Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

It is said to be a very good medicine for women, for blondes, especially for tearful blondes.

Mind: It is one of the polychrests and one of the medicines most frequently used, as well as often abused.

The Pulsatilla patient is an interesting one, found in any household where there are plenty of young girls.

She is tearful, plethoric, and generally has little credit for being sick from her appearances; yet she is most nervous, fidgety, changeable, easily led and easily persuaded. While she is mild, gentle and tearful, yet she is remarkably irritable, not in the sense of pugnacity, but easily irritated, extremely touchy, always feels slighted or fears she will be slighted; sensible to every social influence.

Melancholia, sadness, weeping, despair, religious despair, fanatical; full of notions and whims; imaginative; extremely excitable. She imagines the company of the opposite sex a dangerous thing to cultivate, and that it is dangerous to do certain things well established in society as good for the human race.

These imaginations belong to eating as well as thinking. They imagine that milk is not good to drink, so they will not take it. They imagine that certain articles of diet are not good for the human race. Aversion to marriage is a strong symptom. A man takes it into his head that it is an evil thing to have sexual intercourse with his wife and abstains from it.

Religious freaks; an especial tendency to dwell on religious notions; fixed ideas concerning the Scripture; he misuses and misapplies the Scriptures to his own detriment; dwells on sanctification until he becomes fanatical and insane; thinks he is in a wonderfully sanctification state of mind, or that he has sinned away his day of grace.

This goes no until he becomes insane on other subjects, and then the tendency is to sit day after day in a taciturn way. He will not answer questions unless hard pressed, when all he will say is "Yes" or "No," or be will merely shake his head. Puerperal insanity in a woman who was mild, gentle and tearful, later sad and taciturn, and then she sits in her chair all day answering nothing or merely nodding her head for "Yes" or "No."

Many of the complaints are associated with weakness of the stomach and indigestion, or with menstrual disorders. Women who abort; various irregularities of the menstrual flow; false conception. The mental symptoms are often associated with the ovarian and uterine difficulties.

With such a mental state the general state of the body is worse in a warm room and, relieved by motion. Tearful, sad and despondent, ameliorated walking in the open air, especially when it is crisp, cool, fresh and bright.

Suffocation and an increase of the pains, and even chilliness in a warm room; a nervous chilliness when the patient perspires from the heat of a room. The inflammatory symptoms, neuralgias and rheumatisms are relieved by a cold, by eating and drinking cold things, by cold applications, or cold hands. Cold drinks relieve, even though the patient is not thirsty. Cold foods are digested while hot food make the body warm from which symptoms are worse. Ice cold water feels good going down the oesophagus, and is retained in the stomach, though there is not thirst.

Modalities: Many symptoms worse after eating. It is often only a lump in the stomach, but the mental and nervous symptoms also are worse after eating. The stomach symptoms are worse in the morning, the mental symptoms worse in the evening. Aggravation from fats and rich foods.

Complaints brought ort by eating fat, pork, greasy things. cakes, pastries and rich things. The Pulsatilla stomach is slow to digest. Hours after eating there is a sense of fullness in the stomach, a lump in the stomach, ameliorated by slow walking in the open air.

The patient is commonly relieved from slow motion in the open air, becomes frantic when trying to keep still, worse during rest, ameliorated by doing something, generally slow, moderate motion. This relief from motion and aggravation from rest, relief in the open air, and aggravation in a warm room give us a good summary of this beautiful remedy.

In Pulsatilla patients the skin feels feverish and hot, while the temperature of the body is normal, There is aggravation from much clothing; she wants to wear a thin dress even in moderately cold weather. Does not need to dress warmly. Much clothing and covering aggravate. Often be cannot wear flannels or woolen clothing because they irritate the skin, causing itching and eruptions like Sulphur, and this is not surprising, as Pulsatilla and Sulphur are antidotes.

There is no remedy like Pulsatilla to antidote Sulphur when it has been used every Spring to "cleanse the blood."

Some people use Sulphur until the skin becomes red, hot, easily irritated, and aggravated by clothing. Pulsatilla is the antidote. Old cases of psoriasis; little flat, brownish patches about the size of the thumb nail, which itch tremendously, in old Sulphur patients are cured by Pulsatilla.

A general feature of the skin is itching and burning, but a more marked Pulsatilla state is a Lachesis appearance of the skin. It is mottled, erysipelatous; spotted, purplish in spots; veins engorged; capillaries tumid; a vasomotor paralysis of the capillaries or veins producing a mottled appearance. Pulsatilla has an unusually venous constitution.

Veins: The veins are engorged, in a state of stasis, hence there is over-heat of the skin. This unusual fullness, redness and purple aspect of the face is a false plethora. it often goes on to a puffiness and swelling, and especially at the menstrual periods. Considerable bloating of the face and eyes, bloating of the abdomen; feet puffed so that she cannot wear shoes, feet red and swollen at the menstrual period, ameliorated by the menstrual flow.

Many women are late and are preparing for a week or ten days; face purple, red, puffed and bloated; abdomen distended; dyspnoea; and all this is relieved by the menstrual flow. She feels these symptoms perhaps one or two weeks, and is relieved by slow motion in the open air. Cannot breathe in a warm room; wants the windows open; chokes and suffocates in a warm bed at night. This increases until the menstrual flow starts. The stomach is so full and distended that she cannot eat. No appetite or desire for food.

With the engorgement of veins ulcers surrounded by varicose veins are common in this remedy. Ulcers bleed black blood which coagulates early; little black clots; bleeding is not copious; clots easily, dark, tarry, offensive. Ulcers bleed and ooze, discharge a bloody watery fluid or there is a very thick yellow or green flow.

This brings us to the catarrhal state. Wherever there is mucous membrane there is catarrh. The mucous membrane is covered with purple spots, dry spots; tumid, puffed, looks erysipelatous. Wherever there is inflammation of the mucous membrane it looks purple; a venous congestion.

Thick, green, yellow catarrhal discharges are most characteristic. The catarrhal discharges are bland with the exception of that from the vagina, which is excoriating, causing rawness of the parts. From the eyes, ears, nose and chest there arc thick, yellow, green, bland, discharges, but there is thick yellow green excoriating leucorrhoea. Remember, however, that Pulsatilla has a bland leucorrhoea, in keeping with the general state. Discharges are often offensive, sometimes bloody, watery, but even then mingled with yellow green purulent fluid.

Eyes: The Pulsatilla patient suffers from vertigo from affections of the eyes, ameliorated by wearing well-adjusted glasses; attended by nausea which is worse lying down, worse from motion, worse from the motion of the eyes, and ameliorated in a cold room, and by riding in a carriage in the cold air. As soon as she enters a room that is warm she has nausea, even to vomiting. Vertigo with vomiting after eating.

Head: Pulsatilla has violent headaches. Headaches in school girls who are about to menstruate. Headache accompanying menstruation. Headache associated with suppressed menses, with menstrual disorders; not caused from them, but associated with them.

Pains through the temples and sides of the head are common Pulsatilla headaches. Headaches before, during and after menstruation; but more commonly before, when there is a general state of congestion, stasis, and tumefaction of the veins, and amelioration of the headache when the menses set in if the flow is normal.

It is common to have the head and nervous symptoms through the menses, because the flow is so scanty, often little more than a leucorrhoea, and for a single day a little clot of dark blood.

One-sided headaches and one-sided complaints are peculiar to Pulsatilla. Perspiration on one side of head and face; fever on one side of the body; one side cool and normal and the other side hot. I remember a case of puerperal fever with sweat on one side of the body and dry heat on the other and confusion of other symptoms. Pulsatilla was given and the patient recovered.

The Pulsatilla headache is a throbbing congestive headache; much, heat in the head, ameliorated by the application of cold, by external pressure, and sometimes by slow motion, aggravated by lying and sitting quiet, ameliorated by walking slowly in the air; becomes worse towards evening and gradually increases through the evening and night, worse from the motion of the eyes and from stooping. The pains are often constricting, throbbing and congestive. Periodic sick headaches, with vomiting of sour food. Headache when be overeats. Though he likes ice cream, he has headache and congestion of the stomach after eating ice cream.

Eyes. Catarrhal symptoms. Pustules about the lids and over the ball; on the cornea. Inflammatory features. Thick, yellow-green pus. Granular lids. Continued formation of little pustules. Isolated granules on lids, grow out here and therein bunches as large as pin leads. Eyelids inflamed and bleed easily. Every time he catches cold it settles in the eyes and nose.

Eyes red, inflamed, and discharge, In infants catarrhal diseases of the eyes of a gonorrheal character; ophthalmia neonatorum. In early days the infant often needs the same constitutional remedy as the mother. Yellow green discharge from the eyes; eyes are ameliorated by washing in warm water, or tepid water; even cold water feels good to the eyes.

The Sulphur patient is made worse by bathing; the eyes smart, burn and become increasingly red after washing in water. Pulsatilla causes a tendency to the formation of styes; recurrent styes; always having styes. Pustules, papules and little nodosities on the lids.

Prior to menstruation, in young girls especially, things get black, before the eyes, like a gauze or a veil. Nervous manifestations, twitchings, spell of blindness and fainting. In the early stages of paralysis of the optic nerve Pulsatilla is a great remedy. The patient is always rubbing the eyes; whether or not there is mucus in the eyes it matters not; but it is a sensation of gauze before the eyes, ameliorated by rubbing.

Pulsatilla has cured incipient cataract. Itching of the eyes, in keeping with the skin symptoms. Itching in the ears, nose, tickling in the throat, in the larynx.

Ears: In the ears we have the same catarrhal condition.

Thick, yellow, offensive, purulent, bland discharge; very foetid, sometimes bloody. Pulsatilla is commonly indicated in earache of children; when the child, is a gentle, fat, plump, vascular red-faced child always pitifully crying. If it is a case of earache in a nondescript child Pulsatilla will also prove to be a temporary remedy, so closely is it related to pain in the ear. Pains in the ears in the evening or in the night, ameliorated by walking slowly about the room.

In Chamomilla you have a snap. ping and snarling child, never pleased, scolds the nurse and mother ameliorated by walking about. The irritability decides for Chamomilla. You can detect a pitiful cry from a snarling mad cry. Both are ameliorated by motion, by being carried. Both want this and that and are never satisfied; they want amusement. But the Pulsatilla child when not amused has a pitiful cry and the Chamomilla child a snarling cry. You will want to caress the one and spank the other.

Ear troubles with a ruptured drum and no healing; otitis media. Abscess in the middle ear; inflammation of the middle ear; copious thick bloody discharge, then yellow-green. The case goes on night and day until rupture takes place. I have found this condition as an endemic, in which Merc., Hep., and Puls. were the most frequently indicated remedies.

Ear troubles following eruptive diseases. Offensive catarrhal discharge dating back to scarlet fever or measles; badly treated and drugged patients. Inflammation and swelling of the external ear; erysipelatous purple conditions. Scabs on the tragus.

Nose: The patient is subject to repeated attacks of coryza, with sneezing and stuffing up of the nose; a febrile state; sometimes with chills, fever and sweat.

Pains in the face through the nose. In the evening considerable watery discharge with sneezing; in the morning stuffing up of the nose with thick yellow-green discharge. Pulsatilla is suitable to chronic catarrhs, with thick yellow-green discharge which is bland; stuffing up of the nose; copious discharge; patient has a bad smell in the nose; smells various offensive things, sometimes like manure, but more commonly described as the offensiveness of a stinking catarrh.

Large bloody, thick, yellow crusts accumulate in the nose, harden down and are blown out in the morning, accompanied by thick yellow pus. In old lingering cases, loss of smell and taste. The mucous membrane is in a state of thickening and suppuration, with the formation of crusts and ulcers. Fullness high in the nose; stuffing up and fullness in the posterior nares. Hawks up thick yellow mucus in masses, with crusts in the morning, very often offensive to others.

Many Pulsatilla patients in this catarrhal state get relief from this horrible stench by blowing out great crusts. Thick clinkers of dried up pus or dried mucus and pus accumulate for several days and this terrible catarrhal smell comes on; but as soon as he blows out these clinkers the odor goes away and he has relief until they form again in a few days.

The patient himself feels better in the open air, and worse in a warm room. He breathes better in the open air; feels stuffy in a warm room. But there are times when his nose stuffs up more in a warm room, where he sneezes more in a warm room,

The loss of smell is present in chronic and acute catarrhs. Much stuffing up of the nose occurring in the evening; he blows the nose easily and cleans it out during the day, but it stuffs up in the evening and he cannot clear it out.

Remember that the mental symptoms are worse in the evening. He gets up in the morning with a stuffed up nose, but can clean it out; his mouth is foul, tongue coated, rancid taste, requires much brushing of his teeth and washing out of his mouth before he can take his breakfast.

So you see the mouth and stomach symptoms are worse in the morning, the mental symptoms are worse in the evening and there is also a stuffing up of the nose in the evening. Compare this with the cough. There is a dry evening cough in Pulsatilla and a loose morning cough.

Copious expectoration in the morning, but a dry, tight, constricted feeling in the chest in the evening. Stuffed up in the evening, making breathing difficult. To repeat, then, Pulsatilla is one of our sheet anchors in old catarrhs with loss of smell, thick yellow discharge, and amelioration in the open air; in the nervous, timid, yielding, with stuffing up of the nose at night and copious flow in the morning.

With the catarrhs and acute colds there is often bleeding of the nose, blowing blood from the nose; the crusts cling tight, and when blown out they are torn loose, and this causes bleeding; but the nose bleeds easily, subject to epistaxis. Nose-bleed during the menstrual period; nose-bleed before the menstrual period; nose-bleed with suppressed menses; bleeding dark, thick, clotted, almost black, venous blood.

Especially do we find catarrhal subjects in women who have late, scanty, light colored menses; scarcely more than a leucorrhoea; if bloody, then only a little black stain or clot. Chlorotic patients who have their menses once every two or three months; chlorotic girls who are irregular, and are subject to these catarrhal states.

