Natrum Arsenicatum nat-a.

Arseniate of Sodium (NATRUM ARSENICUM)

A remedy for nasal catarrh, with headache, pain at root of nose, dry and painful eyes. Psoriasis (Ars; Chrysoph ac; Thyroid). Bronchitis of children over seven years. Facilitates the termination of the cold and conserves strength and appetite (Cartier).

Floating sensation on turning head quickly; aching in frontal region and root of nose, over orbits. Headache; worse pressure and tobacco smoke.

Watery discharge; drops into throat. Feels stopped; pain at root. Dry crusts, on removal, leave mucous membrane raw. Post-nasal dropping of thick, bland, yellowish mucus. Crusts in nose.

Catarrhal conjunctivitis and blepharitis marginalis. Eyes feel weak, stiffness of balls and tendency of lids to close. Feel heavy and droop. Lachrymation in wind. Agglutination in morning. Dry, painful, burning; soon tire. Œdema of orbital region. Supraorbital pain.

Dark, purplish, swollen, œdematous; red and glassy.

Racking cough, with profuse greenish expectoration. Oppression of chest and about heart, and also larynx. Miner's asthma. Lungs feel as though smoke had been inhaled.

Aching in arms; worse in shoulder. Pain in anterior crural nerves. Joints stiff. Feels tired all over. Knee-joints crack.

Compare: Ars; Kali carb; Apis.

Third to thirtieth potency.

Sodium arsenate. Hydric, di-sodic arsenate. Na 2 HAsO 4 12 H 2 O.

Solution. Trituration.

Coryza. Diphtheria. Eyes, inflammation of; granular lids. Hæmoptysis. Interscapular pain. Miner's asthma. Nose, affections of; root of, pain in. Œsophagus, constriction of. Pityriasis rubra . Post-nasal catarrh. Testicles, neuralgia of. Tuberculosis.

Nat. ars . has been very extensively proved, notably by Imbert Gourbeyre. The irritating arsenical effects preponderate. The principal clinical use of Nat. ars . has been in diphtheria (dark purple throat, great swelling, much prostration, not much pain ) and in affections of the eyes and nose, and root of nose. Some of the Peculiar Symptoms are: Wavering, floating sensation on turning head. Eyeballs feel stiff feel too large for lids to close over. Scratching beneath lids on rolling eyeballs. Pain at root of nose. Feeling as if thyroid body were compressed by thumb and finger. Feeling of lump in throat; of blow on testicle; as if smoke inhaled into lungs. Emaciation. Œdema. Pain between scapulæ > bending forward. There is the restlessness of Arsen .; and the thirst, and also the chilliness, with the hot head and headache < by heat. The symptoms are < on pressure. < By motion; jarring; least exertion. Interscapular pain > bending forward. < On moving is very prominent throughout the proving; also < during the day. Nasal, obstruction and chilliness < at night. There is the Arsen . chilliness and sensitiveness to cold air; but itching is < when heated by exercise; warm things = burning in stomach; and cold drinks < nausea. Wind = conjunctivitis. Right side of head; left testicle; and left leg most affected.

Compare: Ars., K. ca. (œdema about eyes and face); Apis (diphtheria with sac-like swelling of uvula; but Apis has much pain, Nat. ars. has not); Ar. t. (diphtheria; Ar. t. has less swelling and more pain); Kali b. (tenacious mucus); Nat. m. (throat); Lyc. (stopped catarrh).

Nervous restlessness. — Depressed, as if something impending. — Cannot concentrate mind; dull, listless; forgetful.

Vacant feeling in whole head. — Wavering, floating sensation on turning head quickly. — Confused feeling; head heavy, dull. — Feeling of heat and fulness in whole head. — Severe sharp headache in forehead, above eyes, < r. eye. — Numbness in forehead, evening. — Dull aching in frontal region and root of nose; on awaking in morning; severe during day; indisposed to study or speak. — Aching across brow over orbits and eyeballs. — Fulness in forehead with throbbing in top of head. — Every motion jars the head. — Headache < from heat, pressure, and tobacco-smoke.

Vision weakened; objects blur when he looks at them for a short time; eyes sensitive to light. — Eyes soon tire and pain when reading or writing. — Feels as though he must close lids to protect the weak eyes. — Lids disposed to close; cannot open them as wide as usual. — Stiffness of eyeballs. — Eyeballs feel too large when closing lids over them. — Blood-vessels of balls and lids much congested, whole orbital region swollen; œdema of orbital region. — Congestion of conjunctiva from least exposure to cold or wind; conjunctiva dry and painful. — Eyes smart as from wood smoke; smarting and lachrymation on going into open air. — Inner surface of lower lids granulated. — Edges chronically inflamed; morning agglutination. — Aching through and over brows and orbits, and in temples on awaking. — Eye symptoms < in morning, > towards evening.

