Plumbum Metallicum plb.

CORD AND NERVES: MUSCLES. ABDOMEN. Kidneys. Navel. Blood-vessels. Blood.

Clear weather. Open air. Exertion. Motion. Company. Grasping smooth objects. Touch.

Hard pressure. Rubbing.

Slow, insidious processes, having violent side symptoms; often of very changeable or incoherent character; coming in single parts, etc. Paralysis. Atrophied limbs with plump body; paralysed parts < touch. Sensitive to open air. Impulse to stretch. Exaggerates her condition. Retraction; anus, testes, navel, etc. Increasing slowness and apathy. Deep, bluish red sclerotic. Abdomen is drawn into uneven lumps (Ars. Ign.). Abdominal distress that impels her to stretch. Urination slow, yet profuse. VIOLENT CONTRACTION. Retraction. Lightning pains that extort cries. Boring. Cramps (periodical), convulsions or (flaccid) paralysis; with hæmorrhage or hyperæsthesia. Chronic epilepsy, with marked aura. Wasting of single (upper) parts, or of paralysed parts. Sclerosis. Gout.

Taciturn. Timid, restless and anxious. Fears assassins. Physical labor exhausts the mind. Stupidity. Melancholy. Delirium; nocturnal; alternating with colic or pains in limbs. Twitching of r. face. Yellow sclerotic and inside of mouth. Trembling tongue. Sticky saliva. Sweet taste. Aphthæ. Dysphagia. Foul or fecal eructations. NAVEL FEELS RETRACTED. Colic; accompanies many symptoms. Radiating abdominal pains, or boring, or as if forced through a narrow place. Tense abdomen. Hernia at navel. Anus feels drawn up, or painfully contracted. Stool, granular; of hard, black balls, like sheep dung; passed with an urging cramp. Stubborn constipation or colics of infants. Retracted testes. Pollutions. Bluish, red spots. Dry oversensitive skin. Dry, burning ulcers. Takes odd positions during sleep. Wiry pulse. Coldness from exertion. General cold sweat during stool. Feet cold, when walking only.

Complementary: Rhus-t. Thallium. Related: Op.

Adapted to diseases from spinal origin (Phos., Pic. ac., Zinc.). Excessive and rapid emaciation; general or partial paralysis; extreme, with anaemia and great weakness. Muscular atrophy from scelorisis of spinal system. Lassitude; faints on going into a room full of company. Slow of perception; intellectual topor, gradually increasing apathy (in fevers, Phos. ac.). Weakness or loss of memory; unable to find the proper word (Anac., Lac c.). Delirium alternating with colic. Assumes strangest attitudes and positions in bed. Complexion: pale, ash-colored, yellow, corpse-like cheeks sunken; expressive of great anxiety and suffering. Skin of face, greasy, shiny (Nat. m., Sanic.). Distinct blue line along margin of gums; gums swollen, pale, show a lead-colored line. Excessive pain in abdomen, radiating to all parts of body. Sensation in abdomen at night, which causes patient to stretch violently for hours; must stretch in every direction (Amyl. n.). Violent colic, sensation as if abdominal wall was drawn as if by a string to the spine. Intussusception, with colic and faecal vomiting; strangulated hernia, femoral, inguinal or umbilical. Constipation: stools hard, lumpy, black like sheep-dung (Chel., Op.); with urging and terrible pain from spasm of anus; obstructed evacuation from indurated faeces, dryness of the excretions, paralysis or muscular atony; during pregnancy; from impaction of faeces; when Platina fails. Bright's disease: colic pain; abdomen retracted; rapid emaciation; excessive debility; contracted kidney. Feels a lack of room for foetus in uterus; inability of uterus to expand; threatening abortion. Spasm: clonic; tonic; from cerebral sclerosis or tumor; epilepsy or epileptiform convulsions. Yellow skin: dark brown "liver spots" in climacteric years; jaundice, the eyes, skin and urine yellow.

Compare: Alum., Plat., Op., in colic; Pod. in retraction of navel; Nux in strangulated hernia; Pod. the vegetable analogue. The bad effects of Plumbum are antidoted by Alum., Petr., Plat., Sulph. ac., Zinc.

At night (pains in limbs).

Rubbing; hard pressure.

Drawing pain from before backward, as though the abdomen were drawn in and through towards the back-bone, sometimes making the abdomen concave; sensation as though a string were inside the abdomen drawing it in; generally there is great despondency with this pain. Painters' colic with this sensation as though the abdomen were drawn in and was touching the spine; pulse may be down very low, 50 or even 40; gastralgia with sensation as though the abdomen and backbone met. Great liver remedy; inner belly in general: inner region of the navel: sometimes umbilical hernia, and is an excellent remedy for this. Left side of the abdomen generally.

Constipation with stools like sheep dung; balls in conglomerate masses, discharged with difficulty; obstructed evacuation by the induration of feces.

Jaundice, where the sclerotica of the eye is yellow, face is yellow; urine is yellow; vomiting in bed after retiring for the night, restless, sleepless, etc. Loss of smell; reddish-yellow face. Affections in the lower teeth; tongue; sweetish taste, as in expectoration of cough with sweetish taste. Obstructed flatus with terrible colic. Retraction of soft parts in general; convulsions with jerking; epilepsy without consciousness; pinching pain with sensation of tearing; sphacelus; gray ulcers; paralysis of the limbs of those who work in lead.

In the night; from rubbing.

Bellad., Lycop., Mercur., Phosphor., Pulsat., Silic., Sulphur (sometimes Arsen.).

Platina.

Distinct blue line along margins of gums. Violent colic; abdomen retracted to the spine, as if drawn in by a string. Excruciating pains in the umbilical region, to other portions of the abdomen and body, somewhat relieved by pressure. Constipation; stools scanty, hard, in lumps, or balls like sheep's dung, black or green colour, passed with difficulty. Sharp, lightning-like neuralgic pains in lower limbs, mostly from hips to knees, occurring in paroxysms, more from movement.

Lead

The great drug for general sclerotic conditions. Lead paralysis is chiefly of extensors, forearm or upper limb, from center to periphery with partial anæsthesia or excessive hyperasthesia, preceded by pain. Localized neuralgic pains, neuritis. The blood, alimentary and nervous systems are the special seats of action of Plumbum. Hematosis is interfered with, rapid reduction in number of red corpuscles; hence pallor, icterus, anæmia. Constrictive sensation in internal organs.

Delirium, coma and convulsions. Hypertension and arteriosclerosis. Progressive muscular atrophy. Infantile paralysis. Locomotor ataxia. Excessive and rapid emaciation. Bulbar paralysis. Important in peripheral affections. The points of attack for Plumbum are the neuraxons and the anterior horns. Symptoms of multiple sclerosis, posterior spinal sclerosis. Contractions and boring pain. All the symptoms of acute. Nephritis with amaurosis and cerebral symptoms. Gout (Chronic).

