swollen, tense
and shining, as if erysipelas had invaded them. {hep}
<Vision> Objects appear red and too large. Dim, when reading; field reduced one-half.
7
Bright circles. Dim, by candlelight. Obscured, on rising up after sitting bent over. Sees in
a light spot in centre of field of vision, surrounded by a dark ring, and again by a lighter
ring, all of which were constantly turning and changing into various colours, especially
green; < coming into room from bright sunlight; anaesthesia of retina, the result of looking
at an eclipse. Flickering. Coloured and dim halos around candle, in evening. Unusually
clear and distinct vision in dark part of room, # photophobia. {hep}
11 2
<Ears> [Sensation]: Cracking, whizzing and snapping in ear on blowing nose. [Pain]:
4
Darting, in ears. WITH SENSITIVENESS TO TOUCH, OUT OF PROPORTION TO
11
ACTUAL PAIN. Stitches and pain extending from ear to ear. [Objective]: Scurfs on and
11 11
behind ears; exuding thick, gluey secretion, which mats hair. Fetid pus from ears; &
2
scurfy irritation of surrounding skin. Pustules in auditory canal and auricle. Mastoiditis.
7 11 11
Wax increased. Perforation of drum. Itching in ears; of outer ear. Green discharge.
Liquid wax. {hep}
2
<Hearing> Impaired, & whizzing and throbbing in ears. Deafness after scarlet fever.
Impaired, & chronic tonsillitis. {hep}
11 2 11
<Nose> [Sensation]: Contractive, in nose. [Pain]: Sore, at root of nose. Raw, in side
of nose on blowing nose. Violent, in nasal bones & thick muco-purulent discharge from
one nostril; > dry weather, < approach of rain or in changeable weather. Boring, at root of
nose. Burning and heat in nose; ulcerative pain in nostrils; drawing pain in nose @ eyes,
becoming a smarting there. Sore, on dorsum of nose, from touch. [Objective]: Sore,
ulcerated. Soreness of nostrils, & catarrhal troubles. Sneezes every time he goes into cold,
dry wind, & running from nose, later, thick, offensive discharge. Stopped up every time he
1
goes out into cold air. Smell like old cheese. Hay fever. [Hepar x will often start secretions
2
and profuse drainage in stuffy colds.] Nosebleed; after singing. Stuffed painful nose.
5
Ripened colds and old catarrhs. Inflammation of nostrils, swelling and pain like a boil.
7
Discharge bloody, offensive. Nasal bones sore to touch. Sense of smell extremely
11
sensitive; lost. Itching in nose = sneezing. Sneezing during and after coughing. Nose
stopped up in morning. Febrile fluent coryza if it gets dry, especially with scrofulous and
rachitic children; hoarseness, or hollow, croupy cough. Interior of nose painful and
sensitive to cold air and touch. [Objective]: Yellowish, sticky matter dropping out of one
nostril. Coryza & inflammatory swelling of nose, painful like from a boil. Mucus from
posterior nares mixed with blood. Scurfy formation in right half of nose, @ down upon lip
with a deep fissure, very sore and sensitive to touch. Ozaena scrofulosa. Obstruction of
nose after stool. {hep}
11
<Face> [Pain]: Neuralgia of right side, @ in streak into temple, ear, alae, and lip; esp. if <
open air, and > wrapping up warmly. Bones of face painful to touch. Shooting in jaw on
2
opening mouth. [Objective]: Yellowish complexion; & blue rings around eyes. Middle of
11
lower lip cracked. Vesicular erysipelas, & pricking in parts. Ulcers in corners of mouth;
2
eruption & sensation of heat in corners of mouth. Upper jaw projects. Herpes following
course of supraorbital nerve. Pimples on forehead which disappear in open air. Hard
7 11
swollen cheek; with a hard growth over it. Heat and redness of face. Erysipelatous
swelling of cheeks in morning. Itching around mouth. Boils on lips and chin, very painful
to touch. Crusty pimples on face of young people. Paleness of face when excited by
7
movement, or very red and flushed. Heat of face, night and morning, on waking at a.m.
Heat in cheeks during stool. Spasmus facialis, especially if caused by diseased bones or
teeth. Urticaria on face. Lupoid ulceration of face, intolerance of touch, every breath of air
= pain. Great swelling of upper lip, painful to touch, but otherwise only tense. White
blisters on lips, chin and neck. Acute inflammation of [right] parotid gland; threatened
suppuration. Fungous growth on lower jaw, & necrosis. Colour of face changing
constantly, in croup. Fever blisters around mouth during fever. {hep}
7 11
<Mouth> [Sensation]: Bitter taste. Taste: putrid; metallic; sour; of rotten eggs, in
11 2
morning. [Pain]: Tip of tongue very painful, feels sore. [Objective]: Salivation.
11
Offensive breath; as from disordered stomach. Aphthous patches on inside of lips and
5 11
cheeks; and on tongue. Coating on back of tongue resembling dry clay. Thrush, < on
inside of lower lip. Brown coated tongue, & waterbrash. {hep}
2 11
<Teeth> [Sensation]: Hollow teeth feel too long. Throbbing, as if blood were entering
5
tooth. [Pain]: Gums and mouth painful to touch and bleed easily. Toothache on opening
mouth and after cold drinks; sometimes < warm room and > open air; < biting teeth
11
together. Drawing, < after eating, in warm room or at night. In all teeth, immediately
2 6
after drinking cold drinks, or opening mouth. [Objective]: Teeth loose. Abscess at root
11
of filled tooth. Ulcers on gums, base resembling lard. {hep}
 2 7
<Throat> [Sensation]: When swallowing, sensation of a plug [ fish bone; internal
7
swelling] and of a splinter in throat. Pressive and constrictive sensation in throat.
11
Bitterness in back of throat, & natural taste of food. Scraping in throat when swallowing
saliva. As if he had to swallow over a swelling. [Pain]: Stitches in throat @ ear when
7 5 11
swallowing food; on turning head. Raw, in morning on waking, < swallowing.
Sticking , in swollen tonsils when swallowing, breathing, coughing or turning head.
Sticking, as from a splinter, @ ear, on yawning. Sore, ulcerative, preventing sleep. Stitches
and burning in throat during cough. [Objective]: Quinsy, & impending suppuration.
2
Hawking up of mucus. Swelling of tonsils and glands of neck. Goitre [r.], pain @ head.
5
Chronic tonsillitis & hardness of hearing. Ulcers of soft palate that eat away uvula. Sore
6
throat, & increased mucus, & burning and rawness, @ nose and chest. Tonsillitis & fetid
odour of saliva, sharp, splinter-like pains on swallowing, sensitiveness to cold air and
11
chilliness. Scraping sore throat, impeding speech, but not swallowing. Dryness of
throat. After violent inflammation of throat when there still remains some redness,
dryness and swelling of mucous membranes. Violent pulsation of carotids. Enlarged
flabby uvula, & tickling sensation in back of throat and enlargement and inflammation of
mucous follicles. Tonsils so much swollen as to leave no opening visible; could neither
speak, move nor swallow; in quinsy. Couldn't venture out in slightest damp without being
in fear of inflammation of throat, which at last produced a nervous sort of terror of being
choked. {hep}
2 2
<Food & Drink> Desire for acids [ vinegar], wine, and strong-tasting food; highly
10 11
seasoned food and stimulants; fat; fat meat and sweet food. Aversion to fat food.
11 2
Heaviness and pressure in stomach [ as if lead were in it] after a slight meal. Eating
11
refreshes but = heaviness; strong and comfortable feeling after a meal. At times desires
something but when he gets it does not like it. Diarrhoea after drinking cold water.
5 7
Barking cough < cold drinks. Toothache after cold drinks. Great desire for sour
11
pungent things. Hunger in forenoon. Eructations after eating. Much thirst. Almost
unquenchable thirst during burning, febrile heat. Thirst during sweat. Thirst in all stages
of fever. Drinks hastily. Vertigo during dinner, after belching. Everything, even cold
water, has a bitter taste. Drawing toothache < after eating. Smarting, rawness and scraping
in throat < swallowing solid food. Hot, sour regurgitation of food. Eructations after eating.
Acrid feeling in stomach during digestion. Pressure and pain in stomach > eating. Burning
in pit of stomach > eating. Frequent desire to loosen clothing about stomach after a meal.
Diarrhoea < after eating. Pressure beneath larynx, immediately after supper, as if
something were sticking in throat. Pain in larynx when eating warm food. Rough and
hollow sounding cough, < eating and cold drinks. Hacking cough immediately after
eating. Irresistible sleepiness; must lie down immediately after supper and sleeps till
morning. Better from tobacco. Trembling weakness after smoking. Debility temporarily >
eating. {hep}
2
<Stomach> [Sensation]: Stomach painful on walking, as if it hangs loose. Constant acid
11 7
rising sensation into oesophagus [ as if she had eaten sour things]; gnawing in
5 11
stomach as from acids, which also rises up into throat. Sinking sensation in stomach.
As of a hard body in pit, immediately followed by haemoptysis. Fixed coldness at pit, felt
11
occasionally when burning sensation was not present. [Pain]: Burning in stomach;
5 11
during cough. Acute. Pressure and pain in stomach, > eating, eructation and passing
of flatus. Drawing, from region of stomach @ back. Burning from pit @ throat and ears, >
eating. [Objective]: Frequent eructations, without taste or smell. Distension of stomach,
11 2
compelling one to loosen clothing; and then can't tolerate sitting. Stomach easily
6 7
upset. Dyspepsia after abuse of quinine. Nausea and vomiting every morning; of bile.
11
Attacks of nausea & coldness and pallor. Frequent but momentary attacks of nausea.
Inclination to vomit & flow of saliva from mouth. Fetid eructations, & sensation of burning
in throat. Vomiting of green, acrid water. Vomiting of bile, in morning, after long, violent
retching. Indigestion characterized by eructation of quantities of wind, especially in
nervous persons, & craving for condiments. {hep}
11
<Abdomen> [Sensation]: Abdomen sore, as if bruised, in morning. [Pain]: Stitching in
5
region of liver when walking, coughing, breathing, or touching it [Bry.; Merc.]. In region
7
of liver, @ scapulae, & yellow skin, light-coloured stools, etc. Contractive, clawing, in
11
abdomen around navel [ extending from both sides towards middle, and sometimes up
11
to pit of stomach], in paroxysms, & nausea and heat of cheeks. Stitches in region of
spleen when walking. Exposure to rays of July sun followed by intense colic, which was >
copious and perfectly white stools. Pinching in abdomen before stool. Pain, straining,
