Lycopodium

Natural History.
      Lycopodium clavatum.
      Muscus terrestris repens.
      Pes ursinus.
      Club moss.
      Wolf’s-claw.
      (Hilly pastures and heaths in Central and Northern Europe, Russian Asia, and North America. Common in Great Britain, especially the North.) N. O. Lycopodiacee. Trituration of spores.
      Tincture of spores.
      Tincture of fresh plant.
      Etherial tincture of spores (ether dissolves the spore cases).

Clinical.
      Abdomen, distended.
      Abortion.
      Albuminuria.
      Aneurism.
      Angina pectoris.
      Aphasia.
      Asthma.
      Axilla, offensive perspiration of.
      Biliousness.
      Borborygmi.
      Bright’s disease.
      Cancer.
      Cataract.
      Constipation.
      Consumption.
      Corns.
      Cough.
      Cramps.
      Cystitis.
      Debility.
      Diphtheria.
      Distension.
      Dropsies.
      Dysentery.
      Dysmenorrhea.
      Dyspepsia.
      Ear, eczema behind.
      Eczema.
      Ephelis.
      Epistaxis.
      Epithelioma.
      Excoriation.
      Eye, inflammation of: polypus of canthus.
      Face, eruption on.
      Feet, perspiring.
      Fibroma.
      Flatulence.
      Gall-stone colic.
      Glands, swelling of.
      Goitre.
      Gout.
      Gravel.
      Hematuria.
      Hemorrhoids.
      Hair, falling out.
      Hands, chapped.
      Heartburn.
      Heart, diseases of.
      Hemiopia.
      Hernia.
      Hydropericardium.
      Hypochondriasis.
      Hysteria.
      Impotence.
      Influenza.
      Intermittents.
      Intertrigo.
      Irritation.
      Labor-pains, abnormal.
      Lip, cancer of.
      Liver, derangement of.
      Liver-spots.
      Locomotor ataxy.
      Lungs, affections of.
      Menstruation, disorders of.
      Metrorrhagia.
      Nevus.
      Nymphomania.
      Otorrhea.
      Panaritium.
      Paralysis.
      Paralysis agitans.
      Peritonitis.
      Phlegmasia dolens.
      Physometra.
      Plica polonica.
      Pneumonia.
      Polypus, of eye, of ear, of nose.
      Proctalgia.
      Prostatitis.
      Pylorus, affections of.
      Quinsy.
      Renal colic.
      Rheumatism.
      Rhagades.
      Sciatica.
      Sleep, abnormal.
      Speech, disordered, stammering.
      Strains.
      Sunstroke.
      Taste, abnormal.
      Throat sore.
      Tongue, coated, cramp in.
      Typhoid fever.
      Urine, abnormal.
      Varicosis.
      Warts.
      Water-brash.
      Whooping-cough.
      Worms.
      Yawning.

