Causticum caust.

NERVES: Motor. Sensory. MUSCLES: BLADDER. LARYNX. Limbs. Respiration. Skin. Right side; face.

Air: DRY COLD. Raw. WINDS. Drafts. Extremes of temperature. Stooping. Suppressions. Coffee. 3-4 A.M. OR EVENING. Exertion. Change of weather.

A COLD DRINK (EVEN CHILLS). Washing. Warmth; of bed. Gentle motion.

Sensitive to both heat and cold. Weakness, increasing uncertainty of control, stumbling, etc., finally PARALYSIS; of single parts. Atony. Anæsthesia. Stiff joints. Contracted tendons; palms (Nat-m.), hamstrings, etc. Deformities. Atrophy. Jerks of single muscles. Epilepsy, at puberty. Trembling. Burning. Soreness. Rawness; larynx, anus, etc.

Broken down; worn out; wants to die. Hopeless, despondent. Mental tire. Anxious forebodings (felt in head), < in twilight. Reticent. Oversympathetic. Empty behind forehead. Tight scalp. To and fro or nodding motions. Paralysis: of one eyelid (r), throat, bladder, etc. Heavy, drooping eyelids. Continuous eye pain. Diplopia, > looking to right. Objects look large. Cataract. Profuse acrid tears. Much, foul earwax. Echo in ears. Tinnitus. Eruption on lower nose. Prosopalgia, > cold water. Facial paralysis, < opening mouth. Swelling at root of tongue. Throat, < stooping. Urging to swallow, or swallows the wrong way. Greasy eructations. Cramp in rectum on stooping. Anus, prolapses on coughing; small, hard pustules. Stool glistens; difficult, > standing. Stooling easier by standing, but piles < standing. Must sit down to urinate. Insensible urethra or rectum; to solid stools (Alo.). Piles, < walking. Urine retained after labor. URINE SPURTS ON COUGHING; dribbles or passes slowly; > sitting. Menses by day, leucorrhœa by night. Dry, hard cough. Cough from tickling in throatpit (Sep.), or l. larynx; incessant; dry night and morning. Can't cough deep enough (Rum.); expectorate slips back again; < heat of bed, stooping, cold air; > sips of cold water. Greasy, ropy, difficult expectoration. Aphonia or hoarseness, in A.M.; of speakers; < stooping; > talking. Sore streak in larynx. Sore chest; vest seems tight. Purring in chest. Wandering chest pains, > pressure. Stiff neck or back on rising; pain goes forward or to thighs. Pain in spine on swallowing. Bursting in fingertips. Cramps in calves, feet or toes. Deep burns and their effects. Skin: cracks; ulcers. Warts, on brows, lids, nose, fingertips; seedy; bleeding; ulcerating. Coldness, not > warmth; causes paralysis, cough, diarrhœa, etc. Sweat about 4. A.M.; profuse, on slight exertion; < open air.

Complementary: Carb-v. Grap. Lach. Stap. Related: Gel. Kali-bi. Pho. Rhus-t. Sep.

Adapted to persons with dark hair and rigid fibre; weakly, psoric, with excessively yellow, sallow complexion; subject to affections of respiratory and urinary tracts. Children with dark hair and eyes, delicate, sensitive, skin prone to intertigo during dentition (Lyc.), or convulsions with eruption of teeth (Stan.). Disturbed functional activity of brain and spinal cord, from exhausting disease or severe mental shock, resulting in paralysis. Rawness or soreness: of scalp, throat, respiratory tract, rectum, anus, urethra, vagina, uterus (as if bruised, Arn.; as if sprained, Rhus). Melancholy mood: sad, hopeless; from care, grief, sorrow; with weeping, "the least thing makes the child cry.". Intense sympathy for sufferings of others. Ailments: from long-lasting grief and sorrow (Phos. ac.); from loss of sleep, night watching (Coc., Ign.); from sudden emotions, fear, fright, joy (Coff., Gels.); from anger or vexation; from suppressed eruptions. Children slow in learning to walk (Cal. p.). Unsteady walking and easy falling of little children. Constipation: frequent, ineffectual desire (Nux); stool passes better when person is standing; impeded by haemorrhoids; tough and shining, like grease; in children and nocturnal enuresis. Urine involuntary: when coughing, sneezing, blowing the nose (Puls., Squil., Ver.). Cough: with rawness and soreness in chest; with inability to expectorate, sputa must be swallowed (Arn., Kali c.); relieved by swallow of cold water; on expiration (Acon.); with pain in hips; remaining after pertusis; with expectoration chiefly at night. Hoarseness with rawness, and aphonia < in the morning (< in the evening, Carbo v., Phos.). At night, unable to get an easy position or lie still a moment (Eup., Rhus). Must move constantly, but motion does not relieve. Cannot cover too warmly, but warmth does not >. Faint-like sinking of strength; weakness and trembling. Xixeixwa, especially burns, scalds, freshen up, become sore again; old injuries re-open; patients say "they never have been well since that burn.". Menses: too early; too feeble; only during the day; cease on lying down. Paralysis: of single parts; vocal organs, tongue, eyelids, face, extremities, bladder; generally, of right side; from exposure to cold wind or draft; after typhoid, typhus or diphtheria; gradually appearing. Drooping of upper eyelids; cannot keep them open (Caul., Gels., Graph. - of both lids, Sep.). Rheumatic affections, with contraction of the flexors and stiffness of the joints; tension and shortening of muscles (Am. m., Cimex, Guaiac., Nat. mur.). Warts: large, jagged, often pedunculated; bleeding easily; exuding moisture; small, all over the body; on eyelids, face; on the nose. Patient improves for a time, then comes to a "standstill" (Psor, Sulph.).

Complementary: Carbo veg., Petros. Incompatible: Phos. Must not be used before or after Phos., always disagrees; the Acids; Coffea. Compare: Arn., must swallo mucus; Gels., Graph., Sep. in ptosis; hoarseness, Rumex and Carbo v. when < changes to evening; Sulph. in chronic aphonia. Causticum antidotes paralysis from lead poisoning (bad effects of holding type in mouth of compositors). and abuse of Merc. or Sulph. in scabies. It affects the right side most prominently.

In clear, fine weather; coming from the air into a warm room (Bry.); cold air, especially draft of cold air; on becoming cold; from getting wet or bathing.

In damp, wet weather; warm air.

We are led to think of this remedy particularly on seeing a patient with a tendency to scrofula, or having a weakened and emaciated appearance. This weakness may result from grief of long standing, or from some diseased condition. The skin of the patient often has a dirty white look.

Sadness; whining mood; fear in general; very suspicious and mistrustful; absent-minded.

Paralysis of right side.

Fistula dentalis; teeth ache; are loose; feel elongated; worse from cold or warm substances, and at night; tearing, lancinating toothache; in the under jaw, in the lower teeth (particularly on the left side).

Affections behind the ears; lobe of the ear. Noises in the ears in general; humming in; tinkling in.

Affects top of the nose; exanthema on; puffiness of scaly nose, externally and internally, with burning and itching; obstruction of.

Eyebrows; eyelids; upper eyelids (upper eyelids will drop, patient can't keep them up); mist before the eyes; dimness of vision; ophthalmia where there is opacity of the cornea which has spread over the pupil.

Fatty taste; qualmishness; vomiting of watery matter. Sensation as if lime were being slaked in the stomach; burning in.

Constipation; stool shining like grease. Rumbling and rolling in the bowels; complaints after stool.

Discharge of, too frequent; involuntary discharge, of, as in cases of children who wet the bed at night; in women when urine spouts from them in walking, coughing, etc.

Female: Sexual desire too weak; menstruation too late; delay of the first; ceasing at night, and flow only during the day, leucorrhœa flows at night, and not during the day.

Coldness of single parts; complaints concomitant to perspiration, (i.e. appearing simultaneously with the perspiration); chilliness followed by perspiration.

Cough, and being obliged to swallow what is raised; the expectoration comes up far enough apparently, but it cannot be spat out; greasy taste of the expectoration. The inability to expectorate is found in every species of cough, whooping cough, etc.

Exanthema in general; burning, in itching blotches, like nettle-rash. Pimples in general. Itch; itch suppressed by mercury or sulphur; burning itch. Tingling (or stinging) swelling (sometimes called "buzzing" swelling). Burning tetters. Burning ulcers, with yellowish looking skin; ulcers burning, with corroding pus, with thin or watery pus, suppurating; jerking pains running through the ulcers. Warts.

Sensation in the cheeks and chin. In rheumatism, where there is a burning pain in the joints. Burning pain in the exterior parts; pain as if the parts were pushed or pressed asunder, or as if they would burst (the difference between this remedy, Bryon., and Calc. carb., which have the same symptoms, may be found in the constitutions), gnawing in the inner parts (e.g. stomach); jerking pain in the outer parts; pressing in outer parts; darting in the bones.

Affects particularly: sexual organs, right side; right side of, and nape of the neck; right upper extremity; hypogastrium; back, small of the back; forearm; joints, and arm in general; elbow joint; back or top of the foot, toes, big toe; joints of the leg in general; hip, knee, and ankle joints, and joints of the toes; stiffness of all the joints. Convulsions with jerking; spasms in inner parts, epilepsy. Motion rendered difficult, muscles being shortened. Burns, acute or chronic; old burns don't get well. Concomitant complaints on waking. Old neuralgic headaches. Very drowsy and sleepy, can hardly keep awake. Children slow in learning to walk.

In the evening; on waking; from cold in general; in cold air; in cold and dry weather; after eating; after breakfast; from coffee; during perspiration; from scalding or being burnt, i.e., "have never been well since that burn." After stools, from walking (as piles, fissures, fistulæ, etc.); can't walk without great suffering; from taking hold of anything; in clear, fine weather.

From cold water; from warmth in general; the air being warm; in damp and wet weather.

Calc. carb., Lycop., Pulsat., Rhus tox., Sepia, Sulphur.

Spirits of Nitre, Dulcam., Coffea.

Inclination to close the eyes, lids seem heavy, even paralysis of upper eyelids. Paralysis of one side of the face. Involuntary urination, at night when asleep, when coughing, when sneezing, or blowing the nose. Hoarseness, worse mornings and evenings, with scraping in the throat. Cough in paroxysms, causing painful. sore sensation in a streak down along the trachea Cough with pains In hip, and involuntary discharge of urine. The laryngeal muscles refuse their service; cannot speak a loud word.

Hahnemann's Tinctura acris sine Kali

Manifests its action mainly in chronic rheumatic, arthritic and paralytic affections, indicated by the tearing, drawing pains in the muscular and fibrous tissues, with deformities about the joints; progressive loss of muscular strength, tendinous contractures. Broken down seniles. In catarrhal affections of the air passages, and seems to choose preferably dark-complexioned and rigid-fibered persons. Restlessness at night, with tearing pains in joints and bones, and faint-like sinking of strength. This weakness progresses until we have gradually appearing paralysis. Local paralysis, vocal cords, muscles of deglutition, of tongue, eyelids, face, bladder and extremities. Children are slow to walk. The skin of a Causticum person is of a dirty white sallow, with warts, especially on the face. Emaciation due to disease, worry, etc, and of long standing. Burning, rawness, and soreness are characteristic.

Child does not want to go to bed alone. Least thing makes it cry. Sad, hopeless. Intensely sympathetic. Ailments from long-lasting grief, sudden emotions. Thinking of complaints, aggravates, especially hæmorrhoids.

Sensation of empty space between forehead and brain. Pain in right frontal eminence.

Paralysis of right side. Warts. Pain in facial bones. Dental fistula. Pain in jaws, with difficulty in opening mouth.

Cataract with motor disturbances. Inflammation of eyelids; ulceration. Sparks and dark spots before eyes Ptosis (Gels). Vision impaired, as if film were before eyes. Paralysis of ocular muscles after exposure to cold.

