Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

So far as proved Lilium Tigrinum has shown itself adapted to the complaints of women.

It is especially suited to hysterical women, who suffer from uterine troubles, cardiac troubles and various nervous manifestations; suitable to a woman who is extremely irritable, full of fanciful notions, insanity, religious melancholy and imaginations, with cardiac affections and prolapsus.

These conditions often alternate; when the mental symptoms are most marked the physical symptoms are relieved. The "dragging down" that is associated with prolapsus seems to be a dragging down from the region of the stomach, and even sometimes from the throat.

A bearing down, as if all the interior organs were dragging down. With this state of extreme relaxation there is great fidgetiness and most marked of all, palpitation. She can lie only on the back, and is aggravated from lying on either side. From every emotion the heart flutters, and is irregular and excitable. These mental symptoms and heart symptoms and uterine symptoms often rotate or alternate, and constitute the principal features.

Mind: She can hardly speak a decent word to anybody. She will snap even when spoken to kindly. She is so irritable that her friends cannot pacify her. Even consolation aggravates. When spoken to she is irritable. She lies awake nights, and is tormented either by fanatical religious ideas, or a religious melancholy, and seems inclined to dwell upon insane, ideas concerning religion and modes of life unreasonable, illogical and fanciful.

Has wrong ideas concerning everything. Receives wrong impressions and everything is inverted. It is impossible to please her. Now these states are present with a state of irritability of the sexual organs, nymphomania; violent sexual excitement associated with spasms, with palpitation, with sweats, with periods of exhaustion. She sits alone and broods over imaginary troubles, and when spoken to is crabbed.

"Ideas not clear; they become more so if she exercises her will."

"Makes mistakes in writing, in speaking, cannot apply the mind steadily; tormented about her salvation."

The patient tries to describe an indescribable feeling by saying she has a "crazy feeling" in the head, as if the ideas scattered, and the more she attempts to think rationally the more irrational she becomes. The more she attempts to think of something the less likely she is to recall it. When putting the mind upon something else it comes back again. This remedy has all kinds of symptoms from sexual excesses in overwrought and nervous women, from sexual excitement, causing confusion of mind with palpitation.

It says in the text:

"Listless, inert, yet does not want to sit still."

This patient will sit still and brood and think over the past, and when spoken to will jump up and run hastily and excitedly and slam the door without any cause; when spoken to kindly by members of the family, or a friend, it seems that she will go wild. A patient once under an aggravation from this remedy said to me:

"I was spoken to to-day in a street car, and I was so mad I wanted to fling something at his head."

She was thinking over something about herself, and did not want to be disturbed. It is a violent state of temper, a violent state of irritability, a loss of balance. She says:

"It seems as if I must fly when spoken to or disturbed."

When coming in contact with her friends she has these feelings. The contact seems to arouse her out of a state of lassitude and quietness. Strange things occur in this remedy. The sensations described in the text are so vague and so varied that you can see that it is an effort on the part of the provers to describe what they feel. The sensations are numerous and indescribable.

This patient very commonly is a warm-blooded patient.

She is like the Pulsatilla patient; warm-blooded, wants a cool room, likes to walk in the open air, except at times when the prolapsus is aggravated by walking. The head is generally relieved by moving about in the open air, > when walking in the open air. The headache and most of the complaints are relieved from cold, or from a cool room, and aggravated from a warm room. The dyspnoea comes on in a warm room. The patient suffocates in a crowded room, in the theatre, in church, like Apis, Iodine, Kali i., Lyc. and Puls.

Head: A crazy feeling comes up from the back of the head to the top of the head.

What that is only one that feels it can describe. It is described sometimes as a tingling, or an electric sensation. A slight tingling comes up the back of the head and goes to the top, and is associated with vertigo. When you come to sift that thought it really brings nothing to mind. Very often you have to get those things clinically, and think about them to get at the idea.

The pains in the forehead are very marked, and they are associated with great disturbance of vision, a loss of vision, the room looks dark, or the eyes are unable to focus. Nervous disturbance of vision, photophobia, twitching of the lids, jerking about the eyeballs, and inflammation of the mucous membrane of the eyes, of the lids and balls, conjunctivitis. Very often with the complaints of the head the eyes are turned in, a convergent strabismus, or there is threatened syncope, with the pain in the forehead.

