Belladonna

Belladonna acts primarily on the brain, and Teste very acutely explains the

diversity of its action on men and animals by suggesting that it acts with an intensity

proportionate to the brain development. On goats and rabbits it has no poisonous action

whatever. On carnivorous animals it acts with moderate intensity. On man it acts with highest

intensity. But on idiots, as Hufeland mentions, it has no more action than it has on some of the

carmivora. An enormous number of the symptoms of Be//. are developed in and from the head

• ▸and sensorium.
• ▸Conformably with this, the pains of Be//.
• ▸run downwards, i.
• ▸e.
• ▸, away from the

• ▸head.
• ▸(Silic.
• ▸and Gels.
• ▸have a pain running up the back).
• ▸To understand aright the action and uses

of this great medicine it is necessary to bear in mind some leading features which characterise its

action in all parts of the organism. But before alluding to these I will briefly refer to its

correspondence to scarlatina. Cases of Belladonna poisoning have frequently been mistaken for

cases of scarlatina. But it is the smooth form only, these presenting a smooth, even, red surface

that come under its controlling action and prophylaxis. When such an epidemic is about, any one

who may be exposed to infection may obtain almost certain immunity by taking Belladonna two

or three times a day.

The several points to be remembered about Bel//adonna are that it is a medicine which has great

general sensitiveness and also sensitiveness of the special senses—sensitive to light; to slightest

noise; to motion or jar as when someone touches the bed. This is one feature which renders Bell.

so appropriate in hydrophobia. It is a chilly medicine; sensitive to changes from warm to cold, to

draught of air, to damp weather, to chilling from having the head uncovered, or having the hair

cut; better from being wrapped up warmly in a room. Under this drug there is a remarkable

quickness of sensation, or of motion; the eyes snap and move quickly. The pains come and go

suddenly no matter how long they may last. They are in great variety, but throbbing, burning, and

stabbing are very characteristic: "stabbing from one temple to the other."

The great intensity and variety of the head pains has caused Bell. to be regarded as the headache

medicine par excellence. Congestion of blood to the head. Vertigo, mostly at night on turning

over in bed, or when getting up in the morning, also when walking and on every change of

position. Headache with flushed face and brilliant eyes, dilated pupils. Feeling in brain like

swashing of water. Throbbing, pulsating headache, with beating arteries and violent palpitation

of the heart. It has cured a very severe headache in a nervous man occurring whenever he was

exposed to tobacco smoke. In the mental sphere are mania; rage; disposition to bite, scratch and

tear things. Fantastic illusions when closing eyes. Dull and sleepy; half asleep and half awake.

Spasms and twitchings are very marked. Many disorders of vision. Heat, redness and burning

are three great characteristic notes of Bel/., and are constantly cropping out in the pathogenesis.

The face is purple, red, and hot, or yellow. Redness and pallor alternate. The mouth is

exceedingly dry without thirst. Stinging in Ssophagus, < swallowing or talking. Ssophagus feels

• ▸contracted.
• ▸Sensation of a hand clutching intestines.
• ▸Stool in lumps like chalk.
• ▸Spasmodic

contraction of anus; obstinate constipation. Bleeding piles; back pains as if breaking. The

menstrual flow is hot; of light colour; or bad smell. Cough short, dry, tickling, similar to cough

of Rumex and Phos. Whooping-cough; with crying or pains before the attack; flushed face; nose-

bleed and bloody expectoration; sparks before eyes; stitches in spleen; involuntary stool and

• ▸urine.
• ▸Paralysis of lungs and heart (vagus nerve).
• ▸Violent palpitation of heart.
• ▸Stitches in chest.

Swelling of breast with bright red streaks radiating from centre of inflammation. Rheumatism <

by motion. Sweat on covered parts only.

• ▸A striking picture of Bellad.
• ▸is sometimes seen in cases of worm-fever.
• ▸A case (¢t.
• ▸3, pale, feeble

child) reported by Lutze had the following symptoms: Awakened, or at least sits up at night in

bed screaming, cannot be pacified; wets bed at night; passes worms now and then; cheeks and

ear-tips brilliant scarlet, other parts of face, especially round mouth, white as snow; eyes

brilliant, staring; pupils dilated. Skin dry and hot like fire. On being spoken to coaxingly flew

• ▸into a violent rage.
• ▸Cina 200 had ameliorated.
• ▸Bel/.
• ▸cm.
• ▸and m.
• ▸cured permanently.

Bell. is a great children's remedy, not less important than Cham. Complaints come suddenly; hot,

red face, semi-stupor, every little while starting or jumping in sleep as if it might go into

• ▸convulsions.
• ▸A very general characteristic of Bell.
• ▸is < on lying down.
• ▸It refers to headache and

all kinds of inflammatory affections. Some characteristic symptoms are: "Tenderness of

abdomen, < by least jar." "Pressing downward as if contents of abdomen would issue through

vulva, < mornings; often associated with pain in back as if it would break." Starting, twitching,

• ▸or jumping in sleep.
• ▸Moaning in sleep.
• ▸"Sleepy, but cannot sleep.
• ▸" The characteristic skin of Bell.

is: "Uniform, smooth, shining, scarlet redness, so hot that it imparts a burning sensation to the

hand of one who feels it." "Sweat on covered parts only" is also a marked symptom of Bell.

A number of cases of poisoning have been reported from application of Belladonna plasters to

the skin, classical symptoms of the drug being produced and no little danger to life. One

practitioner was warned by his patient that she could not tolerate a Belladonna plaster, but he,

thinking there must have been a mistake, and that cantharides must have been in the plaster she

had formerly used, had one made up under his own eyes and applied it himself. In less than one

hour there was an unbearable pain and when the plaster was removed the surface was found to be

blistered.

A case of poisoning reported in the Medical Press (September 9, 1891) brings out the profound

and long-lasting effects of the drug. Three children, aged 7, 5, and 3 1/2, ate a number of the

berries. Three days after, a doctor saw them. The condition of the eldest was as follows: pupils

dilated to maximum and insensitive to light; pulse frequent; breathing feeble and hurried; skin

dry, bright red; temperature lowered; extremities and face cold; urination and defecation

suspended. Co-ordination was lost; the patient staggered as 1f drunk and acted like a mad person.

When asked his name he would shout as loud as he could, falling backwards with his hands in

the air, his legs slightly bent as if about to sit down on a low stool, and then tumble on the floor.

When raised from the ground and seeing his friends again he began to talk without ceasing,

laughing, and singing local melodies in a boisterous manner. Suddenly his whole demeanour

would change in to a melancholic depression of agony; he would look blank and wild on all

around. He would instantly jump up, run at the wall, and endeavour to spring on the highest

articles in the room with the strength of a wild animal, and it was with difficulty that his

movements could be controlled.

The youngest of the three lay depressed, in a soporific condition, eyes closed, skin cold, limbs

powerless. Pupillary reaction, tendon and muscular reflex were almost gone, whilst the sense of

heat and cold still remained. On shouting loud in his ear, he slowly tried to open his eyes in

wonder; when shaken and put on his feet he made two or three steps backward as his elder

brother and fell senseless on the floor. The second eldest lay in a deep sleep, face cyanotic; skin

of extremities and part of body dry and cold; breathing feeble, pulse scarcely perceptible.

Loudest crying, or shaking could not rouse him; feeling and reaction lost. Washing out the

stomach was effected in the eldest, but no evidence of the berries was obtained in that way. A

long injection tube was inserted into the rectum and irrigation with hot and cold water alternately

was carried out, with the object of exciting peristalsis. This was successful. Besides a great

quantity of black-brown masticated fruit with skins and seeds, broken berries were found to the

number of 28 in the case of the eldest, 39 in the second, and 37 in the youngest. Pilocarpin and

morphia were injected in the case of the eldest, and camphor subcutaneously in the other two.

The skin was rubbed, warm applications administered and rectal injections of milk, egg and

brandy.

Nothing was heard of the children till "June of the present year" (1891), [the date of the

poisoning is not stated, but it was probably the previous autumn] when the children were brought

to the doctor by their father. They all looked pale and feeble; the pupils contracted slowly, and

all were sensitive to light. The eldest was irritable and desponding. In the other two hearing and

speech were almost gone. The almost. absolute deafness in these cases is noteworthy in

connection with Dr. Cooper's cure of a very chronic case of deafness with single drop doses of

BellR.

Bell. is predominantly (but by no means exclusively) a right-side medicine: all affections of

internal head, right side right eye; right ear right face; right teeth; right hypochondrium right

chest; right upper extremity; right lower extremity; mouth and fauces left side. It is suited to

plethoric persons with red face; and to conditions where there is local plethora, that is,

inflammatory states with pain, throbbing, shiny redness as in acute gout. Symptoms are <

• ▸afternoon; 3 p.
• ▸m.
• ▸; 11 p.
• ▸m.
• ▸; after midnight; during the night and not at all in the day; morning.
• ▸By

touch; draught of air; cold applications; having hair cut; looking at shiny things; drinking;

sleeping; lying down; lying on affected side. > Bending affected part backwards or inwards;

leaning head against something; standing; by warmth. Bell. is suited to the bilious, lymphatic

temperament. Light hair and complexion, blue eyes. It grows in dry limestone soils and is the

acute correlative of Calc. c.

• ▸Patient lives in a world of his own, engrossed by specters and visions and oblivious to surrounding realities.
• ▸While the retina is insensible to actual objects, a host of visual hallucinations throng about him and come to him from within.
• ▸He is acutely alive and crazed by a flood of subjective visual impressions and fantastic illusions.
• ▸Hallucinations; sees monsters, hideous faces.
• ▸Delirium; frightful images; furious; rages, bites, strikes; desire to escape.
• ▸Loss of consciousness.
• ▸Disinclined to talk.
• ▸Perversity, with tears.
• ▸Acuteness of all senses.
• ▸Changeableness.

Melancholy, with grief, hypochondriacal humour, moral dejection, and

discouragement.—Great agitation, with continual tossing about, inquietude, and anguish, chiefly

at night, and in the afternoon, sometimes with headache and redness of face.—Desire to die, and

inclination for suicide.—Lamentations, groans, cries, and tears.—Perversity, with tears (in

children).—Timidity, disposition fearful, mistrustful, and suspicious; apprehension and

inclination to run away.—Fear of approaching death—Mental excitation, with too great

sensibility to every impression, immoderate gaiety, and disposition to be easily

frightened.—Nervous anxiety, restlessness, desire to escape.—Dotage, delirium, and mania, with

groaning, disposition to dance, to laugh, to sing, and to whistle; mania, with groans, or with

involuntary laughter; nocturnal delirium; delirium with murmuring; delirium, during which are

seen wolves, dogs, fires, &c.; delirium by fits, and sometimes with fixedness of

• ▸look.
• ▸—Stupefaction, with congestion to the head; pupils enlarged.
• ▸—Delirium.
• ▸—Great apathy and

indifference, desire for solitude, dread of society and of all noise—Repugnance to

conversation.—Disinclination to talk, or very fast talking.—Ill-humour, disposition irritable and

sensitive, with an inclination to be angry and to give offence.—Folly, with ridiculous jesting,

gesticulations, acts of insanity, impudent manners.—Fury and rage, with desire to strike, to spit,

to bite, and to tear everything, and sometimes with growling and barking like a dog.—Dejection

and weakness of mind and body.—Dread of all exertion and motion.—Loss of

consciousness.—Fantastic illusions (when closing the eyes).—Dementia, to such an extent as no

longer to know one's friends, illusions of the senses and frightful visions.—Complete loss of

reason, stupidity, inadvertence, and distraction, inaptitude for thought, and great weakness of

memory.—Memory: quick; weak; lost.

Shooting, or tearing, aching pains in the limbs.—Bruise-like pains in the joints

and bones.—Rheumatic pains (in the joints) flying from one place to another.—The pains are

aggravated, chiefly at night, and in the afternoon towards three or four o'clock. —The least touch,

and sometimes also the slightest movement, aggravates the sufferings—Some of the symptoms

are aggravated, or make their appearance after sleep.—Jerking in the limbs, muscular palpitations

• ▸and shocks of the tendons.
• ▸—St.
• ▸Vitus's, dance.
• ▸—Sensation in the muscles, as if a mouse were

running over them.—Cramp, spasms, and convulsive movements, with violent contortion of the

limbs; convulsive fits, with cries, and loss of consciousness; epileptic convulsions, drawing back

of the thumbs.—Renewal of the spasms by the least contact, or from the glare of

• ▸light.
• ▸—Hydrophobia.
• ▸—Burning in the inner parts.
• ▸—Attacks of immobility and of spasmodic

stiffness of the body, or of some of the limbs, sometimes with insensibility, swelling of the veins,

bloatedness and redness of the face, pulse full and quick, with copious sweat.—Spasms in single

limbs, or of the whole body, in children, during dentition —Full habit (plethora).—Swelling in

general of the parts affected —Inflammation of the glands; induration of the glands; glands

painful, prickling, swelling, hot swelling of the glands —Attacks of tetanus at times, with the

head thrown back.—Spasmodic attacks, with involuntary laughter—Before the convulsive fits,

formication, with a sensation of swelling and torpor in the limbs; or colic and aching in the

abdomen, extending to the head; after the attack, oppression at the chest, as if from a heavy

weight.—The attacks are renewed by the least touch, as well as by the slightest opposition.—Great

uneasiness in the head and limbs, chiefly in the hands.—Trembling of the limbs, with fatigue and

lassitude.—Heaviness in the limbs, with weariness, great indolence and dread of all movement

and of all labour.—Failing of strength, paralytic weakness, and paralysis of the limbs.—Paralysis

and insensibility of one side of the body.—Fits of swooning and of syncope, with loss of all

sensation and of all motion, as in death.—Ebullition of blood, with congestion to the head, and

• ▸fatigue even to fainting.
• ▸—Congestions (head, lungs).
• ▸—Apoplexia.
• ▸—Over-excitement and too great

sensibility of all the organs.—Tendency to be chilled easily, with great sensibility to cold

air.—Formication in the limbs.

• ▸Vertigo, with falling to left side or backwards.
• ▸Sensitive to least contact.
• ▸Much throbbing and heat.
• ▸Palpitation reverberating in head with labored breathing.
• ▸Pain; fullness, especially in forehead, also occiput, and temples.
• ▸Headache from suppressed catarrhal flow.
• ▸Sudden outcries.
• ▸Pain worse light, noise, jar, lying down and in afternoon; better by pressure and semi-erect posture.
• ▸Boring of head into pillow; drawn backward and rolls from side to side.
• ▸Constant moaning.
• ▸Hair splits; is dry and comes out.
• ▸Headache worse on right side and when lying down; ill effects, colds, etc; from having hair cut.