Characteristics.
      Lycopodium is one of the pivotal remedies of the materia medica, and an intimate acquaintance with its properties and relations is essential to a proper understanding of the materia medica as a whole.
      The spores from which the attenuations are made have been called "vegetable sulphur" (probably on account of their use for producing stage-lightning at theatres), and Lyc. ranks with Sulphur and Calcarea in the central trio around which all the rest of the materia medica can be grouped.
      The Lycopodium stand between the mosses and the ferns, and in past eras occupied a most important place in the world’s vegetation as fossils show.
      In the old school the function of Lyc. has dwindled into its use as an "inert" coating for pills and an "inert" powder dusting on excoriated surfaces.
      Earlier practitioners did not consider it as by any means inert.
      Teste mentions that it is recorded of a decoction of the plant that it has caused vomiting.
      The use of the powder in intertrigo was not regarded as a physical one but as medicinal.
      It was praised by Wedel, Lantilius, Gesner, and others in (1) cardialgia and flatulent colic of children and young girls, (2) diseases of children, (3) nephritic colic and calculi.
      Which is about as much as some homeopathists know about it at the present day.
      But Merat and de Lens speak of its internal use in: Rheumatism, retention of urine, nephritis, epilepsy, and pulmonary diseases.
      In Poland it is used for powdering the hair in "plica polonica," a decoction being used internally and also externally at the same time.
      The comparative fruitfulness of the two schools of medicine may be accurately measured in the history of this drug: in the old school it has dwindled into an "inert" power, in homeopathy, by means of the scientific methods of developing and investigating drug action it possessed, all the old virtues of Lyc. have been confirmed and precisionised, and a new world of medicinal action added to them.
      Teste puts Lyc. at the head of a group containing Nat-m., Viol. tric., and Ant-c. Among the common characters he attributed to them are: Primary action on digestive organs and adjoining glands, on liver and larger intestines rather than stomach.
      Aversion to bread and worse from eating bread and foods made of fermented and fermentable dough.
      Frequent and painful eructations.
      Sour eructations, vomiting, distension, alternate diarrhea and constipation.
      Pale, whitish, cloudy mucous urine, often fetid.
      Premature and profuse menses.
      Peevishness.
      Rush of blood to head.
      Falling of hair, with crusty scalp eruption.
      Inflammation of eyes and lids.
      Deficiency of vital heat.
      Contraction of tendons, especially hamstrings.
      These are general features common to the group.
      Lyc. acts profoundly on the entire organism, on solids and fluids.
      It causes paralysis and paralytic weakness of limbs, of brain, suppurative conditions, even gangrene.
      It is particularly suited to: Persons of keen intellect, but feebler muscular development, upper part of body wasted, lower semi-dropsical, lean and predisposed to lung and hepatic conditions, herpetic and scrofulous constitutions, hypochondriacs subject to skin diseases, lithic acid diathesis, much red sediment in urine, urine itself transparent, sallow people with cold extremities, haughty disposition, when sick, mistrustful, low of comprehension, weak memory, weak children with well-developed heads but puny, sickly bodies, irritable, nervous, and unmanageable when sick, after sleep cross, pushing every one away angrily, old women and children.
      In my experience it has been more indicated in persons of dry temperament and dark complexion: but this is not by any means exclusive.
      Undernourished states suggest it.
      But it is impossible to get the best therapeutic results for this great remedy without an intimate knowledge of certain leading characteristics.
      Lyc. will cure any case in which the totality of symptoms correspond with symptoms of the remedy, but it will be found that in a large proportion of cases in which this is the case, there will be present some symptoms which are peculiarly characteristic of the remedy, constituting what are called keynotes.
      Practice on keynote symptoms alone is an absurdity, but the right use of keynote symptoms is an immense saving of labor.
      The Lyc. keynotes are very pronounced, and though I cannot say that one is more important than another, I give them in this order.
      (1) worse From 4 to eight PM
      (In one case cured by Lyc. it was: "Bad from 4 to 6, better at 8, gone at 9.") In any case, when the symptoms are worse from 4 to eight PM, the chances are very great that the rest of the case will correspond to Lyc., no matter what the disease may be.
      The times may be not accurately at these hours, and still Lyc. may be the remedy worse At four PM or from 4 to 6, and the condition may continue into the night without the eight PM alleviation.
      But the grand characteristic is 4 to 8.
      (2) The second keynote is in direction, right to left.
      Any affection commencing on the right side and spreading to the left is likely to require Lyc., whether it be headache, sore throat, chest affection, abdominal affection, pains in ovaries.
      If the affection begin on the right side and spreads to the left Lyc. must be studied.
      Cutting pains shooting from right to left in any part indicate Lyc. In this it is complementary to Lach., which has just as characteristically the opposite direction.
      Lyc. is a right-side medicine, but right-sidedness is not so characteristic as the direction right to left.
      These two features are perhaps the most valuable keynotes in the materia medica.
      After them in importance, and scarcely less important, come other.
      (3) better From uncovering. This is general, but it applies to sufferings in the head more particularly.
      If a patient complains of headache, no matter of what kind, and if the headache is distinctly better by taking off the hat or other covering, Lyc. will probably be the remedy.
      This is the great dividing line between this remedy and Sil., another great headache medicine: in Sil. cases the patient must warp up the head.
      better From loosening the garments is in the same category.
      (4) The next characteristic is somewhat of an opposite kind: better From warm drinks, worse from cold food and drink.
      This does not refer to gastric complaints alone, but to headache, sore throat, and any other condition.
      (5) Fan-like movement of ale nasi occurring in cerebral, pulmonary, and abdominal complaints.
      The movements are usually rapid, never slow, and are not synchronous with the breathing.
      In the same order with this are spasmodic movements of facial muscles: angles of mouth alternately drawn up and relaxed, and spasmodic movements of tongue, it cannot be protruded, rolls from side to side like a pendulum.
      One prover had a kind of cramp in the tongue when speaking, cutting off the end of every sentence.
      Nodding and side to side movement of the head.
      Loosvelt (H. W., xiv 396) has found that "half-open condition of the eyes during sleep" is a strong indication for Lyc., and has led him to make cures in cases of bronchitis, pneumonia, and typhoid when other remedies have failed.
      The "fan-like movement" of the ale nasi led Halbert to the cure of a case of nervous asthma (H. W., xxxiii. 545): Mrs. S., 28, had periodic attacks of spasmodic asthma, always ushered in by unusual excitement and attended by peculiar mental depression.
      The attack for which Halbert saw her was induced by a violent fit of anger, and persisted longer than usual.
      Extreme despondency and melancholy, would have nothing to do with her friends.
      Fan-like motion of ale nasi.
      Constriction of throat, like globus, but always induced by regurgitation of food.
      Excessive appetite easily satisfied.
      Fullness of abdomen with flatulence.
      Constipation, dry, hard stools.
      Dyspnea.
      Slight cough with chest constriction, better in open air.
      All symptoms worse 4 to eight PM
      Lyc. 6x trit.
      cured.
      (6) Suddenness, sudden flashes of heat, lightning-like pains, sudden satiety.
      Pains and symptoms come and go suddenly, as with Bell. (7) Sensation as if a hand were in the body clutching the entrails (also as with Bell.).
      (8) Restlessness better by motion.
      (9) Right foot hot, left foot cold.
      (10) Burning pains better by heat, burning like hot coals between scapula.
      Burning stinging in breasts.
      (11) Dryness of parts: of mucous membranes, of vagina, of skin, especially palms.
      Prominent among mental symptoms is.
      Fear: of being alone, of men, of his own shadow.
      Apprehensiveness: susceptible to natural causes of fear which make a profound impression on bodily organs, as the liver, mental states resulting from fear.
      Profound sadness and inclination to weep.
      Peevish.
      Forgetful.
      Avaricious.
      Imperiousness.
      Lyc. is a remedy for misers.
      The headaches are in great variety, but the modalities will generally decide: worse 4 to eight PM, from eating, from warmth of bed, from becoming heated during a walk, from heat in general, from mental exertion, better in open air, in cool place, by uncovering.
      Hair falls out.
      Ophthalmia: conjunctiva looks like red flesh.
      Lyc. has cured desperate cases of facial neuralgia with the general characteristics of the drug.
      The facial appearance is pale and yellow, deeply furrowed, looks elongated.
      Sordes in teeth.
      Lyc. is in the front rank among flatulent remedies.
      Incarcerated flatulence, more in intestines than stomach, painful with better by eructations.
      There is the sinking sensation at epigastrium, and it is worse in the night, waking up the patient, or worse in afternoon.
      This sensation becomes translated into canine hunger, but as soon as a morsel of food is swallowed there is distension and fullness to the throat, preventing him eating any more.
      Sour stomach, sour taste, sour vomiting.
      Thirst for little and often, but drinking cold water causes nausea.
      Great weakness with the vomiting.
      Cord-like tension across hypochondria.
      Flatulence incarcerated, pressing outward, sensation as if something moving up and down in bowels.
      Great sensitiveness in liver region.
      (This sensitiveness is a characteristic of Lyc., as it is of its complementary remedies, Lach., Kali-i., and Iod. It has led me to cure many cases of sciatica having this characteristic: cannot bear to lie on painful side it is so sensitive.
      Especially in case of right-side sciatica of this description.
      Gums, epigastrium, abdomen, right side of chest, eruption round anus, all soft parts are sensitive.
      Touch and pressure worse all these, only better tearing in head.) The flatulence presses on rectum and bladder.
      There is out-pushing also in right inguinal ring, and Lyc. has cured many cases of right inguinal hernia, especially in children.
      Lyc. is one of the great remedies for constipation where purgatives have been abused.
      Spasmodic constriction of rectum.
      Constipation of infants.
      The urinary symptoms present no less important characteristics than the gastric.
      Rental colic, with stinging, tearing, digging pain in right ureter to bladder, as if some small calculus was tearing its way to bladder.
      Aching in back before micturition.
      Child cries before micturating, red sand is found on diaper.
      Aching in kidneys worse before better after urinating.
      The catamenia are too early and too profuse.
      Extreme sadness and irritability before, ceasing with the flow.
      Cutting pain right to left.
