Digitalis Purpurea

Digitoxin has been proved by Kopfe, who took a single dose of 2

millegrammes at 10 a.m. It began to take effect in an hour-faintness, nausea, and slight vertigo,

which increased till he was obliged to hurry home at | o'clock to avoid vomiting in the street.

But he was too weak to walk, and had to take a carriage. He went to bed immediately and

remained in bed three days and part of the fourth. The pulse had remained regular and at the

usual rate, 80 to 84, but at 2 o'clock was 58 and intermitting. Excessive nausea was constant and

prevented sleep at night. Vomiting of dark greenish masses of mucus gave instant relief, which,

however, only lasted a short time. The pulse went down to 42, intermitting after every two beats,

the heart-beats and intermission being plainly felt in the chest. The limbs refused service in spite

of the greatest exertion of will power. Sight became weak, faces of friends were

indistinguishable, and he only knew them by their voices. Objects ran together without outlines,

so that he could only distinguish some very dark or bright, or large or small images in the field of

vision. Therewith all objects, especially all bright ones, seemed in a slightly yellow light. (This

yellow vision was very persistent, lasting eight days; it may prove a keynote for this preparation

of Digitalis.) The nausea continued more distressing and was aggravated by drinking

champagne, aerated waters, and ordinary water. The second night was very restless with partial

sleep, interrupted four times in an hour by confused, anxious dreams and frightful phantasies. In

the evening of third day he was able, with effort, to eat a little, and did not vomit. On the fourth

day he was up a little and felt better, was able to eat a little meat and drink as much water as he

wished. On the fifth day he was able to walk out a little, leaning on the arm of another. During

the three succeeding days the symptoms gradually disappeared. With sound sleep and

extraordinary appetite, physical strength and normal vision returned.

In some experiments made on dogs it was noted that subcutaneous injections were invariably

followed with phlegmonous inflammation proceeding to suppuration.

• ▸Despondency; fearful; anxious about the future.
• ▸Dullness of sense.
• ▸Every shock strikes in epigastrium.
• ▸Melancholia, dull lethargic with slow pulse.

Extreme anguish, esp. in the evening, with disposition to weep and great fear of the

• ▸future —Gloomy and peevish.
• ▸—Indisposed to speak; inclination to lassitude.
• ▸—Remorse.
• ▸—Tearful

moroseness; with sensation of internal uneasiness.—Indifference.—Great love of

labour.—Weakness of memory.—Nocturnal delirium and agitation —Sadness from music.

Faintness; rapid loss of power.—Prostration; limbs refuse their service; cannot

rise from bed without assistance.—(Phlegmonous inflammation going on to suppuration.)

• ▸Vertigo, when walking and on rising, in cardiac and hepatic affections.
• ▸Sharp, shooting frontal pain, extending into nose, after drinking cold water or eating ice-cream.
• ▸Heaviness of head, with sensation as if it would fall backward.
• ▸Face bluish.
• ▸Confusion, fullness and noise in head.
• ▸Cracking sounds during a nap.
• ▸Blue tongue and lips.

• ▸Blueness of eyelids.
• ▸Dark bodies, like flies, before eyes.
• ▸Change in acuteness of perception of shades of green.
• ▸Objects, appear green and yellow.
• ▸Mydriasis; lid margins red, swollen, agglutinated in morning.
• ▸Detachment of retina.
• ▸Dim vision, irregular pupils, diplopia.

Weak sight: features of friends seemed to swim and become indistinct.—All objects in

room run together without any outlines, could only distinguish some very dark or bright, or large

or small images in the field of vision. Therewith all objects, esp. all bright ones, seemed in a

slightly yellow light. (This appeared on the first day, was in no way diminished on third and fifth

days, and did not pass away till the eighth.)

Hissing before the ears, like boiling water (with hardness of hearing).—Single stitches

behind the ears.—Otalgia, with tensive and contractive pains in the ears.—Swelling of the

parotids, and behind the ear.

Tongue large and smooth with a saburral coating.—Saliva rather thick, flows slowly

from the mouth.—Bitter taste.

Burrowing, sticking, pulsating pains in teeth; 1. upper eye tooth; r. back lower teeth; 1.

and r. upper incisors.

