Æsculus Hippocastanum aesc.

Veins: Liver. Naso- pharynx. ABDOMEN (R). RECTUM. Mucus membranes: Naso-pharynx. Occiput. Sacro-iliac region.

Morning, on waking. After stool. Lying. Stooping. Urinating. Walking.

COOL: Open air. Bathing. Bleeding (piles). Kneeling. Continued exertion.

Reflex rectal symptoms. Rectum: painful constriction; as of a knife sawing up and down. HOT, DRY, STIFF, ROUGH or full feeling internally; throat, abdomen, anus, etc. Purple puffy parts. Venosity. Pains, sticking; like hot lightning.

Irritable. Crushing in occiput. Nose sensitive to cool inspired air; it burns. Congestive catarrh. Follicular pharyngitis. Throbs, deep in abdomen. Stool, hard, dry; of several colors. RECTUM: sore, as of a burr or sticking pains long after stool; as of a bug crawling from anus (Sul.). Piles, purple, painful, external; with BACKACHE (Nux-v.), chest pains, etc. Laming, dull, lumbar pain; small of back gives out; repeated efforts at rising; < walking. Lumbar region or back: as if to break. Bruised pain in sacrum and hips. Paralytic heaviness: of arms, spine, feet.

Complementary: Carbo-v. Lach. Mur-ac. Related: Alo. Collin. Pul.

For persons with haemorrhoidal tendencies, and who suffer with gastric, bilious or catarrhal troubles. Fullness in various parts, as from undue amount of blood; heart, lungs, stomach, brain, pelvis, skin. Venous congestion, especially portal and haemorrhoidal. Despondent, gloomy; very irritable; looses temper easily and gains control slowly; miserably cross (Cham.). Mucous membranes of mouth, throat, rectum are swollen, burn, feel dry and raw. Coryza; thin, watery, burning: rawness and sensitive to inhaled cold air. Follicular pharyngitis; violent burning, raw sensation in throat; dryness and roughness of throat. Frequent inclination to swallow, with burning, pricking, stinging and dry constricted fauces (Apis, Bell.). Rectum: dryness and heat of; feets as if full of small sticks; knife-like pains shoot up the rectum (Ign., Sulph.); haemorrhoids blind, painful, burning purplish; rarely bleeding. Rectum sore, with fullness, burning and itching (Sulph.). Constipation: hard, dry stool, difficult to pass; with dryness and heat of rectum; severe lumbo-sacral backache. Stool followed by fullness of rectum and intense pain in anus for hours (Aloe, Ign., Mur. ac., Sulph.). Prolapsus uteri and acrid, dark leucorrhoea, with lumbo-sacral backache and great fatigue, from walking. Severe dull backache in lumbo-sacral articulation; more or less constant; affecting sacrum and hips. Back "gives out " during pregnancy, prolapsus, leucorrhoea; when walking or stooping; must sit or lie down. Sensation of heaviness and lameness in back. Paralytic feeling in arms, legs and spine.

Similar: to, Aloe, Coll., Ign., Mur. ac., Nux, Sulph., in haemorrhoids. After Coll. had improved piles, Aesc often cures. Useful after Nux and Sulph. has improved, but failed to cure piles.

Motion; backache and soreness, by walking and stooping; inhaling cold air.

The guiding thread directing the use of this remedy is found in the rectum, hæmorrhoidal vessels, sacrum and back. In the sacro-iliac symphysis region is found a painful weariness, brought on by exercise, relieved by rest; moving about causes the back to "give ou t" and unfits one for business.

Depressed and irritable state of the mind: headache, bursting, dull, heavy; shooting, lancinating pains, neuralgic; head too heavy to hold up without balancing, all accompanied by hæmorrhoidal, rectal or sacral symptoms.

Taste bitter, sweet, coppery, with salivation. Sore throat, chronic, with hæmorrhoidal difficulty.

Belching, nausea, vomiting. Burning distress in stomach, also aching, and pressure as from a stone. Tenderness and full feeling in region of the liver and stomach. Sensation of fulness, flatulency, and colicky pains; hæmorrhoidal colic. Inguinal hernia.

Abundant raising of mucus in the morning. Cough, with sensation of stiffness in the throat and suffocation in the upper chest. Oppression, stitches, soreness and other troubles of chest. Catarrhal affections causing hoarseness and cough.

Rectum feels as if full of small sticks; sensation of fulness; dryness and itching; feels sore, with burning and itching. Sensation of rigid hardness before stool; frequent ineffectual urging to stool; sometimes from a feeling of obstruction. Stools hard and black; natural consistence and white. Backache after a difficult, large and hard stool. Bowels always want to be relieved. Much pain in anus after stool, coming on an hour or two after, and then lasting for several hours. Anus feels very raw and sore. Prolapsus ani after stool. Several large piles which seem to block up the rectum, little or no bleeding, great suffering, constipation. Sharp, shooting pains up the back from Hæmorrhoids. Chronic diarrhœa, with the characteristic backache or Hæmorrhoids. Pain in hæmorrhoids, like a knife sawing up and down, could not sit, stand or lie, only relief was from kneeling. Both blind and bleeding hæmorrhoids of years standing. Much bleeding of hæmorrhoids. Piles develop and become particularly troublesome in climacteric years.

Much suffering in a variety of ways in urinating, as urging, dysuria, sediment, pain after, etc.

Male: Discharge of prostatic fluid at every stool, and at micturition; seminal loss during sleep. A variety of suffering, about the generative organs. Female: Inflamed cervix, uteri retroversion, prolapsus, enlargement and induration, when characterized by great tenderness, heat and throbbing. Old cases of leucorrhœa, of a dark yellow color, thick and sticky, worse after menstrual period, increased by walking, corrodes the labia, with aching in the sacrum and knees. Leucorrhœa, with lameness in the back, across the sacroiliac articulations, which seem to give out in walking. During pregnancy the same articulations seem to give out in walking.

Darting stitches, burning, sharp pains, palpitations, and many other discomforts about the heart.

Constant dull backache; walking almost impossible. Spine feels weak. Backache in cervical, lumbar and sacral region, worse from motion. Spine feels weak. The sacrum, back, neck, head, chest, heart and abdomen, all seem in remarkable sympathy with the rectum and its vessels.

Rheumatic, neuralgic, aching. Shooting, drawing and tearing pains in shoulders, arms, hands and fingers. Left knee swollen and stiff: unable to bear the slighest pressure on it. Legs so weak, can hardly walk. Back and legs weak, can hardly walk, must lie down. Aching, bruised, stinging and soreness in lower extremities. One often feels better after bleeding of hæmorrhoids. Paralytic feeling in arms, legs and spine.

Chill at 4 P.M., fever from 7 to 12 P.M. During fever no thirst, bursting headache, photophobia, profuse hot sweat, heart beats violently.

Sensation of fulness, as if too much blood in different parts of the body. Sensation like hot lightning. The whole body feels as if bruised. Pricking and sticking in fauces and rectum. Pressure in head, ears, bones of nose, stomach and rectum. Constriction in fauces, stomach, bowels, rectum and chest. Stitches, darting, flying pains, lancinating, stinging and darting.

From cold air and after washing in water. In winter.

In summer. Chill better from heat.

Dry, uncomfortable feeling in the rectum, as if it were filled with small sticks. Hemorrhoids like ground nuts, purple, generally blind, with burning; also with aching; lameness and shootings in the back. Thick, dark, corroding leucorrhoea, with aching and lameness in the back across the sacro-iliac articulations Constant backache affecting the sacrum and hips, very much aggravated by walking and stooping forward.

Horse Chestnut

The action of this drug is most marked on the lower bowel, producing engorged hæmorrhoidal veins, with characteristic backache, with absence of actual constipation. Much pain but little bleeding. Venous stasis general, varicose veins of purple color; everything is slowed down, digestion, heart, bowels, etc. Torpor and congestion of the liver and portal system, with constipation. The back aches and gives out and unfits the patient for business. Flying pains all over. Fullness in various parts, dry, swollen mucous membranes. Throat with hæmorrhoidal conditions.