Mental depression. Fear of being assassinated. Quiet melancholy. Slow perception; loss of memory; amnesic aphasia. Hallucinations and delusions. Intellectual apathy. Memory impaired (Anac; Baryta). Paretic dementia.

Delirium alternating with colic. Pain as if a ball rose from throat to brain. Hair very dry. Tinnitus (Chin; Nat salic; Carbon sulph).

Pupils contracted. Yellow. Optic nerve inflamed. Intraocular, suppurative inflammation. Glaucoma, especially if secondary to spinal lesion. Optic neuritis, central scotoma. Sudden loss of sight after fainting.

Pale and cachetic. Yellow, corpse-like; cheeks sunken. Skin of face greasy, shiny. Tremor of naso-labial muscles.

Gums swollen, pale; distinct blue lines along margins of gums. Tongue tremulous, red on margin. Cannot put it out, seems paralyzed.

Contraction in œsophagus and stomach; pressure and tightness. Gastralgia. Constant vomiting. Solids cannot be swallowed.

Excessive colic, radiating to all parts of body. Abdominal wall feels drawn by a string to spine. Pain causes desire to stretch. Intussusception; strangulated hernia. Abdomen retracted. Obstructed flatus, with intense colic. Colic alternates with delirium and pain in atrophied limbs.

Constipation; stools hard, lumpy, black with urging and spasm of anus. Obstructed evacuation from impaction of feces (Plat). Neuralgia of rectum. Anus drawn up with constriction.

Frequent, ineffectual tenesmus. Albuminous; low specific gravity. Chronic interstitial nephritis, with great pain in abdomen. Urine scanty. Tenesmus of bladder. Emission drop by drop.

Loss of sexual power. Testicles drawn up, feel constricted.

Vaginismus, with emaciation and constipation. Induration of mammary glands. Vulva and vagina hypersensitive. Stitches and burning pains in breasts (Apis; Con; Carb an; Sil). Tendency to abortion. Menorrhagia with sensation of string pulling from abdomen to back. Disposition to yawn and stretch.

Cardiac weakness. Pulse soft and small, dichrotic. Wiry pulse, camp-like constriction of peripheral arteries.

Spinal cord sclerosed. Lightning-like pains; temporarily better by pressure. Paralysis of lower extremities.

Yellow, dark-brown liver spots. Jaundice. Dry. Dilated veins of forearms and legs.

Paralysis of single muscles. Cannot raise or lift anything with the hand. Extension is difficult. Paralysis from overexertion of the extensor muscles in piano players (Curare). Pains in muscles of thighs; come in paroxysms. Wrist-drop. Cramps in calves. Stinging and tearing in limbs, also twitching and tingling, numbness, pain or tremor. Paralysis. Feet swollen. Pain in atrophied limbs alternates with colic. Loss of patellar reflex. Hands and feet cold. Pain in right big toe at night, very sensitive to touch.

Worse, at night, motion. Better, rubbing, hard pressure, physical exertion (Alumen).

Compare: Plumb acet (painful cramps in paralyzed limbs; severe pain and muscular cramps in gastric ulcer; locally, as an application (non-homeopathic) in moist eczema, and to dry up secretions from mucous surfaces. Care must be used, as sufficient lead can be absorbed to produce lead poison, one to two drams of the liquor plumbi subacetatis to the ounce of water; also in pruritus pudendi, equal parts of the liquor plumbi and glycerin). Plumb iodat (Has been used empirically in various forms of paralysis, sclerotic degenerations, especially of spinal cord, atrophies, arterio-sclerosis, pellagra. Indurations of mammary glands, especially when a tendency to become inflamed appears; sore and painful. Indurations of great hardness and associated with a very dry skin. Lancinating pains of Tabes). Compare: Alumina; Plat; Opium; Podoph; Merc; Thall. Plectranthus (paralysis, spastic, spinal form); Plumb chromicum (convulsions, with terrible pains; pupils greatly dilated; retracted abdomen;); Plumb phosph (loss of sexual power; locomotor ataxia).

Antidotes: Plat; Alum; Petrol.

Third to thirtieth potency.

Quiet and melancholy mood. Anxiety, with restlessness and yawning. Wild delirium, with distorted countenance.

Vertigo, especially on stooping and on turning the eyes upwards. Stupefaction of the head, he falls down unconscious. Heaviness of the head, especially in the cerebellum. Congestions of blood to the head, with heat and beating in it. Headache as if a ball were rising from the throat into the brain. Great dryness of the hair, it falls off even in the beard.

Inflammation of the eyes, with congestion of blood to them. Pressing in the eyes, as if the balls were too large. Pupils contracted. Paralysis of the upper eyelids. Spasmodic contraction of the eyelids. Yellow color of the white of the eye. Cloudiness before the eyes, inducing one to rub them.

Stitches and tearing in the ears. Hardness of hearing ; often sudden deafness.

Erysipelatous inflammation of the nose. Fetid odor before the nose. Much tough mucus in the nose, which can only be discharged through the posterior nares. The nose is cold.

Face pale, yellowish, like a corpse. Bloated face. Swelling of one side of the face. The skin of the face is greasy, shining. Painless pealing off of the lips. Lock-jaw. Tearing in the jaws, relieved by rubbing them.

The teeth become black. Yellow mucus on the teeth. Teeth hollow, decayed, crumbling off, and smelling offensively. Pale, swollen gums ; purple-colored thin border on the gums nearest the teeth. Hard, painful tubercles in the gums. Grinding of the teeth. Dryness in the mouth. Aphthæ and dirty-looking ulcers and purple blotches in the mouth and on the tip of the tongue. Sensation in the throat as from a plug or foreign body. It rises in the throat like a ball (globus hystericus). Constriction in the throat, as soon as the least effort is made to swallow, with great urging to do so. Inflammation of the tonsils, -formation of consecutive, small, exceedingly painful abscesses in the tonsils. Paralysis of the throat, with inability to swallow. Accumulation of sweetish saliva in the mouth. Froth in the mouth. Inflammation, swelling, and heaviness of the tongue. Tongue dry, brown, cracked, or coated yellowish or green. Paralysis of the tongue preventing speech.

Violent thirst, especially for cold water. Sweetish taste. Sweetish eructations ; gulping up of sweetish water. Violent vomiting ; of food and of discolored substances, with violent colic ; or of greenish and blackish substances. Vomiting of feces, with constipation. Painful pressure in the stomach. Violent colic ; the abdomen drawn in, especially the nave which seems to be drawn back by a string to the spina column. Constriction of the intestines ; navel and anus are violently drawn in. Colic and paralysis of the lower extremities. Hard lump in the abdomen, as from internal indurations. Rumbling in the abdomen. Inflammation, ulceration and gangrene of the bowels.

