Antimonium Tartaricum

• ▸Antim.
• ▸tart.
• ▸resembles closely Antim.
• ▸crud.
• ▸and the other Antimonies in its

• ▸action, though the modalities differ.
• ▸Antim.
• ▸tart.
• ▸was the favourite emetic of olden times, and

consequently it is one of our best remedies in states of nausea. The nausea is as intense as that of

Ipec., but less persistent, and is > by vomiting. Nash has found it the nearest thing to a specific in

cholera morbus, the indications being "nausea, vomiting, loose stools, prostration, cold sweat,

stupor, or drowsiness." In chest affections of all kinds it is indicated where there is great

accumulation of mucus with coarse rattling and inability to raise it. Drowsiness and even coma

• ▸may accompany cases of all kinds in which Anz.
• ▸¢.
• ▸is called for.
• ▸The face is pale or cyanotic and

the breathing stertorous. There is heat about heart and warmth rising up from it. A sensation of

coldness in the blood-vessels. A correspondent of the Chemist and Druggist (May 21, 1892)

related the case of an apprentice who had been employed for a week making up "cough-balls"

and diuretic balls for horses, both containing powdered antimony. He had been cautioned not to

inhale the powder, but his employer believes he did. At the end of the week he was seized with

an illness, due, his employer thinks, and no doubt correctly, to the antimony. The symptoms are

very characteristic. First, there was nausea, lassitude, and a desire for sleep. He was sent to bed,

and during the night his fellow apprentice said he got up and struggled to relieve himself of an

imaginary load on the chest. On being put to bed again, a profuse perspiration broke out, and also

a peculiar rash on his face and chest; after that he vomited freely and felt better. Temperature

• ▸104, pulse 120.
• ▸A fever-mixture of liq.
• ▸ammon.
• ▸acet.
• ▸and Sp.
• ▸ether.
• ▸nit.
• ▸was given.
• ▸A doctor who

was called in found undoubted symptoms of pneumonia of left lung, but confessed he had never

seen the rash before and would not venture an opinion regarding it. For two days the temperature

kept at 104, then both temperature and the pulse became normal, the rash disappeared, and with

it the pneumonic cough; in six days the boy was perfectly well. "A child coughs when angry" is

characteristic. Heath cured a case of whooping-cough in a child who was very fretful before the

cough. The mother said that if the child got angry she immediately had a fit of coughing. "Cough

• ▸at 4 a.
• ▸m.
• ▸" is another indication which I have found true.
• ▸Further leading indications for this

remedy are: attacks of fainting, internal trembling. It causes relaxation of sphincters and muscles,

with nausea or without. Os uteri dry, tender, undilatable, with distress, moaning, and restlessness

• ▸with every pain (Aco.
• ▸), feeling of sickness.
• ▸Convulsive twitching.
• ▸Convulsions.
• ▸Great heaviness

in all the limbs and great debility. Rheumatic pains (fever), with perspiration, which does not

• ▸relieve.
• ▸Inflammation of internal organs.
• ▸Gastric and bilious complaints.
• ▸Constant

nausea—nausea felt in chest (Pu/s.). Sensation of weight or heaviness in many parts; head,

occiput, coccyx, limbs. Pulsations in all the blood-vessels. The child wants to be carried and

cries if any one touches it. Peevishness, whining, and crying. Inquietude, apprehension, agitation.

Dulness and bewilderment of head as if benumbed. Chronic trembling of head; of head and

hands (as in paralysis agitans). The tongue has a thick, white, pasty coat with red papilla

showing through. Intense nausea and vomiting with great effort; with perspiration on forehead.

Fulness and sensation of stones in abdomen especially when sitting bent forward. The skin is

notably affected. The typical eruption is like that of small-pox, the symptoms of which disease

are so closely reproduced in the proving that it has been used instead of vaccine for inoculation

purposes, and prophylactic power has been claimed for it. (Compare Variolinum.) The terrible

backache of small-pox is paralleled by the back-pains of Anz. t., which I have found to

• ▸correspond to more cases of lumbago than any other remedy.
• ▸Ant.
• ▸t.
• ▸is also a "sycotic," and I

• ▸have verified a symptom given in Hering, "warts at the back of the glans penis.
• ▸" Antim.
• ▸tart.
• ▸has

< by warmth, but not the excessive sensitiveness to heat and sun of Ant. c., and some of the

rheumatic symptoms are > by warmth. Warm drink < cough, also lying in bed, especially

becoming warm there. There is also < from cold and damp, but not the ill effects of cold washing

• ▸found in Ant.
• ▸crud.
• ▸Also cold washing > the rheumatic toothache of Ant.
• ▸t.
• ▸Both have < from

• ▸touch and even from being looked at.
• ▸Ant.
• ▸t.
• ▸has < on sitting down; when seated; and on rising

from a seat; < sitting bent forward; > sitting erect. < Lying on side affected. < Motion, on every

• ▸effort to move.
• ▸A characteristic of Anz¢.
• ▸¢.
• ▸in lung affections is "lies with head back.
• ▸" There is not

• ▸the > from rest which is apparent in many symptoms of Ant.
• ▸c.
• ▸The Ant.
• ▸t.
• ▸headache is < by rest;

• ▸also earache and respiration.
• ▸< At night is more marked with Anz.
• ▸¢.
• ▸than Ant.
• ▸c.
• ▸Cough is < 4

a.m. > from eructations.

• ▸Vertigo alternates with drowsiness.
• ▸Great despondency.
• ▸Fear of being alone.
• ▸Muttering, delirium, and stupor.
• ▸Vertigo, with dullness and confusion.
• ▸Band-like feeling over forehead.
• ▸Face pale and sunken.
• ▸Child will not be touched without whining.
• ▸Headache as from a band compressing (Nit ac).