Pulsatilla is very useful in hay fever. The management of hay fever requires considerable study because you have to deal with the troublesome imaginations of the patient, he will refuse to let you study him; he wants the hay fever treated; he don't want the hemorrhoids, the thick skin on the soles of the feet, the pains in the sacrum, the diarrhea which alternates with constipation, talked about or inquired into; these are always better when the hay fever is present.

Sometimes he will tell you that he is always well except when he has hay fever. He may feel well, but it is impossible for him to be well; he has always had these complaints and he does not want you to bother with them. The hay fever will hardly ever reveal the indications for a remedy for the patient.

Another individual has epilepsy, and if you expect to find in the fit the remedy that cures the patient you will be mistaken. When an acute mimicking manifestation of disease follows several times the same beaten track the details are hard to find. He does not know much about his hay fever. If you suggest several things he has them all. In nearly all these acute expressions you do not find in the exaggerated attack the symptoms that will lead you to the remedy.

You will find these symptoms by getting the state of the patient before he was taken with bay fever. These primitive symptoms are of more importance. Sometimes it is important to know what region was affected before the nose was affected. At times you will find spinal symptoms; great soreness in the back relieved by lying on something hard. Few remedies have that. They do not tell you that at first but continue to dwell on the bay fever. In many nervous women the attack comes on with sneezing and watery discharge and then a copious, thick, yellowish-green discharge. These are the natural symptoms of hay fever, but in the "back" symptoms you see something.

In Pulsatilla the menstrual symptoms and the prolapsus come in. When the hay fever comes on, all the other symptoms are better, she feels nothing except the hay fever, however, all the symptoms interweave with each other.

The Natrum mur. symptoms will be worse in the morning and until toward noon, while in Pulsatilla they are worse in the evening, the nose filling up with thick, yellowish-green, ropy mucus, and when the nose has been cleared, a dry, burning, smarting feeling remains; if the room is warm at night, she cannot sleep.

Natrum mur. is a little like that in the smarting and inability to sleep at night in a warm room. In Natrum mur. too, the discharge may continue day and night. We have an acute class in which Pulsatilla is sometimes indicated-copious watery discharge which ends in sneezing. In the beginning we will think of Carbo veg., Arsenic, Allium cepa, Euphrasia.

With Carbo veg. there is a watery discharge and the irritation extends into the chest, with hoarseness and rawness. In Allium cepa we have one group of symptoms that points to this remedy. Excoriating discharge from the nose and bland discharge from the eyes; in the larynx, sensation as if hooks were there, and sometimes this extends below the larynx; this always means Allium cepa; it is also worse in a warm room like Puls.

The Euphrasia looks like Cepa, only the discharge from the eyes is copious, watery and burning the lachrymation burns the eyes and excoriates the cheeks; discharge from nose is bland like Pulsatilla; sometimes this goes into the chest, then it is no longer Euphrasia.

Iodine is worse in a warm room; thick discharge from nose which bums and excoriates and is yellowish-green; but there is one thing that differentiates it from all the others -the patient immediately begins to emaciate when the complaint comes on and is very hungry.

Kali hydr. with the thick yellowish discharge, worse in a warm room, there is a great amount of rawness and burning in the nose; external nose very sore to pressure; sensitiveness in the root of the nose; whole face aches and patient is extremely restless; wants to walk in the open air which does not fatigue him.

Iodide of Arsenic; anxiety, restlessness and weakness; frequent sneezing and copious watery nasal discharge that burns the lip. Burning, watery discharge from the eyes like Arsenic. Arsenic wants to be very warm; wants hot water applied to the eyes; the only relief is from sniffing hot water up the nose. The Iodide of Arsenic is worse in a warm room, and, for days after sneezing, the discharge thickens and becomes gluey, looking like thick yellow honey, this excoriates; much pain through the root of the nose and eyes; often rawness in the chest with dyspnoea.

The remedies having the dyspnoea are Arsenic, Iodide of Arsenic, Iodine, Kali hydr., and Sabadilla; these are the ones I have found most frequently indicated in the asthmatic forms of hay fever. If the complaint has been developed after being overheated about that time, you will find that Silica, Puls. and Carbo veg. must be carefully compared.

There is another class of remedies having the stuffing up of the nose not relieved by the discharge. There is a constant duke to blow the nose, yet he gets no relief. This makes me think at once of Lach., Kali bi., Psor., Naja and Sticta.

Psorinum has the copious, watery, bland discharge from the nose, it may be excoriating, it has both. The stuffing up of the nose generally takes place in the open air; he is relieved in a warm, close room, and by lying down; has sonic dyspnoea. which is relieved by stretching the arms at right angles with the body. Hay fever is a psoric sickness. Psorinum given in a single dose will so develop the symptoms that the case will be more clear. The attack is not the best thing to prescribe for. If it is too violent, a short acting remedy may be selected that will mitigate it.

Nux vomica has a free easy breathing in the open air, but when he goes into the warm room his nose stuffs up, which also occurs at night, though the water drips on the pillow yet he stuffs up like Puls., Bry., and the Iodine preparations Iodide of Arsenic and Cyclamen. Do not understand me to have given remedies for hay fever, we cannot lay down remedies for diseases. The whole constitution must be most carefully examined.

Face: The face is sickly, often mottled, purple, intermixed with yellow and unhealthy colors; venous puffing; sensation of fullness; often a red face, like that of health, and the patient gets no sympathy; face often flushes; flushes of heat to the face; at times a sunken look; dark rings about the eyes; sallow, green, chlorotic.

Subject to erysipelas; erysipelatous blotches on the face, spreading to the scalp, with stinging and burning; skin of face very sensitive to touch at such times.

Mumps and inflammation of parotid glands. If a woman suffering with mumps takes a decided cold the breasts swell, and there is an inflammation of the mammary gland. Girls take cold, the swelling of the parotid subsides too soon, and the corresponding mammary gland swells; sometimes both swell; or it may begin in one and go to the other.

In men it is the testicle. Pulsatilla is one of the most important remedies in this form of metastasis; it breaks up complaints that flit about. Pulsatilla is the common remedy for enormously swollen testicles from mumps in a boy. Carbo vegetabilis is another remedy, but then you have a Carbo veg. patient. Abrotanum is also useful in wandering around symptoms.

Pains: Pulsatilla has wandering pains, rheumatism goes from joint to joint, jumps around here and there; neuralgic pains fly from place to place; inflammations go from gland to gland.

But here is the distinguishing feature - Pulsatilla sticks to its own text; it keeps jumping around, but it does not change to a new class of disease. Abrotanum has this metastasis, but it changes the whole diagnosis; that is, the allopath says,

"This is a new disease today."

The patient has a violent diarrhoea today, and an ignoramus suppresses it; an inflammatory rheumatism comes on, and he calls it a new disease. The suppression of a diarrhoea or a hemorrhage, or the removal of piles, causes an out-cropping somewhere else. A child has a summer complaint suppressed and there follow symptoms referring to the brain, kidneys, liver, or a marasmus with emaciation from. below upwards. Such things are in the nature of Abrotanum.

Stomach: Hours after eating the patient eructates mouthfuls of sour, rancid, bitter fluid; liquids roll up from the stomach; always belching up rancid food.

Some patients cannot digest butter; cannot use olive oil on their food. All sorts of bad tastes in the mouth. Several hours after eating has not finished digesting food in the stomach. Sour vomiting and eructations.

Digestion is slow, and the patient goes to the next meal hungry; eating does not satisfy; assimilation is bad. Always bilious. Mouth is slimy and the taste is bad. All these symptoms are worse in the morning.

"Accumulation of saliva and much mucus in the mouth."

"Flow of sweetish or tenacious saliva."

"Constant spitting of frothy, cotton-like mucus."

A striking feature of the Pulsatilla patient is that he never wants water. Dryness of the mouth, but seldom thirsty. Even in -many of the fevers he is thirstless, but there is at times an exception to this in high fevers there may be some thirst.

"Thirstlessness, with moist or dry tongue.

Desire for sour, refreshing things."

Often desires things he cannot digest; lemonade, herring, cheese, pungent things, highly-seasoned things, juicy things.

"Aversion to meat, butter, fat food, pork, bread, milk, smoking."

"Scraping sensation in stomach and oesophagus like heartburn."

Many pains in the stomach when empty or when full. But the bloating, the gas and the sour stomach are most striking. Gastric catarrh. Craves ice cream; craves pastries, yet they will not digest, and make him worse. Craves things which make him sick. This is not uncommon. The whisky drinker craves his liquor, yet knows it will kill him. So in Pulsatilla with regard to pastries. Craves batter cakes, with maple syrup, yet knows they will be vomited. Craves highly spiced sausage, yet averse to pork alone.

Pulsatilla produces and cures jaundice.

"Jaundice in consequence of chronic susceptibility to hepatitis and derangement of secretion of bile, with looseness of bowels duodenal catarrh; disordered digestion feverishness and thirstlessness after quinine."

Abdomen: Many troubles seem to manifest themselves in the abdomen by bloating, distension of the abdomen, flatulence, colicky pains, rumbling, fermentation of food, and from disorders of menstruation or diarrhea.

Great sensitiveness, tumefaction, tenderness; whole abdomen, stomach and pelvic organs sensitive to touch. Bloating after eating, especially after fats and rich foods. Fullness of the veins; general venous stasis. It brings about especially a tumid fullness of the abdomen, such a stuffed feeling that she cannot breathe.

Women: In a woman about to menstruate, there is bloating of the abdomen, stuffed feeling, has to throw off her clothes, cannot wear stays, wants to get into a loose dress or, to go to bed - so extremely puffed is she.

Associated with this abdominal tumefaction the face and lips become bloated and puffed, the eyes red, and the feet puffed so that she cannot wear her shoes. There is also a sensation of dragging down, a sense of great weakness, commonly related to the menstrual disturbances or uterine disorders.

The dragging down is recognized as prolapsus uteri. It is felt in the whole abdomen and is described as a funneling sensation, as if the parts would push out into the world, a dragging down. Oversensitiveness (of the abdomen; especially in the lower part of the abdomen. She cannot stand on her feet or walk around much, because of the weight and dragging down.

Labor-like pains in the uterus and back as if the menses would come on. It is not uncommon for the Pulsatilla patient to feel through the whole month as if she were about to menstruate.

The abdominal and bowel symptoms are associated.

Cutting, flitting changing pains. Pains urging to stool. Griping, in the bowels associated with dysentery or diarrhoea; loose watery or green stools. A striking feature of the bowel symptoms is a loose, watery, green stool, continually changing; yellow, faecal, slimy.

In summer complaints, when Pulsatilla is the indicated remedy, there will be hardly two stools alike; continually changing. This is characteristic of Pulsatilla in general; the pains wander; complaints change by metastases; the patient is scarcely ever twice alike. Diarrhea alternating with constipation. Menstrual flow stops and starts, intermits and changes. In the Pulsatilla patient you never know what you will find next.

Dysentery; dysenteric stools; scanty, slimy, bloody, green, watery stool with a little spurt; next stool might be diarrheic, with quite a copious discharge; thus you have diarrhoea and dysentery together.

Troublesome chronic constipation; stool large, hard and difficult to expel. It has (like Nux) frequent urging to stool without any, stool, or frequent urging with only a scanty stool; goes many times before can pass a stool, Nux and Pulsatilla.

Frequent unsuccessful urging in a chronic case is looked on as a keynote to Nux, but many remedies have it. Pulsatilla is one. The diarrhoea and bowel symptoms of Pulsatilla are worse, in the evening and during the night; that is, the stools are worse at night. The stomach, throat and mouth symptoms are worse in the morning. The mental symptoms are worse in the evening. The bowel and stool symptoms are aggravated by keeping perfectly still, and ameliorated by gentle motion.

There is much restlessness in Pulsatilla. Amelioration from motion in the cool open air. Feels stuffed up in a close room, and wants the windows open.

"Dysenteric stools of clear yellow, red or green slime; pain in the back, straining."

"Stools of deep green mucus; pain in the abdomen; no thirst."

You will remember the word green in Pulsatilla, as it relates extensively to the catarrhal discharges.

Most troublesome constipation with hemorrhoids; violent pains in the hemorrhoids, worse lying down, ameliorated from gentle motion, worse from the warmth of the bed, better moving about in the open air.

She becomes so nervous in a room while at rest that the pains seem intensified and she must move about.

Hemorrhoids:

"Hemorrhoids; painful protruding, blind, with itching and stitches in anus."

The aggravation from lying down in extremely painful hemorrhoids is contrasted with Ammonium carb. which has violently painful hemorrhoids relieved by lying flat on the back. In violently painful hemorrhoids, with intense burning, think of Arsenicum and Kali Carbonicum.

In those with sticking, tearing pains study Aesculus.

Looking over a number of years I have been forced to use in this cases a remedy not yet fully proven. In painful hemorrhoids, in a broken down constitution where the whole disease seems to culminate in the hemorrhoids; bleeding, protruding; a mere touch almost causes a convulsion; it causes her to scream out at the top of her voice; it is so painful that she feels that death would be a relief; she lies in bed, holding the nates far apart with her hands; after every stool she has three or four hours of extreme suffering. In these case look up the Paeony.

The hemorrhoids it cures look like the flowers of the plant, they are so inflamed, so red and bleeding; oozing; tender to touch; patient is so worn out with the pain. It has many times relieved the pain and cured these enormous hoemorrhoidal tumors. I have cured them after they. Had been operated on, and all sorts of violence done them, without relief. Do not go to this drug if you can find a remedy that covers all the patient. Many patients will not confess any other symptoms, and some of these will suffer so much from the hemorrhoids alone that you will really need this remedy.

Urine: frequent, scanty, with urging; wonderful tenesmus; extremely painful, bloody, burning, smarting urine; there is scarcely a drop collects in the bladder but it must be expelled.

She cannot lie on the back without having a desire to urinate. She may go all night without urinating if she does not lie on the back, but the minute she turns on her back she is wakened by the desire to urinate and she feels that if she does not hurry she will pass it involuntarily.

