Tuberculinum tub.

LUNGS. Mind. Head. Occiput. Glands. Larynx.

CLOSE ROOM. Motion. Exertion. Weather: DAMP (cold); changing. Draft. Awaking. Noise. Mental excitement. Thinking of it. Pressure of waistband.

Cool wind; open air.

Obscure, changeful indications. Susceptible, given to relapses, increasing exhaustion and lowered vitality. Rapid breakdown (Lyc.). Takes cold easily; ends in diarrhœa. TUBERCULAR TAINT. Scrofula. Quiverings.

SENSITIVE; every trifle irritates; < awaking. Fits of violent temper. Dissatisfied; always wants a change; reckless. Fear; of dogs. Confusion. Shooting from over eyes to occiput. Head pains; deep; violent; tears hair or beats head, < motion. Brain feels loose. Sensitive scalp. Eczema tarsi. Sweat on nose. Old, dingy look. Aching malar bones. Teeth; feel jammed; sensitive to air. Delayed dentition. Dryness in mouth; in choanæ. Sticky mouth. Hawks mucus after eating. Adenoids. Craves cold milk, or sweets. Drum belly. Brown, foul, watery, explosive stools. Tearing in rectum on coughing. Bed-wetting. Sticky urinary sediment. Menses soon after child bearing. Frightful dysmenorrhœa. AIR HUNGER. Hoarseness, > talking. Dyspnœa, < cough. Cough; fits of; with chill and red face; < evening; < raising arms. Mucus rattle in chest, without expectoration. Pneumonia; of grippe. Asthma. Sore spot in chest. Heaviness at heart. Tension in nape. Skin: dry, harsh; sensitive, easily tanned; itching in cool air. Brown fingertips. Branny scales. Many enlarged glands. Dreams, frightful, vivid; of shame; awakes in horror. Chilly; yet wants fresh air. Cold feet; < left; in bed. Heat; on cheek of affected side; flushes of; in spots; burning; on genitals; < eating. Sweat; easy; cold; clammy; in upper parts; on hands; < coughing. Clothes feel damp. Wants covers in all stages.

Complementary: Calc-c. Kali-s. Sep. Related: Pho. Pul. Sep.

Note : *The potencies of Fincke and Swan were prepared from a drop of pus obtained from a pulmonary tubercular abscess or sputa. Those of Heath from a tuberculous lung in which the bacillus tuberculosis had been found microscopically; hence the former was called Tuberculinum and the latter Bacillinum. Both preparations are reliable and effective. Adapted to persons of light complexion; blue eyes, blonde in preference to brunette; tall slim, flat, narrow chest; active and precocious mentally, weak physically; the tubercular diathesis. When the family history of tubercular affections the best selected remedy fails to relieve or permanently improve, without reference to name of disease. Symptoms ever changing; ailments affecting one organ, then another - the lungs, brain, kidneys, liver, stomach, nervous system - beginning suddenly, ceasing suddenly. Takes cold easily without knowing how or where; seems to take cold "every time he takes a breath of fresh air" (Hep.). Emaciation rapid and pronounced; losing flesh while eating well (Abrot., Calc., Con., Iod., Nat.). Melancholy, despondent; morose, irritable, fretful, peevish; taciturn, sulky; naturally of a sweet disposition, now on the borderland of insanity. Everything in the room seemed strange, as though in a strange place. Headache: chronic, tubercular; pain intense, sharp, cutting, from above right eye to occiput; as of an iron hoop round the head (Anac., Sulph.); when the best selected remedy only palliates. School-girl's headache: < by study or even slight mental exertion; when using eyes in close work and glasses fail to >; with a tubercular history. Acute cerebral or basilar meningitis, with threatened effusion; nocturnal hallucinations; wakes from sleep frightened, screaming; when Apis, Hell., or Sulph., though well selected, fail to improve. Crops of small boils, intensely painful, successively appear in the nose; green, fetid pus (Sec.). Plica polonica; several bad cases permanently cured after Bor. and Psor. failed. Diarrhoea: early morning, sudden, imperative (Sulph.); emaciating though eating well (Iod., Nat.); stool dark, brown, watery, offensive; discharged with great force; great weakness and profuse night sweats. Menses: too early; too profuse; too long-lasting; tardy in starting; with frightful dysmenorrhoea; in patients with a tubercular history. Tubercular deposit begins in apex of lungs, usually the left (Phos., Sulph., Ther.). Eczema: tubercular over entire body; itching intense, < at night when undressing, from bathing; immense quantities of white bran-like scales; oozing behind the ears, in the hair, in folds of skin with rawness and soreness; fiery red skin. Ringworm.

Complementary: Psor., Sulph. When Psor., Sulph., or the best selected remedy fails to relieve or permanently improve; follows Psor. as a constitutional remedy in hay fever, asthma. Belladonna, for acute attacks, congestive or inflammatory, occurring in tubercular diseases. Hydrastis to fatten patients cured with Tuber.

A Nucleo-protein, a Nosode from Tubercular Abscess

Tuberculinum is indicated in renal affections, but caution is necessary, for where skin and intestines do not perform normally even high potencies are dangerous. In chronic cystitis, brilliant and permanent results (Dr. Nebel Montreux).

Of undoubted value in the treatment of incipient tuberculosis. Especially adapted to the light-complexioned, narrow-chested subjects. Lax fiber, low recuperative powers, and very susceptible to changes in the weather. Patient always tired; motion causes intense fatigue; aversion to work; wants constant changes. When symptoms are constantly changing and well-selected remedies fail to improve, and cold is taken from the slightest exposure. Rapid emaciation. Of great value in epilepsy, neurasthenia and in nervous children. Diarrhœa in children running for weeks, extreme wasting, bluish pallor, exhaustion. Mentally deficient children. Enlarged tonsils. Skin affections, acute articular rheumatism. Very sensitive, mentally and physically. General exhaustion. Nervous weakness. Trembling. Epilepsy. Arthritis.

Contradictory characteristics of Tuberculinum are mania and melancholia, insomnia and sopor. Irritable, especially when awakening. Depressed, melancholy. Fear of dogs. Animals especially. Desire to use foul language, curse and swear.

Subject to deep brain headaches and intense neuralgias. Everything seems strange. Intense pain, as of an iron band around head. Meningitis. When critical discharges appear, sweat, polyuria, diarrhœa, exanthema, repeating the dose only when crises come on. Nocturnal hallucinations, awakes frightened. Plica polonica (Vinca). Crops of small boils, intensely painful, successively appear in the nose; green, fetid pus.

Persistent, offensive otorrhœa. Perforation in membrana tympani, with ragged edges.

Averse to meat. All-gone, hungry sensation (Sulph). Desire for cold milk.

Early-morning, sudden diarrhœa (Sulph). Stools dark-brown, offensive, discharged with much force. Tabes mesenterica.

Benign mammary tumors. Menses too early, too profuse, long-lasting. Dysmenorrhœa. Pains increase with the establishment of the flow.