Ringing, roaring, pulsating, with deafness; words and steps re-echo; chronic middle-ear catarrh; accumulation of ear-wax.

Coryza, with hoarseness. Scaly nose. Nostrils ulcerated. Pimples and warts.

Bites inside of cheek from chewing. Paralysis of tongue, with indistinct speech. Rheumatism of articulation of lower jaw. Gums bleed easily.

Greasy taste. Aversion to sweets. Feels as if lime were burned in stomach. Worse after eating fresh meat; smoked meat agrees. Sensation of ball rising in throat. Acid dyspepsia.

Soft and small, size of goose-quill (Phos). Hard, tough, covered with mucus; shines like grease; small-shaped; expelled with much straining, or only on standing up. Pruritus. Partial paralysis of rectum. Rectum sore and burns. Fistula and large piles.

Involuntary when coughing, sneezing (Puls). Expelled very slowly, and sometimes retained. Involuntary during first sleep at night; also from slightest excitement. Retention after surgical operations. Loss of sensibility on passing urine.

Uterine inertia during labor. Menses cease at night; flow only during day (Cycl; Puls). Leucorrhœa at night, with great weakness (Nat mur). Menses delay, late (Con. Graph; Puls).

Hoarseness with pain in chest; aphonia. Larynx sore. Cough, with raw soreness of chest. Expectoration scanty; must be swallowed. Cough with pain in hip, especially left worse in evening; better, drinking cold water; worse, warmth of bed. Sore streak down trachea. Mucus under sternum, which he cannot quite reach. Pain in chest, with palpitation. Cannot lie down at night. Voice re-echoes. Own voice roars in ears and distresses. Difficulty of voice of singers and public speakers (Royal).

Stiffness between shoulders. Dull pain in nape of neck.

Left-sided sciatica, with numbness. Paralysis of single parts. Dull, tearing pain in hands and arms. Heaviness and weakness. Tearing joints. Unsteadiness of muscles of forearm and hand. Numbness; loss of sensation in hands. Contracted tendons. Weak ankles. Cannot walk without suffering. Rheumatic tearing in limbs; better by warmth, especially heat of bed. Burning in joints. Slow in learning to walk. Unsteady walking and easily falling. Restless legs at night. Cracking and tension in knees; stiffness in hollow of knee. Itching on dorsum of feet.

Soreness in folds of skin, back of ears, between thighs. Warts large, jagged, bleeding easily, on tips of fingers and nose. Old burns that do not get well, and ill effects from burns. Pains of burns. Cicatrices freshen up; old injuries reopen. Skin prone to intertrigo during dentition.

Very drowsy; can hardly keep awake. Nocturnal sleeplessness, with dry heat, inquietude.

According to the careful investigations of Dr. Wagner of Basel, Causticum corresponds to Ammon causticum 4x. Causticum does not agree with Phosphorus; the remedies should not be used after each other. Diphtherotoxin follows, causticum in chronic bronchitis.

Antidote: Paralysis from lead-poisoning.

Complementary: Carbo; Petrosel.

Compare: Rhus; Arsenic; Amm phos (facial paralysis).

Worse, dry, cold winds, in clear fine weather, cold air; from motion of carriage. Better, in damp, wet weather; warmth. Heat of bed.

Third to thirtieth attenuation. In chronic ailments and especially in paralytic states, the higher potencies once or twice a week.

Great weakness, faint-like goneness culminating in local paralysis (vocal organs, tongue, muscles of deglution, eyelids, face, bladder and extremities).

Obstinate neuralgias, especially of psoric origin; pains of a cramping, drawing nature.

Sensation of sore rawness (Scalp, throat, larynx and trachea, chest, rectum, anus, urethra and eruptions with burning).

Contractions of the ligaments (arthritis deformans).

Dry cough with pain in hip and involuntary urination. Soreness and rawness in air passages, cannot raise the mucus, < on expiration, > swallowing cold water.

Hæmorrhoids sore and raw < on walking. Constipation frequent, ineffectual desire for stool; passes better on standing.

This is a very unique remedy, proven by Hahnemann and classed among the anti-psorics. Its exact chemical composition is not known but it is supposed to be a kind of potash preparation.

It has quite a long list of peculiar symptoms, which are, nevertheless, very reliable. In the first place it has great weakness, such as characterizes the potash salts generally. It is with Causticum "faint-like weakness, or sinking of strength, with trembling." In this it resembles Gelsemium, and it has another symptom, in connection with its general weakness which resembles Gelsemium, viz.: "Drooping of the lids." Sepia, Causticum and Gelsemium is the trio having this peculiar symptom in a very marked degree. Now, the weakness of Causticum progresses until we have "gradually appearing paralysis," indeed, paralysis is common with Causticum and attacks in a general way the right side (Lachesis the left), but it also has local paralysis; as, for instance, of the vocal organs, muscles of deglutition, of tongue, eyelids, face, bladder and extremities. On the other hand, it has all grades of nervous twitchings, chorea, convulsions and epileptic attacks, even progressive locomotor ataxia. I can only name these diseases here, but will notice further on the symptoms and conditions which appear in connection with them.

Neuralgic affections are also common with this remedy and are generally of an obstinate character. Causticum has helped me out in such cases when other seemingly indicated remedies failed. One of our oldest and most eminent writers on Materia Medica, Charles J. Hempel, sneered at the multiplicity of symptoms of this remedy, as found in the "Chronic Diseases," but the clinical test has proven it to be a remedy of great use and wide range. On the mind it exerts a very depressing influence in keeping with its general action on the nervous system. Melancholy mood; sadness, hopelessness; is apt to look on the dark side of everything. This melancholy may come from care, grief or sorrow. It often comes from long lasting brief or sorrow, and should be remembered here alongside Ignatia, Natrum muriaticum and Phosphoric acid.

This is the preponderant mood of Causticum, but it may alternate with an anxious, irritable or hysterical mood. We have already spoken of the paralysis of the eyelids. The vision is often affected; there is an appearance of gauze before the eyes, or as if a fog or cloud were there. This is often the case in incipient cataract, and Causticum often remedies it.

Upon the ears there is roaring, tinkling, humming and all sorts of noises. It is one of our best remedies in deafness with these noises. Reverberation of sounds, especially the patient's own voice, finds here a remedy. Then the ears (external) burn and are very red. Sulphur also has this symptom very prominently: and right here we may say that there are many resemblances between these two remedies, and they follow each other well, especially in chronic diseases.

Upon the face we have four prominent peculiar symptoms:

1st. Yellowness of the face; sickly yellow (not jaundice).

2d. Paralysis of a rheumatic or psoric origin.

3d. Prosopalgia of the same origin.

4th. Stiffness of the jaws; could not open the mouth.

This latter symptom also seems to be rheumatic and is in keeping with the arthritis deformans, of which we will say more further on.

Upon the tongue we have: 1st. Paralisis; or indistinct speech without complete paralysis (Gels.). 2d. Tongue coated white on the sides, red in the middle, but not so sharply defined as in Veratrum viride.

The throat comes strongly under the influence of Causticum.

"Burning pain in throat, not < by swallowing; pain is in both sides or seems to arise from chest."

"Rawness and tickling in throat with dry cough and some expectoration after long coughing."

This again in similar to Sulphur, which has burning in throat, more on right side. I have found that if Sulphur did not relieve, Causticum given after it, often would.

Intestinal Canal.-Sensation of lime being burned in the stomach, with rising of air. Guernsey praised this symptom and considered it reliable. I have not verified if Causticum is one of our best remedies in anal troubles, and has very peculiar symptoms. "Constipation, frequent but unsuccessful desire to stool." (Nux.) "Frequent ineffectual desire to stool, with much pain and straining, with redness of face." "The stool passes better when standing. Hæmorrhoids impeding stool, swollen; itching: smarting; rawness; moist; stinging; burning; raw and sore, aggravated when walking, when thinking of them, from preaching or straining the voice." All these symptoms have been verified over and over again. There are other symptoms also in this region that are very valuable, but we are not writing a complete Materia Medica and will only say in addition that in all anal troubles we should let Causticum rank among the first in our mind when we are hunting for the simillimum. We do not know in what part the peculiar and characteristic symptom which leads to the simillimum will appear, but must be on the alert to recognize it promptly.

Causticum also has very marked action upon the urinary organs, as is shown by the following symptoms: "Itching of the orifice of the urethra." "Constant ineffectual desire to urinate, frequent evacuations of only a few drops, with spasms in the rectum and constipation."

This is like Nux vomica and Cantharis, and I once cured a chronic case of cystitis in a married woman, which had baffled the best efforts of several old school physicians, eminent for their skill for years. There was another symptom in the case that was prominent, and that was a sensation of soreness or rawness. More will be said, when we come to write on sensations, of this last symptom. Again, "retention of urine, with frequent and urgent desire, occasionally a few drops dribble away."

"Involuntary passage of urine when coughing, sneezing, blowing the nose; at nigh when asleep; when walking." "He urinates so easily that he is not sensible of the stream, and scarcely believes in the dark that he is urinating at all, until he makes sure by sense of touch." I do not know of any remedy in which this weakness of the neck of the bladder is more prominent. Causticum also affects the urine itself "The urine is loaded with lithic acid and lithates (Hughes), there are thick deposits or sediments of various colors from dark to light" These are a few of the leading urinary symptoms and show its importance here.

Respiratory Organs. -Hoarseness worse in the morning, with rawness and sudden loss of voice. Laryngeal muscles refuse to act; cannot speak a loud word. Chronic hoarseness remaining after acute laryngitis. Hoarseness with deep bass voice (like Drosera). These are all very reliable symptoms, and no remedy removes them oftener than Causticum. All this loss of voice may come from paresis of the vocal chords, or from catarrhal causes. Then following down the respiratory tract, we have great rawness and irritation of the trachea, cough dry, hollow; with sore or raw sensation in a streak down along the trachea. Cough with pain in hip and involuntary urination. Cough with sensation as if she could not cough deep enough to start the mucus. Coughs worse on expiration (Acon.) Cough relieved by a swallow of cold water. Cough with inability to raise the mucus, it must be swallowed; but the most characteristic symptom all through the cough and chest symptoms is the sensation of soreness and rawness accompanying them. Some will express this as a sensation of burning, if so we must remember Iodine and Spongia. In influenza or what is now called La Grippe it disputes for first place with Eupatorium perf. and Rhus toxicod. All three have a tired, sore, bruised sensation all over the body, and all have soreness in the chest when coughing, but if involuntary micturition is present Causticum wins. No homœopath can afford to be without an understanding of Causticum upon the respiratory organs.

Now upon the back and extremities we have -stiffness and pain in neck and throat, muscles feel as if bound, could scarce move the head. Painful stiffness of the back and sacrum, especially on rising from a chair. Paralysis of either or both lower and upper extremities. Dull drawing pain in hands and arms. Drawing and tearing in thighs and legs, knees and feet, worse in open air and better in bed. Weakness and trembling of the limbs. Rheumatic and arthritic inflammations with contractions of the flexors and stiffness of the joints. All these, and many more symptoms, show what a useful remedy this must be in its general action on the back and extremities, but right here I wish to say that if I were to select the three remedies to the exclusion of all others for the treatment of chronic rheumatism and paralysis Causticum, Rhus tox. and Sulphur would be the three. These three remedies studied in their correspondence and relation to each other will more than repay the careful student, and Causticum holds well its own in the comparison. You will remember that I have before alluded to the resemblances of Causticum and Sulphur, and may continue to do so further on. I wish here, although constitutionally opposed to making too much of complementaries and incompatibles (so-called), to state that there are no two remedies that are oftener indicated after each other, and work as well when so indicated, than these two. If Hahnemann had never given to the homœopathic school any remedy but Causticum, the world would still be to him under lasting obligations.

