SULPHUR (Sulph.) Θειάφι
Το ομοιοπαθητικό φάρμακο Sulphur καλύπτει ένα μεγάλο φάσμα συμπτωμάτων που είναι δύσκολο να περιγραφεί εν συντομία. Παρόλα αυτά μπορούμε να αναφέρουμε κάποια κύρια χαρακτηριστικά του φαρμάκου τα οποία χαρακτηρίζουν την παθολογία του ασθενούς που θα το χρειαστεί.
Ερυθρότητα, καύσος, συμφόρηση, δυσφορία από τη ζέστη καθώς και η κακοσμία των εκκρίσεων είναι σημαντικά σημάδια που μας οδηγούν στην χορήγησή του.
Στο ψυχοδιανοητικό επίπεδο γίνονται εγωιστές και επικριτικοί στις περισσότερες των περιπτώσεων. Παρουσιάζουν φιλοσοφικές τάσεις (πολλές θεωρίες και ερωτήματα). Η επιθυμία για γλυκά και λιπαρά φαγητά και το αίσθημα καύσου στις πατούσες είναι επιβεβαιωτικά συμπτώματα. Είναι ένα συχνά χορηγούμενο φάρμακο στη Ελλάδα, πολλοί το γνωρίζουν για την θετική του δράση στις δερματικές παθήσεις.
Φιλόσοφος, διανοούμενος, μοναχικός, ψάχνει για την αλήθεια πίσω από τα πράγματα και τα γεγονότα, γεμάτος ερωτήματα. Της θεωρίας, πληθωρικός, ενθουσιώδης, πρακτικός ιδεαλιστής, κοινωνικός, εξωστρεφής, ελπιδοφόρος, ονειροπόλος. Έχει νευρικό ταμπεραμέντο, βιαστικός στην ομιλία, στις κινήσεις του, οξύθυμος. Υπεροπτικός, πιστεύει πως είναι καλύτερος από τους άλλους. Γίνεται επικρητικός, εγωιστής. Βαριέται, ακατάστατος, αδιάφορος για την εμφάνισή του, δεν του αρέσει να πλένεται ο ίδιος αλλά σιχαίνεται και εύκολα. Συχνά φοβάται μην μολυνθεί ή μην κολλήσει κάτι από τους άλλους. Φοβάται το ύψος, του προκαλεί ίλιγγο. Άγχος κυρίως για την υγεία των δικών του ανθρώπων.
Ευαισθησία του δέρματος κυρίως στις αλλάγές των εξωτερικών συνθηκών. (Hep., Kali-c., Psor.). Τα δερματικά συμπτώματα συνήθως χειροτερεύουν μετά το μπάνιο. Κνησμός, ερυθρότητα, στη ζέστη χειροτερεύουν.
Η ορθοστασία τους ενοχλεί. Η χειρότερη θέση για αυτούς είναι να στέκονται όρθιοι. Καυστικοί πόνοι και αίσθημα καύσου, ερυθρότητα και αγγειακή συμφόρηση σε διαφορετικά σημεία. Κεφάλι, πρόσωπο, ωοθήκες, μήτρα, γεννητικά όργανα, μύτη, μάτια, ορθό, ήπαρ. Αγγειακή, φλεβική, πυλαία, ηπατική συμφόρηση. Όλα τα στόμια, οπές του σώματος παρουσιάζουν χαρακτηριστική ερυθρότητα. Συνεχές αίσθημα καύσου στην κορυφή της κεφαλής. Αίσθημα καύσου στις πατούσες κυρίως το βράδυ με τάση να βγάζει τα πόδια έξω από τα σκεπάσματα. Καούρες στο στομάχι, στον οισοφάγο. Κακοσμία σώματος, ποδιών, ιδρώτα, εκκρίσεων, εύκολα ακόμη κι αν έχει πλυθεί. Του αρέσει η μυρωδιά του, σιχένεται των άλλων. Αίσθημα πείνας και άδειου στομαχιού στις 11π.μ. Γενικά καλυτερεύει αν φάει. Διάρροια που τον ξυπνάει νωρίς στο ξημέρωμα με επιτακτική τάση να πάει στην τουαλέτα. Επιπεφυκίτιδα (αλλεργική, ιογενής κλπ) με κάψιμο στα μάτια, κνησμό(φαγούρα), και αίσθημα ξένου σώματος στο μάτι (αμμος, σκόνη). Καλυτερεύει με κρύα επιθέματα και κρύο νερό. Αϋπνία.
Χειρότερα: στη ζέστη (σκεπάσματα, δωμάτιο, κρεβάτι, τον αέρα, αν ζεσταθεί, αγγίζοντας ζεστά πράγματα), με το μπάνιο, με την ορθοστασία, το βράδυ, αριστερή πλευρά.
Καλύτερα: με την κίνηση, το κρύο, αν ξαπλώσει (κυρίως στη δεξιά πλευρά), με το τρίψιμο, στον ξηρό, ζεστό καιρό.
Διατροφικές επιθυμίες: γλυκά, λίπος, κρύα ποτά, τα μπαχαρικά, το αλκοόλ, τηγανητά. Διατροφικές απέχθειες: αυγά, ξινά, ψάρι, ελιές, κοτόπουλο, δυνατά τυριά.
LECTURES ON HOMŒOPATHIC MATERIA MEDICA by JAMES TYLER KENT, A.M., M.D. (http://homeoint.org/books3/kentmm/sul.htm)
Sulphur is such a full remedy that it is somewhat difficult to tell where to begin.
It seems to contain a likeness of all the sicknesses of man, and a beginner on reading over the proving of Sulphur might naturally think that he would need no other remedy, as the image of all sickness seems to be contained in it.
Yet you will find it will not cure all the sicknesses of man, and it is not well to use it indiscriminately any more than you would any other remedy. It seems that the less a physician knows of the Materia Medica the oftener he gives Sulphur, and yet it is very frequently given, even by good prescribers; so that the line between physicians’ ignorance and knowledge cannot be drawn from the frequency with which Sulphur is prescribed by them.
Aspect: The Sulphur patient is a lean, lank, hungry, dyspeptic fellow with stoop shoulders, yet many times it must be given to fat, rotund, well fed people.
The angular, lean, stoop-shouldered patient, however, is the typical one, and especially when he has become so from long periods of indigestion, bad assimilation and feeble nutrition. The Sulphur state is sometimes brought about by being long housed up and adapting the diet to the stomach.
Persons who lead sedentary lives, confined to their rooms in study, in meditation, in philosophical inquiry, and who take no exercise, soon find out that they must eat only the simplest foods, foods not sufficient to nourish the body, and they end up by going into a philosophical mania.
There is another class of patients in whom we see a Sulphur appearance in the face; dirty, shriveled, red-faced people. The skin seems to be easily affected by the atmosphere. He becomes red in the face from riding in the air, both in very cold and in damp weather.
He has a delicate, thin skin, blushing on the slightest occasion, always red and dirty looking, no matter how much he washes it. If it be a child, the mother may wash the face often, but it always looks as if it had been perfunctorily washed.
Hering called the Sulphur patient "the ragged philosopher."
The Sulphur scholar, the inventor, works day and night in threadbare clothes and battered hat; he has long, uncut hair and a dirty face; his study is uncleanly, it is untidy; books and leaves of books are piled up indiscriminately; there is no order. It seems that Sulfur produces this state of disorder, a state of untidiness, a state of uncleanness, a state of "care how things go," and a state of selfishness.
He becomes a false philosopher and the more he goes on in this state the more he is disappointed because the world does not consider him the greatest man on earth. Old inventors work and work, and fail.
The complaints that arise in this kind of case, even the acute complaints, will run to Sulphur. You take such a patient and you will notice that he has on a shirt that he has worn many weeks; if he has not a wife to attend to him, he would wear his shirt until it fell off from him.
Cleanliness is not a great idea with the Sulphur patient; he thinks it is not necessary. He is dirty; he does not see the necessity of putting on a clean collar and cuffs and a clean shirt; it does not worry him. Sulphur is seldom indicated in cleanly people, but it is commonly indicated in those who are not disturbed by uncleanliness.
Odor: When attending the public clinic I have many times noticed that after Sulphur an individual begins to take notice of himself and puts on a clean shirt, whereas his earlier appearances were in the one same old shirt. And it is astonishing how the Sulphur patients, especially the little ones, can get their clothing dirty so fast.
Children have the most astonishing tendency to be filthy. Mothers tell you of the filthy things that little ones will do if they be Sulphur patients. The child is subject to catarrhal discharges from the nose, the eyes and from other parts, and he often eats the discharge from the nose. Now, that is peculiar, because offensive odors are the things that the Sulphur patient loathes. He is oversensitive to filthy odors, but filthy substances themselves he will eat and swallow. He becomes nauseated even from the odor of his own body and of his own breath.
The odor of the stool is so offensive that it will follow him around all day. He thinks he can smell it. Because of his sensitiveness to odors he is more cleanly about his bowels than anything else. It is an exaggerated sense of smell. He is always imagining and hunting for offensive odors. He has commonly such a strong imagination that he smells the things which he has only in memory.
The Sulphur patient has filthiness throughout. He is the victim of filthy odors. He has a filthy breath, he has an intensely foetid stool; he has filthy smelling genitals, which can be smelled in the room in spite of his clothing, and he himself smells them. The discharges are always more or less foetid, having strong, offensive odors. In spite of constant washing the axillae give out a pungent odor, and at times the whole body gives off an odor like that coming from the axillae.
Discharges: The discharges of Sulphur from every part of the body, besides being offensive, are excoriating. The Sulfur patient is afflicted with catarrhs of all mucous membranes, and the catarrhal discharges everywhere excoriate him. Often with the coryza the discharge excoriates the lips and the nose.
At times the fluid that remains in the nose smarts like fire, and when it comes in contact with the child's lip it burns, so acrid is it; almost like the condition under Sulphuricum acid, so red will be the parts that are touched by it.
There is copious leucorrhoea that excoriates the genitals. The thin feces cause burning and rawness around the anus. In women if a drop of urine remains about the genitals it will burn; very often it is not sufficient to wipe it away, it must be washed away to relieve the smarting.
In children we find excoriation about the anus and between the buttocks; the whole length of the fissure is red, raw and inflamed from the stool. From this tendency a keynote has been constructed, and not a bad one either, all the fluids burn the parts over which they pass," which is the same as saying that the fluids are acrid and cause smarting. This is true everywhere in Sulphur.
Skin: The Sulphur patient has all sorts of eruptions.
There are vesicular, pustular, furuncular, scaly eruptions, all attended with much itching, and some of them with discharge and suppuration. The skin, even without any eruption, itches much, itches from the warmth of the bed and from wearing woolen clothing.
Many times the Sulphur patient cannot wear anything except silk or cotton. The warmth of the room will drive him to despair if he cannot get at the itching part to scratch it. After scratching there is burning with relief of the itching. After scratching or after getting into the warmth of the bed great white welts come out all over the body, with much itching, and these he keeps on scratching until the skin becomes raw, or until it burns, and then comes a relief of the itching.
This process goes on continuously; dreadful itching at right in bed, and in the morning when he wakes up he starts in again and the eruptions itch and ooze. Crops of boils and little boil-like eruptions come out and this makes it useful in impetigo.
This remedy is useful in suppurations. It establishes all sorts of suppurating cavities, small abscesses and large abscesses; abscesses beneath the skin, in the cellular tissues and in internal organs. The suppurative tendency is very marked in Sulphur. The glands become inflamed and the inflammation goes on to suppuration.
Burning: Wherever there is a Sulphur complaint you will find burning.
Every part burns; burning where there is congestion; burning of the skin or a sensation of heat in the skin; burning here and there in spots; burning in the glands, in the stomach, in the lungs; burning in the bowels, in the rectum; burning and smarting in the hemorrhoids; burning when passing urine, or a sensation of heat in the bladder. There is heat here and there, but when the patient describes something especially typical of Sulphur she says:
"Burning of the soles of the feet in the palms of the hands, and on the top of the head."
Burning of the soles of the feet will very often be noticed after the patient becomes warm in bed. The Sulphur patient has so much heat and burning of the soles at night in bed that he puts the feet out from, beneath the clothes, sleeps with the feet outside the covering. The soles and palms of the Sulphur patient when examined present a thick skin which burns on becoming warm in bed.
Many complaints come on from becoming warm in bed. The Sulphur patient cannot stand heat and cannot stand cold, though there is a strong craving for the open air. He wants an even temperature; he is disturbed if the temperature changes much.
So far as his breathing is concerned, when he has much distress he wants the doors and windows open. The body, however, he is frequently forced to have covered, but if he is warmly clad he is bothered with the itching and burning of the skin.
Time: As to time aggravations, nightly complaints are a feature.
Headaches begin after evening meal and increase into the night; he cannot get to sleep because of the pain. There is nightly aching and nightly thirst; nightly distress and symptoms of the skin coming on after becoming warm in bed.
"Intermittent periodic neuralgia, worse every 24 hours, generally at 12 A.M. or 12 P.M."
Midday is another time of aggravation of the Sulphur complaints. It has chills at noon, fevers increase at noon, increase of the mental symptoms at noon, headache worse at noon. Complaints that come once a week, a seven-day aggravation, is another peculiar condition of Sulphur.
Diarrhea: it is a common feature for a Sulphur patient to have a peculiar kind of diarrhoea which has been long known as "a Sulphur diarrhoea," though many other remedies have a similar condition, viz.: diarrhoea coming on early in the morning.
The Sulphur diarrhoea belongs to the time between midnight and morning, but more commonly the time that he begins to think about rising.
The diarrhea drives him out of bed.
It is generally thin, watery; there is not much gushing, and it is not very copious, sometimes quite scanty, sometimes yellow faecal. After this morning stool he has, in many cases, no further trouble till next morning.
There are many people who go on year after year with, this urging to stool driving out of bed in the morning. The patient suffers from pain, griping, uneasiness, and burning soreness through the bowels. The stool burns while it is passing, and all parts that it comes in contact with are made sore and raw, and there is much chafing.
Desires and aversions: The Sulphur patient is very thirsty.
He is always drinking water. He wants much water.
He also speaks of a hungry feeling, a desire for food, but when he comes to the table, he loathes the food, turns away from it, does not want it.
He eats almost nothing, takes only the simplest and lightest things. There is a craving for stimulants, for alcohol, and an aversion to milk and meat; these latter make him sick and he loathes them.
One of the old men invented out of these things the keynote "drinks much and eats little."
This is true under Sulphur, but many other remedies have the same thing. As to the use of keynotes I would impress on you that it is well to gather together all the symptoms with their associations. It will not do to place much dependence on one little symptom, or even on two or three little symptoms. The symptoms of the whole case must be considered and then, if the keynotes and characteristics and everything else cause the remedy to be well rounded out and full, and to look like the whole patient, only then is it suitable.
There is emptiness occurring at 11 o'clock in the forenoon. If there is any time in the whole twenty-four hours that he feels hungry it is at 11 o'clock. It seems as though he cannot wait for his dinner.
There is this also about the Sulphur patient: he is very hungry about his customary mealtimes and, if the meal is delayed, he becomes weak and nauseated. Those that are accustomed to eat at about 12 o'clock will have that all-gone hungry feeling at 11 A.M. Those accustomed to eat about 1 or 1-30 will have it about 12 o'clock. The all-gone sensation is about one hour before the accustomed time of eating with many people.
In a sort of condensed way a strong Sulphur group is this: an all gone hungry feeling in the stomach at 11 A.M., burning of the soles and heat in the top of the head.
These three things have been looked upon as a sine qua non of Sulphur, but they are scarcely the beginning of Sulphur.
Skin: There is an unhealthy condition of the skin in Sulphur aside from the eruptions.
The skin will not heal. Small wounds continue to suppurate; abscesses formed under the skin become little discharging cavities with fistulous openings, and these leak and discharge for a long time.
Sulphur produces an infiltration in inflamed parts, so that they become indurated and these indurations last for years. When the inflammation is in a vital organ, like the lungs, this infiltration cannot always be endured; it leaves infiltrations after pneumonia called hepatization.
Sulphur produces this same tendency in inflamed parts throughout the body and hence its great use in hepatization.
Sulphur is a very useful remedy when the patient does not react after a prolonged disease, because of a condition in the economy, a psoric condition. When a patient is drawing near the end of an acute disease he becomes weak and prostrated. The inflammatory state ends in suppuration and infiltrations; the patient is in a state of weakness, much fatigued and prostrated, and has night sweats.
The tissues seem to take on weakness, so that very little pressure causes soreness, sometimes inflammation and suppuration. Bed sores come on easily in a Sulphur patient, as there is feeble circulation. Induration from pressure is also a strong feature.
Sulphur has corns from pressure, callosities from pressure. These affections come easily. If a shoe presses anywhere on the skin a great corn or bunion develops. Where the teeth come in contact with the tongue and other parts of the buccal cavity nodules form and these little nodules in course of time commence to ulcerate.
It is a slow process with burning and stinging. They may go into cancerous affections. They may be postponed for a long time and afterwards take on a state of malignancy. Cancer is an outgrowth of a state in the body, and that state may come on from a succession of states. It is not one continuous condition, but the malignant state may follow the benign. Sulphur removes these states when the symptoms agree.
We notice a marked evidence of disturbance of the veins under Sulphur. It is a venous remedy, has much vein trouble. The veins seem to be relaxed and there is sluggish circulation. There is a flushed appearance of the face here and there from slight irritation, from the weather, from irritation of the clothing.
Tumefaction of the face. Sulphur has varicose veins; most marked of these are hoemorrhoidal veins, which are enlarged and burn and sting. Varices of the extremities. The veins even ulcerate, rupture and bleed. When going out of a cold into a warm atmosphere the patient suffers from enlarged veins, from puffiness of the hands and feet, from a sense of fullness throughout the body.
The Sulphur patient emaciates, and a peculiar feature is the emaciation of the limbs with distended abdomen. The abdomen is tumid, with rumbling, burning and soreness, and with the distended abdomen there is emaciation of all other parts. The muscles of the neck, back thorax and limbs wither, and the muscles of the abdomen are also wasted, but there is much distension of the abdomen itself. This condition of affairs is found in marasmus.
You will find a similar state under Calcarea; and, in women needing Calcarea, you will notice great enlargement, distension and hardness of the abdomen with shriveling of all other parts of the body.
Under Sulphur there are flashes of heat to the face and head, like those which women have at the climacteric period. The flash of heat in Sulphur begins somewhere in the heart region, generally said to be in the chest, and it feels as if, inside the body, a glow of heat is rising to the face. The face is red, hot and flushed, and finally the heat ends in sweat.
Flashes of heat with sweat and red face; the head is in a glow. Sometimes the patient will describe a feeling as if hot steam were inside the body and gradually rising up, and then she breaks out in a sweat. At times you will see a woman having little shiverings followed by flashes of heat and red splotches in the face, and then she fans vigorously; cannot fan fast enough, and she wants the doors and windows open.
Such is Sulphur as well as Lachesis and many others. When the flashes begin in the chest, about the heart, it is more like Sulphur, but when in the back or in the stomach it is more like Phosphorus.
Among other general aggravations we have an aggravation from standing in Sulphur. All complaints are made worse by standing for a length of time. Standing is the most difficult position for a Sulphur patient, and there is an aggravation of the confusion of mind, dizziness, the stomach and abdominal symptoms, and a sense of enlargement and fullness of the veins and dragging down in the pelvis in women, from standing. The patient must sit down or keep moving, if on her feet. She can walk fairly well, but is worse when standing quiet.
