Sepia

Natural History.
      Sepia officinalis.
      Cuttle Fish. N. O. Cephalopoda. Trituration of dried liquid contained in the ink-bag.
      (I have found a preparation made from the fresh ink-bag, given to me Dr. Swallow, of Ningpo, in every way superior to the official preparation, which I now rarely use.
      The provings and recorded cures were, however, made with the dried ink preparations.

Clinical.
      Alcohol, effects of.
      Amenorrhoea.
      Anus, pressure of.
      Apoplexy.
      Appetite, depraved.
      Ascarides.
      Baldness.
      Bladder, irritable.
      Cancer.
      Change of life.
      Chloasma.
      Chorea.
      Condylomata.
      Cystitis.
      Dandruff.
      Dysmenorrhoea.
      Dyspepsia.
      Eczema.
      Epistaxis.
      Eyes, affections of.
      Face, yellow.
      Freckles.
      Gleet.
      Gonorrhoea.
      Gravel.
      Herpes, circinatus.
      Hysteria.
      Irritation.
      Jaundice.
      Leucorrhoea.
      Liver-spots.
      Liver, torpid.
      Menstruation, disordered.
      Mind, affections of.
      Nails, pains under.
      Neuralgia.
      Nose, inflamed, swollen.
      Ozaena.
      Phimosis.
      Pityriasis versicolor.
      Pleurisy.
      Pregnancy, disorders of, vomiting of Pruritus. Psoriasis. Ptosis.
      Pylorus, induration of.
      Quinsy.
      Rectum, cancer of, fissure of.
      Ringworm.
      Sacrum, pain in.
      Sciatica.
      Seborrhoea.
      Smell, sense of, too acute, disordered.
      Spermatorrhoea.
      Stye.
      Toothache.
      Urine, incontinence of.
      Uterus, bearing down in.
      Varicose veins.
      Warts.
      Whooping-cough.