Confusion of the head, cloudiness, and apparent intoxication, chiefly after eating or

drinking, or else in the morning.—Apoplexy.—Fits of vertigo, with tottering, swimming in the

head, dulness, giddiness, nausea, trembling of the hands, anxiety; sparks before the eyes, chiefly

in the morning on getting up, on standing upright, or on stooping.—Vertigo with anguish, and

falling with loss of consciousness, or with weariness and fatigue before and after the

attack.—Vertigo, with stupefaction, vanishing of sight and great debility —Vertigo, with anguish

and falling insensibly on the 1. side, or backwards, with flickering before the eyes, esp. when

stooping, and when rising from a stooping posture.—Stupor and loss of consciousness, so as to

know one's friends only at most by the hearing, sometimes with pupils dilated and mouth and

eyes half open.—Fulness, heaviness, and violent pressure on the head, chiefly on the forehead,

above the eyes, and nose, or on one side of the head, and sometimes with giddiness, stupor, and

sensation as if the cranium were going to burst, or with ill-humour and groans, drawing up of the

eyelids and desire to lie down.—Sensation of inflation and pressive expansion in the

brain.—Sharp, tractive, and shooting pains in the head.—Dartings into the head, as if from

• ▸knives.
• ▸—Violent throbbings in the head.
• ▸—Strong pulsation of the arteries of the head.
• ▸—Ebullition

and congestion of blood in the head, chiefly on stooping.—Congestion of blood to the head, with

external and internal heat; distended and pulsating arteries, stupefaction in the forehead, burning,

red face; < in the evening, when leaning the head forward, from the slightest noise, and from

motion.—Stupefying, stunning headache, extending from the neck into the head, with heat and

pulsation in it; < in the evening and from motion; > when laying the hand on the head, and when

bending the head backward.—Sensation of cold or of heat in the head.—Headache, from taking

cold in the head, and from having the hair cut.—Sensation of fluctuation in the brain, as if there

were water in it—Sensation, during the pains, as if the cranium were too thin.—Sensation of a

dull balancing in the brain, and shocks in the head, chiefly on walking quickly or

ascending.—Daily pains in the head, from about four o'clock in the afternoon till towards three

o'clock the following morning, < by the heat of the bed and by a recumbent posture —The pains

in the head are generally aggravated by movement, especially of the eyes, by shaking, by

contact, by free air and a current of air; they are mitigated by holding the head back and by

supporting it.—Cramp-like pain in the scalp.—Copious sweat in the hair—Affections of the hair,

which may split, or come out, or be hard and dry, &c.—Profuse pungent-smelling perspiration,

esp. on the covered parts, while the body is burning.—Shaking or turning of the head

backwards.—Hydrocephalus, with boring with the head in the pillows; sensation as if water were

moving in the head; < in the evening and when lying; > from external pressure, and when

bending the head backwards.—Boring with the head on the pillow while sleeping.—Boring

headache in the r. side of the head; changing to stitches in the evening.—Pressing headache, as if

the head would split, pupils contracted, voice faint—Swelling of the head and of the

face.—Smooth, erysipelatous, hot swelling, first of the face, then extending over the whole head,

with stupefaction or delirium, violent headache, red, fiery eyes.

• ▸Throbbing deep in eyes on lying down.
• ▸Pupils dilated (Agnus).
• ▸Eyes feel swollen and protruding, staring, brilliant; conjunctiva red; dry, burn; photophobia; shooting in eyes.
• ▸Exophthalmus.
• ▸Ocular illusions; fiery appearance.
• ▸Diplopia, squinting, spasms of lids.
• ▸Sensation as if eyes were half closed.
• ▸Eyelids swollen.
• ▸Fundus congested.

Heat and burning in the eyes, or pressure as from sand.—Aching in the eyes and the

sockets, extending into the head.—Sensation of weight in the eyelids, which close

• ▸involuntarily —Quivering in the eyelids.
• ▸—Ectropium.
• ▸—Paralysis of the optic nerve.
• ▸—Falling

down of the eyelids, as if from paralysis.—Shooting in the eyes and in the corners, with

itching.—Eyes red, brilliant, and convulsed, or fixed, sparkling, and prominent, or dull and

turbid.—Congestion of blood to the eyes, and redness of the veins —Look fixed, furious, and

wavering.—Look wild, unsteady, wavering.—Spasms and convulsive movements of the

eyes.—Eyelids wide open.—Inflammation of the eyes, with injection of the veins and redness of

the conjunctiva and of the sclerotica.—Heat in the eyes.—Distension of the

sclerotica——Inflammatory swelling and suppuration of the lachrymal aperture.—Softening of the

sclerotica——Spots and ulcers on the cornea.—Medullary fungus in the eye —Swelling and

inversion of the eyelids.—Yellowish colour of the sclerotica.—Eyes as if affected by ecchymosis,

with h¢morrhage.—Sensation of burning dryness in the eyes; or flow of acrid and (salt) corrosive

tears.—Pupils immovable and generally dilated, but sometimes also contracted.—A gglutination

(nocturnal) of the eyelids.—Desire for light, or photophobia, with convulsive movements of the

eyes when the light strikes them.—Distortion, spasms, and convulsions of the eyes.—Momentary

blindness.—Confused and weak sight, or obscuration and entire loss of sight.—Blindness at night

• ▸(moon-blindness).
• ▸—Presbyopia.
• ▸—Mist, flames, and sparks, before the eyes.
• ▸—Diffusion of the

light of candles, which appear to be surrounded by a coloured halo.—White stars and silvery

clouds before the eyes, esp. on looking at the ceiling of the room.—Objects appear double or

reversed, or of a red colour.—Trembling and sparkling of the letters when reading.

• ▸Tearing pain in middle and external ear.
• ▸Humming noises.
• ▸Membrana tympani bulges and injected.
• ▸Parotid gland swollen.
• ▸Sensitive to loud tones.
• ▸Hearing very acute.
• ▸Otitis media. Pain causes delirium. Child cries out in sleep; throbbing and beating pain deep in ear, synchronous with heart beat.
• ▸Hematoma auris.
• ▸Acute and sub-acute conditions of Eustachian tube.
• ▸Autophony-hearing one's voice in ear.

Piercing, aching, sharp pain, pinching, squeezing, and shooting in the

• ▸ears.
• ▸—Inflammation of the external and internal (r.
• ▸) ear, with discharge of pus.
• ▸—Excretion of pus

from the ears.—Stinging in and behind the ears.—Ringing, murmuring, and buzzing in the

ears.—Humming and roaring in the ears.—Paralysis of the auditory nerves —Great acuteness of

hearing.—Hardness of hearing; sometimes as if there were a skin before the ears —Swelling of

the parotids, with shooting and tractive pains, which sometimes extend even to the

throat.—Stitches in the parotid gland.

• ▸Imaginary odors.
• ▸Tingling in tip of nose.
• ▸Red and swollen.
• ▸Bleeding of nose, with red face.
• ▸Coryza; mucus mixed with blood.

Pain, as of a bruise, in the nose, esp. on touching it, and sometimes with

burning.—Nocturnal shootings in the nose.—Swelling, redness, and burning it the point of the

nose.—Inflammatory swelling and redness of the external and internal nose.—Bleeding of the

• ▸nose, with redness of the face.
• ▸—Painful ulceration of the nostril.
• ▸—Nose very cold.
• ▸—Bleeding of

the nose, chiefly night and morning.—H¢morrhage from the nose and mouth.—Great dryness of

• ▸the nose.
• ▸—Sense of smell either too sensitive, esp.
• ▸to tobacco smoke, or diminished.
• ▸—Putrid

smell in the nose.—Fluent coryza of one nostril, alternating with stoppage of the nose.—Smell

like herring in the nose during the coryza.

Red, bluish-red, hot, swollen, shining; convulsive motion of muscles of face. Swelling of upper lip. Facial neuralgia with twitching muscles and flushed face.

Paleness of the face, which sometimes suddenly alternates with redness.—Face hollow,

with anxious look of the features, and wandering air.—Burning heat of the face, sometimes

without redness.—Glowing redness and bloated appearance of the face, as from drinking

wine.—Deep, or scarlet, or bluish redness of face.—Purple, red, hot face, or yellow colour of the

face.—Hard swelling and bluish redness of face, principally (of one) of the cheeks, and

sometimes with burning, shooting, piercing, and pulsation.—Erysipelatous swelling of the

face.—Semi-lateral swelling of the face ——Spots of a scarlet or deep red colour on the

face.—Eruption of red pimples on the temples, in the corners of the mouth, and on the

chin.—Purulent and scabby pimples, chiefly on the cheeks and on the nose.—Thickening of the

skin of the face—Cramp-like pressure, sharp and drawing pain in the cheek-bones.—Nervous,

violent incisive pain in the face, following the course of the sub-orbital nerve—Nervous

prosopalgia, with violent, cutting pains ——Muscular palpitations and convulsive movements in the

face, chiefly in the mouth, which is drawn towards the ear.—Spasmodic distortion of the mouth

(risus sardonicus).—Swelling, of the upper lip.—Induration and swelling of the lips, with

shootings in rough weather.—Deep redness and dryness of the lips.—Pimples, scabs, and ulcers;

with a red circular margin, on the lips and in the corners of the mouth—Convulsive clenching of

the jaws, which renders it impossible to open the mouth.—Sensation as if the lower jaw were

drawn very far back.—Sharp pains in the jaws; shooting and tension in the maxillary

articulations.—Mouth half open, or spasmodically closed by lock-jaw; sensations under the jaw;

affections of the articulations of the jaws (sometimes while chewing).—Swelling of the sub-

maxillary glands, and of those of the neck, with nocturnal (shooting) pains.

• ▸Dry.
• ▸Throbbing pain in teeth.
• ▸Gumboil.
• ▸Tongue red on edges.
• ▸Strawberry tongue.
• ▸Grinding of teeth.
• ▸Tongue swollen and painful.
• ▸Stammering.

A sensation of great dryness, or a real and extreme dryness and choking in the

mouth.—Dryness of the mouth, without thirst—Foam before the mouth, sometimes of a reddish

colour, or having the smell of rotten eggs.—Accumulation and flow of saliva, viscid, thick, and

whitish.—Great accumulation of viscid, whitish mucus in the mouth and in the throat.—Offensive

smell of the mouth, chiefly in the morning.—Inflammatory swelling and redness of the buccal

cavity, and of the pharynx.—Violent h¢morrhage of the mouth.—Excoriation of the interior of the

cheek; the orifices of the salivary ducts are as if ulcerated.—Sensation of cold, of torpor, and of

numbness in the tongue.—Tongue red, hot, dry, and cracked, or loaded with whitish mucus, or

yellowish, or brownish; redness of the edges of the tongue.—Inflammatory swelling and redness

of the papillé of the tongue.—Phlegmonous inflammation of the tongue.—Soreness of the tongue,

esp. on touching it, with a sensation as if it were covered with vesicles.—Heaviness, trembling,

and paralytic weakness of the tongue, with difficult and stuttering speech.—Dumbness.— Voice

weak, whistling, and nasal.

Violent grinding of the teeth.—Sharp and drawing pains or successive pullings in the

teeth, sometimes with pain in the ears, and chiefly at night or in the evening, during intellectual

labour, or else after having eaten.—The toothache is < by exposure to the air, or by the touch,

while masticating —Toothache with inflammatory swelling of the cheek.—Piercing in carious

teeth, and flow of blood on sucking them.—Painful swelling of the gums, with heat, itching, and

pulsations, or with ulcerative pain on being touched.—Bleeding of the gums.—Vesicles on the

gums, with pain like that of a burn.

Pain of excoriation, scraping, and shooting in the throat and in the amygdal¢,

principally on swallowing, and sometimes extending to the ears.—Great dryness and burning in

the throat and on the tongue.—Inflammation and swelling of the throat, of the velum palati, of the

uvula, and of the tonsils; suppuration of the tonsils —Inflammation of the throat, with sensation

of a lump, which induces hawking, with dark redness and swelling of the velum palati and

tonsils—Burning and dryness in the Ssophagus.—Stinging in the Ssophagus, in the tonsils; <

when swallowing, and when talking —Tonsils inflamed, swollen, ulcers rapidly forming on

them.—Painful and difficult deglutition Complete inability to swallow even the least liquid,

which frequently passes out through the nostrils—Constant inclination to swallow, with a

sensation as though suffocation would otherwise follow.—Sensation of contraction, strangling,

and spasmodic constriction in the throat—Sensation as if there were a tumour in the throat, or a

plug which cannot be detached.—Paralytic weakness of the organs of deglutition.

• ▸Dry, as if glazed; angry-looking congestion (Ginseng); red, worse on right side.
• ▸Tonsils enlarged; throat feels constricted; difficult deglutition; worse, liquids.
• ▸Sensation of a lump.
• ▸OEsophagus dry; feels contracted.
• ▸Spasms in throat.
• ▸Continual inclination to swallow.
• ▸Scraping sensation.
• ▸Muscles of deglutition very sensitive.
• ▸Hypertrophy of mucous membrane.

• ▸Loss of appetite.
• ▸Averse to meat and milk.
• ▸Spasmodic pain in epigastrium.
• ▸Constriction; pain runs to spine.
• ▸Nausea and vomiting.
• ▸Great thirst for cold water.
• ▸Spasms of stomach.
• ▸Empty retching.
• ▸Abhorrence of liquids.
• ▸Spasmodic hiccough.
• ▸Dread of drinking.
• ▸Uncontrollable vomiting.

Loss of taste —Food appears insipid or too salt.—Putrid, or insipid, or slimy, or

bitter taste of the mouth—Rye bread tastes acid.—Want of appetite and distaste for all food,

chiefly for meat, acids, coffee, milk, and beer.—Burning, excessive, intolerable thirst, often with

dread of all drink; or constant desire to drink with inability to swallow a single drop of

liquid.—Drinking is performed with trembling precipitation.—Great and unbearable

hunger.—After having eaten, a feeling of intoxication, colic, pains in the stomach, heat, and

thirst.