Depressed and irritable. Head dull, confused, aching as from a cold. Pressure in forehead, with nausea, followed by stitches in right hypochondrium. Pain from occiput to frontal region, with bruised sensation of the scalp; worse in the morning. Neuralgic stitches from right to left through forehead, followed by flying pains in epigastrium. Vertigo when sitting and walking.

Heavy and hot, with lachrymation, with enlarged blood vessels. Eyeballs sore.

Dry; inspired air feels cold, nasal passages sensitive to it. Coryza, sneezing. Pressure at root of nose. Membrane over turbinate bones distended and boggy, dependent upon hepatic disorders.

Scalded feeling. Metallic taste. Salivation. Tongue thickly coated, feels as if scalded.

Hot, dry, raw, stitching pain into ears when swallowing. Follicular pharyngitis connected with hepatic congestion. Veins in pharynx distended and tortuous. Throat sensitive to inspired air; feels excoriated and constricted, burns like fire on swallowing, in afternoon. Early stages of atrophic pharyngitis in dried-up, bilious subjects. Hawking of ropy mucus of sweetish taste.

Weight of a stone, with gnawing, aching pain; most manifest about three hours after meals. Tenderness and fullness in region of liver.

Dull aching in liver and epigastrium. Pain at umbilicus. Jaundice; throbbing in hypogastrium and pelvis.

Dry, aching. Feels full of small sticks. Anus raw, sore. Much pain after stool, with prolapse. Hæmorrhoids, with sharp shooting pains up the back; blind and bleeding; worse during climacteric. Large, hard, dry stools. Mucous membrane seems swollen and obstructs the passage. Irritation caused by ascarides and aids their expulsion. Burning in anus with chills up and down back.

Frequent, scant, dark, muddy, hot urine. Pain in kidneys, especially left and ureter.

Discharge of prostatic fluid at stool.

Constant throbbing behind symphysis pubis. Leucorrhœa, with lameness of back across the sacro-iliac articulation; dark yellow, sticky corroding; worse after menses.

Feels constricted. Heart's action full and heavy, can feel pulsations all over. Laryngitis; coughs depending on hepatic disorders; hot feeling in chest; pain around heart in hæmorrhoidal subjects.

Aching and soreness in limbs, in left acromion process with shooting down arms; finger tips numb.

Lameness in neck; aching between shoulder blades; region of spine feels weak; back and legs give out. Backache affecting sacrum and hips; worse walking or stooping. When walking feet turn under. Soles feel sore, tired, and swell. Hands and feet swell, and become red after washing, feel full.

Chill at 4 pm. Chilliness up and down back. Fever 7 to 12 pm. Evening fever, skin hot and dry. Sweat profuse and hot with the fever.

Worse, in morning on awaking, and from any motion, walking; from moving bowels; after eating, afternoon, standing. Better, cool open air.

Aesculus glabra-Ohio-Buckeye Proctitis. Very painful, dark purple, external hæmorrhoids, with constipation and vertigo and portal congestion. Speech thick, tickling in throat, impaired vision, paresis. Phytolacca (throat dry, more often in acute cases). Negundium Americanum--Box-elder--(Engorgements of rectum and piles with great pain, ten-drop doses of tincture every two hours). Compare also: Aloe, Collinson. Nux. Sulphur.

Tincture, to third potency.

Sense of fullness and pulsation in various organs and veins (especially plethoric), as if too full of blood.

Constant dull backache across sacrum and hips; < walking or on stooping (piles, leucorrhœa, displacements etc.).

Sense of fullness, and as of sticks in the rectum (hæmorrhoids).

Mucous membranes of mouth, throat, rectum are swollen, burn, dry and raw.

Coryza; thin, watery, burning; rawness and sensitive to inhaled cold air.

Frequent inclination to swallow, with burning, pricking, stinging and dry constricted fauces (Apis., Bell.).

This is one of the remedies that is not so remarkable for its wide range of action as it is for positiveness within its range. Almost all its usefulness, so far as known, centres in its action in the lower back and pelvic region and ever prominent is this characteristic: Constant dull backache, affecting sacrum and hips, much aggravated by walking or stooping. It is one of our leading remedies for hæmorrhoids, and in addition to this backache there is a feeling of fullness, dryness, and sticking as if the rectum was full of sticks. There is not the tendency to protrusion or prolapsus that there is in Ignatia, Aloe, Podophyllum and some other remedies, and the backache is often greatly out of proportion to any external evidence of piles. This feeling of fullness seems to be a sort of general characteristic of Æsculus, but is especially prominent in the pelvic cavity.

These symptoms are often found in conjunction with other affections besides hæmorrhoids, such as uterine displacements, and inflammations; and some very bad forms of leucorrhœa have been promptly cured by this remedy. There is another quite valuable symptom in these pelvic troubles, viz.: throbbing or beating sensations, that calls for Æsculus. I have seen equally good results from the use of this remedy in the 3d, and the potencies.

I used Æsculus with great results in coryza and sore throat. The coryza is very much like the Arsenic coryza, thin, watery, and burning, but what characterizes Æsculus here is sensation of rawness: sensitive to inhaled cold air. In the throat it has the same sensation of rawness, both in the acute form, and also in chronic follicular pharyngitis, for which it is often a good remedy. It may be that age and use will develop more uses for this remedy.

Hippocastanum vulgaris. Horse-chestnut. (Northern India and North America.) N. O. Sapindaceæ. Tincture of ripe kernel; trituration of dry kernel. Tincture of fruit with capsule (according to Hering, this is the best).

Anus, affections of. Back, affections of. Constipation. Cough. Hæmorrhoids . Headache. Hernia . Intermittents. Jaundice. Liver, affections of. Lumbago . Prostate gland, affections of. Sacrum, pain in. Taste, altered. Throat, affections of. Tongue, affections of . Uterus, prolapse of.

Æscul. hip . is a great pile remedy. In some districts it is a popular custom to carry a chestnut in the pocket as a preventive. It produces many symptoms of disordered liver: Malaise; dulness of head and mind; fulness at root of nose. Follicular pharyngitis with dryness; burning; roughness; contraction in throat, as in follicular pharyngitis. There is soreness and fulness in liver region; the abdomen is sore to touch. There is jaundice with bileless stools. Throbbing in abdomen, especially hypogastrium.

The most intense action is on the lower bowel and pelvic organs. There are hæmorrhoids, blind or bleeding; if they bleed it gives relief. Feeling of dryness in rectum as if little sticks or splinters were pricking the folds of mucous membrane; with weak feeling in sacro-iliac joints, as if legs would give way. ( Arg. n . has also pain in sacro-iliac joints and sensation as if the bones were loose.) Constipation, stools large, hard, followed by feeling of prolapse of rectum. General aching in lumbar and sacral regions, with stiffness in the back, almost impossible to walk. Tearing in the small of the back and hips.

Poisoning with the green rind of horse-chestnut has produced the following symptoms in a boy: Pupils widely dilated in bright light. Face flushed; pulse full. Drowsy and apparently slept, but the sleep was interrupted at short intervals by sudden awakenings and screams. Great terror as from a dreadful dream, or apparition on opening his eyes. Questioning failed to elicit the cause of his terror.

Æsc. h . patients are, as a rule, despondent and irritable. Walking greatly < all symptoms. Cold air and cold seasons < ; nose and throat very sensitive when inhaling; < after washing. > Summer; < winter (hæmorrhoids).

Compare: Æsc. gl., Alo., Collins., Merc., Nux v., Pod., Sul. Nux v. antidotes the pile symptoms. It follows well: Collins, Nux v., Sul. Compare also: Kali bi. (throat; but Æsc. h. has not the stringy mucus); Phytolacca (follicular pharyngitis).

Depressed; gloomy; low-spirited; irritable. — Loses temper easily, regains it slowly. — Unable to fix his attention.

Dull pressure in forehead; slight nausea in stomach, followed at once by stitches in right hypochondrium. — Severe lancinating headache at base of brain, as if too full; tympany; tongue white. — Confused feeling, with giddiness; < rising from a seat. — Frequent flying pains through the temples. — Flushes of heat over the occiput, neck, and shoulders. — Head too heavy to hold up without balancing; all head symptoms accompanied by hæmorrhoidal, rectal, or sacral symptoms.

