Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

The complaints of Phosphorus are most likely to arise in the feeble constitutions, such as have been born sick, grown up slender, and grown too rapidly.

Its complaints are found in such as are emaciated, and in those who are rapidly emaciating; in children who are going into marasmus, and in persons who have in them the foundation of consumption fairly well laid. Delicate, waxy, anemic and emaciated subjects. In persons who are vehement, irascible.

This expresses the person's disposition somewhat as well as his internal constitutional state. Internally he is in a turmoil. Subject to violent pulsations, complaints from electric changes in the atmosphere; violent palpitations and orgasms. In chlorotic girls who have grown too rapidly and have suddenly taken on weakness, pallor, green sickness, with menstrual difficulties. Ebullitions and congestions. Hemorrhagic constitutions.

Blood: Small wounds bleed much; the prick of the needle will bubble forth much bright red blood.

Hemorrhage from small wounds, from the nose, from the lungs, from the stomach, from the bladder and from the uterus. Bleeding from ulcerations. False granulations that bleed. Purpura hoemorrhagica. Black and blue spots.

Blood settles beneath the conjunctiva, or beneath the skin anywhere.

Bloody saliva; evidences of disorganized blood, or that the blood seems to become fluid. Small bruises take on broad blue spots. Blows much blood out of the nose. Petechiae all over the body, such as are found in typhoid fever, low forms of continued fever with hemorrhages. Fungous growth. Fatty degeneration is a marked feature of Phosphorus, and can be found in the liver, heart or kidneys.

General dropsical condition. Bloating of the hands and feet, especially dropsical conditions after scarlet fever. The mucous membranes are all pale, such as is found after bleeding or in low forms of disease. A marked state of anemia and relaxed condition of the muscles. Muscles flabby. Fatty degeneration of the muscles.

The genitals hang down. In the woman, relaxation of the pelvic organs, prolapsus and other displacements. Stiffness is a marked feature of Phosphorus. Stiffness on beginning to move. Limbs stiff like a foundered horse, especially in the morning. Rheumatic stiffness in all the limbs. Phosphorus has tearing, drawing pains in the limbs. Drawing, tearing pains in affected parts. Phosphorus complaints are worse in cold weather.

The patient himself, generally considered, is sensitive to cold. All his complaints are worse from cold and cold applications, and better from beat and warm applications, except the complaints of the head and stomach, which are ameliorated from cold as will hereafter be described. Phosphorus has been very useful in weak, relaxed conditions of the joints following sprains, when the symptoms agree.

Necrosis is another feature of Phosphorus, especially of the lower jaw, but may be useful in necrosis of any of the bones. Exostoses of the skull with tearing pains. Tearing, boring pains, especially at night. Phosphorus has cured polypi of the nose and cars. Scrofulous and glandular swellings. Glands enlarge, especially after contusions like Bellis.

Glandular affections of weak, pale, sickly individuals, such as suffer from diarrhea, such as suffer from exhaustive conditions, abscesses, fistulous openings, with hectic fever. Abscesses with copious discharge of yellow pus. Malignant growths are greatly restrained by the use of Phosphorus, when the symptoms agree. Burning pains are observed everywhere. Burning in the brain, burning in the skin. Burning in the stomach, in the chest, and in various parts.

The Phosphorus patient is very sensitive to all external impressions slight odors, noises, touch. Slight causes lead to exhaustion of either body or mind. Trembling throughout the body from slight causes, using the bands, from slight exertion, from debility, from coughing. Weakness prevails in a marked degree, finally becoming paralysis or paralytic weakness such as occurs in most forms of typhoid fever, with sliding down in bed, trembling and jerking of the muscles. Paralysis with formication and tearing in the limbs.

Paralysis that comes with apoplexy. Jerking and twitching of the muscles such as has been found in paralysis. Spasms of the paralyzed parts. Tearing, drawing, burning pains throughout the body.

The Phosphorus patient wants to be rubbed. He is generally better after sleep. Always wants to rest. Always tired. The Phosphorus patient undergoes great excitement. Tremulousness. Wild thoughts. Excitability, keeping him awake at night. Violent imaginations.

Mind: Excitability even to ecstasy and clairvoyance.

The mind may be overactive or may be extremely passive with loss of memory. Irritability of mind and body and great prostration of mind after slight mental effort, and of the body afar slight physical exertion.

Anxiety, gloomy forebodings. Fear that something will happen. Anxious at twilight. Anxious when alone. Apprehensiveness. Apprehensive during thunder storms, which brings on many complaints; palpitation, diarrhea and trembling. Trembling of the whole body.

Attacks of indigestion from fear. Fear in the evening, fear of death. Fear of strange old faces looking at him from the corner. Full of strange, insane imaginations. On the border land of insanity. Inability to sustain a mental effort. Fear of apoplexy. Reflecting brings on headache and difficult breathing associated with apprehensiveness or sinking at the pit of the stomach. His fear seems to begin 'at the pit of the stomach.

Apathy or indifference; indifferent to his friends and surroundings. Indifferent to his children. Answers no questions, takes no notice of his family and things about him, answers slowly, thinks sluggishly, seems dazed or in a stupor. Everything looks dark, he is weary of life, gloomy and says nothing.

Dejected; a most marked case of hypochondriasis. Weeping, sad, hysterical; will uncover the body and expose his person. Violent, loquacious; delirium. Delirium of low forms of fever, or delirium of mania a potu.

Maniacal attacks come on during sleep with fury and extreme violence, so that no one dares approach him, and this progresses to imbecility, silliness, weak brain, idiocy. Brain fag from mental overwork and constant strain of eyes. Vertigo is a very common symptom throughout all of the complaints of Phosphorus. Staggering while walking as if intoxicated. Vertigo when in the open air; vertigo after eating; vertigo in the evening. Heaviness and confusion in the head and things go round; great weakness of the head.

All of these mental symptoms are worse in the dark; worse when alone; sometimes worse from music; worse from excitement; worse from playing the piano.

Head: The headaches of Phosphorus are congestive and throbbing.

The blood mounts to the head. The headaches are ameliorated from cold and worse from heat, worse from motion, and better from rest, worse lying down. The patient is often compelled to sit upright, with great pressure upon the head and cold applications. The face is flushed and hot; burning in the brain.

The warm room, warm surroundings, warm food, putting the hands into warm water will increase the headache. The complaints of the head like the complaints of the stomach are worse from heat, warm applications and from warm food, and better from cold things; while the complaints of the body are better from warmth and, worse from cold.

The headaches are most violent and are often attended with hunger or preceded by hunger; headaches with vomiting, red face, and scanty urine; uraemic headaches; violent neuralgic pains darting, tearing, shooting through the head; pressing pains in the head. Periodical headaches, headaches brought on from mental exertion.

Great heat in the head and stiffness in the muscles of the face and jaws. This is sometimes attended with coldness in the back of the head. Shocks through the brain. The headaches are worse from noise, from light; apoplectic congestion of the head. It has cured acute hydrocephalus and hydrocephaloid symptoms.

Chronic inflammation of the meninges of the brain; softening of the brain; imbecility; insanity. Violent head pains; atrophy of the brain; medulla oblongata. The scalp is covered with dandruff; the hair falls out in patches, leaving bald places here and there. Great heat in the scalp; tension in the scalp and face and forehead as if bound by a bandage. Scaly eruptions on the bald places of the head; exostoses on the skull.

The complaints of the head are brought on from becoming overheated. Sensation as if the hair were pulled; great soreness of the scalp; must let the hair hang down during headaches.

Eyes: The eye symptoms are very numerous; burning, redness, congestion, enlargement of the blood-vessels.

Objects look red and often blue in the field of vision, or objects sometimes look green and gray as is observed in incipient cataract. Colors, also, appear black before the eyes. Vision is vague; the eyes give out while reading; sees better in the morning, in the twilight.

The eye symptoms, like Phosphorus in general, have amelioration after rest. Momentary blindness like fainting; seems to suddenly become blind; paralysis of the optic nerve; blindness after electric shocks, or after a stroke of lightning. It has cured glaucoma. It has cured inflammation of the retina in Bright's disease.

It has cured opacity of the vitreous humor. It has cured paralytic weakness of the various muscles of the eyes. It has cured paralysis of the third pair of nerves where there is falling of the lids; sub-acute inflammation of the eyes.

Burning, redness, and smarting ameliorated from cold applications. The eyelids twitch and tremble; swelling of the eyelids; dropsical swelling of the eyelids; great darkness around the eyes; great circles around the eyes. It is a very useful remedy in malignant growths involving the eye, restraining very much the progress of the disease.

The eye symptoms like the head and mind symptoms are such as often come on in brain workers; working under a bright light causing much determination of blood to the head in which the eyes as well as other parts suffer.

Ears: Phosphorus has a peculiar deafness.

One of the most striking features of Phosphorus is inability to understand the articulations of the human voice. Hearing is difficult. He sometimes feels as if there were something over the ears; as if the ears were covered, obstructing the waves of sound.

Violent itching in the ears; congestion of the external ear; itching, tearing, throbbing, burning pains within the ear, It has cured polypi in the ears.

Nose: The nose symptoms are also very numerous; inveterate nasal catarrh.

He takes cold in the nose, but the most common seat of the Phosphorus cold is in the chest, and most of his difficulties begin in the chest, but Phosphorus cures nasal catarrh and coryza.

There is painful dryness in the nose; constant sneezing and running from the nose of bloody water.

Frequent alternations of fluent and stopped-up conditions of the nose; coryza with sore throat; stoppage of the nostrils; much sneezing and stopping of the nose alternating with dryness of the nose in scarlet fever; nostrils filled with green mucus; a copious nasal discharge of greenish-yellow, blood-streaked mucus, worse in the morning; bad odor from the nose; frequent blowing of blood from the nose; copious hemorrhage from the nose of bright red blood; swelling of the nose, redness and shining; very sensitive to touch; necrosis of the bones of the nose.

It has cured polypi of the nose, especially bleeding polypi. Fan-like motion of the nose, like Lycopodium.

Face: The Phosphorus patient presents a sickly face, earthy, sunken and pale, such as we find in consumption and those about to go into consumption those suffering from deep-seated constitutional conditions; haggard, anemic.

The color is changeable; swollen, oedematous face; puffed under the eyes; lips and eyelids swollen. Again, red spots upon the checks, which appear in hectic fever; the hectic blush. Tension of the skin and of the face; tearing, shooting pains all through the face and about the eyes, from the temples and vertex down to the zygoma. Jerking, tearing pains in the teeth.

The pains of the teeth are often ameliorated by warmth, while those of the head are ameliorated by cold. The pains of the teeth are worse when talking and eating, and worse after eating It has violent neuralgias of the face involving the jaw and temples, with hot, bloated face, worse from talking and from eating.

It has caries of the lower jaw, with great heat, burning and fistulous openings. Neuralgia of the face and teeth; has to be wrapped up at night; worse in windy weather.

The countenance is sickly, sunken, declining, as if a serious sickness was coming.

The lips are parched, dry and bleeding. The lips become black, brown and cracked as in low forms of fever, and with necrosis of the lower jaw. Inflammation of the parotid gland, especially when it suppurates or there are fistulous openings. Rapid decay of the teeth. The gums bleed and settle away from the teeth.

Phosphorus is very useful for the bright red hemorrhage after the extraction of teeth. The tongue is swollen and speech is difficult. It is difficult to articulate. The taste in the mouth is bitter or sour, especially sour after taking milk; sometimes salty or sweetish; bitter after eating.

Taste of hydrogen sulphide in the morning. The tongue is coated like fur; sometimes chalky-white, sometimes yellow; dry, cracked and bleeding; sordes on the teeth. Crusts form upon the mucous membranes of the mouth, gums, lips and tongue. The tongue is swollen and the papillae are engorged.

Throat: Dryness of the mouth and throat; sore, excoriated mucous membranes of the mouth and throat.

The mouth may be covered with thrush, as in nursing sore mouth; bloody erosions of the mouth; nursing sore mouth. Much watery saliva and bloody saliva flows from the mouth. The saliva is copious, tasting sweetish, saltish or foul. The mucous membranes of the throat are like those of the mouth. Great dryness, roughness, rawness, excoriation, bleeding, and inflammation of the tonsils; inflammation of the throat; sensation of cotton in the throat; sensation of velvet in the throat.

The tonsils are much swollen. Intense pain in the throat and burning in the throat that extends into the oesophagus. Inability to swallow any nourishment because of paralysis of the oesophagus or acute inflammation of the mucous membranes of the throat and oesophagus; constriction of the oesophagus.

In Phosphorus there is violent hunger and very soon after eating the hunger returns again. Must eat during the chill. Must get tip in the night to eat. Feels faint and is driven to eat. Ravenous hunger during headache; he knows that the headache is coming on because of his violent hunger; in periodical headaches.

The hunger is often spasmodic, because at times there is aversion to food. Again, he wants to eat and as soon as the food is offered he does not want it. Thirst is one of the most constant features of Phosphorus.

In acute and chronic complaints there is violent thirst; thirst for ice-cold drinks. Wants something refreshing; is ameliorated momentarily by drinking cold things, but the thirst appears as soon as the water gets warm in the stomach. Vomiting comes on as soon as the water becomes warm in the stomach, but there are many conditions where the ice-cold water agrees.

Unquenchable thirst. When the water is vomited there is always unquenchable thirst. He wants cold food as well as cold drinks; refreshing, spicy things, juicy things; desire for wines and sour things. Phosphorus often cures the violent' longing in inebriates for alcohol.

It simply resembles the congestion of the mucous membrane of the stomach. Aversion to sweets, to meat, to boiled milk, to salt fish, to beer, to puddings, to tea and coffee.

Many of the complaints of Phosphorus are ameliorated by eating. The nervous symptoms of Phosphorus drive the patient to eat and he feels better for a little while, and then he must eat again or the nervous symptoms will come on. Often he can sleep better after eating and cannot go to sleep until he eats something.

Stomach: The stomach symptoms are numerous: pains, nausea, vomiting, burning.

The stomach symptoms are ameliorated by cold things and aggravated by warm things. The nausea and vomiting are brought on by putting the hands into warm water, from being in a warm room, from warm things and from taking warm things into the stomach. The nausea of pregnancy is cured when the woman cannot put the hands into warm water without bringing on vomiting. Another marked feature of Phosphorus is eructations of food.

The food is eructated by mouthful until the stomach is emptied of the last meal. Constant nausea except when something cold is in he stomach. As soon as water becomes warm in the stomach it comes up. This very much resembles the vomiting and nausea of Chloroform, and Phosphorus is a great friend to the surgeon because he can nearly always antidote the stomach affections of Chloroform by Phosphorus. Vomiting of blood and violent vomiting of sour fluids; vomiting of bile and mucus; vomiting of black substances, coffee-ground substances. Awful sinking, gone feeling in the stomach.

