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Materia Medica

Graphites

Black Lead-Plumbago
59 sectionsBoericke · 20Clarke · 32Kent · 7

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • fat, chilly, and costive
  • Eradicates tendency to erysipelas
  • Music makes her weep

Essence

Prologue
Boericke

Black Lead-Plumbago

Like all the carbons, this remedy is an anti-psoric of great power, but especially active in patients who are rather stout, of fair complexion, with tendency to skin affections and constipation, fat, chilly, and costive, with delayed menstrual history, take cold easily. Children impudent, teasing, laugh at reprimands. Has a particular tendency to develop the skin phase of internal disorders. Eradicates tendency to erysipelas. Anaemia with redness of face. Tendency to obesity. Swollen genitals. Gushing leucorrhoea. Aids absorption of cicatricial tissue. Induration of tissue. Cancer of pylorus. Duodenal ulcer.

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Keynotes

Characteristics (part 1)
Clarke

The first idea of using this substance as a drug, says Hahnemann, is due to S.

Weinhold, who was led to it by seeing workmen in a mirror-factory use it as a local application

for tetters. Ruggieri followed him, using it both internally and locally. Hufeland relates the cure

of a lady, 41, by the internal and external use of Graph., of an acne rosacea which had defied all

  • other modes of treatment.
  • Teste classes Graph.
  • in the Pulsatilla group with Silic.
  • , Calc.
  • , Hepar,
  • and Phos.
  • He gives the following among other symptoms as common to Puls.
  • , Silic.
  • , and Graph.
  • :

"Anxious, changeable, wavering mood; aversion to work; vertigo with cloudiness; a sort of

intoxication in the morning; sense of fulness or emptiness in the head; drowsiness in daytime;

single, acute, deep shocks in right half of brain; flickering before eyes; suspension of visual

power; photophobia; lachrymation in open air; foul smell before nostrils; amenorrhcea; swelling

of right testicle; swelling of veins; wandering pains; pain in the parts not lain upon; heaviness in

affected parts; rheumatism at nape of neck; sweat at night having odour of urine; drowsiness in

daytime."

Hahnemann was quick to perceive that Graph. was much more than a mere remedy for skin

affections. Like that other great skin remedy, Su/phur, Graph. proved to be a leading antipsoric.

Hahnemann's provings and observations defined its powers over skin affections. Its special

characteristic is: "Eruptions oozing out a thick, honey-like fluid." Wherever such eruptions are

found Graph. is in all probability the remedy. I have cured many cases, notably some occurring

on the occiput, and behind the ears. It is no less frequently a remedy for the results of repelled

eruptions of the kind. Nash records such a case: A child had been "relieved" of an eczema capitis

under old-school treatment, whereupon entero-colitis set in, and became so alarming that it was

pronounced "consumption of the bowels." Nash when called in found the child greatly

emaciated, with little or no appetite, very restless, passing "stools of brown fluid mixed with

undigested substances, and of an intolerably fetid odour." Graph. 6m (Jenichen) cured promptly.

  • Graph.
  • being one of the forms of Carbon, it is therefore related to Carbo anim.
  • , and Carbo veg.
  • ;

and as it contains a small percentage of iron, it is also related to Ferrum.

Characteristics (part 2)
Clarke

Graph. causes slight erethism at first, then a weak, relaxed, condition; anzemia; chlorosis. The

typical Graphites patient is "fat, chilly, and costive." Lymphatic glands are swollen. Like the

skin, the mucous membranes are cracked and fissured, and have scanty secretions. Irregularities

in the distribution of the blood occur, pallor of skin and mucous membranes. The circulation is at

first excited, then follows loss of energy and consequent venous hyperemia. Fainting readily

occurs with great anxiety; motion is impaired and the tissues relaxed, but paralysis is not

complete. A marked characteristic of Graphites is a rush of blood to head, with flushed face. I

have cured two very severe cases of nose-bleed in elderly people where this symptom was

present. In one case there had been flushing of head and neck for many months previous to the

attack, and flushing preceded and accompanied each occurrence of the bleeding. In the other case

the patient said the precursory flush seemed to come up from his toes. He had had his nostrils

plugged, without avail, before I saw him. Graphites, in a high potency, cured promptly in both

instances. Hahnemann gives the symptom on which I based the prescription as follows:

"Bleeding of the nose at 10 p.m.; preceded in the afternoon by rush of blood to the head, and heat

of face," There is also "rush of blood to head, with distension and flatulence."

Characteristics (part 3)
Clarke

Graphites is suited to persons who have a tendency to put on unhealthy fat. Defective animal

heat from defective oxygenation; always cold, indoors or out. Chlorotics. Affections of glands,

skin, and mucous membranes, especially at orifices. The Graphites condition is not sensitive and

herein it differs from Hepar, which has extreme sensitiveness of affected parts. The tone of mind

is sad and foreboding. The eyes, ears, and nose are affected, especially the integumentary parts.

There is a very characteristic symptom in reference to the hearing: "hardness of hearing > when

riding in a carriage." There is a sore throat like that of Lachesis; sensation of a lump, < on empty

swallowing. It has also a "lump" sensation at the stomach. It resembles Lachesis, too, in its

flushings; in gastralgia > by eating. Hurries to meals to relieve violent pain at epigastrium;

especially to dinner and supper. Goullon cured two notable cases of cramps in the stomach with

"improvement of the cramps by eating." There was also clean tongue. Milk agreed well,

especially hot milk. In one case roast meat agreed, but not boiled meat, and, still less, potatoes.

In the morning there was a fishy taste, disappearing later in the day. Another cure by Goullon

was of a young lady who was troubled with salivation, coming on any time; sometimes just

before sitting down to dinner; oftenest when riding in a carriage, less often when riding in a train.

She was prevented by it from seeing company, and was low-spirited. There was also habitual

  • costiveness.
  • Graph.
  • 12 at first aggravated and then rapidly cured.
  • Goullon understood the power

of Graphites, perhaps, more completely than any other writer, and I will give another of his

cures, as it illustrates several points in the drug's action. A well-grown, healthy-looking girl of

fifteen had violent headache in right temple every four weeks; the pain was stinging. Glittering

before the eyes frequently preceded and followed the attack, which recurred to the hour, and

sometimes also on the following day. Drowsiness accompanied the attack, deep sleep, heat and

redness of the head, followed by a chill. Sep. 6 relieved the headache, but the glitter remained.

The heaviness of the eyelids led Goullon to Graph. (which causes ptosis). His choice was

strengthened on learning that there had been no menstruation, and finally she "had a degree of

hoarseness that indicated chronic hypertrophy of the tonsils. (A. Vogel claims this to be a sign of

  • scrofula derived from syphilis.
  • ") Graph.
  • 2x trit.
  • , in two-grain doses, was given six mornings in

succession. The period for the headache passed without recurrence, and the sensation of lights

  • completely disappeared (H.
  • R.
  • , vi.
  • 271).
  • Graphites causes suffocative spells which arouse the

patient from sleep, he must jump out of bed, < after midnight (Lach. < after sleep). There is a

Characteristics (part 4)
Clarke

diarrhoea of thin, offensive, partly digested stools. Constipation is more common, the stools

being in lumps coated with mucus, and with mucous shreds. Habitual costiveness and, in

females, scanty menses form a keynote indication when found associated with other complaints,

as headache, skin-affections, &c. Moist itching excoriation around anus and fissures. The male

sexual organs are affected as well as the female: Uncontrollable sexual excitement, with violent

  • erections.
  • Priapism.
  • (I have frequently seen this condition produced in patients taking Graph.
  • for

other things; and have frequently relieved priapism with Graph.) Impotence. In the female the

breasts are affected. Pain under left breast at menstrual period, often waking patient in the night.