Enlarged tonsils. Hard, dry cough during sleep. Expectoration thick, easy; profuse bronchorrhœa. Shortness of breath. Sensation of suffocation, even with plenty of fresh air. Longs for cold air. Broncho-pneumonia in children. Hard, hacking cough, profuse sweating and loss of weight, rales all over chest. Deposits begin in apex of lung (Repeated doses).

Tension in nape of neck and down spine. Chilliness between shoulders or up the back.

Chronic eczema; itching intense; worse at night. Acne in tuberculous children. Measles; psoriasis (Thyroid).

Poor; wakes early. Overpowering sleepiness in daytime. Dreams vivid and distressing.

Post-critical temperature of a remittent type. Here repeat dose every two hours (MacFarlan). Profuse sweat. General chilliness.

Worse, motion, music; before a storm; standing; dampness; from draught; early morning, and after sleep. Better, open air.

Compare: Koch's lymph (acute and chronic parenchymatous nephritis; produces pneumonia, broncho-pneumonia, and congestion of the lungs in tuberculous patients, and is a remarkably efficacious remedy in lobular pneumonia-broncho-pneumonia); Aviare-Tuberculin from birds--(acts on the apices of the lungs; has proved an excellent remedy in influenzal bronchitis; symptoms similar to tuberculosis; relieves the debility, diminishes the cough, improves the appetite, and braces up the whole organism; acute broncho-pulmonary diseases of children; itching of palms and ears; cough, acute, inflammatory, irritating, incessant, and tickling; loss of strength and appetite); Hydrast (to fatten patients after Tuberc); Formic acid (tuberculosis, chronic nephritis, malignant tumors; pulmonary tuberculosis, not in third stage, however; lupus; carcinoma of breast and stomach; Dr. Krull uses injections of solutions corresponding to the third centesimal potency; these must not be repeated before six months). Compare: Bacil; Psorin; Lach. Kalagua (tuberculosis; garlicky odor of all secretions and breath). Teucrium scoradonia. Compare: Thuja (Vaccinosis may block the way of action of Tuberculin-until Thuja has been given and then acts brilliantly (Burnett).

Complementary: Calcarea; China; Bryon.

Tuberculin needs more frequent repetition in children's complaints than nearly every other chronic remedy (H. Fergie Woods). Thirtieth and much higher, in infrequent doses. When Tuberculinum fails Syphilinum often follows advantageously, producing a reaction.

"The use of Tuberculinum in phthisis pulmonalis demands attention to the following points: In apyretic purely tubercular phthisis results are marked, provided the eliminative organs are in good order, but nothing below the 1000th should be used, unless absolutely necessary. With patients where streptostaphylo-pneumococci are in the bronchi; where also after washing the sputum, a pure "t b. " bacilli-mass remains, the same treatment is indicated. With mixed infection-found in the majority of cases-where the sputum swarms with virulent micro-organisms in addition to the "t b. ", other procedure is necessary. If the heart is in good shape, a single dose of Tuberculinum 1000-2000 is given, provided there are no marked indications for other remedies. With due attention to temperature and possible excretions, the dose is allowed to work until effects are no longer observed, eight days to eight weeks. Usually a syndrome then presents, permitting the accurate choice of an antipsoric Silica, Lycopodium, Phosphorus, etc. After a while the picture again darkens and now a high potency of the isopathic remedy corresponding to the most virulent and prominent micro-organism found in the sputum is given: Staphylo-Strepto-, or Pneumococcin. The accurate bacteriological analysis of the sputum is absolutely essential; the choice of the ison again clears the picture, and so, proceeding on the one side etiologically (where these isopathica have not yet been proved); on the other side symptomatically with antipsoric remedies, the disease is dominated.

My own experience warns, in the case of mixed infection, against the use of Strepto-, Staphylo-, or Pneumococcin below the 500th. I use them only from 2000 to 1000, having seen terrible aggravations from the 30, 100, 200, with a lowering temperature from 104 to 96. Hence the admonition, which need not concern scoffers, but those alone who wish to avail themselves of a potent weapon. The toxins used as remedies are, like Tuberculinum, prepared from pure and virulent cultures.

And cases, seemingly condemned to speedy death, are brought in a year or two back to normal temperature, though, of course, sacrificing a large portion of lung tissue. This result is sure when the patient can and will take care of himself, where the heart has withstood the toxin and the stomach and liver are in good function. Further, climatic variations must be avoided. With the great mineral metabolism of the phthisic, diet regulation is imperative, and should be preponderately vegetable, together with the addition of physiological salts in low potency, Calcarea carb, 3x, 5x, Calcarea phos, 2x, 6x, and intercurrently according to indications organ-remedies as Cactus Tr. 30, Chelidonium Tr. 30, Taraxacum Tr, Nasturtium Tr, Urtica urens Tr, Tussilago farfara Tr, Lysimachia numularia Tr, for short periods.

The first dose of Tuberculinum in any difficult case is, however, the most weighty prescription. The remedy should not be given without a most careful cardiac examination. As the surgeon before the anæsthetic, so must the physician know the heart before administering this drug, especially to children, and seniles-and to young seniles. He who observes this rule will have fewer clinical reproaches on his conscience. When Tuberculinum is contraindicated, recourse must be had to the nearest antipsoric.

The above caution applies also to asthma, pleuritis, peritonitis in scrofulous (tuberculous) subjects. " (Dr. Nebel Montreux)

Cosmopolitan; never satisfied to remain in one place long; wants to travel.

Wandering pains in limbs and joints; stiff when beginning to move; < standing, > continued motion.

Longs for open air, wants doors and windows open, or to ride in strong wind.

Takes fresh cold on least exposure, can't get rid of one before another comes.

Emaciation, even while being well, and so hungry must get up nights to eat.

Pain through left upper lung to back. Tubercular deposit begins there.

Persons with a history of tuberculosis in the family.

Symptoms ever changing, begin suddenly, ceasing suddenly.

One case or retarded menstruation in a young girl who had greatly enlarged tonsils and who began to grow tired and weak, pale and short breathed on any exercise. The menses appeared twice under the action of Pulsatilla, but at intervals of several months, and finally not at all. After the failure of several other remedies to give her any benefit, she took one dose of Tuberculinum 1m. with prompt, easy and natural appearance of the menses and corresponding improvement in other respects, and is now attending school in apparent good health. I forgot to state that her sister, older, died of consumption a few years before.

Again, while on a visit to my daughter in Athens, Pa., I called upon one of the homœopathic physicians of the place, whom I had never met before. He had read "Leaders," and after we had talked books a while he asked me if I would not like to see a curious case, and there was no money in it, but it had come into his hands from all allopaths who had given it up to die. Of course, there being no money in it, I readily consented to go. Found a child of seven months with "head on him" larger than a man's head, with eyes pushed out and turned upwards, only movable a little from side to side. It looked idiotic. The fontanelles could not be felt, because of the hydrocephalic condition which filled the whole scalp, distending it as above described.

I could not see that that child recognized anything, except that its whining, moaning (almost constant) seemed to increase if it was spoken to or moved.