Sensations. -Tearing pains are, characteristic of this remedy. They are often paroxysmal. This is often found in neuralgia of the face. Then again I wish to call particular attention to the sensation of soreness or rawness. This is found in scalp, throat, larynx and trachea, chest, rectum, anus, urethra and eruptions. We observe that the sensation of soreness is not like that of Arnica, which is a soreness as if bruised and mostly muscular, nor of Rhus toxicodendron, which is an aching soreness as if sprained and oftenest found in the tendons and sheaths of muscles, or areolar tissues; but it is a soreness mostly, if not altogether, of mucous surfaces as if the parts were raw. This is important and a very reliable sensation. Then again we have in Causticum much burning. These burnings are found almost everywhere, and in this we again see its resemblance to Sulphur. Now let it be remembered that the burnings of Sulphur are associated with itching, those of Apis mellifica with stinging, and those of Causticum with soreness. So we must always learn to differentiate, because it is only by so doing that we can select the one remedy out of a class, and sometimes a large class, having the same or similar symptoms. The drawing pains that in many cases result in forcing out of shape the extremities so as to cause that terrible affliction known as arthritis deformans are found as prominently under Causticum as under any other remedy, and it is one of the most useful agents for the relief or cure.

Causticum is classed among Hahnemann's anti-psorics. It is certainly one of the prominent remedies for affections arising from the suppression of itch or chronic skin troubles, like eczema. I was once called, in consultation, to a case of prosopalgia which had for a long time baffled the skill of a very good homœopathic practitioner. Not being able to relieve the case, he had become demoralized, and as the pain and suffering were very great he had resorted to anodynes, but with the usual result of making the patient worse, after the anodynes had worn out, than she was before. On looking over the case carefully, I found in addition to the emaciated and greatly debilitated condition of the patient, after so long suffering, that the pains came in paroxysms, that they were of a drawing nature, and that she had suffered from eczema for years, at different times, before this pain appeared. Sulphur had been given, but without relief. So I advised Causticum. It was given, in the 200th, and a rapid and a permanent cure was the result. Whether Causticum could be called an anti-sycotic as well as anti-psoric, or not, I do not know. Certain it is that it is one of our most successful remedies for warts. It stands next to Thuja, if not equal. It is also foremost in old sores originating in burns. I have given more space to Causticum than I otherwise would, for the reason that I am sure that this great remedy is not generally appreciated. I know of no remedy more positive and satisfactory in its action when indicated. Generally < in clear fine weather > in damp wet weather. (Nux vom., asthma < in dry weather > in damp weather.).

Modalities: < dry weather, walking (piles), > wet weather, swallowing cold water (cough).

Melancholy, peevish. Low-spirited, with fearful anxiety, day and night. Attacks of anger, with scolding. Afraid at night (in the dark room ; the child does not want to go to bed alone).

Giddiness, with sensation of weakness in the head. Stitches in the temples. Tension and tightness in the head, and of the scalp (forehead and temples). Congestion to the head, with roaring in the head and ears. Involuntary nodding of the head while writing.

Pressure in the eyes, as if sand were in them. Agglutination of the eyes (in the morning). Inflammation of the eyes, with burning and itching of the eyes and eyelids. Old warts ; on the eye-brows ; on the upper eye-lid (nose). Movements before the eyes, as of a swarm of insects. Dim-sightedness, as if a thick fog were before the eyes.

Buzzing and roaring in the ear and head. Spasmodic pain in the ear, as if the inner parts were pressed out. Stitches in the (right) ear. Painful swelling of the external ear. Feeling of obstruction in the ears. Words spoken and steps re-echo in the ear.

Pimples on the tip of the nose. Old warts on the nose (orbits, upper eyelids). Itching in the nose, and of the nostrils. Coryza, with hoarseness, preventing loud speech. Continuous dry coryza, with obstruction of both nostrils.

Yellowness of the face, (temples). Spasmodic sensation of the lips. Sensation of tightness and pain in the jaws, rendering it very difficult to open the mouth, or to eat. Arthritic pains in the lower jaw. Semi-lateral paralysis of the face. Itching eruption on the face.

Painfully elongated teeth, (incisors). Stitches in the teeth. Gums suppurating, (fistula dentalis).

Swelling of the inner side of the cheek ; he bites it when chewing. Dry mouth and tongue. Accumulation of much mucus in the mouth and throng. Speechlessness from paralysis of the tongue. Distortion of the tongue and mouth when talking. Stuttering, difficult, indistinct speech. Dryness in the throat, without thirst. Constant disposition to swallow, (pain as if a tumor were in the throat). Audible cracking in the throat. Sensation as if something cold were rising in the throat.

Aversion to sweet things. Greasy taste in the mouth. Violent thirst, (cold drinks). Fresh meat causes nausea ; smoked meat agrees.

Violent distention of the abdomen after a meal, (breakfast). Sour vomiting, often followed by sour eructation. Colic, with heat in the head, chilliness over the whole body ; better when lying down. Swelled abdomen in children. Painful swelling of the navel. The clothes press the hypochondria painfully. Stitches in the liver.

Constipation ; painful, fruitless urging to stool, with anxiety and redness of the face. The hard, tough stool, is covered with mucus, and shines as if greased. The stool is too small-shaped. Diarrhœa, with tenesmus and burning in the rectum. Bloody stool, with soreness and burning of the rectum. Itching at the anus, (after dinner). Varices of the rectum, hindering stool ; large ; painful ; stinging ; burning when touched ; increased by walking, and when thinking of them. Pulsation in the perinæum. (Fistula in ano). Soreness of, and oozing of moisture from the rectum.

Frequent and urgent desire to urinate, with thirst and scanty emission. Involuntary emission of urine by day and night ; at night, when asleep ; when coughing, sneezing, and walking. Burning in the urethra when urinating. Itching of the orifice of the urethra.

Men. Increase of smegma about the glans. Aching in the testes. Itching of the scrotum. Women. Menses too late, but profuse ; blood clotted. Difficult first menstruation. During the menses, no blood is passed at night. Pain in the back, (during the menses) ; yellowness of the face ; vertigo. Aversion to coition. Leucorrhœa at night. Sore, cracked nipples, surrounded with herpes. Deficiency of milk.

Burning and roughness. Hoarseness and roughness, (early in the morning). Aphonia, (in the morning), or from weakness of the organs. Sensation of soreness of the larynx. Hawking up of mucus early in the morning.

Asthma, especially when sitting or lying down. Stitches in the sternum, or deep in the chest, during a long inspiration. Rattling in the chest. Burning, stitches, and soreness in the chest. Palpitation of the heart, with languor. Stitches about the heart. Tight dressing about the chest oppresses the breathing. Short, dry cough. Dry, hollow cough, with soreness in the chest, caused by tickling and mucus in the throat, with expectoration only at night, of acrid-tasting mucus, which he cannot raise, but has to swallow it again. Cough, with pain in the hip, with involuntary passage of some drops of urine. Cough is worse in the evening till midnight, from exhaling ; drinking coffee ; cold air ; draft of air ; when awaking from sleep. Cough is relieved by a swallow of cold water.

Stiffness and tension in the neck. Swelling, like goitre, on the throat. Painful stiffness between the scapulæ, and of the back, especially when rising from a seat. Itching and humid tetter in the nape of the neck. Pain, as from a bruise in the nape of the neck.

Upper. Dull tearing in the arms and hands. Great heaviness and weakness in the arms. Trembling of the hands. Great heaviness in the right hand. Paralytic feeling in the right hand. Sensation of fulness in the interior of the hand when grasping anything. Tension of the posterior joints of the fingers when bending them. Numbness, insensibility and tightness of the fingers. Tearing in the right wrist-joint. Lower. Sensation of dislocation of the hip-joint when walking. Tension in the knee and ankle-joints. Contraction and tension in the heel and tendo Achillis. Marbled skin of the legs. Swelling of the feet. Cold feet ; cramp in the feet. Unsteady walk of children ; they fall easily.

Paralytic, trembling weakness of the limbs, paralysis (one-sided). Epileptic spasms (at night during sleep). St. Vitus' dance. Tension and shortening of the muscles, contracting the joints and bending the limbs ; they become paralyzed. Rheumatism in the limbs.

He starts from the sleep. Sleeplessness at night, with anxiety and heat. Great sleepiness during the day.

Pulse only accelerated towards evening. Chilliness predominating, frequently with coldness of the left side. Internal chilliness, followed by perspiration, without previous heat. Heat in the evening, from 6 to 8 P.M. Flushes of heat, followed by chilliness. Perspiration when walking in the open air. Morning sweat (smelling sour).

Itching of the whole body at night. (Itch). Injuries of the skin, which had been healed, become sore again. Humid tetters. Painful varices. Soreness of children.

In the evening, great restlessness of the body (legs). Aggravation in the evening ; in the open air ; from colic. Amelioration, especially of the rheumatic pains in the limbs, in bed, and from heat.

Tinctura acris sine Kali. Potassium Hydrate. Obtained by distilling a mixture of slaked lime and a solution of potassium sulphate. Tincture with spirit.

Acne rosacea. Agalactia. Amaurosis. Apoplexy. Arthritis deformans. Bladder, affections of. Bronchitis . Burns. Cataract. Chorea. Coccygodynia. Constipation . Convulsions. Cough . Deafness. Dentition. Diphtheritic paralysis. Ears, otorrhœa. Emaciation. Enuresis. Epilepsy. Eyes, affections of . Facial paralysis. Fistula . Fistula dentalis. Goître. Hæmorrhoids. Headache. Heart affections. Heel, blistered. Herpes zoster. Hip disease. Hydrogenoid constitution. Impotence. Influenza. Intermittent fever. Intertrigo. Laryngitis . Lead poisoning. Leucorrhœa. Locomotor ataxy. Menière's disease. Menstruation, disorders of. Myalgia . Nails, crippled. Neuralgia. Nose, crusts in; acne on. Paralysis. Pemphigus. Pregnancy . Prostatitis. Ptosis. Rheumatism. Scabies. Scrofula. Skin, eruptions of. Small-pox. Stammering. Syphilis. Tendons, contracted. Throat, affections of. Tongue, affections of; paralysis of. Ulcers. Urethritis. Urine, disordered . Varicose veins. Voice, lost . Warts. Whooping-cough.

