Nux Vomica nux-v.

Cerebro-spinal axis. NERVES. DIGESTIVE ORGANS: STOMACH. LIVER. Bowels. RESPIRATORY ORGANS. Male brunettes.

EARLY MORNING. COLD: OPEN AIR (Dry). Drafts. Seats. Wind. UNCOVERING. HIGH LIVING: COFFEE. Condiments. Liquor. Drugs. Debauchery. Purgatives. Sedentary habits. Overeating. Mental: Exertion. Fatigue. Vexation. Disturbed sleep. SLIGHT CAUSES: Anger. Noise. Odors. Light. Touch. PRESSURE: of clothes, < waist.

FREE DISCHARGES. Naps (Kali-bi.). Wrapping head. Resting. Hot drinks. Milk. Moist air.

VIOLENT ACTION; often irregularly fitful or inefficient. Increased reflexes. Irritable and hypersensitive, mentally and physically. Firm fibred brunette. Twistings. Jerks. Spasms; with consciousness. Tense, contracted feeling. Lightning-like pains. Neuralgia; prodromal. Sensation as of a rough body internally. Bruised soreness; OF ABDOMEN, brain, etc. INTERNAL scrapy RAWNESS; throat, larynx, etc. Takes colds. Biliousness. Faintings after vomiting, after stool, after labor pains, etc.

Sensitive and critical. Active, ANGRY AND IMPATIENT; can't stand pain; so mad, he cries. Zealous, nervous and excitable. Nagging. Spiteful. Irritable hypochondriasis. Sullen. Fears poverty. Violent, ugly (suicidal) impulses. Vertigo; on an empty stomach; with blank spells. Sensitive scalp. Swelled forehead.Lachrymation; on affected side. Migraine. Blood-shot eyes. Sore nostrils. Nose stopped, but runs water; on one side. Sneezing; violent; abortive; from intense crawling in (l) nostril. Coryza; fluent by day and in open air, dry at night. Epistaxis on coughing. Acute smell. Red, turgid or yelowish face, < about nose and mouth. Left angle of mouth droops. Jaws snap shut; stiff. Teeth chatter. Fetor oris. TASTE, biter -sour; bad in A.M. Itching palate; Eustachian tube. Rough, scratchy throat; putrid taste in, on coughing. Craves piquant foods or stimulants. HICCOUGH. Violent retching, < hawking. Eructations; sour. Heart-burn. Water - brash. Nausea; > if he can only vomit. VIOLENT VOMITING; bilious-sour. Food lies like a heavy knot in stomach. Gastric pains, into back; chest; > vomiting, etc. As of a band about waist; clothes oppress it. Indigestion. Liver sore; sticking; enlarged. Gall-stone colic. Bowels gripe here and there. SORE BOWELS, < COUGHING OR STEPPING. Hernia; infantile. Flatulent colic. UNEASY, fitful and FRUITLESS URGING FOR BOWELS TO ACT, > STOOL. Strains hard at stool. Inactive peristalsis. In rectum; retained flatus; as if more stool remained; spasm of. Obstipation. PILES; itching; > cool bathing. Sexual erethism. Onanism. Premature ejaculation. Menses profuse, early and prolonged or intermittent; of dark, lumpy blood. Dysmenorrhœal cramps; spread over whole body. Cough violent, throwing the patient down; paroxysmal; whooping. Painfully stiff neck; pains down (r) shoulder. Lumbar ache, as if breaking; must raise up to turn over. Acute lumbago. Crawling along spine. Shooting from toes to thighs, < after stool. Tense cramps in calves and soles. Feet feel clubby and raw. Goose-skin. Jaundice. Yawning. Sleepy in evening or sleepless from rush of ideas. Awakes too early; can't sleep again. Finally sleeps, but on waking feels miserable. Night-mare. Chill with thirst and heat without thirst. EASILY CHILLED; CAN'T UNCOVER, < motion; < drinking even during the heat. Sour sweat.

Complementary: Kali-c. Pho. Sul. Related: Ign. Lyc.

Adapted to thin, irritable, careful, zealous persons with dark hair and bilious or sanguine temperament. Disposed to be quarrelsome, spiteful, malacious; nervous and melancholic. Debauchers of a thin, irritable, nervous disposition; prone to indigestion and haemorrhoids (persons with light hair, blue eyes, Lob.). "Nux is chiefly successful with persons of an ardent character; of an irritable, impatient temperament, disposed to anger, spite or deception." - Hahnemann. Anxiety with irritability and inclination to commit suicide, but is afraid to die. Hypochondriac: literary, studious persons, who are too much at home, suffer from want of exercise, with gastric, abdominal complaints and costiveness; especially in drunkards. Oversensitive; to external impressions; to noise, odors, light or music (Nux m.); trifling ailments are unbearable (Cham.); every harmless word offends (Ign.). Persons who are very particular, careful, but inclined to become easily excited or angered; irascible and tenacious. Bad effects of: coffee, tabacco, alcoholic stimulants; highly spiced or seasoned food; over-eating (Ant. c.); long continued mental over- exertion; sedentary habits; loss of sleep (Coc., Colch., Nit. ac.); aromatic or patent medicines; sitting on cold stones; specially in warm weather. One of the best remedies with which to commence treatment of cases that have been drugged by mixtures, bitters, vegetable pills, nostrums or quack remedies, especially aromatic or "hot medicines." but only if symptoms correspond. Convulsions, with consciousness (Strych.); < anger, emotion, touch, moving. Pains are ingling, sticking, hard, aching, worse from motion and contact. Tendency to faint (Nux m., Sulph.); from odors; in morning; after eating; after every labor pain. Cannot keep from falling asleep in the evening while sitting or reading hours before bedtime, and wakes at 3 or 4 a. m.; falls into a dreamy sleep at daybreak from which he is hard to arouse, and then feels tired and weak (reverse of, Puls.). Catarrh: snuffles of infants (Am. c., Samb.); coryza, dry at night, fluent by day; < in warm room, > in cold air; from sitting in cold places, on stone steps. Eructations: sour, bitter, nausea and vomiting every morning with depression of spirits; after eating. Nausea: constant; after eating; in morning; from smoking; and feels "If I could only vomit I would be so much better.". Stomach: pressure an hour or two after eating as from a stone (immediately after, Kali bi., Nux m.); pyrosis, tightness, must loosen clothing; cannot use the mind for two or three hours after a meal; sleepy after dinner; from anxiety, worry, brandy, coffee, drugs, night watching, high living, etc. Constipation; with frequent unsuccessful desire, passing small quantities of faeces (in upper abdomen, Ign., Ver.); sensation as if not finished. Frequent desire fro stool; anxious, ineffectual, > for a time after stool; in morning after rising; after mental exertion (inactive, no desire, Bry., Op., Sulph.). Alternate constipation and diarrhoea (Sulph., Ver.), in persons who have taken purgatives all their lives. Menses: too early, profuse, lasts too long; or keeping on several days longer, with complaints at onset and remaining after; every two weeks; irregular, never at right time; stopping and starting again (Sulph.); during and after, < of old symptoms. Labor pains: violent, spasmodic; cause urging to stool or urinate; < in back; prefers a warm room. Strangulated hernia, especially umbilical. Backache: must sit up to turn over in bed; lumbago; from sexual weakness, from masturbation. Repugnance to cold or to cold air; chilly, on least movement; from being uncovered; must be covered in every stage of fever - chill, heat or sweat. Fever: great heat, whole body burning hot (Acon.), face red and hot (Bell.), yet patient cannot move or uncover without being chilly.

Complemenatary: Sulphur in nearly all diseases. Inimical: to, Zinc.; must not be used before or after. Follows well: after, Ars., Ipec., Phos., Sep., Sulph. Is followed well: by, Bry., Puls., Sulph. Nux should be given on retiring or, what is better, several hours before going to bed; it acts best during repose of mind and body.

Morning: waking at 4 a. m.; mental exertion; after eating or over-eating; touch, noise, anger, spices, narcotics, dry weather; in cold air.

In evening, while at rest; lying down, and in damp, wet weather (Caust.).

Irritability of a sullen cast; no desire to hold communication with any one; gives surly answers; does not wish to be touched; disinclination to do or say anything; wants to be alone, is quiet and sullen; will scold severely, and abuse when talked to; malicious. Dizziness of the mind, i.e., an unsteady, wavering condition.

Troublesome dry catarrh of the nose, which usually comes on very early in the morning. Epistaxis with dark blood; smelling too sensitive.

No hunger; sour taste; belching of wind, which is difficult--they want to belch, but a kind of œsophageal constriction seems to prevent it; hiccoughing; heartburn. Nausea, particularly where the patient feels very sick at the stomach, feels "If I could only vomit, I would be so much better." Vomiting in general; of bile; of food; of sour matter. Flatus in general; flatulent colic; rumbling and rolling in the bowels; pressing as of a heavy load in the stomach or abdomen, sometime after eating. Affections in the inner belly generally; also upper belly, inner part; sense of stricture or tightness around the hypochondriac region.

Obstructed evacuation from inactivity of the bowels, i.e., constipation; constant urging sensation in the rectum for a stool, which never comes; or a small portion of fecal matter may be passed with this urging, leaving the sensation as though a little lump were left behind in the rectum which was yet to come away; stool bloody; mucous stool, having little lumps of feces with the mucus; in dysentery, particularly where there is blood and slime with little lumps of feces in the slime; insufficient feces, particularly where there is a sensation as if more feces were yet to come; complaints after stool; tenesmus without stool.

Male: Genital organs in general; any affections, particularly of the prepuce; erections; complaints from involuntary seminal emissions. Female: Genital organs in general; sexual desire too strong; metrorrhagia; menses too early; lasting too long; profuse; blood too dark; complaints after menstruation. Fainting away after every labor pain; in labor where, with every pain, there is a sensation as though the bowels ought to be moved; in threatened abortion, or retained placenta, after abortion or parturition, with a constant feeling of uneasiness in the rectum, as though the bowels ought to be moved; hæmorrhage from the uterus with the same symptom.

Tight, dry, hacking cough; with bloody expectoration; blood dark; sour taste of expectoration.

Yawning in general; yawning with stretching of the limbs; awaking too early, between three and four A.M., feels pretty well at that time, lies awake two or three hours, falls asleep again, and on re-awakening, feels miserable, bad taste in the mouth, etc.; stupor-like sleep in the morning; sleepy in the daytime; sleepiness in the morning at usual hour of rising; sleepiness in the afternoon; also in the evening; sleeplessness after midnight. Dreams anxious, "pursued by cats and dogs," etc.; anxious dreams about fatal accidents, of quarreling, etc.; about exerting the mind; amorous.

Chilliness, external or internal; chill with thirst; heat in general; heat with anxiety, with restlessness; aversion to undress or uncover; external heat with internal chilliness; compound fevers in general; perspiration in general; on one side only; when perspiring, wants to throw off the covers.

Red colored face, and patient feeling as though he was sitting before a hot fire. Sensation of anxiousness in the body; biting or pungent pain; pain as if bruised in the outer parts, especially where the patient is cross about it, doesn't wish to see any one, or talk about it, etc.; feels uneasy and encumbered by the clothes; dragging pain in the liver, abdomen, etc., as though something were being dragged down; sensation of heaviness in the outer or inner parts; jerking pain in outer parts; "feels unwell," is a little cross, inclined to taciturnity, etc.; itching or tickling in inner parts; there may be a tickling sensation in the throat, for example, with a desire to scratch; sensation of roughness in the inner parts; of tightness or tension in inner parts.

Dark hair. Affections in general of the knee-joint; anus; rectum; larynx; trachea; nape of the neck; right ear; gums; inner mouth; palate; gullet; right side of the face; forehead; angles of the eyes; right hypochondrium; right abdominal ring; right side of the sexual organs; right side generally; left side of the chest. Right abdominal ring where there is a protruding inguinal hernia. Humming in the ears; reddish-yellow face. Increase of saliva; aversion to coffee; obstructed flatus; complaints before making water; affections of the bladder in general. Respiration oppressed, particularly if from a tightness around the hypochondria. Complaints in the back; small of the back; lumbago, rheumatism etc., where the patient cannot turn over--to do so he must rise, up, then turn over; something seeming to be in the back which prevents turning over; strong aversion to the open air, can't turn over if air is let in under the bedclothes, also makes him chilly. Bleeding from inner parts, especially if the blood be dark; disposition to catch cold, emaciation in general, Fainting fits; may faint after every labor pain; or patient may have vomiting spells, and faint away after each attack; in diarrhœa may faint after every stool. Jaundice; yellow skin; inflammation of the mucous membranes; inclination to lie down and be alone; increased secretions of mucus; nervous debility; scurvy; spasms in the inner parts; staggering when walking; strictures after inflammation.

Waking at 4 A.M., with an aggravation; in the morning; after midnight; from mental affections; from anger; anger with anxiety; with vehemence; in the open air; before breakfast; suppressed catarrh; in cold air; dry weather; while coughing (sometimes shocks are felt in the pit of the stomach with every cough); from drinking; in drunkards; after eating (too much); from exertion of the mind; from shaking the head; also from uncovering it; after intoxication; lying on the back; after menstruation; from narcotic medicine; from noise: brandy; coffee; cold food; cold water; wine; involuntary pollutions; pressure of the clothes; derangement of the stomach; after stool; before urinating; while walking in the open air; in clear fine weather; in the wind; when yawning. On waking in the night.

Head symptoms better from having the head wrapped up or covered; lying down; lying on side; from loosening the garments; in the room; from warmth in general or hot things; on getting warm, and getting warm in bed; in damp and wet weather; after discharging wind; while lying in bed.

Act. spic., Arsen., Bellad., Bryon., Lycop., Pulsat., Rhus tox., Sepia, Sulphur.

Coffea, Ignat.

Careful, jealous persons, inclined to get excited and, angry or of a spiteful malicious disposition. Hypochondric mood, worse after eating, especially in those of sedentary habits, or in those who dissipate, with abdominal sufferings, constipation and hemorrhoids. Coryza; fluent during the day, and stopped up at night. Constipation, with frequent and ineffectual desire for stool, and sensation of constriction of rectum After stool, sensation as if more remainend but could not be evacuated. Menses a few days before the time, copious, or keeping on for several days, with complaints at the onset and remaining after. Dry, fatiguing cough in the evening after lying .down, or very early in the morning, also with roughness, rawness, and scraping in the chest. Awakes at 3 a.m., lies awake for hours with a rush of thoughts, falls into a dreamy sleep at day-break from which he is hard to arouse, and then feels tired and weak, and averse to rising. Sleepy in the early evening and sleepless at night. Ailments from continued mental labour. After aromatics in food, or as medicine, especially ginger pepper, etc., and after most any kind of so-called hot medicines. Fools worse in the morning, soon after waking, also worse after mental exertion and after eating.