By all these things mentioned it may be known what an over-sensitive, extremely nervous, hysterical person the Lilium tig. patient must be. These things are commonly associated with patients who are extremely nervous, who have fluttering of the heart, who have pain down the spine, and more or less prolapsus, with a great sense of dragging down. When one condition is present, the other is commonly absent; they alternate, or they may exist all together.

"Wild feeling in the head, as tho' she would go crazy, with pain in the right iliac region."

These provers seemed to like the expression, "crazy feeling in the head, as if she would go crazy."

That crazy feeling is a confusion of mind, as if the mind were quite unable to concentrate itself. That is what is interpreted by this crazy feeling the patients have. It is sometimes like a vertigo, as if things were going round, or as if she would lose her mind. Then it comes again as a terrible, tearing headache, described as a crazy headache in the forehead. Headache in which there is confusion of the mind, or as if the mind would go crazy.

Abdomen: The abdomen, stool, urinary and sexual organs, furnish us a field for the use of this medicine.

The whole abdominal viscera seem to be dragging down from the stomach. The patient wants to hold up the abdomen, pendulous abdomen. It seems as if the pelvic organs would protrude. The patient must lie down, wants to wear a T bandage. Wants to grasp the abdomen from the sides and lift up for support. It is a sensation of weakness or bearing down in the pelvis as if everything were coming into the world through the vagina.

This remedy has a very urgent diarrhoea, driving out of bed in the morning; he must make great baste. You may get this confused with Sulphur, because Lilium tig. has great heat in the head, emptiness in the stomach, and great burning of the palms and soles. It has also a dysentery that you will hardly be able to distinguish from Merc. cor., so marked is the tenesmus, mucus and blood.

The stool is merely mucus mingled with blood, and the tenesmus is as great and the burning in the anus as marked as in Merc. cor. It is especially suited for those attacks of dysentery that come on as an occasional chronic manifestation in nervous patients such as I have described. Now, do not think that because this patient is nervous that she is weak, or liliputian, or lean; for it is especially suitable for those with full veins; apparently plethoric, full blooded, fleshy, rotund women who are very nervous, and especially at the change of life.

Recurrent dysenteric attacks with every cold in those who suffer from pelvic and abdominal relaxation, mental irritability as described, palpitation and fluttering of the heart, with nervous constitutions. You do not see Merc. cor. in such a picture. If it were a dysentery alone I would not be able to tell which it was.

All of these dysenteric manifestations have been left out of the Guiding Symptoms, yet I have seen them verified over and over. Again, it has a most inveterate and troublesome constipation.

It has also a tenesmus of the bladder and rectum. Teasing to urinate, as well as urging to stool. Sit a long time with much urging, and after long straining no stool.

Frequent urging, with a sensation as if a ball were in the rectum. When the fundus of the uterus is turned back to the rectum it gives a sensation as if the rectum were full of faeces; it brings on urging to stool and the patient will sit and strain, and the tenesmus of the bladder and rectum is unbearable. Constant urging to stool, and no stool in the rectum. You will be astonished to know that the remedy that is indicated with such symptoms will relieve the patient of all distress in a short time.

But you ask, will this remedy put the uterus right again? Well, the patient will get relief of her sufferings and will not feel this uncomfortable state after the administration of the remedy. The bowels become regular, the disturbance of micturition is relieved and the patient gradually returns to health and later the uterus will be found in place.

"Pressure in the rectum, with almost constant desire to go to stool."

Lilium tigrinum has cured the most inveterate protruding hemorrhoids with burning.

"Haemorrhoids after delivery, sore to touch, bearing down after stool as if all would protrude from the vagina."

It does not mean that we shall apply that simply to hemorrhoids that come after delivery, but it has cured hemorrhoids in such a constitution, and not only hemorrhoids, but relaxed uterus and vagina.

A paralytic relaxation is present in all the abdominal tissues. I have mentioned the uterine symptoms incidentally in connection with other parts.

"Menses scanty, flow only when moving about."