Causticum is one of the great polychrest medicines of the Chronic Diseases . It is both antipsoric and antisycotic and antisyphilitic. The leading feature of the Causticum effects is Paralysis , showing itself both in voluntary and involuntary muscles. The weakening effect of potassium in allopathic overdosing is well known, and is strongly brought out in the Causticum provings. Paralytic weakness. Paralysis of single nerves or single parts. Ptosis; facial paralysis; paralysis of tongue; of extremities; of vocal cords; of bladder; of rectum; lead paralysis. Allied to paralysis are convulsions, chorea, cramps, starting, restlessness, twitching. Contraction of flexor tendons. Trembling. Neuralgic and rheumatic affections; tearing, drawing pains. There is a headache which draws and tears through the body. Glandular indurations are prominent. In children there are many symptoms of scrofula. There is a weakened and emaciated appearance, especially about the face, the abdomen being large. Skin dirty-white. Scrofulous inflammations about eyes, ears, and scalp. The paralytic element comes out in slow learning to talk and walk, and stumbling on attempting to walk. In chorea the right side is more affected than left words seem to be jerked out. During the night the legs are constantly "on the go." This kind of restlessness is characteristic of Caus . The mental state is timid, nervous, anxious. Apprehensive of impending misfortune. Conscience-stricken as if she had committed a crime. Full of fearful fancies, < at twilight. Sees fearful images when closing eyes. Melancholy. Taciturn and distrustful; inclined to fits of anger with scolding. Memory fails (mental paralysis), any attempt at mental exertion = symptoms, such as stitches in temples, tension in head and scalp, especially forehead to temples. There is a sensation as if there was an empty space between the bone of the skull and the brain, > by warmth. Headache; cannot keep upper eyelids up. Vertigo, excitement of brain and spine, incapable, tends to fall forward or sideways (locomotor ataxy); with anxiety, weakness in head, sight as if through a fog; skin dry and hot; constipation. Eruptions on scalp behind ears. Sounds re-echo unpleasantly an ordinary voice sounds loud. Facial paralysis from cold draught neuralgia of right cheekbones to mastoid process < at night. Jaw joints affected with rheumatism. Sickly, sallow, low-spirited expression. Nash cured an obstinate case of prosopalgia with Caust. The patient was emaciated and debilitated by long Suffering; pains came in paroxysms, and were of a drawing nature. She had suffered from eczema at times before the neuralgia appeared. Sulph . had been given in vain. Caust . 200 rapidly cured. The Caust . weakness may result from grief of long standing or from disease. Accumulations of mucus in larynx and fauces; catarrh of throat and Eustachian tubes with tinnitus and reverberation. Difficult swallowing of liquids. Constant sensation as if lime were burning in stomach; with water-brash. Pressure and fulness in abdomen as if it would burst, much < by food. Griping cutting > by bending double, < after least food or tightening clothes; menstrual colic ( Caus . will cure after failure of Coloc .). Obstinate constipation (paralysis of rectum); stools covered with shiny coating of mucus; piles, unbearable by walking, by thinking of them, by touch. No remedy has such well-marked aggravations of anal symptoms as Caus. A characteristic is "Passes stool best standing." Spasm of rectum prevents walking. Painful pustules near anus discharging pus, blood, serum. Itching at orifice of urethra. Difficult, frequent micturition; with spasm of rectum. Paralysis of bladder is apparent. Enuresis, especially during first sleep; < winter, > in summer. Tendency to escape during the day, from any extra exertion, laughing, walking. Epilepsy has been cured by Caust ., when fit occurs in sleep and urine escapes. Coughing expels urine. (Kraft has cured cases of incontinence following over-distension of the bladder owing to want of opportunity to attend to the call to urinate at the time, such as occurs in shop-girls and school-girls, who cannot leave their tasks.) Prostatitis and urethritis. Itching scrotum; cannot retain urine. Blood with semen. Sexual appetite in women is abolished. Constant indifference, the only time there is any inclination is after the period. Sadness during period. Period too early, too abundant; after it, a little blood passes occasionally, smelling badly. Nursing women lose their milk after exertion or long sleep. Hoarseness (with dry cough and redness of fauces), the result of weather or catching cold, < in morning. Aphonia: paralysis of vocal cords. Dry, hollow cough with mucus on chest; patient cannot expectorate, must swallow phlegm raised. A characteristic is: "Cannot cough deep enough for relief." Rawness and burning down throat and trachea. Rheumatism tends to stiffen joints and contract limbs. Warts are a notable feature in Caust . — on hands, on face, and especially on margins of eyelids. When on hands they are usually found on finger-tips or close to nails. Nails are crippled. Old, large, inflamed and indurated warts. Burning itching on face, discharging acrid fluid which forms crusts. Guernsey commends Caust . in the after-effects of burns and scalds. Patients say, "I have never been well since that burn." Its caustic properties may be its "signature" here. "Burning," indeed, is one of the notes of Caust . Guernsey gives "sensation as if lime were being slaked in the stomach." "Soreness" or "rawness" are also very characteristic, appearing in piles and anal affections ( < walking or sitting), in which Caust . is in the very first rank among remedies. Soreness and rawness accompany cough symptoms and urinary symptoms. Malcolm Macfarlan confirms the following symptoms: "Forearms in front very sore to touch and pressure; muscles of extremities sore generally." "Sudden severe pain commences in left hip-joint ; lasts a short time; feels as if it had been injured; legs very sore, or rather the lower extremities ache and feel tired." Caust . is a remedy to be remembered in intermittent fevers. One peculiar symptom is, "sweat coming after the chill without intervening heat." Teste places Caust . at the head of a group (including Coccul., Coff. c., Corall., Nux v., Staph., Ars .) the common characteristic being according to him: "Two series of successive and opposite phenomena; the former of short duration, consisting in a sort of universal exaltation of all the functions; the latter, which succeed the former more or less rapidly, consist in a general depression of the vital forces, and constitute the real and permanent action of the drugs of this group." Among instances, he gives mirthfulness followed by ill-humour; sleeplessness followed by yawning and drowsiness; moisture of skin followed by dryness; flow of saliva followed by dry mouth and throat; coryza fluent, then dry. Teste found Caust . of great efficacy in small-pox in alternation with Merc. cor . Periodicity is marked: Periodic, paroxysmal attacks; twice a day to every two, three, or four weeks an attack; at new moon. Symptoms are < at night (great restlessness of body, especially legs). < Early morning (cramp). < On waking. < In morning: hoarseness. < Evening: 6 to 8 p.m. heat. Causticum is one of Grauvogl's hydrogenoid remedies, hence is a chilly medicine; < washing, bathing, open air, draught, becoming cold, after wetting; < every change of weather. Heat, especially getting warm in bed > (rheumatism ceasing on getting warm in bed, but beginning again as soon as he gets up.) On the other hand cold water > face and eruptions, and a swallow of cold water > cough; headache is < entering a warm room; damp weather > pains in scalp, ulcers; rhinitis. Heat < eruptions. < In dark; fear of darkness. < From coffee. < After stool. < From walking. < From taking hold of anything. < In clear, fine weather. Suited to dark-haired persons with rigid fibre; delicate skins; lymphatic, torpid temperament.

Continue in Clarke 28 more passages →

Consciousness undisturbed. θ Chorea.
Unconsciousness. θ Epilepsy.
Weakness of memory ; absent-minded. θ Chorea.
Absence of mind, with loss of ideas ; uses wrong words.
Inattentive and distracted.
Understands questions only after repetition.
Dulness of head.
Dull, gloomy pressure affects brain.
Incapacity to think or to follow his business, after injurious effects of gaslight.
Imbecility before an attack. θ Epilepsy.
Melancholy, disposition to weep. θ Pertussis.
Hysterical weeping after spasms.
The least thing makes the child cry.
(In sick :) Child screams and tosses about at night. θ Whooping cough.
Weeping, crying or laughing. θ Chorea.
Spasmodic laughter before, with or after spasms.
Great restlessness, which prompts him to run away. θ During intervals of epilepsy.
Persistent silence, difficult to overcome.
Taciturn, distant.
Disinclined to work.
Tense, gloomy feeling in head.
Weeping, or whining mood. θ Paralysis.
Chilly, with sad mood and apprehension of the future, < in evening. θ Chronic headache.
Sorrowful thoughts during night, during day weeping, anxiety and misgiving about the future.
Low-spirited. θ Gastric headache.
Melancholy mood ; sadness ; hopelessness.
Melancholy, with great precordial anxiety.
Melancholy from care, grief and sorrow.
Melancholy ; she looks upon the dark side of everything. θ Amenorrhœa. θ Menorrhagia.
Hopelessness, and despair. θ Paralysis.
Hopeless weeping mood, expecting death. θ Hemiplegia.
Anxious, uneasy mood, as if something unpleasant impended ; this unfits him for every kind of work.
Becomes anxious, as though he would die.
Becomes anxious, worried and pale.
Fearfulness and distressed feeling about heart.
Full of timorous fancies, evenings ; child fears to go to bed alone.
Timorous anxiety and depression. θ Pertussis.
Ill effects of sudden emotions, fright, fear, etc. θ Chorea.
Fear of death. θ Paralysis.
Full of frightful ideas, in evening.
Great apprehension whenever anything happens ; despondent, depressed, most excessive exhaustion and prostration.
Apprehension of impending danger, with urging to stool.
Had a foreboding of her attack, which interrupted her playing suddenly ; she went to the sofa and assumed her peculiar position with the knees. θ Chorea. See
36 .
Anxiety in evening, before going to sleep ; the boy could not fall asleep because he constantly thought of anxious things ; one could with difficulty induce him to go to bed.
Great anxiety, with flying thoughts and stammering.
Anxiety. θ Gastric headache.
Anxiety, with nausea.
Anxiety and red face from urging to stool. θ Obstruction of bowels.
Anxiety and despondency ; has been subjected to night-watching, care, trouble, etc. θ Agalactia.
Anxiety and uneasiness at night did not permit her to sleep.
Anxiety before falling asleep, as though attack of fainting would return and he would die.
Easily startled.
Excessive sympathy for others.
Ill humor.
Irascible mood.
Peevish, irritable, censorious mood.
Irritable temper, disposition to take everything in bad part.
Fretful and despondent, without being vexed.
Paroxysm of quarrelsome anger. θ Pertussis.
Very suspicious and distrustful.
Thinking of complaints aggravates them. θ Hemorrhoids. θ Hysteria.
Pain < by mental labor. θ Hemorrhoids.
After overexertion of mind. θ Tinnitus.
After seeing a case of chorea she gets it herself.
Irresistible yawning when listening or paying attention to others.
Hastiness causes short breath.
Mental and other ailments from long-lasting grief and sorrow. θ Chronic headache. θ Face
and toothache. θ Chorea.
Injurious effects of fear and vexation. θ Chorea.
After anger, stitches in upper portion of chest, when drawing a deep breath.
Mental alienation after suppression of eruption.

Continue in Hering 48 more passages →

Causticum is a very searching medicine, suitable in old, broken down constitutions, suffering from chronic diseases.

Only occasionally is it indicated in acute diseases. Its complaints are such as are progressive, slow, and accompanying a declining state of the economy.

Gradual decrease of muscular power, a paralysis. Paralysis of the oesophagus, paralysis of the throat, such as occurs after diphtheria; paralysis of the upper eyelids; paralysis of the bladder; paralysis of the limbs, of the lower limbs; great lassitude, muscular relaxation, indescribable fatigue and heaviness of the body. And there is a tremulousness, a quivering, jerking, twitching of the muscles, twitching in sleep.

The next most striking feature is found in the tendons, which become shortened, resulting in a temporary or permanent contracture, and the limb is drawn up.

Tendons of the forearms contract, and there is gradually increasing flexion. Sometimes a whole muscle will harden and shorten, so that it can be felt by the hand as a hard ridge. Contractures of muscles and tendons.

Closely related to this is a rheumatic state of the tendons and ligaments about the joints, sometimes with swelling, but always with pain and ending in a shrivelling of the joint, a tightening up of the joint so that it becomes ankylosed.

Great stiffness of the joints, and while this is going on the patient is growing weaker, is running into a state of melancholy, of hopelessness, anxiety and fear.

Constantly present in his mind is the hopelessness and a feeling that something is hanging over him, that something is going to happen. These are general features of Causticum. They all go to make up one picture, they are inseparable.

Another kind of progressive trouble in Causticum is hysteria. Gradually increasing hysteria. Hysterical cramping. The woman loses all control of herself and says foolish things.

Her nervous system becomes extremely sensitive to noise, touch, excitement or anything unusual. Starting from the slightest noise; starting in sleep; twitching and jerking; the child is easily startled, or acts as if startled without cause.

The paralytic weakness is associated with the rheumatic diathesis. The rheumatic states are peculiar. The patient himself can endure neither heat nor cold. They both aggravate his rheumatic conditions, his nervous conditions and himself in general. His pains are ameliorated by heat, but they are aggravated in dry weather.

Great deformity of the joints; they are enlarged, soft and infiltrated, always worse in dry weather; more pains and aches during dry weather. Rheumatism that affects both the muscles and the joints. This patient is also aggravated by exposure to cold, dry winds. Many an individual who has gone from the low lands of the East up into Colorado will come down with rheumatism from the cold, dry winds.

Let such a patient as I have described take a ride in the cold lake wind and he will have paralysis of the side of the face exposed to the wind. A long drive with the east wind coming against the face.

