Delusion that strange persons are looking over patient's shoulder and that she would see some one on turning. Quarrelsome.
Bromum
Mentals
Cheerful, desire for mental labour.—Low-spirited and out of humour.—Crying and
lamentation, with hoarse voice.—Anxiety; originating in body (heart, lungs), patients expect to
see things jump around the floor.—In evening, when alone, feels as if he should see something if
he should turn round; as if some one were behind him.
Generals
Excessive languor and debility (worse after breakfast).—Great weakness and
lassitude after all the symptoms passed off; in diphtheria—Shivering with yawning and
stretching; repeated every other day, as a chilliness and cold feet—Tremulousness all over.
Modalities
Head
- Megrim of left side; worse stooping, especially after drinking milk.
- Headache; worse heat of sun and by rapid motion.
- Sharp pain through eyes.
- Dizzy when crossing stream of water.
Sensation deep in brain (after dinner) as if vertigo or fit of apoplexy would come
on.—Vertigo with tendency to fall backward; < stepping on bridge; from running water; from
rapid motion in front of him; with anxiety.—Peculiar headache and coryza: pressure in forehead
which seems to be pushing brain down and out at root of nose.—Headache: deep in crown, with
palpitation; over |. eye; < from stooping; from drinking milk.—Scalp tender; malignant scald-
head.
Eyes
- Lachrymation (r.
- ) with swelling of tear-gland—Darting through eye (1.
- ).
- —Dilated
pupils.—Flashes before eyes.—Protruded eyes.
Ears
Noise in ears.—Swelling and hardness of (I.) parotid gland; feeling warm to the
touch.—Suppuration of 1. parotid, edges of the opening smooth; discharge watery and
excoriating; swelling remaining hard and unyielding; after scarlatina.
Nose
- Coryza, with corrosive soreness of nose.
- Stoppage of right nostril.
- Pressure at root of nose.
- Tickling, smarting, as from cobwebs.
- Fan-like motion of alae (Lyc).
- Bleeding from nose relieving the chest.
Soreness in (swollen) nose with scurfs; pain and bleeding on wiping.—Bleeding of
nose relieving chest.—Severe coryza, r. nostril stopped up and sore throughout, later 1—Coryza,
with sneezing; margins of nose and parts under nose corroded, with stoppage (occurring
annually).
Face
- Greyish, earthy complexion; old appearance.
- —Pale.
- —Heat in cheek, first r.
- , later
- 1.
- —Sensation of cobweb.
- —Strong, hard swelling of glands, esp.
- on lower jaw and throat.
Mouth
Ptyalism; much frothy mucus in mouth—Burning from mouth to stomach.—Heat in
mouth and cesophagus.—Stinging in tip of tongue.
Throat
With all the croupy sound there is a good deal of loose rattling in larynx with the
breathing and coughing, but no choking in the cough as there is in Hepar.—Inflammation of
throat with net-like redness and corroded places.—Scraping in throat.—Swelling of mucous
membranes of fauces and pharynx.—The diphtheria begins in the larynx and runs up.
- Throat feels raw, evening, with hoarseness.
- Tonsils pain on swallowing, deep red, with network of dilated blood vessels.
- Tickling in trachea during inspiration.
- Hoarseness coming on from being overheated.
Stomach
- Sharp burning from tongue to stomach.
- Pressure as of stone.
- Gastralgia; better eating.
- Tympanitic distention of abdomen.
- Painful haemorrhoids, with black stool.
Vomiting bloody mucus.—Nausea, retching, and pains in stomach; > after
eating.—Feeling of emptiness in stomach > after eating.—Heavy feeling in
stomach.—Inflammation of stomach.
Abdomen
Tympanitic distension of abdomen, and passage of much wind.—Enlargement
and induration of spleen.
Stool
Diarrheea, stools yellow, green, black; < after every meal —Hzemorrhoids,
blind, painful, during and after stool < from application of cold or warm water; > wetting with
saliva; (with black diarrhceic stools).—Intensely painful hemorrhoids.
Female
- Swelling of ovaries.
- Menses too early; too profuse, with membranous shreds.
- Low spirited before menses.
- Tumor in breasts, with stitching pains; worse left.
- Stitch pains from breast to axillae.
- Sharp shooting pain in left breast, worse, pressure.