Hysterical melancholia with occipital headache. Leucorrhoea profuse, in gushes, excoriating. It

has many symptoms in common with Sepia, but Graph. affects the ovaries more markedly than

  • the latter.
  • There is a feeling as if the uterus would press out at the vagina.
  • Stiffness of knees.
  • The

skin of Graphites is rough, hard, and dry. Eczematous and herpetic eruptions predominate.

Eruption on occiput exuding gluey humour; eczema of ears; moist eczema round anus. Pimples,

acne. Wens. Gastro-intestinal affections alternating with acne and erythema of face, herpetic

lesions or scrofulous hypochondriasis. Excoriations between toes. Syphilitic and "constitutional"

  • ulcers.
  • Recrudescence of scars.
  • Cracks and fissures.
  • Offensive discharges and secretions.
  • Sweat:

stains yellow; sour, offensive.

Characteristics (part 5)
Clarke

The senses are abnormally acute: music causes weeping; cannot tolerate the smell of flowers.

Weak, exhaustion of whole body. Spasms; contractions of muscles; twitching of eyelids.

Cataleptic condition. Sensitiveness of internal parts; numbness in various parts; drawing pain in

whole body. Pain as if head were numb, or pithy, or made of wood. Pain as if constricted in

occiput, extending to nape of neck, which pains as if broken. "Intense, heavy weight in occiput,

as if head drawn back, must rest it, unable to read or think" (result of 2x and 3x, on three separate

  • occasions in a patient of Dr.
  • W.
  • Epps.
  • Chi.
  • 1x.
  • relieved in a few days—Hom.
  • Rev.
  • , xl.
  • 162).
  • As if

skin of forehead was drawn into folds. As if a skin were before ear. As if a hard body as large as

an egg were behind ear. As of a cobweb over the face. As of a lump in stomach, with beating as

of two hammers. As if intestines were torn; croaking as of a frog in abdomen. As if everything

would be torn to pieces during menstruation. Bearing-down pains in various parts. Rest >;

motion <. Riding in a carriage < many complaints; but > hardness of hearing. < Lying on left

side. Cold drinks, cold air, damp, wet atmosphere, washing <. Warmth < tearing pain in teeth;

warmth of bed < itching; > crampy pain in stomach; scrofulous affections of bones. Eating >

cramps in stomach; hot drinks, especially hot milk, >. < In open air; in wind. Bathing after

measles = paralysis of face. Getting feet wet = delayed menses. Attacks occur during summer

  • and autumn.
  • Ears feel stuffed at the full moon.
  • Suffering parts emaciate.
  • Overlifting easily.

Heemorrhages. (When giving Graphit. internally in cases of anal eruption I have found the

external use of an ointment made with a drachm of the 3x trituration to an ounce of Cetacean

ointment of great service. Hirsh, of Prague, has also used Graph. locally in cases of disease of

the nails, with very good results.)

Mentals

Mind
Boericke
  • Great tendency to start.
  • Timid.
  • Unable to decide.
  • Want of disposition to work.
  • Fidgety while sitting at work.
  • Music makes her weep.
  • Apprehensive, despondency, indecision.
Symptoms — Mind
Clarke

Dejection, sadness and profound melancholy with discouragement and much

weeping.—Feels miserably unhappy.—A gitation, compression of the heart, and anguish, as if at

the point of death, or under the fear of some calamity, often with headache, vertigo, nausea, and

perspiration.—Anxious agitation (with inclination to grief, anxiety about the future), sometimes

when seated at work, or at night, with impulse to quit the bed —Agitation and inquietude in the

morning.—Much inclined to grieve and cry in evening, whilst in forenoon she had laughed about

  • every trifle, contrary to her habit.
  • —Weeping without cause.
  • —Obliged to weep at music.
  • —Timid

disposition.—Irresoluteness with excessive cautiousness and hesitation.—Too great susceptibility

  • to impressions.
  • —Tendency to be frightened.
  • —Irascibility.
  • —Dread of labour.
  • —Extreme hesitation;

unable to make up her mind about anything. —Absence of mind.—Forgetfulness with

misapplication of words in speaking or writing.

Modalities

Modalities
Boericke
Worse
warmth, at night, during and after menstruation
Better
in the dark, from wrapping up

Head

Head
Boericke
  • Rush of blood to head with flushed face also with nose bleed and distension and flatulence.
  • Headache in morning on waking, mostly on one side, with inclination to vomit.
  • Sensation of cobweb on forehead.
  • Feels numb and pithy.
  • Rheumatic pains on one side of head, extending to teeth and neck.
  • Burning on vertex.
  • Humid, itching eruption on hairy scalp, emitting a fetid odor.
  • Cataleptic condition.
Symptoms — Head
Clarke

Fatigue in consequence of intellectual labour.—Sensation of numbness in the

head.—Intoxication and vertigo, esp. in the morning on rising, or on awaking (the forehead is

contracted, with nausea and vomiting); as well as in the evening, with want to lie

down.—Confusion in the head.—Attacks of headache, sometimes semi-lateral, with nausea and

acid vomiting.—Feeling of looseness of the whole brain.—Violent headache with eructations and

nausea, during menstruation.—Periodical unilateral headache, with constipation and

amenorrhoea.—Pain in the head as if the head were numb and pithy.—Violent headache in the

morning, driving out a cold perspiration, and inducing syncope.—Headache from the motion of a

carriage, as well as on moving the head, or during and after a meal——Headache on the side which

presses the pillow.—Tension and pressive constriction in the occiput, with stiffness at the nape of

the neck.—Intense heavy weight, or dull pressure, in upper part of occiput, with a feeling as if the

head were drawn back, obliging him to rest his head; unable to read or work while pain

lasts—Sensation of compression and contraction in the forehead.—Compressive pain in the

vertex in the afternoon, with rotatory movement in the head—Burning on the top of the head on

a small spot.—Ebullition of blood, with beating and buzzing in the head.—Fulness in and

congestions to the head, the menstruation being suppressed.—Tearing and pulling in the scalp, in

the teeth, and in the glands of the neck.—Itching in the scalp.—Humid scabs on the

head.—Humid, spreading, scurfy eruption on the top of the head, painful to the touch, as if from

subcutaneous ulceration, and emitting a disgusting odour; extending down to sides of the head

into the whiskers; after scratching, more sore and humid; later drying up to a white scurf.—Sweat

on the head, while walking in the open air.—Smooth large wens on the hairy scalp; the hairy

scalp is very hot, and itches very much, esp. when walking in the open air.—Abundant

desquamation of the scalp.—Falling off of the hair, even on the sides of the head and the

whiskers.—Rheumatic pains in the scalp, principally in the sides, extending to the teeth and

cervical glands; < when walking and becoming cold in open air, > from warmth and while

getting warm when walking.—Perspiration smelling acid or very offensive, colouring the linen

yellow; on the head (as on the whole body) at night and during the day, from the least exercise; <

even while talking, > when walking in the open air.—The hair turns grey.

