Crotalus Horridus crot-h.

BLOOD. Heart. Cerebro-spinal nerves. Liver. Throat. Occiput. Right side.

Lying on R. side. Falling to sleep. Warm weather. Spring. Alcohol.

Light. Motion.

Deathly sick, tremulous and weak. HÆMORRHAGE; slow; oozing of dark, thin blood; pharyngeal. Bloody pus or sweat. Putridity, rapid decomposition and MALIGNANCY. Septic; tonsils, goitre, ulcers, abscess, etc. Dark or bluish parts. Petechiæ. Gangrene. General burning.

Plaintive speech. Timid; fears evil. Torpid. Forgetful. Mistakes in writing. Delirium. Faintings. Occipital ache; in waves from spine. Distorted face on waking. Epilepsy. Dark, besotted face. Grinds teeth. Mouldy breath. Swelled tongue. Stiff palate. Craves pork. Craves stimulants. Bilious vomit. Perineal abscess. Mouldy excretions. Anxious, labored breathing. HEART, weak, trembles, feels loose or turns over; sensitive to lying on l. side. First one limb then the other is numb. Jaundice. Blood-boils. Horrible dreams; of the dead. Black-water fever. High fever; with scarlet skin. Œdema about affected parts.

Complementary: Lycps. Related: Lach. Sul-ac.

Is indicated in strumous, debilitated, haemorrhagic, broken-down constitutions; during zymotic diseases; in inebriates; tendency to carbuncles or blood boils (Anthr.). Diseases caused by a previous low state of the system; low septic typhoid or malarial fever; chronic alcoholism; exhausted vital force; genuine collapse. Apoplexy; apoplectic convulsions in inebriates, haemorrhagic or broken down constitutions. Haemorrhagic diathesis; blood flows from eyes, ears, nose, and every orifice of the body; bloody sweat. Yellow color of conjunctiva; clears up vision after keratitis, or kerato-iritis. Malignant jaundice; haematic rather than hepatic. Purpura haemorrhagica; comes on suddenly from all orifices, skin, nails, gums. Tongue fiery red, smooth and polished (Pyr.); intensely swollen. Malignant diphtheria or scarlatina; oedema or gangrene of fauces or tonsils; pain < from empty swallowing; if vomiting or diarrhoea come on. Prostration of vital force; pulse scarely felt; blood poisoning (Pyr.). Vomiting: bilious, with anxiety and weak pulse; every month after menstruation; cannot lie on right side or back without instantly producing dark, green vomiting; black or coffee grounds, of yellow fever. Diarrhoea; stools black, thin; like coffee-grounds; offense; from noxious effluvia or septic matters in food or drinks; from "high game" (Pyr.); during yellow fever, cholera, typhoid, typhus. Intestinal haemorrhage when occurring in typical septic, or zymotic disease; blood dark, fluid, non-coagulable. Dissecting wounds; insect stings; bad effects of vaccination. Vicarious menstruation; in debilitated constitutions (Dig., Phos.). Menopause: intense flushings and drenching perspirations; faintness and sinking at stomach; prolonged metrorrhagia, dark, fluid, offensive; profound anaemia. Malignant diseases of uterus, great tendency to haemorrhage, blood dark, fluid, offensive.

Compare: Elaps, Lach., Naja, Pyr. In Lach., skin cold and clammy; Crot. cold and dry; Elaps, affections of right lung, expectoration of black blood.

Rattlesnake

Snake poisons are supposed to be chemically Cyan hydrates of Soda and other salts. Alcohol is the natural solvent of these salts and is an antidote. Has a profound trophic action. Old age nutritional troubles.

Low septic states. General disorganization of the blood, hæmorrhages and jaundice. A crotalin injection decreases the rate of coagulation of the blood. In epilepsy the average rate is far greater than in normal conditions. Blood decomposition, hæmorrhages (dark fluid that forms no clots), tendency to carbuncles, malignant scarlatina, yellow fever, the plague, cholera, give opportunity to use this remedy. Hæmorrhagic diathesis. Acts as a sedative. Sleeps into his symptoms. More right-sided in its action.

Weeping mood; clouded perception and memory; impatient. Loquacious, with desire to escape. Sadness. Delusions of cerebral decay.

Vertigo, with weakness and trembling. Dull heavy occipital pain, on right side and right eye. Headache with pain in heart on lying on left side. Headache; must walk on tip-toe to avoid jarring.

Very sensitive to light, especially lamp light. Yellow color of eyes. Illusions; blue colors. Ciliary neuralgia; tearing, boring pain, as if a cut had been made around eye. For absorption of intra-ocular hæmorrhages, into the vitreous, but particularly for non-inflammatory retinal hæmorrhages. Diplobia.

Auditory vertigo. Blood oozes from ears. Feeling of stoppage in right ear.

Epistaxis, blood black and stringy, ozæna, after exanthemata or syphilis.

Acne. Lips swollen and numb. Leaden-colored and yellow face. Lockjaw.

Tongue red and small, but feels swollen. Tongue fiery red, dry in center, smooth and polished. Moldy smell of breath. Fills up with saliva. Tongue when protruding, goes to right. Spasmodic grinding of teeth at night. Cancer of tongue with hæmorrhage.

Dry, swollen, dark red. Spasm of œsophagus; cannot swallow any solid substance. Tight constriction. Gangrenous, with much swelling.

Intolerance of clothing around stomach. Unable to retain anything; violent vomiting of food; bilious vomiting, vomiting of blood. Constant nausea and vomiting every month, after menstruation. Cannot lie on right side, without vomiting dark-green matter. Black or coffee-grounds vomiting. Cancer of stomach with vomiting of bloody, slimy mucus. Trembling, fluttering feeling below the epigastrium. Intolerance of clothing about epigastrium. Faintness and sinking at stomach. Ulceration of the stomach. Atonic dyspepsia. Gastritis in chronic alcoholism. Hungry, craves stimulants, sugar; averse to meat.

Distended, hot, and tender. Pain in region of liver.

Black, thin, offensive, like coffee-grounds. Intestinal hæmorrhage; blood dark, fluid, non-coagulable. Blood oozes from rectum when standing or walking.

Prolonged menses. Dysmenorrhœa; pain extends down thighs, with aching in region of heart. Uterine hæmorrhage with faintness at stomach. Puerperal fever; offensive lochia. Phlegmasia alba dolens. Sensation as though uterus would drop out. Painful drawing in uterine ligaments. Cannot keep legs still.

Dark, bloody urine. Casts. Inflamed kidney. Albuminous, dark, scanty (Merc cor).

Action feeble, pulse tremulous. Palpitation, especially at menstrual period. Trembling feeling of heart.

Cough, with bloody expectoration. Tickling from a dry spot in larynx.

Hands tremble, swollen. Lower extremities go to sleep easily. Right-sided paralysis.

Malignant fevers of a hæmorrhagic or putrescent character. Low bilious remittents. Yellow fever. Bloody sweat. Cerebro-spinal meningitis (Cicuta; Cup acet). Cold sweats.