Weight in the eyes; they feel heavy and dull. — Eyes feel heavy and hot; balls sore. — Painful aching over l. eye. — Flickering before the eyes.

Stinging and burning in posterior nares and soft palate. — Dryness of posterior nares and throat; sneezing, followed by severe coryza. — Pain in r. nasal bone; soreness in l.

Pale, miserable appearance. — Flying heat and redness of l. side of face. — Face swells enormously after washing in water.

Tongue coated white or yellow. — Thick yellow phlegm in the mouth. — Taste sweet; bitter; metallic (coppery, with salivation). — Tongue feels as if it had been scalded.

Pricking, formication, burning and stinging in fauces; shooting in l. side. — Feeling as if something had lodged in fauces causing constant inclination to swallow. — Feeling of dryness and roughness (or rawness and burning) in throat, as from taking cold. — Constrictive feeling in fauces. — Neuralgic pains in fauces. — Dark congested fauces with a full feeling and irritation. — Sore throat, chronic, with hæmorrhoidal difficulty.

Belching, nausea, vomiting. — Violent vomiting; great burning distress in the stomach. — Heartburn and gulping up of food after eating. — Pressure as from a stone in pit of stomach. — Eructations of wind; empty.

Tenderness in the right hypochondrium. — Much distress in liver and epigastrium. — Fulness in liver and abdomen. — Constant severe aching from pit of stomach to r. lobe of liver. — Abdomen and liver region tender to touch. — Sensation of fulness, flatulency, and colicky pains; hæmorrhoidal colic. — Emission of fetid flatus; rumbling in bowels. — Cutting in r. inguinal region (hernia).

Dry, uncomfortable feeling in rectum as if it were filled with small sticks. — Soreness, burning, itching, raw feeling, and fulness at anus. — Pain like a knife sawing backwards and forwards through anus. — Hæmorrhoids like ground nuts, purple; painful sensation of burning; generally blind; aching and lameness or shooting in the back. — Hæmorrhoids blind and painful; rarely bleeding; < standing or walking. — Stool hard, dry, and passed with difficulty. — Sensation of rigid hardness before stool. — Stools hard and black; natural consistence and white. — Backache after a difficult, large, and hard stool. — Prolapsus ani after stool. — Several large piles which seem to block up the rectum, little or no bleeding, great suffering, constipation. — Chronic diarrhœa, with characteristic backache or hæmorrhoids. — Piles develop and become particularly troublesome in climacteric years.

Pain in region of l. kidney. — Frequent scanty urination. — Urine dark and muddy; dark-brown sediment; yellow, with thick mucous sediment. — Urine hot.

Discharge of prostatic fluid at every stool, and at micturition; seminal loss during sleep. — A variety of suffering about the generative organs.

Inflamed cervix uteri, retroversion, prolapsus, enlargement and induration, when characterised by great tenderness heat and throbbing. — Old cases of leucorrhœa, of a dark yellow colour, thick and sticky, worse after menstrual period, increased by walking, corrodes the labia, with aching in the sacrum and knees. — Uterine soreness with throbbing in hypogastrium. — During pregnancy sacro-iliac symphysis gives out while she walks; must sit down; feels best lying.

Short cough, increased by swallowing and breathing deeply. — Hoarseness. — Raw feeling in chest. — Tightness in chest. — Abundant raising of mucus in morning. — Cough, with sensation of stiffness in the throat and suffocation in the upper chest. — Oppression, stitches, soreness and other troubles of chest. — Catarrhal affections causing hoarseness and cough.

Twitching over region of heart. — Stitches and neuralgic pains in region of heart, esp. apex; and forehead. — Functional disturbances of the heart from hæmorrhoidal complaints.

Constant backache affecting the sacrum and hips, very much aggravated by walking and stooping forward; almost impossible to rise after sitting down. — Back gives out when walking. — Aching between the shoulders. — Spine feels weak. — The sacrum, back, neck, head, chest, heart, and abdomen, all seem in remarkable sympathy with the rectum and its vessels.

Rheumatic pains in r. scapula and r. side of chest; worse during inspiration. — Shooting, drawing, and tearing pains in shoulders, arms, hands, and fingers. — Paralytic feeling in arms, legs, and spine.

Legs so weak she can hardly walk. — L. knee swollen, painful, stiff; cannot bear slightest pressure. — Tendo Achillis sore.

Paralytic feeling in arms, legs, and spine. — Feels faint, weak, and weary. — Disposition to stretch and yawn. — Fulness in various organs, as if they contained too much blood. — Mucous dry, swollen; burn and feel raw.

Chill at 4 p.m.; fever from 7 to 12 p.m. — During fever no thirst, bursting headache, photophobia, profuse hot sweat, heart beats violently.

Mind clear ; anterior lobes feel light ; posterior dull, heavy.
On awaking knows not where she is nor whence came the objects around her.
Unable to fix his attention.
Disinclination to perform any labor.
Inward cheerfulness and placidity of temper.
Feeling of sadness, lasting all day.
Depressed, low-spirited.
Feels dull, gloomy and despondent.
Very irritable all day, and restless during forepart of night.
Extremely irritable ; loses temper easily, and gains control over it but slowly.
Feels miserably cross.

Confused feeling in head, with giddiness ; slight while sitting, worse when rising from a seat, afternoon.
Vertigo with a sensation as if he had to balance the head ; very annoying all afternoon.

Dull pain in right temple and occiput, followed by dull stitches in forehead and left temple.
Feeling as if a board was on head ; < rising from a seat.
Neuralgic pains in different parts of head, temples, occiput and frontal region, coming and going.
Severe lancinating headache at base of brain, as if too full ; tympani ; tongue white.
Dull heavy pain deep in brain.
Headache all over as if it would burst. θ Fever.
A sensation of fulness and pressure, rather than of acute pain.
Sensation of fulness in head, beating of temporal arteries, and pain extending through head from one temporal region to other ; < by stooping, laughing and study.
Congestion to head with beating of temporal arteries, lasting half an hour, and accompanied by a dull pain on top of head.
Heaviness, with dull stupefying pain in head.
Heaviness in forehead, with aching in back part of head.
Fulness in forehead with dull heavy pain.
Aching in forehead ; sometimes over left, sometimes over right eye ; also right temple.
Dull pain over right eye ; eyes heavy ; after sleep.
Dull pressure in forehead with slight nausea in stomach, followed at once by stitches in right hypochondrium.
Dull frontal headache, from right to left, with constrictive feeling of skin of forehead, followed by flying pains in epigastrium.
Shooting pain in forehead.
Neuralgic pains in right supraorbital region.
Severe frontal headache ; back aches and is weak.
Pressing in left temple, followed by same sensation in right.
Beating in right temple.
Frequent flying pains through temples and forehead ; throat constricted.
Dull heavy pain extending through top of head.
Neuralgic pains in left side of head.
Very severe pain in right side of head above temple.
Dull aching pain in left side of head.
Dull pain in right side of head, followed by same sensation in l. side, continuing about an hour.
Dull pain in occiput, with flushes of heat over occiput, neck and shoulders, and lame feeling in small of back. θ Prolapsus uteri.
Heavy feeling in back of head.
Dull aching sensation in back part of head, afterwards extending to forehead, much < by stooping.
Dull pain in occiput ; a bruised feeling with heat, extending to ears.
Burning pain in back part of head.
Headache with dull pain and stitches, chiefly in forehead, temple and occiput ; accompanied by confusion and vertigo, with sensation of fulness and pressure rather than other pain.
Sensations in head, accompanied by beating of arteries all over body and accelerated pulse.
Sick-headache ; feeling of fulness in forehead, with sickness of stomach in evening.
Neuralgic darting from right to left across forehead ; followed by flying pains in epigastrium.
Stitches in right side of head, right breast and anterior part of right thigh simultaneously.
Sensation of fulness in upper part of head, with stiffness of neck and spine.
Dull aching sensation in forehead, with beating in temples, flashes of heat and accelerated pulse.
Dull heavy pains in forehead, and pains in back, loins, left shoulder and elbow, as if from exertion.
Headache with drowsiness ; too weak to walk.

