Ailanthus ail.

BLOOD. THROAT. Skin. Mind.

Suppressions. Raising up. Sight of food.

Hot drinks.

Aching. Rapid prostration advancing MALIGNANCY AND STUPOR. Fetor and LIVIDITY. Sepsis. Acridity. Thinness.

Dullness. Sighing. Faint on raising up, or vertigo < lying. Bloody, nasal discharge. Face and throat dark and swelled. Sordes on teeth. Dry, foul fauces. Deep ulcers stud tonsils, < left, with loose pultaceous material. Lacunar tonsilitis. Irritative itching of posterior pharynx. Diphtheria. Eruptions in dark, sparse patches; tardy; return slowly after pressure. Mottled skin. Scarlatina maligna; suppressed. Petechiæ. Crawling over body. Adynamic fever, with weak heart. Cold sweat.

Related: Aru-t. Bap. Lac-c.

My observation and experience with this remedy lead me to place unbounded confidence in its efficacy to save life in the most desperate derangements, which are characterized by certain livid or purplish appearances of the skin.

Semi-conscious, can hardly comprehend what is said to him. Stupor, delirium, and insensibility. Muttering delirium, with sleeplessness and restlessness. Low-spirited, continual sighing. Vertigo, hot face, cannot sit up, drowsy, yet very restless and anxious. Raging delirium with brilliant eyes.

Head burning hot, with piercing pains. Severe headache, delirium, with fever and anxiety. Dull, heavy pressing in the forehead, dulness of thought, and slow to act. Skin purplish or in purplish spots.

Eyes suffused and congested, startled look when aroused. Pupils widely dilated. Photophobia.

Parotid gland sensitive and enlarged.

Copious, thin, ichorous and bloody discharge from.

Great prostration, and countenance indicative of much distress. Face dark as mahogany, hot, covered with a rash.

Covered with sordes; purplish face.

Tongue dry, parched and cracked, purplish face.

Much swollen, dark red almost purple, refuses to swallow anything for a long time. Throat livid, ulcers in tonsils oozing a fetid discharge, neck swollen and sensitive. Throat sore on swallowing, hawks up a greenish purulent matter. A dry, rough, scrapy and choking feeling in the throat. Irritability of the throat and hawking of mucus. Diphtheria with extreme prostration.

Offensive, thin, watery diarrhœa, involuntary with the urine.

Hoarse, croupy voice. Cough dry, hacking, deep, and painful. Neck tender and very much swollen.

Pain and contracted feeling, particularly with centre of left lung. Breathing hurried, irregular, heavy.

Skin cold, dry, livid. Eruption of miliary rash in patches of a dark, almost livid color. Eruption scanty with sore throat: of a bluish tint: livid; forehead and face of a purplish color. Body and limbs covered with an irregular patchy eruption of a livid color, disappearing on pressure, returning very slowly. Large blisters filled with dark serum.

In low adynamic forms of disease, with extreme prostration, torpor, vomiting, pulse small and rapid, purplish appearance of the skin. Prostration at very onset of the disease. Stupid, dull, delirious, weak. Puerperal fever characterized as above.

Malignant scarlatina and other low adynamic forms of disease, characterized by sudden and extreme prostration, stupor, vomiting and purplish appearance of the skin.

Chinese Sumach

This remedy shows by its peculiar skin symptoms its pronounced power of disorganizing the blood, causing conditions we meet with in low fevers, low types of eruptive diseases, diphtheria, follicular tonsillitis, Streptococcus infection, Hæmorrhagic diathesis, etc. The skin appears livid or purplish; face dark as mahogany, hot; sordes; throat swollen, purple, livid; semi-conscious, delirious; weak pulse, general torpor and prostration. Symptoms remarkably alike to malignant scarlatina. Diarrhœa, dysentery and great weakness are very marked. Adynamia characterizes all its conditions. Lividity, stupor and malignancy. Mucous membranes hæmorrhagic and ulcerative (Lach. Ars).

General stupor, with sighing. Confused mind, mental depression. Headache, frontal, with drowsiness. Passive congestion headaches. Suffused, dilated eyes; photophobia. Face dusky. Thin, copious, ichorous, bloody nasal discharge.

Inflamed, œdematous, dusky red. Much swelling, internal and external. Dry, rough, scraping, choking feeling. Neck tender and swollen. Hoarse, croupy voice. Tongue dry and brown. Teeth covered with sordes. Pain in swallowing extends to the ears.

Hurried breathing; irregular. Dry, hacking cough. Lungs sore and tired.

Drowsy, restless. Heavy, disturbed, unrefreshing.

Miliary, livid rash, returns annually. Large blisters filled with dark serum. Irregular, patchy, livid eruption, disappearing on pressure. Cold. Raynaud's disease.

Antidotes: Rhus; Nux.

Compare: Ammon carb; Bapt; Arn; Mur ac; Lach; Rhus.

First to sixth potency.

Past events are forgotten, remembered as belonging to some one else, or as matters read.
Cannot concentrate mental effort ; compelled to read a subject several times to get even a dim understanding of it.
Great anxiety and restlessness.
Stoical indifference to what happens.
Low-spirited. θ Bronchial catarrh.
Continual sighing, with depression of spirits.
Stupor ; mental indifference and weakness.
Great anxiety.
Restlessness, with great anxiety.
Extremely irritable.
Confusion of intellect ; found it almost impossible to add columns of figures correctly ; had to go over it several times to get it right.
Loss of memory.
Mental alienation.
Recklessness in regard to present and future events.
Semi-conscious, evidently cannot comprehend what is said to him. θ Scarlatina.
Stupor, delirium and insensibility. θ After suppressed scarlatinal eruption.
Muttering delirium with sleeplessness and restlessness. θ Typhoid scarlatina.

Dizzy and throat dry.
Vertigo, with nausea, faintness and cold sweat.
Vertigo when stooping.
Dizzy, face hot, cannot sit up ; drowsy, yet very restless and anxious ; later insensible, with muttering delirium ; recognizes no one. θ Scarlatina.
Staggers when rising or moving.
Drunken feeling in brain, with fulness.
Thick, heavy feeling in head ; figures look blurred.
Feeling as if an electric current was passing through left side of head or down to extremities.
Apoplectic fulness of head.
Dizziness when rising up. θ Typhoid scarlatina.

