Thuja

Natural History.
      Thuja occidentalis.
      Arbor Vitae. N.O. Coniferae (Tribe, Cupresineae).
      Tincture of the fresh green twigs.

Clinical.
      Abdomen, distended.
      Abortion.
      Angina pectoris.
      Anus, fistula in, fissure of.
      Asthma.
      Balanitis.
      Cancer.
      Catalepsy.
      Chorea.
      Clavus.
      Condylomata.
      Constipation.
      Convulsions.
      Coxalgia.
      Diarrhoea.
      Dyspareunia.
      Dysmenorrhoea.
      Ear, polypus of.
      Enuresis.
      Epilepsy.
      Epulis.
      Eyes, tumours of, granular inflammation of.
      Fatty tumours.
      Feet, fetid.
      Flatus, incarcerated.
      Frontal sinuses, catarrh of.
      Ganglion.
      Gleet.
      Gonorrhoea.
      Hemorrhage.
      Hemorrhoids.
      Hair, affections of.
      Headache.
      Hernia.
      Herpes zoster.
      Ichthyosis.
      Intussusception.
      Fa, growth on.
      Joints, cracking in.
      Levitation.
      Morvan’s disease.
      Mucous patches.
      Muscae volitantes.
      Myopia.
      Nevus.
      Neck, cracking in.
      Onanism.
      Ovary, left, pain in.
      Ozena.
      Neuralgia.
      Nose, chronic catarrh of, polypus of.
      Paralysis.
      Pemphigus.
      Polypus.
      Post-nasal catarrh.
      Pregnancy, imaginary.
      Prostate, disease of.
      Ptosis.
      Ranula.
      Rheumatism, gonorrhoeal.
      Rickets.
      Sciatica.
      Seminal emissions, nocturnal.
      Sycosis.
      Syphilis.
      Tea, effects of.
      Teeth, caries of.
      Tongue, ulcers of, biting of.
      Toothache.
      Tumours.
      Vaccination.
      Vaccinosis.
      Vaginismus.
      Warts.
      Whooping-cough.