This sometimes comes at 11 o'clock like Sulphur. Pressing pains, burning pains, tearing pains in the stomach; pain in the stomach after eating; sensitiveness in the pit of the stomach; inflammation of the stomach. It has been a very useful remedy in cancer of the stomach, with coffee-ground vomiting and burning; coldness, as if freezing, in the pit of the stomach; paroxysms of knife-like pains in the stomach.

The pains in the stomach are ameliorated by ice-cold things for a moment; spasmodic contractions of the stomach; hemorrhage from the stomach; vomiting of great quantities of clotted blood; long-standing dyspepsia; much flatulence; regurgitation of food; distended stomach and abdomen; ulceration of the stomach.

The liver furnishes us many symptoms of Phosphorus. Congestion of the liver, fullness, pain, hardness, fatty degeneration of the liver, hyperemia of the liver. Phosphorus is one of the most useful liver remedies; hard, large liver. With the stomach and liver symptoms there is commonly jaundice.

Abdomen: Very sensitive abdomen, painful to touch, rolling and rumbling.

Sensation of emptiness in the abdomen; sunken feeling in the abdomen. The abdomen feels as if relaxed; hanging down sensation and sensation of great weight in the abdomen. Tympanitic abdomen such as occurs in typhoid fever.

A marked feature in Phosphorus is the peculiar gurgling which begins in the stomach and gurgles along down through the intestines, attended with involuntary stool. This occurs in typhoid fever. The gurgling that occurs in Arsenicum is down the oesophagus.

Flatulence; colic; rending, tearing, cutting pains throughout the abdomen; stitching pains in the abdomen; violent neuralgic pains in the abdomen; inflammation of the bowels, of the peritoneum; appendicitis. Yellow, brown spots on the abdomen; petechiae over the abdomen during typhoid fever.

Phosphorus is rich in symptoms of the rectum and stool; involuntary discharges from the bowels; copious emission of fluids; foetid, gushing stools; horribly offensive, yellow, watery stools. The patient lies as if dying, the stools passing involuntarily; stools of white mucus; stools of slime intermingled with little specks like tallow; involuntary oozings from the constantly wide open anus.

Hemorrhage from the bowels in typhoids, in low forms of disease; bloody discharges like meat washings, involuntary, on every motion. Burning in the rectum during stool. Protrusion of the rectum; protrusion of hoemorrhoidal tumors. Sharp, stitching pains from the coccyx up the spine to the base of the brain drawing the neck backward, and this symptom occurs during stool. It has occurred during involuntary stool.

After stool painful cramps in the rectum; burning in the anus; violent tenesmus; sinking feeling in the abdomen; obliged to lie down; exhaustion and fainting. The copious diarrhea is like the profuse flow of water from a hydrant. It is useful in cholera times and in cholera morbus. It is a useful medicine for chronic diarrhea with soft, thin stools. It has been a very useful remedy in cholera infantum. It has also cured dysentery with bloody mucus, scanty stools with violent tenesmus. It also cures inveterate constipation.

The stool is hard, long, and slender, described in the books as like that of a dog. Alternating diarrhea and constipation in old people. Spasms of the rectum. Paralysis of the bowel, so that it is impossible to strain at stool, Hemorrhage from the bowels. It has cured polypi of the rectum; inflammation of the rectum. It has many times cured bleeding, protruding hemorrhoids; hemorrhoids that burn. It has cured fissures of the anus. Among many of these bowel symptoms the anus feels as if wide open.

Kidneys: Phosphorus is a useful remedy in diseases of the kidneys, especially diabetes, with sugar in the urine when there is great thirst for ice-cold things and ice-cold water. Gradual emaciation; gradual weakness; considerable heat of the head; coldness of the extremities, and sugar in the urine. Phosphorus will cure fatty degeneration of the kidneys. Renal calculi. No desire to pass urine though the bladder is full.

There is a paralytic weakness which resembles the paralytic weakness throughout all the muscles of the body. He is unable to strain to pass the urine because such straining increases pain in the region of the bladder.

Profuse, pale, watery urine; frequent and scanty or completely suppressed urine. Turbid, whitish urine; curdled like milk. Albuminous urine. Involuntary urination during sleep.

Tearing in the urethra; twitching and burning in the urethra. Periodical sick headaches sometimes are preceded by scanty urine and sometimes by a copious watery flow of urine.

Men: The male sexual organs furnish many symptoms of Phosphorus.

Violent sexual desire driving him frantic. Erections frequent and painful day and night. Seminal emissions at night even without lascivious dreams. Sexual debility from the inordinate use of table salt. Impotence after excessive excitement and secret vice, preceded by over-excitement of the sexual organs.

Frequent discharges day and night of thin, slimy, colorless fluid from the urethra. Sexual abuse with spinal disease. Discharges of prostatic fluid during a hard stool. Chronic urethral discharges due to hypertrophy of the prostate gland gleety discharge, Swelling and soreness of the testes and cord; inflammation of the testes and cord. It has cured hydrocele following gonorrhea.

Women: In the woman it is equally useful.

Phosphorus has cured many cases of sterility supposed to depend upon violent sexual excitement. Violent sexual excitement with aversion to coition. Violent pain in the ovaries extending down the inner side of the thighs during menstruation caused by inflammation of the ovaries.

Inflammation of the uterus during menstruation and during pregnancy or during pyoemia. Copious hemorrhages from uterus, bright red, clotted blood after confinement, during menstruation or during the climacteric period. Frequent and profuse hemorrhages from the uterus caused from cancerous affections.

The menstrual period is too early, flow bright red, lasting too long, is copious; during the menstrual period ice-cold feet and hands; nausea; pain in the back, as if broken; blue rings around eyes; loss of flesh; much fearfulness. It has also menstrual suppression in consumptives with cough, bleeding from the nose, and spitting of blood. Violent sexual excitement driving to secret vice.

Copious yellow leucorrhoea with great weakness; leucorrhoea instead of menses; white, watery leucorrhoea, acrid, excoriating; milky leucorrhoea, copious when walking. The leucorrhoea is so excoriating that blisters form upon the genitals. Burning and smarting in the vagina. Stitching pains upward from the vagina into the pelvis. While there is violent sexual excitement during coition there. is lack of sensation in the vagina, as if it were numb.

Condylomata appear like fig warts and excrescences about the genitals and in the, vagina. Bleeding warts. Erectile tumors on the external genitals.

Dropsical swelling of the labia. Cauliflower excrescences with much bleeding. Painful, hard, large nodosities in the female mammary glands. Fibroid tumors of the breast. Fibroid tumors of the uterus with copious hemorrhages

During pregnancy and lactation violent sexual desire; vomiting of pregnancy. Much prostration, sinking, and trembling, puerperal convulsions; pain in the back, as if it would break. Increased secretion of milk out of season. Inflammation of the mammary glands with much heat, weight, and suppuration. Erysipelas of the breasts or of the genitals.

Larynx: Inflammation of the larynx with hoarseness in the morning; husky voice; great sensitiveness of the larynx to touch and cold air; pain and burning in the larynx on talking; weakness in the vocal cords; violent tickling of the larynx while talking; constriction and spasms of the larynx; constant irritation to cough in the larynx; tuberculous condition of the larynx; bleeding; loss of voice; cannot speak a word on account of pain in the larynx; sensation of velvet in the larynx; rawness and smarting in the larynx.

Phosphorus has cured many cases of croup, membranous croup, when all the symptoms were present. Every change of weather, from becoming overheated, and colds settle in the larynx, producing loss of voice and hoarseness, especially in public speakers and singers. Hoarseness and loss of voice; great dryness in the larynx and all of the air passages. Hard, dry, rasping cough that shakes the whole body from irritation in the larynx.

The irritation travels down the air passages, affecting the trachea, along with difficult respiration; asthmatic breathing; clutching in the larynx; suffocation; dyspnoea; spasms and constrictions of the chest.

Violent, stridulous inspiration in the evening on falling asleep; fear of suffocation; labored breathing. Paralysis of the lungs; fullness in the chest after eating, much irritation in the larynx; difficult breathing; scraping of mucus from the larynx after eating.

Chest: In the chest, Phosphorus produces oppression; anxiety, weakness and constriction going along with its chest complaints. Heaviness as if a great weight were lying upon the chest. With the cough, bronchitis, pneumonia and cardiac symptoms there is always more or less constriction of the chest as if bound, or as if bandaged, or as if tied tight with a string.

Tightness felt over the sternum, and with all complaints great weakness of the chest; pressure as of a weight over the middle of the sternum; feeling of a rush of blood to the chest with or without violent pulsations. Sensation of heat in the chest mounting to the head; flushes of heat in the chest extending upward. Stitching pain in the chest; spasmodic pains in the chest; violent stitching pains in the left side of the chest better by lying on the right side. These are pains likely to occur ig pleurisy or in pleurisy with pneumonia.

Complaints of chest, worse in cold air. Rawness in the trachea extending into the lungs; burning in the chest; acute pain in the lower part of the lungs; violent pain in the chest with coughing. The patient is compelled to hold the chest with the hand. Inflammation of the lungs with anxiety, oppression, and expectoration of bright red blood.

The Phosphorus patient suffers from copious hemorrhages from the lungs in phthisical conditions, in inflammation, inflammation of the bronchial tubes with intense fever and violent shaking cough; the body trembles with the cough; tearing pains in the sternum with the cough; suffocation and constriction of the chest. Pain in the larynx. The expectoration may be blood-streaked or rust-colored as it is in pneumonia. It may be purulent. In the later stages it becomes thick, yellow, sweetish.

Phosphorus is a useful remedy in old bronchial catarrhs, in complaints that date from pneumonia or from bronchitis. Every cold settles in the chest. The lungs seem to be weak. Again, in hepatization during pneumonia with hard, dry, hacking cough; in hepatization of the lungs during pneumonia Phosphorus, Sulphur and Lycopodium are the most frequently indicated medicines.

Phosphorus is often the remedy to follow Arsenic when Arsenic has been suited to the restlessness, prostration, and anxiety that comes to a place where because of hepatization it is capable of accomplishing no more toward the cure of a case. If, then, the patient has thirst for ice-cold water, constriction of the chest, dry, hacking cough, paralytic weakness of the lungs, and expectoration of blood or frothy mucus Phosphorus is the best remedy.

In pneumonia, there may be burning in the chest, burning in the head, hot cheeks, and fever; gesticulation and delirium; violent thirst for ice-cold water; fan-like motion of the nose; difficult breathing; catchy inspiration; lying on the back with the head thrown far back; short, dry cough.

The carotids pulsate. Rawness in the chest; bruised feeling in the chest; pains are cutting; burning or sharp and tearing in the lungs when coughing. Suffocation, or inspiration almost impossible, especially at the beginning of hepatization when the face becomes livid and the features pointed with cold sweat and quick, hard pulse. Frothy expectoration in low forms of pneumonia known as typhoid pneumonia.

Threatened paralysis of the lungs. Again, Phosphorus is a useful remedy when tuberculosis is about to make its appearance, in persons who are narrow-chested, slender, and of feeble vitality. All colds settle in the chest. After each cold, much rattling, hard cough that shakes the whole body, in persons who are feeble, pale, sickly, and disposed to hemorrhages.

Cough comes on in cold air. Emaciation; emaciation of the chest and neck. Along with these conditions comes hectic fever in the last stages of phthisis; intense fever, red face, and night sweats; fever coming on in the afternoon and lasting until after midnight.

A powder of Phosphorus very high will reduce this fever and make the patient comfortable until death. In all incurable cases after the fever has been reduced, Phosphorus should not be given, as it will intensify the fever and do just what it was given to avoid. It is not uncommon for a crisis to follow the administration of Phosphorus. Prolonged sweat and diarrhea, these should never be interfered with as they will soon stop of their own accord and the patient will be left in a state of quietude.

Phosphorus is a dangerous medicine to give very high in some cases of phthisis, in the last stages of phthisis. In this case they should have received Phosphorus when they were yet curable. In these cases Phosphorus 30 th may sometimes be used with safety and it will act as a test in doubtful cases to see whether reaction can be brought about. In such cases where reaction can be brought about the administration later of a still higher potency may be found useful, but in the beginning with Phosphorus in phthisical cases far advanced it is better not to go higher than the 30 th or 200 th.

Phosphorus very low will act as a poison in really Phosphorus cases and the only safety some patients have had who have received Phosphorus so very low was due to the fact that the Phosphorus was not similar enough to either kill or cure.

Heart: Phosphorus has violent palpitation; worse from motion, and from lying on the left side especially in the evening; worse at night on waking, with orgasms of blood in the chest, accompanied by much suffocation.

Tightness in the chest and palpitation over the body; pressure in the region of the heart. Phosphorus has cured endocarditis. Phosphorus has cured enlargement of the heart and dilatation and also fatty degeneration. With fatty degeneration where there is much venous stagnation, puffiness of the face, particularly under the eyelids, Phosphorus is often the remedy.

In all of these cardiac affections thirst for very cold water will always be present. Internal heat; he wants something cold to cool his insides.

Violent orgasms of blood in the chest from every excitement, from worry, and from anticipation. Phosphorus has many neuralgic pains upon the outer chest and yellow brown spots.

Back and spine: There are many symptoms in the back; stiffness in the back and in the back of the neck, between the shoulders, and in the small of the back.

Stiffness on rising from a seat. Sensation of intense heat in the back running up the back. The patient complains of a hot spine.

Soreness in places up and down the spine; soreness to touch between the! shoulders; pulsations in various places in the back and in the whole spine.

The coccyx is sensitive to pressure; pain in the coccyx as if ulcerated, preventing motion. Pain in the back during menstruation and during confinement as if the back would break. Spinal affections and inflammations, Weakness of the limbs after mental exertion, prolonged physical exertion, being overheated, sunstroke and sexual excesses; paralytic weakness. Myelitis; softening of the spine; progressive spinal paralysis.

Phosphorus has been a useful remedy in locomotor ataxia, palliating many of the symptoms; the pains; restoring the reflexes. Phosphorus is often suitable and restrains the progress in multiple sclerosis where there is much weakness and trembling of the extremities. Phosphorus has cured caries of the vertebrae in scrofulous children. Phosphorus is a broad remedy in various diseases of the spine.

Limbs: In the limbs we have paralytic weakness extending to both arms and legs, with trembling and numbness; paralysis of one or of both lower extremities or of the upper extremities with trembling and numbness.