Constipation ; stools hard, lumpy, difficult to expel. Painful, fetid diarrhœa of yellow feces. Bloody diarrhœa ; watery diarrhœa, with vomiting and violent colic, especially pain in the umbilicus. Painful contraction and constriction of the anus. Prolapsus ani.

Difficult emission of urine ; only by drops. Strangury. Hæmaturia.

Men. Genitals swollen and inflamed. Constriction of the testicles. The testicles are drawn up. Increased sexual desire with violent erections. Women. Miscarriage.

Spasmodic dyspnœa. Constriction of the larynx. Cough with expectoration of blood, or of pus (after hæmorrhages from the lungs). Dry, spasmodic cough. Breathing heavy, difficult. Stitches in the chest and sides. Anxiety about the heart and violent palpitation.

Stitches in the back and small of the back and between the shoulder-blades. Tension in the neck, extending to the ears when moving the head.

Upper. Convulsive motions of the arms and hands, with pain in the joints. Weakness and painful lameness of the arms. Wens on the hand. Lower. Paralytic sensation in the hip, knee and foot joints. Paralysis of the lower limbs and feet. Swelling of the feet. Fetid foot-sweat.

Twitching in the limbs. Paralysis of the limbs. Sensation of constriction, with pain and spasms, in internal organs. Epileptic attacks ; convulsions. Dropsical swellings. Emaciation, especially of the paralyzed parts, followed by swelling of those parts.

Somnolency. Great sleepiness during the day. Sleeplessness at night from colic.

Pulse very variable, generally contracted, small and slow ; at times hard and slow, occasionally small and quick. Chill predominates, increasing towards evening, with violent thirst and redness of the face. Coldness in the open air and when exercising. Heat with thirst, anxiety, redness of the face, and sleepiness. Internal heat in the evening and at night, with yellowness of the buccal cavity. Perspiration, anxious, cold and clammy.

Sensitiveness of the skin to the open air. The color of the skin is yellow or pale-bluish. Dark-brown spots on the body. Decubitus. Burning in the ulcers ; small wounds become easily inflamed and suppurate. Gangrene.

The ailments develop themselves slowly and intermit for a time, -intermission every third day. The pains in the limbs are worse at night and are relieved by rubbing.

PLUMBUM METALLICUM. The Element. Pb (A. W. 206.39). Trituration.

PLUMBUM ACETICUM. Acetate of Lead. Sugar of Lead. Pb (C 2 H 3 O 2 ) 2 3 H 2 O. Trituration.

PLUMBUM CARBONICUM. Carbonate of Lead. Pure White Lead. Plumbic Carbonate. Pb CO 3 , Trituration.

Amaurosis. Anæmia . Anæsthesia. Aneurism. Anidrosis . Appendicitis. Asthma. Atrophy. Bone, exostoses on . Brain, softening of; tumour of. Bright's disease. Colic. Constipation . Cystitis. Depression of spirits . Diplopia. Dropsy. Dysmenorrhœa. Dysuria. Emaciation. Epilepsy. Epulis. Eyes, inflammation of . Ganglion. Gout. Hæmoptysis. Hæmorrhoids. Headache . Hernia, strangulated. Hyperæsthesia. Hypopion. Ichthyosis . Intermittent fever. Intestines, obstruction of . Intussusception. Jaundice. Jaw, tumour of. Kidneys, affections of ; granular. Liver, affections of. Lockjaw. Locomotor ataxy. Melancholia . Metrorrhagia. Myelitis . Nephritis. Numbness . Œsophagus, stricture of. Paralysis ; diphtheritic; agitans. Perichondritis . Proctalgia. Progressive muscular atrophy . Prolapsus ani. Sciatica. Spine, diseases of; sclerosis of; tumour of. Spleen, affections of. Stricture. Tabes mesenterica. Tobacco habit . Tongue; paralysis; of. Typhlitis. Umbilicus, abscess of; hernia of. Uric-acidæmia. Vagina, spasm of. Vaginismus. Veins, varicose .

