Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

Lycopodium is an antipsoric, anti-syphilitic and anti-sycotic, and its sphere is broad and deep. Though classed among the inert substances, and thought to be useful only for rolling up allopathic pills, Hahnemann brought it into use and developed its power by attenuation.

It is a monument to Hahnemann. It enters deep into the life, and ultimate changes in the soft tissues, blood-vessels, bones, liver, heart, joints. The tissue changes are striking; there is tendency to, necrosis, abscesses, spreading ulcers and great emaciation.

Generalities: There is a predominance of symptoms on the right side of the body, and they are likely to travel from right to left or from above downward, e. g., from head to chest.

The patient emaciates above, especially about the neck, while the lower extremities are fairly well nourished. Externally there is sensitiveness to a warm atmosphere when there are head and spine symptoms. The head symptoms also are worse from the warmth of the bed and from heat, and worse from getting heated by exertion.

The patient is sensitive to cold and there is a marked lack of vital heat, and worse in general from cold and cold air and from cold food and drinks. The pains are ameliorated from warmth except of the head and spine.

Exertion aggravates the Lycopodium patient in general. He becomes puffed and distressed, and dyspnoea is increased by exertion. He cannot climb, he cannot walk fast. The cardiac symptoms are increased as well as the dyspnoea by becoming heated from exertion. The inflamed parts are sometimes relieved from the application of heat. The throat symptoms are generally relieved from the application of heat, from drinking hot tea or warm soup. The stomach pains are often relieved by warm drinks and taking warm things into the stomach. Nervous excitement and prostration are marked.

In the rheumatic pains and other sufferings the Lyc. patient is ameliorated by motion. He is extremely restless, must keep turning, and if there is inflammation with the aches and pains the patient is better from the warmth of the bed and relieved from motion, and he will keep tossing all night.

He turns and gets into a new place and thinks he can sleep, but the restlessness continues all night. He wants cool air, wants to be in a cool place with head symptoms. It is true that the headache is worse from motion enough to warm the patient up, but not from the motion itself. The headache is worse from lying down and from the warmth of the room, and better in cold air and from motion until he has moved and exercised sufficiently to become heated, when the headache becomes worse. That is quite an important thing to remember concerning Lycopodium, because it may constitute a distinguishing feature.

The head symptoms are worse from warm wraps and warm bed,

The complaints of Lyc. are likely to be worse at a fixed time, viz., from four till eight o'clock in the evening. An exacerbation comes on in the acute complaints and often in the chronic complaints at this time.

The Lyc. chill and fever is worse at this time, and in typhoid and scarlet fever the patient is especially worse from 4-8 P.M. In gouty attacks, in rheumatic fevers, in inflammatory conditions, in pneumonia, in acute catarrhs, which are complaints especially calling for Lycopodium, it is always well to think of this remedy when there is a decisive aggravation from 4-8 P.M.

Stomach: The Lycopodium patient is flatulent, distended like a drum, so that he can hardly breathe. The diaphragm is pushed upwards, infringing upon the lung and heart space, so that he has palpitation, faintness and dyspnoea. It is not uncommon to hear a Lycop. patient say,

"Everything I eat turns into wind."

After a mere mouthful he becomes flatulent and distended, so that he cannot eat any more. He says a mouthful fills him up to the throat. While the abdomen is distended he is so nervous that he cannot endure any noise. The noise of the crackling of paper, ringing of bells or slamming of doors goes through him and causes fainting, like Ant. crud., Borax and Natr. mur.

These general conditions go through all complaints, acute and chronic. There is an excitable stage of the whole sensorium in which everything disturbs. Little things annoy and distress.

The Lyc. patient cannot eat oysters; they make him sick. Oysters seem to poison the Lyc. patient, just as onions are a poison to the Thuya patient.

The Oxalic acid patient cannot eat strawberries. If you ever have a patient get sick from eating strawberries, tomatoes or oysters, and you have no homoeopathic remedies at hand, it is a good thing to remember that cheese will digest strawberries or tomatoes or oysters in a few minutes.

Skin: The skin ulcerates. There are painful ulcer, sloughing ulcers beneath the skin, abscesses beneath the skin, cellular troubles. The chronic ulcerations are indolent with false granulations, painful, burning, stinging and smarting, often relieved by applying cooling things and aggravated by warm poultices. It is somewhat a general in Lycopodium that warm poultices and warmth ameliorates; warm applications ameliorate the pain in the knee, the suppurating condition and the gouty troubles. in an unusually warm bed, and in a warm room hives come out.

The hives come out either in nodules or in long and irregular stripes, especially in the heat, and itch violently. Lyc. has eruptions upon the skin, with violent itching. Vesicles and scaly eruptions, moist eruptions and dry eruptions, furfuraceous eruptions, eruptions about the lips, behind the ears, under the wings of the nose and upon the genitals; fissured eruptions, bleeding fissures like salt rheum upon the hands.

The skin becomes thick and indurated. The sites of old boils and pustules become indurated and form nodules that remain a long time. The skin looks unhealthy, and it will slough easily; wounds refuse to heal. Surface wounds suppurate as if they had contained splinters, and this suppuration burrows along under the skin. Ulcers bleed and form great quantities of thick, yellow, offensive, green pus. Chancres and cancroids often find their similimum in Lyc.

The Lyc. state when deciphered shows feebleness throughout. A very low state of the arteries and veins, poor tone and poor circulation. Numbness in spots. Emaciation of single members. Deadness of the fingers and toes. Staggering and inability to make use of the limbs. Clumsiness and awkwardness of the limbs. Trembling of the limbs.

Mind: The mental symptoms of Lyc. are numerous.

He is tired. He has a tired state of the mind, a chronic fatigue, forgetfulness, aversion to undertaking anything new, aversion to appearing in any new role, aversion to his own work. Dreads lest something will happen, lest he will forget something. A continually increasing dread of appearing in public comes on, yet a horror, at times, of solitude.

Often in professional men, like lawyers and ministers, who have to appear in public, there is a feeling of incompetence, a feeling of inability to undertake his task, although he has been accustomed to it for many years.

A lawyer cannot think of appearing in court; he procrastinates, he delays until he is obliged to appear, because he has a fear that he will stumble that he will make mistakes, that he will forget, and yet when he undertakes it he goes through with ease and comfort. This is a striking feature also of Silicea. No medicines have this fear so marked as these two.

Lyc. also has a religious insanity, which has a mild and simple beginning, a matter of melancholy. This religious melancholy grows greater and greater until he sits and broods. He has very often aversion to company, and yet he dreads solitude.

"Dread of men and dread of solitude; irritability and melancholy."

This dread of men is not always a state of dread in women. It is a dread of people, and when that is fully carried out in the Lyc. patient you see that she dreads the presence of new persons, or the coming in of friends or visitors she wants to be only with those that are constantly surrounding her does not want to be entirely alone; wants to feel that there is somebody else in the house, but does not want company; does not want to be talked to, or forced to do anything; does not want to make any exertion, yet at times when forced to do so she is relieved.

"Taciturnity, desires to be alone."

Now, let us follow that out a little further. The taciturnity is because the patient does not want to talk, wants to keep silent, yet, as I have said already, very glad to feel there is somebody else in the house and that she is not alone. She is perfectly willing to remain in a little room by herself, so that she is practically alone, yet not in solitude. If there were two adjacent rooms in the house you would commonly find the Lyc. patient go into one and stay there, but very glad to have somebody in the other.

The Lycopodium patient often weeps in the act of receiving a friend or meeting an acquaintance. An unusual sadness with weeping comes over this patient on receiving a gift. At the slightest joy she weeps, hence we see that the Lyc. patient is a very nervous, sensitive, emotional patient. Here it is:

"Sensitive, even cries when thanked."

When lying in bed suffering from the lower forms of fevers, there is delirium and even un consciousness. He picks at imaginary things in the air, sees flies and all sorts of little things flying in the air.

"Excessively merry and laughs at simplest things."

A condition of insanity.

"Despondent."

The Lyc. patient wakes up in the morning with sadness. There is sadness and gloom. The world may come to an end, or the whole family may die, or the house may burn up. There seems to be nothing cheering, the future looks black. After moving about a while, this passes off. This state precedes conditions of insanity, and finally a suicidal state comes, an aversion to life.

See how this remedy takes hold of the will and actually destroys man's will to live. That which is first in man is his desire to be, to exist, and to be something, if ever so small. When that is destroyed, we see what a wonderful thing has been destroyed. The very man himself wills then not to be. It is a perversion of everything that makes the man, the destruction of his will.

"Apprehensiveness, difficult breathing and fearfulness."

"Anxious thoughts as if about to die."

"Want of self-confidence, indecision, timidity, resignation."

"Loss of confidence in himself and in everything."

"Misanthropic, flies even from his own children."

"Distrustful, suspicious and fault finding."

"Oversensitive to pain; patient is beside himself."

Head: Lyc. is subject to periodical headaches, and headaches connected with gastric troubles. If he goes beyond his dinner hour a sick headache will come on. He must eat with regularity or he will have the headache which he is subject to. This is somewhat like a Cactus headache.

Cactus has a congestive headache which becomes extremely violent with flushed face if he does not eat at the regular time. One distinguishing feature is that with the Lycopodium headache, if he eats something, the headache is better while the Cactus headache is worse from eating. Lyc. and especially Phos. and Psorinum have headaches with great hunger.

At or about the beginning of the attack there is a faint all-gone hungry feeling which eating does not satisfy. Such is the nature of Phosphorus and Psorinum when the appetite and headache are associated.

The Lycopodium headache is < from heat, from the warmth of the bed, and from lying down, > from cold, from the cold air, and from having the windows open. Lean, emaciated boys are subject to prolonged pains in the head. Every time this little fellow takes cold he has a prolonged, throbbing, congestive headache, and from day to day and from month to month he becomes more emaciated, especially about the face and neck. This same trouble is present when a narrow chested boy has a dry, teasing cough, without expectoration, and emaciates about the neck and face.

This remedy is especially suitable in these withered lads, with a dry cough or prolonged headache. In children who wither after pneumonia or bronchitis, emaciate about the face and neck, take cold on the slightest provocation, suffer with headache from being heated, have nightly headaches, and a state of congestion that affects the mind more or less, in which they rouse out of sleep in confusion.

The little one screams out in sleep, awakes frightened, looks wild, does not know the father and mother, or nurse or family until after a few moments, when he seems to be able to collect his senses and then realizes where he is and lies down to sleep again. In a little while he wakes up again in a fright, looks strange and confused. That repeats itself.

The headaches are throbbing and pressing, as if the head would burst; but this is not so important as the manner in which they come on, the circumstance of their cause, the things that the child does and the fact that they are better from cold, worse from noise and talking, worse from 4 to 8 P.M., and he emaciates from above downward.

These are more important than the quality of the pain that the patient feels, but if he describes the quality of the pain it is spoken of as a throbbing, pressing, bursting or as a fullness.

Upon the scalp we find eruptions in patches, smooth patches with the hair off. Patches on the face and eczematous eruptions behind the ears, bleeding and oozing a watery fluid, sometimes yellowish watery.

The eczema spreads from behind the ears up over the ears and to the scalp. Lyc is a very important remedy to study in eczema of the infant.

Eczema in a lean, hungry, withering child with more or, less head trouble, such as has been described, with a moist oozing behind the cars, red sand in the urine, face looking wrinkled, a dry teasing cough, in a child that kicks the covers of a child whose left foot is cold and the other warm, with capricious appetite, eating much, with unusual hunger at times and great thirst, and yet losing steadily, will often be cured by Lyc.

It will throw out a greater amount of eruption at first, but this will subside finally and the child will return to health. The head in general is closely related to one symptom, viz., red sand in the urine. A long as the red sand is plentiful, the patient is free from these congestive headaches, but when the urine becomes pale and free from the red pepper deposit; then comes the bursting, pressing headache, lasting for days.

It might be said that this is a uraemic headache; but it does not matter what you call it, if the symptoms are present the remedy will be justified. In old gouty constitutions, when the headache is most marked, the gout in the extremities will be > and vice versa.

The headaches is present only in the absence of pain in the extremities. Again, when there is a copious quantity of red sand in the urine the gouty state, either in the head or extremities, will be absent, but whenever he takes cold the secretion seems to slacken up with an < of the pain.

There is another feature of the Lyc. headache related to catarrhal states. The headache is < when the catarrh is slacked up by an acute cold. The Lyc subject often suffers from thick, yellow discharge from the nose.

The nose is filled with yellow, green crusts, blown out of the nose in the morning and hawked out of the throat. Now, when the patient takes cold the thick discharge to a great extent ceases, and he commences to sneeze and has a watery discharge. Then comes on a Lyc. headache, with great suffering, with pressing pains, with hunger, and finally the coryza passes away, and the thick yellow discharge returns and the headache subsides.