Swelling and discoloration, skin tense and shows every tint of color, with excruciating pain. Vesication. Sallow. Yellow color of the whole body. Great sensitiveness of skin of right half of body. Purpura hæmorrhagica. Hæmorrhage from every part of body. Bloody sweat. Chilblains, felons. Dissecting wounds. Pustular eruptions. Insect stings. Post-vaccination eruptions. Bad effects of vaccination. Lymphangitis and septicæmia. Boils, carbuncles, and eruptions are surrounded by purplish, mottled skin and œdema. Anthrax. Sore sensation relieved by pressure.

Dreams of the dead. Starting in sleep. Yawning. Smothering sensation when awaking.

Worse, right side; open air; evening and morning; in spring, coming on of warm weather; yearly; on awaking; damp and wet; jar.

Compare: Bothrops; Naja (more nervous phenomena); Lachesis (more markedly worse on left side); Elaps (preferable in otorrhœa and affections of right lung); Crotalus cascavella (thoughts and dreams of death. Paralysis of articulation, embarrassed stertorous breathing and semi-consciousness. A magnetic state is produced; cutting sensation all around eyeball). Bungarus-Krait--(poliomyelitis).

Antidote: Lach; Alcohol. Radiant heat; camphor.

Third to sixth potency.

Here is another snake poison which, although like Naja has been proven only in the low preparations, has a better clinical record. Yet it lacks the clear-cut indications of Lachesis. It has shown enough, however, to indicate that it is a remedy of great value. It seems, so far, to have shown its greatest usefulness in diseases which result in a decomposition of the blood of such a character as to cause hæmorrhages from every outlet of the body (Acetic acid); even the sweat is bloody. This occurs in the lower fevers of hot climates, such as the bilious remittent fevers, typhoids, and that dread scourge of tropical climates, yellow fever. It is also the chief remedy in diphtheria when the profuse epistaxis occurs which marks many cases of a malignant type. In hæmorrhages of the nose in an old man of broken down constitution, where none of the remedies usually applied did the least good, Crotalus acted promptly and no doubt saved the man's life. This was a patient of my own, and, although he had frequent attacks before, he never had another after the Crotalus. As would be expected with such a remedy, there is great prostration at such bleedings. Crotalus is right-sided.

Malignant jaundice is set down as an indication for Crotalus, but the yellowness of the skin, so characteristic of Crotalus, is after all, I imagine, more of hæmatic than hepatic origin; yet there may be an element of both, as hepatic troubles are so common in hot latitudes where Crotalus has gained its greatest laurels.

Crotalus richly deserves proving in the potencies in order to bring out its finer characteristics.

Rattle-snake. N. O. Crotalidæ. The Rattle-snake of North America. Symptoms of C. Durissus as well as C. Horridus are included in the pathogenesis. Trituration of sugar of milk saturated with the venom. Solution of the venom in glycerine.

Amblyopia. Apoplexy. Appendicitis. Bilious fever. Boils. Cancers. Carbuncles. Cerebro-spinal meningitis. Chancre. Ciliary neuralgia. Convulsions. Delirium tremens. Dementia. Diphtheria. Dysmenorrhœa. Dyspepsia. Ears, discharges from. Ecchymosis. Epilepsy. Eyes, affections of. Erysipelas . Face, eruption on; distortion of. Hæmaturia. Hæmorrhagic diathesis . Headache. Heart, affections of. Herpes. Hydrophobia. Intestinal hæmorrhage. Jaundice . Keratitis. Liver, disorders of. Lungs, affections of . Mastitis. Measles. Milk-leg. Meningitis . Ovaries, affections of. Ozæna. Palpitation. Peritonitis. Perityphlitis. Phlebitis. Psoriasis palmaris. Purpura . Pyæmia. Remittent fever . Rheumatism. Scarlatina . Sleeplessness. Small-pox . Stings. Sunstroke. Syphilis. Tetanus. Thirst . Tongue, inflammation of; cancer of. Ulcers . Urticaria. Vaccination, effects of. Varicosis. Varicocele. Vomiting, bilious. White-leg. Whooping-cough. Yellow Fever .

The first regular proving of Crotalus was made by Hering and under his direction. Stokes also contributed a proving; but the most complete account of the remedy is to be found in the monograph of J. W. Hayward, forming part of Materia Medica Physiological and Applied . This includes provings made by Hayward and his provers. Crotalus produces profound nervous shock and prostration with trembling, mental alienation, and disorganisation of the fluids and tissues. It causes bleeding from all orifices and surfaces, and it corresponds to the hæmorrhagic diathesis; to diseases caused by previous low states of system, by zymotic or septic poisoning, by abuse of alcohol, &c. Low, typhoid states, with oppressed nervous system, and degraded blood-supply often require it. Neuralgia occurring as a sequel of septic toxæmic, or even miasmatic disease; or chronic bilious, climateric, or albuminuric conditions. Broken-down constitutions. The Crotal . patient is readily moved to tears. Weeping mood; agony, despair. In one prover perception was so clouded that she was in danger of being run over in the street; and memory was so impaired that on entering a shop she forgot what she had come for. Sleepy, but cannot sleep. Grinds teeth. " Crotal . is preferable in fluid hæmorrhages, yellow skin (hence in yellow fever with black vomit), epistaxis of diphtheria. Naja has more nervous phenomena. Lach . has skin cold-clammy rather than cold and dry; hæmorrhage, with charred-straw sediment; and more markedly ailments of the left side. Elaps . is preferable in otorrhœa and in affections of the right lung. The cobra poison ( Naja ) coagulates blood into long strings. Crotalus poison is acid; the Viper neutral. The Rotton-snake ["Birri"] causes more sloughing than any other" (Hering). But Hayward observed that sloughing is a strong indication for Crotal ., and the cure by this remedy of his own daughter of scarlatina maligna, with gangrenous-looking sore-throat, was a dramatic outcome of his researches. A case of rattle-snake bite and its isopathic cure, related by Dr. J. S. M. Chaffee, in Hom. News , Sept., 1892, gives a good general idea of the action of the venom: "I was called to see James Wright, aged 54 years, who, while binding wheat, was bitten on third finger of right hand by a rattlesnake. I found him bleeding from the bitten finger, and from eyes, nose, ears, mouth, rectum and urethra; pulse 110, small, wiry; respiration 40; temperature 105; haggard expression; whole body bathed in hot perspiration; delirium. This patient had had the regular routine treatment of whisky, quinine and carbonate ammonia for ninety-six hours, when the attendants withdrew and pronounced the case beyond the reach of medical aid. A marked characteristic symptom was a mouldy smell of breath , with scarlet red tongue, and difficult swallowing. Great sensitiveness of skin of right half of body, so much so that the slightest touch would produce twitching of muscles of that side. I prescribed Crotalus hor . 30th trituration, 30 gr. in four ounces of water, a teaspoonful every hour, until my return visit, twenty-four hours later, when I found marked improvement. Temperature normal; pulse full, soft and regular; delirium gone; saliva and urine slightly tinged with blood; appetite returning, he having asked for food for the first time since the accident." The medicine was continued for two more days, when recovery was practically complete. The action on the right side is noteworthy, as Crotal . is predominantly a right-side medicine ( Lach . is more left); it acts strongly on the liver and corresponds to jaundice and yellow fever. Crotalus has been used with great success in the treatment of yellow fever, and also as a prophylactic against it. For this, inoculation with diluted virus has been practised. The pains of Crotalus alternate rapidly with each other, and frequently recur; also (except headache) appear and disappear suddenly after lasting some time. Swelling of whole body. Fetor of evacuations and discharges. Hæmorrhages from all the orifices and even pores of the skin. Peculiar sensations are: as from a blow on occiput; as if tongue and all round throat were tied up; as of a plug in throat to be swallowed; of choking; as if the heart turned over like a tumbler pigeon. Periodicity marks many of the symptoms. Metastasis of erysipelas to brain. Many symptoms are < in morning on waking; or wake the patient up in the night. Orbital pains < in evening. Rest > , and motion and exertion < . Open air > head and stomach symptoms. Cold air < throat and respiratory symptoms. Dry air < cough.