Characteristics.
      The American Arbor Vitae is a "spiry ever-green attaining a height of from 20 to 50 feet, though generally not above 40, and a diameter of about 10 to 20 feet through the greatest breadth of foliage." It abounds in the upper zones of North America, from Pennsylvania northwards, where it "often forms what are commonly known as cedar-swamps.
      It grows upon the rocky banks of rivers, and in low, swampy spots, blossoming from May until June and maturing its fruit in autumn.
      The Arbor Vitae assumes a conical form with such true lines as to appear ‘clipped,’ thus forming one of our most valued high-hedge trees" (Millspaugh).
      Thuja was introduced to France from Canada in the reign of Francis I. of France, and it has now an honored place in most of our gardens and shrubberies.
      The native habitat of Thuja is not without its importance in relation to therapeutics.
      It loves swamps, it is Hahnemann’s typical antisycotic and Grauvogl’s hydrogenoid.
      Thuja is one of Hahnemann’s discoveries.
      Most of the remedies of his materia medica had been known in a fashion before his time.
      Of the therapeutic properties of Thuja practically nothing was known till Hahnemann proved it.
      Subsequent observers have only confirmed or added to Hahnemann’s pathogenesis.
      Hahnemann found in Thuja the antidote to the miasm of the condition which he termed Sycosis, meaning thereby the constitutional disease resulting from constitutional gonorrhoea, and having as its characteristic manifestation excrescences, sometimes dry in the form of warts, more frequently soft, spongy, emitting a fetid fluid with a sweetish odor something like herring brine, bleeding readily and having the coxcomb or cauliflower form.
      Teste remarks that in the period when the doctrine of Signatures prevailed the "resinous callosities of the stems and leaves of Thuja occ. might have seemed an indication that the plant was the specific for sycosis and warts." Teste dismisses this idea, but he asks whether resinous substances which have the power of modifying vegetable juices in a peculiar way may not affect the animal fluids in the same manner.
      He includes Castor. in his Thuja group, and gives an instance in which it acted on fig-warts.
      Castor is the product of an animal which subsists on the bark of resinous trees.
      Hering gives this as the action of Thuja (1) on the fluids: "dissolution of fluids of the body, which become acrid, probably caused by Thuja perverting lymphatic secretions, disturbs digestion and sanguification", and this (2) in the vegetative sphere: "A surplus of producing life, nearly unlimited proliferation of pathological vegetations, condylomata, warty sycotic excrescences, spongy tumours, and spongy pock exudates [which] organize hastily, all morbid manifestations are excessive, but appear quietly, so that the beginning of the diseased state is scarcely know." Boenninghausen found Thuja both preventive and curative in an epidemic of small-pox.
      It aborted the process and prevented pitting.
      In veterinary practice Thuja has proved curative in farcy and in "grease." These facts open up another great branch of Thuja’s homoeopathicity – its anti-vaccinal action.
      This extension was made by Kunkel and Goullon following on Boenninghausen’s experience with small-pox.
      On this subject no one has written more forcibly or lucidly than Burnett (Vaccinosts and its Cure by Thuja).
      "Arbor Vitoe: nomen omen," says Burnett on his title-page.
      And in his hands Thuja has proved indeed a tree of life to numberless sufferers from the vaccinal taint.
      By "vaccinosis" Burnett means the disease known as vaccinia, the result of vaccination, plus "that profound and often long-lasting morbid constitutional state engendered by the vaccine virus." To this state Thuja is homeopathic, and therefore curative and preventive of it.
      Burnett makes the profound observation, which I can confirm, that the vaccine virus does not need to "take (that is, to set up vaccinia) in order to produce the vaccinal dyscrasia: that "not a few persons date their ill-health from a so-called unsuccessful vaccination." So that vaccinosis may exist apart from vaccinia.
      The anti vaccinal action of Thuja is part of its antisycotic action: vaccinia is a sycotic disease.
      Burnett gives the case of an infant ten weeks old, whom he was called to see as it was supposed to be dying.
      He found it ghastly white and in collapse.
      There was nothing to account for this except that the baby had its wet-nurse changed two or three days before.
      The wet-nurse was questioned and declared herself quite well and looked it, but "her arm was a little painful." She had been revaccinated in the Marylebone Workhouse the day before she took charge of the patient.
      Burnett found the vaccine eruption just turning into the pustular stage.
      He concluded that the infant was sucking the vaccinal poison with its nurse’s milk.
      He gave Thuja 6 to both infant and nurse.
      The baby gradually improved the same day, and next morning was, though still pale, practically well, and the vaccinal vesicles on the nurse’s arm had withered.
      Burnett quotes a case of vaccinal rash in an infant following the vaccination of its mother, who was nursing it.
      The effects of chronic vaccinosis are protean.
      Prominent among them are neuralgias (of which Burnett gives many examples), morbid skin disorders, indigestion, and constipation, warts and new growths of many kinds.
      In these effects a favorite method of Burnett’s was to give a course of twenty-four numbered powders, only three or four of them medicated with Thuj 30, one to be taken at bed time.
      With the same prescription he cured many cases of paralysis, his indications being: Left side of body, very chilly, worse in morning, in wet weather, and in cold: with these indications present he also found enlargements of the spleen to dissolve.
      In 1889 I was consulted by Mr. A., 38, about a lump, or rather two lumps, in the right breast, which was like that of a girl approaching puberty, the left breast being quite flat and normal.
      There was a hard, not sharply defined lump to the right of the nipple, and a smaller one to the left of it, but freely movable, the larger somewhat tender and irritated by the pressure of the brace.
      The tumours had existed eighteen months and came on at a time of much anxiety when his wife died of consumption.
      His paternal grandmother and two aunts had died of cancer.
      He had been twice vaccinated, but on the second occasion the arm did not "rise." As a small boy his hands were covered with warts.
      At eight he had shingles.
      On August 15th Thuja 10M F. C. was given.
      October 21st.
      If anything tumours a little less.
      Thuja 10M continued at intervals.
      February 4, 1890.
      Tumours can only be felt with difficulty.
      No pain.
      The medicine was repeated and when next seen some time later the patient was absolutely well.
      A very much vaccinated lady developed at the climacteric indurations in both breasts, especially the right.
      Menses were accompanied by severe neuralgic pains.
      Thuja was given in 1M, 10M, and cm F. C. potencies.
      The last set up attacks of angina pectoris of such intensity that I did not repeat it.
      The indurations disappeared, but in the course of the cure an eruption closely resembling small-pox developed over her breasts on more than one occasion.
      The first case I treated homeopathically was one of new growths – a cluster of small warts on the forehead of a boy which had lasted eighteen months and followed the scratch of a cat.
      Thuja in fractional doses and Thuja painted on cured permanently in three weeks.
      A gentleman, about 50, consulted me recently about a wart on the right side of his head.
      He was bald, and the wart develop in the same locality at the same age, and it has never left him.
      My patient had been twice vaccinated.
      Thuja 30, twenty-eight powders, one in seven medicated, one at bed time.
      In one month there was much reduction, Thuja was repeated, and in little over two months the wart was gone.
      Burnett says Thuja is the remedy for fatty tumours, which he regards as sycotic in nature.
      Thuja not only produces symptoms of the secondary stage of gonorrhoeal and vaccinal affections, it also produces urethritis and a variolous eruption.
      Dudgeon has reported acute urethritis with yellow discharge lasting altogether a fortnight as the result of chewing a Thuja cone. Mersch (H. M., xxx. 686) gave Thuja 3 to a patient as a prophylactic against small-pox.
      This patient and another who took it for the same purpose developed simple urethritis.
      Mersch proved Thuja on himself and some others: (1) M.N. had rose-colored blotches on the back, and several days after leaving off the medicine had warts develop on the outer side of the root of the thumb.
      These were still present three years after, though smaller and softer.
      (2) Merch himself, who took Thuja for fifteen days, had heavy sensation in the head on waking, an eruption of desquamative annular blotches, and from the twelfth day a tearing along the right arm which compelled him to keep the arm flexed for eight days, worse attempting to extend the arm, slightly better by heat.
      A small soft wart appeared at the external portion of right middle finger.
      This disappeared a month after the proving was ended.
      (" worse By extension" is a characteristic of Thuja, it causes cracking in joints.
      The arm symptoms are also worse when the limb hangs down, which is also an extension.) Apropos of the annular scaly blotches, I had a case of psoriasis of the legs in a youth which was benefited by Thuja more than by any other remedy, though the Thuja was given for some other affection.
      A patient came to Raue (H. R., ii. 162) complaining that his semen had a very offensive smell.
      Raue did not know of a remedy producing the symptom, but selected Thuja. Two doses of the 200th and one of the 15th were taken.
      The man was at the time in the hands of an eminent dentist for his teeth, which for five years had been a great trouble to him on account of their extreme sensitiveness to cold, the gums were in a deplorable state and the teeth were encrusted with tartar.
      After receiving the Thuja the extreme sensitiveness of the teeth disappeared in one night, then the offensive odor of the semen.
      In four days the patient again saw the dentist, who was amazed to find his gums quite sound.
      Moreover, the patient had lost an oppression of the chest which had been troubling him some time.
      Goullon (Leip.
      Pop.
      Zeit. f. H., Translated Rev. H, Belge, September, 1895) relates the cure of a mental state by Thuja 30X. He remarks that, following the advice of Kunkel, he gives only a single dose of Thuja, one or two drops of the tincture on sugar or milk, at bed time.
      When he was given a second dose the following night he has observed new symptoms: "Thuja in fact has a very marked action on sleep, and its symptoms appear by preference at night the headache, for example." This is the case: Miss R., 40, complained of her head, especially at certain moments, when ideas which did not concern her in the least came to her as if some one else was thinking by her side.
      Thuja produces a confusion in the thoughts which patients cannot rid themselves of on account of great weakness and pain in the head.
      This patient had for months been attending on a paralysed sister, frequently getting up in the night and worrying herself about numberless things.
      Her nervous system was very impressionable, and for weeks had reached a point of extreme over-excitement.
      She could no longer calm herself, and in addition she sneezed and coughed much.
      The problem was to give her sleep and take away the pain in the head.
      Even when she was not obliged to get up she could not get sleep.
      Her eyes were also very much irritated.
      The patient afterwards described her condition thus: "I felt in the anterior part of the head, principally the forehead, a sensation as if lead were compressing my eyes, these were inflamed, worse by light, better in open air.
      Before going to sleep I felt a congestion in the head with headache, at the same time queer, confused ideas which changed like a flash and fell upon the most odd things.
      These were better when I opened my eyes or sat up.