      Left leg colder than right.
      Borborygmi under left ribs in front.
      Ill-humor.
      Bearing-down pains and headache.
      Intolerance of tight clothing.
      Sensation as if a hand were in body clutching the entrails.
      Though a right-side remedy, it must not be supposed that Lyc. is exclusively so.
      It has cured left ovarian pain, dull aching, worse on raising the limb or turning in bed.
      It is of great service in pregnancy (nausea, varices, excessive fetal movements), and in labor (unsatisfactory pains).
      The "burning" of Lyc. is exemplified in the cure of a case of puerperal fever having these symptoms: Feels as though hot balls dropped from each breast through to back, rolling down back, along each leg, and dropping off heels, this alternated with sensation as it balls of ice followed same course.
      Phlegmasia dolens.
      Lyc. has a very large range in respiratory affections.
      Salt sputa, milky, greenish yellow, thick yellow mucopus.
      Dry burning catarrh of nose, larynx, throat, chest.
      A very characteristic cough of Lyc., which I have verified, is this: "Dry teasing cough in emaciated boys.
      The cough of Lyc. is provoked by: Irritation from deep breathing, stretching out throat, and by empty swallowing.
      A patient of mine to whom I gave Lyc. 30 developed this symptom: "Pain under sternum as if food lodged there and she could not breathe through it." Cough worse on waking.
      All the blood-vessels from the heart to the capillaries are affected by Lyc. It has cured both nevus and aneurism, and relieved many conditions of disordered heart.
      It is also one of the most important remedies in varicosis.
      Excessive sensitiveness is a note of Lyc.: Cannot bear any strong smells.
      Cannot endure noise.
      Sensitiveness to sound has a curious development in this symptom: In the evening she continues to hear the music she has heard during the day.
      "Heaviness of the arm" is a special feature among the general paralysing effects of Lyc. Skinner cured with Lyc. c.m. this case: A lady had burning in right arm with paralysis, preventing her grasping anything with the right hand.
      Had had much worry.
      Irritability before menstrual period, better by the flow.
      Worse From 6 to seven PM
      With the burning was a sharp pain shooting up the arm, but it was not the pain which caused the paresis.
      Nash mentions that the sphere of Lyc. in impotence is considerable.
      It covers the case of old men who marry again and find themselves impotent, and the case of young men who have become impotent from masturbation or sexual excess.
      The desire is strong but the power is absent, penis small, cold, relaxed.
      P.C. Majumdar records (Ind.
      Hom. Rev., x. r) the case of a boy, 14, who had general dropsy and anasarca consequent on the subsidence of an enlarged spleen under allopathic medication.
      There was afternoon fever (worse 4 to eight PM), slight chilliness, but no thirst, difficult breathing on lying down, urine scanty and high colored, bowels constipated, heart’s action weak but regular.
      Apis caused the urine to be more free, but a troublesome diarrhea set in.
      Apoc. 6x removed the diarrhea, but had no effect on the dropsy.
      Lyc. 30 was now given purely on the symptoms, and quickly cleared up the case.
      S. A. Jones (Amer.
      Hom., xx. 283) calls attention to the irritability of Lyc., and instances the cure of a boy of typhoid with excessive tympanites when the case seemed almost hopeless, the guiding symptoms being: "When awake exceedingly cross, irritable, scolding, screaming, behaving disagreeably," which was quite different from his usual nature.
      Lyc. 30 was given.
      The same writer (H. R., xi. 351) relates an involuntary proving of Lyc. from inhalation of the fumes in the course of chemical experiment, Lyc. powder being added to a boiling mass.
      The writer (apparently a medical man) had at times while engaged in the experiments: Frightful headaches (occiput, vertex, and through right eye), always better by Mag-phos. In addition he discovered 12.5 per cent.
      of albumen in his urine, which had been tested a short time previously and found normal.
      Other characteristic symptoms of Lyc. were present, and all disappeared, including albuminuria, when the experiments were abandoned.
      H. Goullon (H. R., vi. 155) cured this case of cystitis: A man, 55, subject to attacks of enteralgia, was seized two days after such an attack with a severe cystitis, with fever and palpitation of the heart.
      The calls to micturate were increased, and he could hardly reach the vessel quick enough to prevent premature escape of the urine, so severe and sudden was the urging.
      During and sometimes after the passage there was intense burning pain, "as if molten lead were flowing through the urethra." During the height of the pain he grasped the penis to obtain relief.
      The urine, which was discharged in very scanty quantities, looked turbid, almost loamy, had a dirty brownish-red color, and a peculiar odor of malt.
      Lyc. 12 was given, six drops in half a wine glassful of water: a teaspoonful every three hours.
      Cured in twenty-four hours.
      J. E. Winans (Med. Adv., xix. 499) points out the appropriateness of Lyc. to the effects of chewing tobacco.
      Allen records under Tabac. this symptom: Convulsions, head firmly drawn back, with rigidity of muscles of back of neck, constantly recurring rigid tetanic spasms, muscles of back being principally affected, till death a week after he chewed the tobacco." Winans had a very similar case from the same cause – clonic, opisthotonic spasms as of cerebrospinal meningitis – which he cured with Lyc. CM. and LM. given after each tetanic seizure.
      Other Lyc. symptoms verified by him are: "Forehead cold, but becomes warm if lightly covered" (Sil.), and, in pernicious intermittents "a long-lasting chill coming on nine AM, and generally passing off without subsequent heat or sweat." Drysdale has recorded (B. F. H., xlii. 203) the cure of a young woman whose hands were covered with warts.
      One 2 gr. tablet of Lyc. 6 trituration was given at bedtime.
      The warts soon began to shrivel, and in less than six weeks were all gone.
      The sphere of Lyc. in metrorrhagia is illustrated by a case of Waszily’s (quoted H. W., xxviii. 320): Mrs. O., 44, menses after being absent eight months has come on and lasted fourteen days.
      She felt particularly well, and had walked out, when a violent flooding came on, and she had to be taken home in a carriage and put to bed.
      Dark blood with large clots flowed from her, worse every movement, no pain.
      Previous day had much flatulent distress.
      Lyc. 30, two globules on the tongue.
      After that one large clot passed and nothing more.
      Rapid recovery followed.
      Among the peculiar sensations of Lyc. are: As if everything was turning round.
      As if temples being screwed together.
      As if brain vacillating to and fro.
      As if head would burst.
      As if head opened.
      Pain in head as if caused by wrong position.
      As if eyes too large.
      As if hot blood rushed into ears.
      As if sulphur vapor in throat.
      Front teeth as if too long.
      Vesicles on tip of tongue as if scalded and raw.
      As if a ball rose up in throat.
      As if hard body lodged in back of throat.
      As if everything eaten was rising up.
      As if esophagus was being clutched and twisted.
      As if steam rising from stomach to head.
      As if something were moving up and down in stomach.
      As if suspensory ligament of liver would tear.
      As if stomach would fall down.
      As if drops of water were falling down.
      As if heart hung by a thread.
      As if gimlets were running into spine.
      As if dogs with sharp teeth were gnawing her.
      Tension as from a cord in diaphragm.
      As if chest constricted with tight waistcoat.
      (Cramps in chest accompanying stomach affections is a strong indication for Lyc.) Burning as of hot coals between scapula.
      As if hot balls dropped from each breast through to back, rolling down back, along each leg and dropping off heels, alternating with balls of ice.
      As if water spurted on back.
      As if lying on ice.
      The symptoms are worse by touch, pressure, weight of clothing.
      Riding in carriage causes nausea.
      Worse Morning on waking, worse afternoon, three PM, four PM, 4 to six PM, 4 to eight PM, five PM, six PM, worse evening before midnight.
      Worse After eating, even if ever so little.
      Worse Wrapping up head, even wearing hat or bonnet.
      Worse In warm room.
      Worse Getting warm by exercise.
      Warmth of bed worse headache and irritation of skin, but better toothache, rheumatism, and other symptoms.
      Great desire for open air.
      Better In open air, by uncovering.
      Must be fanned, especially wants to be fanned on the back (burning between shoulders).
      better By warm, worse by cold food and drink.
      By wet weather, by stormy weather, especially by wind.
      Worse From moistening diseased parts.
      Rest worse, motion better.
      Lying down better headache, pain in epigastrium.
      Lying on back better cough.
      Worse Lying on right side in liver affection.
      Worse Lying on painful side (sciatica).
      worse Lying on left side.
      Worse By rising from a seat, worse after.
      Worse From lamp light, from looking fixedly at any point.
      Worse From eating cabbage, vegetables, beans and peas, with husks, bread, especially rye bread and pastry.
      Worse From wine. Worse From milk. Worse Before menstruation. Worse From suppressed menstruation.
      (Lyc. is very prone to cause aggravations, especially when highly attenuated, and hence it is necessary to give it with caution.
      Unless the indications are quite clear it is better to start a case on an allied remedy.
      I gave Miss E. Lyc. 30 for constipation.
      Soon after taking it she had pains in upper abdomen in all directions, urging to stool without ability to pass it, much flatus which could neither be got up nor down.
      Lyc. 1M. was now given, a few globules dissolved in water, a teaspoonful at bedtime.
      All symptoms vanished.
      On rising a second teaspoonful was taken, and after this the bowels were well relieved.
      On another occasion she took Lyc. 1M. in the evening, and immediately felt her throat tight and uncomfortable, but this passed off and she went to bed.
      At five AM she woke with choking, had the greatest difficulty in getting her breath.
      She managed to reach a bottle of Bell. 3, and a dose of this relieved her at once.
      A patient for whom Lyc. 5 had, to her great delight reduced the gouty swellings about her finger-joints, till she could get rings on she had not been able to wear for years, was obliged to discontinue it on account of the distressing headaches it caused.
      MR. W. had every Sunday afternoon attacks of pain like biliary colic.
      They came on at five PM and lasted till I AM
      The pain started from right of gall bladder, travelled to middle line, and then passed downwards.
      In the attack he was cold and yet sweated.
      Bowels constipated.
      Lyc. 1M., one dose every alternate day.
      A powder of the same was given to be dissolved in water, of which a teaspoonful was to be taken every twenty minutes in the vent of an attack.
      During the week he felt better, but on the next Sunday he had the worst attack he had ever had, and the Lyc. given to be taken frequently did not relieve at all.
      Nux 30 was next given night and morning.
      The next Sunday was passed without any pain, and he felt much better generally.
      Cases of this kind could be multiplied indefinitely, and I have known some very good prescribers almost abandon this remedy on account of unexpected aggravations.)