Plumbum , the Saturn of the Alchemists, has been proved by Hartlaub, Trinks, Hering, and Nenning. To their symptoms have been added those of numberless cases of poisoning among workers with lead and painters, symptoms from drinking lead-contaminated waters, from the use of lead in cosmetics, and from cases of suicide. In the old school metallic lead was seldom used, being considered inert; but Bœrhaave gave it internally reduced to an impalpable powder for leucorrhœa, dysentery, syphilis, and gout (Teste). In the form of plaisters and "Goulard water" the salts of lead have been largely used as external applications in skin diseases, vaginal and urethral injections, and much injury has not infrequently resulted, especially from repelled eruptions. The effect of the three preparations of lead enumerated above have all been included in the Schema, as no attempt has ever been made to keep them separate; nor has any specific difference been noted. Among painters and lead manufacturers the best-known symptoms are the colic and drop-wrist. In addition there are set up conditions of kidney irritation with albuminuria, ending in granular degeneration with attendant heart hypertrophy, optic neuritis, and blindness. There is an excess of uric acid in the blood of persons under the influence of lead, and actual gouty deposits and gouty attacks have been observed. In one case of lead poisoning I saw there was chronic enlargement of the knees and contraction of the lower limbs, completely crippling the patient. In another case there were small aneurisms almost all over the body. In those who have drunk lead-contaminated water the effects vary in intensity according to the amount of contamination and duration of exposure. When the poisoning has been going on insidiously for years a state of anæmia is set up, with dry, inactive, scaly skin, and inveterate constipation. Tunzelmann ( B. J. H ., xxxii. 17 — quoted C. D. P ., where a full collection of cases may be found) reports a number of cases of acute poisoning from drinking water containing lead: ( 1 ) A cook, ill three weeks. Unable to retain any food on stomach; constant nausea, and even when no food was taken frequent vomiting of greenish watery fluid, < night. Skin yellowish; conjunctivæ decidedly yellow. Tongue furred, coat at back very yellow; horrible taste, fœtor of breath; bowels confined. Extreme debility. Hydrast . 3 gave great relief, but three months later the hands became paralysed, which led to the testing of the drinking-water and the discovery of lead. ( 2 ) Youth, æt. 12, had bronchial catarrh with loose cough and consolidation of left apex. As soon as the poisoned water was stopped he rapidly got quite well. ( 3 ) An elder brother had hæmoptysis, coughing up half a pint of blood. Nothing was found wrong with the lungs beyond slight feebleness of respiration at apices. Three months later, after a day's rowing, the hæmatemesis returned with epistaxis. Now distinct dulness was found at right apex. Rapid recovery followed stopping the water. Caspar ( C. D. P .) relates the case of a pregnant young woman who swallowed three ounces of white lead on October 8th. The first symptoms set in some hours later with vomiting. Next morning she was found suffering from inflammatory pain and jaundice. The evening of the 10th she gave birth to a seven-months' child, and died the following morning. The autopsy revealed: Features relaxed; skin dirty yellow. Bloody, frothy ichor escaped from nostrils in large quantities, and from genitals, saturating the bed; the mouth also, from which the tongue point protruded, was full of it. Abdomen distended and of stony hardness, genitals swollen and discoloured; brain markedly bloodless; pleura contained 8 ozs. of bloody fluid, lungs distended, filled with frothy, decomposed blood; heart empty, very soft, dirty brown; trachea dark cherry-colour. Pectoral muscles very soft, brown, the blood exuding from them being greasy. Liver dirty brown, very soft; spleen filled with black, tar-like blood; both kidneys very soft and full of blood. Blood in vena cava black, tar-like. Women who work with lead frequently abort; women who do not work with lead but whose husbands do, abort in even greater proportion. Children born under these conditions are frequently idiotic or epileptic. According to Teste, Plumb . is particularly adapted to adults, males rather than females; particularly to persons of a dry, bilious constitution, with somewhat jaundiced complexion, irascible, hypochondriac, or disposed to religious monomania. (But children are by no means excluded. I have seen apparently hopeless cases of marasmus in infants with large, hard abdomens and extreme constipation cured with Plumb ., usually in 3rd trituration of the metal or the acetate.) Teste mentions the following cases as having been successfully treated by him with Plumb . ( 1 ) Chronic cystitis. ( 2 ) Stricture after gonorrhœa. ( 3 ) Tenacious salivation (mercurial), < in damp weather, saturating pillow in sleep. ( 4 ) Excessively painful retraction of testes and penis, which seemed to re-enter hypogastrium (consequence of sexual excesses and repelled tetters). ( 5 ) Nightly bone pains (after failure of Merc , &c.). ( 6 ) Pulling and pressive chronic headache in forehead, < by mental labour; intolerable in company. ( 7 ) Mental derangement from syphilis with obscure paralysis of right arm, paroxysms of religious monomania, erotism without erection, periodic fever without sweat, cramp-like retraction of abdomen from time to time. ( 8 ) Nervous disease characterised chiefly by wandering pains in limbs, spasms of facial muscles, paroxysms of screaming, fright without cause, sudden fainting in passing from one room to another or entering a room full of company. ( 9 ) Marsh intermittent with quotidian or double tertian type, especially when splenic region is painful to touch. In such cases, says Teste, neither Ars . nor Chi . can be compared to Plumb . These cases bring out some of the keynotes of Plumb ., and chief among them is: Retraction and sense of retraction . "Violent colic, sensation as if abdominal wall were drawn back by a string to the spine." Actual drawing in of abdomen is frequently present and is characteristic. The cheeks are retracted, sunken. Excessive and rapid emaciation. In the same category with colic are: Cramps, spasms, convulsions, paralyses, tremors. Fröhling ( A. H. Z ., cxxxii. 68 — Amer. Hom ., xxii. 422) relates the case of N., farmer, 46, who was taken ill in November, 1893, with attacks of colic with vomiting and extreme constipation; action only obtained by large enemata. Had been constipated in former years but without illness. Opium had given only temporary relief. After December, 1893, vomiting was rarer, but colic increased in intensity up to February, 1894, when Fröhling saw him first, and found him wasted to a skeleton, abdomen drawn in ; appetite bad, felt ill, mind somewhat affected, unable to give sensible answers to questions. Constant urgent call to stool, only small, hard, black balls passed. Liver dulness only heard from upper border of sixth to upper border of seventh rib. Lead poisoning was suspected, but as no evidence of it could be found Plumb . 6 three times a day was prescribed. In six days colic attacks were less frequent, and less severe; two stools passed without enema; mind clearer. Improvement continued in all respects, and in fourteen days N. was able to leave his bed, to which he had been confined since November. By the middle of March he made an hour's journey to see Fröhling, and was hardly recognisable, he had gained so much flesh, and his liver was found of normal size. Wingfield ( M. H. R ., quoted Amer. Hom ., xxi. 426) reported two characteristic cases: ( 1 ) Mrs. D., 50, no children, sparely built, very nervous, constipated fifteen years, takes a teaspoonful of Cascara extract every other night. Tongue coated with yellowish white fur. Has constant headaches, and after each motion is thoroughly exhausted, and has to lie down the rest of the day. Plumb . 6x gr. iii. twice a day. In two days bowels commenced acting naturally. In three weeks headaches gone, tongue clean, much less nervous. ( 2 ) Miss M., 25, florid; has boils appear on face and arms, and chronic constipation. The constipation had been a trouble since she was twelve years old. Slight spinal curvature. Tongue furred, occasionally has headaches. Suffers much at menstrual periods. Plumb . 6x twice daily at once relieved the constipation, and soon the boils disappeared. Patient soon felt quite well. Arriaga ( La Homœopatia , No. 9) 1893; H. M ., xxix. 190), of Mexico city, reports the case of a woman, 73, seized with symptoms of intestinal occlusion, violent colic, nausea, obstinate constipation, meteorism, complete anorexia, and no fever. Nux relieved the colic, and then Plumb . 12, and later 13, gradually brought about recovery in four days. Nash cured a severe case of post-diphtheritic paralysis in a middle-aged man. The leading symptom was excessive hyperæsthesia — could not bear to be touched anywhere, it hurt so. Plumb . 40m (Fincke), a single dose, cured. Nash tells of a man, 70, attacked with severe pain in abdomen, and finally a large, hard swelling developed in ileo-cæcal region, very sensitive to contact or least motion. It began to assume a bluish tint, and on account of his age and weakness the man's life was despaired of. But his daughter, the wife of a medical man, found the symptoms in Raue under Plumb ., in the chapter on Typhilitis, and Plumb . 200 cured. Anæsthesia is as strongly marked as the hyperæsthesia of Plumb . The excessive emaciation of Plumb . and the action on the spine make it a remedy of the first importance in progressive muscular atrophy. Among the spasms are: Vaginismus; spasm of uterus and expulsion of its contents; sensation as if there was not room enough for fœtus; spasm of bladder; of œsophagus; strangulated hernia. Clonic or tonic convulsive movements of limbs from cerebral sclerosis or tumour. Epilepsy preceded by vertigo, sometimes sighing, followed by stupid feeling. (In a case cured by Skinner, after a fit the head turned to the right. There was < 8 to 9 a.m.) Paralysed parts lose flesh. Progressive locomotor ataxia. Restlessness; lassitude; faintness. Sensation in abdomen at night which causes patient to stretch violently for hours; must stretch in every direction. Assumes strangest attitudes in bed at night. Peculiar sensations are: As if something were working at top of head, with a sense of screwing from behind forward. Eyelids as if paralysed. As of a ball rising from throat into brain. As if a wheat-hull in throat. Cornea as if breathed upon. Eyes as if too large. As of a plug in throat. As if everything were weighted down. As if abdomen and back were too close together; abdomen drawn to spine with a string. Bowels as if twisted; constricted; distended with gas. As if abscess forming near umbilicus. Sphincter ani as if drawn in. As if a bag not quite filled with fluid lay in bowels. As if fluid rolled from one side to other of abdomen. As if thighs pierced with needles. As if feet made of wood. — Pains are wandering or radiating, vague, paroxysmal. Ailments develop slowly and intermit for a time. Alternations are common: Delirium with colic; diarrhœa and constipation; jerks of flexors and extensors; paralysis and colic. Right side is most affected, symptoms go from left to right (throat). In ladies poisoned by cosmetics the vaginismus which resulted increased pari passu with paralytic symptoms. With Plumb . 6 Theuerkauf cured in six weeks a case of hypopion with great pain ( B. J. H ., xxxvii. 303). W. H. Woodyatt ( Ibid ., 205) reports a case of "vaso-motor neurosis" affecting left eye. Mrs. D., 29, had been ill two weeks, and supposed she had caught cold in the eye. The symptoms were: Drooping upper lid, intense photophobia, very profuse lachrymation of hot tears, pericorneal injection, deep bluish redness of sclerotica , most marked at corneal margin. Cornea very faintly hazy. Pupil contracted. Sight misty. Ars . 6x and Plant . 6x failed to relieve. Plumb . 6x was then given with immediate improvement, which went on to cure in seven days. The italicised symptoms were the leading indications for Plumb . In a case of right-sided sciatica which had been greatly benefited by Gnaph . 1, but which had returned, the symptoms being: Stiffness; soreness from great trochanter and point of exit of nerve to knee; weakness in thigh; < by stooping; walking = sensation as if pushing a knife in thigh, Plumb . 6 was given four times a day. Up to the twelfth day there was no change; on that day the pain suddenly went. The case had lasted nine months. The symptoms are < by touch. > By hard pressure and by rubbing. > At rest. < By motion. Mental exertion < . > Lying down. < Lying right side (swelling in abdomen; cough). Lying on left side < violent palpitation. Bending back > pressure in stomach,:; pain in epigastrium; pain in back. Bending forward = pressure in stomach; > pain in back. Bending double > colic. Back sensitive when leaning on it. > Stretching limbs. < At night, < In rough, foggy weather. Open air, coldness in; sensitive to; > vertigo. Damp weather = profuse salivation. < In room full of company.