Poison-nut

Is the greatest of polychrests, because the bulk of its symptoms correspond in similarity with those of the commonest and most frequent of diseases. It is frequently the first remedy, indicated after much dosing, establishing a sort of equilibrium of forces and counteracting chronic effects.

Nux is pre-eminently the remedy for many of the conditions incident to modern life. The typical Nux patient is rather thin, spare, quick, active, nervous, and irritable. He does a good deal of mental work; has mental strains and leads a sedentary life, found in prolonged office work, overstudy, and close application to business, with its cares and anxieties. This indoor life and mental strain seeks stimulants, coffee, wine, possibly in excess; or, again, he hopes to quiet his excitement, by indulging in the sedative effects of tobacco, if not really a victim, to the seductive drugs, like opium, etc. These things are associated with other indulgences; at table, he takes preferably rich and stimulating food; wine and women play their part to make him forget the close application of the day. Late hours are a consequence; a thick head, dyspepsia, and irritable temper are the next day's inheritance. Now he takes some cathartic, liver pills, or mineral water, and soon gets into the habit of taking these things, which still further complicate matters. Since these frailties are more yielded to by men than women. Nux is pre-eminently a male remedy. These conditions, produce an irritable, nervous system, hypersensitive and over-impressionable, which Nux will do much to soothe and calm. Especially adapted to digestive disturbances, portal congestion, and hypochondrical states depending thereon. Convulsions, with consciousness; worse, touch, moving. Zealous fiery temperament. Nux patients are easily chilled, avoid open air, etc. Nux always seems to be out of tune; inharmonious spasmodic action.

Very irritable: sensitive to all impressions. Ugly, malicious. Cannot bear noises, odors, light, etc. Does not want to be touched. Time passes too slowly. Even the least ailment affects her greatly. Disposed to reproach others. Sullen, fault-finding.

Headache in occiput or over eyes, with vertigo; brain feels turning in a circle. Oversensitiveness. Vertigo, with momentary loss of consciousness. Intoxicated feeling; worse, morning, mental exertion, tobacco, alcohol, coffee, open air. Pressing pain on vertex, as if a nail driven in. Vertigo in morning and after dinner. Scalp sensitive. Frontal headache, with desire to press the head against something. Congestive headache, associated with hæmorrhoids. Headache in the sunshine (Glon; Nat carb). Feels distended and sore within, after a debauch.

Photophobia; much worse in morning. Smarting dry sensation in inner canthi. Infra-orbital neuralgia, with watering of eyes. Optic nerve atrophy, from habitual use of intoxicants. Paresis of ocular muscles; worse, tobacco and stimulants. Orbital twitching radiating towards the occiput, Optic neuritis.

Itching in ear through Eustachian tube. Auditory canal dry and sensitive. Otalgia; worse in bed. Hyperæsthesia of auditory nerves; loud sounds are painful, and anger him.

Stuffed up, at night especially. Stuffy colds, snuffles, after exposure to dry, cold atmosphere; worse, in warm room. Odors tend to produce fainting. Coryza: fluent in daytime; stuffed up at night and outdoors; or alternates between nostrils. Bleeding in morning (Bry). Acrid discharge, but with stuffed up feeling.

Jaws, contracted. Small aphthous ulcers, with bloody saliva. First half of tongue clean; posterior covered with deep fur; white, yellow, cracked edges. Teeth ache; worse, cold things. Gums swollen, white, and bleeding.

Rough, scraped feeling. Tickling after waking in morning. Sensation of roughness, tightness, and tension. Pharynx constricted. Uvula swollen. Stitches into ear.

Sour taste, and nausea in the morning, after eating. Weight and pain in stomach; worse, eating, some time after. Flatulence and pyrosis. Sour, bitter eructations. Nausea and vomiting, with much retching. Ravenous hunger, especially about a day before an attack of dyspepsia. Region of stomach very sensitive to pressure (Bry; Ars). Epigastrium bloated, with pressure s of a stone, several hours after eating. Desire for stimulants. Loves fats and tolerates them well (Puls opposite). Dyspepsia from drinking strong coffee. Difficult belching of gas. Wants to vomit, but cannot.

Bruised soreness of abdominal walls (Apis; Sulph). Flatulent distension, with spasmodic colic. Colic from uncovering. Liver engorged, with stitches and soreness. Colic, with upward pressure, causing short breath, and desire for stool. Weakness of abdominal ring region. Strangulated hernia (Op). Forcing in lower abdomen towards genitals. Umbilical hernia of infants.

Constipation, with frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part remained unexpelled. Constriction of rectum. Irregular, peristaltic action; hence frequent ineffectual desire, or passing but small quantities at each attempt. Absence of all desire for defecation is a contra-indication. Alternate constipation and diarrhœa-after abuse of purgatives. Urging to stool felt throughout abdomen. Itching, blind hæmorrhoids, with ineffectual urging to stool; very painful; after drastic drugs. Diarrhœa after a debauch; worse, morning. Frequent small evacuations. Scanty stool, with much urging. Dysentery; stools relieve pains for a time. Constant uneasiness in rectum. Diarrhœa, with jaundice (Dig).

Irritable bladder; from spasmodic sphincter. Frequent calls; little and often. Hæmaturia (Ipec; Tereb). Ineffectual urging, spasmodic and strangury. Renal colic extending to genitals, with dribbling urine. While urinating, itching in urethra and pain in neck of bladder.

Easily excited desire. Emissions from high living. Bad effects of sexual excesses. Constrictive pain in testicles. Orchitis (Hama; Puls). Spermatorrhœa, with dreams, backache, burning in spine, weakness and irritability.

Menses too early, lasts too long; always irregular, blood black (Cycl; Lach; Puls) with faint spells. Prolapsus uteri. Dysmenorrhœa, with pain in sacrum, and constant urging to stool. Inefficient labor-pains; extend to rectum, with desire for stool and frequent urination (Lil). Desire too strong. Metrorrhagia, with sensation as if bowels wanted to move.

Catarrhal hoarseness, with scraping in throat. Spasmodic constriction. Asthma, with fullness in stomach, morning or after eating. Cough, with sensation as if something were torn loose in chest. Shallow respiration. Oppressed breathing. Tight, dry hacking cough; at times with bloody expectoration. Cough brings on bursting headache and bruised pain in epigastric region.

Backache in lumbar region. Burning in spine; worse, 3 to 4 am. Cervico-brachial neuralgia; worse, touch. Must situp in order to turn in bed. Bruised pain below scapulæ. Sitting is painful.

Arms and hands go to sleep. Paresis of arms, with shocks. Legs numb; feel paralyzed; cramps in calves and soles. Partial paralysis, from overexertion or getting soaked (Rhus). Cracking in knee-joints during motion. Drags his feet when walking. Sensation of sudden loss of power of arms and legs in the morning.

Cannot sleep after 3 am until towards morning; awakes feeling wretchedly. Drowsy after meals, and in early evening. Dreams full of bustle and hurry. Better after a short sleep, unless aroused.

Body burning hot, especially face; yet cannot move or uncover without feeling chilly. Urticaria, with gastric derangement. Acne; skin red and blotchy.

Cold stage predominates. Paroxysms anticipate in morning. Excessive rigor, with blueness of finger-nails. Aching in limbs and back, and gastric symptoms. Chilly; must be covered in every stage of fever. Perspiration sour; only one side of body. Chilliness on being uncovered, yet he does not allow being covered. Dry heat of the body.

Worse, morning, mental exertion, after eating, touch, spices, stimulants, narcotics, dry weather, cold. Better, from a nap, if allowed to finish it; in evening, while at rest, in damp, wet weather (Caust), strong pressure.

Nux seeds contain copper, notice the cramp-causing proclivites of both. Complementary; Sulphur; Sepia.

Inimical: Zinc.

Compare: Strychnia.

Compare: Kali carb; Hydr; Bry; Lyc; Graph.

Antidotes: Coff; Ignat; Cocc.

First to thirtieth potency and higher. Nut is said to act best given in the evening.

For very particular, careful, zealous persons, inclined to get excited or angry, spiteful, malicious disposition, mental workers or those having sedentary occupations.

Over-sensitiveness, easily offended; very little noise frightens, cannot bear the least even suitable medicine; faints easily from odors, etc.

Twitchings, spasms, convulsion, < slightest touch.

Chilliness, even during high fever; least uncovering brings on chilliness. Very red face.

Persons addicted to stimulants, narcotics, patent medicines, nostrums, debauchees, etc.

Frequent and ineffectual desire for stool or passes little at a time, > after stool.

Spasm (from simple twitchings to the clonic form); sensitiveness, nervous and chilliness are three general characteristics of this remedy.

Anxiety with irritability and inclination to commit suicide, but is afraid to die.

Sleepy in the evening, hours before bedtime; lies aware for an hour or two, at 3 or 4 A. M., then wants to sleep late in morning.

Awakens tired and weak and generally worse, with many complaints.

Stomach: Pressure an hour or two after eating as from a stone (immediately after, Kali bi., Nux m.).

Convulsions with consciousness (Strych.); < anger, emotion, touch, moving, alternate constipation and diarrhea (Ant. crud.).

Menses: Too early, profuse and lasting too long, with aggravation of all other complaints during their continuance.

Nux vomica acts better when gived at night, during repose of mind and body; Sulph. in the morning.

Among the symptoms called characteristic, as given by Constantine Hering, are these:

"After aromatics in food or as medicine, particularly ginger, pepper, etc., and after almost any kind of so-called 'hot' medicines (Goullon)." Also, "will also benefit persons who have been drugged by mixtures, bitters, herbs and so-called vegetable pills, etc. -(B.)"

This is putting it in too wholesale a fashion. It would be true if said that Nux vomica will often benefit such cases. The fact is that it will benefit those cases in which the use of such drugs, aromatics, pills, etc. has brought about a condition that simulates the symptoms produced in the provings of Nux vomica, or in cases to which it is homoeopathic and no others. Another fact is that things often do produce such a condition, and that is one reason why so many physicians are invariably prescribing Nux vomica the first thing, in cases coming from allopathic hands, without even examining the case, but it is unscientific. We have a law of cure and there are cases in which the Nux vomica condition is not present but another more similar remedy must be given. It does not alter the case to say, "Well, I did not know what had been given," for Nux vomica will neither antidote the effects of the drug poison nor cure the disease condition unless it is homoeopathically indicated, especially given in the dynamic form.

Here are two more of Hering's card symptoms, in which are given the temperaments that are most susceptible to the action of Nux:

"Oversensitiveness, every harmless word offends, every little noise frightens, anxious and beside themselves, they cannot bear the least even suitable medicines - (B)." And, "For very particular, careful, zealous persons, inclined to get excited and angry, or of a spiteful, malicious disposition."

This is a graphic picture of what is called the "Nervous temperament," and practice corroborates the truth of the value of these temparametic indications for this remedy; but there are a number of remedies that have as markedly this so called nervous temperament, such as Chamomilla, Ignatia, Staphysagria, and others.

So no physician would be justified in prescribing Nux vomica on temperament alone, be the indication ever so clear. The whole case must come in. There seems to be another kind of condition belonging to this nervous group of Nux vomica that has not so much of excitability in it. "Hypochondriasis, with studious men, sitting too much at home, with abdominal complaints and costiveness."

Now if you take a second look at these cases, you will find that a very little irritation will arouse their kind of their hypohondriac gloom and make them angry or irritable similar to the first condition, so that on the whole the first proves to be the predominant one.

If the gloomy or hypochondriac condition of mind persist, we will more likely have to look to such remedies as Aurum, Nat. mur., etc., to find the true similimum. These nervous symptoms of mind and body are wonderful leaders to the selection of the right remedy.

"Frequent and ineffectual desire to defecate or passing but small quantities of fæces at each attempt."

This symptom is pure gold. There are a few other remedies that have it, but none so positively and persistently.

It is the guiding symptom in the constipation to which Nux vomica is homœopathic, and in my experience will then, and then only, cure. Carroll Dunham wrote over twenty-five years ago on this symptom. He said, in effect -while Nux vomica or Bryonia are equal remedies for constipation there was never any reason for confounding them, or alternating them, as they were so different. The Nux vomica constipation was caused by irregular peristaltic action of the intestines, hence the frequent ineffectual desire; but the Bryonia constipation was caused by lack of secretion in the intestines. There was with Bryonia absolutely no desire, and the stools were dry and hard as if burnt.

And the above symptom is found not in constipation alone. It is always present in dysentry. The stools, though very frequently consisting of slimy mucus and blood, are very small and unsatisfactory. Dr.P.P. Wells pointed out the very reliable additional symptom for Nux vomica in dysentry -that the pains were very greatly relieved for a short time after every stool. This is not so with Mercury, but the pain and tenesmus continue after the stool, as it is sometimes well expressed as "a never-get-done" feeling. But it makes little difference whether the patient is afflicted with constipation, dysentry, diarrhoea or other diseases, if we have this frequent ineffectual desire for stool present we always think of Nux vomica first, and give it unless other symptoms contra-indicate it.

"Catamenia a few days before time, and rather too copious, or keeping on several days longer with complaints at the onset, which remain until after it is over."

This is also an oft verified symptom of Nux vomica. Of course there are many other remedies for too early or too copious menstruation. Calcarea Ostrearum is not at all like Nux vomica. I have found that patients that required Nux vomica., for this condition could hardly ever take Pulsatilla for anything. For instance, if the patients had green, bland, thick discharge and you gave them Pulsatilla it would often bring down too early and profuse menses. In such cases I had to give Sepia which would act like a charm on the catarrh and not aggravate the menses.

These cases calling for Nux vomica. often occur in young girls or women at the climacteric. We often have the characteristic rectal troubles also present (Lilium tig.). The pains are pressing down and extend to the rectum and sometimes also to the neck of bladder. Inefficient labour pains, extending to the rectum, with desire for stool or frequent urination, are quickly relieved, and become efficient, after the administration of a dose of Nux vomica 200.

If, in addition, your menorrhagic patient is costive, has gastric troubles, and especially if generally < in the morning, we have an almost sure remedy in Nux vomica.

"Feels worse in the morning soon after awaking (Lach. and Nat. mur.), also after mental exertion (Nat carb., vertigo; Calc. ost., Sil., occipital); after eating (Anac. card., reverse) and in cold air (Puls., reverse)" If Bœnninghausen had never done anything but given us his incomparable chapter on aggravations and ameliorations, this alone would have immortalised him.

It seems to me, after profiting them in a practice of over thirty years, it is impossible to over estimate them. But some one will say perhaps -there are twenty-eight remedies in Allen's Bœnninghausen., in large caps, that are worse in the morning. That does not seem like coming very close to the choice of the remedy.