Characteristics.
      The present use of Sepia in medicine is due to Hahnemann. Some among the ancient physicians (Dioscorides, Plinius, and marcellus, says Teste) used either the flesh, the eggs, or even the only bone which constitutes the skeleton of this animal, for "leucorrhoea, gonorrhoea, catarrh of the bladder, gravel, spasms of the bladder, baldness, freckles and certain kinds of tetters which is sufficiently remarkable in the light of the provings.
      Sep.
      Is one of the remedies of the Chronic Diseases, and was proved by Goullon, Von Gersdorff, Gross, Hartlaub, and Wahle. Sep. Is predominantly, but by no means exclusively, a woman’s remedy.
      It affects the generative organs of both sexes, and a large number of the symptoms occurring in other organs have some relation thereto.
      Teste describes the type to where Sep. Is suited as follows: Young people of both sexes, or, rather, persons between pubescence and the critical period of life, of delicate constitutions, with pure white skins, or skins having a rosy tinge, blonde or red hair, nervous or lymphatico-nervous temperaments, exceedingly excitable and anxious for emotions, and, lastly, particularly such as are disposed to sexual excitement, or have been exhausted by sexual excesses Hering gives these types: (1) Persons of dark hair, rigid fibre, but mild and easy disposition.
      (2) Women during pregnancy, in childbed and while nursing.
      (3) Children who take cold readily when the weather changes.
      (4) Scrofulous persons. (5) Men who have been addicted to drinking and sexual excesses.
      (6) Pot-bellied mothers, yellow saddle across nose, irritable, faint from least exertion, leucophlegmatic constitutions.
      Bahr gives: "Sanguine, excitable temperaments inclined to congestions." Farrington adds that the Sep. patient is sensitive to all impressions, and that the dark hair is not by any means a necessity.
      He gives a more complete description: Puffed, flabby persons (less frequently emaciated) with yellow or dirty yellow brown blotched skin, inclined to sweat, especially about genitals, axillae, and back, hot flushes, headache in morning, awaken stiff and tired, subject to disease of sexual organs, the general attitude is never one of strength and healthful ease, but of lax connective tissue, languor, easily produced paresis.
      Sep. acts on the vital forces as well as on organic tissues.
      The sphincters are weakened and all non-striated muscles.
      Sep. disturbs the circulation, causing flushes and other irregularities throbbings all over, hand shot and feet cold, or vice versa.
      The flushes run upward and end in sweat with faint, weak feeling.
      Epistaxis may occur either from a blow, from being in a warm room, or from suppressed menses.
      The upward direction of the Sep. Symptoms is one of its keynotes.
      The pains of the head shoot upward, and so do the pains in anus, rectum, and vagina.
      Also coldness as well as the flushes travels from below up.
      On the other hand night-sweat proceeds from above downward.
      The head pains proceed from within out.
      Sep.
      Is one of the remedies which have the "ball" sensation in inner parts.
      There is vertigo with sensation of something "rolling round" in the head.
      There is sensation of a ball in inner parts generally, but the most notable one is sensation of a ball in rectum.
      It may be described as an apple or a potato, and it is not relieved by stool.
      I have cured both constipation and diarrhoea when that symptom was present.
      The upward stitches in rectum and vagina, when present, are equally good indications for Sep. In cases of hemorrhoids, prolapse of rectum, and for prolapse or induration of uterus and cervix.
      As with Murex the chief incidence of Sep. Is on the female sexual organs, through with Sep. The menses are generally scanty, as with Murex they are the reverse.
      Sep. causes engorgement of the uterus going on to induration.
      There is either prolapse or retroversion.
      Yellowish green leucorrhoea somewhat offensive.
      The bearing-down pains of Sep. Are of great intensity.
      They are felt in abdomen and back, and sometimes even seem to interfere with breathing.
      The bearing down is worse standing or walking.
      The bearing down extends into thighs.
      There is a constant sense of pressing into vagina, which compels the patient to cross the limbs to prevent prolapse.
      Connected with the uterine symptoms are: hysteria, erethism, palpitation, orgasm of blood, faintness.
      The sensation of "goneness" and emptiness, which is one of the characteristics of Sep., is sometimes connected with the pelvic bearing down.
      The empty sensation is felt in the epigastrium and throughout the abdomen.
      It is analogous to the great relaxing effect of Sep. on connective tissues.
      This sinking is common in pregnancy, and Sep. corresponds to many of the troublesome affections of the pregnant state, as morning sickness, vomiting of food and bile in morning, of milky fluid, strains so that blood comes up." "The thought of food sickens her, with sense of great weight in anus." Tendency to abortion is met by Sep., Hering is reported to have said: "All women prone to abortion should take Sep. and Zinc." But Sep. meets many cases of dyspepsia not originating in uterine disorders.
      It has cured dyspepsia from injury by overlifting.
      Portal stasis is part of the Sep. action. There is fullness, soreness, and stitches in liver region, as well as stitches in left hypochondrium.
      The whole urinary tract is irritated, and catarrh of bladder and urethra may be set up.
      There is frequent strong urging to urinate.
      Stitches along the urethra.
      The relaxed sphincters of Sep. favor enuresis, and the type which it cures is well defined: "The bed is wet almost as soon as the child goes to sleep, always during the first sleep." It meets the enuresis of light-complexioned boys and onanists.
      In cases of irritable bladder, although the desire is urgent, the discharge of urine may be difficult, and the patient may have to wait a long time.
      Gonorrhoea after the acute stage has subsided.
      Gleet and gonorrhoeal warts have been cured with it.
      Hering gives, "condylomata completely surrounding head of penis." I have cured a crop of small velvety warts completely encircling the mouth of the prepuce.
      Thuja had failed in the case.
      In reference to warts, I cured with Sep. 3x trit.
      a large horn-like wart on the abdomen of a woman.
      It was as large as a crown-piece but shaped like a bean, and raised a quarter of an inch from the surface.
      The skin symptoms of Sep. Are among its most characteristic features.
      The skin is delicate, the least injury tends to ulceration.
      Itching which often changes to burning when scratched.
      Soreness of skin, humid places on bends of knees.
      Chloasma.
      Painful eruption on tip of nose.
      Herpetic eruption on lips and about mouth.
      Ringworm-like eruptions every spring on different parts of body.
      Ringworm on face.
      Herpes circinatus.
      Roundness and yellowness of the spots.
      The nettle rash of Sep. Appears on going into open air.
      It is better in warm room.
      The itching of Sep. May be desperate, especially when it affects the genitals and anus.
      The action of Sep. On connective tissues is again exemplified in the selection of the finger-joints as a seat of ulceration.
      The sweat is pungent in odor, offensive in axillae and soles of feet, causing soreness.
      The skin and the eyes are near akin, and Sep. causes all kinds of inflammation of eyes and lids, with impaired vision, black spots, green halo, fiery redness.
      The eye-symptoms are worse by rubbing, worse pressing lids together, worse morning and evening, better bathing in cold water.
      Sep.
      Is a chilly remedy from lack of vital heat, "chills so easily," this is especially the case in chronic diseases Sep. Is often required in chronic nasal catarrh.
      Nash had a case in which the discharge was thick, bland, and copious.
      Puls. relieved the catarrh but increased the menstrual flow too much.
      Sep.
      Cured both.
      Sep.
      Is also useful where colds inflame the tonsils and tend to cause suppuration.
      The characteristic sensations in the throat are: Dryness, pressure as if neck-cloth too tight, plug sensation, stinging, stitching pains on swallowing, contraction of throat without swallowing, sensation of plug when swallowing with feeling of constriction.
      There are some peculiarities about the mental state of Sep. which must be borne in mind: (1) Anxiety: with fear, flushes of heat over face and head, about real or imaginary evils, towards evening.
      (2) Great sadness and weeping, dread of being alone, of men, of meeting friends, with uterine troubles.
      (3) Indifferent: even to one’s family, one’s occupation, to one’s nearest and dearest.