An aggravation after sleep fits into many of the complaints of Sulphur, but especially those of the mind and sensorium. Most of the, complaints of Sulphur are also worse after eating.
The Sulphur patient is aggravated from, bathing. He dreads a bath. He does not bathe himself and from his state in general he belongs to "the great unwashed." He cannot take a bath without catching "cold."
Children's complaints. Dirty-faced, dirty-skinned little urchins, who are subject to nightly attacks of delirium, who suffer much from, pains in the head, who bad brain troubles, who are threatened with hydrocephalus, who had meningitis, need Sulphur.
Sulphur will clear up the constitutional state when remedies have failed to reach the whole case because they are not deep enough. If the infant does not develop properly, if the bones do not grow, and there is slow closing of the fontanelles, Calcarea carbonica may be the remedy and Sulphur is next in importance for such slow growth.
You would not suppose that the Sulphur patient is so nervous as he is, but he is full of excitement; easily startled by noise, wakens, from sleep in a start as if he had heard a cannon report or seen a "spook."
The Sulphur patient is the victim of much trouble in his sleep. He is very sleepy in the fore part of the night, at times sleeping till 3 A.M., but from that time on he has restless sleep, or does not sleep at all. He dreads daylight, wants to go to sleep again, and when he does sleep he can hardly be aroused, and wants to sleep late in the morning. That is the time he gets his best rest and his soundest sleep. He is much disturbed by dreadful dreams and nightmare.
When the symptoms agree, Sulphur will be found a curative medicine in erysipelas. For erysipelas as a name we have no remedy, but when the patient has erysipelas and his symptoms conform to those of Sulphur, you can cure him with Sulphur.
If you bear that distinction in mind you will be able to see what Homoeopathy means; it treats the patient and not the name that the sickness goes by.
The Sulphur patient is annoyed throughout his economy with surgings of blood here and there surging, with fullness of the head, which we have heretofore described as flashes of heat. It has marked febrile conditions and can be used in acute diseases.
It is one of the natural complements of Aconite, and when Aconite is suitable to the acute exacerbations and removes them, very often Sulphur corresponds to the constitutional state of the patient.
Sulphur is suitable in the most troublesome "scrofulous" complaints in broken-down constitutions and defective assimilation. It has deep seated, ragged ulcers on the lower extremities, indolent ulcers, ulcers that will not granulate. They burn, and the little moisture that oozes out burns the parts round about. It is indicated often in varicose ulcers that bleed easily and burn much.
In old cases of gout, Sulphur is a useful remedy. It is a deep-acting remedy, and in most instances it will keep the gout upon the extremities, as its tendency is outward from centre to circumference.
Like Lycopodium and Calcarea, when suitably administered in old gouty conditions, not where there is much organic change present, it will keep the rheumatic state in the joints and extremities.
Sulphur, like Silicea, is a dangerous medicine to give where there is structural disease in organs that are vital, especially in the lungs.
Sulphur will often heal old fistulous pipes and turn old abscesses into a normal state, so that healthy pus will follow, when it is indicated by the symptoms. It will open abscesses that are very slow, doing nothing, it will reduce inflamed glands that are indurated and about to suppurate, when the symptoms agree.
But it is a dangerous medicine to administer in advanced cases of phthisis, and, if given, it should not be prescribed in. the highest potencies. If there are symptoms that are very painful, and you think that Sulphur must be administered, go to the 30 th or 200 th potency.
Do not undertake to stop the night sweats that come in the advanced stages, even if Sulphur seems to be indicated by the symptoms; the fact is, it is not indicated. A remedy that is dangerous in any case ought not to be considered as indicated, even though the symptoms are similar.
In old cases of syphilis, when, the psoric state is uppermost, Sulphur may be needed. Sulphur is rarely indicated when the syphilitic symptoms are uppermost, but when these have been suppressed by Mercury and the disease is merely held in abeyance, Sulphur will antidote the Mercury and allow the symptoms to develop and the original condition to come back in order to be seen.
The great mischief done by allopaths is due to the fact that they want to cover up everything that is in the economy; they act as if ashamed of everything in the human race; whereas Homoeopathy endeavors to reveal everything in the human rue and to antidote those drugs that cover up, and to free those diseases that are held down.
It is true that many patients will not have Homoeopathy because they do not want their syphilitic eruption brought to view they do not want the evidences of their indiscretion brought to light but Homoeopathy endeavors to do that. Conditions that are in the economy will come out under proper homoeopathic treatment. Sulphur brings complaints to the surface, so that they can be seen. It is a general broad antidote.
Suppressions: It is a medicine often called for in the suppression of eruptions from cold and from drugs, and even from Sulphur. It is a great medicine to develop these things which have been covered tip, hence you will see Sulphur in all the lists of remedies useful for suppressed eruptions or for anything suppressed by drugs.
Even when acute eruptions have been suppressed, Sulphur becomes a valuable remedy. In suppressed gonorrhoea Sulphur is often the remedy to start up the discharge and re-establish the conditions that have been caused to disappear. Symptoms that have been suppressed must return or a cure is not possible.
Sulphur has been the remedy from the beginning of its history, from the time of Hahnemann, and on his recommendation, to be thought of when there is a paucity of symptoms to prescribe on, a latent condition of the symptoms due to psora. In this state it has been administered with so much benefit that the routine prescriber has learned the fact.
When apparently (superficially) well-indicated remedies fail to hold a patient, and symptoms cannot be found for a better remedy, it is true that Sulphur takes a deep hold of the economy and remedies act better after it.
This is well established from experience. You will find at times when you have given a remedy which seems well indicated, that it does not hold the case, and then you give the next best indicated remedy, and then the next, with the same result.
You will begin to wonder why this is, but you will see that, although the case does not call clearly for Sulphur, yet on its administration it so closely conforms to the underlying condition (and psora is so often the underlying condition) that it makes the remedies act better.
This is an observation that has been confirmed since the time of Hahnemann by all the old men.
Such things are only necessary when there is a paucity of symptoms, where after much study it is necessary to resort to what, seem the best measures, measures, justifiable to a certain extent, based upon observation and upon a knowledge of the conditions underlying the constitution of the whole race.
We know that underlying these cases with few symptoms there is a latent condition, and that it is either psora, syphilis or sycosis. If it were known to be syphilis we would select the head of the class of remedies looking like syphilis.
If known to be sycosis, we would select the head of the class of remedies looking like sycosis. Sulphur stands at the head of the list of remedies looking like the underlying psora; and so, if the underlying constitution is known to be psoric, and it is a masked case, Sulphur will open up the latent cause, and, even if it does not act on a positively curative basis, it is true that a better representation of the symptoms comes up. And as Sulphur is to psora, so is Mercurius to syphilis, and Thuja to sycosis.
In the coal regions of Pennsylvania, those who work in the mines and those living in the vicinity of the mines often need Sulphur. We know that the coal is not made up of Sulphur; there is a good deal in it besides; but those who handle the coal often need Sulphur. Persons who are always grinding kaolin and the various products that are used in the manufacture of china, and the workers among stone, especially require Calcarea and Silicea, but those who work in the coal mines often need Sulphur.
The patients look like Sulphur patients; they have the aspect, and even when their symptoms are localized and call for other remedies, you will get no good action from these remedies until you give them a dose of Sulphur, after which they go on improving.
Some believe this is due to the fact that there is so much Sulphur in the coal. We may theorize about these things as much as we have a mind to, but we do not want to fall into the habit of antidoting the lower potencies with the high.
Only use that method as a dernier ressort. When there are no symptoms to indicate the remedy, then it is time for us to experiment, and then it is justifiable only when it is carried on by a man of the right sort, because such a man keeps within the limit. He knows how to give his remedy. Such a man is guided by the symptoms in each case so far as symptoms speak out.
In inflammatory conditions a purplish appearance of the inflamed parts, a venous engorgement, is seen under Sulphur.
Measles, when they come out with that purplish color, very often require Sulphur.
Sulphur is a great remedy in measles.
The routinist can do pretty well in this disease with Pulsatilla and Sulphur, occasionally requiring Aconite and Euphrasia. Especially will Sulphur modify the case when the skin is dusky and the measles do not come out. This purplish color may be seen anywhere, in the erysipelas, in the sore throat, often on the forearms, legs and face.
The dreadful effects of vaccination are often cured by Sulphur. In this it competes with Thuja and Malandrinum.
Mind: In the mental state, which gives out the real man, shows forth the real interior nature, we see that Sulphur vitiates his affections, driving him to a most marked state of selfishness.
He has no thought of anybody's wishes or desires but his own. Everything that he contemplates is for the benefit of himself. This selfishness runs through the Sulphur patient. There is absence of gratitude.
Philosophical mania is also a prominent feature. Monomania over the study of strange and abstract things, occult things; things that are beyond knowledge; studying different things without any basis to figure upon; dwelling upon strange and peculiar things.
Sulphur has cured this consecutive tracing one thing to another as to first cause. It has cured a patient who did nothing but meditate as to what caused this and that and the other thing, finally tracing things back to Divine Providence, and then asking:
"Who made God?"
She would sit in a corner counting pins and wonder, pondering over the insolvable question of "Who made God?"
One woman could never see any handiwork of man without asking who made it. She could never be contented until she found out the man who made it, and then she wanted to know who his father was; she would sit down and wonder who he was, whether he was an Irishman, and so on.
That is a feature of Sulphur. It is that kind of reasoning without any hope of discovery, without any possible answer. It is not that kind of philosophy which has a basis and which can be followed up, reasoning in a series, reasoning on things that are true, but a fanatical kind of philosophy that has no basis, wearing oneself out.
Sulphur has an aversion to follow up things in an orderly fashion, an aversion to real work, an aversion to systematic work. The Sulphur patient is a sort of inventive genius. When he gets an idea in his mind he is unable to get rid of it.
He follows it and follows it until finally accidentally be drops into some thing, and many times that is how things are invented. Such is a Sulphur patient. He is often ignorant but imagines himself to be a great man; he despises education and despises literary men and their accomplishments, and he wonders why it is everyone cannot see that he is above education. Again, this patient takes on religious melancholy, not meditating upon the rational religion, but on foolish ideas about himself. He prays constantly and uninterruptedly, is always in his room, moaning with despair. He thinks he has sinned away his day of grace.
A patient needing Sulphur is often in a state of dullness and confusion of mind, with inability to collect the thoughts and ideas; lack of concentration. He will sit and meditate on no one thing continuously, making no effort to concentrate his mind upon anything. He wakes up in the morning with dullness of mind and fullness in the head and vertigo. Vertigo in the open air. In the open air comes on coryza with this fullness in the head and dullness, so that there is a confusion of the mind.
In the books there is an expression that has been extensively used.
"Foolish happiness and pride; thinks himself in possession of beautiful things; even rags seem beautiful."
Such a state has been present in lunatics, and in persons who were not lunatics in any other way except on that one idea.
The Sulphur patient has an aversion to business. He will sit around and do nothing, and let his wife take in washing and "work her fingernails off" taking care of him; he thinks that is all she is good for.
A state of refinement seems to have gone out of the Sulphur patient. Sulphur is the very opposite of all things fastidious. Arsenicum is the typical fastidious patient, and these two remedies are the extremes of each other. Arsenicum wants his clothing neat and clean, wants everything hung up well upon the pegs, wants all the pictures hung up properly upon the wall, wants everything neat and nice; and hence the Arsenicum patient has been called "the gold-headed-cane patient," because of his neatness, fastidiousness and cleanliness.
The very opposite of all that is the Sulphur patient.
"Indisposed to everything, work, pleasure, talking or motion; indolence of mind and body."
"Satiety of life; longing for indolence of mind and body.''
"Satiety of life; longing for death."
"Too lazy to rouse himself up, and too unhappy to live."
"Dread of being washed (in children)."
Yes, they will cry lustily if they have to be washed. The Sulphur patient dreads water and takes cold from bathing.
As to its relationship, Sulphur should not be given immediately before Lycopodium. It belongs to a rotating group, Sulphur, Calcarea, Lycopodium.
First Sulphur, then Calcarea and then Lycopodium, and then Sulphur again, as it follows Lycopodium well. Sulphur and Arsenicum are also related.
You will very often treat a case with Sulphur for a while and then need to give Arsenicum for some time, and then back to Sulphur. Sulphur follows most of the acute remedies well.
The Sulphur patient is troubled is with much dizziness. When he goes into the open air or when he stands any length of time, he becomes dizzy. On rising in the morning his head feels stupid, and on getting on his feet he is dizzy.
He feels stupid and tired, and not rested by his sleep, and "things go round." It takes some time to establish an equilibrium. He is slow in gathering himself together after sleep. Here we see the aggravation from sleep and from standing.
Head: The head furnishes many symptoms.
The Sulphur patient is subject to periodical sick headaches; congestive headaches, a sensation of great congestion with stupefaction, attended with nausea and vomiting. Sick headache once a week or every two weeks, the characteristic seven-day aggravation.
Most headaches coming on Sunday in working men are cured by Sulphur. You can figure this out. Sunday is the only day he does not work, and he sleeps late in the morning and gets up with a headache that involves the whole head, with dullness and congestion. Being busy and active prevents the headache during the week.
Others have periodical headaches every seven to ten days, with nausea and vomiting of bile. Again he may have a headache lasting two or three days; a congestive headache. Headache with nausea and no vomiting or headache with vomiting of bile. The headache is aggravated by stooping, generally ameliorated in a warm room and by the application of warmth; aggravated from light, hence the desire to close the eyes and to go into dark room; aggravated by jarring, and after eating.
The whole head is sensitive and the eyes are red, and there is often lachrymation, with nausea and vomiting. Headaches at times in those who suffer constantly from great heat in the vertex; the top of the head is hot and burns and he wants cold cloths applied to the top of the head. These headaches associated with heat are often ameliorated by cold, but otherwise the head is ameliorated in a warm room.
The head feels stupid and sometimes he cannot think. Every motion aggravates and he is worse after eating and drinking, worse from taking cold drinks into the stomach and better from hot drinks. When the headaches are present the face is engorged; bright red face. Headaches in persons who have a red face, a dirty face or sallow, a venous stasis of the face; the eyes are engorged and the skin is engorged; the face is puffed and venous in appearance.
Sulphur is useful in persons who get up in the morning with headache, dizziness and red face; in persons who say they know they are going to have the headache some time during the day because the face feels very full and is red in the morning, and the eyes are red.
Before the headache comes on there is a flickering before the eyes, a flickering of color. Scintillations, stars, saw teeth, zig-zags are forewarnings of a headache. Some Sulphur headaches that I have known present a peculiar appearance before the eyes; a rhomboidal figure, obliquely placed, with saw teeth on the upper side and the body filled with spots.
Sometimes this figure is seen toward one side of the object looked at, sometimes on the other side, but it is seen equally distinct with both eyes at the same time.
These saw teeth are flashes of light, and the base of the figure grows increasingly darker until you get all the colors of the rainbow. Whenever he disorders his stomach he has this peculiar vision. Sometimes it comes in the morning after eating and sometimes at noon after eating. It comes also when be is hungry in the evening and delays his eating. These zig-zags come very often with that hungry all-gone feeling in the stomach.
We have the same state of affairs, similar appearance of zig-zags and flickerings in both Natrum muriaticum and Psorinum before the headache. They are warning of headaches. These zig-zags, flickerings, sparks, stars and irregular shapes appear before the eye periodically, and may last an hour or so. In the head there is much throbbing. Morning headaches and headaches coming on at noon. Headaches also, as mentioned before that begin after the -evening meal and increase into the night, hindering sleep.
Scalp: Upon the external head the itching is indescribable; constant itching, itching when warm in bed.
It is worse from the warmth of the bed and yet it is also worse from cold. itching eruptions; scaly, moist and dry eruptions; vesicles, pimples, pustules and boils; eruptions in general upon the scalp. Much dandruff in the hair, and loss of hair There is slow closing of the fontanelles.
"Humid, offensive eruption on top of the head, filled with pus, drying up into honey like scabs. Tinea capitis."
"Humid offensive eruption with thick pus, yellow crusts, bleeding and burning."
Hair dry, falling off, etc.
It has many symptoms, such as in olden times would be called scrofulous, but which we recognize as psoric. There is a tendency for every "cold" to settle in the eyes. Discharge of mucus and pus from the eyes. Ulceration and thickening of the eyelids, lids rolled outwards or inwards, loss of eyelashes; red and disturbed condition.
Eyes: Now, if we would say "complaints of the eyes in a Sulphur patient," it would cover all kinds of eye troubles.
Sulphur has extensive eye symptoms. Eye symptoms with eruptions on the face and scalp, with itching of the skin, especially when warm in bed. Catarrhal eye symptoms that are made worse from washing.
When not only the eyes are aggravated by bathing, but the patient himself is aggravated from bathing and he dreads to bathe, and he has itching which is made worse from the warmth of the bed, and is subject to chronic sick headaches and has heat on top of the head, with such concomitants his eyes symptoms, no matter what will be cured by Sulphur. Sulphur has cured, cataract and iritis, inflammatory conditions and opacities, and all sorts of "hallucinations of sight" (coming with headaches)
"Flickering before the eyes" (as described)
"small dark specks; dark points and spots; black flies seem to float not far from the eyes; gas or lamp light seems to be surrounded with a halo," etc.
There are so many of these peculiar images before the eyes, but all have the Sulphur constitution.
"Burning heat in the eyes, painful smarting."
Every "cold" settles in the eyes, i. e,, the eye symptoms, when present, are increased and, when he has no eye symptoms, these are brought on from every "cold."
Ears: The ears are subject to catarrh.
You have learned in the generals, that the catarrhal state is a very strong feature of Sulphur. No mucous membrane of the body escapes, all have catarrhal discharges, copious, sometimes purulent, sometimes bloody. The eyes and ears are no exception.
The catarrhal state goes on in a patient until deafness follows. Thickening of the mucous membrane and of the drum. All sorts of strange noises in the ear until the hearing is lost. After structural changes have taken place and deafness comes on even if there is no cure for the deafness, you may cure the patient.
When a patient wants to know if he can be cured of his deafness you can never tell him. Many of the troubles are in the middle ear, and as you cannot examine it, you do not know how much structural change has taken place. You can only say that if the patient can be sufficiently cured then it can be ascertained. If the structural changes are not very great they will disappear after the patient is cured.
If the internal parts are destroyed, if there is a dry, atrophic catarrh of the middle ear, you can hardly expect to restore that middle ear. It has been destroyed; the parts that are necessary for sensation no longer register sensation, because they have become atrophied. You can only talk to the patient about the prospects of curing him.
Do not entertain in your mind the idea of curing an organ. Keep that idea out of your mind as much as possible, and, when people want you to locate the disease in organs, keep quiet, because only the patient is sick.
Think as much as possible about the sick patient and as little as possible about the name or the pathological conditions of organs. So, when patients say,
"Doctor, can you cure my hearing?" answer them:
"First, you must be cured. The first and most important thing is to cure you."
Cure the patient and then it will be seen afterwards what can be done for the ear, for the hearing. That keeps your mind in proper form, keeps you in right relation to the patient. If you were all the time talking of the ear, the patient would worry your life out about his ear.
"When are you going to do something for ear? When am I going to hear?"