Shooting pain over r. ear, after noon. — Hearing dull. — Rushing noise in r. ear synchronous with pulse.

Smell defective or lost. — Patient feels stuffed up in nose and chest. — Nose constantly stuffed up, < at night and in morning; must breathe at night with mouth open. — Nasal discharge yellow, tough; hawked or drops from posterior nares. — Pieces of hardened bluish mucus flow from nose, after which mucous membrane feels raw. — Dry crust in nose; when removed blood follows. — Nasal mucous membrane thickened, can inhale air, but difficult to exhale. — Compressive pain at root of nose and in forehead; catarrh.

Face flushed and hot; feels puffed. — Malar bones feel large, as if swollen. — Face swollen, œdematous; more in orbital region; < mornings on awaking. — Corners of mouth fissured; also indurated. — Muscles of mastication stiff, painful o move jaw.

Teeth and gums tender. — Tongue furred; coated yellow; deep red, corrugated, anterior part fissured; large, moist, fissured, flabby. — Ulcer in mouth, very sore. — Mouth watery. — Taste: insipid; clammy; pasty; bitter; sour.

Fauces dry on swallowing and on inspiration, < in morning and after a cold. — Fauces and pharynx red and glossy. — Tonsils, fauces, and pharynx purplish and œdematous; patched with yellow mucus; diphtheria. — Uvula, tonsils, and pharynx thickened; surface irregular, swollen, purplish-red, covered with yellowish-grey mucus, which is hawked out. — Hawks up greyish (or white) tenacious mucus. — Constricted choking feeling in throat; as if thyroid body compressed between thumb and finger. — Feeling as of a pin sticking in throat; or of a lump in throat; always < in morning.

Drinks often, but little at a time; very thirsty, < by drinking. — Belching and sour eructations. — Nausea, < from drink of cold water. — Vomits large quantities of sour water, < after eating. — Stomach feels sore; warm things cause a sensation of burning, and can be felt entering stomach. — Moderate dinner lies heavy; feeling of fulness. — Epigastrium tender. — Sinking sensation; with dull feeling over eyes. — Hæmatemesis.

Pain from time to time shifting through bowels, > by passage of flatus or stool. — Gas forms rapidly, > when bowels move; colic from flatus and before stool. — Pain in groins; also in Poupart's ligaments.

Alternate diarrhœa and constipation. — Stool thin, soft, dark, followed by burning at the anus. — Yellowish, watery, copious, painless, hurries out of bed in morning; preceded by colic, > after.

Dull aching in kidneys, with profuse urine. — Sore feeling in region of bladder, < while urinating. — Urine copious, frequent, clear; heat precipitates phosphates; contains some epithelial scales, casts, and fat globules.

Dull cutting in groins along Poupart's ligaments, followed by sickening sensation in l. testicle, as after a blow; testicle very sensitive while pain lasted. — Emission during sleep.

Dark slate-coloured, scanty mucus in larynx, detached with difficulty. — Oppressed or stuffed sensation all day from larynx to bottom of sternum. — Roughness and irritation in bronchi mornings, with slight cough. — Lungs feel dry, as though smoke had been inhaled. — Dry cough, with feeling of tightness and oppression in middle and upper third of chest. — Chest feels full and oppressed; < during exertion and on full inspiration. — Sharp, quick pain below seventh rib anteriorly. — Supra-clavicular regions sore on pressure. — Shooting pain under r. breast; sore on pressure.

Oppression about heart on least exertion. — Pulse irregular, variable in volume, slower than usual.

Neck stiff and sore. — Soreness at lower cervical vertebræ down to joints of and under both scapulæ. — Pain and soreness in back. — Severe pain between scapulæ; > moving forward; < from inspiration. — Pain in lumbar region.

Neuralgic pains occur frequently. — Joints feel stiff; pains erratic, < in joints and on l. side. — Lower limbs feel heavy; weary, bruised feelings. — Aching anteriorly down legs, until restless, uneasy feeling is produced. — Knee-joints crack. — Shaking in tibia when walking. — Corns appear on bottom of each little toe.

Restless, nervous, cannot sit still without great effort. — Feels tired all over; desire to remain quiet. — More susceptible to cold air, takes cold easily. — Pains show preference for l. leg. — Œdema. — Marked emaciation; after previous increase of flesh.

Squamous eruption, scales thin, white, and when removed leave skin slightly reddened; if scales remain they cause itching, < when warm from exercise.

Drowsy, heavy, restless; wakes as if frightened.

Chilly, disposed to wrap up or get near a fire. — Skin hot and dry. — Surface cool, covered with cold, clammy sweat.