      (4) Greedy, miserly. (5) Indolent. The Sep. patient weeps when asked about her symptoms.
      She is very sensitive, and must not be found fault with.
      "Faints easily" is a note of the Sep. weakness: after getting wet, from extremes of heat and cold, riding in a carriage, kneeling at church.
      Lorbacher (quoted H. M., xxxi. 142) refers to three important indications for Sep. not generally known: (1) Prodromal symptoms of apoplexy, (2) whooping-cough that drags on interminably, (3) hypostatic pleuritis.
      The symptoms of Sep. corresponding to the first are: Stiffness of back of neck, staggering vertigo (worse exercising in open air), anxiousness and a feeling of fear of severe sickness, intermitting heart beats, torpor and sleepiness.
      Lorbacher gives this case: A thick-set farmer, 50, inclined to hypochondriasis, troubled from time to time with piles, without being an habitual drinker was addicted to "nips." Gradually abdominal prominence developed, stiffness of neck, vertigo, occasional throbbing headache, slight transient loss of consciousness, anxiety, fear of apoplexy, piles less pronounced and less frequently troublesome than usual.
      Venesection, performed several times, only partially relieved.
      Abstinence from alcohol had no decided influence.
      Sep. 12X was given, four drops twice daily at first, then every other day, and later at increasing intervals.
      In two months the symptoms were reduced, and gradually passed away.
      The man lived eight years after this, and had no apoplexy, though he did not give up his "nips." Sep. Is indicated in whooping-cough when it has lasted eight weeks or longer, and the paroxysms, though reduced in number and virulence, do not disappear, and occur especially before midnight.
      The patients are reduced in strength, dyspeptic, irritable, tearful, easily angered or apathetic.
      Kunkel reports (quoted H. M., xxix.670) this case of pulmonary affection: A boy, 14, had been under treatment five weeks for cough and hoarseness.
      Hoarseness worse evening, during the day cough with purulent sputa.
      Slept well but dreamed when he lay on left side.
      Emaciated.
      Phos. 10x produced little change.
      It was now ascertained that there was remarkable tightness of the chest on breathing, with inclination to take a deep breath, this was better in open air, on motion, while at work, worse while in the house and at rest.
      Though the weather was bad he had constant desire to be out of doors.
      Sep. 10x made a rapid cure.
      Boenninghausen recommended Sep. In cases of cough, either with or without expectoration, with bloody, blood-streaked, purulent, yellow greenish or stinking sputa, and especially in consumption.
      Nash mentions a case of cholera infantum which he cured with Sep. On the indication "always worse after taking milk." in moisture oozing from the anus he compares it with Ant-c., which has the first place.
      Sep., says Bahr (i. 359), "affords considerable help in a certain condition of the system which we have so far only noticed in females.
      After the exacerbation of a chronic gastric catarrh has lasted a few days with intolerable burning pains, the renal region, more particularly the left side, becomes painful, a violent burning pain is felt in this region, and a quantity of saturated, highly-colored urine is discharged, which deposits copious quantities of urates, or else a clear urine with copious sandy sediment, coated with uric acid.
      After the discharge the pains generally abate, and only return if the stomach has not been restored to its normal condition." Peculiar Sensations of Sep. Are: As if every object were in motion.
      As if suspended in air.
      Vertigo as if intoxicated.
      As if brain crushed.
      As if head would burst.
      As if waves of pain rolling up and beating against frontal bone.
      As if something rolling around in head with vertigo.
      Stitches as from needles in head.
      As if roots of hair were sore, as if cut short near roots.
      As if eyes would fall out.
      As of a weight over eyes.
      As if eyes were gone and a cool wind blew out of sockets.
      Eyes as if bruised.
      As if a grain of sand in eye.
      As if lids too heavy to open.
      Eyes as if balls of fire.
      As if lids too tight and did not cover eyeballs.
      Hollow molar tooth as if swollen and elongated.
      Gums, as if burned, as if beginning to suppurate.
      Tongue and cavity of mouth as if scalded.
      As of plug in throat.
      Throat as if raw.
      As if something twisting in stomach and rising to throat.
      As if viscera turning inside out.
      As if stomach sore internally.
      As if something remained lodged in stomach.
      As if stomach were being scraped.
      As if a strap as wide as her hand drawn tightly round her waist.
      Liver as if bursting.
      As if everything in abdomen turning around.
      As of a load in abdomen.
      As it intestines were drawn into a lump.
      As of something adherent in abdomen.
      As of something alive in abdomen.
      Weight or ball in anus.
      As if bladder full and contents would fall out over pubes.
      As if drops came out of bladder.
      As if bladder and urinary organs would be pressed out.
      As of everything would issue through vulva.
      As if everything would fall out of uterus.
      Uterus as if clutched.
      As if vulva enlarged.
      As if something heavy would force itself from vagina.
      As from a weight in sides.
      As if ribs were broken and sharp points were sticking in flesh.
      As if cough came from stomach and abdomen.
      Chest as if hollow, as if sore.
      Throat as if filled with phlegm.
      As if breasts were enlarged.
      As if heart stood still.
      Back as if she could not turn or raise herself, or as if she had been in a wrong position, almost as if parts had gone to sleep.
      Sudden pain in back as if struck by a hammer.
      Pain in back as from subcutaneous ulceration.
      As if something were going to break in back.
      As if limbs would refuse to act.
      As if shoulder dislocated.
      Feet as if asleep.
      Right hip-joint as if bruised.
      Lower limbs as if beaten.
      As of a mouse running in lower limbs.
      As if bones of legs were decaying.
      As if she could feel every muscle and fibre of her right side from shoulder to feet.
      As of a ball in inner parts.
      As of an icy hand between scapulae.
      As if she would suffocate.
      As if feet stood in cold water up to ankles.
      As of hot water poured over one.
      "Stiffness" is a prominent feature of Sep.: stiffness of limbs worse after sleep, stiffness of uterine region.
      A peculiar symptom of Sep. is: "Involuntary jerking of head backward and forward, especially forenoons when sitting." This may occur in hysteria.
      Open fontanelles in children is an indication for Sep. The symptom are worse by touch (except pain in back, which is better by touch).
      Pressure better.
      (Pressing eyelids together worse.) Binding head tightly better.
      Loosening clothes better.
      Rubbing, and scratching worse.
      worse Jar, misstep, slightest blow, overlifting.
      Many symptoms are both worse and better by rest and motion.
      worse Moving arms. Lying on side, and on right side better.
      Lying on left side worse.
      Lying on back worse.
      Sitting worse many symptoms.
      Faint sitting erect or kneeling.
      (worse Kneeling is characteristic.) Sitting with legs crossed better.
      Stooping worse.
      Standing worse.
      Hard motion ameliorates headache.
      A short walk fatigues much.
      Going upstairs worse.
      Dancing and running causes no shortness of breath.
      worse Mental labor. worse From sexual excesses.
      worse Afternoon and evening.
      ("Dyspnoea in evening" is characteristic.) worse From cold air or during east wind.
      worse In sultry, moist weather.
      worse Before a thunderstorm.
      worse By laundry work.
      (Sep. is the "washer woman’s remedy.
      "H. C. Allen.) Stormy weather causes suffocating feeling.
      worse After sleep (stiffness of legs).
      worse On falling to sleep or in first sleep.
      better In open air.
      (Also warmth of natural bodily heat, very sensitive to cold air.) Cold water ameliorates eyes and teeth.
      better Warmth of bed or hot applications.
      Cough worse in church.
      worse During and immediately after eating.
      Milk, fat food, acids worse.
      While eating pulsation in pit of stomach, the more he eats the worse it becomes.
      Empty feeling ceases at supper.
      worse From coitus. I have confirmed the experience of Dr. Swallow, who found the fresh preparation of Sep. (which I prescribe as Sep. fr.) to possess a wider range than the ordinary preparation and to act as an "organ remedy" in a great variety of uterine affections not definitely indicated by the pathogenesis.
      I have used it in attenuations from the 5th to 30th.

