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Materia Medica

Inula Helenium

Scabwort
41 sectionsBoericke · 9Clarke · 32

Essence

Prologue
Boericke

Scabwort (INULA)

  • A mucous membrane medicine.
  • Bearing-down sensations in pelvic organs and bronchial symptoms are most marked.
  • Substernal pain.
  • Diabetes.
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Keynotes

Characteristics (part 1)
Clarke

The most prominent feature of the action of Jodium is its power of causing

absorption. It is this power which has made the drug such a favourite among old-school

practitioners as a paint in all kinds of swellings. Given internally its power is much greater: the

absorbents are stimulated to fresh activity; muscles, fat, tissues, and glands waste away, and

general emaciation is the result. When new growths and hyperplasias are present, these come

under the action of /od. before the normal tissues. I have seen it given with excellent effect in the

lower attenuations, when swollen and deformed joints have been left behind after an attack of

acute rheumatism. Scrofulous and syphilitic indurations, effusions and tumours, and especially

goitre, are equally amenable to its resolvent action. Emaciation of single parts. In this connection

must be mentioned its power to set up a ravenous appetite. "Eats ravenously, yet emaciates," is a

keynote. It seems as if the waste of tissue set up the desire for absorbing great quantities of food.

Absence of appetite is also among the effects of Jod., and either condition may indicate it. I once

used it with excellent effect in the case of a young woman who had had a nervous shock, and had

lost all appetite and desire to live. She was much emaciated, and had quietly made up her mind to

starve herself to death. I gave five drops of /od. 3x in a wineglass of water half an hour before

meal-times, and her appetite returned with such vigour she could not choose but eat, and was

soon restored to a normal mental and bodily state. I have recorded another similar case of

nervous shock producing rapid emaciation and vomiting cured by Jod. in my book on

Indigestion. Both these patients were somewhat dark, and Jod. is specially suited to persons of

dark hair and complexion; dark, yellow, tawny skin. Herein it is the antipodes of Bromium and

Spongia. Its mental symptoms are more marked than those of Brom. There is increased erethism,

patient very excitable and restless, moving about from place to place. Fears every little

occurrence will end seriously. In his anxiety shuns every one, even his doctor. Fixed ideas are

among the /od. effects; also sudden impulses. A patient of mine had once been given Jodine for

goitre by an allopath. She was compelled to discontinue it because it produced this inconvenient

symptom: impulse to run; she felt she must fall if she walked. Jod. produces atrophy of nerve and

brain tissue, as well as of other tissues (Allen mentions that it is valuable in persistent headaches

with vertigo in old people); and it also has a place in acute hydrocephalus; and in pleuritic

effusions. In tubercular disease of all kinds it may be called for: tabes mesenterica; pulmonary

phthisis. In rheumatism and heart affections it has a large sphere. It is indicated by indurations or

atrophy of testes, ovaries, and uterus. The salivary glands and pancreas are especially affected by

Tod., and a diarrhoea of milky, whey-like stools, often indicative of pancreatic disease, is

Characteristics (part 2)
Clarke

especially amenable to its action. In pneumonia and phthisical affections with lung consolidation

it is of great service. The chief indications are: Dyspnoea; cough with blood-streaked

expectoration; tickling all over chest; weakness and emaciation; < of symptoms in a warm room.

This last, "< by warmth," is a leading modality of Jod. In defects of growth, curvature of bones,

and in children's ailments, it follows well upon Calc. In phthisis of rapidly-growing young

people, thin and dark, it is especially indicated. There are many marked symptoms in the heart

sphere: palpitation from slightest cause; sensation as if being squeezed; hypertrophy. With the

heart symptoms there is a "gone," exhausted feeling, and the patient is scarcely able to breathe or

  • walk.
  • C.
  • S.
  • McKay noticed lumbrici passed by an infant who had tasted Jodine accidentally, and

used the experience in another case, giving a dilute solution (one part of the @ to three of water;

of this three drops every three hours), and produced the expulsion of lumbrici when Santonin had

  • completely failed.
  • An Ioduretted solution of Kali iod.
  • (Kali iod.
  • gr.
  • xxxv.
  • , od.
  • gr.
  • iv.
  • , Aqua one

ounce; ten drops for a dose) has been used with success as a teenicide, expelling the tapeworm,

dead. Erethism is marked in /od.: nervousness; restlessness; twitching; subsultus tendinum and

trembling; also sense of trembling in inner parts. Facial paralysis and epilepsy have followed

suppression of goitre by large doses of Jod. Weakness is excessive. Fainting on going upstairs.