Frequent risings, often bitter, or putrid, or sour and

• ▸burning.
• ▸—Pyrosis.
• ▸—Obstructed and abortive risings.
• ▸—Nausea and inclination to vomit, chiefly on

beginning to eat, or in the open air, or after breakfast, sometimes with burning thirst —Retching

and violent vomiting, principally in the evening or at night; retching, with entire inability to

vomit; vomiting of food, or of mucous or bilious matter, of blood; or acid and serous matter;

vomiting with diarrhsa, or with vertigo, heat, and sweat.—Spasmodic hiccough, sometimes with

sweats and convulsions.—Pressure, cramp-like and contractive pains, sensation of fulness and

inflation in the stomach and in the epigastrium, principally after having eaten or while

eating.—Shootings, beatings, pulsations, and burning in the stomach and in the precordial

region.—Inflammation of the stomach and of the duodenum.

• ▸Distended, hot.
• ▸Transverse colon protrudes like a pad.
• ▸Tender, swollen.
• ▸Pain as if clutched by a hand; worse, jar, pressure.
• ▸Cutting pain across; stitches in left side of abdomen, when coughing, sneezing, or touching it.
• ▸Extreme sensitiveness to touch, bed-clothes, etc (Laches).

Colic with constipation, abundant flow of urine, risings and nausea.—Violent

pain in the abdomen, which allows no rest whatever.—Shootings in |. side of the abdomen, on

coughing, on sneezing, and on being touched.—Pains and burning in the hypochondria.—Pressure

in the abdomen, as if by a stone, chiefly in the lower part of the abdomen and in the

groin.—Painful pressure in the pit of the stomach and stomach, esp. after eating —Painfully

distended abdomen, very sensitive to the touch.—Inflation and tension of the abdomen, chiefly in

the hypochondria.—Colic, with restlessness, below the umbilicus, as from clutching and griping

with the nails, < from external pressure —Cramp-like, contractive, and constrictive pains and

pinching in the abdomen, and esp. round the navel or in the hypogastrium, with a sensation as if

one or other of the parts were squeezed, or seized with the nails; the pains necessitate a bending

of the body, and are sometimes accompanied by vomiting, or by inflation and protrusion of the

colon in the form of a pad.—Digging in the abdomen.—Cuttings and shootings in the abdomen, as

from knives.—Heat and great anguish in the abdomen.—Rumbling in the abdomen, with frequent

escape of flatus without smell.—Soreness of the whole abdomen, as if everything in it were

excoriated and raw, and painful sensibility to the touch of the teguments of the

abdomen.—Shootings in the groins.—Itching in the abdomen.

• ▸Thin, green, dysenteric; in lumps like chalk.
• ▸Shuddering during stool.
• ▸Stinging pain in rectum; spasmodic stricture.
• ▸Piles more sensitive with backache.
• ▸Prolapsus ani (Ignatia; Podoph).

Suppressed evacuations and constipation, sometimes with inflation of the

abdomen, heat of the head, and copious sweats.—Hard and scanty evacuations.—Frequent

inclination to evacuate, with tenesmus, but without result.—Frequent small evacuations, often

with tenesmus.—Frequent small diarrhsic stools of mucus.—Evacuations whitish like chalk, or

greenish; evacuations watery or slimy.—Thin, green stools, with frequent micturition and

perspiration.—Dysenteric stools —Before stool, perspiration.—During stool,

• ▸shuddering.
• ▸—Spasmodic stricture of the rectum.
• ▸—Stinging pain in the rectum.
• ▸—Loose

evacuations, with nausea and aching pains in the stomach.—Involuntary evacuations, from

paralysis of the sphincter of the anus.—Bleeding piles; back pains as if breaking —Mucous

membrane of anus seems swollen as if pressed out.—Prolapsus ani.

Frequent desire to make water.—Retention of urine.—Difficult discharge

of urine (and then discharge of a few drops of bloody urine only).—Continual dribbling of

urine.—When passing water, féces escape.—Frequent emission of urine, copious, pale, and

watery, sometimes with profuse perspiration, thirst, increased appetite, diarrhSa, and obscuration

of sight.—In continence and involuntary emission of urine, even in the night and during

sleep.—Paralysis of the neck of the bladder.—Strictures of the urethra—Urine turbid, of a yellow

colour, or clear, the colour of gold or citron; or scanty and of a brownish-red colour, or the

colour of blood, or a bright red colour.—Red, or whitish and thick sediment in the

urine.—Sensation of motion in the bladder, as of a worm.—Nocturna pressure in the

bladder.—Shooting, burning pains in the renal region.

• ▸Retention.
• ▸Acute urinary infections.
• ▸Sensation of motion in bladder as of a worm.
• ▸Urine scanty, with tenesmus; dark and turbid, loaded with phosphates.
• ▸Vesical region sensitive.
• ▸Incontinence, continuous dropping.
• ▸Frequent and profuse.
• ▸Haematuria where no pathological condition can be found.
• ▸Prostatic hypertrophy.

• ▸Sensitive forcing downwards, as if all the viscera would protrude at genitals.
• ▸Dryness and heat of vagina.
• ▸Dragging around loins.
• ▸Pain in sacrum.
• ▸Menses increased; bright red, too early, too profuse. Haemorrhage hot.
• ▸Cutting pain from hip to hip.
• ▸Menses and lochia very offensive and hot.
• ▸Labor-pains come and go suddenly.
• ▸Mastitis pain, throbbing, redness, streaks radiate from nipple.
• ▸Breasts feel heavy; are hard and red.
• ▸Tumors of breast, pain worse lying down.
• ▸Badly smelling haemorrhages, hot gushes of blood.
• ▸Diminished lochia.

Violent pressure towards the genital parts, as if all were going to

protrude, principally when walking, or when in a crouching posture.—Shooting in the internal

genital parts—Great dryness of the vagina.—Prolapsus and induration of the matrix.—Catamenia

too copious, and too early, or too tardy.—Catamenia too pale.—Before the catamenia, fatigue,

colic, loss of appetite, and confused sight.—During the catamenia, nocturnal sweat on the chest,

with yawning and transient shiverings, colic, or anguish of heart, burning thirst, sharp and

cramp-like pains in the back and in the arms.—Flow of blood beyond the period of the

catamenia.—Flow of blood between the periods.—Menstrual discharge bright red, feeling very

hot like hot sealing-wax.—Metrorrhagia of clear red blood, with a discharge of fetid clots; with

violent pain in the small of the back and bearing-down.—Menstrual blood of bright colour, or of

a bad smell —LeucorrhSa with colic.—Diminished lochia.—Spasmodic contraction of the

uterus.—Labour pains too distressing, spasmodic; too weak, or ceasing.—A fter-

• ▸pains.
• ▸—Congestion and inflammation of the uterus and labia.
• ▸—Stitches in the organs.
• ▸—Puerperal

fever, nymphomania.—Flow of milk from the breast -—Mammé swelled, inflamed, or indurated.

• ▸Testicles hard, drawn up, inflamed.
• ▸Nocturnal sweat of genitals.
• ▸Flow of prostatic fluid.
• ▸Desire diminished.

Sharp and drawing pain in the spermatic cords, chiefly while making

• ▸water.
• ▸—Retraction of the prepuce.
• ▸—Soft and painless nodosity in the glans.
• ▸—Shootings in the

testes, which are drawn up.—Inflammation of the testicles, great hardness in the drawn-up

testicles —Pollutions, with flaccidity of the penis.——Nocturnal sweat of the genital parts —Flow of

prostatic fluid.—Sexual desire diminished, with perfect indifference to all voluptuous excitement.

• ▸Drying in nose, fauces, larynx, and trachea.
• ▸Tickling, short, dry cough; worse at night.
• ▸Larynx feels sore.
• ▸Respiration oppressed, quick, unequal.
• ▸Cheyne-Stokes respiration (Cocaine; Opium).
• ▸Hoarse; loss of voice.
• ▸Painless hoarseness.
• ▸Cough with pain in left hip.
• ▸Barking cough, whooping cough, with pain in stomach before attack, with expectoration of blood.
• ▸Stitches in chest when coughing.
• ▸Larynx very painful; feels as if a foreign body were in it, with cough.
• ▸High, piping voice. Moaning at every breath.

Catarrh with cough, coryza, hoarseness with tenacious mucus in the

• ▸chest.
• ▸—Voice weak, hoarse, and whistling; nasal-toned voice.
• ▸—Loss of the voice.
• ▸—Great soreness

of the larynx, with danger of suffocation on pressing the gullet, as well as on coughing, on

speaking, and on breathing.—Spasmodic constriction of the larynx.—Larynx very painful, with

anxious starts when touching it—Constriction of the trachea.—Short, dry cough, from tickling in

the larynx, with headache, redness, and heat in the face.—Cough with stitches in the chest, in the

lumbar region, in the hip, in the uterus; pain in the sternum, with tightness of the chest; with

rattling of mucus on the chest——Dry spasmodic cough, with vomiturition, esp. after

midnight.—Whooping-cough, with crying, or pain in the stomach before the attack, with

expectoration of blood (pale or coagulated), congestion of blood to the head, sparks before the

eyes, spasms in the throat, bleeding from the nose, stitches in the spleen, involuntary stool and

urine, oppressed breathing, stiffness of the limbs, shaking of the whole body, and dry general

heat.—Cough, as if one had swallowed dust, or as if there were some foreign body in the larynx,

or in the pit of the stomach, which excites the cough; chiefly at night, or in the afternoon, in the

evening in bed, and even during sleep; the cough is mostly dry, short, and sometimes convulsive,

fatiguing and shaking, or hollow and barking —Before the cough, tears, or pains in the stomach;

when coughing, shootings in the abdomen, or retching, or pain as of a bruise in the nape of the

neck; after the paroxysm, sneezing.—The least movement, when in bed at night, renews the

cough.—Cough with rattling in the chest, or with catarrh, and shootings in the sternum, or with

headache and redness of face.—Expectoration of thick and puriform mucus with the

cough.—Cough with spitting of blood.

• ▸Violent palpitation, reverberating in head, with labored breathing.
• ▸Palpitation from least exertion.
• ▸Throbbing all through body.
• ▸Dichrotism.
• ▸Heart seemed too large.
• ▸Rapid but weakened pulse.

Breathing laboured, unequal, quick, with moaning.—Rattling noise, and crepitation

in the bronchia.—Vehement expirations.—Feeling of suffocation when swallowing, or when

touching and turning the neck.—Oppression of the chest, difficult respiration, dyspnsa and

shortness of breath, sometimes with anxiety, and chiefly in the evening in bed, and after having

drunk (coffee)—Oppression of the chest in the morning when rising, cannot breathe in the room,

better in the open air—Congestion to the chest.—Irregular respiration, at one time small and

rapid, at another time slow and profound.—Respiration short, anxious, and rapid.—In the morning

after rising, want of breath, relieved in the open air.—When walking, cramp-like oppression of

the chest, with necessity to fetch a long breath —Pressure on the chest, with pain in the shoulder-

blades and short breath.—Tension in the chest.—Shootings in the chest, sometimes as if from

knives, and chiefly on coughing and yawning.—Great inquietude and beatings in the

chest.—Painful blisters, filled with water, or small spots of a deep red colour on the chest.

Violent beatings of the heart, which sometimes are felt in the head.—Palpitation of

the heart when ascending.—Trembling of the heart, with anguish and pressive pain.—Violent

palpitation of the heart, reverberating in the head.

• ▸Stiff neck.
• ▸Swelling of glands of neck.
• ▸Pain in nape, as if it would break.
• ▸Pressure on dorsal region most painful.
• ▸Lumbago, with pain in hips and thighs.

Painful swelling and stiffness in the neck and in the nape of the

neck.—Painful swelling in the glands of the neck and in those of the nape of the neck.—Sharp

pains in the armpits.—Red and purulent pimples on the back and nape of the neck.—Veins in the

neck swollen.—Sour sweat, only on the neck.—Pain, as of dislocation; rheumatic and drawing

pains in the back and between the shoulder-blades.—Furunculus on the shoulder.—Dartings, as if

from knives, in the bones of the spine.—Gnawing in the dorsal spine, with cough.—Painful

stiffness and cramp-like pains, in the sacral regions and in the back.

Arms benumbed and painful —Tractive pressure, with sensation of torpor,

and sharp pains in the arms.—Inclination to stretch the arms.—Arms heavy, as if

paralysed.—Torpor and heaviness of the arms.—Swelling and scarlet redness of the arms and of

the hands. —Drawing and aching pain in the shoulder, running rapidly from the top to the bottom

of the arms, and exhibiting itself particularly at night, diminished by external pressure, excited

by motion.—Painful startings, cramp and convulsions in the arms and in the hands —Trembling

of the hands.—Pressure, with sharp pains in the carpal and metacarpal bones.—Arthritic stiffness

in the joints of the hand.—Frequent dislocation of the joints of the fingers.—Drawing back of the

thumbs.

Shootings and burning pains, aggravated by fits, in the coxo-femoral joint,

more unbearable at night, and increased by the least contact.—Stiffness in the hip, after sitting for

some time, with difficulty in getting up.—Pain in the hip, which causes lameness.—Involuntary

limping.—Tottering walk, when rising from bed in the morning, the legs refuse their

• ▸service.
• ▸—Trembling of the knees.
• ▸—Drawing pains in the legs, esp.
• ▸in the knees.
• ▸—Heaviness and

paralysis of the legs and of the feet—Bending of the knees and of the feet in walking.—Tension

of the tendons of the ham.—Swelling of the feet.—Crawling sensation in the feet—Phlegmasia

alba dolens.

• ▸Shooting pains along limbs.
• ▸Joints swollen, red, shining, with red streaks radiating.
• ▸Tottering gait.
• ▸Shifting rheumatic pains.
• ▸Phlegmasia alba dolens.
• ▸Jerking limbs.
• ▸Spasms.
• ▸Involuntary limping.
• ▸Cold extremities.

• ▸Dry and hot; swollen, sensitive; burns scarlet, smooth.
• ▸Eruption like scarlatina, suddenly spreading.
• ▸Erythema; pustules on face.
• ▸Glands swollen, tender, red.
• ▸Boils.
• ▸Acne rosacea.
• ▸Suppurative wounds.
• ▸Alternate redness and paleness of the skin.
• ▸Indurations after inflammations.
• ▸Erysipelas.