Antidoted by: Lach. Its effects are modified by Ammon., Camph., Opium, Coffea, Alcohol, and radiant heat. Compare: C. Cascavella (thoughts dwell on dead and dreams of the dead); Tarent-cub., Arsen., Lauroc. (tetanus, whooping-cough); Apis., Carb. v., Silic. (vaccination effects); Camphor (coldness; Crotal. has more marked genuine collapse with confused speech), Hyos. Op., Nux v., Cupr., Bell. (sleepy but cannot sleep); Cad. s. (yellow fever).

Fright. Sun. Lightning. Alcohol. Foul water. Noxious effluvia.

Memory weak; stupid, cannot express himself; makes ridiculous mistakes; with coldness of skin. — Inability to hold her mind to a subject; perception clouded, on walking street would have been run over but for her sister's watchfulness; entering a shop she forgot what she came to purchase. — Torpid, sluggish, incoherent, hesitating, quiet indifference. — Delirium: with drowsiness; with wide-open eyes; loquacious with desire to escape; delirium tremens. — Sadness; thoughts dwell on death continually. — Oppression of brain, as if from carbonic acid. — Excessive sensitiveness, easily moved to tears by reading. — Weeping, with timidity, fear, anxiety. — Snappish temper.

Vertigo: with faintness; with weakness and trembling; with pale face; epileptic; auditory cardiac with soft, weak pulse; > resting head; with venous congestion and degraded blood; with dilated pupils from lightning, anæmia, or sunstroke; from fright. — Fainting on assuming upright position. — Dizziness and fainting with occipital headache. — Apoplectic convulsions: at outset of zymotic diseases; in inebriates. — Awakes in morning with headache over eyes. — Headache extending into eyes. — Dull, heavy pain and heat over eyes and in sides of nose; > walking in open air. — Severe pains in r. eye and top of head, on r. side down back of neck at intervals. — While sitting in chair, heaviness of head came on so much that head felt as if it would tumble about, as if muscles of neck were too weak to support it, and needed the help of the hands. — Dull, heavy throbbing occipital headache, faint spells; pain as from a blow in occiput. — Violent itching of scalp; eruptions, pustules; falling off of hair.

Illusions; blue colours; vanishing of sight while reading. — Blood exudes from eye. — Yellow colour of eyes. — Tearing, boring pain, as if a cut had been made round the eye, sometimes sticking, < morning and evening.

Full sensation in ears. — Deafness; illusions of hearing; auditory vertigo. — Otorrhœa. — Blood oozes from ears.

Epistaxis; in zymotic diseases; blood thin, dark, uncoagulable; with flushed face, vertigo or fainting. — Ozæna after exanthemata or syphilis.

Acne; of all varieties; of masturbation; of drunkards. — Face, puffed; yellow; red. — Neuralgia of a dull character, chronic or periodic. — Parotitis. — Lips swollen, stiff, numb. — Lockjaw. — Copious, red, itching, papular eruption on face, esp. chin, with delayed menses.

Grinding of teeth during sleep. — Tongue and all round throat during sleep feels tied tip, cannot speak a word. — Tongue very red, smooth and polished, feels swollen. — Tongue: enormously swollen; protruded; inflammation of; cancer of, with much tendency to hæmorrhage; syphilis of. — Fetid breath; peculiar mouldy smell. — Putrid sore mouth. — Salivation, bloody or frothy.

Tight constriction of throat. — Sensation of a plug to be swallowed; as if uvula swollen or stiff; as of a dry spot or tickling, esp. l. side; < on waking. — Impossible to swallow solids. — Gangrenous or diphtheritic throat with much swelling; much swelling of glands, head thrown up and backwards.

Hunger with trembling, weakness, and occipital headache. — Unquenchable burning thirst. — Eructations, sharp, sour, rancid. — Nausea on movement, bilious vomiting. — Dark green vomiting immediately on lying on r. side or back. — Black vomit. — Frequent faint sinking, hungry sensation about epigastrium with trembling and fluttering sensation lower down. — Craving for stimulants. — Agonising pain, restlessness, coldness, weak pulse. — Cannot bear clothes round stomach or hypochondria. — Hæmatemesis, blood does not coagulate.

Stitches in region of liver on drawing a long breath, < by pressure. — Aching in liver, vomiting, coldness. — Violent pain in l. side near last ribs as if in diaphragm. — Jaundice; malignant jaundice with hæmorrhage. — Heat and tenderness of abdomen, can scarcely bear clothes on. — Swelling. — Violent pain in course of colon; in region of appendix. — Bubo.

Stools: black, thin, like coffee-grounds, offensive; dark green, followed by debility; yellow, watery with stinging in abdomen; low spirits and indifference to everything. — Shuddering with diarrhœa; aphonia. — Diarrhœa from noxious effluvia; from septic matter in food or drink; from high game; summer diarrhœa. — Dysentery; septic; from foul water, food, &c.; excessive flow of dark fluid blood, or involuntary evacuations; great debility and faintness. — Constipation with congestion to head and headache. — Vomiting, purging and micturition simultaneously caused by spasmodic contractions with tenesmus and strangury. — White stools. — Hæmorrhage, dark, fluid, uncoagulable. — Hæmorrhoids: great tendency to bleed, on using paper, on straining a little at stool, or on standing; in pregnant women; with menstrual irregularities; with heart or liver disease; in inebriates.

Hæmaturia. — Suppression or painful retention of urine. — Urine: scanty, dark and red with blood; jelly-like; green-yellow from much bile; copious and light-coloured.

Sexual instinct increased with entire relaxation of penis. — Sharp cutting in glans.

Menses a week too soon, first preceded by weight in head and ears, accompanied by pains in abdomen and back, and cold feet. — The pains last some hours longer than usual, and go off after two days with intense frontal headache, which lasts from 10 p.m. to 1 a.m. — Five days before menses much pain in hypogastrium and down thighs; in region of heart, l. arm and shoulder-blade; with cold feet. — In evening, severe sharp shooting, rather burning pain, repeated at short intervals; apparently starting l. side of womb, passing up to region of transverse colon, there shooting or cutting across from both sides to centre; thence passing up l. side of trunk to l. side of face and temple as a sharp, cutting, intermittent, neuralgic pain; and across middle of forehead there was a heavy, dull, continuous pain; the sharp pain in temple lasted an hour; the dull pain only ceased on going to sleep. — Flushing and sinking of menopause. — Puerperal fever, or convulsions, with albuminous and septic conditions. — Offensive lochia. — Inflamed breasts. — Phlegmasia alba dolens, < from slightest touch.