Continue in Kent 64 more passages →

Adapted to persons with dark hair, rigid fibre; weakly, scrofulous persons, with excessively yellow, sallow complexion, subject to affections of respiratory and urinary tracts.

Children with dark hair and eyes, delicate, sensitive skin, prone to intertrigo during dentition (Lyc.); or convulsions with eruption of teeth (Stan.).

Ailments: from long-lasting grief and sorrow (Phos. ac.); from loss of sleep, night watching (Coc., Ign.); sudden emotions, fear, fright, joy (Cof., Gels.); anger or suppressed eruptions.

Soreness or rawness: of scalp, throat, respiratory tract, rectum, anus, vagina, uterus.

Melancholy, sad, hopeless; looks on the dark side of every-thing; with weeping, "the least thing makes the child cry."

Children slow in learning to walk (Cal. p.).

Unsteady walking and easy falling of little children.

Menses: too early; too feeble; flow only or chiefly during the day; cease on lying down.

Constipation; frequent, ineffectual efforts; stool passes better when standing; impeded by hemorrhoids; tough, shining.

Urination; involuntary, when coughing, sneezing, blowing the nose (Puls., Squil., Ver.); nocturnal, during first sleep (Sep., Tub.).

Cough: with inability to raise the sputa, must be swallowed; $>$ by a swallow of cold water; on expiration; after pertussis.

At night, cannot get an easy position, nor lie still a moment.

Cannot cover too warmly, but warmth does not relieve.

Cicatrices, especially burns and scalds freshen up, become sore again; patients say "they have never been well since that burn."

Whatever part she grasps, burns.

Paralysis of single parts; vocal organs, tongue, eyelids, face, extremities, bladder; generally of right side; onset gradual.

Disturbed functional activity of brain and spinal nerves, resulting in paralysis.

Intense sympathy for sufferings of others.

Rheumatic affections, with contraction of the flexors and stiffness of the joints; tension and shortening of muscles (Am. m., Cimex, Guaiac., Nat.).

Rawness or soreness: of scalp, throat, respiratory tract, rectum, anus, urethra, vagina, uterus (as if bruised, Arn.; as if sprained, Rhus).

Warts: large, jagged, often pedunculated; bleeding easily, exuding moisture; small, all over the body; on eyelids, face; on the nose.

Patient improves for a time then comes to a "stand-still."

Relations:—Complementary: Carbo v., Petros.

Incompatible: Phos. Must not be used before or after Phos., always disagrees; the acids; Coffea.

In clear, fine weather; coming from the air into a warm room (Bry.); cold air; draught of cold air; on becoming cold; getting wet; from bathing.

In damp, wet weather; warmth; warm air.

Not characteristic. Left-sided (Carbo v.).

4 P. M. or midnight, with sweat at 4 A. M.

Fever without chill, 6 to 8 P. M.

Chill, without thirst, lessened in bed and by drinking (Graph.—increased by drinking, Caps.). Chilliness and coldness of the whole left side (Carbo v.); of diseased parts. Shivering, beginning in the face, thence extending over the body. Internal chill, followed by perspiration without intervening heat. (See Caps., Cimex.) At 4 P. M.: first, chilliness, with creep- ing in the legs up into the back, with weariness, lasting three hours, followed by sweat without heat or thirst (without heat or sweat, Bov.). Shaking chill over the whole body; shivering chill over the whole body, without thirst or subsequent heat. He is always either chilly or in a sweat. Shivering from the face, over the chest or along the back, down to the knees. Shivering and coldness of single parts, as arm, forearm, thigh, leg, abdomen, back (rest of body normal), without heat or sweat. Sensation of cold water in a small stream running across the body; of cold wind blowing upon spine between the shoulder-blades. Takes cold easily (Bar., Cal.). Very sensitive to cold air, or to a draft (Camph, Canth.); cold feet. Chill passes downward

Flushes of heat, followed by chill.

Without thirst, occurring toward morning or at night; not a clearly defined hot stage, but mixed, not alternating with chilliness. Heat of head and face; warmth and redness of face and heat in face and eyes after eating. Heat from 6 to 8 P. M., which is not preceded by chill or shivering—heat descending— and appears to be a secondary paroxysm of fever.

Without thirst. Immediately after the chill, without intervening heat (Ant. t.). Profuse sweat when walking in the open air; from motion (Bry.—relieved by motion, Caps.); dur- ing the day when sleeping. Sour smelling night-sweat all over

(Hep.). Viscid sweat of strong urinous odor. Moisture over whole body, without heat or thirst, with yawning and stretching.

Awoke at 4 A. M., with profuse sweat all over the body—with- out thirst—which continued 24 hours. Heaviness and roaring in the head.

"Chill predominates, much more marked than the other stages, and left-sided; followed by perspiration and later by heat; all occurring towards and during the evening."—T. D. STOWE.

Not coated, dry, with painful burning vesicles on sides and tip of tongue; or coated white on both sides, red in the middle.

Desire for smoked meat; for beer. Aversion to sweet things, which disagree.

Not marked, except by previously existing symp- toms, upon which the force of the chill is frequently expended. Previously diseased organs or parts are prone to become painful during, or the pain is renewed, after the paroxysm.

Chronic cases with constitutional cachexia. One of the few remedies where sweat follows chill without intervening heat.

Left-sided chill, most pronounced of any remedy, and a "guiding" symptom of Causticum.

Chill without thirst $>$ in bed and by drinking

No thirst in heat or sweat.

Flushes of heat followed by chill.

Morning sweat is characteristic.

Weakness of memory; absent-minded.
Inattentive and distracted.
Taciturn, distant; disinclined to work.
Full of timorous fancies, evenings, child fears to go to bed alone.
Great anxiety.
Melancholy mood.
Hopelessness.
Peevish, irritable mood.
Thinking of complaints aggravates them, especially hemorrhoids.

Vertigo: tending forwards and sideways; at night in bed, on rising and on lying down again, or at 11 A.M.; on looking fixedly at an object; better in open air; with weakness in the head and anxiety.
Anæmia.
Dulness of the head.

Painless commotion in the whole head.
Pressive pain in right frontal eminence; dull, pressive headache.
Stitches in the temples, worse from sitting or reading.
Throbbing and stitches in the vertex.
Sensation as of an empty space between the forehead and brain.

Pain at a small spot on the vertex, as if bruised, only on touch.
Tension or itching on the scalp.

Photophobia whole day, constantly obliged to wink.
Flickering or sparks before the eyes.
Sight obscured: as from a gauze before the eyes; as from a mist; momentarily, on blowing the nose.
Perpendicular half sight in cataract; has arrested cataract.
Pain in the eyes, as if sand were in them.
Pressive pain in the eyes, worse from touch.
Constant inclination to touch and rub the eye, which seems to relieve a pressure in it.
Eyes: inflamed; burning, red, dry, stinging.
Smarting and pressure in eyes, which seem heavy; lids red.
Itching of the eyes, especially of the lids.
Inclination to close the eyes, lids seem heavy; even paralysis of upper lids.

Roaring, or buzzing in the ears.
Words and steps re-echo in the ears; hears with difficulty.
Stitches in right ear, paroxysmal, and in rapid succession.
Feeling of obstruction in ears, with offensive purulent discharge.
Herpes on the ear-lobe.
Meatus dry, with a little brown wax.

Frequent sneezing.
Fluent coryza, with pain in chest and limbs.
Dry coryza, with stoppage of nose.
Blowing blood from nose, mornings.
Profuse nosebleed.
Pimples on the tip of the nose.
Itching of tip and alæ.
Old warts on the nose.

Face: yellow; sickly-looking.
Neuralgia: right side; worse at night, chilly, no thirst; drawing pains extending into cheeks and ear; spasm of muscles and numbness; menses scanty.
Pimples on left cheek, with severe itching.
Acne burning after scratching, better washing.
Paralysis of one side of face.

Sensation of tension and pain in the jaws could only with difficulty open the mouth, and could not eat well, because a tooth seemed too long.
Arthritic pains in lower jaw.

Painful looseness and elongation of the teeth.
Tooth as if being crowded out of the alveoli.
Teeth painful when chewing.
Pain in sound teeth, or drawing in cold air.
Stitching and tearing toothache.
Swelling of the gums.
Tedious suppuration of the gums. θ Fistula dentalis.

Taste: greasy; of rancid fat; putrid; bitter; as from disordered stomach.
Speechlessness, from paralysis of the organs of speech.
Distortion of the tongue and mouth when talking.
Stuttering, difficult, indistinct speech.
Painful vesicle on the tip of the tongue.
Tongue coated white on both sides, red in the middle.

Dryness of the mouth and tongue.
Much phlegm in the mouth and throat.
Sore, painful spot on the hard palate.
Swelling inside the cheek; bites it when chewing.

Dryness in throat, posteriorly.
Mucus collects in the throat, cannot be raised by hawking; obliged to swallow it.
Hawking of mucus, with pain in pit of throat.
Rawness in throat, with sensation like heart-burn.
Rawness and tickling in the throat, with dry cough and some expectoration only after long coughing.
Must swallow continually, feels as if the throat were too narrow.
Swelling like goitre, on the throat.

Desire for beer.
Thirst for cold drinks; thirst, with aversion to drink.
Aversion to sweet things.
Sits down to the table with some appetite, but can scarcely eat a morsel.

Fresh meat causes nausea; smoked meat agrees; bread causes pressure in stomach.
Coffee seems to aggravate every symptom.

Eructations: frequent, empty; tasting of the food; of food; burning.
Nausea during and after meals.
Sour vomiting, followed by sour eructations.
Vomiting of blood, at night.

Pain in the stomach in the morning, increased by every quick movement; must lie down.
Cramp in the stomach; pressure in the pit of stomach.
Pinching, clawing in pit of stomach on deep breathing.

Stitches in the region of the liver.

Pains in the abdomen, must bend double; worse after the least nourishment or from tightening the clothes.
Colic: in the morning; pain radiates to back and chest.
Stitches in the right side of the abdomen.
Painful distention of the abdomen.
Flatulency, loud rumbling and rolling in the bowels.
Tumid abdomen, in children.

Pressure in the rectum.
Itching and sticking in the rectum.
Frequent, sudden, penetrating, pressive pain in rectum.
Frequent passage of offensive flatus.
Stools: tough and shining; first hard and in pieces, the last soft; knotty, like sheep's dung.
Frequent ineffectual efforts to stool with much pain, anxiety and redness in face.
The stool passes better standing.
Pulsations in the perineum.
Fissure of the anus, pains worse when walking.
Itching in the anus.
Large, painful pustule near the anus, discharging pus, blood and serum.
Hemorrhoids: impeding the stool; swollen; itching, stitching, moist; stinging, burning; painful when touched, when walking, or when thinking of them.

Paralysis of bladder from long retention of urine.
Involuntary passage of urine: when coughing, walking or blowing the nose; at night when asleep.
Diabetes insipidus.
Retention of urine, with frequent and urgent desire, occasionally a few drops or small quantity may dribble away.
Burning in the urethra when urinating.
Itching of the orifice of the urethra.
Urine: dark brown; turbid and cloudy on standing.

Increase of smegma about the glans.
Continuous loss of prostatic fluid; memory weak.
Pressive pains in testicles.
Itching of the scrotum and skin of the penis.

Aversion to coitus.
Menses: too early and too profuse, and after ceasing, a little is passed from time to time for days; smell badly and excite itching of vulva; only during the day; with violent pains in abdomen and discharge of large clots; scanty, with prosopalgia.
Leucorrhœa: profuse, flows like the menses and has the same odor; only at night and worse then; with scanty menses.
Soreness in the vulva and between the legs.
Smarting, as from salt, in the pudendum, after urinating.

Spasmodic labor-pains. Labor-pains insufficient, irregular; os dilated, but patient has become tired and fretful.
Milk almost disappeared in consequence of overfatigue, night watching and anxiety.
Nipples sore, cracked, surrounded with herpes.