Inquiry into its family history discovered that several of the mother's sisters had died with tuberculosis. She was the only one left of the family, I think. I gave, with the doctor's consent, a powder of Tuberculinum 1m. and advised to let it act. This was on the Monday following Easter Sunday.

May 24th, l900, I received the following letter:

"Dr. E. B. Nash,

"Cortland, N. Y.

"Dear Doctor: -You will doubtless remember the case of hydrocephalus you saw with me while in Athens, and for which you prescribed Tuberculinum. Well, from that day, the head ceased to increase in size and (though it has taken no medicine at all, since taking that) has begun to gradually decrease. They measure it in the same place every Sunday, and last Sunday it was half an inch smaller than a week before. Will you kindly send me a graft at once of Tuberculinum high, that I may continue the remedy at intervals, etc., etc."

I received one letter since, reporting further improvement. I can hardly expect a cure in such a case, but the effects of the remedy, so far, seem to be quite remarkable. A case of lung trouble brought to me over a year ago from Seneca Falls, N. Y., had been under allopathic treatment for four years and had been every summer up in the Adirondacks at Saranac, at a Sanitarium established by Dr. Loomis of New York, lung specialist. She continued to grow worse until I took her case in hand. Under the action of two doses of Sulphur c. m. followed by Tuberc. c. m. she is so improved that I think it would be hard to convince any one that she ever suffered from such conditions.

The trouble located in the upper left lung, where there was a distinct cavity, which as far as I can discover, is now healed, though there is a little dullness of respiratory murmur remaining.

One result of the action of these remedies was to restore a granular surface to the eyelids which had been cured (?) with local applications. I am sure that many incurable chronic diseases have had their beginning in just such tampering with local manifestations of Psora.

One more case. -L. D. G., a man sixty years of age, whose brothers and sisters had several of them died of consumption, had been troubled at times with a spasmodic gagging cough for twenty-five years. He was operated for a stricture of the urethra, and a few weeks after was attacked with chills resembling fever and ague. It was in the winter season, and chills and fever are not common here at any time of the year, unless imported. He had several of these chills daily, until there developed a strong Rhus toxicod., condition, when a dose of that remedy put an end to them. But here followed frequent attacks of great pain from the back all through the abdomen, especially the hypogastric region. When I would get these pains in the bowels relieved in a measure he would have what appeared to be neuralgic pains in different parts all over him, first in one place, then in another. When these would seem to subside, he would begin to cough more, and so the thing travelled from pillar to post, for months.

Dr. Sheldon, of Syracuse, man of large experience, was called in consultation. After careful examination, he decided, in view of the family history and (as he expressed it) a peculiar doughy feeling in the abdominal walls, that the case was tubercular in character, and advised Verat. album at present, because the patient was so weak and reduced and cold, especially the extremities.

It was given, but with little or no effect, and things went on as usual until on his theory of Tuberculosis one evening I dropped a dose of Tuberculinum upon his tongue. The effect was that he slept that night as quietly as if under the influence of an anodyne, and every symptom was alleviated, and he improved in every way for weeks until he was able to be out on the street every day. It was very cold weather and he caught cold and came down to the bed again. After a few doses of Aconite for symptoms following his exposure, he received another dose of Tuberculinum as before, with similar effect, and in a short time he had so far improved as to be able to go on a visit to his friends in Troy, N. Y.

How he will come out is still a question, but repeated effects of the remedy were so apparent in so grave a case that I have deemed them worthy of narration.

If you turn to H. C. Allen's "Key-Notes of Leading Remedies," page 297, you will find recorded: "Symptoms ever changing, ailments affecting one organ, then another, the lungs, brain, kidneys, liver, stomach, nervous system -beginning suddenly, ceasing suddenly."

This seemed to be the case with this patient.

In conclusion, I have seen apparent benefit follow the exhibition of this remedy in both incipient as well as advanced cases of Phthisis, always giving the high preparations in the latter and letting it act a long time without repetition. In view of what Dr. Burnett has written, and my own limited experience lately, I am confident that Tuberculinum is destined to rank with Psorinum in the treatment of chronic diseases.

I will add now, Dec. 17th, 1900, that the case of L. D. G. has continued to improve until he seems as well as he has during the last ten years and weighs more.

Another case. -Maude Porter, age 27, unmarried; sanguine, nervous temperament; short, and stout when in health; blue eyes, brown hair.

Has had bad occasional epileptic fits for eleven years. Have been less frequent for past two years under the influence of a specialist's medicine that she got by letter from New York. Her mother had just died of tubercular consumption. Maude cared for her and was continually over her for the last month of her sickness.

After her mother died, on May 28, 1900, she came to me bringing symptoms as follows:

Can't eat anything.

Mouth tastes very badly; in the morning <.

Smell of cooking food nauseates.

Coughs badly, especially nights.

Soreness middle of chest, behind sternum, worse when coughing or ascending hill or stairs.

Has lost 22lbs. of flesh since May 1st.

Backache when tired.

Feels cold and shivery, < morning and evening.

Feels very weak, can't walk without fatigue.

Passed her last period without menses.

Greatly depressed and cries easily.

Has had a cough since la grippe last December.

Has had a diarrhœa for past four weeks.

Pulse from 100 to 120 all the time.

Sweaty nights.

On that date I prescribed Pulsatilla 200th and later 10m. with no perceptible change for the better.

After Pulsatilla failed I prescribed for her Tuberculinum 1m., and for the next four months she got about once in two weeks the same, once or twice changing to Bacillinum 200, under which treatment she made a perfect recovery, and is doing her usual housework, looking as well as ever at this date, December 17, 1900.

I believe that she would have gone with quick consumption but for this remedy. What do you think, my reader?

Tuberculin of Koch. A glycerine extract of a pure cultivation of tubercle bacilli (human). Liquid attenuations.

Acne. Albuminuria. Appendicitis. Asthma. Bones, caries of. Bronchitis. Catarrhal pneumonia. Chilblains. Cornea, opacity of; ulceration of. Dentition. Erysipelas. Erythema. Hæmaturia. Hæmoptysis. Headache. Heart, affections of; palpitation of. Influenza. Leprosy. Leucorrhœa. Lungs, œdema of. Lupus. Mania. Menses too early. Nephritis. Night-terrors. Œdema glottidis. Paralysis. Phthisis. Pleurisy. Pneumonia, acute . Tuberculosis.