• ▸Sweet taste with constant ptyalism.
• ▸Excessive nausea, not relieved by vomiting.
• ▸Faintness, great weakness in stomach.
• ▸Burning in stomach extending to oesophagus.
• ▸After cold water or ice-cream, sharp pain in forehead, extending to nose.
• ▸Faintness and vomiting from motion.
• ▸Discomfort, even after a small quantity of food, or from mere sight or smell.
• ▸Tenderness of epigastrium.
• ▸Copious salivation.
• ▸Neuralgic pain in stomach, unconnected with taking food.

Sweetish taste, esp. after smoking tobacco, sometimes with constant

accumulation of saliva in the mouth.—Bitterness in the mouth—Clammy taste.—Bitter taste of

bread.—Want of appetite, sometimes even with a clean tongue.—Continuous thirst, with dry

• ▸lips.
• ▸—Thirst esp.
• ▸for acid drinks ——Gulping up of an acrid or tasteless fluid.
• ▸—Great appetency for

bitter things.—After a meal, pressure and inflation of the abdomen and of the stomach.

Aversion to every kind of food.—Faintness, nausea, and discomfort.—Constantly

increasing discomfort and tormenting nausea, ending in vomiting a large quantity of dark

greenish masses of mucus. Relief was immediate, but lasted only a quarter of an hour, giving

place to the most excessive nauseous sensation. An hour later vomiting was renewed violently,

bilious-coloured masses of mucus, accompanied, preceded, and followed by retchings. Slow,

intermittent pulse.—In evening attempted to take a glass of iced champagne, but the nausea

increased rapidly and in a few minutes vomited a large quantity of a watery, slimy substance

slightly coloured with bile, much retching followed.—Carbonated waters and ordinary drinking-

water always aggravated the nausea.—Third day able to drink a little—Sixth day extraordinary

appetite.

Pain in left side apparently in descending colon and under false ribs. Severe abdominal pains, pulsation in abdominal aorta, and epigastric constriction. Enlarged, sore, painful liver.

Contractive tense pain in the hypochondria.—Sensibility, and pressive pains, in

the region of the liver—Twisting, and cramp-like pinching, in the intestines.—Shooting and

tearing colic, with inclination to vomit, esp. during movement and expiration.—Inflation of the

abdomen (ascites).—Dropsical swelling of the abdomen.—Cuttings, as from a chill, or a

diarrhroea.—Cramp-like tension in the groins.—Sufferings from flatulency.

White, chalk-like, ashy, pasty stools. Diarrhoea during jaundice.

Feces white, like chalk, or the colour of ashes.—Diarrhoea of excrement

mixed with mucus, preceded by shiverings and cutting pains.—Dysenteric

evacuations.—Involuntary stools —Retention of stool; prolonged constipation.—Watery diarrhcea;

with much thirst.

Retention of urine —Urgent and almost futile, inclination to make water,

with discharge of hot, burning, and very scanty urine.—Pressure on the bladder, with the

sensation as if it were too full, continuing after micturition.—Frequent emission of small

quantities of water-coloured urine.—While in a recumbent position the urine can be retained for a

longer time.—Difficult urination, as from contraction of the urethra—Wetting the bed at

night.—Urinary flux.—Diminution of the secretion of urine, sometimes alternating with abundant

emission.—Incisive pains in the urethra, before and after the urinary discharge. —Involuntary

emission of urine.—Urine of a deep colour, brownish or reddish.—Nausea before and after

urination.—On making water, burning sensation and constriction in the; urethra—Inflammation

of the neck of the bladder.—Prostate enlarged.

• ▸15, 16.
• ▸Sexual Organs.
• ▸—Hydrocele (1.
• ▸); scrotum looks like a bladder filled with water—Testes;

bruise-like pain in; swelling of —Gonorrhcea; phimosis; with burning, and dropsy of

prepuce.—Desire strongly excited, frequent erections and pollutions.—Dropsical swelling of

genitals —(Nymphomania.—Menorrhagia.)

• ▸Continued urging, in drops, dark, hot, burning, with sharp cutting or throbbing pain at neck of bladder, as if a straw was being thrust back and forth; worse at night.
• ▸Suppressed.
• ▸Ammoniacal, and turbid.
• ▸Urethritis, phimosis, strangury.
• ▸Full feeling after urination.
• ▸Constriction and burning, as if urethra was too small.
• ▸Brick-dust sediment.

Labor-like pains in abdomen and back before menses. Uterine haemorrhage.

Menstruation two days too early without usual premonitory

pains.—Menstruation more profuse.

