Kali Bich

Kali bichromicum (with the other Chromium preparations, Chro. ac. and

• ▸Chro.
• ▸ox.
• ▸) owes its introduction into the homceopathic materia medica to the late Dr.
• ▸J.
• ▸J.

Drysdale, whose monograph upon it, forming one section of the Hahnemann Materia Medica,

and now occupying pp. 457 to 573 of Materia Medica Physiological and Applied, is the most

complete account of the remedy which we possess. The Bichromate of Potash, which is

manufactured in large quantities from chrome-iron-ore, is the preparation from which all other

salts of Chromium are derived. The native association of Chromium with Ferrum is worthy of

note. The Bichromaite is largely used in the arts in dying, calico-printing, wood-staining, in

photography, and as a solution for producing the current in electric batteries. Many of the most

remarkable symptoms were obtained from workmen engaged in the preparation of the salt. Some

of these had been noted before Drysdale took up the study of the drug. The first proving was

published by him in 1844 in the British Journal of Homeopathy. The following year it was

proved by the Austrian Society. The effects of the drug show profound action on the entire

organism, and characteristic features of the utmost value to the prescriber have been brought out,

rendering the drug one of the most important members of the homceopathic materia medica.

Among these keynotes of Kali bi. four may be named as pre-eminent: (/) Discharges from

mucous membranes of tough, stringy mucus, or muco-pus, which adheres to the part and can be

drawn out in strings. (2) The occurrence of pain in small spots. In connection with this is another

feature showing a sharply defined action: (3) Punched-out, perforating ulcers, occurring on skin,

• ▸mucous membranes, and affecting bones (e.
• ▸g.
• ▸vomer, palate).
• ▸(4) Alternating and shifting

conditions: pains wander from part to part; rheumatic pains alternate with gastric symptoms, or

with dysentery; headache alternates with blindness; fibrinous deposits extend downwards.

Among other leading characters, scarcely less distinctive are: (a) The formation of plugs or

clinkers on mucous membranes, especially in the nose. (This may be regarded as an advanced

stage of the stringy mucous secretions.) (b) Still another Variety of this is the formation of false

membranes as in croup and diphtheria, with hoarse, metallic cough; and the formation of casts of

the bronchial tubes in fibrinous bronchitis. (c) Yet another characteristic mucous discharge is one

of "jelly-like mucus." (d) Indigestion from drinking beer; loss of appetite; weight in pit of

stomach immediately after eating; flatulence. (e) Among peculiar sensations the "hair sensation"

is marked in Kali bi. It occurs chiefly on the back part of the tongue and in the left nostril —It can

hardly be questioned that Chromium is the predominant partner in the action of this salt, but it

would be wrong to consider the Ka/i element as of no account, and it would be still more wrong

to disregard the very large proportion of oxygen. It is as an oxydising agent and disinfectant that

K. bi. is chiefly known in general medicine, and it is probably to the oxygen element that the

ulcerating properties of the drug are largely due. One of its effects is "odourless stools," and the

oxygen element is probably accountable for this. Another point in this connection is that the

antidotes to poisonous doses of Kali bi. are the same as the antidotes to the acids. The Kali

parallels must be sought chiefly in Causticum and Kali carb. The general resemblance is great,

but the minute correspondences are not very striking. One possible point of correspondence has

• ▸been pointed out.
• ▸Storer (Med.
• ▸Adv.
• ▸, xxv.
• ▸98), cured with Kali bi.
• ▸a case of asthma in a man who

noticed that the attacks were caused by and always followed coitus. The Kali bi. was prescribed

on other indications, but this symptom must be noted for future verification. Kali c. has marked

"< from coitus," and also from emissions; and Caust. has stupid feeling in the head the day after

an emission." Caust. has many symptoms of disordered vision; though it has not the "blindness

followed by headache, the sight improving as the pain becomes worse" of Kali bi. This is very

• ▸characteristic and has led me to many cures.
• ▸Both Caust.
• ▸and Kali bi.
• ▸have many symptoms of

ulceration internal and external. Nash relates a good cure with Kali bi. A woman had deep

punched-out ulcers with regular edges. One of them had perforated the soft palate and threatened

the whole palate. It had a syphilitic appearance, and the patient had been long under old-school

treatment. There was also a stringy discharge, but not to a great amount. In three weeks Kali bi.

30 made a cure which proved permanent; the local condition entirely healed and the patient's

general state improved correspondingly. Apropos of syphilis Drysdale quotes a long series of

• ▸cases of syphilis in all stages treated by J.
• ▸E.
• ▸Giintz with "Chrome water.
• ▸" This consists of an

• ▸artificial aerated water containing in 600 grammes of water Kali bi.
• ▸0.
• ▸03 grms.
• ▸, Kali nit.
• ▸0.
• ▸1

• ▸grm.
• ▸, Natr.
• ▸nit.
• ▸, 0.
• ▸1 grm.
• ▸, Nat.
• ▸mur.
• ▸, 0.
• ▸2 grm.
• ▸; this mixture is incorporated with carbonic acid

under the highest pressure, at low temperature, and kept some time before use. The dose given

was from half to two bottles daily (each bottle containing 600 grammes) in five doses, given on a

full stomach. Even in this dilution the mixture was sufficiently disgusting in taste, and to some

quite intolerable. A number of the Kali bi. symptoms were produced, but on the whole very

notable and evidently specific curative action was observed. Out of 100 cases of primary syphilis

64 remained without constitutional symptoms. In secondary and tertiary syphilis "chromo-water"

was also remarkably successful. In strictly homeeopathic practice Kali bi. has been no less

successful, as its symptoms correspond to a great variety of the manifestations of that disease,

especially keratitis and iritis, ozzna, bone-pains and nodes, sore throat, syphilitic rheumatism

and ulcers. Like Causticum it has some sycotic symptoms as well, including asthma, early

morning <, gleety discharge, and, according to Farrington, scabs on fingers, often about the nails,

• ▸and on corona glandis.
• ▸J.
• ▸B.
• ▸Garrison records the rapid action of Kali bi.
• ▸in two cases of

• ▸intermittent fever (7.
• ▸R.
• ▸, 111.
• ▸105), on an indication given him by Martin Deschere.
• ▸The latter

once took by mistake an overdose of Kali bi., which was followed by vomiting of a large

quantity of bright yellow water, tasting very bitter. Garrison's first case was a labourer, ill a

month with fever, pains and paroxysm at | p.m. just before Garrison saw him he had vomited "a

• ▸large quantity of bright yellow water.
• ▸" Kali bi.
• ▸1x, one grm.
• ▸dissolved in a tumbler of water, a

teaspoonful every two hours, cured at once. Case 1i. was that of a woman who had been nine

months under allopathic treatment, had not been out of the house for two months, and had been

told she could not recover. Among other symptoms was this: Vomited much more than she

drank: in the morning vomited a large bowlful of bright yellow fluid. The yellowness of Kali bi.

secretions and excretions is noteworthy. Kali bi. is particularly suited to fat people; and Goullon

• ▸(quoted H.
• ▸R.
• ▸, vi.
• ▸267) gives the case of an enormously fat man of "formless colossal body" who

complained of chronic accumulation of phlegm—he seemed fairly filled up with it, especially in

the morning—for which all domestic remedies and mineral waters had been given in vain. Kali

bi. 2x was ordered, a few grains in hot water every evening. In two weeks the patient could

resume his walks. He felt easy on his chest, the accumulation of phlegm disappeared, his bowels