We have many eye symptoms in Lycopodium, but most prominent are the catarrhal affections of the eyes. The symptoms are so numerous, they describe almost any catarrhal condition of the eyes, so that you cannot discriminate upon the eye symptoms alone. Inflammatory conditions with copious discharge, with red eyes, ulceration of the conjunctiva and lids, and granular lids.

Ears: For the ears Lyc. becomes an important remedy, because this selfsame emaciating child, with the wrinkled countenance and dry cough, has had, since an attack of scarlet fever, a discharge from the ears, thick, yellow and offensive, with loss of hearing.

If the suitable remedy be given in a case of scarlet fever, there will be no ear trouble left, because ear troubles do not necessarily belong to scarlet fever. They are not a part of scarlet fever, but are dependent on the constitutional state of the child. Lyc. has also most painful eruptions of the ears, otitis media, abscess in the ear, associated with eczema about the cars and behind the ears.

Nose: The nose symptoms I have only partly described in association with the head.

The trouble often begins in infancy. The little infant will lie at first with a peculiar rattling breathing through the nose, and finally it will breathe only through the mouth, as the nose is obstructed. This goes on for days and months. The child breathes only through the mouth, and when it cries it has the shrill tone, such as is found when the nose is plugged up. If you look you will see the nose is filled up with a purulent matter and hanging down the throat is a muco-purulent discharge. Much stuffing up of the nose is a chronic state of Lyc.

The child will go on with this trouble until it forms into great cruse, yellow, sometimes blackish, sometimes greenish, and the nose bleeds. It is most useful in those troublesome catarrhs associated with headaches; in such patients as lose flesh about the neck. It may seem strange and unaccountable that Lyc. can cause emaciation about the neck and shriveling of the face when the lower limbs are in a very good state of preservation. In old chronic catarrhs of adults they must keep continually blowing the nose.

He cannot breathe through the nose at night, as crusts form in all portions of the mucous membranes. Crusty nostrils with eczema, with oozing eruptions about the face and nose. The mucous discharge is almost as thick and tenacious as in Kalium bichromicum.

Face: The face is sallow, sickly, pale, often withered, shriveled and emaciated.

In deep-seated chest troubles, bronchitis or pneumonia, where the chest is filled up with mucus, it will be seen that the face and forehead are wrinkled from pain, and that the wings of the nose flap with the effort to breathe.

This occurs with all forms of dyspnoea. We see something like it in Ant. tart., the sooty nostrils being wide open and flapping. In Ant. tart. the rattling of the mucus is heard across the room and the patient is seen to be in distress, but if you see the patient lying in bed with the nose flapping and the forehead wrinkled, with rattling in the chest, or a dry, hacking cough and no expectoration, you will often find the particulars of the examination confirm your mind that it is a case for Lyc.

In that exsudative stage of pneumonia, the stage of hepatization, Lyc. may save the life of that patient. It is closely related in the period of hepatization to Phos. and Sulph.

The Sulph. patient is cold; there is no tendency to reaction; he feels the load in the chest, and examination of the chest shows that hepatization is marked. He wants to lie still and is evidently about to die. Sulphur will help him.

It does not have the flapping of the nose, nor the wrinkles upon the forehead, like Lyc. In the brain complaints of Stramonium, the forehead wrinkles, and in the chest complaints of Lyc. the forehead wrinkles, and their wrinkles are somewhat alike. You go to a semi-conscious patient suffering from cerebral congestion and watch him; he is wild, the eyes are glassy, the forehead wrinkled and the tendency is to activity of the mind.

That is not Lyc. but Stram. By close observation these practical things will lead you to distinguish, almost instantaneously, between Stramonium in its head troubles, and Lyc. in the advanced stage of pneumonia.

The face is often covered with copper-colored eruptions, such as we find in syphilis, and hence it is that Lyc. is sometimes useful in old cases of syphilis, cases which have affected the nose, with necrosis or caries of the nasal bones, and the catarrhal symptoms already described. About the face also there is much twitching.

You will see by the study of the face that his face conforms to his sensations. lie is an oversensitive patient and at every jar or noise, such as the slamming of a door, or the ringing of a bell, he wrinkles his face. He is disturbed, and you see it expressed upon his countenance. He has a sickly wrinkled countenance, with contracted eyebrows in complaints of the abdomen as well as in chest complaints.

We also see that the jaw drops as in Opium and Muriaticum acid. This occurs in a state marked by great exhaustion and indicates a fatal tendency, It is especially marked in typhoid when the patient picks at the bed clothes, slides down in bed, wants almost nothing, and can hardly be aroused.

It is the expression of the last stage of the disease, a low type of fever, typhoids, septic and zymotic diseases. Under the jaw there is often glandular swelling, swelling of the parotid and submaxillary glands. The swelling is sometimes cellular and the neck muscles are involved. The tendency is to suppuration of these glands, and swellings about the neck in scarlet fever and diphtheria.

Throat: The next important feature we notice are the throat symptoms.

It was mentioned when going over the general state that the striking feature of Lyc. in regard to direction is that its symptoms seem to spread from right to left; we notice that the right foot is cold and the left is warm; the right knee is affected; if the pains are movable they go from right to left.

Most complaints seem to travel from right to left, or to affect the right side more than the left. This is also true of sore throats; a quinsy affecting the right side will run its course, and when about finished the left tonsil will become inflamed and suppurate if the appropriate remedy be not administered.

The common sore throat mill commence on the right side, the next day both sides will be affected, the inflammation having extended to the left side. This remedy has all kinds of pains in the throat and fauces. It is useful in cases of diphtheria when the membrane commences on the right side of the throat and spreads over towards the left.

Patches, will be seen one day on the right side and the next day on the left side. We have noticed also that complaints in Lyc. spread from above down, so it is with these exudations.

They often commence in the upper part of the pharynx and spread down into the throat. Lyc. has cured many such cases. It is the case sometimes that Lyc. is better lay holding cold water in the mouth, but the usual Lyc. sore throat is better from swallowing warm drinks. It is a feature whereby it is possible to distinguish Lachesis from Lycopodium. Lachesis is better from cold and has spasms of the throat from attempting to drink warm drinks, while Lyc. is better from warm drinks, though sometimes better from cold drinks. Lyc. does not sleep into the suffocation and constriction of the throat and dyspnoea as in Lach. The throat is extremely painful, it has all the violence of the worst cases of diphtheria. It has the zymosis.

Stomach and abdomen: The stomach and abdominal symptoms are intermingled.

There is a sense of satiety, an entire lack of appetite. He feels so full that he cannot eat. This sense of fullness may not come on until he has swallowed a mouthful of food; he goes to the table hungry, but the first mouthful fills him up. After eating he is distended with flatus, and gets momentary relief from belching, yet he remains distended. Nausea and vomiting; gnawing pains in stomach as in gastritis; catarrh burning in ulcers and cancer; pains immediately after eating; vomiting of bile, coffee ground vomit, black, inky vomit.

Under Lyc. apparently malignant cases have their life prolonged. The case is so modified that, instead of culminating in a few months, the patient may last for years. Right hypochondrium swollen as in liver troubles.

Pain in liver, recurrent bilious attacks with vomiting of bile. He is subject to gall stone colic. After Lyc. the attacks come less frequently, the bilious secretion become normal and the gall stones have a spongy appearance as though being dissolved.

Lyc. patients are always belching; they have eructations that are sour and acrid like strong acid burning the pharynx.

"Sour stomach," sour vomiting, flatus, distension and pain after eating, with a sense of fullness.

Awful goneness," or weakness, in stomach, not relieved by eating (Digit.).

The stomach is worse by cold drinks, and often relieved by warm drinks. In the stomach and intestines there is a great commotion, noisy rumbling, rolling of flatus as though fermentation were going on.

Lyc., China and Carbo veg. are most flatulent remedies and should be compared.

The stomach symptoms are worse or brought on from cold drinks, beer, coffee or fruit, and a diarrhoea follows. Old chronic dyspeptics, emaciated, wrinkled, tired and angular patients, everything eaten turns to wind. Lycopodium is useful in old tired patients with feeble reaction and feebleness of all the functions, with a tendency to run down and not convalesce.

This patient has most troublesome constipation. He goes for days without any desire, and although the rectum is full there is no urging. Inactivity of intestinal canal. Ineffectual urging to stool. Stool hard, difficult, small and incomplete.

The first part of the stool is hard and difficult to start, but the last part in soft or thin and gushing following by faintness and weakness. Lyc. patients have diarrhoea and all kinds of stool. So you will see from reading the text that the characteristic of Lyc. is not in the stool. Any kind of diarrhoea, if the other Lyc. symptoms are present, will be cured by Lyc. It has troublesome hemorrhoids, but they are nondescript. Any kind of hemorrhoids may be cured by Lyc. if the flatulence, the stomach symptoms, the mental symptoms, and the general symptoms of Lyc. are present, because the hoemorrhoidal symptoms are numerous.

Kidneys: The kidneys furnish any symptoms and may be the key to Lycopodium in many instances.

There seems to be the same inactivity in the bladder as in the rectum. Though he strain ever so much, he must wait a long time for the urine to pass. It is slow to flow, and flows in a feeble stream. The urine is often muddy with brick dust, or red sand deposits, or on stirring it up it looks like the sediment of fermenting cider. We find this state in febrile conditions. In acute stages of disease; where the red sand appears copiously, Lyc. is often the remedy.

This is a very prominent symptom. In chronic symptoms when the patient feels best the red sand is found in the urine Lyc. has retention of urine and suppression of urine. It has "wetting of the bed" in little ones, involuntarily micturition in sleep, involuntary micturition in typhoids and low fevers.

A marked feature of Lyc. and one of the most prominent of all remedies, is polyuria during the night. He must arise many times at night and pass large quantities of urine, although in the daytime the urine is normal. Enormous quantities of urine, very clear and of light specific gravity.

Male sexual organs: One of the most prominent remedies in impotency.

Persons of feeble vitality, overwrought persons, overtired persons, with feeble genital organs, seldom need Phosphorus, but Lycopod. is a typical remedy where the young man has abused himself by secret vices and has become tired out in his spine, brain and genital organs.

If this patient makes up his mind that he will live a somewhat decent life and marries, he finds that he is impotent sexually, that he is not able to obtain erections, or that the erections are too feeble, or too short, and that he is not a man.

Lyc. has inflammation of the mucous membrane of the urethra, with a gonorrheal discharge. It is anti-sycotic and has troublesome fig warts upon the male and female genitals.

"Moist condylomata on the penis, enlargement of the prostate gland."

Female sexual organs: It is a great friend of the woman in inflammation and neuralgia of the ovaries, and in inflammation of the uterus.

The neuralgia especially affects the right ovary, with a tendency to the left. Inflammation of the ovaries, when the right is more affected than the left. It has cured cystic tumors of the right ovary.

Lycopodium produces and cures dryness in the vagina in which coition becomes very painful. Burning in the vagina during and after coition. It has disturbance of menstruation. Absence or suppression of menses for many months, the patient being withered, declining, pale and sallow, becoming feeble.

It seems that she has not the vitality to menstruate. It is also suitable in girls at puberty when the time for the first menstrual flow to appear has come, but it does not come. She goes on to 15, 16, 17 or 18 without development, the breasts do not enlarge, the ovaries do not perform their function.

When the symptoms agree Lyc. establishes a reaction, the breasts begin to grow, the womanly bearing begins to come, and the child becomes a woman. It has a wonderful power for developing, and in that respect it is very much like Calc. Phos.

"Discharge of flatus from the vagina."

"Varices of the genitals."

Chest: In the respiratory organs Lyc. furnishes a wonderful remedy.

Dyspnoea and asthmatic breathing in catarrh of the chest. The colds settle in the nose, but nearly always go into the chest, with much whistling and wheezing, and great dyspnoea.

The dyspnoea is worse from walking fast, after exertion and from going up a hill. Throbbing, burning and tickling in the chest. Dry, teasing cough.

Dry cough in emaciated boys. After coming out of pneumonia, the dry, teasing cough remains a long time or there is much whistling and asthmatic breathing.

The extremities are cold while whistling and face are hot, with much coughing and troubles in the chest. He wants to go about with the head uncovered, because there is so much congestion in the head.

This patient has a feeble reaction. There is no tendency to repair and the history of the case is that The troubles have existed since an attack of bronchitis or pneumonia. Besides the dry, teasing cough, Lyc. goes into another state in which there is ulceration, with copious expectoration of thick yellow or green muco-pus, tough and stringy. Finally night sweats, with fever in the afternoon from 4 to 8 o'clock, come on. Its use in the advanced stage of pneumonia, in the period of hepatization, with the wrinkled face and brow, the flapping wings of the nose and scanty expectoration, we have already spoken of.

Then it has marked catarrh of the chest with much rattling, especially in infants.

Rattling in the chest flapping of the wings of the nose and inability to expectorate.