Severe headache and giddiness ; face red and hot.
Headache, with nausea.
Dull headache : with burning in eyes ; with great oppression of chest ; with heavy feeling in sternal region ; with tingling in left arm and hand.
Dull compressed feeling, confusion and pain in forehead.
Dull heavy pressing in forehead ; disinclined to think or act.
Darting through temples and back part of head, with confusion of ideas ; beating in occiput.
Thick, heavy feeling in base and right side of head.
Severe pain through temple on awaking.
Pain in occiput, with dizziness and ringing ; pain in forehead ; also swelling under left eye from cheek.
Head burning hot, with piercing pains.
Severe headache, interrupted by delirium of a frightful kind, with fever and anxiety. θ Typhoid scarlatina.

Beating in occipital arteries.
Tender, bruised feeling over parieto-frontal sutures.

Uncertainty in seeing.
Figures and letters look blurred ; thick feeling in head.
Shunning light.
Wild-looking eyes with intolerance of light.
Pupils widely dilated. θ Scarlatina.
Eyes suffused and congested ; startled look when aroused ; pupils dilated and sluggish. θ Scarlatina.
Burning in eyes.
Conjunctivitis, with redness and inflammation extending around external canthus.
Purulent discharge agglutinating lids in morning.
Smarting and aching eyes.
Lachrymation in open air or brilliant light.

Pain in ear when swallowing.
The ear, when touched or scratched, gets red all over.
Parotid gland sensitive and enlarged. θ Scarlatina.

Loss of smell.
Copious thin, ichorous discharge without fetor. θ Coryza.
Coryza, with rawness in nostrils ; nose and upper lip covered with thick grey-brown scabs ; ichorous pus discharged every forenoon.
Fluent catarrh, with sneezing.
Copious, thin, ichorous and bloody discharge from nose.
Chronic catarrh, difficult breathing through nose.
Dryness of nose ; secretion suppressed.
Itching and uneasy feeling around nose.
Nostrils congested. θ Scarlatina.

Face sallow, jaundiced ; pale ; blue circles around eyes.
Irregular spots of capillary congestion, as after a debauch.
Face red and hot, covered with a rash. θ Scarlatina.
Face dark as mahogany. θ Suppressed scarlatina.
Face puffed, erysipelatous ; soreness and pain on left side of nose.
Tearing in face and head, with toothache.
Chronic speckled, spotted face ; a sort of acne.
Eruption miliary, more on forehead and face.
Great prostration and a countenance indicating much distress. θ Typhoid scarlatina.

Lips cracked.
Lip becomes puffed and sore when touched.
Small but deep, ragged ulcer near angle of mouth.
Inflamed vesicles on lower lip ; chin bright red.

Teeth covered with sordes. θ Scarlatina.
Tearing in upper and lower teeth, left side, also in face ; < lying down, forcing him to walk about ; external pressure relieves.

Great bitterness (chewing the bark).
Taste insipid, flat, feverish. θ Bronchial catarrh.
Tongue dry, parched, cracked.
Tongue moist and covered with white fur ; tip and edges livid. θ Scarlatina.
Tongue thickly covered with a whitish coat, brown in centre.

Fetid discharge from throat.

Thick, œdematous and dry choky feeling in throat.
Throat dry, rough and scrapy ; worse in morning.
Irritability of throat and hawking up of mucus.
Hawks up greenish puruloid matter.
Throat tender and sore on swallowing, or on admission of air.
Throat livid, swollen ; tonsils prominent and studded with deep ulcers, oozing a fetid, scanty discharge ; external neck swollen, sensitive. θ Scarlatina.
Hawking of mucus, constant effort to raise hard lumps of whitish matter.
Thyroid gland enlarged and tender.
Diphtheria, with extreme prostration.
Refused to swallow anything for 12 hours. θ Scarlatina.
Throat much swollen, dark red, almost purple in color. θ Scarlatina.

No appetite, everything tastes insipid ; sight of food makes her worse ; disgust for food.
Hunger and distressing sense of general emptiness during chill.
Thirst for cold drinks, for brandy.

After wine, sleepy.
Water tastes brackish and flat ; no desire for drink except when eating.

Frequent belching, with sick-headache.
Nausea : with giddiness ; similar to that in pregnancy ; with vomiting diarrhœa and spasmodic pains in abdomen.
Vomits food speedily during chill ; suddenly and violently when sitting up ; with stupor.

Stomach inactive, as though its contractive power was impaired.
Constant violent increasing pain in stomach.
Peculiar feeling of emptiness in stomach.

Debilitating oppression like a stricture below hypochondria, with nausea.
Tenderness over hepatic region.

Weak, burning, uneasy feeling in bowels, as of approaching diarrhœa.
Tympanitis.
Burning in stomach and bowels.
Colicky, griping pains in bowels.
Pains in hypogastrium and hips.

Stools frequent, watery, forcibly expelled ; burning in stomach and bowels with griping (from smoking).
Frequent painful stool, little fecal matter, much bloody mucus, with very little fever (from odor of blossoms).
Bowels for days too freely moved ; thin, watery, offensive, passing involuntarily with the urine. θ Scarlatina.
Tapeworm.

Urine suppressed or scanty ; passed unconsciously ; acid.
Suppression of urine, impending uræmia, stupor or delirium, with dusky red face. θ Scarlatina.

Sore on prepuce looking like an incipient chancre.

Malignant puerperal fever.

Aphonia preceding cough.
Voice hoarse, failing ; almost lost on awaking in morning.
Croupy choking.
Oppression of bronchia, with dull headache.

Breathing hurried, irregular, heavy. θ Scarlatina.
Equable oppression as if chest was strapped ; feels as though air cells were stuck together.
Sensation of fulness and smothering before expectorating.
Wheezing, fluent coryza and sneezing ; asthmatic oppression in bronchi ; dyspnœa. θ Bronchial catarrh.

Cough : deep, exhausting, with asthmatic expansion of lungs ; deep and painful ; dry, hacking ; in violent fits before retiring and on rising until sputum is
raised ; dry, constant, with oppression, burning and pains in chest ; preceded by aphonia for a day or two.
Cough with headache and congestion of face. θ Bronchial catarrh.
Sputa : blood-mixed ; twice raised a mouthful of blood ; bitter, yellow, more mornings ; muco-purulent sputum, free in morning, sticky and scanty during day.

Stitching and aching in chest, under the clavicle, sometimes extending to sternum.
Pressure on chest and sense of fulness.
Lungs feel excessively sore and tender.
Burning in right lung and under left shoulder.
Pain and contracted feeling especially through centre of l. lung, sternal edge.
Tired feeling in lungs, too much exertion to breathe.