Swelling, with heats and scarlet redness of the whole body, or of several parts, chiefly

the face, the neck, the chest, the abdomen, and the hands.—Cutting of the skin as though "sliced"

with a sharp knife.—Erysipelatous inflammations, with phlegmon, which sometimes turn to

gangrene.—Gangrene and sphacelus of several parts.—Red places, inflamed and scarlet spots on

several parts of the body, sometimes with small, quick pulse, difficulty of respiration, violent

cough, delirium, liveliness of memory, inclination to rub the nose, and dilated pupils.—Red spots,

the colour of blood, over the whole body, principally on the face, neck, and chest.—Eruption

resembling morbilli—Eruption of petechi¢, with itching and redness of the whole body.—Miliary

eruptions.—Vesicles which discharge a great deal of serum, and are so painful as to extort cries

and groans.—Bleeding soreness of the bends of the joints.—Eruption of pustules with whitish

edges, with black slough, and Sdematous swelling of the diseased part—Boils (returning every

spring).—Red scaly eruption on the lower part of the body.—Scrofulous tumours and nodes,

which are painful.—Pain, as of excoriation, burning and pulling in ulcers, principally on being

touched, during motion, and in the night—Dry, burning-hot skin.—Burning of the skin,

particularly when the hand continues to burn after touching the skin, as though a hot stove had

been touched, very characteristic.—Red, hot, and shining swelling of the diseased parts.—Smooth,

even shining (not circumscribed) redness of the skin, with bloatedness, dryness, heat, burning

itching and swelling of the parts (esp. face, neck, chest, abdomen and hands).—The ulcers secrete

a purulent and sanguineous matter —Chilblains.—Painful swelling of the glands (inflamed,

stinging).

• ▸Restless, crying out, gritting of teeth.
• ▸Kept awake by pulsation of blood-vessels.
• ▸Screams out in sleep.
• ▸Sleeplessness, with drowsiness.
• ▸Starting when closing the eyes or during sleep.
• ▸Sleeps with hands under head (Ars; Plat).

Constant drowsiness, sometimes with cloudiness, and yawning, and chiefly towards

the evening. —Fits of somnolence and of lethargy, with profound sleep, immobility of the body,

jerking of the tendons pale and cold face, hands cold, and pulse small, hard, and

quick.—Somnolence: stupor, lethargy (with snoring).—Coma, interrupted by momentary wakings,

with furious looks.—After the fit of coma, great hunger, burning heat, and dryness of the

mouth.—Pulsations of the blood-vessels; may hear the pulsations of the blood-vessels so loud

when trying to sleep as to be kept awake by it.—Comatose sleep at night, with frequent waking

and convulsive movements.—Sleep, with moaning and tossing about.—Nocturnal sleeplessness,

sometimes with desire to sleep and useless efforts to go to sleep, mostly in consequence of

excessive anguish or great agitation —On sleeping, frequent starts with fright, groans, cries,

starting of the limbs, carphology, aggravation of pains, singing, talking, delirtum, and continual

dreams.—Nightmare.—Dreams: anxious, terrible, frightful, vivid, dreams of fires, of robbers, and

assassins; meditative dreams.—On closing the eyes in order to go to sleep, frightful visions and

jerking in the limbs.—On waking, headache and aggravation of sufferings.

• ▸A high feverish state with comparative absence of toxaemia.
• ▸Burning, pungent, steaming, heat.
• ▸Feet icy cold.
• ▸Superficial blood-vessels, distended.
• ▸Perspiration dry only on head.
• ▸No thirst with fever.

Coldness over the entire body, with paleness of face, or coldness of the extremities,

with bloatedness and redness of the face.—Shiverings and partial shuddering, chiefly in the back

or the pit of the stomach, or in one arm, and sometimes with heat in other parts, chiefly in the

head, or followed by universal shivering.—Cold limbs, with hot head.—Chilliness not relieved by

the heat of the stove.—Continuous dry, burning heat, with perspiration only on the head.—Internal

heat with restlessness; hot forehead and cold cheeks.—Dry heat and thirst, and perspiration only

on the head and neck (sour-smelling).—The shiverings appear mostly in the evening, sometimes

with nausea; bruise-like sensation, and pulling in the back and in the limbs, pricking in the chest

and obscuration of the eyes.—Febrile attacks, in which shiverings alternate with heat, or of

shiverings followed by heat, with aggravation at night or in the evening, resembling quotidian, or

double quotidian, or tertian, with complete adypsia, or burning and inextinguishable thirst.—Dry,

burning heat, often with swelling of the veins, pulsation of the carotids, heat, redness and

bloatedness of the face, burning thirst, agitation, furious delirium, and shiverings on being even

slightly uncovered.—Pulse strong and quick, or full and slow, or small and quick, or hard and

wiry.—lIf slow, the pulse is full—Pulse full; hard; strong, bounding, double.—Sweat with or after

the heat; copious sweat during the night, or in the morning; sweat of the parts that are covered

only; ascending from the feet to the head; sweat when asleep; sweat of an empyreumatic smell,

or which imparts a yellow colour to the sheets.

• ▸Abscess.
• ▸Acne.
• ▸Amaurosis.
• ▸Apoplexy.
• ▸Bladder weakness.
• ▸Boils.
• ▸Brain, affections of.

• ▸Bronchial glands, disease of.
• ▸Carbuncle.
• ▸Colic.
• ▸Constipation.
• ▸Convulsions.
• ▸Cough.
• ▸Croup.

• ▸Delirium tremens.
• ▸Depression.
• ▸Diarrhsa.
• ▸Dysentery.
• ▸Ear, affections of.
• ▸Enteric fever.
• ▸Epilepsy.

• ▸Erysipelas.
• ▸Erythema.
• ▸Excitement.
• ▸Eye, affections of.
• ▸Fear, effects of.
• ▸Glandular swellings.

• ▸Goitre.
• ▸Gout.
• ▸Hémorrhoids.
• ▸Headache.
• ▸Heart, affections of.
• ▸Hydrocephalus.
• ▸Hydrophobia.

• ▸Hypercmia.
• ▸Influenza.
• ▸Kidney, affections of.
• ▸Lung, affections of.
• ▸Malignant pustule.
• ▸Mania.

• ▸Measles.
• ▸Meningitis.
• ▸Menstruation.
• ▸Mouth affections.
• ▸Mumps.
• ▸Neuralgia.
• ▸Nose, affections of.

• ▸Nyctalopia.
• ▸Nymphomania.
• ▸Paralysis.
• ▸Parametritis.
• ▸Perichondritis.
• ▸Perimetritis.
• ▸Peritonitis.

• ▸Phlegmasia alba dolens.
• ▸Pleurisy.
• ▸Pneumogastric paralysis.
• ▸Pneumonia.
• ▸Pregnancy, disorders of.

• ▸Puerperal mania.
• ▸Rheumatism.
• ▸Roseola.
• ▸Scarlatina.
• ▸Sensitiveness.
• ▸Sleep, disorders of.
• ▸Smell,

• ▸disordered.
• ▸Strangury.
• ▸Taste, disordered.
• ▸Tenesmus.
• ▸Testicles, affections of.
• ▸Thirst.
• ▸Throat, sore.

• ▸Tongue, affections of.
• ▸Tuberculosis.
• ▸Ulcers.
• ▸Uterine affections.
• ▸Vaccinia.
• ▸Vertigo.
• ▸Whooping-

cough. Worm fever.

• ▸Bell.
• ▸must be compared with the other Solanace¢: Caps.
• ▸, Dulc.
• ▸, Lycopers.
• ▸, Hyos.
• ▸,

Stramonium and the alkaloids Atropia and Solania. Antidotes: To effects of large doses,

Vegetable acids, infusion of galls, or green tea, Coffea., Hyoscy; to effects of small doses,

• ▸Camph.
• ▸, Coff.
• ▸, Hep.
• ▸, Hyo.
• ▸, Op.
• ▸, Puls.
• ▸, Sabad.
• ▸(salivation), Vinum.
• ▸/t antidotes: Aco.
• ▸, Arum t.
• ▸,

• ▸Atrop.
• ▸, Chi.
• ▸, Cup.
• ▸, Fer.
• ▸, Hyo.
• ▸, Jaborandi, Merc.
• ▸, Op.
• ▸, Plat.
• ▸, Plumb.
• ▸, sausage poisoning; oil of

• ▸turpentine.
• ▸Jt follows well: Ars.
• ▸, Cham.
• ▸, Hep.
• ▸, Lach.
• ▸, Merc.
• ▸, Phos.
• ▸, Nit.
• ▸ac.
• ▸, Cup.
• ▸Zs followed well

• ▸by: Chi.
• ▸, Cham.
• ▸, Con.
• ▸, Dulc.
• ▸, Hep.
• ▸, Hyo.
• ▸, Lach.
• ▸, Rhus, Seneg.
• ▸, Stram.
• ▸, Valer.
• ▸, Verat.
• ▸Similar to:

• ▸Acon.
• ▸, Alcohol (merry craziness); Ars.
• ▸(pains of cancer); Bry.
• ▸(rheumatism < by motion.
• ▸In

pleurisy and pneumonia it is distinguished from Bry. in that it has < lying on affected side whilst

• ▸Bry.
• ▸has the opposite); Calc.
• ▸c.
• ▸, Cham.
• ▸, Cicut.
• ▸, Coff.
• ▸, Cup.
• ▸, Eupat.
• ▸purp.
• ▸(diuresis and vesical

• ▸irritation, but Eupat.
• ▸has more hyper¢émia and vesical inflammation); Gels.
• ▸, Hep.
• ▸, Hyo.
• ▸, Lach.
• ▸,

• ▸Lil.
• ▸tig.
• ▸(Lil.
• ▸has > by motion; Bell.
• ▸< by motion), Merc.
• ▸, Nux v.
• ▸, Op.
• ▸, Puls.
• ▸, Rhus, Stram.
• ▸(rage),

• ▸Tereb.
• ▸, Verat.
• ▸; Arn.
• ▸(whooping cough).
• ▸Complementary: Calc.
• ▸c.
• ▸Incompatible: Vinegar.

• ▸Compare: Sanguisorba officinals 2x-6x, a member of the Rosaceae family, (Profuse, long-lasting menses, especially in nervous patients with congestive symptoms to head and limbs.
• ▸Passive haemorrhages at climacteric.
• ▸Chronic metritis.
• ▸Haemorrhage from lungs.
• ▸Varices and ulcers).
• ▸Mandragora--(Mandrake).
• ▸A narcotic of the ancients-Restless excitability and bodily weakness.
• ▸Desire for sleep.
• ▸Has antiperiodic properties like China and Aranea.
• ▸Useful in epilepsy and hydrophobia, also Cetonia (A.
• ▸E.
• ▸Lavine).
• ▸Hyos (less fever, more agitation); Stram (more sensorial excitement, frenzy); Hoitzia-A Mexican drug, similar in action to Bellad (Useful in fever, scarlatinal eruption, measles, urticaria, etc.
• ▸High fever with eruptive fevers.
• ▸Dry mouth and throat, red face, injected eyes, delirium).
• ▸Calcar is often required after Bell; Atropia.
• ▸Alkaloid of Belladonna covers more the neurotic sphere of the Belladonna action (Great dryness of throat, almost impossible to swallow.
• ▸Chronic stomach affections, with great pain and vomiting of all food.
• ▸Peritonitis.
• ▸All kind of illusions of sight.
• ▸Everything appears large.
• ▸Platina opposite).
• ▸Hypochlorhydria; pyrosis.
• ▸Motes over everything.
• ▸On reading, words run together; double vision, all objects seem to be elongated.
• ▸Eustachian tube and tympanic congestion.
• ▸Affinity for the pancreas.
• ▸Hyperacidity of stomach.
• ▸Paroxysms of gastric pain; ovarian neuralgia.

Atropia Sulph, 1-120 to 1-60 grain.

Antidotes to Belladonna: Camph; Coff; Opium; Acon.

Complementary: Calc. Bellad (contains lime). Especially in semi-chronic and constitutional diseases.

Incompatible: Acet ac.

First to thirtieth potency and higher. Must be repeated frequently in acute diseases.

Belladonna is a remedy that takes hold of the system with great violence. It is especially suitable to plethoric, vigorous individuals and

inrellectual people. Brainy people have complaints coming on suddenly, providing they are in a substantial state of health, and are reasonably plethoric and vascular. The complaints of Belladonna come

on suddenly, run a regular course, and subside suddenly. The pains

and suffering come on suddenly and with great violence, and subside

suddenly. Colds ultimate rapidly, run a sharp course, a course of

great violence, and subside suddenly. Belladonna especially affects

the whole vascular system, the heart, lungs, brain and nervous system.

Among the earliest conditions to examine is the heat. It has inflammations of all the organs, especially the brain, lungs, and liver.

The intestines are also involved as well as the other organs. These

inflammations are always attended by violent heat; the heat is some-

BEIXADONKA

thing unusual. It is more marked in Belladonna than in almost any

other remedy. When you put your hand upon a Belladonna subject

you will suddenly withdraw it, the heat is so intense. The memory

of the heat is carried in the hand and fingers for some time. Pains,

inflammations, and sufferings, nightly attacks of delirium, violent attacks inflammatory in character are attended with that kind of heat.

No matter where the inflammation is, there is that same intense heat.

There are times, though, when that kind of heat is present, and it is

not Bell., and that is when the fever is of the continued type. Bell,

has no continued fever in it. It is true the older books tell you about

Bell, for this violent heat in typhoid and some other continued fevers,

but if you examine Bell, from beginning to end you will find nothing

continued in its fever. Its fever is remittent. It never comes on in

its complaints gradually like typhoid. It has not the gradual rise and

the gradual fall like a continued fever. I only mention that so that

you will not be lost. Our lamented Bering, one of the ablest teachers the world ever had, classes Bell, for typhoid fever when the delirium and the heat are somewhat like Bell., but let me tell you just

what will take place. When you give Bell, for the delirium in typhoid

fever — for such a delirium as looks like Bell. — ^you may subdue the

delirium, but other manifestations will rise in that fever. You will

not subdue the fever, but you will subdue tire patient. The patient

will be sick longer, will go into a greater state of prostration than if

you had let that delirium alone. But Stramonium fits perfectly Bering’s description of a case in which he says Bell, should be given.

The idea of that heat must be well fixed in the mind. Heat, intense

heat, violent heat.