Hoarseness, with weak, rough voice. — Bruised pain from larynx to chest. — Cough with stitch in l. side and bloody expectoration. — Dry cough on speaking, < in dry or cold air. — Nervous cough, esp. laryngeal; dry tickling, constant choking, as if from dry, irritating vapours, or salt or pepper, or from dry spot in larynx, < l. side; provoked by: cold or dry air; deep inspiration; speaking; by external pressure, which cannot be borne, < on waking. — Whooping-cough, with blueness or pallor which is long in passing off, attacks followed by puffiness of face and hæmorrhagic spots, bloodshot eyes, epistaxis, frothy, stringy, bloody expectorations; threatened œdema and paralysis of lungs. — Excessive oppression of chest. — Burning in chest with heat in forehead. — Pneumonia with tendency to gangrene. — Lungs seem passive. — Stitches in r. chest near sternum.

Much pain in heart, through l. shoulder-blade and down l. arm. — Palpitation with sore pain in and about heart; feeling as if heart tumbled over. — Heart tender when lying on l. side. — Pulse hardly perceptible. — Phlebitis; varicosis; varicocele.

Tearing pains from (r.) shoulder to neck, < on moving arm. — Pain on top of shoulder and in ascending aorta. — Aching in r. kidney and in stomach.

Painful paralytic sensation. — Rheumatic and neuralgic pains. — Bruised pain in joints and bones. — Heaviness, as if bones were made of heavy wood. — Numb pain as after cramp in anterior of fingers and in toes. — Contraction of flexors.

Bruised pains in bone of shoulder in paroxysms. — Large inflamed furuncle on r. upper arm near elbow. — Tight, cord-like feeling extending from front of l. elbow down front of forearm, with "round spots" of pain here and there along front of forearm. — Tubercle on wrist, near end of radius, size of large split-pea, and rather blue from sting of insect some years before, more pronounced in summer months. — Vesicular and pustular eruption about wrists. — Trembling of hands. — Hands (esp. l.) go dead on least exertion. — Violent spasmodic pains in l. palm as from bee-sting. — Itching and heat of palms. — Oozing of blood from under nails.

Starting, jerking, trembling, cramps, numbness. — Drawing suddenly from l. hip to foot. — During and after walking, feels as if a tendon was drawing from sole of r. foot through bone of leg. — Small purple spots on legs.

Itching stinging all over; urticaria. — Skin dry, stiff like thin parchment; usually cold. — Yellow colour of whole body (hæmatic rather than hepatic jaundice). — Petechiæ. — Vesicles; herpes; pimples; boils; carbuncles; burns; stings; pemphigus; ulcers; gangrene; felons; anthrax. — Old cicatrices break out again. — Peliosis rheumatica. — Dropsies.

Yawning; torpor; sopor. — Drowsiness with inability to sleep. — Starting in sleep. — Dreams of travelling, of quarrels; of the dead. — Symptoms < after sleep.

Surface cold, esp. extremities. — Flushes of heat all over. — Sweat: cold; coloured, esp. axillary; bloody. — Malignant scarlatina, with infiltration of tissues, esp. of throat. — Low, bilious remittents of South. — Yellow fever, hæmorrhagic, oozing of blood from every pore, vomiting and purging bloody and bilious; fainting. — Septic or purpuric fevers. — Cerebro-spinal meningitis.

Memory weak ; obtuse, stupid, cannot express himself correctly ; makes ridiculous mistakes in spelling.
Perception diminished.
Confused speech ; disconnected answers, with coldness of skin and rapid pulse.
Torpor, sluggishness, incoherency, hesitation and quiet indifference.
Mental delusions, such as mistakes in keeping his accounts and in writing letters, forgetfulness of figures, names and places ; awaking in the night struggling with imaginary foes ; imagines himself surrounded by enemies or hideous animals ; taking
antipathies to members of family. θ Incipient stage of senile dementia.
Delirium : with languor, drowsiness, stupor ; at night ; with moans ; with wide open eyes ; in yellow fever.
Loquacious delirium, with desire to escape from bed.
Muttering delirium of typhus.
Delirium tremens, nearly constant drowsiness, but with inability to sleep ; trembling ; numbness of extremities ; repeated attacks ; broken down constitutions.
Mania in zymotic diseases and when connected with puerperal or ovario-uterine disease.
Moaning and groaning.
Pains in head, with oppression of chest, burning fever and accelerated pulse ; loss of speech, sopor from which he cannot be aroused, muttering and lockjaw. θ Apoplexy.
Marked indifference, seems only half alive ; utter apathy.
Sadness, her thoughts dwell on death continually.
Oppression, as if brain had been intoxicated by carbonic acid, or by degraded or non-oxygenated blood.
Depression, anxiety and lowness of spirits. θ Intestinal hemorrhage.
Nervousness and depression of spirits. θ Headache.
Excessive sensitiveness ; moved to tears by reading.
Weeping mood, agony and despair.
Melancholy, with timidity, fear ; anxiety ; weeping ; or snappish temper.
Melancholia, with timidity, fear, distress and anguish.
Suspicion and snappishness, or quiet indifference.
Anxious and pale, with cold sweat.
Anxiety and distress, mental and bodily.
Great anxiety, intense restlessness, much delirium.
Anguish, moaning and groaning, with sleeplessness.
Snappish temper ; irritable, cross, infuriated by least annoyance.
Intense restlessness, twitching and nervous agitation.
Lethargy, weakness, debility, powerlessness, staggering, trembling, vertigo, numbness, loss of co-ordination of movements.
Fits of drowsiness or coma.

Vertigo : with faintness, weakness, nervous trembling ; with pale face ; with falling and loss of consciousness ; epileptic ; auditory ; cardiac, with soft, weak pulse ; anemic, > resting head ; with venous congestion and degraded
blood ; with dilated pupils ; from lightning or sunstroke ; from fright.
Fainting : on assuming an upright position ; in attacks ; and falling.
Attacks of dizziness, fainting and weakness, with occipital headache, several times a day.
Apoplectic convulsions, especially at onset of some zymotic disease.
Apoplexy in hemorrhagic or broken down constitutions, or in inebriates.