pressing, rumbling and nauseous feeling in abdomen during stool. [Objective]: Hepatitis,
4
hepatic abscess; abdomen distended, tense; chronic abdominal affections. Can't bear
5
anything tight around waist. Intestinal catarrh, & sinking in stomach, discharge of
7 11
mucus. Rumbling in abdomen. Swelling and suppuration of inguinal glands; buboes.
Fermentation above navel & eructation of hot air. Frequent bilious attacks, especially in
spring and autumn; overfatigue or chill in damp weather = attacks of white, frothy
diarrhoea; extremely sensitive in change of weather to rain; predicts the approach of rain;
very sensitive to damp winds. During inflammatory process in cirrhosis of liver. Deep,
circumscribed swelling in ileocaecal region; lies on back, with right knee drawn up.
Decreased peristaltic motion. Chronic abdominal affections. Tympanites after stool. {hep}
 7
<Rectum> [Pain]: Burning in rectum. [Objective]: Clay-coloured and soft. Sour, white,
2
undigested, fetid. Loss of power to expel even a soft stool. Foul mucus from anus.
7 5
Bleeding from rectum, & soft stool. Piles; protruded. Mucous or bloody stools, &
11
symptoms of intestinal catarrh. Diarrhoea < during day; after eating. Sweat on
perineum. Constipation, stools hard and dry; & eruption in bend of elbows, or in popliteal
space, from congestion and inactivity of rectum. Stools: green, slimy, or sour smell; light
yellow faecal; black; thin or papescent; painless. Diarrhoea with every cutting of teeth.
Cholera infantum from irritation of teeth, chiefly with morning aggravation. Chronic
diarrhoea after suppression of scabies. Sluggishness and inactivity of bowels, in
consequence of which abdominal muscles must bear down in order to effect an
evacuation. Promotes speedy suppuration in periproctitis, the swelling being hard and
inflamed. Prolapse of rectum, which protruded at every stool about two inches, & slight
oozing of blood; bowel very difficult to return. Haemorrhoids from engorgement of liver,
& great abdominal distress; preventing abdominal respiration. {hep}
11
<Urinary> [Sensation]: As if some urine always remained. [Pain]: In kidneys, & constant
urging to urinate, later purulent sediment in urine; renal region sensitive to slightest
touch. Stitches in urethra. [Objective]: Urine voided slowly, without force; drops vertically,
11
bladder weak. Greasy pellicle on urine; or glistening with various colours. Bladder
2 11
difficulties of old men [Cop.; Phos.; Sulph.]. Must wait to urinate; and then it flows
7
freely. Passing of blood or pus after urination. Nephritis, after exanthemata.
11
Inflammation and redness of orifice of urethra. Urine dark red and hot; milky, turbid [
even while passing, & white sediment]; bloody; acrid, burning, corroding prepuce; pale
11
and clear; on standing becomes turbid and thick, and deposits a white sediment.
Nocturnal enuresis. Albuminuria accompanying and following diphtheria. Dark yellow
urine, scalding whilst discharged. Urine brown red, last drops mixed with blood.
Discharge of mucus from urethra. {hep}
<Male> [Objective]: Herpes, sensitive, bleeds easily. Ulcers externally on prepuce similar
to chancre [Nit-ac.]. Excitement and emission without amorous fancies. Itching of glans,
11
fraenum, and scrotum. Figwarts of offensive odour [ like old cheese or herring brine].
Humid soreness on genitals and between scrotum and thigh. Obstinate gonorrhoea
2 7
"doesn't get well." Flow of prostatic fluid after urination, during stool; after hard stool.
11
Sexual desire increased, but erections feeble. Chancres not painful but disposed to bleed
readily. Easily bleeding chancres with lardaceous edges and fetid discharge. Chancres
secreting watery pus with diffuse borders and red bottoms, elevated above surface.
Phimosis with discharge of pus, & throbbing. Long standing hydrocele; large swelling of
scrotum, containing dark, thick fluid; throbbing in scrotum. Scrofulous buboes. Secondary
syphilis. {hep}
 2
<Female> [Objective]: Discharge of blood from uterus; during or after stools. Itching of
pudenda and nipples, < during menses. Menses late and scanty. Abscesses of labia & great
sensitiveness. Extremely offensive leucorrhoea; smells like old cheese [Sanic.]. Profuse
2
perspiration at climacteric [Jab.; Til.]. Cancer, & ulceration. Coition very painful from
5
enlarged and anteverted uterus, & congestion of ovaries. Ulceration of cervix, &
prolapsus of uterus. Leucorrhoea always tenacious, rarely & albuminuria; & great
prostration, palpitation, or & derangements of liver, constipation, haemorrhoids, etc.
Subinvolution. Uterine fibroids. Inflammation of cervix, & heat and itching of vagina.
6
Leucorrhoea so copious she is compelled to wear a napkin, and the napkin becomes so
offensive that it must be taken away and washed at once as the odour permeates the
7 11
whole room. Discharge of blood between menses. Menorrhagia in women with
chapped skin and rhagades of hands and feet. Metritis & burning, throbbing pains.
Mastitis in hysterical and nervous patients; pain as if in bones of arms and thighs;
suppuration preceded by frequent crawls in affected part, which remains hard, & scanty
discharge. Much itching, or little pimples around ulcer on mammae. Mammae swollen,
not sensitive to touch, but she can't walk up or down stairs; during pregnancy. Congestion
of blood to uterus. Itching of vulva during menses. Discharge of white, yellowish, or
discoloured pus, attended with fetid smell, especially when occasioned by scrofulous
leucorrhoea, or after repeated attacks. {hep}
11 2
<Larynx> [Sensation]: Of down in larynx. Scraping in larynx. [Pain]: Larynx sensitive
11
to cold air; painful. Painfulness of a small spot in larynx, & wheezing in larynx.
Stitching in larynx on forced inspiration. Stitching and burning in larynx, when walking,
especially against wind, and when eating warm food. [Objective]: Loses voice and coughs
2
when exposed to dry, cold wind. Hoarseness, & loss of voice. Hoarseness; chronic; of
4 6
singers. CROUP; comes in after Acon. and Spong. Croup; of oversensitive children,
who are exposed during the day to a cold, dry wind or cold air; come down next morning
with croup; they become < morning and evening until midnight; the cough is choking and
gagging; they cough and sweat. Polypus of larynx, white, gelatinous, sore, voice cracked
7
or lost. Croup after dry, cold wind, & swelling below larynx, and great sensitiveness to
11
cold air or water. Grasps at larynx; in croup. Croup, when panaritiae, anginae, urticaria
or erysipelas prevail. Light attacks of croup in teething children. Much green mucus in
larynx. Larynx and trachea sensitive to touch. {hep}
2
<Respiration> Anxious, wheezing, moist; asthma < dry cold air; > damp. Asthma; after
7
suppressed eruption of skin. Dyspnoea; weakness of larynx and chest; can't speak aloud.
11
Sudden attacks of suffocation; child looks anxiously about and attempts to cry without
being able to do so; loud, whistling inspiration; face dark red; lips bluish; bends head back
and gasps for breath; after attacks have lasted ten minutes, they end with a whistling,
crowing sound, and are followed by hoarseness. Attacks of asthma, awakening patient
from sleep, face becomes blue, saliva increased; sensation as of dust in lungs; smoking and
throwing head back >; after attack, sputum frothy. Snoring, hoarse, whistling, and often so
short and oppressed that he starts from sleep with violent, dry, hoarse cough, which =
retching; grasps at larynx in the greatest fear; assumes a sitting posture on account of
anxiety which sets in when lying down; in croup. Somewhat whistling; on every
inspiration great retraction of diaphragm, abdominal muscles and ribs, so that a large
concavity is formed. Frequent deep breaths, like after running. Involuntary deep
inspirations. Choking from mucus in larynx. {hep}
<Cough> Troublesome when walking. Dry, hoarse. Excited whenever any part of the body
7 7
gets cold or uncovered, or from eating [ or drinking] anything cold; from cold air,
2
crying, talking. Loose, rattling, during croup; < morning. Choking; barking, < cold drinks
or in morning; hacking as from a feather. Rattling, croaking cough; suffocative attacks; has
4
to rise up and bend head backwards. Cries before cough; WEEPING BEFORE, DURING
4
OR AFTER COUGHING. Worse: evening till midnight. The cough of Hep. is never a dry
7
one; it has a slight loose edge; the expectoration is slight, and there is little fever.
11
Provokes vomiting. Dry, ending with a short sneeze. Croupy, & continual hoarseness.
Constant irritation to cough, and oppression of chest, becoming < by long continued and
fatiguing coughing; finally gasping for breath, and expectorating very little sputa; < sitting
and bending over, must lean back or get up and walk about; < breathing cool air. Almost
uninterrupted, from tickling in upper part of left side of throat, < talking and stooping,
constantly getting worse till late in evening, and then suddenly ceasing. Dry, < taking deep
inspiration or speaking any length of time. Deep, dry, wheezing, hoarse; < at night and
cold air; > wrapping up and keeping warm. Troublesome, hacking, as soon as he was
1
about to fall asleep, continuing all night; coughs even on shutting eyes; > during sleep; <
1
p.m. to a.m. Barking, after measles. {hep}
2
<Sputum> Copious, thick, yellow. LOOSE; but can't expectorate; tightens up in cold air.
4 11
During day, no expectoration at night; & cough. Scanty, tenacious, muco-purulent,
with difficulty of expectoration. Only in morning, of mucus, bloody or like pus, generally
tasting sour or sweet. {hep}
2 11
<Chest> [Sensation]: As of drops of hot water in [l.] chest. As if hot water were
7 11
floating in chest. [Pain]: Soreness in chest. Burning in chest during cough. Stitching in
2
right side of chest, @ back. [Objective]: WEAKNESS AND MUCH RATTLING in chest;
expectoration LOOSE; but can't expectorate; tightens up in cold air. Recurrent bronchitis,
7
from every cold. Abscess in axilla. Tenacious mucus in chest. Weakness of chest; can't
11
talk from weakness. Bronchitis from repelled eruptions. Spasmodic constriction of
chest, after talking. HABITUAL BRONCHIAL CATARRHS & LOUD RATTLING OF
MUCUS. Chronic pneumonia & profuse purulent sputum. Pleurisy, croupous exudation,
with a yellow or yellowish-brown tint in face, in scrofulous and lymphatic persons.