Sodium Arseniate. Na 3 AsO 4 12H 2 O.
The arsenious acid becomes, during the process of preparation, converted into arsenic acid.
Introduced by Gourbeyre, who made proving with 6th trit. (L'Art Méd., vol. 17, p. 440, 1863) ; more extensive provings were made by members of the Hom. Mat. Med. Club of Allegheny Co., Pa., Buffum, 30th and 3d dec. ; Chapman, 30th and 12th ; Crawford, 30th ; King, 30th, 15th and tincture ; Martin, 30th, 15th and 6th ; Miller, 30th and 15th ; Ramage, tincture ; Shannon, tincture ; Thomson, tincture (Hah. Mo., 1876) ; four provings (Hah. Mo., vol. 13, p. 599).
CLINICAL AUTHORITIES.
- Conjunctivitis , King, Hah. Mo., vol. 13, p. 603 ; Granular lids , Thompson, Hah. Mo., vol. 13, p. 601 ; Affection of throat , Thomson, Hah. Mo., vol. 13, p. 601 ; Diphtheria , Shannon, Hah. Mo., vol. 13, p. 604 ; Hæmatemesis , Hæseler, Raue's Rec., 1872, p. 137 ; Miner's asthma , Hæseler, Raue's Rec., 1872, p. 308 ; Tuberculosis , Gatchell, Hæseler, Raue's Rec., 1872, p. 118 ; Catarrh , King, Hah. Mo., vol. 13, p. 603 ; Catarrhal affections , Ramage, Hah. Mo., vol. 13, p. 606.

Nervous restlessness ; as if something was impending.
Cannot concentrate mind ; dull, listless ; forgetful.

Confused feeling ; head heavy, dull.
Feeling of heat and fulness in whole head.

Occasional shooting pains above right eye.
Severe sharp headache in forehead above eyes ; < above r. eye.
Boring headache in temples from without inward, < right side and extending to left, with nausea.
Head feels hot, on placing hands on forehead it seems cold.
Pain in right temple.
Dull pain over orbits, reaching into temporal region.
Dull aching in frontal region on awaking in morning ; severe during day ; indisposed to study or speak.
Aching across brown, over orbits and in eyeballs.
Fulness in forehead, with throbbing in top of head.
Vacant feeling in whole head, cannot concentrate mind on anything.
Feeling of heat and fulness in whole head.
Feeling of pressure over each side of posterior inferior part of occiput as from a photographer's head rest.
Every motion jars the head.
Headache < from heat, pressure and tobacco smoke, stooping.

Vision weakened from his condition of health ; objects blur when he looks at them a short time ; eyes sensitive to light.
Eyes soon tire and pain when he reads or writes.
Feels as if lids must be closed to protect weak eyes.
Eyes smart as from wood smoke ; smarting and lachrymation on going into open air.
Bloodvessels of balls and lids much congested, whole orbital region swollen.
Œdema of orbital region, especially of supraorbital.
Congestion of conjunctiva from least exposure to cold or wind ; conjunctiva dry, painful.
Conjunctivitis after fever has subsided and when case tends to become chronic ; eyes are weak ; symptoms < in morning, as is often the case when eyes are subjected to night work.
Chronic conjunctivitis, membrane injected, small ruga running over it, whole eye dry and painful, all symptoms < in morning ; granular lids from chronic inflammation of edges of lids, with agglutination.
Lids disposed to close ; cannot open them as wide as usual.
Inner surface of (lower) lids granular.
Lids agglutinated on awaking, morning ; edges chronically inflamed.
Aching through and over brows and orbits and in temples on awaking.
Eye symptoms < in morning.

Smell defective or lost.
Feels stuffed up, nose and chest.
Nose constantly stopped up, < at night and in morning ; must breathe with mouth open at night.
Nasal discharge yellow, tough ; hawks it or drops from posterior nares.
Pieces of hardened, bluish mucus flow from nose, after which mucous membrane feels raw.
Dry crust in nose, when removed blood flows.
Nasal mucous membrane thickened, can inhale air, but difficult to exhale.
Compressive pain at root of nose and in forehead ; catarrh.
Dull, supraorbital headache ; feeling of fulness of head and face ; eyes heavy and at times soreness of eyeballs ; burning of eyes and more or less congestion of conjunctiva ; watery discharge from one or both nostrils, or stoppage of nose ; dryness of fauces ; dry cough ; < in morning. θ Catarrh.
Pain in forehead and root of nose ; dry, bloody crusts in nose ; dropping of tough mucus from posterior nares ; hawking up of mucus from larynx, < from dust, smoke and cold ; fauces feel dry on inspiration and deglutition. θ Chronic naso-pharyngeal catarrh.

Face flushed and hot ; feels puffed.
Malar bones feel large as if swollen.
Face swollen, œdematous, more in orbital region, < mornings on awaking.
Puffing of face about eyes, glabella and forehead.

Corners of mouth fissured ; also indurated.
Muscles of mastication stiff ; painful to move jaw.

Tongue furred, coated yellow ; deep red, corrugated, anterior part fissured ; large, moist, fissured, flabby.