Relations.
      Antidoted by: Smelling Nip-sp-d., by Vegetable acids, Aco., Ant-c., Ant-t., Rhus.
      It antidotes: Calc., Chi., Merc., Nat-m., Nat-ph., Pho., Sars., Sul.
      Incompatible: Lach. (but in one case in which Lach. in very high potency had caused intensely distressing rectal tenesmus with alternate inversion and eversion of the anus, Sep. high proved to be the antidote).
      Complementary: Nat. m. (the cuttlefish is a salt-water animal), Nat. c., and other Natrum salts, Sul. followed well by: Nit. ac.
      Compare: Vesicular eruptions and ulcers about joints, Bor., Mez. Psoriasis, Ars., Ars. i. Chloasma, Lyc., Nux, Sul., Curare. Ringworm, Bac., Calc., Tell. Sadness, Caust., Puls. Mild, easy disposition, Puls. Weeps when asked about her symptoms (Puls., with chilliness).
      Lack of vital heat, especially in chronic diseases (Led. in acute diseases).
      Coldness of vertex with headache, Vr. (heat of vertex, Calc., Graph., Sul.).
      Indifferent to his occupation, Fl. ac., Ph. ac. Greedy, miserly, Lyc. Must loosen neck band, Lach. Sensation of ball in inner parts, Lach. Herpes circinatus in isolated spots (Tell. in intersecting rings).
      Empty feeling better eating, Chel., Pho. Constipation during pregnancy, Alm. Pain in rectum long after stool, Nit-ac., Sul. Urine so offensive must be removed from room (Indium, horribly offensive after standing).
      Bed wet almost as soon as child goes to sleep, Kreos. Old-standing gleet, Kali-iod. Bearing down as if everything would protrude from pelvis, Agar., Bell. Lil-t., Murex, Sanic. Sight or thought of food sickens, Nux. Smell of cooking food nauseates, Ars., Colch. Itching turns to burning by scratching, Sul. Spine pain worse sitting than walking, Cob., Zn., Puls., Can. i. Indurated uterus, vaginismus, Plat. Bearing down, Bell. (Bell. worse lying down, Sep. better, Bell. better standing, Sep. Worse.).
      Cannot expectorate, Caust. Dros., Kali-ca., Arn. Spurting of urine with cough, Caust., Nat-m., Ferr. Eczema of backs of hands, Nat-c. prolapsus uteri, Nux. (Sep. follows when Nux ceases to act).
      Ptosis, Gels. (Gels., Sluggish mind, suffused red face).
      Urticaria worse in open air, Rx-c. Urticaria, Ast-fl., Nat-m., Apis, Chloral., Urtica. Eye affections of tea drinkers, Thuj. Dyspepsia with thick urine, Lyc. Indurated uterus, melancholy, Aur. Bearing down, Kali-f-cy. Bearing down, congestion, aching distress, prolapse, Ust., Sec., Vib-t., Inula., Hedeo, Ziz. Uncontrollable fits of laughter, Croc. Ign. Terrible sadness during menses, Lyc., Nat-m., Nit-ac. (Nat-m. is worse or better ten AM) Irritable during menses (Nux, Cham., Mg-m. before and during, Lyc. before).
      worse Kneeling, Coccal., Mg-c. Anxious about health, Calc., Pho. Ozaena, clinkers, Pul., Syph., Pso. Fetid urine, Calc. (Benz-ac. and Nit-ac., strong).
      Burning, shooting, stitching pains in cervix, Murex. Hot, burning eructations, Pet., Kali-ca., Hep. Delay in passing water, Ars. (ineffectual desire, Nux).
      Fear of ghosts, Pho., Pul. Phimosis, Can-s., Merc., Sul., Nit-ac., Thuj. With exhausted feeling in bowels after stool, Plat. Movements of head, Lyc. worse From coitus, remedy for women, relaxation of tissue, K. ca.
      As if struck by a hammer in the back (Naj. in nape).
      Tongue and mouth as if scalded, Sand. Turning round in abdomen, Nit. ac. (as if machinery working in abdomen).
      Pain as of subcutaneous ulceration, Puls., Ran. b. Badly healing skin, Hep. Eyes better bathing in cold water, Asar. Sensitiveness, Asar. Apoplexy, Ast. right (a sea animal).
      worse From milk, Homar. (a sea animal).
      Chest, Pho.