Start out with the understanding that the whole patient is to be treated. Remember the patient first, and let him understand that. The idea of a patient going to a specialist for diseases of the ears should be discouraged unless a homoeopathist is at hand.
It is a disease of the whole body that is to be treated. There is no such trouble as an ear trouble considered apart from the constitutional state of the patient himself. Sulphur has "frequent stoppages of the ears, especially when eating or blowing one's nose."
"Sounds in ears."
Inflarnmation of various kinds. Discharges from the ears in a Sulphur patient.
You see I have avoided saying that Sulphur is a remedy for the ears. Many times you will cure patients of these "local diseases" if you select remedies for the patients, when the local symptoms would never have led you to the remedy.
You would never have thought of Sulphur for the ear alone, or for the prolapsus of the uterus, yet the patient needs Sulphur, and, having given it, you are astonished to see how the organs are turned into order after the constitution of the patient has been made orderly.
Now and then pains that are located here and there in the body are prescribed at by the physician, and failure follows. He hunts a remedy through and through to find some particular kind of pain that resembles the pain which the patient has. You should treat the patient and not bother about trifling pains.
Leave it out if you want to, but get a remedy for the patient. If that pain is in the remedy well and good, but if not do not bother about it. Do not bother about the little symptoms. You may even leave out a most prominent keynote in treating the patient.
Sometimes that particular pain is the only symptom the patient wants cured, but if it is an old symptom, it will be the last thing to go away. Under such circumstances the patient will bother your life out wanting to know when that pain is going to be cured, but if you have knowledge of the matter you will not expect to relieve that pain the first time; if you do relieve it you know that you have made a mistake, for the later symptoms should all go away first.
It is sometimes necessary, in order to hold a patient, to say,
"That symptom must not be cured first, but these little symptoms that you do not care much about will go away first."
You will hold that patient for life simply because you have told the truth, simply because you have exhibited to her that you know. Such business is honestly acquired business.
Nose: The catarrhal affections of the nose are extremely troublesome in Sulphur.
"Smell before the nose as of an old catarrh," and so troublesome is the Sulphur nose, so troublesome is this catarrhal state that with odors he is made sick. He thinks he smells his own catarrh, and thinks others also smell it. The smell of this old catarrh, or of filthy things, keeps him nauseated. He is subject to coryzas; constant sneezing, stoppage of the nose. Under coryza we read "fluent like water trickling from the nose."
All the nasal discharges are acrid and burning.
This is a state in Sulphur. Every time he takes "cold," it brings on a coryza. He cannot take a bath, he cannot become overheated, he cannot get into a cold place and cannot overexert himself without getting this "cold in the nose."
Changes of the weather establish a new attack, I have observed in numbers of those old people who are in the habit of taking large quantities of Sulphur in the spring for boils, and as a spring cleanser, that for the rest of the year they suffer from coryza and the various complaints of Sulphur.
If you can hunt out some of these old Sulphur takers, you will have a very good picture of Sulphur, interesting for the homeopathic physician to look upon. He is also subject to nose-bleed, dry ulcers and scabs in the nose.
Face: I have quite sufficiently described the general aspect of the face in Sulphur, but we must especially remember the venous stasis, the dirty appearance, the red spots, the sickly look, the appearance of false plethora. It is a face that changes from pale to red, a pallid face that becomes easily disturbed, flushed from excitement, flushed in a warm room, flushed from slight stimulation, especially flushed in the morning. Eruptions upon the face.
Periodical neuralgias of the most violent character, especially on the right side of the face. Long and tedious right-sided neuralgias. Persistent neuralgias in those that live in a malarial climate, when the short-acting remedies given for the neuralgia, such as Belladonna and Nux vomica, have only for a short time mitigated the suffering. If upon studying the whole case you find he turns out to be a Sulphur patient, Sulphur will permanently cure the neuralgia.
Sulphur cures erysipelatous inflammation of the face. In Sulphur the erysipelas commences on the right side of the face and about the right ear, and there is considerable swelling of the right car, and it spreads slowly, moves with sluggishness and is unusually purple. The whole patient is an offensive, filthy patient; in spite of washing, his skin looks wrinkled, shriveled and like dried beef.
Sulphur is not so suitable in the cases that come on with rapidity and great violence, with vesicles and enormous blebs, but it suits those cases in which at first there is the appearance of a mottled dusky red spot on the face, and a little distance from it another spot and the another, and these, as it were, all run together, and after a week or so it develops into a sluggish erysipelatous state, and the veins seem to be distended, and he is passing into a state toward unconsciousness.
You will be astonished to see what Sulphur will do in such a case, which comes slowly as if there were a lack of vitality to develop it, a slow, sluggish, erysipelatous inflammation. Whereas, if it be Arsenicum, Apis or Rhus tox, it spreads with rapidity. Arsenicum and Apis burn like, fire and Rhus has blisters upon the erysipelatous patches.
The whole face in Sulphur is covered at times with patches of moist, scaly, itching, eczematous eruptions. Crusta lactea that involves the scalp and the cars, with moisture, thick yellow crusts, piling up, with much itching, which is worse when warm in bed. The child sleeps without covers. If there is itching in parts that are covered, when the parts become warm the itching increases. These eruptions are associated with eye diseases, catarrhal affections of the eyes and nose.
The Sulphur patient has thick incrustations upon the lips, scabby lips, chapped lips, cracks about the lips and corners of the mouth. The saliva oozes out of the mouth making red streaks. Eruptions with itching and burning about the lower part of the face. Herpetic eruptions about the mouth. All of these burn and become excoriated from the fluids of the mouth. Round about the under jaw there is swelling of the glands. Swelling and suppuration of the sub-maxillary glands swelling of the parotids. The glands of the neck are enlarged.
Teeth and Mouth: In the Sulphur constitution the teeth become loose; the gums settle away from the teeth and bleed and burn.
The teeth decay. There is a general unhealthy condition of the mouth and tongue. Foul taste and foul tongue. Ulceration of the mouth and burning in the ulcers. In the aphthae there is burning, stinging. White patches in the mouth.
Sulphur is a very useful remedy in sore mouth of nursing infants, and such as occurs in the mother during lactation. It has also deep-seated phagedenic ulcers that eat around the inner surface of the check. Peculiar little nodules form upon the tongue. and upon the sides of the mouth where the unhealthy teeth press.
When these nodules come along the edge of the tongue they are so painful that he cannot talk and cannot swallow. He must live on substances that he can take without having to move the tongue. Sometimes they involve the whole tongue, and have been called cancerous affections even when benign.
Throat: Sulphur is a wonderful medicine for chronic sore throat when the symptoms agree.
The old Sulphur patient suffers from a general catarrhal state, as has been said, and the throat symptoms are of that sort. There is a catarrhal state which goes on even to ulceration. The tonsil is enlarged, and of a purplish aspect lasting for weeks and months, a general sore and painfully sensitive condition of the throat; but it has also an acute sore throat. It is especially useful in inflammation of the tonsil with suppuration, when the aspect is purplish, venous, and not a bright red inflammation.
The purplish, dusky color is especially a Sulphur color. There is often burning in the throat, stitching, rawness, smarting, inflammation and difficult swallowing. It has cured diphtheria.
I have sufficiently covered appetite, desires and aversions under the generals. The Sulphur patients are commonly dyspeptics, patients who can digest almost nothing. They must live on the simplest forms of food in order to have any comfort at all; cannot digest anything like ordinary diet.
The stomach: is sensitive to touch with the all-gone hungry feeling before mealtimes.
The Sulphur patient cannot go long without eating; he becomes. faint and weak. Great heaviness in the stomach after eating but little, after eating meat, or after eating foods that require a healthy stomach to digest.
Then he becomes the victim of pain. He will describe the pains in his stomach as burning pains and great soreness; he has a morbid feeling in the stomach; smarting, and rawness in the stomach. He will describe this sensation as
"Pain in the stomach after eating.
Sensation of weight in the stomach after eating," etc.
The Sulphur stomach is a weak stomach, is slow in digesting. There is acid and bilious vomiting, as a result of the disordered stomach. Sour taste in the mouth from the welling up of acids from the stomach.
The liver: is a very troublesome organ.
There is enlargement and induration, with much painfulness, pressure and distress. With congestion of the liver, the stomach also takes on its usual symptoms, or, if present already, they are aggravated. The patient becomes jaundiced, with sensation of engorgement or fullness of the liver, dull aching in the liver.
He is subject to gall stones; tearing pains in the region of the gall duct, coming periodically, attended with much increase of his sallowness.
The Sulphur liver patient is the victim. of chronic sallowness, which increases and decreases. When this patient takes "cold" it settles in the liver; every "cold," every bath he takes, every change of weather, aggravates his liver symptoms, and when these are worse he has less of other troubles. It localizes itself in attacks of bilious vomiting, in attacks of "bilious headaches," as he calls them.
At times the stool is black as tar, at others it is green and thick, and there are times when the stool is white. These stools alternate and change about with the engorgement of his liver, and then he is subject to gall stones.
Abdomen: The Sulphur patient suffers from great distension of the abdomen; rolling in the abdomen; soreness in the abdomen.
He cannot stand because the abdominal viscera hang down so; they seem to be falling. There is rawness, soreness, distension and burning, with diarrhoea with chronic diarrhoea, and then this goes on to more serious trouble, towards tubercle in the abdomen. The mesenteric glands become in filtrated with tubercle. There is nightly itching with the eruptions upon the abdomen, the itching being worse when warm in bed. Shingles come out about the sides and seem inclined to encircle the body.
He is also a flatulent patient. There is much belching, much distension, much rumbling and passing of flatus. He has spells of colic without being flatulent; the wind is confined. Dreadful spells of colic, cutting, tearing pains relieved in no position; burning and smarting in the whole abdomen and soreness of the intestines.
Catarrh of the whole intestinal tract. That which he vomits is acid and smarts the mouth, and that which he passes by the anus is acrid and makes the parts raw. The liquid stool burns while it is passing, and there is much burning when passing moist flatus. He is often called to stool, but while sitting at stool he passes only a little fluid or a little moisture with flatus, and that fluid burns like coals of fire, and the anus becomes raw.
The stool may be thin faeces, yellow, watery, mucous, green, bloody, excoriating. The stool is offensive, often sickening, of a penetrating odor which permeates the room, and "the smell of the stool follows, him around, as if he had soiled himself."
The diarrhea comes on especially in the morning and it is commonly limited to the forenoon. It drives him out of bed in the morning; as soon as he wakes up and moves in bed, he feels the urging to stool and must make great haste, or he will lose it; it is with difficulty that he can hold it until he reaches the commode.
The morning is the typical time, but a diarrhea that comes on any time after midnight, from midnight till noon, may be a Sulphur diarrhea. Very seldom would you -expect to cure with Sulphur a diarrhea that is in the habit of coming on during the afternoon. Sulphur has some evening aggravations in diarrhea, but these are exceptions; it is the morning diarrhoea that we look to Sulphur to cure.
Sulphur is a wonderful remedy in cholera and in those cases of diarrhea that occur in cholera times, when the diarrhoea begins in the morning. It is also of great value in dysentery, when the stool is bloody mucus with constant straining. As in Mercurius he must sit long at stool because of a feeling as if he could not finish. Such is the typical Mercurius state: a slimy stool with the sensation as if he could not finish.
Sulphur often cures this state after Mercurius fails. It is the natural follower of Mercurius when the latter has been misunderstood and given. In dysentery, when this tenesmus is of the most violent character, when the stool is pure blood, when it is attended also with much urging to urinate.
Mercurius corrosivus gives the quickest relief. If the tenesmus is less violent, and there is not much straining to urinate, or it is altogether absent, Mercurius solubilis is the more natural remedy. These medicines run very close to Sulphur in dysentery, but are more commonly indicated than Sulphur. In Sulphur patients of course Sulphur will be the suitable remedy in dysentery.
He is subject to hemorrhoids, external and internal; great bunches that are sore and raw, burning and tender, and that bleed and smart with the liquid stool.
The urinary symptoms: and those of the bladder and male sexual organs, combine to give a very important group in Sulphur.
There is a catarrhal state of the bladder, constant urging to urinate and burning and smarting while urinating. The urine scalds the urethra while passing and the smarting is so great that it lasts a long time after urination. It is indicated in broken-down constitutions, in old inventors, in old philosophers who have been leading sedentary lives, who suffer from enlarged prostate. burning in the urethra during and after the flow of urine, and a urethral discharge not unlike gonorrhoea, but really a chronic catarrhal state.
Mucus in the urine, sometimes a pus. In old cases of gleet, in old broken-down patients, when the ordinary gonorrhoea remedies, and the remedies especially fitted to the discharge itself, only palliate; when the patient himself is a Sulphur patient.
Such a patient has had a gonorrhoea and has been treated by remedies adapted to the new appearance, to the discharge itself, but a catarrhal state of the urethra follows, with burning in the urethra, swelling of the meatus, a red, swollen, pouty condition of the meatus, and only a drop collects, just enough to soil the linen, and this keeps up week after week, and sometimes for years; he will be cured of this discharge by allowing potentized Sulphur to act long enough.
Sulphur has cured patients with sugar in the urine, in the early stage of diabetes. Sulphur cures involuntary urination during sleep. It cures troubles brought on by taking "cold." Every "cold" in some patients settles in the bladder. This is like Dulcamara, and when Dulcamara will no longer hold, or when it has been suitable in earlier stages, Sulphur follows it well. Continuous smarting of urine and frequent urging; burning, stinging, smarting in the urethra for a long time after micturition.
Genitals: On the genitals there are many eruptions.
Itching of the genitals, worse from warmth of the bed; much sweat about the genitals; coldness of the genitals. In the male, impotency; the sexual desire is fairly strong, but he is unable to secure suitable erections; or there is discharge of semen before intromission, or too soon after intromission. There is an inflammatory condition around the glans and foreskin. Herpetic eruptions under the foreskin, itching and burning. This patient has much annoyance from itching eruptions on the genitals.
The prepuce becomes narrow and cannot be drawn back inflammatory phimosis; thickening or restriction of the prepuce. Inflammatory phimosis can be cured by remedies, if the phimosis depends upon some, trouble that is in itself curable. Congenital phimosis cannot be cured by remedies. The genitals are extremely offensive both to the patient and to the examining physician. The patient is likely to be very uncleanly; he does not bathe himself, and the genitals accumulate their natural filth. Discharge of prostatic fluid when at stool.
Under female sexual, organs we have sterility. We have irregularity in the menstrual flow, menstrual flow suppressed from the slightest disturbance. Haemorrhage in connection with the menstrual flow; uterine haemorrhage; prolonged uterine haemorrhage.
In an abortion you may have selected Belladonna, which war, suitable while the woman was aborting, and it may have overcome the present state; or you may have selected Apis or Sabina, which was suitable for the early state, and it either postpones or checks the haemorrhage for the time or hurries the expulsion of the foetus; but the haemorrhage starts in again and with its return we have prolonged tribulation. In many of these cases we can do nothing until we put the patient on Sulphur.
If the symptoms are masked, Sulphur stands very high. When Belladonna has been given you will often have to follow it with Sulphur. Sabina, which has the most violent gushing haemorrhage in abortions, very commonly needs to be followed by Sulphur. In such hemorrhagic affections, however i.e, in a prolonged recurring haemorrhage, a chronic condition, not in the first or most exciting time, not in the time of the earliest gushing, there are two very frequently indicated remedies, M.: Sulphur and Psorinum.
The flow keeps coming back in spite of ordinary remedies, and in spite of remedies selected upon the group of symptoms related to the pelvis. In many instances we go to a haemorrhage and the pelvic symptoms are prominent and all other symptoms clouded; there is a gushing flow, the blood is hot, etc., and there are only a few symptoms; but the next time you see the woman she is quiet enough to give other symptoms, and in the course of a few days more symptoms come out, as the hemorrhagic state is an outcome of the chronic condition.
This is unlike measles. You do not have to look into the chronic state until the measles or scarlet fever or small-pox is finished; these are acute miasms. But the haemorrhage is a part of her constitutional state; it is not a miasm; and hence when it is violent, calling for a remedy, probably the best adapted will he the short acting remedies, such as Belladonna or even Aconite; but then look into the constitutional state for it is likely some remedy will have to follow the Aconite or the Belladonna, and commonly it is Sulphur; the acute remedy being suitable to the violent action and then followed by its complementary medicine.
Women needing Sulphur are full of hot flashes, such as they are likely to have at the climateric period, and here it competes with Lachesis and Sepia. Sulphur and Sepia are suitable in the most violent cases of dysmenorrhoea in girls and even in those of advanced age.
Most violent cases that have existed a long time, since the beginning of menstruation, in women who always needed Sulphur. If you select a remedy merely on the kind of pain, on the sensitiveness of the uterus, on the appearance of the flow, i.e., on the pelvic symptoms, you will make a failure. You must treat the patient, even if the pelvic symptoms do not fall under the generals; when the generals agree Sulphur will cure dysmenorrhoea even though you cannot fit it to the pelvic symptoms. The generals always precede and rule in every case.
Sulphur has violent burning in the vagina. Troublesome itching of the vulva. Great offensiveness from the genitals. Perspiration copious and foetid coming from about the genitals, down the inside of the thighs and up over the abdomen.
She is so offensive that the odors nauseate her, and this general state is true, it is not the imagination. Remember the over-sensitiveness to odors. Leucorrhoea copious, offensive, burning, sticky; it may be whitish or yellow; it is offensive, acrid, and causes itching about the part and excoriation.
There is much nausea during gestation, or only during the early period of gestation. In those women needing Sulphur, it will stop the nausea, and they will go into labor easily, with few protracted pains; they will go through their labor with only the contractions, and these comparatively painless. The only pains in such cases will be those from the pressure of the child's head. Labor is painful we know, but it is comparatively easy when the woman is upon a suitable remedy. Sulphur is indicated then in women who have suffered from the most dreadful agony in confinement; prolonged labor. Troublesome after-pains. Suitable also in swelling of the mammary glands.
Then we have septicemic conditions, with purulent lochia or suppression of the lochia. You may go to a case in which, on the third day, there has been a chill, the lochia has been suppressed, the woman has a high temperature and is covered from head to foot with sweat. As you put your hand under the covers you feel steam come up from the body so that you want to take your hand away, it is so hot. She is dazed and is sensitive over the whole abdomen.
You know now the meaning of the suppression of the lochia; you have a puerperal fever on hand. Study closely for Sulphur instead of hunting around among Aconite, Bryonia, Belladonna, Opium, etc. With these you will make a total failure in most instances, but Sulphur fits into just such a state and has cured many cases of puerperal fever.
If it is but a milk fever or mammary indisposition and the chill is only acute, then your short-acting remedies will do very well and even Aconite has been useful, but when it is a case of septicemia, Sulphur goes to the very root of it. When the feet burp, when there is a hungry feeling in the stomach, the night aggravation with sinking and exhaustion, and when throughout the body there is a sensation of steam rising or hot flashes, one after another, you must give Sulphur.
Now, on the other hand, if in such a case, with the hot sweat and other general features, you have one rigor following another in rapid succession and no end to them, you cannot get out of that case without Lycopodium, which goes as deeply into the case as Sulphur. When there is a continuous intermingling of little chillinesses and little quiverings throughout the body and the pulse has lost its proper relationship to the temperature, Pyrogen must be administered. If there is a purplish appearance of the body, cold sweat all over, if there are remittent or intermit-tent chills, with thirst during -the chill, and at no other time, and the face is red during the chill, you must give Ferrum, as no other remedy looks just like that.