(General weakness and loss of appetite and pain in temples, and pain in left chest as if something

were being torn away: heart large-—Cooper). Motion and exertion of all kinds <. Sitting up >,

and lying down < dyspncea and heart affections. < By warmth; by wrapping up; in warm room. <

In wet weather. Drinking cold milk > constipation. > By eating, of hunger and other symptoms,

is another marked character of Jod. Jod. is a sensitive remedy, and many symptoms are < by

  • touch and pressure.
  • Nash thinks Jod.
  • one of the remedies affected by the moon's changes.
  • In
  • cases of goitre where it is indicated he gives a powder of Jod.
  • c.
  • m.
  • every night for four nights

after the moon has passed the full.

Mentals

Symptoms — Mind
Clarke

Lachrymose disposition and mental dejection.—Melancholy hypochondriasis, sadness,

  • heart-ache, and anxiety.
  • —Fear: shuns persons.
  • —Anxious apprehensions.
  • —Restless agitation (with

inclination to move about), which will neither permit the patient to remain seated, nor to

sleep.—Irresistible impulse to run; feels she will fall if she walks —Cross, irascible,

peevish.—Heart palpitates "like lightning" when thinking of real or imaginary wrongs.—Sudden

maniacal impulses; to murder.—Excessive mental excitement, with great susceptibility. —Illusions

of moral feeling —Loquacity and immoderate gaiety.—Hesitation and irresolution.—Indolence of

mind, with great repugnance to all intellectual labour.—Fixedness, immovableness of

thought.—Delirium.—Effects of amorousness; of disappointed love.

Generals

Symptoms — Generalities
Clarke

Erratic pains in the joints.—Chronic rheumatism in the joints, with violent

pains at night; without swelling. —Sensation of torpor in the limbs.—Convulsive starting and

  • twitching of the tendons.
  • —Distortion of the bones.
  • —Pains in the bones at night.
  • —Swelling and

induration of the glands.—Hzmorrhage from different organs.—Powerful over-excitement of all

the nervous system.—Ebullition of blood, and pulsation over the whole body, increased by the

  • slightest exertion.
  • —Trembling of the limbs.
  • —Tottering walk.
  • —Great weakness; even speaking

excites perspiration.—Plastic exudations.—Atrophy and emaciation till reduced to the state of a

skeleton (with good appetite).—Emaciation; ending in marasmus; of glandular tissues (mamme,

testicles, thyroid gland, &c.).—CEdematous swelling, even of the whole body.

Head

Head
Boericke

Vertigo on stooping; throbbing after eating, pressure in temples and forehead.

Symptoms — Head
Clarke

Confusion of the head (with aversion to earnest work).—In the morning,

dizziness.—Vertigo; throbbing in the head and all over the body.—Vertigo with red face,

palpitation, hysteria, nervousness.—Headache, in hot air, as well as from the prolonged

movement of a carriage, or from a long walk, and < by noise and speech.—Pain, as from a bruise,

in the brain, with want of strength in the body, as from paralysis.—Acute pressive pains in the

forehead.—Headache, as if a tape or band were tightly drawn around the head.—Pressure on a

small spot, above the root of the nose.—Congestion in the head, with beating in the

brain.—Throbbing in the head at every motion.—Hair falls out.

Eyes

Symptoms — Eyes
Clarke

Pains in orbits.—Feeling of depression above the eyes, as if they were deeply sunken,

in the evening.—Pain, as from excoriation, in the eyes.—Inflammation of the eyes, sometimes

after taking cold—Watery white swelling of the eyelids.—Dirty yellowish colour of the

sclerotica—Protrusion of the balls —Lachrymation.—Convulsive movements, and quivering of

the eyes; of the (lower) eyelids.—Weak sight—Dimness of vision following upon application of

Iodine to any part of body.—Choroido-iritis—Diplopia.—Sparks and scintillations before the

eyes.