I consider it best to reserve the name Tuberculinum for this preparation of Koch, as it is universally known by that name. Burnett's " Bacillinum " is now accepted as the name of the original homœopathic preparation, and though its originator, Swan, named it Tuberculinum , it owes its present position in therapeutics to Burnett, and it will simplify matters if we make the term Bacillinum cover the homœopathic nosode and Tuberculinum the preparation of Koch. When Koch's Tuberculinum was first launched the medical papers were teeming with reports of cases undergoing the injection for various diseases. Of the reported effects, curative and pathogenetic, I made a collection. These will be found in H. W ., xxvi. 155. I have there given the authority for the observations and the nature of the cases in which the effects were observed. These symptoms will be found arranged in the Schema, and each symptom has appended to it the initial of the observer, or an indication of the disease from which the patient was suffering when the observation was made. Koch's own observations are marked (K); Virchow's, (V); Jonathan Hutchinson's, (H); Ewald's, (E); Albrand's, (A); Watson Cheyne's, (W C); Lennox Brown's, (L B). The names of other observers are given in full. Lupus cases are marked (lps.); observations made on a leper (lpr.). In Jour. Belge d'H ., 1894, 236, Mersch published a pathogenesis of Tub . compiled mainly from the same sources as mine, but giving some additional symptoms. These I have included and marked (M). A few cured symptoms are put in brackets. The undistinguished symptoms are from a proving by Nebel, of Montreux ( H. W ., xxxv. 397). The provers were tuberculous individuals, mostly workpeople, and only pathogenetic symptoms are recorded. Tub . 30 was used, the preparation having been obtained from Hausmann's Pharmacy, St. Gall. I do not find any appreciable difference between the action of Tub . and that of Bac . My own impression is that they are practically identical, and that the one will answer to the indications of the other. Nebel has used Tub . in exactly the same way as Burnett and others have used Bac ., on the indications Burnett laid down and with Burnett's results. In H. W . for May, June, and July, 1901, I have copied from H. R . of the same year articles by Nebel giving his experiences with Tub.: ( 1 ) Boy, 13, had diphtheria with fearful headache extending from neck to vertex, with swelling in back of neck and occiput, due, it was supposed, to an affection of the middle ear. Seven weeks passed without improvement. Paracentesis of the tympanum resulted in the evacuation of pus for a day or two. Nebel found the face bloated; strawberry tongue coated white at the root; mastoids not sensitive to even strong pressure. Swelling of occiput and neck down to fifth dorsal vertebra. The head is held fixed sideways towards the middle of the clavicle. If the boy wants to move his head he has to seize it with both hands and turn it slowly, with painful distortion of facial muscles, until it reaches the position desired. Even the slightest pressure on first, second, or third cervical vertebra was very painful; the skin on them was reddened and the periosteum was swollen; glands in neck enlarged. Tuberculosis of atlas and second and third vertebræ consequent on diphtheria was diagnosed. Tub . 1m. was given, five grains, during the day. Two days after the dose the boy could move his head more freely, the swelling of the neck diminished, appetite returned, and in a short time he was able to get up and run about. Five weeks after the dose, the swelling had altogether gone, and the boy's condition was altogether changed. ( 2 ) Swelling of tibiæ two inches below the knee, in a lady who had had cough for twenty years. Cured chiefly with Tub . 1m. This patient had offensive sweat in axillæ, strawberry tongue, lack of appetite. Distaste for milk, constipation, and bad sleep. [Mau, of Kiel, treated the following cases with Bac. ( H. W ., xxxvi. 316) — I introduce them here for comparison: ( 1 ) Vigorous man, tall and of well-developed appearance, was very liable to get pneumonia in cold weather, and spent the winter in some sanatorium or other in order to escape. His father had died of pneumonia, his mother of consumption, and a sister was consumptive. He perspired much, took much fluid nourishment, partly alcoholic. Sleep poor. Almost constant fever. Enlarged glands. Three months' treatment with Bac . removed all the symptoms, and, moreover, made his tissues less watery and reduced his corpulence somewhat. ( 2 ) A distinguished author, 50, complained of dreadful pains in the head, almost total insomnia, and great debility. His brother and sisters had mostly died of dropsy of the brain; he himself had congestion of the right lung, due probably to healed cavities, as he has frequently had hæmorrhages. For this he had had a lengthened treatment in the South, and had been pronounced cured of consumption. Softening of the brain and loss of reason were now feared. The headache was attended with a sensation as if his head was being tightly squeezed behind with an iron ring. Hands trembling; but he, was most uneasy from a sensation in, his back as if his clothes were moist. In less than a month, under Bac ., the headache, insomnia, and sensation in the back had all vanished. Another patient of Mau's, a child, had "screaming out in sleep and great restlessness at night," which were cured, along with peevish, irritable, taciturn disposition.] In 1892 B. S. Arnulphy ( Clinique , xvi. 629) began giving Tub . 6x. and 8x trituration internally in tubercular cases, acute and chronic, and with encouraging success, but with at times undesired aggravations; with 12x and 30x these were avoided. In one case, originating in grippe, both apices were affected, the right one breaking down; and abundant pleuritic effusion on the left side. Six weeks' treatment with Tub . brought about recovery, and seen a year later the patient was quite well except for retraction of the left side. Arnulphy considers ( Clinique , xvii. 86) that Tub . is frequently the remedy for bronchitis, catarrhal pneumonia, lobular pneumonia, tubercular pleurisy, parenchymatous nephritis, and grippe. He gives ( Clinique , xvii. 457) two cases of acute lobular pneumonia with characteristic symptoms and high temperatures quickly resolved by Tub . One was in a boy of three who received the 12x; the other was a man, 78, being a sufferer from chronic bronchial catarrh. The latter was taken with grippe, pneumonia developed, and he was in a very serious state. Tub . 30x made, an almost immediate change for the better, and recovery followed. Arnulphy relates that in this cage an abundant perspiration took place (the skin had been dry) during the night and he had observed this in all cases of pneumonia when Tub . acted favourably. I have found Tub . 30, loop 200, and 1m the best general antidote to the chronic effects of influenza poisoning. B. G. Clark ( H. W ., xxix. 349) reports the case of a lady, 60, who had had for some time a mild form of tuberculosis of the skin of the face, and, more recently a small growth (lupus) on the side, of the nose on a line with the inner canthus of left eye. It had grown much in six. mouths. Tub . 200 F. C., six powders given, one to be dissolved in twelve teaspoonfuls of water, one teaspoonful every two hours. The six powders were taken in this way on successive days. On the fifth day the growth began to dry up. On the tenth it fell off. Another dose of Tub . was given after this with marked improvement to the older affection of the face. A curious use has been made of Tub . by Jauregg, of Vienna, in a case of insanity ( H. W ., xxx. 196). Having observed that cases of insanity are always benefited by an attack of an acute infectious disease, especially if it is accompanied with high fever, the idea occurred to him of utilising the fever produced by Koch's Tuberculin injections. He tried it on some patients, and though the decidedly, favourable symptoms, soon disappeared after the fever subsided, still there was a steady clearing of the comfused sensorium . Insanity is very frequently a manifestation of the consumptive taint and there is something more than a pyrexial power in Tub . [Burnett has cured with Bac . a case of insanity, being led to give it by a ringworm-like eruption on the body.] Among the Peculiar Sensations noted under Tub . are: As if the brain were squeezed with an iron ring. As if the teeth were jammed together and were too many for the mouth. Of mucus in the throat; of a tumour in the throat. Pressure in stomach going to throat as if the clothes were too tight. As if the clothes on the back were wet ( Bac .). Fatigue, faintness, profuse debility are frequent symptoms. Great weakness in the limbs after dinner: this at times amounts to paralysis. The circulation is always disturbed, chills and flushes alternating. "Shivering when beginning to sleep" is a peculiar and interesting symptom; also "cold feet in bed," which is common in persons of low vital reaction. "Sensitive to music" was observed in one of Nebel's patients; another had pains in the region of the appendix vermiformis, which should lead to serviceable action in appendicitis cases. The symptoms are: < By slightest exertion (it = excessive fatigue; sweat). Walking = pains in loins (fatigue). Raising himself up = palpitation. Every movement = sticking in chest and back. Rubbing = itching to change place. < Morning (much purulent expectoration; sickness and nausea; loss of appetite; thirst; fatigue). < From 10 to 3 p.m. (frontal headache). < Evening (heat in head; cough preventing sleep; severe pains in breast at beginning of menses. < Evening in bed (itching; feet cold). < Night (sweat; from 3 a.m. sleep disturbed). < Beginning to sleep (shivering). < After dinner (flushing; drowsiness). Sensitive to music.