• ▸Nightly emission (Digitalin), with great weakness of genitals after coitus.
• ▸Hydrocele; scrotum enlarged like a bladder.
• ▸Gonorrhoea, balanitis (Merc), with oedema of prepuce.
• ▸Dropsical swelling of genitals (Sulph).
• ▸Enlarged prostate.

Activity greatly depressed and even abolished.—During deep sleep an

emission which does not awaken him.

• ▸Desire to take a deep breath.
• ▸Breathing irregular, difficult; deep sighing.
• ▸Cough, with raw, sore feeling in chest.
• ▸Expectoration sweetish.
• ▸Senile pneumonia.
• ▸Great weakness in chest.
• ▸Dyspnoea, constant desire to breathe deeply, lungs feel compressed.
• ▸Chronic bronchitis; passive congestion of the lungs, giving bloody sputum due to failing myocardium.
• ▸Cannot bear to talk.
• ▸Haemoptysis with weak heart.

Hoarseness (in the morning after a night sweat).—Hollow, spasmodic

cough, from roughness and scraping in the throat; expectoration only in the evening, of yellow

jelly-like mucus, tasting sweet.—Hoarseness and coryza in the morning.—Much phlegm in the

larynx, which is detached by a slight cough.—Cough, after a meal, with vomiting of food.—Dry

cough, with pains in the shoulders and arms.—Cough, with expectoration of matter resembling

starch.—Smarting in the chest on coughing —Cough worse at midnight and during the morning

hours.—The cough is caused by talking, walking, drinking anything cold; when bending the body

forward.—Troublesome choking sensation with cough; mostly at night, and on physical

exertion.—Dry, cramp-like cough, excited by prolonged conversation.—Sanguineous

expectoration on coughing (small quantities of dark-blood).

• ▸The least movement causes violent palpitation, and sensation as if it would cease beating, if he moves (Opposite; Gels).
• ▸Frequent stitches in heart.
• ▸Irregular heart especially of mitral disease. Very slow pulse. Intermits; weak.
• ▸Cyanosis.
• ▸Inequality of pulse; it varies.
• ▸Sudden sensation as if heart stood still. Pulse weak, and quickened by least movement.
• ▸Pericarditis, copious serous exudation.
• ▸Dilated heart, tired, irregular, with slow and feeble pulse.
• ▸Hypertrophy with dilatation.
• ▸Cardiac failure following fevers.
• ▸Cardiac dropsy.

Pulse at first normal and regular, became later markedly slow, intermittent, dicrotic,

and then tricrotic.—Pulse very easily excited by the slightest excitement or physical exertion.

Stiffness and tension of the muscles of the neck and of the nape of the

neck.—Drawing pains in the back and in the loins, as after a chill —Bruise-like pains in the loins

on blowing the nose.

Paralytic pullings, and tearings in the arms.—Heaviness or paralytic

• ▸weakness of the 1.
• ▸arm.
• ▸—Sharp pain in |.
• ▸shoulder and arm, tingling in arm and fingers; with heart

affection —Nocturnal swelling of the r. hand and of the fingers —Coldness of the

hands.—Tearings in the joints of the fingers ——Sudden and paralytic stiffness in the

fingers.—Torpor and disposition to numbness of the fingers.

Pain in the hip-joint.—Great stiffness in the legs after being seated, which

abates when walking.—Want of energy, and paralytic weakness in the legs.—Swelling in the

knee, like steatoma.—Incisive pains in the thigh, and burning sensation in the calf of the leg, on

crossing the legs —Tension in the ham.—Coldness of the feet Swelling in the feet, by day only

(diminished at night).

• ▸24.
• ▸Generalities—Burning shootings and tearings, esp.
• ▸in the limbs.
• ▸—Penetrating pains, and

painful weariness in the joints, as after great fatigue —Engorgement of the glands.—Tense and

• ▸painful swellings, esp.
• ▸of the limbs.
• ▸—Convulsions.
• ▸—Epileptic fits.
• ▸—Dropsical swellings of

internal and external parts —Emaciation.—Great dejection and nervous weakness.—Throbbing in

every part of the body, < by pressure —Gouty nodosities.—Pricking pain in the muscles of the

upper and lower extremities.—Fits of excessive weakness esp. after breakfast and

dinner.—Sudden prostration of strength, as if about to faint, with general perspiration.