Ears

Symptoms — Ears
Clarke

Buzzing in the ears.—Hardness of hearing.—Sensibility to noise—(Chronic deafness

with adhesions in middle ear.—Deafness from Eustachian catarrh, inflamed tonsils, roaring in the

ears, &c.).

Nose

Symptoms — Nose
Clarke

Small scab in the r. nostril—Epistaxis—Red, burning spot on the nose, below the

eyes.—Stoppage of the nose, or secretion of mucus more abundant than usual.—Dry coryza,

becoming fluent in the open air (< evening).—Fluent coryza with much sneezing.—Violent coryza

with lachrymation and frontal headache; discharge hot, nose sore, fever.—Blowing of much

yellow mucus from the nose.

Face

Symptoms — Face
Clarke

Complexion pale, yellowish, or easily tanned; or greenish—Acneous eruption on r.

side of face, with burning, and itching, twitching of r. upper eyelid, and twitchings in other

parts —Sallow, distressed countenance.—Bluish lips, with swelling of the superficial

veins.—Frequent and sudden redness of the face, with sensation of burning in the ears.—Face

sunken with eyes cast down.—Starting of the muscles of the face.—Suppurating ulcer on the 1.

cheek, with swelling of the contiguous glands.—Swelling of submaxillary glands.

Mouth

Symptoms — Mouth
Clarke

Aphthe in the mouth.—Ulcers in the mouth.—Pain and swelling of the glands of the

interior of the mouth—Exhalation of putrid odour from the mouth; after

  • Mercury.
  • —Salivation.
  • —Tongue loaded with a thick coating.
  • —Dryness of the tongue.
Symptoms — Teeth
Clarke

Pressive pains in the molars.—Teeth yellow, and covered with mucus, in the morning;

easily blunted by vegetable acids.—Inflammatory swelling and bleeding of the gums, with

swelling of the cheek; the gums are painful to the touch.—Teeth loose.—Softening of the gums.

Throat

Symptoms — Throat
Clarke

Swelling and elongation of the uvula.—Sore throat, with pressive pain, when not

swallowing.—Permanent constriction of the gullet and impeded deglutition.—Increased secretion

of watery saliva —Inflammation of the gullet, with sensation of burning and scraping; burning in

the fauces.—Ulcers in throat, with swelling of glands of neck.

Stomach

Symptoms — Appetite
Clarke

Disagreeable, saponaceous, sourish, or bitter salt taste—Increased thirst day and

night.—Appetite variable; at one time bulimy, at another, absence of appetite—Unusual hunger,

with amelioration after a meal (after having eaten a good deal).—Great weakness of

digestion.—Eats too often and too much; rapid digestion, but losing flesh all the time.

Symptoms — Stomach
Clarke

Risings, generally acid, with burning sensation.—Heartburn, after heavy

  • food.
  • —Hiccough.
  • —Pyrosis, esp.
  • after indigestible food—Qualmishness, nausea (with spasmodic
  • pain in the stomach).
  • —Frequent nausea.
  • —Violent vomitings renewed by eating.
  • —Vomiting of

bilious matter, or of yellowish mucus.—Excessive pains in the stomach, with bilious

evacuations.—Aching in the stomach after every meal.—Cramp-like, gnawing, or burning pains in

  • the stomach.
  • —Inflammation in the stomach.
  • —Pulsations in the epigastrium.
  • —Gastric

derangement with constipation.

Abdomen

Symptoms — Abdomen
Clarke

Abdominal pains, which return after every meal.—Inflation of the

  • abdomen.
  • —Incarceration of flatulence (1.
  • side of abdomen).
  • —Enlargement of the abdomen, which

renders it impossible to lie down without danger of suffocation.—Region of liver sore to

pressure; swelling and hypertrophy of liver; jaundice.—Hard, painful swelling of the

  • spleen.
  • —Cramp-like pains in the abdomen.
  • —Violent colic.
  • —Pains in the abdomen, like those of

parturition —Swelling and inflammation of the mesenteric glands.—Pancreas enlarged; whitish,

whey-like diarrhoea.—Abdominal pulsations; throbbing of abdominal aorta.—Trembling in the

abdomen, from the pit of the stomach to the periphery, with increased heat.—Hard swelling of the

inguinal glands.