Involuntary urination when coughing and sneezing, or from a sudden shock or surprise, or from sudden joy, or from laughing, or from the noise of the slam of a door or a pistol shot. Pulsatilla has dribbling of urine, dribbles on the slightest provocation.

She must keep her mind. Continually on it, or she will lose her urine. As soon as she goes to sleep it flows away. Little, mild, gentle, florid, plethoric, warm-blooded girls, who kick the covers off at night and have nocturnal enuresis.

Yellow, sallow, sickly girls who lose their urine in their first sleep call for Sepia. Losing the urine in the first sleep is looked upon as a strong symptom, but you can figure it out, and hence it is not so. All those cases that have to make an effort to hold the urine during the day lose in their first sleep; for then the mind is taken off it, and as soon as the mind is taken off it the urine dribbles.

Causticum and Sepia are remedies looked upon as curing involuntary urination during the first sleep, but I have cured it with many other remedies.

A man past middle age flooded the bed at night as soon as he went to sleep. The medicines which have this are limited and be had received them all. I found I must figure it out on another basis. I ascertained that when moving about at his work he had no difficulty in holding the urine but when he sat down he had to make an effort to control it. At the time this condition developed he had been in Atlantic City and had bathed much in the ocean. Here were the aggravation and amelioration of Rhus, and Rhus cured him. Few would think of Bryonia in urinary trouble.

When he moves the urine dribbles, when he walks it flows. He is relieved only by keeping quiet. Bryonia is aggravated by motion; Rhus is relieved by motion.

Pulsatilla has relief from motion. A few remedies have relief from slow motion and of these Pulsatilla and Ferrum are the most striking. A few remedies are relieved by hurried motion; want to move fast. Such are Bromine and Arsenicum. The Arsenic child cannot be carried fast enough. The Pulsatilla baby is content with moderate motion. Any motion that heats up the Pulsatilla patient aggravates all the complaints. A wood sawyer working hard said his cough was relieved by moving about but when he became heated up from sawing he had to sit down and rest on account of the violent spasmodic cough that would come on.

Pulsatilla has complaints from exposure to rain; getting feet wet. Urinary troubles, worse when getting chilled (Dulcamara). Pulsatilla establishes a chronic, inveterate catarrh of the bladder. Copious mucous discharge, bloody discharge, especially after taking cold. Thick, ropy, purulent, green, offensive discharge.

Men: Sexual desire unusually strong.

"Long lasting morning erection."

"Sexual excesses resulting in headache, backache; limbs heavy."

"Burning and aching of the testicles, with or without swelling."

Orchitis; inflammation and swelling of the testicles from suppressed gonorrhea, from mumps, from catching cold, from, sitting on damp ground, or on a cold stone when perspiring. Gonorrhea suppressed by injections.

"Cold" settles in the testicles. Pulsatilla is the most frequently indicated remedy in gonorrhoea. in which the discharge is thick yellow or thick yellow and green, in those who are sensitive to heat, ameliorated walking in the open air. But also in persons with no other symptoms, and the gonorrheal discharge is thick yellow or green; no symptoms contra-indicating it.

Troublesome lingering discharges; an old gleet rouses into a thick yellow discharge, when be takes cold or after coition. Frequent tenesmus; chordee; urging to urinate; burning urination and yellow discharge.

Tumefaction about the penis. Foreskin dropsical. (Nitric ac., Fluor. ac., Cann. sat.). Pulsatilla is useful in cases of suppressed gonorrhea, with complaints following. Inflammation of the prostate. In old sinners with enlarged prostate, hard, flat, packed faeces, must always use a catheter; especially when the trouble has been brought on by sexual abuses, sexual excesses, vices. Pain in the testicles; tearing in the swollen testicles. Pain along the cord like cutting of knives; lacerating, tearing.

Women: Exaggerated sexual desire; nymphomania; wild, beside herself with sexual thoughts; uncontrollable sexual desire. Inflammation of ovaries and uterus. Suppression of menses from getting feet wet. Menses too late, scanty.

Face pale, yellow, sallow, or green like a chlorotic patient. It overcomes the tendency to miscarriage, false conception, moles, etc., and stops the growth of fibroids, other symptoms agreeing. In pregnancy and during confinement many symptoms call for Pulsatilla.

Most often called for when the patient is not irritable and the pains are very feeble, lasting for several days, and doing nothing; irregular, flitting, changeable pains, now up the back, now down the limbs; a prolonged first stage or prolonged preparatory symptoms. Chamomilla is more suitable if the woman is extremely irritable. But in a mild, gentle, mental state, when the pains are irregular, the os dilated and the contractions have let up, the pains too short, Pulsatilla will terminate that labor in a short time. The next pain after the dose will be a good one. You very often see in these cases that the outside parts are relaxed and the conditions are such that everything ought to go on well, but there is inaction. For weak pains Pulsatilla stands high.

Violent menstrual colic, causing her to bend double; soreness in the region of the uterus and ovaries; distended abdomen; throws the covers off; wants the windows open; tearful; weeps without a cause. Suppression of the menstrual flow from getting feet wet. Flow slow in being established and then scarcely more than a leucorrhea.

Menstruation that has been painful since puberty in plethoric girls. I have seen Pulsatilla cure a great many girls of sixteen to eighteen years old. The mother comes to me saying her daughter has suffered since her first menses; she went in swimming, or got her feet wet, and has suffered since. The doctor says the parts 'are undeveloped and she must be operated on.

Pulsatilla has established a normal flow in a few months. Now I will give you a contrast in another remedy. Scrawny girls who are sensitive to cold, have also taken a bath at the time the first menses should appear, or have got the feet wet, and the flow is partially suppressed, or has come on with an inflammation; a state of undevelopment is established, a stenosis; horrible menstrual colic; bearing down pains, as if everything would escape into the world, doubling the patient up; ameliorated by heat and aggravated by cold. Calc. phos. is the remedy.

"In girls of mild disposition, when puberty is unduly delayed, or menstrual function is defectively or irregularly performed; they are pale and languid, complain of headache, chilliness and lassitude."

To develop these young girls Pulsatilla is a great remedy. Most troublesome cases of prolapsus. It competes with Sepia, Belladonna, Natrum mur., Nux vomica and Secale; all of these are remedies with great relaxation, bearing down; some have cured even procidentia.

Pulsatilla cures many cases of gonorrhoea in females. I think it is most commonly indicated. A striking feature is, when the menstrual flow is present there is milk in the breasts.

In girls at puberty - milk in the breasts; a premature establishment of milk. In non-pregnant women, milk in the breasts. (Cyclamen and Mercurius.)

Chest: The chest, respiratory organs, and cough furnish some most troublesome symptoms.

Bronchitis; pneumonia. Dry, teasing cough and dyspnoea; wants the windows open, aggravated lying down. Cough gagging and choking. Copious expectoration in the morning, of thick yellow-green mucus. Dry, teasing cough at night, worse lying down, Chronic loose cough after measles. Whooping cough.

In the larynx we have many symptoms; constriction; tickling causing cough. Dry, teasing cough, worse lying and in a warm room. Cough worse at night. Bronchitis with loose morning and dry, evening cough.

Dyspnoea; oppression from walking fast or becoming overheated after eating; stopping up nose; after emotions. Spasmodic contraction of larynx. Tightness of chest; dyspnoea when lying on left edge; suffocation in the evening and during the night.

Asthma of children from suppressed rash or in women from suppressed menses. Loud rattling in the chest when lying. Chronic loose cough after measles. Expectoration of copious, thick, yellow-green, or bloody mucus; salty; offensive. Chronic catarrh of chest. Sensation of fullness in the chest in the evening with pulsation preventing sleep.

Palpitation from lying on the left side. Soreness in the walls of the chest. Pain in the chest sometimes relieved by lying on the opposite side; dryness and rawness in the chest. Wandering tearing pains in the chest; cutting pains in pleurisy; violent beat in the chest.

Haemorrhage of the lungs, dark blood. Dry cough in the evening, loose in the morning. Hemorrhage with suppressed menses or instead of the menses. Pulsatilla is very useful in catarrhal phthisis in chlorotic girls.

Back: In curvature of the spine Puls. is of great value.

Pain in the back, lumbar and sacral regions; wandering pains; spinal irritation after sexual excesses. Rheumatic pains in the spine and limbs, worse during rest and better from slow motion. Pain in small of back as if sprained; sensation of cold water poured down back.

All the limbs are painful; drawing, tearing pains in the limbs, better from motion and after motion; worse from a warm room and better from cold applications. Swelling of the veins in the arms and hands. Varicose veins of the limbs like Fl. ac. Rheumatism of joints; pain in joints as if dislocated. Sciatica worse in the evening and better from slowly moving about. Drawing and tension of muscles in lower limbs in the evening in bed. Tearing, jerking pains in the limbs, changing place. Burning in the veins. Purple swelling with violent itching of the feet as if they had been frozen. Feet burn, and he must put them out of bed. Soles bum and are bruised when walking.

Marked restlessness and twitching of the limbs and feet; numbness of the limb, lain on; wandering pains in all the limbs.

Sleeps on the back with hands over head. Cannot sleep on the left side as it increases the palpitation and suffocation. Confused, frightful, anxious dreams. Late falling asleep; sleeplessness on account of flushes of heat.

Pulsatilla cures intermittent fever, coming on from; disordered stomach. Chill morning and evening daily. The chill begins in the bands and feet; pains in the limbs during the chill; one sided coldness with numb feeling; fever one sided.

Thirst before the chill and seldom during the heat; heat with distended veins; sweat profuse all over or only on one side of the body. Vomiting of mucus during the chill.

A Dictionary of Practical Materia Medica, John Henry Clarke

Pulsatilla nigricans. Anemone pratensis. Pulsatilla pratensis. Pasque Flower. (Sunny, sandy pastures in Central and Northern Europe and parts of South of England.) N. O. Ranunculaceae. Tincture of entire fresh plant when in flower (it flowers in spring and again in autumn).

Clinical.─Acne. Amaurosis. Amenorrhoea. Anaemia. Appetite, depraved. Bladder, catarrh of. Blepharospasm. Breasts, pain behind. Bronchitis. Cataract. Catarrh. Chaps. Chest, pains in. Chilblains. Clavus. Cold. Cough. Diarrhoea; of phthisis. Distension. Dysmenia. Dyspepsia. Earache. Epilepsy. Epistaxis. Eyes, lachrymal sac, inflammation of; granular ophthalmia. Fear. Feet, soles painful. Foetus, mal-position of. Freckles. Gonorrhoea. Gout. Haemorrhoids. Hands, pains in. Heart, palpitation of. Heartburn. Hydrocele; congenital. Hysteria. Intermittent fever. Joints, synovitis of. Labour, spurious pains of. Lactation, disorders of. Leucorrhoea. Measles. Menstruation, abnormal; vicarious. Moles. Mumps. Neuralgia. Nymphomania. Ovaries, Pain in; inflammation of. Phlegmasis alba dolens. Pregnancy; bladder trouble of; sickness of; heartburn of; diarrhoea of. Priapism. Prostate, inflammation of. Prostatorrhoea. Puerperal convulsions. Puerperal fever. Puerperal mania. Retained placenta. Rheumatism; gonorrhoeal. Side, pain in. Smell, illusions of. Spine, curvature of. Stye. Synovitis. Tape-worm. Taste: depraved; lost. Tongue, coated. Toothache. Urine, incontinence of. Uterus; inflammation of; prolapse of. Veins, inflammation of; varicose. Whitlow.