When one side of the body is hot and the other side is cold and you find the woman in a tearful state, trembling with fear, nervous excitement and restlessness, give Pulsatilla, which also has a septic state and is sufficient to overcome the septic condition.
Sulphur is suitable in surgical fever when it takes this form of flashes of heat and steaming sweat. In these deep-seated septic states, somewhere from beginning to end, Sulphur will most likely be wanted. You may see in the earlier stages of that septic state a number of Bryonia symptoms, but Bryonia cannot take hold of that case. Remember that in a septic state you want to get ahead of it in the first twenty-four hours; you do not want to let it run on, and if Bryonia has only mitigated it in its beginning then it is too late for Sulphur.
Go to Sulphur at once. Now, another thing, even if you have made a mistake in giving Sulphur and you find it does not take hold of the case, it always simplifies it, does good and never spoils it. It gives you a good basis to begin on. It goes to the bottom and simplifies the matter, and, if you have mental and nervous symptoms left still you have overcome that violent septic state which must be met at once, and the remaining symptoms in many instances are simple. Sulphur is a general remedy to begin with in those cases where the symptoms are not perfectly clear for another.
Respiration: This remedy is full of difficult breathing, shortness of breath from very little exertion, copious sweat, so exhausted; asthmatic breathing and much rattling in the chest.
Every time he gets "cold" it settles in the chest or in the nose. In both these instances the catarrhal state hangs on and holds a long time; it seems never to be finished, always remains as a catarrhal state.
"Every cold he takes ends in asthma," calls for Dulcamara, but very often the fag end of that attack will remain and the physician has to give a deep-acting remedy. After Dulcamara has done all it can do, Sulphur comes in as its complementary remedy. Calcarea carb. has a similar relationship to Dulcamara.
The nose, the inner chest and lungs furnish us localities for much trouble. The patient has had pneumonia and it has gone on to the period of infiltration; you have taken the case in this advanced stage after Bryonia has overcome the threatening features, and now when the patient should rally he does not rally; he perspires all over, is tired and has a strange and singular consciousness that "there is something wrong in there; a load in there;" "difficult breathing; flashes of heat and yet not much fever; sometimes coldness alternating with flashes of heat. I have often heard them say, "
There is a great load in there, doctor. I cannot get rid of it."
Upon close examination you find there is hepatization and now comes the time for such remedies as Phosphorus, Lycopodium and Sulphur, and Sulphur leads them all.
When Bryonia has been sufficient for the earlier symptoms, or when Aconite has cleared them up, there has been too much for these remedies to relieve, then hepatization comes on. If this is confined to only a small area it will keep up quite a chronic course, but Sulphur will clear it up. If, however, it is a double pneumonia, or the hepatization involves a considerable portion of the lung, and the remedy given has not been sufficient, and the case is advancing towards a fatal issue, it may be that all at once at one, two or three o'clock in the morning, he begins to sink, his nose becomes pinched, his lips are drawn, he takes on a hippocratic countenance, is covered with cold sweat, be is too feeble in every part of his body to move; he only moves his head a little in a restless manner.
Unless you are called at once and give him a dose of Arsenicum he will die. You give the Arsenicum, and you have done well, but Arsenicum has no ability to remove the results of inflammation. But though it cannot cure that hepatized lung it acts as a vital stimulant; it warms up the patient and makes him feel he is going to get better; but, mark this, in twenty four hours he will die unless you follow the Arsenicum with the proper remedy.
You must not wait on your remedy too long in these cases. Just as soon as he rallies and the reaction is at its highest pitch, give him the antidote and natural follower of Arsenicum, which is Sulphur, and in twenty-four hours the patient will say,
"I am getting better."
As sure as you exist today, it will do just that thing. There are times when you will see clearly that Phosphorus is the medicine to follow Arsenicum with. If such a patient, rallying under Arsenicum, goes into a fever, if a hot fever comes on with burning thirst and he cannot get enough ice-cold water, you must follow it with Phosphorus, and it will do in that case what Sulphur will do in the other.
You will not see these cases in your own practice because you will not let your cases get into that state; if such cases have power enough to live when prescribed for properly in that state, they have power enough to let you break up the whole nature of the case in the beginning
But go back to that patient who had only a circumscribed hepatization and felt well enough to get up and go around. He has a lingering cough, and now six months or a year after the attack he says.
"Doctor, I have never been right since I had an attack of chest trouble.
The doctor called it pneumonia."
He can tell you about the rusty sputum and the other little things that belong to pneumonia; that is all you need to know. He has had a chronic cough ever since that attack and now he has chilliness.
There is fibrinous infiltration, not a tuberculous state, but the remains of hepatization that nature could not cure. If that is allowed to go on be will go into catarrhal phthisis, asthmatic conditions of chronic bronchitis and troubles of various sorts, and finally he will die from these. Sulphur will very often conform to all of his symptoms; it especially has the ability to clear up the lungs that were not properly cleared up at the time of his illness.
Sulphur cures bronchitis. It cures asthmatic bronchitis when the symptoms agree. Sulphur has a most violent cough that racks the whole frame; it seems that the head will fly off; pain in the head when coughing; the head is jarred by the cough. Then he has expectoration of blood, bleeding from the lungs; in all of these cases threatening phthisis, when there is yet not too much deposit of tubercle, when there is only the beginning of tubercular deposit.
The low, stricken down constitution, the emaciated subjects that have inherited phthisis who have the all-gone hungry feeling in the stomach, heat on the top of the head and uneasiness from the warmth of the bed.
These cases would be better if they had plenty of eruptions come out upon the body; but as a matter of fact the skin has no eruptions; there is no relief; it is all going on in his internals and he is gradually breaking down.
Sulphur will in such instances rouse that patient out of his phthisical state and he will return to health, or, if be is too bad for that be may be kept for years from his troubles. Look out for it in the advanced state of phthisis. You have had sufficient said concerning its administration in such a condition. It increases the suppuration, and brings on little pneumonias wherever there is a tubercle; it tends to suppurate these out. Every cell that is incapable of carrying on its function will be sloughed out by Sulphur.
Back and limbs: The striking thing in Sulphur as to the back is pain in the back on rising from a seat, compelling him to walk bent, and he can only straighten up slowly after moving. The pain is principally in the lumbo-sacral region.
The extremities are covered with eruptions. Eruptions upon the back of the bands and between the fingers, and sometimes upon the palms; vesicular and scaly eruptions which itch; pustules, boils and little abscesses irregular erysipelatous patches here and there upon the extremities a dirty appearance of the skin.
Skin: Itching of the skin from the warmth of the bed.
Enlargement of the joints. Rheumatic affections; great stiffness of the joints; tightness in the hollow of the knees; tightness of the tendons, of rheumatic and gouty character. Cramps in the legs and soles of the feet. Burning of the soles of the feet in bed; he puts them out of bed to cool them of the soles cramp and burn and itch.
At times you will find the soles are cold, and then again burning, and these states alternate with each other. Distress of the body with coldness of the limbs, but after going to bed they burn so much that he must put them out. The corns, which he is a victim of and suffers from almost constantly, burn and sting in the warmth of the bed.
The skin of a Sulphur patient ulcerates and suppurates easily; a splinter under the skin will cause it to ulcerate; wounds heal slowly and fester. Every little prick of a pin festers as in Hepar.
The eruptions of Sulphur are too numerous to mention. They are of all sorts, but there are a few characterizing features in all, such as the burning, stinging and itching and the aggravation from the warmth of the bed.
The skin is rough and unhealthy. Upon the face are many "black-heads," acne, pimples and pustules. Sulphur is full of boils and abscesses in all parts of the body, squamous eruptions, vesicular eruptions, etc.
They are all present in Sulphur and they burn and sting.
HOMŒOPATHIC MATERIA MEDICA by William BOERICKE, M.D. (http://www.homeoint.org/books/boericmm/s/sulph.htm)
This is great Hahnemannian anti-psoric. Its action is centrifugal-from within outward-having an elective affinity for the skin, where it produces heat and burning, with itching; made worse by heat of bed. Inertia and relaxation of fiber; hence feebleness of tone characterizes its symptoms. Ebullitions of heat, dislike of water, dry and hard hair and skin, red orifices, sinking feeling at stomach about 11 am, and cat-nap sleep; always indicate Sulphur homeopathically. Standing is the worst position for sulphur patients, it is always uncomfortable. Dirty, filthy people, prone to skin affections. Aversion to being washed. When carefully-selected remedies fail to act, especially in acute diseases, it frequently arouses the reactionary powers of the organism. Complaints that relapse. General offensive character of discharge and exhalations. Very red lips and face, flushing easily. Often great use in beginning the treatment of chronic cases and in finishing acute ones.
Very forgetful. Difficult thinking. Delusions; thinks rags beautiful things-that he is immensely wealthy. Busy all the time. Childish peevishness in grown people. Irritable. Affections vitiated; very selfish, no regard for others. Religious melancholy. Averse to business; loafs-too lazy to arouse himself. Imagining giving wrong things to people, causing their death. Sulphur subjects are nearly always irritable, depressed, thin and weak, even with good appetite.
Constant heat on top of head (Cup sulph; Graph). Heaviness and fullness, pressure in temples. Beating headache; worse, stooping, and with vertigo. Sick headache recurring periodically. Tinea capitis, dry form. Scalp dry, falling of hair; worse, washing. Itching; scratching causes burning.
Eyes.--Burning ulceration of margin of lids. Halo around lamp-light. Heat and burning in eyes (Ars; Bell). Black motes before eyes. First stage of ulceration of cornea. Chronic ophthalmia, with much burning and itching. Parenchymatous keratitis. Cornea like ground glass.
Whizzing in ears. Bad effects from the suppression of an otorrhœa. Oversensitive to odors. Deafness, preceded by exceedingly sensitive hearing; catarrhal deafness.
Herpes across the nose. Nose stuffed indoors. Imaginary foul smells. Alæ red and scabby. Chronic dry catarrh; dry scabs and readily bleeding. Polypus and adenoids.
Lips dry, bright red, burning. Bitter taste in morning. Jerks through teeth. Swelling of gums; throbbing pain. Tongue white, with red tip and borders.
Pressure as from a lump, as from splinter, as of a hair. Burning, redness and dryness. Ball seems to rise and close pharynx.
Complete loss of, or excessive appetite. Putrid eructation. Food tastes too salty. Drinks much, eats little. Milk disagrees. Great desire for sweets (Arg nit). Great acidity, sour eructation. Burning, painful, weight-like pressure. Very weak and faint about 11 am; must have something to eat. Nausea during gestation. Water fills the patient up.
Very sensitive to pressure; internal feeling of rawness and soreness. Movements as of something alive (Croc; Thuj). Pain and soreness over liver. Colic after drinking.
Itching and burning of anus; piles dependent upon abdominal plethora. Frequent, unsuccessful desire; hard, knotty, insufficient. Child afraid on account of pain. Redness around the anus, with itching. Morning diarrhœa, painless, drives out of bed, with prolapsus recti. Hæmorrhoids, oozing and belching.
Frequent micturition, especially at night. Enuresis, especially in scrofulous, untidy children. Burning in urethra during micturition, lasts long after. Mucus and pus in urine; parts sore over which it passes. Must hurry, sudden call to urinate. Great quantities of colorless urine.
Stitches in penis. Involuntary emissions. Itching of genitals when going to bed. Organs cold, relaxed and powerless.
Pudenda itches. Vagina burns. Much offensive perspiration. Menses too late, short, scanty, and difficult; thick, black, acrid, making parts sore. Menses preceded by headache or suddenly stopped. Leucorrhœa, burning, excoriating. Nipples cracked; smart and burn.
Oppression and burning sensation in chest. Difficult respiration; wants windows open. Aphonia. Heat, throughout chest. Red, brown spots all over chest. Loose cough; worse talking, morning, greenish, purulent, sweetish expectoration. Much rattling of mucus. Chest feels heavy; stitches, with heart feeling too large and palpitating pleuritic exudations. Use Tinctura sulphuris. Stitching pains shooting through to the back, worse lying on back or breathing deeply. Flushes of heat in chest rising to head. Oppression, as of a load on chest. Dyspnœa in middle of night, relieved by sitting up. Pulse more rapid in morning than in evening.
Drawing pain between shoulders. Stiffness of nape. Sensation as if vertebræ glided over each other.
Trembling of hands. Hot, sweaty hands. Rheumatic pain in left shoulder. Heaviness; paretic feeling. Rheumatic gout, with itching. Burning in soles and hands at night. Sweat in armpits, smelling like garlic. Drawing and tearing in arms and hands. Stiffness of knees and ankles. Cannot walk erect; stoop-shouldered. Ganglion.
Talks, jerks, and twitches during sleep. Vivid dreams. Wakes up singing. Wakes frequently, and becomes wide awake suddenly. Catnaps; slightest noise awakens. Cannot sleep between 2 an 5 am.
Frequent flashes of heat. Violent ebullitions of heat throughout entire body. Dry skin and great thirst. Night sweat, on nape and occiput. Perspiration of single parts. Disgusting sweats. Remittent type.
Dry, scaly, unhealthy; every little injury suppurates. Freckles. Itching, burning; worse scratching and washing. Pimply eruption, pustules, rhagades, hang-nails. Excoriation, especially in folds (Lyc). Feeling of a band around bones. Skin affections after local medication. Pruritus, especially from warmth, is evening, often recurs in spring-time, in damp weather.
Worse, at rest, when standing, warmth in bed, washing, bathing, in morning, 11 am, night, from alcoholic stimulants, periodically. Better, dry, warm weather, lying on right side, from drawing up affected limbs.
Relationship.--Complementary: Aloe; Psorin; Acon; Pyrarara (a fish caught in the Amazon, clinically used for various skin affections). Lepra, tuberculides, syphilides, varicosities, etc.
Compare: Acon (Sulph often follows in acute diseases); Mercur and calcarea are frequently useful after Sulphur, not before. Lyc; Sep; Sars; Puls; Sulphur hydrogenisatum (delirium, mania, asphyxia); Sulphur terebinthinatum (chronic rheumatic arthritis; chorea); Tannic acid (Nasal hæmorrhage; elongated uvula; gargle; constipation). Magnes artificialis (great hunger in evening, profuse sweat on face, bruised pain in joints, rectal constriction after stool).
Magnetis polus Articus (anxious, coldness of eyes as if a piece of ice lay in orbit, increased flow of saliva, constipation, sopor, trembling, abdominal flatulence).
Magnetis polus Australis (dryness of lids, easy dislocation of ankle, ingrowing toe-nails, aching in patella, shooting in soles).
Compare in adenoids: Agraphis.
Dose.--Acts in all potencies from the lowest to the highest. Some of the best results are obtained from the higher, and not too frequent doses. The twelfth potency is a good one to begin treatment with, going higher or lower according to the susceptibility of the patient. In chronic diseases, 200th and upward. In torpid eruptions the lowest potencies.
A DICTIONARY OF PRACTICAL MATERIA MEDICA By John Henry CLARKE, M.D. (http://www.homeoint.org/clarke/a.htm)
Brimstone. Sublimed Sulphur. S. (A. W. 3l.98). Trituration of "Flowers of Sulphur." A saturated solution of Sulphur in absolute alcohol constitutes the Ø tincture. [A trituration of amorphous Sulphur has also been used. Effects of "Milk of Sulphur" or Precipitated Sulphur, i.e., Sulphur prepared by precipitation from a solution of Calc. sulph. with Hydrochloric acid, are included in the pathogenesis.]
Clinical.─Acne. Adenoids. Ague. Alcohol habit. Amaurosis. Amenorrhœa. Anæmia. Anus, prolapse of. Asthma. Atelectasis. Bed-sores. Biliousness. Boils. Brain, congestion of. Breasts, affections of. Bright's disease. Bronchitis. Cataract. Catarrh. Chagres fever. Chancre. Cheloid. Chest, pains in. Chilblains. Chloasma. Climaxis, sufferings of. Cold. Constipation. Consumption. Corns. Cough. Crusta serpiginosa. Dental fistula. Diabetes. Diarrhœa. Dysentery. Dysmenorrhœa. Ear, affections of. Eczema. Emaciation. Enuresis. Epilepsy. Eructations. Eruptions. Eyes, affections of. Faintness. Feet, burning; Perspiring. Fever. Freckles. Ganglion. Glands, affections of. Gleet. Globus hystericus. Gonorrhœa. Gout. Hæmorrhoids. Headache. Head, rush of blood to. Herpes. Hip-joint disease. Hydrocele. Hydrocephalus. Hydrothorax. Hypochondriasis. Impotence. Influenza. Intermittents. Irritation. Itch. Jaundice. Laryngitis. Leucorrhœa. Lichen. Liver, derangement of. Lumbago. Lungs, affections of. Lupus. Mania. Measles. Memory, weak. Meningitis. Menstruation, disorders of. Miscarriage. Molluscum. Nettlerash. Neuralgia. Nipples, sore. Nose, bleeding of; inflammation of. Œsophagus, constriction of. Ophthalmia, acute; scrofulous; rheumatic. Pelvic hæmatocele. Phimosis. Phlegmasia dolens. Peritonitis. Pleurisy. Pneumonia. Pregnancy, disorders of. Prostatorrhœa. Rectum, affections of. Rheumatic fever. Rheumatism, acute; chronic; gonorrhœal. Ringworm. Sciatica. Self-abuse. Sinking. Skin, affections of. Sleep, disordered. Smell, illusions of. Spinal irritation. Spine, curvature of. Spleen, pain in. Startings. Stomatitis. Taste, illusions of. Tenesmus. Thirst. Throat, mucus in. Tongue, coated. Tonsillitis. Toothache. Trachea, irritation in. Ulcers. Urticaria. Uterus, prolapse of. Vaccination. Varicocele. Varicosis. Vertigo. Warts. White swelling. Worms. Worry. Yawning.