The hands and arms become very cold. The limbs emaciate and the veins become distended; the arms burn; periodical constriction of the fingers; numbness increasing to complete insensibility of the fingers; finger tips feel numb and insensible.

Great restlessness in the lower limbs; weariness in the lower limbs; weakness in the lower limbs, especially observed on walking, unsteady and trembling gait; paralysis of the lower limbs. Acute inflarnmation of the joints of the knees and hip joint.

Burning, tearing pains in the limbs from exposure to cold, Rheumatism of the joints and muscles; stiffness of the joints on becoming cold. All complaints of the limbs are ameliorated by heat, while complaints of the head and stomach are ameliorated by cold. The complaints of the chest are ameliorated by heat. The lower limbs are covered with foetid sweat, The lower limbs are gangrenous. Inflammation of the periosteum of the tibia. Ulcers upon the lower limbs; feet icy-cold.

The Phosphorus patient wants to lie down; exhausted; he is unable to walk; staggers when walking from weakness and from vertigo. A gradual progressing weakness creeps over him; weakness; trembling; faintness.

Jerking and twitching of the muscles; spasms of the paralyzed parts. Epilepsy; convulsions; neuralgic pains of the various parts of the body and of the limbs especially, ameliorated by heat. It has cured multiple neuritis.

Sleep: Restless sleep; starts in sleep; feels in the morning as if he has not kept enough, yet most of the complaints and aches are ameliorated by sleep, especially the head symptoms; walks in his sleep.

He sleeps on the right side. Lying on the left side causes anxiety and pain in the heart and palpitation. Late falling to sleep in the evening; lies awake thinking about the affairs of the day and borrowing trouble. Phosphorus is a usual remedy in low forms of typhoid fever on the symptoms previously mentioned.

Skin: There are many eruptions in Phosphorus.

The eruptions are dry and scaly; dry furfuraceous herpes; blood blisters; purple spots; yellow spots on the chest and abdomen; formication and itching in the paralyzed parts; numbness of the skin; irregular brown spots upon the body; psoriasis of the knees, legs, elbows, and eyebrows; hives and blood boils; phlegmonous inflammation.

Chronic suppurating openings with hectic fever; fistulous openings; ulcers bleed on appearance of the menses; deep eating ulcers; indolent ulcers; malignant ulcers.

Very useful in cancerous ulcers that bleed and take on fungous appearance and in low forms of scarlet fever where the rash is very dusky or disappears and suppuration begins in various places about the neck or upon the extremities or upon the ends of the fingers and there is violent thirst for cold water, purple appearance in the throat, and dry, hacking, shaking cough.

A Dictionary of Practical Materia Medica, John Henry Clarke

The Element. P. (A. W. 30.96). Saturated solution in absolute alcohol. Trituration of Red amorphous Phosphorus.

Clinical.─Alopecia areata. Amaurosis. Amblyopia. Anaemia, acute pernicious. Anus, fissure of. Antrum, disease of. Arteries, disease of. Asthma. Bone, diseases of. Brain, affections of; softening of. Brain-fag. Breast, abscess of; fistulae of. Bronchitis; membranous. Cancer; of bone. Cataract. Catarrh; intestinal; nasal. Chilblains. Chlorosis. Chorea. Ciliary neuralgia. Coccygodynia. Cold. Constipation. Consumption. Corpulency. Cough. Croup. Dandruff. Diarrhoea. Dropsy. Ecchymosis. Enteric fever. Ephelis. Epilepsy. Erotomania. Exophthalmos. Exostosis. Eyes, affections of. Fainting. Fatty degeneration. Fistula. Flatulence. Fungus haematoides. Gastritis. Glaucoma. Gleet. Gums, ulceration of. Haemoglobinuria. Haemorrhagic diathesis. Headache. Heart, degeneration of; murmurs of. Hydrocele. Hydrocephalus. Hysteria. Impotence. Intussusception. Jaundice; malignant; of pregnancy; of anaemia. Jaw, disease of. Joints, affections of. Keratitis. Lactation, disorders of. Laryngitis. Levitation. Lightning, effects of. Lienteria. Liver, diseases of; acute yellow atrophy of. Locomotor ataxy. Lumps, haemorrhage from; oedema of; paralysis of. Marasmus. Menorrhagia. Menstruation, symptoms before. Mollities ossium. Morphoea. Muscae volitantes. Naevus. Nails, ulcers round. Neuralgia. Nightmare. Nipples, sore. Nose, bleeding from. Numbness. Nymphomania. Odour of body, changed. Oesophagus, pain in. Ozaena. Pancreas, disorders of. Paralysis; pseudo-hypertrophic; general of insane. Periostitis. Perspiration, abnormal. Petit mal. Plague. Pneumonia. Polypus. Pregnancy, vomiting of. Proctalgia. Proctitis. Progressive muscular atrophy. Pruritus ani. Psoriasis. Puerperal convulsions. Purpura. Pylorus, thickening of. Retinitis. Rheumatism; paralytic. Rickets. Screaming. Scurvy. Shiverings. Sleep, disordered. Somnambulism. Spine, curvature of. Spleen, enlargement of. Sprains. Stammering. Sterility. Syphilis. Syringo-myclia. Throat, mucus in. Tobacco habit. Trachea, tickling in. Tuberculosis. Tumours; erectile; polypoid; cancerous. Typhus fever. Ulcers. Urethra, stricture of. Vaccinia. Variola. Voice, loss of. Whitlow. Wounds. Yellow fever.