Continue in Hering 45 more passages →

A peculiar kind of plethora is found running through this remedy, a vascular fullness which affects the extremities and the whole body, and there are symptoms showing that the brain is similarly affected.

The conditions of Aesculus are worse during sleep, hence symptoms are observed on waking.

He wakes up with confusion of mind, looks all around the room in confusion, bewildered, does not know the people, wonders where he is and what is the meaning of the things he sees.

It is especially useful in children that rouse up in sleep frightened and in confusion, like Lycopodium.

The remedy produces great sadness, irritability, loss of memory and aversion to work. There are times when there is a sense of bodily congestion, fullness of the veins, and then these symptoms are most marked.

It is a general venous stasis, and is sometimes worse in sleep, worse from lying, better from bodily exertion.

The symptoms pass away after considerable exertion; moving about, doing something, keeping busy relieves.

You will find it useful in persons who suffer from palpitation when the pulsation extends to the extremities and the throbbing of the heart in sleep can be heard; an audible palpitation.

Now, as the mental symptoms are the most important in a proving, so are the mental symptoms in sickness the most important.

Hahnemann directs us to pay most attention to the symptoms of the mind, because the symptoms of the mind constitute the man himself.

The highest and innermost symptoms are the most important, and these are the mind symptoms.

Aesculus has not been brought out in the finest detail, but we have the key to it.

Extreme irritability is the very general state from which ramify a great many mental symptoms.

Irritability and mental depression run through a great many remedies, and form the centre around which revolve all the mental symptoms in some cases.

The reason that these are more interior than some other symptoms of the mind is that these relate to the affections themselves.

The mental symptoms can be classified in a remedy. The things that relate to the memory are not so important as the things that relate to the intelligence, and the things that relate to the intelligence are not so important as the things that relate to the affections or desires and aversions.

We see in a state of irritability that the patient is not irritable while doing the things that he desires to do; if he wants to be talked to, for instance, you do not discover his irritability while talking to him.

You never discover he is irritable if you do the things he wants you to do. But just as soon as you do something he does not want, this irritability or disturbance of the will is brought on, and this is the very innermost of the man’s state.

That which he wishes belongs to that which he wills, and the things that relate to what he wills and the most important things in every proving.

You may say that an individual is sad, but he is sad because he lacks something that he wants; he desires something which he has not and becomes sad for it; sadness may go on to such an extent that the mind is in confusion.

Confusion of mind and vertigo. Make this distinction, vertigo is not confusion of the intelligence.

You have only to meditate upon it a moment and you will see that it is not.

Confusion of the mind is a disturbance of the intellect, not disturbance of the sensorium; you will make a distinction between staggering when walking and a period of disturbance of the mind, with inability to think clearly.

Vertigo is a sensation of rolling, and belongs to the sensorium. A great mistake has been made in some of our repertories, in that confusions of mind are placed with vertigo under sensorium.

These things must be thought out carefully, so that we are clear in our own minds as to what symptoms mean when they are given to us by patients.

A patient may state that when walking in the street he is dizzy or that it appears as though everything interiorly were turning around, yet he may be perfectly able to add up a column of figures; his mind may be clear.

If we ourselves are perfectly clear as to the meaning of these expressions, we will commonly glean the meaning of the patient. It is important to record the language of the patient, yet often a patient will say something which you can see he does not mean at all, and it then becomes necessary to put in a parenthesis what he really means. For instance, a patient says:

"I have such a pain in my chest," with the band on the abdomen, or a woman when menstruating will say the pain is in the stomach when you know it is in the uterus.

Patients must be questioned oftentimes as to their statements, or requested to place the hand upon the painful part. In the same way, therefore, patients talk about dizziness when they are not dizzy at all, but feel a confusion of mind, or they speak of confusion of mind when they mean that they stagger in the street.

It is in the nature of this remedy to have flying pains all over the body, like Pulsatilla and Kali carb., flitting, sharp, shooting, tearing pains, flying from one part to another; they seem at times to be scarcely more than skin deep. Sometimes they fly along the course of the nerves.

This remedy is full of headache. It has also dull aching pain, when it seems that the brain would be pressed out. But especially are these pains felt in the back of the head, as if the head would be crushed; hard aching pains, violent aching pains, fullness of the brain.

"Dull frontal headache, from right to left, with constrictive feeling of skin of forehead."

Fullness of the head, with dull, heavy pains, aching in the forehead; pain over the right eye.

"Neuralgic pains in the right supraorbital region."

"Shooting in left parietal bone, later in right."

Formication of the scalp. If you examine the skin you will find formication, tickling and shooting and itching all over the body, so what there is in the scalp is only what belongs to the remedy in all parts.

Aesculus is a wonderful eye remedy, especially when the eyes have "hemorrhoids" . Does that convey any idea to you?

By that I mean particularly enlarged blood vessels.

Great redness of the eyes, with lachrymation. burning eyeballs and vascular appearance.

This increased determination of blood is more or less painful; the eyeballs feel sore and ache; sharp, shooting pains in eyes.

In almost every rubric of Aesculus we shall find stitching and shooting; little twinges; wandering pains with fullness; almost every kind of disturbance will intensify e fullness.

Fullness of the hands and feet, not the fullness that pits upon pressure, that we call oedema, but a tenseness.

Medicines having much trouble with the veins are often disturbed by hot bathing, weakness after a hot bath, weakness in warm weather, aversion to heat and desire for cold.

It is the state of Pulsatilla. The Pulsatilla veins contract in cold weather, and the shrivelling up makes the patient feel better, but the veins fill and become engorged in the warm air and after a hot bath.

A tepid bath sometimes makes a Pulsatilla patient feel better, but a Turkish bath is generally distressing. Many of the complaints of Aesculus are of this sort; Aesculus often feels better in cold air.

The symptoms of Aesculus are often brought out, by temperature, especially the little stinging pains. It is characteristic of these superficial pains that they are nearly always ameliorated by heat, while the deeper affections are oftentimes ameliorated from cold.

Now, in Pulsatilla, the stinging pains of the scalp and those over the body, here and there, are often ameliorated by the local application of heat, while the patient himself wants to, be in the cold; in the same way Aesculus stinging pains are better from heat, while the patient is often better from cold, although at times he is aggravated from cold, damp weather in rheumatic and venous conditions.

Again, in Secale, we see that the little sharp pains that follow the course of the nerves are better from beat, but the patient himself wants to be in the cold air, or to be uncovered, except the spot of pain, which he wants kept warm.

We notice the same thing running through Camphora; during the twinges of pain he wants the windows closed and wants hot applications; but as soon as the pain is over he wants the windows up and desires to be uncovered so that he can breathe. These are general things, things that are to be observed in analyzing symptoms.

Aesculus then is a venous remedy, engorged and full, sometimes to bursting. Now, there is another feature I want to bring out. You will notice where congestion takes place that it is purple or blue in color.

This remedy produces inflammation of the throat, the characteristic being that it is very dark. It has the tendency to produce varicose veins and ulceration, and round about these we have marked duskiness.

Aesculus cures varicose leg ulcers with a purplish areola.

When we study the hemorrhoidal state we see the tumor is purple, looking almost as if it would slough. The remedy is not active in its inflammatory state, it is sluggish and passive.

Certain remedies produce a slight inflammation with a high degree of redness, everything is violent and rapid, but in this medicine things are slow; the activities are reduced, the heart is laboring and the veins are congested.

"Eructations: sour, greasy, bitter."

"Desire to vomit."

"Heartburn and gulping up of food after eating."

It has a great disturbance of digestion, and we can see by these symptoms that we must class it with Phosphorus and Ferrum.

As soon as the patient has swallowed the food, or a little while after, it becomes sour and he eructates it, until after a while he has emptied the stomach of its contents.

Such is the state of Phosphorus, Ferrum, Arsenicum, Aesculus and a few other medicines. Aesculus has also a state of congestion and ulceration of the stomach.

"Constant distress and burning in the stomach. Inclination to vomit."