This will make you think of Puls., the menses being so scanty, and because the Puls. patient is of similar nervous temperament. Puls. has scanty menstruation and relief in the open air. It has also much dragging down in the pelvis, though not so extreme as a rule as in this medicine. But there is much in this medicine quite different from Puls.

The come the heart symptoms.

"Seems as if the heart were grasped or squeezed in a vise, hard, as if violently grasped."

"Constrictive pain in the heart." "In fresh air, chilly, but vertigo is >."

Pain in the back and down the spine; irritable and sensitive spine with trembling. It competes very closely with Platina.

A Dictionary of Practical Materia Medica, John Henry Clarke

Tiger Lily. N. O. Liliaceae. Tincture of fresh stalk, leaves, and flowers. (Some of the provings were made with tincture of the pollen alone.)

Clinical.─Angina pectoris. Asthenopia. Astigmatism. Dementia. Diarrhoea. Dysentery. Eyes, affections of. Fibroma. Heart, affections of; Palpitation of. Hysteria. Ovaries, affections of; dropsy of. Pruritus vulvae. Spinal irritation. Urination, too frequent. Uterus, affections of; displacements of; subinvolution of.

Characteristics.─The Tiger Lily, which was introduced into the West from China and Japan, was first suggested as a remedy by W. E. Payne. Carroll Dunham urged Payne to have it well proved. This Payne did, and Dunham himself assisted by having it proved on a woman under his own supervision. The account of this case of Lilium tigrinum disease, with others, is given in Dunham's lucid style in his Science of Therapeutics. Lil. t. was given in the 30th and 3rd attenuations, which were taken during ten days. The symptoms began early but were somewhat slow in developing, and, after recovery, recurred with other symptoms. The third series recurred in the ninth week after taking the drug, and this was the most severe of all. So intense were the sufferings mental and bodily that Dunham felt bound to antidote them with Plat. 200, which was speedily effective. The symptoms developed in this order: (1) Increased activity; things went more easily. (2) Increased sexual instinct. (3) Sweetish nausea without inclination to vomit. Abnormal fulness < after eating ever so little. (4) Ill-humour; drowsiness; sleep but with unpleasant dreams. (5) Bloating more pronounced and chiefly across hips in uterine region; darting pains in head and lower abdomen from ovaries down thighs; pressure in vagina; pain at top of sacrum extending to hips. (6) Crazy feeling with thoughts of suicide; head grows wild after being quiet for a short time; increased depressing weight over parting; < evening. Knees ache. From this point, ten days after the first dose, no more medicine was taken, but the Lil. tig. disease continued to develop and increase in intensity for eight weeks longer, when it was so bad that it had to be put an end to by an antidote. Of these symptoms the most prominent were a "downward dragging" from shoulders, from thorax, from left breast, from epigastrium down to pelvis, and out at the vagina as if everything would be forced through. (In some other provers who were examined actual displacement was found, especially anteversion.) Late in the proving a thin brown leucorrhoea appeared, leaving a brown stain. This was intermittent. The downward pressure involved the rectum and bladder, and loins. There was consciousness of the ovaries as distinct painful and burning spots with pains radiating from them down the thighs. Menses came at regular times but flowed only as long as she kept moving. Much hurried and driven, she knows not why. Heart symptoms came on at this time, about a month after commencing the proving: Sudden fluttering sensation, less felt if she can busy herself very much. Faintness accompanied the fluttering, as though she could make no exertion but must sit still. Sharp pain in apex of heart. After a cessation of symptoms for about a week there was a recurrence of the same, including leucorrhoea, burning pain from groin to groin, with new mental symptoms, including obscene thoughts and disposition to strike and swear. Menses recurred after only two weeks' interval, leucorrhoea having ceased two days before. After another brief interval the second recurrence occurred, which was put an end to by Platinum. In