Severe frontal headache, with coma and delirium, difficult deglutition, nausea and bilious vomiting.
Awakes in morning with headache over eyes. θ Dysmenorrhœa.
Headache extending into eyes.
Dull, heavy pain and heat over eyes and in sides of nose, also dull, pressing pain at back of ear, heat in forehead, lightness of head in open air, sickness of stomach in morning, nausea and vomiting, with nervousness and depression of spirits.
Headache in forehead above eyes, in temples, < in right, with vertigo, nausea and vomiting of bile ; is obliged to lie down ; constipation ; > from walking in open air.
Pressure and oppression above eyes.
Bilious headache every few days, beginning behind left ear and passing around lower forehead as a pressing down on eyes, with nausea and vomiting. θ Distortion of face.
Severe pain at centre of forehead ; dilated pupils ; profuse menses.
Dull, heavy, congested feeling in front of brain, < from exerting intellect.
Frontal headache in left anterior lobe, particularly at its under surface.
Pressure and heavy pain on top of head from 6 A. M. until evening.
Very severe pain in right eye and top of head, on right side down back of neck, at intervals, for twenty years.
Sick headache, with vertigo, heat on top of head and general sweat.
Throbbing and heat in left side of head, with nausea before menstruation ; vomiting green bile ; urine high colored.
Head aches all over, with high fever, < at night, with great drowsiness ; aching in all the bones ; heat in forehead and burning in chest, < from motion.
Frightful headache. θ Diphtheria.
Dull, heavy, throbbing occipital headache, faint spells ; hunger and general trembling.
Terrible headache ; pain as from a blow in occiput. θ Cerebro-spinal meningitis.
Headache : especially of a dull, heavy, aching, drawing, pressing, compressive, or pulsating character ; shooting, or stinging ; in morning on awaking, generally going off while dressing ; after mental exertion ; confusion and loss of memory,
especially for words and figures ; vertigo, nausea, vomiting and malaise.
Headache as if constricted, then sensitiveness of brain ; pulsations ; sensitiveness of heart when lying on left side.
Cerebral congestion ; severe headache, vertigo, nausea or vomiting ; accompanying zymotic or septic diseases.
Meningitis resulting from extension of ear disease ; toxemic, alcoholic, albuminuric, scarlatinoid, varioloid, particularly at period of effusion, accompanied by paralytic symptoms or mental deficiency.
Softening of brain, hydrocephaloid, or apoplexy following toxemic states in broken down constitutions.

Continue in Hering 43 more passages →

The first impression would be to rebel against the use of such substances as Crotalus, Lachesis, Apis and other animal poisons, and it is true that the lay mind must look with something like horror upon their administration; but when they are properly used and when we consider the dreadfulness of the necessity demanding them, and also when we have ascertained that there can be no substitute when demanded, and again that they are potentized and changed until they are perfectly pure, because reduced to a state of simple substance, the horror passes away from the mind.

It is true that the diseases that call for the use of such substances as Crotalus are very grave. When at the bedside of a Crotalus patient one feels that death is very near, the subject is horrible to look upon, and the mother in regard to her child, or the husband, would immediately say,

"Doctor, use anything in order to save the life; resort to anything in order to heal this sick one."

The symptoms are peculiar in Crotalus. The remedy stands out by itself. There can be no substitute for it, as there is no other remedy, taken as a whole, that looks it.

The other snake poisons form the nearest resemblance, but this one is the most dreadful of all, excepting perhaps, the Ancistrodon contortrix (Copperhead).

In the case of snake bites we get the most dire effects; we see death itself, we see the ending after a very rapid course, the very highest type of zymosis. These snake poisons are supposed to be cyanhydrates of soda and other salts.

It is known that alcohol is the natural solvent of the cyanhydrates, and because of this alcohol has been used in great quantities in snake bites, and it has frequently prolonged and even saved life. If he lives through the violent attack he goes on forever manifesting the chronic effects, and from these we have collected symptoms.

Dogs that have been bitten manifested the chronic effects of rattlesnake bite, and in them a peculiar periodicity has been manifested, viz., every spring as the cold weather subsides and the warm days begin

I once had the privilege of tracing up a dog that had been bitten by the Cenchris and had survived. It was bitten in the region of the neck, and in that region a large abscess formed every spring as long as that dog lived, until old age, when he died from that disease. The periodicity in the snake poisons is related to the spring, to the coming on of the warm weather.

Another marked general feature in Crotalus, as in most of the other Ophidians, is that the patient sleeps into the aggravation.

The poison of the Crotalus horridus, in its earliest manifestations, is like unto the zymotic changes that we find in scarlet fever, in diphtheria, in typhoid and low forms of blood poisoning, those cases that come on with great rapidity, breaking down of the blood, relaxation of the blood vessels, bleeding from all of the orifices of the body, rapidly increasing unconsciousness like one intoxicated and besotted in appearance.

A mental and physical prostration that is almost paralytic in character. Scarlet fever when it becomes putrid; typhoid when it becomes putrid, diphtheria with much bleeding and putridity. The body appears mottled, blue intermingled with yellow jaundice comes on with astonishing quickness, and the eyes become yellow, and the skin becomes yellow and mottled. Blue in spots. Black and blue spots as if bruised, intermingled with yellow. After hemorrhages the skin becomes extremely anemic.

It is yellow, pale, bloodless. The body looks like wax. Hemorrhage from the ears, eyes, nose, lungs, from the mucous membranes everywhere, from the bowels, from the uterus, A haemorrhagic constitution.

Crotalus is indicated in disease of the very lowest, the most putrid type, coming on with unusual rapidity, reaching that putrid state in an unusually short time. One who has been poisoned rapidly sinks into, this besotted, benumbed. putrid, semi-conscious state. There is a feeling as if death were coming over him. As the blood oozes out it becomes black, It is sometimes fluid.

An awful state of nervousness prevails. Trembling of the limbs, tremulous weakness. On protruding the tongue it comes out quivering. Tired by the slightest exertion. Sudden prostration of the vital powers. A paralytic weakness prevails throughout.

Twitching of the muscles, trembling of the limbs. Sliding down in bed occurs in the typhoid conditions where this remedy has proved of benefit, the forms of yellow fever with great prostration. This species of yellow fever has been cured by this remedy. Convulsions and paralysis. It has twitching of muscles something like chorea, trembling, localized spasms, hysterical manifestations.

The mental symptoms are well worth examining. The low form of delirium, muttering, talking to himself is a peculiar form of loquacity. It differs somewhat from Lachesis. Both have loquacity.

The Lach. loquacity is so rapid that if anyone in the room commences to tell something the patient will take it up and finish the story, although he has never heard anything about it, so active is his mind. No one is permitted to finish a story in the presence of a Lach. patient. One will commence to tell something. He will say,

"Oh, yes; I understand it and he will go off on another line and finish up with something entirely different.

Crotalus does that, too, but Crotalus will take it up and mumble and stumble over his words in a clumsy manner.

It is a low passive state like intoxication; in Lach. it is wild excitement.

"Delirium with languor, drowsiness, stupor."

That tells it.

"Loquacious delirium with desire to escape from bed."

It is passive, however. His motions are slow.

"Muttering delirium of typhus.

Sadness."

His thoughts dwell on death continually.

"Excessive sensitiveness.

Moved to tears by reading.

Melancholy with timidity, fear.

Anxious and pale, with cold sweat.

Irritable, cross, infuriated by least annoyance."

On motion there is vertigo, dizziness. On keeping still there is pain. On going to sleep there is pain, and he is roused by violent pain. The longer he sleeps the more severe that pain in the head.

He sleeps into his symptoms. All the snake poisons more or less sleep into troubles. The head troubles come on after sleep. He sleeps into headache. The longer he sleeps the harder are the headaches.

In the more chronic conditions the individual manifests a terrible state as to his sleep. He rises from sleep as in a fright; has horrible dreams of murder, of death, of dead bodies and dead people, of associating with the dead and with corpses, of being in graveyards; even the smell of the cadaver is dreamed of.

While he is awake he is tired, he is stupid, he cannot add figures, he makes mistakes in writing, he transposes sentences, and in words he transposes letters. He is unable to take care of his own accounts, for he cannot add up things that are at all particular. Sleep alternates with long and tedious periods of wakefulness.