Characteristics.─Sulphur is an elementary substance, occurring in nature as a brittle crystalline solid, burning in the air with a blue flame, being oxidised to Sulphur dioxide (Sulphurous acid). The reputation of Sulphur as a remedy is perhaps as old as medicine. "As early as 2,000 years ago," says Hahnemann, "Sul. had been used as the most powerful specific against the itch. . . The itch, with which the workers in wool are so much affected, causes an intolerably agreeable, tingling, itching, gnawing as of vermin. Some designate it as an intolerably voluptuous titillating itching, ceasing as soon as the parts are scratched and commencing to burn, which burning continues after the scratching. Sul. frequently produces in healthy persons burning-itching pimples and vesicles resembling the itch vesicles, and especially itching in the joints, and in the night." The specific power of Sul. to cure itch was abused. It was applied externally as baths and ointments, and the skin affection was not cured but repelled, and a host of secondary affections appeared in its place. Hahnemann found in Sul. the homœopathic counterpart of the peculiar constitutional dyscrasia which tends to manifest in itch-like eruptions, and which he named Psora. Sul. is the chief of the antipsoric remedies. A proving of Sul. appears in the M. M. P., and this is amplified in the Chronic Diseases. The domestic use of Sul. (in the familiar "Brimstone and Treacle") as a "Spring medicine" is based on its antipsoric properties. "It is one of the most popular diaphoretics of the day," says Milne, "few old women failing to use it when any eruption is supposed to be struggling through the skin." It is this property of Sul. to divert to the surface constitutional irritants which renders it the chief of Hahnemann's antipsorics. Sul. has also an antipsoric action independently of its power of "bringing out" rashes. The psoric poison may be present and active in a case of disease and "apparently well-indicated remedies may fail to act" in consequence. In such cases one or two doses of Sul. will frequently antidote, as it were, the psora, and either clear up the case, or open the way for the action of other remedies. In such cases there will almost certainly be some Sul. indications present. Sul. is a potent antiseptic, and is one of the most certain destroyers of the acarus of itch. The exact relation of acarus itch to psora and other itching eruptions need not be considered; but as Sul. has the power of repressing constitutional eruptions when locally applied, as well as the power of destroying the acarus, it is best to use other means (e.g., Oil of Lavender) for the latter purpose, and give Sul. or other indicated remedies internally. In my experience the psora of Hahnemann (which is a very real and definite dyscrasia) is generally inherited. The symptoms of latent psora are set forth in detail in Hahnemann's Chronic Diseases, and they are for the most part almost exact reproductions of the symptoms of Sul. But whilst Sul. is the chief of antipsorics, it is only one of many; and Sul. is in no way limited in its uses to cases of latent or declared psora. Much more important is it to know the leading features of the drug's action, which are sure guides in any case. (1) A key to many of the Sul. conditions is to be found in an irregular distribution of the circulation: flushes of heat; rush of blood to head, chest, heart; plethora from suddenly suppressed eruptions, piles, discharges; heat and burning sensation of all parts or coldness, sweating of many parts. These irregularities may go on to actual inflammation with effusions; and to fever of intermittent or other types. Another manifestation of this is found in the redness of orifices and parts near orifices: red ears, red nose; red eyelids and red borders round eyelids: brilliant red lips; bright red anus in children; red meatus urinarius; red vulva. The orifices are not only red and congested, but they are sore and hypersensitive as well; the passage of all discharges or excretions is painful. (2) The other side of this feeling of fulness is a feeling of emptiness. There is no medicine which has this symptom in a more extreme degree than Sul., and there is no single symptom that is of greater value to the homœopathic prescriber than "Faint, sinking, all-gone sensation at 11 a.m." When that symptom is marked I give Sul. (generally 30), and get all the good I can out of the remedy before prescribing anything else, and very rarely am I disappointed. There is no need to wait to be told the symptom, or to ask patients directly if they experience it. I generally ask if they get hungry out of their usual mealtimes; and if they say "Yes"; I ask "What time?" The time need not be exactly eleven; though that is the most characteristic time. People who "must have something between breakfast and dinner-time" are generally benefited by Sul. This ravenous hunger at 11 is often associated with other Sul. symptoms, as heat at vertex; dyspepsia; portal congestion; constipation with ineffectual urging; piles; constipation alternating with diarrhœa. When the dyspeptic gets food and relieves his hunger he begins to feel puffed up, feels heavy and sluggish, and is low-spirited, he scarcely cares to live. The dyspepsia of Sul. is often the result of suppressed eruptions. It is well known that drunkenness "runs in families," and the underlying disease of drunkenness is often psora. Sul. both causes and cures craving for beer and spirits. Gallavardin cured many apparently hopeless drunkards with Sul. 1m. The "sinking, empty, all-gone sensation" is a common feature in the dyspepsia of drunkards. Dyspepsia from farinaceous food. Cannot take milk; vomits it at once; sour vomit with undigested food. Voracious appetite is a frequent symptom of scrofula, and scrofula and psora are frequently convertible terms. The child clutches at all food offered to it as if starved to death. Defective assimilation; hungry yet emaciated. Stopped catarrh; nose obstructed indoors, > out of doors. The child looks dried up, a little old man; skin hanging in folds, yellowish, wrinkled, flabby. Head large in proportion to body. Lymphatic glands enlarged. Defective assimilation. When scrofula exists without particular symptoms Sul. will develop them. Allied to scrofula is tuberculosis; in connection with which many symptoms of Sul. appear: marasmus with hunger at 11 a.m.; sore, red orifices; flushes of heat. In tuberculosis of the lungs a keynote is "body feels too hot." The patient must have windows open no matter how cold the weather may be. The caution is usually given to repeat Sul. seldom in cases of tuberculosis; and to give it only in the early stages. (3) "< By heat" is another keynote of Sul., and marks it out as the remedy in a large number of cases; the < is most noticeable by warmth of the bed. Whenever a patient says he is all right till he gets warm in bed, Sul. must be examined, it will generally cover the case. (In some cases stove heat >.) The cases of rheumatism and sciatica requiring Sul. will generally have > morning and < at night in bed. (4) "< At night" is scarcely less characteristic. Sul. is related to both the sun and the moon, which makes it one of the most important of periodics. Cooper cured many cases of neuralgia < at noon or at midnight. He regards every twelve hours as the most characteristic periodicity, but it may be multiples or divisions of twelve. Lippe cured with "a single dose of Sul. at new moon" a case of menorrhagia, patient had not been well since her last miscarriage. Skinner gave to a man who had paresis of the lower limbs a single dose of Sul. cm, with instructions to take it on a certain date (when the moon was full). The man recovered almost suddenly. Cooper has had some important experience with Sul. in intermittent fevers. He generally gave two pilules of Sul. Ø every four hours. Correspondents of his found this treatment preserve them from fever in India, and one, an officer, by means of it kept his regiment of sepoys in health when many others were in hospital. One writer treated nine cases with the pilules, and arrested the fever in twenty-four hours. One of the cases was a particularly obstinate one, and had been pronounced by the doctors to be complicated with liver affection. Quinine had been tried before the Sul. cured. In a case of "Chagres fever" (of West Indies), which had lasted three months, Cooper ordered a Sulphur bath as well as the Sul. pilules. That single bath seemed to alter the whole condition; from being an unhealthy, anæmic, bilious-looking man, the patient rapidly became the picture of health. Cooper recalls the fact that workers in Sulphur mines, though in malarial districts, enjoy a complete immunity from intermittent fevers. The power of Sul. in acute inflammatory conditions is allied to its action in intermittent fevers. Sul. is the chronic of Acon. in the effects of chills; and if Acon. does not promptly solve the difficulty, Sul. will be required. In the acute inflammations of the high South African plateau, where the variations of temperature are extreme, and chills and their consequences are Very common, Van den Heuvel tells me that for the pain, fever, and anxiety before physical signs have appeared, Acon. is his first remedy. But if the fever does not yield in twenty-four to forty-eight hours, Sul. will clear it up. "Chill" is "suppression" in another form. Sul. is a remedy of such universal power that it may be misleading to speak of it as more related to one side than to another. Taken altogether there are more symptoms on the left side than the right. It acts strongly on the left side of the chest: "Sharp stitching pains through left lung to back, < lying on back. < by least motion," is characteristic. In a case of left pleuro-pneumonia following a violent hæmoptysis, Sul. 30 rescued a patient of mine from a condition which seemed desperate. Sul. acts on the whole respiratory tract, from the nose to the lung tissues. It causes a condition often met with in scrofulous patients, nasal catarrh where the nose is stopped indoors and free out of doors. All the features of asthma are produced in the pathogenesis, and Sul. has the alternation between skin irritation and asthma often met with in asthmatics. Villers (H. R., xv. p. 563) relates the case of a girl, 22, afflicted since three years old with eczemas of the most varied form, mostly moist, the chief seat being the region about the pudenda, armpits, fold behind ear; but the whole body was defaced, the only parts which had remained white and normal being the breasts. She had been continuously under treatment for the nineteen years, the worst effects resulting when external applications had been used to dry up the eruption. Then most frightful asthma occurred, which lasted till the corrosive, ill-smelling eruption appeared again. She had recently come under the care of a homœopath, who gave Ars. iod. 3. From this there resulted a condition of which the patient said, "I cannot describe it, but I felt as if I was being killed." Her doctor then sent her to Villers, who sent her for three months to a water-cure before he would commence treatment. Her general health was somewhat improved thereby, but the skin remained the same. He then thought of some very high potencies he possessed, and gave a few pellets of Sul. cm. Three days later he was sent for in a great hurry late one evening, and on arrival found the patient had torn off all her clothes, was rolling about on the floor of her room, continually trying to rub her back and her legs on the legs of chairs or the edge of the door. Then she jumped up, brought a knife from the kitchen and scraped her whole body; would eat nothing and only drank enormous quantities of cold beverages. This lasted five days, after which she slept for two full days. Then this happened: The eruption dried up completely and scaled as after scarlatina. The girl had always had very weak menses; the next three were increasingly strong and intolerably fetid. There was very disagreeable discharge from the ears, corrosive secretion from the eyelids, and a dreadfully tormenting and burning discharge from the pudenda, strongly exciting to voluptuousness. Under the action of the single dose steady improvement occurred, and in four months she was a youthfully blooming maiden in the full flow of all her functions, and the skin in perfect condition. To test this Villers made the patient wear rough wool; dip her hands in first hot and then cold water; and for two weeks he made her rub her body daily with pretty coarse sea-salt. The only effect of these measures was to make the skin improve in texture.─Sul., when indicated, will cause absorption of effusions, pleuritis (plastic, or hydrothorax), hydrocephalic, or synovial. I have frequently cured ganglion of the wrist with Sul. cm and lower, given on general indications. In the rheumatism of Sul. the affection begins below and spreads upwards. (This is analogous to the "from without inwards" direction of the psoric complaints which Sul. meets and reverses.) Sul. acts on the right eye and on all regions of the head─forehead, vertex, and occiput. It is the remedy for a large number of periodical headaches; headaches occurring every week; every month. Sick-headache. The headaches are accompanied by red face and hot head; are > in warm room; at rest; < in open air; < from stooping. There is also a headache on coughing. I have cured a severe occipital headache < on coughing with Sul. 30. Among the characteristics of Sul. are: (1) Aversion to be washed, always < after a bath. (2) Complaints that are always relapsing (menses, leucorrhœa, &c.); patient seems to get almost well when the disease returns again and again. (3) Congestions to single parts: eye; nose; chest; abdomen; ovaries; arms; legs; or any organ of the body, marking the onset of tumours or malignant growths, especially at climacteric. (4) Chronic alcoholism; dropsy and other ailments of drunkards; they reform but are continually relapsing. (5) Sensation of burning: on vertex; and smarting in eyes; of vesicles in mouth and dryness of throat, first right then left; in stomach; in rectum in anus, and itching piles, and scalding urine; like fire on nipples in chest rising to face of skin of whole body, with hot flushes; in spots below scapulæ burning soles, must find a cool place for them at night. (6) Hot head with cold feet. Lutze (N. A. J. H., xv. 286) finds that Sul. 1m will make feet that have been cold for years comfortably warm. (7) Cramp in calves and soles at night. (8) Hot flushes during day, with weak, faint spells, passing off with a little moisture. (9) Diarrhœa: after midnight; painless; driving out of bed early in morning; as if bowels were too weak to contain their contents. (10) Constipation: Stools hard, dry, knotty, as if burnt; large, painful, child is afraid to have stool on account of pain; or pain compels child to desist on first effort; alternating with diarrhœa. (11) Boils: coming in crops in various parts, or a single boil is succeeded by another as soon as the first is healed. (12) Skin: itching, voluptuous; scratching > ("feels good to scratch"); scratching = burning; < from heat of bed; soreness in folds. (13) Skin affections that have been treated by medicated soaps and washes; hæmorrhoids that have been treated by ointments. (14) Nightly suffocative attacks, wants doors and windows open; becomes suddenly wide awake at night; drowsy in afternoon after sunset, wakefulness the whole night. (15) Happy dreams, wakes up singing. (16) Everything looks pretty which patient takes a fancy to; even rags seem beautiful. (17) Ailments from the abuse of metals generally. (18) Offensive odour of body despite frequent washing. (19) Red nose < by cold: the colder the redder. (20) Cutting, stabbing pain in right eye. (21) Poor breakfast eaters. (22) Worried by trifles. (23) White, frothy expectoration. (24) Empty sensation (head; heart; stomach; abdomen). [Sul. aggravates much more in high dilutions than in lower ones; especially where extensive collections of disease-tissue exist, a single globule of 200th will often set up violent disturbance. The domestic use of Sul. is interesting. In one form or other Sul. is used in various countries for allaying pain; a piece of stick Sul. carried in the pocket is much used in England to ward off rheumatism. Natives of South America apply Sul. in solid form to parts in pain, and allow it to act for an hour before result is effected; and for lumbago and chronic rheumatic pains a bag filled with Flowers of Sulphur and applied heated to the part, immediately relieves the pain. An experienced sea captain testified to the extreme frequency of rheumatism amongst his sailors; but, he added, when carrying cargoes of Sul., he had never had a case of it (acute rheumatism) on board. In the treatment of croup and diphtheria the local application of Sul. to the fauces has been highly spoken of by many practitioners. Dr. Laugardière, of Toulouse, reported recently to the Academy of Medicine that he has discovered a cure for croup─a tablespoonful of Flowers of Sulphur dissolved in a tumbler of water. After three days of this treatment his patients were rescued from imminent death, and fully recovered. Nettlerash is often relieved by a little Flowers of Sulphur and water; and Sul. mixed with sea-sand and rubbed over itch vesicles destroys the acarus at once. In the early days of vaccination it was found that the action of Sul. on the frame was decidedly adverse to the receptivity of vaccine. According to Dr. Tierney, Dr. Jenner failed in vaccinating thirty soldiers, all under treatment by Sul. (B. M. J., Jan. 6, 1872. George Gascoin, letter on antiseptic treatment of small-pox). Seeing that operatives in sulphur mines enjoy an immunity against ague when prevalent in surrounding districts; and that, before going on hunting expeditions in malarious districts, men in Ethiopia submit themselves to fumigations with Sul., and find it an efficient prevention of ague, the probability of Sul. having a power of destroying the organisms in the blood of ague patients is certainly great, and deserves investigation (Cooper)]. Sul. is a great resorbent, and is frequently needed after acute illnesses which do not entirely clear up. Peculiar Sensations are: As if a band were tied tightly round forehead; round cranium. Vertigo as if swinging. As if bed were not large enough to hold him. As if one stood on wavering ground. As if hair on vertex stood on end. As from a weight pressing on top of brain and a cord tied around head. As if head soft; brains bashed in. As if brain were beating against skull. As if eyes were pressed down. As if he had taken too much alcohol. As if hair would be torn out. As if head would burst. As if head were enlarged. As if she would sneeze. As if head had been beaten. As if top of head were being pressed against wall. Occiput as if hollow. As if flesh of scalp were loose. As if scalp had been beaten. As if cornea had lost its transparency. As if eye were gone and a cool wind blew out of socket. As if eyes had been punctured. As if a needle or splinter were sticking in eye. As if a thick veil were before eyes. As if eyeballs were dry. As if balls rubbed against lids. As if eyes were rubbed against spicules of glass; eyeballs dry; salt in eyes; cornea covered with fine dust; lids would become inflamed. As if sounds did not come through ears but forehead. As of water in ears. As if he smelt perfume. As if nose were swelled. Nostrils as if sore. As if lower jaw would be torn out. As if air just in front of her were hot. Teeth as if too long; as of a hot iron in teeth. As of a hard ball rising in throat. As if swallowing a piece of meat. As of a lump in throat. As of a hair in throat. As if throat too narrow. Stomach as if puffed up; as if torn with pincers. Intestines as if strung in knots. As if hernia would form. As if muscles of abdomen and peritonæum had been bruised. As if obliged to urinate, in urethra. As if something in larynx. As of a lump of ice in (r.) chest. As if lungs came in contact with back. As if strained in chest. As if he had fallen upon chest. As if chest would fly to pieces when coughing or drawing a deep breath. Heart as if enlarged. As if muscles of neck and back were too short. As if vertebræ gliding one over the other. Small of back as if beaten. Left shoulder and hip as if luxated. Like a weight on shoulder. As if something heavy hanging on upper arm. Arms as if beaten. As of a mouse running up arms and back. Thigh as if broken. As if too short in popliteal space. Skin as if denuded and sore. Sweat may occur on one side of the body only; or on neck only. Sul. is Suited to: (1) Lean, stoop-shouldered persons, who walk and sit stooped; standing is the most uncomfortable position. (2) Persons of nervous temperament, quick-motioned, quick-tempered, plethoric, skin excessively sensitive to atmospheric changes. (3) Dirty, filthy people, with greasy skin, and long, straight, matted hair, prone to skin affections. (4) Children who cannot bear to be washed or bathed; emaciated; big-bellied; restless, hot, kick off clothes at night; have worms. (5) Persons of scrofulous diathesis, subject to various congestions, especially of portal system. (6) Lymphatic temperaments, nervous constitutions disposed to hæmorrhoids, with constipation or morning diarrhœa; diseases caused especially by, suppressed eruptions, peevishness, sudden and frequent flushes of heat all over body, followed by perspiration, hot palms, soles, and vertex; faintness in epigastrium in forenoon. (7) Children, emaciated, old-looking faces, big bellies, dry, flabby skin. (8) Full-blooded persons with great irritability, restlessness, and hastiness. (9) Old people. (10) People with hot, sweaty hands. (11) "Ragged philosophers"; dirty-looking persons who are always speculating on religious or philosophical subjects. (12) Freckled people. (13) Light-complexioned people. (14) Red-haired people. (15) Dark-complexioned people; negroes. (16) People who refer all their sufferings to the epigastrium "everything affects me there." The symptoms are: < By touch. < Pressure (pressure > pain in head when coughing). Rest <. Standing <. Stooping <. Lying on (r.) painful side >. Motion > pains in head, hips, knee, hæmorrhoids; < other symptoms. Moving arms <. Every step <. Rising <. Ascending <. Talking = fatigue of whole body. Vivacious talking = hammering headaches. < 11 a.m.; 12 noon; midnight; morning; evening; night; after midnight. Wants doors and windows open. Susceptible to temperature; warm things feel hot. Indoors = nose stopped up; > emptiness in occiput. Open air <. Draught of air <. Raw air <. Warmth <. Sun < (headache). Washing <. Cold, damp weather <. Cold food and drink < thirst. Cold water > head; left eye; whitlow. < Before a storm. < After sleep. < From milk; sweets; alcohol. > By eating; < after. < Before eating. > By warm food. < Before, during, and after menses (headache; leucorrhœa). < Looking down. < Crossing running water. < Raising arms. Hearing is < eating and blowing nose.