But when we look at those that are worse in the evening, we find thirty-eight remedies, and only eight of them occurring under both morning and evening, and these eight are worse not generally, but rather in some especial symptoms. For instance, in Rhus the loose cough is worse in the morning, the tight dry one in the evening.

So you see we are quite on the way to making a choice after all. But now take all the aggravations of Nux vomica as regards time, mind, gastric (symptoms), temperature etc., where can you find the combination so prominently under any remedy? Of course those physicians who are not able to appreciate anything but pathological symptoms have not much use for these modalities. But one thing is certain, they cannot do as good homœopathic work without as with them.

"Great heat, whole body burning hot, especially face red and hot, yet the patient cannot move or uncover in the least without feeling chilly." This condition of feverishness is of common occurrence and yields to Nux vomica with a promptness that would delight the heart of a Lippe. It makes no difference what the name of the fever, whether inflammatory, remittent or fever accompanying sore throat, rheumatism, or any other local trouble, if we have these indications, we may confidently give this remedy and will not be often disappointed with the result. It took me years to learn the value of this symptom, because I was a routinist and thought that Aconite, Belladonna, or both in alteration, must be given in all cases where high fever was present. So I have some sympathy for young physicians now, who from false teachings have been led to the same error. But let me say here, for the benefit of all such, that there is a much better way: namely -to closely individualize, which is not always difficult; give the single remedy in the potentised form, giving it time to act, and wait for reaction before repeating.

Of course low potencies will often cure, and that in spite of alternation, over dosing and frequent repetition. But they will often fail, and in the great majority of cases will not accomplish anything like the satisfactory results of the true similimum, the single remedy and the single dose.

"After eating: (Kali bich., Nux moschata) sour taste pressure in the stomach an hour or two afterward, with hypochondriacal mood, pyrosis tightness about the waist; must loosen clothing (Lachesis, Calcarea, and Lycopodium), confused cannot use mind two or three hours after meal, epigastrium bloated, with pressure as from a stone in the stomach."

This is a group of symptoms as given in "Guiding Symptoms." There are so many symptoms given under the digestive organs that it shows that Nux vomica has really very wide range of action in gastric troubles. And there are no really characteristic and peculiar symptoms to mention, unless it be the peculiar aggravation of the stomach symptoms "an hour or two after eating," instead of immediately after as is the case with Nux moschata and Kali bichromicum. The pressure as from a stone occurs also in Bryonia and Pulsatilla.

More stress may be placed upon the cause of the stomach, liver and abdominal complaints for which Nux vomica is the remedy. For instance, coffee, alcoholic drinks, debauchery, abuse of drugs, business anxiety, sedentary habits, broken rest from long night watching (Cocc., Cup. met., Nit. ac.), too high living etc. So we find that Nux vomica is adapted to complaints arising from these causes, which is abundantly verified in practice.

One thing is very apt to be present in these cases: namely -the very characteristic rectal symptoms already noticed.

We ought not to leave Nux vomica without speaking of its great efficiency in headaches and backaches.

The headache often occurs in conjunction with gastric, hepatic, abdominal and hæmorrhoidal affections. Here also the modalities, more than the character of the pain, decide the choice. The aggravations are: from mental exertion, chagrin or anger; in open air (opposite Pulsatilla), on waking in the morning, after eating, from abuse of coffee or spirits, sour stomach, in the sunshine, on stooping, from light and noise, when moving or opening the eyes (Bryonia), from coughing high living or highly seasoned food, in stormy weather, after drugging, from masturbation, from constipation or haemmorhoids.

These headaches may or may not localize in any part of the head.

The patient is just as apt to say in one part of the head as another, and will often say, in no particular part, "it feels badly and aches all over."

The pains in the back are more peculiar. The patient is apt to have backache in bed, and must sit up to turn over; as turning or twisting the body, aggravates when standing (Sulphur) (worse when sitting, Kobalt, Pulsatilla, Rhus toxicod., Zincum) or sitting is especially painful. The pain is mostly located in the lumbar region, though it may be in the dorsa, and is often in connection (like Æsculus hipp.) with hæmmorhoids. Æsculus is especially < from walking or stooping. Backache caused by masturbation (Kobalt, < sitting; Staphysagria, lying at night) finds one of its best remedies in Nux vomica. We might here launch out into a description of the general action of Nux vomica upon the spinal cord, including the motor and sensory centers, etc. but that can all be found in other works. So now we will leave Nux, except as we refer to it in comparison while writing of other remedies. In reviewing of what we have written, we are impressed that some may be led to think that we have narrowed down the sphere of this truly great remedy too much. Let us say here, that it is not our aim in this work to write exhaustively upon any remedy, but to point out a few of the chief virtues and the characteristic symptoms, around which all the rest revolve.

To write exhaustively would be to write a complete materia medica.

In actual practice there are two kinds of cases that come to every physician. One is the case that may be prescribed for with great certainty of success on the symptoms that are styled characteristic and peculiar (Organon § 153.) The other is where in all the case there are no such symptoms appearing; then there is only one way, viz, to hunt for the remedy that, in its pathogenesis, contains what is called the "tout ensemble " of the case. The majority of the cases, however, do have, standing out like beacon lights. Some characteristic or key note symptoms which guide to the study of the remedy that has the whole case in its pathogenesis.

Modalities: < uncovering, mental work, after eating, cold air, dry weather, stimulants, 9 A. M.; > wet weather, warm room, on covering, after stool.

Anger, with habitual malicious, spiteful disposition. Fiery, excited temperament. Inclined to find fault and scold ; morose ; stubborn. Over-sensitiveness to external impressions, noise, smells ; light and music are unbearable and affect him much ; anxiety and restlessness in the evening. Anxiety with irritability and inclination to commit suicide ; but is afraid to die. Hypochondriac humor of persons of sedentary habits, and of those who dissipate at night, with abdominal sufferings and constipation. Delirium tremens with over-sensitiveness, nervous excitability and malicious vehemence. The time passes too slow. After anger, chilliness alternating with heat, vomiting of bile and thirst. Great laziness and aversion to occupy oneself.

Reeling vertigo in the morning and after dinner ; with vanishing of sight and loss of hearing. Cloudiness as from intoxication in the head. Intoxication from the drunkenness on the previous day, with vanishing of sight and bearing ; worse after dinner and in the sun. Congestion of blood to the head, with burning in it and with heat and redness of the bloated face ; worse in the morning, on moving the head and when walking in the open air. Burning in the forehead in the morning on waking and after eating ; worse from mental exertion and when exercising in the open air ; better when at rest and in the warm room. Stunning headache in the morning, after eating, and in the sunshine. Pressing headache in the forehead, with sour vomiting ; worse in the morning in bed, better when leaning the head against something or when lying on the back. Pressing pain on the vertex, as if a nail were driven into it. Pressing headache, as if the skull were pressed asunder. Sensation as from a bruise in the back part of the head. Rheumatic headache with nausea and acid vomiting. Tension in the forehead as if it were pressed in at night and in the morning, worse on exposing the head to the cold air. Bruised sensation of the brain, generally one (right) sided, better when lying on the painless side. The brain seems to shake when walking or running in the open air ; better when wrapping the head up in the warm room and when at rest. Pressing in the head, as if something heavy were sinking down in the forehead or head. Periodical headache in the forehead, sore as from ulceration, with constipation. Semi-lateral headaches from excessive use of coffee. The scalp is sensitively painful, on the least touch, to the wind, and is relieved by warmly covering the head. Fetid perspiration of one half of the head and face, which is cold to the touch, relieving the pain, and with anxiety and dread from uncovering the head. Liability to take cold on the head mostly from dry wind, draft of air. The head symptoms are worse in the morning, in the open air, and from mental exertion and from motion and better after rising in the morning and during the day, in the warm room, and from sitting quiet or when lying down.

Inflammation of the sclerotica, with stitches and aversion to the light of the sun. Painless, circumscribed red spots, like extravasation of blood, in the white of the eye. Exudation of blood from the eyes. Yellowness of (especially of the lower part of) the eyeball. In the morning the light of day is insupportable. Streaks like lightning before the eyes. Burning and smarting in the eyes as from salt. Twitching of the eyelids. Anxious staring look.

Otalgia with tearing-stinging pains. Tension in the ears when he raises his face. Painful sharp shocks and stitches in the ears, especially in the morning in bed. Pain in the ear on swallowing, as if it were pressed outward. Strong reverberation of sounds in the ear. The pains in the ear are worse after entering the room and in bed.

Sensitiveness and inflammatory redness of the internal nose. Bleeding from the nose in the morning. Smell before the nose like old cheese or brimstone. Coryza ; fluent during the day, worse in the warm room, better in the cold air ; dry coryza during the evening and night. Dry coryza with stoppage of the nose (in infants). Acrid discharge from the obstructed nose.

Pale, yellowish and earthy color of the face. Yellowness around the mouth and nose, or around the eyes. Swelling of one cheek, with faceache, and pain in the cheekbone. Red, swollen face ; burning redness of the face with heat. Twitching of the muscles of the face, in the evening when lying down. Painful pealing off of the lips. Crusts on the lips. Trismus. Corroding ulcers in the corners of the mouth. Periodical prosopalgia nervosa, worse at night. Pimples in the face from the excessive use of spirituous liquors. Swelling of the sub-maxillary glands ; with stinging on swallowing.

Tearing in the teeth extending to the head through the bones of the face, renewed from cold drink, relieved by warmth. Stinging in decayed teeth ; burning-stinging in one whole row of teeth. Looseness of the teeth. The gums swollen, white, putrid, bleeding. Toothache from taking cold. The toothache is caused or aggravated by wine, coffee, cold air and mental exertion, and is relieved by heat. Bad odor from the mouth. Stomacace. Aphthæ (of children). Inflammatory swelling of the roof of the mouth, throat and gums, with difficulty of deglutition. Sensation as of a plug in the throat. Sensation of soreness in the throat on inhaling cold air. When swallowing, stitches in the throat and sensation as if it were too narrow or constricted. Inflammatory swelling and stitches in the palate. Heavy white coating on the tongue. The tongue is black and dark-red and cracked on the edges. Heaviness of the tongue with difficulty of speech. Fetid ulcers in the mouth and throat.

Hunger with aversion to food, especially to bread, coffee and tobacco. Ravenous hunger after drinking beer. Thirst, in the morning, with aversion to water and beer. Longing for brandy and chalk. Tastelessness of all food. Sour taste, especially in the morning or after eating and drinking. Putrid taste (in the morning). After dinner (some hours after) pressure in the stomach, dulness of the head and hypochondriacal mood. Bitter, sour eructations. Violent hiccough. Nausea, especially in the morning and after dinner. Empty vomiturition ; straining to vomit (in drunkards). Periodical attacks of vomiting ; of food, of sour-smelling mucus, of dark, clotted blood ; and during, pregnancy. Bloatedness, and pressure in the stomach and pit of the stomach, as from a stone, especially after eating. Colic and pressure in the stomach, extending to the shoulders, in the morning, fasting and after eating. Constrictive colic generally, with water-brash. Colic of brandy and coffee drinkers. Pressure and tension in the pit of the stomach, with tension opposite, between the shoulder-blades. Cannot bear his clothes tight around the hypochondria. Pressure and stinging in the region of the liver. Inflammation and induration of the liver. Labor-like spasms in the abdomen and in the uterus, extending into the legs. Pressing in the abdomen towards the genitals. Painful soreness of the abdominal muscles when moving, pressing on them, coughing or laughing. Periodical (colic) pains in the abdomen, especially after eating and drinking. Disordered stomach after over-eating. Hernia incarcerated hernia.

Constipation ; stool insufficient, black, bard, often streaked with blood, as from inactivity of the intestines ; ineffectual efforts to go to stool (in infants). Stools like pitch, with blood. Dysenteric stools, with cutting at the navel, pressing and rectum and discharge of bloody mucus with feces. Frequent small mucous discharges, with pressing and straining. Painful, spasmodically closed anus. Painful blind hæmorrhoidal tumors.

Strangury ; painful, ineffectual urging to urinate. Pressure to urinate, at night, with discharge of a few drops of red, bloody, burning urine. Hæmatorrhœa. During and after micturition, discharge of viscid, purulent mucus from the bladder.

Men. Increased secretion of smegma behind the corona glandis. Inflammation and swelling of the testicles, with singing and spasmodic contraction, extending to the spermatic cords, the testicles being hard and drawn up. Easily excited, strong sexual desire, with painful eructions. Hydrocele. Women. Menses to early and too profuse, with dark, black blood. During and after menstruation, appearance of new and aggravation of old ailments. Congestion to and bearing, down of the uterus. Inflammation of the uterus and the external parts. Prolapsus uteri. False and inefficient labor-pains, with frequent pressure to urinate and to pass stool. After-pains too violent and of too long duration.

Suffocative attacks after midnight from spasmodic constriction of the larynx. Dyspnœa ; asthma from spasmodic constriction of the lower part of the thorax. Catarrhal hoarseness, from scraping in the throat, with viscous mucus in the larynx and on the chest. Itching in the larynx. Acute bronchitis. Cough from exertion, -reading or mental exertion,- or thereby aggravated. Dry cough, with pain in the head, as if it would burst or with great soreness in the upper part of the abdomen. Dry cough ; worse at night or early in the morning. The cough is dry in the evening and at night ; expectoration during the day. Hooping-cough, caused by a tickling in the throat and larynx, with expectoration, during the day of yellow, gray, cold mucus, mostly tasting sour or sweet, and last of bright-red blood. The cough is aggravated after midnight and in the morning, from exertion, from cold air, when lying on the back from eating and drinking from smoking tobacco, from becoming cold, from acids. Heavy, pressing pain in the chest, as from a heavy, load. Sensation as if something were torn loose in the chest. Congestion to the chest, with heat and burning in it. Anxious palpitation of the heart.

Tension between the shoulder-blades. Burning, pressing, and stitches between the shoulder-blades. Pain, as if bruised in the small of the back and back, so violent that he cannot move. Sensation in the small of the back as if lame (also after difficult parturition). Heaviness and stiffness in the neck.

Upper. Paralysis of the arm, with violent jerks in it, as if the blood would start out of the veins. Soreness in the shoulder-joint. Drawing in the arms, extending from the shoulder to the fingers, with sensation as if the arm were asleep ; loss of motion of the arm, especially at night. The hands go to sleep and feel dead. Cold, sweaty hands, with cold nose. The veins on the hands and arms are prominent, enlarged. Lower. Numbness, stiffness and tension ill the legs. Sensation of paralysis of the legs, with the sensation of a painful stripe down on the inside of the thigh ; numbness and paralysis of the legs. Staggering walk and weakness of the legs. Painful swelling of the knee-joint. Numbness and deadness of the lower legs. When he walks he drags the feet ; he cannot lift them up. Dryness and cracking in the knee-joint when walking. Cramp in the calves at night.