Hawking of tough, gelatinous, greyish yellow mucus from throat and posterior nares.
Uvula, tonsils and pharynx thickened ; surface irregular, swollen, purplish red, covered with a yellowish grey mucus, which is hawked out.
Throat œdematous and of a purple color ; tonsils and fauces much pitted ; at bottom of pits portions of diphtheritic formation ; yellow coated tongue ; no appetite ; some obstruction of posterior nares ; nasal sound of voice ; surface of body cool and covered with cold, clammy sweat ; feet cold ; oppression about heart, especially on least exertion ; pulse feeble, quick and intermittent ; wishes to be let alone ; mind without hope. θ Diphtheria.
Fauces dry on swallowing and on inspiration, < A. M. and after a cold ; pharynx looks red and glossy.
Tonsils, fauces and pharynx purplish and œdematous, patched with yellow mucus. θ Diphtheria.
After an attack of acute tonsillitis, which occurred three months previously, throat remained very much swollen ; whole of fauces and upper part of pharynx swollen and of a dark red hue ; tonsils greatly enlarged ; uvula elongated ; parts covered with a dirty looking mucus ; constant dry sensation as if something lodged in throat ; at times feeling as if a pin was sticking in throat ; at others a feeling as of a lump, always < in morning.
Dark purplish hue of throat, great swelling and great prostration, but not much pain ; uvula hangs down like a sac of water. θ Diphtheria.

Appetite excessive.
Drinks often, but little at a time ; very thirsty, but < drinking.

Belching and sour eructations.
Nausea < from cold drinks of water ; vomits large quantities of sour water, < after eating.

Sinking sensation in epigastrium, with dull feeling in supraorbital and frontal regions.
Extreme tenderness in epigastric region.
Epigastrium tender, < just below ensiform.
Stomach feels sore, warm things cause a sensation of burning and can be felt entering stomach ; moderate dinner lies heavy ; feeling of fulness.
Hematemesis.

Pain from time to time, shifting through bowels ; < by escape of gas or passage of feces.
Gas forms rapidly, < only when bowels move, colic from flatus and before stool.

Stool : thin, soft, dark, followed by burning at anus ; yellowish, watery ; copious, painless ; hurries him out of bed in morning, preceded by colic, relieved after ; weak and nervous, hands tremble.
Alternate relaxation and constipation.

Dull aching in kidneys.
Sore feeling in region of bladder, < urinating.
Urine : copious, frequent, clear ; heat precipitates phosphates ; contains a few epithelial scales, a cast, fat globules.

Dull cutting along Poupart's ligaments, followed by sickening sensation in left testicle as from a blow, testicle very sensitive while pain lasts.

Mucus scanty, dark, slate colored and detached with difficulty.
Roughness causing hemming, with spasmodic cough.
During morning irritation in bronchi, with slight cough.

Lungs feel as though smoke had been inhaled.
Respiratory sound very indistinct, especially in lower lobes ; percussion normal.
Miner's asthma produced by inhalation of coal dust ; pneumonia and consumption.

Teasing dry cough through day.
Dry cough, with feeling of tightness and oppression in middle and upper third of chest.
Dry, hacking cough from an uneasy feeling and soreness beneath cartilages to right of fourth and fifth ribs, < from exertion.

Lungs feel full and clogged, < behind sternum and from larynx to epigastrium.
Feeling of fulness, oppression and soreness, < during exertion and on full inspiration.
Sharp, quick pain below seventh rib, anteriorly.
Supraclavicular regions sore on pressure.
Dry cough, with an oppressed feeling of chest ; short, dry cough without expectoration ; lungs feel as though smoke had been inhaled ; nose dry and obstructed ; patient feels stuffed up. θ Catarrhal affection.
Woman confined to bed with advanced tuberculosis, hectic, few night sweats, amphoric respiration, emaciation, pulse 128, respirations 40, cough racking, expectoration greenish and profuse ; mental symptoms of bluest remorse.
Hæmoptysis.

Can feel heart beat through chest distinctly.
Oppression about heart on least exertion. θ Diphtheria.
Sounds heard through nearly every part of chest.
Pulse : irregular, variable in volume, slower than usual.

Neck stiff and sore.
Severe pain between scapulæ ; he inclines forward for relief ; < from inspiration, it passes gradually around in front to ninth and tenth ribs.
Soreness at lower cervical vertebræ down to joints of and under both scapulæ.

Neuralgic pains from axilla to little finger.
Rheumatic aching in right arm, < in shoulder and wrist.
Light, flying pains in fingers, palms and forearm.

Lower limbs feel heavy ; weary feeling from ilium down outer side of thighs to knees, as from too much exertion ; bruised feeling along left crural nerve, < from continued motion.
Aching anteriorly down legs, until restless, uneasy feeling is produced.
Pains shooting from acetabulum to knee, < moving about.
Pain, cramp-like, at junction of heads of gastrocnemius muscle, extending downwards.
Cramp in plantar surface of right foot.