Relations.─[Sul. frequently serves to rouse the reactive powers when carefully selected remedies fail to act (especially in acute diseases; in chronic, Pso.). In this respect it is a close analogue and ally of Medor. and Syph., which should be studied with it.] Antidoted by: Aco., Camph., Cham., Chi., Merc., Puls., Rhus, Sep., Thu. Antidote to: Aco., Alo., Chi., Iod., Merc., Nit. ac., Olean., Rhus, Sep., Thu.; ailments from abuse of metals generally. Compatible: Calc., Calc. ph., Lyc., Sars., Sep., Puls. (Sul., Calc., Lyc.; and Sul., Sars., Sep. frequently follow in this order. It is generally said that Calc. should not be used before Sul.). Follows well: Merc. Complementary: Alo. (Sul. is generally the remedy when Alo. has been abused as a purgative), Aco., Nux, Puls. (Sul. is the "chronic" of the last three. If a patient is sleepless Sul. may be given at night. If the patient sleeps well it is best given in the morning, as it may disturb sleep if given at night; Nux may be given at night and Sul. in the morning when their complementary action is desired). Sul. complements Rhus in paralysis. Follows and complements Ant. t. and Ipec. in lung affections, especially left; atelectasis. An interpolated dose of Sul. helps Sil. in indurations. Pso. complements Sul.; Pso. loves heat, Sul. hates it. Teste includes in the Sul. group: Crot. t., Merc. c., Bov., Æth, c., Kre., Lob. i., Merc. sol., Aster., Cic., Rat. Compare: Meningitis, Apis. Injuries to eyes, Aco. (Sul. follows). Early-morning diarrhœa, Bry. (as soon as he moves), Nat. s. (with much flatus), Rx. c., Pod. (stools changeable; go on all day, though < at noon; Sul. raw, sore anus), Diosc. (colic flying to other parts). Defective reaction, Pso., Cup., Lauro., Val., Ambr., Carb. v. Flushes at climaxis, Lach., Sul. ac., Amyl., K. bi. Intermittent fever and neuralgia, Chi., Ars., Bapt. Ravenous hunger with heat at vertex, Calc., Pho. Tuberculosis, Bac., Calc., Pho. Itch, Merc., Sep., Caust. Dyspepsia, Nux, Sep. Excessive venery, masturbation, Nux, Calc. Yellow-brown spots, Sep., Lyc., Curar. Rheumatism, paralysis, Rhus. Sour stools, sore anus, Cham. Pneumonia, restoration imperfect, Sang. Paralysis from cold, Aco., Caust., Rhus. Accumulation of flatus, sour and bitter taste, Lyc. (with Sul. patient refers accumulation to left groin, region of sigmoid flexure). Bad effects of mental exhaustion; of seminal losses, Selen. (Sel. is a cognate element of Sul. and close analogue; Sel. < from tea; Sul. < from coffee; Sel. has "tingling in spots"). Morning aphonia, Carb. v. (Carb. v. also evening). Edges of eyelids, Graph., Bac. Congestion of lumbar spine, Pic. ac. Atrophy of infants, Ars. Sinking < 11 a.m., Na. m., Pho., Indm., Na. c., Zn. (nervous symptoms, Arg. n.). Prophylactic of cholera, Cup. Weak from talking, Stan., Cocc., Ver., Calc. Falls easily, Na. c. Hasty speech and action, Bell., Lach., Dulc., Hep. Weak ankles, Sul. ac., Caust. > Open air; desire to be uncovered, Pul., Lyc. Wetting bed in deep sleep, Bell. (in first sleep, Sep.). Effects of losses of fluids, Ars., Calc., Chi., Fer. Persistent speck before left eye (right Sel.). Vision mostly green, Sang. Rhagades of hands, Na. c. Hard, horny hands, Na. m., Graph. (opp. Calc.). Left to right, Lach. Stitches up vagina, Sep., Pho., Nit. ac. (also down and out), Alm., Berb., Pul. (Sul. stitches go to head). Left ovarian and left inframammary pain, Lil., Lach., Caulo., Vib. o., Pul., Ustil. Bearing-down pains, Bell., Sep., Gossyp., Pul., Sec. < On awaking, Lach., Na. m. Alarmed about soul's salvation, Ver. < Hearing water run, Hfb. Violent movements of fœtus, Op., Croc., Thuj. Dread of losing mind, Calc., Lyc., Nux. Hollow sensation in region of heart (Lil. as if heart empty). Earthy complexion, Na. m. Tall, slender people, Pho. (Sul. with stoop). Aversion to, be washed, Ant., c., Clem., Hep., Rhus, Sep., Spi. (Puls. baby likes being washed). Fear of ghosts, Aco., Ars., Bro., Carb. v., Cocc., Lyc., Pho., Pul., Ran. b., Sep., Zn. (I have been frequently asked by patients taking Sul. not to give them "that medicine" again as it made them "see faces," generally described as horrible). < Heat of bed at night, Bry., Merc., Pul., Cham. (toothache), Dros., Led., Sbi., Apis. Laughing alternately with weeping, Aur., Pul., Lyc., Croc., Pho., Ver. Vertigo looking down, Olean. (Calc. turning head, Pul. looking up). Throbbing headache, Glo., Calc., Pul. Drowsiness with headache, Bruc., Strych., Gins., Herac., Na. s., Gels., Nux m. Passes almost pure blood from rectum, Merc., Aco. Diabetes with impotence, Mosch. Phimosis, Can. s., Merc., Nit. ac., Sep., Thu., Rhus, Sbi. Hunger at night, Chi. s., Pso., Pho. (with febrile heat, unappeasable), Lyc., Ign. Hot breath, Calc., Rhus. Sharp splinter sensation on slightest touch, Arg. n., Hep., Nit. ac. Throat, right then left, Lyc., Bar. c., left side, Lach., Sul. Freckles, Adren. Weak chest when speaking, Calc. Acid smell from mouth, Nux. Taste of blood, Ham. Sensation of hair in throat, K. bi., Sil. Intolerance of pressure of clothes, Lach. Blackish stools, Lept. Burning between scapulæ, Pho., Lyc. Sinking sensations, worms, Scirrh. and other cancer nosodes. Vividly remembered dreams, Chi. Mistakes time of day, Merc., Lach. Boils, Anthrac. Vaccination effects, Thu., Malan. Red lips, red borders round eyelids, Bac. Offensive body smell; checked eruptions and discharges, Med. Excessively sensitive to atmospheric changes, Hep., K. ca., Pso. (Pso. is generally extremely chilly, Sul. hot). Restless, hot, kicks off clothes at night, Hep., Sanic. Wants to find cool place for feet, Sanic. Relapsing alcoholism, Pso., Bac.
Causation.─Suppressions. Alcohol. Sun. Sprains. Chills. Over-exertion. Reaching high. Falls. Blows. Bed-sores.
1. Mind.─Melancholy and sadness, with grieving ideas; uneasiness respecting the patient's own condition and prospects, and about business affairs, so as to become exceedingly unhappy, disgusted with life, and even to despair of eternal salvation.─Egoistic.─Dwells on religious or philosophical speculations; anxiety about soul's salvation; indifference about lot of others.─Vexatious and morbid ideas of the past arise and cannot be got rid of.─Hypochondriac mood (through the day, in evening he is inclined to be merry).─Strong tendency to weep, and frequent weeping, alternating sometimes with involuntary laughter.─Disconsolate humour, with scruples of conscience, even with respect to the most innocent actions.─Fits of anguish, esp. in evening; timidity and great tendency to be frightened.─Precipitation, restlessness, and impatience.─Peevishness; childish peevishness in grown people.─Ill-humour, moroseness, quarrelsome disposition, disposition to criticise, and dislike to conversation.─Irritability, disposition to anger and passion.─Great indolence and repugnance to all exertion, both mental and bodily.─Too lazy to rouse himself up, and too unhappy to live.─Indecision, awkwardness (at his work), inadvertence, anthropophobia, with feeling of giddiness.─Stupidity and imbecility, with difficulty in understanding and in answering correctly.─In afternoon, stupefied state after a glass of wine.─Great weakness of memory, chiefly for proper names.─Misplaces or cannot find the proper word when he speaks.─Mistakes as to time, thinks it earlier than it is; at vesper bell (7 p.m.) insists it is only 5 p.m., quite angry when one attempts to convince her of her error.─Forgetfulness of that which is about to be uttered.─Great flow of ideas, for the most part sad and unpleasant, but sometimes gay, and interspersed with musical airs.─Strong tendency to religious and philosophical reveries, with fixed ideas.─Incoherent speech.─Mania, with a settled idea of having all things in abundance, possessing beautiful things, &c.─Delirium, with carphologia.─Errors respecting objects, a hat is mistaken for a bonnet, a rag for a handsome gown, &c.─Foolish happiness and pride; fantastic illusions of the intellect, esp. if one turns everything into beauty, as an old rag or stick looks to be a beautiful piece of workmanship; everything looks pretty which the patient takes a fancy to.─Melancholia and epilepsy, with strong impulsive tendency to suicide by drowning or leaping from window; five fits a day with at times two hours of unconsciousness, always < during menses (Sul. 10m cured).
2. Head.─Confusion in head, with difficulty in meditating; or weakness, dizziness, and stupor, sometimes with necessity to lie down, and esp. in morning or in evening, or when walking in open air, or when going up an ascent.─Vertigo and staggering, esp. when seated, or after a meal, or when exercising in open air, when stooping, looking down, walking, going up an ascent, rising from a seat, lying on back, passing over running water, and also in morning, in evening, or at night, and often with nausea, syncope, weakness, and bleeding at nose (with inclination to fall to l. side; with vanishing of sight).─Headache as if caused by incarcerated flatus, by obstruction in head, or by a debauch.─Painful sensibility of head, chiefly of vertex, on least movement, with pain at every step, when coughing, blowing nose, or masticating.─Sensitiveness of the vertex, pressing pain when touching it, < from heat of bed, in morning when waking, on scratching it, it bites and burns.─Fulness, pressure, and heaviness in head, chiefly in forehead (< when raising head and after sleeping and talking, > when sitting or when lying with head high) and occiput.─Tearing or stitches in forehead or temples, from within to without, < from stooping, > when pressing head together, or when moving about.─Sensation of emptiness in back part of head, < in open air and when talking, > in room.─Pulsation in head with heat in brain, pulsation of carotid arteries and of heart, < on waking in morning, when moving about, on stooping, when talking, in open air; > when at rest and in warm room.─Hammering headache on vivacious talking.─Throbbing all over head with furious pain taking away her sight and preventing her from stooping: it affects vertex more and is < by washing her head (produced.─R. T. C.).─Heat on crown; cold feet; frequent flushings.─Painful tingling on vertex and in temples.─Violent pain in vertex in evening, as if hair would be torn out; it bristles on the most painful spots.─(Pain in vertex, r. side, < 5 to 8 p.m., > by warmth.─R. T. C.).─Boring headache on top, beneath vertex; the spot is painful to touch externally.─Severe burning in vertex; went off after getting up; succeeded by cool feeling in same place.─Aching; burning; throbbing; pressing in vertex.─Vertex very sensitive when touched; and when not.─Tension in forehead and eyes on exercising brain; < when lifting up eyes, after sleeping; > when sitting in room.─Tension and painful contraction in brain, sometimes with a sensation as if head were compressed by a band (with the sensation as if the flesh were loose around it, followed by inflammation of the bones and caries; < in wet, cold weather and when at rest; > from motion).─Expansive pressure, as if head were about to burst, principally in temples.─Sharp and jerking pains, or drawing and shootings in head.─Painful sensation, as if brain were wounded or bruised.─Sensation as if the head were soft; as if the brains had been bashed in.─On moving head brain strikes against cranium.─Congestion of blood in head, with pulsative pains, clucking, and feeling of heat in brain.─Rush of blood to head; a pressure out at eyes; with roaring in ears and heat of face; during menses; during soft stool; at right in bed; arising from chest with throbbing; < when stooping, talking, in open air; > sitting in warm room.─Tinkling, buzzing, roaring, and vibration in head.─The headache is often only semilateral, or confined to vertex, or to occiput, or to forehead above eyes, with inclination to frown or to close eyes, confusion of sight, unfitness for meditation, humming in ears, and nausea, with inclination to vomit.─Quotidian, periodical, and intermittent headaches, appearing principally at night, or in evening in bed, or in morning, or after a meal; (every 3, 4, 6, 12, or 24 hours; 12 noon or 12 midnight; < midsummer or midwinter).─Movement, walking, open air, and meditation often excite or < the headaches.─Pimples with itching in head, principally in forehead.─Dry or thick. yellowish scabs in scalp, with secretion of a thick and fetid pus, but always with great itching.─Dry (seldom humid), offensive, scabby, easily bleeding, burning, and sore paining eruption on back part of head and behind ears, with cracks, > from scratching (tinea capitis).─(Scabby eruption over head and on various parts of body; with hard lumps that discharge and irritate and prevent sleep.─R. T. C.).─Coldness in head, sometimes only in circumscribed places.─Painful sensitiveness of the roots of hair and of scalp when touched.─Mobility of scalp.─Falling off of hair; with great dryness of the hair, painfulness of scalp to the touch and violent itching in evening when getting warm in bed, with swelling of glands on neck (also in lying-in women).─Fontanelles remain open too long.─Head bent forward when walking.─Itching in head, with impatience.─Exanthema and itching on forehead.
3. Eyes.─Heaviness and aching in eyes and lids, with a sensation of friction as from sand.─Itching of eyebrows.─Itching, tickling, and burning sensation in eyes, canthi, and lids.─Pains as from a bruise or wound, and smarting in eyes and lids.─The pains in eyes often extend into head, and are < by movement of eyes, and also by light of the sun, which sometimes < them to an insupportable degree.─Pain (cutting) in r. eye, renewable by touching r. side of tip of nose.─Stinging in eyes, esp. in sunshine and from light of a candle.─Inflammation, swelling, and redness of sclerotica, conjunctiva, and eyelids.─Pain in lid, as if rubbed against spiculæ of glass.─Smarting pain as from dryness of margins of lids.─Redness of borders of lids.─Ulceration in the margins of the eyelids.─Pustules and ulcers round orbits as far as cheeks.─Inflammatory redness of iris.─Affections in general of the cornea; eyeball; sclerotica.─Opacity of cornea, as if covered with dust, or clouded, with a deposit of greyish lymph between the lamellæ.─Specks, vesicles (pustules), and ulcers in the cornea (with redness of eye).─Injection of vessels of conjunctiva.─Pupil unequal, or dilated and immovable; or contracted.─Cloudiness of crystalline lens.─Nodosity, like hordeolum, in lids.─Eyes water, itch, and feel hot.─Profuse lachrymation, esp. in open air; or great dryness of eyes, < in a room.─Pain as from dryness of eyeballs, and a sensation as if they rubbed against the lids.─Lachrymation in morning, with burning.─Retinitis, caused by over-use of eyes, congestion of optic nerve.─Oily tears.─Copious secretion of mucus in eyes, day and night.─Nocturnal agglutination of lids.─Palpitation and quivering of eyelids.─Contraction of eyelids in morning.─Trembling of eyes.─Confused sight, as if directed through a mist, or as if down or a veil were before eyes.─Dim-sightedness, cataract.─Great dimness of vision, as if cornea had lost transparency, confusion of head and dull aching in forehead.─Objects seem more distant than they are.─Presbyopia.─Myopia.─Clouded sight when reading.─The eyes are dazzled by daylight.─Dazzled by looking long at an object.─Sparks and white spots, or dancing flies, black points, and spots before eyes.─Night-blindness.─Visions of faces appear on closing the eyes.─Objects appear to be yellow.─Great sensitiveness (and aversion) of eyes to light, principally to that of the sun, and during warm and oppressive weather.─Halo around a lamplight; cataract.─Yellowish colour of sclerotica.
4. Ears.─Itching in ears (in external ear).─Stitches in l. ear.─Sharp or drawing pains, or shootings in ears, sometimes extending into head or into throat.─Recurring earaches in tubercular meningitis.─R. T. C.).─Burning heat which goes out at ears.─Gurgling in ears as if water were in them.─Discharge of pus from ears.─Otorrhœa, < l. ear.─Discharge from both ears, dirty, very offensive; profuse, of a penetrating odour; at times causing an eruption about auricles; objects strongly to having ears washed.─Bad effects from suppression of otorrhœa; hard hearing, esp. if ears are very dry; noise in ears in general, particularly a humming.─Otitis in psoric subjects.─Furunculus on tragus.─Great acuteness of hearing the least noise is insupportable, and playing the piano occasions nausea.─Something seems to come before ears.─Swashing in ears.─Hardness of hearing preceded by hypersensitiveness of hearing.─Dysecoia, esp. for human voice; from disposition to catarrhs; < after eating or blowing nose.─Obstruction and sensation of stoppage (pressure and pain when sneezing, as if ulcerated) in one ear, often when eating or blowing nose.─Tinkling, humming, and roaring in ears (in evening in bed); sometimes with congestion of blood in head.─Cracking in ear, like the breaking of a bladder full of water.─Excoriation behind ears.─Ears very red with children.
5. Nose.─Boring in root of nose.─(Itching and) burning in nostrils.─Inflammatory swelling (redness) of nose, chiefly at extremity, or in alæ nasi (< in r.).─Tip of nose red and shiny.─R. ala nasi and entire septum inflamed and painful to touch.─Inflammation, ulceration, and scabies in nostrils.─Cracking in nose, like the bursting of a bladder full of air.─Ephelides and black pores in nose.─Herpes across nose, like a saddle.─Obstruction of nose, sometimes semilateral.─Great dryness of nose.─Dry coryza, or fluent coryza, with copious secretion of mucus.─Burning coryza in open air, obstructions of nose in room.─Discharge of burning mucus, or secretion of a thick, yellowish, and puriform mucus in nostrils.─Blood or sanguineous mucus is blown from nose.─(Discharge of watery fluid from nose tinged with blood, and synchronous with præcordial pain, severe headache and pains in soles of feet, high-coloured urine and confined bowels: symptoms followed on a severe wetting.─R. T. C.).─Bleeding of nose, esp. in morning, and sometimes with vertigo (at 3 p.m., afterwards it feels sore when touched).─Frequent, even spasmodic sneezing, sometimes preceded by nausea.─Smell increased or diminished, and also entirely lost.─Offensive odour of nasal mucus on blowing nose.─Smell of inveterate coryza, of burnt horn or of smoke.─Offensive odour of nasal mucus, as of an old catarrh.
6. Face.─Face pale or yellowish, with sickly complexion; and eyes deep sunken, surrounded by a blue circle.─Heat and burning sensation in face, with deep redness of whole face, circumscribed redness of cheeks, or else red spots, also on neck.─Pale or red swelling of face.─Swelling of cheeks, with lancinating pain.─Pain: tearing in r. half of face; pressure on malar bone and beneath eye; stabbing below l. zygoma with darting up side of head.─Pain in all three divisions of fifth nerve (l.); from exposure to cold; draught of air; worry; beginning 5 p.m., lasts with slight intermissions three or four days; besides sharp dartings every few moments; extreme external sensitiveness.─Drawing, sharp pain, sensation as from a bruise, pressive and burning sensation in cheek-bones.─Erysipelas of face (beginning on r. ear and spreading over face).─Phlegmonous erysipelas in face, chiefly in eyelids, nose, and (l.) ear.─Roughness and redness of skin of face.─Eruption of pimples on face and on forehead.─Itching and moist tetters over whole face, chiefly above nose, round eyes, and in eyelids; small white vesicles in groups and forming scabs.─Ephelides and black pores in face, chiefly on nose, lips, and chin.─Lips dry, rough, and cracked.─Burning sensation and continued heat of lips.─Yellowish hepatic spots on upper lip.─Tinea faciei.─Trembling and jerking of lips.─Swelling of lips.─Swelling of lower lip with eruption on it.─Scabious ulcer on red of lip.─Cancer of the lips.─Herpetic eruption in corner of mouth.─Painful eruption round chin.─Sharp, lancinating, and drawing pains, and painful swelling in jaws.─Swelling of submaxillary glands, with pains and lancinations when touched.