Characteristics.─As some confusion has arisen as to the Pulsatilla of homoeopathic use, I will give Jahr's description of the plant: "Stems simple, erect, rounded, 3 to 5 inches high; leaves radical bipennatifid, oblong; flowers solitary, terminal, having folioles of calyx campanulate, bent at the point, the odour of the herb but slightly evident, taste acrid and pungent. The fresh plant contains an acrid and, vesicating principle, and furnishes a corrosive oil, as well as a kind of tannin, which colours iron green; in the dry state it is entirely deprived of this acrid quality. Grows in sandy pasture grounds, on hills and declivities exposed to the sun." He further distinguishes this Black Pulsatilla from the Common Pulsatilla (Pulsatilla vulgaris, Anemone Pulsatilla) which "grows only on dry and sterile hills and flowers in spring only, whilst the black-coloured Pulsatilla flowers a second time in August and September." P. vulg. is much less downy than P. nig.: "Its flowers clear violet or pale red, straight and not hanging; seeds surmounted by a long silky tail." It is called Pasque Flower because it is in bloom at Easter, and its flowers are used for colouring Easter eggs. The Anemone is a medicine of ancient date, and its affinity for the eyes seems to have been noted from the first. Perhaps its tearful propensities gave rise to the legend that it sprang from the tears of Venus. Dioscorides mentions it as a remedy for headache and ophthalmia. Stoerck was the forerunner of Hahnemann in the modern use of Pulsatilla, which he employed especially in chronic affections of the eyes (catarrh, amaurosis, spots on cornea). A young girl who had had amaurosis of both eyes since infancy he cured in two months, administering an extract internally, and insufflating a dry powder. The latter "caused at first an acute pain and profuse flow of tears; after which the pains, which had existed previous go the lachrymation, diminished as soon as it commenced, and finally disappeared with it" (Teste). Other cures by Stoerck are: (1) Foul ulcers on foot with serpiginous tetters on neck and shoulder. (2) Paralysis of right arm of five years' standing. (3) Paralysis of thighs. (4) White swelling of knees. (5) Melancholia. Hahnemann quotes Stoerck's experiences in the proving of Puls. in M. M. P. "Of the numerous provings left us by Hahnemann," says Teste, "that of Puls. seems to be the one to which he has contributed himself more than any other; it is one of the most interesting and most characteristic provings of his materia medica." Teste himself has given a very luminous account of the remedy. He puts it at the head of a group with Silic., Calc., Hep. as its chief members (Graph., Phos. in less degree, with Fer., Cham., and Gadus as analogues). These drugs act principally, says Teste, on the vascular apparatus. All the symptoms which they have in common depend upon a small number of primordial symptoms (e.g., impeded respiration, engorgement of air passages, irregular beating of heart), indicating vascular disturbance. Hence arise─(1) Throbbings here and there synchronous with the pulse. (2) Blackness and diminished fluidity of the blood. (3) Swelling of veins, capillary engorgement, a sort of ill-conditioned plethora. (4) Diminished vital heat and action. (5) Congestion of blood to head and engorgement of the sinuses. (6). Sensation of heaviness and fulness of brain; and (7) the same kind of pain sometimes with apoplectic shocks, in centre or (more usually) on right side of brain. (8) Vertigo and cloudiness as in complete apoplexy, especially when atmospheric pressure is low, as at the approach of storms, and on heights. [Others follow from which I make a selection.─J. H. C.] Soft stools, and a passive diarrhoea without colic, which seems to ease the patient rather than weaken him, and continues for an indefinite period, e.g., in phthisical patients. Sort of numbness, torpor of the genital organs, with absence of erections and pleasurable sensation (especially among women) during an embrace; or else permanent sexual excitement, "probably from compression of the cerebellum by the blood which flows to it in excessive quantity and remains there, as is the case in certain forms of asphyxia; this is the cause of the sexual excitement with which phthisicy persons are so often troubled." Delay of menses in spite of evident symptoms of a flow of blood towards the uterus; the menstrual blood is black, coagulated, impoverished if menses either too early or too late. One is obliged to lie with the head much higher than the rest of the body. Pains which manifest themselves principally in the parts on which one is not lying, but on changing position aggravated breaking out of those pains on the parts on which one has just been lying.─This idea of vascular engorgement usefully strings together many of the leading characteristics of Puls., which will serve to indicate its use in a great variety of disorders. The leaves of the recent herb have an acrid, burning, and nauseous taste. Its juice draws blisters "to the extent, it is said, of causing gangrene, if allowed to remain in contact with the part for a sufficient length of time; but these properties are, in a great measure, lost by dessication; and ruminating animals, such as sheep and goats, eat the dry Pulsatilla, if mixed with other herbs, without aversion or inconvenience." An active principle, Anemonin, has been isolated; it is inflammable and crystallises in colourless, odourless neutral needles. Hahnemann says of Puls.: "This powerful plant produces many symptoms on the healthy human body which often correspond to the marked symptoms commonly met with; hence, also, they admit of frequent homoeopathic employment, and often do good. We can therefore unquestionably reckon it as a remedy of many uses (polychrest). It is useful in acute as well as in chronic diseases, as its action, even in small doses, lasts from ten to twelve days. . . The homoeopathic employment of this, as of all other medicines, is most suitable when not only the corporeal affections of the medicine correspond in similarity to the corporeal symptoms of the disease, but also when the mental and emotional alterations peculiar to the drug encounter similar states in the disease to be cured, or at least in the temperament of the subject of treatment." Hahnemann now gives in masterly fashion the picture of the Puls. disposition and temperament: "A timid, lachrymose disposition, with a tendency to inward grief and silent peevishness, or at all events a mild and yielding disposition, especially when the patient in his normal health was good-tempered and mild (or even frivolous and good-humouredly waggish). It is therefore especially adapted for slow, phlegmatic temperaments; on the other hand, it is but little suitable for persons who form their resolutions with rapidity and are quick in their movements, even though they may appear to be good-tempered. It acts best where there is a disposition to chilliness and adipsia. It is particularly suitable for females when their menses come on some days after the proper time; and especially when the patient must lie long in bed at night before he can get to sleep, and when the patient is worse in the evening. It is useful for the ill effects caused by eating pork." Hering gives these additional touches to the Puls. type: Sandy hair, blue eyes, pale face, easily moved to laughter or tears; affectionate, mild, timid, gentle, yielding disposition; women and children; women inclined to be fleshy; the pregnant state. The behaviour of the "Wind Flower," the sport of every gust, has been said to typify the action of the remedy. Changeableness is one of its most important keynotes: Erratic temperatures in fevers. Wandering pains shift rapidly from one part to another, also with swelling and redness of the joints. Haemorrhages apparently stop and in a few hours return. Stools constantly changing colour; no two stools alike. Alternate pallor and redness of face. When one set of symptoms comes on another vanishes. A patient of mine, after a mental strain and fright, had severe occipital pain. I gave Puls. 30. Each dose caused the pain to fly from the occiput to the left leg; the mental balance was soon restored. Metastasis of mumps to testes or mammae. Nash says Puls. will often clear up those cases which have no "head or tail" to them; in which the symptoms are always changing and contradicting, pains run here and there. The Puls. patient is chilly, but at the same time there is extreme aversion to heat. The chief of all the keynotes of Puls. is < by warmth; in warm, close room; by warm coverings; warm applications; and > in open air; cold air or cool room; eating or drinking cold things; cold applications. Another keynote of Puls. is thirstlessness, and Teste gives a useful clue to that in suggesting that it depends on the congestive action of the remedy. The loss of thirst and even aversion to liquid food is "as if one had an instinctive dread of increasing the excessive fulness of the vessels." The wandering pains of Puls. are generally distensive, again suggesting congested vessels; and the headaches are congestive < on stooping forward; > by tightly bandaging; as if the brain would burst and the eyes would fall out of the head. The three characters, "chilly; < by warmth; thirstless," serve to define the fever of Puls. in whatever form it may be met─measles, mumps, typhoid, bilious, catarrhal, intermittent, rheumatic, etc. The chilliness may be one-sided, and associated with numbness; it may be flitting, in spots now here, now there. With the heat there are distended veins and burring hands that seek cool places, and still there is no thirst. In the rheumatic the pains shift from joint to joint. The sweat is profuse, may be one-sided, sour, sweetish sour, or musty in odour. The last completes the similarity of Puls. to the "mousey" odour of measles; the cough, catarrhal symptoms, and rash giving other strong points of correspondence. The ear trouble which is a common sequela and complication of measles or other fever is frequently met by Puls., which also meets the consequences of suppressed exanthemata and metastases, as of mumps to testes or mamma. As a prophylactic against measles Puls. has a reputation almost equal to that of Bell. against scarlatina: I generally give Puls. 3 three times a day. The generative organs of both sexes are strongly acted on by Puls., which may almost be regarded as an organ-remedy in relation to them. Gonorrhoea, with thick, purulent secretion; and the effects of suppressed gonorrhoea, orchitis, and cystitis; prostatitis; sarcocele, varicocele, hydrocele─all come within the sphere of Puls. In the female Puls. ranges over the whole sexual period, from puberty to the climacteric, including disorders of menstruation, pregnancy, the puerperium and lactation─all of which present many points of correspondence with the symptoms of Puls. Epilepsy with absence or irregularity of menses has been cured with Puls. Bojanus (B. J. H., xxxix. 218) relates two cases: (1) Girl, 18, of good constitution, with no hereditary predisposition, had amenorrhoea for six months, and a fit occurred at the time each period was due. Aura: sad, pale as death; chewing movements. Puls. 6 one dose a day. Next month menses returned and there were no more fits. (2) Robust girl, 14, with no hereditary predisposition. Fits twelve months. Exciting cause: non-appearance of menses. One great fit per month, small fits daily. Aura: self-willed, angry, stands on one spot, stares into vacancy, stamps her foot. In fit: cries, deathly paleness, biting tongue, flow of urine, continuing the occupation she was engaged with at commencement of fit. Puls. 30 one dose a day. Some weeks after a slight fit. Month later menses came on for first time, no great fits, small ones rare. Puls. 30 one dose a week. Month later a great fit. Puls. once a day. No more great fits, only a few small ones. Cure permanent. A patient to whom I was giving Puls. 3 for some heart affection complained that she could not take it because it caused her to wake up in the night with a dry cough, and she was compelled to sit up in bed to get relief. That is a characteristic cough of Puls., and I have frequently cured it in other patients. Puls. has a cough with copious expectoration, and this is the more usual; but they may be alternating conditions. The congesting action of Puls. is well shown in the respiratory symptoms. Remarking on this symptom, "Pressure upon the chest and soreness," Hahnemann says that in the catarrhal condition they refer to, "the glands of the air passages appear to be swollen and inflamed, and unable to secrete the mucus necessary to moisten them; hence the sensation of dryness, rawness, painfulness, and the illusory sensation as if the air passages were internally constricted by an excessive amount of tenacious and firm mucus which could not be loosened." Commenting on another symptom of Puls. ("dyspnoea or vertigo, with weakness of the head on lying outstretched upon the back, wholly disappearing on sitting upright"), Hahnemann elucidates some of its Conditions: "The symptoms of Puls. caused by lying down, sitting up, rising from sitting, by walking and by standing, consist of varying alternate conditions, all of which belong to the primary action of the drug, but which vary in their character. Usually the symptoms of Puls. which occur while lying still upon the back are > by sitting upright, seldom the reverse; frequently the symptoms that appear while sitting still are > or removed by gradual motion and by walking, seldom the reverse. Yet the act of rising, before one begins to walk, = symptoms more numerous and more severe the longer the sitting has continued; so also longer continued and more violent motion = aggravation no less long than sitting still, which, however, are only really felt and noticed after one has sat down and become quiet." Other leading indications of Puls. are: First serious impairment of health is referred to age of puberty, "never been well since"─anaemia, bronchitis, phthisis. Secretions (of eye, ear, nose, vagina, etc.) are generally thick, bland, and yellowish green. The pains appear suddenly and leave gradually; or tension much increases till very acute, then "lets up with a snap." Great dryness of mouth without thirst. All-gone sensation in stomach, especially in tea-drinkers. < At twilight; in evening (the wide-awakeness on first going to bed comes within this modality). Suffering parts emaciate. Peculiar Sensations are: As if beside himself. As if in a hot atmosphere. As if death were near. As if looking through a sieve. Limbs as if bruised; as if asleep. As if one had turned in a circle a long time; as if he would fall; as if he were dancing. As if brain would burst and eyes fall out of head. As if skull of forehead too thin. As if skull were lifted up. As if one had eaten too much. As if a nail driven into occiput. As if head between screws. As if gimlet piercing skull. As if eyes tightly bound by cloth. As if foreign body pressing in eye; sand in eye; thick body forcibly driven into ear; something crawling out of ear; worm creeping into throat. As if nose would be forced asunder. As if face being drawn tighter and tighter, then suddenly let loose as if a string cut. As if a nerve in tooth put on stretch and then let loose. As if he had to swallow over a lump. As of stone in stomach. As if bladder too full; as if it would fall to side on which he is lying; as of a stone in bladder or in abdomen or chest. As if joints would be easily dislocated. Small of back as if sprained. As if a hand passed through back and everything were constricted. Chill as if drenched with cold water. As if head would burst on coughing. Tongue as if burnt. Pain as from subcutaneous ulceration. As of a hot coal above ulcer. The symptoms are < by touch; > by hard rubbing and pressure (but stomach, bladder, uterus, very sensitive to pressure). > Uncovering. Aversion to and < from meat, butter, fat food, pork, bread, milk, buckwheat, ice cream, smoking. Desire for: sour, refreshing things; herring; lemonade. > From cold, < from warm foods. Rest < (> pain in testes; labour-like pains; weakness in joints). Cannot rest though motion <. The longer he lies in the morning the longer he wishes to lie. > Lying with head high. < Lying on l. side; on sound side. Pains which come on when lying on back are > by turning to either side (also vice versa); must sit up and turn. When rising up the red face turns deathly pale. Great inclination to stretch feet. Gentle motion >, slow walking >. Violent motion <. Mis-step < stitching pains in stomach. Intellectual labour, or watching will = headache; meditation will sometimes >. Most symptoms < evening and night. < Twilight: "As evening comes on begins to fear ghosts"; all symptoms < alternate evenings. < Before thunderstorm. Sun <. < Hot food; is vomited immediately; < toothache. < Changes of weather. < Getting wet. Wind <. Draught of air > toothache.