The right lung is most affected, or more likely to be affected than the left, or it is affected first in double pneumonia and troubles that go from one side to the other. Think of Lyc. among the remedies for neglected pneumonia, in difficult breathing from an accumulation of serum in the pleura and pericardium.

I have mentioned sufficiently the gouty tendencies of the limbs and the nerve symptoms. But there is a restlessness of the lower limbs and which comes on when he thinks of going to sleep and this prevents sleep until midnight.

Much like Arsenicum. It is often a very distressing feature. Numbness of the limbs. Drawing, tearing in the limbs at night; better by warmth of bed and motion. These pains are sometimes found in chronic intermittent fever and are cured by this remedy. Sciatica that comes on periodically, better by beat and walking. Varicose veins of the legs. One foot hot the other cold. Oedema of the feet.

It has all manner of fevers, continued intermittent and remittent. It is especially suitable in old age, and in premature old age, when a person at 60 years appears to be 80 years, broken down, feeble and tired.

It is eminently suited in complaints of weakly constitutions. It is suitable in various dropsies, associated with liver and heart affections. Scabs remain upon the skin, do not separate; they crust over and the crust does not fall, or may become laminated like rupia.

Sulphur, Graph. and Calc. are not longer acting or deeper acting than Lyc. These substances that seem to be so inert in their crude form come out strongest when potentized and form medicines of wonderful use.

A Dictionary of Practical Materia Medica, John Henry Clarke

Lycopodium clavatum. Muscus terrestris repens. Pes ursinus. Clubmoss. Wolf's-claw. (Hilly pastures and heaths in Central and Northern Europe, Russian Asia, and North America. Common in Great Britain, especially the North.) N. O. Lycopodiaceae. Trituration of spores. Tincture of spores. Tincture of fresh plant. Etherial tincture of spores (ether dissolves the spore cases).

Clinical.─Abdomen, distended. Abortion. Albuminuria. Aneurism. Angina pectoris. Aphasia. Asthma. Axilla, offensive perspiration of. Biliousness. Borborygmi. Bright's disease. Cancer. Cataract. Constipation. Consumption. Corns. Cough. Cramps. Cystitis. Debility. Diphtheria. Distension. Dropsies. Dysentery. Dysmenorrhoea. Dyspepsia. Ear, eczema behind. Eczema. Ephelis. Epistaxis. Epithelioma. Excoriation. Eye, inflammation of; polypus of canthus. Face, eruption on. Feet, perspiring. Fibroma. Flatulence. Gall-stone colic. Glands, swelling of. Goitre. Gout. Gravel. Haematuria. Haemorrhoids. Hair, falling out. Hands, chapped. Heartburn. Heart, diseases of. Hemiopia. Hernia. Hydropericardium. Hypochondriasis. Hysteria. Impotence. Influenza. Intermittents. Intertrigo. Irritation. Labour-pains, abnormal. Lip, cancer of. Liver, derangement of. Liver-spots. Locomotor ataxy. Lungs, affections of. Menstruation, disorders of. Metrorrhagia. Naevus. Nymphomania. Otorrhoea. Panaritium. Paralysis. Paralysis agitans. Peritonitis. Phlegmasia dolens. Physometra. Plica polonica. Pneumonia. Polypus, of eye; of ear; of nose. Proctalgia. Prostatitis. Pylorus, affections of. Quinsy. Renal colic. Rheumatism. Rhagades. Sciatica. Sleep, abnormal. Speech, disordered; stammering. Strains. Sunstroke. Taste, abnormal. Throat, sore. Tongue, coated; cramp in. Typhoid fever. Urine, abnormal. Varicosis. Warts. Water-brash. Whooping-cough. Worms. Yawning.