Tubercles of lungs in herpetic patients, especially after suppression of exanthemata, in
scrofulous and in haemorrhoidal subjects. Bronchiectasis. Tettery eruption on chest.
Suppurating pimples on sternum. Suppuration of axillary glands. Offensive sweat in
axillae. Dry and slightly cracked condition in axillae, especially left; much itching, < when
body becomes heated. {hep}
11
<Heart> [Sensation]: Anxious feeling of debility about heart during palpitation.
2 11 11
[Objective]: Palpitation; & fine stitches [ in heart and left half of chest]. Palpitation
when burning pain in stomach is severe. Sequelae of angina pectoris; dyspnoea after
attack; dry, nervous cough from evening all through night; pain in neck after attack;
faintness and inability to recline after attack. Pulse hard, full, accelerated; at times
intermitting. {hep}
11
<Back> [Sensation]: Small of back and thighs as if bruised. As if something were
11
running or creeping, in right scapula, during urination. [Pain]: Drawing between
scapulae. Stitches and rheumatic pains in back. Sharp pressure and pain, as from bruises;
in small of back and lumbar vertebrae, especially in region of sacroiliac symphysis, @
lower limbs; pain is felt when sitting, standing or lying, and = limping when walking.
11
[Objective]: Hard, glandular swellings around neck. Carbuncle on back of neck;
surroun-ding tissues highly inflamed and extremely sensitive to touch. Great weakness in
whole of spine. Bloodboils on back. Stiffness of nape during headache. {hep}
11
<Limbs> [Pain]: Drawing, in limbs, especially in morning when awaking. Rheumatic, in
6
limbs; stitches in joints. [Objective]: Tendency to easy dislocation. Nails hard and brittle.
11
The limb upon which the ulcer has healed can't bear its own weight by suspension.
Gout with arthritis, without tophi. Dry, herpetic eruption in bend of joints, greatly itching.
Tingling in fingertips and toes. Continued dull itching of soles of feet and palms of hands.
{hep}
11
<Upper> [Sensation]: Pain in shoulder as if a weight were resting on it. Itching in palms.
7 11
Fingers as if dead. [Pain]: Bruised, in bones of arm. Tearing in arms, @ toward
2 11
suppuration in breast. [Objective]: Finger-joints swollen. Encysted tumour [ or
7 11
steatoma] at point of elbow. Whitlow. Skin of hands cracked, rough and dry. Swelling
of fingers of both hands, & stiffness, while lying. Cold sweat on hands. Heat in hands
during stool. Violent itching in bend of elbow. Intensely violent itching in bends of elbows,
on hands, wrists and in palms. Swelling of right hand. Corrosive blisters on thumb,
stinging when pressed. Thumb livid; violent throbbing, cutting, burning pain; lymphatics
inflamed; lump in axilla. Superficial erysipelatous inflammation around root of nail.
Onychia. {hep}
 11
<Lower> [Sensation]: Of soreness in thighs. Pain in feet as after taking a misstep; pain
2
occasionally wanders up to thigh. [Pain]: Nail of great toe painful on slight pressure.
11 7
Laming, in hip-joint < walking; left hip as if sprained. In nates and posterior part of
11
thighs when sitting. Bruised, in thighs; in knee. Stitches in great toe. Cramps in calves;
in soles and toes. Pricking in heels. Burning, stinging in toes. Violent stitch extending into
2
great toe. [Objective]: Swelling of knee, ankle and foot. Swelling of feet around ankles, &
7 11
difficult breathing. Cracks in feet. Boil on buttock. Cold feet. Tickling in soles of feet.
{hep}
2
<Sleep> Sleeplessness. Unrefreshing sleep. Wakes at night, & erection and desire to
7 11
urinate. Great sleepiness towards evening; & frequent, almost spasmodic yawning.
11
Sleeplessness after midnight from activity of mind. Violent starts when falling asleep.
Starts from sleep, feeling as if about to suffocate. So sleepy and fatigued, in evening, that
he falls asleep while sitting. {hep}
2
<Dreams> Anxious, of fire. {hep}
2 7 11
<Fever> Low fevers; hectic. Catarrhal conditions & fever. Apyrexia never clear,
constitutional symptoms always present. Type: simple, quotidian; period the same every
day. Hectic, with intermittent paroxysms. {hep}
7 11
<Chill> In open air or from slightest draught. Pains < during febrile chills at night.
During day, # heat and photophobia. Internal, & weariness and soreness in all limbs.
Sensitiveness to open air, & chilliness and frequent nausea. Must get to warm stove; heat
feels agreeable but doesn't relieve. Desire to be covered even in a warm room. Internal,
from below upwards. Violent shaking, & chattering of teeth, icy coldness and paleness of
6 7
face, hands and feet, unconsciousness and coma. Violent, every morning at or a.m.,
2
without subsequent heat. At a.m., with febrile shivering and hot, dry skin. At night in
bed, & aggravation of all complaints. In evening, preceded by bitter taste in mouth. {hep}
11
<Heat> Dry, at night; & redness of face and violent thirst; & sweaty hands, which can't
11
tolerate being uncovered. Flushes, & sweat. In morning, preceded by bitter taste in
4
mouth. Without chill, p.m., lasting all night. {hep}
2
<Sweat> Day and night without relief. Profuse; sour, sticky, offensive; from least
11 2 11
exertion; day and night; or first can't sweat at all, and then sweats profusely. Night [
11 11
or morning] sweat; & thirst. Sweats easily from every exertion of mind or after slight
motion. Frequent breaking out of sweat over body, only momentary and without heat. On
perineum, groins and inside of thighs. Cold, clammy, frequently sour, offensive smelling.
Before midnight. {hep}
<Skin> Abscesses; suppurating glands are very sensitive. Papules prone to suppurate and
extend. Acne in youth. Suppurate with prickly pain. Easily bleed. Angioneurotic oedema.
Unhealthy skin; every little injury suppurates. Chapped skin, & deep cracks on hands and
11
feet. Ulcers, & bloody suppuration, smelling like old cheese; edges very sensitive and
have a pulsating sensation. Ulcers very sensitive to touch, burning, stinging, easily
bleeding. "Cold sores" very sensitive. Can't bear to be uncovered; wants to be wrapped up
warmly. Sticking or pricking in affected parts. Putrid ulcers, surrounded by little pimples;
2
or by smaller ulcers or boils. Great sensitiveness to slightest touch. Chronic and
11
recurring urticaria; eruption chiefly in hands and fingers. Smallpox. Herpes circinatus.
2
Constant offensive exhalation from body. Sensitive to cold air. Foul moist eruptions in
6
folds. Poor granulation. Warts crack open, bleed, sting, burn and suppurate. Wool
7
worker's itch. Eczema, spreading by means of new pimples appearing just above the old
11
parts. Nettle-rash & violent itching and stinging, disappears as heat begins. Yellowness
of skin. Burning-itching on skin, & white vesicles after scratching. Itching rash in bends of
elbows and knees. Eczema, spreading by means of new pimples appearing just beyond old
parts. Bruised sensation, or as of subcutaneous ulceration, < touch. Suppression of
exanthems, followed by mania; melancholia; ophthalmia; laryngismus stridulus, with
epileptiform convulsions. Suppuration of long inflamed boils on body, or on limbs,
commencing with blisters. Acne punctata. Burning in ulcers at night only. Scabs easily
torn off, leaving a raw and bleeding surface. {hep}
<Modalities> Worse: COLD DRY AIR. WINTER. COLD WIND; DRAFTS. PARTS
BECOMING COLD. LEAST UNCOVERING; TOUCH; noise; exertion. Lying on painful
4 4
part. Mercury. Night [ esp. during the nightly chill]. Eating or drinking cold things.
1
Better: HEAT. WARM WRAPS; to HEAD. Moist HEAT. DAMP WEATHER. After eating
8 8
[ a comfortable feeling after eating is very characteristic]. The symptoms are: < waking;
blowing the nose; from getting the skin rubbed off; surgical injuries in general;
swallowing, especially when swallowing food [parts are so tender]; while urinating; in
clear, fine weather. There is marked periodicity in Hep.: every day; every four weeks
[attack of paralysis]; every four months [scabby eruptions on head]; every winter
[whitlow]; spring and autumn [bilious attacks]. {hep}
1
<Conditions> Suits especially scrofulous and lymphatic constitutions who are inclined to
have eruptions and glandular swellings. Blondes with sluggish character and weak
6
muscles. Esp. useful for persons who are chilly and scrawny with a tendency to enlarged
11
glands that tend to suppurate. Psoric scrofulous diathesis. Psora of children. Scrofulous,
outrageously cross children. {hep}
<Relations> Compare: Acon. [croup; Hep. follows Acon.; Acon. is anxious, high fever,
distressed breathing]; Alum., Arg-n., Fl-ac., Merc., Nit-ac. and Sil. [sharp splinter or fish
bone sensation]; Alum., Bry., Nat-c. and Nux-v. [constipation]; Ant-c., Ant-t., Cina, Sil. and
Thuj. [aversion to being touched]; Ant-c., Clem., Rhus-t., Sep., Spig. and Sulph. [aversion
to being washed]; Arn. and Bell. [Arn. cries before and after cough; Bell. after]; Ars., Calc.,
Mag-m., Nux-m., Nux-v., Psor. and Sil. [> warmth]; Bell., Dulc., Lach. and Sulph. [hasty
speech and actions; Bell. hasty speech, hasty drinking]; Brom. and Iod.; Cact. and Phos.
[irritable heart]; Calc., Mag-c. and Rheum [sour stools]; Calc-s. and Kali-s. [Kali-s. acts on
epidermis, Hep. on lymphatic glandular system, skin and respiratory mucous membrane;
Calc-s. acts much as Hep., only more deeply; Hep. acts on abscesses before they open,
Calc-s. after]; Calc-s., Merc., Sil. and Syph. [suppuration; Syph. has succession of
abscesses]; Cham., Lyc., Merc. and Sil. [every little scratch suppurates]; Cham., Valer. and
Verat. [pains = fainting]; Euphr. and Phos. [little pimples around eye]; Lach. [sensitiveness
of ulcers, etc.; Graph. absence of sensitiveness]; Spong. [dry, hard cough; little or no
6
expectoration; starts from sleep choking, < before midnight; Hep. < after]; Brom. and Kali-
bi. [Hep. is to be carefully differentiated from Kali-bi. and Brom., neither of which is
indicated except when the mucus is tough and stringy in case of Kali-bi. and when the
spasmodic character is present for Brom.]. Compatible: Acon.; Arn.; Bell.; Lach.; Merc.;
Nit-ac.; Sil.; Spong.; Zinc. Antidoted by: Acet-ac.; Bell.; Cham.; Sil. Antidote to: Metals, and
2
especially mercurial preparations; Calc.; Iod.; Kali-i.; Nit-ac.; cod-liver oil.
4
Complementary: Iod.; Sil. Complementary to: Calen. [injuries of soft parts]; Spong.
[croup]. Teste puts Hep. in his Pulsatilla group with Calc., Graph., Phos. and Sil. {hep}
<Causation> Cold, dry winds. Injuries. Mercury. Suppressed eruptions. {hep}

