Homeopathic Materia Medica

Selenium metallicum

Alias: Sel., Selenium

Pocket Manual of Homoeopathic Materia Medica, William Boericke

The Element Selenium (SELENIUM)

Selenium is a constant constituent of bones and teeth.

Marked effects on the genito-urinary organs, and often indicated in elderly men, especially for prostatitis and sexual atony. Great debility; worse, heat. Easy exhaustion, mental and physical, in old age. Debility after exhausting diseases.

Mind.--Lascivious thoughts, with impotency. Mental labor fatigues. Extreme sadness. Abject despair, uncompromising melancholy.

Head.--Hair falls out. Pain over left eye; worse walking in sun, strong odors and tea. Scalp feels tense. Headache from tea drinking.

Throat.--Incipient tubercular laryngitis. Hawking and raising transparent lumps of mucus every morning. Hoarseness. Cough in morning, with expectoration of bloody mucus. Hoarseness of singers. Much clear, starchy mucus (Stann).

Stomach.--Desire for brandy and other strong drink. Sweetish taste. Hiccough and eructations after smoking. After eating, pulsation all over, especially abdomen.

Abdomen.--Chronic liver affections; liver painful, enlarged, with fine rash over liver region. Stool constipated, hard and accumulated in rectum.

Urinary.--Sensation in the tip of urethra as if a biting drop were forcing its way out. Involuntary dribbling.

Male.--Dribbling of semen during sleep. Dribbling of prostatic fluid. Irritability after coitus. Loss of sexual power, with lascivious fancies. Increases desire, decreases ability. Semen thin, odorless. Sexual neurasthenia. On attempting coition, penis relaxes. Hydrocele.

Skin.--Dry, scaly eruption in palms, with itching, Itching about the ankles and folds of skin, between fingers. Hair falls out from brows, beard, and genitals. Itching about finger-joints and between fingers; in palms. Vesicular eruption between fingers (Rhus; Anac). Seborrhoea oleosa; comedones with an oily surface of the skin; alopecia. Acne.

Extremities.--Paralytic pains in small of back in the morning. Tearing pain in hands, at night.

Sleep.--Sleep prevented by pulsation in all vessels, worse abdomen. Sleepless until midnight, awakens early and always same hour.

Modalities.--Worse, after sleep, in hot weather, from Cinchona, draught of air, coition.

Relationship.--Incompatible: China; Wine.

Compare: Agnus; Calad; Sulphur; Tellur; Phosph acid.

Antidotes: Ign; Puls.

Dose.--Sixth to thirtieth potency. Colloidal Selenium injection for inoperable cancer. Pain, sleeplessness, ulceration and discharge are markedly diminished.

Lectures on Homoeopathic Materia Medica, James Tyler Kent

Marked mental and physical weakness following prolonged fevers, after sexual excesses, from secret vice, from exposure to the heat of the sun in summer.

Generalities: Great fatigue from which he seems unable to recuperate from rest.

Slight exertion brings great fatigue and weakness and especially in hot weather. Sudden weakness in hot weather. Great weakness in the back, almost paralytic after typhoid fever or other temporary diseases. Extremely sensitive to a draft of air, cool, warm or damp. Marked general emaciation, also special emaciation of face, thighs and hands.

The diseased limb withers. The hair falls out all over the body, head, eyebrows, whiskers and genitals. All his nervous symptoms are aggravated after coition. Pulsation in all the limbs and in the abdomen after eating.

Mind: Extreme sadness.

Some complaints are worse from wine, tea and lemonade. It is of great value in drunkards. Irresistible desire for alcoholic stimulants. Symptoms worse after sleep, especially on a hot day. Irritable after emissions. He is indifferent to his surroundings and his mind is dull and in confusion.

He is very forgetful during his waking hours, but in sleep he dreams what he has forgotten. Makes mistakes in syllables and. mispronounces words. Stammering speech. Often fails to understand what he hears or reads. He has become unfit for his business. He is excitable and talkative in the evening. Mental exertion is exhaustive and he dreads company. His mind dwells on lascivious thoughts, yet he is sometimes impotent. All the mental symptoms are worse after coition.

Vertigo on rising from bed or seat, on moving about, with nausea, vomiting and faintness, worse after breakfast and dinner.

Head: Headaches from strong odors, after wine, tea, lemonade and alcoholic stimulants, violent stinging over left eye when walking in the heat of the sun. Increased flow of urine in headaches. Headaches in old drunkards.

