Helleborus Niger hell.

MIND. BRAIN. Sensorium. Nerves; motor; sensory. Membranes: Serous. Mucous. Kidneys. Muscles. Exudations.

Cold air. Puberty. Dentition. Suppressions. Exertion. Evening (4-8 P.M.).

Strong attention.

A dark, dusky remedy; dark face; sooty nostrils; dark lips, hands, etc. Serous effusions. Gradual onset, with advancing weakness, blunted senses and sluggish responses; drops things, staggers, etc. Automatic acts. Lies on back with knees drawn up. Muscle pains, spasm or paralysis. Feeble and delicate.

Inattention. Stupid, obtuse or apathetic. Brain symptoms, with anorexia. Blank, somber despair. Won't eat or speak. Fixed ideas. Things look new. Heavy, numbing headache. Rolls head or bores it into pillow for relief. Congestion. Hydrocephalus. Stupid, staring or tired look. Eyes half open. Pale face. Chewing motions. Fetor oris. Numb, dry, trembling tongue or covered with yellow ulcers. Ptyalism. Averse to vegetables. Distended abdomen. Watery or gelatinous stool. Urine, scanty, with dark flecks or sediment; retained. Nephritis. Uræmia. Dropsy. Amenorrhœa from cold. Small, soft pulse. Sopor; with cries or starts. Coldness. Chill, with fever or heat; with sweat.

Complementary: Zin. Related: Bry. Op. Zin.

Weakly, delicate,, psoric children; prone to brain troubles (Bell., Cal., Tub.); with serous effusion. Melancholy: woeful; despairing; silent; with anguish; after typhoid; in girls at puberty, or when menses fail to return after appearing. Irritable, easily angered; consolation < (Ign., Nat., Sep., Sil.); does not want to be disturbed (Gels., Nat.); Unconscious; stupid; answers slowly when questioned; a picture of acute idiocy (of chronic, Bar. c.). Brain symptoms during dentition (Bell., Pod.); threatening effusion (Apis., Tub.). Meningitis: acute, cerebro-spinal, tubercular, with exudation; paralysis more or less complete; with the cri encephalique. Vacant, thoughtless staring; eyes wide open; insensible to light; pupils dilated, or alternately contracted and dilated. Soporous sleep, with screams, shrieks, starts. Hydrocephalus, post-scarlatinal or tubercular which develops rapidly (Apis, Sulph., Tub.); automatic motion of one arm and leg. Convulsions with extreme coldness of body, except head or occiput, which may be hot (Arn.). Greedily swallows cold water; bites spoon, but remains unconscious. Chewing motion of the mouth; corners of mouth sore, cracked; nostrils dirty and sooty, dry. Constantly picking his lips, clothes, or boring into his nose with the finger (while perfectly conscious, Arum.). Boring head into pillow: rolling from side to side; beating head with hands. Diarrhoea: during acute hydrocephalus, dentition, pregnancy; watery; clear, tenacious, colorless, mucus; white, jelly-like mucus; like frog spawn; involuntary. Urine: red, black, scanty, coffee-ground sediment; suppressed in brain troubles and dropsy; albuminous. Dropsy: of brain, chest, abdomen; after scarlatina, intermittents; with fever, debility, suppressed urine; from suppressed exanthemata (Apis, Zinc.).

Compare: Apis, Apos., Ars., Bell., Bry., Dig., Lach., Sulph., Tab., Zinc. in brain or meningeal affections.

In dropsical affections; dropsy of outer parts and of inner parts; which are usually white, turn red. Absence of thirst in all complaints; chilliness, heat, perspiration, without thirst. Discharge of urine too scanty; urine with dark sediment like coffee grounds--top part is clear, but having this sediment. Nausea at the stomach; rumbling and rolling in the bowels; darting in the joints, also in the bones; prickling in the bones; heat with shuddering.

In the evening; in cold air.

In the warm air.

Bellad., Bryon., China, Lycop., Pulsat., Nux vom., Phosphor., Sulphur.

China.

Stools consisting solely of clear, tenacious, colourless mucus. Dropsical affections of the brain, especially after scarlatina, or summer complaint, or during dentition. Constant chewing motion of the jaws, grind the teeth. Loss of control of the mind over the body, must strongly concentrate the mind on what he is doing or the muscles do not act properly.

Snow-rose (HELLEBORUS)

Produces a condition of sensorial depression. Sees, hears, tastes imperfectly, and general muscular weakness, which may go on to complete paralysis, accompanied by dropsical effusions. Hence, a remedy in low states of vitality and serious disease. Characteristic aggravation from 4 to 8 pm (Lycop). Sinking sensation. State of effusion in hydrocephalus. Mania of a melancholy type.

Slow in answering. Thoughtless; staring. Involuntary sighing. Complete unconsciousness. Picks lips and clothes.

Forehead wrinkled in folds. Cold sweat. Stupefying headache. Rolls head day and night; moaning, sudden screams. Bores head into pillow; beats it with hands. Dull pain in occiput, with sensation of water swashing inside. Headache culminates in vomiting.

Eyeballs turn upwards; squinting, vacant look. Pupils dilated. Eyes wide open, sunken. Night-blindness.

Dirty, dry nostrils. Rubs nose. Smell diminished. Nose pointed.

Pale, sunken. Cold sweat. Wrinkled. Neuralgia on left side; parts so tender he cannot chew.

Horrible smell from mouth. Lips dry and cracked. Tongue red and dry. Falling of lower jaw. Meaningless picking of lips. Grinding of teeth. Chewing motion. Greedily swallows cold water, though unconscious. Child nurses greedily, with disgust for food. Ptyalism, with sore corners of mouth.

Gurgling, as if bowels were full of water. Swollen, painful to touch.

Jelly-like, white mucus; involuntary.

Suppressed; scanty, dark; coffee-grounds sediment. Frequent urging. Child cannot urinate. Bladder overdistended.

Frequent sighing. Respiration irregular. Chest constricted; gasps for breath. Hydrothorax (Merc sulph).

Automatic motion of one arm and leg. Limbs heavy and painful. Stretching of limbs. Thumb drawn into palm (Cupr). Vesicular eruption between fingers and toes.

Sudden screams in sleep. Soporous sleep. Cri encephalique. Cannot be fully aroused.

Pale, dropsical, itching. Livid spots on skin. Sudden, watery, swelling of skin. Falling off of hair and nails. Angio-neurotic œdema.

Worse, from evening until morning, from uncovering.

(Hellebor fætidus, or, Polymnia-Bear's foot--Acts especially on spleen (Ceanothus); also rectum and sciatic nerve. Splenic pains extend to scapula, neck and head, worse left side and evening; chronic ague cake; hypertrophied uterus; glandular enlargements; hair and nails falling off; skin peeling). Hellebor orientalis (salivation).

Antidote: Camphor; Cinch.

Compare: Threatening effusion; Tuberc; Apis; Zinc; Opium; Cinch; Cicuta; Iodoform.