      Before my eyes images and statues arranged themselves.
      If I wished to think of something sensible, in the twinkling of an eye I lost the thread of my ideas.
      All this happened at night, during the day the wicked sprites did not appear.
      My head and eyes pained me when there was much movement, as when several people were speaking at once." The effect of the dose she described thus: "After having taken the Thuja I tasted a sweet repose, the next morning a complete transformation had taken place in the head, the weight was gone, the eyes were more fresh, the brain free." Goullon cured a lady who had headache for a year, on waking felt as if a tight hoop enclosed of forehead, not passing away till noon.
      Eyelids heavy as lead.
      Thuja 10X, one dose at bed time, permanently cured.
      A. W. Holcombe (Med. Vis., xii. 225) relates experiences bearing on the sleep and dreams of Thuja. (1) Mrs. R., 48, had a growth, wart-like, about the size of a six pence, on left temple.
      It began as a slight roughness and itched at time.
      Also growth about the same size on a hard palate (left), very sore.
      Much headache, on left side of the head, throbbing in left temple, and the pains extend into left ear.
      Cannot sleep after three AM. Dreams much of falling.
      Feels smothering in a warm room.
      Thirsty, worse noon and afternoon.
      Feet sweat much, offensive, sweats much about groins.
      Thuja cm was given on October 25th. By November 15th the growths and all the rest of the symptoms had disappeared.
      (2) Led by this same symptom, "almost every night, dreams of falling from a height," Holcombe cured a man, 30, of tertian fever with Thuja cm when a large number of other seemingly well-indicated remedies had failed.
      Robert Farley (quoted A.H., xxiii. 446) relates the case of two children, age 5, who had what he graphically terms "urinary tantrums." Two hours after being put to bed they would wake kicking, crying, and refusing to answer a question.
      This lasted an hour or more.
      Asked if they wanted to urinate they would refuse to answer, strike at attendant, or even say "No." Finally it was found that if they were taken up and put on the closet they would urinate and then go to sleep readily.
      One of the children developed signs incipient inflammation of the left hip-joint.
      The totality led to the selection of Thuja, which was given in the 200th.
      After the first night there were no more "tantrums," and in two months the child was perfectly well.
      This child’s father had gonorrhoea, treated by injection, some years before the patient was born.
      But the other child’s father had not had gonorrhoea.
      In the latter case, which was exactly like the former, the cure was immediate, in the former case relief occurred on the second night.
      C. W. Roberts (H. R., xii. 137) found Thuja, in five-to seven-drop doses at bed time, control nocturnal seminal emissions better than any other remedy.
      "Nocturnal seminal emission" is an emphasized symptom in M. M.P. Epulis is probably a malignant kind of sycotic hyperplasia.
      Percy Wilda (H. W., xxi. 199) records the case of a young married lady who had a large epulis on the lower jaw, rapidly increasing in size, ulcerating on the surface, very painful, and filling the mouth with an ill-smelling secretion.
      The entire tumour was removed by operation, and also the subjoined bone.
      Three weeks later the tumour was as large as before and increased daily.
      Thuja 1X was now given.
      The growth stopped immediately, ulceration ceased, the pain disappeared.
      In three weeks the gum was healthy and remained so permanently.
      Villers (quoted A.H., xxi. 421) relates a case of scalp tumour in a youth of seventeen.
      The tumour had existed two years, and had somewhat the appearance of a bean.
      It was situated about the posterior edge of the parietal bone, was devoid of sensation, and the hair had disappeared from it, making it very conspicuous.
      Thuja 30 was given, a dose every twenty days.
      In four months the youth was almost cured, in five months entirely so, the hair having grown again completely over is spot.
      George Royal (quoted A. H., xxiii. 387) relates a case of persistent cough cured with Thuja. Miss X., 19, fair, had for three months a painless, dry cough.
      The irritation was only in the throat.
      There were six small growths at the back of the throat, and one near the vocal cord.
      She never had a cough before.
      Has leucorrhoea green and excoriating, menses a little too early.
      Thuja 30 cured the growths and the cough in about three weeks.
      Old-school observers (N.A. F.H., xv. 63) have found in Thuja an efficient hemostatic, locally applied, especially after tooth extraction.
      R. B. Johnstone (H. P., ix. 257) gives some indications for Thuja in hernia: (1) Women of sycotic history who have a tendency to left-side inguinal hernia after labor (Thuja, high).
      (2) When babies cry much the umbilicus protrudes, growing red and sore, especially when the father has a sycotic history.
      (3) Left inguinal hernia in infants, child cries all the time, and is only quiet when the left inguinal region is relieved from pressure, or the thigh is flexed on the abdomen.
      Boenninghausen observed this symptom of Thuja, which bears on the action of Thuja on the sides and roots of teeth (a sycotic symptom), rather than on the crowns: "on blowing nose, a pressing pain in the hollow tooth, at the side of it." The left ovarian pains of Thuja are remarkable.
      They are severe, sometimes burning, extend down thigh, any attempt at exercise and especially walking worse, they occur with every menstrual period, and are generally worse before and during the flow.
      The pain compels the patient to lie down, but lying on left side aggravates.
      A keynote of Thuja is: "Frequent micturition accompanying pains.
      For example: "In evening, when in bed, terrible hammering and tearing in the ear, accompanied with micturition every half-hour and coldness of the legs up to the knees.
      The desire of Thuja is sudden and urgent, it seems impossible to reach the vessel or make the necessary preparations, but the patient can control it if compelled.
      There is severe cutting as with a knife at the end of micturition after the last drop has passed.
      Thuja also has chronic incontinence from paralysis of sphincter vesicae.
      This is related to the general paretic weakness of Thuja. The patient feels she "could not go on exerting any longer." Burnett (H. W., xxv. 487) records a case of lichen urticatus in a boy of fourteen, which came into his hands after a long course of treatment, external, internal, and dietetic, at the hands of allopathic specialists without result.
      The rash came periodically in warm weather, patient literally tore himself because of the irritation.
      The rash was worse on the left (vaccinated side).
      Thuja 30 was given in infrequent doses.
      The spots continued to appear for a week and then disappeared.
      The skin remained clear in spite of the patient indulging in all kinds of previously forbidden foods.
      Among the skin effects of Thuja the marks and stains must be borne in mind.
      The skin is mottled and discolored, brown or red mottled spots, discoloration of the backs of the hands and feet.
      Villers F. of Hes., iv. 408) treated a girl of twelve, who had headaches going from front to occiput and sometimes in temples.
      Pains mostly came towards night, and were accompanied with an awful state of fear.
      The only account she could give of her fear was that she saw green stripes.
      Alone or in company, in the dark or in a well-lighted room the dread was always the same.
      Three years before, the child had an abortive attack of scarlatina, treated with cold compresses.
      The urine had been abnormal all through the illness, but contained no albumen.
      Thuja 200, every tenth day.
      No more headache, nor fear.
      Patient slept well from the first dose, and in a few days the urine became clear.
      "Floating stripes" before the vision is a symptom of Thuja. Peculiar Sensations are: As if a strange person were at her side.
      As if soul and body were separated.
      As if under the influence of a superior power.
      As if whole body were very thin and delicate, as if its continuity would be dissolved, as if frail and easily broken, as if made of glass.
      As if a nail were pressing into vertex.
      As if vertex were pressed with a needle.
      As if a nail were driven from within outward in vertex.
      As if a nail were driven into right parietal bone and left frontal eminence.
      Lightning-like headache.
      As if a convex button were pressed on left ear.
      As if head were screwed asunder.
      As if forehead would fall out.
      As if bones of head were being knocked to pieces.
      Forehead, ears, and eyes as if stabbed.
      As if knives went tearing around in brain.
      Scalp as if beaten.
      As if insects on occiput and temples.
      As if eyes were swollen and would be pressed out of head.
      As of fine sand in eyes.
      As if a cold stream of air were blowing through eyes.
      As if a foreign body in eye.
      As if flesh were being torn from bones in left side and back.
      As if abdominal muscles were being pushed out by arm of a child.
      As if a living a animal were in abdomen.
      Sudden bounding in right iliac region as if something alive.
      As if blood could not circulate in back opposite pit of stomach.
      As if boiling lead were passed through rectum.
      As if anus would fly to pieces during stool.
      As if skin of anus were cracked and chapped.
      Bladder as if paralysed.
      As if moisture running in urethra.
      As if boiling lead were passed through rectum.
      As if anus would fly to pieces during stool.
      As if skin of anus were cracked and chapped.
      Bladder as if paralysed.
      As if moisture running in urethra.
      As if a tape prevented urination.
      As of a single drop running along urethra.
      As if testicles moved.
      As if something were grown fast in region of left lower ribs.
      As of falling drops in chest.
      Legs as if made of wood when walking.
      As if lower limbs were elongated.
      As if muscles of thigh would break down.
      Lightness in body when walking.
      As if flesh were beaten from bones.
      As if skin were pricked with needles.
      As from fleabites.
      A keynote of Cooper’s for Thuja is, "its pains keep extending from their original site." Another indication of his is, "pains better by wrapping up." Thuja is Suited to: (1) Hydrogenoid constitutions (possessing "an increased capacity to contain water, hence rain, cold, damp weather, beds, and food that increase the number of molecules of water in the system worse the symptoms").
      (2) Strumous and sycotic pains.
      (3) Lax muscles, light hair, children.
      (4) Lymphatic temperament, in very fleshy persons, dark complexion, black hair, unhealthy skin.
      (5) Ailments from vaccination or from suppressed or maltreated gonorrhoea.
      Thuja is a strongly left-sided medicine (the left arm is usually vaccinated).
      The symptoms are: worse By touch (scalp, vertex, eruption, anus, condylomata, causes fingers to bleed), but better pain in eyebrow and in left malar bone.
      Pressure improves.
      Rubbing improves.
      Scratching improves.
      Closing eyes aggravates.
      Fall causes wart-like growth in labium.
      Overlifting worse headache.
      Rest better headache.
      Bending head backward better headache.
      Lying on left side causes anxious dreams.
      Lying on affected side better asthma.
      Motion aggravates.
      Extension aggravates.
      Letting arms hang down worse Walking aggravates. Looking up better headache.
      Throwing head back better headache.
      Talking worse asthma.
      Ascending causes palpitation.
      Riding causes incontinence of urine, worse pain in ovary.
      Worse three AM, early morning (the sycotic time).
      Worse night.
      Worse cold water, cold, damp weather, change, draft, overheating, sun’s rays.
      Worse bright light.
      Worse warmth of bed.
      Warmth aggravates.
      Cold better rheumatism.
      Worse after breakfast, after eating, after tea, coffee, fat food, onions.
      Worse by coitus.
      Worse blowing nose (pain in side of teeth).
      Worse increasing moon.
      Worse sun, bright light.