He is disturbed by any change to warm weather. Great irritability, sensitive to spheres, easily disturbed by his surroundings, and easily wrought up into a pitch of excitement are also features of this remedy.

Following this up he is suspicious of his friends and is unable to reason upon a rational basis. He craves intoxicating drinks and is unable to resist the craving. This wonderful resemblance to old inebriates has led to the use of Crotalus in delirium tremens; it has the besotted countenance, the purple aspect of the face, the peculiar kind of hunger in the drunkard, the craving by spells for stimulants.

There is every reason to believe that in fat, robust, besotted drunkards it may, if properly used, be a remedy deep enough to remove the appetite for strong drink.

The headache is so hard in the back of the head that it is almost impossible to raise it from the pillow. The muscles become so tired he has to take hold of it with his hands. This belongs also to Lach. A congestive headache with waxy face, yellow, purple, mottled face, as if there had been bruises.

"Headache extending into the eyes.

Bilious headache every few days."

Severe sick headache, together with dizziness, throbbing in the top of the head. Dull, pulsating headaches. Dull, heavy, throbbing, occipital headaches or the whole head is in a state of congestion. He is confused and dazed. Head feels too large.

Head feels full, feels as if it would burst. Headaches that come on in waves as if they came up the back, a surging of blood upwards, an orgasm described as if the blood rushed upwards.

Headache with surging in waves and excited by motion or jar, by turning over in bed, by rising up in bed, or by lying down. Change of position will cause this surging. In Lach. it is described, and I have seen it verified, as beginning away down in the spine and surging upward coincident with the pulse.

Hemorrhage from the eyes. Yellow appearance of the eyes.

"Blood exudes from the eye, burning in eyes; redness with lachrymation."

Pressure in the eyes as if the eyes would be pushed out from the head. Paralysis of the upper lids. Inflammation of the mucous membrane of the lids.

Surging in the ears.

"Sensitive to noises."

Dull aching and throbbing in the ears. Foetid, copious, yellow, offensive, bloody discharges from the ears. Blood oozing from the ears in drops in zymotic diseases, low forms of scarlet fever, or of diphtheria where there is oozing from the eyes and ears, and copious bleeding from the nose.

The nose is the most common organ to bleed in zymotic diseases. The rush of blood seems to get relief from bleeding from the nose. In this medicine the congestion to the head is violent with bleeding from the nose. It has cured all forms of foetid discharge. Horrible, foetid, putrid discharges from the nose. Ozoena.

Inflammation of the parotid gland. Blueness and discoloration of the face. Yellow appearance of the face, a marked condition of jaundice. In girls who appear waxy or anemic, yellowish green, have for a long time missed the menstrual period and break out in pustules and pimples.

This patient often wakes up during the night grinding the teeth. The taste is bad, putrid. Inflammation of the gums. Bleeding from the mouth. Inflammation of the throat with bleeding of the throat. Burning in the throat and mouth, Trembling, quivering and swollen tongue. Trembling of the tongue when it is put out. Trembling of the hands when they are moved.

Those cases of diphtheria that ooze blood from the nose and mouth are very low types, and are sure to die without a well-selected remedy. The throat will be filled up under such circumstances with a diphtheritic membrane that looks dark. There is bleeding all around it. Sore mouth with bleeding. Ulcers in the mouth. Ulcers after Merc. in, those who are pouring forth saliva on the pillow at night. Bleeding ulcers in the mouth. Difficult swallowing. Malignant diphtheria.

Cannot lie on the right side or back without instantly producing black, bilious vomiting. This is a wonderfully bilious remedy, sick headaches, vomiting of bile in great quantities.

The various low forms of disease calling for Crotalus often, begin with vomiting great quantities of bile, sometimes bile mixed with blood.

Pain in the stomach; coldness as if a piece of ice were in the stomach or in the abdomen. Stomach irritable, unable to retain anything, constantly throws up blood.

Crotalus has cured ulceration of the stomach. It has greatly restrained the growth of carcinoma when there is much vomiting of bile and blood. Vomiting in many instances where the blood has no tendency to coagulate.

Now, with all these ulcerations of the stomach, cancerous affections, low zymotic disease, jaundice is nearly always present; jaundice and more or less of bleeding; fever seldom runs high; sometimes the temperature is subnormal, but with oozing and bleedings, with dark hemorrhage from the nose and mouth and dark, scanty, bloody urine containing albumen.

The abdomen is greatly distended like the tympanitic abdomen of typhoid and the low zymotic diseases. Ulceration of the bowels, hemorrhage from the bowels. Much pain and soreness in the abdomen with numbness.

Feeling in it as if it were made of wood.

"Stool black, thin, like coffee grounds.

Dysentery of septic origin from foul water, food, etc.

Diarrhoea from noxious effluvia."

Inflammation of the ovaries and of the uterus. Low form of putrid fever.

Hemorrhages, Either dark clots or blood that has no tendency to coagulate and keeps on flowing. There is great trouble at the climacteric period. Hot flashes. Jaundice. Hemorrhage from the uterus or from other parts.

Cancer of the uterus with much bleeding. Great offensiveness. Patient becomes yellow, jaundiced, great exhaustion, mottled appearance of the skin, swelling of the face, of the leg, especially along the course of the veins. Phlegmasia alba dolens. Worse from the slightest touch. Worse from jar, from motion.

There is some reason to think that this will be more or less a heart remedy from the great cardiac weakness it produces. But the other snake poisons like Naja, Lach. and Elaps have had more clinical application than this one.

This one seems to prostrate the heart, but also to prostrate the whole body, and its complaints are more general. Mottled appearance of the limbs. Gangrenous appearance of the extremities.

Boils, carbuncles and eruptions are surrounded by a purplish condition of the skin, a mottled, blue, splotched or marbled state. It produces boils, abscesses and a condition somewhat resembling a carbuncle, with burning and violent pains, but the peculiar feature is the doughy centre.

Around the boil or carbuncle for many inches there is oedema, with pitting upon pressure. The boil, or abscess, or carbuncle will bleed a thick, black blood that will not coagulate. Carbuncles that come upon the neck and upon the back begin with a pustule, and then several come and they are surrounded by little pustules and papules and there is pitting upon pressure.

For these carbuncles you will need to study particularly Arsenicum, Anthracinum, Lachesis, Secale and Crotalus. They are the medicines that have in their nature malignancy and manifestation.

In puerperal fever there is a continued oozing of black offensive blood that will not coagulate; bleeding from every orifice of the body as well as from the uterus. Imagine a woman who is pregnant suffering from typhoid fever.

She aborts and a low zymotic state comes on with the symptoms that I have described and with all the appearances as if she would bleed to death after the abortion. The blood will not coagulate and the flow continues. Or in a woman during a typhoid fever menstruation comes on. It is not a true menstrual flow, that is, it does not resemble the ordinary flow, because it is copious, dark and liquid, a continuous oozing with all the grave symptoms described, and especially the besotted countenance, the comatose state, the appearance as if she were intoxicated, lying as one dead. When aroused every muscle trembles; if the tongue is protruded it trembles, and there is inability to articulate.

Crotalus may save her life. Would it be possible to think of graver states of sickness than such as are produced by the ophidia?