Tincture, to third potency.

Another remedy of not very wide range, so far as we have any clinical knowledge, but so far so we do know is invaluable.

We know of its use in the advanced stage of serious brain troubles, such as meningitis or any trouble of the brain where is threatened effusion, or effusion already present.

Symptoms: Head rolling from side to side on the pillow, with screams; great stupidity or soporous sleep; greedy drinking of water: wrinkled forehead with cold sweat; motion of jaws, as chewing something; dilated pupils, and often cannot be made to see or hear, or be made to sense anything at all; continual motion of one arm and leg, while the other lies as if paralyzed; urine scanty or entirely suppressed, sometimes sediment like coffee grounds. These symptoms indicate a desperate condition, and the patient will soon die comatose or in convulsions unless the proper remedy can be found.

Helleborus niger can often cure such cases, as I have often observed, not only in my own practice, but in that of others. I have sometimes observed that the first sign of improvement in such cases was a decided increase in the urine, and following it a general subsidence of all the other bad symptoms. I have used it with most prompt and satisfactory results in the 1000th (B. & T.) and 33m. (Fincke's) potencies.

Helleborus is also an excellent remedy in post-scarlatinal dropsies, which come on very rapidly. Here the coffee-grounds sediment may or may not be present. The choice is sometimes not easy between this remedy and Apis mellifica.

Silent melancholy, with great anguish, much moaning, thoughtless staring and inability to think. Home-sickness. Sadness, despair of his life. Dulness of the internal senses. Diminished power of the mind over the body ; the muscles do not act properly, if the will is not strongly fixed upon their action ; if he talks he lets fall what he holds in the hand. Weakness of memory.

Giddiness on stooping. Stupefying headache, with coryza (4 to 8 P.M.) ; worse from stooping, relieved at rest and in the open air. Pressing headache from outward to inward, with stupefaction and heaviness of the head ; worse on moving the head, from exertion ; better in the open air and from distraction of the mind. Inflammation of the brain, with stupefaction ; heat and heaviness of the head ; boring with the head in the pillows, with chilliness of the whole body ; coldness of the fingers ; worse from thinking of the pain. Hydrocephalus with stupefaction ; stupor ; or boring with the head in the pillows ; coldness of the body ; aggravated from stooping. Sensation of soreness of the head, as if bruised, especially in the back part of the head, with stupefaction worse on stooping. Burning heat in the head, with paleness of the face. Boring with the head in the pillows, with the sensation as if the scalp on the occiput were pulled down tight. Falling off of the hair (on the head and on the whole body), with pricking pain on the scalp, especially on the occiput, with pale, dropsical swelling of the face and body. Humid scurf on the scalp.

Inclination to stare. Photophobia without inflammation. Sensation as if the eyelids were pressed down. Pupils dilated. Twitching in the levatores palpebrarum and the cheeks, with heat in the face.

Pale-yellowish color of the face. Œdematous pale swelling of the face. The forehead is full of wrinkles. Soreness of the corners of the mouth, with continuous flow of saliva. White blisters (vesicles) on the swollen lips. The upper lip is cracked. Dull pain in the right malar bone.

In the evening and at night pricking toothache in the molars ; can bear neither cold nor heat. Vesicles in the mouth and on the tongue. Ptyalism, with soreness of the corners of the mouth. Aphthæ in the mouth. Swelling of the tongue. Pimple on the tip of the tongue, painfully stinging when touched. Insensibility and numbness of the tongue. Dry, white tongue (in the morning).

Nausea, sensation of hunger with repugnance to food. Vomiting of green-blackish substances, with colic. Fulness and distention of the pit of the stomach. Burning and scraping in the stomach. Painfulness of the stomach when coughing and walking. Gurgling in the bowels, as if full of water. Distention of the abdomen (Ascites). Sensation of coldness in the abdomen.

White, jelly-like stool, with tenesmus. Frequent watery stools. Stools consisting of pure, tenacious, white mucus. After an evacuation, burning hot smarting at the anus.

Frequent desire to urinate, emitting but a small quantity. Dark urine, feeble stream. A large quantity of pale, watery urine is emitted.

Suppressed sexual desire.

Suffocative attacks, as from constriction of the lungs. Constriction of the throat, nose, chest. Hydrothorax. Dry cough while smoking tobacco.

Stiffness of the cervical muscles as far as the occiput. Swelling of the cervical glands.

Upper. Boring-sticking pain in the wrist and finger-joints. Humid, painless vesicles between the fingers. Ulceration around the nails. Lower. Stiffness of the hip and knee-joints. Pricking pain in the left hip. Boring-stinging in the knee and foot-joints. Humid, painless vesicles between the toes.

Stupor, sopor. Lies in a stupor, with the eyes half open and with the pupils turned upward. Confused, anxious dreams, which cannot be recollected.

Sudden relaxation of all the muscles. The muscles refuse their services, if not governed by strong attention and will. Convulsive twitching of the muscles (during sleep). Stinging-boring pains in the coverings of the bones ; worse in the cool air.

Pulse, small, slow, almost imperceptible. Chilliness predominates during the day, as long as he remains out of bed, with heat of the face and drowsiness. Chill with goose-flesh and pain in the joints. The chill begins and spreads from the arms. After lying down in bed, the heat comes on immediately, generally accompanied by perspiration. In the evening, in bed, burning heat over the whole body, with internal chilliness and aversion to drink ; when attempting to drink, very little can be taken at a time. Heat followed by chill, with colic. Perspiration while in bed with the heat ; worse towards morning. Cold, at times clammy perspiration.

Pale color of the skin. Sudden dropsical swelling of the skin ; Anasarca. The hair and nails fall off. Desquamation all over the body.

The pains (pricking, tearing, pressing) run across the parts. Aggravation, in the evening (4 P.M.), in the cold air, and from bodily exertion. Amelioration in the warm air. In the open air he feels better, with the sensation as if he had been sick for a long time.

Black Hellebore. Christmas Rose. N. O. Ranunculaceæ. Tincture of dry powdered root. Juice of fresh root mixed with equal parts of alcohol.

Albuminuria. Amenorrhœa. Aphthæ. Apoplexy. Cholera. Concussion. Convulsions. Cystitis. Depression of spirits . Diarrhœa. Dropsy . Epilepsy. Headache . Hernia. Home-sickness. Hydrocele. Hydrocephalus . Kidneys, congestion of. Melancholia. Meningitis . Night-blindness. Puerperal convulsions. Scarlatina. Tetanus. Typhoid fever. Ulcers. Wounds.