Hoarseness: worse morning and evening, with scraping in the throat; for several days could not speak loud.
Croup, especially when there is a raw sensation in the larynx.
Catarrhal croup.
The laryngeal muscles refuse their service; cannot speak a loud word. When he tries to raise his voice, it fails or becomes a squeak.

Arrest of breathing when talking or walking rapidly; must suddenly catch after (for) breath.
Shortness of breath.

Violent, hollow, at times dry, with pain in right chest; hollow, especially night and morning, with tightly adhering mucus in the chest, and with sensation of soreness on the chest; hacking, from creeping and rawness in the throat; with pain above left hip, and involuntary passage of drops of urine; dry, remaining after pertussis.
Cough worse evening till midnight; from exhaling; drinking coffee; cold air; draught of air; when awaking.
Cough relieved by a swallow of cold water.

Soreness in the chest.
Burning soreness in a stripe down under the sternum, with cough, etc.
Tightness of chest, must frequently take a deep breath.
Stitches in the chest below the arms, extending to the pit of the stomach, with anxiety.
Rattling in the chest.

Stitches about the heart.
Palpitation of the heart.
Oppression at the heart, with lowness of spirits.
Pulse excited towards evening, with orgasm of blood.

Sensation as if the clothing were too tight.
Painful compression of chest from both sides toward the sternum, with oppression of breath and weakness of voice.
Stitches in the sternum from deep breathing or lifting.

Stiffness of the neck, could not move head.
Stiffness and pain in neck and throat, with pain in occiput, muscles felt as if bound, could scarcely move the head.
Painful stiffness of back, especially when rising from chair.
Stitches: in the back; in left lumber region.
Pressing, cramp-like pain in small of back, in region of kidneys.
Dull, drawing pain in region of os coccygis.
Bruised pain in the os coccygis.

Pressure on the shoulders.
Dull drawing and tearing in the arms and hands.
Paralytic feeling in the right hand.
Sensation of fulness in the palm when grasping.
Contraction and induration of the tendons of the fingers.
Drawing pains in the finger-joints.
Trembling of the hands.
Convulsion of the fingers in writing; writer's cramp.
Warts on tip of the fingers.
Itching on the arms.

Soreness high up, between the thighs.
Aching in the hip-joint, as if dislocated.
Bruised pains in the thighs and legs, mornings in bed.
Cramp in the calf, mornings in bed.
Drawing and tearing in thighs and legs, knees and feet, worse in open air, better in warmth of bed.
Cracking in the knees when walking.
Tension in the knee and ankle-joints.
Tensive pain and stiffness in hollow of knee, when walking.
Marbled skin of thighs and legs.
Unsteady walking and easy falling, of little children.
Cramp in the feet.
Ball of the great toe: crawling, burning; severe pressive pain; burning stitches.
Phagedenic blisters and ulcers on the heel.
Sudden cramp in tendo-achillis at night.
Crawling in both soles as from something alive.
Itching on the dorsum of feet.

Arthritic pains in all the limbs.
Weakness and trembling of all the limbs.
Paralytic weakness of the limbs.
Intolerable uneasiness in the limbs in the evening.

At night cannot get a quiet position, nor lie still a minute.
Partly laid on feels sore, must turn often.
Lifting: 30. Motion: 40, 44. Quick motion: 17. Can scarcely move the head: 31. Walking: 20, 26, 33, 40. Standing: 20. Sitting: 3. Must sit up: 37. Rising: 2, 31. Lying down: 2. Must lie down: 17, 37. In bed: 2, 33, 40.

Weakness and trembling.
Faint-like sinking of strength.
Restlessness of the body.
Hemiplegia after cerebral hemorrhage or softening.
Epileptic attacks during time of puberty, also worse during new moon.
Convulsions: with screams, gnashing of the teeth, and violent movements of the limbs; with feverish heat and coldness of hands and feet.
Chorea even at night, right side of face and tongue may be paralyzed.

Yawning and stretching.
Intense sleepiness, can scarcely withstand it, must lie down.
Sleeplessness at night on account of dry heat.
Very uneasy all night, after a short sleep awakened by anxiety and restlessness, which scarcely allowed ten minutes quiet in one place; must sit up; involuntary throwing of the head from side to side, until exhaustion brought on sleep.
Starting from sleep; many motions with arms and legs, during sleep, at night.
Dreams: anxious; quarrelsome.

Morning: 7, 17, 19, 25, 27, 33, 40. 4 A.M.: 40. Evening: 1, 25, 27, 29, 34, 40. 6 to 8 P.M.: 40. Evening, till midnight: 27. Night: 2, 8, 16, 21, 23, 27, 34, 36, 37, 40. Midnight: 40. Day: 5, 23.

Warmth of bed: 33. Room: 5. Open air: 1, 5, 33, 40. Cold air: 27. Cold water: 27. Draught: 27.

Chill and chilliness; predominating, frequently with coldness of the whole left side; on diseased parts.
Much internal chilliness, immediately followed by sweat without intervening heat; severe internal chill about midnight.
Shivering beginning in and spreading from the face.
Chill lessened by drinking, and in bed.
Heat from 6 to 8 P.M., heat descending.
Flushes of heat followed by chilliness.
Profuse sweat: when walking in open air; from motion.
Sour-smelling night-sweat.
Morning-sweat toward 4 A.M.

New moon: 36.

Right: 3, 6, 8, 18, 19, 27, 32, 36. Left: 8, 31, 40.

Rheumatic and arthritic inflammations, with contraction of the flexors and stiffness of the joints.
Tearing, piercing pains at night, compelling motion, but not thereby relieved.
Emaciation of the feet.
Hemorrhages of very dark blood.
Painful varices, ulcers, or warts; net-like appearance of the capillaries.

Touch: 4, 5, 20, 35. Rubbing: 5. Tight clothing: 19, 30.

Intertrigo, during teething.
Excessively itching moist tetter on the neck.
Eruption of pimples on the tip of the nose.
Itching: over the whole body; at various parts, especially on tip and wings of the nose; face; scrotum; back; arms; palms; dorsum of feet.
Injuries of the skin which had healed, become sore again.

Dark hair and rigid fibre most affected.
Children with delicate skin.

After the abuse of sulphur and mercury in scabies, Caustic. may be indicated.
Antidotes to Caustic.: Asaf., Coffea, Coloc., Nux vom., Spir. nitr. dulc.
Rheumatic contraction of tendons of arms and legs much increased by Caustic., was promptly relieved by Guaiac.
Inimicals: Acids, Coffea, Phosphor.

A clear liquid, distilled from a mixture of Caustic Lime and bisulphate of Potash (See Hahnemann's direction for preparing it), is mixed with an equal part of Alcohol. Chemically and pathogenetically it is doubtless a solution of Potassium hydrate.

The general key to the action of Causticum is the same as that to all the Potashes, namely, paralysis, slow pulse, low temperature, etc. ▶ Diuresis is a general concomitant.

Kali in general, Rhus t., Zinc., Sulph., Sep., etc.

Spasm, when slumbering in evening he felt that he could not move the tongue well, rose, cried out, but fell back again, stretched arms and legs, then moved them, eyes were distorted, gnashed his teeth, saliva flowed from mouth, with icy coldness, consciousness returned after half an hour, with anxiety, transient thoughts, lolling tongue, all amel. a swallow of cold water. ▶ Spasm, in morning in bed heat, after rising cold sensation in the arm in which he had at first a jerk, with twitchings in upper part of body, in trunk and in arms, with full consciousness but with apprehension. ▶ Spasm in evening, vertigo as if turning involuntarily hither and thither, amel. open air, with apprehension, stupid expression of face and heat over whole body.

Falling suddenly without consciousness while walking in open air, but immediately rising again. ▶ Twitching here and there; T. in right side of body and in various other parts of skin. ▶ Starting up frequently at night. ▶ Trembling; in morning on waking; after supper, with apprehension; anxious T. in morning and forenoon, with sleepy confusion of head, heavy pressure in occiput and forehead, with heaviness of limbs, pain in joints and muscles of fingers, arms, shoulder knees and feet.

Sticking in nearly all parts; now here, now there (after menstruation); or contractive pain. ▶ Tearings, especially in joints, or from them through various bones, sometimes in several at once. ▶ Pinching here and there; and in various parts of skin. ▶ Drawing pain, especially above knees. ▶ Drawings in several parts, increasing to tearings. ▶ Soreness as if bruised or pressed in the side, hip and thigh on which he lay at night, with frequent necessity to turn over. ▶ Bruised pain in every part when touched (Arn.); general B. pain when sitting, amel. working and in open air, especially in arms; B. feeling in whole right side. ▶ Sensation of internal trembling.

▶ Inability to lie still a moment at night (Rhus t.). ▶ Uneasiness of body while sitting, with anxiety about heart; U. at night in bed, with anxious weeping and indistinct talking; when rising from a seat and when walking; in blood, with anxiety of mind and sudden sickness and weakness, so that she must lie down, especially of head, like a painless burrowing.

Weariness in morning on rising, and lack of cheerfulness; all forenoon, with feeling as if crushed; at noon, amel. walking in open air; in evening, with sleeplessness till 1 A.M. and with heavy pain in legs; after copious micturition; after slight effort; after walking in open air, with disinclination to work; agg. evening, with general sick feeling, as if a severe illness were imminent; with sweat on beginning to walk; with anxiety; with sleepiness; faintlike; in morning in bed, as if he would fall asleep again, amel. rising; after a short walk, so that he could not move his legs; tremulous, after a stool, with palpitation. ▶ Sensation as if he would fall, without vertigo. ▶ Attacks of faintness after going to bed. ▶ Stiffness of joints if she did not move for a quarter of an hour. ▶ Numbness and deadness of all soft parts on left side, even in foot and head, as if there were no blood in the skin. ▶ Aggravation when walking in open air and in evening; A. in open air; A. from coffee. ▶ Amelioration in the room of the symptoms which originated in the open air, except of the pain in forehead. ▶ Sees only terrible vision and distorted human faces when she closes the eyes.

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The general key to the action of Causticum is the same as that to all the Potashes, namely, paralysis, slow pulse, low temperature, etc. Diuresis is a general concomitant.

Rheumatic, tearing pains in the limbs, better in bed and in warmth.
Soreness, as if bruised or pressed in the side, hip and thigh on which he lies at night, with frequent necessity to turn over.
Bruised pains in the parts when touched.
Inability to lie still a moment at night.
Uneasiness of body while sitting, with anxiety about heart.
Flexor muscles generally seem to be shortened.
Tremulous weakness, almost like paralysis, of the limbs, out of bed.
General sensitiveness to cold, and to a draft of air.
General aggravation in the evening, and in the open air, as well as from drinking coffee.

Clinical:
Children are slow in learning to walk.
Cracking in joints.
The pains, neuralgic or rheumatic, make the patient very restless, but are not ameliorated by motion.
Chorea, especially affecting the muscles of the right side and eyeballs.
Epileptiform spasms or chorea-like spasms, especially at the time of puberty.
Patients requiring Caust. are weak and anæmic, have no desire and scarcely the ability to make an effort.
General tendency to paralytic affections (like all the Potashes).
Paralysis resulting from rheumatism, after diarrhœa, etc.

Morose, silent.
Melancholy; before menstruation; with weakness.
Anxiety and apprehension, easily frightened.
Anxiety in the evening; is afraid to go to bed, at night with uneasiness, preventing sleep; as if something unpleasant impended.
Disinclination for any mental work.
Absent-minded.
Distraction of mind.
Weakness of memory.

Vertigo at night on rising in bed, when lying down again; during micturition, worse stooping, better in the afternoon; on fixing vision.
Vertigo, with falling forward and sideways.
The headaches generally consist of stitching or drawing pains.
Rarely throbbing; worse in the evening, better during warmth.
The scalp feels tense over the skull.