• ▸became regular instead of constipated.
• ▸H.
• ▸W.
• ▸Champlin (Med.
• ▸Adv.
• ▸, xix.
• ▸393), cites a case of

chronic rheumatism in an old over 70 confirming symptoms of Kali bi. She was restless and

sleepless at night, and Rhus relieved this somewhat, but closer investigation brought out this: (/)

The pains changed rapidly from one place to another, and (2) they occupied small spots that

• ▸could be covered with the point of a finger.
• ▸Kali bi.
• ▸cured rapidly.
• ▸Kali bi.
• ▸also causes:

Rheumatic-like or shooting and pricking pains here and there. In one prover (Drysdale himself)

the rheumatic pains were <, and the gastric pains >, after eating. There were cramps in various

parts; twitches in hands and feet; stinging pains all over. Pains in short jerks as if a nerve were

• ▸suddenly pulled.
• ▸Sudden pains.
• ▸Pains appear and disappear suddenly.
• ▸Diagonal pains; right

mamma and left elbow; left forearm and right occiput; right knee and hip, left breast and

shoulder; right axilla, left thigh; right big toe, left little finger; right forearm, left elbow; right

foot, ankles, shin, left hip, arm, shoulder; right big toe and thumb; wrists and ankles. Shifting

pains and sudden pains. "Indolence" is a characteristic of many conditions—indolent ulcers;

indolent inflammation about and of the eyes; slow scrofulous or sycotic ophthalmia, soreness of

the canthi, pustules round the eyes, lids adhering and puffed, whites of the eyes yellowish. The

face is bloated and blotched; may be yellowish; acne accompanies headaches and gastric

conditions. The tongue is thick and broad and takes the imprint of the teeth. The stomach

symptoms are very distressing. Painful vomitings; sour, and mixed with clear mucus; may be

bitter from the presence of bile; vomiting caused by every attempt to eat or drink, with distress

and burning rawness about the stomach. This corresponds to the vomiting of drunkards,

especially in beer-drinkers; also to gastric ulcer. The abdomen swells up immediately after a full

meal. Food lies like a load as if digestion were suspended. There is aversion to meat; and longing

for beer; and for acid drinks. It removes the chronic effects of drinking too much malt liquor,

especially lager beer. Some of the workmen found they could not drink coffee as it made them

worse, and they were obliged to take to tea instead. (This bears out Hering's dictum that "wine-

drinkers should take coffee and beer-drinkers should take tea." Coffee antidotes wine and tea

antidotes beer; so as Kali bi. corresponds to beer effects tea will be likely to agree with it better

• ▸than coffee).
• ▸Kali bi.
• ▸causes great prostration, discomfort, debility, and desire to lie down.
• ▸The

neuralgic attacks sometimes recur every day, at the same hour. Epilepsy has been cured by it

when there was flow of tough, stringy fluid from the mouth in the attacks. In very weak solutions

(about 1 to 2,000) Kali bi. has been used with much success as a local application for ulcers,

especially when they are very painful. Lord and Moore had good success in treating horses for

farcy, using the remedy both externally and internally. In the cough of Kali bi. the stringy,

difficult expectoration, and early morning < will generally indicate; or a pain from mid-sternum

• ▸through to back.
• ▸But there is also a cough caused by eating.
• ▸W.
• ▸J.
• ▸Pierce (H.
• ▸W.
• ▸, xxx.
• ▸567)

records the case of James S., 40. For four months past, as soon as he swallowed food (not

liquids), a tickling in throat excited a severe cough, which stopped only on vomiting, and was

followed by a watery coryza. This was so distressing that for two months he had eaten only two

meals a day. There was pharyngeal catarrh with stringy mucus hanging from naso-pharynx. Kali

bi. 1, a tablet every two hours, was given. He had no more vomiting, and only coughed twice in

the next five days, and was soon quite cured. Kali bi. is credited with the cure of a case of

Descemetitis [inflammation of the internal (Descemet's) membrane of the cornea] with redness

of right eye, brightness of the lid and lachrymation. Kali bi. removed the spots and relieved the

other symptoms. Kali bi. is especially suited to fair-haired, fat persons, especially fat, chubby

children; fat, sluggish people. Most of the symptoms appear in the early morning or are < then 2

• ▸a.
• ▸m.
• ▸heat in pit of stomach; awakes with oppressed breathing with a start.
• ▸2 to 3 a.
• ▸m.
• ▸croup; early

• ▸morning cough; morning diarrhoea; 9 a.
• ▸m.
• ▸pain in head begins; goes off in afternoon.
• ▸Shooting

from root of nose to external angle of eye begins morning, increases to noon, and ceases towards

evening (sun-headache). Affections of autumn and spring. Complaints of hot weather are

particularly likely to want Kali bi., but at the same time there is "great liability to take cold in

open air"; and "moderately cold air is felt very unpleasantly." Eruptions begin in warm weather

(opp. Rhus). Open air > symptoms generally, especially vertigo; but < gastric complaints and

• ▸chilliness.
• ▸Uncovering <; wrapping up >.
• ▸Warmth > cough; undressing < cough.
• ▸Cold weather >

itching of eruption. < By eating; eating = cough weight in stomach. Touch < most symptoms; but

pressure >. But pressure = pains to shoot along sciatic nerve. Moving the affected part > the pain.

Most symptoms are < at rest and > by motion. Stooping <; sitting <.

Ill-humour; low-spirited.—Listless.—Anthropophobia; taciturnity;

misanthropy.—Vanishing of thoughts.—Aversion to mental (and bodily) exertion —Weak

memory.—Anxiety arising from chest.

• ▸Vertigo with nausea when rising from seat.
• ▸Headache over eyebrows, preceded by blurred vision.
• ▸Aching and fullness in glabella.
• ▸Semilateral headache in small spots, and from suppressed catarrh.
• ▸Frontal pain; usually over one eye.
• ▸Bones and scalp feel sore.

Lightness in the head, across the forehead, on stooping; < morning.—Sudden attacks of

giddiness, when rising from a seat.—Vertigo on rising up in bed (room seemed to whirl round);

on lying down again it became < and was immediately associated with inclination to

vomit.—Vertigo, with nausea, inclination to vomit; retching up of sour watery fluid —Frequent,

sudden attacks of vertigo when standing or walking.—Confusion and heaviness in

head.—Headache in forehead, often only over one eye.—Soon after dinner a dull, heavy throbbing

about eyes, as if head would burst; > by lying, or pressing head against anything, or in open air;

< stooping or moving about.In morning, when waking, pain in forehead and vertex; later,

extending to back part of head.—Violent pricking, stinging pain, from root of nose, extending

over (1.) orbital arch, to external angle of eyes, with obscuration of sight, as if scales were before

eyes; beginning in morning, increases at noon, and disappears towards evening.—Headache

comes and goes with the sun.—Complete obscuration of sight is followed by violent headache,

compelling one to lie down; with great aversion to light and noise; the sight returns with the

increasing headache.—Stinging headache (in one temple).—Periodical attacks of semi-lateral

headache, on small spots that could be covered with point of finger—Morning

headache.—Headache from suppression of discharge from nose (ozeena).—Bones of head feel

• ▸sore.
• ▸—Stitches in bones of head, as from a sharp needle.
• ▸—Lancinating stitches in r.
• ▸side of head,

lasting but a short time.—Pressure on vertex, as from a weight.—Headache: > by warm soup; by

pressure; in open air; by eating; < by stooping; by motion; by lying on it; at night.