Neuralgic pains recur frequently.
Joints feel stiff ; pains erratic, < in joints and on left side.

Inclines forward for relief : from severe pain between scapulæ.
Cannot sit still without great effort ; restless.
Stooping : headache <.
Motion : jars head ; of jaw, painful ; continued, bruised feeling along left crural nerve < ; pains from acetabulum to knee <.
Least exertion : oppression about heart ; soreness beneath cartilages, right of fourth and fifth rib, < ; feeling of fulness, oppression and soreness <.

Restless, nervous, cannot sit still without great effort.
Feels tired all over ; desire to remain quiet.

Drowsy, heavy.
Restless sleep, when aroused awakes nervously as in affright.

Morning : dull aching in frontal region ; eye symptoms < ; lids agglutinated ; nose stopped up ; dry cough < ; face swollen, œdematous ; fauces dry ; throat symptoms < ; stools hurry him out of bed.
Day : severe pain in frontal region ; teasing dry cough.
Night : nose stopped up, must breathe with mouth open ; chilly.

Heat : headache <.
Disposed to wrap up, or get near fire.
Warm from exercise : itching of eruption <.
Warm things : cause a sensation of burning in stomach.
Open air : smarting and lachrymation of eyes.
Cold drinks : nausea <.
Cold : congestion of conjunctiva from least exposure ; hawking up of mucus < ; sensitive to air.
Wind : congestion of conjunctiva from least exposure.

Chilly, disposed to wrap up or get near fire.
Chilly at night, then burning dry heat, skin hot and dry.
Surface cool, covered with cold, clammy sweat. θ Diphtheria.
(OBS :) Intermittent fever.

Right : shooting above eye ; headache < above eye ; pain in temple ; fourth and fifth ribs, soreness beneath cartilages ; rheumatic aching in arm ; cramp in plantar surface of foot.
Left : sickening sensation in testicle ; bruised feeling along crural nerve ; pains in limbs < on side.
Pains show preference for left leg.
From without inward : boring pains in temples.

As if something was impending ; as if lids must be closed to protect weak eyes ; eyes smart as if from wood smoke ; malar bones as if swollen ; as if something lodged in throat ; as if a pin was sticking in throat ; as of a lump in throat ; sickening sensation as from a blow in left testicle ; as though smoke had been inhaled into lungs ; awakes nervously as in affright.
Pain : in right temple ; in forehead and root of nose ; in bowels ; in joints ; on left side.
Severe, sharp pain : in forehead.
Severe pain : between scapulæ.
Sharp, quick pain : below seventh rib.
Shooting pains : above right eye ; from acetabulum to knee.
Boring pain : in temples.
Neuralgic pains : from axilla to little finger.
Light, flying pains : in fingers, palms and forearms.
Rheumatic aching : in right arm.
Compressive pain : at root of nose and in forehead.
Cramp : in plantar surface of right foot.
Cramplike pain : at junction of heads of gastrocnemius muscle.
Aching : anteriorly down legs.
Dull cutting : along Poupart's ligaments.
Dull aching : in frontal region ; over orbits and in eyeballs ; in kidneys.
Throbbing : in top of head.
Smarting : of eyes.
Burning : of eyes ; at anus.
Soreness : of eyeballs ; of stomach ; in region of bladder ; beneath cartilages ; of neck ; at lower cervical vertebræ.
Raw feeling : of mucous membrane of nose.
Tenderness : in epigastric region.
Bruised feeling : along left crural nerve.
Irritation : in bronchi.
Heat : in whole head.
Clogged feeling : in lungs.
Pressure : over each side of occiput.
Heavy feeling : in lower limbs.
Oppression : about heart ; in chest.
Tightness : in chest.
Fulness : in whole head ; in forehead ; of face ; in stomach ; in lungs.
Weary feeling : from ilium down outer side of thighs to knees.
Dull feeling : in supraorbital and frontal regions.
Sinking sensation : in epigastrium.
Vacant feeling : in whole head.
Dryness : of eyes ; of fauces.

Marked emaciation after previous embonpoint.
Mucous membrane affected ; sensitive to cold air, dust, etc., they give him cold or aggravate existing cough, etc. ; symptoms of subacute gastritis, chronic diarrhœa, nasal catarrh, etc.
Catarrhal troubles of nasal mucous membrane, fauces, trachea and bronchi.
Œdema.

Pressure : headache < ; supraclavicular region sore.

Squamous eruption, scales thin, white and when removed leave skin slightly reddened ; if scales remain they cause itching ; < when warm from exercise.

Woman, æt. 26 ; multipara ; tuberculosis.
Woman, æt. 30, married, dark complexion, black hair and eyes, nervous temperament, scrofulous habit ; diphtheria.
Mrs. M., subject to attacks of acute tonsillitis ; affection of throat.