Relations.
      Antidoted by: Cham. (nightly toothache): Coccul. (fever), Camph., Merc., Puls., Sul. Teste found Colch. the best antidote in his experience.
      Antidote to: Merc., Sul., Iod., Nux-v.
      Complementary: Med., Sabin., Sil., Nat-s. in sycosis.
      Compatible: Nit-ac., Sabin.
      Follows well: Med., Merc., Nit-ac.
      Followed well by: Merc., Sul. (these follow best.
      H.N.G.), also Calc., Ign., Lyc., Kali-c., Puls., Sil., Vac.
      Compare: Constitutional polychrests, Med. Syph., Psor., Sul., Merc. Bad effect of vaccination, Apis, Ant-t., Vac., Var. Aversion to touch or approach, Ant-c. (Thuja on account of fixed ideas).
      Illusions of shape, Bapt., Petr., Stram. Imaginary congleet, gonorrhoeal rheumatism, orchitis, prostatitis, Puls. (the discharge of Puls. is thicker than that of Thuja).
      Ozena in sycotics, Kali-bi. Condylomata, balanorrhoea, greenish leucorrhoea, Nit-ac. (Nit-ac. has more aching in bones, especially when not covered with muscles).
      Long filiform condylomata, Staph. (Staph., especially after Mercury, system generally depressed).
      Balanorrhoea, Jacar. Red chancroid sores, Coral. Iritis, green discharges, rheumatism, sweating, Merc. (Merc. worse warmth of bed, sweating more excessive, Thuja, sweat on uncovered parts only).
      Condylomata, Sabin. (itch and burn, especially in women).
      Condylomata large, like cock’s comb, Euphras. Syphilis and sycosis, fig-warts fan-shaped, much itching, especially about joints, Cinnabar. is preferable for warts on prepuce." H.C. Allen).
      Sycotic eruptions, Sars. Ciliary neuralgia, Spig. (Spi. pains radiate downward, Thuja, upward and backward).
      Nails grow soft, Fl. ac. (rapidly).
      Diarrhoea, &c., after vaccination, Sil. Affections of tea-drinkers, Sep. Urinary affections, Canth. Effects of fat food, Ipec., Carb-v., Puls. Fissure about anus, Nit-ac. Graph. Dry, whitish scales on skin, Ars., Calc., Dulc., Lyc., Sep., Sil. Vaginismus, extreme sensitiveness, Sil. Hissing or singing of kettle in right ear, Lyc. Violent movements of foetus, Op., Croc., Sil., Sul. Sense of levitation, Calc., Cann-i., Con., Gels., Sil., Stic. p., Tic douleureux, Spi., Coccin. Phimosis, Cann-s., Merc., Sul., Nit-ac., Sep., Rhus, Sabi. Left ovarian pains, Colo., Bry., Phos. Yellow-staining leucorrhoea, Agn-c., Carb-a., Chel., Kre., Nit-ac., Nux, Prun-s., Sep. Tongue: Ulcer on right border, Sil. (on left, Apis), semi lateral swelling of, Calc., Sil., Lauro. (Lauro., left half with loss of speech), Semp. t. Piles worse sitting, Lyc. Ph-ac. (Better Ign.).
      Vertigo when closing eyes, Lach., Ther. Headache as if a nail being driven in, Coff., Ign. Headache from tea, Sel. Teeth decay at roots, Mez. (on edges, Staph.).
      Teeth crumble, turn yellow, Syph. Ranula, varicose veins on tongue, Amb. "On blowing nose, a pressing pain in the hollow tooth or at the side of it" (Culex, vertigo every time he blows his nose).
      Abdomen protrudes here and there as from the arm of a foetus, Croc., Nux-m., Sul. Left ovarian pain when walking or riding, must sit or lie down.
      Croc., Ust. (Thuja, worse at each menstrual nisus).
      Stool recedes after being partly expelled forcibly with much flatus, Alo. Coition prevented by extreme sensitiveness of vagina, Plat. (by dryness, Lyc., Hdfb., Nat-m.).
      Large, seedy, pedunculated warts, Staph. Feeling as if flesh beaten off bones, Phyt. (scraped off, Rhus).
      Severe cutting at close of urination, Sars. Sweat: all over except head (opp.
      Sel.), when he sleeps, stops when he wakes (opp.
      Samb.).
      Nails deformed, brittle, Ant-c. Better bending head back, Seneg. (Thuja, headache, Seneg., eye symptoms better bending head back and closing eyes, Thuja has worse closing eyes).
      Fluids roll audibly into stomach, Cup. Enuresis when coughing, Caust. Desires cold things, Phos. Swelling and sensitiveness of breasts at menstrual period, Con. Calc. Worse walking, Aesc-h. Discolored skin, Adren. Cracking in cervical vertebrae (Kali – ., grating).
      Cretinism, Bac., Thyr.