Relations.
      Antidoted by: Aco., Camph., Caust., Cham., Coff., Graph., Nux-v., Puls., Coffee.
      It antidotes: Chi. (yellow face, liver and spleen swollen, flatulence, tension under short ribs worse right side, pressure in stomach and constipation), Merc., Chlorine (effects of the fumes when they cause impotence).
      Compatible: Bell., Bry., Carb-v. (a dose of Carb-v. every eighth day facilitates action of Lyc.), Calc. (predisposition to constipation, hard stools evacuated with difficulty, or urging ineffective), Graph., Hyo., Lach., Led., Pho., Puls., Sep., Sil., Stram., Sul., Ver.
      Follows well: Sul., Calc., Lach. Is followed well by: Graph., Lach., Led., Pho., Sil.
      Incompatible: Coffee.
      Complementary: Iod., Chel. (K-i., Lach., Ign., Puls.), Ipec. in capillary bronchitis, worse right side, sputa yellow and thick.
      ""Unless undoubtedly indicated the treatment of chronic diseased should not be commenced with Lyc., it is best to give first another antipsoric remedy."
      Compare: Desires fresh air, desire to be uncovered, Sul., Pul. Terrible sadness during menses, Nat-m., Nit-ac., Sep. Action on veins, Puls., Sep. Thirst for little and often, Ars. (wants it cold and vomits it immediately), Ant-t. Sinking at epigastrium worse at night preventing sleep, Ign., (Sul.
      Nausea fasting, Pul., Calc., Sil. Moth spots or liver spots, Thuj. Canine hunger, especially at night, Ign., Chi. Hungry but cannot get food down, Sil. Worse Every other day, Chi. Fan-like motion of ale nasi, Chlorof. (slow), Gadus and Kreas. (rapid).
      Apprehension of losing senses, Calc., Nux-v., Sul. Acquisitiveness, Ars., Pul. Fear of being alone, Kali-ca., Lil. (Ars., Bism., fear and forgetfulness when alone, Pho., fears something is going to happen when alone in room, especially at night, Arg-n., fears to remain alone lest he should harm himself, anxiety compels moving about, fears to go on a lofty place lest he should throw himself down – Anac. also).
      Fear of darkness, Calc., Stram. Imperiousness, Plat. (haughtiness).
      Cursing, Anac., Iod., Jug-r. Nervous before undertaking anything, Ars., Arg-n. Shaking head, Ant-t., Ars., Aur. sul., Can. i., Eupion., Nux m., Sep., Tarent. Head drawn to one side, Camph., spasmodically to right side in diphtheria, Lachn. Burning pains better by heat, Ars., Caps., Alumina. Bloody sweat, Calc., Lach., Lyc., Nux m., Nux-v., Arn. Hoarseness 4 to 6 or eight PM, hell.
      (Coloc. and Pul. at four PM, Col., and Mag-p. 4 to nine PM, Carb-v. 3 PM and 4 to six PM) Constipation when from home (when on journey, Plat.).
      laughs at serious things, Pho., Anac., Nat-m., Plat. Laughs and cries alternately, Aur., Pul., lam Stram., Bov., Caps., Graph., Pho., Sep., Sul., Ver. Globus hystericus, Ign., Lach., Pul. worse Ascending, Ars., Sul. Restlessness better by motion, Rhus (Rhus generally in recent Lyc. in old cases), Puls. better slow motion.
      Emaciation from above down, Nat-m. Burning as if hot coals between scapula, lo.
      (burning as if hot water whole length of spine), Pho. Head symptoms better cold, Ars. (Ars. has general better by warmth, Lyc. worse by warmth).
      Flashes of heat, Lach., Sep., Sul. Feet cold and damp to knees, Calc. Sore throat right to left (Lach. left to right), less sensitive than it looks (Lach. more), worse cold drink (Lach.
      Better), Inguinal hernia, Nux (Nux more left, Lyc. more right).
      Piles, Esc., Nux-v., Caust., Alo., Sul. Child screams before passing urine, just as it begins to pass better by flow, red sand (Sarsa. cries before and during flow, grey sand).
      Sufferings of widowers from unsatisfied desire, etc., Con., Pic-ac., Plat., Calc. Physometra, Br., Lac c., Nux-v., Sang. Burning in vagina during coitus, Kre., Sul. Dryness of vagina with painful coitus, Bel., Fer., Nat-m., Sep. Burning and stinging in breasts, Apis, Carb. a., Pho., Lauro. Milk in breasts when it should not be there, Cycl., Pul., Pho., (unhealthy milk, Cham., Phyt., Acet-ac., Calc., Lach., Pul.) better Fanning (Carb-v. and Sul. in collapse, Lyc. wants the back fanned).
      Acid dyspepsia, Mag-c., Robin. Better By warm drink and food (Pul. and Phos. better by cold food).
      Catarrh of chest after badly treated pneumonia, Sul. Chest rattling, full of mucus, Ant-t. Child sleeps with eyes half-open, Sul. Black boils, Lach. Distress in stomach immediately after eating (Nux some time after).
      In labor and threatened miscarriage, pains fly from right to left (Act. r. from side to side, Ip. from left to right with nausea).
      Ordinary amount of food causes full sensation, Ars. Diphtheria, nose obstructed, excoriating discharge, patient picks and bores nose, Ar. t. (but Lyc. has right to left, worse after sleep, even a short nap, irritable and peevish, urine stains red).
      Large tonsils studded with small indurated ulcers, Bar. c. Aneurism, Bar. c., Carb. an., K-i. Nevus, Fl-ac., Arn., Thuj., Vacc. Tympanites, Carb-v. (Carb-v. rancid belching, Lyc. sour).
      Fan-like motion of ale nasi, one foot hot, one cold, Chel. (Lyc. and Chel. are much alike and complementary, Lyc. favors dark, Chel. fair people, Lyc. pains more dull, Chel. lancinating, Lyc. rumbling of flatus in left hypochondrium, sour taste, Chel. bitter).
      Distension after eating with great accumulation of flatus, Graph. (Graph. has rancid or putrid eructation, Lyc. has not, Lyc. has constriction, Graph. none).
      Intermittent fever, syphilis, ulcers, flatulent dyspepsia, worse after sleep, Lach. Ulcers on instep (Nat-c. ulcers on heel).
      Half sight, Nat-m., titan., Aur., Lith. c. Dyspepsia with thick urine, Sep. (Lyc. repletion after eating, Sep. emptiness of epigastrium), ball in anus, Sep. Yellow-brown spots, Sep., Nux-v., Curar., Sul. Cough excited by talking, Sil. Impotence, Tab. (Lyc. cured impotence caused by indulgence in tobacco).
      Ailments from fright, anger, or mortification with reserved displeasure, Staph. Nose stopped at night, Am. c., Nux-v., Samb. Red sand on child’s diaper, Phos. Cries before urinating, Bor. Dryness of vagina, Hdrophob. One foot hot, the other cold, Chi., Dig., Ip. Waking at night hungry, Cin., Pso. enforced sexual abstinence, Con. Proctalgia, Pho. Craving for sweets, Arg-n., Sul. Pain in head during stool, Indium. Fullness after a meal, Chi. (Chi. after a full meal, Lyc. after ever so little.
      The Lyc. fullness is full right up into the throat).
      Colic, etc., better bending over, Coloc. Crampy pains, worse night, Nux. After-effects of fevers, Pso.