• ▸Swelling of the feet.
• ▸Fingers go to sleep easily.
• ▸Coldness of hands and feet.
• ▸Rheumatic pain in joints.
• ▸Shining, white swelling of joints.
• ▸Muscular debility.
• ▸Nocturnal swelling of fingers.
• ▸Sensation in legs as if a red hot wire suddenly darted through them (Dudgeon).

• ▸Erythema, deep red, worse on back, like measles.
• ▸Blue distended veins on lids, ears, lips and tongue.
• ▸Dropsical.
• ▸Itching and jaundiced.

Gnawing itching, which changes, if the skin be not scratched, into a burning and

insupportable pricking.—Dry, and heat of skin ——Desquamation of the skin from the whole

body.—Jaundice.—Bluish skin (cyanosis), particularly at the eyelids, lips, tongue, and

• ▸nails.
• ▸—Dropsy.
• ▸—Elastic white swelling of the whole body.
• ▸—General paleness of the skin.

Starts from sleep in alarm that he is falling from a height. Continuous sleepiness.

Not a moment's rest on account of distressing nausea and weakness.—Second night

restless, with partial sleep, which was interrupted by confused, anxious dreams and frightful

fantasies.—Sleep sound fourth night.

Sudden flushes of heat, followed by great nervous weakness.

Chilliness with heat and redness of face.—Coldness of the body, often with cold

sweat, esp. on the forehead or one side of the body only.—Coldness in the hands and in the feet

(with cold perspiration).—Heat of one hand and coldness of the other.—Frequent and sudden

flushes of heat, followed by weakness.—Copious nocturnal perspiration, preceded sometimes by

shivering and shuddering, with internal heat (beginning with coldness of the extremities, from

them extending over the whole body), during the day.—Perspiration generally at night; cold and

clammy.—Perspiration after the chill, no heat intervening. —Pulse small, weak, and excessively

slow (esp. when at rest, every other beat intermits), but accelerated by the slightest

movement.—Pulse irregular; intermitting.

Digitoxinum.

Digitoxine. "Crystallised Digitaline" (of Nativelle). (Neither a glucoside, nor an alkaloid)

C31 H33 O7. (The most active principle of Digitalis). Trituration.

Compare: Digitalis (< from drinking is marked in both); Digitalinum; Cina and

Santonine in yellow vision.

• ▸Antidotes: Camph; Serpentaria.
• ▸Incompatible: China.
• ▸Compare: Nerium odorum (resembles in heart effects Digitalis, but also has an action like Strychnia on spinal cord.
• ▸Spasms appear more in upper part of body.
• ▸Palpitation; weak heart will be strengthened by it.
• ▸Lock-jaw).
• ▸Adonia; Crataegus (a true heat tonic); Kalmia; Spigel; Liatris; Compare also; Digitoxinum (Digitalis dissolved in Chloroform; which has yellow vision very marked, and distressing nausea, aggravated by champagne and aerated waters).
• ▸Nitri spir dulc increases action of Digit.
• ▸Ichthyotoxin.
• ▸Eel Serum (Experiments show great analogy between the serum and the venom of vipera.
• ▸Indicated whenever the systole of the heart is insufficient, decompensated valvular disease, irregular pulse due to fibrillation of the auricle.
• ▸Assytole, feeble, frequent, irregular pulse, dyspnoea and scanty urine.
• ▸Liver enlarged, dyspnoea, albuminuria.
• ▸No oedema).
• ▸Convallaria (heart disease with vertigo and digestive disturbances).
• ▸Quinidin-Isomeric methoxyl compound.
• ▸--(Restores normal rhythm in auricular fibrillation, often supplements the action of Digitalis.
• ▸Two doses of 3 grains each, three hours apart-if no symptoms of cinchonism develop, 4 doses 6 grs each daily (C.
• ▸Harlan Wells).
• ▸Paroxysmal tachycardia.
• ▸Establishes normal heart rhythm at least temporarily, less in valvular lesions).

The third to thirtieth attenuation will bring about reaction when the drug is homeopathically indicated; but for palliative purposes the physiological dosage is required. For this purpose, the tincture made from the fresh plant, in doses of five to twenty drops, when the cardiac stimulation is desired, or the infusion of 1 1/2 per cent. Dose, one-half to one ounce if the diuretic action is wanted. The tincture may be given on sugar or bread, and nothing liquid be taken for twenty minutes before or after its administration. Of the powdered leaves, 1/2 to 2 grains in capsules. Digitoxin 1-250 grain. No matter what form of digitalis is given the dose should be reduced as soon as the pulse rate has been lowered to 80 beats a minute and the normal rhythm has been partially or completely restored. Under such conditions a good rule is to cut the dose in half and still more if there be a sudden falling off of the urinary output.