male provers there was a good deal of pelvic distress, affecting bladder, rectum, and back, and a very decided increase in sexual instinct, but nothing approaching the intensity of the action on the female organs. The heart, in the males, appears to have borne the chief impact of the drug's action. The outward forcing in which the down-dragging symptoms of the female provers culminated was manifested in other symptoms. One man had this: The heart's action was intermittent, every intermission followed by a violent throb, causing an involuntary catching of the breath; at the same time the blood rushed up through the carotids to the head, producing great heat and a crowded feeling of head and face. Another prover, woman, 53, who had ceased to menstruate, took a drop of 30th. She had: A feeling of exhaustion as if the blood were pushed outward; and later a blinding headache "as if all the blood were pressing outward through every aperture." S Lilienthal had among his symptoms: "A sensation as if a rubber band were stretched tightly from temple to temple"; "as if a skullcap were crushing the head"; "as if the brain was being pushed through eyes and ears." "Outward forcing" is plainly a keynote of this remedy; and the contractive pains at the heart as if grasped with a hand are all of a piece with this. The characteristic feature in the heart-grip is an intermittent pressure─there is alternate spasm and relaxation as if a hand squeezed the heart and then let go and squeezed again. Another leading indication is when there is pain and numbness in the right arm along with the heart pain; and again when there is alternation between heart pains and uterine or ovarian pains. The pains of Lil. tig. are wandering, flying, shooting, squeezing and relaxing, opening and shutting, burning and radiating. They radiate from ovary to heart to left breast, down legs (especially left), across to opposite ovary; through left breast to back; from ilium to ilium; across sacrum. In contradistinction to the down-dragging is a "pulling-up" sensation from the tip of the coccyx. A patient to whom I gave Lil. tig. 30 said it caused a sensation in the abdomen as if the contents were "tied up in knots." C. Sigmund Rage has observed (H. R., xi. 482) excellent results from Lil. t. 3x and 30 in cases of uterine fibroid presenting the characteristic symptoms of the remedy. The 2x and 3x caused severe aggravations─backache; fever and sweat during the night; fear of dying. Among other peculiar sensations are: With nausea, a lump in centre of chest which could be moved down by empty swallowing. As if an electric current in fingers and hands. As if cool wind blowing on lower extremities. The eyes were the seat of many marked symptoms, and one prover who was astigmatic, after much suffering in the eyes during the proving, found her astigmatism gone when the proving was over.─The left side was most markedly affected. Intense restlessness, nervous system irritable, weak, trembling; aimless hurry; walks to and fro. Convulsive contractions of almost all muscles of body, and feeling as if she would be crazy if she did not hold tightly upon herself. Feeling as if she must scream. "Cannot walk on uneven ground" (H. C. Allen). Burning palms and soles accompany other complaints. The symptoms are > lying on left side, when lying down at all is tolerated. Rest in general <. (Berridge cured a lady, 50, of heart pain, as if grasped with hand, with cold feeling from apex of heart to under left scapula; excited by worry; < lying on right side; > lying on left side and when busy at work.) Hasty, busy movement >. Pressure and support >: Must cross legs to relieve bearing down; must put hands to vulva to prevent contents escaping. Movement < uterine symptoms: unable to move for fear her womb would drop from her. Stooping < heart pain. Standing < downward dragging. < Afternoon and night from 5 p.m. to 8 a.m. Diarrhoea < early morning. > In open air. < In warm room; is faint. Touch < (on epigastrium = desire to vomit); < haemorrhoids. Pressure of bedclothes is intolerable on abdomen and uterine region. Rubbing and pressure > heart spasm. Jarring <.─I never obtained good results from Lil. tig. until I gave it in the 30th attenuation. I have tried higher, but the aggravations from these were so severe that I have kept to the 30th.