The hair falls out from the whole head, leaving the scalp smooth and hairless; also the hair falls from the eyebrows and face, giving a strange appearance. In syphilitics it often checks the falling of the hair. It has cured eczema, tingling and itching of the scalp. The scalp feels as though tightly drawn over the bones of the skull.

Face: Itching vesicles on the edges of the eyelids and spasmodic twitching of left eyeball.

The ear is stopped and ear wax becomes hard, from which he has hardness of hearing.

Dark clotted blood from nose. Nose full of thick, yellow, jelly-like mucus. Itching of nose and he bores into his nose with the fingers. Chronic obstruction of nose. Coryza followed by watery diarrhea.

The face is sickly, looking greasy and shiny. Great emaciation of the face. Twitching of the muscles of the face.

Toothache from drinking tea.

Aversion to food much salted. White tongue and he does not relish his breakfast.

Irresistible longing for strong drink.

After eating pulsation all over the body, especially in the abdomen. Symptoms are worse from sugar, salt food, tea and lemonade.

Soreness in liver from pressure and inspiration, with rash over the right hypochondrium. Searching pain in right hypochondrium, worse on deep breathing. The liver is enlarged. Stitching pains in liver from motion and pressure.

Constipation with inactivity of the rectum.

Most difficult stool, even impaction. Stool large, hard and very dry, requires mechanical aid. Softy pasty stool. Watery diarrhoea.

Involuntary urination while walking, after urination and after stool. Twinge of pain outward along the urethra with a sensation as though drops were pouring out. Sensation as if biting drop was forcing itself out.

The urine is dark, scanty, red in evening. Sediment coarse, red and sandy. It has caused inflammation of the prostate gland. In chronic gonorrhea it is a very useful remedy.

Men: Extreme weakness of the male genitalia.

Though the desire is strong there are no erections, or the act of coition is unsatisfactory and incomplete. Frequent emissions and constant flow of prostatic fluid. Erections in the morning without sexual desire, but on attempting coition the penis becomes relaxed. Itching and formication of genitalia.

Women: Menses copious and dark. Pulsating in the abdomen during pregnancy, worse after eating.

Voice: The weakness and failure of the voice is in keeping with the general weakness.

Hoarseness on beginning to use the voice. Hoarseness from weakness after over-use of the voice for a long time. Much clear, starchy mucus scraped from the larynx. Must frequently clear the larynx. It is a very useful remedy in tubercular laryngitis, glands of neck large and hard.

Cough: Dry, hacking cough in the morning, weak feeling in the chest.

Expectoration of lumps of bloody mucus. Difficult breathing from any exertion and from mucus in the chest and air passages. Pain in right side of chest under lowest ribs extending to kidneys which are tender to pressure.

Back: Weak back and spine as if he would be paralyzed after typhoid fever, and other lingering diseases. Stiffening neck on turning head; lameness in back in the morning.

It has cured syphilitic psoriasis of the palms. Itching palms. Hands withered. Tearing pains in hands at night.

Emaciation of the legs. Great weakness of lower limbs. Itching of the ankle in the evening, blisters on the toes. Flat ulcers on the legs and about the ankles. Cramps in calves and soles.

He is sleepless until midnight. Sleeps in short naps. Awakens early and always at same hour. Symptoms worse after sleep.

Chill alternates with heat. Burning heat in spots. Sweat, profuse on chest, armpits and genitals staining yellow. Sweat from least exertion.

Moist itching spots here and there on the skin and tingling after eruptions have been treated locally. Flat ulcers. Itching about finger joints and between fingers.

It is said to be incompatible with China. It is much like Sulphur in general action, and Phos. acid in its action upon the nervous system and genitals.

The chest symptoms and expectoration are like Argentum met., Stannum. Its constipation is much like Alumen and Alumina. It should be carefully compared with these remedies.

A Dictionary of Practical Materia Medica, John Henry Clarke

Selenium. An Element. Se. (A. W. 79.5). Trituration.

Clinical.─Alcoholism. Ankle, itching eruption about. Comedo. Constipation. Debility. Enuresis. Hair, falling out. Headache. Hoarseness. Impotence. Laryngitis, scrofulous; tubercular. Liver, affections of; rash over region of. Priapism. Prostatitis. Prostatorrhoea. Psoriasis palmaris. Reveries. Scabies. Scalp, eczema of. Skin, unhealthy. Spermatorrhoea. Stammering. Sun, effects of. Syphilis.