Eyes

Eyes
Boericke
  • Ophthalmia, with intolerance of artificial light.
  • Eyelids red and swollen.
  • Blepharitis.
  • Dryness of the lids.
  • Eczema of lids; fissured.
Symptoms — Eyes
Clarke

Eyelids heavy and falling, as if paralysed.—Aching in the eyes and eyelids, as if sand

had been introduced into them.—Shootings in the eyes.—Heat and burning sensation in the eyes,

esp. by candle-light.—Inflammation of the eyes, with redness of the sclerotica, injection of the

veins, swelling and abundant mucous secretion of the eyelids.—Hordeolum, with drawing

pain.—Dry humour in the eyelids, and in the eyelashes.—Agglutination of the eyelids and

lachrymation.—Pressure and stinging in the eyes, with lachrymation.—A gglutination of the eyes

early in the morning.—Dry gum in the eyelashes.—Obscuration of the sight on

  • stooping.
  • —Myopia.
  • —Confusion of characters on reading.
  • —Sparkling before the
  • eyes.
  • —Photophobia, esp.
  • by day, inflammation and red, swollen eyelids.
  • —Intolerance to the light

of day.

Ears

Ears
Boericke
  • Dryness of inner ear.
  • Cracking in ears when eating.
  • Moisture and eruptions behind the ears. Hears better in noise.
  • Hardness of hearing.
  • Hissing in the ears.
  • Detonation in ear like report of a gun.
  • Thin, white, scaly membrane covering membrane tympani, like exfoliated epithelium.
  • Fissures in and behind the ear.
Symptoms — Ears
Clarke

Shootings and beatings in the ears —Dryness of the internal ear.—Fetid smell and

discharge of blood and of pus from the ears.—Scabs, tetters, running, and excoriation, behind the

  • ears.
  • —Hardness of hearing.
  • —Hardness of hearing, > by the motion of a carriage.
  • —Singing,

tinkling buzzing, and rumbling like that of thunder in the ears.—Buzzing in the ears at

  • night.
  • —Sensation, as if air were enclosed in the Eustachian tube.
  • —Sensation as if the (1.
  • ) ear were
  • filled with water.
  • —Sensation as if a skin were before the ear.
  • —Whistling in the ears.
  • —Cracking in

the ears when moving the jaw.

Nose

Nose
Boericke

Sore on blowing it; is painful internally. Smell abnormally acute; cannot tolerate flowers. Scabs and fissures in nostrils.

Symptoms — Nose
Clarke

Swelling of the nose.—Sensation of tension in interior of nose.—Black pores on

  • nose.
  • —Dry scabs in nose.
  • —Painful dryness of nose.
  • —Nostrils, excoriated, cracked and
  • ulcerated.
  • —Fetid smell from nose.
  • —Discharge of blood when the nose is blown.
  • —Epistaxis, esp.

in the evening and at night; preceded by rush of blood to head, and heat in the face —Discharge

of fetid pus from the nose.—Sense of smell sharpened (too sensitive, cannot bear the smell of

  • flowers).
  • —Stoppage, and troublesome dryness of nose.
  • —Quotidian coryza, on being chilled.
  • —Dry

coryza, with headache and nausea, which compel the patient to lie down.—Flow of mucus from

the nose, liquid, or yellowish, or thick, with putrid smell —Fluent coryza, with catarrh (as soon as

he becomes cold).

Face

Face
Boericke
  • Feels as if cobwebs were on it.
  • Eczema of nose.
  • Itching pimples.
  • Moist eczema around mouth and chin.
  • Erysipelas, burning and stinging.
Symptoms — Face
Clarke

Pale yellow complexion, with livid circles under eyes.—Flushes of heat in

face.—Erysipelatous inflammation and swelling of the face (burning and stinging; the erysipelas

spreading in rays), with eruption of vesicles.—Erysipelas preceded by chills and heat alternating;

beginning r. side of face, going to |—Encysted tumour on the cheek.—Constant sensation, as if

the face were covered with cobweb.—Semi-lateral paralysis, and distortion of the muscles of the

face, with difficult articulation Drawing and tearing pains in the bones of the face.—Eruption

on the face, in appearance as if the skin were raw.—Scabs and moist pimples on the

  • face.
  • —Ephelis.
  • —Falling off of the beard.
  • —Ulcers on the internal surface of the lips.
  • —Fissures in

the ulcerated lips ——Ulcerated corner of the mouth.—Lips cracked.—Scabby eruption on the chin

and round the mouth.—Painful nodosities in the lower jaw.—Swelling and hardness of the

submaxillary glands.

Mouth

Mouth
Boericke
  • Rotten odor from mouth.
  • Breath smells like urine.
  • Burning blisters on tongue, salivation.
  • Sour eructations.
Symptoms — Mouth
Clarke

Dryness of the mouth in the morning.—Putrid and urine-like smell from the mouth,

gums, and nose.—Pain, as from excoriation, vesicles and ulcers on the tongue.—Bitter taste in the

mouth, the tongue being much coated.—Taste of rotten eggs in the morning, after rising.—Profuse

salivation, and accumulation of mucus in the palate and throat.—Speech impeded by paralysis of

the muscles.

Symptoms — Teeth
Clarke

Toothache at night, or in the evening in bed, < by heat, and sometimes with heat of

the face and swelling of the cheek.—Pains in the molars, on closing the jaws.—Lancinating and

drawing toothache, esp. after drinking anything cold, and < by warmth.—Pain, as from

excoriation, in teeth and gums, during and esp. after a meal.—Easy bleeding and swelling of the

gums.—Fetid odour from the gums and mouth.—Discharge of black and sour blood from the

teeth.

Throat

Symptoms — Throat
Clarke

Almost constant soreness of the throat, on swallowing, generally lancinating, with

feeling of strangulation —Pain in the throat, even at night, as if there were a plug within it, or as

if the food had stopped there.—Swelling of the tonsils, with pain when swallowing.—Cramps in

the throat, with feeling of strangulation Roughness and scraping in the throat.

Stomach

Stomach
Boericke
  • Aversion to meat.
  • Sweets nauseate.
  • Hot drinks disagree.
  • Nausea and vomiting after each meal.
  • Morning sickness during menstruation.
  • Pressure in stomach.
  • Burning in stomach, causing hunger.
  • Eructation difficult.
  • Constrictive pain in stomach.
  • Recurrent gastralgia.
  • Flatulence.
  • Stomach pain is temporarily relieved by eating, hot drinks especially milk and lying down.
Symptoms — Appetite
Clarke

Bitter or acid taste, with sourness in the mouth and throat.—Great thirst in the

morning, and after a meal—Immoderate hunger (with acidity of the stomach).—Repugnance to

cooked food, and to meat: also to anything saline or saccharine—Weakness of digestion, with

drowsiness, headache, pains in the stomach, fulness, and inflation of the abdomen, after a

meal.—Hot things disagree with stomach.