During the day hilarity, in the evening anxious and timid.—Inquietude and agitation,

with palpitation of the heart, and trembling.—Anxious apprehension respecting the future (in the

evening).—Pitiful whining before and during the attack —Bad humour.—Excessively peevish and

quarrelsome.—Child will not allow itself to be touched.—Discouragement and

• ▸despair.
• ▸—Lethargy.
• ▸—Suicidal mania.
• ▸—Wild gaiety (by day only).
• ▸—Consequences of anger and

vexation.

Dulness, confusion, and bewilderment in the head, which is, as it were, benumbed,

with inclination to sleep.—Fits of vertigo with sparkling before the eyes, and dizziness when

walking.—Dulness of all the senses.—Headache, with palpitation of the heart, and

vertigo.—Heaviness of the head, esp. in the occiput ——Semi-lateral headache —Pressive pains in

the head, with compressive tension, as if the brain were contracted into one hard mass, often with

dizziness, extending into the root of the nose, sometimes in the evening, and at night; with

stupefaction and lethargy; better when exercising and washing the head.—Pulsation in the right

side of the forehead; worse in the evening, when sitting stooped, and from heat; better from

sitting erect, and in the cold air.—Drawing, tearing, and digging in the head.—Stitches in the

head.—Lancinating pains in the head, sometimes extending into the eyes, with necessity to shut

• ▸them.
• ▸—Boring in the forehead.
• ▸—Semi-lateral throbbing in the forehead.
• ▸—Chronic trembling of

the head.—Trembling with the head, esp. when coughing, with an internal sensation of trembling,

chattering of the teeth, and an irresistible somnolency; worse in the evening, and from

heat.—Trembling with the head and hands, with great debility; worse when lying and getting

warm in bed, better when sitting up erect and in the cold.—Neck stretched out, head bent back.

Eyes fatigued, requiring sleep, and to be firmly closed.—Pain, as of a bruise in the

eyeball, on touching it—Aching of the eyes.—Shootings, burning sensation, and smarting in the

internal canthi, with redness of the conjunctiva.—Eyes confused, swimming in tears; sunken,

surrounded by dark circles.—In pneumonia when the edges of the lids are covered with

• ▸mucus.
• ▸—Rheumatic ophthalmia or from gonorrhcea.
• ▸—Incipient amaurosis.
• ▸—Confused sight, with

sparkling before the eyes, especially on rising from a seat.

Violent fluent coryza, with frequent sneezing, ulcerated nostrils, shivering, loss of

smell, and of taste-—Uncontrollable epistaxis with spongy gums.—Nose dry.—Nose

pointed.—Nostrils widely dilated.—Nostrils black; alze flapping.

Cold, blue, pale; covered with cold sweat. Incessant quivering of chin and lower jaw (Gelsem).

Face pale and wan, or red and bloated, with anxious expression.—Face pale,

sunken.—Dull, drawing pressure, in the zygomatic process —Convulsive jerking of the muscles

• ▸of the face.
• ▸—Parched lips, with desquamation.
• ▸—Eruption round mouth.
• ▸—Cracked lips.

Copious accumulation of saliva in the mouth.—Tongue moist, clean, or loaded with a

brown coating.—Tongue: red, dry in middle; red in streaks, thick, white, pasty coat; thick white

fur.—Aphonia.

Odontalgia, with very violent pain in the morning.—Rheumatic toothache of

intermittent type.—Scurvy.

Coated, pasty, thick white, with red edges. Red and dry, especially in the center. Brown.

• ▸Difficult deglutition of liquids.
• ▸Vomiting in any position, excepting lying on right side.
• ▸Nausea, retching, and vomiting, especially after food, with deathly faintness and prostration.
• ▸Thirst for cold water, little and often, and desire for apples, fruits, and acids generally.
• ▸Nausea produces fear; with pressure in praecordial region, followed by headache with yawning and lachrymation and vomiting.

• ▸Fatty taste in the mouth.
• ▸—Insipidity of food.
• ▸—Salt taste in the mouth.
• ▸—Bitter taste

• ▸in the mouth.
• ▸—Thirst for cold water.
• ▸—Moderate appetite with burning thirst.
• ▸—Good appetite,

with speedy disgust, on partaking of any food.—Bulimy, when walking in the open air.—Craving

for acid things, or for raw fruits (apples); for cold drinks or thirstlessness—Aversion to all food,

• ▸esp.
• ▸milk.
• ▸—Every mouthful produces a painful sensation, extending to the stomach.
• ▸—A fter drink:

nausea; cough.

Empty risings.—Sobbing risings.—Risings with taste of rotten eggs, at

night—Regurgitation, of acrid, or salt, or else sourish fluid—Regurgitation after partaking of

milk.—Constant nausea, sometimes with inclination to vomit, anguish, pressure in the

scrobiculus, and headache, mitigated by expulsion of flatus, upwards and downwards.—Violent

retching, with copious flow of saliva, sweat on the forehead, and lassitude in the legs, or else

with diarrhoea, and excessive debility—Much vomiting, with violent efforts, pain in the stomach

and abdomen, trembling of the body, necessity to bend double, shiverings, and strong inclination

to sleep.—Vomiting of mucus, with mucous diarrhcea.—Acid vomiting, containing

food.—Vomiting of sour and bitter substances, esp. at night —Excessive sensibility of the

stomach; the smallest mouthful causes a painful sensation.—Pain in the stomach, as if it were

overloaded.—Uneasiness and emptiness in the stomach.—Pressure in the stomach and

scrobiculus, esp. after a meal—Violent throbbings and pulsations in the region of the

stomach.—Shootings in the pit of the stomach.

• ▸Spasmodic colic, much flatus.
• ▸Pressure in abdomen, especially on stooping forward.
• ▸Cholera morbus.
• ▸Diarrhoea in eruptive diseases.

Pains in the abdomen, with great moral and physical agitation, and dislike to all

kinds of labour.—Uneasiness in the epigastrium and hypogastrium, which compels the patient to

lie down and to stretch himself—Fulness and pressure in the abdomen, as if it contained stones,

esp. on stooping forward, while in a sitting posture-—Spasmodic colic in the abdomen, with

violent contraction of the eyelids, and irresistible inclination to sleep.—Incisive pains in the

abdomen, as if the intestines were being cut.—Pulsations in the abdomen.—Abundant production

of flatus, with grumbling, borborygmi, and pinchings in the abdomen.