Causation.
      Anger and vexation.
      Blows. falls.
      Jar.
      Injury.
      Overlifting (dyspepsia).
      Snowy air.
      tobacco (neuralgia).
      Laundry work.
      Wetting.
      Alcohol.
      Milk, boiled (diarrhoea).
      Fat Pork.

Mind.
      Sadness and dejection, with tears.
      Melancholy and moroseness.
      Anguish and inquietude, sometimes with flushes of heat, generally in evening (when walking in open air), and sometimes in bed.
      Restlessness, fidgety.
      Dread of being alone.
      Excessively nervous, sensitive to least noise.
      Great uneasiness respecting the health, and about her domestic affairs.
      Pensiveness.
      Timorous disposition.
      Discouragement, often to such an extend as to be disgusted with life.
      Indifference to everything (to all surroundings), even to relations.
      Repugnance to customary business.
      Great disturbance caused by vexation.
      Great excitability in company.
      Susceptibility and peevishness, with great irascibility.
      Quarrelsome and caustic disposition.
      Weakness of memory.
      Distraction.
      Aptness to make mistakes in speaking and writing.
      Unfitness for intellectual labor.
      Slowness of conception.
      Comprehension difficult, heavy flow of ideas.
      Language coming slowly.

Head.
      Confusion of the head, which disables him from performing any mental labor.
      Fits of vertigo, especially when walking in open air, or when writing, or even on least movement of arms.
      Vertigo, during which all objects appear to be in motion, or with sensation as of something rolling round in head.
      Vertigo in morning, on rising, or in afternoon.
      Sensation of coldness on vertex, worse from moving head and stooping, better when at rest and in the open air.
      Fits of headache, with nausea, vomiting, and shooting or boring pains, which extort cries.
      Headache every morning.
      Headache, which does not permit the eyes to be opened.
      Headache, with excessive desire for coition.
      Headache, on shaking or moving head.
      Paroxysms of hemicrania, stinging pain as from within to without, in one side of head (mostly l.) with nausea (and vomiting) and contraction of eye, worse in room and when walking fast, better in open air and when lying on painful side.
      Boring headache from within to without, from forenoon till evening, worse from motion and stooping, worse by rest, when closing the eyes, from external pressure, and sleep.
      Heaviness of head.
      Pressive cephalalgia above eyes, in the clear daylight, as if the head should burst and the eyes fall out, with nausea.
      Expansive pressure in head, sometimes when stooping, as if it were about to burst.
      Contraction in head.
      Drawing and tearing in and on head, sometimes semilateral.
      Lancinating cephalalgia, often semilateral or frontal.
      Shooting pains, especially over left eye, extorting cries.
      Headache at menstrual nisus, with scanty flow.
      Headache in terrific shocks.
      Involuntary jerking of head backward and forward, especially in forenoon and when sitting.
      Fontanelles remain open, with jerking of the head, pale, bloated face, stomacace, green diarrhoeic stools.
      Perspiration on the head, smelling sour, with faintish weakness, worse in evening before going to sleep.
      Rush of blood to the head.
      Throbbing cephalalgia, especially in occiput (beginning in the morning, worse in evening, from least motion, when turning eyes, when lying on back, worse when closing eyes and when at rest).
      Violent congestion of blood in head, with heat, especially when stooping.
      Coldness of exterior of head.
      Disposition to take cold on head from dry, cold wind, and if head gets wet.
      Involuntary trembling, and shocks in head.
      Mobility of scalp.
      Scalp and roots of hair very sensitive to touch.
      Itching on head (nose and eyes).
      Eruptions on vertex and back part of head, dry, offensive, stinging, itching and tingling, with cracks, extending behind ears, feeling sore when scratching them.
      Swelling on one side of head above the temple, with itching, sensation of coldness and tearing in it, worse when touching it, better when lying on it, or after rising from bed.
      Humid scabs on the head.
      (Bald spots on scalp, porrigo decaliters.
      T. C.)
      Falling off of the hair.
      Small red pimples on forehead, rough forehead.
      Swelling of head, especially forehead.