Characteristics.─Lycopodium is one of the pivotal remedies of the materia medica, and an intimate acquaintance with its properties and relations is essential to a proper understanding of the materia medica as a whole. The spores from which the attenuations are made have been called "vegetable sulphur" (probably on account of their use for producing stage-lightning at theatres), and Lyc. ranks with Sulphur and Calcarea in the central trio around which all the rest of the materia medica can be grouped. The Lycopodiums stand between the mosses and the ferns, and in past eras occupied a most important place in the world's vegetation as fossils show. In the old school the function of Lyc. has dwindled into its use as an "inert" coating for pills and an "inert" powder for dusting on excoriated surfaces. Earlier practitioners did not consider it as by any means inert. Teste mentions that it is recorded of a decoction of the plant that it has caused vomiting. The use of the powder in intertrigo was not regarded as a physical one but as medicinal. It was praised by Wedel, Lantilius, Gesner, and others in (1) cardialgia and flatulent colic of children and young girls; (2) diseases of children; (3) nephritic colic and calculi─which is about as much as some homoeopathists know about it at the present day. But Mérat and de Lens speak of its internal use in: Rheumatism; retention of urine; nephritis; epilepsy; and pulmonary diseases. In Poland it is used for powdering the hair in "plica polonica," a decoction being used internally and also externally at the same time. The comparative fruitfulness of the two schools of medicine may be accurately measured in the history of this drug: in the old school it has dwindled into an "inert" powder; in homoeopathy, by means of the scientific methods of developing and investigating drug action it possesses, all the old virtues of Lyc. have been confirmed and precisionised, and a new world of medicinal action added to them. Teste puts Lyc. at the head of a group containing Nat. m., Viol. tric., and Ant. c. Among the common characters he attributed to them are: Primary action on digestive organs and adjoining glands; on liver and larger intestines rather than stomach. Aversion to bread and < from eating bread and foods made of fermented and fermentable dough. Frequent and painful eructations. Sour eructations; vomiting; distension; alternate diarrhoea and constipation. Pale, whitish, cloudy, mucous urine, often fetid. Premature and profuse menses. Peevishness. Rush of blood to head. Falling of hair; with crusty scalp eruption. Inflammation of eyes and lids. Deficiency of vital heat. Contraction of tendons, especially hamstrings. These are general features common to the group. Lyc. acts profoundly on the entire organism, on solids and fluids. It causes paralysis and paralytic weakness of limbs, of brain, suppurative conditions, even gangrene. It is particularly suited to: Persons of keen intellect, but feebler muscular development; upper part of body wasted, lower semi-dropsical; lean and predisposed to lung and hepatic conditions; herpetic and scrofulous constitutions; hypochondriacs subject to skin diseases; lithic acid diathesis, much red sediment in urine, urine itself transparent; sallow people with cold extremities, haughty disposition, when sick, mistrustful, slow of comprehension, weak memory; weak children with well-developed heads but puny, sickly bodies, irritable, nervous, and unmanageable when sick, after sleep cross, pushing every one away angrily; old women and children. In my experience it has been more indicated in persons of dry temperament and dark complexion; but this is not by any means exclusive. Undernourished states suggest it. But it is impossible to get the best therapeutic results for this great remedy without an intimate knowledge of certain leading characteristics. Lyc. will cure any case in which the totality of symptoms correspond with symptoms of the remedy; but it will be found that in a large proportion of cases in which this is the case, there will be present some symptoms which are peculiarly characteristic of the remedy, constituting what are called keynotes. Practice on keynote symptoms alone is an absurdity; but the right use of keynote symptoms is an immense saving of labour. The Lyc. keynotes are very pronounced, and though I cannot say that one is more important than another, I give them in this order. (1) < From 4 to 8 p.m. [In one case cured by Lyc. it was: "Bad from 4 to 6; better at 8; gone at 9."] In any case, when the symptoms are < from 4 to 8 p.m., the chances are very great that the rest of the case will correspond to Lyc., no matter what the disease may be. The times may not be accurately at these hours, and still Lyc. may be the remedy. < At 4 p.m. or from 4 to 6; and the condition may continue into the night without the 8 p.m. alleviation. But the grand characteristic is 4 to 8. (2) The second keynote is in direction, right to left. Any affection commencing on the right side and spreading to the left is likely to require Lyc., whether it be headache, sore throat, chest affection, abdominal affection, pains in ovaries─if the affection begins on the right side and spreads to the left Lyc. must be studied. Cutting pains shooting from right to left in any part indicate Lyc. In this it is complementary to Lach., which has just as characteristically the opposite direction. Lyc. is a right-side medicine; but right-sidedness is not so characteristic as the direction right to left. These two features are perhaps the most valuable keynotes, in the materia medica. After them in importance, and scarcely less important, come others. (3) > From uncovering. This is general, but it applies to Sufferings in the head more particularly. If a patient complains of headache, no matter of what kind, and if the headache is distinctly > by taking off the hat or other covering, Lyc. will probably be the remedy. This is the great dividing line between this remedy and Sil., another great headache medicine: in Sil. cases the patient must wrap up the head. > From loosening the garments is in the same category. (4) The next characteristic is somewhat of an opposite kind: > From warm drinks; < from cold food and drink. This does not refer to gastric complaints alone, but to headache, sore throat, and any other condition. (5) Fan-like movement of alae nasi occurring in cerebral, pulmonary, and abdominal complaints. The movements are usually rapid, never slow, and are not synchronous with the breathing. In the same order with this are spasmodic movements of facial muscles: angles of mouth alternately drawn up and relaxed; and spasmodic movements of tongue, it cannot be protruded; rolls from side to side like a pendulum. One prover had a kind of cramp in the tongue when speaking, cutting off the end of every sentence. Nodding and side to side movement of the head. Loosvelt (H. W., xiv. 396) has found that "half-open condition of the eyes during sleep" is a strong indication for Lyc., and has led him to make cures in cases of bronchitis, pneumonia, and typhoid when other remedies have failed. The "fan-like movement" of the alae nasi led Halbert to the cure of a case of nervous asthma (H. W., xxxiii. 545): Mrs. S., 28, had periodic attacks of spasmodic asthma, always ushered in by unusual excitement and attended by peculiar mental depression. The attack for which Halbert saw her was induced by a violent fit of anger, and persisted longer than usual. Extreme despondency and melancholy, would have nothing to do with her friends. Fan-like motion of alae nasi. Constriction of throat, like globus, but always induced by regurgitation of food. Excessive appetite easily satisfied. Fulness of abdomen with flatulence. Constipation, dry, hard stools. Dyspnoea. Slight cough with chest constriction; > in open air. All symptoms < 4 to 8 p.m. Lyc. 6x trit. cured. (6) Suddenness; sudden flashes of heat, lightning-like pains; sudden satiety. Pains and symptoms come and go suddenly, as with Bell. (7) Sensation as if a hand were in the body clutching the entrails (also as with Bell.). (8) Restlessness > by motion. (9) Right foot hot, left foot cold. (10) Burning pains > by heat; burning like hot coals between scapulae. Burning stinging in breasts. (11) Dryness of parts: of mucous membranes; of vagina; of skin, especially palms. Prominent among mental symptoms is Fear: of being alone; of men; of his Own shadow. Apprehensiveness: susceptible to natural causes of fear which make a profound impression on bodily organs, as the liver; mental states resulting from fear. Profound sadness and inclination to weep. Peevish. Forgetful. Avaricious. Imperiousness. Lyc. is a remedy for misers. The headaches are in great variety, but the modalities will generally decide: < 4 to 8 p.m.; from eating; from warmth of bed; from becoming heated during a walk; from heat in general; from mental exertion; > in open air; in cool place; by uncovering. Hair falls out. Ophthalmia: conjunctiva looks like red flesh. Lyc. has cured desperate cases of facial neuralgia with the general characteristics of the drug. The facial appearance is pale and yellow; deeply furrowed; looks elongated. Sordes in teeth. Lyc. is in the front rank among flatulent remedies. Incarcerated flatulence; more in intestines than stomach; painful with > by eructations. There is the sinking sensation at epigastrium; and it is < in the night, waking up the patient; or < in afternoon. This sensation becomes translated into canine hunger, but as soon as a morsel of food is swallowed there is distension and fulness to the throat, preventing him eating any more. Sour stomach, sour taste, sour vomiting. Thirst for little and often, but drinking cold water = nausea. Great weakness with the vomiting. Cord-like tension across hypochondria. Flatulence incarcerated, pressing outward, sensation as if something moving up and down in bowels. Great sensitiveness in liver region. [This sensitiveness is a characteristic of Lyc., as it is of its complementary remedies, Lach., Kali iod., and Iod. It has led me to cure many cases of sciatica having this characteristic: cannot bear to lie on painful side it is so sensitive. Especially in case of right-side sciatica of this description. Gums, epigastrium, abdomen, right side of chest, eruption round anus, all soft parts are sensitive. Touch and pressure < all these; only > tearing in head.] The flatulence presses on rectum and bladder. There is out-pushing also in right inguinal ring; and Lyc. has cured many cases of right inguinal hernia, especially in children. Lyc. is one of the great remedies for constipation where purgatives have been abused. Spasmodic constriction of rectum. Constipation of infants. The urinary symptoms present no less important characteristics than the gastric. Renal colic, with stinging, tearing, digging pain in right ureter to bladder, as if some small calculus was tearing its way to bladder. Aching in back before micturition. Child cries before micturating; red sand is found on diaper. Aching in kidneys < before > after urinating. The catamenia are too early and too profuse. Extreme sadness and irritability before, ceasing with the flow. Cutting pain right to left. Left leg colder than right. Borborygmi under left ribs in front. Ill-humour. Bearing-down pains and headache. Intolerance of tight clothing. Sensation as if a hand were in body clutching the entrails. Though a right-side remedy, it must not be supposed that Lyc. is exclusively so. It has cured left ovarian pain, dull aching, < on raising the limb or turning in bed. It is of great service in pregnancy (nausea; varices; excessive foetal movements); and in labour (unsatisfactory pains). The "burning" of Lyc. is exemplified in the cure of a case of puerperal fever having these symptoms: Feels as though hot balls dropped from each breast through to back, rolling down back, along each leg, and dropping off heels; this alternated with sensation as if balls of ice followed same course. Phlegmasia dolens. Lyc. has a very large range in respiratory affections. Salt sputa; milky; greenish yellow; thick yellow muco-pus. Dry burning catarrh of nose, larynx, throat, chest. A very characteristic cough of Lyc., which I have verified, is this: "Dry teasing cough in emaciated boys". The cough of Lyc. is provoked by: Irritation from deep breathing; stretching out throat; and by empty swallowing. A patient of mine to whom I gave Lyc. 30 developed this symptom: "Pain under sternum as if food lodged there and she could not breathe through it." Cough,< on waking. All the blood-vessels from the heart to the capillaries are affected by Lyc. It has cured both naevus and aneurism, and relieved many conditions of disordered heart. It is also one of the most important remedies in varicosis. Excessive sensitiveness is a note of Lyc.: Cannot bear any strong smells. Cannot endure noise. Sensitiveness to sound has a curious development in this symptom: In the evening she continues to hear the music she has heard during the day. "Heaviness of the arm" is a special feature among the general paralysing effects of Lyc. Skinner cured with Lyc. c.m. this case: A lady had burning in right arm with paralysis, preventing her grasping anything with the right hand. Had had much worry. Irritability before menstrual period, > by the flow. < From 6 to 7 p.m. With the burning was a sharp pain shooting up the arm; but it was not the pain which caused the paresis. Nash mentions that the sphere of Lyc. in impotence is considerable. It covers the case of old men who marry again and find themselves impotent; and the case of young men who have become impotent from masturbation or sexual excess. The desire is strong but the power is absent; penis small, cold, relaxed. P. C. Majumdar records (Ind. Hom. Rev., x. 1) the case of a boy, 14, who had general dropsy and anasarca consequent on the subsidence of an enlarged spleen under allopathic medication. There was afternoon fever (< 4 to 8 p.m.), slight chilliness, but no thirst; difficult breathing on lying down, urine scanty and high coloured, bowels constipated, heart's action weak but regular. Apis caused the urine to be more free, but a troublesome diarrhoea set in. Apocy. 6x removed the diarrhoea, but had no effect on the dropsy. Lyc. 30 was now given purely on the symptoms, and quickly cleared up the case. S. A. Jones (Amer. Hom., xx. 283) calls attention to the irritability of Lyc., and instances the cure of a boy of typhoid with excessive tympanites when the case seemed almost hopeless, the guiding symptoms being: "When awake exceedingly cross, irritable, scolding, screaming, behaving disagreeably," which was quite different from his usual nature. Lyc. 30 was given. The same writer (H. R., xi. 351) relates an involuntary proving of Lyc. from inhalation of the fumes in the course of chemical experiment, Lyc. powder being added to a boiling mass. The writer (apparently a medical man) had at times whilst engaged in the experiments: Frightful headaches (occiput, vertex, and through right eye), always > by Mag. phos. In addition he discovered 12.5 per cent. of albumen in his urine, which had been tested a short time previously and found normal. Other characteristic symptoms of Lyc. were present, and all disappeared, including albuminuria, when the experiments were abandoned. H. Goullon (H. R., vi. 155) cured this case of cystitis: A man, 55, subject to attacks of enteralgia, was seized two days after such an attack with a severe cystitis, with fever and palpitation of the heart. The calls to micturate were increased, and he could hardly reach the vessel quick enough to prevent premature escape of the urine, so severe and sudden was the urging. During and sometimes after the passage there was intense burning pain, "as if molten lead were flowing through the urethra." During the height of the pain he grasped the penis to obtain relief. The urine, which was discharged in very scanty quantities, looked turbid, almost loamy, had a dirty brownish-red colour, and a peculiar odour of malt. Lyc. 12 was given, six drops in half a wineglassful of water: a teaspoonful every three hours. Cured in twenty-four hours. J. E. Winans (Med. Adv., xix. 499) points out the appropriateness of Lyc. to the effects of chewing tobacco. Allen records under Tabac. this symptom: Convulsions, head firmly drawn back, with rigidity of muscles of back of neck; constantly recurring rigid tetanic spasms, muscles of back being principally affected, till death a week after he chewed the tobacco." Winans had a very similar case from the same cause-clonic, opisthotonic spasms as of cerebro-spinal meningitis─which he cured with Lyc. c.m. and m.m. given after each tetanic seizure. Other Lyc. symptoms verified by him are: "Forehead cold, but becomes warm if lightly covered" (Sil.); and, in pernicious intermittents "a long-lasting chill coming on 9 a.m., and generally passing off without subsequent heat or sweat." Drysdale has recorded (B. J. H., xlii. 203) the cure of a young woman whose hands were covered with warts. One 2 gr. tablet of Lyc. 6 trituration was given at bedtime. The warts soon began to shrivel, and in less than six weeks were all gone. The sphere of Lyc. in metrorrhagia is illustrated by a case of Waszily's (quoted H. W., xxviii. 320): Mrs. O., 44, menses after being absent eight months had come on and lasted fourteen days. She felt particularly well, and had walked out, when a violent flooding came on, and she had to be taken home in a carriage and put to bed. Dark blood with large clots flowed from her, < every movement; no pain. Previous day had much flatulent distress. Lyc. 30, two globules on the tongue. After that one large clot passed and nothing more. Rapid recovery followed. Among the peculiar sensations of Lyc. are: As if everything was turning round. As if temples being screwed together. As if brain vacillating to and fro. As if head would burst. As if head opened. Pain in head as if caused by wrong position. As if eyes too large. As if hot blood rushed into ears. As if sulphur vapour in throat. Front teeth as if too long. Vesicles on tip of tongue as if scalded and raw. As if a ball rose up in throat. As if hard body lodged in back of throat. As if everything eaten was rising up. As if oesophagus was being clutched and twisted. As if steam rising from stomach to head. As if something were moving up and down in stomach. As if suspensor ligament of liver would tear. As if stomach would fall down. As if drops of water were falling down. As if heart hung by a thread. As if gimlets were running into spine. As if dogs with sharp teeth were gnawing her. Tension as from a cord in diaphragm. As if chest constricted with tight waistcoat. (Cramps in chest accompanying stomach affections is a strong indication for Lyc.) Burning as of hot coals between scapulae. As if hot balls dropped from each breast through to back, rolling down back, along each leg and dropping off heels; alternating with balls of ice. As if water spurted on back. As if lying on ice. The symptoms are < by touch, pressure, weight of clothing. Riding in carriage = nausea. < Morning on waking; < afternoon, 3 p.m., 4 p.m., 4 to 6 p.m., 4 to 8 p.m., 5 p.m., 6 p.m.; < evening before midnight. < After eating, even if ever so little. < Wrapping up head, even wearing hat or bonnet. < In warm room. < Getting warm by exercise. Warmth of bed < headache and irritation of skin, but > toothache, rheumatism, and other symptoms. Great desire for open air. > In open air; by uncovering. Must be fanned, especially wants to be fanned on the back (burning between shoulders). > By warm, < by cold food and drink. < By wet weather; by stormy weather; especially by wind. < From moistening diseased parts. Rest <; motion >. Lying down > headache; pain in epigastrium. Lying on back > cough. < Lying on right side in liver affection. < Lying on painful side (sciatica). < Lying on left side. < By rising from a seat; > after. < From lamplight; from looking fixedly at any point. < From eating cabbage; vegetables, beans and peas, with husks; bread, especially rye bread and pastry. < From wine. < From milk. < Before menstruation. < From suppressed menstruation. [Lyc. is very prone to cause aggravations, especially when highly attenuated, and hence it is necessary to give it with caution. Unless the indications are quite clear it is better to start a case on an allied remedy. I gave Miss E. Lyc. 30 for constipation. Soon after taking it she had pains in upper abdomen in all directions; urging to stool without ability to pass it; much flatus which could neither be got up nor down. Lyc. 1m. was now given, a few globules dissolved in water, a teaspoonful at bedtime. All symptoms vanished. On rising a second teaspoonful was taken, and after this the bowels were well relieved. On another occasion she took Lyc. 1m. in the evening, and immediately felt her throat tight and uncomfortable; but this passed off and she went to bed. At 5 a.m. she woke with choking; had the greatest difficulty in getting her breath. She managed to reach a bottle of Bell. 3, and a dose of this relieved her at once.─A patient for whom Lyc. 5 had, to her great delight reduced the gouty swellings about her finger-joints, till she could get rings on she had not been able to wear for years, was obliged to discontinue it on account of the distressing headaches it caused.─Mr. W. had every Sunday afternoon attacks of pain like biliary colic. They came on at 5 p.m. and lasted till 1 a.m. The pain started from right of gall bladder, travelled to middle line, and then passed downwards. In the attack he was cold and yet sweated. Bowels constipated. Lyc. 1m., one dose every alternate day. A powder of the same was, given to be dissolved in water, of which a teaspoonful was to be taken every twenty minutes in the event of an attack. During the week he felt better, but on the next Sunday he had the worst attack he had ever had, and the Lyc. given to be taken frequently did not relieve at all. Nux 30 was next given night and morning. The next Sunday was passed without any pain, and he felt much better generally. Cases of this kind could be multiplied indefinitely, and I have known some very good prescribers almost abandon this remedy on account of unexpected aggravations.]