Dull pain and contracted feeling in region of base of heart and through centre of l. lung.
Pulse : so rapid and small as scarcely to be counted, surface cold and dry ; weak, frequent, irregular. θ Scarlatina.
Pulse accelerated.
Rapid small pulse. θ Typhoid scarlatina.

Pressure of clothes on chest is uncomfortable. θ Bronchial catarrh.

Soreness in glands, with pain under left shoulder blade.
Thickened swollen feeling of muscles of neck.
Constant aching between shoulders.
Neck tender and very much swollen. θ Scarlatina.
Subacute congestion of cord, leading to paralysis ; limbs heavy, feel as if asleep.
Constant sharp pain through small of back and hips.

Pain deep in right scapula, hindering motion of arm.
Numbness of left arm ; fingers feel as if asleep ; tingling of arm and fingers on awaking.
Large water-blisters on end of thumb, with smaller ones at side of finger nails.

Feeling of uneasiness and aching restlessness in limbs.
Left leg feels numb, with tingling and pricking pain in foot and toes.
Limbs feel as if they were asleep.
Severe pain in left foot ; a tension while walking.

Lying on right side : can sleep better in bronchial affections.
Lying down : aggravates toothache.
Sitting up : vomits violently.
Cannot sit up : owing to dizziness.
Rising : staggers ; cough.
Motion : staggers ; prevented by pain in scapula.
While walking : tension in foot.
Must walk about : with toothache.
Standing : debility.

Jerking cramps of limbs during sleep. θ Bronchial catarrh.
Electric thrill from brain to extremities.
Great debility , tottering gait, cannot stand long.
Heaviness of limbs.
Limbs feel as if they were asleep.
General malaise, increasing weakness.
In low, adynamic forms of disease, characterized by sudden and extreme prostration, torpor, vomiting, pulse small and rapid, purplish appearance of skin.
Kills canary birds, if cage is hung over night in tree while in flower.

Sleep heavy or disturbed and unrefreshing.
Sleepy : morning and forenoon ; after a glass of wine, with fulness of head.
Drowsiness, followed by insensibility.
During sleep : talks, moans, has sweat, is restless.
Sleeps best on right side. θ Bronchial affections.
Worse on waking.
Restless and incoherent, most at night ; kept in bed with difficulty. θ Scarlatina.

Night : itching of skin.
Morning : eyes agglutinated ; throat < ; voice lost on awaking ; free expectoration ; yellow, bitter expectoration < ; sleepy ; dry hot skin.
Forenoon : ichorous nasal discharge ; sleepy ; skin dry and hot.
Day : sticky and scanty expectoration.

Air : throat more tender.
Open air : lachrymation.

Chill preceded by a miliary eruption, < on forehead and face.
During chill : hunger, empty feeling ; intolerable pain in back of neck, upper part of back and hip joint.
After chill : flushes of heat, severe pain in head and soreness of lungs.
During heat ; delirium, urgent thirst, longing for brandy.
Skin dry and hot, especially in morning, until midday.
Cold sweat and nausea.
Cold sweat. θ Cholera.

Attacks characterized by fulness of head, with heat ; pains burning, darting in temples and occiput ; vertigo and nausea.
Every forenoon : ichorous nasal discharge.
Rash returns annually.

Right : heaviness of side of head ; tenderness over liver ; burning in lung ; pain in scapula, pain in hip joint.
Left : electric current through head ; tingling in arm and hand ; swelling under eye ; sore pain side of nose ; tearing in teeth and face ; burning under shoulder ; pain and contraction in lung ; pain under scapula ; arm and fingers feel numb
and as if asleep ; leg feels numb, foot and toes tingle and prick ; pain in foot ; tension in foot while walking ; itching around ear.
Above downward : electric current from head to extremities ; stitching and aching in chest.

As if she would go crazy ; drunken feeling in brain ; thick, heavy feeling in head ; as if an electric current was passing through left side of head, or down extremities ; uneasy feeling around nose ; throat rough and scrapy ; sense of general
emptiness during chill ; peculiar feeling of emptiness in stomach ; as if chest was strapped ; as if air cells were stuck together ; aching restlessness in limbs ; as if limbs were asleep ; electric thrill from brain to extremities.
Pain : in forehead ; in occiput ; in open air when swallowing ; in left side of nose ; in hypogastrium and hips ; through left lung ; under left shoulder blade ; deep in right scapula.
Severe pain : through temple ; in stomach ; in left foot.
Sharp pain : through small of back and hips.
Burning : in eyes ; in stomach ; in bowels ; in chest ; in right lung ; under left shoulder.
Smarting : in eyes.
Rawness : in nostrils.
Darting : through temples and back part of head.
Jerking cramps : of limbs.
Piercing pains : in head.
Stitching : in chest.
Griping : in bowels.
Aching : in eyes ; in chest ; between shoulders.
Soreness : on left side of nose ; of throat ; of lungs ; in glands.
Tearing : in face and head, with toothache ; in upper and lower teeth.
Oppression : of bronchia ; of chest.
Beating : in occiput.
Bruised feeling : over parieto-frontal sutures.
Dull pain : in region of heart.
Contracted feeling : through centre of left lung ; in region of base of heart.
Compressed feeling : in forehead.
Pressure : in forehead ; in chest.
Uneasy feeling : about nose ; in bowels ; in legs.
Thick feeling : in head.
Confusion : in forehead.
Heaviness : in head ; in sternal region ; in base of brain in right side of head ; of limbs.
Fulness : on chest.
Weak feeling : in bowels.
Tired feeling : in lungs.
Tingling : in left arm and hand ; in left foot and toes.
Numbness : of left arm ; of fingers ; of left leg.
Heat : in head.
Coldness : of skin.
Itching : around nose ; left ear ; face, back and neck.
Dryness : of nose ; of tongue ; of throat ; of skin.

Touch : reddens ear ; lips become sore and puffy.
Pressure : relieves heaviness in head, toothache ; pressure of clothes on chest uncomfortable ; causes eruptions to disappear.
Scratching : reddens ear.