Stool

Rectum
Boericke

Pressing toward rectum as of something extruding.

Symptoms — Stool and Anus
Clarke

Hard, knotty, dark-coloured feeces.—Constipation.—Loose, soft

evacuations, sometimes whitish, alternately with constipation—Evacuations copious of the

consistence of pap.—Violent, frothy diarrhoea, or composed of sanguineous mucus.—Dysenteric

evacuations of thick mucus, or sometimes purulent, with retention of feecal matter.—In the

evening, sensation of itching and burning in the anus.—Piles protrude and burn; < from heat.

Symptoms — Stool and Rectum
Clarke

Pressing dragging towards rectum and genitals, as in labour; as if

substance would come out, occurring repeatedly.

Urinary

Symptoms — Urinary Organs
Clarke

Suppressed secretion of urine.—Copious and frequent flow of

urine.—Involuntary emission of urine at night.—Urine of a deep colour, turbid, or yellowish

green; or milky; or acrid and corrosive.—Parti-coloured cuticle on the urine.—(Incontinence in

  • old people with prostatic enlargement.
  • ).
  • —(Diabetes.
  • )
Urinary
Boericke

Frequent urging to urinate; passes only in drops. Violet odor (Tereb).

Female

Female
Boericke
  • Menses too early and painful.
  • Labor-like pains; urging to stool; dragging in genitals, with violent backache.
  • Itching of legs during menses, chattering of teeth from cold during menstruation.
  • Moving about in abdomen, stitches in genitals.
  • Chronic metritis.
Symptoms — Female Sexual Organs
Clarke

Catamenia at one time too late, at another too early.—Menses

premature, violent and copious.—Metrorrhagia.—Weakness, palpitation of the heart, and many

sufferings, before, during, and after the catamenia.—Atrophy of ovaries and breasts, with

sterility.—Pain (dull, pressing, wedge-like) commencing in r. ovary passing down broad ligament

  • to uterus.
  • —Great sensitiveness of r.
  • ovarian region during or after menses.
  • —Inflammation of r.

ovary with an itching eruption on head and hands following application of Jodine to os

  • uteri.
  • —Chronic odphoritis (1.
  • ) with thick, yellow, burning leucorrheea, > after eating (H.
  • N.
  • Martin.
  • ).
  • —Pain in lower abdomen; < |.
  • ovarian region; > by motion and by eating.
  • —Induration

and swelling (cancer?) of the uterus.—Uterine hemorrhage renewed after every

stool.—Leucorrhcea, corroding the limbs and the linen; acrid; profuse; worse at time of

menses.—Flaccidity and atrophy of the breasts Mammary hyperzesthesia.—Heaviness of breasts

as if they would fall off—Acute pain and soreness in breasts with metritis—Bluish red nodosities

size of hazel nut; in both breasts; dry, black points at tips.—Galactorrhoea; thin, watery milk;

weakness; emaciation—Milk suppressed; breasts atrophied and relaxed.

Male

Symptoms — Male Sexual Organs
Clarke

Complete loss of sexual power, testicles atrophied.—Violent and

constant erections.—Sexual desire increased.—Painful pullings in the anterior part of the

penis.—Aching, pressing, twisting, or forcing pain in spermatic cords; after sexual

  • dalliance.
  • —Swelling and hardness of the testes.
  • —Hardness of the prostate gland.
  • —After stool,

milk-like fluid runs from urethra—Hydrocele.—Offensive sweat of genitals.