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Weakness or loss of memory ; unable to find the proper word.
Slow of perception ; intellectual torpor ; gradually increasing apathy.
Anxiety, with restlessness and yawning.
Gloom alternates with excitement.
Much depression of spirits, especially with colic.
Quiet and melancholic mood.
Indifference and somnolence, with lamentations about difficulty of breathing and headache.
Deep melancholy, with timidity and restlessness ; anxiety at heart, with sighing and trembling ; dislikes to talk or work ; maniacal rage, with cries and convulsions ; absence of mind ; stupidity ; pale, miserable, cachectic
appearance ; somnolency ; colic.
Wild delirium with distorted countenance.
Delirium, alternating with colic ; bites and strikes at those near him ; tremor of head and hands ; yellow mucus collects about mouth and teeth.
Delirium furious at night, milder by day, with hallucinations and sleeplessness at night and sopor by day ; tremulousness mostly in head and hands ; face red or straw-colored, with mucus in mouth, black teeth, fetid odor ; grinds
teeth ; eyes swollen, or look is suddenly changed, as if frightened ; throws off bedclothes ; loss of all senses ; delirium increases as senses diminish ; puffing of cheeks, especially if paralysis is a sequel or is caused by suppressed colic, with bloated abdomen.
Sudden fainting on going from one room to another full of company, with screams, fright without cause, spasms in muscles of face, but mind remains sound.
Thought his life was in danger from assassination or poison and that every one about him was a murderer.
Insomnia, severe headache, occipital or frontal, with or without vertigo ; noises in ears ; disordered vision ; diplopia ; amaurosis ; contraction of pharynx, though liquids are swallowed in gulps and greedily ; mind weak, morose and sad ;
preceded by albuminous urine.
Great depression of spirits ; though habitually very temperate had recourse to various stimulants, at first in moderation and openly, but soon immoderately and by stealth ; sleeplessness ; gloom ; despair of her salvation ; moody taciturnity ; fixed
idea that she could only obtain peace and safety through absolution from a priest of the Papal Church, although she had been a zealous Protestant ; face nearly of a leaden hue ; perpetual movement of lips, as of one smoking, accompanied by a slight sound ; very silent, but
when spoken to answered rationally ; severe pain, starting up from back into head, as if something were working at top of head, with a sense of screwing from behind forward ; some flatulence ; frequent drowsiness by day, sleeplessness by night ; profound melancholy and
frequent sighs ; brooded over any forbidden thing ; would steal from house in servant's cloak and bonnet to obtain stimulants, but from the moment their prohibition was withdrawn ceased to have any desire for them ; after being permitted to visit a priest and converse with him
ceased to talk and think of the Church.
Mental disturbance of eight or ten years' duration in a man addicted to masturbation ; has several times attempted suicide ; has been in seclusion ; greatest dejection and despair ; fixed, moody look, with a constant scowl ; believes himself lost ; has the
sounds of hell constantly in his ears ; hears voices and sees shadows of demons ; great disposition to make away with himself, or do himself some bodily injury ; gloom and taciturnity alternate with frantic delirium ; drowsy sometimes in day, sleepless at night ;
constant pain and weight in upper part of neck and back of head ; complexion dark ; violent palpitation of heart, < after eating and lying on left side ; pulse weak ; bowels regular but evacuations very dark ; seminal emissions very frequent, often occurring
during stool ; testes wasted ; spasmodic stricture ; goose-skin.
Affections more of the emotions than the intellect.

Continue in Hering 46 more passages →

Wild delirium, with distorted countenance.
Much depression of spirits, especially with the colic.
Quiet and melancholic mood.
Anxiety, with restlessness and yawning.

Stupefaction of head, he falls down unconscious.
Vertigo, especially on stooping, or when looking upward.

Heaviness of head, especially in cerebellum.
Congestion of blood to head, with heat and beating in it.
Headache as if a ball was rising from throat into brain.
Paralysis occurring early; cerebro-spinal meningitis.
Meningitis, chronic, when the paralyzed parts soon fall away in flesh, the limbs become painfully contracted; frequent spells of colic with retraction of the abdomen.