Black Hellebore was one of the drugs used to produce the "Helleborism of the ancients," the subject of Hahnemann's famous essay; but the drug most commonly employed was the While Hellebore , or Veratrum album , which belongs to another family, the Melanthaceæ. "Black" hellebore receives its name from the external colour of its root; the root of Ver. alb . is extremely white. Teste quotes Hahnemann as saying: "I conclude from various observations that one of the first effects of Black Hellebore is a kind of stupor, a dulness of the sensorium commune , a condition where, with sight unimpaired, nothing is seen very fully, and the patient does not pay any attention to anything; with the hearing perfectly sound, nothing is heard distinctly; with perfectly constituted gustatory organs, everything seems to have lost its taste; where the mind is often or always without ideas; where the past is forgotten or little remembered; where nothing gives one any pleasure; where one's sleep is very light, and a really sound, refreshing sleep is not to be had; and where one desires to work without having the necessary strength or attention required for it." Teste groups Hell. n. in the Chamomilla class, with Gratiola and Viola tric ., all of which cause "a particular derangement of the cerebral functions and even of the whole nervous system; a painful increase of the sentient action, followed by a considerable depression of the vital forces, and a certain disorder of the mental faculties." He cured with Hell. n . a case of epilepsy in a little girl five weeks old after the failure of Cham . Cham . was given to the nurse, Hell. n . directly to the patient. The history was this: The child, which was well formed, was constipated from the day of birth. The mother, twenty-eight, dark, robust, but of irritable temperament, laid the child's sickness to a fear she had had towards the end of her pregnancy. This may have been the case, but the lady had lost a boy in convulsions, precisely similar, the previous year. The little girl had every day five or six paroxysms, each lasting from one to three minutes, and almost always followed by sleep. There was sudden inability of the body, without any marked stiffness; head slightly thrown back; repeated oscillations of tongue from right to left, the tongue being slightly protruded from the mouth. Staring look, convulsive rolling upward of eyes when the paroxysms were very violent; a few acute cries followed by drowsiness, when the spasm was near its end. During the paroxysm the child remained so perfectly sensible that a slight shock, as the shutting of a door, arrested the paroxysms at once, and then shortened them a good deal. Hell. n . cured in two or three days. From a purely nervous derangement of this kind, the action of Hell. n . goes on to actual inflammatory states of the brain and its meninges. The drowsiness so prominent in Teste's case is a leading note of the conditions of meningitis and fever to which the drug is homeopathic. Such a condition is found when effusion has taken place from the inflamed membranes, and here the ancient reputation of Hell. n . in dropsical conditions is confirmed. The forehead is wrinkled; there are automatic movements of one arm and leg, whilst the other is paralysed; the head rolls from side to side with screams; greedy drinking of water; chewing motion of jaws; urine scanty or entirely suppressed, sometimes with sediment like coffee grounds. This condition of urine is an indication for Hell. n . in many states, and a sign of the favourable action of the remedy is, as Nash points out, an increase in the amount of flow. In post-scarlatinal dropsy with these indications it is of great service. It has cured concussion of the brain resulting from a blow on the head after Arn . had failed. In this case one pupil was larger than the other; the patient was drowsy, answered questions slowly; one leg dragged on walking. In fever there is sooty appearance of nostrils; dry, yellow tongue with red edges; breath horribly offensive; drinks roll audibly into stomach; fever < 4 to 8 p.m.; face pale, almost cold; pulse faint, imperceptible; picks clothes and lips. Guernsey sums up the remedy thus: "In dropsical affections; dropsy of outer parts and of inner parts; parts which are usually white turn red; absence of thirst in all complaints; chilliness, heat, perspiration without thirst. Discharge of urine too scanty; urine with dark sediment like coffee grounds — top part is clear, but leaving this sediment. Nausea at the stomach; rumbling and rolling in the bowels; darting in the joints, also in the bones; heat with shuddering." In addition to the "absence of thirst" there is "drinks with avidity, bites spoon, but remains unconscious," and "Thirst with disgust for drink," as there is also "Hunger: child nurses greedily with disgust for food." Hunger, yet food is repulsive though it tastes natural. The hungry, nauseated, uneasy sensation at the epigastrium showing its profound action on the solar ganglion. Cooper, who has studied the Hellebores very closely, says that they produce the "sinking sensation" more intensely than any other drugs. The Winter Aconite ( Eranthis hyemalis ), a close ally of Hell. n ., "acts on the solar plexus and works upwards, causing dyspnœa." He quotes ( H. W ., xxx. 210) from Flora Historica an interesting account of how French prisoners of war at Norman-cross were suffering from an epidemic of night-blindness (nyctalopia), when for lack of snuff they took to using powdered Black Hellebore , with the result that they were cured of their blindness in a few days. Among the dropsies cured may be mentioned hydrocele from suppressed eruptions. The old use of Helleb . as an application to ulcers seems to have depended on its property of draining the tissues. In the pathogenesis of Hell. fœt . is a symptom bearing on this profuse discharge from ulcerated surface." Cooper has cured ulcers with dropsical conditions with Hell. n . and Hell. v . given internally. The headaches of Hell. n . are stupefying; sensation as though contents of head were bulging at forehead and eyes; shocks pass through the brain like electricity; boring and shaking in forehead and occiput; bruised pain; heat in brain. Pains in occiput and nape of neck I have frequently cured with Hell. n .; also headache which the patient can only describe as a "stupid headache." There is vomiting and purging as with the other Hellebores, the vomit is apt to be green and the stools jelly-like. The pulse is slow and feeble, the respiration is slow and the temperature low. Torpidity and apathy run through the remedy. In this it approaches Opium . Apoplexy followed by idiocy. The symptoms are < 4 to 8 p.m., and in the evening and night (sees spirits; rolls head; dry cough; night-blindness); < in cool air; from uncovering; > in warm air; by wrapping up. < From exertion from motion; from stooping; breathing easier when lying down lying perfectly quiet > pains in head. Touch < . < When thinking of ailment; > when mind is diverted.