Symptoms — Stomach
Clarke

Frequent and sometimes abortive risings.—Sour risings, with bitterness in the

  • mouth.
  • —Sour regurgitation of food.
  • —Bitter and green regurgitations.
  • —Frequent hiccough, esp.

after a meal.—Nausea, esp. in the morning, or after every meal, with inclination to

vomit.—Water-brash, at night.—Obstinate vomiting of food —Vomiting after the slightest

loathing, with great nausea and pinching in the abdomen.—Retching, with rising up of

mucus.—Acid vomitings.—Colic, and pressure on the stomach, sometimes with vomiting, > by a

recumbent position, and by the heat of the bed —Cramp-like pains, or squeezing, as from claws

in the stomach.—At night, pinching in the stomach, with digging in the chest—Burning pain in

the stomach, which compels eating.—Cramps in stomach > by eating.

Abdomen

Abdomen
Boericke
  • Nauseous feeling in abdomen.
  • Fullness and hardness in abdomen, as from incarcerated flatulence; must loosen clothing; presses painfully at abdominal ring.
  • Croaking in abdomen.
  • Inguinal region sensitive, swollen.
  • Pain of gas opposite the side on which he lies.
  • Chronic diarrhoea, stools brownish, liquid, undigested, offensive.
  • Very fetid gas preceded by colic.
Symptoms — Abdomen
Clarke

Tension, shootings, and beatings in the hypochondria.—Hepatic pains after

breakfast, which render it necessary to lie down.—Fulness and heaviness, in

abdomen.—Abdomen enlarged, tight, inflated. Inflation of the abdomen, with congestion of

blood to the head, heaviness in the head, and vertigo.—Hardness in the abdomen.—Nocturnal,

cramp-like pain in all the intestines, with deficient secretion of urine.—Incarceration and

accumulation of flatus in the abdomen.—Expulsion of an excessive quantity of fetid flatus,

preceded by pinchings.—Rumbling in the abdomen.—Croaking, as of frogs in the

abdomen.—Painful sensitiveness of the groins.—Painful swelling of the inguinal

glands.—Erysipelatous inflammation, with large vesicles near the navel.—Pressive, stitching,

boring pain in region of navel; extending into back and hypochondria; with habitual costiveness;

< evening.

Stool

Stool
Boericke
  • Constipation; large, difficult, knotty stools united by mucus threads.
  • Burning haemorrhoids.
  • Prolapse, diarrhoea; stools of brown fluid, mixed with undigested substance, very fetid, sour odor.
  • Smarting, sore anus, itching.
  • Lump stool, conjoined with threads of mucus.
  • Varices of the rectum.
  • Fissure of anus (Ratanhia; Paeonia).
Symptoms — Stool and Anus
Clarke

Obstinate constipation, with hard faeces (the lumps being united by

mucous threads), and hardness in the hepatic region.—Feces hard, knotty, of too great a size, and

scanty.—A quantity of white mucus is expelled with the stool—Feeces too soft.—Stools of a

putrid, sour smell (with burning at the rectum), or of sanguineous mucus.—Mucous

diarrhoea. —Diarrheea, with tightness of the abdomen.—Feces of a very small size, like a

  • worm.
  • —Lumbrici and ascarides.
  • —Teenia.
  • —Itching, sensation of excoriation, and swelling of the

anus.—Large hemorrhoidal excrescences in the anus, with pain as from excoriation, esp. after a

stool.—Painful and burning cracks between the hemorrhoidal tumours.—Prolapsus recti with the

varices, as if the rectum were paralysed.

Urinary

Symptoms — Urinary Organs
Clarke

Urgent, anxious, and painful want to make water, with emission drop by

drop, with a stitch in the urethra, when emitting it—Scanty secretion of a deep-coloured urine,

soon becoming turbid, with white or reddish sediment.—Urine of an acrid sour smell.—Stream of

water small, as if from contraction of the urethra.—During micturition pain in the os

  • sacrum.
  • —Involuntary emission of urine.
  • —Nocturnal emission of urine.
  • —Wetting the bed at

night.—Pain in the coccyx when urinating.

Urine
Boericke

Turbid, with sediment. Sour smelling.

Female

Female
Boericke
  • Menses too late, with constipation; pale and scanty, with tearing pain in epigastrium, and itching before.
  • Hoarseness, coryza, cough, sweats and morning sickness during menstruation.
  • Leucorrhoea, pale, thin, profuse, white, excoriating, with great weakness in back.
  • Mammae swollen and hard.
  • Induration of ovaries and uterus and mammae.
  • Nipples sore, cracked, and blistered.
  • Decided aversion to coitus.
Symptoms — Female Sexual Organs
Clarke

Great aversion to coitus.—Vesicles and pimples on the

  • vulva.
  • —Excoriation on the vulva and between the thighs.
  • —Soreness of the vagina.
  • —Painful

swelling of the ovaries; < every time she takes cold or gets her feet wet.—Swelling and hardness

of ovaries after menses.—Tearing, grinding, bursting in r. ovary, as if it would burst, before and

during menses.—Tumour in r. iliac fossa; also 1—Pain in uterus when reaching high with

arms.—Sensation of bearing down towards the genital parts—Catamenia too slow, too scanty,

and too pale.—The first menses delay.—Suppression of catamenia, with heaviness of the limbs

and congestions of blood to the head.—Cutting pains on the appearance of the

catamenia.—During the catamenia, flow of blood from the anus, pains in the limbs, ulcers

become worse, swelling of the cheeks or of the feet, catarrh, with hoarseness and coryza,

toothache, or cramps and violent cuttings in the abdomen, headache, nausea, pain in the chest,

and weakness.—Before and during the menstruation, fatiguing cough (morning and during the

day.).—Leucorrhcea, white and liquid, like water, with tension of the abdomen, and weakness in

the back.—Leucorrhcea, before and after the catamenia.—Leucorrheeic discharge occurs in gushes

day or night.—Painful sensibility and excoriation of the breasts, with eruption of running

phlyctenze.—Obstruction and induration of the mammary glands.—Hard cicatrices remaining after

mammary abscess.

Male

Male
Boericke

Sexual debility, with increased desire; aversion to coition; too early or no ejaculation; herpetic eruption on organs.

Symptoms — Male Sexual Organs
Clarke

Tension and cramp-like pains in the genital parts, with troublesome

voluptuous ideas.—Eruption of pimples on the prepuce, and on the penis.—Dropsical swelling of

the prepuce and the scrotum.—Dropsical swelling of the testes —Voluptuous excitation in the

genital parts. —Indifference, or extreme excitement of sexual desire.—Violent

  • erections.
  • —Uncontrollable sexual excitement.
  • —Priapism.
  • —A bsence of erections in the

morning.—Emission of semen, almost involuntary, without erection—During an embrace painful

cramps in the calves.—After an embrace coldness of the legs, exhaustion, heat of the body, and

perspiration.—Absence of emission of semen during coition—Feeble enjoyment during

coition.—Flatulent colic during the excitement in the genital parts.

Respiratory

Respiratory
Boericke
  • Constriction of chest; spasmodic asthma, suffocative attacks wakes from sleep; must eat something.
  • Pain in middle of chest, with cough, scraping and soreness.
  • Chronic hoarseness with skin affections.
  • Inability to control the vocal chords; hoarseness on beginning to sing and for breaking voice.
Symptoms — Respiratory Organs
Clarke

Sensitiveness of the larynx.—Catarrhal roughness and hoarseness,

with sensation of excoriation, burning pain and scraping in the throat, coryza and obstruction in

the chest.—Voice false (for singing).—Accumulation of slimy matter in the chest—Cough,

produced by roughness of the throat—Cough at night, or in the evening in bed, excited by taking

a full inspiration, with oppression of the chest.