2.2 VERMEULEN´S PRISMA

It is with our passions as it is with fire and water -
they are good servants, but bad masters.
[Roger L'Estrange]
Signs
Hepar sulphuris calcareum. [Impure] Calcium Sulphide.
CHEMISTRY White powder if pure. Odour of sulphuretted hydrogen in moist air;
unpleasant alkaline taste. Oxidizes in dry air and decomposes in moist air. Slightly soluble
in cold, more soluble in hot water with partial decomposition; freely soluble in solutions of
ammonium salts; practically insoluble in alcohol; decomposes even in weak acids,
evolving sulphuretted hydrogen. Has to be stored in closed containers, because of its
sensitiveness to air, heat, and moisture. 1 Impure calcium sulphide is a greyish to reddish
powder with an odour of sulphuretted hydrogen; it decomposes in moist air.
PREPARATION Equal weights of finely-powdered clean middle layers of oyster-shells
and pure flowers of sulphur are mixed, and placed in a hermetically-closed clay crucible,
where the mixture is kept at a white heat for at least ten minutes. When cold, the crucible
is opened and the hepar preserved in amber glass-stoppered bottles.
 USES In phosphors; as lubricant additive. Pure calcium sulphide is used in electron
emitters. As 'lime-sulphurspray' used as a fungicide and insecticide. Luminous calcium
sulphide is used for making luminous paints or varnishes.
LUMINESCENCE The luminescence of natural calcium sulphide minerals [oldhamite] is
due to manganese and cesium ions. To obtain luminous calcium sulphide a mixture of
calcium carbonate and sulphur is ignited with very small quantities of manganese,
bismuth, cerium, phosphorus. The ions of the latter substances act as activators in
luminescence. The resulting compound, e.g. in luminous paints, will glow in the dark. It
stores light when exposed to it and emits it as a greenish or bluish glow for a relatively
short length of time when the light source is removed.
MEDICINAL ACTION "Essentially it has the action of sulphur in its active hydrogen
sulphide [H2S] form, but still is modified in certain directions through the participation of
the calcium ions. The acute and volatile H2S action in non-toxic doses is prolonged
through a preparation of this type by the cells of the skin and mucous membranes being
brought into longer contact with it. The calcium links the action toward the lymph
glands. ... Hepar proves itself more active than sulphur in all types of suppuration or
inflammations which pass over into suppuration. The untoward actions of sulphur
alkalies or sulphur earthy alkali compounds in the skin, which may evidence themselves
from irritation of the skin to purulent pustules up to phlegmons and abscess formation,
prove the homoeopathic suitability of the chief trend of action. It is uncertain whether
increase of the power of reaction of the tissue through sulphur is made easier through
hepar because it easily form SH ions from this mixture and therefore can be utilized and
become more active - indeed H2S is liberated through weak acids as well as carbon
dioxide [the 3rd decimal potency still has a very distinct taste and odour of hydrogen
sulphide]. It must also be left undecided how far the inflammation-depressing and
phagocytosis-stimulating calcium ion action has a share in the favourable influence."2
MEDICINE External application for depilation or in skin diseases such as psoriasis and
acne.
 PROVINGS •• [1] Hahnemann - 3 provers; method: unknown. [1] Merck Index. [2]
Leeser, Textbook of Hom. MM, Inorganic Medicinal Substances.
 Affinity: NERVES. CONNECTIVE TISSUE. RESPIRATORY MEMBRANES.
Flexures. GLANDS. Kidneys. Skin. Bridge of nose. * Right side. Left side.
 Modalities: Worse: COLD dry [AIR; WINTER; DRAFTS; WIND; PART
BECOMING; eating or drinking COLD things]. LEAST [UNCOVERING; TOUCH;
noise; exertion]. Lying on painful part. Mercury. Night. Better: HEAT [WARM
WRAPS; TO HEAD; moist]. DAMP WEATHER.
 Main symptoms
* Hepar sulphuris is made of Calcium and Sulphur.
Calcium = vulnerability to external influences; Sulphur = inner fire.
M VULNERABILITY on ALL LEVELS [hypersensitive].
Anything that can penetrate <.
As if there are no barriers; leads to a great sense of INSECURITY, with constant need for
protection, which they try to find in "security, money, position, comfort".
• "May even marry for money." [Morrison]
M OVERSENSITIVE to EXTERNAL IMPRESSIONS.
In particular PAIN, TOUCH, COLD.
[Calcium sulphide is sensitive to air, heat, and moisture.]
M SOUR-TEMPERED persons.
[Calcium sulphide decomposes even in weak acids.]
Craving for sour things, vinegar, pickles.
• "He has appetite only for sour and strong tasting [piquant] things." [Hahnemann]
M INTENSITY; as easy as external influences go in, the inner fire FLARES up.
VIOLENT at TRIFLES, from PAIN.
Sudden impulse to KILL for a slight offence.
• "The slightest thing put him into a violent passion, he could have murdered anyone
without hesitation." [Hahnemann]
THREATENING, ANGER so that he could have stabbed anyone.
RUDE; makes furious gestures.
Rudeness mostly only VERBAL.
[Or, as Borland says, real physical violence: • "Children who lose temper and hit and kick
and do real damage."]
ABUSIVE from slightest stress.
• "Very marked sensitiveness to personal atmosphere - a person is like a red rag to a bull
with them. Exhibition of temper when with certain people - quite ungoverned in fit of
temper - kick, swear, upset by slightest thing. Quarrelsome, impulsive. Too bad tempered
to be afraid much. ... Mother looking after child will turn round and hit it with anything
handy."1
M HURRY - eating, drinking, talking.
Tends to do everything quickly.
M FIRE.
Delusion WORLD IS ON FIRE.
Wants to SET things on fire. Pyromaniac.
[May set things on fire out of anger.]
• "In Hepar you have frightful dreams of fire and also imaginations, frightful vision and
dreams of fire. Also they want set the house on fire, when they are in an acute state of
insanity or in a period of anger, they will say: 'I'm going to burn this house!' and Hepar
will threaten their spouse and children: 'I will kill you, but by fire, I will put the house on
fire!' You have these symptoms in Hepar: 'Fear, as if could murder one with pleasure.'
They also have the insight of doing it with fire and you can join the enjoyment to kill and
the desire to kill by fire as a typical symptom of pyromaniacs. But here it would be an
insanity or during a period of anger. While the chronic pyromania is not there because the
person is angry, it is just a compulsion." [Saine]
M Discontentment.
• "Very discontented and peevish over his pains, and discouraged."
• "Contrary mood; he does not like to look at his folks."
• "Whatever she started to do, was not satisfactory, she wished to be alone."
• "Whatever she thought about was unsatisfactory and did not suit her." [Hahnemann]
• "Tends to be thin and fair rather than dark. Look as if they haven't been well for some
time. None of the anxiety of Ars. patient. Very often give the impression they have come
against their will. Resentful when you start asking questions. Sink into chair as if
physically tired - none of the alertness of Ars. None of the physical restlessness of Ars.
Comes with definite depression but the impression given is that the patient is up against
things, that they are dissatisfied with conditions, rather fed up than fearful. Complains of
being out of health due to conditions under which he works - if he could only change his
job. He goes over past continually, but if he changes surroundings > for a bit, then goes
back again."2
• "She thinks about everything disagreeable that happened to her in her lifetime."
[Hahnemann]
G Great CHILLINESS.
• "In the open air she is quite depressed by a painful sensation, like a shiver; on account
of chilliness she must walk all bent together." [Hahnemann]
G < COLDNESS in any form.
< Part of body becoming cold.
< Touching cold things.
G > WARM bed.
> Warm drinks.
> Lying in bed.
• "Out of humour in the morning after rising, he will not speak; but he was happy in
bed." [Hahnemann]
G < PRESSURE.
< TOUCH.
G < CLEAR weather.
< Dry weather.
> WET weather.
G STITCHING, stabbing PAINS; splinter-like.
G SOUR excretions, perspiration; or smelling like old cheese.
G Tendency to SUPPURATION.
Yellow thick discharges.
Inflammations ending in suppuration.
• "Ripened colds and old catarrhs." [Kent]
P Every slight injury suppurates.
[cf. Abusive from slightest stress.]
1-2 Borland, A comparison of Arsenicum, Nitric acid, Hepar sulph., and Nux vomica;
BHJ, April 1961. [Lecture notes of Dr. Borland compiled by Dr. Margaret Blackie.]
 Rubrics
Mind: Absentminded, during vertigo [1/1]. Aversion to amusement [1]. Anger, so angry
that he could have stabbed anyone [3]. Anxiety, about health of relatives [3]. Full of cares
when alone [1/1]. Cheerful, in bed, in morning [1*]. Delusions, frightened by images of
dead persons in morning on waking [1/1], that members of the family are sick [1/1].
Always discontented [3]; discontented with others [1]. Fear, of bees [2/1], of snakes [1], of
wasps [1/1]. Wants to set things on fire [3]. Desire to kill beloved ones [1]; sudden impulse
to throw child into fire [1]. Thoughtless staring in morning on waking [1*]. Taciturn, sits
and doesn't move [2]. Violent, from pain [3].

3.2 SANKARAN – THE SUBSTANCE OF HOMEOPATHY

Hepar sulphur
Hepar sulphuris calcareum is described as the sulphurette of lime, CaS. It was introduced
by Hahnemann who used the white interior of the oyster's shell and heated it along with
pure flowers of Sulphur. Thus was created an unnatural substance, from which the
potencies were prepared. Hepar sulphuris calcareum is very different from Calcarea
sulphurica, probably due to the mode of preparation. It becomes a syphilitic remedy. Yet,
when we study it and try to understand its internal feeling, we get the idea that it is
nothing but and extreme form of the Calcarea sulphurica feeling.
The Calcarea portion of Hepar sulphuris calcareum is represented by its fears, but the
fears are much exaggerated and more intense than in Calcarea carbonica. For example,
"Frightful visions of fire and dead persons; violent fright on slumbering". Thus, we find
the Calcarea "fright" much intensified in Hepar sulphuris calcareum - here it is a "violent
fright". The irritability of Sulphur is present, but again in a violent form: "Violent,
passionate, fretfulness. Wrathful irritability even to the most extreme violence, threatening
to end in murder and arson". Even the end stage (4th stage) in Hepar sulphuris calcareum
is much worse than Calcarea sulphurica. While Calcarea sulphurica has the symptoms
"Sits and meditates", Hepar sulphuris calcareum has the symptoms "Dementia with
complete stupidity, sits silent and speechless in a corner", "Sad mood for hours; must cry
vehemently".
Thus Hepar sulphuris calcareum seems to represent the violent extreme of Calcarea
sulphurica, which is easy to understand since it is the combination of Calcium and
Sulphur prepared in a violent manner. What is the feeling of Hepar sulphuris calcareum?
Phatak gives: "Ferocious; wants to kill those who offend him; wants to set things on fire".
We can see that Hepar sulphuris calcareum has the feeling of being terribly offended,
insulted. It is similar to the feeling that precedes a violent revolution, the feeling of being
terribly insulted / offended by the person who is supposed to look after you (e.g. the
king). In such a revolution, things are set on fire and people are slaughtered: arson and
murder. This is an extreme form of Hepar sulphuris calcareum. The third stage is also
marked by great touchiness and irritability, hasty especially in speech - words roll out
tumbling over each other - quarrelsome, hard to get along with - nothing pleases him,
cross and violent.
Here, I remember the case of a young man. He found that the shirt he had given to
laundry came back with a stain. This enraged him so much that he set the shirt on fire. The
same man, on another occasion, poured kerosene all over his house and tried to set fire to
it out of anger. I gave him Hepar sulphuris calcareum and his nature gradually underwent
a remarkable change. I do not remember what complaint he presented with.
3.2 SANKARAN – THE SOUL OF REMEDIES
Hepar sulphuris calcareum (the sulphurette of lime, CaS) is a syphilitic remedy. It was first
prepared by Hahnemann who used the white interior of the oyster shell; he heated it to
high temperature along with pure flowers of Sulphur. Hepar sulphuris is different from
Calcarea sulphurica probably due to its mode of preparation; it has elements of both
Calcarea and Sulphur, but has an added element of violence and cruelty.
Like Calcarea, the Hepar sulphuris person has a tremendous fear of being alone and is
very concerned about the health of relatives. But he feels that people upon whom he
depends for support push him down, treat him badly, humiliate him. He becomes very
violent, so much so that he wants to set things on fire, wants to kill. He is very hurried,
especially in speech, quarrelsome and very dissatisfied - nothing pleases him. There is in
him a great touchiness.
Thus Hepar sulphuris represents the violent extreme of Calcarea sulphurica. Phatak gives:

- Ferocious, wants to kill those who offend him, wants to set things on fire.
Hepar sulphuris has a feeling of being terribly offended. It is the feeling that precedes a
violent revolution, the feeling of being terribly insulted/offended by the person who is
supposed to look after you (e.g. the king). In such a revolution, things are set on fire and
people are slaughtered: arson and murder.
I have seen that in anger, they can get violent, suicidal, homicidal with firearms or a sharp
weapon. Even trifles make them extremely violent. For example I had a patient who found
a stain on a shirt that had just come back from the laundry, in a rage he set the shirt on fire.
On another occasion, out of anger, he poured kerosene all over his house to set it on fire.
He improved remarkably with Hepar sulphuris.
Like Sulphur, Hepar sulphuris is also concerned very much with appearance. He feels
unappreciated like Calcarea sulphurica. But the feelings are much more intense, as seen by
comparing the symptom "Sits and meditates" of Calcarea sulphurica to that of Hepar
sulphuris "Dementia with complete stupidity, sits silent and speechless in a corner", "Sad
mood for hours, must cry vehemently". Whereas Calcarea is fearful, Hepar sulphuris has
"violent fright" as is seen in the symptoms:
- Frightful visions of fire and dead persons.
- Violent fright on slumbering.
The irritability of Sulphur is present but again in a violent form:
- Violent, passionate, fretfulness.
- Wrathful irritability even to the most extreme violence, threatening to end in murder
and arson.
Physical concomitants
- Desires: fats, sour, spices.
- Tendency to suppuration, boils, extremely tender.
- Eruptions ameliorated by heat.
- Very offensive odour of discharges.
- Very, very sensitive; oversensitive to noise, pain and draught of air.
- Pains are splinter-like.
- Hasty speech.
 - Violent from pain.
- Extremely chilly.
Rubrics
- Abrupt.
- Cruelty, inhumanity.
- Delusion, fire, visions of.
- Fear, alone, of being.
- Fire, wants to set things on.
- Kill, desire, to.
- Kill, knife, with a.
- Kill offence, sudden impulse to kill for a slight.
- Sensitive, pain, to.
- Suicidal, fire, to set oneself on.
- Violent, deeds of violence, rage leading to.
Kent
- Desires fat.
- Desires highly seasoned food.
Phatak
- Besides oneself.
- Craves condiments.
- Touchy.
 SCHEMA E SIINOPSE

SCHEMA REC2021
Hepar sulphur
1. Substância
– Reino: Mineral – É o sulfido de cálcio impuro. Odor de hidrogênio sulfuretado no ar
úmido e gosto alcalino desagradável. Oxida-se no ar seco e decompõe no ar úmido. Tem
que ser estocado em recipientes fechados devido à sensibilidade ao ar, calor e umidade.
- Preparo da Substância: Trituração de uma mistura de partes iguais de conchas de ostra
finamente pulverizadas e flores puras de enxofre, conservadas por dez minutos em lume
brando e armazenadas em garrafas bem fechadas.
– Fontes Patogenéticas: Hahnemann e colaboradores.
- Lista de Ghatak: Antipsórico. Apsórico em Hahnemann.
2. Características (Boericke-Boger-Phatak-Vermeulen-Allen´s Handbook. Choudhouri
Processos supurativos em qualquer parte do organismo. Abscessos. Tem especial
afinidade com as membranas mucosas do aparelho respiratório. As feridas supuram ou
tardam em curar. Estabelece a supuração em torno de corpos estranhos e os expulsa do organismo.
Aconselha-se não dar Hepar sulphur ou outros remédios de ação centrífuga (Sulph.,Sil.)
para favorecer a supuração em regiões onde não possa haver drenagem espontânea. Todas
as descargas são profusas; fétidas; como queijo velho; azedas: fezes; cheiro do corpo; suor.
É um grande remédio de olhos nas inflamações purulentas e úlceras.
Kali-s atua mais na epiderme, Hepar no sistema glandular linfático, pele e mucosas
respiratórias, Calc-s age como Hepar, porém com mais profundidade (Foster). Hepar age
nos abscessos antes deles abrirem, Calc-s. após. Silicea e Mercurius são inimigos, mas se
Hepar for usado como remédio intermediário não ocorrerão problemas. Hepar segue bem
a Mercurius quando este deixa de agir ou provoca agravação no reumatismo, amigdalite e
supurações. Asma pior pelo ar frio e seco e melhor pela umidade (Nat-s < pela umidade).
Rouquidão, dor e grande sensibilidade ao frio na laringe. Febre héctica e insônia. Falso
crupe, por exposição ao ar frio e seco; paroxístico; períodico.Inflamação; hipertrofia e
supuração das amígdalas. Dor de garganta por resfriado, como se tivesse uma espinha na
garganta. Sensação de espinha de peixe ou farpa (splinter) nos tecidos.
Inflamação erisipelatosa. Erupções muito sensíveis ao tato e até a correntes de ar. Dor de
ouvido com extrema sensibilidade ao toque fora de proporção em relação à dor real.
Antídoto para a intoxicação pelo mercúrio. Edema angioneurótico. Transpirar toda a noite
sem alívio é a característica que acompanha muitos estados de Hep. Muito friorento.