Loud emission of flatulency from vagina —During menses pain in
abdomen and small of back.—Menses too early and too profuse; of bright red blood; flow
passive, with much exhaustion; or membranous shreds may pass off.—Violent contractive spasm
before or during menses, lasting hours, leaving the abdomen sore.-—Membranous
- dysmenorrhcea.
- —Dull pain in ovary (1.
- ).
- —Stitching pains from breast to axillze, cannot bear
pressure (scirrhus).
Male
Swelling of testicles. Indurated, with pains worse slight jar.
Swelling and induration of (1.) testis, with sore pain or sensation of
coldness.—Swelling of scrotum (with chronic gonorrhcea).
Respiratory
- Whooping cough (Use persistently for about ten days).
- Dry cough, with hoarseness and burning pain behind sternum. Spasmodic cough, with rattling of mucus in the larynx; suffocative.
- Hoarseness. Croup after febrile symptoms have subsided.
- Difficult and painful breathing.
- Violent cramping of chest.
- Chest pains run upward.
- Cold sensation when inspiring.
- Every inspiration provokes cough.
- Laryngeal diphtheria, membrane begins in larynx and spreads upward.
- Spasmodic constriction.
- Asthma; difficulty in getting air into lung (Chlorum, in expelling).
- Better at sea, of seafaring men when they come on land.
- Hypertrophy of heart from gymnastics (Rhus).
- Fibrinous bronchitis, great dyspnoea.
- Bronchial tubes feel filled with smoke.
Hoarseness and aphonia < evening.—Soreness and roughness in
throat —Cold sensation in larynx, with cold feeling when inspiring, after breakfast; > after
shaving.—Constriction in the larynx; tickling, causing cough.—Tickling in trachea during
inspiration causing cough.—Stitch in posterior portion of larynx, with feeling of constriction
when swallowing saliva.—Scraping and rawness in larynx, provoking cough, as if pit of throat
were pressed against trachea.—Diphtheria——When the diphtheria begins in the larynx and runs
up.—Croup.—When with all the croupy sound there is a good deal loose rattling in the larynx
with the breathing and coughing, but no choking in the cough.—Dry, spasmodic, wheezing
cough, with rattling breathing —Cough rough, barking, from tickling in throat.—Inspiration very
difficult; cannot inspire deep enough.—Cough with sudden paroxysms of suffocation on
swallowing; respiration very short; obliged to catch for breath.—Sensation as if the air passages
were full of smoke.—Spasmodic closure of the glottis.
Chest
- Stitches in r.
- side of chest.
- —R.
- lung most affected.
- —Stitch (inflammation of lungs r.
side).—Sensation of weakness in chest.—Tightness (asthma); < at night; in sailors when they
come ashore.
Neck & Back
Neck stiff—Glands of neck much swollen.—Goitre.—Two encysted
tumours on both sides of the neck.—Aching at inner border |. scapula up to neck, on moving I.
arm, or sitting leaning to l—Boring in spinous processes of different vertebrz.
Upper Limbs
- L.
- arm feels paralysed.
- —Eruptions on |.
- elbow.
- —Icy-cold forearms.
- —Hands
cold and moist.
Skin
- Acne, pimples and pustules.
- Boils on arms and face.
- Glands stony, hard, especially on lower jaw and throat.
- Hard goitre (Spong).
- Gangrene.
Sleep
Full of dreams and anguish; jerking and starting during sleep, full of fantasy and illusions; difficult to go to sleep at night, cannot sleep enough in morning; trembling and weak on awaking.
Irresistible drowsiness while reading.—Continued yawning and drowsiness with the
respiratory troubles.
Fever
Pulse much accelerated. —Chill every other day with shaking, yawning, and
stretching; with cold feet—Skin cool, covered with viscous sweat.—Sweat on
palms.—Perspiration from the least exertion.
Clinical
- Apoplexy.
- Asthma.
- Breast, cancer of.
- Cancer.
- Cough.
- Croup.
- Diphtheria.
- Dysmenorrhocea.
- Emphysema.
- Feet, pain in.
- Fistula lachrymalis.
- Glands, enlargement of.
- Goitre.
- Heart, disease of; hypertrophy of.
- Laryngismus.
- Migraine.
- Parotid gland, induration of.
- Respiration, affections of.
- Scrofula.
- Seaside, effects of.