Continue in Clarke 28 more passages →

The Nosode.
Fragmentary provings by Swan, upon M. B. B. with cm. ; Edna Rose, with cmm. Authorities :- Refer to New Organon, July, 1879, pp. 342, 439, 449 ; Swan's Morbific Products, 1886 ; Burnett's New Cures, 1885 to 1890 ; J. A. Biegler's Report ; C. F. Nichol's paper in Popular science News, April, 1891.
CLINICAL AUTHORITIES.
- Tubercular meningitis , Biegler, Org., vol. 2, p. 439 ; Hom. Phys., vol. 11, p. 187 ; Burnett, Consumption , pp. 9, 13, 31, 53 ; Chronic headache , Swan, Org., vol. 3, p. 41 ; Vomiting , Kent, MSS. ; Tabes mesenterica , Burnett, Consumption, pp. 52, 82 ; Cholera infantum , Swan, MSS. ; Cough , Boardman, Org., vol. 2, p. 448 ; Burnett, Consumption, p. 15 ; Threatened phthisis, Incipient tuberculosis , Burnett, Consumption ; Tubercular synovitis of knee , Burnett, Consumption, p. 47 ; Spasms , Swan, Organon, vol. 2, p. 342 ; Hom. Phys., vol. 11, p. 187 ; Ringworm , Burnett, Consumption, pp. 96-100.

Although naturally of a sweet disposition, became taciturn, sulky, snappish, fretty, irritable, morose, depressed and melancholic, even to insanity. θ Tubercular meningitis. Burnett.
Fretful, ailing, whines and complains ; mind given to be frightened, particularly by dogs. θ Hydrocephaloid. Burnett.

(In sick :) Severe headache, < on second day, lasting until third, recurring from time to time for many weeks and compelling quiet fixedness. Burnett.
Headache, with frequent sharp, cutting pains passing from above right eye through head to back of left ear. Rose.
Headache of great intensity preceded by a shuddering chill passing from brain down spine ; with attack a feeling as if head above eyes were swollen ; became unconscious with screaming, tearing her hair, beating her head with her fists or trying to dash it against wall or floor. Swan.
Headache of forty-five years' standing, pain passing from right frontal protuberance to right occipital region. Swan.
Terrible pain in head, as if he had a tight hoop of iron around it ; trembling of hands ; distressing sensation of damp clothes on his spine ; almost absolute sleeplessness ; profound adynamia ; was thought by his friends to be on verge of insanity ; most of his brothers and sisters had died of water on brain ; right lung solid, probably from healed-up cavities, as he at one time suffered from pulmonary phthisis. Burnett.
Sullen, taciturn, irritable, screams in his sleep, is very restless at night, costive ; sister died of tubercular meningitis. Burnett.
Fretful and ailing, whines and complains, indurated glands can be felt everywhere, child hot, drowsy, urine red and sandy, much given to be frightened, particularly by dogs ; was vaccinated and had a very bad arm for four months thereafter ; would not smile, whimpers when spoken to, skin dingy, skull hydrocephalic. Burnett.
Boy, æt. 20 months, ill for days with head, high fever, restlessness and constant screaming ; finally no sleep for forty hours, followed by a condition of collapse ; peculiar smell of body ; family history of tuberculosis. Burnett.
Tubercular meningitis, with effusion ; head greatly enlarged ; alternately wakeful and delirious at night, talked nonsense by day, at intervals ; nocturnal hallucinations and fright ; delirium ; pyrexia ; had eczema which almost disappeared after two unsuccessful vaccinations, and which were soon followed by above condition ; after administration of remedy there occurred a severe pustular eruption, then patches of a lepra and eczema appeared. Burnett.
Basilar meningitis. Sinker.
Tubercular meningitis. Sinker.
Acute cerebral meningitis, with intense strabismus. Biegler.

Soreness inside of nose, commencing as watery pimples, which, suppurating, form scabs ; nose and lips somewhat swollen ; itched slightly. Rose.

Slight swelling and itching of lips. Rose.

Nausea before breakfast, with sudden diarrhœa. M. B. B.
Frequent vomiting. Kent.

Windy dyspepsia, with pinching pains under ribs of right side in mammary line. Burnett.

Fever, emaciation, abdominal pains and discomfort, restless at night, glands of both groins enlarged and indurated ; cries out in sleep ; strawberry tongue. θ Phthisis. Burnett.
Tabes mesenterica ; swelling on left side, also on right ; complains of a stitch in side after running ; languid and indisposed to talk ; nervous and irritable ; talks in his sleep, grinds his teeth ; appetite poor ; hands blue ; indurated and palpable glands everywhere ; a drum belly, spleen region bulging out. Burnett.
Inguinal glands indurated and visible ; excessive sweats ; chronic diarrhœa. θ Tabes mesenterica. Burnett.

Sudden diarrhœa before breakfast, with nausea.
Diarrhœa, furious fever, burning hot skin, great heat in head, red, flushed face, eyes turned upward, quivering and rolling ; peculiar fetid smell of body. θ Incipient tuberculosis. Burnett.
Cholera infantum. Swan.
Severe hemorrhages from bowels, cough ; emaciation ; family history of phthisis. Burnett.

Slight tedious hacking cough, which had lasted for months in a girl of a distinctly phthisic habit. Burnett.
Hard, dry cough, sometimes slight, but generally no expectoration, slightly feverish. Boardman.
Hard, dry cough, shaking patient, more during sleep, but did not waken him. Boardman.
Expectoration of non-viscid, very easily detached, thick phlegm from air passages, followed after a day or two by a very clear ring of voice. Burnett.