Characteristics.─Phosphorus (Light-bearer, Morning Star) "was discovered in 1673 by Brandt, an alchymist of Hamburgh, and shortly afterwards by Kunkel, in Saxony." Teste, from whom I quote, says that attempts were made to use Phos. in medicine immediately after discovery. Kunkel made it into his "luminous pills," and Kramer claimed to have cured with it diarrhoea, epilepsy, and malignant fevers. Teste gives a list of old-school cures, which include: Continuous, bilious, and intermittent fevers; general oedema; measles; two cases of pneumonia of left lung, with ataxic symptoms; chronic rheumatism of the legs; apoplexy; hydrocephalus; periodic headaches (in one case with menstrual irregularity); catalepsy; epilepsy; gutta serena; asthenia facilis; chronic lead poisoning,─a list which shows a very good idea of the range of action of Phos. Hahnemann's proving brought out the fine indications, without which the generals are of little service, and to Hahnemann's symptoms have been added those of later provings and of numerous cases of poisoning, and the effects on workers in match factories, especially necrosis of the lower jaw. The vapour given off by unignited Phos. is Phosphorus oxide. The jaw affection, called "Phossy-jaw" by the workpeople themselves, is accompanied by profound adynamia, and not unfrequently ends in death. The form of the disease differs according to whether the upper or lower jaw is attacked. In the, former case it pursues generally a chronic and mild course, ending in exfoliation, cicatrisation, and cure. In the latter the necrosis may be either acute or chronic., but is always severe, and the patients usually die of "consumptive fever" (C. D. P.). Here is a typical case quoted in C. D. P. from B. J. H., iv. 287: J. D., 21, had been four years in a match factory. For two and a half years he had only laryngeal irritation from the local action of the fumes. He then began to cough very much and expectorate thick white mucus. Then most violent toothache set in, with swelling on right side of face. A molar was extracted but without relief, and one tooth after another dropped out. He became too weak to walk. A swelling as big as an egg formed below right orbit, burst in a fortnight, and discharged a large quantity of white pus. He grew worse all the teeth fell out; gums of lower jaw were retracted. Examination found right cheek swollen. At right angle of lower jaw an opening discharging laudable pus, through which a probe can be passed two inches along bare bone, and two inches anterior to this another aperture leads to the same. On opening mouth the whole lower jaw as far as ascending rami and down to reflection of mucous membrane is denuded and of leaden greyish colour. On right upper jaw probe can be passed over bare bone. Pareira (C. D. P.) has observed in phosphorus workers "a peculiar sallow, bloated complexion, with dull expression of eye and gastric derangement," when there was no affection of the jaws. [Wagner found Phos. symptoms long before local disease appeared, e.g., cardialgia, anorexia, eructation of gas smelling of Phos.; also dizziness, faintness, and cachectic appearance. The first symptoms in the jaws are tearing pains, the teeth being sound, swelling and suppuration of the gums, and loosening of the teeth follow, and the bone becomes denuded. Langenbeck objects to the term "necrosis," stating that it is a periostitis in which bony deposit occurs, enclosing the jaws more or less as in a sheath. There is no exfoliation. This osteo-periostitis may arise from rheumatism.─-Klin. Woch, Jan. 2, 1872.] In cases of acute poisoning the most remarkable effect noted is acute fatty degeneration of the liver and engorgement of the lungs. At first there is tenderness of the liver, but as it shrinks this passes away. The right lung is more affected than the left. The symptoms of acute Phos. poisoning are exceedingly painful if consciousness is retained; violent tearing pains in oesophagus, chest, stomach; vomiting and diarrhoea; rectal, vesical, uterine tenesmus; bloating of abdomen; sensitiveness to touch; haemorrhages from all orifices. Death may take place in a few hours, or it may be delayed for months. In the case of a child of 2 1/2 who had sucked the heads of matches, two days afterwards there was some feverish excitement, later violent convulsions, lasting three hours, and ending in death. There were found after death no fewer than ten invaginations of the small intestines, which, however, were empty, and there was no sign of strangulation (C. D. P.). In a woman, 45, who swallowed the Phos. from 120 matches, Ozanam found a typhoid febrile state, profound prostration; inability to raise herself; dry tongue; much thirst; stomach sensitive; vomiting of black, sooty matter. Death took place on the second day (C. D. P). A man, 48, inhaled vapour of burning Phos. Among his symptoms were: A sensation as if something twitched under skin or was creeping between skin and flesh. Twitching of single bundles of fibres at different times like playing on a piano. Tongue when speaking often refuses to move, so that he stammers (C. D. P.). A case reported by J. O. Müller and translated in C. D. P. brings out some very characteristic symptoms of Phos. A strong woman, 30, took about three grains of Phos. from matches. Among her symptoms were: After eight hours violent and noisy, vomitings. Prostrated, cold, pallid, as if moribund and unconscious. Cold, clammy sweat, general; skin here and there waxy yellow; complexion leaden grey; dark blue rings round eyes; pulse small, hard, slow, unrhythmic, intermitting. Abdomen distended, very sensitive all over, the slightest touch causing violent pains; could not bear weight of nightdress. Senses and mind in unconscious apathy; could only be roused by loud calling into her ear. Aco. 1 every ten minutes revived her. She complained of very violent burning pain in lower chest (oesophagus?), stomach, and whole abdomen < by every touch or change of posture. Vomiting and diarrhoea had ceased, but she still had retching and ineffectual straining at stool with burning like fire in large intestine and anus. She passed with difficulty small quantities of dark yellow urine, smelling strongly of garlic, after micturition very severe burning. Boring, burning pains in bones, especially of skull, palate, nose, jaws, and teeth, < taking cold or warm things into mouth or chewing, only tepid liquid nutriment could be borne. At times numb pain in teeth; they felt loose as if they would fall out. Apathy alternating with angry words and actions. After menses, burning leucorrhoea that made the parts sore. Soft parts of joints swollen. Considerable rigidity of joints. The skin, which had been pale, put on a yellow tint, bloated swellings appeared in places on eyelids and face, pitting on pressure. On nape, back, and other parts the skin could be raised by the fingers in large folds, which slowly smoothed down again. Finally a peculiar exanthema appeared on the skin about the joints like eczema; vesicles in groups turned rapidly into scabs and frequently recurred. Sulph. was given and gradual recovery occurred. In a youth poisoned by Phos. there was nausea and sour taste; milk tasted burnt; every smell (tobacco, wine, beer) < the nausea. One of the provers had: Loathing of butcher's meat and bad appetite. Phosphorus burns are among the most painful of all burns, and the burning sensations of the poisonings are prominent also in the provings: "Glowing sensation throughout epigastrium and chest." "A flame seemed passing through me." "Warming sensation right side of heart and below left clavicle. This heat spread to apex of left scapula and to acromion, when it left the heart." "From 11 a.m. till 4 p.m. remarkable numb feeling in left leg from knee to toes, sometimes sensation as if hot blood flowed into it." Other symptoms from the provings are: "Drawing forcing towards pelvis and rectum as if menses coming on." Intense sexual excitement in men with erections, emissions; later impotence. Dr. Sorge, 34, had this symptom: "Weight in occiput and nape, down whole spine a dull feeling as if over-filled with blood, and in sacrum a peculiar paralytic feeling like what one feels in the limbs when exposed to unavoidable danger; heaviness of feet, which were not placed on ground with usual energy. Walk less strong, often stumbled on a smooth road. Diminished sexual appetite, and feeling as if the penis would not become erect when excitement was present. Mental indifference (quite unusual)." E. R. Heath had some decidedly "phosphorescent" symptoms: Darting, cutting pains, causing much distress, starting from different points and flashing over whole abdomen; imagined an aurora borealis and seemed to hear distinctly voices shouting "Beautiful, oh! was not that splendid?" as the pains became more severe and lasting. He sprang from bed and tried to collect his thoughts; had numbness all over with sensation of myriads of needles slightly pricking him. Throat dry and parched; a flame seemed to pass through him. Feet seemed glued to the floor. With great difficulty he reached the vessel, and as soon as the bowels began to act the pains changed to cramps. Stools were like scrapings of intestines, almost constant, with tenesmus, for over two hours, after which he lay down in bed, weak, sore, almost helpless. The same prover had: Intolerable thirst; drink did not quench it, but caused cold, clammy sweat to exude the moment the water entered the stomach. Later: Involuntary passages, periodic; rectum insensible; sphincter paralysed; slight prolapse after each stool. Stools inodorous save for a slight mouldy smell. H. Noah Martin proved Red amorphous Phosphorus. The symptoms do not differ from those of transparent Phos., and are included in the Schema.─Such are the materials out of which the picture of the great remedy known in homoeopathy by the name Phosphorus has been drawn, the characteristic features being pointed up with the added light and shade of clinical experience. The types of constitution in which Phos. has been found particularly suitable are strongly marked: (1) Tall, slender persons, of sanguine temperament, fair skin, blonde or red hair, quick, lively perceptions and sensitive nature. (2) Young people who grow too rapidly and are inclined to stoop; chlorotic; anaemic. [In experiments on young animals Phos. has produced rickets. Kessel (H. W., xxxi. 394) gave Phos. to young dogs, in whom it caused fatal disturbance of digestion and fatty liver, and "marked atrophic process where bone was being deposited."] (3) Persons of waxy, translucent skin; half anaemic, half jaundiced. (4) Tall, slender, narrow-chested, phthisical patients; delicate eyelashes, soft hair. (5) Tall, slim, dark-haired persons, especially women, disposed to stoop. (6) Nervous, weak persons who like to be magnetised. (7) Haemorrhagic patients; slight wounds bleed profusely. Phos. profoundly affects the nutrition and function of every tissue, notably the hardest (bone) and the softest (nerve and blood). It causes irritation, erethism, exaltation of all the senses, and later a typhoid state and fatty degeneration. In fevers of typhoid type and in pneumonia Phos. has an important place. It is indicated especially when the morbid action becomes localised in the right lung, particularly the lower lobe. In the year 1876, in the course of a severe attack of typhus fever during my residence in Liverpool, my state, as I am told (for I was in delirium), suddenly became very critical through pneumonic consolidation of the right lung. Phos. was the remedy selected by Drs. Drysdale, Hayward, and Hawkes, who attended me, and under its action I made a rapid recovery.─Hard, dry cough, rusty sputa; < at twilight and till midnight; < lying on left side; > lying on right side; abdomen distended, sore, very sensitive to touch; stools offensive, bloody, involuntary; the anus appearing to remain open. Each one of the symptoms I have italicised is a keynote of Phos. When any of them are present (with or without the pneumonia) Phos. is likely to be the remedy. The delirium is low, muttering, stupid; or violent; or there may be a state of ecstasy; or odd ideas, that his bones are in fragments and he cannot fit the pieces together. As a leading constituent of nervous matter Phos. has a deep action on the organ of mind and sensation. It produces an excitable condition, exaltation of mental faculties, and the condition which follows over-exertion. The mind, like the special senses, is too excitable and impressionable. Easily angered and becomes vehement; actually gets beside himself with anger and suffers physically in consequence. At other times anxious and restless, especially in the dark and at twilight (the restlessness of Phos. is universal; patient cannot sit or stand still a moment; it belongs to the stage of irritation, and is succeeded by apathy if the condition is not arrested). Imagines he sees faces grinning at him from the corners of the room. Such conditions are found in cases resulting from losses of fluids; over-work of brain; sexual excesses and abuse, and take shape in general paralysis of the insane with mania of grandeur; and in apoplexy and its sequelae; in Duchenne's pseudo-hypertrophic paralysis, in locomotor ataxy and other paralyses. A very characteristic condition of Phos. in nervous cases is fibrillary twitching of individual bundles of fibres in muscles. Numbness and formication in paralysed limbs indicate it in hemiplegia and paraplegia. Spasms on paralysed side. In other cases the burning pains of Phos. are prominent: burning between the scapulae; burning in spots along the spine; feeling of intense heat running up the back (no other remedy has exactly this symptom). The uncertain gait, neuralgic pain, and fuzzy feeling of the feet, give the correspondence with locomotor ataxy, when the conditions correspond. Epilepsy from masturbation. Petit mal: epilepsy with consciousness. Man of Itzehoe (H. R., xv. 268) cured this case of sciatica: An elderly lady had for eight weeks a continual burning pain running along back of left thigh and leg, compelling her to spend most of the day in bed. Entire limb so weak that she could hardly walk. < Lying on left side. > Lying on right side or on back. < By movement. < By cold air. > Being warmly-covered. < In evening. Phos. 6x, every two hours, caused aggravation for the first three days, and after that gave relief, but did not cure. Phos. 30, one powder every evening, completed the cure in a week. But the action of Phos. is not confined to the brain and spinal cord, it also affects the cranial bones and spinal column. I cured mainly with Phos. 1m a case of spinal caries with paralytic symptoms in a lady aged 67. That is, I cured the caries and removed the paralysis, though the curvature remained. There was a history of a strained back thirty-five years before, and of lumbago and sciatica five years before I saw her. She had many pains in the scapula and chest, and could not walk unless supported about the waist. Incidentally Phos. set up a symptom of its own: Dryness of mouth, lips, and throat. Phos. has burning thirst for cold water; cold water relieves, but as soon as it becomes warm in the stomach it is vomited. This is one of the keynotes of Phos., and distinguishes it from all other remedies in cases of vomiting. Desire for cold foods and preference for cold meat is very characteristic of Phos., and the cold food, like the cold drink, may be vomited as soon as it becomes warm inside. Ice cream > the gastric pains. There is nausea on putting hands into warm water; sneezing and coryza from putting hands in water. Regurgitation of ingesta in mouthfuls. During pregnancy the sight of water = vomiting. The appetite of Phos. is remarkable: Must eat often or he faints. Hungry soon after a meal; hungry in the night, must eat. Craving for salt (Phos. remedies the effects of excessive salt-eating). The sinking, faint feeling of Phos. is felt in the whole abdominal cavity; also in head, chest, and stomach. The stools of Phos. are peculiar, whether constipated or diarrhoeic: Long, tough, hard faeces (like a dog's); voided with great difficulty and straining. Diarrhoea as soon as anything enters the rectum; profuse pouring away as from a hydrant; watery with sago-like particles; with sensation as if the anus stood open involuntary; during cholera-time painless; morning of old people bloody stool; blood-streaked stool; stool like shreddy membranes. With the stool there is burning in the anus and tenesmus. There are also pains of all descriptions in the anus, notably stitches shooting up rectum. A man suffering from pneumonia, to whom I gave Phos. 3, after a few days developed attacks of violent pain in rectum and anus, with distension of abdomen and desire for stool; stool light, lumpy, constipated, only passed by aid of glycerine enema; after stool, complete relief of pain; sometimes the attack waked him from sleep. With Phos. 200 I cured a very severe proctalgia coming on at every menstrual period. During urination, and also when not urinating, there is burning in the urethra. Another very characteristic burning of Phos. is burning palms, cannot bear to have the hands covered. Flashes of heat beginning in hands and spreading to face. The fever is more of the yellow fever, typhus, or typhoid, nervous or hectic, type. In intermittents when there is heat at night beginning in stomach; faint and hungry in night; heat of hands. There is also chilliness towards evening; icy coldness of hands, knees, and feet, even in bed. Sweat is anxious, profuse, exhausting on slightest exertion; profuse at night; cold and clammy, smelling of sulphur or of garlic. Phos. corresponds to yellow fever in many particulars; disorganisation of the liver and blood with jaundice; haemorrhages. It has caused acute fatty degeneration of the liver; and corresponds also to fatty degeneration of pancreas with gastric symptoms and oily stools, and fatty and amyloid degeneration of the kidneys. Phos. stands at the head of haemorrhagics, and corresponds to the haemorrhagic diathesis. The blood loses its coagulability. Very small wounds bleed profusely. Blood-streaked discharges are very characteristic when from lungs, nose, bowels, or other orifices. Haemorrhoids. Menses are more profuse and longer-lasting than usual. There may be vicarious menstruation in the form of haemoptysis, epistaxis, or haematuria. Left ovarian pain. Leucorrhoea which causes blisters. Sexual excitement is great in both sexes, going to the extent of satyriasis and nymphomania. Frequent erections in men, and sexual thoughts entirely beyond the patient's control. Erections in spite of efforts to control passion in young men. Impotence from over-indulgence or from celibacy. The female breasts are the seat of many burning, shooting, cramping pains, and Phos. has proved a leading remedy in mammary abscess and fistulae. The characteristics are: Erysipelatous appearance; red streaks starting from opening; thin, ichorous discharge. The haemorrhagic action of Phos. is seen in many forms of pulmonary haemorrhage and congestion: blood-streaked or rusty sputa; tasting salty; when patients with delicate chests bring up phlegm tinged with blood whenever they take cold Phos. will generally clear up the case. Phthisis florida may also need Phos. It has also a "stomach-" or "liver-" cough; cough comes on after eating, and starts from a tickling in pit of stomach. Cough < when strangers enter the room. Cough < from strong odours (part of the general sensitiveness of the drug). Bronchial catarrh > in all grades may require it. Cough = tearing pain under sternum as if something was being torn loose. Suffocative pains in upper part of chest with constriction of larynx and engorgement of lungs; mucous rales; panting and laboured breathing, even emphysema. After the cough an asthmatic attack. The Conditions of Phos. will generally decide when it should be given. T. D. Stow (J. of Homoeopathics, August, 1890) reports the case of H. B., 52, farmer, who had for six months a sharp pain with soreness in third intercostal space, three inches to left of sternum, limiting inspirations. Dyspnoea on exercise; dry cough during the day till 10 p.m. Thick, yellow, sweetish sputa from 6 a.m. to 10 a.m. Cough < lying on left side; when talking; when eating and just after eating; on going into cold air; by change of weather. > In fairly warm room; lying on right side. Prefers cold food. Has become alarmed by the persistence of the attack and loss of flesh. Three doses of Phos. 500 (Dunham), taken on three successive days, cured. This case was translated in Hahn. Month, September, 1890, from Alg. H. Zeit.: Whilst walking rapidly against the west wind three months before, X. felt a pain under middle of sternum with sensitiveness of the part to pressure. Pulse rapid. Phos. 6 removed the symptoms for two weeks, when pain and sensitiveness returned, and with the pain a sensation as though gas would rise from epigastrium. Phos. 3 cured. W. A. Nicholas (H. W., xxv., 495) reports the case of T. B., 51, whom he saw after a four months illness, which began with congestion of the brain on the sudden death of his wife, and was followed by bronchitis. During all this time he was heavily drugged. A rather long walk brought on a severe attack of angina pectoris. Bell. 1x gave much relief. Nicholas noticed the patient at times put his hand to the back of his neck. Phos. 1 relieved entirely. Phos. corresponds to headache and other sufferings from grief. Hot vertex after grief. It has shocks in occiput; coldness in cerebellum; congestion of brain seeming to rise from spine into head. Phos. has "splitting headache caused by cough." Neuralgic pains of many kinds, and impending paralysis. The attacks are induced by mental exertion; worry; washing clothes; and are < by music; noises; strong odours. Gale, of Quebec, discovered in Phos. a remedy for "washerwoman's headache" (Organon, iii. 30). His patient had these symptoms: Whenever she washes clothes or walks fast she has─rush of blood to head, red face and eyes, heat on head, scalp sensitive to touch, sudden shooting pains, especially in vertex. Phos. cm cured. I cured a somewhat similar case (H. W., xxiv. 455) with Phos. 30 every four hours; only in my case the headaches always appeared the morning after washing: violent shooting pains left side of vertex, > wrapping head in flannel. I had given several medicines previously which had improved the general health, but had done very little for the headaches. Phos. affects all parts of the eye─retina, choroid, vitreous and crystalline lenses, cornea, and conjunctivae. It has arrested cataract and glaucoma, and cured retinitis albuminuria from suppressed menses. The leading symptoms are: Colours appear black before the eyes. Always sees green. Halo round candle. Letters appear red whilst reading. As if a grey veil over everything. Blindness after typhoid; sexual excess; loss of fluids; lightning. Twitching of lids. Pustule on cornea. Burning pains. The characteristic skin of Phos. is waxy, and either clear and pale or yellow. Under a "Phosphorus treatment" which was in vogue a generation ago, patients had a peculiarly waxy, fine, clear complexion; and in one case which came under my observation there was also very marked enlargement of the liver. In a case of rheumatism in an old lady who had waxy pallor, Cooper gave Phos. and set free all the joints. All kinds of eruptions May be set up. Exanthema with pustules (like small-pox), ulcers, psoriasis, lichen, eczema, blood boils, purpura. Hansen cured a case of purpura in a girl of ten (H. W., xxxv. 105). The disease began with loss of appetite and pains in the stomach, but as soon as the purpura spots appeared the pains ceased and the appetite returned. The inner aspects of the thighs were affected. Phos. 2 cured. The ulcers of Phos. bleed easily at the slightest touch, and open cancers or fungus haematodes with this characteristic have been cured with Phos. "Large ulcers surrounded by smaller ones." Ulcers affecting the nails. Inflammation and eruptions about joints. Fistulae with callous edges from glands. The joints most affected by Phos. are the hip and knee. The left side of the lower jaw is more affected than the right. Caries and exostoses of spine and other parts have been cured with Phos. De Noë Walker cured with Phos. 6 a large exostosis of the femur which had been pronounced osteo-sarcoma by old-school authorities. There are some forms of rheumatism which only Phos. can cure. These are characterised by great stiffness of the joints, more stiffness than pain. A drawing, tearing, tight feeling in parts. Stiffness of old people. Paralytic rheumatism from exposure to rain. The tight sensation appears in the girdle pain of spinal affections; tightness of skin of face and forehead. (Also stiffness in brain; in eyes.) Allied to the rheumatic symptoms of Phos. is its sensitiveness to effects of storms, especially thunderstorms. Phos. has cured more cases of headache always coming on when thunderstorms are about than any other remedy in my experience. It has also cured blindness from lightning stroke. The headaches from inhaling the steam of a washtub perhaps come in the same category as effects of vapour-laden air when storms are about. Mills (quoted H. W., xxxi. 33) relates a typical case of thunderstorm effect: Mrs. R, tall, thin, dark, of mild and gentle disposition, was seen by the doctor during a thunderstorm. He found her sitting on the stairs, trembling and cold and bathed in cold, clammy sweat, full of nervous dread, and almost beside herself. One dose of Phos. cm cured. Some weeks later she witnessed a worse storm with complete unconcern. The power of Phos. over septic conditions is illustrated in a case of Howard Crutcher's (quoted H. W., xxxiii. 405). A girl, 16, had perforating appendicitis, operation having been delayed too long in consequence of opposition of friends. Although he deemed it useless he was persuaded to operate, and found a large abscess behind the colon, freely communicating with the peritoneal cavity. Up to the fourth day the patient progressed favourably. Then there was a collapse: pulse 130, mind wandering, urine and faeces passed without restraint. The patient was rapidly sinking; Arsen. gave no help. The doctor sent word to the students who were nursing the patient that they might try a hot saline enema. On attempting to give it the rectum was found to be open, no resistance being offered by the sphincter. Greyish-while faecal discharges, watery and offensive, passed constantly. "The students, recognising the indication for Phos., gave a dose of that remedy, and instead of dying the girl got well." Peculiar sensations are: As if about to die. As if immersed in hot water. Anxiety as if below left breast. As if he had been lying at night with head too low. As if everything had stopped in head. As if chair were rising. As if eyes would be pressed out; or pressed down by weight about them. As if painful nodes under scalp. As if pulled by hair. As if head would burst. As if something exploded in head. As if skin of face too tight. As if something were pulled tight over ears. As if dust in right eye; sand in left eye; eyeballs large. As if something lay before ears; foreign body in ears. As if nose stuck together. As if nails driven into jaws. As if food did not digest properly. As if heavy Weight in stomach. Stomach as if freezing. As if something cooking in stomach. Anus as if open. Larynx as if lined with fur. As if skin on larynx. As if a piece of skin hanging loose in larynx. As if something in middle of sternum torn loose. As if heart had grown fast. As if chest eviscerated. As if a narrow band encircled body and lay upon heart. As if great weight lying on middle of sternum. Back as if broken. As if quicksilver moved up and down spinal cord. Coccyx as if ulcerated. Soles as if he had walked too much. Feet as if asleep. Ankles as if sprained. Suddenness is a feature of Phos.: Sudden prostration such as may occur in diphtheria, measles, scarlatina, or any disease in which the system has sustained a profound shock. The left side is somewhat more affected than the right, the venous more than the arterial system. The symptoms of Phos. are < from touch (cannot bear touch of nightdress); from pressure (but pressure > feeling as if something before ears and pains in chest). Rubbing >. Mesmerism >. Rest < pain in arms and shoulders. Lying down = intense pains in eyes; < colic and tearing in jaws; > heat of scalp and incarcerated flatus. Weakness after stool and after urinating, compelling lying down. Lying on back < diarrhoea; asthma; > pneumonia; pain in arm. Lying on left side <; on right side >. Sitting <. Motion; exertion; walking, especially fast walking, <. Exertion physical or mental <. Laughing < (cough). Coughing = headache. Talking < pain in larynx. < From spraining parts. < Lifting arms. < Before sleep, > after. (Some symptoms are < on waking, but this is less characteristic.) < Morning; evening (especially twilight); before midnight. Heat < boring in teeth; back pains; itching spots of skin. Warm food and drink < (but hot drinks > flatulent colic). Warm water, putting hands in = toothache. Warm wraps > neuralgia of head and heat of scalp. Weather changes (either way) <. Open air > pain in forehead; hemicrania; stuffed feeling in nose; < vertigo; toothache cough tearing in labia taking cold easily. Wind <. Thunderstorm <. Washing with cold water >. Washing clothes; wet weather <. < Light noise music; piano playing. > In the dark.