• ▸Supra-orbital neuralgia, right side.
• ▸Eyelids burn, swollen, oedematous.
• ▸Discharge ropy and yellow.
• ▸Ulcers on cornea; no pain or photophobia.
• ▸Descemetitis, with only moderate irritation of eye.
• ▸Croupous conjunctivitis; granular lids, with pannus.
• ▸Iritis, with punctuate deposits on inner surface of cornea.
• ▸Slight pain, with severe ulceration or inflammation (Conium opposite).

Heaviness of upper eyelid on waking; it requires an effort to open it.—Eyelids burning,

inflamed, much swollen.—Watering, itching and burning in eyes; heat in eyes and desire to rub

them, with redness of conjunctiva——Dryness; burning pain; itching.—The eyes are glued in

morning; accumulation of yellow matter in angles—CEdematous swelling of eyelids.—Large

acute granulations of lids.—Large polypus springing from conjunctiva of upper lid.—Itching and

redness of eyelids; tender to touch; tarsi seem rough, causing sensation of friction, as from sand

on the eyeballs when moving them; feeling of sharp sand in eyes ——Conjunctiva reddened and

traversed by large red vessels.—Rheumatic sclero-iritis with excessive pain and

photophobia.—Syphilitic iritis —Sequele of iritis; pains pricking, stinging, wandering; < L.;

chemosis; photophobia not commensurate with degree of inflammation.—Ulcers and pustules of

cornea with no photophobia and no redness.—Corneal ulcers tend to perforate rather than spread

laterally —Dense long-lasting opacities —Albuginea dirty yellow, appears puffy, with yellowish-

• ▸brown points, like pin-heads.
• ▸—Soreness in r.
• ▸caruncula.
• ▸—Photophobia; only by daylight; when

opening lids they twitch.—Lachrymation and burning of eyes——Small white, granular pustules on

• ▸(1.
• ▸) cornea, with pricking pain.
• ▸—Brown spots on conjunctiva.
• ▸—Obscuration of sight; objects

appear yellow.—Various colours and bright sparks before eyes.

Swollen, with tearing pains. Thick, yellow, stringy, fetid discharge. Sharp stitches in left ear.

Stinging in ears; from external meatus into internal ear.—Violent stitches in (I.) ear,

extending into roof of mouth, corresponding side of head and neck, which was painful to touch;

• ▸glands swollen.
• ▸—External meatus of (1.
• ▸) ear swelled and inflamed.
• ▸—Stitches in |.
• ▸ear and 1.

parotid gland, with headache.—Hard, painful swelling of parotid gland.—Discharge of fetid,

thick, yellow pus from both ears (after scarlet fever). —Itching of lobe of (r.) ear (waking him at

night).—Redness, heat and itching of external ears.—Violent tickling and itching in ears.

Snuffles of children, especially fat, chubby babies. Pressure and pain at root of nose, and sticking pain in nose.

• ▸Septum ulcerated; round ulcer.
• ▸Fetid smell.
• ▸Discharge thick, ropy, greenish-yellow. Tough, elastic plugs from nose; leave a raw surface.
• ▸Inflammation extends to frontal sinuses, with distress and fullness at root of nose.
• ▸Dropping from posterior nares (Hydr).
• ▸Loss of smell.
• ▸Much hawking.
• ▸Inability to breathe through nose.
• ▸Dryness.
• ▸Coryza, with obstruction of nose.
• ▸Violent sneezing.
• ▸Profuse, watery nasal discharge.
• ▸Chronic inflammation of frontal sinus with stopped-up sensation.

Nose painfully dry; air passes with great case through it.—Nose dry, burning, stopped

up, swelling; < in warm, > in cool air.—Great dryness of nose, with feeling of pressure in nasal

bones; also extending along frontal sinuses with soreness and burning.—Tickling, like a hair

moving or curling itself in top of 1. nostril—Sneezing (in morning).—Coryza, fluent; < in

evening, in open air; in wind; obstruction in morning and bleeding of nose (r. nostril).—Coryza

fluent, excoriating nose and lips; discharge of mucus streaked with light-coloured

• ▸blood.
• ▸—Profuse secretion from r.
• ▸nostril; a spot in the r.
• ▸lachrymal bone is swollen and

throbbing. —Flow of acrid water from nostril, excoriating nostril and burning upper lip

• ▸(r.
• ▸).
• ▸—Violent shooting pains from root of nose along |.
• ▸orbital arch—Pinching pain in bridge, >

• ▸by hard pressure.
• ▸—Pressure at root of nose.
• ▸—Nose stuffed up.
• ▸—Nasal speech.
• ▸—The sensation of a

hard substance compels one to blow the nose, but there is no discharge from the dry nose.-—When

blowing nose violent stitches in r. side of nose, and sensation as if two loose bones rubbed

against each other—Expired air feels hot in nose.—Scab on septum.—Septum ulcerates—Round

• ▸ulcer in septum.
• ▸—Small ulcers on edge of (r.
• ▸) nostril, violent, burning when touched.
• ▸—Discharge

of large masses of thick, clean mucus from nose; if that ceases he has violent headache; pain

from occiput to forehead.—Watery secretion with great soreness and tenderness of

nose.—Discharge of tough green masses from nose.—Discharge of hard, elastic plugs (clinkers)

from nose.—Though accustomed to smoke, every inhalation through the nose caused a sickening

sensation like sulphuretted hydrogen.—Sensation of fetid smell before nose.—Loss of

smell.—Fetid smell from nose.

• ▸Florid complexion.
• ▸Blotchy, red appearance.
• ▸Acne (Juglans; Kal ars).
• ▸Bones sensitive, especially beneath orbits.

Face: pale; yellowish; red in blotches; flushed; anxious expression.—Acne.—Shooting

• ▸in |.
• ▸upper maxillary bone towards ear.
• ▸—Shooting inward in |.
• ▸malar bone with pressure, < in

morning.—Sensitive painfulness, as if bruised, of bones of face.—Syphilitic eruption from root of

• ▸nose to upper lip.
• ▸—Lupus r.
• ▸side of nose with troublesome itching.
• ▸—Lupus; pustules; impetigo of

• ▸face, with much itching.
• ▸—Perspiration on upper lip.
• ▸—Lower lip swelled, chapped.
• ▸—Digging pain

• ▸in rami of lower jaw.
• ▸—Mumps r.
• ▸side.
• ▸—Parotids swollen.

Dry; viscid saliva. Tongue mapped, red, shining, smooth, and dry, with dysentery; broad, flat, indented, thickly coated. Feeling of a hair on tongue.

Dryness of mouth and lips, > by drinking cold water—Accumulation of saliva in

mouth; saliva bitter, viscid, frothy, tasting salt—Papille very long on dorsum with a brown-

coloured patch.—Sensation of a hair on back part of tongue.—Tongue coated, thick brown, as

with thick yellow felt, at root; papillze elevated —Tongue dry, smooth, red, cracked (in

dysentery).—Ulcers with hard edges, smarting, at mucous surface of lips.—Painful ulcer on

tongue.—Stinging pains in tongue.

Gnawing, dull burrowing, boring in roots of teeth.—Stitches in teeth extending to

other parts, and alternating with wandering rheumatic pains.—Toothache not > by heat or cold,

only momentarily > by pressure.—Gum of r. lower jaw much swollen, dirty white, extremely

tender; teeth that side quite loose, will not bear slightest pressure; profuse ptyalism; gums of both

sides unusually sensitive; cannot masticate any food; liquid food makes gums feel very sore and

tongue rough.