Constipation, alternating with diarrhoea —Diarrhcea in pneumonia, small-

pox, and other eruptive diseases, esp. if the eruption has been suppressed.—Diarrhoea and

vomiting.—Feeces of the consistence of pap——Slimy diarrhoea, or yellow, bright brown, or else

watery, often preceded by gripings and movements in the abdomen.—Sanguineous

• ▸feeces.
• ▸—Involuntary evacuations.
• ▸—During the evacuation, palpitation of the heart.
• ▸—Violent

burning tickling, extending from the rectum into the glans penis.—Lancinations in the

rectum.—Tenesmus during and after Stool, frequent burning at the anus.

Very profuse and distressing emission of urine, with tension in the

perineum, burning sensation in the urethra, and scanty stream, which is sanguineous towards the

end of the emission, with violent pains in the bladder.—Nocturnal calls to urinate, with burning

thirst and scanty emission.—Involuntary emission of urine.—Red, fiery urine, which forms blood-

red filaments after standing —Deep-brown, acrid, turbid urine —Pressure and tension on the

bladder.—Shootings in the urethra and lower part of the bladder.

• ▸Burning in urethra during and after urinating.
• ▸Last drops bloody with pain in bladder.
• ▸Urging increased.
• ▸Catarrh of bladder and urethra.
• ▸Stricture.
• ▸Orchitis.

Catamenia of watery blood.—Severe bearing-down in

vagina.—Chronic metritis with feeling of weight tugging at coccyx.—Eruption of pimples or) the

genital organs.—Itching of pudenda.

Excitation of sexual system.—Pain in testicles after checked

gonorrhcea.—Warts behind glans penis; with ulcers elsewhere (sycosis).—Pustules on genitals and

thighs.—Syphilis.

• ▸Hoarseness.
• ▸Great rattling of mucus, but very little is expectorated.
• ▸Velvety feeling in chest.
• ▸Burning sensation in chest, which ascends to throat.
• ▸Rapid, short, difficult breathing; seems as if he would suffocate; must sit up.
• ▸Emphysema of the aged.
• ▸Coughing and gaping consecutively.
• ▸Bronchial tubes overloaded with mucus.
• ▸Cough excited by eating, with pain in chest and larynx.
• ▸OEdema and impending paralysis of lungs.
• ▸Much palpitation, with uncomfortable hot feeling.
• ▸Pulse rapid, weak, trembling.
• ▸Dizziness, with cough.
• ▸Dyspnoea relieved by eructation.
• ▸Cough and dyspnoea better lying on right side--(opposite Badiaga).

Catarrh, with irritation, which excites coughing, copious

accumulation of mucus, and rattling of mucus in the chest—Hoarseness.—Painful tenderness of

the larynx when touched.—Cough, excited by violent tickling in the trachea.—A child coughs

when angry.—Paroxysms of coughing, with suffocating obstruction of respiration (suffocating

cough).—Dyspncea, compelling one to sit up.—Shortness of breathing from suppressed

expectoration.—Suffocating attacks with sensation of heat at the heart—Whooping-cough,

preceded by the child crying, or after eating or drinking, or when getting warm in bed; after the

attack somnolency.—Cough, with heat and moisture of the hands, and perspiration on the head,

chiefly on the forehead.—Cough, with vomiting of food, after a meal—Hollow cough, with

rattling of mucus in the chest.—Cough, with expectoration of mucus, sometimes at night only,

chiefly after midnight.

Velvety feeling in the chest.—Frequent fits of obstructed respiration, esp. in the

evening or in the morning, in bed, almost to the extent of suffocation.—Shortness of

breath —Difficult respiration.—Paralysis of the lungs.—Anxious oppression of the chest, with a

sensation of heat, which ascends to the heart.—Rattling of mucus in the chest when

• ▸breathing.
• ▸—Fitful pain, as from excoriation in the chest, esp.
• ▸on the 1.
• ▸side—Rheumatic pain in

the 1. side of the chest.—Burning sensation in the chest which ascends to the

throat —Inflammation of the lungs.—Miliary eruption on the chest.

Visible and anxious palpitation of the heart (also without anxiety),

sometimes during an evacuation.—Palpitation with loose stools.—Heat about heart and warmth

rising up from it—Sensation of coldness in the blood-vessels.—Pulse: hard, quick, and small; or

weak, quick, and trembling; small, threadlike: imperceptible —Twisting, digging, and blows in

the region of the heart, at night, which do not cease till perspiration breaks out.

• ▸Violent pain in sacro-lumbar region.
• ▸Slightest effort to move may cause retching and cold, clammy sweat.
• ▸Sensation of heavy weight at the coccyx, dragging downward all the time.
• ▸Twitching of muscles; limbs tremulous.

Weakness of the muscles of the neck, which prevents the head from being

held up.—Miliary eruption on the nape of the neck.—Pain in the back and loins when seated, as

from fatigue.—Violent pain in the sacro-lumbar region; slightest effort to move causes retching

and cold, clammy sweat.—Pain in sacrum with sensation of lameness.—Sensation as if a heavy

load was hanging on end of coccyx, dragging downwards all the time.—Rheumatic pain in the

back.

Cracking in the joints of the shoulder, with tearing in the arms, extending

into the hands.—Excessive heaviness of the arms.—Jerking of the muscles in the arms and

• ▸hands.
• ▸—Miliary eruption on the arms.
• ▸—Itching pimples on the arms and wrists.
• ▸—Red spots on the

hands, like fleabites —Trembling of the hands.—Coldness of the hands.—Icy coldness in the tips

of the fingers, as if dead.—Finger-ends dead, dry, and hard.—Spots of a deep yellow on the

fingers.—Distortion of the fingers.