Causation.
      Vaccination.
      Gonorrhoea, badly treated or suppressed.
      Sunstroke.
      Sexual excess.
      Tea.
      Coffee.
      Beer.
      Sweets.
      Tobacco.
      Fat meat.
      Onions.
      Sulphur.
      Mercury.

Mind.
      Fixed ideas: as if a strange person were at his side, as if the soul were separated from the body, as if the body, especially the limbs, were of glass and would break easily, as if a living animal were in the abdomen.
      Sensation as if whole body very thin and delicate and could not resist least attack, as if continuity of body would be dissolved.
      Insane women will not be touched or approached.
      Imbecility after vaccination, restless, drivelling.
      Mental dejection.
      Anxious apprehensions respecting the future.
      Disquiet, which renders everything troublesome and repugnant.
      The merest trifle occasions pensiveness.
      Music causes him to weep, with trembling of the feet.
      Hurried, with ill-humor, talks hastily.
      Indisposition to any kind of intellectual labor.
      Mental depression after childbirth.
      Very depressed, sad, irritable.
      Scrupulous about small things.
      Feels she cannot exist any longer, quiet, shunning everybody.
      Aversion to life.
      Moroseness and peevishness.
      Over excited, quarrelsome, easily angered about trifles.
      The child is excessively obstinate.
      In reading and writing he uses wrong expressions.
      Talks hastily and swallows words.
      Thoughtlessness, forgetfulness.
      Slowness of speech and of reflection, seeking for words when in conversation.
      Incapacity for reflection.
      Cretinism.