When a physician sees these symptoms coming on he immediately thinks of a class of remedies that can cover such a state, remedies like Baptisia, Arsenicum, Secale and the Ophidia , and sometimes Arnica, Phosphorus and Pyrogen.

Characteristic. Is indicated in strumous, debilitated, hemorrhagic, brokendown constitutions; durnig zymotic diseases; in inebriates; tendency to carbuncles or blood boils (Anthr.).

Diseases caused by a previous low state of the system; low septic, typhoid or malarial fever; chronic alcoholism; exhausted vital force; genuine collapse.

Apoplexy; apoplectic convulsions in inebriates, hemorrhagic or broken down constitutions.

Hemorrhagic diathesis; blood flows from eyes, ears, nose, and every orifice of the body; bloody sweat.

Yellow color of conjunctiva; clears up vision after keratitis or kerato-iritis.

Malignant jaundice ; hematic rather than hepatic.

Purpura hemorrhagica ; comes on suddenly from all orifices, skin, nails, gums.

Prostration of vital force ; pulse scarcely felt ; blood poison-ing (Pyr.).

Vomiting : bilious, with anxiety and weak pulse ; every month after menstruation ; cannot lie on r. side or back with-out instantly producing dark, green vomiting ; black or coffee ground, of yellow fever.

Diarrhœa : stools black, thin, like coffee-grounds ; offensive ; from six hours in afternoon; creeping chills up and down the back, chilliness alternating with heat or sudden cold sweat; skin dry and cold, especially of extremities.

In first onset intense, burning heat; skin hot and dry; pulse, 130–150; temp., 104–106; face red, flushed; epistaxis.

Hardenstein gives following in yellow fever: Delirium, eyes open; confused, disconnected answers with cold skin and rapid pulse; severe headache; face red, puffed, yellow or pale leaden hue; hemorrhage from every orifice of the body, even bloody sweat; acrid sour eructations; intense thirst; nausea and vomit- ing of bile, of blood, on least exertion; bloody, involuntary stool; abdomen tympanitic; swelling of inguinal glands; urine scanty or retained; pulse weak and slow, or rapid, intermittent and scarcely perceptible; intensely yellow skin; ecchymosis or purple spots; great prostration of vital force; spasms, convulsions, syncope, death.

Cold, in sudden attacks; dark colored of axillæ; bloody sweat (Cur., Lach., Lyc.).

Tongue; firey red, smooth and polished (Pyr.); intensely swollen; dry and cracked; dark brown streak down the centre with deep red edges; yellowish brown, dry in centre; protruded.

Breath fetid; mouldy odor. Hemorrhage.

Rapid, feeble and quick, then slow; feeble, fluttering, frequent, quick, small, thready, trembling, scarcely perceptible; in waves, irregular.

Hemorrhage from every outlet of the body; black, fluid, non-coagulable, offensive. Low types, septic, malignant.

Lachesis, the skin is cold and clammy.

Crotalus, the skin is cold and dry.

The venom of the rattlesnake is received on sugar of milk and triturated.

It produces a general disorganization of the blood, with hæmatogenous jaundice, hæmorrhages, etc.

The serpent poisons, also Canth., Phos., Carbo veg.

Lying on back, with limbs flexed and head hanging slightly towards right shoulder. ▶ Turning about much in bed. ▶ Motionless, eyes and ears inaccessible to any impression. ▶ Bleeding from all orifices; suddenly, from eyes, ears, nose gums and beneath nails. ▶ General dropsy. ▶ Swelling of whole body; agg. head; yearly, with fever and maculæ. ▶ General trembling. ▶ Nervous agitation. ▶ Twitching. ▶ Convulsions; in morning, with trembling of limbs (Compare snake venoms and Phosphorus!).

Pricking all over body. ▶ Pain, universal; P. in muscles and joints; in wounded part after recovery, or twitching in it; pains alternating rapidly with each other; burning pain in trunk, agg. touch, with sensibility; burning P. in trunk, agg. lower part, agg. touch. ▶ Soreness. ▶ Bruised pain in morning after waking, is scarcely able to rise; in all bones in morning on waking, amel. rising. ▶ Restlessness. ▶ Weakness; tired by slight exertion (Phos.); by standing; in morning; in morning, with disinclination to rising and to taking his usual cold bath; and the muscles refuse their service; with head hanging upon his chest; trembling, as from apprehension; sudden. ▶ Faintness; with imperceptible pulse and nausea. ▶ Paralysis of one side. ▶ Symptoms chiefly in bones.

Palsy has been relieved. ▶ Chronic rheumatism. ▶ Tetanus was cured by the injection of the poison, though the patient was greatly prostrated thereby. ▶ Gonorrhœal rheumatism. ▶ General exhaustion, with numbness of extremities, vertigo, cold hands and feet, back of hands mottled. ▶ Purpura hæmorrhagica.

Incipient senile dementia, forgetful of figures, names and places, or he imagines himself surrounded by foes or hideous animals, antipathy to his family. ▶ Delirium of typhus and delirium tremens.

▶ Delirium; at night; with plaintive and feeble moans; with swollen face and besotted expression, pupils dilated, vision lost, asked frequently if it was not raining hard, though the night was calm and clear. ▶ Excitement and loquacity; E., for example, when reading Humboldt's lecture to naturalists in Berlin he was moved to tears. ▶ Ecstasy. ▶ Buoyancy. ▶ Anxiety; with restless heat. ▶ Apprehension. ▶ Dread of selecting remedies which is usually as agreeable occupation. ▶ Peevishness and relaxation. ▶ Annoyed by the least noise. ▶ Depression. ▶ Melancholy was quickly changed into gay anticipations, then general dropsy. ▶ Misanthropic and indifferent mood, with sudden weakness, headache, heartache and excessive diarrhœa. ▶ Indifference, seems only half alive. ▶ Indolence and dullness, so that he cannot express himself properly. ▶ Inability to think, comprehend or remember distinctly. ▶ Mistakes in writing inability to spell correctly; though thinking of the proper letters. ▶ Memory weak. ▶ Speech confused. ▶ Answers disconnected, skin cold, pulse rapid; incoherent answers. ▶ Senses lost.

Continue in Allen 56 more passages →

It produces a general disorganization of the blood, with hæmatogenous jaundice, hæmorrhages, etc.

Bleeding from all orifices; suddenly from eyes, ears, nose, gums and beneath nails.
Swelling of the whole body, especially of the head.
Extreme exhaustion; fatigue from the slightest effort; muscles seem to refuse to act.
Weakness and trembling as from apprehension.

Delirium, especially at night.
Loquacious delirium, with desire to escape.
Connected thought difficult, with cold skin and rapid pulse.
Memory weak.

Dull aching, extending into the eyes, or even into the teeth, sometimes with vertigo and nausea on moving.
Dull frontal headache, with nausea and even vomiting.
Pain in the occiput as from a blow, < lying down.

Clinical:
Vertigo, with faintness and weakness.
Occipital headache recurring several times a day.
Has relieved the extreme headache in diphtheria and frequent headache in dysmenorrhœa.
Soreness of back of head; everything looks yellow; aching in liver, numbness of extremities and coldness; skin dark.
Cerebro-spinal meningitis, with red tongue, nose-bleed, delirium, offensive, bloody stools, offensive breath, etc.
It is useful for the dull headache which precedes an attack of uræmic coma.