Eyes.
      Heaviness and depression of upper lids.
      Pressure on eyeballs.
      Itching and smarting in eyes and lids.
      Pricking in eyes, by candlelight in evening.
      Burning sensation in eyes, especially in morning on waking.
      Inflammation of eyes, with redness of sclerotica, and shooting pains.
      Inflammation, redness, and swelling of eyelids, with styes.
      Pustules in the cornea.
      Scabs in eyebrows.
      Glassy, watery eyes, in evening.
      Fungus hematodes in cornea.
      Dry scabs on lids, especially on waking in morning.
      Yellow color of sclerotica.
      Eyelids pain in morning when awaking as if too heavy, and as if he could not keep them open.
      Eyelids red, swollen, styes on them.
      Lachrymation, especially in the morning or nocturnal agglutination of lids.
      Quivering and jerking of lids.
      Paralysis of the lids, and inability to open them, especially at night (and evening).
      Confused sight, when reading and writing.
      Presbyopia.
      Weakness of sight, as from amaurosis, with contracted pupils.
      Appearances of a veil, black spots, points, sparks, and streaks of lights, before eyes.
      Intolerance of reflected light from bright objects.
      Green reflection round candle in evening.
      Great sensitiveness of eyes to daylight.
      Sight vanishes during the menses, better on lying down.

Ears.
      Otalgia.
      Shootings in ears.
      Stinging in the left ear.
      Pain in ear, as from excoriation.
      Swelling, and purulent eruption, in external ear.
      Herpes on lobe of ear, behind the ear and on nape of neck.
      Discharge of liquid pus from ear, with itching.
      Hearing extremely sensitive, especially to music.
      Hardness of hearing.
      Sudden deafness, as if caused by a plug in ears.
      Buzzing and roaring before ears.

Nose.
      Swelling and inflammation of nose, especially at tip.
      Scabs on tip of nose.
      Scabby and ulcerated nostrils.
      Hardened mucus in nose.
      Epistaxis, and discharge of blood, frequently, on blowing nose, after being in the slightest degree overheated, or when the nose has been struck by any thing, even lightly.
      Violent bleeding of nose, especially during menses.
      Anosmia.
      Smelling too sensitive, too feeble, yellow saddle across the bridge of nose.
      Fetid smell in nose.
      Ozaena, blowing of large lumps of yellow green mucus or yellow green membranes, with blood, from the nose.
      Dry coryza.
      Dry coryza, especially of left nostril.
      Dry mucus, which causes an obstruction in nose.
      Violent fluent coryza, with sneezing, pain in occiput, and drawing in limbs.

Face.
      Paleness and puffiness of face, with blue circles round the eyes, which are red and dull.
      Yellowness of face (and of the whites of eyes).
      Face emaciated.
      Yellow streak on nose, and cheeks, in form of a saddle.
      Violent heat in face.
      Pale bloatedness of face.
      Erysipelatous inflammation, and swelling of one side of face (arising from a carious tooth).
      Inflammatory swelling of face, with yellow scurfy pimples, thickly grouped.
      Herpes, scurf on face.
      Warts on face.
      Black pores on face.
      Acne worse before menses.
      Itching, and eruption on face and on forehead, sometimes merely like redness and roughness of skin.
      Skin swollen on forehead.
      Tumours on the forehead.
      Drawing facial pains.
      Spasmodic pain and tearing in bones of face.
      Neuralgic pains (left side, from abuse of tobacco).
      Dryness and exfoliation of lips.
      Tension of lower lip.
      Swelling of under lip.
      Yellow color and herpetic eruption round mouth.
      Moist and scabious eruptions on the red part of lips, and on chin.
      Painful ulcer on internal surface of lips.
      Engorgement, and painful sensitiveness of submaxillary glands.

Teeth.
      Toothache, on compressing or touching teeth, and on speaking, also from slightest current of cold air.
      Nocturnal toothache, with extreme excitement.
      Pulsative shooting, or drawing toothache, extending sometimes into ear (especially after eating, drinking, or taking anything cold into mouth) or into arms and fingers.
      Toothache during the menses.
      Toothache, stinging, pulsating, extending into ear during pregnancy, with shortness of breath, with swelled face and swelling of submaxillary glands, worse from every cold draft of air, when touching teeth and when talking.
      Toothache with violent ebullition of blood, and pulsation in whole body.
      Tearing shocks in teeth.
      Bluntness, looseness, easy bleeding, and caries of teeth.
      Gums dark red.
      Swelling, excoriation, ulceration, and easy bleeding of gums.

Mouth.
      Fetid breath.
      Swelling of interior of mouth.
      Dryness of the mouth, lips and tongue.
      Saline salivation.
      Taste bitter, sour, slimy, foul, mostly in morning.
      Pain in tongue and palate, as if they had been burnt.
      Tip of tongue feels as if scalded.
      Excoriation of tongue.
      Vesicles on tongue.
      Tongue loaded with a white coating.
      Soreness of tip of tongue.

Throat.
      Sore throat, with swelling of glands of neck.
      Pressure, as from a plug in throat, or pain as from excoriation, and shootings during deglutition.
      Pressure in throat in region of tonsils, as if neck-cloth were too tight.
      Jerking in throat.
      Swelling and inflammation of the gullet.
      Inflammation, swelling, and suppuration of tonsils.
      Dryness in throat, with tension and scraping.
      Clammy sensation in throat.
      Accumulation of mucus in throat, and on velum palati.
      Roughness and burning in fauces, worse by hawking.
      Hawking up of mucus, especially in morning.
      Expulsion of sanguineous mucus on hawking.