Relations.─Antidoted by: Nux, Coff., Tereb.; Kali permang. well diluted and given freely (Dr. Antal). It antidotes: Tereb., Rhus ven., Camph., Iod., Nat. m. (excessive use of salt), Petrol. Complementary: Ars., Cepa (all three have alliaceous odours), Carb. v., Ipec. Incompatible: Caust. Compatible: Ars., Bapt., Bell., Bry., Calc., Cart). v., Chi., K. ca., Lyc., Nux, Pul., Rhus, Sep., Sil., Sul. Compare: Ars., Merc., Petr., Sul. Asthma after cough, Ars. (Ars. before and after). Fancies himself in pieces, Bapt. Stitches up vagina, Sul., Sep., Pul., Nit. ac., Alum., Berb., Am. c. Weakening night-sweats, Chi., Calc., Lyc. Sweats towards morning, Calc., Lyc. (Phos. on awaking). Tongue glazed, Lach. (Lach. red; Phos. dry, cracked, black). Lienteria, Chi. Cough < entering cold air from warm room (Bry. opposite). Fear of darkness, Am. m., Calc., Stro., Val., Stram. Fear of ghosts, Pul. Sense of insecurity in bowels, Alo. Piles during menses, Collins., Ign., Lach., Pul. Effect of raising arms high to lift things, Rhus. Chilblains; general paralysis, Agar. Headache with increased intellectual powers (Phyt. with increased hearing). Hunger at night, Chi. s., Pso., Pul., Ign., Lyc. (Pho. unappeasable hunger with febrile heat). Left ovarian pain, Coloc., Thuj., Lach., Bry. Somnambulism, Can. i., Sul., Luna. Sensation of anus open, Phos. ac., Apis (Lach. as if vagina Open). < Walking fast, Pul. Regurgitation of food, Sul. Nocturnal salivation, Cham., Nux, Rhus. Difficult swallowing of liquids, Bell., Caust., Can., Hyo., Ign., Lach., Lyc. Blood from bowel, Merc., Nit. ac., Sul., Caps., Merc. c. Menorrhagia, Calc. Laughs at serious things, Anac., Lyc., Nux m., Plat. Haemorrhage, blood does not coagulate, Sanguisuga. Fatty changes in blood, kidneys, spinal cord; brain-fag; crawling and tingling sensations; sexual excitement with erethism; backache as if it would break Pic. ac. (Phos. has more irritability and over-sensitiveness to external impressions with the weakness; the senses are too acute, or if failing, accompanied by photopsies; Pic. ac. has more intense erections and less lasciviousness than Phos.). In general features; taciturn and distrustful; inclined to be angry and scold; sensation of tension; nervous weakness and restlessness, Caust. (Phos. has great soreness of larynx, fears to cough or talk; Caust, has cough > by cold drink, Hoarseness of Phos. is < evening, of Caust. < morning). Scrofula, tuberculosis, swelling of glands, indolent ulceration, difficult learning to talk and walk (Phos. has delicate, refined skin, features sharp and rather handsome; Calc. large, swollen lips). Small ulcers surrounding large ones (Hep. pimples round sore eyes). Phthisis florida, Fer. (Fer. has apparent plethora with great oppression of chest from least exertion). Weakness and goneness in stomach at 11 a.m.; softening of brain; enervation accompanied by trembling; restlessness, Zn. (Zn. has ptosis; < from wine; restlessness of feet, Phos. of entire body). Functional paralysis from fatigue or emotion, Stan., Coccul., Ign., Nat. mur., Collins. Hoarseness, < evening, weak chest, cough, copious expectoration, hectic, Stan. (Phos. has more blood-streaked sputa; tightness across chest). Bone disease, abscess, especially of breast, with fistulous openings; over-excitability of nervous system; cough excited by speaking, Sil. Phthisis; rapidly growing young people, Iod. (Phos. is nearest Iod. in phthisis). Aphonia with rawness of larynx, Carb. v. Heat at vertex; imperfect growth of tissue; morning diarrhoea, Sul. (Sul. has hunger at 11 a.m. with the heat at vertex, Phos. has not; Phos. has green painless stools, Sul. stools changing colour, and raw sore anus). Irritation of respiratory tract, sore larynx (Phos. has irritation lower down; sore larynx, < from talking or pressure, Bell. only from pressure). Capillary bronchitis, Ipec. (Phos. more inflammatory). Prostration, Chi. (Phos. sudden, Chi. not). Vicarious menstruation, Bry., Puls., Senec. Typhoid, Rhus; and erotic mania, Hyo. Cold; cerebral softening, Nux (Phos. follows Nux in both; if cold goes to chest in spite of Nux). Cough from reflex nervous influence, Ambra (Amb. < when strangers in room). Irritability; intolerance of mental strain, Nux. Vomiting: after drinking cold water, Ars. (Ars. immediately; Pho. as soon as warm in stomach), Bism. (immediately after eating, with burning cardalgia), Kre. (of undigested food hours after eating). Diarrhoea as soon as he eats, Ars. Weakness after stool, Con., Nux. Sensitive to storms and electricity, Rhod., Merc., Morph. Polypi. Teuc., Calc., Sang., Pso., Lemn. > From cold drinks and food (Lyc. opposite). Hysteria, Ign. Deafness, especially to human voice (Ign. opposite). Small wounds bleed much, Lach. < Putting hands in water, Lac. d. Apathy; weakness and prostration from loss of fluids, Pho. ac. (Phos. has more dryness of tongue and sensorial excitement). Diarrhoea blood-streaked and looking like flesh water, Canth., Rhus. Shreddy, membranous diarrhoea, Ars., Caust. < Twilight, Puls. Hepatisation of lungs, Ant. t., Sul., Lyc. (these correspond to the later breaking-up stage). Can only lie right side (Merc. can only lie left). Levitation, Phos. ac., Stict. pul. Desire for acids, Phell. Affections of skin about joints, Sep. Tongue as if burnt, Sang. Deafness after typhoid, Ars., Petrol. Nymphomania, Calc. ph., Orig. Tuberculosis, Bacil., Tuberc. Explosion in head, Alo. Jerks in head during stool, Indm. Numb, stiff feeling in brain, Graph. Duchenne's paralysis, Curar. Growing ends of bones, Conch. Effects of hair-cutting, Bell. Teste puts Phos. in three of his groups, of which Puls., Ipec., and Fer. are the types.

Causation.─Anger. Fear. Grief. Worry. Mental exertion. Strong emotions. Music. Strong odours. Gas. Flowers (fainting). Thunderstorms. Lightning (blindness). Sexual excesses. Loss of fluids. Sprains. Lifting. Wounds. Exposure to drenching rains. Tobacco (amblyopia). Washing clothes. Having hair cut.

SYMPTOMS.

1. Mind.─Affections of the mind in general; amativeness; dizziness of the mind.─Nymphomania.─Melancholy sadness and melancholy, sometimes with violent weeping, or interrupted by fits of involuntary laughter.─Laughs at serious things.─Stupor, low, muttering delirium; loquacious.─Thinks he is several pieces, and cannot adjust the fragments.─Stupor from which he could be aroused for a moment only to lapse back into a muttering lethargy; and forgetfulness.─Great apathy; very sluggish; dislike to talk; answers slowly or not at all.─Anguish and uneasiness, esp. when alone, or in stormy weather, principally in evening, with timorousness and fright.─Anguish respecting the future; or respecting the issue of the disease.─Susceptibility to fright.─Fear: in evening; of darkness; of spectres; of things creeping out of corners.─Hypochondriacal sadness.─Disgust to life.─Apathy alternating with angry words and acts.─Becomes easily vexed and angry, which makes him exceedingly vehement, from which he suffers afterwards.─Any lively impression = heat, as if dipped in hot water.─Great irascibility, anger, passion, and violence.─Involuntary and spasmodic weeping and laughter.─Misanthropy.─Repugnance to labour.─Shamelessness, approaching insanity.─Great indifference to everything, and even to patient's own family.─Great forgetfulness, esp. in morning.─Great flow of ill-assorted ideas.─Zoomagnetic condition; state of clairvoyance.─Ecstasy.

2. Head.─Cloudiness and dizziness, esp. in morning.─Vertigo when rising from bed in morning; when rising from a seat, with faintness and falling to the floor; < morning and after meals.─Dulness of head > washing face with cold water.─Frequent attacks of vertigo at different times, and at different hours in the day, esp. in morning, in middle of day, and in bed in evening.─Vertigo when seated; with hypochondriasis, during which chair appears to rise.─Vertigo with nausea and pressive pains in head.─Obstinate vertigo; falls back whenever he attempts to rise from bed.─Vertigo very pronounced; up and down vertigo; things move up and down, or else patient feels sinking through the floor (R. T. C.).─Apoplectic unchanging vertigo (R. T. C.).─Vertigo with loss of ideas.─Stupefying headache, morning, when moving, and < on stooping; ceasing for a short time after eating; > when lying down and in cold air.─Attacks of headache, with nausea and vomiting, and throbbing, jerking pains.─Nocturnal headache, preceded by nausea in evening.─Headache caused by vexation.─Headache in morning.─Headache with increased mental power.─Weakness of head, which is fatigued by music, laughter, a heavy step, a warm room, etc.─Pain in brain as if it had been bruised.─Stunning headache, sometimes with violent ebullition of blood, and paleness of face.─Congestion to head, with burning, singing, and pulsations in head, red face, puffiness under eyes, < morning when sitting and in evening in bed.─Sensation of emptiness in head with vertigo.─Headache as if too full of blood from intense study.─Headache above l. eye with floating spots before vision.─Numb, dizzy sensation in brain, inability to work.─Feeling as if everything had stopped in brain.─Jerks in head, esp. during stool.─Sensation as if brain stiffened on remaining in open air.─Sensation of heaviness, of fulness, and pressure in head.─Tearing in head, and esp. in temples, or semilateral.─Lancinations in different parts of head, esp. in evening.─(Incessant shooting pains through brain with sensation as if eyes being pulled out, beginning in forehead, lasting day and night, with vomiting, > by either warmth or cold.─R. T. C.).─Shocks in occiput, loud snaps; shocks in whole head, with shattered sensation as if something had exploded; brought on by over-work or worry.─Washerwoman's headache.─Burning in forehead, with pulsations, morning and afternoon, after eating < in warm room, > in open air.─Pulsation in head, with singing and burning in it, mostly in forehead, with nausea and vomiting from morning till noon; < from music, while masticating, and in warm room.─Congestion in head, with beating, buzzing, heat, and burning sensation, esp. in forehead.─Splitting headache from cough.─Sensation of coldness in head.─The headaches are > by open air.─Neuralgia of head, when it must be kept warmly wrapped up night and day.─External shootings in side of head.─Distressing sensation, as if skin of forehead were too tight, and tension in face, as if the skin were not large enough, frequently only on one side; < from change of temperature and while eating; > after eating, with anxiety.─Tendency to suffer from a chill in head, with a sensation in open air as if brain were congealed.─(Sensation of coldness in cerebellum, with sensation of stiffness in brain.).─Inflammation of brain with pulsations and singing in head; the heat enters head from the spine, and from it extends to feet; < in warm room, > when moving about in cold air.─Headache over l. eye.─Headache extending to eyes; to root of nose.─Itching in scalp, < from scratching, with dandruff.─Falling off of hair (in large bunches on forepart of head, and) esp. above ears (alopecia areata).─Dry scabs and great scaliness of scalp.─Dry, painful heat of scalp, compelling one to uncover head; temperature of body not increased; > when lying down.─Clammy perspiration on head only, and in palms of hands, with discharge of much turbid urine.─Sensation as if pulled by the hair.─Exostosis on cranium.

3. Eyes.─Pains in eyes, as if in orbital bones.─Pressure in eyes as from a grain of sand.─Frequent itching in eyes.─Pressure as if eyes would be pressed out.─Shootings, smarting, heat, and burning sensation in eyes, esp. in external canthi.─(Eyeballs feel sore, with tendency to cold sweat and giddiness.─R. T. C.).─Eyes sore to touch and feel full (cured. Qy. glaucoma?-R. T. C.).─Congestion of blood in eyes.─Redness of sclerotica and of conjunctiva.─Yellowish colour of sclerotica.─(Episcleritis shifting from one eye to the other.─R. T. C.).─Inflammation of eyes of various kinds (with pressing and burning pains).─Lachrymation, esp. in open air, and when facing the wind.─Agglutination of eyes, morning, with lachrymation in open air, < in wind.─Sees better in morning, in twilight, or by shading eyes with hand.─Small burning spots on eyeballs.─Balls seem large, difficult to get lids over them.─Stiffness in eyes.─Nocturnal agglutination of eyes.─Hordeolum.─(Styes constantly appearing; suppurate.─R. T. C.).─Quivering of eyelids and of their angles.─Difficulty in opening eyelids.─Swelling of eyelids.─Pupils contracted.─Oedema of the lids and about the eyes.─Amblyopia.─Weakness of sight on waking in morning.─Eyes give out while reading.─Myopia.─Diurnal blindness, which is sometimes instantaneous (as from fainting); everything seems to be covered with a grey veil.─As if a black veil were before the eyes.─Clouded sight by candle-light.─Weak-eyed people who see a halo around the lamplight.─Shortsightedness; momentary loss of sight.─One sees variegated colours when there may be, only one colour.─Black reflections or sparks, and black spots before sight.─Sensibility of eyes to both daylight and candle-light (aversion to light).─Greenish (or red) halo round candle.─Cataracta viridis.