This sensitivity is present in most of the Bell, headaches. There

are stabbing pains, throbbing pains, shooting pains, all in connection

with congestion. They are all sensitive to motion, to every jar, to

light, even to the winking of the eyes ; sensitive to draft. Bell, will

be indicated when the head is rolling — the patient rolling the head

because the pain is so severe he cannot keep still, although the motion

increases the headache. A child lies and turns and tosses its head

with congestion of the brain, screaming out with the brain cry, a

sudden shriek. After awhile it wakes up and commences to toss

the head, and every few minutes it shrieks with that brain cry ; it is

going into a stupor, the neck is drawn back, the face is flushed, it is

now becoming pale. There are times of stupor, and in that stupor

the child cries out. In all brain troubles we must be careful about

feeding much, or overloading the stomach, because the stomach is

very feeble. It will not digest much, but the food should be well

selected and light.

Great heaviness of the head. The head feels like a weight, and is

drawn back. Sometimes we see the head drawn back from contrac*

tion of the muscles of the neck when the membranes of the upper portion of the spine are involved. Again, we see the Bell, patient drawing the head back himself, because drawing the head back often amclh

*99

orates the violent headaches. This amelioration is kept up so long as

he holds the head back. Aggravated from bending the head forward

when sitting, from bending the head forward when standing, or stooping. It feels as if the brain would fall out or push forward. This increases the headache so much that it sometimes turns into knife-like, or

hammering pains. These are the expressions used. Sensation of nails

and hammers, jagging and tearing ; but with all, pressure and throbbing.

When rising from a seat these sensations are all intensified. Throbbing ; pulsation, like hammers hitting the inside of the sore skull,

described by patients as if the inside of the skull was one continuous

sore and was being pecked by hammers with every pulsation. Some

times it will settle down while sitting still, or while lying ; but rising

up from a chair will set that hammer going. ‘‘Expansive” is an ex

pression that is often used by the patient, and it was used by the

provers. Expansive sensation, as if the head was enlarged ; pressure from within out. All these headaches are relieved by pressure

upon the outside. Sudden touch or pressure will aggravate ; but

pressure that is gradually increased and brought to bear carefully

upon tlie head will ameliorate, like the pressure of a bandage, or a

tight-fitting cap. Again, all of these headaches are brought on by

exposure to the cold air ; from standing in the cold air with the head

uncovered. Sometimes a severe headache will come on from merely

having the hair cut. Congestion of the head lasts for days, with throbbing and pulsating ; from hiving the hair cut. Ear troubles, chest

complaints, rheumatic complaints come on from having the hair cut,

or from standing in the coo9 air with the hat off ; so sensitive is the

head to cold. It may be said of this remedy that complaints of various

parts of the body come through the head and go downwards. Complaints in^the lower extremities, rheumatic complaints of the joints,

with great redness and swelling, come on from uncovering the head,

from exposure of the head, or from getting the head wet, or from being caught in a shower. There is one complaint which will puzzle you

if you ever meet it and you do not know just what I am going to tell

you. The complaints of Bell, in a general way are ameliorated from

rest, and aggravated from motion ; but there is a kind of restlessness

with tearing pain from the hips down, most troublesome to observe,

that keeps the patient walking all of the time. The instant there is

rest the pains come on. Tliey sometimes shoot downwards, they

sometimes tear up and down the nerves ; and this comes on from

exposure of the head, and not from getting the feet wet. Complaints

of Aconite and Pulsatilla come on from getting the feet wet, and

these complaints rise upwards, come on through the feet and go

upwards and affect the head. Bell complaints come on from exposure of the head apd go downwards ; sometimes affect the head,

sometimes the chest, sometimes the stomach, sometimes centre in the

abdomen, sometimes centre in the uterus and ovaries. Rhus has complaints from getting wet, but the complaints are in the parts that are

wet. If he gets the legs wet he will have rheumatism in the legs.

There is a vast distinction, and this distinction has to be made in

almost every prescription you will make. Homoeopathy is a matter

of individualization as to how complaints spread. Some complaints

begin on the right side of the body and spread to the left. Some

complaints begin in the top of the body and go downwards. That is

the way this remedy acts. In some iremedies the exposure of the

feet to an ice cold draft will bring on headache (Silic.) ; but in Bell,

the exposure will bring on a headache, or neuralgia of the lower

extremities. Now that pain that comes on from rest is an exception

in Bell. That illustrates again the importance of distinguishing very

decidedly between generals and particulars. Without knowing “generals’" and “particulars” you will never do accurate prescribing. The

lower extremities here arc the particulars. The patient and the

general condition of the patient are ameliorated by rest ; the symptoms

of the patient are ameliorated by rest. All of those symptoms that can

be predicted of the patient himself are ameliorated by rest, but the

pains of the lower limbs, as described, those neuralgic pains are

ameliorated by motion, and come on in rest. That does not mean

that all the pains in the lower extremities arc ameliorated by motion,

because the pains in rheumatism arc invariably ameliorated by rest,

and aggravated by motion. Those tearing pains, from the hips downwards, with no swelling, come on during rest. All remedies are full

of freaks, and it is the figuring out of these peculiarities that enables

us to do good prescribing.

With all the complaints of Bell, do not lose sight of the congestion

• ▸upwards.
• ▸“Rush of blood to the head.
• ▸Cold extremities.
• ▸” Cold

feet, cold hands ; hot head.

Inflammatory conditions of the eyes. “Glistening eyes. Dilated

• ▸pupils.
• ▸Flushed face.
• ▸Intense redness of the inflamed part.
• ▸” Inflammation of all the tissues of the eyes, the lids, and all the parts of

the eyeball, with most violent pain. Heat, redness, and burning.

These three strong features that run through the remedy tfrill be

found in the eye sufferings. Pulsation, tumefaction, lachrymation ;

intense pains ; sufferings all worse from motion, and worse from

light. Most intense photophobia. “Flashes of light and fiickerings

before the eyes,” When reading, lines appear crooked. "Dimness

of vision, or actual bfindness.” Intense congestion and fullness of all

the parts. “Apoplexy of the retina. Half-opened, protruding, staring

eyes.” You will see that in the infant when the child lies in a stupor ;

eyes’ half open ; congestion of the brain ; face flushed and intensely

BSLLADOI^A

aot

hot ; rolling the head from side to side ; if it has been going on for

several days the face will later become pallid, and the neck drawn

back. In these congestive troubles, lying with the eyes half open;

almost no winking. “Orbital neuralgias. Protruding eyes, with

dilated pupils. Inflammation of the optic nerve and retina. Eyes

congested and red.” Another feature belonging to the eye is strabi^

mus. Not those cases coming on gradually, such as will need the

surgeon, but those that come on with congestion of the brain, with

this state of congestion and dilated pupils and rolling the head from

side to side, flushed face, throbbing carotids and intense heat. After

a day or two the eye begins to turn in, and the little one is cross-eyed.

That is an additional indication for Bell. Sometimes, coming out of

a severe congestion, the strabismus remains and Bell, is sometimes the.

suitable remedy. All of these cases coming on from the circulatory

conditions should be cured with remedies. They should never be

sent to the surgeon. Though they remain some time, even months,

they will be cured by well-selected remedies, while those that come on

gradually, and those that are born so, will not be relieved by remedies.

Only those spasmodic ones that are associated with, and come on

from, congestion of the brain. In connection with congestion of the

liver and duodenal catarrh there is yellowishness in the eyes.

In inflammations of the car which go on to suppuration Bell, is rarely

useful. We have to look to c|eep acting remedies. We may have the

pain, tenderness, oversensitivc^iess, all inflammatory conditions ; but

cases requiring Bell, rarely go con to suppuration.

Now wc come to the mucous membranes, the nose, mouth, throat,

larynx, chest, the mucous membrane extending into the ear through the

Eustachian tube, and we have another strong feature of Bell, which

characterizes most of its conditions. Great dryness; a sensation of

dryness. Dryness in the nose ; mouth ; of the tongue ; in . the

throat; in .the chest, and such evidences as dry cough and

spasmodic conditions. These are so general that with the

nose symptoms, the coryza, the throat symptoms, the cough,

this is intensified ; dryness of mucous membranes will generally be

found. It is that way with Phos, When Phos, has .a sore throat it

will have dryness of the mouth, tongue and air passages. This is

general as to the respiratory tract. Then there is coryza with much

sneezing. “Pricking, burning in the nose.^' Hot sensation in the

nose. The general states present much redness of the face, much

heat with the coryza ; hot head, cold extremities ; marked headache,

because there is dryness. /The very dryness itself is sometimes causative

id pain, because the natural flow from the. mucous membranes is dried

up. Whenever we have checked secretions wc have fever, and ..in

BdL this is maAcd, . Checking -of the discharge with .fever;, with

t6

heat, redness and burning ; red face, burning face ; heat in the face

and head, and cold extremities. It says in the text, “maddening headache, with suppressed catarrh.”

Now, in such a climate as this most people during winter and

cold weather and the changes have more or less mucous flow from the

nose, and eyes, and air passages. They are better when this takes

place. All at once it stops, and all the parts become dry ; then look

out. An awful, maddening, throbbing headache comes on. It is

not so suitable for those old catarrhs where there is a copious flow of

thick, yellow mucus. The catarrhal state wherein Bell, is useful is

simply the exaggeration of the whitish mucous flow. Where it has

been thick and yellow, and then stops suddenly from a cold, and a

coryza comes on. Bell, is worthless. Always bear in mind that you

select for suppressed catarrh a medicine that is within the sphere of the

symptoms that have been suppressed. Hence, the medicine for

thick, yellowish-green discharges might be Merc., Sulphur, or Pulsatilla; then you are within the range of medicines capable of re-establishing the flow, and at the same time beginning a curative effect on

the state of the tissue, leaving the patient in a much better state.

Violent faceaches. Rending, tearing pains in the face ; throbbing

pains in the face. Pains in the face worse on the right side ; worse

from a jar ; with much heat ; throbbing carotids ; hot head ; brought

on from exposure to cold wind, and riding in the cold wind. Bell, has

cured paralytic conditions, but Causticum is generally the remedy for

paralysis of the face from riding in a cold wind. Spasms of the

muscles of the face. Extraordinary twitchings of the face. Erysipelas

in the face ; a bright red gradually becoming purple if there is a fever

accompanying it. In the neuralgic pains there is always more or less

congestion of the face with violent pains, and the face will be bright

red. With the zymotic state, as the febrile condition becomes more

profound, and as the blood becomes more zymotic, the face grows

from duskiness into a mottled state, as you will see in Bapfisia, more

marked in Baptisia than in Bell. “Red face, with burning heat." The

teeth are full of pains, congestions, and aches of a similar character.

Very sensitive teeth.

The tongue should be a dry tongue, as that is general with its

mucous membranes. Dry mouth ; dry tongue ; swollen tongue ; protruding tongue, dry and hard, feels like leather. Loss of sensation,

loss of taste, loss of power of the tongue and loss of speech are all

BeH. features. “Paralytic weakness of the tongue : trembling of the

tongue wdien it is protruded,” It comes out weak. In a very few

days die Bell, fever patient is greatly reduced, is greatly exhausted,

has almost a paralytic weakness. When he raises the hand and holds

it. a moment it trembles in the same way. That which is found in thQ

belladonna

ao3

tongue is only a part of the general state. Trembling from congestion

of the nerve centers. The papillae of the tongue are erect, and the

tongue is bright red. Bright red tongue in scarlet fever. Bright red

tongue in congestion of the brain, with the erect papillae. When going

over Arum tnphyllum I told you it had been pronounced ‘‘strawberry

• ▸tongue.
• ▸'" It is the same with Bell.
• ▸The tongue looks as red as a strawberry, and the papillae stick up like seeds.
• ▸“Red streak in the middle

of the tongue, wide and broader towards the point. Tongue, white

centre with red edges.” White tongue with brain afEections is not

uncommon. It has thick, milk-white, delicate fur all over the tongue

in brain troubles. “Dryness of the mouth, with thirst." “Dryness of

the mouth, with no thirst." Bell, is full of thirst, we will find when

we come to study the stomach symptoms. Sometimes Bell, wants

large quantities, sometimes water constantly to wet the mouth, like

Ars, It is a common feature in Bell., like Ars,, to want water little

and often. Just enough to wet his parched tongue, mouth and throat.

Dryness in posterior nares, and the mucus that he drags down from

the posterior nares is tough and stringy, and very scanty, and it is

white, or, if changed at all from white, it is bloody. Yet I have not said

anything about this remedy for bloody discharges and for bleeding.

We will find before we finish that it is a haemorrhagic remedy, that

parts bleed easily. There is bleeding from the eyes, bleeding from

the nose, bleeding from the throat, bleeding from the larynx, bleeding

from the chest, bleeding fronjj the bladder, bleeding from the uterus.

• ▸Ulcers bleed.
• ▸Little fine ulcers in the throat no bigger than a pinhead.
• ▸Little aphthous patched bleed.
• ▸An aphthous inflammation of

the throat ; but the most of the complaints of the throat are dry and

• ▸red.
• ▸Great tumefaction.
• ▸Extremely sensitive ; much swelling ; inability to swallow.
• ▸Great pain on swallowing, with all the sensitivity

of the surrounding parts, with the sore throat, and with the inflamed

throat. Inflammation and swelling of the tonsils, with red face,

•intense heat, throbbing carotids, high fever, coming on from cold.

• ▸Fauces and pharynx deep red.
• ▸Soft palate and tonsils swollen.
• ▸Swallowing painful, particularly of fluids.
• ▸Speech thick.
• ▸“Feels like a lump

in the throat" — that is from the swollen tonsils. Constant scraping

and hawking in the throat. The pharynx and larynx are very commonly in a state of spasm ; partly from dryness, partly from extreme

sensitiveness of the nerves of the part. Clutching of the throat on

going to sleep, clutching of throat on coughing. Spasms of the

oesophagus. “Spasmodic constriction of the throat." Constrictions

that are spasmodic. Constrictions of the larynx, of the pharynx, of

the throat. Bell, has constructive pains in parts that feel like the clutch

of fingers. That sensation of clutching is felt in the uterus ; it is a

spasm. It is felt in the liver ; it is felt in the brain ; it is felt in the

>04

B£LLA1X>NNA

throat. Jerking and twitching of muscles, with violent pain, in. painful

parts. That is a strong Bell, feature. Patients sometimes in their

inability to describe their feelings will say, “Doctor, I feel a clutching

in there.”