Great debility of the nervous system, with over-sensitiveness of all the senses. Periodical attacks of indisposition. Sensation of heaviness of the body, alternating with sensation of lightness. Stitches in jerks through the whole body. Feeling of soreness all over the body in the morning, in bed. Great inclination to lie down or to sit, with aversion to move about and to the open air. Rheumatic pains, especially during windy (stormy) weather. Disposition to take cold and great sensitiveness to draft of air, and aversion to the open air. Paralysis, with coldness of the paralyzed parts. Convulsions and spasms ; epileptic attacks. Attacks of fainting (in the morning ; after eating). Gastric and bilious complaints, especially of pregnant women. Inflammation of internal organs : congestion. Very suitable for thin, slender persons.

Goes to sleep late from crowding of thoughts on him. Goes to sleep late ; wakens at 3 A.M. and lies awake till break of day, when he falls into a dull sleep full of dreams, from which he is hard to rouse and wakens late, feeling tired. The morning sleep aggravates all the complaints. Great drowsiness during the day and after eating.

Pulse full, hard, accelerated, especially during the heat. Pulse small and rapid ; every fourth or fifth beat intermits. Chilliness and coldness, which cannot be relieved by external heat. Chilliness with shuddering, in the evening and during the night in bed till morning ; aggravated from every movement and from drinking. Chilliness with hot face. Chilliness and heat alternating. Chilliness and shuddering during exercise in the open cold air. After the chill he sleeps till the hot stage sets in. General internal, burning heat. Heat during the night, without thirst. Heat, with aversion to be uncovered, and from it at once chilliness. Heat, which is aggravated from the least exertion or motion, even in the open air. Heat precedes the chill. Heat of single parts while others are chilly. Heat is ascending from the throat. Perspiration after midnight and during the morning. Perspiration smells sour or offensive. Perspiration only on one (right) side of the body, or only on the upper part of the body. Cold, clammy perspiration in the face. Perspiration which relieves the pain in the limbs. Intermittent fever. Chill in the evening ; then one hour's sleep, which is followed by heat, with headache, tingling in the ears and nausea. Violent chill with shaking, increased by drinking ; afterwards heat, which is followed by perspiration. Chilliness after the perspiration, and then perspiration again. Anticipating morning fever ; first moderate chilliness, with blue nails without thirst, -then thirst and long-lasting violent fever and heat, with stitches in the temples, followed by light perspiration. Chill without thirst, followed by violent heat with thirst, headache, vertigo, redness of the face, vomiting, red urine, pain in the chest, followed by partial perspiration. Intermittent fevers, with the prevalence of gastric and bilious symptoms or with constipation. Congestive intermittent fevers, with vertigo, anguish, chills, delirium, accompanied by vivid visions and distention of the stomach ; with stitches in the sides and abdomen. Intermittent fever, characterized by a sense of paralysis and want of strength in the limbs in the beginning of the fever.

Every mental exertion causes or aggravates the symptoms. Bad effects from coffee, tobacco, and spirituous liquors ; from over-exertion of the mind, sedentary habits and loss of sleep ; over-heating. Aggravation from motion and slight touch, but strong pressure relieves. Most symptoms are most severe on waking in the morning and after eating. The ailments which appear in the open air and from motion are relieved in the room and when at rest ; but the reverse also takes place occasionally. Is an antidote to almost all narcotic, drastic and vegetable remedies, especially against citrate of magnesia, and often suitable to begin the treatment of cases after drugging.

Strychnos nux vomica. Poison nut. N. O. Loganiaceæ. Tincture and Trituration of imported seeds.

Acne rosacea. Alcoholism. Amaurosis. Amblyopia. Anger, effects of. Apoplexy. Asthma. Bilious attack. Biliousness. Bladder, affections of. Bone, nodes on. Bra in, affections of. Breath, sour . Carriage-sickness. Catarrh. Clavus. Cold. Colic. Constipation. Convulsions. Cough. Cramp. Delirium. Diarrhœa. Dysentery. Dyspepsia. Emissions . Epilepsy. Erotomania. Eyes, affections of; gouty inflammation of . Gall-stones. Gastrodynia. Gout. Hæmorrhoids. Headache. Heart, affections of. Hernia . Hydrocele. Hypochondriasis. Impotence. Intermittent fever . Lisping. Liver disorders. Locomotor ataxy. Lumbago . Masturbation. Muscæ volitantes. Myelitis . Night-blindness. Nightmare. Nose, affections of . Nymphomania. Paralysis; spastic . Paraphimosis. Pregnancy, affections of ; spurious. Pylorus, disease of . Renal calculi. Sea-sickness. Sexual perversion. Sleep, abnormal. Speech, disordered. Spermatorrhœa . Strabismus. Taste, disordered. Tea, effects of. Tenesmus. Tobacco habit. Tongue, affections of. Trachea, affections of. Urethra, spasm of. Urine, frequent passing of . Uterus, prolapse of. Vagina, prolapse of. Vertigo. Waterbrash . Worms. Yawning .

Strychnos nux vomica is a moderate-sized tree native of the Coromandel Coast and Cochin China. The fruit is very like an orange in appearance and contains numerous seeds of flattened circular outline, about the size of a halfpenny, ash-grey in colour, covered with fine silky hairs. The seeds are intensely bitter, owing to the presence of Strychnia and Brucia which exist in the seeds together with certain peculiar acids; but the pulp is innocuous and is said to be eaten by birds. If nitric acid be added to the seeds a deep orange-yellow colour is produced. The wood of the tree is very bitter. It is used in India in cases of intermittent fever and snake-bites. A decoction of the leaves is used externally in rheumatism (abridged from Treas . of Bot .). Under Brucea antidysenterica I have told how the bark of the tree was imported into Europe in mistake for Angustura . The tree from which the Ignatia " beans" are obtained is unknown, but it is not doubted to be a Strychnos ; the seeds actually contain a larger proportion of Strychnia than those of Nux vomica . The difference in the character of the two remedies proves the wisdom of Hahnemann's method of studying medicines. If there was nothing more than the chemistry of the drugs to go by Ignatia and Nux vomica might be used indifferently; with the knowledge Hahnemann has given us of their characteristic features they are seldom even thought of in connection with the same case. — In the cases of poisoning with Nux , the most marked feature is the spasms and convulsions which cause death by arresting respiratory movements. "Convulsions with consciousness." "Spasms with tetanic rigidity of nearly all the muscles of the body, with interruption of a few minutes, during which the muscles were relaxed; the pulse became soft and the patient recovered consciousness and speech; the spasm was renewed by the slightest touch , though at times it would immediately cease when the patient was tightly grasped , or the elbow was straightened up." "During the spasms evident relief was afforded by forcible extension of the body." In the case of two persons, a man and wife, who both took the poison, the reporter says: "As the convulsions came on the heads were drawn back, there was spasmodic clenching of teeth, heels fixed to the ground, eyes as if protruding from their sockets, and both, curiously enough, kept exclaiming, 'Hold me! Hold me!' although there was a person on either side of each." One of the patients afterwards said that if a fire had been lit under him he could not have moved, although at the same time he kept crying, "Hold me!" "Convulsions came on beginning with slight twitchings in muscles of lower extremities." "Convulsions with red face and closed eyes." The general effect of the spasms was to cause opisthotonos and throwing back of the head, though in some the body was spasmodically drawn sideways. The tetanus of Nux differs from traumatic or idiopathic tetanus in that the spasms of the former are less continuous, do not invariably begin with the muscles of the jaws, but preferably in the lower extremities, and are not accompanied by rise of temperature. " Spasm " is the first keynote of Nux and the second is " exaggerated sensitiveness ." Both are brought to the front in the poisoning cases, and the provings bring out their developments in almost all regions of the body. The spasms affect all the voluntary muscles of the body and the involuntary muscles as well — œsophagus, stomach, intestines, uterus, bladder, rectum, and the spasms and irritability go through the pathogenesis. There is irritability of bladder and rectum at the same time; constant urging and desire and very little passed; prolapse of rectum with constipation; or there may be incontinence of both urine and fæces. Uterine bearing down and prolapse; cramps at menstrual periods and pressure on bladder and rectum. The irritability and excessive sensitiveness of Nux depicted in the tetanic seizures and drawn facial expression applies to mind as well as body. Nux is especially suited to: ( 1 ) Very particular, zealous persons, inclined to get angry and excited, or of a spiteful, malicious disposition. ( 2 ) Ardent persons; or, disposed to anger, spite, or deception; always irritable or impatient. ( 3 ) Nervous, melancholic people, troubled with indigestion; venous constitution with tendency to hæmorrhoids. ( 4 ) Thin, irritable, choleric persons with dark hair, who make great mental exertion or lead a sedentary life. ( 5 ) Vigorous persons of dry habit, tense fibre, ardent and irascible temperament and tenacious disposition. ( 6 ) Bilious temperament. ( 7 ) Persons addicted to wine, coffee, or pepper and condiments, who live a sedentary life with much mental exertion. ( 8 ) Debauchees, thin, irritable, venous. ( 9 ) Drugged subjects. Throughout all these classes moral, mental, nervous, and muscular tension or spasms may be traced (but ennui , loss of energy may also be indications for Nux : they are alternating states). There are few drugs which produce a greater degree of irritability than Nux , running, as it does, to the verge of homicidal and suicidal impulse. Intestinal spasm is exemplified in the spasms which follow eating unripe fruit and other digestive irregularities; and sometimes they take the form of incipient hernia. Hernia, inguinal and umbilical, has been cured with Nux , and I have seen a case of strangulated hernia resolved by Nux whilst preparations for operation were in progress. — Although there are many pains in connection with the rectum, constipation or spasm is the leading feature: "Constrictive sensation at times as if he would be obliged to go to stool." "After a stool it seemed as if some remained behind and could not be evacuated, with a sensation of constriction in rectum, not in anus." "Discharge of bright blood with the fæces, with sensation of constriction and contraction in rectum during stool." "Stool daily though always with a colicky sensation in abdomen, and with the stool, it always seems as if it was not enough." "Frequent, ineffectual desire for stool; after the usual evacuation." Nux is very far from being a panacea for constipation and hæmorrhoids, but its indications are perfectly clear and when they are present it will not disappoint the prescriber. The diarrhœa of Nux is sudden and drives patient out of bed; or is involuntary; or comes on after a meal. Alternate constipation and diarrhœa. In the dysentery of Nux the straining ceases as soon as the motion passes. This distinguishes Nux from some other remedies. There is tendency to faint after diarrhrœic stools; and also after vomiting. This tendency to fainting is another example of the Nux sensitiveness. It occurs from odours; in a warm room; after eating; after every labour pain. Nux has proved curative in epilepsy when the fit occurred during stool. Nux is hæmorrhagic. There is metrorrhagia (in high livers), and also menorrhagia. Menses too early and profuse, flow dark; faints easily; irregular, cease flowing at night-time. The pains are cramping and cause nausea and fainting; twisting, moving about in abdomen; soreness across pubes; cramps in bladder. During pregnancy: hiccough; morning sickness; varicose veins; hæmorrhoids; false pains. Labour pains are violent and = fainting. Lochia scanty, offensive; nipples sore, white spot in centre; tensive pains when nursing. Desire is excited in both sexes, and here again the sensitiveness of Nux is observed — the slightest provocation suffices to excite the sexual passion. Spasm is the chief note of Nux in the respiratory sphere, where it produces a variety of asthmatic states, a dry, persistent fatiguing cough which = headache as if the skull would split. The general conditions of Nux are the best guides in such cases. But it must not be supposed that Nux cannot cure cases which are not purely spasmodic. I have cured with Nux many cases of bronchitis with copious moist râles and expectoration. In addition to spasms, Nux causes languor; great nervous debility (as from sexual or other excesses); trembling; excitement with trembling; paralysis. Paralysis after apoplexy, parts cold, numb, emaciated. Hemiplegia. Locomotor ataxy has been relieved by it. Nux is a drowsy medicine and it also produces sleeplessness. Wakes 3 a.m. and lies awake for hours, falls asleep when it is time to rise and feels heavy and unrefreshed. It is curative in cases where sleep is unattainable except from a stimulant. The symptoms of Nux are > after undisturbed sleep; < when sleep is disturbed. The third keynote of Nux is Chilliness . Nux is one of Grauvogl's chief hydrogenoids, and, like so many other "bitters," it is a great remedy in intermittents — intermittent fevers, periodic neuralgias. Chilliness: Cannot get warm in bed at night. Coldness of whole body with blue hands; with blue skin. Cold, moist hands with cold tip of nose. Repugnance to cold or cold air; chilly on least movement; from being uncovered; must be covered in every stage of fever, chill, heat, or sweat. In the fever there is great heat, whole body burning hot, face red and hot, yet patient cannot move or uncover without being chilly (H. C. Allen). But Nux may have "Intolerance of covering during sweat with heat." Nux has hunger with aversion to food; loss of appetite; and sudden satiety. A patient to whom I gave Nux 30 said that immediately after each dose she felt as if she had had nothing to eat for a week. Another patient from the same medicine developed: "Hot feeling up in throat. Biliousness. General heat and scarlet redness of face. Headache." The red face of Nux is a characteristic feature. Nash gives a characteristic of the menses of Nux : "Catamenia a few days before the time, and rather too copious, or keeping on several days longer, with complaints at the onset which remain until it is over." Nash remarks that Calc . has the same, but the temperaments differ, and he adds this useful note: He found that patients that required Nux for this condition could hardly ever take Puls . for anything. For instance, if they had a green, bland, thick discharge, and Puls . were given, it would often bring on too early and profuse menstruation. Sep ., on the other hand, would cure the catarrh and not interfere with the menses. Nash deservedly italicises Bœninghausen's keynote: "Feels < in morning, soon after waking; also after mental exertion; after eating and in cold air." Sour breath I have noticed to be a very leading indication for Nux . Hering gives the gastric disorder of Nux thus: "After eating; sour taste, pressure in stomach an hour or two afterwards, with hypochondriacal mood, tightness about waist; must loosen clothing, confused, cannot use mind two or three hours after a meal, epigastrium bloated, with pressure as from a stone in stomach." The pressure two or three hours after eating distinguishes Nux from Nux m . and K. bi ., which have it immediately after. — Nux has many eye-symptoms. Sircar cured cases of night-blindness with Nux 6. He connected the disorder with the liver ( Calcutta J. of Med ., xiv. 454). F. A. Griffith ( H. P ., ix. 211) gives an interesting example of the use of Nux in cases which have been much drugged. Living in a part where there are no other homœopaths he had mostly heavily-drugged patients to deal with. His plan was to give Nux 30 four times daily for four days and then see the patient again and take a new picture. A man, 45, had had sciatica for six months and had taken a great deal of strong medicine internally. After four days of Nux 30 Griffith was surprised to find his patient almost well; the trouble having "got well from above downward"; at last localising in the heel. One dose of Sep . c.m. completed the cure. — O. W. Smith ( H. P ., ix. 210) reports this symptom as having been caused by Nux : "Sensation under middle of sternum like a lump of hot lead as large as two fists." Among the peculiar sensations are: As if something heavy fell into head. As if his head were immensely larger than his body. As if pressing a nail into brain; into vertex. As if brain beaten or cleft with an axe. As if skull pressed asunder. As if hot water in eye. As if eyes would be pressed out. As if he had received a bruise over eye. As if a hot plate of iron were nearly in contact with face. Face feels as if he were sitting before a hot fire. As if a ball or plug in throat. As if skin scratched off throat with a sharp instrument. As if throat too narrow. As if a stone in abdomen. As if abdomen raw and sore. As if bowels, bladder, and rectum were pressed with a sharp instrument. As if hernia would occur. As if everything in region of umbilicus were being shattered and torn. Navel as if drawn in. Chest as if drawn together. As if room had been exhausted of air. As if something torn loose in chest. As if blood would be jerked out of veins. As of a band above knees; round body. Stiffness. Numbness. Burning. Stitches. Symptoms are < in morning; in open air; by motion; by mental exertion. Each of these is a characteristic; a combination of two or three of them may be considered a keynote. < In morning is the greatly predominating feature of Nux . [The best time to give Nux is in the evening at bedtime, that is, well away from the time of its chief aggravations.] Cough and some other symptoms are < in night; < after midnight; < 3 or 4 a.m. During day, drowsiness. Menses return at full moon. Although Nux is sensitive to chill, draught, and air, most symptoms being < by cold, cold water, and by getting wet; still the symptoms generally are < in dry weather, > in wet weather. But wet weather < facial neuralgia; and wet, warm weather = gastric and bilious fever. Warm room and warm covering > headache. But warm room = fainting. Summer heat is insupportable; sunshine < headache. Open air > flatulence and asthma and < all other symptoms. < In wind. Rest > . > Lying down; on side. Motion < . Exertion, physical or mental, < . < From shaking head. Eating < . Milk sours on stomach. When eating: heat in head. < From coffee; cold food; cold water; wine. Alcoholic drinks both < and > . Touch < . Pressure > ; but cannot bear tight clothing. Rubbing > . Riding in carriage = sickness. Coughing < ; shocks are felt in pit of stomach with every cough. < From pollutions. < From stomach derangement. < After stool; before urinating; when yawning; < during and after menses (old symptoms are renewed and new ones occur). < On waking at night. When it "all medicines disagree" Nux will often cure the morbid sensitiveness and other troubles with it. < From music. There is very great > for a short time after a stool.