7. Teeth.─Great tenderness of teeth.─Great sensitiveness of points of teeth.─Jerking, shocks, sharp or drawing pains; shootings; throbbing pains; boring and burning sensation, both in carious and in sound teeth.─Tearing toothache on l. side.─Pulsation and boring in teeth, < from heat.─The toothache often extends as far as ears or into head, and is sometimes accompanied by congestion of blood in head, with shiverings and disposition to sleep, or with swelling of cheek.─Appearance or < of toothache, principally in evening; at night; or in open air; also from a current of air; from cold water; when masticating, and sometimes when taking anything hot.─Toothache with congestions to head, or stitches in ears.─Brownish mucus on teeth.─Painful loosening, elongation, setting on edge, and easy bleeding of teeth.─Bleeding, sensation of unfixing, and swelling of gums, sometimes with throbbing (heating) pains.─Fistula dentalis.─Hard, round swelling of gums, with discharge of pus and of blood.
8. Mouth.─Dryness, heat, and burning sensation in mouth, sometimes in morning with moist tongue.─Great dryness of palate with much thirst; obliged to drink much.─Mouth dry, insipid, and sticky in morning.─Ptyalism from abuse of Mercury or during a fever.─Accumulation of saliva in mouth: sanguineous; salt; acid; bitter; or mixed with blood; even after eating.─Fetid, sometimes acid, smell from mouth, esp. in morning or in evening or after a meal.─Vesicles, blisters, and aphthæ in mouth and on tongue, sometimes with burning, or with pain of excoriation, when eating.─Exfoliation of membrane of mouth.─Burning sensation and tickling on tongue.─Pain, swelling, and inflammation of tongue for three days.─Tongue dry, rough, and cracked, of colour of cinnabar; or loaded with a white coating, or covered with brownish, thick, and viscid mucus.─Stuttering when speaking.─Accumulation of saltish mucus in mouth.─Taste: bitter; pasty; offensive; of blood; sweetish; metallic.─Bilious taste in mouth when fasting; though food tastes right.─Bitter taste with dulness of head and ill-humour.─Acid taste all day.
9. Throat.─Scraping, roughness (rawness), and dryness in throat (hawking and clearing throat).─Pressure as from a plug or from a tumour in throat, sometimes with difficult deglutition.─Stitches in throat on swallowing.─Sensation as if a hard ball were ascending throat, and would close pharynx and take away the breath.─Contraction and painful sensation of constriction in throat when swallowing.─(Sensation of contraction in throat.─R. T. C.).─Dryness of throat.─Pain as from excoriation, burning sensation and shootings in throat, < during empty deglutition (soreness begins on r. side and goes to l.; redness of tonsils).─Burning in throat as from sour eructations.─Sensation during empty deglutition as of swallowing a piece of meat.─Sensation as of a plug in throat, with empyreumatic taste.─Sore throat, with swelling of glands of neck.─Elongation of palate; swelling of palate and tonsils.─Sensation of a hair in throat.─Angina gangrenosa.
10. Appetite.─Bad taste in mouth, mostly acid, bitter, or putrid and sweetish or mawkish, < in morning on waking.─Taste bitter or too salt or insipidity of food.─Complete anorexia and dislike to food, principally to meat, rye bread, fat, and milk.─Dislike to sweet and acid things, or craving for such things, with anorexia.─Continued thirst, even at night, often with desire for beer.─Craving (in drunkards) for wine and brandy.─Immoderate appetite and attacks of bulimy, sometimes with headache, lassitude, and want to lie down.─Ravenous hunger which obliges him to eat frequently, gets headache and has to lie down if he does not.─Hungry, but appetite vanishes at sight of food, feels full in abdomen; when he begins to eat is averse to it.─Desire for sweets.─Complaints from eating sweets.─Complaints from farinaceous food.─Desire for raw food.─Great weakness of digestion, principally for meat, fat, milk, acids, and farinaceous food, all of which sometimes cause great suffering.─Food sweetened with sugar < the pains in the stomach and abdomen.─Milk produces sour risings, an acid taste in mouth, and even vomiting.─Beer is followed by a prolonged after-taste, and causes ebullition of blood.─Disgust for drinking wine.─After a meal oppression in chest, nausea, pressure, and cramps in stomach, colic, inflation of abdomen, flatulence, vomiting, great fatigue, shivering, confusion and pain in head, heat in face, burning sensation in hands, flow of water from mouth, and many other sufferings.
11. Stomach.─Continued eructations, principally empty, or with taste of food, or acid and burning, bitter, or fetid, with taste of rotten eggs, esp. after a meal or at night.─Loud eructations as soon as he presses on stomach.─Heartburn.─Abortive risings.─The food rises into throat.─Regurgitation of food and drink, often with acid taste.─Pyrosis, often with burning and tingling in chest.─Hiccough.─Qualmishness.─Nausea, which sometimes even induces fainting, with trembling, weakness, and frequent eructations, esp. after a meal, in morning, at night, or when riding in a carriage.─Waterbrash, < in morning or after a meal, sometimes with aching or digging in abdomen.─Retching and vomiting of food, and of acid or bitter substances, or blackish, or sanguineous, &c.; esp. in morning, in evening, after a meal, or at night, and sometimes with nausea, pains in stomach, and cold perspiration on face.─After eating but little stomach feels completely full.─(Pains in stomach following a headache, < 10 p.m., causing him to bend forward to ease himself, with flatus and prostration at stool.─Tight crampy feeling in stomach on laughing and sneezing, preventing him rising from his seat.─R. T. C.).─Heaviness and fulness, or pressure and compression, or else contractive and spasmodic pains, or digging and shootings in stomach and præcordial region, < after a meal at night or in morning, often with nausea and vomiting, anxiety, and inflation of abdomen.─Uneasy, unpleasant feeling in stomach as if several hard things were lying in it, and all in different directions (cured.─J. H. C.).─Pressure in pit of stomach during menses.─Sensation of coldness, or heat and burning sensation in the stomach.─Great sensitiveness in the region of the stomach when touched (or pressing upon it─even the bed-cover causes pain).─Swelling of the præcordial region.─Pulsation in the pit of stomach.─Swelling at pit of stomach.─Weak, empty, gone, or faint feeling in stomach, about 11 a.m.; and at other times.
12. Abdomen.─Painful sensibility of hypochondria, as if they were wounded; pressure of clothes disagreeable.─Drawing, pressure, tension, and shootings in regions of the liver and spleen, swelling and hardness in both regions.─Stitches in spleen, < when taking a deep inspiration and when walking.─Frequent shoots in splenic region.─Inflammation, swelling, and induration of liver.─Bile increased.─Fulness, heaviness, tension, and pressure, its from a stone in abdomen, chiefly in epigastrium and hypochondria.─Enlargement and hardness of abdomen.─Gripings, or sensation of tearing or contractive and spasmodic pains in abdomen.─Intestines feel as if strung in knots.─Shootings (stitches) in abdomen, < on the l. side when walking (coughing) or taking a deep inspiration (about navel).─After food sensation of weight r. side of navel when he breathes (cured with three doses of Sul. 1m in a case of mine.─The pains in the abdomen have generally a tendency to attack the l. side, or to extend into stomach as far as chest and back, with obstructed respiration, nausea, anxiety, and hypochondriacal humour.─Pains in abdomen, chiefly at night, or after eating or drinking, or else periodical; < by food sweetened with sugar; > by bending forwards.─Movement and digging in abdomen, or sensation as if something were pushed outwards.─Movements in abdomen as of the fist of a child.─Pains as from contusion and bruising in integuments of abdomen.─Painful sensibility of abdomen when touched, as if all interior were raw, or formed one large wound.─Inflation of abdomen, with pressive pains from incarcerated flatus, principally in l. side (with constipation).─Pressure: towards anus; downward while lying in bed at night; it woke her.─Borborygmi and rumbling in abdomen.─Frequent escape of very fetid flatus.─Cutting in hypogastrium, with thin stool.─Griping in lower abdomen; pain in small of back (and chilliness over body) during menses.─Between 4 and 5 p.m. boring, shooting pain now in r. groin, now in spermatic cord, extending to testicle, now within inguinal ring in abdominal cavity; followed by sharp, cutting pain in r. great toe.─Painful swelling, and also suppuration of inguinal glands.─Violent protrusion of hernia, with incarceration.─Dropsy.─Portal stasis; hæmorrhoidal congestions; indigestion; constipation, &c.─Symptoms threatening peritonitis, terrible pains extending over entire lower abdomen followed a teaspoonful of Sul. taken for constipation; relief follows purgation by castor oil.─(R. T. C.)
13. Stool and Anus.─Constipation, and hard, knotty, and insufficient evacuations.─Frequent and often ineffectual want to evacuate, chiefly at night, and sometimes with pressure on rectum and bladder and pain in anus.─Urgent want to evacuate.─Looseness of bowels; redness about anus; obstructed evacuation, particularly if hard stools are retained.─Diarrhœa, particularly where there is the red line about the anus, and the patient can't wait, must go immediately desire is felt; also waking early in morning with diarrhœa, which drives one out of bed in a great hurry; tenesmus in the same way, drives one in a great hurry; rumbling and rolling in bowels.─Cholera asiatica; as prophylactic, a pinch of the powdered milk of Sulphur worn in stockings in contact with soles of feet; diarrhœa commencing between midnight and morning, vomiting at same time; numbness of limbs, cramp in calves and soles, blue under eyes, cold skin, indifference; during convalescence, red spots, furuncles, &c.; susceptibility to temperature, warm things feel hot; nerve symptoms (Hering).─Diarrhœa with frequent evacuations, chiefly at night, and often with colic, tenesmus, inflation of abdomen, dyspnœa, shivering, and weakness to the extent of fainting.─Evacuations: mucous, watery, frothy, or acid, or of a putrid smell, or of undigested substances.─Stools: nearly black, loose, viscid, greasy, with pungent odour of sulphuretted hydrogen.─Stool hard, as if burnt.─Stool, with sensation as if some remained, and as if the stool had been insufficient.─Discharge of liquid from anus, followed by fæces at night during sleep.─Diarrhœa: painless; in morning compelling one to rise from bed (at 5 a.m., one stool an hour till 9 a.m.); undigested, involuntary; diarrhœa in children, green, of bloody mucus, with crying and weeping.─Dysenteric stools at night, with colic and violent tenesmus.─Colic before every loose evacuation.─During stool, discharge of blood; pain in small of back; palpitation of heart, congestion of head; itching, burning, and stinging at anus and in rectum.─After stool tenesmus, constriction at anus.─Whitish, greenish, discoloured, or brownish-red fæces.─Involuntary evacuations (when sneezing or laughing, with emission of flatus).─Evacuations mingled with mucus, blood, and purulent matter.─Discharge of mucus, even with hard fæces.─Ejection of lumbrici, ascarides, and also of pieces of tænia from rectum.─Prolapsus recti, esp. when evacuating (a hard stool).─Sharp and pressive pains, itching, shootings, stitches, and burning in anus and rectum, even when not at stool.─Burning in anus, before, during, and after stool.─Prostration follows stool.─Dull ache just inside coccyx, awful dead ache as if the heart would stop.─All pains seem to go to rectum, life-taking pains.─Blind piles with burning as if something were biting at anus, going away when lying down, coming on when standing or walking about (produced.─R. T. C.).─Hæmorrhoids which protrude, ooze and bleed.─Anus inflamed, swollen, covered with red veins.─Excoriation and swelling of anus.─Much itching about anus; itching runs back along, perinæum and adjacent parts.─Involuntary discharge of moisture from anus, with itching in it.─Suppressed hæmorrhoids, with colic, palpitation, congestion to lungs; back feels stiff as if bruised.─Constant bearing down towards anus; forcing down after sitting.
14. Urinary Organs.─Violent pain in region of kidneys after stooping a long time.─Aching in small of back all day, esp. < while urinating.─Suppressed or very scanty urine.─Frequent and sometimes very urgent want to urinate.─Frequent, profuse, and watery urine, sometimes gushing out with much force, esp. at night.─Retention of urine.─(Neuralgia of neck of bladder, aching and forcing down with smarting and burning in urethra.─R. T. C.).─Rigor when urinating.─Pressure soon after urinating, as from a full bladder.─Involuntary emission of urine (and stool), esp. when coughing, or expelling flatus.─Wetting the bed (lie awake for some time, then fall into a deep sleep, in which they wet the bed).─Red urine with sediment; or else whitish, turbid, or deep-coloured.─Urine like yeast; muddy, turbid, scanty.─Oily pellicle over urine.─Fetid urine.─Urine smelling of chamomile tea (produced.─R. T. C.).─Discharge of (white) mucus from urethra.─Secondary gonorrhœa.─Whitish or thick or reddish sediment, like flour, in the urine.─Urine discharged by drops.─Painful emission of some drops of sanguineous urine after much effort.─Discharge of blood and mucus with the urine.─Itching, sharp pains, shootings, and burning sensation in (orifice of) urethra, chiefly when urinating.─Both flow of urine and discharge of fæces are painful to parts over which they pass.─Urine excoriating parts.─Redness and inflammation of orifice of urethra, and pain as at commencement of gonorrhœa.─Discharge of mucus from urethra.─Hæmorrhage from urethra.─Shootings in bladder.─Dragging in bladder in morning after urinating.─Small and intermittent stream of urine.─Spasmodic pains in loins and inguina.
15. Male Sexual Organs.─Affections of the genitals in general.─Itching about genitals on going to bed at night.─Fetid perspiration in parts.─Excoriation between thighs and in groins, chiefly when walking.─Shootings in penis and glans.─Prepuce stiff, hard, like leather, with copious secretion of fetid smegma.─Inflammation, swelling, and phimosis of prepuce (with discharge of fetid pus), with deep cracks, burning, and redness.─Deep (suppurating) ulcer with elevated margins in glans and prepuce (with puffed edges).─Aching, tension, and shootings in testes and spermatic cords.─Swelling and thickening of epididymis.─Excoriation and oozing in scrotum.─Increased sexual desire and voluptuous irritation of the parts, often without erection.─Weakness of the genital functions, often with icy coldness, bluish colour of glans, prepuce, and penis, and retraction of prepuce.─Testes relaxed and hanging down.─Hydrocele.─Frequent pollutions, also at noon.─Watery semen.─Involuntary discharge of semen, with burning in urethra.─Too quick discharge of semen during coition.─Escape of prostatic fluid, chiefly when urinating and while at stool.─Impotence.─(Induration of testes.)
16. Female Sexual Organs.─A weak feeling in genitals.─Sore feeling in vagina during an embrace.─Labour-like pain over symphysis.─Uterine pains running from groins to back.─Moroseness and apprehension with uterine pain.─Pressure on the parts.─(Bearing down with nightly enuresis.─R. T. C.).─Excoriation, troublesome itching and burning sensation in genitals; with papular eruption around them.─Burning in the vagina; is scarcely able to keep still.─Ascarides of vulva.─Inflammation of labia.─Menses too late; too short.─Delay of first menses.─(Amenorrhœa, dreadful depression and apprehension, head feels full and heavy, followed by violent headache, numbness of arms and legs, cramp and sick feeling at molimen.─R. T. C.).─(Imperfect development of the genital Organs, menstruation does not appear at the usual age; breasts imperfectly developed; pains about the shoulders, in the stomach after meals, in l. side on inspiration; anorexia and vertigo.─R. T. C.).─Catamenia premature and too profuse; or too feeble or entirely suppressed (particularly in psoric individuals), with colic, abdominal spasms, headache, pains in loins, pressure at stomach, congestion in head, and nasal hæmorrhage, agitation, and even attacks of epilepsy.─Menstrual blood thick, acrid, corroding thighs; scanty, dark; dark, putrid, clotted.─Before menses: headache, itching in the parts; spasmodic colic; inquietude; cough; toothache; pyrosis; epistaxis; leucorrhœa, and asthmatic sufferings.─Bearing down in pelvis; congestion to uterus.─Sterility, with too early and profuse menstruation.─Prolapsus: from reaching high; with pain in hypogastrium, esp. r. side; with metritis; with dropsy of uterus.─Promotes expulsion of moles.─Morning sickness of pregnancy not amounting to vomiting, faint, sickish spells forenoon, profuse salivation, taste of which = nausea; aversion to meat; craves beer or brandy.─Hæmorrhoids during pregnancy and in childbed.─After menses: itching in nose.─Menstrual blood too pale or of an acid smell.─Leucorrhœa sometimes corrosive; gnawing and yellowish, preceded by colic.─Cancer of uterus offensive, corrosive, ichorous leucorrhœa; sensation of heat in crown of head coldness of feet; flushes of heat pass off in a perspiration with faintness; weak at pit of stomach 11 a.m. to 12; Violent burning in vagina, with painful soreness during coitus.─Hot flushes at climaxis, with hot head, hands, and feet, and great goneness in stomach.─Excoriation and itching in nipples.─Cracks in nipples, with burning sensation, easily bleeding, and ulceration (the nipple smarts and burns very much as soon as the infant lets go of it).─Mammary glands engorged and inflamed.─Erysipelatous inflammation of mammæ; they are hard, with red rays extending from nipple, and stitching pains.─Swelling of mammæ.─Nodosities in mammæ.─Scirrhus of breast.
17. Respiratory Organs.─Catarrh, with fluent coryza, cough, pain in chest, as if it were raw, and shivering.─Hoarseness, evening and morning, roughness, and scraping in throat, with accumulation of mucus in chest.─Pain as from excoriation, and tingling or tickling in larynx, with tendency to cough.─Coldness in throat during an inspiration.─Voice hoarse and low, or entirely extinct, generally in cold and damp weather.─Sensation as if larynx were swollen, or as if a foreign body were in it.─Short, dry cough.─Dry cough, sometimes fatiguing and shaking, with retching, vomiting, and spasmodic constriction of chest, esp. in evening, or at night, in a recumbent position, or in morning, or after a meal.─(Constant cough with irritation of throat and wheezing.─R. T. C.).─Moist cough, with profuse expectoration of thick, whitish, or yellowish mucus, like that of a coryza of long standing.─Cough with expectoration during day, without expectoration at night.─Short, dry cough, with stitches in chest, or stitches in l. shoulder-blade.─Spasmodic whooping-cough in successive double attacks, shortly following one another, from tickling in larynx as from dust; only with expectoration during day of either dark blood or yellow-greenish, purulent matter, or of cold, milk-white mucus, generally tasting sour, or putrid, or salty, or like old catarrh.─Fetid expectoration of a greenish-yellow colour, like pus, and of a salt or sweetish taste, while coughing.─Febrile cough, with hæmoptysis.─Cough in general with bloody expectoration; esp. with heat in chest; hæmorrhage with the same sensation.─When coughing, pain as from excoriation, or shattering pains, or shootings in chest, pain as from a bruise, or shootings in head, pain in abdomen, cloudiness before eyes, pains in hips and loins.─Respiration and conversation sometimes excite the cough.─Feels suffocated, wants doors and windows wide open.─Oppressed respiration, particularly from congestion to the lungs; if with a sense of heat all through the chest.