- Testicles, induration of.
- Throat, sore.
- Tonsils, enlarged; inflamed.
- Trachea, irritation of: Tuberculosis.
- Tumour of breast.
- Ulcers.
Uterus, air in. Vagina, air in. Vertigo.
Characteristics—Bromine forms a leading constituent in the mineral waters of Kreutzach and
Woodhall. It is a predominantly left-side medicine. It affects particularly the internal head, left
- side.
- It is suited to blue-eyed, fair people (opp.
- Jod.
- ), especially children with thin, white, delicate
skins, and very light hair and eyebrows (patients with dark hair are not excluded); to scrofulous
constitutions. The glands (thyroid, testes, maxillary, parotid) are swollen and indurated. There is
much anxiety of mind; a fear of ghosts or visions when in the dark. Like the other Halogens,
- Bromine is a strong anti-scorbutic.
- It has > at the sea-side (opp.
- Nat.
- mur.
- ); but < in sailors when
coming ashore. Migraine chiefly left side, < from stooping, especially after drinking milk. It has
a peculiar vertigo: sensation deep in brain as if vertigo would come on; tendency to fall
backward; < at the sight of running water; or if he put his foot on a bridge; < in damp weather.
Vertigo with nose-bleed. Soreness and crusts inside nose. Nose-bleed accompanies many
affections, especially of chest. There is a peculiar headache with coryza. In the cases of
diphtheria indicating it the disease begins in the larynx and runs up. In croup, with all the croupy
sound, there is much loose rattling in larynx with the breathing and coughing, but no choking in
the cough, as there is in Hepar (Guernsey). Tuberculosis, especially of right lung. Hypertrophy
of the heart and palpitation. Pain in heart going up to axilla. A very peculiar symptom is: loud
emissions of air from the vagina. Symptoms are < by cold air; cold water; cold diet; cold damp
weather; heat of sun. The cough is < entering warm room. Headache < from drinking milk; from
stooping. Complaints are better at sea-side; sailors coming ashore suffer from asthma, which is
relieved when they go to sea again. Symptoms < evening till midnight; when at rest; > riding on
horseback. After dinner feels he will have an attack of apoplexy. Exertion = oppression at heart.
Relations
- Compare: Iod.
- (but Iod.
- has < morning; dark hair and eyes); Chlorum, Lach.
- ,
- Spong.
- , Fluor.
- ac.
- , Hep.
- , Apis, Arg.
- n.
- , Chi.
- , Con.
- , Coff.
- , Cin.
- , Cup.
- , Lyc.
- , Merc.
- , Pho.
- , Rhus
- (cardiac hypertrophy, also Spo.
- ; Arn.
- —from over-exertion); Sep.
- , Sul.
- , Ant.
- t.
- ; Pul.
- (blondes.
- Fear
- of ghosts or visions; also, Aco.
- , Ars.
- , Carb.
- v.
- , Pho.
- , Sul.
- ).
- Antidoted by: Camph.
- , Am.
- c.
- , Mag.
- c.
- , Op.
- Useful after: Iod.
- , Pho.
- , Spo.
- Compatible: Arg.
- n.
- (generally after Bro.
- ); Kali c.
(emphysema).
Antidotes: Ammon carb; Camph. Salt inhibits the action of Brom.
- Compare: Conium; Spongia; Iod; Aster; Arg nit.
- Avoid milk when taking Brom.
- Hydrobromic acid (Throat dry and puckering; constriction in pharynx and chest; waves of heat over face and neck; pulsating tinnitus with great nervous irritability (Houghton); vertigo, palpitation; arms heavy; seemed as if parts did not belong to him.
- Seems to have a specific effect on the inferior cervical ganglion, increasing the tonic action of the sympathetic, thus promoting vaso-constriction.
- Relieves headache, tinnitus and vertigo, especially in vaso-motor stomach disturbance.
- Dose, 20 minims).
Posology
First to third attenuation. Must be prepared fresh, as it is liable to rapid deterioration.
Kent's Lecture
diarrhoea ; aphthous condition that extends the whole length of the
intestines ; involving all mucous membranes. Oversensitive child,
screams from downward motion. The aphthae involve a good many
other symptoms ; crying before urination, because the bladder is involved. The aphthous condition and worse from downward motion ;
the oversensitiveness to noise, easily startled, anxious feeding, etc.,
are the most striking and characterizing features.