Compare : Arsen., Kali carb . in œdematous swelling about eyes and face ; Apis in diphtheria with sac-like swelling of uvula ; Arum triph . in diphtheria ; Kali bich . and Natr. mur . in nasal or faucial catarrh with sensation of an irritating hair ; Lycop . In stuffy catarrh.

The symptoms of this remedy appear in the daytime, in the MORNING, in the forenoon, evening, night and after MIDNIGHT.

The symptoms are worse in the cold air, but warm open air ameliorates; the mental symptoms are better in the open air; worse from cold in genera l; in cold air; becoming cold; in cold, wet weather; the patient takes cold easily.

The symptoms are worse ascending. Anemia and weakness and dropsy of the limbs. Complaints worse after eating. The body is losing flesh. The symptoms come on FROM EXERTION. Worse from butter, cold drinks, cold food, fats, fruits, milk, pork, vinegar.

Formication all over the body and in the limbs; induration of glands; inflammation in any part. Marked physical irritability and irritable weakness. Jarring aggravates many symptoms. Lassitude prevails throughout the provings.

Desire to lie down and not be disturbed; yet lying often makes the symptoms worse and aggravation is marked after lying. Still many symptoms are worse from motion; there is a strong aversion to motion.

Mucous secretions are copious. After exposure to cold he becomes rheumatic. Aching, burning and pressing pains; sore pains; stitching pains in all parts; darting pains in all parts; downward and upward. Perspiration does not ameliorate. Pressure aggravates. General pulsation.

Pulse irregular. Rheumatic and malarial patients, oversensitive, internally and externally. Electric shocks in the body. Symptoms predominate on the right side. Wants to sit or lie and not be disturbed. There are symptoms before sleep, during sleep, and on waking; trembling is a strong symptom. Twitching of the muscles.

Walking in the open air increases the physical symptoms, but improves the mental symptoms; walking fast excites many symptoms. Weakness in the morning, during menses, on slight exertion, while walking. Wet weather brings out the symptoms. Worse from wine and in winter.

Anger at trifles; furious from contradiction; complaints are made worse from anger.

Anxiety in the evening in bed; at night in bed apprehensive anxiety; during fever; on waking.

Concentration of mind difficult in the house, better in the open air; confusion of mind in the evening. Conscientious about trifles. Discontented; discouraged and, at times, in despair. He is easily distracted. Dullness of mind, better in the open air. Easily excited, Mental exertion makes the symptoms worse. Fear in the evening on going to bed; in a crowd; of impending disease; of some evil; that something will happen; of people.

Easily frightened; forgetful; he feels constantly hurried. Hysterical and her mind is very active; ideas very active. Imbecility, irritability, impatience; indifferent to all joy. Aversion to mental work and to business; aversion to reading; indolence; memory weak.

Lamenting, laughing, loathing of life, loquacity. The mental symptoms are all mild. Mirthful, hilarious; prostration of mind. She becomes quarrelsome, Restlessness; nights, tossing, anxious restlessness. Sadness in the evening; during fever. Sensitive to noise; startled easily, by noise, on going to sleep, from sleep.

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Nervous restlessness.
Cannot concentrate mind; dull, listless.
Forgetful.

Confused feeling; head heavy, dull.
Feeling of heat and fullness in whole head.

Dull aching in frontal region on awaking in morning; severe during day; indisposed to study or speak.
Aching across brow over orbits and in eyeballs.
Fulness in forehead with throbbing in top of head.
Every motion jars the head.

Vision weakened from his condition of health; objects blue when he looks at them for a short time; eyes sensitive to light.
Eyes soon tire and pain when he reads or writes.
Feels as if he must close lids to protect the weak eyes.
Lids disposed to close; cannot open them as wide as usual.
Blood-vessels of balls and lids much congested, whole orbital region swollen.
Œdema of orbital region, especially of supraorbital.
Congestion of conjunctiva from least exposure to cold or to wind.
Conjunctiva dry, painful.
Eyes smart as from wood smoke.
Smarting and lachrymation on going into open air.
Inner surface of (lower) lids granular.
Lids agglutinated on awaking mornings; edges chronically inflamed.
Aching through, and over brows and orbits and in temples on awaking.
Eye-symptoms worse in the morning.

Smell defective or lost.
Patient feels stuffed up (nose and chest; clinical).
Nose constantly stopped up; worse at night and in morning; must, at night, breathe with mouth open.
Nasal discharge yellow, tough; hawks it also from posterior nares.
Mucus drops from posterior nares.
Piece of hardened, bluish mucus flow from nose, after which mucous membrane feels raw.
Dry crust in nose, when removed blood follows.
Nasal mucous membrane thickened, can inhale air, but difficult to exhale.
Compressive pain at root of nose and in the forehead; catarrh.