Continue in Clarke 26 more passages →

Total unconsciousness.
Weak memory.
When questioned answers slowly ; stupefaction bordering on insensibility.
Diminished power of mind over body ; cannot fix ideas ; slow in answering, stares unintelligently ; muscles do not act properly if will is not strongly fixed upon their action, as when spoken to, the attention being thereby diverted, she drops
things.
A perfect picture of acute idiocy.
Idiocy and cretinismus.
Dull, says nothing.
Delirium.
Mania demonic ; sees evil spirits at night.
Mania of a melancholy type, with fixed ideas.
Psychical conditions occupying a place between melancholia and mania, and in conditions where true depression and weakness is present, in which the patient is governed by a fixed idea.
An old woman having been accused of theft by the women around, took it so much to heart that she hanged herself. This suicide produced a profound effect upon the women of the village. One after another accused herself of having caused the death of the old woman
by their insinuations ; they wept and howled, ran about day and night wringing their hands and despairing of salvation on account of their sin ; they became quite irrepressible and deranged. In this way twenty-four or twenty-five women were affected, every fresh case being followed
by another. θ Hysterical mania.
Thoughtless staring.
Stares at her surroundings in a strange, stupid manner, and, if questioned, stares in the same way at one, or glances wildly about grasping her head ; when walking reels about, allowing her head to hang ; the sensorial apathy and constant staring at
one spot alternates occasionally with unintelligible muttering ; constipation. θ Melancholia after typhoid.
Constantly picking his lips and clothes.
Much lamenting, moaning.
Involuntary sighing.
Frequent screams in meningitis, or hydrocephalus.
Tries to escape, to throw herself into the river.
After typhoid, great mental dejection and apathy ; dull and indifferent to all external impressions ; will not speak ; sits quietly in bed and seems lost in brooding ; face pale, disturbed ; languid, unsteady glance of eye ; pupils dilated ;
pulse slow and weak ; will take proffered food but never expresses desire for anything ; sleep infrequent, restless ; constantly seeks to escape, but is not violent ; without a word quietly climbs out of window, and if she succeeds in escaping, goes in direction of
river ; finally threw herself into privy, from which she was rescued.
Stubborn silence.
Excessive anxiety and anguish.
Restless and anxious.
Dread of dying ; feels unhappy in presence of cheerful faces.
Melancholia in girls at puberty before menstruation has been established, or if menses have appeared and then failed to return.
Melancholy : silent ; during puberty ; with anguish.
Homesickness.
Woeful, despairing mood.
Indifferent.
Irritable ; easily made angry ; < from consolation, does not want to be disturbed.
A noise or shock shortens the attack. θ Eclampsia.
Thinking about symptoms lessens them.

Confusion of head, as if bruised, with fluent coryza.
Vertigo : with nausea, watery vomit and loose bowels ; while stooping, ceasing when becoming erect.
Dull and heavy in head.
Brain feels too large and occiput empty ; afterwards reverse in forehead ; occiput feels as if it would fall forward ; wants to lie down and roll head from side to side ; feels helpless as an infant.
Sensorial apathy.
Stupefied ; head hot, heavy ; boring head in pillows, chilly ; fingers cold.
Stupor, blunting of general sensibility ; vision unimpaired, nevertheless sees imperfectly and does not regard the objects he sees ; apparatus of hearing intact, yet hears nothing distinctly nor comprehends ; organs of taste in working order, yet
finds not the proper taste in anything ; often distraught, hardly remembers the past or what has just happened ; has no pleasure in anything ; slumber light and unrefreshing ; undertakes to work without having the power or strength.
All perceptions by the senses grow but slowly or not at all conscious. θ Typhoid fever.
Obtuseness of sensory nervous system. θ Brain disease in children.
Thorough unconsciousness ; all impressions on senses and all expressions of will wanting ; heart beat and pulse very slow ; skin only moderately warm ; bowels inactive ; involuntary micturition ; difficult swallowing ; constantly picking his lips and
clothes.
Sopor and coma.

Continue in Hering 43 more passages →

Brain and mind: in all the complaints of Helleborus stupefaction occurs in greater or less degree. Sometimes it is a complete stupor, sometimes a partial stupor, but it is always stupefaction and sluggishness.

Hellebore is useful in affections of the brain, spinal cord, the general nervous system and mind, but especially in acute inflammatory diseases of the brain and spinal cord and their membranes, and in troubles bordering on insanity. There is a peculiar kind of imbecility or stupefaction of the body and mind.

The extreme state is unconsciousness. Complete unconsciousness in connection with cerebral congestion, or inflammation which has gone on to hydrocephalus, cerebro-spinal meningitis, or inflammation of the brain, with stupefaction.

Even early in the disease Hellebore lacks the wildness and acute delirium found is Stramonium and Belladonna. It is passive. Again, it fits in after the wildness of the delirium has passed away and, the patient has settled down into a state of stupefaction. The patient lies upon the back, eyes partly open, rolling the head, mouth open, tongue dry, eyes lusterless, staring into space. Staring at the individual talking. Waiting a long time to answer, or not answering at all.

Violent attacks of brain trouble frequently come to a sudden end, but those that are more passive linger, and that is where Hellebore comes in. The Hellebore case will linger for weeks and sometimes months in this state of stupefaction, gradually emaciating.

He lies upon the back with the limbs drawn up; he looks pale and sickly. When questioned he answers slowly. The text says:

"Stupefaction bordering on insensibility."

Another common expression is:

"Diminished power of the mind over the body."

The muscles will not act; they will not obey the will. It is a sort of paralytic state, but "stupefaction" expresses it. Cannot project ideas; cannot rivet the attention, cannot concentrate the mind. The patient appears semi-idiotic.

Delirium is not common, and when present it is muttering. There is more stupefaction, more "do nothing," more "say nothing," than delirium.

Yet there is evidently confusion of mind; he cannot think. In many instances, very late in the disease, the patient can be roused up, and he will act as if he were attempting to think, as if he were attempting to answer, attempting to move. But he simply stares at the doctor with eyes partly open, with a dazed expression on his face, and picks his finger ends.

When questioned the Hellebore patient is not able to tell you what he has in mind, unless considerably aroused and agitated. But when so aroused he will talk about spirits, or say that he sees devils. He sees in his imagination those images that he has read about, or seen pictured, as the devil, with horns and a tail. A young person who has never heard of the devil, or of spirits, would not have that form of hallucination in his delirium. The hallucinations are shaped in accordance with what he has been taught to imagine.

Hellebore has a peculiar quasi-hysterical condition - a form of insanity. She imagines she has sinned away her day of grace. Like Aurum, she believes that she is doing wrong, that she is committing an unpardonable sin. That is as near as the remedy approaches to insanity,

"An old woman having been accused of theft by the women around took it so much to heart that she hanged herself. This suicide produced such an effect on the women of the village that one after another accused herself of having caused the death of the old woman."

The most striking type in Hellebore is the sick child. It comes in especially in children between two and ten years of age. The staring -lying on the back and staring with half-closed eyes, is typical of the remedy. Sometimes the lips move without any sound. The lips move as if the child wishes to say something, but on further questioning the words he wished to speak are lost, forgotten.

In hydrocephalus there is a sharp scream, the brain cry. The child will cry out in sleep. He will carry the hand to the head and shriek, like Apis. But the Apis hydrocephalus is far more active and acute.

The Apis patient kicks the covers off; this patient does not mind the covers, he does not mind anything. He is not easily disturbed. He lies upon his back with the limbs drawn up; often making automatic motions with the arms and legs. Sometimes one side is paralyzed, but the other keeps up automatic motions.

Hellebore is useful in the low form of disease known as "apathetic typhoid." These same symptoms guide to the remedy. Indifferent to all external impressions.

Rarely much disturbed by being touched, or by being covered too warmly, or by not being covered at all.

He does not seem to be sensitive to heat, or cold, or pricking, or handling or pinching. Listlessness. What is called in the text "stubborn silence" is more an apathetic silence, an inability to speak. It appears as if he refused to answer, but he does not; he does not know how to answer; he cannot think.