Slight hacking cough, continuing all day, < at bedtime and on rising ; emaciation ; dulness on percussion at apex of right lung. θ Threatened phthisis. Burnett.
Girl, æt. 15, tall for her age ; tonsils enlarged ; chronic discharge from nose, < early morning on rising ; speech thick ; thorax of pigeon-breast type ; menstruated freely ; perspires much across nose ; very bad perspiration of chest, armpits, palms, nose and feet ; feels very chilly ; spleen swollen ; distinct dulness on percussion at apex of right lung ; suffered badly from vaccination ; gets chilblains. θ Incipient tuberculosis. Burnett.
Hectic flush of cheeks ; shortness of breath ; slight hacking cough ; several strumous scars on neck ; dusky skin ; large, moist rales in both lungs ; increased vocal resonance of right lung ; amphoric sounds in right lung ; large, soft-feeling gland in left side of neck ; very pronounced endocardial bruit, best heard at apex beat (Iodoformum 3x in four grain doses for two months, with improvement, followed by Tuberculinum c. in very infrequent doses). Burnett.
Incipient phthisis in a boy æt. 7 ; loss of flesh ; great prostration ; morbid timidity ; glands of groins and on both sides of neck very much enlarged and indurated, particularly glands over apex of right lung ; as he had suffered much from vaccination, Thuja 30 and Sabina 30 were first given, then Tuberculinum c. Burnett.
Nocturnal perspirations ; notched incisors ; indurated glands everywhere, very large and numerous ; drumbellied ; grinding of teeth at night ; great susceptibility to taking cold, perspiration < at back of lungs and on head ; big head, with bulging forehead ; subject to attacks of fever and diarrhœa. θ Incipient phthisis. Burnett.
Incipient tubercular disease ; restless at nights ; sleepless ; grinds teeth ; tendency to diarrhœa ; want of appetite ; foul breath ; notched teeth ; pain after food ; vomiting of food ; indurated glands ; strawberry tongue ; naughty ; very irritable temper ; puny growth ; very thin ; girl, æt. 6. Burnett.
A nasty little cough for seven weeks ; much expectoration ; pains in right lung ; evening fever ; liver and spleen enlarged ; cough < morning after breakfast ; neck slightly goitrous ; eats hardly any breakfast. Burnett.
Cough, < 6 A. M. ; notched incisors ; thin and puny ; cervical and inguinal glands much enlarged and indurated ; strawberry tongue ; girl, æt. 7. θ Incipient phthisis. Burnett.
No respiratory sounds at top of right lung, and vocal resonance slightly increased ; pain in left side ; profuse perspiration ; girl, æt. 18. Burnett.
Much fever, < evenings ; restless and terribly irritable ; much depressed and in almost constant agitation ; tongue very red ; chronic diarrhœa ; has lost fourteen pounds during last six weeks ; has no appetite ; evacuations discharged from bowels as from a pop-gun. θ Threatened phthisis. Burnett.
Bad cough of about twelve months' duration ; expectoration of blood ; one of apices was audibly diseased ; has had pneumonia ; chest flat ; respiration accelerated ; tanned unduly in sun. Burnett.
Anemic, sickly, pale ; profound debility ; dyspnœa, cannot mount or hurry ; menses irregular. θ Phthisis pulmonum. Burnett.
Lady, æt. 26, in first stage of consumption ; dyspnœa and rapid breathing ; loss of flesh ; greasy, dingy skin. Burnett.
Stout man, bright, florid complexion, mother died of phthisis, with which disease her sister is suffering ; gets pneumonia very often in cold weather ; hence travels from place to place to avoid colds ; coughs much, brings up much phlegm ; perspired profusely and drank great quantities of fluids ; wretched sleepless nights, with almost constant fever ; glands of neck much enlarged. θ Phthisis. Burnett.
Complains that she has been in consumption for many years ; is very thin and consumed with fever ; lungs very flat ; respiration almost imperceptible ; fever ; poor appetite ; languid. Burnett.
Ringworm on scalp ; lymphatic glands everywhere palpable ; ribs very flat ; strawberry tongue, bad cough, < at night ; although 11 years old she had practically no teeth, they were rudimentary, and not above level of of gums. Burnett.
Pronounced phthisical habit ; severe piles ; constipation ; brown cutaneous affection on abdomen. Burnett.

Indurated cervical glands.
Lump size of a walnut on cord of neck, is movable and occasionally itches. Rose.

Lame feet for three weeks, would walk or stand on sides of feet to rest them. M. B. B.
Cramps in calves. M. B. B.
Tubercular swelling of knee ; intermittent attacks of pain in it ; has expectorated clots of blood and suffered from exhausting sweats ; family history of phthisis. Burnett.
Tuberculous disease of left knee ; for eleven months had been limping ; knee much enlarged and very tender ; teeth dirty and carious ; strawberry tongue. Burnett.
Tubercular synovitis of left knee. Burnett.

Suddenly became unconscious while sewing or talking, began screaming, tearing her hair, beating her head with her fists, or trying to dash it against wall or floor ; attacks daily, for a month, then spasms set in, with rolling of head from side to side and moaning ; continuing five weeks, followed by a recurrence of fainting fits, at least twice a week ; a few hours before an attack of fainting, a shuddering like a chill seemed to go from brain down spine ; when questioned about an attack, she said head would suddenly seem to swell over eyes and pain became "horrid", and she knew no more ; between attacks she was free from all complaints except fatigue and an ever-present frontal headache. Swan.

Disturbed, distressful sleep. Burnett.

Morning : before breakfast, sudden diarrhœa ; on rising, hacking cough < ; on rising, discharge from nose < ; after breakfast, cough <.
At 6 A. M. : cough <.
Evening : at bedtime, hacking cough < ; fever.
All day : hacking cough.
Night : wakeful and delirious ; restless ; grinding of teeth ; cough <.

Fever. θ Phthisis. Burnett.

Intermittent attack : of pain in tuberculous knee.
For forty hours : no sleep.
Twice a week : fainting fits.
For three weeks : lame feet.
During six weeks : lost fourteen pounds.
For seven weeks : a nasty little cough.
For eleven months : limping, from tubercular knee.
For about twelve months : a bad cough.
For forty-five years : headache.

Left : enlarged gland on neck ; pains in side ; tuberculous knee.
Right : sharp pain above eye, through to left ear ; pain from forehead to occiput ; pinching pains under ribs ; dulness in apex of lung ; increased vocal resonance in lung ; amphoric sounds in lungs ; pain in lung.

As if head, above eyes, were swollen, followed by unconsciousness ; as if he had a tight hoop of iron around head ; as of damp clothes on his spine ; a shuddering like a chill seems to go from brain down spine.
Terrible pain : in head.
Cutting : from above right eye, through head to back of left ear.
Stitch : in left side, after running.
Pinching : under right ribs.
Cramps : in calves.
Itching : of nose and lips ; in lumps on neck.

Very bad tempered ; very much pigmented where sun's rays impinged upon him ; teeth dirty, greenish. θ Phthisical habit. Burnett.
Eruption of itching blotches all over body, with exception of face and hands. Rose.
Ringworm. Burnett.