Relations.─Antidoted by: Platina; Helon. (anteversion); Nux (colic); Puls. Compare: Sep. (very like in most respects, but Lil. > by diverting mind and busying about; Sep. > by violent exertion; leucorrhoea of Lil. is more excoriating); Lil. < afternoon; Sep. > afternoon; Lil. pressure in anus, Sep. weight like a heavy ball); Puls. (< in warm room; venous stasis with taste of blood in mouth─also Ham.; weeping mood─Puls. quiet weeping, Lil. spasmodic, flashing; Puls. has not the tendency to prolapse; is not > by support); Nat. m. (heart; uterus; coldness about heart); Helon. (profound melancholy with consciousness of womb; Lil. hurry with incapacity and distress based on apprehension of serious malady); Alo. (fulness in rectum; like a plug wedged between pubes and coccyx); Cact. (heart constricted by iron band; constriction continuous, Lil. intermittent; uterine and ovarian pains); Anac. and Ver. (profanity); Bell. (< by jar; bearing down; Bell. < by motion, Lil. >); Sul. (early morning diarrhoea, burning palms and soles); Zinc. (heart symptoms > by lying on left side;─Pho., Pul., Arn. < lying on left side); Murex, Vib. tin., Vib. o., Nux m., Gossyp. (bearing-down pains); Lach., Sul., Act. r. and Ustil. (left ovary and left inframammary pain); Calc. (ovarian pain extending down thigh; Calc., right; Lil., left; Pallad. and Plat. (irritability, "things don't go right"; Pall. over-sensitive, Plat., hauteur); Aur. (prolapse; Aur. from weight of organ, Lil. from relaxation of ligaments); Latr. mact. and Spig. (heart), Act. r. (heart and uterus); Pod. (early morning diarrhoea); Cact., Nat. ph., Tarent., Rhus (pain and numbness of left arm with heart disease; Lil. more characteristic, right); K. bi. (radiating pains; alternating conditions).

SYMPTOMS.

1. Mind.─Depression of spirits; inclination to weep, timidity, apprehensiveness; of some terrible internal disease.─Tormented about tier salvation (with uterine complaints).─Constant hurried feeling, as of imperative duties and utter inability to perform them (during sexual excitement).─Disposed to curse, to strike, to think of obscene things; as these mental states came, uterine irritation abated.─Does not wish to be alone, prefers society; very low-spirited; weeping with feeling of dread.─Crazy, wild feeling on top of head; thoughts of suicide.─Mistakes in speaking; uses wrong words; forgetful.─Desire for fine things; dissatisfied with tier own, envious of others.

2. Head.─Headache, esp. if depending on uterine disorders.─Dull pain in forehead (and fulness) over the eyes.─Hot pain; blinding pain, in forehead and temples.─Pressure outward.─Headache: on waking; < in open air, > at sunset, with heaviness as if too full of blood, blowing blood from nose, desire to support head with hands.─Neuralgia over l. eye to vertex.─Neuralgia in temples, alternately l. and r.─Pressure and crazy feeling in vertex.─Pain in occiput and over eyes.

3. Eyes.─Wild look.─Hypermetropia; presbyopia.─Vision dim; and confused, with disposition to cover eyes and press upon them.─Pains extending back into head.─Burning after reading and writing, with weak feeling.─Cured astigmatism in a prover.─Blurred vision with heat in eyes and lids.─Muscae volitantes.

4. Ears.─Neuralgia in r. ear.─Rushing sounds in ears after going to bed.

5. Nose.─Rubbed her nose violently.─Discharge: thin, clear; yellow mucus.─Nose stopped.

6. Face.─Face (l.) flushed, with heat.─Pain in r. cheek-bone, with stoppage of r. nostril.─Pain in l. cheek extending into ear and temple.─Pain in r. jaw with feeling of elongation in teeth.

8. Mouth.─Darting pain from (l.) teeth to ear.─Tongue coated yellowish white in patches.─Mouth and throat feel coated on waking in the night.─Saliva abundant.─Taste: bloody, afternoon; peculiar; foul > eating.

9. Throat.─Enlargement cif r. tonsil, with exudation.─Soreness and dryness.─Feeling of lump, with pulsations when lying.

10. Appetite.─Appetite: great, esp. for meat; great as if in back, extending to occiput and over vertex.─Desire for sour or sweet dainties, alternating with disgust for food.─Appetite lost.─Aversion to coffee; to bread.─Thirst; then stupidity, then the severe symptoms.

11. Stomach.─Eructations.─Hiccough.─Nausea: < from tobacco; with inability to vomit; with pain in back; with fulness in abdomen.─Nausea, with hawking of mucus.─Sensation of a lump in centre of chest; moved up and down by empty swallowing.─Sensation of a hard body rolling around in stomach, > at night.─Vomiting of chyme and thin yellow mucus; finally bloody.─Hollow, empty sensation in stomach and bowels.─Faintness at epigastrium with tasteless eructations.