Fixed ideas in persons who are said to be just a little "off their balance," a little queer. And that fixed idea will stay; there is no use trying to argue him out of it. The woman gets a fixed idea that she is going to die on a certain day, and nothing can get it out of her head. This is not like Aconit, because there is no fear of death.

Aconite has fear of death and fixes the time of death. Fixed idea that she has committed some sin, which she will at times name and describe, or perhaps only mention vaguely - but it is very real to her,

When able to be about the patient appears to be sad, because she sits and says nothing, and seems to be in a woeful mood. But there is not that great lamentation, with walking the floor and wringing the hands that we find in Aurum.

It is an apathetic state; she appears sad and melancholy, whereas perhaps she does little thinking. Any attempt at consolation, so long as the patient is able to think, only aggravates the trouble. Like Natrum muriaticum, the complaints are aggravated by consolation, but the complaints of Natrum muriaticum are not at all like these.

If the Hellebore patient is able to meditate upon his symptoms, they seem to grow better.

Sometimes there are convulsive motions in this remedy, but they are more likely to be automatic. Motions that seem to have nothing to do with the will. He simply makes motions, like one moving in an absent-minded state.

The Helleborus patient is benumbed everywhere. The whole sensorium is in a benumbed state, a stupefaction, a blunting of general sensibility. The text says:

"Vision unimpaired."

Nevertheless he sees imperfectly; he does not regard the object his gaze is fixed upon; that is, his range of vision appears to be correct, yet if questioned a little as to what be saw, he has no recollection of it; it has made no impression upon his memory or his mind.

Vertigo, with nausea and vomiting. Vertigo from stooping. With the general stupefaction the head rolls and tosses. The child lies upon the back and rolls the head from side to side. The eyes are partly open, arid he keeps boring the back of the head into the pillow. This is partly unconscious and partly to relieve the drawing in the muscles of the back of the neck. These muscles keep shortening, as the disease progresses, just as they do in cerebro-spinal meningitis; until the head is drawn back as far as it can go.

There is burning heat in the head; shooting pains; pressive pains in the head from congestion. Violent occipital headache. Dull aching in the occiput; benumbed feeling in the occiput. A feeling like wood fullness, congestion and pressure.

The headaches, the motions of the head and the appearance of the face are those occurring in congestion of the brain. I have seen children, after passing through a moderately acute but rather passive first stage, lie in this stupid state, needing Hellebore for weeks before they received it.

When it was given repair set in; not instantly, but gradually. The remedy acts slowly in these slow, stubborn, stupid cases of brain and spinal trouble. Some. times there is no apparent change until the day after the remedy is administered or even the next night, when there comes a sweat, a diarrhea, or vomiting - a reaction.

They must not be interfered with no remedy must be given. They are signs of reaction. If the child has vitality enough to recover, he will now recover. If the vomiting is stopped by any remedy that will stop it, the Hellebore will be antidoted. Let the vomiting or the diarrhoea or the sweat alone, and it will pass away during the day.

The child will become warm, and in a few days will return to consciousness and then what will take place? just imagine these benumbed fingers and hands and limbs, this benumbed skin everywhere. What would be the most natural, thing to develop as evidence of the rousing up of this stupid child?, it is necessary for you to know this.

It is not really a part of the teaching of the homoeopathic Materia Medica, but you must know what to expect after giving this remedy.

It is a clinical observation which you will - see if you see Hellebore cases, and Zincum cases.

Zincum is, if possible, even more profound in its dreadful state of stupefaction than Hellebore. Well, that child's fingers will commence to tingle. As he comes back to his normal nervous condition, the fingers commence to tingle, the nose and ears tingle, and the child begins to scream and toss back and forth and roll about the bed. The neighbors will come in and say,

"I would send that doctor away unless he gives, something to help that child;" but just as sure as you do it you will have a dead baby in twenty-four hours. That child is getting well; let him alone. You will never be able to manage one of these cases if you do not take the father into a room by himself and tell him just how the case will proceed.

Do not take the mother; do not tell her a word about it, unless she is an unusually excellent mother, because that is her child, and she is sympathetic, and she will cry when she hears that child cry; she will lose her head and will insist upon the father turning you out of doors.

But you take the father aside beforehand and tell him what is going to happen; explain it to him so he will see it for himself; and tell him that if this is not permitted to go on, that if the remedy is interfered with, he will lose his child.

It is not so much the awful pains, but it is the itching, tingling and formication that cause the appearance of extreme agony. Sometimes in every part of the child's body it is a week before all these symptoms go away of themselves but they will go away, if left alone.

All this will make you nervous. Do not stay and watch the case too long, because if you do you will change the remedy. I never heard of one solitary cure like, these in the hands of an Old School doctor,

The face has a very sickly appearance; sunken, gradually emaciating. It has a sooty appearance, just as if soot had settled in the nostrils and in the corners of the eyes. You will say that the patient is going to die. Quite likely without Hellebore. The remedy fits the kind of cases that the allopath knows nothing about and has no remedy for.

His prognosis is always unfavorable. The face, of course, expresses the mental symptoms. Wrinkled forehead, bathed in cold sweat. Paleness of the face and heat of the head. Twitching, of the muscles of the face.

We find that knitting of the brow and wrinkling of the forehead in just this kind of brain trouble. We find a similar kind of wrinkling in Lycopodium, but the trouble is in the lungs. In this remedy the nostrils are dilated and sooty. Nor much flapping, but extremely dilated. The eyeballs are glassy and the lids sticky.

There is violent thirst in these fevers, and unusual canine hunger. The nausea and vomiting are nondescript. In the early part of the proving there are diarrhoea and dysentery; with copious white gelatinous stool; stool consisting solely of pale tenacious mucus. And then comes paralytic constipation, and these prostrated, emaciated brain cases, such as described, will lie for days without stool, or any action of the bowels.

After a day or two they will not even respond to injections. Little, hard, dry stool. Again, when reaction comes, it very commonly comes with a diarrhea, or a sweat, or vomiting; perhaps with all three of these conditions.

The urine is retained or suppressed; sometimes it dribbles away passes unconsciously. Urine passed in a feeble stream; bloody urine.

The patient lies on the back, with his limbs drawn up; or slides down in bed. Great debility; great relaxation; the muscles refuse to act. Convulsions of sucklings. Epilepsy with consciousness. Traumatic tetanus. Constant somnambulism cannot be roused to full consciousness. Soporous sleep.

Total unconsciousness.
Weak memory.
Diminished power of mind over body; cannot fix ideas; slow in answering, stares unintelligently; muscles do not act properly if the will is not strongly fixed upon their action; as when spoken to, the attention being thereby diverted, she drops things.
Dull says nothing.
Delirium.
Thoughtless staring.
Constantly picking his lips and clothes.
Much lamenting, moaning.
Involuntary sighing.
Frequent screams in meningitis, or hydrocephalus.
Tries to escape, to throw herself into the river.
Melancholy: silent during puberty; with anguish.
Homesickness.
Woful, despairing mood.
Indifferent.
Irritable; worse from consolation, does not want to be disturbed.
A noise or shock shortens the attacks. θ Eclampsia.
Thinking about the symptoms lessens them.