This constriction that comes in the sore throat occurs just in the

act of swallowing fluids or solids, and that action will force the food

and fluids up into the nose, and sometimes out of the nose. Some

remedies have it as a paralytic condition, because the muscles of deglutition are paralyzed and they do not favor the natural contracting

actions to force the food down the oesophagus, and in that way the

food is forced up into the nose and causes strangling. In Bell., in

its acute states, its inflammatory conditions and its spasms would

distinguish it from Lachesis, where it occurs as a paralytic condition

• ▸after diphtheria, and from Alumina, which has a spasm of the oesophagus.
• ▸These are slow in coming on.
• ▸Bell, is early.
• ▸The early part

of the fever is the time of its irritation. The latter part of the fever

is the time of its relaxation. Rapidly forming aphthous patches upon

the tonsils. With the sore throat such as we have described you

will nearly always find an enlargement and inflammation, or soreness

of the glands, under the jaws about the neck. Tenderness along with

a Belladonna sore throat is a natural concomitant.

A strange feature running through the Bell, fevers of all sorts is

an unconquerable craving for lemons, and lemon-juice. Lemonade

seems to agree sometimes. In acute diseases when they crave lemon

it is good for them. They often crave things to eat. You must not be so

violently temperate and in favor of prohibition that if a patient longs

for beer in acute sufferings you will not give it. “Thirst for water

changed into thirst for beer.” Thirst for things that could not be

endorsed in health, even. “Excessive thirst for cold water.”

In the stomach and bowels we have inflammatory conditions which

can all be grouped as one. Pain, burning, distress, distension ; sensitive to a jar, and to the slightest motion, and to the slightest pressure.

Sensitive to a jar, and sensitive to motion. “Pain in the stomach extending through to the spine.” Inflammation of the stomach from

becoming chilled, with intense heat ; with much burning. It has

violent colic, intense cramping pain in children. Face red and hot;

pain relieved only by bending forward. There are exceptional instances where it has been relieved by bending backward, when it is

similar to Dioscorea. The mother finds that by holding the child

on her hand it will relieve the colic. That is like Colocynth ; but

Colocynth is without much fever, without much thirst, a pain in one

^CK}t, an intense colic in the abdomen ameliorated by doubling up,

ameliorated by bending across something hard, is Colocynth. In that

inataate Colocynth tan be prescribed on that one group of symptoms.

"Great pain in the ileo-coecal region ; cannot bear the slightest touch,

even the bed clothes.” There are instances where Bell is the remedy

in appendicitis.

Belladonna has dysenteric troubles. Diarrhoea, witli scanty fluid

stool ; marked straining, but with it the face is flushed. Heat, redness

and burning in the face and head. Cold extremities, with hot head

Much straining, but passes scanty stool. “Spasmodic constriction of

sphincter ani ; with haemorrhoids.” Haemorrhoids that are violently

painful, that are intensely red, that arc greatly swollen and inflamed,

a high grade of inflammation ; cannot be touched ; must lie with limbs

wide apart, the haemorrhoids are painful and there is much burning.

No remedy has a greater irritation in the bladder and along tha

urinary tract than Bell. The urging to urinate is constant. The urine

dribbles, and it bums intensely along the whole length of the urethra.

The whole urinary tract is in a state of irritation. Bell, has cured inflammation of the bladder. With the irritation and tlie congestion

there is all the sensitiveness to pressure we find in any other part

where Bell, is indicated ; sensitive to a jar. Irritable state of the mind,

• ▸irritable state of the whole nervous system.
• ▸“Tenesmus of the bladder.
• ▸After passing urine sits and strains,” in torment.
• ▸The urine is

diminished, bloody, sometimes pure blood, or little blood clots. A

considerable quantity of blood in the bladder comes away in little

clots. “The urine looks as if mixed with brick dust, or streaks.

Strongly acid.” There is a s|>asmodic retention of urine and there is

involuntary passing of urine! Dribbling of urine in brain troubles.

During sleep, dribbling of urine. Dreams that he is passing urine,

and involuntarily passed it. Retention of urine after shock, or from

congestion of the brain, or after confinement. Bladder full ; great

pain ; great sensitiveness. Involuntary dribbling while standing and

walking ; or sometimes from mere motion the urine spurts. The

urging is violent and sudden. When a little urine has collected in

the bladder he has a sudden, painful urging. Much of the trouble is at

the neck of the bladder, and it is spasmodic. He feels the spasmodic

clutching. At the time of the urging, and at other times, he has

spasm of the neck of the bladder, from shock, from cold, from anxiety,

from mental disturbances. When becoming old, or chilled, or in very

cold air, women lose their urine, like Dulcamara and Causticum, Starts

in sleep, and wets bed. Dreams of a fright, which causes a starting,

and she wets the bed. On going to sleep, a sudden electric shock goes

through the whole body, and she wets the bed. Bell, is rich with

such strange little peculiarities ; but it only shows the general spasmodic condition and the general irritability of the whole Belladonna

cemstitution. We see those strange conditions and states, the irritability in all parts of the body, especially where there are sphincters.

2o6

where there are circular fibres clutching in the neck of the

bladder ; clutching at the mouth of the vagina ; constriction of tubes.

Constriction of the uterus. Here we see a special marked

feature of it, in the neck of the bladder. It has more troubles

in the woman than in the man ; that is in the symptoms and conditions

in relation to the female sexual organs, and to parturition, and to the

breasts, and during the period of gestation there are many conditions

where Belladonna will be needed. It is really an important remedy

for the nervous sensitive woman, the woman of irritable fiber.

In the male genitals we have scarcely any important symptoms ; but

with the female there are many, and some very distressing ones.

They have symptoms of great suffering, of great excitability. The

parts are sensitive ; the uterus and ovaries are congested, sore to

touch, sensitive to jar. Irritable uterus, until it has become enlarged

and painful, and sore to the touch. Sometimes it remains in this state

after parturition. Or, after every menstrual period it is a little larger,

• ▸and remains.
• ▸It does not return to its normal state, but remains congested, and the woman feels all through the interim as if she was menstruating.
• ▸Bruised feeling ; sensitive to a jar.
• ▸The flow is copious

• ▸and clotted.
• ▸But the most striking feature here is the uterine haemorrhage.
• ▸Uterine haemorrhage.
• ▸from congestion, with spasms, with great

sensitiveness. The uterus contracts with violence, hence, a spasmodic

contraction. Great soreness, with a copious flow of bright red fluid

mixed with clots, is the characteristic of the Belladonna flow. It is

like Sabina in that respect. Those two medicines have that in a high

grade. The uterus fills with a clot, and then comes a contraction like a

labor pain and expels it ; for a while a copious flow of fluid ; and then

contractions like labor pains come on again, expelling the clots, and

then comes the flow. The blood clots soon, and the haemorrhage is

attended with great exhaustion. Now this occurs almost without any

• ▸provocation.
• ▸This haemorrhage occurs also in connection with abortion.
• ▸Belladonna is a great remedy to check the haemorrhage in connection with abortion or from any cause whatever where the symptoms of sensitiveness are present.
• ▸Sensitive to touch, sensitive to a

jar ; the patient herself is in that state of irritable sensitiveness, great

nervous excitement manifested both when awake and in sleep, often

with fever. Haemorrhage, with febrile conditions, but usually the

haemorrhage takes the place of the fever, and commonly if there is

haemorrhage it will relieve the fever.

It is also a great remedy for haemorrhage after confinement. The

blood feels hot. Haemorrhage, with hour-glass contraction. It is

not an uncommon thing for the placenta to ^ grasped in its middle

by a contraction like an hour-glass tearing it loose here and there,

and from below comes the bleeding ; a copious flow of blood. BelL

relieves this hour-glass contraction.

There is another phase of Bell, that runs all through these inflammatory complaints and its fevers. The inflamed parts, and very commonly the skin, are very red, and, as the inflammation advances, grow

dusky ; as the fever advances the face becomes mottled ; but the first

representation of Bell, is bright red, and the skin is shiny. An inflamed part that can be seen will be red. In inflammation of glands

the skin over the glands will be bright red in spots. Bence red spots

in the neck over inflamed glands. Inflammation of the parotid glands,

inflammation of the sub-maxillary glands, inflammation of the glands

of the neck — there will be a spot as red as fire over each. The throat

is as red as scarlet. The mucus membrane is inflamed, and red as

scarlet. After a little it grows dusky, finally mottled; showing the

character and direction of the Bell, constitution. It travels gradually

towards a zymotic state, such as we see in scarlet fever, in low inflammatory conditions; at first intense congestion, but vaso-motor paralysis follows. Intense congestion and blueness, or purple and mottled.

»93

Another grand feature of Bell, is present in its inflamed parts, and

in its painful parts. Whenever Bell, brings out anything like a decided action, it has burning; intense burning. The burning in the

throat with a Bell, sore throat is like a coal of fire. Inflammation of

the tonsils, burning like fire. The skin burns, and it is burning hot

to the sensation of the patient, and intensely hot to the doctor. The

skin burns in scarlet fever. He says, ‘‘It burns so, doctor, it burns

so in bilious or remittent fever. In inflammation of an organ, the

skin burns, there is a burning fever, and the part itself burns. Inflammation of the bladder, with burning. Congestion of the brain, and the

head burns. Congestion of the throat, and the throat burns. It is

• ▸hot locally, and it also burns subjectively.
• ▸In gastritis there is burning.
• ▸In inflammation of the liver, the liver burns.
• ▸Congestion

of the liver with jaundice, and the liver burns. Now, we have

three leading features ; do not call them “key notes,’' for that is not

what I mean ; heat, redness and burnmg. We will see how they

modify the whole feature of die sickness, how they permeate and ramify, and how they take meaning.

It has also the most violent dysmenorrhoea. Pains like labor-pains.

Spasmodic labor-pains. Circular contractions are the commonest

forms in Bell. All of the fibers should take part uniformly and do their

work uniformly, and thereby gradually bring to bear a tightening

upon the contents. In Bell, it is just like a cord going around the

body of the uterus, tightening it, and it interferes with labor. That is

the way it is in its dysmenorrhaa. Violent contraction of the circular

fibers, and hence, a woman will often describe it as feeling as if the

uterus was clutched with a string. As if it were tightened. Bell, is rich

in spasmodic conditions, in haemorrhagic conditions, in states of irritation, and in soreness, and the parts are sensitive to pain, and the woman

herself is dreadfully wrought up and shocked by pain. In addition to

that, pains in the ovary. Belladonna acts in many instances on the

right side. It is common for the right ovary to be more painful than

the left, or the right to be entirely affected and the left not at all, in

• ▸Belladonna.
• ▸So it is with the right side of the throat.
• ▸So it is sometimes in the right side of the body.
• ▸“Pains in the ovaries with the

appearance of the menses. Pains in the pelvic region, which come

on suddenly, and cease as suddenly.” The characteristic Belladonna

pains come on suddenly, sometimes stay a few seconds, sometimes a

few minutes, and leave suddenly. Pains from uterine congestion.

Acute inflammation of the uterus. “Enlargement of the uterus, and

periodically spasmodic bearing’ down.” It has a relaxation in the

parts as well. The uterus ha» been congested and is enlarged, and

heavy, and the little suspemory attachments have become relaxed,

and tired, and weak, and have stretched and elongated, and the

already distended and overweighted uterus keeps pulling on them,

and this creates the sensation that women so often describe, a bearingdown sensation as if the uterus would escape. It is sometimes

described as a funneling sensation. These are the expressions of

women when they suffer from prolapsus. That relaxation is common in a great number that have been poisoned with Ergot. The

uterus comes down and is partly exposed between the labise. Prolapsus as if the whole inner parts were coming out is a common

feature, and with this she is worse from a jar. There is a great sensitiveness in the parts. There is a great soreness in the uterus, and a

sensation of heaviness. I have seen women sit with their limbs wide

apart so sensitive is the neck of the uterus that is protruding from

the vulva. “Must sit ; cannot lie down.” Many of the Bell- cases

cannot lie down, because of the stretching of the abdominal muscles.

When they lie down they must draw up the limbs to relax those

muscles. Must sit, or take a flexed posture. Great sensitiveness in

the j^ns. Pressing and urging towards the genitals. There are all

ao8

sorts of positions, and aggravations, and ameliorations in Belladonn^t

in accordance with what particular muscles are involved. Some

patients can lie better than they can sit. Almost all are worse stands

ing. Some arc made better by sitting with the limbs wide apart.

Most arc aggravated by bending forward too much. Sitting in a chair

she cannot bend forward too much, neither can she bend backwards

without increasing the suffering. So sensitive, and so much swelling

in these parts. She is worse from motion, worse from jar, worse from

excitement, worse from the slamming of the door, because that makes

the muscles twitch. All this illustrates how sensitive the irritated parts

are. Then in the external and internal genitals and ovaries there is

burning, and twitching, and much heat. Often tearing pains ; the

tearing pains are generally an exaggeration of those clutchings and

constrictions, and such are known as spasms especially of the circular fibres.

Belladonna is well suited to pregnant women who are extremely

sensitive, who are plethoric, who have congestion from taking cold,

who have soreness, where there is threatened abortion, or during

or after abortion when there are haemorrhages. Then again Bell, is

useful in red-faced plethoric, vigorous women who have married

late in life and become pregnant, and when the day of delivery comes

the muscular fibres are in a state of tension. The uterus will not

relax. She is flushed and has heat, and is in a state of excitement,

sensitive to touch, sensitive to jar. Relaxation will soon follow. It is

not to be expected that she will have an easy labor, because women

who marry at 28 or 30, or later, suffer from prolonged labor.

There is one strong feature of the haemorrhages, and of the dis*

charges ; the flow of blood feels hot. During confinement gushes

of blood that feel hot. After abortion, gushes of blood that feel hot.

A lochial discharge that feels hot, along with the sensitiveness and

soreness of the parts. Tenderness to pressure. There are inflammatory

conditions of the breasts accompanying confinement. Milk fever. When

the breasts become red, extremely sensitive to touch. She cannot turn

over in bed ; she cannot have the bed jarred, the face is flushed and

die carotids are throbbing ; there is fever ; the sensitivity is aroused

throughout the economy. Great induration ; hard as a stone. Bell, will

: stop the pain in the breast in a few hours. It will stop that congestion,

and will relieve all suffering.

When the mammary glands arc inflamed without any general symptoms, but merely an inflammation of the glands give Phytolacca.