Boy, æt. 15 months, dark, fat, sister died of consumption of brain ; incipient tubercular meningitis.
Boy, æt. 20 months ; threatened tubercular meningitis.
Boy, æt. 2 years and 8 months, brother of two children who died of tubercular meningitis ; tuberculosis.
Boy, æt. 3 ; incipient tuberculosis.
Girl, æt. 6, daughter of a country squire who was suffering from chronic phthisis ; phthisis.
Girl, æt. 7 ; incipient phthisis.
Girl, æt. 7, family of phthisis ; tubercular affection of knee.
Boy, æt. 7, family history of phthisis ; incipient phthisis.
Boy, æt. 8, family history of consumption ; threatened phthisis.
Boy, æt. 10 ; tabes mesenterica.
Girl, æt. 11, family history of phthisis ; ringworm, carious teeth, cough, etc.
Girl, æt. 13, overgrown ; phthisis.
Boy, æt. 14 ; phthisis.
Girl, æt. 15 ; incipient tuberculosis.
Girl, æt. 17, sister died of consumption ; phthisis.
Girl, æt. 19 ; pulmonary phthisis.
Girl, æt. 20, phthisic habit, tall for her age, long fingers, almond-shaped nails, long neck, indurated glands in neck ; cough.
Lizzie R., æt. 21, when three years old was frightened into a fit, which was followed by chorea, which continued until she was thirteen ; has never been in good health ; for the last four or five years passed through a variety of conditions, at one time being confined to bed for sixteen months, during nine months of this time could eat nothing but ice-cream ; then had an attack of trismus, followed by severe ulceration of mouth ; finally spasms set in, and after these ceased she passed through a condition simulating last stage of phthisis ; spasms.
Lady, æt. 22, single, delicate habit of body, brother has consumption of bowels ; threatened phthisis.
Lady, æt. 26, single, family history of consumption ; phthisis.
Merchant, æt. 26, tall, slim, long, thin neck, bends forward, both parents died of lung disease ; incipient phthisis.
Man, æt. 30, married, ten of his relations died of phthisis ; tubercular swelling of knee.
Woman, æt. 38, mother of seven children, three sisters died of consumption ; threatened phthisis.
Lady, æt. 40, single ; phthisis.
Lady, æt. 40, married, family history of consumption ; threatened phthisis.
Man, æt. 50, family history of phthisis ; hemorrhage from bowels.
Man, æt. 50, an author of eminence, well known in theological circles, brother and sister died of water on brain, r. lung solid, probably from healed-up cavities, he having by treatment and travel "grown out" of his pulmonary consumption ; tubercular meningitis.
Lady, æt. 56, florid, mother and six brothers and sisters died of consumption ; tubercular synovitis.
Gentleman, very big and stout, of bright, florid complexion, family history of consumption ; phthisis.

Complementary : Hydrastis to fatten patients cured with Tuberculinum .

I want to take up the study of Tuberculinum.

The preparation which I use is a little different from that which is generally found in the market. This preparation I procured through a Professor of Veterinary Surgery.

In Pennsylvania there came a time when a handsome herd of cattle had to be slaughtered because of tuberculosis. Through the Veterinary Surgeon of the Pennsylvania University I secured some: of the tubercular glands from these slaughtered cattle.

I selected from these the most likely specimen.

This was potentized by Boericke & Tafel as far as the 6th, and has since been prepared on the Skinner machine, the 30 th, 200 th, 1000 th and the higher potencies. This preparation I have been using for fifteen years. Many of my friends have been using if, as they have procured it from me.

From observing the effects of this preparation I have been gathering these notes in my inter-leaved Hering's Guiding'Symptoms, and, they now guide me in the use of Tuberculinum. I do not use Tuberc. merely because it is a nosode, or with the idea that generally prevails of using nosodes; that is, a product of the disease for the disease, and the results of the disease. This I fear is too much the prevailing thought in using nosodes.

In certain places it prevails and is taught that anything relating to syphilis must be treated with Syphilinum; that anything relating to gonorrhoea must be treated with Medorrhinum, anything psoric. must be treated with Psorinum, and anything that relates to tuberculosis must be treated with Tuberculinum.

That will go out of use some day; it is mere isopathy, and it is an unsound doctrine. It is not the better idea of Homoeopathy. It is not based upon sound principles. It belongs to a hysterical Homoeopathy that prevails in this century. Yet much good has come out of it.

It is hoped that provings may be made so that we may be able to prescribe Tuberc. on the symptoms of Tuberc. just as we would use any drug.

It is deep acting, constitutionally deep, because it is a product of disease from a very deep-seated constitutional condition, like Silica and Sulphur . it goes deep into the life; it is antipsoric; it is long acting, and it affects constitutions more deeply than most remedies; and when our deepest remedies act only a few weeks, and they have to be changed, this remedy comes in as one of the remedies-when the symptoms agree and brings a better state of reaction, so that remedies hold longer. It may well be considered a species of Psorinum.

One of the most prominent uses of this remedy is in intermittent fever. Some of our most stubborn cases of intermittent fever will relapse and continue relapsing, even when such remedies as Silica and Calcarea and the deeper-acting remedies have been indicated, have acted we have broken the fever, and in a few weeks, from exposure to cold, from sitting in a draft, from becoming fatigued, from mental exertion, from over-eating and from disordering the stomach this ague has returned.

Any of these circumstances will bring back these stubborn cases of intermittent fever when Tuberc. is needed. When a patient is traveling toward phthisis and he is exposed and intermittent comes out. He is of a feeble constitution and his complaints have a tendency to relapse, and remedies well selected do not hold long, though they act well at first, they must soon be changed-changing symptoms.

Continue in Kent 85 more passages →

Adapted to persons of light complexion ; blue eyes, blonde in preference to brunette ; tall, slim ; flat, narrow chest ; active and precocious mentally, weak physically ; the tubercular diathesis.

When with a family history of tubercular affections the best selected remedy fails to relieve or permanently improve, without reference to name of disease.

Symptoms ever changing ; ailments affecting one organ, then another—the lungs, brain, kidneys, liver, stomach, nervous system—beginning suddenly, ceasing suddenly.

Takes cold easily without knowing how or where ; seems to take cold "every time he takes a breath of fresh air" (Hep.).

Emaciation rapid and pronounced ; losing flesh while eating well (Abrot., Cal., Con., Iod., Nat.).

Melancholy, despondent ; morose, irritable, fretful, peevish ; taciturn, sulky ; naturally of a sweet disposition, now on the borderland of insanity.

Everything in the room seemed strange as though in a strange place.

Headache : chronic, tubercular ; pain intense, sharp, cutting, from above right eye to occiput ; as of an iron hoop around the head (Anac., Cac.) ; when the best selected remedy only palliates.

School-girl's headache ; < by study or even slight mental exertion; when using eyes in close work and glasses fail to >; with a tubercular history.

Acute cerebral or basilar meningitis, with threatened effusion; nocturnal hallucinations; wakes from sleep frightened, screams; when Apis, Hell., or Sulph., though well selected, fail to improve.

Crops of small boils, intensely painful, successively appear in the nose; green, fetid pus (Sec.).

Plica polonica; several bad cases permanently cured after Bor. and Psor. failed.