Sensation of a hair on back part of tongue and velum; not > by eating or

drinking.—Erythema of fauces and soft palate, bright or dark red, or of a coppery colour.—Soft

palate slightly reddened: uvula relaxed, with sensation of a plug in throat, which is not > by

swallowing.—Deep-excavated sore, with a reddish areola, containing a yellow, tenacious matter

at root of uvula; fauces and palate presenting an erythematous blush.—Posterior wall of pharynx

dark-red, glossy, puffed, showing ramifications of pale-red vessels; on middle, towards I. side, a

small crack, from which blood exudes.—Sharp, shooting pain in 1. tonsil, towards ear; > by

swallowing.—Burning in pharynx, extending to stomach.—In forepart of palate single

circumscribed spots, of size of a barleycorn, coloured red, as if little ulcers were about to

form.—Ulcer on roof of mouth, with sloughing (syphilis).—Pimples on uvula—Edematous

bladder-like appearance of uvula; much swelling but little redness.—Ulceration of uvula and

tonsils—Throat pains more when tongue is put out.—Sensation as if an acid, acrid fluid were

running through posterior nares over palate, causing cough.—Discharge of thick yellow matter

through posterior nares.

• ▸Fauces red and inflamed.
• ▸Dry and rough.
• ▸Parotid glands swollen.
• ▸Uvula relaxed, oedematous, bladder-like.
• ▸Pseudo-membranous deposit on tonsils and soft palate.
• ▸Burning extending to stomach.
• ▸Aphthae.
• ▸Diphtheria, with profound prostration and soft pulse.
• ▸Discharge from mouth and throat, tough and stringy.

• ▸Nausea and vomiting after beer.
• ▸Load immediately after eating.
• ▸Feels as if digestion had stopped.
• ▸Dilatation of stomach.
• ▸Gastritis.
• ▸Round ulcer of stomach.
• ▸Stitches in region of liver and spleen and through to spine.
• ▸Dislikes water.
• ▸Cannot digest meat.
• ▸Desire for beer and acids.
• ▸Gastric symptoms are relieved after eating, and the rheumatic symptoms reappear.
• ▸Vomiting of bright yellow water.

Taste: coppery; sweetish; sour; bitter in morning.—Loss of appetite; increased

thirst Longing for beer or acidulated drinks.—Aversion to meat.

Eructations of air, relieving an uneasiness of stomach as from wind pent up at

great curvature —Sudden nausea.—Nausea, with feeling of heat over body, with giddiness, rush

of blood to head; < by moving about; in morning at sight of food; after meals; after stool; excited

by drinking and smoking; > by eating; > in open air; with sweetish flat salivation.—Nausea and

vomiting of mucus.—Vomits large quantities of bright yellow water.—Vomiting: of undigested

food, sour; of bile; bitter; of pinkish, glairy fluid; of blood; with cold perspiration on hands;

burning in stomach; heat of face.—Burning in stomach and stomach pit.—After eating a full meal,

which was relished, a sensation as if digestion were suspended; food lies in stomach like a heavy

load.—Pressure and heaviness in stomach after eating.—Giddiness, followed by violent vomiting

of a white, mucous, acid fluid, with pressure and burning in stomach.—Swelling of stomach (in

evening), with fulness and pressure; cannot bear tight clothes.—(Round ulcer of stomach, and

duodenum.)

• ▸Cutting pain in abdomen, soon after eating.
• ▸Chronic intestinal ulceration.
• ▸Soreness in right hypochondrium, fatty infiltration of liver and increase in soft fibrous tissue.
• ▸Painful retraction, soreness and burning.

Colic alternating with cutting pain at umbilicus, during night.—Sensitiveness of

abdomen to least pressure.—Dull, heavy pressure or stitches in region of liver.—Stitches in region

of spleen, < by motion and pressure.—Stitches in spleen extending into lumbar

region.—Tympanites; whole abdomen feels bloated; followed by eructations.—Cutting in

abdomen, as from knives, soon after eating —Attacks of periodical spasmodic constriction of

intestines, with nausea, followed by a papescent stool and burning in anus, with

tenesmus.—Stitches through abdomen, extending to spinal column.—Chronic ulceration of

mucous membrane attended with vomiting of ingesta, hectic and emaciation.

• ▸Jelly-like, gelatinous; worse, mornings.
• ▸Dysentery; tenesmus, stools brown, frothy.
• ▸Sensation of a plug in anus.
• ▸Periodic constipation, with pain across the loins, and brown urine.

Constipation, with debility, coated tongue, headache and coldness of

extremities.—Scanty, knotty evacuations, followed by burning in the anus.—Stool in one mass of

excessive hardness.—Stools dry, with burning at anus.—Constipation, with painful retraction of

anus.—Very painful evacuation of extremely hard feces.—Periodical constipation (every three

months).—Stools slate-coloured, bloody.—Stools: blackish, watery; yellowish, watery; clay-

coloured, watery and lumpy; jelly-like; involuntary and often painless and odourless; bloody and

extremely painful.—Papescent evacuations, with much rumbling in intestines.—Morning

diarrhoea; wakes from urgent pressure to stool; the watery contents gush out, followed by violent

tenesmus; she cannot rise on that account; later, burning in abdomen, nausea and violent

straining to vomit—Frequent bloody evacuations, with gnawing pain about umbilicus with

tenesmus; tongue smooth, red, cracked.—Dysenteric evacuations of brownish, frothy water, with

violent, painful pressing, straining and tenesmus.—Pressing and straining in anus, with

tenesmus.—Periodical dysentery every year in early part of summer.—Sensation of a plug in anus

(can scarcely sit down).—Soreness at anus, making it very painful to walk.—Fulness in

hemorrhoidal vessels.

During micturition heat in urethra.—During and long after micturition

burning in glandular portion of urethra.—After micturition burning in back part of urethra (in

bulbus urethrze; in glands of urethra; in fossa navicularis), with sensation as if one drop of urine

had remained behind with unsuccessful effort to void it—Stitches in urethra, esp. after

micturition.—Frequent discharge of watery urine of strong smell, awaking him at

night—Continuous desire to urinate during day.—Painful drawing from perineum into

urethra.—Urine with white film and deposit, with mucous sediment.—Violent pain in os coccygis;

< when rising, after he sat long, to urinate——Some time in passing urine.—Scanty red urine, with

pain across back.

• ▸Burning in urethra.
• ▸After urinating a drop seems to remain which cannot be expelled.
• ▸Ropy mucus in urine.
• ▸Urethra becomes clogged up.
• ▸Congestion of kidneys; nephritis, with scanty, albuminous urine and casts.
• ▸Pyelitis; urine mixed with epithelial cells, mucus, pus, or blood.
• ▸Haematochyluria.

Yellow, tenacious leucorrhoea. Pruritus of vulva, with great burning and excitement. Prolapsus uteri; worse in hot weather.

Menstruation too early, with giddiness, nausea, and headache;

suppression of urine or red urine-—Membranous dysmenorrhoea.—Swelling of genitals—Soreness

and rawness in vagina.—Leucorrheea yellow, ropy; pain and weakness in small of back and dull

pain in upper part of abdomen.—Subinvolution.—Prolapsus uteri, seemingly from hot

weather.—Climacteric flushes —Vomiting of pregnancy.—Milk as it flows appears to be stringy

masses and water.

• ▸Itching and pain of penis, with pustules.
• ▸Ulcers, with paroxysmal stitches; aggravated at night.
• ▸Constriction at root of penis, at night on awakening.
• ▸Syphilitic ulcers, with cheesy, tenacious exudation.
• ▸Erections (Picric ac).