A feeling as if sand were in the eyes, with inflammation.
Burning in the eyes, with dryness, as from sand.
Dryness of the eyes, with photophobia.
Lachrymation, worse in the open air.
Biting and itching in the eyes, especially in the lids, which are red.
Involuntary closure of the lids.
Heaviness of the upper lids, as if he could not raise them, or as if stuck to the lower.
Lids seem to close from weakness.
Photophobia, with constant desire to wink.
Vision dim; as from swarms of insects; vision of sparks on winking.

Clinical:
Blepharitis, ameliorated by open air.
Paralysis of muscles of the eye, especially of upper lid.
Weakness of the muscles of the eyeball, causing asthenopia, amounting even to paralysis, especially with feeling of sand in the eyes.
Has arrested cataract in some cases.
Frequent sudden loss of sight, as from a mist (muscular asthenopia).
Double vision from paralysis of the ocular muscles; vision worse on turning eyes to the right.
Ptosis after catching cold.

Earache, like a forcing outward.
Painful swelling of the external ear.
Roaring and rushing in the ears, as if in the head.
Re-echoing of one's own words and steps.

Symptoms of coryza; nose feels stopped, with very yellow discharge.
Frequent sneezing, especially in the morning.
Eruption on the tip of the nose.

Yellow color, especially on the temples.
Eruption, especially on the cheeks, like acne rosacea.
Burning pain in the right cheek and ear.
Tension and pain in the jaws, so that they are difficult to open, with difficulty in eating because a tooth seemed too long.
Difficulty in opening the jaws.
Rheumatic pains in the articulation of the lower jaw.
(Paralysis of the face from taking cold, one-sided.)

Tearing in the teeth, extending through the upper and lower jaws, extending to the nose and eyes.
Sticking pain in the teeth on biting, extending upward and downward.
Teeth very painful; they seem to be pushed out of their sockets.
Swelling and suppuration of the gums; fistula.
Tongue painful at the tip; coated white on the sides, red in the middle.
Painful vesicles on the tip of the tongue.
(Paralysis of the tongue.)
General dryness of the mouth.
Sore, painful, abraded spots in the mouth on the hard palate.
Taste greasy, bitter, sour, putrid.

A feeling of swelling in the throat, with inclination to swallow.
Secretion of much mucus, which cannot be expectorated; must swallow it.
Constant disposition to swallow, as if the throat were too narrow.
Rawness and tickling, with a dry cough; expectorates only after long coughing.
Scraping down the back part of the throat, with dryness.
(Paralysis of the muscles of the pharynx and œsophagus.)
Aversion to sweet things.
Thirst for cold drinks.
Great aversion, with little appetite.
Eructations of air; hot in the afternoon and evening; of food; as if undigested food remained in the stomach.
Nausea during and after eating.
Vomiting sour water, followed by sour eructations.

Pains in the stomach, with heat in the head and pressure over the whole body, > lying down.
Pinching pains in the pit of the stomach on deep breathing.
Cramp in the stomach.
Pressing pain in the stomach after eating bread.

Sharp pains, sticking or cutting, through the abdomen, in the region of the liver, < motion, especially during menstruation, or with diarrhœa.
Stitches in the hepatic region in the afternoon.
Painful distention of the abdomen, especially in children.
Painful swelling about the umbilicus.
Deep-seated pain above the left hip as if it would burst on coughing.

Sudden piercing pains; persistent pressure; ineffectual efforts to stool.
Painful spasms of the rectum which prevent evacuation of the bowels.
Hæmorrhoids, with sore pain, intolerable on walking, or on thinking of it.
Swollen hæmorrhoids, with itching, sticking pain, and much moisture.
Hard, painful hæmorrhoids, with stinging and burning.
Hæmorrhoids impede evacuation.
Pain in the perineum.

Clinical:
Hæmorrhoids, intolerably painful, aggravated by walking.
Partial paralysis of rectum; stool passed better when standing.
Pruritus of anus and fistula.

Obstinate constipation.
Painful, ineffectual straining, with anxiety and redness of the face.
Stool very small in form.
After stool, anxiety.

Insensibility of the urethra; is unconscious of the passage of urine.
Involuntary micturition when coughing or blowing the nose; at night in sleep.
Intermittent micturition in the evening; last drops are delayed.
Urging to urinate, but waits a long time before the urine passes.
Frequent ineffectual efforts to urinate; afterwards, while sitting, it is involuntary.
After passing a few drops of urine, pain in the bladder, and (after walking in order to relieve it) cramps in the rectum.
Urine often dark brown; turbid on standing.

Clinical:
Weakness of bladder.
Paralysis of bladder; the urine is expelled very slowly and sometimes is even retained.
Weakness of the sphincter of bladder, especially in children; the urine passes involuntarily, especially during the first sleep at night; also, involuntarily, from the slightest excitement during the day.
Paralysis of bladder after labor; the urine is retained.

Pressing pains in the testicles.
Increase of smegma about the glans.
Itching of the scrotum.

Biting, as from salt, of the pudenda after micturition.
Menstruation delayed or too early and profuse.
Menses do not flow at night; offensive and cause itching.
Leucorrhœa like the menses, especially worse at night, with great weakness.

Clinical:
Uterine inertia during labor.
Postpartum hæmorrhage from inertia of uterus.
Leucorrhœa, especially aggravated at night, with great weakness.
Menstruation is delayed in its appearance in girls.
Menses late, but profuse.
The flow is clotted.

Larynx dry; painful on blowing the nose.
Frequent need of clearing the larynx.
Muscles do not perform their function, hence one is unable to speak aloud.
Hoarseness, worse in the morning, also in the evening, with scraping in the throat.
Cough short, dry; deep, hollow and dry, with pain in the chest, especially down the trachea and under the sternum.
Cough hollow from adherent mucus in the chest, in which there is sticking, soreness and feeling of ulceration.
Cough wakes in the evening and in the morning, but is better during the day.
Cough always caused by talking, from a feeling of crawling in the larynx.
Cough caused by stooping.
Cough causes pains in the hips.
Arrest of breathing while talking or walking rapidly; must suddenly catch for breath.
Rattling in the chest when coughing.
Stitches in the chest when walking in the open air.
Stitches and rawness in the sternum on deep breathing, and on lifting and on coughing.
Sore pain in the chest, generally when coughing.
Tightness, as if the clothes were too tight; must frequently take a deep breath.

Clinical:
Acute laryngitis, loss of voice and rawness and soreness in larynx and trachea (Bell. and Benz. ac).
Sudden aphonia after taking cold.
Paralysis of vocal cords.
Loss of voice in singers and speakers.
Cough, aggravated by warmth of bed, ameliorated by sips of cold water.
Cough, with sensation as if he "could not get under the mucus" to raise it.
Constant, hacking cough, with involuntary micturition.
Expectoration, as a rule, scanty; must be swallowed; excessive rawness in chest on coughing, especially under sternum.

Stiffness of the neck, cannot move the head.
Stiffness of the neck and throat, with pain in the occiput; the muscles feel bound, cannot move the head.
Painful stiffness in the neck and back, worse when rising from seat.
Pains in the back during menstruation.
Stitches in the left side of the back, by the last false ribs.
Cramp-like pains in the back while sitting.
Bruised pain in the coccyx.

Tearing pains here and there, worse in the joints, extending into the long bones.
General uneasiness in the morning in bed.
Weakness and trembling.
Paralytic weakness.

Clinical:
Rheumatic paralysis of arm, aggravated by rest.
Unsteadiness of the muscles of forearm and hand.
Numbness, loss of sensation in hands.
Contracted tendons in palms of hands.
Sciatica; on right side, aggravated by motion, especially aggravated by easterly storms.
Rheumatoid arthritis, especially in persons who suffer great weakness of the limbs, aggravated by east wind; limbs become distorted.
The hamstrings under the knee seem too short, in chronic rheumatism.
Weakness of ankles.

Tearing and drawings in the arms and hands.
A feeling of stiffness in the hand when grasping anything.
A shortening and hardening of the tendons in the fingers.

Pain as if sprained in the hip joints when stepping.
Gait is unsteady; easy falling down of children.
Cracking of the knees when walking.
Tension in the hollows of the knee when walking, with stiffness.
Cramp in the calves in the morning in bed.
Cramp in the feet.
Burning in the ball of the great toe.

The skin becomes sore easily.
Pimples form on the tip of the nose, moist eruption on the cheeks.
Itching over the whole body, worse at night in bed; usually not > scratching.
Warts form on the fingers which are horny.
Horny growths, especially on the forehead or nose.

Yawning and stretching, especially at night, usually without thirst; sleeplessness with anxiety and fright, heat and frequent starting up in fright.
Anxious dreams.
Constant motion of the arms and legs during sleep, then great sleepiness during the day.

Predominating chilliness.
Profuse perspiration when walking in the open air.

CAUSTICUM. CAUSTIC SUBSTANCE.

Lime, in the state of marble, owes its insolubility in water and its mildness to an acid of the lowest order which is combined with it ; when heated to red heat the marble allows this acid to escape as a gas. During this process the marble, as burned lime, has received (besides the latent heat) another substance into its composition, which substance, unknown to chemistry, gives to it its caustic property as well as its solubility in the water, whereby we obtain lime-water. This substance, though itself not an acid, gives to it its caustic virtue, and by adding a fluid acid (which will endure fire), which then combines with the lime by its closer affinity, the watery caustic (Hydras Caustici ?) is separated by distillation. Take a piece of freshly burned lime of about two pounds, dip this piece into a vessel of distilled water for about one minute, then lay it in a dry dish, in which it will soon turn into powder with the development of much heat and its peculiar odor, called lime-vapor. Of this fine powder take two ounces and mix with it in a (warmed) porcelain triturating bowl a solution of two ounces of bisulphate of potash, which has been heated to red heat and melted, cooled again and then pulverized and dissolved in two ounces of boiling hot water. This thickish mixture is put into a small glass retort, to which the helm is attached with wet bladder ; into the tube of the helm is inserted the receiver half submerged in water ; the retort is warmed by the gradual approach of a charcoal fire below and all the fluid is then distilled over by applying the suitable heat. The distilled fluid will be about an ounce and a half of watery clearness, containing in concentrated form the substance mentioned above, i. e., Causticum ; it smells like the lye of caustic potash. On the back part of the tongue the caustic tastes very astringent, and in the throat burning ; it freezes only in a lower degree of cold than water, and it hastens the putrefaction of animal substances immersed in it. When Muriate of Baryta is added, the causticum shows no sign of sulphuric acid, and on adding oxalate of ammonia it shows no traces of lime. Of this distillate put one drop in vial filled about 2/3 with 99 or 100 drops of alcohol, potentize the mixture by ten successive strokes and continue in this manner through 29 similar vials with alcohol, developing each attenuation and potency with ten successive strokes, carrying it to the decillionth (causticum X) dynamic development. One or at most two of the smallest pellets moistened with this fluid constitute the dose of this mighty antipsoric ; the duration of its action often extends far beyond 50 days. In the second volume of the "Reine Arzneimittellehre" there is mentioned a (less pure) preparation of causticum under the name of Caustic-tincture, but the proving of this remedy as to its peculiar effects on the changes of human health was yet very imperfect. But after I had recognized its antipsoric virtues, its proving was completed in the following list of symptoms, and thus the homœopathic selection of this great antipsoric for the appropriate cases was rendered possible, which with the lesser number of symptoms was frequently impossible without making injurious mistakes. As an antidote to its too violent action with very excitable patients, smelling of sweet spirits of nitre will serve, presumably also the tincture of crude coffee. Causticum may be advantageously repeated after the intermediate use of other antipsoric remedies, when it is again homœopathically indicated ; but it should always be used in a different degree of potency. In healing the diseases to which this medicine is homœopathically appropriate, the following symptoms were either relieved or removed : Hypochondriac dejection ; melancholy ; sorrowful thoughts at night and weeping by day ; anxiety ; distrust of the future ; hopelessness ; tendency to get frightened ; passionateness ; peevishness ; dizzy vertigo ; dull, gloomy pressure in the brain occupying the head ; shooting in the head ; stitches in the temples ; shooting in the upper part of the head with rigid fullness ; lachrymation ; inflammation of the eyes ; suppuration about the eyes ; incipient amaurosis ; dark webs floating before the eyes ; flickering before the eyes ; growling and humming before the ears and in the head ; roaring in the ears ; eruption on the tip of the nose ; old warts on the nose or eyebrows ; painful teeth, protruding from their sockets ; chronic suppuration of some one spot on the gums ; fistula dentalis ; mucous troubles in the fauces and behind the palate ; mucous expectoration through hawking or a hacking cough ; repugnance to sweet things ; qualmishness like fainting fits ; vomiting of sourish water ; pressure on the stomach after eating bread ; pressing and griping in the stomach ; cramp-like pains in the stomach ; stitches in the scrobiculus cordis ; pressure in the epigastrium ; pressure in the whole of the abdomen after eating ; distention of the belly in children ; inflation of the abdomen ; obstruction of flatus with hard stool ; chronic constipation ; tough stool, shining like fat ; light-colored and white stool ; during stool, cutting in the rectum ; during stool discharge of blood ; itching of the anus ; protrusion of the varices of the rectum ; fistula of the rectum in the nates ; urging to urinate, with thirst ; involuntary micturition by day and night ; involuntary emission of urine when coughing, sneezing and walking ; many pollutions ; lack of erections ; aversion of females to coitus ; delaying menses ; menses too scanty ; soreness between the legs and the pudenda ; vaginal discharge ; stoppage of both nostrils ; continual stuffed coryza ; chronic hoarseness short cough ; inability to eject the detached mucus ; short breathing ; stitches about the heart ; painful stiffness of the back, chiefly when rising from a seat ; stiffness in the nape of the neck and the sacrum ; drawing and tearing in the scapulæ ; rigidity in the nape of the neck ; swelling of the cervical glands like a goitre ; drawing in the arms ; eruptions on the arms ; pressive pain above the elbow ; sensation of fullness in the hand in grasping ; shooting in the fingers, extending to the elbows ; pains in the sole of the foot the back, the ankles and toes of the feet when walking ; cold feet ; swelling of the feet ; pain in the distended veins and varices ; unsteadiness in the walk of a child, and tendency of same to fall ; restless in the body ; palpitation ; tremulous weakness ; anxious dreams ; chilliness ; sensitiveness to cold ; night-sweat. The names of those who contributed to the following symptoms are indicated by the following abbreviations ; Br. Becher ; Fr. Franz ; Htm., Hartmann ; Hrn., Herrmann ; Hbg., Hornburg ; Lgh., Laughammer ; Ng., anonymous ; Rl., Rummel ; Stf., Stapf. [*].