Inflammation of the larynx. There is that clutching again, and

choking. It begins with a rawness in the throat, a smarting and

scraping, and the formation of a little mucus. After much icrapu^

md hawking it extends up the throat a little ; but before he to

cough it is quite dry. There is smarting, and loss of voice. As soon

as he attempts to go into a sleep, that clutch comes on and wakes him*

up. Hoarseness and rawness and clutching in the throat. Laryngitis

with sensitiveness, ^'Sudden attacks of hoarseness every motion,

or the slightest attempt to talk, the slightest effort to move the larynx

or to touch it causes suffering. Moving the head backward, or

moving the head from side to side, causes pain and cough. Swallow^

ing aggravates. As the bolus goes down behind the larynx he feels a

great big sore place, it is the larynx. The voice changes. One minute

it is one key, and in another it changes. Sometimes it is hoarse and

sometimes it is squeaky. And then, there is complete loss of voice,

unable to utter a sound. “Croup-like spasms in the larynx. Spasms

of the glottis. All the symptoms of croup,'* but no membrane. It is

simply a dry, denuded larynx, with rawness and scraping ; an inflamed

condition. And this is the form of the acute laryngitis ; it comes on

very suddenly. His respiration is short, rapid and painful. Often

asthmatic. Asthmatic condition, with spasmodic breathing. And

again, these symptoms seem to involve the whole chest. Oppression

of the chest. Asthma in hot damp weather.

The Belladonna cough comes on from clutching in the larynx. As

if a little speck of something had crept into the larynx ; a little dust,

or a little food, or a drop of water had gotten into the larynx, and he

coughs. '*Dry, spasmodic cough." An intense cough. Cough at

night. Cough when lying dowii, more at night than in the daytime.

The cough is spasmodic, barkiog. short. It is a remedy for whooping

cough, with spasms of the larynx which cause the whoop and difficulty of breathing. Finally after long coughing, the expectoration of

a little blood, or a little thin white mucus, is the result of the violent

turmoil going on in the air passages from coughing. The Belladonna

cough is peculiar. As soon as its great violence and the great effort

have raised a little mucus he gets peace for a little while, and stops

coughing. But during the restful pcrio<l the larynx and the trachea

and the air passages grow dryer and dryer, and finally they commence to tickle, and then comes on the spasm, as if all the air pas«

sages were taking part in it, and the whoop and the gagging, and

sometimes vomiting. Then he gets up a little mucus and the cough

subsides. Another little interval and he has another spell. That is

the way its goes on, like whooping cough, but during all of the interim

there is constant dryness. Hence the cough is called paroxysmal.

Tightness in the chest. Painfulness in the chest. Soreness in the

chest In Bell, the child will cry the instant it feels that urging to

cough, because it knows what a great suffering is going to take place.

The chest is so painful, the child dreads the cough and screams. By

the child's cry knQ\v that: it is going to have a coughing spell. Just

2X0

like Bry., Hepar and Phos,, which have that feature more than other

remedies. There is burning in the chest ; violent congestion in the

chest. With all of these chest complaints there is that dry, harassing,

spasmodic cough ; worse at night.

This remedy cures pneumonia and pleurisy, I am sure every one

here could picture a Belladonna pneumonia, or a Belladonna pleurisy.

I am sure you know the patient so well that I need not describe the

patient, the head, the congestion, the red face, or the burning ; but in

pleurisy I will tell you its secret. Bell, prefers the right side. Great

pain ; extreme soreness of the part ; cannot lie on it ; worse from the

jar of the bed — and you have the Bell, pleurisy. Bry, also prefers the

right side, but the Bry. patient must lie on that side ; must have pressure, and is not so sensitive to a jar ; he has not the intense heat, he has

not the great throbbing, and the burning. Every kind of sickness that

you go to you have to individualize in that way. There is no other

way to practice Homoeopathy.

Remember, with all the inflammatory conditions there will be throbbing, heat, redness, burning, soreness to touch, and sensitiveness to a

jar. With Bell, it means he cannot lie on the inflamed part ; while with

Bry. he is ameliorated from lying on the inflamed part.

• ▸Throbbing in all the arteries.
• ▸Great congestion.
• ▸Vascular excitement.
• ▸These are present with all the congestions, and inflammations.

Belladonna cures inflammatory rheumatism, when all the joints

are swollen, or a great number of them, and they are hot, red, and

burn. We have in the rheumatism the heat, redness and burning running through ; with the same sensitiveness of the whole patient, and

a sensitiveness of the joints tc the jar of the bed. He wants to lie

perfectly still, is very much worse from motion and has considerable

fever. Sometimes when the fever in inflammatory rheumatism

runs pretty high there is delirium. But the striking features are,

the swelling of the joints with the redness, and great sensitiveness to motion and to a jar. It is especially suitable to those

that are very sensitive to cold, who cannot bear the least uncovering, cannot bear a draft, very sensitive to the motion of

the covers, and ameliorated by heat. The very stamp and character of Bell, is in its rheumatic state, like it is in all of its other

complaints. It is the patient that has given Bell, that character in the

provings ; it is the patient that gives disease that character when he has

it, and it is only the fulfilment of the Law of Similars when these

come together, and the remedy annihilates the sickness.

Inflammation of the joints, coming on from sudden exposure of that

particular joint. Or from a severe attack of cold one joint becomes

inflamed. A trouble that is localizing itself. It may be any joint of

the hody* for Bell affects all the joints. The sudden exposure to poldi

tit

in plethoric individuals, is one of the most prominent causes of the

Bell, sickness. In chronic cases the taking of cold generally locates,

or creates, a ^disturbance, and increases disorder, that manifests itself

in the weakest place. Vigorous people take cold in the nose, where they

throw it off easily. You can often say to sickly patients that ' your

cold now affects you in the weakest place. If you have liver trouble,

your cold will settle in the liver,** and so on ; “but when you get well

you will take cold like other people, in the nose.'' Absolutely healthy

people seldom take cold, but we do not have many such, they are so

rare that we do not often see them ; and the snuffles, and sneezing,

and the running at the nose are simply throwing off of the cold of

ordinarily healthy people.

In the limbs, again, we have convulsions, which is a parr of the

generals. In all the muscles in the limbs, and throughout the body,

convulsions. Children go into convulsions with head troubles, with

congestion of the brain, with irritation of the brain. Convulsions

from taking cold, in plethoric children, and the limbs are most likely

• ▸to show forth these convulsive efforts of the muscles.
• ▸Violent cramping, All the limbs are in a state of convulsive movements.
• ▸Sometimes the spasms are clonic, and sometimes tonic.
• ▸The

convulsions in the limbs are sometimes such as draw them up suddenly, throw them out suddenly ; sometimes convulsions that throw

the body backward, called opisthotonos, and sometimes throwing the

body forward, called emprostliotonos. The most of the complaints

in Bell, are ameliorated by keeping still. The drawing pains, the pulsations, the inflammatory conidtions drive the patient into a desire

for perfect rest, arc aggravated from morion. The disinclination and

aversion to the slightest motion is common in Bell., and as strong in

Bell, as in Bry, Bell, is so sensitive in parts that the motions of talking

are painful ; so sensitive that the conclusion of the voice is painful

in the sore spots. A person with a strong voice, a bass voice, hardly

thinks of the concussion that takes place ; and much less is that of the

female voice, and yet I have seen that aggravation from motion, and

that aggravation from jar so marked in the female that her voice

was like the pounding of hammers. In inflammation of the uterus,

and ovaries, and the bowels, she refrains from talking, because her

voice creates a concussion in the sore parts. That only illustrates the

extremes of this great sensitiveness to motion, and to jar. Jar is

only an exaggerated form of motion, bringing out that sensitiveness.

If you will study the nerves you will find the greatest array of peculiar nervous manifestations, such as sensitiveness of the nerves, aggravated from shock ; spasms ; various disturbances of the whole nervous

system ; twitching ; jerking ; trembling ; subsultus tendinum, etc.

Cramps, and spasms, and convulsions in children. Convulsions come

on with great suddenness. They come on entirely unexpected. In

most instances of convulsions in the long acting remedies and medicines of the zymotic type, the patient has not been prospering in the

last days of her gestation ; but with Bell, she goes on part way through

the labor, or finishes it, and little is expected. Perhaps her face is

a little too red, but she goes into a convulsion unexpectedly, a violent

one from head to foot. Congestion of the brain, with excitement. Intense heat ; everything is intense, violent, sudden and unexpected.

The pains sometimes leave in confinement suddenly, and a convulsion

comes on. But look and see that all the sensitiveness that I have

described runs through the patient. The pains cease suddenly. The

• ▸blood seems to mount to the head.
• ▸The face becomes red.
• ▸Congestions come on suddenly.
• ▸Convulsions epileptiform in character.

Bell, is not suitable for those numerous recurrent complaints, even

though the single attack should be mitigated with Bell. Take any of

these attacks ; whether they are convulsions or headaches, or congestion of the brain, they are running down and become excitable,

take on congestive attacks of the head, go right to bed, and roll the

• ▸head.
• ▸You treat those with Bell.
• ▸; the attack is relieved.
• ▸Take notice,

1 start out by saying this is only one of a scries. You may not know

it. This may be the first one. You reduce that one, and when that

same exposure comes again, that same attack comes back ; but Bell,

does less this time than it did before. After two or three attacks Bell,

will do no more and you are worse oft this time than you were before.

When it has broken the first one the physician should see that this is

one of a series, and that Bell, is not suitable. Often it is a case that

needs Calc.^ I say often, not always. All the symptoms should be

examined between the attacks, so that the child may be elevated above

these attacks because the acute remedy will do no more than suit the

first, or second, or third at most. It has not the depth of action. It

has not the length of action. It does not affect the economy profoundly enough. It passes away after a few days ; has to be frequently

repeated. The patient should be followed up and watched in all these

recurrent spasmodic and periodical complaints. Bell, is not a good

remedy for recurrent complaints for it lacks periodicity, just as it lacks

continuance of complaints. Even if the first attack looked like Bell,

the next attack would come back just the same. Belladonna is suitable

in those complaints that if conquered have no tendency to recur ; those

complaints that end in death or recovery. It will only mitigate those

complaints that are periodical.

Its sleep is a congestive sleep, a stupor ; full of dreams ; full of

violence. Wakes with fright from a horrible dream, a nightmare.

Jerks and twitches in sleep. "Restless sleep.” Moaning and groaning

• ▸in sleep.
• ▸Doing all sorts of violence.
• ▸Delirium in sleep.
• ▸"Starts in

belladonna

sleep as x£ frightened/’ In sleep sometimes the patient will commence

to talk, will talk faster and louder, the head becomes hot, and the

feet cold, and he ends with a shriek. ‘^Restless tossing in sleep. Feet

becoming icy cold in sleep. Head getting hot in sleep. Wakes up in

a fever, and excitement/'

It has symptoms so much like a typical old-fashioned Sydenham

scarlet fever that it has been useful in scarlet fever. Perhaps it is

one of the most frequently indicated medicines in that disease. In

some seasons, at least, it will rim all through, and the majority of

cases will be Bell, cases, with the bright red face and glossy appearance of the skin. Bright red, intense heat, great congestion ; after a

short time if Bell, is not administered it will grow darker. But running through all this are those three words, heat, redness and burning.

Burning everywhere. The temperature I described among the generals as being so marked, so intense that you will carry it with you on

the ends of your fingers for hours after you have touched a Bell,

scarlet fever. It differs wholly from the Afris case, which has

a rough rash. Bell, is smooth and shining. Apis wants to be cool,

wants to be uncovered ; Bell, wants to be warm, wants a warm room ;

Apis has no thirst, to speak of ; in Bell, it is the exception to have no

thirst, generally very thirsty for water, little and often. The intense

dryness of the mucous membranes and skin. Coldness of the extremities with hot head. In Armn triphyllum there is a constant

picking of the mouth, with suppressed or scanty urine ; pale surface,

only here and there a little raSh ; the itching of the fingers, toes, nose

and lips will lead you to prescribe Arum. You remember the Baptisia

case, with that mental state where he is feeling all over the bed “to

get the pieces together.’’ On the other hand, where there is no rash to

speak of, now and then a patch enough to make a diagnosis, or the

diagnosis is made from the fact of some one else having the disease

in the family, the child is swallowing ice water, but vomiting it up

when it gets warm in the stomach, who would not give Phos ?

So it is at the bedside we pick out the distinguishing things and see

that these remedies are not at all alike. Bell, stands out with its

heat, its redness, its turmoil. Remember it has not continued fever ;

it is not suitable in typhoid. Bell, in a night will bring down the

fever, will allay the delirium ; but how is it the next night ? On comes

the fever, and the patient is worse than he was before. Simply because

Bell, cannot hold what it starts with. It is not suitable. It has not that

continued feature in it. We are led to a medicine that corresponds

to continuous fevers, and such must be selected when we go into the

typhoid state. Our earlier practitioners often only thought of what

they saw at the time. It was only after our school had considerable

experience that it was found that periodicity constitutes a symptom.

Every remedy has its pace, its times of aggravation and its times pf

• ▸amelioration.
• ▸So it is with Bell.
• ▸Its time is 3 o’clock in the afternoon, commonly.
• ▸Its complaints are generally worse in the night.

It complaints commonly start about three o’clock in the afternoon,

and run till three in the morning, or until after midnight. So that

during the night its fever is highest. The fever comes on, and rises

rapidly, to a very high temperature, sometimes 104*’ or loj"", and runs

down again to almost normal ; but not with a complete apyrexia. It

is not suitable in complaints with complete apyrexia, for that marks

complete periodicity which Bell, has not.

The heat, the redness and the burning characterize most of the skin

symptoms. It has a fine rash ; not the coarse rash, but the fine,

scarlet led, smooth rash. It has inflammation of the skin, phlegmonous, a deep inflammation. First bright red, gradually grows

bluish or purple, or mottled ; and in this there is the heat, redness and

burning. It is not suitable generally for the erysipelatous inflammation of the skin and deeper tissues, covered with vesicles, like Rhus.

Vesiculation is sometimes present, but it is the exception, while in

Rhus it is the general Icharacter. RJius begins with inflammation ;

it has heat, redness and burning ; but whenever Rhus begins an inflammation, just that instant it throws out a great blister, and it fills

with serum. Almost any Bell, surface that is inflamed is likely to

throw out a red rash. In intense fevers, where there are not scarlet

fever or any of the common rashes, a red, fine, glossy eruption is

likely to come out. It is not an uncommon thing in congestion of the

brain, and in bilious fevers, for this rash to appear, and it sometimes

deceives the physician into making a diagnosis of one of the eruptive

diseases, whereas it is a mere hybrid. The Bell, skin, while it turns red,

has such a passive redness that you can write your name, almost, on

the skin. As you take your finger and make a line on it, it leaves a

white line behind your finger. That was an old diagnostic phase of

scarlet fever, and it shows that Bell, produces upon the surface that

peculiar passive congestion very much like the scarlatina. So we

have in the Bell, provings a symptom that is even a pathognomonic

symptom of scarlatina. But we do not prescribe on a symptom. Of

late years no homoeopathic physician ever thinks of giving a medicine

simply for the purpose of bringing the pulse down, or bringing the

fever down. He prescribes for the patient. It is true that the temperature does come down, if we get the right remedy ; but to prescribe a remedy to bring the pulse down is going at it wrong end to.