Chest

Symptoms — Chest
Clarke

Difficulty of respiration and oppression on the chest.—Nocturnal attacks of

suffocation, on going to sleep, or on walking in the open air.—Suffocative paroxysm at night,

awakens him out of sleep, usually after midnight; must quickly jump out of bed, hold himself

firmly to something, and quickly eats whatever is at hand, which gives relief; or hoarse cough

(asthma).—Wheezing respiration.—Pain in the chest on ascending, on riding on horseback, on

yawning, or on putting the hand on the chest.—Perspiration on the sternum every

morning.—Swelling and induration of the mammary glands.—Soreness of the nipples, with small

corrosive blisters—Pressive, cramp-like pain in the chest.—Spasms in the chest.—Shootings in

the chest on the least movement.

Symptoms — Heart
Clarke

Palpitation of the heart on the least movement.—(Constant emptiness and coldness

about the heart and in chest, with sadness.).—Region of heart: constriction; pressure;

stitches —Sensation like electric shock from heart toward front of neck.—Strong pulsations of

blood in whole body, but esp. about heart, < by every motion.—Throbbing in region of heart, in

evening, after lying down, when lying on I. side so violent that the covering was moved thereby,

with anxiety; disappearing on turning over.

Neck & Back

Symptoms — Neck and Back
Clarke

Stiffness in the nape of the neck.—Violent pain in the nape of the neck and

the shoulders, on stooping the head, and on raising the arms, like a tearing incision.—Blisters on

the neck.—Swelling of the glands of the neck.—Tearing in the glands of the neck —Bruising pains

in the loins, or violent achings in the loins, like squeezing from claws, or from twisting the

body.—Contractive pain in the back (between the shoulders).—Sensation of tingling in the

back.—Formication in the back.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Tearing and lancinating in the shoulders.—Sensation of contraction in the

joint of the elbow, on extending the arms.—Cramp and tearing in the hands.—Emaciation of the

hands.—Erysipelas, callosities, dry skin, and cracks in the hands.—Pain as from dislocation, in the

joint of the thumb.—Swelling and inflexibility, stiffness and distortion of the fingers.—Granulated

eruption and corrosive vesicles on the fingers.—Arthritic nodosities on the fingers —Tettery

excoriation between the fingers.—Thickness of the nails of the fingers.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Heaviness, lassitude, and numbness of the legs in the open air—Excoriation

between the legs.—Arthritic tearing in the hip-joint, the feet, and the toes—Numbness and

stiffness of the thighs, and of the toes.—Restlessness in the legs —Tetters on the thighs, on the

hands, and on the tibia—Sensation of contraction in the tendons of the ham, and in the tendo

Achillis.—Tension in the varices, on extending the legs.—Stiffness and want of flexibility in the

knee, which does not permit sitting squat—Cramps and starting of the muscles in the calves of

the legs —Congestion in the legs and in the feet, when standing upright.—Ulcers in the

legs.—Swelling of the legs and of the feet, with hardness and shooting pain.—Stiffness of the

instep.—Shooting pain, like that of an ulcer, in the heel and in the soles of the feet, on rising from

  • the sitting posture.
  • —Cold feet, even in the evening in bed.
  • —Feet burning.
  • —Fetid sweat on the
  • feet.
  • —Contraction of the toes.
  • —Swelling and distortion of the toes.
  • —Sore pain of the

corns.—Callous skin, corrosive vesicles and ulcers on the toes.—Ulceration on the borders of the

big toe.—Tettery excoriation between the toes, with violent itching. —Thickness and deformity of

the toe-nails.

24. Generalities—Cramp-like pains, cramps and contraction in different parts —Tension in some

parts, as from contraction of the tendons.—Starting and distortion of the limbs.—Arthritic pullings

and tearing in the limbs and joints, esp. in ulcerated parts.—Arthritic nodosities—Tendency to

strain the back —Limbs become easily numbed.—Stiffness and complete inflexibility of the

joints.—Hard swellings, with shooting pains —Nocturnal pains, which are felt even during

sleep.—The symptoms disappear after a walk in the open air.—Varices, with shootings, tension,

  • and itching.
  • —Swelling and hardness of the glands.
  • —Pains during change of weather.
  • —General

uneasiness (sensation of debility), which extorts groans, without any distinct sensation of

pain.—Strong pulsation in the whole body, and esp. in the heart, augmented by the least

movement.—Pulling in the whole body, with urgent inclination to extend the limbs.—Sensation of

trembling in the whole body, with jerking of the limbs.—Great emaciation.—Great tendency to

take cold, and fear of the open air, and of currents of air—General lassitude.—Rapid failure of

strength.

Extremities

Extremities
Boericke
  • Pain in nape of neck, shoulders and back and limbs.
  • Spinal pains.
  • Pain in small of back with great weakness.
  • Excoriation between thighs.
  • Left hand numb; arms feel asleep; finger-nails thick, black, and rough, matrix inflamed (Psor; Fluor ac).
  • OEdema of lower limbs.
  • Toe-nails crippled.
  • Stiffness and contraction of toes.
  • Nails brittle and crumbling.
  • Nails deformed, painful, sore, thick, and crippled.
  • Cracks or fissures in ends of fingers.
  • Offensive perspiration of feet.

Skin

Skin
Boericke
  • Rough, hard, persistent dryness of portions of skin unaffected by eczema.
  • Early stage of keloid and fibroma.
  • Pimples and acne.
  • Eruptions, oozing out a sticky exudation.
  • Rawness in bends of limbs, groins, neck, behind ears.
  • Unhealthy skin; every little injury suppurates.
  • Ulcers discharging a glutinous fluid, thin and sticky.
  • Swelling and induration of glands.
  • Gouty nodosities.
  • Cracks in nipples, mouth, between toes, anus.
  • Phlegmonous erysipelas of face; burning and stinging pain.
  • Swelling of feet.
  • Wens.
  • Chronic Poison Oak.
Symptoms — Skin
Clarke

Obstinate dryness of the skin, and absence of perspiration.—Ephelides.—Red spots on

the skin, like flea-bites —Erysipelatous inflammations.—Vesicular erysipelas, like zona, on the

abdomen and on the back.—Itching of the varices on the lower limbs.—Itching-stinging on the

surface of a mole.—Eruptions oozing out a thick honey-like fluid—Tetters, and other humid or

scabby eruptions, sometimes with secretion of corrosive serum, or with itching in the evening,

and at night.—Eruption of pimples and nodules (principally under hair and on covered parts)

which itch very much.—Swelling and induration of the glands —Encysted tumours.—Corrosive

nodules.—Excoriation of the skin (in the bends of the limbs, groins, neck, behind the ears), esp.

in children.—Unhealthy skin, every injury tending to ulceration.—Proud flesh, and fetid pus, in

ulcers, with tearing pains, burning, and shooting.—Scrofulous and syphilitic ulcers.—Burning

pain in an old cicatrix—Deformity and thickness of the nails.