Such a state as this might be present in ulceration of the stomach.

The abdomen is full of troubles.

If we read the symptoms of the right hypochondrium, of the abdomen and of the rectum, we shall see from the study of these that there must be a marked portal stasis.

Digestion is slow, the bowels are constipated and there is protrusion of the rectum when at stool. It has most troublesome hemorrhoids with fullness of the right hypochondrium.

The liver is full of suffering. After eating there is distress in the bowels and rectum. Sticking, jagging, burning pains, as if the rectum were full of sticks.

Great suffering with blind hemorrhoids. The hemorrhoidal veins are all distended and ulcerate. The stool becomes jammed into the rectum, against these distended veins, and then ulceration takes place with bleeding and great suffering.

This remedy is often supposed to be suitable to hemorrhoids that do not bleed, but it cures bleeding piles also. We find in the text over two pages devoted to the symptoms of the rectum. Great soreness; much pain; urging to stool; dark stool followed by white one, showing the liver engorgement. Chronic constipation.

The back is the seat of much trouble, especially low down in the back, through the sacrum and hips; although there is also aching all along the back and pain in the back of the neck.

It is a very common thing for patients suffering from hemorrhoids to have pain in the back of the neck and base of the brain, basilar headaches, and when these hemorrhoidal patients undertake to walk they have pain and aching across the sacrum into the hips.

This pain through the sacrum and into the hips, when walking, is a striking feature of Aesculus, so striking that you may expect it to be present even when there are no hemorrhoids.

Constant dull backache; walking is almost impossible; scarcely able to rise or walk after sitting. You will see one suffering from the Aesculus backache, on attempting to rise from sitting, make many painful efforts before he finally succeeds. This is found in Sulphur, Petroleum and is also cured by Agaricus.

Aesculus is indicated oftentimes in the troubles of women, with great dragging pain in the pelvis. Many a time has Aesculus cured the dragging-down pain of the pelvis with copious leucorrhoea and pressing pain in the hips when walking.

The woman feels that the uterus is engorged. She says that the lower part of the abdomen feels full, both before and during menstruation. There is much suffering at this time with pains in the hips.

"Uterine soreness, with throbbing in the hypogastrium."

"Old cases of leucorrhoea, discharge of a dark yellow color, thick and sticky."

"Leucorrhoea, with lameness in the back across sacro iliac articulations."

During pregnancy there are many complaints, with soreness and fullness and uneasy consciousness of the uterus and pain across the back when walking.

Aesculus is full of gouty sufferings; gout in all the joints, gouty rheumatic affections, neuralgic affections. Especially in this rheumatic tendency found from the elbows to the hands, in the forearm and hands. Rending, tearing pains, flying hither and thither without any particular order, relieved by heat.

Varicose veins of the thighs and legs have been cured by Aesculus (Fluoric acid ). This varicose tendency in the body we have already seen is a striking feature of Aesculus.

After the sore throat has passed away, engorged veins are left, which Aesculus sometimes cures. After eye troubles have been cured, varicose veins - remain in the eye.

With rheumatic complaints there are varicose veins. It is one of the most frequently indicated remedies in the hemorrhoidal constitution, as it used to be called.

Most suitable to persons with hemorrhoidal tendencies, who suffer from gastric, bilious or catarrhal troubles.

Despondent, gloomy; very irritable; loses temper easily and gains control slowly; miserably cross (Cham.).

Constant backache—severe, dull, aching pain—affecting the sacrum and hips, sacro-iliac articulations, worse when walking or stooping forward.

Back gives out at that point when walking, must sit or lie down.

Venous congestion (portal and hemorrhoidal); fulness in various parts, as from an undue amount of blood; heart, lungs, stomach, brain, pelvis, skin.

Mucous membranes of mouth, throat, rectum are swollen, burn, feel dry and raw.

Coryza; thin, watery, burning; rawness, and sensitive to inhaled cold air.

Follicular pharyngitis, especially in hemorrhoidal subjects; violent burning, raw sensation in throat; dryness and roughness of throat.

Frequent inclination to swallow, with burning, pricking, stinging and dry constricted fauces (Apis, Bell.).

Rectum: dryness and heat of; feels as if full of small sticks; knife-like pains shoot up the rectum (Ign., Nit. ac., Sulph.); hemorrhoids blind, painful, burning, purplish; rarely bleeding; sore, with fulness, burning and itching.

Constipation: hard, dry stool, difficult to pass; with dryness and heat of rectum; severe lumbo-sacral backache.

Backache and soreness from walking and stooping; motion; inhaling cold air; swallowing liquids.

Quotidian; tertian; double tertian. Periodicity marked. Autumnal fevers. Remittent. Malarial.

4 P. M. (Lyc., Puls.). Evening. Fever without chill from 7 to 12 P. M.

Yawning, stretching and bursting headache. Without thirst.

At 4 P. M., with goose-flesh, relieved by heat of fire (Ign.); along the spine; runs up the back, or creeping up and down the back (Gels.), with heat and burning in the rectum and anus. Severe chilliness, with rigor; cannot get warm.

At 4 P. M. (Anac., Lyc., Puls.); coldness without shivering; thirsty but unable to drink from pain in throat.

Flushes of heat over the face, occiput, neck and shoulders, or over the whole body. In evening fever from 7 to 12 P. M., no thirst, skin hot and dry, palms and soles burn, disposed to yawn and stretch; head aches as if it would burst. Photophobia. Lungs feel engorged; heart beats violently.

Burning in the mouth and profuse salivation. Burning dryness and constriction of the throat, constant inclination to swallow, profuse saliva and frequent spitting of mucus from the mouth.

During paroxysm burning of throat and pharynx as from a live coal; great thirst with inability to swallow from painful dryness of throat.

With hot sweat of entire body.

Profuse, hot, and comes on with the heat, not after it; on head and face. The congestions of head, face and chest decline and abdominal symptoms disappear during sweating stage.

Soft, slow and feeble. Functional disturbances of heart from hemorrhoidal complications; heartbeat full and rapid; can feel pulsations over whole body (Nat. m.).

Coated white or yellow; tip sore as if ulcerated; feels scalded. Taste sweet with ropy mucus; metallic, coppery, with salivation.

Constipation and hemorrhoids, with the characteristic backache, dryness and burning of the rectum. Painful dryness and burning of throat and pharynx with difficult swallowing.

In France, during the continental wars of the Empire, the blockade of the European ports by the English navy was so rigid that Peruvian bark—the recognized specific for intermittent fever—was effectually excluded.

It was during this time that a vigorous search by the faculty for a substitute for bark, brought into experimental use many remedies, and among others Arsenic and Æsculus.

The Bulletin des Science Médicales, in 1808, Vol. II, p. 560, published a large number of cures obtained by the bark of the horse-chestnut. Dr. Ranque reports 43 cases; Dr. Cazin 2 cases of tertian and one of double tertian; and Dr. Lacroix in an epi- demic of intermittent fever in the department of Loire et Cher, successfully treated over 200 cases with Æsculus alone.

The hemorrhoidal diathesis with lumbo-sacral backache, and the dry, burning throat, pharynx and rectum are most marked.

Depressed, low-spirited; irritable.
Unable to fix attention.

Confused feeling in the head, with giddiness.

Dull pressure in forehead, slight nausea, followed at once by stitches in right hypochondrium.
Neuralgic darting from right to left across the forehead; followed by flying pains in the epigastrium.
Frequent flying pains through the temples.
Dull pain in the occiput with flushes of heat over the occiput, neck and shoulders.

Soreness of side of scalp rested on (right).

Flickering before the eyes.
Pupils dilated; contract slowly.
Eyes feel heavy and dull, balls feel sore and hot.
Burning and stinging deep in the left orbit as is the pain surrounded the ball.
Painful aching over the left eye.
Twitching: of the lids; of the muscles under the left eye.
Lachrymation.

Burning in ears; pressure; ringing in the right.

Dryness of the posterior nares and throat. θ Coryza.
Fluent coryza, dull frontal headache, thin, watery discharge; burning; rawness; sensitiveness to inhaled air.
Stinging and burning in posterior nares and soft palate.