Sexual desire absent; in fleshy people —(Provoked by and following

• ▸coition, asthmatic attacks.
• ▸).
• ▸—Stitches in prostate gland (when walking; must stand still).
• ▸—Itching

in hairy parts of genitals; skin becomes inflamed and small pustules of size of a pin's head are

formed.—Constrictive pains at root of penis (morning, on waking).—Pricking and itching at

glans.—Chancres ulcerating deeply.—Gleet, with stringy or jelly-like profuse discharge.

• ▸Voice hoarse; worse, evening.
• ▸Metallic, hacking cough.
• ▸Profuse, yellow expectoration, very glutinous and sticky, coming out in long, stringy, and very tenacious mass.
• ▸Tickling in larynx.
• ▸Catarrhal laryngitis cough has a brassy sound.
• ▸True membranous croup, extending to larynx and nares.
• ▸Cough, with pain in sternum, extending to shoulders; worse when undressing.
• ▸Pain at bifurcation of trachea on coughing; from mid-sternum to back.

Respiration oppressed; wakens 2 a.m.—Sensation of choking on lying

down.—Sensation as from ulceration in larynx.—Accumulation of mucus in larynx, causing

• ▸hawking.
• ▸—Hoarse, rough, or nasal voice.
• ▸—Hoarseness (in evening).
• ▸—Tickling in larynx; every

inhalation causes cough (with hoarseness).—Cough caused by eating.—At dinner, after first

mouthful, great tickling in larynx; > on eating more.—Cough in morning, with viscid

expectoration.—Cough hoarse, metallic, with expectoration of tough mucus or fibrous elastic

plugs (croup; membranous or croupous bronchitis).—Dry cough, with stitches in chest.—Violent,

rattling cough, lasting some minutes, with an effort to vomit, and expectoration of viscid mucus,

which can be drawn in strings to the feet—(Expectoration sticks in chest so as to almost cause

strangulation; it is found in croup, whooping-cough, catarrhs.—Snuffles of infants, particularly in

fat, chubby, little babes, where there is a tough, stringy discharge from the nose, &c.—Cough,

with thick, heavy expectoration; bluish lumps of mucus.—Hawking up of copious, thick, bluish

mucus.—Expectoration with traces of blood.—Expectoration of yellowish tough matter —Cough,

with pain in sternum, darting to between shoulders.—Sensation of dryness in bronchi (in

morning).—Dry cough after dinner.—Cough, with pain in loins, vertigo, dyspnoea, shootings in

chest.—(Asthmatic attacks always caused by and follow coition).—Oppressed breathing, awakens

at 2 a.m.; palpitation; orthopncea: cold sensation and tightness about heart, lower portions of

lungs oppressed.—"Stuffing" cough, with pain in chest and expectoration of yellow or yellowish

green tough matter.

Dilatation, especially from coexisting kidney lesion. Cold feeling around heart (Kali nit).

Pressure and heaviness on chest, as from a weight; wakens with this sensation at

night and is > after rising.—Stitches below sternum, extending to back —Dull pain in r. side of

chest over circumscribed spot, < on inspiration.

Cold sensation about heart: tightness of chest; dyspnoea.—Sensation of pressure on

heart (after eating).—Sharp, irritating, fixed pain in region of apex of heart.—Pricking pain in

region of heart—Palpitation.—Pulsation felt in arteries.

Cutting through loins; cannot walk; extends to groins. Pain in coccyx and sacrum extending up and down.

Stiffness of neck when bending head forward.—Sticking pain from ears to

glands.—Swollen cervical glands and occipital glands.—Sharp, stinging pain in region of

kidneys.—Pain in back striking through to sternum with cough.—Pain, as from a knife, through

loins; cannot walk.—Violent aching pain, "like a gathering," in small spot in sacrum, a steady,

throbbing pain, < at night hindering sleep; > in day when up, walking about, but unable to lift

• ▸anything.
• ▸—Pain in sacrum; cannot straighten himself.
• ▸—Cutting in outer |.
• ▸side of sacrum,

shooting up and down.—Pain in os coccygis (in morning); < from walking and touching it.—Pain

in coccyx while sitting.

Rheumatic pain in both shoulders (< at night).—Stitches at lower angle of 1.

• ▸shoulder-blade.
• ▸—Stiffness of shoulder-joint.
• ▸—Sensation of lameness of r.
• ▸arm (as if it had gone to

sleep).—Burning pain in middle of forearm, extending to wrist.—Painful stiffness of r.

• ▸arm.
• ▸—Stinging pain in 1.
• ▸elbow.
• ▸—Rheumatic pains in joints, esp.
• ▸wrists.
• ▸—Great weakness in

hands.—Bones of hands as if bruised, when pressed, ulcers on fingers with caries.—Spasmodic

contraction of hands.—Rheumatic pains in fingers —Cracking of all joints from least

motion.—Psoriasis diffusa of hands, degenerating into impetigo.—Ulcer under thumb-

nail.—Pustules on roots of nails.

Rheumatic pains in hip-joints and knees on moving—more esp. during

day.—Pain in course of |. sciatic nerve, extending from behind great trochanter to calf of leg; >

• ▸by motion.
• ▸—Stitches in r.
• ▸side of chest and 1.
• ▸sciatic nerve.
• ▸—Pain in tendons of muscles of calf, as

• ▸if stretched, causing lameness.
• ▸—Soreness in heels when walking.
• ▸—Heaviness of legs.
• ▸—Pain in r.

hip, extending to knee; > by walking and flexing leg; < in hot weather, by standing, sitting, or

lying in bed; pressure = pain to shoot along entire nerve —Pain in middle of tibia—Sensation of

• ▸dislocation in 1.
• ▸ankle.
• ▸—Ulcers on previously inflamed feet.
• ▸—Small irregular ulcers on

leg.—Acute twinging pain in I. great toe; pricking and stinging pains in different parts of body;

acute gouty pain in ball of r. great toe, four minutes after same pain in 1.—Sore pain inner side r.

great toe where the nail joins the flesh.

24. Generalities—Pains which wander quickly from one part of body to another.—Periodical

wandering pains in all limbs.—Sensitive painfulness of whole body (morning on rising).—Gastric

symptoms supersede rheumatic symptoms; or they alternate with one another.—Liability to take

cold in the open air; drowsy in open air.—Great debility, with desire to lie down.—Great

prostration.—Drawing in various parts; in sheaths of muscles; near bones, as if in periosteum; in

neck, back, and limbs; in morning on waking, > on rising.

• ▸Pains fly rapidly from one place to another (Kali sulph; Puls).
• ▸Wandering pains, along the bones; worse cold.
• ▸Left-sided sciatica; better, motion.
• ▸Bones feel sore and bruised.
• ▸Very weak.
• ▸Tearing pains in tibia; syphilitic rheumatism (Mez).
• ▸Pain, swelling and stiffness and crackling of all joints.
• ▸Soreness of heels when walking.
• ▸Tendo Achilles swollen and painful.
• ▸Pains in small spots (Oxalic ac).

• ▸Acne.
• ▸Papular eruptions.
• ▸Ulcer with punched-out edges, with tendency to penetrate and tenacious exudation.
• ▸Pustular eruption, resembling smallpox, with burning pains.
• ▸Itching with vesicular eruption.