Diarrhœa: early morning, sudden, imperative (S

Anxiety, gloomy, melancholy humor.
Has lost melancholy expression she formerly had.
Is disposed to whine and complain; dejected mind, anxiety.
She is very sad.
Nervous irritation; aversion to labor.
Indifferent.
Forgetful.
Aversion to all labor, esp. mental work.
Sensibility to music.
Does not like to be disturbed by people; trembling of hands.
Felt positively ugly; personal aversions became almost a mania.
Trifles produced intense irritation and I could not shake them off.
Very irritable, want to fight; no hesitancy in throwing anything at any one, even without cause.
Memory weak, unable to think.
Comprehension and concentration almost impossible.
Great anxiety for future, otherwise marked indifference.
Great sleepiness and weariness; entire muscular system relaxed; desire to lie down all the time.
Nervous; weak; IRRITABLE.
Melancholy, despondent, morose, irritable, fretful, peevish; Ill-mannered, quarrelsome; lies in bed and complains; lachrymose, of a sweet disposition, now on the borderland of insanity.
Fretful, snappish, morose, depressed and melancholic, even to insanity.
Ill-mannered, quarrelsome; lies in bed and complains; lachrymose, weeps without any provocation, cannot help it.
IRRITABLE ON WAKING; NOTHING CAN PLEASE HIM; NOTHING SATISFIES.
Melancholy with marked hypochondriacal delirium.
Everything in the room seems strange, as though in a strange place.
Intense restlessness; and inward restlessness.
With every little ailment whines and complains; easily frightened, particularly by dogs; screams in terror when approached by a dog.
Anxiety, gloomy, melancholic humor.
Very restless in the evening when aroused.
Periodical anxiety and terror.
She is very sad, dejected, and complains continually.
Nervous irritation; averse to physical or mental labor.
Indifferent; forgetful; averse to all labor, especially mental work.
Extremely sensitive to music.
Sensibilities dulled; with chill and aching in the head, back and limbs.
Somnolence; loss of vital power; great physical weakness.
Does not like to be disturbed; trembling of hands and feet.
Soporous, dazed condition; unable to find the right way; is confused, surroundings appear strange.
Memory weak or lost; unable to think or comprehend.
Comprehension difficult; must read a paragraph several times before he can understand it.
Sopor; somnolence; with dyspnœa.
Coma: profound, lasting three days, with temperature 106.
Delirium and serious meningeal symptoms, following an injection of Tuberculinum.
Complete unconsciousness; stupor and stertorous breathing.
Insanity; acute or chronic, with a family history of tubercular affections.
When the best selected remedy fails to relieve or permanently cure in a marked tubercular diathesis, with a tubercular family history.
Despondent, discouraged, feel as if I would rather die than live.
Although naturally of a sweet disposition, became taciturn, sulky, snappish, fretty, irritable, morose, depressed and melancholic, even to insanity. - Burnett.

Vertigo, esp. in morning; heavy with obscuration of eyes; is obliged to lean on something by bending down, esp. by rising after bending down; with palpitation; with nausea; with backache in morning; after dinner.
Great heat in head; flushes of heat after dinner; sensation of heat in head in evening.
Headache: deep in forehead; deep in temples; on vertex, with sensation of heat; from neck to forehead; in morning, passing away in afternoon.
Sensation of heaviness on vertex.
Headache with obscuration of sight.
Headache with vertigo.
Piercing headache.
Piercing pain in forehead from 10 A. M. to 3 P. M.
Headache in evening; in afternoon.
Frontal headache in morning.
Headache with rushing in ears.
Headache in morning with bleeding of nose.
Headache from neck to forehead; burning, piercing.
Colossal hyperemia of pia mater and brain substance; extreme engorgement of vessels on the surface, internally dusky red; tubercles presented no retrogressive changes (arachnitis).
(Sensation as if brain were squeezed with iron band. Bac.).
Headache < by motion.
Sick-headache commencing about 8 A. M., increasing in severity through the day; very changeable, leaning the head to one side would increase the pain on that side.
Brain seems loose and rolling around from side to side.
Darting pain in occiput, extending down the spine.
Headache commencing about 10 A. M., increasing until 3 or 4 P. M.
Pains erratic, changing place rapidly; first in one place then in another, not > in any position.
Headache in evening 8 P. M., neurotic, first in one place then in another, over one eye then the other, then the occiput and down the spine.
Headache in afternoon, worse from going up stairs, better in open air.
Severe headache and vertigo in afternoon; a dizzy, sick at stomach sensation, like sea-sickness.
Dull headache on waking.
A strange sensation in head on first lying down as if some light substance was rolling from above eyes to vertex.
Severe headache beginning upon mastoid process on left side and extending over head to opposite side.
Complete physical exhaustion without any apparent cause.
Chilly all day, although room was warm, muscles of the whole body sore to touch or pressure.
In morning so weary and muscles ache so severely it is difficult to arise.
Great heaviness in head and pain in occiput and neck.
Severe headache, < on second day, lasting until the third, recurring from time to time for many weeks and compelling quiet fixedness. - Burnett.
Headache, with frequent sharp, cutting pains passing from above right eye through head to back of left ear . - Rose.
Headache of great intensity preceded by a shuddering chill passing from brain down spine, with attack a feeling as if head above eyes were swollen; became unconscious with screaming, tearing her hair, beating her head with her fists or trying to dash it against wall or floor. - Swan.
Headache of forty-five years' standing, pain passing from right frontal protuberance to right occipital region. - Swan.
Terrible pain in head, as if he had a tight hoop of iron around it; trembling of hands; distressing sensation of damp clothes on his spines; almost absolute sleeplessness; profound adynamia; was thought by his friends to be on verge of insanity; most of his brothers and sisters had died of water on brain; right lung solid, probably from healed-up cavities, as he at one time suffered from pulmonary phthisis. - Burnett.
Sullen, taciturn, irritable, screams in his sleep, is very restless at night, constipated; sister died of tubercular meningitis. - Burnett.
Fretful and ailing, whines and complains, indurated glands can be felt everywhere, child hot, drowsy, urine red and sandy, much given to be frightened, particularly by dogs; was vaccinated and had a very bad arm for four months thereafter; would not smile, whimpers when spoken to, skin dingy, skull hydrocephalic. - Burnett.
Boy, aged 20 months, ill for days with head, high fever, restlessness and constant screaming; finally no sleep for forty hours, followed by a condition of collapse; peculiar smell of body; family history of tuberculosis. - Burnett.
Tubercular meningitis, with effusion; head gradually enlarged; alternately wakeful and delirious at night, talked nonsense by day, at intervals; nocturnal hallucinations and fright, delirium; pyrexia; had eczema which almost disappeared after two unsuccessful vaccinations, and which were soon followed by above condition; after administration of remedy there occurred a severe pustular eruption, then patches of a lepra and eczema appeared. - Burnett.
Basilar meningitis. - Sinker.
Tubercular meningitis. - Sinker.
Acute cerebral meningitis, with intense strabismus. - Biegler.
Plica polonica: several bad cases permanently cured with Tuberculinum. - Jackson.

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