Bromium is one of the routine medicines. It is one of the medicines that the neophyte will make use of for every case of diphtheria
and croup, and laryngitis he comes across ; and when it docs not work
he will “try something else.’’ All who prescribe on the name use
Bromium as one of their routine medicines ; hut Bromium is so
seldom indicated that most homceopaths give it up as a perfectly useless
medicine. The reason is that they do not take the symptoms of the
case and prescribe in accordance with the individualizing method.
They do not prescribe for the patient, but for the disease. You may
see very few cases of diphtheria calling for Bromium ; but when you
see a Bromium case you want to know Bromium. There is one
underlying feature of the Bromium conditions, they are found
especially in those individuals that arc made sick from being heated.
Ii there is a diphtheria epidemic and the mother bundles up her baby
until she overheats it, and keeps it in a hot room, and it happens
to be a child that is sensitive to being wrapped up, and one whose
complaints are worse from being wrapped up, look out. You are going
to have a Bromium diphtheria. It is indicated also in complaints that
come on in the night after a veiy hot day in the summer.
Now, this is as near as you can come to being routine in croup
and diphtheria. If the mother has the baby out in a dreadfully
cold, dry day, and along towards midnight it wakens with spasmodic
croup, you know that it is more likely to call for Aconite than any
other medicine. But if the mother has had the baby out in a hot day
in the summer, and that baby has been overheated, with too much
clothing, and it is a plethoric child, and towards midnight you are
called up, and the child has a red face, and your examinations reveal
a membrane in the throat, w^e will see as we study the remedy that
this may be a Bromium case.
‘'Hoarseness coming on from getting overheated. Loss of voice
coming on from getting overheated.” A turmoil in the whole
economy ; with headaches, coming on from getting overheated. That
runs through Bromiun^ So it is in the hot weather, and being confined to a hot room, and after going from the cold into the heat. But
^3*
after the complaint comes on, no matter where it is, he is so sensitive
to cold that a draft of cool air freezes him ; l)ut he cannot be overheated without suffering.
Bromium has running through it a tendency to infiltrate the glands.
The glands become hard, but seldom suppurate. They generally remain hard. The glands of the neck, the parotid, the sublingual, the
submaxillary, are enormously enlarged and very hard. The processes of inflammation arc slow ; they are not that rapid, violent kind
- like we find in Bell, and Merc.
- “Pans that inflame infiltrate, becoming hard.
- '' Inflammation w'ith hardness is the idea.
- It has been
very useful in ulcers with this infiltration ; very useful in enlarged
glands with great hardness, without any tendency to suppurate. Glands
take on tuberculosis, and tissues take on tuberculosis. Glands that
inflame for a while begin to take on a low^er form of degeneration, a
lower form of tissue making. It is very similar to these enlarged,
hard, scrofulous glands that we find in the neck ; enlargement of the
parotid and submaxillary. It has cured enlargement and great hardness of the thyroid gland.
Again, we have emaciation, and when we sec the tendency to infiltration it is not strange that it has been a curative medicine in cancer
- and tuberculosis.
- There is weakness in this remedy.
- The legs become weak.
- Growing prostration, with tremulous limbs.
- Twitching :
tremulous weakness ; fainting. In the catarrhal affections there is a
formation, more or less, of m^nbrane. Membranous exudate is a
natural course of events. A natural feature of the mucous membrane is infiltration, so that the mucous membrane appears to exude
little grayish-wdiite vegetations, and beneath them is induration. That
is true in ulcers, it is true in mucous membrane. And ulcer will form
upon the mucous membrane and eat in, and build beneath it a hardened stratum of tissue. It has febrile conditions along with these
catarrhal states. Great nervous excitement. ‘Icy coldnees of the
limbs. “Heat of the head,'' “Dyspnoea, with great sweating.'*
Croupy manifestations.
Running through most of the complaints there is palpitation. Palpitation with nausea, palpitation with headache, palpitation with various
kinds of nervous excitement. So weak is he gradually becoming that
he has an “aversion to every kind of work : to reading. Takes no
- interest in household duties.
- " Becomes indifferent.
- Very tired.
- “Great
- depression of spirits.
- Low spirited.
- Sad and discouraged.