Hot, dry, and red skin all over body.—Dry eruption, like measles, over whole

body.—Small pustules over whole body, similar to smallpox; they disappear without bursting

open.—Pustules over whole body, appearing on inflamed parts of skin, as large as a pea, with a

• ▸small black scab in middle.
• ▸—Blood-boil on r.
• ▸thigh; on r.
• ▸side of spine, near the last rib; painful

on the least motion.—Small pustules on roots of nails, spreading over hands to wrist; arm became

red and axillary glands suppurated; the small pustules on hands secreted a watery fluid when

they were broken; if they were not touched the fluid became thickened to a yellow, tough

• ▸mass.
• ▸—The eruption begins in hot weather.
• ▸—Suppurating tetter (ecthyma).
• ▸—The pustulous

eruption resembling small-pox, with a hair in the middle, is more prominent on face and

• ▸arms.
• ▸—Brown spots (on throat) like freckles.
• ▸—Blister, full of serum, in sole of r.
• ▸foot.
• ▸—Scabs on

fingers, or corona glandis.—Ulcers, dry, form oval; have overhanging edges, a bright red,

inflamed areola, hard base; movable on subjacent tissues; dark spot in centre; after healing the

cicatrix remains depressed.—After an abrasion, a swelling like a knot, forming an irregular ulcer,

covered with a dry scab and painful to touch; under skin is felt a hard, movable knot, like a corn,

with a small ulcerated spot in middle, where it touches the cuticle; the hard knotty feel remains

after the healed ulcer is covered with white skin.—Ulcers corrode and become deeper, without

• ▸spreading in circumference.
• ▸—Ulcers esp.
• ▸painful in cold weather.
• ▸—Ulcers on previously inflamed

feet.—Ulcers on fingers, with carious affection of the bones.—Hands become covered with deep,

stinging cicatrices.

Sleepiness and prostration, can hardly write —Unrefreshing sleep; feels very

• ▸debilitated, esp.
• ▸in extremities.
• ▸—Wakens in a start, with nausea or headache (2 a.
• ▸m.
• ▸), with heat

and perspiration, accelerated pulse, palpitation of heart and dyspnoea; with anxiety, heat in pit of

stomach, and spitting of blood; from frequent desire to urinate.—Woke with great oppression on

chest (nightmare).—< After sleep.

Pulse accelerated; irregular, small, contracted.—Great inclination to yawn and

stretch.—Chilliness in the back and sleepiness; seeks a warm place.—Chilliness alternating with

flushes of heat—Chilliness, with giddiness and nausea, followed by heat with sensation of

coldness and trembling, and periodical stinging pain in temples; without thirst—Attacks of

chilliness, extending from feet upwards, and sensation as if skull on the vertex became

contracted, in frequently returning paroxysms.—Chill, followed in an hour by heat, with dryness

of mouth and lips, which have to be moistened all the time; followed in morning with great

thirst, but no perspiration. —Chilliness, esp. on extremities, and flushes of heat alternating with

general perspiration.—Heat of hands and feet; nausea; pain in upper part of abdomen; dryness of

mouth; sleeplessness, followed by perspiration of hands, feet, and thighs; ceasing for two hours,

when they reappear.—Giddiness; violent, painful vomiting is followed by pain in forehead,

burning of eyes, great burning heat of upper part of body and face, with internal chilliness and

violent thirst.—Perspiration on back during effort to stool.

• ▸Acne.
• ▸Anemia.
• ▸Asthma.
• ▸Blotches.
• ▸Bone, nodes on, exostoses.
• ▸Bronchitis; croupous.

• ▸Burns.
• ▸Cachexia.
• ▸Catarrh.
• ▸Climacteric flushes.
• ▸Coccygodynia.
• ▸Conjunctivitis.
• ▸Constipation.

• ▸Cornea, opacities of.
• ▸Coryza.
• ▸Descemetitis.
• ▸Duodenum, ulcers of.
• ▸Dyspepsia.
• ▸Ears, pains in;

• ▸inflammation of, internal and external.
• ▸Emaciation.
• ▸Epilepsy.
• ▸Epistaxis.
• ▸Eyes, iritis; keratitis.

• ▸Farcy.
• ▸Gastric ulcer.
• ▸Glanders.
• ▸Gleet.
• ▸Gout.
• ▸Hay fever.
• ▸Headache.
• ▸Intermittent fever.
• ▸/ntestines,

• ▸ulceration of.
• ▸Lumbago.
• ▸Lupus.
• ▸Measles.
• ▸Mumps.
• ▸Neuralgia.
• ▸Nightmare.
• ▸Nodes.
• ▸Nose, pressure

• ▸at root of; soreness of.
• ▸Ophthalmia.
• ▸Ozcena.
• ▸Polypus.
• ▸Post-nasal catarrh.
• ▸Pruritus vulve.

• ▸Rheumatism.
• ▸Rhinitis, atrophic.
• ▸Sciatica.
• ▸Scrofula.
• ▸Smell, illusions of: Sun-headache.
• ▸Sycosis.

• ▸Syphilis.
• ▸Throat, hair sensation in; sore.
• ▸Tobacco, intolerance of.
• ▸Trachea, affections of.
• ▸Ulcers.

Urethritis. Warts. Whooping-cough.

In the ordinary text-books the antidotes to Kali bi. are given as the same as antidotes

for poisoning by Acids: Bicarbonates of Soda and Potash, Magnesia, Chalk, Soap, Milk, Eggs;

olive or almond oil, also the Hydrated peroxide of iron. But no very brilliant results have been

recorded from any of these, and they would be useless unless administered almost immediately

after the dose, so rapid is the action of the poison. Among the dynamic antidotes are: Ars.;

• ▸Laches.
• ▸(croup, diphtheria, &c.
• ▸); Puls.
• ▸(wandering pains).
• ▸K.
• ▸bi.
• ▸antidotes: Effect of beer;

• ▸arsenical vapour; Merc.
• ▸; Merc.
• ▸iod.
• ▸I have found it the best general antidote to the effect of

metallic poisoning among brass workers. Compatible: After Canth. in dysentery, when, though

scrapings continue, the discharge becomes more jelly-like; after Apis (scrofulous ophthalmia);

• ▸after Iod.
• ▸in croup.
• ▸Jt is followed well by: Ant t.
• ▸in catarrhal affections and skin diseases.

• ▸Compare: Oxygen Caust.
• ▸; Kali carb.
• ▸(fat subjects); Kali iod.
• ▸(syphilis); Chrom.
• ▸ac.
• ▸(sudden

pains, shifting pains, > motion, ulcerations, rheumatism); Bro. (croup, fair subjects); Mez. (bone

• ▸diseases); Nit.
• ▸ac, (syphilis); Phytol.
• ▸(syphilitic bone affections); Spo.
• ▸(cramp); Sil.
• ▸(bone

• ▸affections); Hippoz.
• ▸(ozena, glanders, farcy); Hecl.
• ▸(nodes); Hydrast.
• ▸and Ir.
• ▸v.
• ▸(viscous, tough

• ▸secretions); Lach.
• ▸Tereb.
• ▸(glazed tongue); Kali ca.
• ▸, Caust.
• ▸, and Staph.
• ▸(< after coitus); Sep.
• ▸and

Teucr. ("clinkers"); Puls. (wandering rheumatism; gonorrhoeal rheumatism; pains < in warm

room; measles; catarrhal deafness; swelling of salivary glands); Thuj. (ozeena in sycotic

subjects); Apis (scrofulous ophthalmia); Lach. (constriction of anus; sensation of plug in anus;

diarrhoea brown, frothy, watery, spurting out in early morning and followed by tenesmus ani;

dysentery, red, cracked, smooth tongue, blackish stools, typhoid cases; Lach. has more

• ▸offensiveness, Kali bi.
• ▸more jelly-like or stringy mucus) Coc.
• ▸c.
• ▸, whooping-cough (mucus, clear

stringy, Kali bi. yellow-stringy) Kaolin (membranous croup—with Kaolin there is internal and

external soreness along course of trachea and upper part of chest -Farrington); Rhus (> of pain

on moving affected part; Rhus has > by warmth; eruptions of Kali bi. begin in hot weather, those

• ▸of Rhus in cold); Abies n.
• ▸, Bry.
• ▸, Nux, &c.
• ▸(indigestion with sensation of weight in stomach);

Graph. and Rhus (inflammation of external ears; Sul. (sensation of hair in throat).