3. Estado Mental
– Característicos:
Tudo que ela pensa é desagradável e errado.
Extremamente descontente e aborrecido por suas dores, e desesperado. A criança chora
antes e durante a tosse
Humor irritável; tudo que ela empreendeu resultou em erro; e ela deseja estar só.
Humor contrário, ele não quer ver os membros de sua própria família.
Ela se lembra de tudo que foi desagradável durante sua vida.
Aversão a brincar; ao divertimento.
A mínima ocorrência o coloca numa paixão violenta, ele poderia assassinar qualquer um
sem hesitação.
Angústia aterrorizante, à noite, por duas horas; ele pensou que teria de morrer, e estava
tão triste que poderia cometer suicídio.
Medo de doença na família, especialmente quando anda ao ar livre.
Medo de ser desfigurado; sofrimento, infortúnio, acidentes, fogo, ferido, toque.
Humor contrário; ele não gosta de olhar para seus familiares.
Humor irritável; qualquer que seja sua atividade não se satisfaz, ela quer permanecer só.
Insatisfeito consigo mesmo.
Visões aterrorizantes de fogo e de pessoas mortas. Ilusão que o mundo está em fogo.
Ameaça matar a esposa e os filhos, tenta incendiar a casa, e com dificuldade é
controlado;...
Humor malévolo; sente que poderia assassinar qualquer um por prazer.
Temperamento obstinado e aborrecido; crueldade e violência que podem levá-lo ao
assassinato a sangue frio mesmo os que são habitualmente alegres e benevolentes. Quer
matar quem o ofende.
Impelido a ter incontáveis ataques de angústia interna, que às vezes vem subitamente,
tenta o suicídio.
Violenta, passional, aborrecida; fala com tanta loquacidade que ninguém tem uma chance
de argumentar, e ela não ouve as mais justas considerações.
Sensível às discórdias, às dores; ao toque.
Grita por ajuda durante o sono [desamparo].
Crianças intolerantes às leis (regras); agressividade na consulta.[Lamothe].
Crianças rabugentas; não riem; sem inclinação para brincar.
Sonhos: De conflagração; de censura; que está vomitando pus e sangue.
Janelas quebradas; caindo no abismo; atirando.

– Rubricas Características:
AGRESSIVIDADE na consulta - crianças ameaça, bate etc. (Lamothe) - [1pt 10r]
ALCOOLISMO_com_loquacidade - [1pt 6r]
ALCOOLISMO_golpeia (5) (strike during a.) - [1pt 4r]
ALCOOLISMO_insulta (5) (abusive, insulting) - [1pt 3r]
ALEGRE_nunca está (never cheerful) - [4pt 5r]
AMEAÇA_matar - [2pt 5r]
AMOR_crianças, para com (4) - [2pt 6r]
ANGÚSTIA_noite - [1pt 9r]
ANSIEDADE_por_toque (being touched) - [1pt 4r]
APTIDÃO_filosofia - habilidade para (5) - [1pt 6r]
ATIRA coisas_fogo no - [1pt 2r]
AVERSÃO_companhia_sozinho_agg. mas am. em companhia - [1pt 5r]
AVERSÃO_homeopatia (5) - [1pt 6r]
AVERSÃO_idéias novas (new ideas) (5) - [1pt 5r]
AVERSÃO_pessoas_urinar, ao - [1pt 6r]
AVERSÃO_remédios homeopáticos - [1pt 6r]
BRIGÃO_sono, durante - [1pt 9r]
CANSADO da vida_anoitecer - [1pt 9r]
CHORANDO_tosse_antes - [3pt 7r]
CHORANDO_tosse_após - [1pt 6r]
CORAJOSO_perigo_sem senso de (sy) - [1pt 4r]
CRUELDADE_criminoso disposição em se tornar; sem remorso (5) - [1pt 5r]
CULPA_falta_disposição a se tornar criminoso sem remorso (5) - [1pt 5r]
CÓLERA_matar, poderia até apunhalar alguém de tanta c. - [3pt 10r]
CÓLERA_súbita (sudden) - [2pt 10r]
DELIRIUM_despertado, ao ser - [1pt 5r]
DELIRIUM_manhã - [1pt 9r]
DELIRIUM_manhã_acordar, ao - [1pt 5r]
DESAMPARO_grita por ajuda durante o sono - [1pt 3r]
DESCONTENTE_sempre (5) - [3pt 4r]
DESENCORAJADO_por_dor (from pain) (4) - [1pt 4r]
DESESPERO_recuperação_medo de não recuperar-se - [1pt 4r]
DEVER_compromisso não quer (unwilling to make compromises) - [1pt 4r]
DISCRIMINAÇÃO falta de (5) - [1pt 7r]
DISTRAÍDO_vertigem (16) - [1pt 1r]
ENGANADOR_perjuro = falso testemunho (perjured) (5) - [1pt 3r]
FALAR_indisposto_manhã - [1pt 7r]
FALAR_indisposto_senta-se e não se move - [2pt 2r]
FALA_delirante_calafrio ,durante - [1pt 2r]
FALA_delirante_calafrio_ao ser despertado, durante - [1pt 1r]
GESTOS_assustados (frightful) - [2pt 2r]
GESTOS_furiosos - [2pt 3r]
ILUSÃO_doença_pessoas da família estão doentes - [1pt 1r]
ILUSÃO_fogo_casa - [1pt 3r]
ILUSÃO_fogo_mundo está em - [2pt 3r]
ILUSÃO_manhã - [1pt 7r]
ILUSÃO_manhã_cama - [1pt 5r]
ILUSÃO_matar alguém ,deve - [1pt 5r]
ILUSÃO_nuvens vê - [1pt 4r]
ILUSÃO_pobre_arruinado está (ruined) - [1pt 4r]
ILUSÃO_pobre_ficará arruinado - perderá a fortuna - [1pt 8r]
IMBECILIDADE_com_excitação sexual (7) - [2pt 9r]
IMPULSO_apunhalar os outros (to stab others) (sy) - [1pt 4r]
INCONSCIÊNCIA_andando - [1pt 8r]
INCONSCIÊNCIA_noite_acordar, ao - [1pt 7r]
INDIFERENÇA_manhã_acordar ao - [1pt 8r]
INSANIDADE_por_supressão de erupções - [2pt 6r]
IRRITABILIDADE_com_dor - [1pt 10r]
MANIA_supressão de erupcoes, após - [2pt 4r]
MATAR_alcoolismo, durante - [1pt 6r]
MATAR_alguém, pensou que deveria - [1pt 5r]
MATAR_ameaça (threatens to kill) - [2pt 4r]
MATAR_barbeiro, deseja m. freguês - [2pt 2r]
MATAR_filhos - [2pt 7r]
MATAR_impulso_atirar criança no fogo - [1pt 4r]
MATAR_impulso_por_ofensa leve - [2pt 3r]
MEDO_acidentes_ferido, ser (being hurt) - [1pt 6r]
MEDO_andando - [1pt 8r]
MEDO_animais (GN) - [1pt 115r]
MEDO_animais_abelhas, vespas (sy) - [2pt 4r]
MEDO_ar livre, no - [2pt 4r]
MEDO_desfigurado, de ficar - [1pt 2r]
MEDO_fogo, coisas pegarão - [1pt 7r]
MEDO_recuperar ,não vai - [1pt 5r]
MEDO_sufocar_inflamação garganta, em (2) - [1pt 1r]
ORGULHO_racial (preconceito) - [1pt 5r]
PENSAMENTOS_esvanecimento_trabalhando - [1pt 2r]
PREOCUPAÇÕES_andando ao ar livre (4) - [1pt 1r]
PREOCUPAÇÕES_sozinho - [1pt 1r]
PYROMANIA - [3pt 2r]
QUEIXANDO_outros, dos - [2pt 5r]
RAIVA_matar pessoas, tenta - [1pt 4r]
REPUGNÂNCIA_anoitecer - [2pt 5r]
REPUGNÂNCIA_vida_anoitecer - [1pt 6r]
RESERVADO_manhã - [1pt 3r]
RESIGNADO_falta de (gh) - [2pt 4r]
RESSENTIMENTO_matar alguém, como se pudesse - [2pt 1r]
SENSÍVEL_crueldades, ouvindo (7) - [1pt 6r]
SOBRESSALTO_ansioso - [1pt 9r]
SOBRESSALTO_comer, após - [1pt 1r]
SOBRESSALTO_meio-dia (4) - [1pt 10r]
SONHOS_abismo_caindo - [1pt 4r]
SONHOS_atirando (shooting) - [1pt 6r]
SONHOS_caindo_abismo - [1pt 4r]
SONHOS_doença_hemorragia - [1pt 6r]
SONHOS_janela quebrada - [1pt 3r]
SONHOS_perigo_escapando de - [1pt 3r]
SONHOS_pús jorrando - [1pt 2r]
SUICÍDIO_anoitecer - [1pt 8r]
SUICÍDIO_fogo, ateando - [1pt 2r]
TACITURNO_dor, após - [1pt 4r]
TEMA_conceito_compromisso (compromise) - [1pt 4r]
TESTAMENTO, recusa fazer (5) - [1pt 3r]
TRABALHO mental_vinho, precisa de para - [1pt 1r]
TRISTEZA_por_mercúrio, abuso de - [2pt 5r]
VESTE_pele durante o verão - [1pt 5r]
VIOLENTO_facilmente (por bagatelas, trivialidades) - [2pt 5r]
VIOLENTO_por_dores - [3pt 6r]