Appetite.
      Putrid or sour taste.
      Too salt taste of food.
      Adipsia or excessive thirst, especially in morning and in evening, sometimes with anorexia.
      Great voracity.
      Bulimy, with sensation of emptiness in stomach.
      Eager desire for wine, for vinegar.
      Creates aversion to beer.
      Repugnance and dislike to food, especially to meat, and milk, which produces diarrhoea.
      Tobacco smoke disagrees.
      Disagreeable risings, with nausea, after eating fat food.
      Weak digestion.
      After a meal: acidity in mouth, frequent risings, scraping and burning sensation in throat, pulsation in scrobiculus, hiccough, inflation of abdomen, sweat, feverish heat, palpitation of heart, cephalalgia, nausea, vomiting, pains in stomach, &c.

Stomach.
      Sensation of emptiness in pit of stomach, just below ensiform cartilage, this is a very weak, "gone" feeling, which nothing can satisfy, this symptom may appear in any complication of troubles, in disordered menstruation, &c.
      Frequent risings, generally sour or bitter, or else like rotten eggs, or with taste of food.
      Painful risings, during which blood comes into mouth.
      Acidity, with disgust to life.
      Nausea, sometimes when fasting in morning, better by eating a little.
      Nausea, with bitter taste and risings.
      Nausea from motion of a carriage.
      Nausea and vomiting after a meal.
      Vomiting of bile and of food (in morning, with headache).
      Vomiting of bile and food during pregnancy, straining so hard that blood comes up.
      Pains in stomach after a meal, sometimes in evening.
      Violent pain in cardia, when food passes into stomach.
      Pain in the scrobiculus while walking.
      Pressure in stomach, as from a stone, especially during or after a meal, or else at night.
      Contractive spasm in stomach.
      Water brash, especially after drinking or eating, or preceded by a whirling sensation in stomach.
      Vomiting of milky serum (in pregnant women).
      Nocturnal vomiting, with headache.
      Cramps in stomach and chest.
      Tearing boring in cardiac region, extending to loins.
      Cutting boring from stomach towards spine.
      Pressive shootings in scrobiculus, and in region of the stomach.
      Burning sensation in pit of stomach and scrobiculus.
      Throbbing in pit of stomach.
      Painful sensation of emptiness in stomach.

Abdomen.
      Pains in the liver, when riding in a carriage.
      Aching, throbbing, and shooting in hepatic region.
      Boring or tensive shootings in hypochondria, especially during movement.
      Shootings in left hypochondrium.
      Attacks of contractive pain in right hypochondrium.
      Pain across hypochondrium at night on lying down, better from micturition.
      Pain in abdomen, in bed in morning.
      Pressure and heaviness in abdomen, with sensation of expansion, as if it were about to burst.
      Excessive distension of abdomen.
      Heaviness and hardness in abdomen.
      Hardness in pyloric region.
      Soreness of abdomen in pregnant women.
      Enlargement of abdomen (in women who have had children).
      Dropsical swelling of abdomen.
      Abdominal spasms, with a clawing pain, as if intestines were twisted.
      Incisive colic, especially after corporeal exercise, or at night, with desire to evacuate.
      Digging, cuttings, and aching in the abdomen.
      Pain, as from a bruise in intestines.
      Coldness in abdomen.
      Burning sensation and shootings in abdomen, especially in left side, and sometimes extending into thigh.
      Sensation of emptiness in abdomen.
      Lancinations in groins.
      Brownish spots on abdomen.
      Movements and borborygmi in abdomen, especially after a meal.
      Excessive production and incarceration of flatus.

Stool and Anus.
      Constipation during pregnancy.
      Ineffectual want to evacuate, or only with emission of slime and flatus.
      Slow, inefficient evacuations, like sheep dung.
      Scanty evacuations, with straining and tenesmus.
      Faeces too soft.
      Difficult discharge even of soft stool.
      Great difficulty in discharging stool, which seems to stick in anus or rectum as if a ball or potato was there.
      Difficult stool with sensation of weight in abdomen.
      Gelatinous evacuations (small), with gripings (and tenesmus).
      Debilitating diarrhoea.
      Greenish diarrhoea, often of putrid or sour smell, especially in children.
      Diarrhoea after boiled milk.
      Whitish or brownish color of stools.
      Discharge of blood during the evacuation.
      Contractive pain and tension, itching, tingling, burning, and shooting in anus and rectum.
      Oozing from rectum.
      Slimy discharge from rectum, with shooting and tearing pains.
      Affections of anus and rectum where there are sharp, shooting, lancinating pains running up into abdomen.
      Prolapsus recti, especially during an evacuation.
      Weak feeling in rectum in bed.
      Congestion of blood in anus.
      Inactivity of the bowels.
      Protrusion of hemorrhoids from rectum (when walking, bleeding when walking).
      Bleeding hemorrhoids.
      Excoriation between the buttocks.
      Contractive pain in perinaeum.
      Ring of condylomata round anus.