Skin cold, dry, livid.
Itching around left ear, face, back and neck at night ; felt as if she would go crazy.
Skin dry, but not hot. θ Scarlatina.
Rash returns annually when the Ailantus tree blossoms (after poisoning).
Eruption of miliary rash in patches of a dark, almost livid color.
Rash looking like measles, but without catarrh (looks like syphilis).
Irregular patchy, livid eruption, disappearing on pressure and returning very slowly ; interspersed with small vesicles ; < on forehead, neck and chest. θ Scarlatina.
Eruption appeared scantily for two days, with sore throat and mild fever. θ Scarlatina.
Large bullæ filled with a claret-colored serum.
Petechiæ. θ Scarlatina.
Malignant scarlet fever.
Purple rash, with stupor. θ Scarlet fever.
A livid miliary eruption. θ Scarlatina.
Eruption plentiful, of a bluish tint. θ Typhoid scarlatina.
Eruption is slow to make its appearance, remains livid, and even forehead and face take on a rather purplish color. θ Typhoid scarlatina.
Body and limbs covered with an irregular patchy eruption of a very livid color, disappearing on pressure and returning very slowly. θ Scarlatina.

The odor affects the asthmatic ; also women and children more than men, and old people least of all.
Nervous, sensitive persons.
Bilious temperaments ; stout and robust.

The nearest relation is Ptelea , proved by G. Bute, and the Zanthoxyleæ, if any ever should be proved.
Similar are : Amm. carb. ; Arnic . (sore lungs) ; Arum. triph. ; Aloes ; Baptis. ; Bryon. Gelsem. ; Hyos. ; Laches. ; Nitr. acid ; Nux.
vom. ; Phytol. ; Prussic acid ; Rhus tox . ; Stramon .
Antidoted by : Bourbon whiskey (poisoning) ; Rhus tox . (headache and erysipelatous face, nausea, heavy sleepy feeling) ; Nux vom . (general effects).

This medicine is especially suitable in the low zymotic forms of sickness, such as we find in diphtheria and scarlet fever, in blood poisoning and in symptomatic typhoids, especially those cases that are characterized by capillary congestion in spots, red mottled spots.

Perhaps the most striking manifestation of such a low type of sickness is malignant scarlet fever. The regular rash does not come out, but in its place red spots, roseola-like, make their appearance; the usual uniform spread of the eruption has failed, or has been suppressed, and there is bleeding from the gums and nose, and dreadful tumefaction in the throat.

The countenance is purple and besotted, the eyes are congested and there is even bleeding from the eyes. There is an appearance of great prostration, but it is really stupefaction; he seems stupid and benumbed.

If you look at the throat you see it is covered with little purple patches, intermingled with an oedematous appearance similar to that found in Baptisia. It is a low depressed type of sickness.

De composition of the blood is going on rapidly. The blood that oozes is black. The child is going into a state of stupor and it is with difficulty that he can be aroused. Sometimes blisters are formed on the ends of fingers, or here and there over the body. From the mouth and nose come foetid odors. The child is going as rapidly as possible into a form of malignant disease.

Sometimes the disease comes on as a light febrile attack, but from taking cold and suppressing some of the natural manifestations the case takes on a low typhoid form and whereas you had at first only a simple remittent, the case has now assumed a state of prostration with a very rapid heart, foetor, purpleness or blueness, a passive congestion with purple blotches of the skin, causing a mottled appearance.

When a disease turns so suddenly blood poisoning is going on and a symptomatic typhoid state appears. A remittent that turns into a sharp zymotic state in the course of twenty-four hours, a diphtheria that takes on this form with stupidity and mottled skin are examples of such a type of sickness.

The mental symptoms accompanying this state are interesting. I read from some nows I have made. A continued dreamy state of mind though awake. Child cries all the time. Sees little animals like rats running around.

Feels a rat or something small crawling up the limb and over the body. There seems to be constant loss of memory, even the things spoken of a moment ago go right out of the mind. Constant forgetfulness. All past events are forgotten. Past events are forgotten or remembered as belonging to someone else, or as matters read.

That is in keeping with the dreamy state, it seems as though those things that are past appear as in a dream, as if he had dreamed them. Cannot concentrate the mind in any mental effort; cannot answer questions correctly; is as if in a semi-conscious state, and finally he goes into complete unconsciousness.

There is in the earlier stages of this zymotic state great anxiety and restlessness, later there is stupor and indifference to everything. Continual sighing with depression of spirits; extremely irritable, semi-conscious, finally unconsciousness, stupor, delirium and insensibility; muttering delirium with sleeplessness and restlessness.

This mental state is such as occurs in zymotic sickness; the chronic illness has not been well brought out. Dr. Wells used this remedy in a number of cases, as it was at that time an epidemic remedy for scarlet fever, in Brooklyn, and many patients were saved by it. It seemed to be able to change the character of the malignant forms of scarlet fever into a mild type.

In addition to the symptoms of the text it has been observed that the hair falls out and flashes of light play before the eyes on closing the lids at night.

"Pupils widely dilated; copious, thin, ichorous and bloody, discharge from the nose."

That is in the zymotic states in scarlet fever.

"Nostrils congested. Great prostration and a countenance indicating much distress. Face dark as mahogany."

That is in suppressed scarlet fever. Purple, bloated and puffed, besotted face. This remedy is one not very much used, and it is not very often indicated, but it is very useful when indicated. You will not very often see this particular type even in malignant scarlet fever. You will often see such a scarlet fever running to a number of other remedies, but this remedy corresponds to one of the most malignant types, and its commonest use will be in an epidemic in which the cases largely run to the malignant type.

There are three common types of scarlet fever. In one season you find the cases are mild and simple, the typical eruption is present and comes on speedily without any great amount of fever. Such cases will often run their course with good nursing, a warm room and plenty of clothing without much medicine.

The skin is bright red, smooth and shiny. The case is not serious. In other epidemics you will find only an isolated case of this kind, while the majority of cases present marked trouble in the throat; the rash is scanty when present, and congestion of the head and spinal symptoms come on with pain in the back of the neck.

This miliary rash spoken of in the text, looking like measles, is when the scarlet fever rash or the measles rash does not come out in its uniform fashion, but in patches, little circles here and there and is dark.

"Irregular, patchy, livid eruption, disappearing on pressure and return ing very slowly; interspersed with small vesicles, worse on forehead, head, neck and chest. Eruption appeared scantily for two days with sore throat and mild fever" .

This eruption is like the petechiae that we see, in typhoid forms of disease. The record of this remedy in scarlet fever makes it worthy of further study; it ought to be reproved that we may have a fuller understanding of it.

"Eruption plentiful, of a bluish tint. Typhoid scarlatina."

"Eruption is slow to make its appearance, remains livid."

"Body and limbs covered with an irregular patchy eruption of a very livid color."

Here you see but one type of scarlet fever. This low type of fever sometimes needs Sulphur or Phosphorus, or Belladonna, or Baptisia, or Lachesis . That you may be able to distinguish one from the other and keep the picture of each remedy clearly in mind requires a prolonged study of the Materia Medica.