Compare: Tart emet; Brom; Hepar; Ind; Calc; Ant cr. In the production of false membranes compare: Brom; Ammon caust; Sulph ac; Ipecac.

Antidotes: Ars; Lach.

Third trituration, also thirtieth attenuation and higher.

The lower preparations of this salt should not be kept too long.

more wisely administered, will give more relief. A powder of Ipecac,

will break up the attack, so that the patient is comfortable, and then

will go on in an ordinary sort of asthmatic way, until catching another

cold. The cough is rattling and asthmatic.

As a convulsive medicine Ipecac, is not well enough known. Convulsions in prenagney. Convulsions in whooping cough ; frightful

spasms, affecting the whole of the left side, followed by paralysis ;

clonic and tonic spasms of children and hysterical women. Tetanus,

rigidity of the body, with flushed redness of the face. These are

strong features of Ipecac., and they have not been sufficiently dwelt

upon, and the remedy is not sufficiently known as having these states

so prominently. Medicines like Belladonna are more frequently spoken

of in the books and in treatises of spasms, yet Ipecac, is just as important a remedy to be studied in relation to spasms, and its action

upon the spine.

In suppressed eruptions, the symptoms will very commonly point

to Ipecac. When the eruption does not come out, or an eruption has

been driven back by cold, sometimes acute manifestations of stomach

and bowels lollow and colds settle in the chest from suppressed

eruptions. Ipecac, will also cure erysipelas, when there is the vomiting, the chill, the pain in the back, the thirstlessness and the overwhelming nausea.

Ipecac, is often sufficient for the nausea and vomiting when the

scarlet fever rash is slow to come out. Instead of the rash coming

out as it should. Ipecac, symptoms come on in the stomach with

nausea and vomiting. Ipecac, will check the nausea and vomiting,

will bring out the eruption, and the disease will run a milder course.

This remedy is recognized by most physicians by the copious ropy

mucous discharges from all mucous membranes, but it is also a most

important remedy in rheumatic affections of th e joints with swelling,

heat and redness, whenever these, conditions wandey around from

joint to joiiit . The bones all over the body feel bruised, and caries is

recEoned^mong its symptoms. A marked feature of this remedy

is the alternation between catarrhal symptoms and rheumatic pains.

Exudations from mucous membranes, somewhat like croup, are found

in the larynx, trachea and in the rectum. It is not surprising, therefore, that it has proved a very effective remedy in diphtheria. It

emaciates, like the rest of the Kali salts. We have running through

it the cachectic conditions, or malignant diseases with ulceration ; and

especially is it indicated when the ulceration period is present. Ulceration is a striking feature of this remedy. Its ulcers are deep ; are

said to be as if punched out and are very red. Gouty conditions are

as common in this remedy as in the other Kalis. It is especially like

Causticum with its cracking in the joints. Syphilitic conditions have

been cured in the most advanced stages. It has the sharp stitching

pains like Kali carh. It has one feature quite its own — very severe

pain in small spots that could be covered by the end of the thumb.

It has wandering pains from place to place, and wandering rheumatism from joint to joint. There arc pains in all parts. Pains are

sometimes very violent ; sometimes shooting ; sometimes stitching

stinging ; again aching. Burning is a very marked symptom of the

remedy. The pains appear rapidly and disappear suddenly.

The patient is sensitive to cold. There is a lack of vital heal. In

fact, he wants to be wrapped up and covered warmly, and many of

his complaints are much better when he is perfectly warm in bed.

All the pains and his cough are relieved from the warmth of the bed,

and yet there are other complaints, like rheumatic conditions, that

come on in hot weather. The cough is better in warm weather and

worse in winter. Catarrhal conditions of the larynx and trachea are

worse in winter, especially in the cold, damp weather, like Calc. phos.

when the snow melts. Sensitive to cold winds. Causticum, it will

be remembered, is sensitive to cold^ dry winds. The Kalis generally

are sensitive to cold, dry weather, but Kali bichromicum throat troubles

are continuous in the winter and during cold, damp weather, and are

worse in cold, damp winds. It is most useful remedy in septic and

zymotic fevers. Many of its symptoms are aggravated about 2 or

• ▸A.
• ▸M.
• ▸, like Kali carb.
• ▸Most of the symptoms are worse in the morning, yet some come on in the night.
• ▸A marked feature of Kali bithromicum is a feeling of great weakness and weariness.
• ▸When the

pain has passed off, if in the limbs, the limbs are felt very weary.

Great prostration and cold sweat. It has neuralgia ^very day at the

same hour, showing its periodicit y. Like the rest of the Kri/w it has

cured eqilepsy. Ropy saliva and mucous discharges from the mouth

during the convulsion has led to its use in epilepsy. The symptoms

generally, especially jthcL pains^ arc worse from motion , e xcept t he

sciati c and some of the pains in the lo wer limbs, which re bet ter frmTr.

moUgnT The patient pulsates all over the body.

TTiere are very few mental symptoms owing to the fact that the

remedy has been proved only in crude form. It needs to be proved

in potencies to bring out the mental symptoms.

It has violent headaches and its headaches are mostly associated

with catarrhal conditions. A Kali bichromicum patient always suffers

more or less from catarrh of the nose, and if he is exposed to cold

weather the catarrhal condition will turn to dryness ; then will come

on violent headache ; also headaches during coryza. Headaches during

coryza when the discharge of the coryza slacks up a little. Headaches

often l ^gin w ith dim visio n. Pains are violent. Headaches are

better JroffSJinnth, especially war m drin k ; better from pressure ;

worse from stooping ; worse fro m motion anHj^valking ; worse at night

and still much worse m the morning. Pain is pulsating, shooting and

burning. Headaches come on with vertigo. H eadaches are often

one-sided . — It has been a very useful remedy in syphilitic head pains.

I ^ins over the cy e^ar^ in the forchc^^^^ It is very useful when the

fieadachcs are with retching and vomiting ; when the pain is confined

to a very small spot that could be covered with the thumb and is

violent; iyhcn _ the headaches come periodically and with dizziness.

Headaches are somewhat ameliorated in open air if it is not too cold.

It has cured eczema of the scalp with thick, heavy crusts from

which ooze a yellow, thick, gluey substance.

Daylight brings on photophobia. There are sparks before the

• ▸eyes ; dim vision before the headache, as mentioned above.
• ▸Rheumatic conditions affecting the eyes, hence it is said rhematic affections of the eyes.
• ▸Granular lids.
• ▸Ulceration of the cornea.
• ▸The

ulcer is deep with pulsation in it. The eyes are much inflamed and

red. The lids are red and swollen. Eyes and lids are injected.