4. Afinidades (Local de Ação)

– Lateralidade: * Lado direito. Lado esquerdo.
– Órgãos: Nervos. Tecido conjuntivo. Membranas respiratórias. Flexuras. Gânglios. Rins.
Pele. Ponte do nariz.
– Tecidos: Tecido conjuntivo. Membranas respiratórias. Pele.
5. Modalidades
– Causa: Ar frio e seco. Traumatismos. Erupções suprimidas.
– Agrava: Agravação pelo frio (correntes de ar, vento frio, no inverno). Beber e comer
coisas frias. Pior ao ar livre. Tato nas regiões dolorosas; deitado sobre o lado doloroso.
– Melhora: Melhor no tempo úmido. Melhor pelo calor. Tempo chuvoso.
– Horário: Noite.
- Periodicidade: cada dia; todos os meses; cada quatro meses; cada inverno.
 6. Sintomas Característicos
– Disfunções:
Vertigem pela manhã; à noite, com náuseas; com escuridão diante dos olhos.
O cabelo cai; em alguns pontos, após dor de cabeça crônica.
Perda de cabelo com espinhas muito doloridas e grandes manchas calvas na cabeça.
Irite, com pus na câmara anterior; conjuntivite purulenta, com quemose acentuada,
secreção abundante, grande sensibilidade ao toque.
Olhos muito vermelhos, grande fotofobia, pálpebras vermelhas e inchadas, com dor em
queimação nas partes afetadas.
Caspas nas orelhas e atrás; exsudando secreção espessa e pegajosa, que adere ao cabelo.
Cerumen aumentado.
Muco das narinas posteriores misturado com sangue.
Úvula flácida aumentada, com sensação de cócegas na parte posterior da garganta e
aumento e inflamação dos folículos mucosos. Amígdalas tão inchadas que não deixam
nenhuma abertura visível; não podia falar, mover-se nem engolir; em inflamação da
garganta..
Hemorróidas por ingurgitamento do fígado, com grande desconforto abdominal;
impedindo a respiração abdominal.
Perde a voz e tosse quando exposto ao ar frio e seco.
Dispnéia; ataques de sufocação, lábios cianóticos.
Tosse quando qualquer parte do corpo esfria ou se descobre ou por comer ou beber algo
frio.
Pneumonia crônica e expectoração purulenta profusa.
Pleurisia, exsudação cruposa, com tonalidade amarela ou marrom-amarelada na face, em
indivíduos escrofulosos e linfáticos.
Tubérculos dos pulmões em pacientes herpéticos, especialmente após supressão de
exantema, em indivíduos escrofulosos e com hemorroidas.
Grande desejo de dormir pela manhã e a noite com bocejos convulsivos.
Insônia com grande afluxo de idéias, ou sobressaltos durante o sono, como se faltasse o ar
com choro e grandes angústias.
De noite: sofrimentos gástricos, dor de cabeça, agitação, estremecimento de membros e
calor seco.
Muita sede; insaciável durante o calor febril; sede durante a transpiração; em todos os
estágios da febre; bebe apressadamente.
Febre baixa; héctica
Calafrio pela menor corrente de ar
Calor seco com vermelhidão de face e sede violenta
Transpiração dia e noite sem alívio. Profusa, ofensiva, pelo menor esforço.
- Lesões:
Úlceras de córnea. Conjuntivite catarral após estágio inflamatório.
Mastoidites; perfuração de tímpano.
Erisipela de face.
Ulceração lupoide da face; úlceras de gengivas; de palato.
Hipertrofia de tonsilas e gânglios cervicais; tonsilites crônicas.
Abcesso hepático.
Supuração de gânglios.
Cancer com supuração.
Abcessos na pele; úlceras; furúnculos; profundas rachaduras em mãos e pés; todas as
lesões muito sensíveis ao toque.

7. Concomitantes:
Grande sonolência ao anoitecer; com bocejos frequentes, quase espasmódicos.
Dor de cabeça, acordando-o à noite, com confusão, como se a cabeça fosse explodir.

8. Relações Medicamentosas
– Boenninghausen: Am-c., ANT-C., Ap., Arg-n., ARS., BELL., Bros., Caust., CHAM,
CUPR., Dros., Euphr., FERR., Ign., IOD., LACH., Lyc. MERC., Merc-c., Nit-ac., Rhus-t.,
Sep., SIL., SPOD., Sul., Thuj., ZINC.
Complementar: Iod, Sil.
INTRODUÇÃO
It is with our passions as it is with fire and water - they are good servants, but bad
masters.
[Roger L´estrange].
Tem ambos os elementos de calcarea e sulphur mas com um acréscimo dos elementos de
violência e crueldade. Medo de ficar sozinho e muito preocupados com a saúde dos
familiares. Mas sentem que as pessoas das quais ele depende, o tratam mal, o humilham.
Torna-se violento, nada o agrada. Hepar sulphur represente o extremo violento de
calcarea sulphurica. Tem preocupação com a aparência, como sulphur. Sentem que não
são apreciados como Calcarea sulphurica, mas com mais intensidade. [Sankaran - the soul
of remedies].
0 A Fonte.
1.1 Vontade. 1.2 1.3 Sonhos. 1.4 1.5 1.6
Delusions Sentimentos. Sensações. Generalidades.
2.1 2.2 2.3 Órgãos. 2.4 Tecidos. 2.5 Sintomas particulares.
Lateralidade Sistemas.
.
3.1 Causa. 3.2 Agrava. 3.3 3.4 Horário. 3.5 Miasma.
Melhora.
4 Concomitantes.
5 Mapa Conceitual – Abordagem dos Reinos.
6 Diagnóstico Diferencial & Relações Medicamentosas.
7 Casuística.

1 - Ler o texto da Materia Medica. 2 - Selecionar 10 característicos e anotar na tabela. 3 -

Identificar a posição de cada sintoma na "Grade Semiológica". = Juntando os pontos
(connecting the dots...). 4 - Nos Encontros Presenciais compartilhamos o estudo de cada um.
5 - Ilustrando com casos pessoais da experiencia com o medicamento. 6 - Ao final
elaboramos uma Apresentação PowerPoint e distribuímos para todas as turmas.
 Hepar 43

SINOPSE
É preparado com o interior branco das conchas de ostras e as flores puras de enxofre. É
uma massa amarela, quebradiça e muito pouco solúvel em água. Por sua composição,
ocupa um meio termo entre os dois grandes antipsóricos, Sulphur e Calcarea ostrearum.
 Guy Loutan: Sente-se sob um império de ameaças: fogo na casa, doença, morte,
pobreza. Indiferente ao prazer, não ri nunca. Não brinca, é perda de tempo.
Incapacidade de experimentar o prazer; ele e os outros são impuros e merecem o fogo.
Somente ele é o responsável, não pede e não ajuda ninguém., ou apenas em sonho: é
tudo ou nada. Deve fazer reinar a pureza em torno de si. Recusou a subordinação da
deleitação a um bem superior. [Il a refusé la subordination de la délectation à un bien
supérieur, car les biens inferieurs ne sont qu´un intermediaire vers la béatitude. Il a cru
que la béatitude était la volupté, qu´il obtiendrait par l´acte intelectuelle, sans
participation des sens. Il est chatié en ne pouvant trouver un certain plaisir qu´en étant
enchiné aux sens].
FONTES
[Autoridades]: <e.1> Hahnemann, M. M. P.; <e.2> Friederich Hahnemann, ibid.; <e.3>
Stapf, ibid. Na 1ª edição da M.M.P. o número de sintomas era 206; na 2ª edição, 298 e nas
Doenças Crônicas 661 sintomas e 731 sintomas em Allen.
AÇÃO GERAL
Processos supurativos em qualquer parte do organismo. Abscessos. Tem especial
afinidade com as membranas mucosas do aparelho respiratório. As feridas supuram ou
tardam em curar. Estabelece a supuração em torno de corpos estranhos e os expulsa do
organismo. Aconselha-se não dar Hepar sulphur ou outros remédios de ação centrífuga
(Sulph.,Sil.) para favorecer a supuração em regiões onde não possa haver drenagem
espontânea. Todas as descargas são profusas; fétidas; como queijo velho; azedas: fezes;
cheiro do corpo; suor. É um grande remédio de olhos nas inflamações purulentas e
úlceras.
Kali-s atua mais na epiderme, Hepar no sistema glandular linfático, pele e mucosas
respiratórias, Calc-s age como Hepar, porém com mais profundidade (Foster). Hepar age
nos abscessos antes deles abrirem, Calc-s. após. Silicea e Mercurius são inimigos, mas se
Hepar for usado como remédio intermediário não ocorrerá problemas. Hepar segue bem a
Mercurius quando este deixa de agir ou provoca agravação no reumatismo, amigdalite e
supurações. Asma pior pelo ar frio e seco e melhor pela umidade (Nat-s < pela
umidade).Rouquidão, dor e grande sensibilidade ao frio na laringe. Febre héctica e
insônia.Falso crupe, por exposição ao ar frio e seco; paroxístico. períodico.Inflamação,
hipertrofia e supuração das amígdalas. Dor de garganta por resfriado, como se tivesse
uma espinha na garganta.Inflamação erisipelatosa. Erupções muito sensíveis ao tato e até a
correntes de ar. Antídoto para a intoxicação pelo mercúrio. Edema angioneurótico.
SINTOMAS MENTAIS
 Tudo que ela pensa é desagradável e errado.
 Extremamente descontente e aborrecido por suas dores, e desesperado. A criança chora
antes e durante a tosse
 Hepar 44

 Humor irritável; tudo que ela empreendeu resultou em erro; e ela deseja estar só.
 Humor contrário, ele não quer ver os membros de sua própria família.
 Ela se lembra de tudo que foi desagradável durante sua vida.
 A mínima ocorrência o coloca numa paixão violenta, ele poderia assassinar qualquer
um sem hesitação.
 Angústia aterrorizante, à noite, por duas horas; ele pensou que teria de morrer, e
estava tão triste que poderia cometer suicídio.
 Medo de doença na família, especialmente quando anda ao ar livre.
 Humor contrário; ele não gosta de olhar para seus familiares.
 Humor irritável; qualquer que seja sua atividade não se satisfaz, ela quer permanecer
só.
 Insatisfeito consigo mesmo.
 Visões aterrorizantes de fogo e de pessoas mortas. ...ameaça matar a esposa e os filhos,
tenta incendiar a casa, e com dificuldade é controlado;...
 Humor malévolo; sente que poderia assassinar qualquer um por prazer.
 Temperamento obstinado e aborrecido, crueldade e violência que podem levá-lo ao
assassinato a sangue frio mesmo os que são habitualmente alegres e benevolentes.
Quer matar quem o ofende.
 Impelido a ter incontáveis ataques de angústia interna, que às vezes vem subitamente,
tenta o suicídio.
 Violenta, passional, aborrecida; fala com tanta loquacidade que ninguém tem uma
chance de argumentar, e ela não ouve as mais justas considerações.
 TEMÁTICA: Ofensa; violência; fogo.
 SONHOS: De conflagração; de censura; que está vomitando pus e sangue.
DORES E SENSAÇÕES
 Cefaléias pressivas; pulsáteis; martelantes; torcendo; em pontadas; < descobrindo a
cabeça.
 Couro cabeludo sensível e dolorido; não suporta pentear o cabelo ou ter algo tocando a
cabeça.
 Dores oculares por luz do dia; como se machucados quando tocando; pressivas;
pontadas e em queimação.
 Dor de ouvido com extrema sensibilidade ao toque fora de proporção em relação a dor
real.
 Dores em ontadas na garganta; em carne viva; em queimação; irradiando para os
ouvidos.
 Queimação na boca do estômago; irradiando para garganta e ouvido, > comendo.
 Pontadas na região do fígado quando anda, tosse, respira ou toca.[Bry, Merc].
 · Sensação de espinha de peixe ou farpa (splinter) nos tecidos.
 · Sensação de corrente de ar nas partes afetadas.
 · Sensação de gotas de água quente no hemitórax esquerdo.
 Hepar 45

 · Dor como se os olhos fossem empurrados para dentro do crâneo.