Relations.─Antidoted by: Cham. (Cham. and Puls. antidote each other and follow each other well. If either one has over-acted the other will probably neutralise the ill effect and carry on the good), Coff., Ign., Nux (Teste adds Sul., and says when the improper use of Puls. has affected the air passages Calc. ph. has proved his best antidote). Antidote to: Chi., Chi. sul., Fer. (in chlorotic girls who have been damaged by Iron, Puls. has excellent effect), Mag. c., Sul., Sul. ac., vapours of Mercury and Copper, Bell., Cham., Coff., Colch., Lyc., Plat., Gels., Strm., Saba., Ant. t., Whisky, Toad-stool poisoning. Compatible: Ars., Bry., Bell., Ign., K. bi., Lyc., Nux, Pho., Rhus, Sep., Sul. Complementary: Lyc., Sul. ac., Arg. n. (if Arg. n. flags, give Puls.; Arg. n. follows Puls. in ophthalmia); Stn. (Stn. has menses too early and too profuse). Compare: Tearfulness, Sep. (Puls. cries when telling her symptoms, Sep. weeps when questioned about her symptoms; Sep. irritability and anger, indifference to household affairs), Nat. m. (Nat. m. is < by consolation), Ign. (Ign. hides her grief). Varicose veins, varicocele, orchitis, phlegmasia alba dolens, Ham. (Ham. has soreness of affected part). Ophthalmia, Arg. n. Cold, Cycl. (Cycl. has spasmodic sneezing), Cep. (both have < in room, > open air, but Cep. discharge is thin and excoriating, Puls. thick and bland), Pen. sed. (Pen. sed. has rawness in nose and throat; and "constant wet feeling without coryza," later thick and purulent like Puls.). Stinging pains in throat < swallowing saliva and after eating, Apis. Feeling as if food lying in oesophagus, Chi., Abies n. Effect of fat food, Ip., Thuj., Carb. v. Effect of ice-cream, Ars., Carb. v., Ip., Bels. Mixed diet, Nux, Ip., Chi. Desire for lemonade, Cyc., Sabi., Bell. Gastric ailments from pork, Ant. c. (tongue as if whitewashed, vomiting predominates; Puls. stool greenish and slimy), Ip. (tongue clean, nausea predominates). Spasmodic, irregular pains = faintness, Nux. Retained placenta, Canth. After-pains, Cham., Xan., Cup. (in women who have borne many children). Non-appearance of milk, Urt. u., Ric. com., Agn. c. Uterine affections, Caul., Helon., Senec., Alet. f., Cycl., Hydras., Lil. Measles, Morbillin, K. bi. Backache < sitting, Zn., Cobalt., Sep., Can. i. Earache, Borax. Knee-joint affections, Anac. (Anac. chronic). < From wine, Zn. (Puls. from sulphurated wines,) Rho., Glo., Nux, Sel., Lach., Fl. ac., Ant. c., Bov., Sil. Thick, yellowish, green nasal discharge, Merc. (Puls. bland; Merc. has moist mouth and intense thirst, and Puls. and Nux m. dry mouth without thirst). Sudden vanishing of sight with scanty menses, Sep., Cycl. Diarrhoea from fright, Gels. (Puls. stools greenish, yellow, or slimy, or very changeable). Hypertrophy of heart; > from slow motion, Rhus. Menstrual colic, Coccul. (Coccul. as if sharp stones rubbed together with every movement). Vicarious menstruation, Bry., Pho. Ozaena with thick greenish discharge, gleet, gonorrhoeal rheumatism, effects of tea, Thuj. (the gleet of Puls. is thicker than that of Thuj.). Scanty menses, Graph. > Open air, Sul. (Lyc. desires open air, but is < in cold, damp air). Climacteric state, Lach. > Uncovering, Lyc., Camph., Aco., Sec. < From heat, Apis, Iod. Nausea in upper chest and in hypogastrium, Puls. (nausea in hypogastrium, generally with uterine bearing down, Rhus). Nausea when fasting, Calc., Lyc., Silic.; when beginning to eat, Nux, Sul. Nausea in chest, Ant. t. Acid stomach, Chi., Calc., Sul., Sil., Robin. Menstrual pain begins with the flow (opp. Lach., pain subsides as flow begins). Acquisitiveness, Ars., Lyc. Dread of disease, Calc., Lach., Nux. < Lying on left side; > cold food and drink, Pho. Ribbon-like stools (Pho. like dog's). Fears darkness, Am. m., Ars., Bar. c., Berb., Calc., Carb. a., Carb. v., Caus., Lyc., Pho., Rhus, Stro., Val., Stram. Fear of ghosts, Aco., Ars., Bro., Lyc., Ran. b., Sep., Sul., Zn. Piles during menses, Am. c., Ars., Carb. v., Coccul., Collins., Graph., Ign., Lach., Mur. ac., Pho., Sul. Faintness connected with stools, Ap., Nux m., Spi., Ver. (with scanty stools, Crot. t., Dulc., Ox. ac., Pet. Sars., Sul.) Stoppage of menses from wet feet, Rhus., Lob. i. Chilblains, Agar. Vertigo on looking up (Calc. on turning head; Sul. on looking down). < In bed at night, Sul., Merc., Cham. Taste bitter with biliousness of a morning, the taste felt chiefly in upper chest, Sul. One hand cold the other hot, Chi., Dig., Ip., Mosch. Metastasis of mumps to testes, Bell., K. ca., Rhus (to brain, Bell., Hyo.). Effect of taking cold, fever, Aco. (Aco. has great thirst and anguish). Inter-menstrual haemorrhage, Bov., Ham. < Hair-cutting, Bell. > Lying on painful side, Bry. Erratic temperatures (Zn. nervous high temperatures). Puls. is a close analogue of Cycl. in many respects, but Cycl. has profuse menses, the flow being < sitting and > walking (Puls. < during day; Kre. < lying down); and Cycl. has < in open air. Puls. and Nux are in most respects antipodal, though they follow each other well; Puls. has > lying on back, < turning to either side; Nux has < lying on back, > turning to either side. Silica is the chronic of Puls.; and Sul. also in many respects.

Causation.─Chill. Wetting feet. Eating: Pork; Fats; Pastry; Ice-cream; Mixed diet. Thunderstorm. Tea.

SYMPTOMS.

1. Mind.─[This remedy is particularly applicable for complaints which are found to occur in patients of a mild, yielding, or good-natured disposition; also in those who by, their sickness, or naturally, are very easily excited to tears─they are very apt to burst into tears whenever spoken to, or when they attempt to speak, as in giving their symptoms, etc.─Affections of the mind in general; covetous; mistrustful; absent-minded; low-spirited (H. N. G.)] Melancholy with sadness, tears, great uneasiness respecting one's affairs or about the health; fear of death (tremulous anguish, as if death were near), care and grief.─Involuntary laughter and weeping.─Great anguish and inquietude, mostly in precordial region, sometimes with inclination to commit suicide, palpitation of heart, heat, and necessity to loosen the dress, trembling of hands, and inclination to vomit.─Fits of anxiety, with fear of death, or of an apoplectic attack, with buzzing in ears, shiverings, and convulsive movements of fingers.─Apprehension, anthropophobia, fear of ghosts at night or in evening, with an impulse to hide or to run away, mistrust and suspicion.─Covetousness.─Taciturn madness; with sullen, cold, and wandering air, sighs, often seated with the hands joined, but without uttering any complaint.─Despair of eternal happiness, with continual praying.─Discouragement, indecision, dread of occupation, and obstructed respiration.─Disposition envious, discontented, and covetous, exhibiting itself in a wish to appropriate everything.─Caprice, with desire at one time for one thing, at another time for something else, either being rejected as soon as obtained.─Hysterical laughter after meals.─Hypochondriacal humour and moroseness, < evening, often with repugnance to conversation, great sensitiveness, choleric disposition, cries, and weeping.─Ill-humour, sometimes with a dread of labour, and disgust or contempt for everything.─Inadvertence, precipitation, and absence of mind.─Difficulty in expressing thoughts correctly when speaking, and tendency to omit letters when writing.─Giddiness; patient neither knows where he is nor what he does.─Great flow of very changeful ideas.─Nocturnal raving; violent delirium and loss of consciousness.─Frightful visions.─Weakness of memory.─Fixed ideas.─Stupidity.

2. Head.─Fatigue of head from intellectual labour.─Sensation of emptiness and confusion in head, as after long watching or after a debauch, and sometimes with great indifference.─Stupefaction in evening, in warm room, with chilliness.─Stupefying headache, with humming in head, < when lying or sitting quiet, or in the cold.─Vertigo as during intoxication, or vertigo to such an extent as to fall, and staggering, < evening, or morning when rising up, when getting up after lying down, when sitting, when stooping, when walking in open air, or after a meal, as well as on raising eyes, and often with great heaviness and heat in head, paleness of face, inclination to vomit, sleep, cloudiness of eyes, and buzzing in ears.─Meditation and conversation < the vertigo.─Fits of dizziness and loss of consciousness, with bluish redness and bloatedness of face, loss of motive power, violent palpitation of heart, pulse almost extinct, and respiration rattling.─Pain as from a bruise in brain (as if brain were lacerated, on or soon after waking), as in typhus fever or after intoxication with brandy.─Headache as from indigestion, caused by eating fat food (or from the abuse of Mercury).─Pain in head as if forehead would split, or as if brain were tight, compressed, or contracted.─Headache on moving eyes deep in orbits as if forehead would fall out; and frontal bones were too thin, with dulness of head, evening.─Semilateral headache as if brain would burst and eyes fall out of head.─Soreness as from subcutaneous ulceration in one or both temples, < in evening, when at rest, and in warm room; > by walking in open air.─Twitching-tearing in temple on which one lies, and going to the other side when turning on it; < in evening and on raising eyes upwards.─Congestion of blood to head, with stinging pulsation in brain, esp. when stooping.─Shootings, or sharp drawing and jerking pains, or tingling pulsation, and boring in head.─Headache across eyes like a drawing-up and letting go again.─Roaring, buzzing, and crackling in head; or painful sensation, as if a current of air were crossing brain.─The headache is often only semilateral, extending as far as ear and teeth, where it affects forehead (generally in one temple) above eyes, penetrating into sockets, or it is experienced in occiput, with painful contraction in nape of neck (with vertigo, ringing in ears, and vanishing of sight).─Appearance or < of headache in evening, after lying down, or at night, or in bed in morning, as well as on stooping, on moving eyes or head, when walking in open air, and during intellectual labour; compression sometimes >.─Headache > by meditation.─Headache with nausea and vomiting, or with congestion and heat in head, or else with shuddering and syncope, vertigo, cloudiness of eyes, loss of sight, and buzzing in ears, photophobia, and weeping.─Pain in scalp on turning up hair (or on brushing hair backwards).─Tickling and itching in head.─Purulent pustules and small tumours, with pain in scalp as from ulceration (suppurating and affecting the skull, more painful when lying on the opposite well side).─Tingling, biting-itching on scalp, mostly on temples and behind ears, followed by swelling and eruptions; sore pain; < in evening when undressing and on getting warm in bed.─Fetid, frequently cold perspiration, at times only on one side of head and face, with great anxiety and stupor; < at night and towards morning, > after waking and rising.─Disposition to take cold in head, < when it gets wet; sweat of scalp and face.

3. Eyes.─Affections in general appearing on the cornea; margins of the eyelids; dim-sightedness, with a sensation as though there were something over the eye which the patient wishes to rub away; amaurosis; cataract.─Pain in eyes as if scratched with a knife.─Burning sensation, pressive pain as if caused by sand; or sharp or shooting pain in eyes, or else boring and incisive pain.─Burning itching in eyes, chiefly in evening (inducing rubbing and scratching).─Inflammation in eyes and margins of lids (and meibomian glands), with redness of the sclerotica and conjunctiva, and copious secretion of (thick) mucus (and nightly agglutination).─Swelling and redness of eyelids.─Trichiasis in eyelid.─Styes, esp. on upper lid.─Crystalline lens clouded and of a greyish colour.─Stye with inflammation of sclerotica, and tensive drawing pains on moving the muscles of the face.─Dryness of eyes and lids, esp. during sleep.─Profuse lachrymation, principally in the wind, as well as in open air, in the cold, and in clear, bright daylight.─Acrid and corrosive tears.─Abscess near angle of eye, like a lachrymal fistula (discharging pus on pressing it).─Nocturnal agglutination of lids.─Pupils contracted or dilated.─Amaurosis; paralysis of optic nerve.─Look fixed and stupid.─Dimness of sight, esp. or, getting warm from exercise.─Cloudiness of eyes and loss of sight, sometimes with paleness of face and inclination to vomit; (all objects present a sickly hue).─Loss of sight in twilight, with sensation as if eyes were covered with a band.─Sight confused, as if directed through a mist, or as if caused by something removable by rubbing, principally in open air, in evening, in morning, or on waking.─Incipient cataract.─Diplopia.─Luminous circles before eyes, and diffusion of light of candles.─Great sensibility of eyes to light, which causes lancinating pains (and in sunshine).

4. Ears.─Pain in ears, as if something were about to protrude from them.─Shootings with itching, or sharp, jerking pain, and contraction in and round ears; the pains sometimes come on by fits, affect whole head, appear insupportable, and almost cause loss of reason (may be accompanied by high fever, etc.).─Earache with shooting down to teeth of lower jaw, < when warm in bed.─Earache in both ears with violent headache, frontal and occipital, < at night.─Inflammatory swelling, heat, and erysipelatous redness of ear and auditory duct, as well as of surrounding external parts.─Painful swelling of bones behind ears.─The cerumen is hard and black.─Bland, nearly inoffensive discharge of mucus and pus from ear.─Discharge of pus, of blood, or of a thick yellowish humour from l. ear.─Discharge from one or both ears, which may come on after measles or any other disease, or may occur spontaneously.─Otorrhoea with throbbing tinnitus.─Warbling, pulsative murmurs, tinkling, roaring, and humming in ears.─Hardness of hearing, as from an obstruction (esp. from cold, from having hair cut, or after suppressed measles).─(Deafness after washing head.─R. T. C.).─Burning, gnawing scabs at the tragus (with swelling of glands of neck).─Shootings in parotids.

5. Nose.─Pressure and pain as from an abscess in root of nose (near inner canthus, as if a lachrymal fistula would form).─The nose feels sore internally and externally.─Ulceration of nostrils and of the alae nasi (emitting a watery humour).─Discharge of fetid and greenish or yellowish pus from nose (like old catarrh).─Old catarrh, frequently a profuse discharge every morning, in mild and pleasant persons.─Nasal catarrh accompanied by special discomfort in the house, cannot breathe well in a warm room, and great > by going out into the open air.─Blowing, of blood from nose and nasal haemorrhage (blood coagulated; with dry coryza; with suppressed menses), sometimes with obstruction of nose.─Obstruction of nose and dry coryza, principally in evening and in the heat of a room.─Coryza with loss of taste and smell, or with discharge of thick (yellowish green) and fetid mucus.─Tickling in nose and frequent sneezing, principally in morning and evening.─Constant shivering during coryza.─Imaginary smells.─Constant smell before nose, as from a coryza of long standing, or as of a mixture of coffee and tobacco.─Swelling of nose.─Nasal bones pain as if they would be forced asunder.