Continue in Clarke 29 more passages →

Defective memory ; manner shy and awkward.
Becomes dizzy and faint in a crowd, or where many gaslights are burning. θ Agoraphobia.
Slow train of ideas ; chooses expressions which are not suitable.
Cannot read or calculate, for she loses the connection of ideas ; thinks she will lose her reason.
Very easily bewildered ; everything goes wrong.
Ennui ; the time seems intolerably long, passes slowly.
Loss of energy.
Suits very particular, careful, zealous persons, inclined to get angry or excited, or of a spiteful, malicious disposition.
Irritable, morose, sullen ; quarrelsome if disturbed.
Oversensitiveness to impressions upon the senses ; noise, smell, light and music, and the most trifling symptoms are unbearable ; every harmless word offends, every little noise frightens, anxious and beside themselves, cannot bear even the least suitable medicine.
Cannot bear reading of conversation ; irritable and wishes to be alone.
Inclined to find fault and scold ; morose ; stubborn ; an insane desire when alone with her husband, whom she adores, to kill him.
Irritable, angry disposition, anxious concern about little things. θ Chlorosis.
Fiery, excited temperament ; violent ; sensational.
Very much inclined to violently reproach others for their faults.
Ill-humored, resists obstinately the wishes of others.
He quarrels, reproaches, scolds, insults, from jealousy, mingled with unchaste expressions ; soon afterwards howls and weeps aloud.
Is put out of patience when spoken to ; gets angry and violent without any provocation ; headstrong and self-willed. θ Menorrhagia.
Delirium tremens : with oversensitiveness, nervous excitability and malicious vehemence ; indescribable anxiety ; finds no rest in any place ; sees different images ; trembling of limbs ; cannot bring glass to lips without
spilling contents ; terrifying illusions while awake ; terrible dreams causing him to start from sleep in fright ; sleeplessness ; imagines himself surrounded by persons who carry on all sorts of pranks, or ply him with questions which he thinks he is compelled to
answer ; violent, seeks to escape ; answers questions rationally and is conscious of his condition ; on third day of attack fell to floor, stiff, cold and unconscious ; shaking of knees, can hardly keep erect without support ; stuttering, thick speech ; cannot
keep any of his limbs quiet ; frequently answers questions incorrectly ; appears to be haunted by a great fear.
Desire to talk about one's condition, with anxious reflections about it.
Anxiety with irritability and inclination to commit suicide, but is afraid to die.
Despondent and buoyant alternately.
Great anxiety of mind without particular cause ; thinks she will not be able to get along in life ; caducity ; chilliness ; sleeplessness ; stool infrequent, hard, although appetite is good ; frequent and quick urination,
at times involuntary.
Gets frightened easily and is almost beside herself from least thing that may happen ; shuns the fresh air. θ Menorrhagia.
Hypochondriasis : with studious men sitting too much at home, with abdominal complaints and costiveness ; after all kinds of quack medicines, for dyspepsia ; irritable temper ; arising from liver or gastric troubles, especially in
drunkards ; < after eating, with sensitiveness.
Melancholic in consequence of losing his position, morose, capricious, irritable, hasty ; the least contradiction puts him out entirely ; remains for hours without wishing to take part in conversation.
Melancholia after extraction of carious tooth ; speaks of nothing but his tooth ; retires to his room and unlocks door only after much entreaty ; on entrance of physician withdraws timidly to farthest corner of room, with his eyes cast down ; of many questions answers
but few and speaks of nothing but his tooth ; intolerance to slightest noise and great aversion to labor ; sits idly about whole day, crying, and complaining of his anxiety.
Disinclination to work and great lassitude or weakness in morning.
He has no patience for work.
Ailments after continued mental exertion ; indisposition to it, particularly to that form which involves elaboration and connection of subjective ideas independently of external objects.
Easily errs in speaking and writing ; manual clumsiness.
After anger : chilliness alternating with heat ; vomiting of bile and thirst ; great laziness and aversion to occupy oneself.
Mental disturbance, patient tortured with a fixed idea.
Lies awake in bed in a stupid state, sometimes with a friendly expression, sometimes staring right before him ; cannot speak a word, yawns, groans and sighs occasionally ; often puts hand to forehead and frowns. θ Effects
of wounded honor.
From disappointed ambition, bewildered, talks incoherently ; does everything he attempts to do wrong ; heaviness of head, pain in stomach and small of back ; feels weak, cannot sit up ; face now pale, with sharp, pointed nose, then red, with irritated pulse.
Is sullen and obstinate ; would not eat nor speak ; eyes large, congested ; urine high colored, with mealy sediment. θ Mania.
For hours together sits still and absorbed (generally in forenoon), betraying great moral and physical languor, looking before him with disturbed mien, and dull, sunken eyes, as if he felt no interest in anything, and answering questions, if at all, incoherently ; sometimes falling
into a restless slumber for ten or fifteen minutes, out of which he returns to full consciousness with difficulty and gradually ; in afternoon and especially in evening is much excited, becomes talkative and even chatty, but jumps from subject to subject ; eyes then have a peculiar
brilliancy, face wears an expression of deep earnest ; launches into high-flying, fantastic plans, fancies himself rich and wants to make presents of thousands, and makes large useless purchases ; does not consider himself ill ; has not slept for nearly a fortnight, brooding
all night long over a lawsuit, by which he may gain or lose a million ; head hot, skin dry, complexion yellowish, pupils contracted, tongue coated, pulse hard and small, slightly accelerated ; constipation ; replies reluctantly and slowly to physician's questions, and takes it
in bad part if not allowed to read indictment for said lawsuit, a confused, irrational piece of work, on which he has been working all night. θ Insanity.
Three months ago mental shock, since then fears to be alone, and menses, formerly regular, have not appeared ; in morning as if stupefied ; starting in sleep, nocturnal sweats ; pain in pit of stomach when touched or pressed ; frequent risings in throat and feeling as
if she would choke ; roaring in ears ; shooting headache from crown to poll, with rigor ; inclination to sleep ; fear of knives and the like, lest she should kill herself or others ; attacks commence with palpitation, the fever rises to brain and she is a prey to
anxiety ; thoughts distracted ; heat breaks out and yawning closes attack.
Mania puerperalis from excitement, sleeplessness and prostration ; had menorrhagia, and for the subsequent weakness drank much whisky and strong coffee ; cachectic appearance ; large, dim, languid eyes ; lies in bed half uncovered,
sits up and then lies down again ; constantly complaining, criticizing or explaining, at times words are well chosen, at others uses high-sounding phrases ; as soon as she recognized physician she spoke of the imperfection of medical knowledge and declared it an error that one
could not live without a heart, inasmuch as she felt very well without one, it having come away with the afterbirth to which it had grown fast, the nurse having separated the two before her eyes ; complains of her husband, says he wishes to convince her she is sick, although she is able
to dance and sing ; makes grotesque motions and wild leaps, but soon sinks down breathless ; nymphomania ; often enraged ; frequently sips at a bowl of warm sugar-water, declaring it will form her a new heart ; bloating of abdomen ; epigastric, hepatic and
uterine regions sensitive to pressure ; stool absent five to six days ; very frequent and profuse discharge of pale, watery urine ; white mucous discharge from vagina.
Dementia paralytica.

Continue in Hering 46 more passages →

Everywhere in this remedy we observe the striking oversensitiveness of the patient; it is brought out in all the symptoms.

Irritable; oversensitive to noise, to light, to the least current of air, to his surroundings; extremely touchy in regard to his food; many kinds of food disturb, strong foods disturb; he is aggravated by meat; craves stimulants, pungent, bitter, succulent things, something to brace him up.

Oversensitive to medicines. One reason why there are so many Nux patients is because people have been overdrugged by the old school. When a patient comes from the old school and had prescribing, having had stimulants and tonics to brace him up, wine and stimulants of all sorts, it is sometimes impossible to get reliable symptoms, to get the patient settled down, until we give Nux as an antidote.

It is useful in those overdrugged by tea, coffee, wine. Old coffee drinkers become sensitive, oversensitive to noise, their symptoms are flitting; they do not give their symptoms well. Such patients will do well for a few days on Nux; some of their symptoms will drop out and they will settle down.

The mental state is varied, but they all show oversensitiveness irritable, touchy, sensitive conditions.

They are never contented, never satisfied; disturbed by their surroundings, and the become irritable, so that they want to tear things, to scold. Impulses are strongly marked at times. The woman has impulses to destroy her husband or to throw her child into the fire; the impulse is intermingled with violent temper, cannot be contradicted or opposed; if a chair is in the way he kicks it over; if, while undressing, a part of his clothing should catch on a button he would pull it off because he is so mad at it. (Like Nit. ac.).

An uncontrollable state of irritability; it is a weakness and is accompanied by physical weakness; a lack of balance. For example, a business man has been at his desk until he is tired out, he receives many letters, he has a great many irons in the fire; he is troubled with a thousand little things; his mind is constantly hurried from one thing to another until be is tortured. It is not so much the heavy affairs but the little things. He is compelled to stimulate his memory to attend to all the details; he goes home and thinks about it; be lies awake, at night; his mind is confused with the whirl of business and the affairs of the day crowd upon him; finally brain fag comes on.

When the details come to him be gets angry and wants to get away, tears things up, scolds, goes home and takes it out of his family and children. Sleeps by fits and starts; wakens at 3 A.M., and his business affairs crowd on him so that he cannot sleep again until late in the morning when he falls into a fatiguing sleep and wakens up tired and exhausted. He wants to sleep late in the morning.

Melancholy, sadness, but all the time he feels as if he could fly to pieces, jerks things about, tears things up; wants to force things his own way. Driven by impulses to commit acts that verge upon insanity - the destruction of others. Natr. sul. has a strong impulse to destroy himself. Arg. nitr ., also, particularly by jumping from a height, but he avoids placing himself in such a position.

Continue in Kent 58 more passages →

Adapted to thin, irritable, choleric persons, with dark hair and bilious or sanguine temperament, disposed to be quarrelsome, malicious; spiteful, melancholic.

Debauchers of a thin, irritable, nervous disposition (debauchers with light hair, blue eyes, Lob.); prone to indigestion and hemorrhoids.

"Nux vomica is chiefly successful with persons of an ardent character; of an irritable, impatient temperament, disposed to anger, spite, or deception."—HAHNEMANN.

Anxiety with irritability and inclination to commit suicide, but is afraid to die.

Oversensitive: to external impressions; noise; odors; light or music; trifling ailments are unbearable (Cham.); every harmless word offends (Ign.).

Persons who are very particular, careful, zealous, inclined to become easily excited or angry; irascible and tenacious.

Bad effects: of coffee, tobacco, alcoholic stimulants; highly seasoned food; over-eating; long continued over-mental exertion (Arg. n.); sedentary habits; loss of sleep; aromatic or patent medicines; sitting on cold stones.

One of the best remedies with which to commence the treatment of cases that have been drugged by mixtures, bitters, vegetable pills, nostrums and quack remedies, espe- cially aromatic or "hot medicines," but only if symptoms are similar.

Pains are tingling, sticking, hard, aching, worse from motion and contact.

Cannot keep from falling asleep in the evening, while sitting, hours before bedtime, and wakes at 3 or 4 A. M.; falls into a dreamy sleep at daybreak, from which he is hard to arouse, and then feels tired and weak (with many complaints).

Eructations: sour, bitter; nausea and vomiting every morning, with depression of spirits; after eating.

Nausea: constant; after eating; in morning; from smoking. "If I could only vomit I would be so much better."

Stomach: pressure an hour or two after eating as from a stone (immediately after, Kali bi., Nux m.); pyrosis, tightness, must loosen clothing; cannot use the mind for two or three hours after a meal; sleepy after dinner; from anxiety, worry, brandy, coffee, drugs, night watching, high living, etc.

Convulsions, with consciousness (Strych); < anger, emotion, touch, moving.