Relations.─Antidoted by: Aco., Camph., Caust., Cham., Coff., Graph., Nux, Puls., Coffee. It antidotes: Chi. (yellow face, liver and spleen swollen, flatulence, tension under short ribs < right side, pressure in stomach and constipation); Merc.; Chlorine (effects of the fumes when they cause impotence). Compatible: Bell., Bry., Carb. v. (a dose of Carb. v. every eighth day facilitates action of Lyc.); Calc. c. (predisposition to constipation, hard stools evacuated with difficulty, or urging ineffective); Graph., Hyo., Lach., Led., Pho., Puls., Sep., Sil., Stram., Sul., Ver. Follows well: Sul., Calc., Lach. Is followed well by: Graph., Lach., Led., Pho., Sil. Incompatible: Coffee. Complementary: Iod., Chel. (K. iod., Lach., Ign., Puls.); Ipec. in capillary bronchitis, < right side, sputa yellow and thick. "Unless undoubtedly indicated the treatment of chronic diseases should not be commenced with Lyc., it is best to give first another antipsoric remedy." Compare: Desires fresh air, desire to be uncovered, Sul., Pul. Terrible sadness during menses, Nat. m., Nit. ac., Sep. Action on veins, Puls., Sep. Thirst for little and often, Ars. (wants it cold and vomits it immediately); Ant. t. Sinking at epigastrium < at night preventing sleep, Ign.; (Sul. < 11 a.m., also 8-9 a.m. and 1-2 p.m.). Hot flushes in afternoon, Sul. Nausea fasting, Pul., Calc., Sil. Moth spots or liver spots, Thuj. Canine hunger, especially at night, Ign., Chi. Hungry but cannot get food down, Sil. < Every other day, Chi. Fan-like motion of alae nasi, Chlorof. (slow); Gadus and Kreas. (rapid). Apprehension of losing senses, Calc., Nux, Sul. Acquisitiveness, Ars., Pul. Fear of being alone, K. ca., Lil. (Ars., Bism., fear and forgetfulness when alone; Pho., fears something is going to happen when alone in room, especially at night; Arg. n., fears to remain alone lest he should harm himself; anxiety compels moving about; fears to go on a lofty place lest he should throw himself down─Anac. also). Fear of darkness, Calc., Stram. Imperiousness, Plat. (haughtiness). Cursing, Anac., Iod., jug. r. Nervous before undertaking anything, Ars., Arg. n. Shaking head, Ant. t., Ars., Aur. sul., Can. i., Eupion., Nux m., Sep., Tarent. Head drawn to one side, Camph.; spasmodically to right side in diphtheria, Lachn. Burning pains > by heat, Ars., Caps., Alumina. Bloody sweat, Calc., Lach., Lyc., Nux m., Nux, Arn. Hoarseness 4 to 6 or 8 p.m., Hell. (Coloc. and Pul. at 4 p.m., Col. and Mag. p. 4 to 9 p.m., Carb. v. 3 p.m. and 4 to 6 p.m.). Constipation when from home (when on journey, Plat.). Laughs at serious things, Pho., Anac., Nat. m., Plat. Laughs and cries alternately, Aur., Pul., Alm., Stram., Bov., Caps., Graph., Pho., Sep., Sul., Ver. Globus hystericus, Ign., Lach., Pul. < Ascending, Ars., Sul. Restlessness > by motion, Rhus (Rhus generally in recent Lyc. in old cases), Puls. > slow motion. Emaciation from above down, Nat. m. Burning as if hot coals between scapulae, Glo. (burning as if hot water whole length of spine), Pho. Head symptoms > cold, Ars. (Ars. has general > by warmth, Lyc. < by warmth). Flashes of heat, Lach., Sep., Sul. Feet cold and damp to knees, Calc. Sore throat right to left (Lach. left to right) less sensitive than it looks (Lach. more); < cold drink (Lach. >) Inguinal hernia, Nux (Nux more left, Lyc. more right). Piles, Aesc., Nux, Caust., Alo., Sul. Child screams before passing urine, just as it begins to pass > by flow, red sand (Sarsa. cries before and during flow, grey sand). Sufferings of widowers from unsatisfied desire, etc., Con., Pic. ac., Plat., Calc. Physometra, Bro., Lac c., Nux, Sang. Burning in vagina during coitus, Kre., Sul. Dryness of vagina with painful coitus, Bel., Fer., Nat. m., Sep. Burning and stinging in breasts, Apis, Carb. a., Pho., Lauro. Milk in breasts when it should not be there, Cycl., Pul., Pho.; (unhealthy milk, Cham., Phyt., Acet. ac., Calc., Lach., Pul.) > Fanning (Carb. v. and Sul. in collapse; Lyc. wants the back fanned). Acid dyspepsia, Mag. c., Robin. > By warm drink and food (Pul. and Phos. > by cold food). Catarrh of chest after badly treated pneumonia, Sul. Chest rattling, full of mucus, Ant. t. Child sleeps with eyes half-open, Sul. Black boils, Lach. Distress in stomach immediately after eating (Nux some time after). In labour and threatened miscarriage, pains fly from right to left (Act. r. from side to side; Ip. from left to right with nausea). Ordinary amount of food causes full sensation, Ars. Diphtheria, nose obstructed, excoriating discharge, patient picks and bores nose, Ar. t. (but Lyc. has right to left; < after sleep, even a short nap; irritable and peevish; urine stains red). Large tonsils studded with small indurated ulcers, Bar. c. Aneurism, Bar. c., Carb. an., K. iod. Naevus, Fl. ac., Arn., Thuj., Vacc. Tympanites, Carb. v. (Carb. v. rancid belching; Lyc. sour). Fan-like motion of alae nasi; one foot hot, one cold, Chel. (Lyc. and Chel. are much alike and complementary; Lyc. favours dark, Chel. fair people; Lyc. pains more dull, Chel. lancinating; Lyc. rumbling of flatus in left hypochondrium, sour taste; Chel. bitter). Distension after eating with great accumulation of flatus, Graph. (Graph. has rancid or putrid eructations, Lyc. has not; Lyc. has constriction, Graph. none). Intermittent fever; syphilis; ulcers; flatulent dyspepsia; < after sleep, Lach. Ulcers on instep (Nat. c. ulcers on heel). Half sight, Nat. m., Titan., Aur., Lith. c. Dyspepsia with thick urine; Sep. (Lyc. repletion after eating, Sep. emptiness of epigastrium); ball in anus, Sep. Yellow-brown spots, Sep., Nux, Curar., Sul. Cough excited by talking, Sil. Impotence, Tab. (Lyc. cured impotence caused by indulgence in tobacco). Ailments from fright, anger, or mortification with reserved displeasure, Staph. Nose stopped at night, Am. c., Nux, Samb. Red sand on child's diaper, Pho. Cries before urinating, Bor. Dryness of vagina, Hdrfb. One foot hot, the other cold, Chi., Dig., Ip. Waking at night hungry, Cin., Pso. Enforced sexual abstinence, Con. Proctalgia, Pho. Craving for sweets, Arg. n., Sul. Pain in head during stool, Indium. Fulness after a meal, Chi. (Chi. after a full meal; Lyc. after ever so little. The Lyc. fulness is full right up into the throat). Colic, etc., > bending over, Coloc. Crampy pains, < night. Nux. After-effects of fevers, Pso.

Causation.─Fear. Fright. Chagrin. Anger. Vexation. Anxiety. Fevers. Over-lifting. Masturbation. Riding in carriage. Tobacco-chewing. Wine.

SYMPTOMS.

1. Mind.─Silent, melancholy, and peevish humour; despair of eternal salvation.─Desponding, grieving mood.─Sadness when hearing distant music.─Anguish, esp. in region of epigastrium, with melancholy and disposition to weep; esp. after a fit of anger, or on the approach of other persons.─Sensitive disposition.─Dread of men; desires to be alone, or else aversion to solitude.─Excitement after a glass of wine, almost mischievous.─Must laugh if any one looks at her to say anything serious.─Inclined to laugh and cry at same time.─Irritability and susceptibility, with tears.─Irascibility.─Obstinacy.─Estrangement and frenzy, which manifest themselves by envy, reproaches, arrogance, and overbearing conduct.─Disposition to be very haughty when sick; mistrustful; does not understand anything one says to them; memory weak.─Avaricious.─Character, mild and submissive.─Complete indifference.─Aversion to speaking.─Fatigue from intellectual exertion, and incapability of devotion to mental labour.─Giddiness.─Inability to express oneself correctly; misapplication of words and syllables.─Confused speech.─Confusion about everyday things, but rational talking on abstract subjects.─Inability to remember what is read.─Stupefaction.─Dulness.

2. Head.─Dizziness and vertigo, as from intoxication.─As soon as she sees anything turning about she feels as if her body were turning about.─Whirling vertigo, esp. when stooping, or in a warm room, with inclination to vomit.─Headache from vexation.─Headache, with disposition to faint, and great uneasiness.─Headache with vertigo.─Heaviness of the head.─Headache when shaking or turning head, and also at every step on walking.─Cephalalgia above eyes, immediately after breakfast.─Semi-lateral headache in evening, < beyond endurance by intellectual labour.─Aching as if head would be forced asunder and as if brain were swashing to and fro, < walking, ascending steps, and rising from stooping; could not work and could scarcely step without vertigo.─Throbbing after every paroxysm of cough.─Pressive headache sometimes as if a nail were being driven into the head, or with tension, which is < by lying down; < at night when lying in bed, and on getting warm while walking in open air; > when walking slowly in open air, from cold, and when uncovering head.─Stitches in temples, mostly on r. side, from within to without; < in evening and at night when lying in bed, from heat and exertion of the mind; > from cold and in open air.─Thrust in temples during difficult stool.─Pain at vertex during moderate pressure at stool.─Headache after breakfast.─Tearing, boring, and sensation of scraping on external head, during night.─Screwing together in forehead, during menses.─Jerking in r. frontal bone extending to root of nose and eyebrows.─Tearing headache, esp. in afternoon or at night, principally in the (r.) forehead, but often also in whole head, in eyes and nose, extending to teeth, with inclination to lie down.─Stupefying headache, with heat in temples and ears; dryness of mouth and lips; < from 4 to 8 p.m., when rising up, and on lying down.─Pressing headache on vertex < from 4 to 8 p.m.; from stooping, lying down, exertion of the mind, and followed by great weakness.─Tearing in forehead or in r. side of head, extending down to neck, with tearing in face, eyes, and teeth; < on raising oneself up, > on lying down and in the open air.─Shooting headache.─Throbbing in brain on leaning head backward.─Throbbing in head after lying down in evening.─Congestion in head, with heat, sometimes in morning on rising up in bed.─Shaking and resonance in brain at every step.─Boring, scraping, and tearing in scalp, esp. at night.─Involuntary movements and convulsive trembling of head.─Head turned involuntarily to l.─Involuntary nodding: now to r., now to l.; slow at first then constantly more rapid.─Involuntary shaking makes him dizzy.─Shaking head on stepping hard.─Great tendency to take cold by the head.─Eruption on the head, with abundant and fetid suppuration, sometimes with obstruction of the glands of the nape and neck.─The hair becomes grey early.─Baldness; the hair falls out, first on the vertex, later on the temples (after diseases of the abdominal viscera; after parturition), with violent burning, scalding, itching of the scalp, esp. on getting warm from exercise during the day.─Scurf over whole scalp, child scratches it raw in night and then it bleeds.─Contracted sensation with feeling as if the hair would be pulled up.─Hair falls off scalp, but increases on other parts of body.

3. Eyes.─Aching in the eyes.─Gnawing, burning, and shooting pains in eyes (and lids), esp. in evening, by candle-light.─Smarting in eyes.─Sensation of coldness in eyes, evening.─Dryness of eyes; and lids; as if dust in them; difficult to open.─Smarting and burning.─Swelling and painfulness of lids.─Inflammation of the eyes and lids.─Stye.─Styes on the internal canthus.─Agglutination of eyelids, esp. at night, and lachrymation, < by day, and in a cold wind.─Twitching of the eyelids.─Troubled sight, as from feather-down before the eyes.─Photophobia.─Itching in canthi.─Dim, hot eyes.─The eyes are wide open, insensible to light, fixed.─Dryness of eyes, in evening.─Sparks before the eyes, in the dark.─Must wipe mucus from eye in order to see clearly.─Purulent mucus.─Myopia or presbyopia.─Hemiopia perpendicularis (sees only l. half of objects, esp. with r. eye).─The characters are confused when reading.─Obscurity, black spots, glittering, and sparks before eyes.─Eyes dazzled and irritated by candle-light in evening.

4. Ears.─Otalgia in open air.─Congestion in the ears.─Ulceration of the ears.─Discharge from the ears.─Hearing excessively sensitive to least noise; music occasions fatigue.─Tinkling and buzzing in ears.─Roaring, humming, and whizzing in ears.─Sensation as if hot blood rushed into ears.─Congestion of blood in ears.─Singing in the ears as from boiling water.─Ringing in r. ear; every noise has peculiar echo deep in ear.─Hears in evening music she heard played during day.─Hardness of hearing.─Moist scabs on and behind ears.─Has improved deaf-mutism (Cooper).

5. Nose.─Scurf in nose; crusts and elastic plugs.─Nostrils ulcerated, scabby, obstructed by mucus at night.─Swelling of nose, with acrid, fetid, and corrosive discharge.─The ichorous discharge from the nose begins in r. nostril; scarlatina or diphtheria.─(Patient bores and picks nose.─Convulsive movements of muscles of nose.─Fan-like motion of the nostrils in pneumonia.─Bleeding from nose, on blowing it, and epistaxis, principally in afternoon.─(Nose-bleed in morning from r. nostril.).─Excessive acuteness of smell.─Coryza with acrid discharge, making the upper lips sore.─Coryza of almost all kinds.─Dry coryza, with obstruction of the nose, confusion in head, and burning pain in forehead.─Dryness of the posterior nares.─Obstruction of nostrils, esp. at night, and which prevents respiration except through the mouth.─Stoppage: towards morning; in evening; child's breath often stopped in sleep for fifteen seconds even when mouth is open.

6. Face.─Paleness of face, < in evening.─Face yellow and earthy, with deep wrinkles, blue circles round eyes, lips bluish.─Circumscribed redness of the cheeks.─Face red and bloated, with eruptions and red spots.─Swelling and tension of face.─Tearing in bones of face.─Painful sensation of coldness in face.─Twitching and convulsive movements in muscles of face.─At first l. angle of mouth drawn outward, then r.─Muscles of lips and cheeks drawn together making mouth pointed, followed by broad distension of mouth.─Frequent attacks of transient heat in face.─Eruption on face, sometimes with itching.─Ephelis.─Tetters on face, which are furfuraceous, and yellow at the base.─Lips pale and bluish.─Soreness of corners of mouth.─Swelling of upper lip.─Eruption and excoriations on the lips and their commissures.─Eruptions on face, humid and suppurating.─The lower jaw hangs down.─Ulcers on the red part of the lower lip.─Itching eruption round the chin.─Swelling of the submaxillary glands.

7. Teeth.─Odontalgia only at night, > by hot drinks, and by heat of bed.─Dull pains in teeth, with swelling of the cheeks and gums.─The teeth ache as if suppurating; are excessively painful on touching them; and when chewing; front teeth loose or too long.─Cramp-like drawing, tearing, and jerking, or pulsations in teeth, esp. during or after a meal.─Grinding of teeth.─Yellowness of the teeth.─(Fistula in the gums.).─The gums bleed violently on being touched; when cleaning teeth.─Gumboils.─Swelling of gums, with shocks, tearings, and shootings.─Ulcers in the gums.