Head.
      Head feels empty, as in intoxication, especially in morning, with nausea.
      Weakness and confusion of head, as from torpor, or paralysis of brain.
      Vertigo, as from motion of a swing.
      Vertigo when rising from a seat, or when lying down, or else when looking into the air.
      Vertigo on closing the eyes, disappears as soon as he opens them, or on stooping, or on looking upwards or sideways.
      Headache in morning, as after stooping, or after too profound a sleep, with redness of the face.
      The headache is better from looking upwards, and when turning the head backwards.
      Headache: worse from sexual excess, overheating, overlifting, better exercising in open air.
      Dull, stupefying, headache.
      Headache, worse by stooping, better by bending head backwards.
      Heaviness of head, especially in morning on waking, in occiput (cerebellum), with ill-humor and dislike to conversation.
      Headache, as if forehead would split, with internal shivering, better by walking in open air.
      Pressive headache, with shocks in forehead and temples.
      Compressive headache, especially in temples.
      Pain as if a tight hoop encircled forehead, on waking.
      (Headache, as if a tight hoop encircled forehead up till noon, eyelids heavy as lead.
      Goullon.)
      Pain in head as if a nail were driven into vertex (afternoon and three AM, worse when at rest, better after perspiration).
      As if a nail driven in right parietal bone and left frontal eminence.
      Boring pressing in head.
      Headache on left side as if a convex button were pressed on part.
      Neuralgia going from before backward.
      Nervous, sycotic, or syphilitic headaches.
      Meningitis of sycotic children.
      Sunstroke: everything seemed jumping, worse from sitting up, or from talking a long time, or closing eyes.
      Semi lateral tearing in the sinciput and face, extending into zygomatic process, principally morning and evening.
      Tearing jerking in occiput.
      Lancinations across brain.
      Congestion of blood in head.
      Pulsation in temples.
      Excessively painful tenderness of left side of head, and also of the hair, at night, when lying down, and when touched.
      Hair becomes hard, dry, and lusterless, and falls out.
      Hair thin, grows slowly, splits, brittle, looks crimped.
      Pressive drawing in the temporal muscles, especially during mastication.
      Shootings in temples.
      Swelling temporal muscles, especially during mastication.
      Shootings in temples.
      Swelling of veins in temples.
      He wants to have head (and face) wrapped up warm.
      Itching and gnawing in scalp.
      The scalp is very painful to the touch, and the parts on which one lies.
      Cannot bear a hat on his head (agg.
      R.T.C.).
      Dry herpes on the heat 1, extending to eyebrows, dandruff.
      White, scaly peeling-off eruption over the scalp, extending over the forehead, temples, ears, and neck.
      (Flat black wart on right parietal region.
      J.H.C.)
      Tingling-biting, stinging-itching on the scalp, better by scratching.
      Perspiration, smelling of honey (sweetish), on uncovered parts of head (face and hands), with dryness of the covered parts, and of those on which one lies, mostly when first going to sleep, better after rising.
      (Pityriasis affecting forehead, face, ears and neck, worse after washing in warm water.
      R.T.C.)
      Eczema comes out on glabella (after Thuja 30) – R.T.C.).