This drug as used by the Old School has done more mischief than

any one drug in their Materia Medica. Every patient who had a

fast heart, or anything the matter with the heart, was given Digitalis,

It has caused more deaths than any drug. If administered when the

heart is going fast it will soon produce a peculiar kind of paralysis ;

the heart then having lost its balance-wheel, compensation gives out,

the patient sinks and finally dies. They do not know that many

patients would have lived through fevers, pneumonia and other acute

diseases if it had not been for this medicine, used as they have used it

in the tincture, in many-drop doses, until the heart was slowed down.

437 .

They call it sedative ; yes, it is a sedative. It makes the patient very

sedate. You have seen how very sedate a patient looks after he has

been in the hands of an undertaker and has on his best garments.

That is what Digitalis does. In that way it is a sedative in the hands

of the allopath. A homoeopathic physician never prescribes to bring

down the pulse. He prescribes for the patient and the heart’s action

takes care of itself.

Digitalis is a very poor fever medicine. Instead of being indicated

when the pulse is fast, the proving says it is indicated when the pulse

is slow. The allopath gives it when the pulse is fast to make it slow ;

if given to a well person it will make the pulse slow, and when indicated in a sick person the pulse is slow.

• ▸It produces a great disturbance of the liver.
• ▸“Congestion and enlargement of the liver.
• ▸Soreness of the liver.
• ▸” Tenderness about

the liver — but during that time the pulse is slow. It makes the bowels

very sluggish, produces inactivity of the liver, and stools arc Idlcless,

light colored, putty-like — and the pulse is slow. Add to that jaundice and you have a grand picture of Digitalis. Jaundice with slow

pulse, with uneasiness in the liver, pale stool, and even if you have

never seen or heard of Digitalis before you will scarcely miss it.

Now, you might add a myriad of little symptoms, but it does not

change the aspect of things. It is Digitalis.

Another group of symptoms that belongs with the Digitalis heart,

the Digitalis liver and the Digitalis bowels, is a gone, sinking feeling

in the stomach. It seems as if he would die, and he does not get

better from eating. It is a nervous, deal thy sinking that comes with

many heart troubles. You would not be surprised to find in Digitalis much nervous prostration. Restlessness and great nervous

• ▸weakness.
• ▸“Feels as it would fly to pieces.
• ▸Anxiety.
• ▸Feels that

something is going to happen.” Seems as if his whole economy were

full of anxious feelings and restlessness. Lassitude, faintness,

exhaustion and extreme prostration. Faints on the slightest provocation. It begins in the stomach ; an awful sensation of weakness in the

stomach and bowels.

His sleep is full of horrible dreams, nightmare, fright. Dreams ot

falling — that is very common with cardiac affections. When the

pulse is too slow, when it is irregular, the brain is irregularly supplied

with blood during sleep, and there is a turbulent state. A shock goes

through the body like an electric shock, like internal jerkings, twitchings. Sudden muscular movements, as if a current of electricity

passed through the body. This, with slow pulse, with a sense of

faintness, and great weakness. Bluish paleness of the lips in persons

who suffer at times with cardiac spells — it seems at times as if thq

pulse would cease. Face becomes blue, the fingers become blue. Wants

438 IMGITAUS

to lie on the back. Frequently startled in sleep ; jerking at night.

The heart symptoms are numerous, but none is so important as the

slow pulse. The pulse is slow in the beginning of the case. It may

now be flying like lighting. He is anxious, restless, has horrible

dreams and sinking in the stomach — that sounds like the advanced

stage of Digitalis — but I want to know if in the beginning, the pulse

was slow. The patient himself seldom knows, but someone says that

in the beginning the pulse was 48 ; that is Digitalis. If the pulse in

the beginning was rapid do not think of Digitalis, for it will not do

any good. The Digitalis pulse is at first slow and perhaps remains

so for many days, until finally the heart commences to go with a

quiver, with an irregular beat, intermits, feels as if it would cease to

beat, and then we have all these strange manifestations. Weakness

is the very character of the Digitalis pulse, and all these character^

istics go along with it. First it is slow, and sometimes strong. Slow,

strong pulse when rheumatism is threatening the heart. “Violent,

but not very rapid pulse. Sudden violent beating of the heart, with

disturbed rhythm.” The slightest motion increases anxiety and palpitation. When the pulse is going very slow, sometimes down to 40,

the patient turns the head and the pulse flutters and increases in its

action. If he turns over in bed it seems as if the heart would stop.