Heaviness and rheumatic pains in the hips and legs.—Painful weakness in

the knee-joint, in bed, in the morning.—Dropsy of the I. knee-joint—Tension of the tendons of

the ham, and of the instep, when walking.—Cramp in the calf of the leg —Coldness of the

feet—Numbness of the feet, on sitting down.

24. Generalities—Rheumatic pains (fever) with perspiration, which does not

relieve —Inflammation of internal organs.—Gastric and bilious complaints.—Arthritic and

rheumatic tearings and drawings in the limbs, with sensation as of a fracture —Collection of

synovial fluid in joints—Contraction of the limbs.—Jerking of the muscles.—Convulsive jerks

and spasm.—Epileptic fits—Trembling of the limbs; long-continued of the head and hands after

every exertion or motion.—Internal trembling —Shootings in the varices ——Aggravation of the

symptoms when sitting down, or else when seated, and when rising from the seat—In some

forms of asthma one has to sit in a chair and lean his head on a table.—In some forms of

pneumonia so great is the prostration that the patient is constantly slipping down in

bed.—Heaviness in all the limbs, and great indolence.—Violent pulsations throughout the

body.—Great debility, weakness, and excessive lassitude; feels best when sitting still doing

• ▸nothing.
• ▸—A child continually wishes to be carried.
• ▸—Syncope.
• ▸—Excessive tenderness of the

whole body.—A child, when touched, utters piercing cries.

Pustular eruption, leaving a bluish-red mark. Small-pox. Warts.

Itching in the skin. —Itching pimples, and miliary eruption —Eruptions like

scabies.—Eruption of pustules, like varioloids, as large as peas, filled with pus, with red areola

(like small-pox), and which afterwards form a crust, and leave a scar.—Itching round inveterate

ulcers.—Pustular eruption on different portions of the body, leaving a bluish-red mark.

Great drowsiness. On falling asleep electric-like shocks. Irresistible inclination to sleep with nearly all complaints.

Urgent inclination to sleep during the day, with frequent stretching and

yawning.—Invincible drowsiness, with deep and stupefying sleep.—In the morning, sensation as

from insufficient sleep—Retarded sleep, and nocturnal sleeplessness.—Light sleep, with many

fantastic dreams.—Much talking during sleep.—Cries during sleep, with fixed eyes, and trembling

limbs.—Shocks and blows during sleep, which occasion jerking, sometimes of a single limb, at

others of the whole body.—Lying on the back while sleeping, with the left hand passed under the

head.

• ▸Coldness, trembling, and chilliness.
• ▸Intense heat.
• ▸Copious perspiration.
• ▸Cold, clammy sweat, with great faintness.
• ▸Intermittent fever with lethargic condition.

Predominance of shivering and coldness.—Shiverings, with excessive paleness of the

face, and trembling of the whole body.—Violent but not long-continuing heat, preceded by a

long-lasting chill; worse from every exertion; or long-continued heat, with lethargy and

perspiration on the forehead following a short-lasting chill——Burning heat of the whole body,

chiefly in the head and face, increased by the least movement.—Pulse quick, weak, or full; hard

and accelerated; at times trembling.—The fever ceasing, the pulse becomes often slow and

imperceptible.—The least exertion accelerates the pulse.—Fever, with adipsia, and excessive

drowsiness.—Profuse, frequent, and sometimes cold perspiration.—Perspiration on the parts

• ▸affected.
• ▸—Profuse nocturnal perspiration.
• ▸—Perspiration on the whole body.
• ▸—Perspiration

frequently cold and clammy.—Intermittent fevers, with lethargic condition.

• ▸Alcoholism.
• ▸Aphthe.
• ▸Asphyxia neonatorium.
• ▸Asthma.
• ▸Bilious affections.
• ▸Bronchitis.

• ▸Catarrh.
• ▸Chicken-pox.
• ▸Cholera.
• ▸Cholera morbus.
• ▸Coccygodynia.
• ▸Cough.
• ▸Group.
• ▸Delirium-

• ▸Tremens.
• ▸Dyspepsia.
• ▸Ecthyma.
• ▸Eyes, inflamed.
• ▸Impetigo.
• ▸Intermittent fever.
• ▸Laryngitis.

• ▸Lumbago.
• ▸Lungs, affections of.
• ▸Myalgia.
• ▸Paralysis agitans.
• ▸Plica-polonica.
• ▸Pneumonia.
• ▸Psoriasis.

• ▸Rheumatism.
• ▸Ringworm.
• ▸Screaming.
• ▸Small-pox.
• ▸Stiff-neck.
• ▸Sycosis.
• ▸Synovitis.
• ▸Taste, altered.

• ▸Thirst.
• ▸Tongue, coated.
• ▸Tremors.
• ▸Varioloid.
• ▸Vomiting.
• ▸Whooping-cough.

• ▸Compare: Acon.
• ▸(croup); AEthus.
• ▸c.
• ▸and Ipec.
• ▸(expression of nausea); Am.
• ▸c.
• ▸; Arsen.

• ▸(asthma, heart symptoms, gastric catarrh); Bry.
• ▸(pneumonia < 1.
• ▸, Ant.
• ▸t.
• ▸< r.
• ▸,-chest and brain

• ▸symptoms after retrocession of eruption—Bry.
• ▸, measles and scarlatina; Ant.
• ▸t.
• ▸small-pox).

• ▸Laches.
• ▸(dyspnoea on waking); Lyc (catarrh of chest, flapping of nostrils.
• ▸—Ant.
• ▸t.
• ▸has nostrils

• ▸dilated); Verat.
• ▸(colic, vomiting, coldness, craving for acids—Ant.
• ▸t.
• ▸has more jerks, drowsiness,

urging to urinate; Ver. more cold sweat and fainting); Op. (cough with drowsiness and yawning);

• ▸Sang.
• ▸c.
• ▸(pneumonia, face livid); Ipec.
• ▸(Ant.
• ▸t.
• ▸has more drowsiness and tendency of lungs to

collapse); Thuja (effects of vaccination when Thuja fails and Silic is not indicated. Ant. t.

develops small-pox pustule; Thuja dries it up). Compatible: Phos. in hydrocephaloid, worn-out

constitutions, laryngitis, pneumonia. Follows well: Silic. in dyspnoea from foreign substances in

larynx; Puls. (nausea in chest, gonorrhceal suppressions); Tereb. (symptoms from damp cellars);

• ▸Variolinum.
• ▸Antidoted by: Asaf.
• ▸, Chi.
• ▸, Coccul.
• ▸, Con.
• ▸(pustules on genitals), Ipec.
• ▸, Lauro.
• ▸, Op.