 · De unha no lado direito da cabeça. De um abcesso formando-se na cabeça.
 · De areia nos olhos; de peso; como se fossem torcidos; como se estivessem
protrudos.
 · Sensação de areia nos pulmões.
 · Sensação de debilidade em volta do coração.
SINTOMAS FUNCIONAIS.
 [Desejos alimentares]: Desejo de vinagre, ácidos, pickles, gordura, carne gorda e doce.
Às vezes deseja algomas quando obtem , não gosta mais.[Aversões]: comida
gordurosa.
 Muita sede; insaciável durante o calor febril; sede durante a transpiração; em todos os
estágios da febre; bebe apressadamente.
 Desejo de afrouxar a roupa em torno do estômago após a refeição.
 Diarréia crônica, após supressão de escabiose.
 Perde a voz e tosse quando exposto ao ar frio e seco.
 Dispneia; ataques de sufocação, lábios cianóticos.
 Tosse quando qualquer parte do corpo esfria ou se descobre ou por comer ou beber
algo frio.
SINTOMAS LESIONAIS.
 Úlceras de córnea. Conjuntivite catarral após estágio inflamatório.
 Mastoidites; perfuração de tímpano.
 Erisipela de face.
 Ulceração lupoide da face; úlceras de gengivas; de palato.
 Hipertrofia de tonsilas e gânglios cervicais; tonsilites crônicas.
 Abcesso hepático.
 Supuração de gânglios.
 Cancer com supuração.
 Abcessos na pele; úlceras; furúnculos; profundas rachaduras em mãos e pés; todas as
lesões muito sensíveis ao toque.
LOCAL
 [Lados do corpo]: lateralidade direita. [Partes do corpo]: gânglios linfáticos; pele;
mucosa respiratória e olhos.
 Modalidades: A) Causalidades B)Amel e agg. C)Horário D)Outras.
 [Causalidades]: Ar frio e seco. Traumatismos. Erupções suprimidas. [Agrava]:
Agravação pelo frio (correntes de ar, vento frio, no inverno). Beber e comer coisas frias.
Pior ao ar livre. Tato nas regiões dolorosas; deitado sobre o lado doloroso. [Melhora]:
Melhor no tempo úmido. Melhor pelo calor [Horário]:. [Periodicidade]: cada dia; todos
os meses; cada quatro meses; cada inverno.
 Hepar 46

CONCOMITANTES
 Grande sensibilidade a todas as impressões.
 Desejo de contradizer.
COMPARAÇÕES
 Hepar segue Aconitum. Faz diagnóstico com Merc., Nit-ac. e Sil.
INDICACOES AGUDAS
CAUSALIDADE
Ar frio e seco. Traumatismos. Erupções suprimidas
SINTOMAS CARACTERÍSTICOS
 Processos supurativos em qualquer parte do organismo. Abscessos. As feridas
supuram ou tardam em curar. Estabelece a supuração em torno de corpos estranhos e
os expulsa do organismo. Aconselha-se não dar Hepar sulphur ou outros remédios de
ação centrífuga (Sulph.,Sil.) para favorecer a supuração em regiões onde não possa
haver drenagem espontânea.
 Kali-s atua mais na epiderme, Hepar no sistema glandular linfático, pele e mucosas
respiratórias, Calc-s age como Hepar, porém com mais profundidade (Foster). Hepar
age nos abscessos antes deles abrirem, Calc-s. após.
 Agravação pelo frio (correntes de ar, vento frio, no inverno). Melhor pelo calor.
 Pior ao ar livre. Melhor no tempo úmido.
 Asma pior pelo ar frio e seco e melhor pela umidade (Nat-s < pela umidade).
 Rouquidão, dor e grande sensibilidade ao frio na laringe. Febre héctica e insônia.
 Falso crupe, por exposição ao ar frio e seco; paroxístico. períodico.
 Inflamação, hipertrofia e supuração das amígdalas. Dor de garganta por resfriado,
como se tivesse uma espinha na garganta.
 Inflamação erisipelatosa. Erupções muito sensíveis ao tato e até a correntes de ar..
 Antídoto para a intoxicação pelo mercúrio.
 Silicea e Mercurius são inimigos, mas se Hepar for usado como remédio intermediário
não ocorrerá problemas. Hepar segue bem a Mercurius quando este deixa de agir ou
provoca agravação no reumatismo, amigdalite e supurações.
SENSAÇÕES
 Sensação de espinha de peixe ou farpa (splinter) nos tecidos.
 Sensação de corrente de ar nas partes afetadas.
 Sensação de gotas de água quente no hemitórax esquerdo.
 Dor como se os olhos fossem empurrados para dentro do crâneo.
CONCOMITANTES
 Grande sensibilidade a todas as impressões. Irritáveis, coléricos, impulsivos.
 Desejo de vinagre, ácidos, pickles.
 A criança chora antes e durante a tosse. Desejo de contradizer.
 Hepar 47

OUTROS

DIDIER GRANGEORGE
Hepar sulphur
The pyromaniac
This is the main remedy for acute suppuration (discharge of pus), whether it is a case of
otitis (inflammation of the ear), an abscess, conjunctivitis, or tonsillitis. The child cannot
stand the pain-which puts her in a violent disposition-and cannot tolerate the cold (cotton
in the ears). It is impossible to examine her. This is also the main remedy for acute
laryngitis which comes on during cold, dry weather, when Aconitum has not brought
about a sufficient cure. In 15 CH, it will quickly calm the most intense respiratory
difficulties.
At the level of the mind, there is an important mental symptom: "Wants to set things on
fire." This is the only remedy in Kent's repertory to possess such a symptom. In France, the
Midi region is affected as often by cold, dry winds as it is by fires-which makes sense
when we realize that Hepar pyromaniacs are affected adversely by this type of weather. A
few doses of Hepar sulphur (15 to 30 CH) can bring about the rapid disappearance of this
troublesome habit.

Observations

Isabelle, seven years old, lives only a few minutes away from me, fortunately. At three in
the morning, however, those minutes seem like centuries to her parents, who call me in a
panic. Two weeks after a follow-up BCG (tuberculosis) vaccine, she developed a
suppurative inflammation of the nose and throat. Tonight, suddenly, the crisis has hit. She
is having an attack of suffocating laryngitis. Outside, a dry north wind is howling.
When I arrive, she is seated and barely breathing, a hoarse sound emanating from her
throat. Her feet are purple; her lower extremities are cold to the knees. Ideas swirl in my
mind. The time it will take to call the emergency squad . . . it will be too late. It is
impossible to take her anywhere; we'll have to do a tracheotomy, but I don't have the
necessary equipment, and the idea of opening up her throat with a kitchen knife does not
please me at all! I slip three globules of Hepar sulphur into her mouth and prepare a
cortisone injection. Almost instantaneously, the girl seems to begin breathing more easily.
Without moving her, gently, we continue slipping globules of Hepar sulphur into her
mouth for several minutes. After about a quarter of an hour, her breathing becomes
normal; she calms down, then falls asleep. We have prevented the worst.
Roger, 12 years old, set his parents' garage on fire last week. He plays constantly with
matches, firecrackers, and anything that burns . . . it had to happen! He is brought to see
me for recurrent bronchitis, which yields quickly to Hepar sulphur.
MEMORY CARDS

Valerie Sadovsky
http://www.marlev.com/homeo/
 Hepar 48

Hepar sulphur
According to Hahnemann’s directions Hepar should be prepared from a "mixture of equal
parts of finely powdered oyster shells and quite pure flowers of Sulphur kept for ten
minutes at a white heat". It’s artificially formulated substance produced by forcing
together an “animal” (oyster) and a “mineral” (Sulphur). Calcium = vulnerability to
external influences; Sulphur = inner fire. One of the symptoms of Hepar is excruciating
pain out of all proportion to the condition; Hep. is an unnatural substance  pain is
unnatural too.
ESSENCE: VULNERABILITY on ALL LEVELS (hypersensitive); as if there are no barriers;
leads to a great sense of INSECURITY, with constant need for protection, which they try to
find in "security, money, position, comfort"; may even marry for money rather than
waiting for someone they love. Physically the Hepar constitution is also vulnerable.
Infection comes easily into the patient both systemically - in all forms of fever or even
sepsis, and locally - with abscess formation and suppuration. Furthermore the patient is
vulnerable to any external force - weather, noise, light, chemicals and especially cold.
These external events seem to penetrate the patient more easily than any other remedy
type.
MENTAL SYMPTOMS:
- OVER-SENSITIVITY to all external impressions, esp. PAIN (slightest pain causes
fainting), touch, and cold.
- INTENSE REACTION to stimuli: VIOLENT at TRIFLES, from PAIN … sudden impulse
to KILL for a slight offence … THREATENING, ANGER so that he could have stabbed
anyone … IMPOLITE, makes furious gestures …rudeness mostly only VERBAL
- VIOLENT, explosive IMPULSES (to stab, to kill, to set on fire; violence is not calculated,
but is an immediate reaction to a stimulus)
- HURRIED: eating, drinking, hasty speech
- IRRITABLE … angry … critical … impatient
- Fire “issues”: fears, dreams, impulses toward pyromania, delusion WORLD IS ON FIRE
- DEPENDANT, insecure : needs protection, a safe “cocoon” around, may get violent if
that “cocoon” is threatened … agoraphobia ( = no protection)
Fears: of being alone … for health of the loved ones, esp. the one they depend on (“if he
goes, what’s going to happen to me?”) … hearing of violent accidents or movies (Calc-c)
GENERAL SYMPTOMS:
- VERY CHILLY (hug the fire; one of the coldest remedies)
- Complaints are intolerably, desperately PAINFUL (“I’ll kill myself if you don’t do smth.”)
- Tendency to SUPPURATION
PHYSICAL SYMPTOMS:
Essential qualities: OVER - SENSITIVENESS & SUPPURATION
Head: severely PAINFUL OTITIS MEDIA, child wakes at night shrieking and cannot be
comforted (Cham, Bell, Lach) … ears exquisitely sensitive to wind or open air ... iritis,
 Hepar 49

corneal ulcers ... conjunctivitis … sinusitis with thick discharge and post-nasal discharge
… severe acne and rosacea … dental abscesses … very sensitive cold sores
Throat: sore throat with stitching or splinter-like pains in the throat ... tonsils swollen and
suppurative … stitches in throat extending to the ear when swallowing
Chest: rattling, suffocative cough with no expectorations; CROUP, < anything cold
(inhaling cold air, cold drinks, uncovering, even a single part), < night; early morning, >
heat or warmth in any form … mastitis; breast abscess
Extremities: PARONYCHIA ... cold extremities; Raynaud's syndrome.
GI: sour smelling stool … constipation with soft stool … rectal abscess
Skin: profuse perspiration without relief … unhealthy, every little injury suppurates
(Psor., Sil.) … great sensitiveness to the slightest touch … ABSCESSES, with exquisite pain
… cracking skin and eczema ... ulcers … body odor noticeable and offensive to others …
yellow skin and complexion … pimples or pustules surround a boil, infected wound or
ulcer
CRAVINGS/AVERSIONS:
Cravings: ACIDS (vinegar, pickles) … PUNGENT … alcohol
Aversions: fat (??? some say Hep. desires it (Morrison, Laurie), some say he is averse to it)
ETIOLOGIES: Cold, dry winds … injuries … Mercury
AFFINITIES: NERVES ... CONNECTIVE TISSUES ... RESPIRATORY MEMBRANES …
flexures … GLANDS … kidneys ... skin
MODALITIES: <: COLD, esp. dry (AIR; winter; drafts; wind; part becoming; eating or
drinking COLD things) ... LEAST (uncovering; touch; noise; exertion) ... lying on painful
part … night … PRESSURE … TOUCH … clear, dry weather
>: HEAT (warm wraps; to head; moist) ... wet weather (Silica is < in wet weather)
SENSATIONS: Like swallowing GLASS or razor blades … as if nerves are RAW … OF A
SPLINTER IN THE AFFECTED PART … as if wind were blowing on single part
PAINS: CUTTING … penetrating … sharp … piercing … shooting … SPLINTER-LIKE
DISCHARGES: PROFUSE … PURULENT … acrid … bloody … offensive … sour or
smelling like old cheese
NOTES: Hepar is the 1st remedy to be thought of for early treatment of boils, abscesses,
impetigo, or ailments consisting mainly of pus formation and lacking clear symptoms of
other remedies (Moskowitz).
PRIME INDICATIONS:
1. Oversensitive to pain, touch, cold, slight causes.
2. Violent and intense; threatening, impolite. Sudden impulse to kill.
3. Very chilly.
4. Sour secretions. Tendency to suppuration.
5. Craving for acids and pungent things.
6. Stitching pains, splinter like.
DIFFERENTIALS:
 Hepar 50