Pale, miserable appearance.
Flying heat and redness of the left side of the face.
Face swells after washing; rubbing causes red spots.

Taste: sweet; bitter, afterward sweetish; metallic; oily or coppery with salivation.
Cannot control the tongue so as to form words rightly.
Tongue coated white or yellow; feels scalded.
Tip of the tongue sore, as if ulcerated.

Thick yellow phlegm in the mouth.
Salivation, oily taste; teeth as if covered with oil.

Hawks up ropy mucus of a sweetish taste.
Pricking in fauces; pressure as if something had lodged there.
Dryness, burning and constriction in fauces.
Tonsils dark, congested, swollen; worse the left; inclination to swallow, with dull aching pain, burning like fire.
Frequent neuralgic pains in the fauces.

Stomach feels full, as if walls were thick, after eating.

Eructations: sour; greasy; bitter; taste of food; empty; thick mucus.
Violent retching and vomiting; burning in stomach.

Pressure as from a stone in the pit of the stomach.
Gnawing and emptiness in the stomach in the early morning.
Fluttering, faintness in stomach, burning, great distress.
Periodical tightness in scrobiculus, with labored breathing.

Constant, severe aching, from the pit of the stomach to the right lower lobe of the liver.
Tenderness in the right hypochondrium; stitches, following headache.
Pinching pain in the right hypochondrium, with colic; pain through to the back on inspiring.
Congestion of liver and portal system.
Pain in the region of the spleen.

Burning distress, soreness and aching at navel.
Abdomen tender to touch; sense of fulness and throbbing in it.
Rumbling in the bowels, with cutting about the navel.
Cutting in the right inguinal region.
Flatulent of flying pains in the bowels.

Passing fetid flatus.
Soreness, burning, itching, fulness and urging at the anus.
Dryness, heat and constriction of the rectum; rectum feels as if full of small sticks; knife-like pain in anus.
Hemorrhoids purple; painful sensation of burning; seldom bleed; aching and lameness, or shooting in back.
Prolapsus ani after stool; dull headache.
Stool large, dry, hard and knotty; difficult, dark; mushy, light brown; first part hard, black, the last of about natural consistency, but white as milk.

Frequent, scanty urination; pain in kidneys.
Urine: dark, muddy, passed with much pain; scalding; hot; dark brown sediment; yellow, with thick white mucous sediment.

Leucorrhœa dark yellow, thick and sticky; worse after menses; worse walking; corrodes the labia; aching in the sacrum and knees.

Sacro-iliac symphysis gives out while walking; must sit down; still better lying. θ Hemorrhoids.

Sensation of dryness and stiffness of the glottis and of the laryngo-pharyngeal mucous membrane.
Hoarse voice.

Rapid, labored; with pain in right lung.

Dry, short, increased by swallowing and deep breathing; dry, hacking, caused by constriction of the fauces, with irritation of the epiglottis.

Raw feeling in the chest.
Lungs feel engorged, heavy.
Stitches through chest; stitches go from left to right side.

Darting in the region of heart, with fulness and palpitation.
Dull, aching, burning in the region of the heart.
Palpitation, heart's action full, heavy; can feel the pulsation all over the body.
Pulse: accelerated; soft, weak.

Lameness and weariness, in back of neck.
Aching between the shoulders.
Pains in right scapula and chest; worse inhaling.
Severe, dull, aching pain in lumbo-sacral region, affecting sacrum and hips; worse stooping forward and when walking.

Left arm and hand much warmer, feel heavy and swollen.
Right arm feels paralyzed, cannot raise it.
Pricking, swollen feeling of hands after washing them.
Nails blue.

Back and legs weak; can hardly walk, must lie down.

Joints stiff aching and painful.
Limbs feel heavy.

Lying: 24, 33. Motion: 44. Walking: 23, 24, 31, 33. Stooping: 31. Sitting: 24.

Flying, neuralgic pains.
Lameness and paralytic feelings: 31, 32, 33.
Feels faint, weak; weariness, faintness at the stomach.

Disposition to stretch and yawn.
Drowsy; falls asleep; on awaking, knows not where she is.
Awakened by burning pain in the stomach.
Morning on awaking, sore and tired.

Morning: 17, 37, 44. Evening: 40.

Open air: 7. Washing: 32. Heat of fire: 40.

Chilliness: creeping up and down the back, with burning in the anus; better from heat of fire.
Evening: fever, skin hot, dry; burning palms and soles.
Disposition to stretch and yawn; head aches, as if it would burst.
Flashes of heat over the occiput, face, neck and shoulders.
Sweat profuse, hot, with the fever.

Right: hypochondria, see 18; groin, lung, see 26; inhaling, arm paralyzed. Left: pain in eyeball, red face, tonsil congested; heart, see 29; arm heavy.
Left to right: stitches through chest.

Fullness as from too much blood; heart, head, skin.
Sore feeling of muscles, mornings on awaking and on motion.
Dryness of mucous membranes.
Mucous membranes swell.

Formication: scalp, nose, fauces.
Itching of the body, especially about the waist.

Hemorrhoidal tendency.

Collateral: Æsc. glab.
Concordances: Aloe soc., Collin., Mercur., Nux vom., Podoph., Sulphur (weak spine).

Æsculus hippocastanum, L. (Horse-chestnut.). Natural order Sapindaceæ.

A tincture is prepared from the fresh, ripe, hulled nuts.

Most marked on lower bowel (engorged hæmorrhoidal veins). ▶ Excessive pains in back and hips. ▶ Irritation of mucous membrane of throat.

Aloe, Bap., Bell., Berb., Diosc., Nit. ac., Phyto., Pod., Sulph.

Tearing in back, right side and shoulders. ▶ Pain on walking; walking erect. ▶ Soreness; on motion; on waking; of arm, back, lower limbs agg. small of back; morning on waking, agg. calves, thighs, back, shoulders, neck, upper limbs and chest. ▶ Fulness; of dependent parts. ▶ Heart, lungs, stomach and brain feel as if too full of blood. ▶ Malaise; with dull stupefying feeling in head. ▶ Disinclined to rise after waking. ▶ Weakness; from walking; in joints; as from walking far. ▶ Faintness. ▶ Joints stiff. ▶ Amelioration from eructation.

▶ ▶ Inability to fix attention. ▶ Cheerfulness. ▶ Clearness, with light feeling in anterior lobes, but heaviness and dullness in occiput. ▶ Confusion. ▶ Feeling as if death were impending during the darting pain in trachea, followed by exalted condition of brain and nervous system. ▶ Disinclination to work. ▶ Gloomy forebodings. ▶ Irritability. ▶ Memory lost. ▶ Sadness. ▶ Stupidity. ▶ Thoughts rapid. ▶ Unconsciousness on waking.

The patients, as a rule, are despondent and irritable.

Is a valuable remedy for follicular inflammation of the posterior wall of the pharynx, with the symptoms above emphasized; it is to be compared especially with Phytolacca.

The action of this drug on the liver associated with engorged portal circulation, especially in large hæmorrhoids, is extremely marked; see symptoms above and compare with Pod.

For protruding, purple piles with the symptoms noted this drug has been found extremely valuable, and for these troubles it has won its greatest laurels; especially associated with them and almost characteristic of the drug are the severe pains in the sacrum and small of back and the fulness in the region of the liver.

These pronounced symptoms of the back are usually associated with hæmorrhoids, but the drug has also been used for lumbago not associated with any hepatic or hæmorrhoidal disease; even dysmenorrhœa with the peculiar sacro-iliac pains has been relieved.