• ▸(Opium in large doses is the best antidote in poisoning), Puls.
• ▸, Sep.
• ▸/t antidotes: Baryt.
• ▸c.
• ▸, Bry.

• ▸(dyspepsia), Camph.
• ▸, Caust.
• ▸(dyspepsia), Puls.
• ▸Ant.
• ▸t.
• ▸differs from Mercury in producing a purely

local action on the mouth similar to its action on the skin. The action of Merc. on the mouth is

indirect.

Antidotes: Puls; Sepia.

Compare: Kali sulph; Ipecac.

Second and sixth trituration. The lower potencies sometimes aggravate.

About the first thing we see in the study of an Antimonium tart,

patient is expressed in the face. The face is pale and sickly ; the nose

is drawn and shrunken ; the eyes are sunken and there are dark rings

around the eyes. The lips are pale and shrivelled. The nostrils are

dilated and flapping, and there is a dark, sooty appearance inside of

the nostrils. The face is covered with a cold sweat and is cold and

pale. The expression is that of suffering. The atmosphere of the

room is pungent, more pungent than feetid or putrid, and makes you

feel that death is in it. The family is disturbed ; they are going hither

and thither, and the nurse is in an excited and busy state, and you

enter upon this scene to make a homoeopathic prescription. It is one

of excitement and one that you cannot act rapidly in, but one in which

you must make a very quick prescription. These things wdll interfere

somewhat with your thinking at the time that you must do the best

thinking and the most rapid thinking.

Now, in what kind of cases do we find this state and appearance,

where all the features and symptoms conform to the nature of the

remedy? First, in catarrhal patients, in broken down constitutions,

in feeble children, in old people. Catarrhal conditions of the trachea

and the bronchial tubes. Our ears being open we hear coarse rattling

and bubblings in the chest. If you have ever been in the room of the

dying you have heard what is called the death rattle. It is coarse

like that. Now and then there is expectoration of a mouthful of

light-colored, whitish mucus. The condition is one in which the chest

is steadily filling up with mucus, and at first he may be able to throw

it out ; but finally he is suffocating from the filling up of mucus and

the inability of the chest and lungs to throw it out. It is a paralytic

condition of the lungs. It may occur in cases of grippe. At first it

may be a case that comes on quite rapidly, running a rapid course.

It may be a case that produces early prostration, that is, in three or

four days or a week. The first few days of the sickness will not point

to Antimonium tart. So long as the reaction is good and his strength

holds up you will not see this hippocratic countenance, sinking, and

coldness and cold sweat. You will not hear this rattling in the chest,

because these symptoms are symptoms that indicate a passive condition. Antimonium tart, has weakness and lack of reaction. Hence

we see that it is suitable in those cases that present this state, or in

such patients as are so feeble, when they are taken down, that they

at once enter upon a passive or relaxed state. In cases of bronchitis

9^

by making use simply of the generals, as he had been instructed, Apis

conforming to all the rest of the case, he made a beautiful cure of a

case of diphtheria which had the relief from cold, which shows how

generals are continued into particulars and how they can be made use

of. The generals continue to build and enlarge our Materia Medica.

Upon the outer surface then we see that Apis is full of dropsy, red

rash, eruptions, urticaria, erysipeals, which inflammations extend to

the mucous membranes. I'he outer part of man is his skin and mucous membrane. When we are dealing with man from centre to circumference, we think of the innermost as the brain and heart and internal organs that are vital, while their coatings and coverings are

external. Apis affects the things that are external ; it affects the envelopes, the coverings. You notice how frequently it affects the skin

and the tissues near the skin, and it also affects the envelopes or

coverings of organs : for example, the pericardium. It establishes

serous inflammations with effusion. Apis produces an inflammation

of the membranes of the brain. In the serous sac which encloses the

heart, pericardium, and also in the peritoneum it produces the same

kind of inflammation. Thus we see that the coverings are especially

affected by Apis, viz., the skin and mucous membranes and the coverings of organs ; and with these wc get dropsy, catarrh and erysipelas.

In all of these inflammatory conditions there is stinging and burning ;

burning like coals of fire at times, and stinging as if needles or small

splinters were sticking in.

The mental symptoms of Apis are very striking, and the most striking thing throughout the mental state is the aggravation from heat

and from a warm room. The symptoms themselves are great sadness, constant tearfulness without any cause, weeping night and day ;

cannot sleep from tantalizing thoughts and worrying about everything.

Depression of spirits with constant weeping. Sadness and melancholy ;

extreme irritability ; borrowing trouble about everything. Foolishly

suspicious and jealous. Absolutely joyless. Absolutely indifferent to

everything that would make her happy or joyful. No ability to apply

things that would make her happy to herself, they must mean someone

else. Foolish, silly, childish behavior in a woman in confinement, in

a woman in advanced years ; talking foolish twaddle, such as a child

would talk, on serious occasions. Another aspect of the mental state

is the delirium, which comes on in serious forms of brain affections

in children. The child gradually goes into a state of unconsciousness.