It is an easy matter to compare remedies for yourself after you have first studied each one separately.

You can then bring out many comparisons, and especially in this case at the bed side. If you go to the bedside with a good knowledge of the generals of Materia Medica you will be surprised at the number of symptom pictures which will come into your mind, called up by the signs of the sickness.

When you go to the bedside of scarlet fever you should not call to mind the names of these medicines you may have heard recommended for scarlet fever; let the appearance of the patient bring to mind such remedies as appear like this patient, regardless of whether they have been associated with scarlet fever or not.

When you see the rash perhaps you will say that looks like an Aconite rash but there is such scanty zymosis in the nature of Aconite that it is no longer thought of.

Belladonna is not suitable, for in that remedy the rash is shiny and smooth, the typical Sydenham rash.

On the other hand, you will say Pulsatilla has a measly rash, and often associated with a low form of fever, but not so low as the typhoid type, so Pulsatilla goes out of your mind.

You now think of the remedies that are typical of all zymotic states; the prostration, the aggravation after sleep, general stupor and delirium, and almost at a glance you see Lachesis, the type of such forms of disease.

Its picture comes into your mind speedily. You see another case of scarlet fever where there is a scanty rash, the child before you keeps on picking the skin from the lips and nose, lies in a state of pallor and exhaustion, no rash to speak of, urine nearly suppressed; almost in a moment you think of Arum triph.

It is the aspect of things that will call the remedy to the mind. In another case you have all the purple appearance I have spoken of in this remedy; horrible foetor a good deal of sore throat, and the child cannot get water cold enough, wants a stream of water running down the throat all the time; you may safely trust to Phosphorus.

In these low types of sickness there is always something to tell the story if you will only listen, study and wait long enough.

The throat is dreadfully swollen and inflamed, bright red and very painful. Then there is a third type in which the throat is severely swollen, all the mucous membranes are swollen, and the whole tendency is toward ad poisoning or zymosis with enlargement of the glands, puffiness of the skin and a great deal of fetor; the skin is dusky and the eruption is scanty, sometimes hardly visible from beginning to end.

These cases will almost all die if let alone; they are very serious. The old authors call these three forms "scarlatina simplex, scarlatina anginosa," and "scarlatin. maligna."

In some epidemics you will see all three of the appearances; in some families you will see two forms.

One child will have a mild in type, and another will have it more severely with zymotic blisters here and there, on the ends of the fingers, and these will be attended with foetor; as soon as the blisters break ulceration will take place if the child live long enough; but these are the deadly cases, the malignant type.

Even when the rash does not come out in the low forms of scarlet fever, the impression of the finger makes a white mark which will be slow to fill up. The more marked that is, the lower the type. The more zymotic the type the more sluggish the circulation, and in this remedy especially is this state present.

The congested condition of the skin is present even when there is no rash, a passive congestion of the veins.

Quite a number of medicines have that, but Veratrum viride produces such a vaso-motor paralysis that a line upon the skin made by pressure will remain a long time. In all these zymotic complaints there is a foetid odor that is sometimes cadaveric, sometimes like stinking meat; this will be found in the low types of disease where this remedy is indicated.

"Throat much swollen, dark red, almost purple in color. Diphtheria with extreme prostration. Throat livid, swollen; tonsils prominent and studded with deep ulcers."

The throat and tonsils very often appear as if they would pit upon pressure like a dropsical state. In some of these zymotic cases where a reaction ought to take place a diarrhea sets in that is horribly offensive; a critical diarrhea. With these zymotic states there is pain in the back of the neck and head no matter what the name of the disease is.

"Breathing hurried, irregular, heavy. Burning in the palms and soles, hunts to find a cool place to put them. Feels a rat running up the leg. Feeling as if a snake crawled up the leg."

These mental symptoms occurred in one of my provers. In low, adynamic forms of disease characterized by sudden and extreme prostration,

"Vomiting, pulse small and rapid purplish appearance of skin."

"Electric thrill from brain to extremities."

"Chill at 8 A.M. with chill, heat and sweat."

During the chill vomiting of food and piercing pain over the hip. Chill is preceded by malignant eruption, especially on the face and forehead.

"During chill hunger, empty feeling, intolerable pain in back of neck, upper part of back and hip joint."

That pain in the back of the neck is a common forerunner of low types of fever. It generally precedes a congestive attack of great violence characterized by fullness of the head with heat.

Torpor, stupor; stoic indifference.
Loss of memory.
Inability to concentrate mental effort; must read a subject several times, or add a column of figures over and over before correct.
Depression of spirits; frequent sighing.
Great anxiety; restlessness.
Constant muttering delirium.

Vertigo: more when stooping; with nausea and cold sweat.
Dizzy, face hot, cannot sit up; drowsy, yet very restless and anxious; later insensible, with muttering delirium; recognizes no one. θ Scarlatina.
Feeling as if an electric current were passing through the left side of head, or down to the extremities.
Apoplectic fulness of head.

Headache, with nausea and giddiness.
Dull, heavy sensation in the forehead, with disinclination to think or act.
Thick, heavy feeling in the base and right side of the head.
Darting through temples and back of head, with confusion of ideas; severe pain through temples on waking.
Dull headache, burning in eyes, oppression of chest.
Pain in the occiput.

Beating in the occipital arteries.
Tender bruised sensation over the fronto-parietal suture.

Intolerance of light; tears from bright light, and from the open air.
Eyes suffused and congested, startled look when roused; pupils dilated and sluggish; photophobia.
Burning, smarting and aching in the eyes.
Rough, smarting and aching in the eyes.
Rough feeling in the left eye, as from dust.
Conjunctiva inflamed, towards the outer canthus.
Pus-like discharge, agglutinating the lids in the morning.
Dark blue circles around the eyes.

Pain in the ear when swallowing.
Itching around the left ear at night; gets red when scratched.
Parotid gland tender and enlarged. θ Scarlatina.

Loss of smell.
Coryza, with rawness inside about the nostrils; the whole nose and upper lip became covered with very thick gray-brown scabs.
Fluent nasal catarrh, with sneezing.
Copious, thin, ichorous, bloody discharge, without fetor.
Chronic catarrh, difficult breathing through the nose.
Dryness of the nose, secretion suppressed.
Itching and uneasy feeling around the nose.