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Caus. / (Cost-Coast) / Caucasian.

Causticum,-Thou paralytic,
Victim of arthiritic pain!
With whom spasms, and chorea,
And neuralgic ills obtain.
That thou hast paretic ailments,-
Drooping lids, and throbbing throat,
Urine flow involuntary,
And aphonia denote.
Thine a thorax sore, with hoarseness,
Cough that makes thy urine spout,
Cough and hawking raising mucus,
Without poser to cast it out.
In thy ears all sounds re-echo,
In thy eyes a sense of sand,
In thy rectum piles so tender
That thou canst not walk or stand.
In the night not still one minute,
During night the menses cease,
Shine thy stools like ribbons greasy,
In thy mouth a taste of grease.

The Caucasian,-Has involuntary escape of urine.

The Caucasian,-Ben Pe-po, is joining his boss, Calvin Apis, on the train by the Yellow Sea.

This Caucasian,-Who is subject to Chorea,- Is with Aven and Scuttle, the twins of Madge Cooper, the Squaw Cook, at Tare-Cina Zoo, in view of St. Hagar, on her Grecian pony, "Ajax."

Involuntary Escape of Urine: Caust., Ben. a., Pet., Pod., Arg. n., Nat. m., Bell., Sep., Cal. c., Apis, Thuj., Rhus, Nux. v., Gel., Sec. (When coughing, Caust., Nat. m., Pul., Squil., Verat. a.,-During sleep, see Enuresis.)

Chorea-St. Vitus' Dance: Caust., Avena, scuttellaria, Hyo., Stram., Mag. p., Cup., Cimi., Coc., Taren., Cina., ZN., Verat. a., Ars., Ig., Agar., Cic., Pul., Nux., v., Arg. n., (From fright, Ig., Op., - From suppressed menses, Pul.-Second teething, Cal. c., Cal. p.-Worms, Cina, Ig.)

Indicated in chronic cases of rheumatism; paralysis; in catarrh of the respiratory organs. Adapted to persons of psoric taint, of dark, sallow complexion, rigid fiber, and as often in children, subject to chafing and soreness of the skin.

Coryza, with hoarseness; with ulcerative soreness in the nose.

Paralysis of single parts, as larynx, tongue, bladder, rectum, extremities.

Sudden loss of voice from paralysis of laryngeal muscles; aphonia.

Greasy taste.

Stools though; look as though covered with grease; better expelled when standing.

Cough with rawness and soreness of chest; scanty expectoration which is swallowed; better from drinking cold water; worse in warm bed.

Involuntary escape of urine when coughing or sneezing, from excitement.

Skin covered with large, jagged, easily bleeding warts (tips of fingers and nose); intertrigo.

Rheumatic affections, with contraction of flexors and stiffness of joints.

Worse in clear weather; in cold air; from getting wet; from bathing.

Better in damp weather; in warm air.

Sorrowful thoughts with weeping, day and night. Timorous anxiety and apprehension. Fear at night. Peevish, quarrelsome and self - opinionated.

Dizzy, with weak feeling in head.

Congestion to, with roaring in head and ears. Loose feeling in brain. Feeling of an empty space between frontal bone and brain. Stitches in vertex and both temples. Tensive ache externally as well as internally, most in forehead and temples. Worse: Evening, early on awaking, walking in cold, open air, lying on back, sitting upright, reading. Better: Lying in bed, warmth, opening eyes.

Itching sticking in many parts of. Numbness on occiput. Tensive tearing in muscles especially of sides and behind ears. Tension and tightness of skin of. Worse: Drafts, dry or open air, cold wind, scratching, rubbing. Better: in warm bed or room, moist weather, washing.

Inflamed eyes and lids. Ulceration of. pressure, as of sand in. Warts in brows. Sees a dark web suspended before. Incipient cataract and amaurosis.

Earache as though everything would be forced out. Painful swelling of external. Roaring and humming in head, and before ears.

Eruption on tip. Warts on. Continued, stuffed coryza and obstruction of both nostrils. Coryza, dry at night, fluent in daytime.

Yellow, especially on temples Eruption on, and on cheeks. Unilateral facial paralysis. Convulsive sensations in lips. Tension and tearing in lower jaw and chin. Trismus.

Tearing in, and through upper and lower jaw. Elevated in their sockets, and very painful. Sticking in. Suppurating gums and dental fistula. Throbbing ache with painful easily bleeding gums and rending pains in eyes, ears and facial muscles.

Dry. Much mucus in, and in pharynx. Inclination to swallow, with a swollen feeling in throat. A sense of coldness rising in throat. Roughness of throat. Soreness and burning in fauces. Voiceless, from paralysis of vocal organs. Difficult speech.

Appetite: Averse to sweet things. Thirst: For cold drinks, intense, with a small appetite.

Taste: Unctuous, greasy, in mouth.

Eructations: Empty. Abortive, with retching.

Nausea, etc. - Qualmishness during and after eating. vomits sour water followed by sour eructations.

Pain, with heat of head and shivering over entire body, better lying. Spasm of. Pressure, after eating bread.

Hypochondria: Stitches in liver. Clothes are oppressive about.

Painful distension of. Protuberant, hard belly in children. Painfully swollen navel.

Too slender in from. Painful, ineffectual urging to, with anxiety and a red face. Anxiety after. Chronic constipation.

Itching. Hemorrhoids. Rectal fistula.

Thirst with frequent scanty micturition. Involuntary urination: When coughing, sneezing and walking, day and night.

Aversion to coitus in women.

Menses: Too late, but profuse, during which the blood passes in coagula. First menses are delayed at puberty. Profuse leucorrhoea.

Spasmodic tightness of chest, Intolerance of tight clothes about chest, they obstruct the breath.

Incessant, short, hollow, from crawling, tickling and much mucus in throat, mostly dry by day, loosening an acrid, greasy tasting mucus by night, which must be swallowed, better by cold drinks. Pain in hip while coughing. With sore pain in chest.

Chronic hoarseness with a low, muffed voice. Aphonia from weakness of laryngeal muscles. Painful soreness in, and in trachea when not swallowing. Laryngeal phthisis.

Rattling. Burning, sticking and soreness in. Pressure in. Oppression at heart with low spirits. Stitches about heart. Palpitation.

Painful stiffness of, especially when rising from sitting.

Neck: Goitre - like, swelling of glands of. Moist herpes on. Stiffness and tension in nape, and down the back.

Drawing and tearing in arms and hands. Sense of fullness in hand when grasping anything tightly. Shortening and induration of tendons of fingers.

Pain in the hips as if luxated. Dislocative pain in the hip joint when stepping. Tension in knee and ankle joints. Marbled skin on legs. Children have an unsteady gait and fall easily Shortening of muscles of and tension in instep. Swollen feet.

Gouty and rheumatic tearing in limbs, better in bed and from warmth. Contraction of flexor muscles. Distortion and paralysis of limbs. Paralytic, tremulous weakness of limbs when not in bed. Insufferable restlessness thro' entire body in evening. Epileptic spasms. Chorea. Sensitive to drafts and cold. The symptoms are intensified in evening, in open air and after drinking coffee. The primary action appears later, and the secondary symptoms continue relatively longer, then in other antipsoric remedies. Acts long.

True itch. Moist tetter. Excoriated in children. Painful varicosities

Somnolency in daytime. Nightly sleeplessness with anxiety, dry heat and frequent starting up. Frequent walking on account of cough. Anxious dreams.

Pulse: Somewhat excited toward evening only, from ebullition of blood Chill: And chilliness predominate, often with coldness of entire left side of body. Great internal, quickly followed by sweat, without previous heat. Strong, internal, about midnight, Shuddering, spreading from face. Heat: In evening from six to eight o'clock. Overrunning body, then chill. Sweat: Profuse, when walking in open air. Sour smelling nightsweat. In early morning, about four o'clock.

Allied Remedies: Asaf., Bell., Bry., Calc-c., Clem., Coccl., Coloc., Cupr., Gel., Graph., Hep., Ign., Kali-bi., Kre., LACH., Lyc., NAT C., (NIT-AC.), Nux-v., Phos., Plat., (PLB.), Puls., Rhod., Rhus-t., SEP., Sil., SUL., (SUL-AC.).

Rheumatic and gouty tearing in the limbs, relieved by warmth, especially by the heat of the bed.

Tension in the limbs with paralysis, especially of the extensor muscles.

Paralytic trembling, debility of the limbs when out of bed.

Numbness of the single parts or of the right side of the body.

In children, soreness, swelling abdomen, easy falling, and late learning to walk.

In the evening and while sitting, insupportable restlessness through the whole body and anxiety about the heart.

Morning hoarseness.

Cough, being obliged to swallow what has been raised.

Burning in exterior parts (ulcers).

Warts of eye-brows and nose.

Fistula in ano, and fistula dentalis.

Aggravation in the evening, and in the open air, after drinking coffee and while perspiring.

Amelioration from warmth (this modality is of great value as the prover of this drug constantly complains of shivering coldness - D. M.).