12. Abdomen.─Distension of abdomen.─Rumbling; emission of flatus.─Dragging down of whole abdominal contents, extending even to organs of chest; must support the abdomen.─Bubbling in r. hypochondrium.─Lancinations from l. hypochondrium to crest of ilium.─Dragging downward and backward.─Sensation as if diarrhoea would come on; also passing off by urinating.─Trembling sensation in pelvis, extending down thighs.─Feeling as if menses coming on.─Grasping pains across hypogastrium > gentle rubbing with warm hand.

13. Stool and Anus.─Pressure on rectum (and bladder) with almost constant desire to go to stool (immediately).─Morning diarrhoea in cases with prolapsus of uterus.─Morning diarrhoea; stools loose, bilious; dark, offensive, very urgent, can't wait a moment; stool preceded by griping pains or great urging, with pressure in the rectum; followed by smarting, burning of anus and rectum.─Pressure on perinaeum.─Constipation: hard and dark stools, then heat in rectum and anus and pain in abdomen.

14. Urinary Organs.─Frequent urination during day, with smarting in urethra.─Continuous pressure in bladder.─Constant desire to urinate, with scanty discharge; burning (tenesmus) and smarting in urethra after.─Urine: milky in morning; clear and white; like boiling oil; strong-smelling; phosphatic; copious; sediment white or red.

15. Male Sexual Organs.─Testes: swollen and tender to touch; sore in morning, and heavy; neuralgia in l.─Desire increased.─Prostration from coitus, with irritability from suppression of desire.─Emission towards morning.

16. Female Sexual Organs.─Bearing down, with sensation of heavy weight and pressure in uterine region, as if whole contents would press out through vagina; > by pressure of hand against the vulva.─Sharp pains in ovarian region.─Grasping pain in l. ovarian region and groin, with pain in right hip, extending into thigh.─Pains in ovaries extending into inside of thighs.─Pains in r. ovary and back.─Ovaries sore on pressure, < r. side.─Aching and burning pain in ovaries; feeling like live coals; afterwards pain in r. increased till it seemed as if a knife inserted in ovary and ripped down groin and front of thigh; extending over loins to r. hypochondrium, > by pressure on ovary.─Gnawing dragging in r. ovary < walking.─Severe neuralgic pain in uterus; could not bear touch; not even the weight of bedclothes or slightest jar; anteversion; retroversion; prolapsus.─Fundus of uterus low down, tilted against bladder, the os pressing upon rectum.─Bearing down in uterus, with pains in l. ovary and mamma.─Voluptuous itching in vagina, with feeling of fulness of parts; stinging in l. ovarian region.─Sexual desire increased; ending in orgasm; with hurried feeling; > during physical effort; disposition to use obscene language.─Leucorrhoea; bright yellow, acrid, excoriating; leaving a brown stain; after menses.─Menses continue only when moving about, and cease when sitting or lying down.─Amenorrhoea: accompanied with cardiac distress, or with ovarian pains of a burning or stinging character; if complicated with prolapsed or anteverted uterus; partial, the menses returning occasionally, or again remain absent for some time.─Menses freer than usual, relieving headache.─Sensation of dragging down from the shoulders and chest, feeling as if she wants to be held up; abdomen feels as if it must be supported; as if it must be held up with both hands.

17. Respiratory Organs.─Voice could not be controlled.─Dry, hacking cough, evening, > in open air.─Oppression.─Desire to take a long breath; frequent sighing; seems to come from lower part of abdomen.─Inhales forcibly in order to pull up thorax and clear the pelvis.

18. Chest.─Tightness of chest.─Hot, congested feeling.─Ebullition, must go into open air.─Constriction: a hand-breadth below l. breast; extending to r. side, > change of position, with sharp pain running to throat, clavicle, and axilla.─Sharp pains through r. lung < in open air.─Fine pains in r. chest, sometimes gnawing, with lameness and soreness of muscles and desire to stretch the parts; the lameness extending through to r. scapula.─Pain under sternum towards middle lobe of r. lung.─Feeling of congestion of chest if desire to urinate is not attended to.─Pains sharp, sticking, cramping in or below l. breast, extending to scapula and side, < lying down and on l. side.