Flushed and hot; feels puffed.
Malar bones feel large, as if swollen.
Swollen, œdematous, more orbital region, worse mornings on awaking.

Corners of mouth fissured; also indurated.
Muscles of mastication stiff, painful to move jaw.

Furred; coated yellow; deep red, corrugated, anterior part fissured; large, moist, fissured, flabby.

Fauces: dry on swallowing and on inspiration, worse A.M., and after a cold.
Fauces and pharynx look red and glassy.
Tonsils, fauces and pharynx purplish and œdematous; patched with yellow mucus. θ Diphtheria.
Uvula, tonsils and pharynx thickened; surface irregular, swollen, purplish-red, covered with yellowish-grey mucus which is hawked out.

Appetite excessive.
Drinks often but little at time; very thirsty but worse drinking.

Belching and sour eructations.
Nausea, worse from drinking of cold water.
Vomits large quantities of sour water, worse after eating.

Feels sore, warm things cause a sensation of burning, and can be felt entering stomach.
Moderate dinner lies heavy; feeling of fulness.
Epigastrium tender, worse just below ensiform.
Sinking sensation in epigastrium, with dull feeling in supraorbital and frontal regions.

Gas forms rapidly, worse only when bowels move; colic from flatus and before stool.

Alternate relaxation and constipation.
Stool: thin, soft, dark, followed by burning at anus; yellowish, watery; copious, painless; hurries him out of bed in A.M., preceded by colic relieved after.
Weak and nervous, hands tremble: 44.

Dull aching in kidneys with profuse natural colored urine.
Sore feeling in region of bladder, worse urinating.
Urine: copious, frequent, clear, heat precipitates phosphates; contains a few epithelial scales, a cast, fat globules.

Dull cutting along Poupart's ligaments, followed by sickening sensation in left testicles as from a blow, testicle very sensitive while pain lasts.

Mucus scanty, dark, slate-colored and detached with difficulty.
Roughness, causing hemming, with spasmodic cough.
During morning, irritation in bronchi, with slight cough.

Respiratory sound very indistinct, especially in lower lobes; percussion normal.
Lungs feels as though smoke had been inhaled.

Dry, hacking from an uneasy feeling and soreness beneath cartilages right of fourth and fifth ribs, worse any exertion.
Dry cough, with feeling of tightness and oppression in middle and upper third of chest.

Feeling of fulness, oppression and soreness, worse during exertion and on full inspiration.
Lungs feel full and clogged worse behind sternum and from larynx to epigastrium.
Sharp, quick pain below seventh rib, anteriorly.
Supraclavicular regions sore on pressure.

Can feel the heart-beat through chest distinctly.
Oppression about heart on least exertion. θ Diphtheria.
Sounds heard through nearly every part of chest.
Pulse: irregular, variable in volume, slower than usual.

Neck stiff and sore.
Severe pain between scapulæ; he inclines forward for relief; worse inspiration, it passes gradually around in front to ninth and tenth ribs.
Soreness at lower cervical vertebræ down to joints of and under both scapulæ.

Neuralgic pains from axilla to little finger.
Rheumatic aching in right arm, worse in shoulder and wrist.
Light, flying pains in finger, palms and forearm.

Feel heavy.
Weary feeling from ilium down outer side of thighs to knees, as from too much exertion.
Bruised feeling along left crural nerve, worse continued motion.
Aching anteriorly down legs, until restless, uneasy feeling is produced.
Pains shooting from acetabulum to knee, worse moving about.
Pain, cramp-like, at junction of heads of gastrocnemius muscle, extending downwards.
Cramp in plantar surface of right foot.

Neuralgic pains recur frequently.
Joints feel stiff.
Pains erratic, worse in joints and on left side.

Motion: 4, 9, 33. Exertion: 27, 28, 29, 33. Quiet: 36.

Restless, nervous cannot sit still without great efforts.
Feels tired all over; desire to remain quiet.

Drowsy, heavy.
Restless sleep, when aroused wakes nervously as in affright.

Morning: 3. Eyes worse: 5, 7, 8, 13, 20, 25. Day: 3. Night: 7.

More susceptible to cold.
Cold: 5, 44. Cold water: 16. Open air: 5. Warm from exercise: 46.

Chilly disposed to wrap up or get near fire.
Chilly at night, then burning, dry heat.
Skin hot and dry.
Surface cool, covered with cold, clammy sweat (clinical in diphtheria).

Pains show preference for left leg.

Mucous membranes affected: sensitive to cold air, dust, etc., they give him cold or aggravate existing cough, etc.
Symptoms of subacute gastritis, chronic diarrhœa, nasal catarrh, etc.
Œdema.
Marked emaciation after previous increase in embonpoint.

Jarring: 3. Pressure, etc.: 17, 22, 27, 28.