Great dryness of hair, it falls off even in beard.

Cloudiness before the eyes, inducing one to rest them.
Ophthalmia, lachrymation, photophobia, redness of the whole ball.
Yellowness of whites of eyes.
Pupils contracted.
Hypopyon after iritis; nightly tearing pains in eye and forehead.
Eyeball feels too large.
Lids spasmodically contracted.
Paralysis of the upper lids.

Stitches and tearing in ears.
Hardness of hearing; often sudden deafness.

Erysipelatous inflammation of nose; vesicles on alæ.
Fetid odor before nose.
Much tough mucus in nose, which can only be discharged through posterior nares.
Cold nose.

Face pale, yellowish, like a corpse.
Bloated face.
Swelling of one side of face.
The skin of the face is greasy, shining.
Painless peeling off of the lips.

Lock-jaw.
Tearing in jaws, relieved by rubbing them.

Grinding of the teeth.
The teeth become black.
Yellow mucus on teeth.
Teeth hollow, decayed, crumbling off, and smelling offensively.
Gums: swollen; show a lead-colored line; painful, with hard tubercles.

Taste sweetish.
Tongue: dry, brown, cracked; coated yellow or green; inflamed, swollen; heavy, paralyzed; hurts as if bitten.

Accumulation of sweetish saliva in mouth.
Froth in mouth.
Dryness of mouth.
Aphthæ, dirty-looking ulcers, and purple blotches in mouth and on tip of tongue.

Constriction in throat when trying to swallow, with great urging to do so.
Sensation of a plug in throat.
Globus hystericus.
Tonsils inflamed, covered with small, painful abscesses.
Diphtheria, with tendency to sloughing.
Tough mucus in fauces and posterior nares.
Angina granulosa, going from left to right.
Fluids can be swallowed, but solids come back into mouth; burning in œsophagus and stomach some hours after eating; stricture from spasm.

Great hunger.
No appetite, but violent thirst.

After eating: 13.

Eructations: empty; sweetish.
Gulping up of sweetish water.
Vomiting: of food and of discolored substances, with violent colic; of food in morning, with great weakness; of greenish and blackish substances; or of a thick white substance, like white of egg in chronic gastritis.
Vomit has a fecal odor.

Violent pressure in stomach, and pain in back; at times better bending backward, at others bending forward; better from hard pressure.

Violent colic, abdomen drawn in, as if by a string, to the spine.
Cutting, contractive pains, with restless tossing; better from rubbing, or hard pressure.
Constriction of intestines, naval violently retracted.
Abdomen hard as a stone; knots in recti muscles; anxious, with cold sweat and deathly faintness.
Large, hard swelling in ileo-cœcal region, painful to touch and motion. θ Typhlitis.
Inflammation and gangrene of bowels.
Incarcerated hernia.
Intussusception, with colic and fecal vomiting.

Stool: fetid, yellow and fecal; watery with vomiting and violent colic; bloody masses; watery dark offensive.
Constipation, stools hard, lumpy, like sheep's dung; with urging and terrible pain from constriction or spasms of anus.
Light-colored stools θ Jaundice.
Fissures of the anus.
Anus feels as if drawn upward.

Morbus Brightii, contracted kidney.
Diabetes.
Necrotic cystitis from decomposed urea.
Urine: passes in drops strangury; will not pass, as from atony of the bladder; dribbles, is high-colored and fetid.

Increased desire and violent erections.
Impotence.
Testicles drawn up; feel constricted.
Genitals swollen and inflamed.

Cessation of menses on invasion of colic may re-appear after paroxysm or not again till next period.
Menorrhagia, with sensation of a string pulling from abdomen to back.
Wants to stretch limbs during ovarian pains; ovarian dropsy.
Climacteric period; dark clots alternately with fluid blood or bloody serum, with sensation of fulness in pelvis and slight bearing down pain in small of back.

Feeling as if there was not room enough in abdomen at night in bed must stretch violently.
Abortion from lead poisoning or the child lives but a year or two.

Constriction of larynx.
Aphonia from paralysis of the vocal cords.

Want of breath; oppression from motion; short-breathed on going up stairs.
Heavy difficult breathing.
Spasmodic dyspnœa.

With expectoration of blood or of pus after hemorrhage from the lungs; dry, spasmodic; worse lying on back and after getting out of bed in morning.

Stitches in chest and sides.
Copious muco-serous or purulent expectoration.
Suppuration of lungs.
Circumscribed pulmonary mortification; also cheesy pneumonia.

Rush of blood to heart, during a rapid walk; anguish, cold sweat; stitches during inspiration; hypertrophy.
Pulse: variable, generally small and slow; contracted; at times hard and slow; at others small and accelerated; sinks even to 40.

Tension in neck, extending to ears, when moving head.
Pains in back, better sometimes by bending forward, at others by bending backward.
Stitches in back and small of back.

Convulsive motion of arms and hands with pain in joints.
Weakness and painful lameness of arms.
Wens on the hands.

Drawing, pressive pains in sciatic nerve down to knee with difficult walking and great exhaustion afterward; tubercular diathesis, with dry, hacking cough.
Sciatica, when there is marked consecutive muscular atrophy; or earlier, when walking causes great exhaustion.
Cramps in the calves.
Swelling of the feet.
Fetid foot-sweat.

The pains in limbs are worse at night and are relieved by rubbing.
Paralytic weakness in extremities especially on right side; hands and feet cold; total want of sweat.

Inclination to take the strangest attitudes and position in bed.
Walking: 29, 33. Motion: 19, 26, 31, 40. Going up stairs: 26. Stooping: 2. Bending backward or forward: 17, 31. Must stretch: 24. Lying on the back: 27. Turning eyes upward: 2. Rising: 27.

Paralysis: preceded by mental derangement, trembling, spasms, or by shooting, darting, intense, tearing pains in tracks of larger nerves; the parts emaciate; wrist-drop; caused by apoplexy, sclerosis of the brain or progressive muscular atrophy; alternating with colic.
Epilepsy, chronic forms; before the spell, legs heavy and numb, tongue swollen; afterward, long-lasting, stupid feeling in the head.

Somnolency.
Great sleepiness during the day.
Sleeplessness at night from colic.

Morning: 27. Evening: 16, 40. Night: 5, 24, 34, 37, 40. Day: 37.

Open air: 40, 46. In bed: 40.

Chill predominates increasing toward evening, with violent thirst and redness of face.
Coldness in open air and when exercising.
Internal chill with external heat, in evening.
Chilliness in all the limbs.
Heat with thirst, anxiety, redness of face, and sleepiness.
Internal heat in evening and at night, with yellowness of the buccal cavity.
Sweat anxious cold and clammy or want of sweat.
Sweat comes and goes, as soon as he gets into bed.