Causation.
      Fear.
      Fright.
      Chagrin.
      Anger.
      Vexation.
      Anxiety.
      Fevers.
      Over-lifting.
      Masturbation.
      Riding in carriage.
      Tobacco-chewing.
      Wine.

Mind.
      Silent, melancholy, and peevish humor, despair of eternal salvation.
      Desponding, grieving mood.
      Sadness when hearing distant music.
      Anguish, especially in region of epigastrium, with melancholy and disposition to weep, especially after a fit of anger, or on the approach of other persons.
      Sensitive disposition.
      Dread of men, desires to be alone, or else aversion to solitude.
      Excitement after a glass of wine, almost mischievous.
      Must laugh if any one looks at her to say anything serious.
      Inclined to laugh and cry at same time.
      Irritability and susceptibility, with tears.
      Irascibility.
      Obstinacy.
      Estrangement and frenzy, which manifest themselves by envy, reproaches, arrogance, and overbearing conduct.
      Disposition to be very haughty when sick, mistrustful, does not understand anything one says to them, memory weak.
      Avaricious.
      Character, mild and submissive.
      Complete indifference.
      Aversion to speaking.
      Fatigue from intellectual exertion, and incapability of devotion to mental labor.
      Giddiness.
      Inability to express oneself correctly, misapplication of words and syllables.
      Confused speech.
      Confusion about everyday things, but rational talking on abstract subjects.
      Inability to remember what is read.
      Stupefaction.
      Dullness.