Respiratory

Respiratory
Boericke
  • Dry cough; worse at night and lying down; larynx painful.
  • Chronic bronchitis; cough, with much thick expectoration, with languor and weak digestion.
  • Stitches behind sternum.
  • Teasing cough with much and free expectoration.
  • Palliative in tubercular laryngitis.
Symptoms — Respiratory Organs
Clarke

Insupportable hoarseness and tingling in the throat, esp. in

morning.—The voice becomes deeper.—Membranous croup, with wheezing and sawing

respiration; dry, barking cough, esp. in children with dark eyes and hair; child grasps throat with

hand.—Croup, with much mucous expectoration, sometimes streaked with blood.—Inflammation

of the throat, of the larynx and trachea, with contractive pain of excoriation.—Pain in the larynx,

with discharge of hardened mucus.—Contraction and heat in the larynx.—Increased secretion of

mucus in the trachea, with frequent hawking.—Dry cough, with pressure, shooting, and sensation

of burning in the chest.—Cough in the morning.—Cough, with expectoration of abundant, and

sometimes sanguineous mucus, pains in the chest, and fever—Rattling of mucus in the chest,

with roughness under the sternum and oppression of the chest—Cough, resembling whooping-

cough, excited by an insupportable tickling in the chest, with anguish before the paroxysm, and

excessive emaciation.—Hepatization; worse upper part of r. lung.

Chest

Symptoms — Chest
Clarke

Difficulty of respiration, and dyspncea.—Difficulty of expanding the chest on taking

  • an inspiration.
  • —Suffocation.
  • —Shooting in the |.
  • side, on breathing.
  • —Loss of power to breathe,
  • esp.
  • on going upstairs.
  • —Weakness of the chest.
  • —Congestion in the chest.
  • —Burning, shooting

tension in the integuments of the chest.

Symptoms — Heart
Clarke

Sensation of weakness in the chest (and heart).—Violent palpitation of the heart;

increased by the least exertion (from walking or going downstairs).—Sensation as if the heart

were squeezed together.—Constant, heavy, oppressive pain in region of heart, with sharp,

piercing, movable pain.—Great precordial anxiety, obliging him to constantly change his

position.—(Hypertrophy of heart, very like that of Arn., and like that often met with in

  • housemaids and others from over-exertion.
  • —Fatty degeneration of heart——Cooper.
  • ).
  • —Pulse rapid,

small, weak, with tumultuous, irregular, at times intermittent action of heart.

Neck & Back

Symptoms — Back
Clarke
  • Pain through back and chest, on inspiration.
  • —Transient pain in r.
  • scapula.
  • —Violent

backache during menstruation.

Symptoms — Neck and Back
Clarke

Tension in the neck.—Swelling of the exterior of the neck.—Swelling of the

neck when speaking.—Swelling of the glands of the neck, of the nape of the neck, and of the

armpits.—Hard and large goitres—Constant sensation of constriction in the goitres.—Y ellowish

spots on the neck, and redness, as from ecchymosis.—Cramps in the back.—Pain in sacrum and

coccyx.—Spinal complaints, with gressus vaccinus.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Pains in the bones of the arms, < when lying down, and disturbing the

sleep.—Lassitude in the arms in the morning, in bed.—Convulsive movements and trembling of

the arms, of the hands, and of the fingers ——Numbness of the fingers.—Tearing pains in the

fingers.—Startings of the tendons of the fingers.—Panaris —Constant coldness of the hands, which

are covered with a cold sweat during labour.—Carphologia.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Cramp-like pains in the legs when seated.—Heaviness, swelling, trembling

and paralysis of the legs—Rheumatic pullings in the thighs and knees.—Inflammatory swelling

of the knee, with tearing pains, and suppuration.—Hot, bright-red swelling of the knee, with

inflammation, pricking and burning; < by touch and pressure.—Dropsical swelling of the

  • knee.
  • —White swelling of the knee.
  • —Cramps in the feet, esp.
  • at night.
  • —Startings of the tendons of

the feet—(Edematous swelling of the feet——Chilblains —Acrid and corrosive sweat on the

feet.—Pain in the corns.

Extremities

Extremities
Boericke

Pain in right shoulder and wrist; tearing in left palm, unable to double fingers; pain in lower limbs, feet and ankles.

Skin

Symptoms — Skin
Clarke

Skin rough, dry, or clammy, moist, and of a dirty

  • yellow.
  • —Tetters —Furfur.
  • —Panaris.
  • —Itching and itching pimples on an old cicatrix.
  • —Papulous

eruptions tending to pustulation.