8. Mouth.─Dryness of the mouth, without thirst, with tension of the parts, the tongue heavy, and speech indistinct.─Torpor of the interior of mouth and tongue.─Exhalation of a putrid odour from the mouth, esp. in morning when awaking.─Buccal haemorrhage.─Tongue foul and coated.─Involuntary movements of the tongue.─In talking, all the words of a sentence were spoken completely and distinctly except the last, which was stammered; it seemed as though the tongue were affected by a peculiar cramp; no amount of attention to this was of any avail; it lasted four weeks and gradually disappeared of itself.─Stiffness of the tongue; vesicles on tip of tongue; they feel scalded and raw.─Soreness of tongue.─Ulcers on and under tongue (from tobacco).─Convulsions of the tongue.─The tongue is painful and swollen in different places (tubercles on the tongue).─The saliva becomes dry on the palate and lips and is converted into tough mucus.─The posterior part of the mouth is covered by tough mucus.─Dry and bitter mouth (in the morning).─Tongue dry; becomes black and cracked.─Tongue is darted out and oscillates to and fro; in sore throat.─Tongue distended, giving patient silly expression; in angina or diphtheria.

9. Throat.─Sensation of constriction in throat, with obstructed deglutition.─Dryness of throat.─Pain, as from excoriation, in throat.─Burning pain in throat, with nocturnal thirst.─Sensation in throat, as if a ball were ascending from the pit of the stomach.─Feeling on l. side of a lump moving up and down.─Inflammation of throat and palate, with shooting pain, which obstructs deglutition.─Swelling and suppuration of tonsils.─The ulceration of the tonsils begins on r. side.─The pharynx feels contracted, nothing can be swallowed.─Hawking of hard greenish-yellow masses; granular; of bloody mucus.─Sticking in region of r. parotid.─Sticking in throat during cough.─Sticking preventing sneezing.─Sensitiveness of the submaxillary glands.─Ulcers, like chancres, in the tonsils.─Goitre.

10. Appetite.─Loss of appetite.─Mouth clammy or bitter, esp. in morning, often with nausea.─Nausea in pharynx and stomach.─Nausea in morning and when riding in a carriage.─Sourness in mouth, esp. in morning, or sour taste of food.─Absence of thirst, or burning thirst.─Nocturnal thirst.─Loss of appetite, sometimes with the first mouthful.─Sudden satiety.─Immoderate hunger.─Bulimy.─Aversion to: cooked or warm food; rye-bread; meat; coffee; tobacco smoke.─Craving for sweet things.─Inability to digest heavy food.─After a meal: hepatic pains, oppression and fulness in chest and abdomen, nausea, heat in head, redness of face, pulsation and trembling over whole body, hands hot, palpitation of heart, colic, etc.─Sourness and diarrhoea after taking milk.

11. Stomach.─Violent risings in afternoon.─Incomplete eructations, burning, rising only into pharynx, where they cause burning.─Sour eructations, the taste of which does not remain in mouth, but the acid gnaws in the stomach.─Burning, sour, greasy or bitter risings.─Sour regurgitation of food, esp. of milk.─Pyrosis, esp. after a meal.─Violent hiccough by fits, esp. after a meal.─Nausea when in a room, which disappears in open air, and vice versa.─Frequent continued nausea, esp. in morning, with bitter taste in mouth.─Nausea, caused by the motion of a carriage.─Sensation of nausea in stomach in morning.─Heartburn.─Cancer of the stomach.─Water-brash, sometimes every second day, with flow of bitter water.─Vomiting of food and bile, esp. at night, or when fasting in the morning.─Vomiting of bitter, greenish matter.─Vomiting of blood.─Vomiting between the chill and heat in intermittent fever.─Vomiting after a meal with salivation; during menses.─Gnawing, griping sensation in region of the stomach.─Slow digestion.─Pains in stomach, with shivering and deadness of the hands after a slight chill.─Periodical pains in stomach, > by heat of bed.─Aching in stomach, in evening, and after every meal, sometimes with a bitter taste in mouth.─Compressive or contractive pains in stomach.─The pains in the stomach manifest themselves principally in morning; in open air; after a meal; or after drinking wine; they are sometimes > in evening, and are often accompanied by cramps in chest and difficulty of respiration.─Swelling of epigastrium with painful sensibility to the touch.─The clothes round the stomach cause uneasiness.─Stitches in l. side of pit of stomach, apparently externally.─Pain in epigastrium caused by cough.

12. Abdomen.─Tension round hypochondria, as from the pressure of a hoop.─Pressure and tension in liver; esp. on satisfying one's appetite.─Cramp-like pain in diaphragm, and contusive pain in liver, on stooping.─Pain when walking in upper part of r. hypochondrium, as if the suspensor ligament of the liver would tear.─Pressive pain in r. hypochondrium, at times took away the breath, became a sticking.─Pain in liver as from a blow, < by touch.─Violent gall-stone colic.─Sharp pain in dorsal hepatic region, in r. shoulder and arm.─Liver region sensitive.─Griping; and rumbling in splenic flexure.─Inflammation and induration of the liver.─Immediately after a (light) meal the abdomen is bloated, full, distended.─Has a great appetite, but a small quantity of food fills him up and he feels bloated.─Aching pains in abdomen.─Fulness and distension of stomach and abdomen.─Weight in the abdomen.─Sensation of something heavy lying on l. side of abdomen.─Brown spots on abdomen.─Hardness in the abdomen.─Dropsical swelling of the abdomen.─Contractive cramp-like pains in the abdomen, which is distended.─Tearing, drawing, tension, and pinching in abdomen and sides of abdomen.─Clawing in hypogastrium, with suspended respiration.─Cutting pains, esp. above the navel.─Pain above the navel, on touching the part.─Burning pain in the abdomen.─Hernia on the r. side.─Tearing shootings, pulsation, and pressure in the inguinal ring, as if hernia were on the point of protruding.─Cramp-like pains in abdominal muscles, esp. at night.─Incarcerated flatus.─Imperfect expulsion of flatus.─The flatulence cannot pass and causes much pain.─Great deal of noisy flatulence in the abdomen, or particularly in the r. hypochondriac region; there seems to be a constant fermentation in the abdomen, which produces a loud croaking sound.─Sometimes much rumbling of wind in l. hypochondriac region.─Dyspepsia with loud croaking in the abdomen.─Affections of the inner lower belly.─Full, distended abdomen with cold feet.─Gurgling and borborygmi in abdomen, esp. on l. side.

13. Stool and Anus.─Constipation of long standing.─Hard stools with ineffectual desire to evacuate.─Desire for stool followed by painful constriction of rectum or anus.─Small stool, with the sensation as if much remained behind, followed by excessive and painful accumulations of flatulence.─Haemorrhage from rectum, even after a soft stool.─Feeling of fulness in rectum continues after a copious stool.─Contractive pain in perinaeum, after scanty, hard stool.─Stitches in the rectum.─Diarrhoea (during pregnancy), with earthy colour of the face.─During stool: burning and biting at anus; pressure; tenesmus; ringing in ears; headache; pain in back as if broken; haemorrhage.─After stool: flatulent distension.─Constriction of the abdomen, sometimes with ineffectual want to evacuate, and difficult evacuation.─Constipation or diarrhoea in pregnant women.─Faeces: pale and of a putrid odour; thin brown; pale green mixed with hard lumps; thin yellow or reddish-yellow fluid; shaggy reddish mucus (urethral tenesmus, dysentery); green, stringy, odourless mucus.─Discharge of mucus, or of blood, during evacuation.─Lumbrici.─Pains in the anus after a meal and after an evacuation.─Itching and tension in the anus.─Incisive pains, shootings and pain as from excoriation in the rectum.─Spasms in rectum.─Contraction of rectum so that it protrudes during a hard stool.─Piles swollen, protruding, burning sticking, protruding during soft stool, painful on touch and when sitting.─Haemorrhoidal excrescences in anus and in rectum, with prolapsus recti.─Itching eruption in anus.─Itching and tension at the anus (evening in bed).─Painful closing of anus.─Protrusion of the varices.─Distension of the varices of the rectum.

14. Urinary Organs.─Urgent want to urinate, with too frequent emission, with discharge of large quantities of pale urine.─Frequent micturition by night, with scanty and rare discharges by day.─Dark urine with diminished discharge.─Greasy pellicle on the urine.─Involuntary micturition.─Discharge of blood from the bladder, painless.─Old thickening of bladder with irritable urethra.─Foamy urine.─Urine deep coloured, with yellow or reddish sediment.─Clear, transparent urine, having a heavy, red, crystallised sediment in the bottom of the chamber.─In typhus fever, where the patient is in a very low state, and cannot retain the urine, we may see this sediment on the sheets; also in colic of babies, with much sediment of this kind on the diaper.─A very severe pain is felt in the back every time before urinating; causing patient to cry out; retention of urine; patients will get into position to urinate, but wait a great while before the water comes, accompanied by the characteristic pain in the back, which ceases when the urine flows; children often cry out with pain before urinating.─Turbid, milky urine, with an offensive purulent sediment; dull pressure in region of bladder and abdomen; disposition to calculi; cystitis.─Haematuria from gravel or chronic catarrh.─Renal calculus and gravel.─Emission of blood instead of water, sometimes with paralysis of the legs, and constipation.─Incontinence of urine.─Smarting when urinating.─Itching in urethra during and after emission of urine.─Shooting pinchings and incisive pains in the bladder and urethra.─Stitches in the bladder.─Stitches in the neck of the bladder and in the anus at the same time.─Burning in urethra and glans.─Urine burning hot, like molten lead.

15. Male Sexual Organs.─Shooting, drawing, and incisive pain in the glans.─Bastard gonorrhoea, with a deep red and smarting pustule behind the glans.─Excoriation between scrotum and thighs.─Dropsical swelling of genital organs.─Immoderate excitement, or absence of sexual desire.─Repugnance to coition, or disposition to be too easily excited to it.─Impotence of long standing.─Weakness or total absence of erections.─Penis small, cold, relaxed.─Itching of the internal surface of the prepuce.─Excessive pollutions, or absence of pollutions.─Emission too speedy or too tardy during coition.─Falling asleep during coition.─Lassitude, after coition or pollutions.─Flow of prostatic fluid, without an erection.

16. Female Sexual Organs.─Nymphomania with terrible teasing desire in external organs.─Itching, burning, and gnawing in vulva.─Pressure towards the outside, above the vulva, and extending as far as the vagina, when stooping.─Expulsion of wind from the vagina.─Chronic dryness of vagina.─Shooting pains in labia, when lying down.─Excoriation between the thighs, and at the vulva.─Burning pain in the vagina, during and after coition.─Catamenia (too early) too profuse, and of too long duration.─Catamenia suppressed readily, and for a long time, by fright.─Before menses: shivering, sadness, melancholy; bloatedness of the abdomen.─During menses: delirium, with tears; headache; sourness in the mouth; pain in loins; swelling of feet; fainting; vomiting of sour matter; cuttings, colic; and pains in the back.─Menstruation too late; lasts too long; sometimes suppression of; profuse, protracted; flow partly black, clotted, partly bright red or partly serum; with labour-like pains followed by swooning; with sadness; suppressed by fright.─May find females at change of life with one side of the body greatly hypertrophied.─Foetus appears to be turning summersaults.─Metrorrhagia; at menopause; dark blood with large clots pour from her.─A rumbling begins in upper abdomen and descends to lower, when a flow of blood follows, and so on successively.─Leucorrhoea: milky, yellowish, reddish, and corrosive; sometimes preceded by cuttings in abdomen.─Varices on the genitals.─Disposition to miscarriages.─Swelling of the breasts with nodosities.─Excoriation and moist scabs on nipples.─Stinging in nipples.─Milk in breasts without being pregnant.

17. Respiratory Organs.─Crawling scraping in trachea, at night.─Hoarseness, with roughness, and pain as from excoriation in chest, after speaking.─(Voice feeble and husky.).─Whizzing breathing in daytime, with sensation of too much mucus in chest; loud rattling.─Voice weak and dull.─Cough after drinking.─Obstinate dry cough in morning.─Nocturnal cough, < before sunrise, which affects the head, diaphragm, and stomach.─Dry cough, day and night.─Cough excited by a tickling, or as if produced by the vapour of sulphur, or by taking a deep inspiration, generally with a yellowish grey and saltish expectoration, sometimes with great weakness of stomach, fever, nocturnal sweat, and emaciation.─Cough with expectoration through the day and without expectoration during the night.─Whooping-cough from irritation in trachea as from fumes of sulphur, in the morning and during the day, with expectoration of fetid pus or of mucus streaked with blood.─Cough < from 4 to 6 p.m., frequently on alternate days, from exertion, from stretching the arms out, stooping and lying down, when lying on l. side, from eating and drinking cold things, in the wind, or in warm room.─Cough (morning), with copious expectoration of greenish matter.─Copious expectoration of pus, when coughing.─Cough, with expectoration of blood.─When coughing, shocks in the head, shortness of breath, smarting and concussion in chest, or pains in region of stomach.