Aching; dull here and there, especially in right temple and occiput, then dull stitches in forehead and temple. ▶ Feeling of a board upon it. ▶ Confusion; with vertigo. ▶ Heaviness; dull especially in region of right ear. ▶ Intoxicated feeling. ▶ Vertigo; afternoon; with balancing in head. ▶ Forehead. ▶ Aching, with fluent coryza; with constrictive feeling in skin of forehead; as during cold in head; flying, and in temples; neuralgic. ▶ Pressure; with nausea. ▶ Throbbing in eminence. ▶ Aching over left eye; over right eye. ▶ Region of causality, neuralgic pair, right darting towards left, with constriction in skin of forehead; uneasiness left, with constriction in skin of forehead; uneasiness left. ▶ Sinus, fulness. ▶ Temples. ▶ Aching left, acute, right; with soreness; flying. ▶ Dullness. ▶ Stitches, left, with nausea. ▶ Vertex. ▶ Fulness; and pressure. ▶ Parietal, aching above right temple. ▶ Occiput. ▶ Aching, with flushes of heat in integument of occiput, nape and shoulders; extending to ears. ▶ Bruised feeling, with lameness in nape. ▶ Heaviness. ▶ Pressure on cerebellum. ▶ Scalp. ▶ Hyperæsthesia. ▶ Soreness of right side from lying on it.

Heat. ▶ Pain, light and giddy in right when near light; shooting pain in left. ▶ Smarting. ▶ Twitching right. ▶ Weight. ▶ Deep-seated burning and stinging in left orbit, as if pain surrounded ball, with coldness in eye. ▶ Twitching of lids. ▶ Tries to keep from winking. ▶ Burning in inner canthi. ▶ Lachrymation. ▶ Eyeballs sore. ▶ Pupils dilated, contracting slowly. ▶ Vision. ▶ Flickering. ▶ Illusions.

Burning. ▶ Fulness. ▶ Pressure about right.

Coryza; with cool feeling on inspiration; with fulness in nose and forehead; with pressure in forehead, especially at root of nose; fluent, with frontal headache; fluent, with twisting in front part of nose. ▶ Drawing in right nostril as in coryza. ▶ Mucus more watery; left nostril full of thick mucus. ▶ Pain shooting. ▶ Sensitiveness to inspired air. ▶ Sneezing. ▶ Feeling as after snuff. ▶ Soreness and fulness. ▶ Pain in right bone; pressure in left bone. ▶ Mucous membrane, sensitiveness, causing a cold feeling; swollen sensation. ▶ Pressure at root. ▶ Posterior nares dry; also palate; stinging and burning, and in soft palate.

Flushed after rubbing. ▶ Pale, miserable appearance. ▶ Twitching of muscles under left eye. ▶ Lips feel hot.

Oily feeling. ▶ Pain in sound. ▶ Tongue. ▶ Coat thick yellow; dirty white. ▶ Pain sharp, biting. ▶ Scalded feeling; with constriction of fauces. ▶ Swollen feeling. ▶ Uncontrollable, causing inability to speak long words distinctly. ▶ Tip, biting and stinging; soreness. ▶ Mouth. ▶ Burning; and in œsophagus. ▶ Dryness; and in pharynx, with soreness. ▶ Scraping, irritation or burning extending to stomach. ▶ Salivation; with oily taste; with coppery taste. ▶ Taste bitter; flat; like licorice; metallic; slimy; sweet. ▶ Submaxillary glands, increased secretion. ▶ Parotid glands sore when exposed to wind.

Acrid feeling. ▶ Biting. ▶ Congestion. ▶ Inspired air feels cooler. ▶ Constriction (Bap.); with dull pain on each side of tonsils. ▶ Burning; when swallowing. ▶ Dryness (Bell.); after eating; increase of dry feeling, then secretion of mucus; with contraction. ▶ Excoriation (Phyto.). ▶ Formication. ▶ Feeling as if something had lodged in it. ▶ Mucus, causing cough. ▶ Pain amel. eating a grape; sharp, biting pain; pain as if burnt. ▶ Pricking and pressing; with fulness in epigastrium and eructations. ▶ Raw feeling. ▶ Shooting. ▶ Soreness in forenoon, amel. in afternoon. ▶ Stinging. ▶ Swallowing difficult; inclined to swallow, with dryness and stiffness in throat (Bell.), with pain in tonsils, with neuralgic pain in fauces. ▶ Tickling causing cough. ▶ Upper part, fulness. ▶ Pharynx, dryness; irritated feeling, and in mouth. ▶ Tonsils and soft palate congested; with aching. ▶ Œsophagus, burning; constricted, scraped feeling; and in throat, causing disposition to hawk; dryness.

Appetite little. ▶ Increased; with sick feeling in stomach. ▶ Eructations; of air; of air with waterbrash; of mucus; periodical, of viscid mucus. ▶ Nausea; with burning and salivation; with eructations; with ineffectual urging to stool. ▶ Retching. ▶ Violent vomiting. ▶ Stomach aching and rumbling; aching extending downward. ▶ Burning; as if it contained water. ▶ Cutting. ▶ Distress; with pain in bowels; in epigastrium; distress, with nausea; burning, in epigastric region, and in umbilical region, with aching in lumbar region, agg. walking; burning, in cardiac portion. ▶ Dyspepsia. ▶ Faintness in pit. ▶ Fulness; after eating; in epigastrium. ▶ Fluttering in pit. ▶ Fulness; at epigastrium. ▶ Gnawing and emptiness in morning. ▶ Gripping in epigastrium. ▶ Flatulent griping from stomach to umbilical region. ▶ Heat; in epigastrium. ▶ Pain; after eating; in epigastrium; about and below pyloric extremity; acute; burning; in pyloric portion; dull, in cardiac portion; extending to right lobe of liver; below pit, causing faint feeling; neuralgic in region. ▶ Pressure as from a stone at pit. ▶ Soreness of epigastrium. ▶ Periodical tightness at pit, with labored breathing. ▶ Twisting at pit.

Distention; amel. by general sweat. ▶ Rumbling. ▶ Emission of flatus; fetid; with griping. ▶ Cramp-like contraction before stool. ▶ Cramp. ▶ Constriction. ▶ Griping at each inspiration. ▶ Pinching before stool. ▶ Pain alternating with pain in chest; P. extending to small of back; flying. ▶ Soreness in touch. ▶ Distress. ▶ Feeling as after severe diarrhœa. ▶ Burning.

▶ Stitches in right hypochondrium; in left ; deep-seated above right hip. ▶ Pinching in right hypochondrium. ▶ Aching in hypochondria; through to back, agg. by inspiration; in right, agg. by walking; in right lower lobe of liver; right lobe of liver; in region of gall-bladder (Diosc.); shifting, in left hypochondrium. ▶ Soreness in right hypochondrium (Bry.). ▶ Fulness in right hypochondrium (Pod.). ▶ Distress in liver. ▶ Umbilical region, fine stitches; cutting; pinching below umbilicus; pain; pain after stool; pain after difficult stool, and in hypogastric region; soreness; distress; distress, and in hypogastric region, with urging to stool and rumbling; burning distress. ▶ Rumbling in hypogastrium. ▶ Cutting in left groin. ▶ Pain in hypogastric region. ▶ Neuralgic pain in right groin.

▶ ▶ Burning after stool (Aloe, Nit. ac., Sulph.). ▶ Constriction; after stool. ▶ Dryness; with heat (Aloe); followed by moisture. ▶ Fulness. ▶ Itching and dryness (Sul.), with stiffness of skin and adjacent cellular tissue. ▶ Feeling as if mucous membrane were thick and obstructed stool, and as if rectum would protrude if the effort were continued. ▶ Pressure; with inclination to stool and eructations. ▶ Soreness; with sensation as if something would pass off all the time. ▶ Feeling as if full of small sticks (Nit. ac.). ▶ Anus. ▶ Extreme flow of blood to, from rubbing. ▶ Burning (Sul., Nit. ac., Aloe). ▶ Sphincter unable to contract. ▶ Cutting after stool (Aloe). ▶ Fulness (Aloe); after walking, with itching. ▶ Heat (Sul.). ▶ Itching (Sul.). ▶ Pain. ▶ Pressure (Sul.). ▶ Prolapsus; prolapsed feeling after stool; prolapsed feeling, with backache. ▶ Raw feeling. ▶ Soreness (Berb.). ▶ Urging to stool with every eructation; with stool; after stool; with distress in umbilical and hypogastric regions, and rumbling; with desire to remain long at stool; with shivering; constant; constant, with pain in right hypochondrium and stomach. ▶ Ineffectual.