Fever

Symptoms — Fever
Clarke

Shivering, even in a warm room.—Chill alternating with heat.—Cold feet all

night—Internal dry heat, with external coldness.—Profuse night-sweat.—Increase of bodily

heat.—Fugitive heat—Acid perspiration in the morning.—Pulse quick, small, and hard; weak,

threadlike.—The pulse becomes much quicker as soon as one moves about.—Fever, with

consumption.—(West Indian and African fevers; ague.)

Clinical

Clinical
Clarke
  • Appetite, disordered.
  • Atrophy.
  • Brain, atrophy of.
  • Breasts, affections of.
  • Cancer.
  • Chilblains.
  • Chyluria.
  • Constipation.
  • Consumption.
  • Coryza.
  • Cough.
  • Croup.
  • Debility.
  • Diabetes.
  • Diarrhoea.
  • Diphtheria.
  • Emaciation.
  • Enteric fever.
  • Galactorrhoea.
  • Goitre Hemorrhoids.
  • Headaches.
  • Heart, hypertrophy of; affections of.
  • Hiccough.
  • Hydrocephalus.
  • Iritis.
  • Jaundice.
  • Joints, affections of.
  • Lactation, disordered.
  • Laryngitis Leucorrheea.
  • Liver, affections of.
  • Lymphatic swellings.
  • Melancholia.
  • Mollities ossium.
  • Ovaries, affections of; dropsy of.
  • Ozcena.
  • Prostate gland, enlarged.
  • Rheumatic gout.
  • Rheumatism.
  • Salivation.
  • Scars.
  • Seborrhea.
  • Sterility.
  • Syphilis.
  • Tabes mesenterica.
  • Throat, affections of.
  • Uterus, affections of.
  • Voice, affections of.

Vomiting. Worms.

Relations

Relations
Clarke

lod. must be compared with Iodoform and Kali iod. The febrile, inflammatory, and

  • skin symptoms of Iodf.
  • are more violent and pronounced than those of the other two.
  • K.
  • iod.
  • has

less erethism than Iod., has > from external warmth (though both have > in open air); and K. iod.

  • has not the excessive appetite of Iod.
  • or the general > from eating.
  • Iod.
  • is antidoted by: Starch or
  • wheat flour mixed with water (to large doses).
  • Antidotes to small doses: Ant.
  • t.
  • , Apis, Ars.
  • , Bell.
  • ,
  • Camph.
  • , Chi.
  • , Chi.
  • sul.
  • , Coff.
  • , Hep.
  • , Op.
  • , Pho.
  • , Spo.
  • , Sul.
  • /t antidotes: Merc.
  • Follows well:
  • Merc.
  • ; Hep.
  • (croup); Ars.
  • Followed well by: Aco.
  • , Arg.
  • n.
  • , Calc.
  • , Merc.
  • sol.
  • , Pho.
  • , Pul.
  • Complementary: Lyc.
  • Compare: Brom.
  • (Brom.
  • has light hair and complexion; Iod.
  • dark; Bro.
  • carrion-like odour of ulcers); Chlorum; Nat.
  • m.
  • (ravenous appetite yet gets thin—Nat.
  • m.
  • especially about the neck); Kali iod.
  • (talkative as if from alcohol); Bar.
  • c.
  • (tabes mesenterica,

extreme hunger, emaciates, talkative, averse to strangers; Bar. c. suited to dwarfish persons; has

  • not the intolerable crossness of Iod.
  • , which is < than that of Ant.
  • c.
  • ); Alumina (apprehensive,

fears); Apis (joint effusions, sensitiveness, hydrocephalus); Cact. and Spig. (heart); Hydrast.

  • (uterine affections); Ars.
  • , Calc.
  • , Cin.
  • , Sil.
  • and Staph.
  • (ravenous hunger); Hyo.
  • (loss of voice; Iod.

antidotes this); Sul.

Relationship
Boericke

Compare: Crocus; Ignatia; Arum dracontium (loose cough worse at night on lying down).

Posology

Dose
Boericke

First to third potency.

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.

Additional notes

Symptoms — Limbs
Clarke

Chronic arthritic affections; with violent nightly pains.—Stiff and enlarged joints

after acute rheumatism.—Subsultus tendinum.—Cold hands and feet.

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