18. Chest.─Short respiration during almost every effort, also in children, esp. during sleep.─Continued oppression of the chest, < by walking in open air.─Rattling of mucus and stertorous respiration.─When breathing, twitching and shooting in chest and sides of chest.─Pain as if from a bruise in the chest.─Constant pressure in the chest (it feels raw internally).─Weight in the chest.─Tension in anterior part of chest.─Lancinations in the chest, esp. on l. side, and principally when sneezing or coughing, on laughing, or on the slightest movement, sometimes with inability to remain lying on affected side, and difficult respiration.─Pain as from excoriation in the chest, esp. after speaking.─Stitches in the l. side of chest, also during an inspiration.─Typhoid and neglected pneumonias.─Hepatisation of the lungs.─Paralysis of the lungs.─Hydrothorax.─Itching on the chest.─Stitches in the side, alternately with toothache and pains in the limbs.─Painful eruption and maculae hepaticae on the chest.

19. Heart.─Palpitation of the heart, esp. during digestion, or in bed in evening, sometimes attended with anxiety and trembling.─Accelerated pulse, with cold face and feet.─Palpitation of the heart with flapping of the wings of the nose; enlargement of the heart; hypertrophy in general.─Cramp and constriction, dyspnoea, stitches beneath short ribs, extending to small of back and shoulders; sharp pains shooting into heart, sensation of stoppage of circulation at night, with fright and then sweat, pulse quick and unsteady (angina pectoris).─Dyspnoea, cyanosis, hasty eating and drinking (heart disease).─Beating of temporal arteries and carotids.─Heart sounds heard loudly on lying down at night, keeping patient awake.─(Hypertrophy.).─(Aneurism.).─(Hydropericardium.).

20. Neck and Back.─Traction and contraction from the nape of the neck to the occiput.─Rigidity of the nape of the neck, sometimes caused by lifting a weight.─Maculae hepaticae in the nape of the neck.─Tetters on nape of neck and under armpits.─Furunculi under armpits.─Stiffness, swelling, and induration of one side of neck.─Painful stiffness of l. side of neck.─Burning as of red-hot coals between scapulae.─Swelling of glands of neck and of the shoulder, with shooting pain.─Weakness and paralysis of muscles of neck.─Painful eruption on neck.─Large clusters of red pimples around neck, with violent itching.─Soreness of the neck.─Goitre.─Violent sacral pains, which do not permit sitting upright.─Pains in the back and loins, esp. when moving, stooping, and lifting anything, often accompanied by constrictive pains in abdomen.─Shootings in loins on rising up after stooping.─Drawing, tearing, and shooting pains in back and loins, with difficult respiration, chiefly when seated, and also at night.─Pain in back and r. side, from congestion of the liver.─Stitches in region of kidneys, < from pressure; extending into rectum.─Distortion of the spine.

22. Upper Limbs.─Tearings and shootings in the joints of shoulder and elbow.─Rheumatic tension in r. shoulder-joint.─Pain in bones of arms at night.─Weakness of arms when at work.─Difficulty in moving arms as if rheumatism were creeping on, with nodes on fingers.─Pain as from a sprain in r. wrist-joint.─Swelling of axillary glands.─Nocturnal aching pains, in the arms and elbow.─Drawing pain in arms.─Jerking in shoulders and arms, also during it siesta.─Paralytic weakness of arms.─Arms and fingers easily benumbed, even at night, or only when raising them.─Biting, itching, and maculae hepaticae in the arms.─Arthritic stiffness of the elbow and wrist.─Tetters on the arms.─Erysipelatous inflammation in the forearm, with suppuration.─Dryness of the skin of the hands.─Burning sensation in the palms.─Red and painless swelling of the hands.─Warts on the hands and fingers.─Deadness of fingers and hands.─Involuntary trembling of the hands.─Red swelling and arthritic tearing in joints of fingers.─Arthritic nodosities and stiffness in fingers.─Stiffness of the fingers during labour.─Itching pimples between the fingers.─Panaritum.─Contraction and twitches in the fingers.─Chilblains.─Gouty contraction of palmar fascia: sudden pain runs down arm (l.?) causing fingers to stiffen and draw away from each other and to draw towards hand, as though palmar fascia were contracting (Cooper).

23. Lower Limbs.─Rheumatic tension in l. hip.─Pain as from a sprain in hip.─Periodical pains, from coxo-femoral joint to foot, every fourth day.─Tearing: beneath r. hip; in l. hip-joint.─Drawing along sciatic nerves to feet, evening, in bed.─Pain in muscles about joints, on pressure, sitting or lying.─Pain in r. hip > walking in open air.─Pain from r. hip-joint to feet when walking, he must limp.─Tearing in legs and knees, extending to tibia and instep, esp. in evening and at night.─Soreness in inner side of l. thigh, with biting itching extending to genitals.─Brown spots on inner side of thighs, inflamed with burning pain.─Uneasiness, shocks, and trembling in legs and feet, esp. in evening and at night.─Involuntary shaking in legs, or alternate separation and bringing together again of the thighs.─Burning and biting itching in the legs, esp. in the hams.─Curvature and stiffness of the knees.─Swelling (and stiffness) of the knees.─Swelling of the knee, with perspiration.─Swelling of the legs, with large, red, burning spots, and pains which prevent walking.─Paralysis of the legs, with emission of blood instead of urine, and constipation.─Tetters on the legs and calves of the legs.─White swelling in the knee.─Cramps and cramp-like pains in the calves, esp. when walking, and at night.─Burning pain in legs.─Ulcers in the legs, with nocturnal tearing, itching, and burning heat.─Pain in the soles when walking.─Cramps in the feet and toes.─Swelling of the feet and of the malleoli, or of the soles (with shooting pain).─Coldness of the feet.─One foot (r.) hot the other cold.─Cold sweat on feet, sometimes copious, and with excoriation of the skin.─Stitches in r. big toe (evening).─Rhagades in the heel.─Cramp in the toes.─Bending of the toes when walking.─Contraction of the toes.─Corns on the feet, sometimes with shooting pain.

24. Generalities.─Affections in general of r. eye; r. side of face; r. hypochondrium; r. abdominal ring; l. chest; l. lower extremity; general symptoms r. side (though they may spread to the l.); hair of head; rectum; bladder; hands; fingers; finger-joints; back part in the lumbar region, and ankles.─Hard hearing; smell too sensitive.─Deep furrows on the face; same on forehead; sensations in the temples.─Collection of water in the mouth, i.e., "mouth waters.".─Pains in different parts as from flatus: over r. hip; below chest; in lower abdomen, etc.─Obstructed evacuation; painless diarrhoea.─Anything running from r. to l.─Apoplexia; erethism of blood accompanied with flashes of heat; chlorosis.─Consumption resulting from badly treated pneumonia.─Crooked legs; ankles weak; painless paralysis; old sprains; tension, tightness of the joints.─Enlargement of the bones.─Drawing and tearing in extremities, < at night and during repose; sometimes also in the afternoon; every second day, and esp. in windy and rainy weather, > by heat.─Shooting pains, internal and external.─Painful stiffness of muscles and joints, often with torpor and insensibility of the extremities.─Numbness of the limbs.─Great liability to strain the back, which, when it occurs, is often followed by stiffness in nape of neck.─Cramps and contraction of limbs.─Alternate spasmodic and involuntary extension and retraction of some of the muscles, or some of the extremities.─Shocks and jerks in some of the limbs or throughout the body, during sleep and on waking.─Cramps, internal and external, < at night.─Attacks of epilepsy, sometimes with cries, foam at the mouth (loss of consciousness, throws the arms and limbs about), and great anguish of heart (imagined he would have to die).─Dropsical and inflammatory swellings.─Varices.─Arthritic nodosities.─Swelling of the glands.─Inflammation of the bones, with nocturnal pains.─Distortion and softening of the bones.─Ulceration of the bones.─The symptoms are frequently < towards 4 p.m., and begin to abate towards 8 p.m., the weakness excepted.─Periodical sufferings.─The whole body feels bruised.─Ebullition of blood throughout the body, esp. in the evening, with inquietude and trembling.─Sensation, as if the circulation of the blood were suspended.─Internal weakness.─Great nervous excitability.─Weakness and lassitude in limbs, < during repose, or on waking in morning.─Fatigue, esp. in the legs, after a very short walk, accompanied by a burning sensation in the feet.─Fear of movement, with constant desire to remain lying down.─Total prostration of strength, with falling of the lower jaw, eyes cloudy and half closed, and slow respiration through the mouth.─Great emaciation, also with children.─Fainting fits, esp. in evening, and sometimes also on lying down, with loss of consciousness, cloudiness of sight, and great listlessness.─Trembling of limbs.─Want of vital heat.─Great desire for, or marked repugnance to fresh air, with excessive sensitiveness to cool air.─Great tendency to take cold.─< From east winds.

25. Skin.─Gnawing and itching in daytime, on getting heated, or in evening, before lying down.─Tendency of the skin to become chapped.─Painful eruptions.─Nettle-rash (chronic).─Large red spots on skin.─Itching maculae hepaticae.─Abundant ephelis.─Insensible tetters, of a yellowish brown, wrinkled or moist, purulent, full of deep cracks and thick scabs.─Large furunculi, which return periodically.─Mercurial ulcers. Bleeding ulcers, with shooting pain, which burn while being dressed, or with nocturnal tearing and itching.─Fistulous ulcers, with callous, red edges, reversed and shining, sometimes with inflammation and swelling of the part affected.─Excoriated places on the skin of children; the sore places are humid.─Intertrigo; raw places bleeding easily.─Skin unhealthy, corrosive vesicles.─Naevus maternus.─Vascular tumours.─Warts.─Corns which are very sensitive, or with tearing pains.─Exanthema in general, particularly with biting sensation; moist; scurfy; tearing and painful.─Want of action of the skin.─Itch, burning; creeping.─Skin scurfy; sticky; clammy.─Brown mortification.─Pale swelling.─Salt rheum.─Varices suppurating.─Chilblains.─Great dryness of the skin.

26. Sleep.─Frequent, and sometimes interrupted, yawning.─Inclination to sleep during day and early in evening, with sleep retarded by mental activity and excessive nervous excitement.─Disturbed and restless sleep, with anxious and frightful dreams, and frequent waking with fright.─Loud coughing during sleep; screaming while asleep.─Sopor.─Hunger at night when waking.─Unrefreshing sleep.─Soporous sleep in typhoid and exanthematous fevers.─Voluptuous, vivid, mournful dreams; dreams of murder or of the occupations of the day, etc.─Anxious dreams of fatal accidents.─Jerks, cries, starts with fright, or bursts of laughter, or tears and groans during sleep.─(Sleeps with eyes half-opened,).─Sleeps with mouth open.─At night, jerking and restlessness in the legs, headache, anguish, nightmare, ebullition of blood and palpitation of heart, stomach-ache, colic, asthmatic sufferings, etc.─Lying on l. side is difficult on account of the palpitation of heart and stitches.─It is impossible to remain lying down at night on account of every position being uneasy.─Child sleeps all day and cries all night.

27. Fever.─Shivering in evening, sometimes only on one side; or every second day, with heat, or followed by sweat without heat.─Chilliness in the afternoon from 4 to 8, with sensation as of numbness in hands and feet.─Chilliness in evening in bed, preventing sleep.─One-sided chilliness, mostly on the l. side.─Chills and heat alternating.─Want of vital heat.─Tertian fever, with sour vomiting and bloatedness of the face and hands after the shivering.─Transient heat.─Burning heat, with short respiration.─Flashes of heat over whole body, mostly towards evening, with frequent drinking of small quantities at a time; constipation and increased micturition.─The perspiration is frequently cold, smelling sour, or offensive, or smelling like onions, or bloody.─Intermittent fever.─Nausea and vomiting and then chilliness, followed by perspiration (without previous heat).─Chilliness in the evening till midnight, this is followed by heat, in the morning sour-smelling perspiration.─Great heat and redness of the cheeks, alternating with chilliness.─Shaking chill 7 p.m., and great coldness as if lying in ice, with traction through whole body, upon waking up from sleep, which is full of dreams, covered with perspiration, perspiration is followed by violent thirst.─Typhus fever (with threatening paralysis of the brain).─Malignant fever, with malevolence and ill-humour on waking, or with nervous excitability, without heat of the head or redness of the face, red spots on the cheeks, great weakness, sweat without any mitigation, tongue red and dry, and constipation.─Slow fever, with viscid sweat, at night.─Fever, with total prostration of strength, lower jaw hanging down, eyes clouded and half-closed, and respiration slow, with the mouth open.─Sweat principally in face, easily excited during the day by slight exercise.─Febrile sweat by day.─Nocturnal sweat, often fetid or viscid, principally on chest and back.─Pulse only accelerated in the evening and afternoon.─Sensation as if circulation stood still.