6. Face.─Face pale (or yellowish, with sunken eyes) and sometimes with an expression of suffering.─Painful sensitiveness of skin in face.─Boring in l. malar bone.─(Neuralgia of r. face, < and then > by warmth, tightness across forehead as from a tight-string, keeps her awake at night.─R. T. C.).─Pallor of face, alternating with heat and redness of cheeks.─Heat and redness of r. cheek only.─Sweat on face and scalp; shuddering or one- (r.-) sided sweat of face.─Face (and nose) puffed and of a bluish red colour.─Convulsive movements and muscular palpitations in face.─Tension and sensation of swelling in face, or painful sensibility of skin, as if it were excoriated.─Erysipelas in face, with shooting pain and desquamation of skin.─Red nodosities in region of cheek-bones.─Lower lip swelled and cracked in middle.─Swelling, tension, and cracks in lips, with desquamation of skin.─Gnawing and smarting around mouth.─Sharp and contractive pain in jaws.─Swelling of submaxillary and cervical glands.

7. Teeth.─Sharp, shooting pains in teeth, or drawing, jerking pains, as if the nerve were tightened, then suddenly relaxed; or pulsative, digging, and gnawing pains, often with pricking in gums.─Jerking and stinging in teeth, extending to ears and eyes.─Toothache which affects the sound as well as the carious teeth, often only semilateral, and frequently extending to face, side of head, ear, and eye, on the side affected, being sometimes accompanied by paleness in face, shivering, and dyspnoea.─Toothache < or appears principally in evening or afternoon or at night, as well as in heat of bed or of a room; renewed by eating, as also by partaking of anything hot, and by irritation with the toothpick: > by cold water or fresh air.─Toothache from cold (in the first warm spring days), with otalgia, paleness of the face, and chilliness.─The toothache is also sometimes < by cold water as well as by fresh air or by wind; but these cases are rare.─Sensation of burning or swelling, pain as from excoriation, and pulsation in gums (< by the heat of the stove).─Looseness of teeth.

8. Mouth.─Dryness of mouth in morning (without thirst).─Offensive smell, and even putrid fetor from mouth, principally in morning or at night, and in bed in evening.─Flow of sweetish and watery saliva from mouth, sometimes with inclination to vomit.─Sensation as if tongue were too large.─Tongue feels dry, and clammy.─Painful blister on r. side of tip of tongue.─Sensation in middle of tongue, even when it is moistened, as if it had been burned and were insensible; at night and in morning.─Edges of tongue feel sore as if scalded.─Tongue greatly swollen, dorsum bright red and covered with network of dilated and congested veins; varicose swelling on l. side of tongue.─Tongue loaded with a thick coating of a greyish, whitish, or yellowish colour (and covered with tough mucus).─Accumulation of tenacious mucus in mouth and on tongue; these parts are, as it were, coated with a white skin.─Cracks and painful vesicles on tongue.─Sensation as if the palate were swollen, or covered with tenacious mucus.─Constant spitting of frothy, cotton-like mucus.

9. Throat.─Pain as from excoriation in throat, as if it were all raw, with scraping, burning sensation and smarting.─Redness of throat, tonsils, and uvula, with sensation as if those parts were swollen, < swallowing.─Difficult deglutition, as from paralysis, or from contraction of throat.─Shootings in throat, with pressure and tension during empty deglutition.─Inflammation of throat, with varicose swelling of veins.─Dryness in throat (in morning) or accumulation of tenacious mucus, which covers the part affected (esp. night and morning).─The sore throat is generally < in evening or afternoon.─Sensation of a worm creeping up into throat.

10. Appetite.─Insipid mucus, putrid taste in mouth, empyreumatic, earthy, or pus-like taste.─Taste: fatty; lost; in colds where there is an entire loss of taste.─Sweetish, acid, or bitter taste in mouth, and of food, principally meat, bread, butter, beer, and milk, substances which also often appear insipid or cause disgust.─Bitter or sour taste in mouth immediately after eating, as well as in morning and evening.─Wine has a bitter (beer a sweet or bitter) and meat a putrid taste.─Food appears either too salt or insipid.─Want of appetite and dislike to food.─Hunger and desire to eat, without knowing what.─Ravenous hunger, with gnawing pain in stomach.─Complete adipsia, or excessive thirst, with moisture on tongue, and desire for beer, or spirituous, tart, and acid drinks.─Thirstlessness with all complaints.─Sensation of derangement in stomach, similar to that caused by fat pork or rich pastry.─Repugnance to tobacco smoke.─After eating, nausea and eructations, regurgitation and vomiting, inflation, and aching in pit of stomach, colic and flatulence, headache, obstructed respiration, ill-humour and melancholy or involuntary laughter and weeping, and many other sufferings.─Bread, esp., lies heavy on stomach.

11. Stomach.─Frequent eructations, sometimes abortive, or with taste of food, or acid, or bitter, and principally after a meal; like bile in evening.─Regurgitation of food.─Waterbrash.─Frequent hiccough, principally on smoking tobacco, after drinking, or at night, and sometimes with fit of suffocation.─(Constant hiccough with jaundiced look and burning pains about shoulders.─R. T. C.).─Insupportable nausea and inclination to vomit, sometimes extending to throat and into mouth, with distressing sensation as of a worm crawling up oesophagus.─Morning sickness (during pregnancy).─Attacks of constriction and choking in oesophagus.─Scraping sensation in stomach and oesophagus, like a heartburn.─Vomitings, sometimes violent, of greenish mucus, or bilious and bitter, or acid matter (esp. in evening and at night).─Vomiting of food.─Haematemesis.─The nausea and vomiting take place principally in evening or at night, or after eating or drinking, as well as during a meal, and they often manifest themselves with shivering, paleness of face, colic, pains in ears or back, burning sensation in throat, and borborygmi.─(Persistent indigestion in fits, with great weight on chest and sickish feeling, from mental and physical upset.─R. T. C.).─Cold in stomach from ice-cream and fruit.─Colic, with nausea, ceasing after vomiting.─Painful sensibility of region of stomach to least pressure.─Disordered stomach (digestion) from eating fat food (pork).─Pressive, spasmodic, contractive, and compressive pains in stomach and praecordial region, principally after a meal or in evening or in morning, and often with vomiting or nausea and obstructed respiration.─Tingling or pulsations in pit of stomach, or shooting pain on making a false step, or on uneven pavement.─Pain in epigastrium, which is greatly < when sitting (during pregnancy).

12. Abdomen.─Inflammation of abdomen, with great sensitiveness of integuments to pressure.─Drawing tension in hypochondria, or pulsative shootings, as in an abscess.─Hard distension of abdomen, principally in epigastrium, with tension, and sensation as if all were full, hard, and impassable, as if no stool or flatus could be expelled, though a stool does pass slowly but not hard, and yet the flatus is passed with difficulty and in small amounts.─Chilliness extending from abdomen to lower part of back.─Pressure in abdomen and small of back as from a stone; limbs go to sleep while sitting; ineffectual desire to stool.─Spasmodic and compressive pains, sometimes at bottom of hypogastrium, with pressure on rectum or cuttings, principally round navel (low down in abdomen, penetrating into pelvis), or sharp and shooting pains in abdomen.─Colic and labour-like pains in pregnant women.─Colic with chilliness, while the menstruation is suppressed.─Sensitiveness and inflammation of abdominal walls.─The colics are often accompanied by vomiting or diarrhoea; they manifest themselves mostly in evening or after eating or drinking; and are sometimes > by squeezing the abdomen or by repose, while movement < them.─Annular swelling round navel, painful when walking.─Retraction and soreness of abdomen, with great sensibility of integuments of abdomen, which appear swollen, with pain as from a bruise on touching them, or on yawning, singing, coughing, and at every movement of the abdominal muscles.─Stitches and cutting in abdomen in evening; < on sitting still.─Flatulent colic, principally in evening, after a meal, or after midnight, or in morning, with pressive pains, produced by incarcerated flatus, tumult, borborygmi, and grumbling in abdomen and escape of fetid flatus.─Painless rumbling of flatulence in upper abdomen.─Constriction as from a stone extending to bladder.─Purulent pustules in groins.

13. Stool and Anus.─Constipation and difficult evacuations, sometimes with painful pressure on rectum and pains in back.─Constipation, esp. if faeces are hard and large, after intermittent fever suppressed by Chininum sulph.─Frequent want to evacuate, even at night.─Involuntary and unperceived evacuations during sleep.─Stools frequent soft, diarrhoeic, consisting of yellow mucus or mixed with blood, preceded by cutting in abdomen, or with pains in small of back.─Nightly diarrhoea, discharges watery or green like bile, after previous rumbling in abdomen.─Stools consisting only of mucus, or acrid, or bloody, or very offensive, or white.─(Diarrhoea, white, cream-coloured stools, involuntary.─R. T. C).─(White, clayey liverish stools resume their normal colour.─R. T. C.).─Dysentery, with pain in back.─Loose evacuations, even at night, and sometimes with colic and cuttings, shiverings and shudderings, and pains in anus.─Diarrhoea, particularly when it is very changeable and no two stools are alike; flatus very fetid, sometimes obstructed, causing much pain.─Diarrhoea during menses, particularly if it comes on at night.─Frequent evacuations of whitish, yellowish, sanguineous mucus, or of greenish, minced, bilious, or watery, and sometimes corrosive matter (may contain tape worm).─Before and after evacuations, burning, smarting, and pains as from excoriation in anus and rectum.─During stool congestions of blood to anus.─Discharge of blood from anus even when not at stool.─Blind and bleeding haemorrhoids, with itching, smarting, and pain as from excoriation.─Protrusion of haemorrhoids.─Haemorrhoidal tumours with great soreness.

14. Urinary Organs.─Urine very scanty; bloody; with mucus; reddish; complaints before making water and during; when going to urinate there is a sensation as if it would gush away, and patients can scarcely wait.─Retention of urine, with redness and heat in region of bladder, anxiety, and troublesome pains in abdomen.─Tenesmus of bladder and frequent want to urinate, with painful pressure on bladder and drawing pain in abdomen.─Involuntary micturition; at night in bed, esp. in little girls.─Involuntary emission of some drops of urine when coughing, walking, sitting down, expelling flatus (or during sleep).─Wetting the bed (at night, esp. in mild-tempered, tearful people, and in children).─Enuresis of old people with distended colon (R. T. C.).─Profuse emission of watery urine, with weakness in loins and diarrhoea, or scanty red or brown urine, sometimes with a violet-coloured froth.─Urine, with sediment, red, or of the colour of brick-dust, or violet, or mucous, or gelatinous.─Sanguineous urine with purulent deposit and pains in loins.─Haematuria with burning at orifice of urethra, and with constriction in region of navel.─Haematuria in cows and in human beings (R. T. C.).─Discharge (thick) from urethra as in gonorrhoea.─Contraction of urethra with a very small stream of water.─During micturition burning in urethra.─Burning during and after emission of urine.─Pulling and pressure in urethra, neck of bladder, and also in the bladder.─Pressure and constriction in bladder, with soreness (sensitiveness) in that region.─Swelling near neck of bladder, with soreness when touched, intermittent stream of urine, and spasmodic pain in pelvis and thighs after urinating.─Urine watery, colourless; brown; bloody.

15. Male Sexual Organs.─Itching and tickling in prepuce and scrotum, < morning and evening.─Itching-burning on the inner and upper side of the prepuce.─Inflammatory swelling of testes and spermatic cords (sometimes only on one side), with pressive and drawing pains, extending into abdomen and loins, redness and heat of scrotum (from a contusion or after suppressed gonorrhoea), nausea and inclination to vomit.─Burning in testicles, without swelling.─Testicles hang low down.─Dropsical swelling of scrotum of a whitish blue colour.─Excessive increase of sexual passion, almost like priapismus, with frequent and prolonged erections, ardent desire for coition, and frequent pollutions.─Flow of prostatic fluid.─Inflammation of prostate gland.

16. Female Sexual Organs.─Affections in general of the female genital organs; of the uterus.─Nymphomania.─Drawing, pressive pain extending towards uterus with qualmishness, towards morning.─Contractive pain in l. side of uterus, like labour pains, obliging her to bend double.─Spasmodic pains, or drawing tension in uterus, and pains like those of labour.─A burning (sticking) pain in vagina and pudenda.─Metrorrhagia (discharge now stopping, and then stronger again, of coagulated, clotted blood, or with false labour-pains).─Menstrual blood black, with clots of mucus, or pale and serous.─Catamenia irregular, tardy, or premature, of too short or too long duration, or entirely suppressed (esp. if produced by getting the feet wet), with colic, hysterical spasms in abdomen, hepatic pains, gastralgia, pain in loins, nausea and vomiting, shivering and paleness of face, megrim, vertigo, moral affections, tenesmus of anus and bladder, stitches in side, and many other sufferings before, during, or after period.─Suppression of menses (esp. in elderly women in whom they usually occur at full moon).─Delay of first menses in mild, gentle girls, low-spirited, etc.; diarrhoea during menses.─Leucorrhoea, thick, like cream (esp. frequent in lochial discharges where the flow looks like milk), or corrosive and burning, principally at period of catamenia before, during or after), and sometimes with cuttings (< when lying down; with swollen vulva).─After-pains in females of a mild disposition.─False pregnancy.─During pregnancy: nausea, morning sickness; varicose veins, bluish, < towards evening.─Lame pelvis, < warm in bed, must change position frequently threatened abortion, flow now ceasing, now returning.─During labour intense inertia; weeps because she is not delivered; malpositions of fetus; post-partum haemorrhage; convulsions, following sluggish or irregular pains; lochia scanty, milky, or suppressed; puerperal fever; phlegmasia dolens.─Labour-pains too weak, spasmodic, or ceasing.─Swelling of breasts, with tensive pain as if the milk rushed into them and caused pressure, while nursing.─Lumps on breasts of girls, before puberty; or escape of thin, milk-like fluid.─Scanty supply of milk.─Affections of nipples.─Weeps every time child is put to breast; pain extends into chest, neck, or down back, changes from place to place.─Milk suddenly suppressed, lochia becomes milky white.─Galactorrhoea esp. in women who do not nurse their children.─After weaning, breasts swell.