Constipation: frequent unsuccessful desire, passing small quantities of feces, sensation as if not finished (no desire, Bry., Op., Sul.).

Alternate constipation and diarrhœa (Sul., Ver.) in persons who have taken purgatives all their lives.

Menses: too early, profuse, last too long; or keeping on several days longer, with complaints at onset and remaining after; every two weeks; irregular, never at right time; stopping and starting again (San., Sul.); during and after < of old symptoms.

Labor pains violent, spasmodic; cause urging to stool or to urinate; < in back; prefers a warm room.

Strangulated hernia, especially umbilical.

Backache, must sit up to turn over in bed; lumbago; from sexual weakness, from masturbation.

Complementary: Sulphur in nearly all cases.

Is often indicated after Ipecacuanha, which it follows well.

Nux should be given on retiring or, what is better, several hours before going to bed; it acts best during repose of mind and body.

Morning; mental exertion; after eating or over-eating; spices; narcotics; contact, noise, anger; dry weather.

Evening; rest; lying down, and in damp, wet weather (Caust.).

Fevers of every type. Simple; quotidian; tertian; quartan; but like Natr. mur. it is more frequently called for in the morning paroxysm and in the tertian type than perhaps in any other. Every Spring (Lac c., Sul.). Anticipating; congestive; monthly; after the menses; apoplectic intermittents; malarial; continued; remittent; pernicious.

Irregular in paroxysm; may come on at any hour of the day, and return at the same hour, or earlier, or later.

Irregular in stage; may consist of heat, then chill, then sweat; or sweat, then chill, then sweat again; or external heat and internal chill or vice versa.

Anticipating, every other day. Every day paroxysm, regular.

Anticipating. Paroxysm and stages usually irregular.

Night or early morning, 6 to 7 A. M., 11 A. M., 12 M., 4, 5, 6 P. M.; 7 to 9 P. M. Evening paroxysm usually lasts all night (Lyc., Polyp., Puls., Rhus).

Fever without chill, at 6 or 7 P. M.

5 to 8 A. M., 10 to 11 A. M., and 4 to 7 P. M.

Fever, without chill, 10 or 11 A. M.

6 to 7 A. M., 11 A. M., or 12

M.; and 5 to 9 P. M., lasting all night.

Fever, without chill, 6 or 7 P. M.

Typical cases are apt to occur in men of active, "rushing," business habits; nervous, dyspeptic from worry, care, too much mental and too little physical exertion. Irregular, unseasonable, rapid eating; too much coffee, tobacco, stimulants; late suppers, late hours of debauches.

Intolerable drawing pain through the thighs and legs, that obliged him to draw them up and stretch them out. Prostration. Sensation of paralytic weakness; especially in the limbs. Often heat, and sometimes sweat before the chill.

Dreads the chill.

Languor, headache, thirst, nausea and vomiting.

Drawing pain in limbs; weak and paralyzed. Heat and sweat sometimes before the chill.

Chill —Without thirst, shaking, with blue face and hands; pain and numbness of limbs, as if gone to sleep; relieved neither by warmth of stove nor covering in bed.

Without thirst. Chilliness every morning after rising. Violent, shaking chill, lasting three-quarters of an hour, with bluish cold face and hands, followed by violent heat and moist skin.

Anticipating morning fever; chill with gaping, and aching in the limbs (sore, bruised pain in limbs, as if in periosteum, Arn.); blue nails; no thirst; then long-lasting heat with thirst (Nat.), and stitches in the temples; sensation of chilliness on the back and limbs, followed by light sweat in the morning with painfulness of the skin, as if it had been frozen, and numbness of limbs, as if gone to sleep, as they do in cold weather.

Afternoon paroxysm: Chilliness and coldness with blue nails, for four hours, followed by general heat and burning of the hands, with thirst at first for water, afterwards for beer, without subsequent sweat. Shivering and chilliness after drinking (chill after every drink, Caps., Eup.). Drinking increases and hastens chill, and causes vomiting (Ars., Eup.—drinking relieves the chill, Caust.). Coldness of the whole body, with blue hands and blueness of the skin. Great coldness, relieved neither by warmth of the stove, nor by covering in bed (worse from uncovering, Phos.—worse in a warm room or near the stove, Apis—chill increased by external heat, Ipec.). Shivering and chilliness for an hour from the slightest contact with the open air (excessively sensitive to cold air, Camph.—coldness and chills as soon as she attempted to rise or put one limb out of bed, Canth.). Violent chill, and sleep for an hour in the evening after lying down, followed by heat, with headache and roaring in the ears. Chill evening and night in bed, lasting till morning, worse when moving. Pain in sacrum during chill (pain in dorsal vertebræ, Chin. s.). Congestive chill, with vertigo, headache, anguish, delirium, terrible coldness of body, with blue face, nails and hands, accompanied by vivid visions, distention of the stomach, stitches in the sides and abdomen; worse from the slightest attempt to uncover or move in bed. Sleep after chill (Nux m., Pod.—sleep during heat, Apis.).

With thirst, drinking often and much at a time, with blue lips and nails, and bursting headache; tearing in bones and chattering of teeth.

With thirst. Violent, long-lasting heat, with great thirst. Flushing redness and heat of the cheeks on the slightest motion or exertion (heat relieved by moving about, Caps.); worse in the open air; averse to uncovering when in bed, day or night; desire to uncover, but chilled when uncovering (Acon.—averse to uncovering, Bell.—cold and chilly on putting hands out from under bedclothes, Bar. c.—cannot move or uncover in the least without feeling chilly, Arn.); heat of hands and feet, which must be covered because cold causes intolerable pain (Stram.). Great heat; whole body burning hot, yet patient must be covered up (must be uncovered, Sec.). Heat and redness of face, cheeks, hands, with stitching headache, especially in the sinciput; anguish, vertigo, and delirium, with redness of the face (Bell.); roaring in the ears; pain in chest, sides, abdomen; feet cold and shivering.

"During the fever a round spot at the pit of the stomach of two inches in diameter, feels hot to the patient, but is cold to the touch. Cured by Nux vom."—C. LIPPE.

With thirst; increased headache, unconsciousness and ex- cessive weakness.

Sweat—With thirst, gradually relieving all pains except headache, which is not so severe. Profuse sweat breaks out easily on motion.

Sour-smelling.

With great thirst, violent and long-lasting. Cannot move or uncover in the least without feeling chilly.

Without thirst (with great thirst, Ars., Cinch.). Usually, sweating stage light, with chilliness from motion or allowing the air to strike him. Sweat relieves pains in limbs (Eup., Lyc., Nat.). Sweat alternating with chill (Ant. c.—chill alternating with sweat, always either chilly or in a sweat, Caust.). Sweat one-sided (right), or only on upper part of the body (Acon., Cinch., Nit. ac., Puls.—sweat on trunk, but not on legs, Lyc.); cold on face; sour, clammy, offensive.

Profuse perspiration, after the severest paroxysms, or attending the congestive chill (reverse of Eup., which has light chill and profuse sweat; or hard, shaking chill and light, scanty sweat); only on right side.

Without thirst; with chilliness from motion or allowing the air to touch him. Sweat on one side (right) or upper part of body.

Relieves pains in limbs.

Heavily coated, white or yellow. Taste so bitter, sour, putrid; must rinse the mouth (Thuja). Canine hunger; with aversion to bread, water, coffee, tobacco. Longing for brandy, beer, fat food (see Puls.).

Mapped tongue, like herpes, on the side; yellow coat; salt taste.

Nux vomica.

Heavily coated white or yellow; putrid taste; must rinse the mouth.

"Children's intermittents; shaking chill, with blue-mottled skin, especially on covered parts. Morning chill, very severe, with skin blue-mottled; thirst very great during chill and fever; great tendency to spasms (and even convulsions), as the chill went off and sweat came on. Bowels constipated, with ineffectual urging to stool, especially in nursing children; appetite poor, urine red and fetid, and generally a dry, hacking cough (Crotalus, if right side was most mottled)."—DR. HIGGINS, N. A. J., p. 182.

The anticipating chill always denotes increasing severity of the fever, and the remedies which correspond to it are among the most prominent and frequently called for, viz., Arsenic, Bryonia, Cinchona, Chininum s., Natrum mur., and Nux vomica. Ipecacuanha may anticipate. Ignatia anticipates and postpones.

By many professing homeopaths Nux vomica is used in alternation with Ipecacuanha, and they boast of their successs in the treatment of ague. However successful such treatment may be, it is routine practice, and, like the empiricism which leads the other school to the indiscriminate use of Quinine, must often fail. Nux vomica deserves, and will repay, a careful indvidualization.

Full, hard, quick; small, quick during fever heat; fourth or fifth beat intermitting.

Gastric and bilious symptoms are always present.

Legs feel weak and paralytic; head heavy, dull, with vertigo and severe frontal headache, especially in morning; pains are pressive, pulsating, sticking, worse in temples and sinciput; face pale and waxy, as in chlorosis; debility; soreness of liver and spleen, which are sensitive to least pressure; loss of appetite and obstinate constipation, with frequent but ineffectual inclination (rarely canine hunger and diarrhœa); great sensitivenes in and distension of the epigastrium. Vomiting of food or bitter fluids and sour mucus; emaciation; anxiety; and great weakness of the whole body. Chilly on the least movement, repugnance to cold, or cold air. Nightly paroxysm of dry cough. Many of the symptoms, after continuing with greater or less intensity, gradually pass into the succeeding prodrome.

Natrum mur.

Defective memory; manner shy and awkward.
Can't read or calculate, for she looses the connection of ideas; thinks she will lose her reason.
Time passes too slowly.
Delirium tremens, with oversensitiveness, nervous excitability and malicious vehemence.
Desire to talk about one's condition, with anxious reflections about it.
Inclined to find fault and scold; morose; stubborn; an insane desire when alone with her husband, whom she adores, to kill him.
Disinclination to work and great lassitude or weakness in the morning.
Cannot bear reading or conversation; irritable and wishes to be alone.
Anxiety, with irritability and inclination to commit suicide, but is afraid to die.
Despondent and buoyant alternately.
Hypochondriac mood of persons of sedentary habits, and of those who dissipate at night, with abdominal suffering and constipation; also when worse after eating, with sensitiveness.
Loss of energy.
Careful, zealous persons, inclined to get excited and angry, or of a spiteful, malicious disposition.
Irritable, morose, sullen; apt to become quarrelsome if disturbed.
Anger with habitual malicious, spiteful disposition.
Fiery, excited temperament.
Oversensitiveness to external impressions; noise; smells; light and music; or the most trifling ailments are unbearable and affect him much.
Oversensitiveness, every harmless word offends, every little noise frightens, anxious and beside themselves, cannot bear the least, even suitable medicine.
Ailments after continued mental labor.
Worse after mental exertion.
After anger, chilliness alternating with heat, vomiting of bile, and thirst; great laziness and aversion to occupy oneself.

Stupefaction, confusion as from nightly reveling.
Vertigo: with loss of consciousness; falls forward; when stooping; as if the bed was turning in a circle; reeling in morning and after dinner; with pains in forehead, heat and redness of face.
Intoxication from drunkenness of previous day, with vanishing of sight and hearing; worse after dinner and in the sun.
Apoplexy, with stertorous breathing; dropping of the jaw, paralysis; attack preceded by vertigo, buzzing in ears, nausea and urging to vomit.

Congestion to the head with burning in it, and with heat and redness of the bloated face.
Burning in the forehead on awaking and after eating.
Stunning headache in morning after eating and in sunshine.
Bruised sensation of the brain, generally one (right) sided; better when lying on the painless side.
Pressive, boring pains in head, beginning in morning, less by evening; with dim sight, sour vomiting and palpitation; worse from mental exertion, light, noise, coffee, after eating.
Periodical headache in the forehead, sore as from ulceration, with constipation.
Semilateral headache from excessive use of coffee.
Pressing on vertex, as from a nail; as if the skull were pressed asunder.
Pressing as if something heavy were sinking down into head.
Tension in the forehead, as if it were pressed in, at night and in the morning, worse on exposing the head to the cold air.
Intense occipital headache; dizziness; pains in the eyes; stomach deranged.
Sensation as from bruise in the back part of the head.
The brain seems to shake when walking or running in open air; better when wrapping head up, in warm room, and when at rest.
Head symptoms are worse from mental exertion, exercising open air and after eating; better after rising in morning (except sick headache) in warm room; lying down or sitting quietly.

Continue in Hering 43 more passages →

A tincture of the seeds of Strychnos Nux vomica, L., is used.

Its most pronounced characteristic is spasm of all muscle fibre, both voluntary and involuntary, characterized by extreme hyperæsthesia of the general nervous system; these spasms are tetanic and seem to arise from the action of the poison on the motor tract of the spinal cord; consciousness is rarely affected. ▶ Careful experiments have developed very prominent effects on the gastro-intestinal canal as well as on the vaso-motor nerves; well marked gastro-intestinal catarrh accompanies an irregular action of the peristaltic muscles of the stomach and bowels; well defined paroxysms of chill, fever and sweat are associated with the disturbances of the circulation. ▶ Very few tissue changes have been observed (mostly resulting from malnutrition).

Ign., Sulph., Puls., Lyc., Sec. c., Cic. v., Coccul, Cedr., Coff.

▶ Emaciation. ▶ Loud involuntary cries. ▶ Knits his brows and folds his arms. ▶ Lying on her back. ▶ Extended rigidly along the floor. ▶ Stretching in morning in bed, seeming to start from abdomen, arms stretched upward. ▶ Awkward. ▶ Trembling; as from an electric shock, constant necessity to rise and walk about; tremulous sensation in morning.

Twitchings. ▶ Convulsions; on slightest tough (Compare Stram.); agg. limbs, with pain in all parts affected; with red face and closed eyes; with rigid muscles, jaws clenched, restless, and short cries; woke in C., uttering loud cries, on cessation of the spasm faintness, on coming to himself the first drop of water on his tongue caused spasm, with shrieks and opisthotonos, spasms agg. forcible extension of body, in intervals constant twitches of limbs, like electric shocks, on rising from a chair vertigo, then spasms of limbs, amel. rest, renewed by movement, speech hurried, when talking C. of facial muscles, trismus, pale face, weak pulse, seat on head; whole body straight and stiff, legs wide apart, pulse and respiration imperceptible, face and hands livid, face and lips agitated, moaning, chattering, afterwards asphyxia; head drawn back, teeth clenched, heels fixed to the ground, eyes protruding, unable to move, but crying "Hold me."