Eyes.
      Pressure in eyes, and smarting, as if sand were in them.
      Tearing in eyebrows.
      Shootings in eyes, in a bright light, or in a keen air.
      Painful stitch through center of left eye, commencing in center of brain.
      Malignant balanorrhoea.
      Wart-like excrescence on iris.
      Inflammation of cornea.
      Vascular tumour of cornea.
      Small brown spots on cornea.
      Episcleritis, sclera-choroiditis, staphyloma.
      Ophthalmia neonatorum.
      Phlyctenular conjunctivitis of left eye, with violent pain across forehead and in outer side of eyeball, constantly recurrent from childhood and due to suppressed eruption.
      R.T.C.)
      Fungous tumour in orbit.
      Burning sensation in eyes.
      Sclerotica inflamed, and red like blood.
      Pupils dilated.
      Inflammatory swelling of lids, with hardness.
      Burning eruption on lids.
      Granular lids with wart-like granulations.
      Epithelioma of left lower lid.
      Feeling as if lids swollen, and a foreign body in eye.
      Ptosis, lids fall down several times a day.
      Lids heavy as lead.
      Inflammatory softening of inner surface of lids.
      Red and painful nodosities on margins of lids.
      (Tinea ciliaris, dry and granny lids.
      R.T.C.)
      Styes, tarsal tumours, chalazae, thick and hard knots.
      Verrucae and tumours like condylomata.
      Purulent and itching pimples between eyebrows.
      Condylomata in eyebrows.
      Sensation of heat and of dryness in external canthi.
      Lachrymation, especially in left eye, when walking in open air (the tears do not run off, but remain standing in the eye).
      The eye must be warmly covered, when uncovered it pains at once, and it feels as if cold air were streaming out of the head through the eye.
      Nocturnal agglutination of the lids.
      Weakness of the eyes, obscure sight.
      Clouded sight, when reading, with sensation of drowsiness.
      Sight confused as if directed through a veil.
      Diplopia.
      Myopia.
      Black dancing specks before the eyes.
      Floating stripes.
      (Sees green stripes which frighten her.)
      Flames of light, mostly yellow, looking into light of day sees spots like bottles of water moving, a luminous disc shining like a firefly.
      Sensation of dryness in eyes.
      In the dark it seems as if falling down of luminous lights or sparks alongside of the eye, during the day and in the light it is as if dark drops were falling down.
      The objects appear smaller before the right eye.
      Short-sighted.

Ears.
      Otalgia, with squeezing compression and violent shootings, especially in evening.
      Stitches into ear from the neck.
      Sensation as if inner ear were swollen, with increased difficulty of hearing.
      (Vascular deafness with scurfy head.
      R.T.C.)
      Oozing from the right ear, smelling like putrid meat.
      Spasmodic pain in external ear.
      Noise in the ear as from boiling water.
      Roaring in left ear, with cracking when swallowing saliva.
      Hammering and tearing in ear, in evening, in bed, with frequent emission of urine, and coldness in legs and feet.
      Pressive pain behind ears.
      Orifice of left meatus blocked up by a polypus, of raspberry-cellular vessels, pale red, bleeding readily when touched, muco-purulent discharge, deafness, shooting pains.

Nose.
      Nose red and hot.
      Red eruption on nose, at times humid.
      Swelling in the alae nasi, with hardness and tension.
      Drawing tension in bones of nose.
      Painful scabs in nose.
      Painful pressure at root of nose.
      Blowing of blood from nose.
      Frequent epistaxis, especially after being over-heated.
      Dry coryza, which becomes fluent in open air, with continued headache.
      Fluent coryza, with cough and hoarseness.
      Greenish and fetid discharge from the nose.
      Blowing from the nose of a large quantity of thick green mucus, mixed with pus and blood, later of dry, brown scales, with mucus, which comes from the frontal sinuses and firmly adheres to the swollen upper portion of the nostrils.
      Accumulation of mucus in posterior nares.
      Chronic catarrh after measles, scarlatina, variola.
      (Ozena.
      Ussher.)
      Warts on the nose.
      Smell in nose as from brine of fish, or of fermenting beer.