17. Respiratory Organs.─Hoarseness, which does not permit one to speak a loud word.─Breathing, groaning, or rattling.─Catarrh, with hoarseness, roughness, dryness, scraping, and pain as from excoriation, in larynx and chest.─Attacks of constriction in larynx, principally at night, when lying in a horizontal posture.─Dyspnoea, esp. when lying on back at night, with giddiness and weakness in head.─Difficulty of breathing when walking.─Short, dry cough as soon as he gets warm.─Dry cough whenever he wakens from sleep, disappearing while sitting up in bed, and returning as soon as lying down again.─Dry, severe cough, mostly in morning, with retching and desire to vomit, and sensation as if stomach were turned inside out.─Violent spasmodic whooping-cough, in two consecutive coughs, caused by itching, scraping, with dryness as from vapours of sulphur in larynx and chest.─Shaking cough, principally in evening, at night, or in morning, excited by a sensation of dryness or a scraping and tickling in throat, < when lying down, and often accompanied by an inclination to vomit, with retching and vomiting, or by a choking, as from the vapour of sulphur, with bleeding of nose and rattling respiration.─Cough, with shootings in chest or sides, and palpitation of heart.─Moist cough, with expectoration of white, green, tenacious mucus, or of thick, yellowish matter of a bitter, greasy, salty, or putrid taste (loose cough; with expectoration in morning, without expectoration in evening; with expectoration in day, without expectoration at night).─Expectoration of black and clotted blood during cough (during suppression of menstruation).─Shootings in r. shoulder or in back when coughing.

18. Chest.─Respiration accelerated, short, and superficial (during the fever), or rattling and anxious.─Dyspnoea, as from spasmodic tension in lower part of chest, below false ribs.─Tickling on sternum.─Attacks of burning in chest.─Respiration impeded, shortness of breath, choking as from vapour of sulphur, and fits of dyspnoea and of suffocation, with anxiety, spasmodic constriction of chest or larynx, violent hiccough, cough, headache, and vertigo; principally in evening, after a meal, or at night when reclining horizontally.─Movement, quick walking, the open air, and cold < the asthmatic symptoms.─Cramp-like and constrictive tension in chest, principally on breathing (on drawing a long breath), and sometimes with internal heat and ebullition of blood.─Pain as from (subcutaneous) ulceration, or sharp and incisive pain in chest.─Acute suppuration of the lungs.─Shootings in chest and in sides, principally at night and when lying down, and sometimes with difficulty in drawing a full inspiration, inability to remain lying on the side affected, short cough, and paroxysm of suffocation.─(Pain in l. side under heart as if a string were pulling there.─R. T. C.)

19. Heart.─Congestion of blood to chest and heart, esp. at night, with anxious dreams (e.g., of being immured), with starting up and anxious cries.─Catching pain in cardiac region; > for a time by pressure of hand.─Stitches in praecordial region, > while walking, with pressure and anxiety, impeding respiration.─Burning in region of heart.─Frequent and violent fits of palpitation, principally after dinner and after moral emotions, or provoked by conversation, and often with anguish, clouded sight (vanishing of sight), and impeded respiration, esp. when lying on the l. side.─(With menstrual irregularities, chlorosis, etc.; the beat of the heart is felt in the pit of the stomach.).─Anxiety, heaviness, pressure, and burning sensation in heart.

20. Neck and Back.─Rheumatic, tensive, and drawing pains in nape of neck and in neck, sometimes semilateral, and often with swelling of the parts, and pains as from subcutaneous ulceration when they are touched.─Cracking in cervical vertebrae and shoulder-blades on moving those parts.─Itching pimples on neck.─Swelling of glands of neck.─Pains in sacrum and in back, as from having remained some time in a bent posture, or with rigidity, as from the pressure of a belt.─Sacral pains like those of labour.─Pains in back and chilliness from suppressed menstruation.─Shootings in back, in loins, and between shoulder-blades.─Curvature of spine (upper part).

21. Limbs.─Redness and swelling of joints, with stinging pains.─Anxious, tremulous sensation in limbs.─Drawing, sticking, < in joints, which are painful to touch.─Weakness in limbs morning after rising, with relaxation without feeling weary.─Drawing, tearing pains in limbs, shifting rapidly from place to place; < at night, from warmth; > from uncovering.─Pain in limbs in morning in bed, < in joints, forcing him to stretch, with general heat.─On waking the parts on which he has lain are asleep, with crawling and tingling.─Coldness of hands and feet; they seem dead.

22. Upper Limbs.─Sharp, jerking, and drawing pains in shoulder-joint, as well as in the arms, hands, and fingers.─Paralytic pains in scapular joint when lifting and moving arms.─Burning sensation in arm in evening or at night, with sensation of dryness in fingers.─Burning heat in hands and arms and in trunk with perspiration down spine (agg.─R. T. C.).─Pressive heaviness in arms, with sensation of numbness, esp. in hands.─Sensation of tension and swelling and wrenching pain in joints of elbows, hands, and fingers, with rigidity.─Swelling of elbow after a contusion.─Swelling of veins on forearm and hands.─Easy numbness of fingers, principally in morning and at night.─Vesicles between fingers, with pricking pain.─Pain as if caused by panaritium in index.─Itching chilblains on hands.

23. Lower Limbs.─Pain as from a bruise or from ulceration in the psoas.─Wrenching pain in coxo-femoral articulation, with painful jerks, as in a wound, extending as far as knee, < during repose.─Pulling and tension in thighs and legs, < in calves of legs, as if tendons were too short.─Pain as from a bruise, with sensation of paralytic weakness in bones and muscles of thighs and legs.─Pain as from subcutaneous ulceration in legs and soles of feet.─Cracking in knees.─Swelling of knees, sometimes chiefly above patella, and often with heat, inflammation, sharp drawing and shooting pains.─Enlargement of knee with local varicosis (relieved.─R. T. C.).─Weakness and yielding of knee, with tottering gait.─Pulling and great fatigue in legs, esp. knees, with trembling.─Swelling of veins and varices in legs.─Numbness in legs when remaining long standing.─Pain in tibia as from a bruise.─Tension and drawing in calves of legs.─Hot swelling of legs, or only of the back or of soles of feet, sometimes with shooting pains when the parts are touched, and during movement.─Painful sensation of numbness in soles of feet and in balls of the toes.─Red-hot swelling of feet, extending up to calf, with stinging pain.─Swelling of top of foot.─Oedematous swelling of feet, < in evening.─Piercing shootings and incisive pains in heels (towards evening).─Shootings in soles of feet and extremities of toes.─Chilblains.─The complaints are < when one allows the feet to hang down.

24. Generalities.─[Affections in general, and of any kind, appearing in r. abdominal ring r. chest; r. upper and lower extremity; tongue; increase of saliva; larynx trachea; nape of neck; heart and region of heart; palpitation of heart, also with anguish: small of back; shoulder-joints; fingers; legs; shin-bones; calves, particularly when they are swollen, red, and hot; heel sole of foot; ball or under part of toes; knee-joint; bones of lower extremities; inflammation of bones in general.─Strong desire for open air, which makes patient feel better in every way, headache, toothache, earache, cold in head, etc., are all > in open air, can breathe better, etc.─Bleeding from inner parts; congestion of blood to single parts; apparent deficiency of blood.─Chlorosis (in persons of mild, quiet, etc., dispositions).─Secretion of mucus increased; nervous debility.─Varicose veins, even when inflamed, esp. when blue, particularly in pregnant females; feel more comfortable when walking about.─(Phlebitis of single veins.─R. T. C.).─Symptoms <: in afternoon; from mental affections; on waking; when blowing nose (produces pain in chest, nose, head, or somewhere else, or a cracking in ears); before falling asleep; during expiration; after taking cold; from coughing from change of position (particularly applicable to the female organism) from loss of fluids; from being frostbitten; lying on l. side; on painless side; lying with head low; having measles, after measles; before and during menstruation; on beginning to move from taking bread; butter; buckwheat; fat food; fruits; ice; pancakes warm food; abuse of Peruvian bark; can't bear pressure on the well side if it be made towards the diseased side; from derangement of stomach; during stool, particularly in dysentery if it gives great pain in small of back; while suckling child; in the sun; in the twilight; before, during, or after urinating; women in confinement from having a tapeworm; from surgical injuries in general; from tobacco during pregnancy.─Symptoms >: in open air; in a cold place; from cold air; by lying on r. side; with head high; from cold things; from washing; on wetting the affected parts; after discharge of flatus.─H. N. G.].─Sharp drawing and jerking pains in muscles, < at night, or in bed in evening, as well as by heat of a room, > in the open air, and often accompanied by numbness, paralytic weakness, or hard swelling of parts affected.─Shootings and sensation of coldness in parts affected on a change of weather.─Tension in some of the limbs as if tendons were too short.─Shifting pains which pass rapidly from one part to the other, often with swelling and redness in joints.─Sensation of hollowness; of pulsations, knocking, or throbbing in inner parts; of extension in size, as if one part, or every part, were growing too large; of a band around the parts; of buzzing or humming in any part of the body.─Shocks in tendons.─Fitful pains with shivering, labouring respiration, paleness of face, and trembling of legs.─The shiverings increase as the pains become <.─Pain as from a bruise or subcutaneous ulceration on touching parts affected.─Semilateral pains and affections.─Symptoms are < and renewed when seated after long-continued exercise; or on rising after having been seated a long time, as well as during repose, esp. when lying on side or back.─The symptoms which appear when lying on back are > by turning on side or by rising up, and vice versa.─Movement, walking, pressure, external heat, and the open air, equally > many of the symptoms, while they < others.─Symptoms generally most violent in evening or at night before midnight, sometimes also in morning and after a meal.─The symptoms are < every second day in evening.─Agitation and uneasiness throughout body, with inability to sleep or to enjoy repose, and constant inclination to stretch limbs.─Frequent and troublesome pulsations over whole body, < during movement.─Great tendency of limbs to go to sleep.─Frequent trembling of limbs with anxiety.─Sluggishness and heaviness of limbs, with paralytic weakness, painful sensibility of joints, and tottering gait.─Weariness in morning, which is < by a recumbent position.─Fainting fits with deadly paleness of face.─Epileptic convulsions, with violent movements of limbs, followed by weakness, eructations, and inclination to vomit (after suppression of catamenia).─Great sensibility and repugnance to open air.─Great desire to remain lying down or sitting.─Pain as from a bruise in bones of Emaciation.

25. Skin.─Pale skin.─Itching, mostly burning or pricking (as if caused by stings of ants), principally in evening, and at night in heat of bed, < by scratching.─Red spots, like morbilli, or nettle-rash.─Frequent redness, even when the parts are cold.─Eruptions from eating pork, itching violently in bed.─Eruptions like measles.─Rhagades.─Suppurating wounds, pus thick and too profuse.─Pus copious and yellow.─Moles or freckles in young girls.─Eruptions similar to varicella coniformis, with violent itching in bed.─Chilblains, particularly when they turn blue.─Exanthema, chapped.─Blue-black swellings.─Chilblains with bluish-red swelling, heat, and burning, or pulsative pains.─Phlegmonous erysipelas, with hardness, burning heat, and shooting pain on touching or moving parts affected.─Furunculi.─Shining redness, hardness, and itching round ulcers, with ready bleeding, and shooting, burning, and gnawing pains.─Deep or fistulous ulcers; where there is much swelling around.─Inflamed or putrid ulcers.─Varices.

26. Sleep.─Constant sleepiness and comatose sleep, with agitation and disquieting fancies, day or night.─Great tendency to sleep during day, principally in evening or afternoon.─Irregular sleep, too early in evening or too late in morning, and sometimes with nocturnal sleeplessness.─Sleep retarded, sometimes until two hours after midnight, and often followed by early waking.─A great flow of ideas hinders sleep in evening and at night.─Agitated sleep, with frequent waking; and general numbness on waking.─Inability to sleep except when seated with head inclined forwards or to one side.─During sleep, chattering, talking, delirium, convulsive movements of mouth, eyes, and limbs; tears, cries, and moans, nightmare; starts from fright; shocks in body and jerking in limbs.─Wakes up frightened and confused, knows not where he is, cannot collect himself.─At night great agitation and tossing, inquietude and anguish of heart, ebullition of blood, dry heat, itching, incoherent talking, with fixed ideas.─When sleeping patient lies on back with knees raised and arms placed over head or crossed over abdomen.─Fearful, frightful, anxious, confused, vivid, disgusting, voluptuous dreams, of quarrels and of business of the day, of spectres, and of the dead.─Frequent yawning.

27. Fever.─Chilliness of one side only; chilliness without thirst, often followed by fever without thirst (accompanied by vertigo and stupor); heat on one side; perspiration on one side only; want of thirst; febrile symptoms r. side.─Continuous internal chilliness even in warm room.─Thirst before chill or heat, seldom during hot stage.─Chilliness (4 p.m.) without thirst, accompanied by anxiety and dyspnoea; this is followed by a drawing pain extending from back into head, three hours later heat of whole body without any thirst, with sweat on face, drowsiness without any sleep and unconsciousness; in morning perspiration over whole body.─Coldness, shiverings, and shudderings, principally in evening or afternoon, and sometimes with paleness of face, vertigo, and dizziness, pain and heaviness in head; anxiety and oppression of chest, vomiting of mucus (when the cold stage comes on), desire to lie down, and flushes of heat.─Partial coldness and shivering, principally in back, aims, legs, hands, and feet, often with heat in head or face and redness of cheeks.─Semilateral coldness with numbness of the side affected.─Dry heat (internal), principally at night, in evening in bed or in morning, and often with fits of anguish, headache, face red and bloated, or perspiration on face, shivering on being uncovered, burning in hands, with swelling of veins, lamentations, sighs, and moans, profound or agitated sleep, anxious and quick respiration, fainting fits, with cloudiness of eyes, inclination to vomit, and loose evacuations.─Partial heat, principally on face, with redness of cheeks, hands, face, etc., often semilateral, with coldness and shivering in the opposite parts.─Heat of face or heat of one hand, with coldness of the other.─Febrile paroxysms composed of heat, which are preceded by shiverings, with adipsia, and mixed with, or followed by, perspiration; quotidian, tertian, or quartan type; < in evening or afternoon; remission in morning during apyrexia, nausea and loss of appetite, headache, painful oppression at chest, moist cough, bitterness in mouth, constipation or (mucous) diarrhoea.─Febrile symptoms with loss of consciousness, delirium, tears, and despair, or with gastrico-mucous or bilious symptoms or with comatose sleep (or consequent upon the abuse of Quinine, with bitter taste of food and constipation).─Repugnance to external heat.─Pulse weak and small, but accelerated.─Pulse quick and small; or full and slow; or feeble and almost suppressed.─Perspiration, principally at night or towards morning; profuse and fetid sweat; semilateral or partial sweat (on head and face), and sweat with cramps on arms and hands, weariness, comatose sleep, dreamy reveries, and redness of face.─Perspiration during sleep, soon ceasing when waking.─Perspires easily during the day.─Night-sweat with stupor.─Smell of perspiration, sour, musty, like musk.─Perspiration at times cold.