Lies in a stupor, one side of the body twitching, the other side motionless, rolling head from side to side ; head drawn back rigidly ; pupils

contracted or dilated, eyes very red, face flushed, a stupid state or

state of semi-consciousness. Child lying with the eyes partly closed,

as if benumbed. It is suitable in congestion of the brain, meningitis

*3

APIS MELUFICA

or cerebro-spinal meningitis with opisthotonos when all the symptoms

are aggravated from heat. The child puts on a more dreadful stjate

if the room becomes overheated ; become extremely death-like or pale

if the room becomes overheated. If the child is able to, do so it kicks

the covers off. If it is in a position where it can look into a largo

open grate it will be much aggravated. I have seen Apis children

who had to be removed from near an open fire. They will cry to get

away from the heat tliat comes upon them from the register or open

fire. The heat increases every symptom, and sometimes causes them

to break out in a cold sweat all over the body, which does not ameliorate their fever nor the burning heat. Very often the head is rolling

and tossing, the teeth gnashing, and the eyes flashing with threatening

convulsions, the child carrying the hand to the head at times, a state

of semi-consciousness, and the child screams out with that peculiar

scream which is known to mean congestion of the brain — cri cncephalique — the brain cry. The shriek is a very strong Apis feature. The

child cries out with this shriek in sleep when going into brain troubles.

It says in the text : “Sopor interrupted by piercing shrieks."' We must

be able to see in the general beginning of provings the disease which

they resemble, for we do not always sec the remedy in the advanced

state. We see the diseases in a state of progress, and must be able to

see it in its beginning. As was the disease in the beginning so was

the remedy in the beginning. Things that have similar beginnings

may have similar endings.

Apis also has muttering, delirium and loquacity. All kinds of

screaming and shrieking, shrill and otherwise, violent and less violent.

Premonition of death, dread of death, fear of apoplexy. “Very busy,

restless, changing kind of work, with awkwardness." Awkwardness

is especially found under the fingers, toes and limbs in Apis. The

whole nervous system shows a disturbance in co-ordination. This

disturbance in co-ordination runs through the remedy, awkwardness,

staggering with the eyes shut. Dizziness when the eyes are shut.

“Ailments from fright, rage, vexation, jealousy or hearing bad news."

“After severe mental shock paralyzed on the whole right side."

The complaints of Apis are attended with violence and rapidity.

They come on with great rapidity, rush on with violence, until unconsciousness is reached. It has been my fortune to see many violent

cases of poisoning from the sting of the honey-bee. When the oversensitive patient is poisoned by the sting, he is dreadfully sick. The

majority of people in the course of their life have been stung by the

honey-bee and a mere little swelling occurs in the xegion of the sting,

a swelling as big as a robin's egg or a hen's egg at most, without constitutional states ; that is, when the individual is not sensitive to Apis.

He may have been stung in half a dozen places, and each one gives

with pneumonia, inflammation of the trachea, inflammation of the air

passages in general, the inflammation is likely to be attended with dryness or a scanty flow of mucus. If this be violent in a few days it

will reach a state of relaxation and weakness. But the first state does

not indicate Antimoniura tart. Such medicines as Bryonia and Ipecac,

come in for the first period, and your impression is, when administering those medicines, that they will be sufficient for the whole case, and

they will be, except in those states wherein this weakness is present

from the beginning, or where there is lack of ability to react sufficiently

from your remedy to recover under it. Then comes in a second remedy, and that is the time when this medicine begins its operation.

Ipecac, has some of this coarse rattling, but it is attended with great

expulsive power of the lungs. This medicine has the coarse rattling

that comes after many days. Ipecac, has it the first days of the sickness. This remedy has the coughing and gagging and retching, but

in the stage of great relaxation, prostration and coldness. It seems

as if he will die. When you hear him cough you are at once impressed

with the idea that there must be some profound weakness in his lung

power. We know that it is in the power of the lungs to' produce an

expulsive action with the deep inspirations. They have no such power

in Antimonium tart. The chest is full of mucuous and it rattles ; the

cough is a rattling cough, but the mucus does not come up, or only

a small quantity comes up, but it does not relieve him. His chest is

full of mucus, he is suffocating and he is really passing away, dying

from carbonic acid poisoning due to a lack of expulsive power. In

cases of pneumonia ; when first coming down with a chill, it may be

a very violent attack, such an attack as from its violence produced

prostration early, that is, after three or four days. It is not indicated

in the beginning during the chill, and during the high grade of inflammation, but during the stage of exudation. But the violence of

the attack leads him to a state of prostration, or he is already feeble

as if he were old, and therefore he becomes easily relaxed and prostrated from the disease. Altogether unlike Aconite, Bell,, Ip, and

Bry., for they come down with violence — the very opposite is present

in Antimonium tart. Little fever, cold sweat, coldness, relaxation,

hippocratic aspect. So it is the remedy that closes out the scene with

the severe cases of bronchitis, pneumonia ; most of these cases die in

an Antimonium tart, state. This patient is an old gouty patient, debilitated from long illness, always shivering, pale, with enlarged joints.

Every spell of wet weather brings on a catarrhal state of the chest,

larynx and trachea which runs into a state of copious secretion of

mucus. He is in bed at once, prostrated, with coarse rattling. In

children that have frequent attacks of bronchitis, from cold wet

weather, from cold rainstorms in the autumn, in the spring and in

cloudy weather. No sooner do they get over one cold than another

cold comes on. The acute stage is never violent with them, but they

keep having these passive rattling colds. Recurrent rattling in the

chest. Chilly, and pale. Those florid children that do not look sick

when they have a cold, are more or less vigorous, who have rattling

in the chest, but do not come down with weakness and are not prostrated from it, but keep on rattling, they call for Kali siilph. That is

quite a distinguishing feature, — the weakness at once speaks for this

remedy. In very old people this weakness occurs, old broken down

people who have for years had catarrh of the chest. Every sharp cold

spell in the winter brings on catarrh of the chest, with thick white

mucus, and attended with great dyspnoea, driving him to bed. He

must sit up in bed and be fanned ; cannot lie down because of the

difficult breathing, and filling up of the chest. Antimonium tart, will

ease him over a number of tliesc attacks before he dies. When the

mucus is yellow and purulent in one of these old people, Ammoniacum

will tide him over a good many winters. Wc see a good many old

people that sufEer from catarrh of the chest during the winter ; they

have had it for years, and do not expect to be any better. When the

expectoration is yellow Ammoniacum will pull them through, and

Antimonium tart, when it is white and attended with prostration,

sweat, coldness, pallor and blueness of the face. These are the principal uses of this remedy in practice.