One who thinks homoeopathically never prescribes to remove a symptom ; but guided by the symptoms he selects the remedy, no matter

what follows. It is true the symptoms subside. Others might say

he prescribed to remove the symptoms, because they subside. Learn

But, that is not all. We have much swelling in Bell. The inflamed

parts swell rapidly ,• are extremely sensitive to touch ; are very painful, with the sensation as if they would burst, with pressive pains,

stinging and burning. There is heat, redness and burning in these

inflamed parts, as well as ^swelling. Swelling, stinging, burning,

• ▸throbbing.
• ▸All over he tkfOqs, With all congestions and inflammations he throbs.
• ▸The part itsdf throbs, and his carotids throb.
• ▸When

children are sick in bed wifc congestion of the brain, they have an

intensely hot head. If old enough to talk about it, they will say “it

burns." But then we will notice the throbbing. The temporal

arteries and the carotids pulsate, with great violence. A turmoil is

going on. An earthquake is taking place. Everything is being

shaken when the patient needs Bell. It is one of the mo&t painful of

remedies, It is so sensitive to pain. So sensitive that he suffers

more than ordinary people do from the pain. And, remember, the pains

come suddenly, they remain longer or shorter, and they go suddenly.

They do this in neuralgia ; they do this in inflammatory conditions ;

they do it in inflamed organs ; they do it wherever they come.

Pains, tear, shoot, burn, and sting, and press, and smart, all at once.

All of these characteristics are bundled up into one bundle, so that he

suffers. All of his pains are worse from motion, worse from light,

worse from a jar, worse from cold. He wants to be wrapped up

warmly, and is worse from any exposure or a draft. The headaches

are like matiy of the other pains ; it feels as if the brain was going up

ahd down, tearing and burning at every step he takes, and from -every

motion of the eyes, or turning the eyeballs, or going up stairs, fMng

from his scat, or sitting do\vn ; all motion creates violent pains ; feels

as if the head wouid burst, as if the eyes would be pressed out. If

he moves he starts the heart to pulsate on liis sore parts and he calls

them “hammering pains.“ Wherever that pain is he cannot have it

touched. If it is touched it will throb. If uncovered it will become

worse. If some one walks across the floor, the jar makes him worse.

The jar of the bed, if he is in bed, is a common aggravation of Bell.

If he is so sick that he is in bed, the jar of the bed makes all of his

complaints worse. You go to the bedside of a patient suffering from

an inflamed liver, and he will not let you put your hand on the bed,

for the jar makes him worse. If the pain is in the abdomen ; if it is

an inflamed uterus ; if it is in confinement, it is the same. This aggravation from the jar is such a marked feature that it is not always confined to inflammations. It is often a modified in a state of nervous

hyperaesthesia. A woman in confinement, when there is no inflammation, and none threatening, is in such a state of hyperaesthesia that she

wants the windows closed to keep the air out ; she does not want to be

touched ; she does not want the bed moved, any little jar aggravates ;

she is so sensitive to a jar, even when there is no sensitive part. You

go to such a case, and you will realize in time that you are going to

have a difficult and painful labor, without Bell. But with a dose of

Bell, all of these complaintvS pass away quickly, so quick is the action

of this medicine. The jar of the bed will often reveal to you the nature

of the remedy. If you walk to the bedside of a patient suffering from

gallstone colic, with violent pains, he cannot have the bed touched.

His face is red, his skin burns, he cannot be touched, he is in excruciating agony, and he tells that before you have crossed the room.

You see it all. He says, “Don't touch the bed, doctor." That is a

special feature ; the aggravation from a jar is marked.

Spasms — general spasms and local spasms. Spasms of little canals,

lof the circular fibers, of tubular organs, like that I have spoken of in

the gallstone colic. In the ductus communis choledochus there is a

clutching — or it may be in the cystic duct that the circular fibers,

clutch that little bit of stone and will not let it through. The passage

is large enough to admit it and it has started to go through — ^but the

irritation of the part causes a spasm and it clutches that little stone.

You put a dose of Bell, on his tongue, the spasm lets up, stone passes

on, and there is no more trouble ; in fifteen minutes the gallstone colic

• ▸is gone.
• ▸There is never a failure in homoeopathic prescribing in gallstone colic.
• ▸The symptoms are not always Bell.
• ▸, but in this instance,

where that horrible sensitiveness is present, it is Bell.

“Convulsions in infants." They are violent and are usually associated with cerebral congestion. The skin is always in “a state of fever.

They are brought on from light, from a draft of cold air, from thf'

infant becoming cold. Nervous, brainy children, those with a good

sized head, and plump, large-headed boys ; boys especially, but also

girls that have boys’ heads, when exposed to the cold have convulsions.

Light, motion and cold will bring on these convulsion. The Bell,

subject as an individual, like Bry,, is worse in all his complaints from

motion* Motion brings on convulsions, motion brings on pain ; motion

increases the action of the heart and brings on throbbing ; motion

brings on many complaints and increases the sufferings. Now think

of these generals whenever you come to Bell. This idea of Bell, must

prevail. No matter how many little symptoms you accumulate, get

at these first.

The mental symptoms of Bell, are delightful to study, but dreadful

to look upon. The mental symptoms are such as come on in intense

fevers, such as are observed in maniacal excitement, in delirium. Excitement runs all through. Violence runs all through the mental

symptoms. The mental symptoms are all active, never passive.

There is no passive delirium in Bell. It is a wild state. He is wild ;

striking, biting, tearing things ; doing unusual things ; doing strange

things ; doing unexpected things. He is in a state of excitability.

These mental symptoms that come on during fevers, the delirium and

excitement, are very commofily ameliorated by eating a little light

food. That is not generally known in Bell., but it is cjuite a strong

feature. But remember the violence, and with it, if you go to the

bedside where there is this i|iolent delirium, keep in mind the heat,

redness and burning.

Full of imaginations. Stes ghosts, and spirits, and officers, and wild

things. In the early part of the fever the delirium is very violent and

excitable ; but as it passes on he goes into a sleep, a sort of half-slumber,

a semi-comatose state. Apparently in a dream, and he screams out.

Dreams horrible things. Sees in his dreams the things that he talks

about. When he has real sleep, or resting, as near as it is for him to

rest, he has violent dreams ; night-mare. Secs things on fire. He is

in a delirium, and in torment. He becomes stupid at times, appears to

lose consciousness. Loses the memory of all things and then becomes

wild. His delirium goes on when he appears to be sleeping. These

symptoms often occur with cerebral congestion, the violent cerebral

congestion of the infant. If they are old enough to talk they will

talk about the hammering in the head. In Bell, the infant also commonly remains in a profound stupor, the profound stupor that goes

with congestion of the brain ; pupils dilated ; skin hot and dry ; face

red, throbbing carotids. Finally the child becomes pale as the stupor

increases and the neck is drawn back, because as it progresses the

base of the brain and spine become involved, and the muscles of the

neck contract, drawing the head backwards, and he rolls the head ;

eyes staring, pupils dilated. This mental state is associated with

scarlet fever and with cerebro-spinal meningitis.

Again, these mental states take the form of acute mania, when the

patient will bite the spoon ; will bark like a dog ; will do all sorts of

violent things ; even jump out of the window. He has to be restrained#

put in a strait-jacket. The face is red, and the skin is hot, and the

patient at times says that he burns all over, or that the head burns,

and the head is very hot. During all this time the feet are cold. Head

hot, feet cold, or feet and hands cold as ice. It seems all the blood is

being hurried to the head. All sorts of delusions and hallucinations

are mingled with the acute mania ; ghosts ; horrid monsters ; strange

things, and deformed subjects. Fear of imaginary things, and wants

to run away. In the delirium of Bell, he wants to jump out of the

window, wants to run, wants to get away from his attendants. He

thinks they are doing him injury. Throughout the acute mania, and

throughout the delirious state, all the manifestations partake of violence. Destructiveness. The Bell, patient in the most acute state

must be watched, controlled, handled, and sometimes tied. In the’

text it describes these states as “rage, fury.'" He wants to do violence.

“Moaning. Instead of eating, bit wooden spoon in two, gnawed

plate, and growled and barked like a dog. A boy violently sick ran

around the room laughing immoderately.’' It has an insane laughter. A loud, boisterous laughter, “A piece of bread, which he took

to be a stone, he threw far from him. He turns and rolls in bed

in a perfect rage. Aversion to noise and company.” Aversion to

light ; is better in the dark. At times a more passive state intervenes

between these attacks of violence. The active time is always that of

violence ; but there is sometimes a more passive state when the patient will sit or lie in bed and tear the bed clothing, or break anything

that she can get her hands on. If it is a stick, she will break it up.

Running all through the complaints, whether delirium, fever, or

pains, there is starting. Starting in sleep like an electric shock. Just

as soon as he falls asleep a sensation like an electric shock throughout

• ▸the body.
• ▸“Starts in fright at approach of others.
• ▸Fear of imaginary things, wants to run away from them.
• ▸” ^'Great anxiety^^ runs

through the remedy. As a patient comes out of these attacks of

delirium, as he comes out of convulsions, fear is depicted upon the

face. The patient is in great excitement ; the circulation is in a state

of great excitement ; the heart is in great excitement ; motion and

emotion increase the beating of the heart.

It may have been gleaned that Bell, is a remedy that is over sensu

the ; a state of hyperaesthesia ; extreme irritability of tissues. This is

said to be an increased irritability of the nerve centres. This develops

a state of increased ability to taste, and to smell, and to feel; excitability of the sensorium. Sensitive to impressions. Sensitive to light,

to noise, to touch, to jar. The sensorium is violently excited. Ex*

cessive nervous irritability stands out, perhaps, as one of the most

prominent features of Bell, in contrast with medicines like Opium,

that deprive the patient of all sensitivity. Tlie more congestion there

is in Bell, the more excitability. The more congestion there is in

Opium the less excitability. And yet they are very similar in many

respects ; very similar in aspect ; in the appearance of the eyes and

face; similar in pathological states. If I were to prescribe on the

pathological state, the congestion of the brain, the appearance, without

taking in the intensity of the one or other, I would not be able to

distinguish between Opium and BeU. They often antidote each

other. But we do not prescribe on pathology, but upon symptoms,

after careful individualization.

• ▸“Vertigo, ’ with this intense excitability.
• ▸Turning in bed, or moving the head makes him dizzy.
• ▸“Things go round.
• ▸” “Vertigo with

pulsations.” Moving the head increases the pulsation, and the vertigo.

The patient lies in bed ; cannot hold the head up. This increased

sensitiveness especially applies to the scalp. We notice it particularly

in the woman. She cannot have the hair bound up. It is often the

case that Bell, patients will not have the hair combed or brushed.

“Lets the hair hang down the back so sensitive is the scalp. “Hair

feels as if pulled. Does not 'want the hair touched.” There are some

remedies that correspond fto extreme irritation in very sensitive

natures ; like Hepar, where ihe faints with the pain ; like Nitric acid,

when cannot bear the noise of vehicles going along the street, because

it creates such violent sufferings ; like Cofjea, where footsteps aggravate all the complaints ; he was so sensitive to pain that the noise of

one entering the door when he was on the third floor aggravated his

sufferings intensely, though no one else could hear it. In Nux vomica,

even the sound of footsteps increases the pain all over the body. Bell,

has in its nature all this sensitiveness to pain. It is a part of the

general sensorium ; the whole bodily state is intensified. The Chamomilla patient is oversensitive to pain, but we do not need to sympathize with the Chamomilla patient, he will fight it out himself. But

you will pity the Bell, patient, you will pity the Pulsatilla patient, and

the Nitric acid patient,

A strange part of it also is the reactive excitability. The reaction

to medicine is so quick and so sudden that I have many times heard

a patient say, before I had turned my back away from the bed, “That

medicine has relieved me,” so quick is the reaction. In many medicines reaction is slowed down, but in Bell, it is intensified. So it is in

Nux vomica and in Zincum. When the case is very acute, but sometimes also when the case is somewhat chronic, this sensibility is

igH

marked. Cuprum is so sensitive all over. It has sensitive warts ; it

has sensitive skin, sensitive polypi, everything sensitive ; and it is so

sensitive in its reaction that, when it is needed, partially indicated

remedies will not work, because the patient is so oversensitive to

everything that everything overacts. The smallest dose, the mildest

dose, the simplest dose overacts and everything aggravates. Odors

aggravate ; well selected remedies disturb instead of cure. Cuprum

tones down, relieves that sensitivity, and well-selected remedies will

then act curatively and long. Cuprum lacks it in that high state of

congestion — it is not like Bell, in that ; Cuprum does not have that

sensibility along with the active fever and congestion, the throbbing

and disturbance of the circulation ; but it has it in a chronic state.

Women and children are so sensitive that they get no sympathy —

and it is not suitable for hysterical ones either, but those that are not

able to control themselves perfectly. Such is Cuprum, Wc have

medicines that are suitable to sensitive people, and especially sensitive

women. Sensitive to odors, sensitive to every conceivable influence.

The doctor who will go out and take care of these poor sick little

mortals, who understands their nature, perceives their quality, and

relieves them of their suffering, will command the whole community,

in spite of the reputation of all the doctors that are there before him.

He must not be one who measures everybody by his own sensorium ;

he may be a pachyderm, but he will find patients that are sensitive.

Atropia and its salts are used for ophthalmic purposes, to dilate the pupil and paralyze the accommodation.

• ▸Given internally or hypodermically, it is antagonistic to Opium and Morphine.
• ▸Physostigma and Prussic Acid.
• ▸Narcotic poisons and mushroom poisoning.
• ▸Renal colic 1-200 of a grain hypodermically.

Atropin injected subcutaneously in doses from a milligram upwards for intestinal obstruction threatening life.

Hypodermically 1-80 gr night sweats in phthisis.

Atropia 1-20 gr is antagonistic to 1 gr. Morphine.

Also used as a local anaesthetic, antispasmodic, and to dry up secretions, milk, etc. Hypodermically 1-80 gr night sweats in phthisis.