If he moves he feels it fluttering all over him, and it settles back and

is slow again ; but, finally, it changes and flutters all the time.

Palpitation of the heart originating in grief. Sudden sensation as

though the heart stood still. Fluttering of the heart. The least

muscular exertion renders the heart's action labored and intermittent

— in a feeble heart. A person with an enlarged liver, with a slow

pulse, with jaundice and pale and stool. With that he will have a troublesome cough. Digitalis is not much of a remedy for a cough unless it

is a cardiac cough. Cough at midnight. Cough, with expectoration

of “boiled starch." Cough, with expectoration of bloody mucus in

hypostatic congestion of the lungs. Cough, brought on by talking,

walking, drinking anything cold, bending the body. These are coughs

associated with other troubles.

The • same thing is to be said of the respiration. There are difflculties of respiration, along with cardiac troubles and liver troubles,

“Respiration irregular and performed with great difficulty. Constant desire to take a deep breath. When he goes to sleep the breath

seems to fade away, then he wakes up with a gasp, Lachesis^ Phos^

phorus, Carbo veg, and some other remedies have that ; remedies that

affect the cerebellum particularly, producing a congestion of the cerebellum. When a patient goes to sleep the cerebrum says to the cerebellum: “Now you carry on this breathing a little while, I am getting

tired." But the cerebellum is not equal to the occasion. It is congested, and just as soon as the cerebrum begins to rest the cerebellum

goes to sleep, too, and lets the patient suffer ; and in that way we get

suffocation. The cerebellum presides over respiration during sleep

and the cerebrum presides over respiration when the patient is awake.

We might learn that from the provings of medicines if we never

found it before.

‘Tear of suffocation at night/’ Now, to analyze that. He knows

from experience that every time he drops into a sleep he suffocates,

and hence he fears to go to sleep for fear he will suffocate. The fear

of suffocation at night is from this origin. It is the same if he falls

asleep in the day time. “Can only breathe in gasps.” Digitalis is a

useful medicine when there is a filling up of the lower part of the

lungs. The patient is sitting up in bed, and there is dullness in the

lower part of each lung and plenty of resonance in the upper portion.

Then it is, if he lies dowm, he will suffocate. Digitalis likes mostly to

lie flat on the back with no pillow, when there is no filling up of the

lungs. But when there is hypostatic congestion he suffocates. If

■early in the case the pulse was slow and it has become fast. Digitalis

may be of some benefit.

Now, a feature in connection with the genito-urinary organs. In

old cases of enlarged prostate gland I do not know what I would do

without Digitalis. Where there is a constant teasing to pass urine.

In many instances where the catheter has been used for months or

years because he is unable to pass uriiie in a natural way, and where

there is a residuary urine in old bachelors and old mem Digitalis is a

good remedy. It diminishes the size of the prostate gland and has

many times cured. “Dropsy with suppression of urine.” In uraemic

poisoning and in various phases of Bright's disease of the kidneys we

have symptoms indicating Digitalis. Re.eniion of urine : dribbling of

• ▸urine.
• ▸Spermatorrhoea.
• ▸Nightly emission.
• ▸In persons addicted for years

to secret vices. Enlarged prostate gland.

It is capable of curing chronic gonorrheea. It has cured acute

gonorrhoea. It has cured inflammation of that thin, delicate membrane covering the glans penis. Dropsical swelling of the genitals.

“Loss of appetite and violent thirst.” Most doctors give .Sulphur

when the patient drinks much and eats little. The nausea of Digitalis

is not like that of Ipecac, and Bryonia. It is a singular nausea. The

smell of food excites a deathly nausea, a sinking, a goneness, associaed with cardiac troubles, with jaundice and liver troubles. The

nausea is accompanied by a deathly feeling, as if he is sinking away.

Sometimes the nausea is relieved by eating, but the sinking remains

• ▸after eating, showing that it is something besides hunger.
• ▸“Persistent nausea.
• ▸Extreme sensitiveness in the pit of the stomach.
• ▸Faintness and sinking in the pit of the stomach as If he would die.
• ▸No

Limbs tremulous; weak; unsteady; heavy as if paralysed; pains < during rest—Pains

are sticking, pressive, pulsating.