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

Anemone (Ranunculaceae)

Adapted to persons of indecisive, slow, phelgmatic temperament; sandy hair, blue eyes, pale face, easily moved to laughter or tears; affectionate, mild, gentle, timid, yielding disposition - the woman's remedy. Weeps easily: almost impossible to detail her ailments without weeping (weeps when thanked, Lyc.). Especially, in diseases of women and children. Women inclined to be fleshy, with scanty and protracted menstruation (Graph.). The first serious impairment of health is referred to puberic age, have "never been well since" - anaemia, chlorosis, bronchitis, phthisis. Secretions from all mucus membranes are thick, bland and yellowish- green (Kali s., Nat. s.). Symptoms ever changing: no two chills, no two stools, no two attacks alike; very well one hour, very miserable the next; apparently contradictory (Ign.). Pains: drawing, tearing, erratic, rapidly shifting from one part to another (Kali bi., Lac c., Mang. a.); are accompanied with constant chilliness; the more severe the pain, the more severe the chill; appear suddenly, leave gradually, or tension much increases until very acute and then "lets up with a snap;" on first motion (Rhus). Thirstlessness with nearly all complaints; gastric difficulties from eating rich food, cake, pastry, especially after pork or sausage; the sight or even the thought of port causes disgust; "bad taste" in the morning. Great dryness of mouth in the morning, without thirst (Nux m. - mouth moist, intense thirst, Mer.). Mumps; metastasis to mammae or testicle. "All-gone" sensation in stomach, in tea drinkers especially. Diarrhoea: only, or usually at night, watery, greenish-yellow, very changeable; soon as they eat; from fruit, cold food or drinks, ice-cream (Ars., Bry.; eating pears, Ver., China; onions, Thuja; oysters, Brom., Lyc.; milk, Cal., Nat. c., Nic., Sul.; drinking impure water, Camp., Zing.). Derangements at puberty; menses, suppressed from getting feet wet; too late, scanty, slimy, painful, irregular, intermitting flow, with evening chilliness; with intense pain and great restlessness and tossing about (Mag. p.); flows more during day (on lying down, Kreos.). Delayed first menstruation. Sleep: wide awake in the evening, does not want to go to bed; first sleep restless, sound asleep when it it time to getup; wakes languid, unrefreshed (rev. of, Nux). Styes: especially on upper lid; from eating fat, greasy, rich food or pork (compare, Lyc., Sulph.). Threatened abortion; flow ceases and then returns with increased force; pains spasmodic, excite suffocation and fainting; must have fresh air. Toothache: relieved by holding cold water in the mouth (Bry., Coff.); worse from warm things and heat of room. Unable to breathe well, or is chilly in a warm room. Nervousness, intensely felt about the ankles.

Relations. - Complementary: Kali m., Lyc., Sil., Sulph. ac.; Kali m. is its chemical analogue. Silicea is the chronic of Pulsatilla in nearly all ailments. Follows, and is followed by, Kali m. One of the best remedies with which to begin the treatment of a chronic case (Cal., Sulph.). Patients, anaemic or chlorotic, who have taken much iron, quinine and tonics, even years before. Ailments: from abuse of chamomile, quinine, mercury, tea-drinking, sulphur.

Aggravation. - In a warm close room; evening, at twilight; on beginning to move; lying on the left, or on the painless side; very rich, fat, indigestible food; pressure on the well side if it be made toward the diseased side; warm applications; heat (Kali m.).

Amelioration. - In the open air; lying on painful side (Bry.); cold air or cool room; eating or drinking cold things; cold applications (Kali m.).

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Mild, gentle, yielding disposition; sad and despondent, weeps easily, sandy hair, blue eyes, pale face, muscles soft and flabby.

Changeable remedy, pains travel from one joint to another; haemorrhages flow and stop and flow again, no two stools alike, no two chills alike, no head nor tail to the case-mixed.

Bad taste in the mouth, < mornings, with great dryness, but no thirst.

Stomach easily disturbed, especially by cakes, pastry or rich fat foods.

Thick bland discharges from all mucous membranes.

Catamenia too late, scanty or suppressed, particularly by wetting the feet.

Modalities: < in warm room, warm applications, abuse of Iron; chilliness with the pains, > by cool open air, walking slowly around, cold food or drink, tying up tightly > the headache.

Pains accompanied with constant chilliness, and the more severe the pain the harder the chill (with profuse sweating, Cham.; with fainting, Hepar sulph.; with frequent micturition, Thuja; with delirium, Verat. alb.).

* * * * *

The mental picture of Pulsatilla is almost the opposite of that of Nux vomica. Nux vomica is called the man's remedy and Pulsatilla the woman's remedy. This means simply that the complaints of one are found oftener with men, while those of the other are found oftener with women.

Now to call attention to another of Hering's characteristics, and I know of no one who has expressed them better, we have – "Mild, gentle and yielding disposition; cries et everything; is sad and desponding; creeps about everything; can hardly give her symptoms on account of weeping". And again: "Sandy hair, blue eyes, pale face, inclined to silent grief with submissiveness". (Silicea is its chronic). Here we have a description of the Pulsatilla temperament as near as words can express it, and it is a fact that when you find it in a patient, no matter what the pathological condition, Pulsatilla will almost surely help. There are few exceptions. So we learn not to put too much stress on pathological states to the neglect of symptomatological conditions.

Pulsatilla is a remedy of wide range of action. Farrington mentioned its use in seventy-three different affections, and has not by any means exhausted them all; and if you study Pulsatilla in Hughes' Pharmacodynamics you will notice that, although he recommends it in many diseases, he does not, and evidently is not able to, talk as much from a pathological standpoint especially from the provings of the drug as he does of many other remedies. It seems to me like folly to undertake to pose as either an exclusive pathologist or symptomatologist. Both pathology and symptomatology are valuable and inseparable; neither can be excluded. Pathology is what the doctor can tell (sometimes); symptomatology is what the patient can tell.

There is another condition of Pulsatilla which may be considered Characteristic, and which Hering does not mention in his cards, viz., changeableness of symptoms (Ignat., Nux mosch.). All that Hering said was "wandering pains shift rapidly from one part to another, also with swelling and redness of the joints". Now if this occurs in rheumatism (Manganum acet., Lac caninum, Kali bichrom., Kalmia lat.), and especially if in the Pulsatilla temperament we may perform a miracle of curing with this remedy. But this shifting or changeableness is not confined to the pains, which may be either rheumatic or neuralgic, but is found in the disposition. The patient is now irritable, then tearful again, or mild and pleasant; but, even with the irritableness, is easily made to cry. The haemorrhages flow, and stop, and flow again; continually changing. The stools in diarrhoea Constantly change in color; they are green, yellow, white, watery or slimy; as Guernsey expresses it – "no two stools alike." (Sanicula). This is often found in the so-called cholera-infantum or entero-colitis of children in hot weather.

We sometimes have patients come into the office, and find, in trying to take their case, no "head to tail" to it. It is mixed. The suffering and pain is now here, now there. The symptoms are contradictory, as we term them. This condition should always call attention to Pulsatilla and it will often clear up and cure the case. Ignatia also has these ever-changing, hysterical and contradictory symptoms, both pre-eminently woman remedies.

Pulsatilla like Nux vomica is a great remedy for disorders. of digestion. Symptoms – "Bad taste in the mouth, especially early in the morning, or nothing tastes good, or no taste at all". (Bryonia, bad taste with coated tongue and thirst; Pulsat., no thirst).

"Great dryness of the mouth in the morning, without thirst. Stomach disordered from cakes, pastry, rich food; particularly fat pork." (I would say – fat meats generally). These are reliable symptoms, as given in Hering's cards, and are not very much like the symptoms of Nux vomica, which is not disturbed by fats, but on the contrary likes them and they agree. With Nux vomica warm food agrees best; with Pulsatilla, cold things.

The bad taste in the mouth is persistent and the loss of taste is frequent, as is also the loss of smell. How peculiar that Pulsatilla should have dry mouth and no thirst, while Mercurius should have characteristically moist mouth with intense thirst. There is no accounting for taste, as the man said when he saw a fellow kiss his mother-in-law.

I do not know that I could give a satisfactory pathological reason for this. Is it not a good thing that we do not have to give the pathological explanation for such a symptom before we can use it to cure our patients? To be sure there is always a reason for these things, but we do not need to know what it is before we can utilize the symptom.

The merest tyro in prescribing could hardly mistake the symptoms of Pulsatilla for those of Nux vomica and yet I have found physicians prescribing these remedies in alternation, at intervals of two or three hours.

Having called attention to the action of Pulsatilla on the digestive organs, which are lined with mucous membranes, we now wish to notice that it has a peculiar action on mucous surfaces generally. This peculiarity consists in the character of the discharges from them. They are thick, bland and yellowish green. These are found in nasal catarrh; leucorrhoea; expectoration; gonorrhoea; in ulcers; from the ears and eyes; in short, from every mucous outlet of the body.

The expectoration of pulsatilla, which is thick, green and bland, tastes bitter, while that of Stannum is sweet and that of Kali hydroiodicum and Sepia salty. One of Schuessler's tissue remedies (Kali sulphuricum) greatly resembles Pulsatilla in the character of its discharges, and not only that, but also in its wandering pains, evening aggravations and ameliorations in cool, open air. Kali hydroiodicum is also ameliorated in open air and worse in a warm room. Now that we are on the subject of greenish discharges, especially the expectoration, we will mention also Carbo veg. Lycopodium, Paris, Phosphorus and Sulphur. Of course, the other symptoms must decide the choice between several remedies having one symptom in common.

A certain physician in Albany, N. Y., was called in consultation on a so-called case of phthisis pulmonalis. The case was in allopathic hands. After carefully examining the case, he was asked: "What is your diagnosis, doctor?" "Stannum", said the doctor. "What!" "Stannum", replied the doctor. Stannum was the diagnosis of the remedy, not the disease. It was given and cured the patient.

Now we come to the curative action of Pulsatilla in affections of the female genital organs. The fact that it has such a decided action upon these, added to the womanish disposition of this remedy, is additional reason why it is called the woman's remedy, as we said when writing upon the disposition and temperament. "Catamenia too late and scanty, or suppressed, particularly by getting feet wet", and "Painful menstruation with great restlessness, tossing in every possible direction", and we have already mentioned the changeable characteristics in the flow of the menses, viz., they stop, and flow, stop and flow again, etc. So, also, the menorrhagia.

In these menstrual troubles of Pulsatilla the wetting or chilling of the feet is of prime importance and, acting upon it, you may save your patient from consumption as a result of such exposure and suppression. Now don't pour down mother tincture of Pulsatilla by the ten-drop doses, as is the manner of those who do not believe in potentized remedies. You may give Pulsatilla in the high, higher, and highest potencies, and confidently expect the best results. I have often seen the delayed menses of young girls of Pulsatilla temperament appear promptly and naturally under the M. M. of Swan and C. M. of Fincke (also with Kali carbonicum, Tuberculinum, and others). so also have I seen them restored after suppression, by the same. Now if you should try one of these very high potencies in a case of menstrual difficulty, and it should not succeed, don't jump to the conclusion that I have been mistaken, for Pulsatilla is not the only remedy for such cases. Homoeopathy is too often blamed when the blame lies in the stupidity and malpractice of the prescriber. Magnesia phos. will relieve more cases of painful menstruation than Pulsatilla, and that is not a cure-all, either. Study up your case.

But after all, the prime characteristic of this wonderful remedy lies in its modality. "Better in cold air and from cold applications." The patient is not only better generally in the open, cool air and worse in a warm, closed room, but local affections also, as, for instance, the vertigo; pain in head, eyes, ears; itching of eyelids; roaring; coryza; pain in face; toothache; colic; labor pains; sciatica; ulcers, are all better in open air. These affections that are > in cold air are also especially > while walking or moving slowly about (Ferrum) in open or cool air. Remember that Pulsatilla as well as Rhus toxicodendron is ameliorated by motion, but Pulsatilla in cold or cool open air, while Rhus tox. wants motion in warm dry air.

With Pulsatilla warm applications aggravate, warm room oppresses, heat of bed aggravates itching (Mercurius) and chilblains; cold drinks retained, warm vomited.

Other remedies have aggravations from heat; but Pulsatilla leads them all. The relief from cold and cool, open air is as positive as that of warmth or heat is for Arsenicum.

Now to close our remarks on Pulsatilla we will give a few choice symptoms without any particular comments upon them.

"Affections consequent on the abuse of Iron." "Chronic affections following cases of badly managed measles." "Pressure, or tying up tightly, relieves the headaches." (Argentum nit., Apis mellifica). "Increased inclination to micturate, < when lying." "Metastasis of gonorrhoea to testicles." "Chilliness, with pains, yet wants cool room." "One-sided sweats." "Inflamed parts bluish", (Lachesis, Tarantula Cub.) "Pulsations through the whole body." "Metastasis of mumps to mammae or testicles." In any of these local affections we should expect to find the mind and modality of this remedy present or not be very confident of a brillant cure.