Sleep

Symptoms — Sleep
Clarke

Great drowsiness during the day, and early in the evening.—Difficulty in falling

asleep.—Agitated sleep at night, with frequent waking.—Nocturnal sleep incomplete, as if only

dozing. —Unable to fall asleep before midnight on account of a fixed idea.—Unrefreshing sleep at

night, followed in the morning by a comatose sleep.—At night, profusion of ideas, sometimes

troublesome.—Great agitation at night, with anxious and frightful dreams, oppression and

choking.—During sleep, starts, with fright—Dreams of death and of fire; dreams with

meditations.—At night, discomforting ideas, anguish, heat, inquietude, startings, gastric

sufferings, and many other affections —Perspiration about the head, when falling

asleep.—Bleeding from the nose at night—Wakens at night from a suffocative attack —Constant

talking during sleep —Wetting the bed at night while asleep.

Fever

Symptoms — Fever
Clarke

Pulse full and hard, but not accelerated —Shiverings, morning and evening, with or

without heat, and followed by perspiration —Chill and chilliness, principally in the evening, after

  • 4 p.
  • m.
  • —General dry heat, evening and night, preceded by a chill.
  • —Heat when riding in a

carriage.—Perspiration sour, colouring the linen yellow, of offensive smell.—Inability to

perspire.—Perspiration, often very fetid, on the least movement, or on the least fatigue, even from

speaking.—Nocturnal sweat, sometimes fetid.—Quotidian fever; shaking chill in the evening; an

hour afterwards heat in the face, and cold in the feet, without any subsequent perspiration.

Clinical

Clinical
Clarke
  • Acne.
  • Amenorrhea.
  • Anus, affections of: Blepharitis.
  • Breasts, indurated; cancer of.
  • Cancer.
  • Catarrh.
  • Chaps.
  • Chlorosis.
  • Colic.
  • Constipation.
  • Deafness.
  • Dropsy.
  • Dysmenorrheea.
  • Ears, affections of.
  • Eczema.
  • Epistaxis.
  • Erysipelas.
  • Eyes, affections of.
  • Face, erythema of.
  • Feet,
  • affections of.
  • Fissures.
  • Gastralgia.
  • Glandular swellings.
  • Gleet.
  • Gravel.
  • Heemorrhoids.
  • Headache.
  • Herpes.
  • Hydrocele.
  • Influenza.
  • Irritation.
  • Lachrymal duct inflamed.
  • Leucorrheea.
  • Lips, cracked.
  • Liver, indurated.
  • Menstruation, disorders of: Mentagra.
  • Nails, disorders of.
  • Noises in head.
  • Nose, affections of.
  • Nose-bleed.
  • Obesity.
  • Ovarian tumours.
  • Paralysis.
  • Parotitis.
  • Pityriasis.
  • Priapism.
  • Pruritus vaginz.
  • Psoriasis.
  • Ptosis.
  • Rectum, affections of.
  • Rhus poisoning.
  • Scar.
  • ,
  • inflamed.
  • Scrofula.
  • Seminal emissions.
  • Skin, affections of.
  • Smell, disorders of.
  • Stomach, cramp
  • in.
  • Sycotic diathesis.
  • Syphilis.
  • Trichiasis.
  • Tumours.
  • Ulcers.
  • Urine, disordered.
  • Uterus, cancer of.
  • Vaccination, effects of.
  • Wens.
  • Whooping-cough.
  • Worms.
  • Zona.

Relations

Relations
Clarke
  • Antidoted by: Acon.
  • , Arsen.
  • , Chi.
  • , Nux v.
  • Antidote to: Arsen.
  • , Iod.
  • , Rhus t.
  • Jt
  • follows: Calc.
  • , Lyc.
  • , Puls.
  • , Sep.
  • , Sul.
  • Complementary: Caust.
  • , Hep.
  • , Lyc.
  • Compare: Petrol.
  • ,
  • Lach.
  • , Carb.
  • v.
  • , Carb.
  • a.
  • , Caust.
  • , Nit.
  • ac.
  • , Rhus (erysipelas, left then right; Graph.
  • , right then left),
  • Ant.
  • c.
  • , Ratan.
  • , Peeon, Nit.
  • ac.
  • , Sil.
  • In priapism, Pic.
  • ac.
  • In affections of right ovary, Pallad.
  • , Op.
  • Laughing and weeping alternately, Aur.
  • , Pul.
  • , Lyc.
  • , Stram.
  • , Alum.
  • Hears better in ears, Nit.
  • ac.
  • Obesity, Calc.
  • ars.
  • Trichiasis, Borax.
  • Erysipelas beginning on nose, Canth.
  • Fat constitutions,
  • Calc.
  • Burning excoriating discharge from eyes, Ars.
  • (but with Ars.
  • there is spasmodic closing of
  • lids); Sul.
  • has margins of lids reddened; with Graph.
  • they are paler than usual; Euphr.
  • has thick,
  • purulent discharge, Graph.
  • has thin.
  • Profuse salivation, Bism.
  • Graph.
  • is a chronic, or over-grown
  • Puls.
  • (but Puls.
  • has <, and Graph.
  • has > from milk).
Relationship
Boericke

Complementary: Argent nit (follows well in gastric derangements); Caustic; Hep; Lycop; Ars; Tuberc.

Compare: Petrol; Sep; Sulph; Fluor ac. The associated constipation with mucus-covered stools and gastric flatulency should be taken into consideration and differentiate it from such remedies as Petrol and Lycop (Raue).

Antidote: Nux; Acon; Ars.

Posology

Dose
Boericke

Sixth to thirtieth potency. Locally as a cerate, in sore nipples.

Kent's Lecture

Lecture (part 1)
Kent

feature of this remedy. Contraction of tendons, especially behind the

knee. It has haemorrhagic oozing of pale blood. In the higher sense

the patient is anaemic and chlorotic. From eruptions, catarrhal discharges, menstrual flow, ulcers, breath and perspiration there is

marked offensiveness (like Carbo v., Psorinum, Kali phos., Kali ars,).

When eruptions or discharges have disappeared suddenly from any

cause and grave chronic phenomena have followed Graphites is one of

the medicines to be studied. Scrofulous conditions and swelling of

galnds ; recurrent herpes upon ail parts of the body and especially

about the anus and genitals ; burning in many parts and especially in

old cicatrices ; general dropsical tendency ; weakness in muscles and

tendons after straining them by overlifting.

Lecture (part 2)
Kent

The patient is very sensitive to cold and needs warm clothing ; he is

sensitive to the cold in winter and to the heat in summer : he is sensitive to a warm room and desires open air which is grateful. Worse

in a warm bed ; complaints come on from becoming cold or heated ;

tlie headaches are worse in a warm room and better in the open air.

Graphites has cured deep seated spinal complaints, and in such cases

the patient delights to lie heavily covered in a cold draft from an open

window. It is easy to see in this, the resemblance to Carbo veg,, which

often cures when the patient wants to be fanned. Craving for air

is strong in the carbons^ yet often easily chilled and just as easily overheated and complaints that come from overheating are related to the

carbons. This one becomes ill from being overheated ; exertion makes

all symptoms worse. Motion increases all symptoms except the numbness and general feeling of stagnation which come on during rest.