Black and soft; first part black and hard, last part almost as white as milk, then tearing in anus. ▶ Copious and soft, followed by burning and feeling of swelling and constriction in rectum. ▶ First half dark, rest light. ▶ Diarrhœa; of ingesta. ▶ Difficult; then soreness, aching and fulness in rectum; difficult and dry; and scanty; and large, hard, then pain and feeling as if anus protruded. ▶ Frequent. ▶ Hard; with soreness of anus. ▶ Knotty. ▶ Light-coloured. ▶ Liquid; preceded by griping. ▶ Mixed in character. ▶ Mushy, with pain in lumbar region. ▶ Omitted. ▶ Rope-like. ▶ Scanty. ▶ Small. ▶ Thin.

▶ ▶ Frequent. ▶ Urging to. ▶ Urine dark, scanty, scalding. ▶ Hot. ▶ Increased in amount. ▶ Retained.

Pain. ▶ Penis, dull and heavy shooting pain through or near belt. ▶ Testicles; drawing left ; soreness. ▶ Leucorrhœa.

Glottis and pharyngo-laryngeal mucous membrane dry and stiff. ▶ Larynx dry (Bell.); and tickling; tickling, scraping, and in pharynx; tickling, causing cough, with mucous expectoration. ▶ Trachea, throbbing, darting pain, causing tickling. ▶ Cough; dry; dry hacking, from constriction of fauces, with irritation of epiglottis. ▶ Expectoration frequent; thick, then watery mucus; ropy mucus; sweetish mucus. ▶ Respiration labored.

Constriction; in lower part. ▶ Burning distress. ▶ Heat in; with coldness rising up. ▶ Pain in right lung on motion upward and downward when breathing; pain, alternating with pain in abdomen; pain as if stone lay on pit of stomach. ▶ Raw feeling. ▶ Shooting pain in sternum. ▶ Soreness in and over lungs, with rush of blood, on full inspiration. ▶ Stitches left ; then right; in left side; in lower lobe of left lung, amel. passing urine. ▶ Pain in sternum as if a piece were torn out. ▶ Tightness. ▶ Twitching, to left shoulder. ▶ Warmth.

Burning in region. ▶ Pain in apex; acute pain in apex; burning in apex; darting in region, with fulness and palpitation; neuralgic, in apex; neuralgic, in region, arresting breath. ▶ Palpitation; periodical; periodical, with anxiety. ▶ Stitches in region. ▶ Twitching over region. ▶ Pulse accelerated; soft and weak.

▶ ▶ Neck. ▶ Glands enlarged and sore to touch. ▶ Lameness and weariness in nape. ▶ Pain; in nape; dull, heavy in nape. ▶ Soreness, with pricking. ▶ Back. ▶ Aching; agg. moving; between shoulders; in small of back (Berb., Phyto.), agg. motion (Phyto.); in sacrum and hips (Berb.), agg. walking and stooping; making it difficult to get up after sitting. ▶ Distress in dorsal region. ▶ Lameness and weariness in small of back; lameness and strained feeling in right lumbar region, extending to gluteal muscle. ▶ Pain; between shoulders; lumbar region; small of back and hips when getting up, amel. motion; sacrum; in lumbo-sacral region, and on stooping; sacral and lower lumbar region, after difficult stool. ▶ Stiffness. ▶ Stitches. ▶ Tearing in small of back and hips when walking (Berb.). ▶ Weariness.

Heaviness. ▶ Spasms. ▶ Nails blue. ▶ Stretching. ▶ Shoulders, pain. ▶ Arms, aching; neuralgic pain; paralysis of right; tearing and jerking of right. ▶ Forearms, numbness with prickling; darting pain in left. ▶ Cannot control muscles to write well. ▶ Hands, pricking after washing; stinging. ▶ Tottering. ▶ Limbs ache when weight of body rests on them. ▶ Knees ache. ▶ Legs ache; weak. ▶ Calves sore. ▶ Tendo-achillis sore. ▶ Feet swell; after walking. ▶ Corns sore.

Formication in front of temple; on nose. ▶ Fulness, as from too much blood in body. ▶ Gooseskin. ▶ Itching all over, especially around waist, itching of testicles. ▶ Redness and flying heat of left side of face, red spot on forehead from pressure of hat; large red spots on face on rubbing after washing.

▶ ▶ Yawning; constant. ▶ Sleepiness; stupefying. ▶ Frequent waking. ▶ Dreams distressing; dreams that he is fighting in a battle; that he saw a man in his room.

Chilliness; from riding in cool air; of skin, when cold air strikes it, with chattering of teeth. ▶ Rigors. ▶ Heat; general; of head; integuments of occiput, extending to ears; burning of left cheek; hands hot and dry; burning of palms and soles; skin hot and dry; in flashes over body; flying, before eructations. ▶ General sweat, with decline of abdominal distension.

Is chiefly associated in our minds with severe hæmorrhoidal symptoms. Large purple piles protrude with soreness, a feeling of sticks in the anus; the piles rarely bleed; with this condition we find severe pain in the sacral region and hips aggravated by motion, also soreness and fullness over the liver and gastric disturbances.
The throat symptoms are numerous and point toward a follicular inflammation similar to that commonly associated with gastric and hepatic derangements.
The head is dull, the mind dull and distrait, with general sick feeling.
The backache has led to its successful administration in engorgement of the female organs with leucorrhœa (compare especially Aloes).

Malaise.
Soreness of the flesh.
Fullness of various parts as if engorged with blood.

Dullness.
Unable to fix the attention.
Depressed and gloomy.
Irritable.

Confusion.
Pressure in forehead with nausea.

Feel heavy and hot with lachrymation.

Fullness at root.
Sneezing and some symptoms of acute coryza.

Pale and sickly looking.

General scalded feeling.
Taste metallic.
Salivation.
Tongue thickly coated, yellowish.

Dryness.
Burning.
Contraction.
Raw, with difficult swallowing and stiffness.

Nausea, retching and vomiting.
Burning.
Eructations.
Pain extending to the liver.
Pressure as from a stone.

Soreness, fullness and distress in the region of the liver.
Whole abdomen sore to the touch.
Flatulence, fetid.

Burning after stool.
Dryness, heat.
Mucous membrane seems swollen and obstructs the passage.
Anus feels full of small sticks.
Fullness, burning, itching, soreness, pressure and a prolapsed feeling in the anus.

Generally large and hard, followed by feeling of prolapsus of rectum.

Frequent; urine hot, scanty.

Leucorrhœa (compare symptoms of sacrum and back).

Cough (dry), tickling, from the larynx or fauces.
Expectoration sweetish, ropy.
Chest feels raw.
Pain in right lung on breathing.
Tightness.

Pain from nape to sacrum.
Lameness in small of back, involving sacrum and hips, aggravated by motion, and especially on stooping; can scarcely get up after sitting.
Tearing in small of back and hips on walking.

General aching, stretching and soreness of the flesh.

Constant yawning and sleepiness.

Aes / Esra.

Aesculus declares for piles
With their dire attendant wiles.
Lumber pains in full array,
Falling bowel, and feces dry,
Feeble back, that soon gives out,
Pains Rheumatic, too, and Gout.

Esra has Piles.

Esra Collin joins the sour Captain, Alo, and crew on the coast.

This Esra, who is subject to a lame back, is at the zoo, with old Ham Berbe, the black snob.

Piles: Aes., Collin., Aco., Nux v., Sul., Mur. a., Nit. a., Caps., Alo., Cal. c., Rhus, Ars., Caust.

Lame Back: Aes., ZN., Con., Ham., Berb., Sep., Sul., Nux v., Bell. (Walking bent: Sal. Cannot sit up: ZN.)

Indicated in the treatment of haemorrhoids associated with severe backache; recommended for follicular inflammation of the posterior pharynx.

Despondent, irritable mood.

Heaviness and lameness in the back.

Constant dull backache; can hardly walk, stoop or rise.

Sensation of small sticks in the rectum.

Haemorrhoids, with itching and sens of dryness or fulness in the rectum.

Leucorrhoea, with lameness across back and hips, rendering walking difficult and painful.