Yellow color of the conjunctiva.
Vision dim, especially for distant objects.
Aqueous humor cloudy, with dim vision.

Clinical:
Ciliary neuralgia as from a cut around the eye; pain tearing, boring; photophobia, especially felt at the menstrual period.
Hæmorrhage in the retina, especially in Bright's disease.
Keratitis, cutting pains around eyes, swollen lids; especial aggravation at the menstrual period.

Clinical:
Otorrhœa after scarlatina, offensive and bloody, with deafness.

Color yellow or leaden, sometimes with pale flushes.
Lower part of the face swollen and puffy, with swelling of the submaxillary glands.

Bleeding of the gums, which are pallid.
Tongue swollen.
Tongue red, sore, or yellowish-brown and dry in the centre; or very foul, with a red tip.
Tongue swollen and protruded.
Mouth fetid; feels foul and sticky on waking.
Salivation, with bloody or frothy saliva.

Clinical:
Grinding of teeth at night so terrible that the molars are broken; on waking, face distorted, drawn towards the left (in an epileptic family), with delayed, scanty menstruation.

Throat dry and swollen.
Extreme swelling of the fauces, which are dark red, associated with external swelling.

Clinical:
Diphtheria; fauces swollen and dark red; frightful headache.
Diphtheria, with oozing of blood from anus, mouth, etc.
Chronic spasm of œsophagus; cannot swallow any solid substance.
Hysterical spasms of œsophagus.

Unquenchable thirst.
Vomiting; stomach unable to retain the slightest food or drink.
Green vomiting.
Sticking pain in the pit of the stomach.
Intolerance of clothing about the stomach and hypochondria.

Clinical:
Bilious vomiting; inability to lie on right side, with dark green vomiting.
Vomiting of blood, with ulceration of stomach.
Gastritis in chronic alcoholism, with constant nausea and vomiting.
Atonic dyspepsia, with continual throbbing, occipital headache and trembling, fluttering feeling below the epigastrium towards the umbilicus; tongue very red, feels swollen.

Distention; hot and tender; can scarcely bear the clothes.
Pains in the region of the liver, with vomiting, etc.

Clinical:
Abdominal troubles, with extreme tenderness; cannot bear the touch of her clothes; perityphlitis, with high fever, great tenderness over the appendix, and hardness.
Jaundice, with hæmorrhage from the nose, dusky flushes of face, tenderness of the liver, dark, scanty urine, the result of a wasp sting on the upper lid.
The liver is painfully sore, with jaundice, sensitiveness of abdomen, etc.
Chronic hæmorrhage from the bowels, dark fluid, continual oozing, with great debility, faintness and depression of spirits.

Stools black like coffee grounds, offensive.
Diarrhœa, with nausea, thirst and anxiety; stools watery.

Clinical:
Diarrhœa during bilious, remittent and other adynamic fevers.
Dark fluid hæmorrhage with the stools; even oozing of blood when standing or walking, with debility and faintness.

Hæmorrhage.
Urine looks dark as in jaundice.

Clinical:
Inflamed kidney, dark bloody urine.
Hæmorrhage from the kidney after scarlet fever.
Hæmaturia with bronchitis.
Hæmaturia with disorganization of blood in low fevers.

Menstruation prolonged, preceded by pain in the head, accompanied by pains in the abdomen and back.

Clinical:
Dysmenorrhœa preceded by pain in uterine region, extending down thighs, which continued for two days during the flow; during the flow, aching in region of heart, extending through left arm, cold feet, etc.
Uterine hæmorrhage at the menopause, with faintness at the pit of the stomach, great prostration; blood dark and offensive.
Uterine hæmorrhage associated with malignant diseases.

Cough, with bloody expectoration.
Difficult respiration.

Clinical:
Whooping cough, with great debility, cardiac weakness, blueness of face; after the attack, gets its color slowly; or the face is puffy, nose-bleed, etc.

Palpitation, with a sensation as if the heart were tumbling about.
Heart's action feeble.
Pulse rapid, soft, scarcely perceptible, even tremulous.

Hands tremulous, swollen and insensible.
The lower extremities go to sleep very easily.
Rheumatic or neuralgic pains in the joints or fingers, with extreme weakness.

Yellow color of the whole body.
Hæmorrhages under the skin.
Enlarged lymphatics and glands, with inflammation, threatening to become gangrenous.
Vesicles become ulcers, surrounded with red areolæ.

Clinical:
Chilblains, especially when threatened with gangrene.
Felons.
Pustular eruptions about the wrists.
Petechial spots over the whole body, especially the lower extremities, with faintness, irregular action of heart, dizziness.
Erysipelas after vaccination, the pustule filled with dark lymph.
After vaccination, pustular eruptions on back of arm, across shoulders, over the breasts.
Lymphangitis and septicæmia from dissecting wounds.
Gangrenous inflammation of skin and cellular tissues.
Abscesses, pustules, boils, carbuncles, etc.
The parts look bluish and unhealthy, with great prostration, etc.
Erysipelatous inflammation following the bites of insects.

Clinical:
Malignant fevers of a hæmorrhagic or putrescent character.
Malignant scarlet fever, with weakness, tremulousness, torpor, unconsciousness, vomiting and oozing of blood from gangrenous fauces, sighing, intermittent respiration.
Hæmorrhagic measles.
Malignant, remittent fevers of the South; eyes sunken, tongue dry, nausea, black, pasty stools, prostration; also yellow face, pain in liver, bloody evacuations, hepatized lung; also dry, cracked, brown tongue, cold, clammy sweat, skin yellow, urine dark.
Yellow fever, with vertigo, general pains, tenderness of liver, swollen parotids, nose-bleed, dusky face, hands nearly black, dry tongue, black urine, or dark, bloody stools, often involuntary, tendency to collapse, suppression of urine, etc.

Indicated in low septic conditions, with expressions of general physical depravity; disorganization of the blood, refusing to form clots; jaundice with great prostration. Most useful in all fevers of a malignant type, as yellow fever, malignant scarlet fever, haemorrhagic measles, malarial fevers of tropical countries. Also in typhus, cerebro-spinal meningitis, diphtheria with oozing of blood from the orifices (mouth and anus); ulcerations of the stomach; jaundice with dark, scanty urine and oozing of blood from the rectum; haemorrhage from the kidneys after scarlet fever.

Mind clouded; face swollen, besotted; anxious, apprehensive; speech confused; answers disconnectedly; skin cold; pulse thready.

Tongue dry, cracked brown in the middle, bright red on the edges.

Skin sallow, yellow, jaundiced; boils and carbuncles, with purplish areola; skin blackish, mottled all over; haemorrhagic.

Eyes yellow, sensitive to artificial light; vision dim.

Occipital headache, with vertigo; soreness in the back of the head.

Dryness of lips and throat, without thirst.

Urine dark, bloody, albuminous.

Sticking pain in the stomach, with sense of pressure and intolerance of anything tight (clothing) about the stomach or hypochondria.

Weight, faintness and sinking at the epigastrium, with inability to retain anything in the stomach; vomiting of bile.

Abdomen swollen; very sensitive to pressure and touch.