Urinary Organs.
      Frequent (and ineffectual) want to urinate (from pressure on bladder and tension in hypogastrium).
      Aching in bladder.
      Feeling as if bladder were greatly distended.
      Emission of urine at night (has to rise frequently).
      Involuntary discharge of urine at night, especially in first sleep.
      Deep-colored urine, red like blood.
      Turbid urine, with red, sandy, or brick-colored sediment.
      With white sediment and a cuticle on surface.
      Profuse fetid urine, with white sediment.
      Urine with a sanguineous deposit.
      Sediment to the urine like clay, as if clay were burnt on the bottom of the vessel.
      Urine very offensive, cannot be endured in room.
      Cramp in bladder, burning sensation in bladder and urethra.
      Smarting in urethra, especially when urinating.
      Incisive pains and shootings in urethra.
      Discharge of mucus from the urethra, as in chronic gonorrhoea.

Male Sexual Organs.
      Profuse perspiration of genitals, and especially of scrotum.
      Itching round the genital organs.
      Itching eruption on the glans and prepuce.
      (Crop of small, velvety gonorrhoeal warts round margin of prepuce).
      Pseudo-gonorrhoea of an acid salt smell.
      Ulcers on glans and prepuce.
      Pains in the testes.
      Cutting in testes.
      Swelling of scrotum.
      Weakness of genital organs.
      Increased sexual desire, with frequent erections (continued erections at night).
      Frequent pollutions.
      Discharge of prostatic fluid, after urinating, and during a difficult evacuation.
      Intellectual, moral, and physical fatigue after coition, and pollutions.
      In either sex, complaints from coition.

Female Sexual Organs.
      Excoriation in vulva, and between thighs, sometimes before menses (soreness and redness of labia and perinaeum).
      Great dryness of vulva and vagina, especially after menses, painful to touch.
      Internal and external heat in genitals.
      Contractive pain in vagina.
      Swelling, redness, and moist itching eruption on labia minora.
      Bearing down in uterus, which obstructs respiration.
      Pressure as if everything would protrude through the vulva (with oppression of breathing).
      Pains in both groins and bearing down, with constipation but no leucorrhoea, sleep heavy and non refreshing, coldness all over, tongue flabby (cured in stout woman, 35.R. T. C.).
      Prolapsus of the vagina.
      Violent stitches in the vagina upwards.
      Prolapsus uteri, with congestion, with yellow leucorrhoea.
      Prolapsus, with inclination of fundus to l., causing numbness in left lower half of body, with pain, better when lying, especially on right side, tenderness of os uteri.
      Induration of cervix, burning, shooting, sticking pains.
      Metrorrhagia, during climaxis or during pregnancy.
      Menses too profuse.
      Menses suppressed, or too feeble, or else too early (appearing only in morning).
      When menses fail to appear in mothers who do not nurse, with inflation of abdomen.
      Colic before menses.
      During menses: irritability, melancholy, toothache, headache, nose-bleed, and painful weariness in limbs, or spasmodic colic and pressure towards the parts.
      Must cross her limbs to prevent protrusion of the parts.
      Dull, heavy pain in ovaries, especially l. Sterility.
      Leucorrhoea, or a yellow or greenish red water, or purulent and fetid, sometimes with inflation of abdomen, or shootings in vagina.
      Leucorrhoea in place of menses.
      Leucorrhoea like milk, with soreness of pudenda.
      Itching, corrosive leucorrhoea.
      Inclination to miscarriages.
      Abortion after the fifth month.
      Tendency to abort fifth to seventh month.
      Shootings in mammae.
      Excoriation of nipples (which bleed and seem about to ulcerate).
      Nipples cracked across the crown.
      Induration of breasts, scirrhus, stitches, tender, burning pains.
      Excoriation in children.
      Sudden hot flushes of climaxis, with momentary sweat, weakness and great tendency to faint.
      Retained placenta after miscarriage.
      Soreness of abdomen, feels motions of child too sensitively.
      During pregnancy yellow brown spots on face.
      Terrible itching of vulva causing abortion.
      Offensive excoriating lochia, very long lasting.

Respiratory Organs.
      Roughness and soreness of larynx and throat.
      Sensation of dryness in larynx.
      Hoarseness with coryza.
      Sensation of dryness in trachea.
      Cough, excited by a tickling in larynx or chest.
      Dry cough, which seems to arise from stomach, especially when in bed in evening (till midnight), and often with nausea and bitter vomiting.
      Moist cough, after a chill.
      Cough only during day, or which wakens one at night.
      Expectoration profuse and whitish.
      Cough, with copious expectoration of mucus, generally putrid, or of a salt taste, often only in morning or evening, and frequently accompanied by noise, weakness, and pains as from excoriation in chest (as if it were raw).
      Cough with expectoration in morning, no expectoration in evening, or with expectoration at night, none in day, very severe cough in morning on rising, and expectoration of a great quantity of badly tasting substance.
      Nocturnal cough, with cries, suffocation, and retching.
      Cough, like whooping-cough.
      Attacks of spasmodic cough, like whooping-cough, caused by tickling in chest or from tickling extending from larynx to abdomen, with expectoration only in morning, evening and at night of greenish-very pus, or of milk-white, tough mucus, sometimes disagreeably sweet, which has to be swallowed again.
      Cough, when lying on left side, from acids.
      Cough excited by a tickling sensation, and accompanied by constipation.
      Difficult expectoratio