Head and redness of the face; mahogany color.
Chronic, speckled, spotted face; a kind of acne.
Irregular red spots of capillary congestion, like with drunkards.
Swelling of the left side of face; puffed erysipelatous face.
Countenance indicating distress; great prostration.

Small but deep ragged ulcer near the angle of the mouth; lips cracked.
Inflamed vesicles on the lower lip, chin bright red.

Covered with a brown slime or sordes.
Tearing in left upper or lower teeth, face and head; worse on lying down, must walk about; better from pressure and towards morning.

Tongue: thickly covered with a whitish coat; brown in the middle; moist, coated white, tip and edges livid; dry, parched and cracked.
Taste: insipid, flat; feverish. θ Bronchial catarrh.
Water tastes brackish and flat.

Fauces and tonsils inflamed, with spots of incipient ulceration.
Throat tender, sore on swallowing, or on admitting air.
Hawking of mucus, constant effort to raise hard lumps of whitish matter.
Throat livid, swollen; tonsils studded with many deep, angry-looking ulcers, with scanty, fetid discharge; neck tender and swollen. θ Scarlatina.
Throat swollen, dark red, almost purple. θ Scarlatina.
Thyroid gland tender, enlarged.

Appetite: capricious; poor, yet eats as usual.
Hunger and sense of emptiness during the chill.
Thirst for cold drinks.

Food taken was speedily vomited.

Sudden, violent vomiting when sitting up.
Vomiting, with stupor.
Nausea, vomiting, diarrhœa, spasmodic abdominal pains.

Peculiar feeling of emptiness in stomach; pain.

Oppression, like a stricture, below hypochondria; a very debilitating sensation with nausea.

Weak, burning, uneasy feeling in the bowels, as of approaching diarrhœa.
Tympanitis; slight rumbling in the bowels.

Dysentery, frequent painful stools, little fecal matter, much bloody mucus; very little fever.
Frequent watery stools expelled with great force.
Stools thin, watery, offensive, passing involuntarily with the urine.
Tapeworm.

Scanty or suppressed; passed unconsciously; acid.

Chancre-like sore on the prepuce.

Voice hoarse, failing.
Awoke in the morning, with almost entire loss of voice.
Croupy choking.
Oppression of bronchia with dull headache.

Hurried, irregular, heavy. θ Scarlatina.
Equable oppression, as though the chest were strapped; as if air cells stuck together.
Asthmatic oppression in large bronchi; wheezing.
Shortness of breath, with dyspnœa.

Dry, hacking, constant; with oppression, burning, and pains in the chest; tight and wheezing, with scanty expectoration; pains through left lung; continual deep bronchial, without pain, worse from exercise or exertion.
Violent fits of coughing before retiring and on rising.
Coughs continually until she raises freely, then better.
Cough, with breathing somewhat oppressed; muco-purulent expectoration; free in the morning, sticky and scanty during the day.
Expectoration: at times mixed with blood, at times of blood alone; bitter, yellow, more mornings.

Excessive soreness and tenderness of lungs; feeling as if the air-cells were stuck together; tired feeling in the lungs.
Stitching and aching in the chest, under clavicle.
Burning in the right, aching in the left lung.
Sensation of fulness and smothering before expectoration.

Dull pain and contracted feeling in region of base of heart and through centre of left lung.
Pulse: rapid and small; weak, sometimes scarcely perceptible, very frequent and irregular. θ Scarlatina.

Itching around her neck.
Thickened, swollen feeling of the muscles of neck.
Neck tender and very much swollen.
Constant aching between the shoulders.
Glands of the neck sore, with pain under the left scapula.
Constant sharp pain through the small of back and hips.

Large water blister on the end of the thumb, with smaller ones at the side of the finger nails.
Tingling in fingers and left arm on awaking.

Numbness of left leg, with tingling, pricking pain in the foot and toes.
Severe pain in left foot, a tension while walking.

Feeling of uneasiness and aching; restlessness.
Heaviness of the limbs.
Limbs feel as though they were asleep.

Exertion: 27. Walking: 10, 33. Stooping: 2. Rising: 27. Sitting up: 16. Lying: 10.

Great debility, easily exhausted.
Electric thrill, starting from the brain, to the extremities.
Jerking cramps of the limbs during sleep.
Low, adynamic forms of disease, sudden and extreme prostration, torpor, vomiting, pulse small and rapid, purplish skin.

Very drowsy, restless, soon passes into insensibility.
Sleep disturbed, unrefreshing. Heavy sleep through the night.
Restless at night, talking and moaning in sleep, night-sweat, frequent waking.
Sleeps best on the right side. θ Bronchial affections.

During the day: 27. Morning 5, 25, 27, 40. Evening: 27. Night: 6, 20, 37, 46. Toward morning: 10.

Open air: 5.

Chill, with hunger and sense of general emptiness.
Miliary eruption before the chill.
Chills, followed by flushes of heat, with severe pain in the head and soreness of the lungs.
Skin either very hot or cool to the touch.
Dry, hot skin, most in the morning, until noon.
Cold sweat stood out upon the skin. θ Verified in cholera.

Right: 3, 18, 28, 37. Left: 2, 5, 6, 8, 10, 27, 28, 29, 31, 32, 33, 46.

Feeling of fulness everywhere.
Soreness, irritability and prickling or tingling.
Electric current from head into limbs.

Pressure: 10.
Pressure of clothes feels uncomfortable.

Eruption of miliary rash, in patches, with efflorescence between the points of rash of a dark, almost livid color; most on forehead and face.
Skin cold and dry, of livid color; after pressing with the finger the color returns very slowly.
Itching around left ear, back, face and neck at night; felt as if she would go crazy.
Large maculæ, and bullæ, filled with a claret-colored serum.
Petechiæ.
Malignant scarlatina.

The odor of the flowers affect the asthmatic; also women and children more than men; old people least of all.
Nervous sensitive persons.
Bilious temperament, stout and robust.

Collaterals: Ptelea and the Xanthoxyleæ.
Antidotes to Ailanth.: Aloe soc. (2c), for the dull headache; Rhus tox. for the headache and erysipelatous face; Nux vom. for the general effects.
Concordances: Amm. carb.; Arnic. (sore lungs): Arum triph.; Aloe soc.; Baptis.; Bryon.; Gelsem.; Hyosc.; Laches.; Nitr. acid.; Nux vom.; Phytol.; Prussic acid.; Rhus tox.; Stramon.

The Chinese Sumach (Ailanthus glandulosa, Desf.) is a medium-sized tree which is commonly cultivated in the United States. A tincture is prepared from the fresh young shoots, leaves and flowers.