4. Ears.─Otalgia.─Acute tearings and shootings in ears and head.─Beating and pulsation in ears.─Congestion of blood in ears.─Sensation of dryness in ears.─Yellow discharge from ears, alternating with deafness.─Acuteness of hearing.─Strong echoing of sounds, esp. of human voice, in ears, with vibration in head.─Deafness, esp. to human voice.─Feeling as if something were in front of the ears.─(Deafness after typhoid, etc.).─Deafness, l. side, and throbbing headache (produced.─R. T. C.).─Deafness from cold in head.─(Deafness with decayed teeth.─R. T. C.).─Murmuring before ears.─Buzzing in ears.─Roaring, ringing in the ears.─Aching; tickling; itching in ears.─Frequent tinnitus sometimes changing into beautiful tunes.─(Never-ceasing tinnitus like steam; seems to cause vertigo and feeling of falling through floor.─R. T. C.).

5. Nose.─Nose red, swollen, and painful to touch.─Dry and hard scabs in nose.─Polypus in nose (bleeding easily).─Excoriation at angles of nose.─Ulcerated nostrils.─Numerous freckles on nose.─Fetid exhalation from nose.─Blowing of blood from nose (every time it is blown).─Profuse nose-bleed; slow bleeding.─Epistaxis, sometimes during a stool or in evening.─Acute sense of smelling, esp. during the headaches.─Foul imaginary smells.─Loss of smell.─Uncomfortable (painful) dryness of nose.─Constant (profuse) discharge of yellow, greenish, bloody, purulent mucus from nose; without coryza.─Coryza; with inflammation (soreness) of throat and dulness (confusion) of head; fluent and dry alternating.─Frequent sneezing.─Obstruction of nose, esp. in morning.

6. Face.─Face pale, wan, sallow, earth-coloured, with hollow eyes, surrounded by a blue circle.─The colour of the face is very changeable.─Paleness, alternately with redness of face, and transient heat.─Redness and burning heat of cheeks.─Circumscribed red spots on cheeks.─Ashy, anaemic; blue lips; waxy.─Bloatedness of face, esp. round eyes.─Jerking of muscles of face.─Tension of skin of face and forehead, sometimes on one side only.─Desquamation of skin of face.─Painful sensibility of one side of face on opening mouth.─Painful, drawing, and tearing shootings in bones of face, esp. in evening, or at night in bed, or after the slightest chill.─The pains in face are renewed by speaking or by slightest touch.─Eruption of pimples and of scabs on face.─Lips bluish.─Lips dry and parched, swollen, covered with brownish scabs.─Cracked lips; crack in middle of lower lip.─Tetters and pimples round the mouth.─Ulceration of corners of mouth.─Cramp in jaw.─Necrosis of lower jaw, more rarely of upper.─Necrosis of l. lower jaw; swelling of jawbones.─Engorgement of submaxillary glands.

7. Teeth.─Drawing or tearing (pricking, stinging) toothache, or else gnawing, boring, pulsative, jerking, and shooting, esp. in open air, or in evening and morning, sometimes at night only, esp. in heat of bed, or else from contact with hot food.─Toothache after washing clothes; from having the hands in cold water.─Toothache with salivation, after slightest chill.─Pains as of ulceration in teeth during a morning meal.─Caries in teeth.─Teeth become very loose.─Bleeding of teeth.─Grinding of teeth.─Painful sensibility, inflammation, unfixing, ulceration, swelling and ready bleeding of gums.─Gums separated from teeth, and bleed easily, esp. from touch.

8. Mouth.─Excoriation of mouth.─Bitter taste in mouth; sour after milk; bloody erosions on inner surface of cheeks.─Accumulation of saliva, which is watery, saltish, sweetish; or excessive dryness of mouth.─Soreness of mouth.─Spitting of blood.─Viscid mucus in throat.─Haemoptysis.─Purulent vesicles in palate.─Skin of palate shrivelled, as if about to be detached.─Tongue swollen, dry, loaded with a blackish brown coating.─The tongue swells (agg.─R. T. C.).─Stinging in tip of tongue.─Tongue: chalky white; dry and white; dry and red; dry and brown in centre; coated yellow.─Difficult articulation; speech slow; tongue refuses to move so that he stammers.

9. Throat.─Dryness of throat day and night.─Aching in throat.─Smarting, scraping, and burning pain in throat.─Burning in oesophagus.─(Spasmodic) stricture of oesophagus.─Tonsils and uvula are much swollen.─Hawking up of mucus in morning.─Pain as from excoriation in throat.

10. Appetite.─Clammy or cheese-like taste.─Bitterness in mouth and throat after eating, with roughness.─Taste saltish, sour, or sweetish in mouth, esp. after a meal.─Loss of taste.─Want of appetite from a sensation of fulness in gullet and violent thirst.─Excessive craving for cooling things.─Longing for acids and spicy things.─Hunger after a meal.─Bulimy, even at night (during an attack of gout), with great weakness, so great that he faints if the hunger is not soon allayed.─Thirst, with longing for something refreshing.─Sensation of faintness and softness in abdomen after breakfast.─After a meal drowsiness and indolence, heat and anxiety, burning sensation in hands, acidity increased, pressure and fulness in stomach, chest, and abdomen, accompanied by obstructed respiration, vomiting of food, inflation of abdomen, or headache, risings of sour ingesta, hiccough, debility, colic, and many other sufferings.─Throwing up of ingesta by mouthfuls.

11. Stomach.─Risings, with pain in stomach, as if something were being torn out of it.─Tobacco smoke produces nausea and palpitation of heart.─Frequent risings, generally empty, esp. after a meal and after drinking; sometimes also abortive, or spasmodic, or else sour, or with taste of the food.─Sour regurgitation of food.─Pyrosis.─Hiccough.─Nausea of various kinds, esp. in morning or in evening, or else after a meal.─Nausea with violent hunger or thirst, which disappears on eating or drinking water.─As soon as the water (or food) becomes warm in the stomach it is thrown up.─Waterbrash, esp. after eating acid things.─Vomiting with violent pains in stomach and great weakness.─Greenish or blackish vomiting.─Vomiting of acid matter.─Vomiting of food, esp. in evening.─Vomiting of bile or of mucus at night, sometimes with coldness and numbness of hands and feet.─Vomiting of blood.─Vomiting with diarrhoea.─Pain in stomach, esp. when it is touched and when walking.─Violent pains in stomach, > by a cold drink.─Sensation of contraction in cardia; the food, scarcely digested, returns into throat.─Fulness in stomach.─Shootings and pressure in stomach, esp. after a meal, with vomiting of food.─Pain in scrobiculus when it is touched, also in morning.─Sensation of coldness, or heat and burning sensation in stomach and scrobiculus.─Inflammation of stomach.─Ulceration of stomach in anaemic girls (R. T. C.).─Spasmodic pain, sensation of clawing and contraction in stomach, sometimes with choking.─The pains in the stomach are > by cold food (ice-cream, ice).─General uneasiness, but which is felt more particularly in stomach.─The pains in stomach manifest themselves chiefly after a meal, as well as in evening and at night.─Oppression and burning in epigastrium.─Drawing pain in pit of stomach, extending to chest.

12. Abdomen.─A very weak, empty, or gone sensation, felt in whole abdominal cavity (this is an indicative point whether found existing among a complication of troubles or occurring alone, and esp. when accompanied by sensation of heat in the back between shoulder-blades.─H. N. G.).─Sharp pains through abdomen.─Shootings in hepatic region.─Distension of abdomen, esp. after a meal.─Abdomen hard and distended.─(Distended abdomen with bilious tendency.─R. T. C.).─Acute yellow atrophy of the liver.─Enlargement and induration of liver, with pain.─Pain in hepatic region on pressure.─Enlargement of spleen.─Sensitiveness in hepatic region, < when lying on r. side, with pain on touch.─Painful pulsation in r. hypochondrium.─Contractive pain in abdomen.─Spasmodic colic.─Pinchings, cuttings, and tearings in abdomen, esp. in morning, in bed at night, and in evening, and often with urgent want to evacuate and diarrhoea.─Shooting pains in abdomen, sometimes with pallid face, shiverings, and headache.─Sensation of coldness, with heat and burning sensation in abdomen.─Inflammation of intestines.─Intussusception.─Uneasiness in abdomen after breakfast.─Pressure outwards against sides of abdomen.─Soreness of abdomen to touch when walking.─Flaccidity of the abdomen.─Obliged to lie down from weakness across abdomen.─Inguinal hernia.─Large yellow spots in abdomen.─Swelling and suppuration of inguinal glands.─Incarcerated flatus.─Flatulent colic, deeply seated in abdomen; < when lying down, with grumbling (rumbling and rolling in bowels) and borborygmi.─Flatus in general.

13. Stool and Anus.─A very characteristic symptom is found in the stool, which is long, slim, hard, and dry, and is evacuated with a great deal of difficulty; it may be compared to a dog's stool in appearance and in manner of evacuation, is often accompanied with the same straining, trembling of the limbs, etc.─Diarrhoea: in great quantity, like water from a hydrant, and is very exhausting to the patient (often accompanied with a very weak, empty, or gone feeling in abdomen); painless; stools large; involuntary; mucous.─(Emaciating diarrhoea, skin dry and hard.─E. A. Small).─Constipation.─Faeces hard, small, slow, interrupted, difficult to evacuate, and much too dry (like a dog's).─Urgent and distressing want to evacuate.─Prolonged looseness of bowels.─Faeces of the consistence of pap.─Serous diarrhoea.─Diarrhoea with diminished strength (< in morning).─Mucous diarrhoea.─Bloody diarrhoea.─Undigested faeces.─Greenish, grey (or whitish-grey), or black faeces (with flakes of mucus).─Stools watery, with whitish-yellow and cheesy masses; lumps of white mucus.─Stools odourless save for a slight mouldy smell.─Stools like scraping of intestines.─Involuntary evacuations.─Discharge of mucus from anus, which remains continually open.─Tenia, or ascarides from rectum, during stool.─Discharge of blood during the evacuation.─After stool: pressure, burning pain, and tenesmus in anus and rectum, with great exhaustion.─Dartings and shakings in rectum and anus (this may occur in children, causing them to cry out, is usually < in evening or night; they appear to have worms; they will put their hands to the seat, and show by various signs where and what the matter is).─Nettle-like stitches in rectum when not at stool.─Stitches in anus.─Biting and itching in anus.─Tearing in rectum; and genitals, even to sinking down.─Pain in anus so violent it seemed as though the body would be torn asunder, with cutting and movements in whole abdomen, constant ineffectual desire for stool, heat in hands and anxiety; > only by application of warm cloths.─Shaking and clawing l. side of anus.─Crawling stitches.─Pruritus ani.─After stool, frightful tenesmus for some time.─Paralysis of lower intestines; of sphincter ani.─Anus wide open.─Sensation of rectum paralysed.─Cramps and contraction of rectum.─Protrusion and ready bleeding of haemorrhoidal tumours in rectum and anus, with pain as from excoriation, when sitting or lying down.─Fissure of anus.

14. Urinary Organs.─Increased secretion of watery urine.─Frequent emission of a scanty stream of urine (only a small quantity each time).─Urine with white, serous, sandy and red, or else yellow sediment.─Turbid urine, with sediment like brick-dust.─Pale, aqueous, or whitish urine.─Variegated pellicle on surface of urine.─Haematuria (with acute pain in region of kidneys and liver, and jaundice).─Smarting and burning sensation when urinating.─Tension and jerking, or burning pain in urethra when not urinating (with frequent desire to urinate).

15. Male Sexual Organs.─Very strong sexual desire, with constant wish for coition.─Impotence after excessive excitement and onanism.─Erections which are too energetic in evening or morning.─Frequent (involuntary) pollutions.─Feeble erections or none at all.─Feeble and too speedy emission during coition.─Pains in testes and swelling of spermatic cord.─Hydrocele.

16. Female Sexual Organs.─Nymphomania.─Aversion to coitus.─Tearing in genital organs, and stitches upward from vagina into uterus.─(Small pustulation of vulva with great irritation.─R. T. C.).─Oedema of labia (< l.), later gangrene.─Catamenia too early and too profuse (and of too long duration), or too early and too scanty and serous.─[Phos. patients generally menstruate regularly but profusely, and not uncommon symptoms are, vertigo on rising in morning, with weakness of legs, so that for a few moments after getting out of bed, they cannot stand.─H. N. Martin.].─Discharge of blood from uterus during pregnancy.─Catamenia of too long duration, with toothache and colic.─Before menses: abundant bleeding of ulcers; leucorrhoea; want to urinate; and weeping.─Frequent and profuse metrorrhagia.─On appearance of menses incisive, griping pains in the back and vomiting.─After menses: weakness, blue circles round eyes, and anxiety.─Menses: of too short continuance retarded.─During menses shooting headaches; fermentation in abdomen; expectoration of blood pains in (small of) back; soreness of limbs; great lassitude and fever; or palpitation of heart; shiverings; swelling of gums and cheeks, and many other sufferings.─Sterility on account of excessive voluptuousness, or if the menstruation comes on too late and is too profuse.─Smarting, corrosive leucorrhoea (drawing blisters).─Hard and painful nodosities in breasts.─Inflammation (erysipelatous) of breasts, even after formation of pus.─Erysipelatous inflammation of mammae, with swelling, burning pains, and shootings.─Anxious feeling beneath l. breast, with bitter eructations.─Burning, pinching in r. breast, heat mounting to head.─Cramp pain in breast, high tip, under sternum, with eructations.─At 3.30 p.m. pain from l. nipple to r. nipple, thence to r. shoulder and r. little finger.─Pain below nipple shooting like electricity.─Nipples hot and sore.─Papular eruption on breasts.─Abscess in mammae, also with fistulous ulcers; bluish colour.