- " Anxiety
with most complaints. Headaches from becoming overheated. “Noise
in the ears. Throbbing and burning in the ears." And then the
complaints of the glands that are so closely associated with the ears.
With ear troubles, enlargement of the glands ; the parotid becomes
enlarged and hard. Ear affections following scarlet fever, with discharges
from the ears. Pains and aches ; inflammation ; abscess of the ear.
Suppuration of the patroid gland occasionally, but it is an exception.
‘‘Swelling and hardness of the left parotid gland.” The ovaries, testes,
etc., are all affected by Bromium.
Bleeding of the nose. Ulcerations in the nose. Catarrhal affections
of the nose. Much sneezing. Acute coryza, violent, with much
burning in the nose, and a sensation of coldness, as if the mucous
membrane of the nose were cold from inhaling cold air. It is useful for June cold, with the first hot weather in June, or if the lirst
hot weather comes in July. Violent coiyza once a year, during the
hot season. Fluent coryza, with headaches. “The nose is sore and
- the wings of the nose swell.
- Scurf forms on it, with pain and bleeding on wiping it.
- ” Rawness round about the nostrils.
- A Bromium
patient is one that is likely to have flushed face, especially those due
to acute Bromium conditions. “Flushed face.” He becomes heated
easily. But this is entirely the opposite of the chronic -constitutional
Bromium condition. That is true with a good many remedies, especially many of the antipsorics. The old sickly broken-down constitutions, those needing Bromium for chronically enlarged glands,
for goitre, for cancerous affections, will have the “gray, earthy color
of the face. Oldish appearance.” It is a sickly face, an ash-colored
face. “Face ashy gray.” Then again we have children that are
plethoric, with red face, easily overheated. Of course, when the
acute condition is on and the breathing has been that of dyspnoea
for several hours or many days, then the patient becomes cyanotic,
gasping for breath, and choking, the face becomes ashy pale, as it
is in diphtheria, in croup, and in laryngeal affections.
“Stony, hard swelling of glands, especially of the lower jaw and
throat.” We find that repeated in many divisions of the subject.
Many of the throat complaints that arc laid down in Bromium begin
in the larynx and creep up into the throat. Some of them begin in
the throat and go down into the larynx ; but the two are so closely
associated in Bromium that both are likely to be affected ; so that
diphtheria spreads from one to the other. Diphtheria begins in the
throat and goes into the larynx. Bromium fits the most malignant
type of diphtheria. The membrane grows like a weed, shuts off
breathing, closes up the larynx, 80 severe are the cases, that though
he has been sick but two or three days ,and even when Bromium has
mastered the case, the patient is left with great prostration. All those
- that belong to Bromium are of that type.
- Great violence ; great prostration.
- Extremely sick, and with deathly weakness.
- A great many
of the cures that have been performed in the throat have been leftsided diphtheria, yet it has cured both sides. You will very seldom
see Bromium develop in cold dry weather ; but in hot damp weather
^33
Bromium cases come on ; affections in the spring, and in the fall and
summer.
The chronic cases that will need Bromium are such as have ulcers
of the stomach. Suspicious ulcers in the stomach, and suspicious
symptoms about the stomach. Vomiting like coffee grounds, and
vomiting with signs of ulceration. Aggravation after eating ; either
vomiting, or diarrhoea. Cannot take acids. Diarrhoea or cough
worse after eating, or after acids. "'After eating oysters, diarrhoea,
and a disordered stomach. Worse from the slightest inhalation of
- tobacco smoke.
- Vomiting of bloody mucus.
- Eructations.
- ” Foul
stomach. Pain in the stomach from warm things, from hot tea, hot
drinks. It is a common feature when there is ulcer in the stomach
or when the mucous membrane is about to ulcerate, that hot drinks
are intolerable. "Tains from taking hot foods.”
In studying the stool and rectum symptoms we find exudation.
- Membranous formations pass in the stool.
- Diarrhoeic stool with membrane.
- ""Black, faecal stool.
- ” Diarrhoea ; must go to stool after eating.
We have running through the remedy enlarged veins. These are
found also in the rectum. Haemorrhoids protrude from the rectum,
burning. Smarting day and night. "‘Blind, intensely painful varices,
with black, diarrhoeic stools. Blind, painful haemorrhoids,” and
haemorrhoids that protrude. "®[aemorrhoids during and after stool.”