Characteristics.─Selenium was discovered in 1818 by Berzelius, and was named by him after the moon (σελήνη) because it is found associated with Tellurium (Tellus, the earth). It is also found associated with Sulphur. All three belong to the same group of elements. "When precipitated it appears as a red powder, which-melts when heated, and on cooling forms a brittle mass, nearly black, but transmitting red light when in thin plates. When heated in air it takes fire, burns with a blue flame, giving a gaseous Oxide of Selenium, which has a most penetrating and characteristic odour of putrid horse-radish. Sel. undergoes a remarkable change in electrical resistance under the action of light: hence the use of Selenium cells" (Cent. Dict.). Sel. was introduced and proved by Hering. A leading feature of it is the weakness it causes, a weakness involving all parts of the body; easy fatigue from any labour, night-watching, mental exertion, and especially from hot weather. The hotter his body the weaker he is: strength rises as the sun sinks. This debility causes sluggishness: wants to sleep from sheer exhaustion, and is < after. Cannot bear any nervous drain, hence < after coitus or seminal emissions. Impotence. Debility after fevers. When the patient begins to walk after typhoid and feels great weakness in the spine and fears paralysis Sel. is indicated. Irritability, headaches, and other troubles following or < by seminal emissions. The headaches are accompanied by profound melancholy, and may be caused by indulgence in alcoholics or in tea, by hot weather, by over-study, and they are < by strong odours, as of musk, roses, etc. The headaches may be periodical, and are frequently located above the left eye. Many chronic liver affections are met with Sel., the guiding symptoms in such cases being: Enlargement of liver with loss of appetite in the morning; sharp stitching pain < on any movement or pressure, sensitiveness of liver; and, especially, "fine rash over liver region." There is constipation from atony, with impacted faeces: and dribbling of semen after stool, and also after micturition. Sufferings after seminal emissions─mental confusion, headache, almost paralytic weakness of spine, involuntary escape of prostatic fluid. I have cured with Sel. many cases of hoarseness, the special indications being─hoarseness of singers, appearing as soon as they begin to sing; or after long use of the voice; with frequent necessity to clear the throat from accumulation of clear, starchy mucus. Scrofulous and incipient tubercular laryngitis have been cured with Sel. The parallelism with Sulph. is seen all through the pathogenesis of Sel., and perhaps more especially in the skin. Sel. causes itching in folds of skin, as between fingers and about joints, especially the ankle-joint. The itching may occur in small spots, and be accompanied by tingling (showing involvement of the nervous system). The scalp is affected with an eczematous eruption which oozes thin fluid after scratching. Hair falls off scalp and all parts of body. I have frequently relieved "psoriasis palmaris" with Sel., which shows that it has a relation to syphilis. Among the Peculiar Symptoms of Sel. are: Very forgetful in business, but during sleep dreams of what he had forgotten. Coryza ending in diarrhoea. Hungry at night; longing for spirituous liquors, an almost irresistible maniacal desire. Sensation as if a biting drop were forcing its way out of the urethra. Irresistible desire to lie down and sleep; strength leaves him suddenly, especially in hot weather. Very great aversion to a draught of air, either warm, cold, or damp. Aversion to salted food. Pulsation in whole body, especially in abdomen after eating [which I have verified]. Great emaciation of face, hands, legs, feet, affected parts, and single parts. Sel. is Suited to blondes and persons of light complexion. The symptoms are < by touch and pressure. < By motion. > By rest. < After sleep. < By mental exertion. < After seminal losses. < From draught of air, even if warm. < In open air. < From tea; sugar; salt; lemonade; wine. < In hot weather. < By sun, and with the sun's increase (< towards noon, > as sun declines). > Taking cold air or cold water into mouth. < Every afternoon (headaches).