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

Wolf's Foot; Club Moss (Lycopodiaceae)

For persons intellectually keen, but physically weak; upper part of body emaciated, lower part semi-dropsical; predisposed to lung and hepatic affections (Cal., Phos., Sulph.); especially the extremes of life, children and old people. Deep-seated, progressive, chronic diseases. Pains: aching-pressure, drawing; chiefly right sided, < four to eight P.M. Affects right side, or pain goes from right to left; throat, chest, abdomen, liver, ovaries. Children, weak, emaciated; with well-developed head but puny, sickly bodies. Baby cries all day, sleeps all night (rev. of, Jal., Psor.). Ailments from fright, anger, mortification, or vexation with reserved displeasure (Staph.). Avaricious, greedy, miserly, malacious, pusillanimous. Irritable; peevish and cross on walking; ugly, kick and scream; easily angered; cannot endure opposition or contradiction; seeks disputes; is beside himself. Weeps all day, cannot calm herself; very sensitive, even cries when thanked. Dread of men; of solitude, irritable and melancholy; fear of being alone (Bis., Kali c., Lil.). Complexion pale, dirty; unhealthy; sallow, with deep furrows, looks older than he is; fan-like motion of the alae nasi (Ant. t.). Catarrh: dry, nose stopped at night, must breathe through the mouth (Am. c., Nux, Samb.); snuffles, child starts from sleep rubbing its nose; of root of nose and frontal sinuses; crusts and elastic plugs (Kali bi., Marum). Diphtheria; fauces brownish red, deposit spreads from right tonsil to left, or descends from nose to right tonsil; < after sleep and from cold drinks (from warm drinks, Lach.). Everything tastes sour; eructations, heartburn, waterbrash, sour vomiting (between chill and heat). Canine hunger; the more he eats, the more he craves; head aches if does not eat. Gastric affections; excessive accumulation of flatulence; constant sensation of satiety; good appetite, but a few mouthfuls fill up to the throat, and he feels bloated; fermentation in abdomen, with loud grumbling, croaking, especially lower abdomen (upper abdomen, Carbo v. - entire abdomen, Cinch.); fulness not relieved by belching (Cinch.). Constipation: since puberty; since last confinement; when away from home; of infants; with ineffectual urging, rectum contracts and protrudes during stool, developing piles. Red sand in urine, on child's diaper (Phos.); child cries before urinating (Bor.); pain in back, relieved by urinating; renal colic, right side (left side, Berb.). Impotence: of young men, from onanism or sexual excess; penis small, cold, relaxed; old men, with strong desire but imperfect erections; falls asleep during embrace; premature emissions. Dryness of vagina; burning in, during and after coition (Lys.); physometra. Discharge of blood from genitals during every stool. Foetus appears to be turning somersaults. Hernia: right sided, has cured many cases especially in children. Pneumonia; neglected or maltreated, base of right lung involved especially; to hasten absorption or expectoration. Cough deep, hollow, even raising mucus in large quantities affords little relief. One foot hot and the other cold (Cinch., Dig., Ipec.). Waking at night feeling hungry (Cina., Psor.).

Relations. - Complementary: Iodine. Bad effects: of onions, bread; wine, spiritous liquors; tabacco smoking and chewing (Ars.). Follows well: after, Calc., Carbo v., Lach., Sulph. It is rarely advisable to begin the treatment of a chronic disease with Lyc. unless it is clearly indicated; it is better to give first another antipsoric. Lyc. is a deep-seated, long-acting remedy, and should rarely be repeated after improvement begins.

Aggravation. - Nearly all diseases from 4 to 8 p. m. (Hell. - from 4 to 9 p. m., Col., Mag. p.).

Amelioration. - Warm food and drinks; from uncovering the head; loosening the garments.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Depression of mind and sensorium, stupid; lower jaw drops; chronic conditions, memory fails; uses wrong words to express himself; mixes up things; failing brain power.

Right-sided complaints, or begins on right and travels leftward; throat, ovaries, uterine region, kidney and skin troubles; hernia.

Sense of satiety, or hunger, but soon fills up.

Great flatulence with rumbling, mostly intestinal and pressing downward.

Lithic acid diathesis; red sand in clear urine; > pains in back or kidneys after passing.

Dark-complexioned people; emaciated in face and upper parts, bloated or swollen in lower; keen intellectual but feeble muscular development.

Modalities: < 4 to 8 P. M., after eating, in warm room; > in cool open air, on motion.

Irritable; peevish and cross on waking; ugly, kick and! scream; easily angered; cannot endure opposition or contradiction; seeks disputes; is beside himself.

Complexion: Pale, dirty, unhealthy; sallow; looks. Older than he is.

One foot hot and the other cold.

Great thirst after the sweat.

Chill on left-side of the body (Caust., Carbo v.).

Sour vomiting between chill and heat; must uncover (Lach.).

Perspiration immediately after the chill. Thirst after sweating stage.

In intermittents, the flatulence, sour eructations, sour taste, sour sweat, sour vomiting.

* * * * *

The remedy with Sulphur and Calcarea forms the leading trio of Hahnemann's anti-psoric remedies. This makes a good starting point, as the boy said when he set a pin in a vacant chair. They all act very deeply. Each finds its affinity in a certain class of people or temperament. Lycopodium acts favourably in all ages, but particularly upon old people and children. It acts upon persons of keen intellect, but feeble muscular development; lean people, leaning towards lung and liver troubles. Such people are apt to suffer from lithic acid diathesis for which this is also great remedy. The Lycopodium subject is sallow, sunken, with premature lines in the face; looks older than he is. Children are weak with well-developed heads, but puny, sickly bodies. They are irritable, and when sick awake out of sleep ugly and kick and scream and push away the nurse or parents. These temperament remedies are not always appreciated by those who do not understand the true spirit of our own art of healing; but when appreciated the skillful observer can often see the picture of the right remedy in the face and build of his patient before he speaks a word. A remedy must not only be well proven, but extended clinical use and observation is necessary to develop it and indicate its true sphere of usefulness. I have known temperaments so intensely Aconite or Belladonna that they could not take these remedies except in the high and highest potencies, and then only in single doses at long intervals. Why should this be thought incredible? Carpenter, in his Physiology, tells of a person who was so susceptible to Mercury that she was salivated by sleeping with her husband, who had taken Mercury.

This is one of the leading trio of flatulent remedies, Carbo veg. and China being the other two. With Lycopodium there seems to be an almost constant fermentation of gas going on in the abdomen, which produces a loud croaking and rumbling. Remember, while China bloats the whole abdomen Carbo veg. prefers the upper and Lycopodium the lower parts. With Lycopodium this flatulent condition is very apt to occur in connection with chronic liver trouble. Again this rumbling of flatulence is often found particularly in the region of the splenic flexure of the colon or left hypochondria.

A feeling of satiety is found under this remedy which alternates with a feeling of hunger of a peculiar kind. The patient sits down to the table very hungry, but the first few mouthfuls fill him right up and he feels distressingly full; in a Pickwickian sense "too full for utterance". This alternation of hunger and satiety is not markedly found under any other remedy.

Constipation predominates under Lycopodium, and like Nux vomica there may be frequent and ineffectual desire for stool, but while that of Nux vomica is caused by irregular peristaltic action that of Lycopodium seems to be caused by a spasmodic contraction of the anus, which prevents the stool and causes great pain.

Lycopodium should be thought of in anal troubles associated with chronic liver troubles, especially if with much flatulence.

Lycopodium is of use in right sided hernia. It has cured cases of long standing without the aid of a truss.

The liver troubles of Lycopodium are more apt to be of the atrophic variety, while those of China are hypertrophic, both being equally useful in their sphere.

Lycopodium has almost, if not quite, as marked action upon the urinary organs as upon the liver. It is the chief remedy for "red sand in the urine". This not simply the reddish sediment which is generally termed "brick-dust sediment", and which is found under many remedies, but is an actual sandy, gritty sediment that settles at the bottom of the otherwise perfectly clear urine. Unless thus condition is removed we have sooner or later renal calculi, or gravel forming, and terrible attacks of renal colic. In children this sand is sometimes found in the diaper after severe crying spells, and in adults much pain in the back in region of kidneys, which is relieved after the discharge of urine containing the sand. (See Borax, Sarsaparilla and Sanicula). No one remedy helps these cases more promptly or permanently than Lycopodium.

Lycopodium is also one of our best remedies for impotence. (Agnus castus). An old man marries his second or third wife and finds himself not "equal to the occasion". It is very embarrassing for the whole family. A dose of Lycopodium sets the thing all right and makes the doctor a warm friend on both sides of the house.

Young men from onanism or sexual excess become impotent. The penis becomes small, cold and relaxed. The desire is as strong as ever, and perhaps more so, but he can't perform. (Selenium, Caladium). I have known apparently hopeless cases of this kind cured by the use of this remedy, high single doses at intervals of a week or more.. Give it low, however, if you want to, but do not blame me if you don't succeed.

Lycopodium affects the right side most, or. at least the troubles begin on the right side. Swelling and suppuration of the tonsils I have aborted more than once in old quinsy subjects by an early dose of this remedy. In fact, I have had such success with Lachesis, Lycopodium, Lac caninum and Phytolacca that some who employ me for nothing else come for those powders that "break up quinsy" so quick. In diphtheria, if the disease begins in the nose or right tonsil and extends to the left, you will think of Lycopodium, but remember that Mercurius protoiodide also begins on the right side, but there is no difficulty in choosing between the two. (Bromine diphtheria begins below and comes upward, just the reverse of Lycopodium). Pains in the abdomen, ovarian and uterine regions also begin in right side, running from right to left; right foot gets cold while the other remains warm, eruptions begin on right and travel across to left side. Sciatica the same; any complaint that begins on right and goes to left makes me think of Lycopodium. The "sides of the body" subject is of more account than some imagine. Drugs have an affinity for particular parts, organs and even sides of the body.

Upon the respiratory organs this remedy also has a strong influence. It is one of our best remedies for chronic dry catarrh of the nose, which becomes completely closed, so that' the patient has to breathe through the open mouth, especially at night. Here the choice often lies between this remedy, Ammonium carb. and Hepar Sulphur., other symptoms, of course, deciding the choice. In infants Sambucus comes in for a share of attention.

Lycopodium has often saved neglected, mal-treated or Imperfectly cured cases of pneumonia from running into consumption. It may even come into the later stages of the acute attack itself, and here as usual the disease is apt to be in the right lung, and especially if liver complications arise. The disease has passed the first or congestive stage, and generally the stage of hepatization, or is irk the last part of this stage, and is trying hard to take a favourable turn into the breaking-up or third stage, the stage of resolution. Just here is where many cases die, neither free expectoration, nor perfect absorption of the disease product taking place. There is extreme dyspnoea, the cough sounds as if the entire parenchyma of the lung were softened; even raising whole mouthfuls of mucus does not afford relief, the breath is short and the wings of the nose expand to their utmost with a fan-like motion. Now is the tame when Lycopodium does wonders. Again, even when this stage is imperfectly passed, and the patient still coughs and expectorates much thick, yellow, purulent or greyish-yellow, purulent (sometimes foetid) Matter, tasting salty, with much rattling in the chest, Lycopodium is indispensable Here the choice may have to be made between this remedy and Sulphur, Kali hydroiod. or Silicea. The characteristic aggravation as to time, of this remedy is from 4 to 8 o'clock P. M. Colocynth has 4 to 9 aggravation of abdominal pains, and Helleborus Niger, of the headache, with coryza; but the 4 to 8 aggravations of Lycopodium are general, not confined to any one, or one set of symptoms.

Lycopodium profoundly impresses the sensorium. We see by studying its pathogenesis that it depresses. This is found particularly in typhoid. The patient lies stupid, eyes do not re-act to light; lower jaw drops; apparent impending paralysis of the brain.

This condition may also be found in the advanced stage of many different acute diseases such as cerebro-spinal meningitis, typhoid fever, pneumonia, etc. Now if you get the 4 to 8 P. M. aggravation this remedy surely comes in. But this depression of the sensorium is also found in chronic form. you remember what was said of this remedy in the impotence of old men. If you find corresponding failure in the sensorium of old men, the memory fails, they use wrong words to express themselves, mix things up generally in writing, spelling, and are, in short, unable to do ordinary mental work on account of failing brain power, remember Lycopodium. Here again Anacardium, Phosphorus, Baryta or Opium may come in for comparison. Also Picric acid and Agnus castus.

Many more things might be written of this wonderful polychrest, but I have given the most important. Its strongest curative powers are not developed below the 12th potency, hence neither the old school nor the homoeopaths who confine themselves exclusively to the low preparations know much about it. Like Carbo vegetabilis, Silicea and Sulphur its best powers are only developed by Hahnemann's peculiar process of potentization; "prove all things; hold fast that which is good."