18. Chest.─Congestion of blood to chest, with sensation of fulness in it.─Shortness of breath; frequent chokings, obstructed respiration, dyspnœa, and fits of suffocation, esp. when lying down at night, and also during sleep, and sometimes also when speaking or walking in open air.─Dyspnœa; shortness of breath and oppression of breathing on bending arms backwards.─Asthma at night.─Asthma: attacks every eight days; has rough, harsh hair; following swelling of hæmorrhoids; alternating with fits of gout or psoriasis; from suppressed eruptions or discharges.─Inability to take a full inspiration, with sensation as if chest were contracted.─Frequent, short, or wheezing respiration.─Snoring and rattling of mucus in chest.─Shooting pains in back and sacrum during an inspiration.─Painful sensation in chest, as of something falling forwards in it, when turning the body in bed.─Pain as from a bruise in thorax when the part is touched.─Painful obstruction in the l. side of chest, with anguish, and inability to lie on side affected.─Heaviness, fulness, and pressure as from a stone in chest and sternum, < in morning, also when coughing, sneezing, and yawning.─Pain when coughing and sneezing, as if chest were shattered or bursting.─Periodical spasms in chest, with sensation of constriction, spasmodic pains, shortness of breath, bluish colour of face, and inability to speak.─Pulsations in chest and sternum.─Weakness of chest, felt particularly when speaking, with great fatigue in lungs after speaking or sighing.─Shootings in the chest or sternum, or extending to the back, or into the l. side, < when coughing, lying on the back, during least motion, when taking a full inspiration, or when lifting the arms (over the head).─Pain in chest from over-lifting or after inflammation of lungs.─Sensation as if lungs were touching (or scraping) the back.─Exudation after pneumonia.─Sul. acts in pneumonia a part analogous to that of Bell. in brain affections (Hartlaub, confirmed by Curie).─The pains in the chest chiefly affect the l. side.─Sensation of coldness or burning in chest, sometimes extending to face.─Sensation as of a lump of ice in r. chest.─Red spots all over the chest; also brownish or butternut-coloured spots.─Deep yellow spot began on l. breast and spread all over body (chloasma).─Cheloid on sternum.
19. Heart and Pulse.─Stitches and blows in region of heart.─Sharp pain at heart goes through to between shoulders; esp. with dyspeptic symptoms.─Cutting pains about heart, as with knives, which decrease or increase, last a few hours, with redness of face, followed by general coldness; attacks only when waking up.─Great orgasm of blood with violent burning in hands.─Violent congestion of blood towards chest and heart, sometimes with ebullition in chest, uneasiness, faintness, and trembling of arms.─Sensation of emptiness in the cardiac region, or pressure and sensation as if the heart had not room enough.─Affections in general of heart; also external chest.─Sensation as if heart were enlarged.─Frequent palpitation of the heart, sometimes even visible, and with anxiety; at night; in bed; on failing asleep; when going up an ascent.─Heart beats too rapidly and her throat felt as if a string were tied round it; and she did not sleep till 5 a.m. (produced.─R. T. C.).─Pulse hard, full, and accelerated.
20. Neck and Back.─Stiffness of neck; in nape, with paralytic, sprained pain.─Child cannot hold head up neck muscles so weak.─Tetters on nape.─Swelling and inflammation of glands of nape and of neck.─Fetid perspiration in axillæ.─Swelling and suppuration of axillary glands.─Cracking in vertebræ of neck, esp. on bending backwards.─Weakness and wrenching pains, or pain as from a bruise in loins, coccyx, and in back, esp. on walking, or rising from a seat.─Gnawing pain in small of back.─Pain in small of back not permitting one to stand erect.─Finds himself at night lying on back.─Cannot lie on back on account of rush of blood to head.─Pain in back after manual labour.─Shootings in loins, back, and shoulder-blades, sometimes with obstructed respiration.─Sharp and rheumatic pains, drawing, tension, and stiffness in loins, back, and nape.─Pinching and burning sensation between the shoulder-blades.─Tension and bruised pain between scapulæ and in nape, which on moving head goes to shoulders.─Stitches beneath scapulæ which take away the breath.─Drawing in r. scapula, evening on going to sleep.─Tearing in l. scapula while sitting.─Needle-shoots at point of l. scapula.─Sprained pains in back.─During whole day aching in small of back, < when urinating.─Distortion (curvature) of spine.─Vertebræ softened.─Cracking of vertebræ on bending head backward.
21. Limbs.─Sharp and drawing pains, or shootings in limbs, esp. in joints, and sometimes with want of strength, stiffness, and sensation of torpor in the parts affected.─Wrenching pains, as from contraction of the tendons, cramps, and spasms in several parts.─Cracking in joints, esp. of knee and elbow.─Inflammatory swelling of joints, with heat and redness.─Tingling in limbs, esp. in calves of legs and arms.─Tendency of limbs to go to sleep.─Weakness and trembling of limbs, esp. hands and feet.─Unsteadiness of joints.─Limbs "go to sleep," esp. when lying down.─Bruised feeling, and drawing, tearing pains in limbs (in outer parts, in muscles and joints, from above downward).─Cramp-like pain in muscles of limbs on motion.─Arthritic swelling and heat.
22. Upper Limbs.─Pressure on shoulders as from a weight.─Rheumatic pain in shoulders, esp. l.─Stitches extending from shoulder into chest on motion.─Stitching beneath r. axilla.─Sweat on axillæ smelling like garlic.─Jerking of shoulders, hands, and fingers.─Jerking, sharp pains (tearing), and shootings in joints and muscles of arms, hands, and fingers, and also in shoulders, chiefly at night in bed.─Nocturnal cramps in arms.─Tingling in arms and fingers.─Swelling of arms, sometimes with heat, hardness, and lancinating or tensive pains.─Exostosis in arm.─Warts on arms, or itching miliary or red, burning spots, which appear after washing.─Purulent vesicles in bend of elbow.─Sprained pain and stiffness in wrist, < in morning.─Ganglion.─Paralytic weakness of arms and hands.─Swelling of hands and thumbs.─Rigidity and wrenching pain in joints of hands and fingers.─Trembling of hands, esp. when occupied with fine work.─Involuntary contraction of hands, as if about to grasp something.─Coldness in hands and fingers.─Great burning in palms.─Perspiration on hands (in the palms) and between the fingers.─Eruption of small, red pimples on hands and fingers, with itching.─Warts on fingers.─Desquamation, hardness, dryness, and cracking of skin of hands.─Itching vesicles on backs of hands.─Cracking and chapping on finger-joints.─Burning in balls and tips of fingers.─Cramps and jerks in fingers.─Contraction of tendons of hands and fingers.─Large and shining swelling (erysipelatous) of fingers.─Dead fingers.─Nodosities on fingers.─Ulcers about nails.─Flaws in nails.─Hang-nails.─Panaritium.─Chilblains (thick, red) on fingers, with itching in a warm temperature.─Swelling and inflammation of points of fingers, with subcutaneous ulceration and boring and pulsative pains at night.
23. Lower Limbs.─Pain, as from subcutaneous ulceration, in buttocks and in ischiatic tuberosities, esp. when touched, and after having been seated for a long time.─Purulent and painful swellings on buttocks.─Pain as from a wrench, and as from a bruise in hip, on least movement, with shooting pains at every step.─Pain in hip with contraction of leg.─Sharp and drawing pains in legs, esp. at night in bed.─Heaviness of the legs, sometimes with tension in thighs and knees, esp. at night.─Red, oozing, painful spots on the internal surface of thighs.─Middle of thigh as if broken.─Tension in hams, as from contraction of tendons.─Large (white, or) shining swelling of knee, with stiffness and painful weariness.─Phlegmasia alba dolens.─Cracking, drawing, sharp pains, and shootings in knees.─Tetters on hams.─Restlessness in legs and feet.─Torpor and numbness of legs.─Painful fatigue and paralytic weakness of legs, chiefly of knees, which yield frequently.─Sticking in knee and tibia.─Red spots and itching miliary rash on legs.─Transparent swelling of legs.─Erysipelas in leg and foot.─Bluish spots and swollen and varicose veins in legs.─Pain in calves when walking.─Cramps in calves and soles, esp. at night (in the soles at every step).─Tension in hollow of knee, as if contracted on stepping.─Painful sensibility of soles when walking.─Easy dislocation of foot when walking.─Stiffness of knee and ankle-joint.─Stiffness of maleoli.─Sprained pain in l. ankle when standing and walking.─Ankles weak.─Stiffness and wrenching pain in instep.─Tingling in legs and calves.─Burning and inveterate ulcers on legs or feet.─Tetters on ankle.─Shootings in feet.─Coldness in feet, esp. in evening, in bed, or burning sensation, chiefly in soles of feet.─Burning in feet, wants to find a cool place for them; puts them out of bed to cool them off.─Burning in soles; on stepping after sitting a long time; and itching, esp. on walking; wants them uncovered.─Cramp in soles at every step.─Soles cold and sweating.─Sweat on r. foot.─Sharp shooting, as from a blunt nail, in rapid succession at root of nail of great toe.─Swelling of feet, and esp. of the ankles.─Red, shining swelling of the toes.─Itching in the toes that had formerly been frozen.─Chilblains: redness and swelling with tendency to suppurate; thick and red with cracks on joints; itching < warm in bed.─Gnawing vesicles on soles.─Ulcer on instep.─Cramps and contraction of toes.─Coldness and stiffness of toes.─Tingling in ends of toes.─Large and shining swelling of toes.─Ulcerated and gnawing vesicles in toes.─Corns, with pressive or shooting pains.
24. Generalities.─[Affections in general of any kind appearing in l. side; hair of head; external front of head; inner belly, esp. l. side; back; small of back; axilla; lumbar region; upper extremities in general; posterior and inner surface of thigh; lower extremity in general; of the nails.─Inflammation of mucous membranes in general; swelling of the glands.─Affections of the brain from suppressed cutaneous eruptions.─Very often when rash in scarlet fever will not come out, cannot bear to be washed.─Face pale, or reddish yellow.─Diminution of saliva.─Back is so stiff that one cannot rise from a stooping posture, and is always < before a storm.─Bleeding from inner parts in general.─Dropsy of inner parts, particularly in psoric persons, or resulting from a suppressed eruption.─Dryness of inner parts which are usually moist.─<: On waking, after eating; from exertion of body, unable to stand much exercise; from leaning against anything; after menstruation from taking milk; during perspiration; from suppressed perspiration from wet poultices; from abuse of Mercury; on rising; from any quick motion, as running; during sleep; after a long sleep; during stool; in children whose bowels are regular but who suffer great pain at every passage (when bowels are moved causing much pain, stools hard and lumpy, Nitr. ac.); on stretching limbs, esp. the affected limb; when swallowing food; from talking; from water and washing; ascarides; worms in general; from suppressed menstruation; from vomiting; on getting warm in bed.─>: From drawing up the affected limb─can't bear to have it extended.─H. N. G.].─Muscular palpitation.─Jerks and shocks in certain parts or throughout body, esp. when sitting or lying down.─Attacks of spasms.─Epileptic convulsions; excited by a fright or by running, and sometimes with cries, rigidity of the limbs, clenching of the teeth, and sensation as if a mouse were running over the back or arms.─Fainting fits; or hysterical or hypochondriacal uneasiness, sometimes with vertigo, vomiting, and perspiration.─Is very nervous, can't bear to be spoken to, could cry at anything (produced.─R. T. C.).─Trembling of limbs, esp. the hands.─Sensation of trembling in interior of body.─Sensations of: heat in chest; of heat anywhere; with any trouble; of sudden and frequent flushes of heat all over the body; of contraction of inner parts, chiefly in abdomen, with feeling as if it should be bandaged up or supported; of a hoop or band around the parts; buzzing or vibration in the body; of knocking or throbbing in outer parts; as of a lump in inner parts; of roughness in inner parts; of tightness or stiffness in outer parts; of sometimes being very small and then again being very large.─Attacks of uneasiness in whole body, which do not permit the continuance of a sitting posture, with desire to stretch and to contract the limbs alternately.─Great nervous agitation; towards night; could not sleep.─Great uneasiness and orgasm of blood.─Violent ebullition of blood, sometimes with burning heat in hands.─Great exhaustion, with great fatigue after the least conversation or the shortest walk, disposition to remain always seated, and profuse perspiration, even when sitting, reading, eating, lying down, or walking.─The sensation of fatigue is sometimes removed by walking.─Muscular weakness, esp. in knees and arms, and also in legs, with unsteadiness of gait.─Stooping gait.─Cannot walk erect; stoop-shouldered.─Standing is the most disagreeable position; every standing position is uncomfortable.─Extraordinary emaciation, sometimes with weakness, fatigue, and burning sensation in hands and feet.─Great sensitiveness to open air and to the wind; with pains in limbs on a change of weather, disposition to take cold, and many sufferings produced by exposure to open air.─The affections of head and stomach are those which are chiefly < in open air.─The majority of the sufferings are < or appear at night, or in evening, and also during repose, when standing for a long time; and on exposure to cold air; they disappear on walking, on moving the parts affected, and also in warmth of a room; but the heat of the bed renders the nocturnal pains insupportable.─Several symptoms appear periodically.─When carefully selected remedies fail to produce a favourable effect, esp. in acute cases, Sul. will frequently excite reaction and clear up the case.─Complaints that are constantly relapsing.
25. Skin.─[The greatest general psoric remedy for almost every kind of itch, sore, ulcer, &c.; very colicky babies with pimples, itch, or eruption on skin, or roughness of skin.─Troubles of very long standing resulting from suppressed eruptions─Sul. will very often bring these out and cause their cure.─Exanthema in general on any part of the body which is < by any heat, from getting warm at work, in bed, &c.; freckles; cancerous ulcers.─Skin dry; rough; scaly; voluptuous itching─"feels so good to scratch"; ecchymosis; chapping of the skin, esp. when it ulcerates; chapping of the skin after being wet; soreness of the skin in children (soreness in folds of skin); brown sphacelus.─Tetters in general; chapped; scurfy; painful; tearing; pulsating, &c.─H. N. G.].─Itching in skin, even of whole body, < at night, or in morning, in bed, and often with pain as of excoriation, heat, itching (soreness), or bleeding of the part which has been scratched.─Eruptions, like those which often follow vaccination.─(Eczema rubrum.─Gouty-eczema with much oozing.─R. T. C.).─Seborrhœa of scalp (used locally.─R. T. C.).─Scabious eruptions and tetters of a greenish yellow colour, commencing with small itching phlyctenæ, with a red areola.─Herpetic, red, irregular, furfuraceous spots, or covered with small phlyctenæ, discharging a serous lymph.─Scabious eruptions.─Ecthyma with itching day and night.─Miliary eruptions, principally on limbs.─Nettle-rash.─Burning itching of the eruptions.─Hepatic spots of a yellow or brownish colour (on the body).─Erysipelatous inflammation, with pulsative and shooting pains.─Weals, even from the slightest contusion.─Bright scarlet redness over whole body.─Tingling in the skin throughout the body.─Red, swollen, and ulcerated chilblains, with itching in heat of a room.─Callous warts, esp. round the fingers.─Skin cold, pale, dry.─The skin cracks easily, esp. in open air; cracks, with pain, as from excoriation.─Rhagades after washing.─The nails crumble off.─Skin of hands hard and dry.─Desquamation and excoriation of skin in several places.─Pityriasis of head and chest.─Unhealthy skin; slightest injuries are followed by inflammation and ulceration.─Ulcers with elevated margins, surrounded by itchy pimples, red or bluish areola, sharp, lancinating, and tensive pains; bleeding readily, and secreting a fetid and sanious or yellow and thick pus.─Ulcers with itching in the sore.─Proud flesh in the ulcers.─Fistulous ulcers.─Furunculi.─Encysted swellings, or pale, tense, and hot swellings; inflammatory abscess.─Inflammation, swelling, and induration or suppuration of the glands.─Nodosities on skin of whole body, but principally in the breast, from swelling of the subcutaneous glands.─Dropsical, burning swelling of external parts.─Inflammation, swelling, and painful sensibility of the bones.─On the bones sensation of constriction, or as if a band were around them.─Repugnance to ablutions.
26. Sleep.─Unconquerable drowsiness, esp. in afternoon and in evening by candle-light.─Irresistible drowsiness by day, wakefulness by night; in bed every place appeared hard for his head and he keeps moving it hither and thither.─Goes to sleep late.─Sleeps with his eyes half-open.─Frequent yawning.─Retarded sleep at night, or sleeplessness, sometimes caused by a great flow of ideas or from over-excitement.─Sleep too light; or agitated with frequent waking, often with starts, and in a fright.─Waking too early with inability to go to sleep again.─Morning sleep too much prolonged; sometimes deep and lethargic, with difficulty in rising in morning.─Unrefreshing sleep.─Waking frequently during night when one becomes wide awake suddenly.─Pains, uneasiness, and tingling in limbs, anxiety and heat, colic at night; gastralgia, vertigo, headache, visions and illusions of senses, palpitation of heart, asthmatic sufferings, hunger and thirst.─Inability to sleep otherwise than on back, with head high.─When sleeping, agitation and tossing, shocks in body and jerks in limbs, starts and fright, talking (talks loudly while asleep), cries, murmurs, wanderings, delirium, lamentation, and moaning, snoring, eyes half-open, lying on back with the arms above head, nightmare, and somnambulism.─On waking, illusions of senses, frightful visions, and fear of ghosts.─Frequent, fantastic, anxious, frightful, and horrible, anger-exciting, disgusting, and agitated dreams; dreams of fire, of dogs which bite, of being possessed of fine clothes, of falling, of danger, of death; dreams, with a presentiment concerning the events of the morrow.─Vivid, beautiful, pleasant dreams.─Singing during sleep.─Happy dreams when one wakes up singing; busy all the time; wishing to touch something with inability to do so.─Vivid dreams, remain impressed on the memory.─After waking mind long confused.─Immediately after closing eyes, horrible strange grimaces appeared to her, could not banish them.─Lay in a reverie and talked of whatever vision appeared to him, with open eyes, for three nights in succession.─Voluptuous dreams with seminal emissions.─Vivid dream that she is seated on the chamber, which causes her to wet the bed.
27. Fever.─Chilliness from want of natural heat.─Chilliness, coldness, shivering, and shuddering, < in evening or at night in bed (followed by heat and profuse perspiration), as well as in afternoon, and when walking in open air.─Chilliness in forenoon; heat with cold feet in afternoon.─Chilliness externally with internal heat and a red face.─Chilliness, beginning in the toes.─Slight chill, 10 a.m., continues till 3 p.m., followed by heat lasting two hours, mostly in head and hands, with desire for beer.─Partial shiverings, principally in back, chest, and arms, coldness in hands, feet, and nose.─Chill constantly creeps from small of back up back.─Chill and fever; no reaction; constantly sinking.─During the shiverings paleness or heat in face, headache, and sometimes flushes of heat.─Frequent flushes of heat.─Heat, < at night or in evening or in morning, and also in afternoon, and often with (circumscribed) redness of cheeks, ardent thirst, burning sensation in hands and feet; partial shiverings, partial sweats, principally in head, face, and hands; fatigue and painful weariness in limbs, hoarseness and cough, anxiety, &c.─Heat at night without thirst, preceded by chilliness with thirst.─Febrile attacks both in forenoon and afternoon, or in evening, manifesting themselves by heat, which is preceded by shiverings, and followed or attended by perspiration, or else by heat in face, followed by shiverings.─During the fever palpitation of heart, delirium, weakness, obstruction, and scabs in nose, with violent thirst, which last symptom may also occur before the shiverings.─Swollen veins.─Pulse hard, quick, and full (at times intermitting).─Perspiration in general of single parts; on back part of the body; great disposition to perspire; perspiration, with anxiety; compound or intermittent fevers.─Thirst.─Want of perspiration.─Frequent and profuse perspiration, day and night, evening and morning, in bed, aptness to perspire during labour, partial perspiration, chiefly on head, nape of neck, hands, &c., acid perspiration.─Perspiration very debilitating, pungent smell, very seldom offensive, at times cold.─Sweat smelling of sulphur.─Perspiration only on one side of body; < at night and in morning