Relations.─Antidoted by: Ign., Puls. (Mur. ac. in a case of mine). Incompatible: Chi., Wine. Compatible after: Calad., Nat. c., Staph., Pho. ac. (in sexual weakness) Itch checked by Merc. or Sul. often requires Sel. Compare: Hunger at night, Cin., Pso., Ign., Lyc. Impacted stool, Alo., Calc., Sanic., Sep., Sel. Impotence (Chlor. sudden). Priapism, glans drawn up, Berb.; (glans drawn down, Canth.). Aphonia of singers, Caust., Arg. m., Stan., Ar. t., Graph. Prostatitis and urethritis, Lith. c., Dig., Cyc., Caust., Lyc., Cop. Hot weather fatigue, Lach., Camph., Nat. c., Nat. m. Bad effects of mental exertion and loss of sleep, Sul. Impotence, Sul. (Sul. has more coldness and shrivelling of the organs; Sel. more total relaxation, so that semen escapes involuntarily and dribbles). Exhaustion consequent on protracted diseases, Sul. (Sul. has flushes of heat on least motion; and gone feeling in forenoon). Periodical headaches, Sul. (Sel. every afternoon, < from tea; Sul. once a week, < from coffee). Headaches of drunkards or debauchees, Sul. (Sul. < from all forms of alcohol; Sel. headaches are sometimes > from brandy; also its gastric symptoms). "Cat-naps," Sul. (Sel. wakes precisely at same hour, before rising time, at which all symptoms <; Sul. has not the periodic hour for waking, and does not fall asleep again). Itching in folds of skin, Sul. (Sel. has also "tingling in spots"). Chronic enlargement of liver, Sul. Loss of appetite in morning, Sul. (Sul. has increase of thirst; Sel. has not. Sel. has white tongue; Sul. has not). Emaciation, Nat. m., Chi. Debility from loss of fluids, Chi. Twitching of face, Tell. Bores fingers in nose, Cin., Ar. t. Throbbing after meals, Nat. c. < From tea, Thuj., Fer. Pain in back with emissions, Cob. Fatigue, Pic. ac. Sun effects, Sol. Larynx, Nat. sel.

Causation.─Alcohol. Tea. Sugar. Salt. Lemonade. Debauchery. Walking. Exertion. Masturbation. Loss of fluids.

SYMPTOMS.

1. Mind.─Reveries of a religious and melancholy character.─Great loquacity; fond of conversing; esp. in evening.─Excessive forgetfulness, esp. in matters of business.─Great forgetfulness when awake, with distinct recollection during half sleep.─A kind of stammering; he uses syllables of words in wrong connections, therefore pronounces some words incorrectly.─Difficult comprehension.─Absolute incapacity to execute any business whatever.─Mental labour fatigues him.─Dread of society.

2. Head.─The head becomes affected by intellectual labour.─Vertigo: on lifting head, rising from a seat; raising himself in bed; moving about; with nausea, vomiting, faintness; < (an hour) after breakfast and dinner.─Headache every afternoon.─Headache after drinking lemonade, wine, or tea.─Violent attacks of lancinating pains in head above (l.) eye, with desire to lie down, sensibility in exterior of head, copious emission of urine, anorexia, and melancholy, excited by walking (in the sun) and by strong smells.─Headache of drunkards; headache after debauchery.─Falling off of the hair when combing it; also of eyebrows, whiskers, and genitals, with tingling-itching on scalp in evening, oozing after scratching, and with tension and sensation of contraction of scalp, with emaciation of face and hands.─Pain in scalp, as if hair were pulled out.

3. Eyes.─Pains deep in orbits.─Spasmodic twitching of l. eyeball.─Itching vesicles on eyebrows and margins of lids.─Falling off of eyebrows.

4. Ears.─Ear stopped.─Hardening of wax in (l.) deaf ear.

5. Nose.─Itching in nose, in nostrils, and on margins of alae nasi.─Tendency to bore fingers into nose.─Complete obstruction of nose (chronic).─Coryza ending in diarrhoea.─Fluent coryza in evening.─Yellow, thick, gelatinous mucus in nose.

6. Face.─Greasy, shining skin of face.─Twitching in muscles of face.─Great emaciation of face and hands.─Upper lip cracked.─Comedones.

7. Teeth.─Toothache which compels use of toothpick till the blood comes.─Boring in molars.─Teeth covered with mucus.─Toothache from tea.─The teeth become free of mucus, hard, and smooth, and crack when rubbed.─Toothache with feeling of coldness, > taking cold water and cold air into mouth.

8. Mouth.─Pain under root of tongue.─Tongue loaded with a thick white coating in morning.─Stammering speech; articulates with great difficulty.

9. Throat.─Dryness in throat.─Hawking of lumps of transparent mucus every morning.

10. Appetite.─Sweetish, disagreeable taste after smoking.─Anorexia in morning (with white-coated tongue).─Hunger at night.─Dislike to salt things.─Frequent desire for brandy.─Bad effects from: sugar; salt food; tea; lemonade.

11. Stomach.─Hiccough and risings after smoking before eating.─Inclination to vomit.─Feels very sick after sleep.─Cramp in stomach.─Pressure in stomach as if cramp would occur.