19. Heart.─Dull, pressive pain in region of heart.─Pain in heart < when lying down at night.─Constant feeling of a load or weight in l. chest.─Sharp and quick pain in l. side of chest, with fluttering of heart.─Heart feels as if squeezed in a vice; or alternately grasped and relaxed.─Fluttering or palpitation of heart; > rubbing and pressure.─Intermittent; after every intermission, violent throbbing, causing involuntary catching of breath and a rush of blood to head and crowded feeling in face.─Pain in heart is < by exercise; stooping; lying down at night; > in morning.─Sharp pain at apex of heart > by rest.─Pulse: rapid; small and weak; irregular, < by slight motion; compressible.

20. Neck and Back.─Pain in nape with constriction.─Soreness in cervical and occipital muscles, < by thirst.─Pain: between scapulae; sore in region of scapula; in lower dorsal vertebrae as if back would break.─Spine sore, with stiffness < in loins.─Shooting across loins.─Pain in sacrum, < standing, with pressure downward in hypogastrium; between hips, not much > lying, with pressure downward at anus.─Dull pain in sacrum.─Sensation of pulling upward from tip of coccyx.

21. Limbs.─Limbs cold, clammy; more when excited or nervous.─Burning in palms and soles all night, constant desire to find a cool place for them.─Out-pressing sensation in hands, arms, feet, and legs in early part of night.

22. Upper Limbs.─Tearing from l. shoulder to hand.─Cramping pain in l. shoulder and mamma.─Trembling of l. arm with weakness.─Pain in r. arm and wrist (with heart complaints).─Hand and arms, stiff, hot; painful.─Trembling of hands.─Paralytic pricking in fingers and hands.─Cramp in fingers.─Stiffness of fingers almost like paralysis; difficult to guide pencil; pricking in (tips of) fingers and hands; sensation of electric current, first in fingers of l. hand then of r.; running up arms.─Cold hands; cold perspiration on back of hands.

23. Lower Limbs.─Staggering gait; extreme difficulty in walking straight.─Stitching pains from ilium to ilium or from pubes to sacrum.─Pain in r. hip extending down thigh.─Sensation as though cool wind blowing on lower limbs.─Trembling of knees, abdomen, back, and hands.─Legs ache, cannot keep them still.─Joints seem to lack synovial fluid.─Cramps in both legs and feet after stool in morning.─Cramp in toes.─Burning beginning in soles and palms, thence over body; < in bed, constant desire to find a cool place.─Pains severe, fleeting, quick, sharp, or circumscribed; coldness or cold perspiration; l. leg more affected.

24. Generalities.─Weak, trembling, nervous.─Faintness, < in a warm room, or after being on feet a long time.─< Walking, yet pains so much worse after ceasing to walk that he must walk again.─Pains in small spots; shifting pains.─Throbbing pulsations, as though the blood would burst through the veins.─Restlessness.─Hysteria.

25. Skin.─Irritation of upper chest and arms and a fine rash about forehead and around borders of the hair, with much itching.─Skin of abdomen feels stiff and stretched.─Tingling, formication, burning itching of various parts.

26. Sleep.─Yawning, stretching, drowsy.─Slept soundly, but suddenly waked by desire to evacuate bladder.─Inability to sleep, < before midnight.─Restless sleep; wild feeling in head; everything seems too hot; dull headache, palpitation, mammary pain.─Dreams: frightful and laboured; unpleasant; voluptuous; half-awaking; intervals seem very long (of dead people).

27. Fever.─Chills run downwards; violent beating of heart; congestion to chest and burning heat all over; constriction about heart.─Chills from face downwards; chilly when in cool open air, yet otherwise >.─Great heat and lassitude in afternoon.─Throbbing all over.

Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica (Allen's Keynotes), Henry Clay Allen

Tiger Lily (Liliaceae)

Affects principally the left side of the body (Lach., Thuja). Tormented about her salvation (Lyc., Sulph., Ver.), with ovarian or uterine complaints; consolation <. Wild, crazy feeling on vertex; confused ideas. Profound depression of spirits; can hardly avoid weeping; is very timid, fearful and weeps much; indifferent about what is being done for her. Anxious: about the disease; fears the symptoms indicate an organic affection; marked in both sexes. Disposed to curse, strike, to think obscene things (Anac., Lac c.); alternates with uterine irritation. Listless, yet cannot sit still; restless, yet does not want to walk; must keep busy to repress sexual desire. Desire to do something, hurried manner, yet has no ambition; aimless, hurried motion (Arg. n.). Fears: being alone, insanity, heart disease; fears she is incurable; some impending calamity or disease. Headaches and mental ailments depending on uterine irritation or displacement. Menstrual irregularities and irritable heart. Cannot walk on uneven ground; Pains in small spots; constantly shifting (Kali bi.). Frequent urging to urinate; if desire is not attended to, sensation of congestion in chest. Bearing-down sensation; in abdomen and pelvis, as though all organs would escape (Lac. c., Murex, Sep.); < supporting vulval with hand; with palpitation. Menses: early, scanty, dark, offensive; flow only when moving about; cease to flow when she ceases to walk (Caust. - on lying down, Kreos., Mag. c.). Sensation as if heart was grasped in a vise (Cac.); as if blood had all gone to the heart; feels full to bursting; inability to walk erect. Pulsations over whole body, and full, distented feeling as if blood would burst through the vessel (Aesc.). Palpitation, fluttering; faint, hurried, anxious sensation about apex; sharp pain in left chest awakens at night; irregular pulse; extremities cold and covered with cold sweat; < after eating, lying on either side (on left side, Lach.). Rapid heart-beat, 150 to 170 per minute. Constant desire to defecate and urinate (with prolapsus), from pressure in rectum. Weak and atonic condition of ovaries, uterus and pelvic tissues, resulting in anteversion, retroversion, sub-involution (Helon., Sep.); slow recovery after labor; nearly always with constipation, from inactivity.

Relations. - Compare: Act., Agar., Cac., Helon.,

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Great bearing down, as if pelvic contents would press out through the vagina; > by pressing up with the hand or sitting down (Sepia crosses the legs.)

Sensation of constriction in heart with uterine troubles.

Frequent desire for stool and urine with uterine displacements, tenesmus.

Tormented about her salvation.

Listless, yet does not want to sit still; restless, yet does not want to walk; hurried manner, desire to do something, yet no ambition; imperative duties, inability to perform them.

Depression of spirits: disposition to weep; aversion to food; indifferent about anything being done for her.

* * * * *

Lilium tigrinum is one of the remedies that closely resembles Sepia in its action on the uterine organs. This symptom, for instance, "weight, with feeling as if the pelvic contents would pass out through the vagina if not prevented by pressure with the hand (pressing up against the vulva, Lilium tig.), or by sitting down." There is no remedy that is more efficacious for uterine displacement than Lilium. The persistent bearing-down feeling in the uterine region of Lilium is attended with a feeling as if the pelvic viscera, indeed the whole abdominal contents, were being dragged downward, even from the chest and shoulders, towards the vagina.

The choice between Lilium and Sepia might not always be easy. The Sepia case is more likely to be a chronic one. On the other hand, the Lilium case is more intense, painful and distressing. The Sepia cachexia, of course, would decide easily in its favour, if it is markedly present. There is more urinary irritation, or frequent desire to urinate, with Lilium; indeed this is sometimes so severe as to make one think of Cantharis. Again, rectal irritation and distress in often found in conjunction with the urinary, in this respect reminding one of Merc. cor., Capsicum or Nux vomica.

With the uterine we often have quite an array of very severe heart symptoms. There are sharp quick pains, and much fluttering of the heart. This remedy also has in a marked degree the great characteristic symptom of Cactus grandiflorus, "sensation as if the heart were constricted or held by an iron band". This symptom, associated with the many other heart symptoms, has sometimes led to a prescription of Cactus, when Lilium was the remedy and vice versa. The uterine symptoms are sometimes masked so as to be over-looked for the time by the violence of the heart symptoms. All these heart, urinary, and rectal symptoms seem to be mainly reflex, while the real trouble is centered in the uterus and its appendages.

The mind is also very markedly affected under Lilium. Here it may resemble Pulsatilla for tearfulness; doubts her salvation, like Veratrum album, Sulphur and Lycopodium and a constant hurried feeling, as of imperative duties with utter inability to perform them. (See Argentum nitricum.)