Face.
      Heat in face, sometimes only transient, or else with burning redness.
      Heat and redness of whole face, with fine nets of veins, as if marbled.
      Circumscribed burning redness of cheeks.
      Dropsically bloated face.
      Edematous erysipelas of face.
      Greasy skin of face.
      Light-brown blotches (freckles) on face.
      Face ache, originating in left cheek-bone near the ear, extending through teeth to nose, through eyes to temples into head, the painful spots burn like fire, and are very sensitive to the rays of the sun.
      Neuralgia of trigeminus after suppressed gonorrhoea or eruption on ear.
      Facial pains tending to spread to neck and head, chiefly left side (many cases cured.
      R.T.C.)
      Large, hard, dark wart with large base.
      Perspiration on face (especially on side on which he does not lie).
      Scabious, itching eruption on face.
      Red and painful nodosities on temples.
      Boring and digging pain in cheek-bones, better by touch.
      Twitching of the lips.
      Jerking sensation in upper lip, near corner of mouth.
      Upper lip sensitive.
      Wart on upper lip.
      Thick upper lip with pea-sized tumour on its parenchyma, enlarging when taking cold.
      Lips pale, swollen, peeling.
      Flat ulcers on insides of lips and corners of mouth.
      Eruption of pimples on lips and chin.
      Shootings in lower jaw, which seem to pass outwards through the ear.
      Cracking of articulation of jaw.
      Fungus on left lower jaw, more angry in damp weather
      Swelling of submaxillary glands.

Teeth.
      Toothache after drinking tea, with pressive pain extending into jaw.
      Toothache with acute drawing pains, especially during mastication.
      The roots of the teeth become carious, or the teeth become carious from the side, the crown of the tooth remains sound.
      On blowing nose, a pressing pain in hollow tooth at the side of it.
      The teeth crumble off.
      Teeth crusted with tartar, extremely sensitive to cold water.
      Dirty-yellow teeth.
      Gnawing in (carious) teeth, with painful sensibility of whole side of head, greatly worse by contact with cold things, or by mastication.
      Gums swollen (inflamed, with dark red streaks on them), with pain of excoriation.
      Alveolar periostitis where the pains come and go suddenly at short intervals (R.T.C.).
      Epulis.

Mouth.
      Flat, white ulcers on the inside of the lips, and on the corners of the mouth.
      Aphthae in mouth (ulcers, mouth feels as if burnt).
      Considerable swelling of salivary gland, with increased saliva in mouth.
      Sanguineous, or bitter saliva.
      Pain as of excoriation in tip of tongue, when touched.
      Swelling of tongue (especially on right side, bites tongue frequently), painful when touched.
      Condylomata under tongue.
      Varicose veins under tongue.
      Ranula, on both sides of tongue, transparent, bluish red, grey, and, as it were, gelatinous.
      Ranula and epulis with excess of venosity everywhere (Ussher).
      Taste in mouth sweet as sugar, with gonorrhoea.
      Slowness of speech.

Throat.
      Roughness and scraping in throat.
      Pressure and pain as from excoriation, in throat and palate, during deglutition.
      A feeling of upward pressure in soft palate.
      Necessity to swallow.
      Shootings from gullet to ears.
      Swelling of tonsils and throat.
      Ulcers in throat and mouth, like chancres.
      Accumulation of a large quantity of tenacious mucus in mouth, which is hawked up with difficulty.
      Painful swallowing, especially empty swallowing, or that of saliva.
      Throat feels raw, dry, as from a plug, or as if it were constricted when swallowing.
      Hawking up of mucus of red color, like blood.
      (Exophthalmic goitre. C. Sargent, of Chicago.)

Appetite.
      Mawkish and sweetish taste in the mouth, in the evening, and after a meal.
      Taste: sweet, of rotten eggs, mornings.
      Bread has a dry and bitter taste.
      Craves salt.
      Food never seems sufficiently salt.
      Thirst only at night, and in morning.
      Appetite for cold drinks and food.
      Unable to eat breakfast (a keynote of Burnett’s).
      Aversion to fresh meat and potatoes.
      Speedy satiety, when eating.
      Disagreeable sensations after eating fat food or onions.
      While masticating food mouth becomes very dry.
      After a meal great indolence, or dejection, with anguish, and palpitation of the heart, or great inflation and sufferings from flatulence.

Stomach.
      Risings of food, after a meal.
      Bitter or putrid risings.
      Continuous eructations of air while eating.
      Vomiting of mucus or of greasy substances.
      Induration of stomach.
      Swelling of pit of stomach.
      The fluid which he drinks falls into the stomach with a gurgling noise.
      Rancid risings, especially after fat food.
      Nausea and uneasiness in region of stomach.
      Vomiting of acid serum and of food.
      Cramp in stomach, with excessive worse towards evening.
      Pressure in scrobiculus after a meal, with pain when touched.
      Throbbing in scrobiculus.
      Anguish in scrobiculus, which extends upwards into head.

Abdomen.
      Painful pressure in hepatic region.
      After a dose of 30th headache comes on, and he feels on stooping forward as if liver overlapped the ribs (agg.
      J.C.B.)
      Old rheumatism attacking bowels, liver, and kidneys.
      R.T.C.)
      Pressure in lumbar regio