Colds: Hepar is slow in action, so the early stage usually requires fast acting remedies such
as Aco., Ars., Bell., and Merc. Hepar follows when the discharge becomes thick and
yellow, the nose red, swollen and tender, the nasal passages sensitive to inhaled air, and
the nostrils sore and ulcerated.
Merc: Mental state is very close to Hepar’s. On physical level both remedies cause
offensive perspiration without relief; destructive ulceration; unhealthy skin, etc. Although
sensitive to cold or lacking in vital heat, Merc. cannot tolerate direct heat or the warmth of
a bed. Hepar is more sensitive to cold, and is relieved by heat in any form. Hepar’s
eruptions are usually moist; those of Merc. most often dry.
Complementary Triad: Bell  Merc  Hepar. If the swelling has come on rapidly, the eyes
are bright and shining, the face intensely red, the pulse rapid and there is every evidence
of intense nervous excitement, and esp. if every jar increases the pain, Bell. will be all-
sufficient. If, however, sweat becomes more profuse but fails to reduce the temperature or
relieve the pains and the patient is worse when covered, yet chilly if covers are removed,
Merc. will take up the work where Bell. left off. A change of modalities to complete relief
from heat, increased sensitiveness to pain will indicate Hepar. This is esp. true if, in spite
of the action of Merc., an abscess has formed and refuses to open or subside, or having
opened continues to discharge copious thick yellow pus.
SOURCES: Morrison, Desktop Guide Murphy, Homeopathic Remedy Guide (RW)
Farrington, Homeopathy (RW) Vermeulen, Prisma
DR. SHAMA
HEPAR SULPHURIS CALCAREUM
(Hahnemann’s Calcium Sulphide)
Source: Hepar sulphuris calcareum is an impure Sulphide of Calcium prepared by
burning in a crucible the white interior of oyster shells with pure flowers of sulphur.
Trituration. Hepar Sulph is a polychrest remedy and commonly indicated in our day to
day practice in the following ailments:-Respiratory disorders-Chronic infections-
Suppurative disorders. Constitutional Taint:- Psoric. Syphilitc. Sycotic.
Typical Subjects:- Especially adapted to scrofulous, psoric and lymphatic constitutions in
which there is a tendency to have eruptions and glandular swellings. To syphilitc cases
after drastic medication with the so called specific remedies. After abuse of mercury or
other metals; iodine, iodide of potash, cod-lever oil, or quinine. Chronic malarial cases
maltreated with calomel or quinine. Slow, torpid constituins with lax fibre and light hair.
“Blondes with sluggish character and weak muscles.” Adapted to cases with a hisotry of
suppression of scabies or other skin affections.
Notes and features:- ] 1. Oversensitiveness. Great sensitiveness to all
impressions.Oversensitive to touch, pain and cold air esp. dry cold air. . Extremely sensitiv to
cold air(cannot bear to be uncovered; partial exposure to cold air, as in the case of a limb
only brings on aggravation). . Feeling as if wind were blowing on some part. Fainting from pain,
even slight pain. Inflamed parts feel sore and bruised. Mentally oversensitive (sensitive to
noise; in hastiness in speech). 2. Offensiveness: Offensive odor is exhaled from body.
Characteristic odor of Hepar is that of old, rotton cheese. 3.Sourness: Child smells sour, in spite
ofmuch washing. Sweat sour, offensive. Stool whitish, sour-smelling. Splinter sensation:
 Hepar 51

Sticking, picking pain in ulcers, sore throat, inflammation, boils, eruptions and pustules.
Sticking in chancre; in felons; in curethra when urinating. Sweating. :- Sweats day and
nighnt without relief (Merc.S.) Sweats easily on every mental and physical exertion
(Psor.Sep.). “Halo” of pim,ples. : Ulcers, herpes, affected eye, surrounded by indulataed
spots. Wheezing; Purring; Rattling. Such sound in asthma, chest affections, croup, etc.
Weakness and much rattling in the chest.
Mind: The slighest cause irritates him. Ferocious as though one, could murder a man who
offends him in cold blood. At times suicidal tendency. Anguish especially in evening.
Quarrelsome, hard to get on with; nothing pleases; everybody disturbs. Dejected and sad. Hasty
speech.
Head: Vertigo and headache, when shaking the head or riding. Boring pain in the right
temple and in root of nose every morning. Scalp sensitive and sore. Humid scald head
itching and buring. Cold sweat on head.
Eyes:- Ulcers on cornea. Iritis, with pus in anterior chamber; purulent conjunctivitis, with
marked chemosis(oedema of conjuctiva, forming a bulging around the cornea); prrofuse
discharge great sensitiveness to touch and air. Eyes and lids red and inflamed. Pain in the
eyes, as if pulled back into the head. Boring pain in upper bones of the orbits. Eyeballs
sore to touch. Objects appear red and too large. Vision obscured by reading, field reduced
one half. Bright circles before eyes. Hypopion(effusion or accumulation of purulent
matter(pus) in the anterior chamber of the eye.).
Ears:- Scurfs on and behind the ears. Discharge of fetid pus from the ears. Whizzing and
throbbing in the ears with hardness of hearing. Deafness after scarlet fever. Pustules in the
auditory canal and auricle. Mastoiditis.
Nose:- Sore, ulcerated. Soreness of nostrils, with catarrhal troubles. Sneezes every time he
goes into a cold, dry wind, with running from nose , later thick, offensive discharge.
Stopped up every time he goes out into cold air. Smell like old cheese. Hay fever. (Hepar 1x
will often start secretions and profuse drainage in stuffy colds).
Face:- Yellowish complexion. Middle of lower lip cracked. Vescicular erysipelas with
pricking in parts. Neuralgia of right side,.extending in streak into temple, ear, alae and lip.
Pains in bones of face, especially when being touched. Ulcers in corners of mouth.
Shooting in jaw on opening jaw.
Mouth:- Ptyalism(Salivation). Gums and mouth painful to touch and bleed readily.
Throat:-When swallowing, sensation as if a plug and of splinter in throat. Quinsy, with
impending suppuration. Stitches in throat extending to the ear when swallowing. Hawking
up of mucus.
Stomach:-Longing for acid things(Veratrum album), wine, and strong-tasting food. This is
often the case in chronic dyspepsia and Hepar helps. This conditon of the stomach is
sometimes found in marasmus of children. It is often accompanied by diarrrhoea which is
also typical(sour)..Aversion to fat food. Frequent eructations, without taste or smell.
Distention of stomach, compelling one to loosen the clothing. Burning in stomach.
Heaviness and pressure in stomach after a slight meal.
 Hepar 52

Abdomen:-Stitching in region of liver when walking, coughing, breathing, or touching it

(Bry.; Merc.) Hepatitis, hepatic abscess; abdomen distended, tense; chronic abdominal
affections.
Stool:- Clay colored and soft. Sour, white undigeted, fetid. Loss of power to expel even a
soft stool.
Urine: Voided slowly, without force-drops vertically, bladder weak.Seems as if some
always remained. Greasy pellicle on urine. Bladder difficulties of old men.[Phos.; Sulphur;
Copaiva].
Stool:-Clay colored and soft. Sour, white, undigested, fetid. Loss of power to expel even a
soft stool..
Male:-Herpes, sensitive, bleed easily. Ulcers externally on prepuce similar to chancre
(Nitric acid). Excitement and emission without amorous fancies. Itching of glans, frænum,
and scrotum. Suppurating inguinal glands. Figwarts of offensive odor. Humid soreness on
genitals and between scrotum and thigh. Obstinate gonorrhoea "does not get well".
Female:-Discharge of blood from uterus. Itching of pudenda and nipples, worse during
menses. Menses late and scanty. Abscesses of labiæ with great sensitiveness. Extremely
offensive leucorrhoea. Smells like old cheese (Sanicula). Profuse perspiration at the
climacteric(Tilia; Jaborandi)..
Respiratory:-Loses voice and coughs when exposed to dry, cold wind. Hoarseness, with
loss of voice. Cough troublesome when walking. Dry, hoarse cough. Cough excited
whenever any part of the body gets cold or uncovered, or from eating anything cold. Croup with
loose, rattling cough; worse in morning.Choking cough.. Rattling, croaking cough;
suffocative attacks; has to rise up and bend head backwards. Anxious, wheezing, moist
breathing.Asthma worse in dry cold air; better in damp.In chronic ashtma, Hepar often
resembles Natrum sulphuricum but there is this diagnostic difference, which is very valuable.
The Hepar asthma is < in dry cold air and better in damp, while Natrum Sulph. is exactly
the opposite , like Dulcamara. Dr. Nash says that there is no other remedy that he knows
that has the amelioration so strongly in damp weather as Hepar Sulphur. Palpitation of
heart.
Extremities:-Finger-joints swollen; tendency to easy dislocation. Nail of great toe painful
on slight pressure.
Skin:-Abscesses; suppurating glands are very sensitive. Papules prone to suppurate and
extend. Acne in youth. Suppurate with prickly pain. Easily bleed. Angio-neurotic
oedema.Unhealthy skin; every little injury suppurates. Chapped skin, with deep cracks on
hands and feet. Ulcers, with bloody suppuration, smelling like old cheese.Ulcers very
sensitive to contact, burning, stinging, easily bleeding. Sweats day and night without
relief.”Cold sores”very sensitive.. Cannot bear to be uncovered; wants to be wrapped up
warmly. Sticking or pricking in afflicted parts. Putrid ulcers,surrounded by little pimples..
Great sensitiveness to slightest touch.Chronic and recurring urticaria.. Small-pox. Herpes
circinatus. Constant offensive exhalation from the body.
Fever:-Chilly in open air or from slightest draught.. Dry heat at night.Profuse sweat. sour,
sticky, offensive.
 Hepar 53

Modalities: Worse:, from dry cold winds; cool air; slightest draught, from Mercury, touch;
lying on painful side.
Better, in damp weather, from wrapping head up, from warmth, after eating.
Relationship:-Antidotes:Belladonna; Cham; Sil..
Compare: Aconite; Spongia; Staphis; Silicea; Sulph; Calc. Sulph; Myristica. Hepar antidotes bad
effects fromMercury, Iodine, Potash, Cod-liver oil. Removes the weakening effects of ether.
Dose:-First to 200th. The higher potencies may abort suppuration, the
lower promote it. If it is necessary to hasten it, give 2x.
SUMMARY OF INDICATION: POLYCHREST
REMEDY-RESPIRATORY DISORDERS-CHRONIC
INFECTIONS-SUPPURATIVE DISORDERS.
 Hepar 54

CASE

I recall an interesting case where I prescribed Hepar sulphuris calcareum to a married

woman, 28 years of age. She writes: "I have got skin troubles from and after my
pregnancy". Overexertion, cold and mental upset lead to bed wetting, difficulty in
breathing and cause fights and back answering. She has a fear of animals, disease, blood
and injections. She is very possessive and cannot bear that her near ones spend time with
or get close to others. She is very sensitive to insults and quite malicious. When she gets
angry she can strike people around her and shriek. As a child she was happy-go-lucky,
liked dancing and whenever her mother helped others or gave time to others she would
feel very neglected. She does not like it at all if her sister is more appreciated than her.
After marriage she came to a less rich family and she felt that she was working like a
servant. She feels neglected by her husband. She said: "I feel my husband gives more
importance to the peon than to me". She cannot tolerate contradiction, complains a lot
about her husband's indifference. Extremely discontented and very quarrelsome. She came
down with very painful boils and an abscess around her left knee which was very tender
and hot. In general she is very chilly, cannot bear draft of air, likes food hot, likes sweets
and fruits. The orthopaedic surgeon who saw her advised immediate incision and
drainage along with antibiotics, as the condition was likely to go into a pyrogenic arthritis.
She recovered with a few doses of Hepar sulphuris calcareum 200 and later 1M. She also
improved in her moods.
When this lady is not in this intense state she is very friendly, pleasant, cheerful and very
caring for her family members ("Delusion, members of the family are sick", "Anxious
about his family", "Cares about his relatives"). This lady also had frequent suicidal
thoughts.
Interestingly, Clarke in his "Dictionary" quotes Teste who "removed" with Hepar
sulphuris calcareum: "Dissatisfaction with oneself and others; dreamy atrabilious mood, a
sort of ferocious spleen, as though one could murder a man in cold blood" (even in
persons who are generally of a merry and benevolent disposition). Teste mentions in the
passing the merry and benevolent disposition while highlighting the violent aspect of
Hepar sulphuris calcareum. In fact, as can be seen in the case example (above), this
cheerful, caring aspect is as much part of the Hepar sulphuris calcareum nature as the
other, well-known, violent one.