Head.
      Dizziness and vertigo, as from intoxication.
      As soon as she sees anything turning about she feels as if her body were turning about.
      Whirling vertigo, especially when stooping, or in a warm room, with inclination to vomit.
      Headache from vexation.
      Headache, with disposition to faint, and great uneasiness.
      Headache with vertigo.
      Heaviness of the head.
      Headache when shaking or turning head, and also at every step on walking.
      Cephalalgia above eyes, immediately after breakfast.
      Semi-lateral headache in evening, worse beyond endurance by intellectual labor.
      Aching as if head would be forced asunder and as if brain were swashing to and fro, worse walking, ascending steps, and rising from stooping, could not work and could scarcely step without vertigo.
      Throbbing after every paroxysm of cough.
      Pressive headache sometimes as if a nail were being driven into the head, or with tension, which is worse by lying down, worse at night when lying in bed, and on getting warm while walking in open air, better when walking slowly in open air, from cold, and when uncovering head.
      Stitches in temples, mostly on right side, from within to without, worse in evening and at night when lying in bed, from heat and exertion of the mind, better from cold and in open air.
      Thrust in temples during difficult stool.
      Pain at vertex during moderate pressure at stool.
      Headache after breakfast.
      Tearing, boring, and sensation of scraping on external head, during night.
      Screwing together in forehead, during menses.
      Jerking in right frontal bone extending to root of nose and eyebrows.
      Tearing headache, especially in afternoon or at night, principally in the (right) forehead, but often also in whole head, in eyes and nose, extending to teeth, with inclination to lie down.
      Stupefying headache, with heat in temples and ears, dryness of mouth and lips, worse from 4 to eight PM, when rising up, and on lying down.
      Pressing headache on vertex, worse from 4 to eight PM, from stooping, lying down, exertion of the mind, and followed by great weakness.
      Tearing in forehead or in right side of head, extending down to neck, with tearing in face, eyes, and teeth, worse on raising oneself up, better on lying down and in the open air.
      Shooting headache.
      Throbbing in brain on leaning head backward.
      Throbbing in head after lying down in evening.
      Congestion in head, with heat, sometimes in morning on rising up in bed.
      Shaking and resonance in brain at every step.
      Boring, scraping, and tearing in scalp, especially at night – Involuntary movements and convulsive trembling of head.
      Head turned involuntarily to left – Involuntary nodding: now to r., now to left, slow at first then constantly more rapid.
      Involuntary shaking makes him dizzy.
      Shaking head on stepping hard.
      Great tendency to take cold by the head.
      Eruption on the head, with abundant and fetid suppuration, sometimes with obstruction of the glands of the nape and neck.
      The hair becomes grey early.
      Baldness, the hair falls out, first on the vertex, later on the temples (after diseases of the abdominal viscera, after parturition), with violent burning, scalding, itching of the scalp, especially on getting warm from exercise during the day.
      Scurf over whole scalp, child scratches it raw in night and then it bleeds.
      Contracted sensation with feeling as if the hair would be pulled up.
      Hair falls off scalp, but increases on other parts of body.