17. Respiratory Organs.─Hoarseness and scraping in throat, sometimes prolonged.─Aphonia, so as to be unable to speak except in a whisper.─Catarrh with cough, fever, and fear of death.─Very painful sensibility of larynx, which prevents speaking.─Stitches, soreness, roughness, and dryness in the larynx.─Croup; bronchitis.─Great sensibility of larynx with burning pain.─Dryness in trachea and chest.─Expectoration of mucus from larynx.─Cough excited by a tickling and itching in chest, or with hoarseness and sensation as if chest were raw.─Hollow, hacking, spasmodic, tickling cough, esp. if caused by tickling in chest; at night, preventing sleep.─Cough with shootings in throat, chest, and scrobiculus, sometimes only at night.─Dry cough every day, which continues several hours, with pains in stomach and abdomen.─Cough with stitches over one eye.─Cough from a change in the weather and from strong odours; from lying on l. side or on back.─Cough from going from warm into cold room (H. N. Martin).─Dry, shaking cough, with sensation as if head were going to burst, excited by cold air, by drinking, or by reading aloud.─Cough with vomiting.─Cough excited by laughing.─Dry cough, as if caused by tubercles, or chronic pneumonia.─Cough in paroxysms, brings up a viscid, muco-purulent expectoration, branched like the bronchial tubes.─Cough with purulent and saltish expectoration, esp. morning and evening.─Cough with expectoration in morning, without expectoration in evening; expectoration frothy, pale red, rust-coloured, streaked with blood; white and tough; cold mucus, tasting sour or sweet; transparent mucus in morning after rising.─Greenish expectoration from cough.─Cough with expectoration of slimy mucus or of blood, with smarting in chest.

18. Chest.─Noisy and panting respiration.─Difficult respiration, esp. in evening, with anguish in chest, < by sitting down.─Respiration oppressed, quick, anxious.─Difficult inspiration; heaviness, fulness, and tension on chest.─Obstructed respiration and oppression of chest of various kinds, esp. in morning or evening, as also during movement.─Spasmodic asthma.─Constrictive spasms in chest.─After a cough, asthma.─Fits of suffocation at night.─Pressure at chest.─Heaviness, fulness, and tension in chest.─Contractive spasms in chest.─Tearing in chest.─Lancinations in chest, and esp. in l. side, sometimes prolonged, or else when the parts are touched.─Burning pain as from excoriation in chest.─Inflammation of lungs (l. side).─Pneumonia nervosa (lungs hepatised).─Tuberculosis (phthisis mucosa).─Sensation of fatigue in chest.─Anguish in chest.─Congestion in chest, with sensation of heat which ascends to throat.─Pain under l. breast, when lying upon it.─Yellow spots on chest.

19. Heart and Pulse.─Anxiety about heart with nausea and a peculiar hunger, somewhat > by eating, distressing even in bed.─Sensation of warmth about r. side of heart.─Pressure; heaviness; aching in heart.─Rush of blood to heart and palpitation, that becomes very violent after eating.─Palpitation of heart of different kinds, esp. after a meal, morning and evening, as also when seated, and after all kinds of mental excitement.─Palpitation of heart with obstructed respiration; palpitation from every mental emotion.─Violent palpitation with anxiety, evenings and mornings in bed; on slight motion.─Blowing sounds in heart.─Pressure in middle of sternum and about heart.─Pulse rapid, full, and hard; small, weak, easily compressed.

20. Neck and Back.─Rigidity of nape of neck.─Pressure on shoulders.─Swelling of neck.─Engorgement of axillary glands and of those of nape of neck and of neck.─Itching and shooting under axillae.─Fetid sweat under axillae.─Paralysed sensation in upper sacrum and lower lumbar vertebrae.─Contusive pain in loins and back (as if back were broken), esp. after having been seated a long time, hindering walking, rising up, or making the least movement.─Pain in small of the back when rising from a stooping position.─Burning in back or small of back (esp. with delayed menses).─Tabes dorsalis.─Burning pains in loins.─Sensitiveness of spinous processes of dorsal vertebrae to pressure.─Softening of spine.─Heat or burning in back, between scapulae.─Tearings and stitches in and beneath both scapulae.─Pain in coccyx impeding easy motion, can find no comfortable position; followed by painful stiffness of nape.─Coccyx painful to touch as from an ulcer.─Transient pain from coccyx through spine to vertex that drew head back during the stool.─Backache and palpitations prevail (R. T. C.).

21. Limbs.─Weakness in all the limbs as if paralysed; esp. in joints, trembling from every exertion.─Swelling of hands and feet.─Bruised pain in limbs.─Extremities, esp. hands and feet, heavy as lead.─Numbness and falling asleep of limbs.─Exanthema on skin about joints.─Swelling of soft tissues of joints.─Joints stiff.

22. Upper Limbs.─Stiffness in morning on washing, with pressure.─Rheumatic tearing (and lancinating pains) in shoulders, arms, and hands (particularly in joints), esp. at night.─Burning pain in palms of hands and arms; clammy perspiration in palms and on head.─Burning pain in hands and arms.─Numbness of arms and hands.─Lassitude and trembling in arms and hands, and esp. when holding anything.─Furfuraceous tetters on arms.─Congestion of blood in hands, with swelling and redness of veins, esp. when allowing arms to hang down.─Wrenching pain in joints of hands and fingers, with tension.─Swelling of hands, even at night.─Heat in hands.─Coldness of hands at night.─Contraction and jerking of fingers.─Deadness of fingers.─Paralysis of fingers.─Numbness of finger-tips.─Skin cracked at joints of fingers.─Chilblains on fingers.

23. Lower Limbs.─Uneasiness, weakness, < on ascending steps, with heaviness.─Pain as from ulceration (suppurative) in buttocks when seated.─Pain in r. hip-joint.─(Exostosis of femur.).─Wrenching pain in coxo-femoral joints, and those of knees and feet, with external heat.─Swelling of tibia.─Bruised pain in periosteum of tibia.─Gangrenous periosteum of tibia, with fever; the periosteum peeled off as far as knee, leaving the bone rough.─Painful fatigue and heaviness of legs.─Heaviness in hollow of knees.─Burning sensation in legs and feet.─Tension and cramps in legs, esp. in knees.─Rheumatic stiffness of the knee.─Shocks in legs before going to sleep, (lay and night.─Drawing and tearing (rheumatic pain) in knees, extending into feet.─Paralytic weakness in legs, and arthritic rigidity of knees.─Tetters on knee.─Spots like petechiae on legs.─Ulcers on legs, with surrounding small pustules.─Exostosis on tibia.─Jerking, and cramp in calves.─Tearings and shootings in feet, esp. at night (in feet of a pregnant woman).─Swelling of feet, or only of the malleoli, esp. in evening or after a walk, sometimes with shooting pain.─Sprained pain in ankles on walking.─Easy dislocation of foot.─Coldness of feet, esp. at night.─Paralytic feeling in feet.─Pain (as if bruised) as from ulceration in soles when walking.─Shocks in feet day and night before going to sleep.─Numbness of tips of toes.─Inflammation and redness of ball of great toe with lancinations.─Chilblains and corns on toes.

24. Generalities.─Affections of inner chest; shinbones; bones of legs; of r. upper or r. lower extremity; r. upper or r. lower side.─Profuse secretion of mucus.─Affections of axillary glands; inflammation of glands in general; glands painful, particularly stitching pains; hot swelling of glands.─Glandular diseases, esp. after contusion.─Bleeding from inner parts; threatened phthisis pulmonalis.─The pains of Phos. are continuous, or, at least, irregular as to time.─Arthritic and rheumatic tearings and stitching pains, principally in limbs, sometimes after a slight chill, esp. in bed at night.─Burning pain in limbs.─Tension, cramp, jerking, and distortion of some of the limbs.─Sprains, easy dislocations.─Ataxia and adynamia.─Convulsions.─Rigidity of some parts.─Fits of paleness and numbness in some of the limbs, which then appear dead.─Mucous membrane pale.─Trembling of limbs from least exertion, but chiefly during labour.─Tendency to strain the back.─Ebullition and congestion of blood, sometimes with pulsation throughout body.─Sensations: of fulness; of itching or tickling; of knocking, beating, or throbbing; of darting; darting pain; of roughness-all occurring in inner parts.─Sensation of dryness or of festering in internal parts.─Bleeding from various (internal) organs.─Inflammation and stinging pain of inner parts.─Itching of inner parts.─Small wounds bleed much.─Blood fluid non-coagulable.─Bleeding from all cavities; also from soft cancer.─Weakness and soreness in joints, esp. knees.─Great weakness and paralytic lassitude, which sometimes come on suddenly, esp. in bed in morning, or after a very short walk.─Can only lie on the r. side.─Lying on the l. side at night causes anxiety.─Spasms of the paralysed side.─Paralysis, formication, and tearing in limbs; anaesthesia; increased heat.─Exostosis, esp. of skull.─Hip-joint disease, oozing a watery pus.─Epilepsy with consciousness.─Fainting fits; from strong odours.─Excessive sensibility of all the organs.─Hysterical lassitude.─General dejection and nervous debility.─Heaviness of limbs and sluggishness.─Paralysis with tingling in the parts affected.─Emaciation and consumption.─Inability to remain in open air, esp. when cold.─Strong tendency to take cold, which is often followed by headache and toothache, coryza, with fever, shivering, etc.─Effects of hair-cutting and chill to head.─Pains in limbs on change of weather.─The majority of symptoms manifest themselves morning and evening, in bed, as well as after dinner, while several others appear at the beginning of a meal and disappear after it.─<: In morning; evening; before falling asleep; on waking; before breakfast; after taking cold; while coughing; before or after eating; from violent bleeding; from spraining parts; while lying on back; lying on l. side; from laughing (often producing cough); from light in general; light of the lamp; warm food ("very thirsty, takes water, likes it, feels better, gets warm in stomach and is vomited"); reading aloud; from strong smells; after stool (exhausted, etc.); while Swallowing drink; in the wind; when singing; when the weather changes either way.─>: In the dark; lying on r. side; from being mesmerised; from rubbing; from scratching; after sleep; from cold things; cold food; cold water (till it gets warm).

25. Skin.─Exanthema which comes out in pustules; is scaly.─Ulcers in general.─Summer freckles.─Hard swellings here and there on body.─Wounds which appear to have healed break out again and bleed; wounds that continually heal and break out again.─Desquamation of skin.─Burning in the skin.─Excoriated spots on skin, with cracks and shootings.─Round, tettery spots over whole body.─Freckles (nose).─Dry, furfuraceous tetters.─Yellow or brown spots on skin (esp. chest and abdomen).─Copper-coloured or bluish spots, like petechiae.─Red spots.─Jaundice.─Pale skin.─Ecchymosis.─Furunculi.─Lymphatic abscess with fistulous ulcers (which have callous margins, secreting a fetid and colourless pus) and hectic fever.─Large ulcers surrounded by small ones.─Ulcers bleed on appearance of menses.─Fungus haematodes.─Copious bleeding even from very small wounds.─Polypus.─Chilblains (fingers and toes) and corns on feet, sometimes very painful.─Tingling in skin.─Nettle-rash.

26. Sleep.─Falling asleep late.─Complaints preventing sleep.─Over-powering sleep coming on after dinner, if only a moderate dinner has been eaten.─Sleeplessness before midnight.─Sleepy at 7 p.m.; wakeful at night (produced.─R. T. C.).─Strong tendency to sleep by day, as from lethargy.─Stupefying sleep.─Sleep retarded in evening, and sleeplessness at night, or frequent waking, with difficulty in going to sleep again, caused by restlessness, with anguish, tossing, heat, vertigo, and ebullition of blood.─Inability to remain lying on back or on side.─Coma vigil.─Sleep unrefreshing; sensation in morning as after insufficient sleep.─At night vertigo with nausea, painful sensibility of limbs, pains in stomach and abdomen, suffocating and spasmodic asthma, etc.─Frequent waking from feeling too hot, without perspiration.─Frequent waking, with starts and fright.─During sleep, jerks in limbs, cries, talking, tears, complaints, lamentations, and moans.─Dreams: anxious, distressing; lascivious; frightful and horrible; or vivid and uneasy; of animals which bite; of robbers fire; the business of the day (which he could not finish); bloodshed; death quarrels; creeping things, etc.─Nightmare.─Somnambulism.

27. Fever.─Shuddering and shivering, esp. in bed, in evening (without thirst, with aversion to being uncovered and with swollen veins on hands), sometimes with yawning, followed by heat or otherwise.─Coldness of limbs.─Internal chilliness and chill not > by heat of stove.─Chilliness in evening till midnight, with great weakness and sleep.─Chill running down back.─Shiverings, followed by heat, with thirst and sweat, esp. at night, and in afternoon.─(Chronic feverishness with recurring albuminuria.─R. T. C.).─Internal or external heat of single parts.─Flushes of heat running up back.─Burning in back, between shoulder-blades.─Burning pain of external parts or of internal parts.─Transient or anxious heat.─Nocturnal heat (disturbing sleep).─Flushes of heat over whole body, beginning in hands.─Perspiration most profuse on head, hands, and feet, with increased secretion of urine.─Perspiration on fore part of body.─Perspiration frequently smells of sulphur or of garlic.─Intermittent fever: heat and perspiration at night, with faintness and ravenous hunger, which could not be satisfied with eating; afterwards chilliness with chattering of teeth and external coldness; the chilliness was succeeded by internal heat, esp. in hands, while the external coldness continued.─Fevers with soporous condition, dry, black lips and tongue and open mouth.─Typhus fever (often with pneumonia and bronchitis, that developed into consumption).─Hectic fever, with dry heat towards the evening, esp. in palms of hands, sweat, and colliquative diarrhoea, circumscribed redness of cheeks (l. more than r.), etc.─Pulse changed; quick, full, and hard; occasionally small and weak.─Nocturnal and viscid sweat.─Sweat in morning.─Cold, clammy sweat.