Vertigo: with nausea watery vomit and loose bowels; while stooping, ceasing when becoming erect.

Pressing headache, from within outwards; stupefaction; heavy head; worse from moving head, from exertion; better in the open air.
Stupefying headache, with coryza (4 to 8 P.M.); worse from stooping; better at rest and in the open air.
Shooting pains in the head. θ Dropsy after scarlatina.
Stupefied; head hot, heavy; boring head in the pillows, chilly; fingers cold.
Dropsy of the brain; post scarlatinal.
Burning heat in head; pale face.
Sensation in occiput, as from a blow.

Sore feeling as if bruised, worse in back part of head; worse on stooping.
Rolls head night and day, moaning.
Throws head back, and from side to side.
Hair falls off, with pricking on scalp, worse on the occiput; face and body œdematous.
Partial sweat on the scalp.
Humid scurf.

Photophobia, without inflammation.
Intensible to light. θ Hydrocephalus.
Pupils: Contracted; dilated alternately contracted and dilated.
Nyctalopia.
Eyeballs turned upwards, squinting.
Vacant look, pupils dilated, eyes wide open.
Eyeballs red, glassy.
Eyes sunken, blue edges.
Lids sticky, dry, sensation as if they were pressed down.
Loses hair, from the eyebrows.

Roaring and ringing in the ears.

Smell diminished.
Nostril look as if smoked, sooty.
Nose pointed; nostrils dirty, dry.
Frequent rubs the nose.
Sneezing.

Face: red, hot, but pale; pale, œdematous, distorted; pale, sunken, icy-cold; livid, with cold sweat.
Forehead or face wrinkled.
Stupid expression.
Left-sided neuralgia; parts so tender, cannot chew.

Constant chewing motion.
Corners of mouth sore; steady flow of saliva; upper lip cracked; lips dry, cracked.
White blisters on the swollen lips.
Lower jaw hangs down.

Grinds the teeth.
Toothache during the chill.

Taste bitter.
Tongue: dry; white, morning; dry and red in typhus; slightly protruded and oscillating; trembling; numb, insensible; swollen; full of vesicles; pimples on the tip.

Mouth dry, also palate, with cutting, scraping in palate on moving the mouth to swallow.
Mouth, gums and tongue full of flat, yellow ulcers, with elevated, grey edges; or red, swollen bases; carrion-like odor; salivation; aphthæ.

Hunger: child nurses greedily; with disgust for food.
Greedily swallows the cold water; bites the spoon, but remains unconscious. Hydrocephalus.
Thirst: with disgust for drink; but no appetite.

Nausea, cannot take food, though hungry.
Vomiting of greenish-black substances, with colic.

Intense burning into the œsophagus.
Fulness and distension of pit of stomach.
Pit of stomach sunken.
Pressing in region of stomach.
Stomach painful when coughing, or walking.

Griping, pinching about navel, followed by gelatinous stools.
Gurgling, as if bowels were full of water.
Abdomen swollen, distended, painful to touch.
Ascites: especially after scarlet fever; in scrofulous children.
Excessive colic, weakness, features sunken, face cold, pale, covered with a clammy sweat; pulse thready; thin diarrhœa.

Stools: loose, watery; of white mucus, jelly-like, with tenesmus; involuntary.
Feeling as if the intestines had no power to evacuate the feces, during soft stools.
Blennorrhœa of rectum, with spasms of the bladder.

Spasmodic urging, causing spasms; very little urine passes.
Bladder overdistended; retention of urine from atony of muscular coats.
Urging frequent, with scanty discharge.
After great pressure he passes, with much pain, a few drops of blood.
Passes blood and slime, with burning and stinging.
Suppressed urinary secretion, with dropsy.
Urine: scanty, dark, with floating, dark specks; like coffee-grounds; albuminous, scanty; profuse, passed in large quantities.

Desire suppressed; genitals relaxed; no erections.

Suppression of the menses; amenorrhœa from disappointed love.
Uterine dropsy.

Puerperal convulsions.

Voice weak, with hydrocephalus.

Sighing.
Chest constricted gasps from breath, with open mouth; propped up in bed. θ Hydrothorax.
Breathing difficult, with anxiety, worse every evening; must sit up.

Dry, worse at night, with gagging; dry, while smoking tobacco.
Tension in region of left short ribs, during cough.

Pulse: often slower than beating of heart; frequent, soft, intermittent in hydrocephalus; small, wiry, in hydrothorax; almost imperceptible.

Neck rigid in spotted fever.
Cervical muscles stiff.
Cervical glands swollen.
Cramp in spinal muscles. θ Hydrocephalus.
Severe pain down neck, in left side of face and in teeth.

Arms moving continually, automatically, except when asleep.
Thumb drawn in to the palm.
Boring sticking in wrist and finger-joints.
Ulceration around the nails.
Humid painless vesicles between fingers.

Pricking in the left hip.
Boring, stinging in knee and foot-joints.
Legs drawn up, with every attempt to change her position. θ Hydrocephalus.
Legs œdematous.
Humid painless vesicles between the toes.

Piercing in limbs, with uterine dropsy.

Slides down in bed. θ Typhoid.
Lies on the back limbs drawn up. θ Typhoid.
Worse from bodily exertion.
Motion: 40. Moving head: 3. Exertion: 3. Walking: 17. Getting out of bed: 40. Must sit up: 26. Erect: 2. Stooping: 2, 4. Lying down: 40.

Convulsive twitching of muscles.
Automatic motion of one arm and leg in hydrocephalus.
Convulsions: with extreme coldness; of sucklings.
Epilepsy, with consciousness, followed by deep sleep.
Sudden relaxation of muscles.
Great debility.

Drowsy, when left alone, he goes to sleep.
Constant somnolence; can be aroused, but not to full consciousness. θ Typhoid fever.
Soporous sleep, with shriek and starts.
Dreams: confused, anxious, cannot by remembered.
During sleep, muscles twitch.

Remission during the day.
Worse from evening until morning.
Evening: 26, 40. 4 to 8 P.M.: 3. Night: 27. Toward morning: 40. Night and day: 4.

Worse from uncovering; better in warm air, or wrapping up.
Feels better in open air; with sensation as after a long illness.
Cool air: 44. Open air: 3. Aversion to uncovering: 40.

Chill spreads from arms; gooseflesh, pains in joints; face hot; drowsy; worse after getting out of bed, and from motion.
Burning heat, followed by chill and colic.
Burning heat, with internal chilliness and aversion to drink; can drink but little at a time; evening in bed.
Heat or sweat, with aversion to uncover.
After lying down in bed, heat, generally with sweat.
Sweat: cold, clammy; sticky; less after sleep; relieves; towards morning, temperature unchanged.

Left: 27, 31, 33.

Pricking, tearing, pressing pains, running across affected parts.