Tetanic spasms, agg. wiping sweat from face; T. spasm when arm was touched to feel the pulse, eyes wide open, protruding, rigid, jaws clenched, lips wide open, face distorted, limbs rigidly outstretched, spine bent backward, jerks along lower part of spine, which raised the body, breathing intermittent, face blue, during a pause the child breathed with exertion and in a catching manner and desired coffee, spasms returned if lips touched the cup, if any one touched his person, at noise and without apparent cause, after the spasms eyes were usually closed, face and forehead covered with sweat, lips blue, groans, pulse 102, spasmodic and irregular, afterwards irregular and soft. ▶ Tetanic spasms, head drawn backward, arms extended, fingers flexed to palms, jaws contracted, face livid, eyes open, fixed, protruding, trunk stiff, legs extended, feet turned outward, toes flexed to sole, skin dry and warm, breathing loud, perfect sensibility between the spasms, at last the slightest movement or an attempt to speak or drink caused the paroxysms, she begged to be left on account of the pains during the paroxysms.

Continue in Allen 129 more passages →

Muscular spasms, with general hyperæsthesia, without impairment of consciousness.
Irregular peristalsis of stomach and bowels, followed by or associated with gastro-intestinal catarrh.
Clearly defined paroxysms of chill, fever and sweat.

Twitchings or convulsions, < the slightest touch and noise.
Spasms, with tetanic rigidity of muscles.
Opisthotonos.
Contractive pains throughout the whole body.
A general bruised feeling in the morning in bed.
Extremely impressionable; takes cold from the slightest draft.
General inclination to sit or lie, with dread of movement and of the open air.
Alternating sensations of heaviness and lightness of the body.
A "general lean and hungry look".
Effects of the continued use of stimulants, of loss of sleep, and of sedentary habits.
General aggravation from exerting the mind, from motion and slight touch, though hard pressure sometimes affords relief.
Symptoms < morning on waking, and after eating.
Symptoms which occur in the open air and on moving about, are > in the house and during rest and vice versa.

Very irritable and ill humored; quarrelsome, even to violence.
Hypochondriac mood, especially after eating.
Very sensitive to all kinds of impressions; all the senses intolerant; intolerant of noise, talking, music and singing.
Cannot endure the slightest contradiction.
Dread of mental work, especially in the morning.
Unable to think connectedly.
Easily makes mistakes.
Time seems very long.

Confused pain in the morning in bed, on waking.
Head feels heavy and dizzy in the morning.
Heaviness and pressure, as if he had not slept, upon rising, < moving the eyes, getting better in the evening.
General heat in the head.
Brain feels bruised.
Headache, associated with nausea and vomiting.
One-sided headache; < coughing.
Headache generally > walking in the open air.
Head externally sensitive to slight touch.
Vertigo, as if intoxicated, on rising up, or after eating and coffee.

Inflammation, with photophobia, itching and biting; lachrymation.
A smarting dryness in the inner corner of the eye in the morning early.
Margins of the lids sore as if rubbed.
Photophobia in the morning.
The lower portion of the eyeball is yellow.
Vision obscured and even lost (especially from alcohol or tobacco).

Shooting, tearing pains.
Pain on swallowing, as from outward pressure.
An irritation in the Eustachian tube compels frequent swallowing, and disturbs rest at night.

Coryza, with sneezing in the morning; with scraping in the throat, headache, heat of the face, chilliness.
Coryza; fluent in the morning and during the day, but stopped at night.
The nostrils internally are sensitive and inflamed.
The nostrils internally seems dry, with occasional watery discharge; < dry, cold weather, though < in the house, and > open air.
The margins of the nostrils sore, as if ulcerated.

Color often pale, yellowish, especially around the nose, eyes and mouth.
Tearing pains in the cheek bones.
Painful peeling of the lips.
Tetanic contraction of the muscles of the jaws, like lockjaw.

Toothache like a soreness or burrowing, < mental exertion.
Tearing in the teeth and jaws, extending into the bones of the face, < cold drink and > warmth.
Gums swollen, white or bleeding.
Tongue coated white.
Painful blisters on the tongue.
Articulation and speech difficult, tongue seems heavy when talking.
Taste bad in the morning.
Sour taste, < after eating and drinking.
Bread has a bitter taste.
Dryness of the mouth, though sometimes an increase of saliva in the fauces.
Very offensive odor to the breath in the morning.

Throat feels rough and scraped, especially on inhaling cold air.
A feeling of a plug in the throat on swallowing.
Stitches extend into the ear when swallowing.
Pain extends from pharynx to pit of stomach.
Pharynx feels constricted; swallowing impeded.

Unnatural hunger at times, but with aversion to food, especially to bread, coffee and tobacco.
Thirst in the morning; also with aversion to water and beer; a desire for brandy.
Nausea and distress in the stomach from bread and acid food, though fat food is well tolerated.
A general aggravation from cold, but relief from warm food.
Sour eructations.
Uprisings of water.
Rancid heartburn, especially after acid and fat food.
Violent hiccough.
Nausea in the morning or after eating, and from smoking.
Retching and vomiting from clearing the throat.
Vomiting of sour mucus.
Vomiting of food, of blood, of bile.
Scraped, raw feeling in the pit of the stomach.
A feeling of a stone in the pit of the stomach, < walking.
Stomach feels overloaded after eating, with distention of abdomen and dyspnœa.
Cramp in the stomach in the morning and after eating, extending to the back, between the shoulders.
Burning in the stomach.
General intolerance of all drinks; of brandy and coffee.

Clinical:
In general, indigestion, with extreme distress, as if the stomach were knotted up, with bitter and sour eructations, bad taste.
Persistent nausea and vomiting; vomiting spasmodic, with great distress, aggravated by eating.
Irritable stomach, with violent pains, aggravated by eating.
Indigestion, with pains around the sides of the chest and in the back.
Inflammation and irritability of the stomach, caused by drinks, alcoholic stimulants or coffee.
General intolerance of pressure over the stomach, though the pain is sometimes aggravated by hard pressure and vomiting.

A feeling of stricture around the hypochondria.
Region of the liver sore, sticking pains < pressure and motion.
Numerous flatulent symptoms, < eating and drinking.
Pain as before diarrhœa after taking cold; the bowels feel sore on every step.
A weight as if everything would fall down, must walk carefully.
Dragging downward from the sides to the hypogastric region or uterine organs in women.
Pain in the inguinal rings, as if hernia would protrude or become incarcerated.

Clinical:
Numerous indications for enlarged liver, with great soreness.
General uneasy feeling in the bowels, with desire for stool.
Jaundice resulting from anger or from the habitual use of alcoholic drinks.
General relaxation of the abdominal muscles, which favors the development of hernia, especially with constipation.

An ineffectual urging to stool, often with constriction, with sensation as if the stool were incomplete.
Sharp pains in the rectum after stool and after eating or from exerting the mind.
Hæmorrhoids, with burning and cutting soreness.
Stools sometimes loose, dark-colored, especially in the morning and after eating.
In general, constipation, with uneasiness in the intestines as from irregular constriction.
Stool often mixed with mucus and blood.
Constipation and diarrhœa alternate.
(The diarrhœa then consists of frequent small stools, with backache and a feeling as if more were to be evacuated.)

Ineffectual urging to urinate.
Retention of urine.
Burning in the neck of the bladder during micturition, with tearing pains.
Burning and itching in the urethra when urinating.
Urine usually turbid, with a yellowish sediment or bloody.

Unnatural sexual appetite, especially in the morning in bed.
Nocturnal emissions, with lascivious dreams.
Menstruation too early, profuse, of dark or black blood, with great pain, constant desire to evacuate the bowels and bladder, irritable disposition, pain in the sacrum as if it would break.
All the symptoms are < immediately after menstruation, or new symptoms appear.

The larynx feels rough and scraped, which provokes cough.
Cough caused by adherent mucus in the trachea, < morning on rising.
A feeling of constriction in the air passages, with mucus which must be forcibly expectorated.
Itching and scraping under the middle of the sternum, provoking cough.
Cough dry after midnight; violent in the morning before rising, even with expectoration of blood.
Cough after motion or mental effort.
Cough, with spitting headache and bruised feeling in the abdominal muscles.
Cough dry evening and night, expectoration during the day.
Cough > warm drinks.
Hoarseness, with scratching in the throat and larynx.
Dyspnœa in the morning and evening, or at night when waking from frightful dreams.
Scraping in the chest causes cough.
Asthmatic constriction across the chest, < walking, or singing.
A feeling of rawness extends from sternum to each side of the chest on coughing and breathing.
Pain as from a weight on the chest.

Heart's action irregular, rapid.
Palpitation, from mental emotions or study; or after stimulants; after eating.
Pulse rapid and irregular, at times intermitting.

Paroxysms of tearing pain in the nape of the neck.
Drawing in the muscles of the nape.
Bruised and tearing pains in the back, < morning, extending down to the hips.
The lumbar region feels bruised and lame, < bending forward; sometimes < night in bed.
Drawing pains extend from the small of the back into the shoulders.

Spasmodic drawing or bruised pain in the joints, < when lying, > rising, < morning.
Tremblings.
Jerkings.
A paralytic heaviness in the shoulders.
The hands seem to fall asleep.
Lower extremities unsteady.
Stiffness under the knees as if the tendons were too short, on rising from a seat.
Tensive pains in the calves.
The gait is tottering and unsteady, the knees "knock under".
The feet feel asleep and dead.
(The feet are shuffled along when walking, and not lifted.)

Painful swellings of pimples, here and there, especially on the chin and face.
Acne of the face.

Very sleepy in the evening, but sleepless after midnight, then falls asleep late in the morning; is unrefreshed on waking.
Tendency to lie on the back, with the arms under the head.
Sleepiness only after daybreak, finally waking stupid and dull.
The morning sleep always aggravates the symptoms.

Chill, with backache on the slightest motion, with blue nails; begins as early as 3 A. M.; heat, with thirst (usually).
Heat even before the chill and during it.
Sweat rather light, but giving relief to the pains.

Clinical:
Intermittent fever, anticipating paroxysms, morning chill, with blue nails, yawning, backache, even mixed with fever; must be covered up during the fever; perspiration light.

Nux v. / (1st N.) / The Quaker.

Nux vomica,- Those ills are thine
That show affection of the spine-
Paralysis, neuralgia, cramp,
And ailments of spasmodic stamp.
While Numbness over all prevails,
With blueness of the skin and nails.
Aboard thy gastro-entrail train,
Are colic, nausea, gastric pain,
And sour belching, stowed among
Foul morning taste, and blistered tongue,
And dryness of the mucous aisles,
And constipated bowels, and piles.
With flowing nose, and ringing ears,
A burning in the eyes appears,
And also dimness of the sight,
With over-sensitiveness to light.
Whilst these thy ills- Thy wife complains
Of falling womb, and lumbar pains,
And menses paying of their dues
Both in advance, and too profuse.
And during labor, pains so spent
They fail the after-birth to vent.
Thy mind is irritable- sad,
From slight annoyance getting mad.
And after going on a "spree",
Delirium tremens haunteth thee.
With all thy ills, the constant warning,
Is aggravation in the morning.
And after meal, the liquor drinking,
And mental labor, study, thinking,
And in the heat of summer- sinking.

The Quaker,-Has numbness in parts affected.

The Quaker, John J. Plat, seeks the yellow squaw at Kalmi Zoo Inn.

This Quaker,-Who is subject to Constipation,- Is with Collin Plum, a the cot of Owen Opi, in his absence in Glasco.

Numbness in Parts Affected: Nux. v., Hyper., Aco., Plat., Sec., Gel., Cimi., Kalm., ZN., Nux m.

Constipation: Nux v., Collin., PB., Calc. c., Thuj., Alu., Nat. m., Op., Bry., Sil., Graph., Lyc., Sul., etc.

Indicated in persons of nervous, irritable habit; thin, spare, preferably of sedentary life and subject to much mental strain; given to the use of stimulants; inclined to constipation and ready recourse to tonics, cathartics and patent medicines.

Irritable, sullen, fault-finding.

Sleepiness in the early evening; cannot keep awake.

Awakes at 3 a. m.; lies awake thinking of all sorts of things; after an hour, or two, drops to sleep again; in the morning he gets up feeling wretched and used up.

Dull, heavy headache, frontal, over the eyes in the occiput; with dizziness, soreness of the scalp, and feeling as though pressure against something would relieve.

Head feels distended and sore within; after a debauch.

Coryza; one nostril discharges, the other is stopped up; sometimes alternating; nose running during the day, stopped up at night; acrid discharge.

Tight, dry, hacking cough, at times with bloody expectoration.

Chilliness and shivering, with blueness of the nails; on being uncovered, yet he does not allow himself to be covered.

Dry heat of the body.

Lameness and bruised soreness in the small of the back; worse from lying down.

Backache, rheumatic, severe; when in bed, cannot turn without first getting into a sitting position.

Indigestion; sour stomach; weight and pain in stomach; sour and bitter eructations.

Ravenous hunger prior to an attack of indigestion.

Difficult belching of gas from the stomach.

Wants to vomit, but finds it difficult, even impossible.

Oppressed breathing, as from tightness around hypochondria.

Constipation from inefficient, spasmodic peristalsis.

Frequent and unsatisfactory attempts at stool; "cannot get done."

Constant uneasiness in the rectum.

Itching, blind haemorrhoids, painful, with ineffectual urging. Alternate diarrhoea and constipation.

Menses irregular, dark, and labor-like pain and feeling as though the bowels wanted to move.

Heavy chill, with blue finger-nails.

Chilliness from slightest motion or uncovering.

Sour sweating on one side of the body.

Worse usually on right side; in chest on left; in the morning; from mental effort; from uncovering the body; in the open air; form excitement.

Better from a nap; if allowed to finish it; from being dressed warmly; from lying still; from getting warm; in bed.

Hypochondriasis of students leading a sedentary life, and night revellers, with abdominal complaints and constipation. Anger, followed by alternate chill and heat, with thirst and bilious vomiting. Great anxiety and restlessness in evening. Immoderately anxious scrupulosity. Zealous, fiery temperament. Quarrelsome. Malicious, spiteful disposition. Inclination to reproach others. Surly, refractory mood. Easily startled. Violent and excitable. Suicidal thoughts, when looking at a knife he is inclined to stab himself, when at water, to drown himself, yet he fears death. Insanity of drunkards. Oversensitive to external impressions. Time passes too slowly. Moroseness.

Reeling, as though' intoxicated early in morning and after dinner, with unconsciousness and vanishing of sight and hearing. Cloudiness in head, as from intoxication. After - effects of yesterday's debauch, in the sun.