It causes and vomiting, diarrhœa and even dysentery; a low type of fever, with muttering delirium and restlessness; a rash resembling scarlatina; general malaise and great weakness.

Rhus tox., (Quasia), (Cedron), Anacardium, Baptisia.

Malaise. ▶ Restlessness (Rhus tox.). ▶ Dullness over whole body. ▶ Electric thrill extending to finger-tips. ▶ Tingling and prickling in whole body (Rhus tox.). ▶ Heavy feeling. ▶ Faint feeling, with nausea. ▶ Incapable of standing long. ▶ Weakness; on exertion. ▶ Aggravation from sight of food.

▶ ▶ Unconsciousness. ▶ Muttering delirium (Hyosc.). ▶ Confusion of intellect. ▶ Mental alienation. ▶ Inability to concentrate mind. ▶ Memory lost (Anacard.). ▶ Recklessness. ▶ Stoical indifference. ▶ Anxiety. ▶ Fright (Stram.). ▶ Low spirits.

With the low fever general stupor or indifference, with sighing.

Constant frontal headache of a neuralgic character. ▶ Headache paroxysmal, with drowsiness during the day, confused mind, mental depression.

Diphtheritic scarlatina, with ichorous discharge from the nose, throat dusky red, with grayish exudation, great swelling both internal and external.

Scarlet fever, with symptoms of depression, eruption slow in appearing, of a livid hue, or with petechiæ; patient stupid, with diphtheritic infiltration and much swelling of the throat; scarlet fever, deep coma, tip of nose and extremities cold, rash pale violet, involuntary discharges.

Aching; with burning in eyes; aching with nausea and vertigo; with chills, then flushes of heat. ▶ Confusion. ▶ Dull compressed feeling, with confusion and pain in forehead. ▶ Fulness; after wine; with sleepiness; F., with intoxicated feeling; F., with burning on brain; apoplectic F. ▶ Heaviness, amel. pressure, with pain over eyes. ▶ Thick, heavy feeling. ▶ Electric thrill extending from brain to limbs. ▶ Vertigo; agg. stooping; with nausea; with vomiting; staggering, when rising or moving.

▶ Aching in forehead; in centre of F., more to left ; heavy. ▶ Aching between 1 and 2 P.M., with drowsiness; peculiar heavy, dull A., incapacitating for mental labor. ▶ Aching in temples; on waking in right, with nausea; darting aching in temples and occiput, with confusion of ideas; lancinating in both, and fine prickling pain in left ; acute prickling. ▶ Tightness in temples. ▶ Tender bruised feeling over parieto-frontal sutures. ▶ Sensation of an electric current through left side of head. ▶ Pain behind ears; P. in occiput, with dizziness and ringing pain in forehead and swelling below left eye and upon cheek; darting aching in occiput. ▶ Beating in occipital arteries.

Smarting and aching as from astringents. ▶ Rough and irritated feeling, as from sand and dust. ▶ Burning; with headache. ▶ Lachrymation in open air or by bright light. ▶ Lids agglutinated in morning, with purulent discharge. ▶ Conjunctivitis with redness and inflammation extending around out canthus. ▶ Brows fall out. ▶ Photophobia. ▶ Dim vision. ▶ Blurring of figures and letters.

Feeling in right as from a blow. ▶ Ringing in right; ringing in ears like music.

Swelling. ▶ Soreness on left side, with pain. ▶ Dryness. ▶ Catarrhal obstruction. ▶ Difficult breathing through nose. ▶ Sneezing, with sensation of cold about the eyes and gnawing in chest. ▶ Chronic catarrh. ▶ Bleeding; of bright blood. ▶ Smell lost.

Pale. ▶ Sallow and inactive complexion. ▶ Dusky, bilious complexion. ▶ Dark circles around eyes. ▶ Capillary congestion in irregular spots. ▶ Neuralgic pain, forcing him to walk. ▶ Hot, red. ▶ Feeling about articulations of jaws like mumps.

Teeth feel as after an acid. ▶ Gums swollen and bleeding. ▶ Tongue coated; with a pasty taste in morning; thick white coat, brown in centre. ▶ Oozing of blood from denuded surface of mouth. ▶ Dryness of mouth, with bleeding from roof and sides. ▶ Pain in mouth. ▶ Soreness of mouth, with rawness and burning. ▶ Discharge of blood and stringy saliva. ▶ Flat taste to everything. ▶ Blackish and flat taste to water.

Parotid and thyroid glands enlarged and sore. ▶ Redness. ▶ Spreading ulcers, feeling as after application of nitrate of silver. ▶ Inflammation of fauces and tonsils, with spots of incipient ulceration. ▶ Thick œdematous, and dry, choky feeling. ▶ Irritability. ▶ Dry, rough and scrapy, agg. morning. ▶ Feeling as after an astringent. ▶ Constriction; with sensation of a foreign body. ▶ Full feeling; just above sternum, with desire to hawk up something. ▶ Hawking up mucus; hawks up greenish purulent matter. ▶ Soreness on swallowing or on admission of air; S. on swallowing, extending to ears.

Appetite capricious. ▶ Appetite lost; for breakfast; for dinner; no hunger, but eats his usual quantity. ▶ Disgust at food. ▶ No thirst except when eating. ▶ Nausea; every morning; in morning, with diarrhœa, sometimes with vomiting; with anguish, and also with tightness in temples; with sharp pain in right temple; with vertigo, and also with headache; with sour eructations; with faint feeling; as from fat meat; intermittent; in women, similar to that of pregnancy. ▶ Retching. ▶ Vomiting; in sleep without waking; all food soon; sour; with diarrhœa. ▶ Pain; sharp prickling and in temples; as from pins. ▶ Burning; with darting pain through it. ▶ Emptiness; in pit. ▶ Faintness after dinner. ▶ Inactive condition, as if its contractive power were impaired.

Rumbling. ▶ Tympanitis. ▶ Griping. ▶ Pain; before soft stool; with soft stool. ▶ Feeling as before diarrhœa; feeling as of "insecurity," as if he would be attacked by diarrhœa any minute. ▶ Looseness, more in large intestine. ▶ Nausea. ▶ Burning. ▶ Stricture below short ribs, with the nausea. ▶ Tenderness over hepatic region. ▶ Oppression below hypochondria, with pain and with the nausea. ▶ Pain in hypogastrium and hips.