The ailments develop themselves slowly and intermit for a time; intermission every third day.

Right: 33. Left to right: 13.

Sensation of constriction with pain and spasms in internal organs.
Tearing sharp pains, with cramps.

Emaciation.
Dropsical swellings.

Rubbing: 5, 9, 19, 34. Pressure: 17, 19. Touch: 19.

Sensitive to the open air, dry, yellow, or pale bluish.
Dark brown spots on skin.
Decubitus.
Burning in ulcers small wounds become easily inflamed and suppurate.
Gangrene.

Lead poisoning is antidoted by; Alumen, Alum., Opium, Petrol., Nux vom., Platin., Ant. crud., Coccul., Zincum.
Alcohol as a preventive.

Pure precipitated lead is triturated with sugar of milk.

It produces general interstitial inflammation characterized by proliferation of connective tissue (nerve, muscle and parenchyma of organs). ▶ The most striking effects of lead appear to originate from its action on the spinal cord and the nerves proceeding from it, namely, colic with violent contraction of the intestines and abdominal parietes; obstinate constipation. ▶ Paralysis, attacking chiefly the flexors of the extremities and finally becoming general; terrific pains in the extremities. ▶ The brain degenerates epilepsy, various disturbances of the mental powers, even imbecility, result. ▶ Various organs undergo degeneration (sclerosis), kidney, heart, liver, etc.

Thall., Cupr., zinc., Ferr., Phos., Ars.; Lyc., Op., Con., Colch., Led., etc.

▶ Emaciation; looking ten years older than he was; and if placed upright he fell over, no control over flexors and extensors of limbs, agg. upper; of the paralyzed parts, their shrivelled, dingy yellow skin seems loosened from the flabby muscles, hands blue and infiltrated. ▶ Anæmia; and condition analogous to paralysis agitans. ▶ Jaundice. ▶ Consumption. ▶ Great mortality among children. ▶ Ganglion. ▶ Secretions diminished. ▶ Anasarca.

Lies upon his back; with limbs relaxed and powerless; on side doubled up; on right side, with legs flexed upon thighs and these upon abdomen; on side when quiet, generally on left, with thighs pressing against abdomen. ▶ Constant change of position; doubles himself up, but avoids lying on abdomen, pressure on latter aggravates. ▶ Sometimes with his head almost on the floor, feet tangled in bed-clothes, he keeps up a rocking movement. ▶ Feel back without consciousness. ▶ Blood-corpuscles diminished in number; but increased in size; abnormal number of white globules in blood. ▶ Serum of blood shows a yellow reflection. ▶ Muscles flabby and soft; F. and pale. ▶ Mucous membranes pale; of waxen hue.

▶ Trembling; of limbs and face; agg. evening, when he is fatigued; agg. fatigue or excitement, and in the latter case it extended to lower limbs; agg. excessive drinking; sudden, agg. arms. ▶ Cramps; in various parts, agg. hands and feet when those parts were first moved after rest; agg. behind knee, when walking or even standing still, amel. pressure, increased motion and cold compresses, with lancinations and sleeplessness; painful, in paralyzed muscles.

Often puts hands to head, with convulsive movements of eyes, hands and feet. ▶ Spasmodic shocks shoot like lightning over face and limbs. ▶ Twitchings; of limbs and body; epileptiform, in all parts, then paralysis. ▶ Spasmodic flexion of arm and right leg, with automatic movements of eyes, hands and feet. ▶ Spasmodic contractions of flexors and adductors, legs forcibly flexed on thighs and thighs on abdomen, sometimes one leg is drawn over the other, impossible to raise arms from chest, forearms and wrists forcibly flexed, head drawn down to chest and to one side, head occasionally jerked from side to side, with consciousness, but inability to articulate, involuntary groins, pain, rectus abdominis hard and prominent, muscles attached to ribs contract so forcibly as to draw them in and he often cries out that they are breaking, afterwards prostration.

Continue in Allen 152 more passages →

Lead paralysis; attacks chiefly the flexor muscles, beginning in the flexors of the forearm. It also produces degeneration of all the tissues of the body, particularly of the brain and nervous system, characterized by sclerosis in the kidneys, heart and other organs; a general interstitial proliferation of connective tissue. Degeneration of the spinal cord; is very similar to spinal sclerosis, both pathologically and symptomatically.

Emaciation; anæmia; jaundice.
Trembling, twitchings and convulsions, even true epilepsy.
Violent pains in the limbs and body, < motion and cold, usually > pressure.
Hyperæsthesia of the surface, with restlessness, followed by anæsthesia and paralysis.
General aggravation at night and while lying in bed.

Delirium, with fear of assassination.
Numerous hallucinations and delusions, sometimes violent, with screaming and general convulsions.
Slow perception and loss of memory.

Yellow.
Optic nerve inflamed, swollen.
Pupils dilated.
Intra-ocular, suppurative inflammation.

Blue line along the margins of the gums.
Tongue red on the margins, with brown coat in the centre, which may be dry.
Tongue tremulous, paralyzed.
Fetid breath.

Sense of constriction, or swelling.
More or less paralysis of the pharyngeal muscles, with difficult swallowing.

Loss of appetite; at times, unquenchable thirst.
Hiccough, nausea; persistent vomiting, especially of food or even fecal, with colic and constipation.
Sensation as if a ball rose from the stomach to the throat, where it suffocated and prevented swallowing and speaking.

Most terrible colic, with retraction and hardness of the abdominal walls.
The pains radiate at the lumbar region, and the muscles contract into hard knots.
The terrible colic-like pains radiate to all parts of the body, and the walls of the abdomen seem to adhere to the spine.

Anus drawn up, with terrible constriction.
Most obstinate constipation of hard, scanty feces, at times alternating with diarrhœa.
These usually associated with colic.

Frequent, ineffectual tenesmus, with discharge of urine by drops.
Micturition extremely difficult.
3"> Urine albuminous, of very low specific gravity.
Chronic interstitial nephritis, sometimes with hæmorrhage in the kidneys and agonizing pains in the ureters or abdomen.

Vaginismus.
Dysmenorrhœa, with terrible abdominal pains.

A short, nervous cough, sometimes with bloody expectoration.

Degeneration of the heart walls, with valvular murmurs.
Palpitation.
Heart's action feeble, slow, irregular.

Violent, lancinating pains extend from the back into the thighs.
Degeneration of the spinal cord (sclerosis), with paralysis of the lower extremities.

Fulgurating pains, especially in the thighs; < evening and night, so violent as to make him cry out; temporarily > pressure.
Paralysis; not only of the arms, but of the legs.
Dilation of the veins on the forearms and lower legs.