Eyes.
      Aching in the eyes.
      Gnawing, burning, and shooting pains in eyes (and lids), especially in evening, by candle-light.
      Smarting in eyes.
      Sensation of coldness in eyes, evening.
      Dryness of eyes, and lids, as if dust in them, difficult to open.
      Smarting and burning.
      Swelling and painfulness of lids.
      Inflammation of the eyes and lids.
      Styes on the internal canthus.
      Agglutination of eyelids, especially at night, and lachrymation, worse by day, and in a cold wind.
      Twitching of the eyelids.
      Troubled sight, as from feather-down before the eyes.
      Photophobia.
      Itching in canthi.
      Dim, hot eyes.
      The eyes are wide open, insensible to light, fixed.
      Dryness of eyes, in evening.
      Sparks before the eyes, in the dark.
      Must wipe mucus from eye in order to see clearly
      Purulent mucus.
      Myopia or presbyopia.
      Hemiopia perpendicularis (sees only left half of objects, especially with right eye).
      The characters are confused when reading.
      Obscurity, black spots, glittering, and sparks before eyes.
      Eyes dazzled and irritated by candle-light in evening.

Ears.
      Otalgia in open air.
      Congestion in the ears
      Ulceration of the ears.
      Discharge from the ears.
      Hearing excessively sensitive to least noise, music occasions fatigue.
      Tinkling and buzzing in ears.
      Roaring, humming, and whizzing in ears.
      Sensation as if hot blood rushed into ears.
      Congestion of blood in ears.
      Singing in the ears as from boiling water.
      Ringing in right ear, every noise has peculiar echo deep in ear.
      Hears in evening music she heard played during day.
      Hardness of hearing.
      Moist scabs on and behind ears.
      Has improved deaf-mutism (Cooper).