Red parts become white; anæmia.
Loss of flesh; aphthæ.
Dropsy: of brain, chest or abdomen; suddenly swellings; anasarca; after scarlatina, nephritis, intermittents, etc.
Concomitants: debility, fever, pains in limbs, diarrhœa, suppressed urine.
Stinging-boring, in the periosteum: worse in cool air.

Touch: 19. Chewing: 8.

Itching unchanged by a scratching.
Skin: pale; yellow.
Livid spots on the skin.
Painless ulcers.
Skin peels off; hair and nails fall out.

During dentition, brain symptoms.
Weakly, scrofulous children.

Antidotes: Camphor, Cinchon.

A tincture is made of the dried root of Helleborus niger, L.

It produces a "bluntness of sensibility" of all the special senses; also occasionally convulsions. ▶ It first produces scanty urine and dropsical symptoms.

Puls., Colch., Apis.

Flesh feels soft. ▶ Convulsions; with coldness. ▶ Cramps and convulsive motions, with shooting in brain. ▶ General tremor. ▶ Unsteadiness in her action. ▶ Tearing sticking in several places at once, on upper arms, chest, back, etc. ▶ Sticking boring in coverings of bones; S. boring in various parts, agg. cold and exertion and after eating and drinking. ▶ Feeling after the fever as if he had been sick long in bed; feeling in open air as if he had been sick long, all objects seemed new. ▶ Soreness in flesh. ▶ (Distended sensation in swollen parts, with heaviness.). ▶ Could neither sit, stand nor lie, and constantly pointed to his heart. ▶ Feeling as if blood were poor and thin, listlessness. ▶ Necessity to stretch as soon as he opened his eyes in morning, then weariness and closure of lids. ▶ Weakness; in forenoon, with sleepiness and yawning. ▶ Sudden relaxation of all muscles, with falling to the ground, coldness of body, cold sweat on forehead, stammering, slow pulse and contracted pupils. ▶ Faintness. ▶ Aggravation in afternoon and evening. ▶ Amelioration in open air.

This drug seems to be useful in a general condition of want of reaction, a semi-paralytic state of the system.

The general mental condition characteristic of this drug is one of almost complete stupor; it is extremely difficult to arouse the patient (the Phos. ac. patient can be aroused easily). ▶ There seems to be great physical prostration, or at least loss of control of the mind over the body, possibly due to cerebral effusion (serous); this tendency to serous effusions is very marked in almost every part of the body, and in dropsical effusions everywhere Hell. is the remedy if the patient be stupid (Apis). ▶ Melancholia, fear of death, a kind of stupidity, unintelligible muttering, etc.

Delirium. ▶ Vivid fancies after lying down, a hundred forms float before his eyes, suddenly coming and going. ▶ Self-confidence. ▶ Happy carelessness about everything. ▶ Mirth alternating with melancholy, desire to laugh, then desire to weep. ▶ Anxiety; with restlessness, apprehension of misfortune; with indifference to joy or sorrow, contented with nothing. ▶ Restless, impatient, hopeful, feeling as if circulation were increased, could accomplish great deeds, fearless, feeling as if brain were boiling. ▶ Anger at trifles. ▶ Fretfulness. ▶ Despair about his own life. ▶ Sadness; on seeing a cheerful person; on account of his condition. ▶ Homesick. ▶ Do not wish to speak, dread company; do not wish any one to speak to me or look at me. ▶ Reflective, taciturn all the afternoon. ▶ Tranquil and desirous to lie down. ▶ (Irresolute.). ▶ (Dresses himself awkwardly.). ▶ Stupefaction, with slow answers (Phos.); S., with vertigo. ▶ Distraction when studying. ▶ Inability to reflect. ▶ Memory weak.

Continue in Allen 46 more passages →

Convulsions, with coldness.
Sudden relaxation of all the muscles; even with the greatest effort the muscles refuse to act; he staggers while walking, lets things fall while eating, etc.
Shooting, boring pains, apparently in the periosteum, < cold air.
The pains are usually transverse in their direction.
Symptoms gets worse towards evening.
General improvement in the open air, though he feels as though he had been long sick.

Stupefaction; answers slowly or not at all.
Frequently sits as if in deep thought, staring at one point.
His mind seems to have lost all control over his body.
The will seems to have no control, for example, over muscular movements.

Clinical:
Numerous symptoms of mental dullness, due to serous effusions.

Dull, painful confusion of the head; the brain feels too large.
Heaviness of the head, like a congestion, sometimes with burning heat in the head, though with pale face.
Pains in the head, pressing from without inward.
Severe pain in the occiput.

Clinical:
A child with symptoms of hydrocephalus bores its head into the pillow, is threatened with, or has, general convulsions and suppression of urine.

Pupils dilated, a feeling as if the eyes were pressed downward from above, and it were difficult to open them.

Face is pale, even with heat of the head, features distorted or sunken, with coldness, feeble pulse and cold sweat.

Tongue often dry, with general dryness of the mouth.
Aphthæ and blisters of the mouth and tongue.
Tongue seems swollen and numb.

Thirst; sometimes unnatural appetite; at times nausea and vomiting; or eructations.
Fullness and distention of the pit of the stomach.
Burning and biting in the stomach.
Painfulness of the stomach when coughing or stepping.

Distention; rumbling; colic.

Clinical:
Coldness in the abdomen.
Ascites.

Diarrhœa; consisting of clear, colorless mucus, almost like frog spawn; sometimes watery, or alternating with constipation.

Frequent urging to urinate, with scanty discharge.
Urine dark colored (sometimes suppressed).

Clinical:
Menses suppressed.

Cough sudden, constant hacking; < smoking.
Constriction of the chest so that he gasps for breath, but cannot inhale.

Heart's action weak; pulse rapid, small, tremulous, or sometimes slow.

Boring, sticking pains in the wrist and finger joints; also in the knee and ankle joints.
Vesicular eruptions between the fingers and toes.

Sudden dropsical swellings.
Desquamation over the whole body, even of the hair and nails.

Stupid sleepiness through the day; sleeps with half-open eyes, which are turned upward.
Numerous, confused, anxious dreams.

General coldness.
Coldness, without thirst, with heat of the head.
Chilliness, alternating with shooting pains in the limbs.
Heat mostly external, with internal shivering in the evening, without thirst.
Heat in the evening in bed and sweat all over.
After the fever passes he feels as though he had been sick a long time.

Clinical:
A low type of fever, with great apathy, offensive breath, feeble pulse, opium-like stupor, coldness and cold sweat.

Hell. / (2nd H.) / Negro.

Helleborus,-May arrest,
Dropsy of the brain and chest.
Sudden dropsy suits him best.
Fils with rolling eyes upturned,
Shrieks and twitches are discerned.
Greedy drinking-gagging-chewing,
Show the evil he is doing.
Which to mania, may press,
Palsy or paralysis.
In the urine red, abounds
Sediment like coffee grounds.
Or the scanty pot shows flecks,
As of black and floating specks.
Chills and heat in alternation,
Of his trend, give intimation.
Worse by thinking of the pain,
P. M.- 4 to 8 - the same.