Dysentery, frequent, painful stool, little fæcal matter, much bloody mucus, with little fever. ▶ Watery, expelled with great force. ▶ Frequent diarrhœa, with pain in abdomen. ▶ Easy, frequent. ▶ Constipation. ▶ Urine difficult to pass.

▶ ▶ Cough in violent fits before retiring and on rising; painful C.; deep; and exhausting, with asthmatic expansion of lungs. ▶ Oppressed, with muco-purulent expectoration, free in morning, sticky and scanty during the day. ▶ Expectoration difficult, in small flakes. ▶ Hawking up mucus. ▶ Whitish expectoration. ▶ Yellow mucus from throat. ▶ Asthmatic oppression of larger bronchi. ▶ Asthmatic wheezing. ▶ Croupy choking. ▶ Crepitant ronchus. ▶ Oppressed breathing. ▶ Sighing. ▶ Rapid breathing.

Stitches, with aching; stitches in lungs; left lung. ▶ Cutting to left lower part of sternum. ▶ Gnawing. ▶ Soreness internally; soreness of lungs. ▶ Aching under clavicle, extending sometimes to sternum; aching through lungs; in lungs, agg. a long breath; left lung; in anterior part of left lung, extending to posterior part; especially through centre of left lung, sternal edge, with a contracted feeling, aching in chest, with constriction. ▶ Burning pain under left shoulder. ▶ Burning, as from breathing hot steam or air; burning in right lung. ▶ Heaviness in sternal region. ▶ Oppression as if strapped; oppression of bronchi. ▶ Sensation as if air-cells stuck together, can hear air cells open (?) as lungs expand. ▶ Tired feeling in lungs.

Rapid; then slow. ▶ Slow; then rapid; and full. ▶ Small, rapid.

Pain; in nape and upper part of back. ▶ Soreness of glands, with pain under left scapula. ▶ Swollen feeling in muscles.

Aching, pressed feeling in dorsal vertebræ. ▶ Pain; between shoulders; deep-seated in right scapula, also preventing motion; P. close on either side of dorsal vertebræ; P. in small of back; pain in back, head, neck with numbness under left scapula, extending as a band down to left hip.

Aching restlessness. ▶ Heaviness. ▶ Asleep. ▶ Shooting pain in shoulders. ▶ Numbness of left arm, with sensation in fingers as if asleep. ▶ Tingling of left arm and hand; morning on waking. ▶ Bruised feeling on right forearm. ▶ Numbness of left hand. ▶ Tingling and pricking in fingers.

Tottering gait. ▶ Lancinating pain in lower limbs. ▶ Lower limbs tired. ▶ Pain in right hip-joint; hips and hypogastrium; shooting pain in hips. ▶ Trembling of legs. ▶ Numbness of left leg, with tingling, pricking pain in foot and toes. ▶ Pain in right foot, preventing walking; P. in left foot when walking, a kind of tension.

Jaundice. ▶ Erysipelatous swelling of face. ▶ Sore on prepuce like incipient chancre. ▶ Eruption; livid; E. like measles, but without the concomitants of that exanthem. ▶ Miliary rash, almost livid, more profuse on forehead and face, especially on forehead, with dingy patches between the spots of eruption, with muttering delirium, small, rapid pulse, cold dry surface, the livid color of the skin when pressed out returned very slowly, the whole a complete picture of torpor. ▶ Elevations filled with turbid liquid looking like pus, with inflamed areola. ▶ Vesicular inflammation, resembling the eruption caused by Rhus, on uncovered parts. ▶ Dryness. ▶ Itching and an uneasy feeling around nose.

Sleepiness; all day; morning or forenoon; after wine, with fulness of head; S., with restlessness. ▶ Sleep in afternoon. ▶ S. heavy at night; S. disturbed and unrefreshing.

Chilliness; with sweat; preceded by miliary eruption, most profuse on forehead and face, during the chill hunger, with a distressing sense of general emptiness, speedy vomiting of food, pain in back of neck, upper part of back and in right hip-joint, during the hot stage thirst, delirium and desire for brandy. ▶ Chilliness over whole body, as from water.

Heat, then coldness; H. during the day, with nausea; head burning hot; burning on brain. ▶ Heat in face, with redness. ▶ Heat in skin, agg. morning, lasting till noon, with dryness. ▶ Cold sweat; with the nausea and vertigo.

Produces diarrhœa and dysentery; a low type of fever, a rash closely resembling scarlatina and great weakness. It is allied to Rhus tox.

Muttering delirium; unconsciousness, even stupor.

Suffused, photophobia.

Excoriated by an ichorous and bloody discharge.

Purplish or dusky.

Teeth covered with sordes.
Tongue dry, brown.
Throat, externally swollen, internally swollen and ulcerated, œdematous, livid; tries to hawk up mucus; pain on swallowing extends to ears.

Thin, offensive; bloody (complicating scarlatina).

Respiration irregular, rapid; cough violent, paroxysmal, on lying down, and on rising, painful.

Miliary rash, in spots, almost livid, color returns slowly when pressed, with stupor, cold skin; rapid, small pulse, excoriating discharges from mouth and nose.

Ail. / Alien.

Ailanthus. We discern in thee
Low scarlet fever's effigy.
A mind in semi-conscious state,
Bowels moved in act to urinate,
Pulse rapid, and the breathing too,
A rash of dark and livid hue,
A throat all swollen, purple, sore,
With angry ulcers studded o'er,
A nose discharging bloody flow,
And tongue and teeth of typhoid show.

The Alien, - Has malignant exanthema.

The Alien Carbola Kip is with the ailing woman, Phyllis Ammon.

This Alien, - Who is subject to semi-consciousness, - Is in Russia with Phebe Bell, the mute Baptist.

Malignant Exanthema (specially scarlatinal): Ail., Carbol. a, Kal. p., Lach., Ars., Mer., Phyto., Am. c.

Semi-conscious State: Ail., Rhus, Ph. a., Bell., Mur. a., Bap., etc.

Indicated in low dynamic states, with great prostration and with livid, purplish appearance of the skin. Has proved very valuable in malignant scarlet fever.

Child stupid, semi-conscious; does not understand; muttering delirium; stupor, restlessness.

Head burning hot, with fever and anxiety.

Face hot, dark livid, covered with livid rash.

Tongue dry, parched, cracked.

Eyes congested; pupils dilated.

Enlargement of parotid and cervical glands; sensitiveness of.

Throat swollen, painful, purplish; foul ulcers in the throat; frequent hawking of mucus.

Stools watery and offensive.

Skin of face and of entire body covered with livid, purplish eruption, disappearing on pressure, returning slowly.