12. Abdomen.─Throbbing of the arteries in the whole body, esp. in abdomen after a meal.─Pain in the liver, esp. on taking an inspiration, extending to the renal region, with sensibility to external pressure.─Red itching, miliary eruption in the hepatic region.─Pains in r. side, around under last ribs, esp. on inspiration, extending to region of kidneys.─Violent shootings in spleen when walking.

13. Stool and Anus.─Constipation.─Hard evacuations, followed by a discharge of mucus or of blood when passing the last portion of it; stool so hard and impacted that it has to be removed by mechanical aid.─Stools exceedingly difficult and threaten to tear anus from their immense size; hours spent in effort; stool can be seen through distended anus as an immense, dark, hard ball; sufferings great, patient becomes wonderfully agitated.─Somewhat liquid faeces, with tenesmus.─Filaments, like hairs, in faeces.

14. Urinary Organs.─Urine: scanty and red in evening; red sediment, like coarse sand.─Involuntary dribbling of urine when walking.─Dribbling of urine after micturition and after stool.─Sensation in tip of urethra, as if a biting drop were forcing its way out.

15. Male Sexual Organs.─Tickling and itching in genitals, esp. in scrotum.─Impotence; with lascivious ideas.─Pollutions, with flaccidity of penis.─Discharge of semen, drop by drop, during sleep.─Lascivious dreams with emissions which waken him, followed by lameness and weakness in small of back.─Flow of prostatic fluid during evacuation and at other times.─Thin and scentless semen.─During coition, feeble erection, too prompt emission, and long-continued voluptuous thrill.─Priapism, glans drawn up.─Gonorrhoea (secondary); gleet.─Debility (weakness in loins) and peevishness after coition.

16. Female Sexual Organs.─Menses copious and dark.─Menses delayed about eight days.

17. Respiratory Organs.─Hoarseness on beginning to sing (or from singing; talking or long reading; voice hoarse and husky).─Hawking up of mucus and of small clots of blood.─Cough in morning, which fatigues whole chest, with expectoration of blood and small globules of mucus.─Difficulty of breathing when walking in open air.─Frequent efforts to breathe deeply, like sighing.─Respiration obstructed at night, when lying down, by pains in chest, side, and loins.

20. Neck and Back.─Cramp in neck.─Pain through l. side of neck and down back of l. leg.─Pain in glands l. side of neck.─Rigidity of muscles of neck and nape, which hinders head being turned.─Hard swelling on back.─Paralytic pain in small of back, > lying on abdomen.─Sensation of paralysis in loins.─Pain as from lameness in small of back in morning.

21. Limbs.─Pains in all the limbs, as if caused by a chill.

22. Upper Limbs.─Miliaria in forearm.─Tearing in hands at night, with cracking in wrists.─Itching at wrist, in palms; itching vesicles on and between fingers.─Dry, scaly eruption on palms, with itching, having syphilitic base.─Painful hang-nails.─Scabious pimples on hand.─Emaciation of hands.

23. Lower Limbs.─Itching pimples on buttocks and thighs, near the scrotum.─Emaciation of legs.─Cramps in calves and soles.─Legs feel weak, with fear of paralysis after typhus.─The knees crack when they are bent (at night).─Flat ulcers on (lower) legs.─Itching in feet, esp. round ankles, in evening.─Blisters on toes.

24. Generalities.─[Escape of seminal fluids, particularly when straining at stool, which condition may be accompanied with headache, sleeplessness, weakness, and troubles in general; complaints after stool impotence of the male; spermatorrhoea; weakness of the sexual powers nocturnal pollutions.─Deep respiration.─Itch where the pustule comes between the fingers; foul exanthema.─Perspires too easily; on single parts; on forepart of body.─< While drinking tea; after stool; while, or after talking; can't bear to have the hair touched; walking in the open air.─H. N. G.].─< After sleep, esp. on hot days, from lemonade, wine; from very salt food; in the sun.─Excessive emaciation, esp. of face, hands, and legs (thighs).─Cinchona produces extraordinary sufferings, and < those which are already in existence to an insupportable degree.─Throbbing in vessels of whole body, esp. felt in abdomen.─Strong inclination to lie down and to sleep, esp. during heat of day.─Symptoms < after sleep.─Inability to bear a draught of air.─Every draught of air, even warm, = pain in limbs, head, etc.

25. Skin.─Frequent tingling in circumscribed parts of skin, with great provocation to scratch.─Miliary eruption.─Red rash on region of liver.─Prolonged oozing from parts which have been scratched.─Flat ulcers.─Itching in folds of skin, between fingers and about joints, esp. ankle joint.─Hair falls off head, whiskers, and other parts.