Nose.
      Scurf in nose, crusts and elastic plugs.
      Nostrils ulcerated, scabby, obstructed by mucus at night.
      Swelling of nose, with acrid, fetid, and corrosive discharge.
      The ichorous discharge from the nose begins in right nostril, scarlatina or diphtheria.
      (Patient bores and picks nose.) – Convulsive movements of muscles of nose.
      Fan-like motion of the nostrils in pneumonia.
      Bleeding from nose, on blowing it, and epistaxis, principally in afternoon.
      (Nose-bleed in morning from right nostril.) – Excessive acuteness of smell.
      Coryza with acrid discharge, making the upper lips sore.
      Coryza of almost all kinds.
      Dry coryza, with obstruction of the nose, confusion in head, and burning pain in forehead.
      Dryness of the posterior nares.
      Obstruction of nostrils, especially at night, and which prevents respiration except through the mouth.
      Stoppage: towards morning, in evening, child’s breath often stopped in sleep for fifteen seconds even when mouth is open.

Face.
      Paleness of face, worse in evening.
      Face yellow and earthy, with deep wrinkles, blue circles round eyes, lips bluish.
      Circumscribed redness of the cheeks.
      Face red and bloated, with eruptions and red spots.
      Swelling and tension of face.
      Tearing in bones of face.
      Painful sensation of coldness in face.
      Twitching and convulsive movements in muscles of face.
      At first left angle of mouth drawn outward, then right
      Muscles of lips and cheeks drawn together making mouth pointed, followed by broad distension of mouth.
      Frequent attacks of transient heat in face.
      Eruption on face, sometimes with itching.
      Ephelis.
      Tetters on face, which are furfuraceous, and yellow at the base.
      Lips pale and bluish.
      Soreness of corners of mouth.
      Swelling of upper lip.
      Eruption and excoriations on the lips and their commissures.
      Eruptions on face, humid suppurating.
      The lower jaw hangs down.
      Ulcers on the red part of the lower lip.
      Itching eruption round the chin.
      Swelling of the submaxillary glands.

Teeth.
      Odontalgia only at night, better by hot drinks, and by heat of bed.
      Dull pains in teeth, with swelling of the cheeks and gums.
      The teeth ache as if suppurating, are excessively painful on touching them, and when chewing, front teeth loose or too long.
      Cramp-like drawing, tearing, and jerking, or pulsations in teeth, especially during or after a meal.
      Grinding of teeth.
      Yellowness of the teeth.
      (Fistula in the gums.) – The gums bleed violently on being touched, when cleaning teeth.
      Gumboils.
      Swelling of gums, with shocks, tearings, and shootings.
      Ulcers in the gums.

Mouth.
      Dryness of the mouth, without thirst, with tension of the parts, the tongue heavy, and speech indistinct.
      Torpor of the interior of mouth and tongue.
      Exhalation of a putrid odor from the mouth, especially in morning when awaking.
      Buccal hemorrhage.
      Tongue foul and coated.
      Involuntary movements of the tongue.
      In talking, all the words of a sentence were spoken completely and distinctly except the last, which was stammered, it seemed as though the tongue were affected by a peculiar cramp, no amount of attention to this was of any avail, it lasted four weeks and gradually disappeared of itself.
      Stiffness of the tongue, vesicles on tip of tongue, they feel scalded and raw.
      Soreness of tongue.
      Ulcers on and under tongue (from tobacco).
      Convulsions of the tongue.
      The tongue is painful and swollen in different places (tubercles on the tongue).
      The saliva becomes dry on the palate and lips and is converted into tough mucus.
      The posterior part of the mouth is covered by tough mucus.
      Dry and bitter mouth (in the morning.) – Tongue dry, becomes black and cracked.
      Tongue is darted out and oscillates to and fro, in sore throat.
      Tongue distended, giving patient silly expression, in angina or diphtheria.

Throat.
      Sensation of constriction in throat, with obstructed deglutition.
      Dryness of throat.
      Pain, as from excoriation, in throat.
      Burning pain in throat, with nocturnal thirst.
      Sensation in throat, as if a ball were ascending from the pit of the stomach.
      Feeling on left side of a lump moving up and down.
      Inflammation of throat and palate, with shooting pain, which obstructs deglutition.
      Swelling and suppuration of tonsils.
      The ulceration of the tonsils begins on right side.
      The pharynx feels contracted, nothing can be swallowed.
      Hawking of hard greenish-yellow masses, granular, of bloody mucus.
      Sticking in region of right parotid.
      Sticking in throat during cough.
      Sticking preventing sneezing.
      Sensitiveness of the submaxillary glands.
      Ulcers, like chancres, in the tonsils.
      Goitre.

Appetite.
      Loss of appetite.
      Mouth clammy or bitter, especially in morning, often with nausea.
      Nausea in pharynx and stomach.
      Nausea in morning and when riding in a carriage.
      Sourness in mouth, especially in morning, or sour taste of food.
      Absence of thirst, or burning thirst.
      Nocturnal thirst.
      Loss of appetite, sometimes with the first mouthful.
      Sudden satiety.
      Immoderate hunger.
      Bulimy.
      Aversion to: cooked or warm food, rye-bread, meat, coffee, tobacco smoke.
      Craving for sweet things.
      Inability to digest heavy food.
      After a meal: hepatic pains, oppression and fullness in chest and abdomen, nausea, heat in head, redness of face, pulsation and trembling over whole body, hands hot, palpitation of heart, colic, etc.
      Sourness and diarrhea after taking milk.

Stomach.
      Violent risings in afternoon.
      Incomplete eructations, burning, rising only into pharynx, where they cause burning.
      Sour eructations, the taste of which does not remain in mouth, but the acid gnaws in the stomach.
      Burning, sour, greasy or bitter risings.
      Sour regurgitation of food, especially of milk.
      Pyrosis, es