Congestion, with great, burning heat therein and a puffy, red face. Stupefying ache. Vertiginous heaviness, early in morning. Hemicrania of coffee drinkers. Tearing in occiput going in to nape, with anxiety. Rendering pains in, extending to root of nose and upper jaw. Aching: With bilious or sour vomiting, early in bed, disappearing after rising, with shaking and reverberation in brain. Sore pain in occiput. Bursting pain. Feeling: As if something heavy sank in, of a nail being driven into vertex, as if brain were bruised, mostly one sided (r.) Takes cold in, mostly from dry, cold winds and drafts. Worse: Morning, after eating, walking in open air, especially in sunshine, mental exertion, on awaking, stooping, becoming cold. Better: At rest, in a warm room, resting head on a support, lying on back, or painless side, wrapping side, wrapping head tightly.

Sensitive, as if raw, especially to slight touch. Smarting soreness of, in raw winds. Chilly feeling over head and face, often alternating with heat. Offensive half - sided sweat on head and face, which is cold, with diminution of pains. Worse: Wind, in the cold, after lying down, slightest motion in open air, uncovering, after midnight and toward morning. Better: Head pressure, wrapping up warmly, washing.

Inflamed conjunctiva, with stitches and aversion to sunlight. Bloody extravasations into sclerotic and bleeding thereof. Yellowness, especially of lower half of ball. Intolerance of daylight early in morning. Anxious, staring look. Lightning - like streaks before.

Tearing, sticking ache. Tension, when looking upward. Pain, as though' pressed outward when swallowing.

Sensitiveness and inflammatory redness of inner nose. Nosebleed early in sulphur, or like a snuffed candle before. Fluent coryza during day, worse in warm, but better in cool, open air. Stuffed coryza at night. Sneezing.

Pale, yellowish, earthy or livid countenance. Yellow about nose, mouth or eyes. Red, swollen. Swelling of one cheek. Tearing in zygoma. Lips peel offend are painful. Scurf on lips. Trismus. Sticking pains in the swollen submaxillary glands when swallowing.

Painful soreness or boring digging in, mental exertion. Burning sticking in a whole row of. Tearing in, and in jaws, extending into bones of face, renewed by cold drinks, but warmth. Toothache, of wine fibbers and coffee drinkers, after taking cold. Gums: white, swollen, foul - smelling, bleeding.

Putridity and stench from. Aphthae (of children). Inflammatory swelling: Of root of, of throat, and sticking in uvula. Bleeding from m, nose and even eyes. Thick, white - coated tongue.

Taste: Sour, in mouth, especially early in morning and after eating and drinking. Foul, early in morning. Bitter, of bread.

Sore, with sensation of plug therein, painful soreness of, when swallowing, and sensation as though' it were too narrow. Tension in fauces.

Spasmodic colic and pressure in, which extends to interscapular region, when fasting in morning and after eating. Burning in region of, and at pylorus. Contractive spasm in, mostly. Every drink distresses. Spasmodic colic of brandy and coffee drinkers. Disordered from overeating. Induration of. Pressure and tension in pit, with tension at an opposite point between shoulder blades. Distended pit, which pains from slight touch. Indigestion after taking cold. Better: Hot drinks.

Hypochondriac: Intolerance of tight clothes. Inflamed liver. Pressure and sticking in hepatic region. Indurated liver.

Appetite: Hunger with aversion to food, especially bread, coffee and tobacco. Ravenous hunger after drinking beer. Thirst: Early in morning, with loathing of water and beer. Desire for brandy or chalk. Discomfort from bread and sour foods, the fattest foods are borne well. Warm foods temporarily many complaints.

Eructations: Sour. Regurgitation of blood. Collection of water in mouth, with many complaints. Violent hiccough. Rancid heartburn after sour or fatty foods.

Nausea, etc. - Qualmishness early in morning and after eating. Empty retching of drunkards. Vomiting: Sour, of ingesta, of dark lumpy blood, of bile, of fluid, and nausea during pregnancy.

Fullness in, after eating but little. Inflamed. Constriction of upper. Very sensitive, especially to slight touch. Labor - like cramps in, and in uterus, extending into legs. Tearing pains in navicular region and hypogastrium. Urging from lower a., toward genitals. Bruised painfulness of muscles during motion, coughing, laughing and to pressure, etc. Colic from taking cold. Umbilical and inguinal hernia. Excoriation in groins.

Flatulence: Flatulent colic in upper abdomen, disappearing when lying down.

Very scanty, blackish. Ineffectual urging to. Small, dysenteric or diarrhoeic, with tenesmus (after taking cold),. Constipation: Seemingly from inactivity of intestines, chronic. Painful diarrhoea alternating with constipation.

Painful, dry anal hemorrhoids.

Retention of. Bloody. Painful ineffectual urging to urinate. Urging to urinate, with discharge of a few drops of red, burning urine.

Gonorrhea of glans with increased secretion of smegma. Inflammatory swelling of testicles. Hydrocele. Prolapsus uteri. Congestion, with urging toward female genitals. Extremely violent after pains. Greatly intensified sexual desire.

Menses: Of dark, black blood, too early and too profuse. Renewed discharge of blood at intervals after cessation of. Appearance of new, and of old symptoms during and after.

Suffocative attacks from spasmodic constriction of larynx after midnight. Asthmatic tightness from constriction of lower part of chest.

Very laborious, excited by tickling in hard palate and larynx. Dry: mostly at night or early in morning while fasting, from motion of body or mental exertion. With expectoration of a yellow or gray, often cold mucus, generally of a sour or sweetish, sometimes bitter, putrid or metallic taste, or finally of clear dark red blood, during day and evening, with bursting headache and bruised feeling in abdominal muscles.

Rawness and soreness in trachea. Pain in throat pit. Scraping in tracheas after taking cold. Itching in trachea. Husky, rasping voice. Catarrhal hoarseness with scratching in throat.

Feeling as if something tore loose within. Constriction in lower part. Pressive pain as of a load within. Spasms in, after midnight. Warm abullition in, with collection of water in mouth, beat and anxiousness. Rawness and soreness in. Stitches and thrust in. Anxious palpitation.

Tension between scapulae. Burning, pressure or sticking between scapulae. Drawing extending from the lumbar region up back into shoulders. Bruised pain, and in lumbar region, so violent that he dare not move. Lameness and paralytic he dare not more. Lameness and paralytic pain in the lumbar region, (often after difficult childbirth).

Neck: Stiffness of nape. Tearing in neck in evening.

Bruised pain in shoulder joints. Drawing pain in arms. Asleep sensation and sense of deadness of hands. Swollen blood vessels on hands and arms.

Numbness, stiffness and tension in legs. Lame sensation in legs, with a painful streak down inside of thigh. Tottering salt and unsteady legs. Snapping of knee. Painful swelling of knee joint. Cramp in calves at night in bed. Asleep sensation and deadness in soles of feet. In walking he drags his feet, is unable to lift them.

Emaciation. Hyperaesthesia of all the senses. Jerking stitches thro' entire body. General bruised sensation early in morning in bed. Hypochondriacal discomfort and indisposition after eating. Great debility or irritability of entire nervous system. Feeling of illness in periodically returning attacks. Great inclination to sit or lie down, with aversion to exercises and open air. Easily takes cold, sensitive to drafts of air, complaints from taking cold. Tearing in limbs, especially during stormy weather. Sensation of heaviness of body alternating with a feeling of lightness thereof. Lean, a lank figure, effects of coffee, tobacco and spirituous liquors. Effects of continuous mental exertion, night watching and sedentary habits. Every mental exertion excites or heightens the symptoms. the complaints are by motion and slight touch, hard pressure however gives more speedy relief. The symptoms are most intense early in morning upon awaking and after eating. the symptoms are most intense early in morning upon awaking and after eating. The symptoms which appear inn the open air and during motion are in the room and during rest, but the reverse may occur.

Jaundiced. Frost - bites. Blue spots from extravasations after bruises.

Great sleepiness during day and in evening. Late felling to sleep on account of rush of idea He awakes after midnight (toward 3 o'clock) end at day break falls into a deep sleep full of heavy dreams, from which he wakes very tired. Early awaking, then morning sleep after which he is always worse. yawning.

Pulse: full, hard and quickened, especially during heat. Small and quick, the fourth and fifth beat often intermitting. Imperceptible. Chill: And coldness not relieved by external warmth. And shuddering, evening and night in bed till morning, increased by every movement and by drinking. With or without thirst (mostly with lumbar pains) with heat of face. Alternating with beat. And shuddering during motion in cold, open air. Sleep between chill and heat,. Heat: Universal, internal, burning heat. Nocturnal, without thirst. Becoming more violent from least exertion or movement, also in open air. With aversion to uncovering, is chilled thereby. With disposition to uncover, whereby other ailments immediately appear. Before the chill. Of single parts. with chill and shuddering in others. Seems to stream from throat.

Sweat After midnight and in the morning hours. Sour or offensive. One sided or only on viper part of body. Cold, sticky, on face. With relief, especially of pains in limbs.

Allied Remedies: Aco., AGAR., Alo., ambr., Am - m., ARS, Asar., Aur., Bar - c., BELL., Calad., CALC. C., Cepa., Carb - v., Caust., CHAM., Chin., Cocal., Coff., colch., con ., Cupr., Dig., Dros., Dulc ., Euphr., Gel., Graph., Guai ., Ign., IP., Kali - c ., KRE., Lyc., M - aust ., mag - c ., Merc ., MILLEF., Mos., Mur-ac., Nat - m ., OP., PETR, PHOS., Phyt., Plb ., Pod, Rhe., RHUS-T., Selen. Sep., Sil., Stram., Sul., Tab., Valer.

Complementary. - kali-c., Phos., sul.

Nausea and vomiting every morning with depression of spirits.

Nausea and vomiting after eating.

Constant nausea.

Pressure in the stomach an hour or two after eating.

Pressure as from a stone in the stomach.

Sleepy after dinner.

Flatulent distension after eating or drinking.

Cannot use the mind and pain in the stomach for two or three hours after a meal.

Pyrosis.

Sour or bitter eructations.

Rising of water and bitter fluid from the stomach.

Vertigo from excessive use of coffee or liquor.

Vertigo with momentary loss of consciousness.

Vertigo with tendency to fall sideways.

Mouth and fauces full of fetid ulcers.

Mouth dry and sore, with bloody saliva.

Sour taste in the mouth.

Offensive odour from the mouth.

Tongue coated thick white.

Gums scorbutic.

Throat raw, sore, rough, as if scraped.

Stitches in the ear when swallowing.

Jaundice.

Enlargement of the liver from alcoholic excesses.

Sticking pains and soreness in the liver.

Gall-stones colic.

Colic with pressure upwards towards the thorax.

Flatulent colic with desire to stool.

Sensation as if the intestines were squeezed between stones.

Constipation, due to irregularity of the peristaltic actions.

Constant innefectual urging to stool.

Frequent, small, slimy or bloody stool, with pain low down in the back and urging or tenesmus, relieved immediately after the stool.

Incomplete and unsatisfactory motions.

Sensation as if a part of stool remained behind.

Itching haemorrhoidss, which keep the patient awake.

Bleeding piles, with ineffectual urging to stool.

Alternate constipation and diarrhea.

Disentery.

Strangulated hernia.

Painful, ineffectual efforts to pass urine, with scanty discharge and burning.

Strangury.

Dribbling of urine in old people from enlarged prostate.

Painful urging for urine with urging to stool.

Renal colic.

Urine passes in drops, with burning and tearing in the urethra and neck of the bladder.

Cannot keep awake in the evening; falls asleep long before bed-time, and awakes a 3 or 4 AM.

Tendency to faint from odours, after eating, in the morning, and after every labour-pain.

Weakness and paralisis. Left-sided paralysis. Paralysis after apoplexy and with coldness of the paralyzed part.

Convulsions with consciousness.

Spasms with tetanic rigidity of nearly all muscles, with interruptions of a few minutes during which muscles are relaxed.

Convulsions brought on by the slightest touch, or draught of air.

Opisthotonus, with inability to move, but wants to be held.

Jaws snap shut, stiff.

Trismus or lock-jaw.

Tired, worn out feeling in the morning on waking.

Cannot tolerate noise, music, talking, strong odours, or bright light.

Violent (suicidal) impulses.

Angry and impatient, can't stand pain.

Ailments after continual mental labour.

Oversensitiveness.

Finds fault and scolds.

Gives surly answer.

Easily offended.

Ill-humored.

Disinclination to do or say anything.

Spiteful, malicious disposition.

Quarrelsome even to violence.

Disinclination to do or say anything.

Even the least ailment affects her greatly.

Cannot bear to be opposed.

Irritable and irrascible.

Great disinclination to mental work.

Catarrah, from sitting in cold places, or stone steps.

Catarrah, worse in a wawrm room, and better in the cold air.

Headache: Worse in the morning, from mental exertion, exercising in the open air, after eating, or from wine or coffee; better in the warm room and from sitting quietly, or lying down.

Sick headache, commences in the morning, increases through the day, growing milder in the evening; with dimness of vision and sour or bitter vomiting.

Sensation as if head were immensely larger than his body; as large as church.

Nose running through the day, at night stopped up.

Snuffles of infants.

Dry coryza; worse at night: nose completely filled up.

Dry, hard cough, with great soreness of the abdomen.

Dry, racking cough.

Photophobia, much worse in the morning.

Cough brings on bursting headache.

Spasmodic asthma; muscles of the chest become rigid; great anxiety and suffocation.

Dyspnea, while coughing, after eating, on lying down and from walking; and relieved by eructations.

Palpitation after eating, or on lying down after dinner.

Pressure towards the genital organs early in the morning, in bed, or during a walk, with a sensation of contraction of the abdomen.

Every pai during labour produces a desire to defaecate, or to urinate, particularly the former.

Much pain in the lumbar region.

Painless injection of the whites of the eye.

Bloot-shot eyes.

Much pain in the small of back, which is made worse by turning in bed.

Backache, must sit up to turn over in bed.

Easily excited; sexual desire.

Nocturnal emissions.

Troublesome erections.

Erections wanting (impotency).

Spermatorrhoea.

Gonorrhoea with thin and greenish-yellow discharge.

Soft sore or chancroid.

Smegma increased.

Bad effects of sexual excesses.

Menstruation very irregular.

Menses too early and too profuse, with weak, faint spells.

Catamenia before the time, and rather too copious, or keeping on too long, with complaints at the onset and remaining after it is over.

Fetid leucorrhoea, tinging the linen yellow, with pain in the uterus, as if bruised.

Morning sickness during pregnancy.

Threatened abortion.

Pain in the extremities during fever.

Repugnance to cold or to cold air.

Chill at 10 or 11 AM.

Chilly, on least movement, from being uncorered.

Must be covered in every stage of fever.

Great chilliness and coldness, with blue nails, decreased by warmth stove, nor by`covering; mostly in AM.

Anticipating type of fever.

Great heat, whole body burning hot, yet must be covered, as the least uncovering or motion makes him chilly.

The face becomes red and hot during fever.

Sweat after midnight and in the morning.

Sour perspiration, only on one side of the body.