26. Sleep.─Disposition to sleep early in evening, with imperfect sleep and frequent waking during night.─Retarded sleep in evening.─Jerks in body when going to sleep.─Light sleep at night, and waking with least noise.─Waking early in morning, and always at same hour.─Sleepless before midnight.─Symptoms < after a siesta; on hot days.─Dreams of quarrels and unnatural cruelty.

27. Fever.─Pulse very little accelerated.─Burning heat, extending over considerable portions of the skin (chest, abdomen, loins, and ribs).─Constant alternation of heat and cold.─Perspiration from least exertion.─Perspiration as soon as he sleeps, day or night.─Tendency to profuse perspiration when walking, or during an afternoon sleep.─Perspiration (on chest, genitals, and under axillae) which leaves yellow or white spots on linen and stiffens it.─External heat, with burning in skin, and only in single spots.

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

Selenium (The Element)

Adapted to light complexion; blondes; great emaciation of face, hands, legs and feet, or single parts. Very forgetful in business, but during sleep dreams of what he has forgotten. Headache: of drunkards; after debauchery; after lemonade, tea, wile; every afternoon. Hair falls off, on head, eyebrows, whiskers, genitals. Coryza ending in diarrhoea. Hungry: at night (Cina, Psor.); longing for spiritous liquors, an almost irresistible maniacal desire. Constipation: stool large, hard, impacted so that it requires mechanical aid (Aloe, Cal., Sanic., Sep., Sil.); after serious illness, especially enteric fevers. Urine: red, dark, scanty; coarse, red, sandy, sediment; involuntary dribbling while walking. Impotence, with desire; lewd thoughts, but physically impotent (sudden impotence, Chlor.). Erections slow, insufficient, too rapid emission with long-continued threill; weak, ill-humored after coitus, often involuntary dribbling of semen and prostatic fluid which oozes while sitting, at stool, during sleep; gleet (Calad.). Priapism, glans drawn up (Berb., - drawn down, Canth.). Aphonia: after long use of voice; husky when beginning to sing; obliged to clear the throat frequently of a transparent starchy mucus (Arg. m., Stan.); tubercular laryngitis. Weak, easily exhausted; from either mental or physical labor; after typhoid, typhus, debauchery. Irresistible desire to lie down and sleep; strength suddenly leaves him; especially in hot weather. Very great aversion to a draft of air either warm, cold or damp. After typhoid, great weakness of spine, fears paralysis. Emaciation of affected parts.

Relations. - Compare: Phos. in genito-urinary and respiratory symptoms; Arg. m. and Stan. in laryngitis of singers or speakers; Alum. hard stool, inactive rectum. Follows well: after, Calad, Nat., Staph., Phos. ac., in sexual weakness. Itch checked by Mercurials or Sulphur often requires Selenium.

Aggravation. - Draught of air; in the sun; from lemonade, tea or wine.

Amelioration. - Taking cold water or cold air into mouth.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Here is another metal that, like Stannum, has for its most characteristic condition, excessive weakness. But the weakness of Selenium does not, like Stannum, seem to centre in any particular locality. It is more general. He is so weak that he is easily exhausted from any kind of labor, either mental or physical. This debility follows any exhaustive disease like typhoid fever, or may come from seminal emissions. The weakness of Selenium shows itself as much in the male sexual organs, as it does generally. Erections are slow and weak, emissions of semen too rapid in coition and he is cross and weak afterwards. Sexual desire strong, but he is physically impotent. Has seminal emissions two or three times a week, and gets up with weak, lame back after them. Prostatic fluid oozes while sitting, during sleep, when walking, or at stool. I this weakness has been of long standing, he begins to emaciate, especially in the face, hands and thighs (Acetic acid.) This is a picture of the Selenium prostration. Aside from or connected with it are a few other characteristic symptoms such as constipation, the stool being of such immense size that it cannot be discharged without mechanical aid. (Sanicula). It must be picked away with the fingers. Involuntary dribbling of urine while walking, or after urinating or stool (Sarsaparilla dribbles while sitting).

Bad effects from drinking too much tea; all complaints are aggravated by it. Irresistible longing for spirituous liquors. Hoarseness, must often clear the throat of mucus especially at the beginning of singing. Irresistible desire for stimulants, wants to get drunk but feels worse after it. Very forgetful in business, but during sleep dreams of what he had forgotten. I have never used this metal below the 200th potency.