Extreme weakness. Weakness and desire to lie down. Paralysis in

any part but especially in the lower limbs ; sensation of paralysis or

stagnation creeps over the body and limbs. He is made sick by bathing and is sensitive to cold, damp weather. What there is in the general life to cause eruptions to come out in the bends of the joints

must be left for others to explain, but such is the case with this wonderful remedy. The same may be said of rawness and excoriation

in the same regions. Cataleptic conditions are very marked in which

the patient is conscious but without power to move or speak ; tremulous sensation throughout the body ; sudden sinking of strength ; sudden weakness. Constriction in many parts. It has cured many kinds

of convulsions. It is not the remedy for the convulsion, but in chronic

sickness where the convulsion is but one of many elements it is often

suitable. It has cured epilepsy and hysterio-epilepsy and epileptiform

spasms many times when the totality of symptoms furnished the basis

for the prescription. A careful comparison of the symptoms shows

that this remedy acts predominantly on the left side of the body. The

patient is oversensitive to pain and outer parts arc very sensitive.

The pains are burning, drawing, pressing. Soreness. Stitching

and tearing. Numbness is more characteristic than pain. The formation of fissures in all the commissures and in the anus with cracked

and bleeding skin in many parts with much hardening ; the tendency

to grow wens on the scalp and elsewhere are features of this remedy

not to be overlooked, and when coupled with the mental symptoms

form such a strong and striking image of perverted vital action that

the neophyte should not overlook Graphites. It is as broad and deep

as Sulphur, showing the great similarity to this great remedy in chronic

cases.

Lecture (part 3)
Kent

The patient becomes very restless when attempting close mental

work and there is a marked dread of mental work. The mental depression is extreme, and it is made worse by music : her sadness is so

great that she thinks only of death and salvation. Grief and vexation

cause of recurrence of all her distressing mental sufferings. Her moods

are constantly changing ; while she may recall all the events of youth,

recent events are forgotten ; slow of thought and weakness of mind

worse in the morning ; often excited, hurried and exhilarated in the

evening ; extremely fretful and impatient ; irritable about trifles and

very critical. Irresolution is a marked symptom. She cannot mako

up her mind to do 01 not to do. Extreme activity of mind in the evening and first half of the night, which prevents sleep until midnight ;

apprehensive and distressed in the,, jrnorning and excited in the evening ; extreme anxiety even to desperation.

Vertigo in the morning on wakihg ; in the evening ; on looking upwards ; on rising from stooping ; coinpclled to lie down ; with inclination to fall forward.

When the above general symptoms strongly j^redominate in any

given sickness the following particulars will be cured by this remedy.

Hypersemia of the brain in the evening in a warm room ; frequent

moments of congestion to head and face with faint feelings ; numbness felt in whole head ; burning spot on the vertex ; drawing, pressing

and tearing in forehead over the eyes ; stitching pains in the temples ;

pain from temples to side of face and to shoulders ; one-sided headaches in the morning on waking ; tearing in one side of head extending

to teeth and side of neck ; pressing pain on the vertex and occiput ;

compressing, constricting pain in occiput and back of neck ; pain as

though the head were numb ; violent headaches during menses. The

headaches are brought on from becoming cold and from looking into

a bright light ; are worse in a warm room, and better in the open air.

There is marked soreness in the scalp ; itching of the scalp with or

without eruptions ; eczema of the scalp oozing a glutinous fluid ; eczema

behind the cars ; fissures that bleed behind the ears ; scaly eruptions

on scalp ; falling out of the hair ; bald, shiny patches on the scalp.

Lecture (part 4)
Kent

Extreme photophobia in the sunlight with copious lachrymation.

No remedy has photophobia more marked than Graphites. Pain in

the eyes and over the eyes by looking long toward a sunlighted window ; complaints from eyestrain. Letters appear double when writing,

letters run together when reading ; flickerings and fiery zig-zags just

outside the field of vision in the evening ; misty vision ; vanishing of

sight during menses. Burning, pressing, stitching pains in the eyes.

It has cured ulceration of the cornea. Recurrent pustular inflammation of the cornea. Keratitis pustulosa in children with fissures in the

canthi, extreme photophobia and eczema on the face. Marked congestion and injected veins of the conjunctiva. Chronic lachrymation

in open air, tears acrid. The fissured canthi bleed easily and itch

violently. Purulent discharges from the eyes : the lids are stuck

together at night : the eyes feci hot : the lids arc much swollen and the

margins are red, raw and bleed easily — sometimes hard ; ulcers on the;

margins of lids ; the lids are covered with crusts ; eczema of the eyelids

and about the eyes ; dry mucus in the lashes, styes on the lids, with

drawing pain, especially when they recur frequently. Cystic tumors

on the lids.

Discharge from the cat of sticky, \ iscid pus ; bloody, offensive.

Noises in ears ; cracking ; humming ; hissing ; ringing ; rushing , roaring ; reverberations. Violent roarings at night and the cars feel

stopped ,* thundering, rolling sounds in ears. Deafness in various

degrees and he hears better in a noise. He can hear better when

riding on the cars in the roaring of the train. Deafness with eczematous eruptions on and behind the ears. Stitching pains in ears in cold

air. Marked swelling of the ears.

Smell very acute ; she c.annot tolerate flowers : loss of smell with

dryness in the nose ; with coryza. Discharge from nose bloody mucus

or pus, vei-y offensive, viscid, thick, sometimes yellow. It is a most

useful remedy in chronic nasal catarrh. Very painful dryness in the

nose. The bones and cartilages of the nose become v€i*y sore to touch.

Sneezing and fluent coryza as marked as in Carbo veg. Frequent

attacks of coryza all winter, worse in cold air ; the coryza extends to

larynx, like Carlo veg ,* the excoriated, sore, cracked nostrils are

plugged with scabs and hard mucus far up in the nose. Ulcers in the

nose. Fissures in the nostrils that burn and indurate.

The face is pale, waxy and sickly. Eczema and herpes are found

  • on the face with glutinous moisture.
  • Itching with or without eruptions.
  • A sensation as of a cobweb on the face.
  • The commissures of

mouth are fissured and the fissures ulcerate and the edges become hard

and there is great burning in them. The skin chaps and cracks and

  • often becomes excoriated and bleeds.
  • Erysipelas of the face, spreading from right to left.
  • The beard falls out.
  • Crusts form on the lips

GRAPHITES 491

Lecture (part 5)
Kent

and the chin is covered with eczema. The submaxillary gland is

swollen and indurated. The gums are settling away from the teeth ;

the teeth burn and sting ; drawing pain in teeth in cold wind ; tearing

in teeth worse from warmth. Taste in the mouth is bitter, salty, sour

and like spoiled eggs ; nauseating taste in the morning ; sour taste after

eating. The tongue is coated white; burning blisters on lower lip and

on tip of tongue, painful ulcers on under surface of tongue, putrid

odor from gums and mouth ; breath smells like urine. Dryness of the

mouth in morning on waking ; also in the night on waking ; saliva

flows from the mouth during the night. Chronic sore throat with

ulceration and swelling ; swollen tonsils : nightly pain in throat ; copious

white, viscid mucus ; a continuation of the nasal and post nasal catarrh.

Constant choked feeling or constriction in the throat that makes swallowing difficult. Constant spasms in the throat compelling swallowing.