Skin usually quite dry.

Plb. / (Plum.) / The Plumber.

Plumbum,-Stands for constipation,
Stools in balls, the indication.
Colic, with the bowels drawn in
Toward the spine as by a string.
Maybe vomiting of feces
When the danger much increases.
Painful seizures with constriction
Mark the mode of this affliction.
When spasmodic ills abate,
Then a paralytic state
Supervenes, and brings to view
Failing mind, and body, too.
Drips his urine, drop by drop,
Waste of tissue knows no stoop,
Face takes on a shining hue,
And his gums a line of blue.
Pains, neuralgic kind in chief-
May by rubbing find relief.

The Plumber,-Has sheep-dung stools.

The Plumber, Aster Chel, is the Opie Black.

This Plumber,-Who is subject to a shining hue of the face,- Is at Nathan Sanic's.

Stools like Sheep-Dung Balls: Plumb., Aster., Chel., Op., Sep.

Greasy, Shiny Hue of the Face: PB., Nat. m., Sanicula.

Indicated chiefly in diseases of spinal origin (sclerosis, paralysis, locomotor ataxia), in neuralgia, colic of a violent character (painter's colic); constipation. Has been used in strangulated hernia and inussusception, and in Bright's disease.

Complexion sallow, cachetic, yellow, corpse-like; face expressive of suffering.

Stubbornly persistent coldness (almost contra-indicated by fever).

Rapid and great emaciation, with anaemia and general weakness.

Headache; heavy; as of a ball arising from the throat to the brain.

Constriction in oesophagus; can swallow liquids not solids.

Intense cardalgia, causing the patient to bend backward; with board-like hardness of abdomen, somewhat relieved by pressure.

Violent colic, worst near the umbilicus and from there spreading to different parts; remarkable retraction of the abdomen, as though it touched the spine.

Stools small, in hard lumps or balls, like excrements of sheep; with spasmodic contraction of sphincter ani.

Pains constrictive or pricking, or as though molten lead were coursing in the veins, or as though the sensitive nerves were touched with ice, or like lightening.

Worse at night; from light touch.

Better from pressure.

Weakness of mind and memory. Delirium, with rage and wild looks. Insanity. Great anxiety and restlessness, with frequent sighing. Dejecting and melancholy. Ennui.

Vertigo when stooping or looking upward. Stupefaction, he falls down unconscious.

Congestion, with heat ascending in to head. Heaviness, especially in occiput. sticking ache. Hair very dry, it falls from beard and eyebrows.

Inflamed and congested. Pressure in, as though' the ball were too large. Paralysis of upper lid. Yellow sclerotic. Contracted pupils. Myopia. Misty, foggy vision. Paralysis of optic nerve.

Tearing in. Difficult hearing.

Erysipelatous inflammation. Diminished sense of small. Nasty odor in.

Cadaverous paleness. Puffed. greasy, glistening skin. Confused look. Painless desquamation of lips. Tearing in maxillae.

Soften and turn black. Pale, swollen gums. Painful nodes on gums.

Dry. Aphthae, dirty ulcers and bluish - black blotches in, also on tip of tongue (as after abuse of Mercury). Sense of a foreign body or of swelling in throat. rising, as of a ball in throat. Constriction of throat. Paralysis of throat. with inability to swallow. Much sweetish saliva in. Paralysis of tongue, with difficult speech.

Taste: Sweetish, in mouth.

Violent, constrictive spasm of. Violent pressure in. Sticking extending from pit into back.

Hypochondriac: Stitches in liver. Pains in kidneys.

Appetite: Loss of. Increased. Desire for bread and baked food. Violent thirst, especially for cold water.

Eructations: Sweetish. gulping up of sweetish water.

Nausea: Frequent retching. Excessive vomiting of ingesta or discolored substances, with violent pains in stomach and abdomen. Fecal vomit, with colic and constipation.

Pains radiate from a - to all parts of body. Agg. touch but amel. hard pressure. violent colic with strong retraction of. especially of naval. constriction of intestines, with strong retraction of navel and anus. Inflammation of viscera. Hard nodes in. (Graph.)

Flatulence: Grumbling and rumbling in abdomen. Exceedingly offensive flatus, especially after eating fish.

Obstinate constipation. Hard, nodular stool passed with difficulty.

Constriction and retraction of.

Retained. Tenesmus vesicae. Difficult discharge of, passed drop by drop (strangury).

Inflammatory swelling of. Constriction in testicles. Greatly intensified sexual desire.

Difficult, panting. Spasmodic tightness of chest.

Dry, convulsive. With expectoration of blood or pus.

Hoarseness and roughness in. Constriction of.

Constriction. Stitches, in female mammae. Anxious palpitation.

Stitches in, and in lumbar region.

Twitching tearing in arms. Bony exostoses on back of hand.

Paralytic sensation in hip, knee and ankle joints, Paralysis of lower limbs, Stinking foot - sweat.

Sticking and tearing in limbs. Twitching in limbs. Paralysis of limbs. Constrictive sensations in internal organs. Epileptic attacks. Great weakness and emaciation. Dropsical swellings. The pains in limbs are intensified at night and are by rubbing. symptoms intermit every third day. Acts on abdominal muscles first. Paralysis of the extensors, of single parts.

Crawling pain, seemingly inside of.

Sensitive to open air. Yellowish or pale bluish color. Dark brown spots on body. Denuded spots. Acute decubitus. Burning ulcers. Cold gangrene.

Great drowsiness. Stupefying somnolency. Extraordinary day sleepiness. Nightly sleeplessness on account of spasmodic colic.

Pulse: Very variable and irregular mostly small, contracted and slow, sometimes hard and slow, also occasionally small and accelerated, seldom full, feverish or intermittent. Chill: Predominating, increasing toward evening with violent thirst and redness of face. Internal, with external heat, towards evening. Chilliness in all members. Coldness in open air and during motion. Heat: with thirst, anxiety, a red face and sleepiness. Internal, in evening and night with yellow of whole buccal cavity. Sweat: Anxious, cold or sticky and clammy.

Allied Remedies: Alum., Ars., Bell., (CAUST.), Chin., Hyos., Nat - m., Nux-v., OP., PLAT., Stram., sul., sul-ac.

Complementary: Rhus-t.

Stinging and tearing in the limbs.

Twitching of the limbs with paralysis of the same.

Sensation of constriction in the internal organs.

Useful in granular kidney.

The pains in the limbs are aggravated at night and are relieved by rubbing.

A sensation of tingling on the bones themselves.

Convulsions followed by paralysis.

Burning in many parts.

Fecal vomiting aided by its use.

Colic during the costive state a highly prominent indication for its use.