It has many pains and aches. To a great exent Ant. tart, builds

upon the Antimonium crudum basis. It forms its chest symptoms to

a great extent upon that basis, Many of the symptoms arc like Antimonium crudum; many symptoms are worse when warmed up, and

from too much clothing. You will see this patient sitting up in bed

with no clothing around the shoulders or neck, and the night-gown

wide open in order to breathe. Suffocates if the room is too warm.

It gets that from the Antimonium crud. It is worse from bathing in

cold water, like Antimonium crud. The mucous membranes are covered with thick white mucus, like Antimonium crud. Also he does

not want to be meddled with or bothered. Everything is a burden.

The child when sick doesn't want to be touched or talked to or looked

at. Wants to be let alone. The infant is always keeping up a pitiful

• ▸whining and moaning.
• ▸Many times the respiration is a moaning respiration.
• ▸Rattling and moaning.
• ▸Always in bad humor, that is, extremely irritable when disturbed.
• ▸Any disturbance seems to increase

the breathing and is an annoyance and makes the patient irritable.

No wonder the patient is wonderfully anxious, because from his appearance we would say that he must have the feeling that he is dying.

He looks as if he were sinking, and if he does not get relief soon he

certainly will die, for there is a filling up of the chest that is suffoeating him, and the feeling is that of sufEocation, dyspnoea, which is

steadily increasing. The wings of the nose move as in Lycappdium.

Lycopodium competes with it very closely and resembles it very much.

There are many headaches laid dov/n under Antimonium tart., but

Antimonium crud. is more likely to work out for Antimonium headaches, while this medicine is more likely to work out for Antimonium

chest troubles. Both of these remedies have very decided gastric

symptoms. Constant nausea, vomiting and indigestion. Antimonium

tart, with its difficult breathing is sick at the stomach. Loathes everything, loathes food ; vomits even water. He has also a docile state

and if allowed to be quiet, in spite of all the sufferings, he will fall

into a sleep, or go into a slate of inability to feel. He will cough and

sleep, and snore through the dyspnoea, so that it is in many ways like

Antimonium crud,, but Antimonium crud. has nothing like the copious

flow of mucus from mucous membranes that are inflamed. It has

nothing like the passive state of the whole economy. It is not so

desperate in its provings, and not so dreadful to look upon.

Clinically Ant. tart, has been confined in its use mostly to the mucous

membranes of the chest, but it has the same passive conditions of all

the mucous membranes of the body. Discharges of white mucous from

• ▸the eyes.
• ▸''Eyes prominent, glaring.
• ▸Dim, and swimming.
• ▸Gonorrhoeal ophthalmia.
• ▸'’ But the rheumatic conditions furnish another

form of this remedy, another phase of it like Antimonium crudum.

The joints are affected, take pn a passive, slow infiltration and become

dropsical; dropsical swelling of all the joints. Gouty infiltration of

the joints, and these are especially bad during the cold, wet weather.

Eye symptoms of this gouty character. Eyes infiltrated along with

the joints, so there is a gouty state of the eyes. The gouty state affects

the whole body. The mucous membrane is pale instead of being red

and inflamed ; it is pale and relaxed, and it appears to ooze ; mucus

forms upon it very readily. This is the state that occurs in the chest.

It is not that burning rawness found in Ars. and the more acute remedies, although there is a state of prostration and the anxiety and cold

sweat which resembles Ars,

Then this gouty state affects the teeth. His teeth are all rheumatic.

“Rheumatic pains in the teeth,” with rheumatic pains in the joints.

Teeth are sensitive. “Teeth covered with mucus.”

With all the complaints the stomach gives out, and there is nausea,

inability to digest and loathing of food. Vomiting of everything taken

into the stomach ; vomiting of even a spoonful of water. In most

complaints this remedy is thirstless. It is an exception that it has

thirst. Generally in these attacks of dyspnoea the friends of the patient stand around with a very strong desire to do something, if it is

only to hand a glass of water. This patient is irritated by being

offered a swallow of water. He is disturbed, and shows his annoyance. The child will make an offended grunt when offered water.

Thirstlessness with all these bronchial troubles, with copious discharge

of mucus and great rattling in the chest. Sometimes there is an

irresistible desire for cold things in the stomach, but it is the exception.

“Desire for acids or acid fruits,” and they make him sick. Troubles

brought on in the stomach from vinegar, from sour things, from sour

wine, from sour fruits, as in Ant. crud. Aversion to milk and every

other kind of nourishment, but milk especially makes the patient sick,

causing nausea and vomiting. The stomach and abdomen are greatly

distended with flatulence. The abdomen is tympanitic. With the

stomach symptoms and bowel symptoms there is this constant nausea,

but it is more than a nausea, it is a deadly loathing of every kind of

food or nourishment, a nausea with the feeling that if he took anything into the stomach he would die ; not merely aversion to food, not

merely a common nausea that precedes vomiting, but a deadly loathing of food. The weakness takes on an increased anxiety, and he

increasingly suffocates when he is offered food. Kind-hearted people

very often want him to take something, for perhaps he has not taken

any food all day, or all night ; but the thought of food only increases

the dyspnoea, increases his nausea, his loathing and his suffering.

Vomiting is not an easy matter in this remedy. The vomiting is more

or less spasmodic. “Violent retching. Gagging and retching and

straining to vomit. Suffocation, gagging, through great torture.”

The stomach seems to take on a convulsive action, and it is with the

greatest difficulty, after many of these great efforts, that a little comes

up, and then a little more, and this is kept up. “Vomiting of anything

that has been put into the stomach, with quantities of mucus.” Thick,

white, ropy mucus, sometimes with blood. “Vomits slime, with great

exertion. Vomiting large quantities of mucus. Vomits tenacious

mucus.” “Vomiting of slime, with bile. A tough, watery mucus, then

some food, then bile.” But the principle thing vomited is the thick,

white, ropy mucus, flowing from the mucous membranes everywhere.