During the stool the rectum is ; painful from haemorrhoidal tumors.
Swelling and induration the left testicle. Notice the leftsidedness, the left side of the th^olit, and the left testicle. Then, again,
dull pain in the region of the left ovary. “Constant dull pain in the
ovary ; with swelling and hardness.” There is the same induration
of the left ovary. It docs seem strange that some medicines single
out more particularly the left organs and the left side of the body.
Like Lack, in many instances it picks out the left side of the body.
A great many remedies show a preference for one side of the body ;
the glands in this remedy are more affected upon the left side of the
body than the right. “Swelling of the ovarian region before and
during menses.” Suppression of the menses. Loud emission of flatus
from the vagina.
In the larynx it has produced more symptoms than in any other
part of the body. It produces a raw, sore feeling in the larynx froini
- inhaled air.
- “Rawness in the larynx.
- Loss of voice.
- Hoarseness
from overheating,” From too much clothing on a warm day, or
from keeping on an overcoat in a room that is heated ; coming out
into the air he cools off. He has laryngitis. "Tickling in the larynx,”
keeping up a constant coughing. Scraping and rawness in the larynx.
Scraping mucus from the larynx, scraping and coughing. It is not
a hawk, because that noise clears the throat Every medical student
^34
should go through all the noises he hears others make, and try and
observe as much as possible what feeling is accompanied with that
noise, so that he can put himself in the other’s place. Each one is
accompanied with its own sound, and the instant you hear it you
realize the exact place he is drawing mucus from and just where the
irritation is. If you allow the patient to describe it he always calls
it by the wrong name. The patient knows very little about this part
except that it is the throat, and if he is drawing mucus from the
throat, or scraping it from the larynx, he always calls it the throat.
But the physician must waive all that and observe as to sound. So
let each one go alone by himself and make all these noises that he hears
people make, and then realize for himself what part it is he is scraping. It may seem ludicrous, but how else will you learn about it ?
It is just as important to figure out these sounds as it is to figure out
what a child needs by its sounds and motions. It is impossible to
get the symptoms and wants of a child except by interpreting its
motions. Every motion it makes indicates something. An astute
observer, one who has been watching children for a number of years,
will understand the child, and will hardly have to ask the mother a
question. He will know at once where the child is sick by what it
does. The child is like the animal. You never have to ask a horse
or dog where he feels pain, because he will always tell by his motions.
So does the infant.
The hoarseness comes on after being overheated. Remember that.
‘‘Rough, dry cough ; pain in the larynx.” Jumping up for want of
breath. ‘‘Gasping and suffering for breath, with wheezing and
rattling in larynx. Sensation as if air passages were full of smoke.""
Now we have all these rough sounds ; rough breathing ; croupy
breathing ; rasping breathing — different ways of describing different
forms of croup. You cannot individualize a remedy by these because
one child will croup in one pitch, and another will croup in another;
- but to get at the constitution of the child and the mother is the important point.
- “Voice hardly audible.
- ” “Spasm in the glottis.
- ” In
the croupy condition it is really a membranous formation upon the
inflamed surface, very often extending downward through the trachea
into the bronchial tubes, and producing a croupous pneumonia.
Bromium has that in its nature. But without any membranous formation at all Bromium constricts the larynx. It has constriction of the
larynx, just like a clutching, a spasm. 'Tickling in the larynx, with
irritaticFn to cough. Scraping and rawness in the larynx. Sensa-r
tion of coldness in the larynx.” That is a very peculiar symptom
with Bromium. In laryngitis, where the patient says the feeling is
as if; it was covered with down. I have heard them describe it as if
it was covered with velvet, but it feels so cold. The air bfeathed
Classical Posology
Additional notes
Bromine (BROMUM)
- Most marked effects are seen in the respiratory symptoms, especially in larynx and trachea.
- It seems to affect especially scrofulous children with enlarged glands.
- Blond type.
- Enlarged parotid and goitre.
- Tendency to spasmodic attacks.
- Left-sided mumps.
- Sense of suffocation; excoriating discharges, profuse sweats and great weakness.
- Complaints from being over-heated.
- Tendency to infiltrate glands, become hard, but seldom suppurate.
- Stiffness in all limbs, 11 a.
- m.
- , > in afternoon.
- —Pains in limbs alternating with
chilliness and heat.
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