Ravenous appetite. Violent thirst in the morning with dry mouth

and internal fever. Aversion to meat ; to cooked food ; to fish ; to

salt, to sweets. He is driven to cat to relieve a feeling of suffocation

and burning gnawing in the stomach. Pain in the stomach, relieved

by eating. Eructations bitter : sour : putrid ; tasting of food eaten ; of

greenish water. Rancid heartburn after eating ; nausea much of the

time during menses, with trembling; vomits all she cats; vomiting,

purging and cold sweat. The stomach feels constantly in a spoiled

state or as from indigestion. Flatuknce is as marked as in Carbo veg.,

and the relief from belching is jijist as great. Burning, constriction,

pulsation and cramping are frequent symptoms. Fulness, distension,

pressure are constant features of Graphites. Retching on swallowing

  • food (like Merc.
  • c.
  • ).
  • Gastric catarrh with internal heat drive him to

cat and drink. Gastric pains worse from cold drinks and better by

warm milk ; periodical gastralgia with vomiting of food soon after

eating. It is a wonderful remedy for old drunkards when the gastric

symptoms agree (like Carbon bisulphide).

It is a most useful remedy in hard, swollen, sore liver with weight

and distress in the liver ; stitches in both hypochondria, burning in left

hypochondrium when lying on it ; sensitive to clothing in the liver

region. Great suffering in the abdomen from flatulence ; incarcerated

flatus causes cramping pains, distension, and is a continual source of

distress. Everything eaten seems to ferment and turn to gas ; rumbling and movements felt in the abdomen ; there is great burning and

griping ; cramping in the abdomen soon after eating ; the clothing distresses the abdomen. The slightest indiscretion in eating causes increased flatus, rumbling and diarrhoea ; the abdomen is distended with

dropsy. Herpes zona on the side of abdomen ; herpes over lower abdomen and groin ; hard swelling of inguinal glands ; oedema of the

abdominal walls,

Lecture (part 6)
Kent

From the anus there is copious discharge of very offensive flatus

day and night. While diarrhoea is not so common as constipation,

yet it is a marked condition in some patients. The diarrhoea is painless with much flatus, with watery, brown, putrid, lienteric stools ; excoriating stools, extreme sorenes of the anus ; fissures of the anus ;

great burning. Chronic diarrhoea ; from the slightest indiscretion in

eating on comes a renewed attack. With the loose stools, and with

the constipated stools copious white jelly-like mucus is often found.

Discharge of mucus from anus and a constant moisture about the outside parts. Large haemorrhoids extremely sore with fissures.

Constipation with large, hard, knotty, difficult stools paSwSed with

extreme pain from soreness and fissures of the anus. Long narrow

stools (like Phos,). Violent burning in the anus, prolapsus of the

anus. It has cured many cases of bleeding piles of long standing

where there was extreme soreness and fissures and great burning.

Violent pains during stool. No desire to go to stool for many days.

It requires a long time with hard straining to pass the stool. It often

suits patients who have no stool except by injection or cailiartic.

Violent itching of the anus ; eczema and herpes near the anus or involving the anus. It has cured the stomach and abdominal conditions

that favor the tapeworm.

The urine flows in a feeble stream, l)ccomes very putrid after standing and deposits much red or white sSedimetu ; after standing the urine

is covered with an iridescent cuticle. After urination there is some

dribbling ; burning in the urinary passages and neck of the bladder

when not urinating ; pain in the sacrum and coccyx when urinating.

Violent sexual excitement and nightly emissions ; the excitement is

so strong that ejaculation comes instantly after intromission. The

opposite state is also found where there is aversion to coition and

  • erections are wanting.
  • It is a most useful remedy for impotcncy following secret vice and sexual excesses.
  • Emissions with feeble erections.
  • Herpes on the prepuce ; excoriated and fissured glans penis ;

dropsical swelling of the scrotum and penis, hydrocele in small boys

and baby boys. Itching and moist erupiions on the scrotum. It has

cured gleety, viscid discharge from the urethra. It has cured swollen

testes.

In the female it causes aversion to coition ; enlarged, hard ovaries ;

great tenderness in uterus and ovaries. It has cured ovarian tumor.

Pain in the uterus when reaching high with hands ; bearing down in

uterine region. It cures cauliflower excrescence of the uterus ; it has

restrained the growth of cancer in the cervix uteri, when there was

burning and putrid bloody discharge ; in this it resembles Carbo an.

Menses late, irregular, scanty, pale or mixed with scanty dark, small

clots, short duration. Menses six or eight weeks apart. Menses

Lecture (part 7)
Kent

suppressed or very late in chlorotic girls. First menses delayed.

Leucorrhoea instead of the menses {Cocculus), Qidema of the vulva,

Leucorrhoea in gushes day and night. Dryness and heat in the vagina ;

coldness in the vagina. Extreme lassitude during the menses. Many

wsymptoms come during menses ; dry cough, copious sweat ; ordema of

feet ; hoarseness ; coryza ; headache ; nausea ; morning nausea. Violent

itching of the vulva before menses ; marked excoriation of the genitals

and between the thighs during menvses ; excoriating leucorrhcKa before

menses. Leucorrhoea white ; yellowish-white ; thin ; viscid ; oftensive.

Sore, cracked nipples in nursing women. Cancer of the breast coming

in the cicatrix of an old cancer.

Larynx sensitive to touch. Hoarseness in the evening (like Cmho

Dryness in the larynx in the night ; copious glutinous mucus

in the daytime.

He suffocates when falling asleep (like Lachesis) and often wakes

up in the night gasping for l)rcath ; constriction of the chest.

Paroxysmal cough like whooping cough, cough is followed by expectoration of copious white viscid mucus: j)aroxysms come at any

time It has cured whooping cough. Cough from tickling in the

larynx or trachea; violent night cough; deep inspiration causes cough.

Rawness in the trachea; stitching pains in the chest. Constiction ol

the heart; electric shocks in the h<:art; palpitation on motion or exertion with strong pulsation all ovei the body and in the extremities,

pulse full and heard, slow during iday bur fast in the morning; fast

pulse in evening after eating, wirfi fever. Itching herpetic eruption

on the chest; herpes zona on left side ol chest with pain. Ii is a

useful remedy to ward off phthisis.

Enlarged hard painful glands of neck. Painless swollen glands of

neck. The spine is very sensitive to the jar of the bed; pain in lumbar

region as if “spine were broken;” pain in sacrum with numbness down

the limbs; pain in sacrum and coccyx while urinating; itching and

moisture over the coccyx. Drawing and tearing pains in limbs: weakness of all limbs; sensation of paralysis of limbs; herpes and eczema

on the limbs; marked numbness of the upper limbs, during rest and

when lain on; numbness arid coldness of fingers and hands. Rheumatic and tearing pains in shoulders, worse in left. Herpes in axilla

and bend of the elbow; horny callosities on the palms; skin of the

hands hard, fissured, hot and bleeding. Psoriasis of the hands and

fingers ; raw, moist places between the fingers ; the finger nails thick

and brittle ; the finger nails become black and fall off. Great heat of

palms.

Smarting and sore between the nates ; excoriation from walking.

Many eruptions on the thigh, but especially herpes and eczema ; eruptions that ooze a glutinous fluid. Numbness of lower limbs during

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.
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