Squamous eruption, scales thin, white and when removed leave skin slightly reddened. If scales remain, they cause itching, worse when warm from exercise.

Compare: Arsen, Lycop. (stuffed catarrh).
Kali bich. (nasal catarrh).

Pure Sodium arsenate in triturated for use.

More related to Nat. m. than to Arsen.

Weight diminished. ▶ Embonpoint, then emaciation. ▶ Venous trunks full when seen on surface. ▶ Takes cold easily. ▶ Miserable feeling at 8 A.M. on rising. ▶ Indisposition, amel. in the country. ▶ Restless; and nervous. ▶ Weakness; during the day; in morning on rising, with bruised sensation; on waking; easy, from walking; with sensation as if I should get out of breath if I walked fast; with desire to lie or sit; with listlessness and desire to sit still; with malaise, so that I could not eat dinner. ▶ Aggravation after eating. ▶ Amelioration of all symptoms on walking in open air, but dullness returned on sitting down in the house.

Irritability; and no desire to study; and feeling of taciturnity. ▶ Anxiety about everything. ▶ Feeling as if something were impending, causing him to move about. ▶ Depression; and desire to sit quietly. ▶ Listless. ▶ Stupid feeling all day. ▶ Dull; all day, and languid. ▶ Do not wish to read, thick or exercise, feel better doing nothing. ▶ No disposition to attend to his accustomed business. ▶ Forgetful. ▶ Inability to concentrate mind; during afternoon headaches, unable to recall names, indisposed to study or speak; when reading; with confusion. ▶ Difficult to concentrate mind. ▶ Inability to think, and restlessness; I. to think readily, amel. afternoon. ▶ Studying is easy, reconciled to circumstances, feel like working hard, no undertaking too large for me.

Aching every time he woke; intermittent A. in morning. ▶ Sore feeling. ▶ Brain jarred by every motion. ▶ Throbbing on ascending stairs. ▶ Dullness; from 6 till 9 P.M., with heaviness; in evening, with heaviness of it and nausea; agg. vertex, increasing till I went to bed, agg. stooping and moving head; amel. afternoon, with heaviness; with heaviness, then aching, agg. every motion, taking away the appetite, amel. 3 P.M., by tying a handkerchief tightly around it; as if he had taken cold. ▶ Fulness; in morning; at 8 P.M., with heat in it. ▶ Vacant feeling. ▶ Heaviness. ▶ Wavering, floating sensation on turning head quickly.

Shooting through F.; and right temple; S. above right eye. ▶ Aching; and in temples, agg. in and above orbits; over right eye; during the day; all day till 4 P.M.; in morning on waking; from morning on waking till 1 P.M., and in temples, agg. from temple to temple; in morning on waking, agg. during the day, aching across brow, over orbits and in eyeballs; in afternoon, with sweat; in F. and temples from between 2 and 3 till 5 P.M., with soreness to touch, listlessness and absent-mindedness; every day from 3 till 9 or 10 P.M., with dullness and indisposition to study or speak; above orbits, reaching into temple; heavy; in ethmoid bone. ▶ Dullness in F. and root of nose; at top, with heaviness, and occasionally sharp pain in side and top of head. ▶ Heaviness. ▶ Fulness in afternoon, with throbbing in vertex. ▶ Numbness in evening.

Boring outward, agg. right and extending to left, in afternoon, with nausea, internal heat in head, but external coldness of forehead, the pain agg. heat, pressure and tobacco smoke. ▶ Pain; from one to other over orbits all day; in right in morning on rising; in T. and supraorbital regions in morning on waking, passing at 4 or 5 P.M. into orbit posterior to and in eyeball, also with photophobia, pain agg. orbit, compelling him to lie down; in right at 8 A.M.; through right during breakfast; in right at 5 P.M., agg. evening by stooping, pain shifted to orbital region, two days later amel. noon by eating, returned on walking in hot sun, amel. next day at 6 P.M.; through, across and above T. and in superciliary ridge, agg. forenoon. ▶ Drawing pain in right. ▶ Throbbing in artery.

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This drug, recently well proved, has as yet a limited clinical record.

Sensation on moving the eyes as of granulations of the lids.
(It has been found useful for chronic inflammation of the conjunctiva, with a feeling of roughness; eye dry and painful.)

Clinical:
Nasal catarrh, associated with headache over the eyes, burning in the eyes, watery discharge from the nose, dry throat, aggravated in morning.
Nasal catarrh, with pain at the root of the nose; the discharge drops into the throat and must be expectorated.
In all the nasal catarrhs, indicating this drug, the eyes seem to be more or less affected; usually dry and painful.
The nose feels stopped.

Inflammation, with swelling, œdematous, dark purplish hue, with great prostration and feeble intermittent pulse.

Oppressed feeling from the larynx, extending into the chest and about the heart.
Racking cough, with profuse, greenish expectoration.