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

Phosphorus (The Element)

Adapted to tall slender persons of sanguine temperament, fair skin, delicate eyelashes, find blond, or red hair, quick perceptions, and very sensitive nature. Young people, who grow too rapidly, are inclined to stoop (to walk stooped, Sulph.); who are chlorotic or anaemic; old people, with morning diarrhoea. Nervous, weak; desires to be magnetized (Sil.). Oversensitiveness of all the senses to external impressions, light, noise, odors, touch. Restless, fidgety; moves continually, cannot sit or stand still a moment (restless, fidgety feet, Zinc.). Burning: in spots along the spine; between the scapulae (as of a piece of ice, Lachn.); or intense heat running up the back; of palms of hands (Lach.); in chest and lungs; of every organ or tissue of the body (Ars., Sulph.); generally in diseases of nervous system. Haemorrhagic diathesis; small wounds bleed profusely (Kreos., Lach.); from every mucous outlet. Great weakness and prostration; with nervous debility and trembling; of whole body; weakness and weariness from loss of vital fluids (Cinch., Phos. ac.). Pain: acute, especially in the chest, < from pressure, even slight, in intercostal spaces, and lying on left side; excited by slightest chill; open air intolerable. A Weak, empty, all-gone sensation in head, chest, stomach and entire abdomen. Apathetic; unwilling to talk; answers slowly; moves sluggishly (Phos. ac.). Weary of life, full of gloomy forebodings. Dandruff, falls out in clouds (Lyc.); hair falls out in bunches, baldness of single spots. Eyes: hollow, surrounded by blue rings; lids, puffy, swollen, oedematous (upper lids, Kali c.; lower, Apis). Longs for: cold food and drink; juicy, refreshing things; ice cream > gastric pains. As soon as water becomes warm in stomach it is thrown up. Regurgitation of ingesta in mouthfuls (Alum.). Nausea from placing hands in warm water; sneezing and coryza from putting hands in water (Lac d.). Constipation: faeces slender, long, dry, tough, and hard (Stap.); voided with great straining and difficulty (Caust.). Diarrhoea: as soon as anything enters the rectum; profuse, pouring away as from a hydrant; watery, with sago-like particles; sensation, as if the anus remained open (Apis), involuntary; during cholera time (which precedes cholera, Phos. ac.); morning, of old people. Haemorrhage: frequent and profuse, pouring out freely and then ceasing for a time; metrorrhagia, in cancer; haemoptysis, vicarious, from nose, stomach, anus, urethra, in amenorrhoea. Heaviness of chest, as if weight were lying on it. During pregnancy; unable to drink water; sight of it causes vomiting; must close her eyes while bathing (Lys.). Cannot talk, the larynx is so painful; is dry, raw, rough, sore. Cough: going from warm to cold air (rev. of Bry.); < from laughing, talking, reading, drinking, eating, lying on the left side (Dros., Stan.). Perspiration has the odor of sulphur. Necrosis of the (left) lower jaw.

Relations. - Complementary: Arsenic, with which itis isomorphic; Cepa, its vegetable analogue. Incompatible: with Causticum, must not be used before or after. Phos. removes the bad effects of Iodine and excessive use of table salt. Follows well: after, Calc. or Cinch. Hahnemann says: "Acts most beneficial when patient suffers form chronic loose stool or diarrhoea.".

Aggravation. - Evening, before midnight (Puls., Rhus); lying on left or painful side; during a thunderstorm; weather changes, either hot or cold. Cold air relieves the head and face symptoms but aggravates those of chest, throat and neck.

Amelioration. - In the dark; lying on right side; from being rubbed or mesmerized; from cold food, cold water, until it gets warm.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Tall, slender, narrow-chested, phthisical patients, delicate eyelashes, soft hair or nervous, weak persons who like to be magnetized. Waxy, half anaemic, jaundiced persons.

Anxious, universal restlessness, cant stand or sit still. < in dark or when left alone, before a thunder storm.

Burnings prominent in every place, as in mouth, stomach, small intestines, anus, between scapulae, intense, running up spine, palms of hands, heat begins in hands, spreads to face.

Craving for cold things, ice cream, which agrees, or cold water, which is thrown up as it gets warm in the stomach. Must eat often or he faints. Must get up at night to eat.

Sinking, faint, empty feeling in head, chest, stomach and whole abdominal cavity.

Cough, < twilight till midnight, < lying on left side, > on right side. Right lower lobe most affected.

Diarrhoea, profuse, pouring out as from a hydrant; watery with sagolike particles or dysenteric, with wide open anus.

Apathetic, unwilling to talk, answers slowly, moves sluggishly.

Constipation: faeces slender, long, dry, tough and hard like a dog's; voided with difficulty.

Haemorrhagic diathesis; slight wounds bleed profusely, haemoptysis; metrorrhagia worse; vicarious, from nose, stomach, anus, urethra in amenorrhoea.

Cannot talk; the larynx is so painful; cough, going from warm to cold air, laughing, talking, reading, eating lying on left side (Dros., Stan.).

* * * * *

As a general characteristic, Burning is almost as strong under this remedy as under Arsenicum and Sulphur. There is no organ or tissue in which it may not be found, from the outer skin to the innermost surface of every tract or parenchyma. It may be subjective only without actual rise of temperature, or it may attend organic changes in malignant diseases, with great rise of temperature. The sensation of burning in an intense degree should always place Phosphorus in the front rank for consideration. Again, there is perhaps no remedy having stronger action on The Nervous System. It attacks it in its very citadel of strength, the brain and spinal cord, producing softening or atrophy with all its attendant symptoms in their order, as prostration, trembling, numbness, and complete paralysis. It does this in both acute and chronic form of disease.

It will be found in acute typhoids as well as in that slowly progressive disease, locomotor ataxia. Its causes may be sudden, like pneumonia, typhus, exanthematic diseases, croup, bronchitis, when vitality reaches its lowest ebb, or may arise in a condition undermined by grief, care, or excessive mental exertion; excess in venery or onanism.

Its action at the first may be characterized by a burning heat in various parts, and especially in the skin, with restless moving and anxiety, especially at twilight. Over-sensitiveness of all senses, such as external impressions; light, odors, noises, touch, etc., and later when organic changes have taken place the other extreme, of loss of motion, sensation, and sensitiveness obtains.

In the former state there is one very characteristic symptom, the patient moves continually, can't sit or stand still a moment. Instead of fidgety feet, like Zincum, he is fidgety all over. Phosphorus affects every tissue. The blood becomes broken down or impoverished. Chlorosis and pernicious anaemia obtain. Apis and Kali carb. also each have anaemia or a pale waxy or what is called bloodless appearance of the patient. They all have oedema or bloating, and there is one peculiar difference in the face between them. In Kali carb. the upper lids bloat and hang down like a bag of water. In Apis it is more in the lower lids, while in Phosphorus they bloat all around the eyes; and the whole face bloats. Under Phosphorus the blood becomes so broken down that it will not clot any more, and we have purpura haemorrhagica. Even in apparently healthy tissues we have this strong characteristic discovered by Hahnemann, viz.: "Slight wounds bleed much". This is what is called the haemorrhagic diathesis, and much to be feared, as many persons having it may bleed to death from any slight abrasion; and this same tendency to bleed extends to fungoid growths like fibroids, fungoids, cancers, etc., and are very dangerous and troublesome.

Then again Phosphorus attacks the bones in the form of necrosis. It is so especially of the lower jaw, but is also true of other parts, as the vertebrae; and I once cured a very extensive and long standing case of caries of the tibia with it.

Fatty degeneration of heart, liver and kidneys, with the characteristic anaemic condition, should call attention to this remedy. General emaciation, rapid or slowly progressing like atrophy in children, also comes under its tissue destroying power.

And so we find it to be a remedy of wide range and great power. But it is never enough for the homoeopathist to know simply the action in general upon any organ or set of organs. He must know how it acts differently from other remedies when acting upon the same tissue or organs. Now while Phosphorus acts upon the mind, to cause, "great anxiety and restlessness" as in other remedies, Aconite, Arsenicum, etc, it must be remembered that it is the anxiety and restlessness that precedes another state.

It belongs to a stage of irritation in the brain and nervous system which if not checked will go on to organic changes, which will be attended with a very different set of symptoms such as come for instance from actual brain softening in which appears apathy, sluggishness; talks slowly, is indifferent or won't talk at all. There is one particular symptom worthy of note: the patient fears to be left alone; is afraid: afraid of the dark, in a thunder storm, etc. This is more during the irritable stage of which we have spoken. Phosphorus is a great remedy in typhoids, especially with lung complications, and here we often get stupor and low muttering delirium like Lachesis, but while Lachesis is worse after sleep, Phosphorus is generally better, if he can get to sleep. In the late stage of brain or nervous troubles, calling for this remedy, we find the patient losing all ambition to do anything; either mental or physical labor is shunned. There is great indifference. He cannot think with his usual clearness; cannot apply himself to study or mental operations, ideas come slowly or not at all. Again the patient is sometimes amative, or like Hyoscyamus shamelessly exposes himself.

There is no remedy that covers a greater variety of mind symptoms arising from brain trouble than Phosphorus. No remedy produces greater vertigo, with a longer list of various connections. I have found it one of the best and oftenest indicated for vertigo of the aged. Chronic congestion to the head is characteristic, and the sense of burning in the brain is prominent; the heat and congestion seems to come up from the spine.

Heat running up the back is more characteristic of this than any other remedy. Deafness is prominent, and is peculiar, in that it is especially deafness to the human voice, a common symptom in the aged. The most frequent use I have made of the remedy in nose affections is in a chronic catarrh, in which the patient frequently blows small quantities of blood from the nose; the handkerchief is always bloody.

As I said when writing upon the tissues, the face of Phosphorus is characteristically pale and bloated around the eyes, but in pneumonia we often find circumscribed redness of the cheek upon the side of the lung inflamed. This is also true with Sanguinaria. About the mouth and tongue I do not know anything particularly characteristic. It has a peculiar symptom of the throat. The food swallowed comes up immediately as if it had never reached the stomach. This is supposed to be due to spasmodic stricture of the oesophagus.

Under appetite and thirst we have some very valuable indications for this remedy.

Hunger is one, must eat often or he faints; right after or soon after a meal, is hungry; hungry in the night; must eat. He is relieved by eating, but is soon hungry again. This calls to mind Iodine, Chelidonium, Petroleum, Anacardium, etc.

The thirst is also peculiar. He wants cold things, like Pulsatilla, but as soon as they get warm in the stomach they are vomited.

Some people have an abnormal craving for salt, or salt food, and eat too much of it. Phosphorus is a good remedy to counteract the bad effects. (Nat. mur.).

We have many kinds of vomiting under Phosphorus, but nothing characteristic except the one already mentioned.

We have already spoken of the hungry, faint feeling in the stomach. Sometimes this is described as an empty, gone feeling, and here again we think of such remedies as Ignatia, Hydrastis, Sepia and others; but Phosphorus does not stop here with this sensation, but extends through the whole abdomen. No remedy has this feeling in the abdomen so strong as Phosphorus. Under stool and rectum occur some very characteristic symptoms also, for instance: Stools profuse, watery, pouring away as from a hydrant, with lumps of white mucus, like grains of tallow. Stools bloody, with small white particles like opaque frog-spawn. Stools involuntarily oozing from a constantly open anus, or dysenteric stools with wide-open anus and great tenesmus. Constipation; faeces slender, long, dry, tough like dog stools. No remedy has a richer array of stool symptoms, and as we see by the above few select ones, some of them are very unique and have often been verified. It will repay any physician to carefully and frequently look them over.

This remedy powerfully excites the sexual appetite in both sexes. It is almost irresistible, and leads the patient into a mania in which he will expose himself. This is succeeded by the opposite extreme of impotence, though the desire remains after the ability to perform is gone. Of course, these sexual symptoms are accompanied with concomitant symptoms of the drug.

Upon the female sexual organs Phosphorus is true to its general haemorrhagic tendencies; if the menses do not appear, there is often vicarious bleeding from the nose or lungs instead. Phosphorus is bound to bleed. It is so with cancer of the womb or breasts also. They bleed easily. Upon the respiratory organs also this is one of our greatest remedies. Beginning with the voice and larynx, it causes and cures great hoarseness. Patient can hardly make a loud noise, and is apt to be worse in the evening or fore-part of the night. There is pain in the larynx, worse by talking, or can't talk at all on account of it. In croup, it sometimes comes in after Aconitum and Spongia have failed. The disease has progressed downward until it involves the bronchi and parenchyma of the lungs. It is of indispensable value here, and, also when, after the violence of the affection seems to have abated, the patient hoarses up every evening and seems to be inclined to relapse.

In bronchitis the cough is tight, worse from evening to midnight, also from speaking, laughing, reading aloud (Argentum met.), cold, and lying on left side. The patient suppresses the cough with a moan just as long as he can, because it hurts him so. The whole body trembles with the cough.

It has great oppression of breathing in both acute and chronic affections of the lungs. There is heaviness, as of a weight on the chest. In pneumonia, for which Phosphorus is one of our best remedies, it attacks by preference the lower half of the right lung. It is apt to be indicated by the symptoms, either at the beginning of the stage of hepatization, when it puts a stop to the further progress of the disease, but its more frequent application comes in where the stage of hepatization is past and we want to break it up and promote absorption or resolution. Here it has no equal, as I am fully convinced by abundant experience.

Now, do not misunderstand and give the remedy blindly on a pathological indication only. If you do you will sometimes fail, and ought to. But I repeat, this remedy will oftener be found the indicated one here than any other. After the hepatization begins to break up, other remedies like Tartar emetic, Sulphur and Lycopodium will come in.

In pleuritis you will find stitches in the left side increased by lying upon the left side. Remember in both affections Phosphorus is characteristically increased by lying upon the left side.

In tuberculosis, it is oftenest indicated in the incipient stage with symptom of cough, oppression and general weakness already mentioned; but I have often found it indicated in the later stages, and if given very high and in the single dose and not repeated have seen it greatly benefit even incurable cases. If given too low and repeated it will fearfully aggravate.

One of the most characteristic symptoms of this remedy is, "feeling of intense heat running up the back". Again the burning may be in spots along the spine. Also it has intense heat burning between the scapula (See also Lycopodium.) These, like the rest of the burning of Phosphorus, often occur in diseases of the spine and nervous system, but not necessarily so. Like Zinc, these burnings may be purely subjective, but are none the less valuable as therapeutic indications.

Another very characteristic symptom of Phosphorus is burning of the hands. It is as strong as the burning feet of Sulphur, and is found both in acute and chronic diseases; cannot bear to have the hands covered. The flashes of heat all over (which Phosphorus has) begin in the hands and spread from there even to the face. It now remains to call attention to the Constitution of Phosphorus.

1. "Tall, slender persons of sanguine temperament, fair skin, blonde or red hair, quick, lively perception and sensitive nature."

2. "Tall, slender phthisical patients, delicate eyelashes, soft hair."

3. "Tall, slender women disposed to stoop."

4. "Young people who grow too rapidly and are inclined to stoop."

5. "Nervous, weak persons who like to be magnetized."

Now, in number four there is not the tendency to grow fat, like Calcarea carbonica, but tall, and you will notice that the Phosphorus element in Calcarea phosphorica takes away the fat producing property of the Calcarea element.

Now, in closing, we desire to say we have only touched upon the wonderful virtues of this drug, which must be studied in its entirety. Enough, however, we trust to convince of its great value.