The Negro,- Has Water on the Brain.

The Negro, Kid Bacil, is a dying baby.

This Negro,-Who is subject to rolling of the head,-Is at the Zoo, with Belle Apo, the poetess.

Dropsy on the Brain-Hydrocephalus: Hell., Kal. i., Bacil., Dig., Apis, Bell., Bry. (Chronic, Bacil., Kal. i., Cal. c., Sul., Mer., Sil.)

Rolling of the Head: Hell., ZN., Bell., Apo. c., Pod. (Automatic motion, Apo. c., Hell., ZN.)

Indicated in serious states where the vitality is very low and there is absolute lack of reaction; serous effusion in different parts of the boyd, especially cerebral effusion (tubercular meningitis, hydrocephalus, hydrothorax, dropsy from renal disease); in typhoid fever.

Motion of the jaws as if chewing something.

Wrinkled forehead, covered with cold sweat.

Urine scanty, looking like coffee grounds; suppressed.

Stupefaction; bluntness of sensibility; vision unimpaired, yet does not see; hearing all right, yet does not hear or comprehend; remembers nothing that has happened; has no interest in anything; sleeps lightly; has no will or strength to do anything.

Rolling of the head on the pillow, from sided to side; screaming.

Eye-balls turned upward; wide open; squinting.

Great thirst; drinks water greedily.

Fetid odor from the mouth; dropping of the lower jaw; picking of lips; ptyalism.

Gurgling in the abdomen, as though full of water.

Stools like jelly; involuntary.

Automatic motion of one arm and one leg.

Worse from evening until morning; from uncovering.

Blank despair. Stupefaction. Blunting of internal senses, like a sort of stupor. Mental obfuscation, with somnolency. Frequently he stares at one point as though' absorbed in though. A kind of diminished power of mind over body, just as soon as she ceases to exert her will power and attention, the muscles refuse to do their duty, i. e., if spoken to when drinking, she unconsciously drops the glass. Extraordinary anguish. Woeful melancholia mood. Hypochondriasis. Involuntary sighing. Homesickness.

Stupefying ache, with fluent coryza. Feels heavy and thick - headed. Dull ache and confusion in. Burning heat in, with a pale face. Inward pressure ache. Bruised pain of the internal and external vertex and occiput, with chaotic obfuscation therein. He bores the back of his head into the pillow or rolls it from side to side. Meningitis. Hydrocephalus. Worse: Thinking of the pain, steeping hard, stooping, waling, touch, motion, afternoon from 4 to 8. Better: open air, lying at rest, diverting attention.

The occipital scalp feels drawn tightly downward. Painful external occiput. Falling of hair, not from head only, but also whole body, with sticking, boring pains in scalp, more in occiput. Humid scurfs on.

Sensation as though' lids were pressed downward. Dilated pupils. Inclination to stare. Photophobia without perceptible inflammation of.

Pale, yellowish color. Pale, dropsical swelling of, and of rest of body. Wrinkled forehead. Upper lip cracked. White vesicle on the swelled lips. Excoriation of angles of mouth, from constant flow of saliva.

Sticking, tearing ache in molars in evening and at night in bed, which tolerates neither cold nor heat.

Vesicles and aphthae in, and on tongue. Dry palate. Extraordinarily profuse salivation. Swelling and numbness of tongue.

Fullness and distension of pit of. Burning and biting in. Painfulness within, when stepping hard or coughing.

Appetite: Great voraciousness. Loathing of fats and vegetables. Thirstlessness. Intense thirst.

Eructations: Empty.

Nausea: In stomach, with great ravenousness, but repugnance to food.

Distended. Pinching in navicular region. Ascites. Sense of coldness in.

Flatulence: Discharge of foul - smelling.

Frequent, watery. Gelatinous, mucous diarrhoea, with tenesmus.

Dark. Frequent urging, with scanty discharge. Feeble urinary stream.

Suppressed sexual desire

Difficult, as from hydrothorax. Suffocative attacks as from constriction of nose. Larynx and chest.

Dry, hacking, when smoking.

Boring, sticking in wrist and finger - joints. Vesicular eruption between fingers and toes. Panaritia

Stiffness of lip (hip and) knee joints. Boring sticking in knee and ankle joints. Humid eruption on feet.

Sudden relaxation of every muscle. the muscles refuse their service when not governed by strong attention, unconsciously he staggers when walking, lets his food fall when eating, etc. Sticking, boring pains in the periosteal, coverings worse in cool air. Convulsive twitchings in the muscles, especially during sleep. The pains (sticking, tearing and pressure) frequently move transversely across the parts. Symptoms are intensified in the house and toward evening. In the open air he feels better, with a sensation as though' he had been sick a long time, and were just recovering, especially after the fever. Restlessness. A dark remedy, there is a dark, duskiness about the face and the nostrils seem filled with dust or soot, the upper lip looks dusky, the hands look dark and evidences of imperfect oxidation of the blood are uppermost. On arm and hand are move up and down while the other lies motionless. Somber despair, mental stupefaction and ailments, accompanied by it. Stupid headaches, coryza etc.

Cervical glands swollen.

Pale color of. Sudden, dropsical swelling of, (anasarcatous). Hair and nails fall out. Desquamation of epidermis of entire body. Painful where it lies in close proximity to bones.

He lies in deep slumber. Great day sleepiness. Somnolency, eyes half open and turned upward.

Pulse: Generally small, slow and hardly perceptible. Chill: Predominates during day, as long as he is up, with heat of face. Alternating with pains in joints. Shaking, with goose flesh and pains in joints. And coldness of entire body, but with heat of head and not thirst. The shuddering proceeds from the arms. Heat: In evening and during day, as soon as he lies down generally accompanied by sweat. Burning over the whole body, in evening in bed, with internal shivering and aversion to drink. First heat than chill, with pains in abdomen, in repeated attacks. Sweat: In bed, during heat, increased toward morning. Cold, sometimes sticky.

Allied Remedies: AP., Bell., Chin., Gel. Phos. Phos.

Complementary: Zinc.

When inattentive, the muscles refuse their office - in a word, whilst inattentively walking, there is staggering in evidence.

Dullness of the internal senses.

Boring, stinging pains in such parts as cover the bones.

Worse in the cold air.

Convulsive twitching of the muscles, especially during sleep.

The pains, of a stinging, pressing or tearing character, often run across the affected parts.

Stinging pain in the joints.

Vesicular eruption between the fingers and toes.

Desquamation of the skin.

A falling off of both nails and hair.

Chilliness and coldness predominating when the remedy cures.

Dropsy after scarlatina.

Stupor.

Diarrhoea.

Small, slow pulse.

Suppressed sexual desire.

Evening aggravation.

In the open air, he feels better, but has the sensation of having been ill for a long time.