Tough and stringy ; can be drawn out in strings. The patient is often

choked while this thick, ropy, white mucus is expelled from the oesophagus and mouth. The mouth fills up with it. It is a tremendous effort,

a spasmodic effort, for this patient to rid the stomach of its contents,

which is mucus, or mucus and bile. Early in the vomiting it is mucus,

and after much straining there is a regurgitation of bile into the stomach, and the continuing of vomiting is from bile. The great straining also

induces a flow of blood intp the stomach, and the contents of the stomach

will be streaked with blood. Uulceration of mucous membranes everywhere. It has ulcers in the nose and in the larynx, and ulcers that bleed.

Bleeding ulcers in the stomach, and so there is vomiting of blood.

Like Antimonium crud., it has been useful in old drunkards. Old

drunkards sometimes take on a debilitated form and take frequent

colds. After getting over a big debauch, having been many days on

one of their times, they become relaxed and cold, and take cold, and

the chest fills up with mucus, and they are vomiting, suffocating and

vomiting. “Rattling of mucus in the chest of old drunkards." Ant.

• ▸tart, is someimes required.
• ▸Ant.
• ▸crud.
• ▸when the trouble is confined

• ▸mostly to the stomach.
• ▸Ant.
• ▸tart, when the chest symptoms are present with growing anxiety and the coldness and the prostration; prostration from long drinking.
• ▸Old gouty patients, old drunkards ; old

broken down constitutions. In children also that have broken down

constitutions, as if they had grown old. These take cold in the chest,

with great rattling of mucus, and require this remedy.

Very commonly there is anxiety in the stomach, it is not always

described as a pain, but an anxious feeling, a deathly sinking, an indescribable sinking in the stomach as if she was going to die. “Anxiety in the stomach, with nausea.” A passive congestion of the liver,

with vomiting and bile.

• ▸The remedy is also full of cutting pains, cutting like a knife.
• ▸Pinching in the intestines.
• ▸Colicky pains.
• ▸Distension of the abdomen.

The abdomen may be distended with serum, or it may be distended

with flatus. “Sharp, cutting pains, as with knives. Most violent

pains in the abdomen." Dropsy is one of the natural conditions of

all forms of Antimonium. I remember an energetic horse doctor

feeding all the horses Black antimony when the epizootic was upon the

land, going through all the stables. I learned that he was giving

Black antimony to all horses and I left instructions that mine should

not have any medicine except what I gave. Nearly all the horses that

he treated ended in dropsy, and were laid up for days and weeks with

• ▸the legs wrapped up.
• ▸It was a proving of Antimonium.
• ▸Ant.
• ▸tart,

is full of it. It was a common thing, formerly, for old broken down

constitutions to be put on Ant. tart, at the end of pneumonia and

fevers, but they almost always had bloating of the feet for three or

four months after getting up. If they did not have that, they had

“fever sores.” Antimonium is a common cause of the “fever sore,”

the lingering indolent ulcer that forms upon the legs following old

fevers in broken down constitutions. Sometimes they never get rid

'of them. They certainly never get rid of them unless they fall into

the hands of a prescriber of our school.

APIS MELUnCA

APIS MELLinCA

This remedy has so many symptoms on the surface of the body we

will study the outer aspect first. All over the body is found a thick

rash, sometimes of a rose color. It is rough and can be felt as a

• ▸rough rash under the fingers.
• ▸The patient at this time is greatly distressed by heat and the skin is sensitive to touch with the rash or without it.
• ▸Nodular swellings here and there come and go.
• ▸Then comes

an erysipelatous inflammatory condition, in patches, here and there,

about the head, with great tumefaction about the face, eyes and eyelids. Erysipelas may occur anywhere, but it more commonly belongs

to the face and runs to a high degree of inflammatory action, with

stinging, burning and oedema. In the extremities we have a marked

dropsy, swelling with pitting upon pressure. A general anasarca may

appear. The face is greatly swollen at times, the eyelids look like

water bags, the uvula hangs down like a water bag, the abdominal

walls are of great thickness and pit upon pressure, tind the mucous

membranes in any part look as if they would discharge water if they

were punctured. Puffing or oedema, with pitting upon pressure, is

a general condition that may be present in any inflammatory state.

There is a general amelioration from cold and aggravation from heat.

The skin symptoms and the patient arc aggravated from heat. This

prevails also in the mental state, in inflammatory conditions ; in cardiac conditions, in dropsy, in sore throat, etc. Sometimes this aggravation amounts to aggravation from warm drinks, warm room, warm

clothing, warmth of the fire, etc., ; if it is heat the patient is greatly

disturbed. In brain troubles, if you put an Apis patient with congestion of the brain into a warm bath he will go into convulsions, and

consequently warm bathing is not always “good for fits.” It is taught

in old school text-books so much that the old women and nurses know

that a hot bath is good for fits, and before you get there just as like

as not you will have a dead baby. This congestion of the brain, with

little twitchings and threatening convulsions, makes them put the baby

in a hot bath, and it is in an awful state when you get there. If the

baby needs Opium or Apis in congestion of the brain the fits become

worse by bathing in hot water. If the nurse has been doing that kind

of business you have learned the remedy as soon as you enter the

house, for she will say the child has been worse ever since the warm

bath, has become pale as a ghost and she was afraid he was going to

die. There you have convulsions worse from heat, pointing especially

to Opium and Apis. That is the way with Apis all through. It is

not laid down in the hooks that Apis is worse in the throat symptoms

from warm drinks and wants altogether cold things, and will not take

warm things which aggravate, but one of our graduates wrote me that

APIS MKLIJFICA

Heaviness in limbs followed by leprous eruption.—Limbs over-fatigued, a sensation

coming from back.—Jerking up of limbs during sleep with loose stools.—Small ulcers on tips of

fingers and toes, spreading, livid edges (leprosy).