Croupous inflammation of the eyes. Burning and itching in the eyes.

Inflammation of the mucous membrane of the eyes with copious flow*,

of thick mucus. Margins of the lids are red and swollen. It has

cured polypus on the conjunctiva, swelling of the lids and stringy

mucus.

There are yellow, viscid discharges from the ears, with stitching

pains and pulsating in the ears. Chronic suppuration of the middle

ear with perforated tympanum ; eczematous eruptions on the ears ;

itching of the whole external ear.

The symptoms of the nasal passages are very numerous. The most

prominent are the catarrhal symptoms. It has catarrhal symptoms

both acute and chronic, with copious, thick, viscid, yellow or white

mucus. Foetid odor from the nose. Troubled much with a sensation

of dryness in the nose. Loss of smell, and the nose is obstructed

nights with thick yellow mucus, too viscid to be blown out. Accompanying this catarrhal condition there is a hard pain at the root of

the nose. Ulcers form all over the nasal mucous membrane. There

are ulcers, crusts, mucous plugs ; must blow the nose constantly without success, but finally blows out large green crusts or scabs from high

up in the nose. Sometimes they are drawn into the posterior nares.

There is burning and pulsating in the nasal cavities, \^en the nasal

cavity is in this state of ulceration and catarrh there is shooting pain

from the root of the nose to the external angle of the eye through the

whole forenoon. Extreme soreness inside of the nose. Expired air

feels hot and causes a sensation of burning. He has snufiElcs and

increased catarrhal conditions in damp weather. There are also

burning, excoriating, watery discharges from the nose, as in acute

catarrhal conditions. • Coryza is fluent, excoriating, with loss of smell.

With the chronic condition there comes perforation of the septum

and pressing pains of the frontal sinus. A very strange condition

then is observed. Scabs form upon the nasal septum ; when these are

removed there comes photophobia, then dimness of vision, followed

by hard frontal headache. The septum is sometimes destroyed by

ulceration. Much thick blood is blown out of the nose. Now, it has

cured these conditions when they w^ere syphilitic. It has cured nasal

polypus. It has cured lupus of the nose.

The bones of the face are often very sore, with shooting pains in

the malar bones. Pain in the malar bones on coughing. With the

catarrhal conditions there is much suffering from the malar bones,

like Merc. It has cured lupus exedens. It has cured ulceration of

the lip. Swollen parotid is quite a common feature in its proving.

It has cured impetigo.

The tongue is smooth, shiny, sometimes cracked. This is especially

observed in low forms of fever, like typhoid. The tongue is often

coated, thick and yellow at the base. Papillae raise on the dorsum

of the tongue, making it look like strawberry tongue. Again, the

tongue is coated a thick brown. The provers seemed to be much

annoyed by a sensation of a hair on the base of the tongue. It has

produced and cured ulceration of : the tongue ; even when syphilitic

it is a useful remedy. Ulcers deep as, if punched out, with stinging pains.

There is great dryness of the mouth ; ropy saliva and mucus ; ulcers

anywhere in the mouth ; aphthous patches ; ulcers of the roof of the

mouth ; even when these are syphilitic it is a most useful remedy ;

deep punched out ulcers.

The throat symptoms are very numerous. I will only mention a

few of the most characteristic ones. Inflammation of the thioat in

general, involving all the tissues in it, extending up into the nose, and

down into the larynx, even with a high degree of ulceration with

copious, ropy mucus. It has cured diphtheria exudation in the throat

when it is confined To the throat, and also when it has extended to the

larynx. A marked feature of the Kali bichromicum throat is its

oedematous uvula. This symptom is also found in Apis, Kali i., Lack,,

• ▸Mur.
• ▸ac.
• ▸, Nit ac,, Phos.
• ▸, Sulph.
• ▸ac.
• ▸, and Tab.
• ▸Deep ulcers in the

throat and ulcers on the tonsils. Ulceration so extensive that it

has destroyed the whole soft palate. Inflammation of the tonsils

when they are swollen and very red, when the neck is swollen ; inflammation of the tonsils with suppuration. In this sore throat there

is quite commonly a shooting pain extending to the ears. There are

KALI BICriROMICUM

also enlarged veins in the throat. Like the sensation of the tongue

as if a hair in various places in the fauces and nose. Dry, burning

sensation in the throat is very common. Quite a characteristic symptom of Kali bichromicum is the intense pain in the root of the tongue,

when putting the tongue out. It has much exudation in the throat

that is not diphtheria, but resembles it.

The stomach symptoms are also very numerous. There is aversion

to meat, and, strange to say, he craves beer, which makes him sick,

brings on diarrhoea. Food lies like a load in the stomach ; digestion

seems suspended : there is a pressure as of a load after eating and

much foetid eructation. Nausea comes on very suddenly, sometimes

while eating, soon after eating : vomits all food and it is sour as if it

had turned sour very rapidly ; so that there is vomiting of sour, undigested food, bile, bitter mucus, blood, yellow mucus and royp mucus.

It is a very useful remedy in nausea and vomiting of drunkards and

beer drinkers. When a beer drinker has arrived at a point where

he can no longer tolerate his beer but it makes him sick, Kali bichromicum is a useful remedy. In the stomach there is also soreness and

coldness. It is a very useful remedy in ulceration of the stomach ;

and when such ulc«r is cancerous it relieves the pain, stops the vomiting, makes the patient comfortable for a long time. In other words,

it palliates him. There are some pains in the stomach that are ameliorated by eating ; nausea sometimes is ameliorated, but such is the

exception. He has a faintness in the stomach which drives him to

eat often. Chronic catarrh of the stomach is a strong feature and

perhaps is a condition that is generally present with Kali bichromicum.

patients.

There is pain in the liver, hard contracting pain extending lo the

shoulder, resembling Crot, h. Pain in the liver from motion. Dull,

aching pain in the liver. It is a useful remedy in liver conditions

associated with gall stones. It corrects the action of the liver so that

healthy bile is formed and the gall stones are dissolved. Stitching

pain in the liver, and also in the spleen, on motion.

The abdomen is very tympanitic, with tenderness. There arc stitching, cutting pains. Sinking in the abdomen with nausea after eating,

then comes vomiting, then comes diarrhoea. This is the order in

which these symptoms generally appear. It is a very useful remedy

• ▸in gastro-intestinal cases.
• ▸Ulcers of the intestines in typhoid conditions.
• ▸This remedy has also a morning diarrhoea like Sulphur.
• ▸It

has diarrhoea in phthisis. It has diarrhoea in typhoid fever. Watery

stools. Stools are brown and watery, or may be blackish watery.

There is often much tenesmus at stool. Chronic diarrhoea in the

• ▸morning.
• ▸Diarrhoea after beer like Aloe, China, Gamb.
• ▸, Lyc.
• ▸, Mur.

ac., and Sulph.

Frequently there are clay colored stools. Again there are bloody

stools, as in dysentery. It has both diarrhoea and dysentery after

rheumatism has disappeared. It seems rheumatic conditions are inclined to alternate with diarrhoeic conditions. In hot weather it has

diarrhoea and dysentery ; in winter it has chest troubles and catarrh

of the air passages. There is pain in the abdomen before the stool ;

much pain during the stool, cramping and tenesmus. After stool it

has tenesmus like Merc. It has constipation with hard, knotty stool,

followed by severe burning in the parts. Burning in the anus after

stool. Prolapsus of the rectum. After dry hard stool there is burning

in the rectum. Patient suffers from a sensation of a large plug in the

rectum and there is great soreness in the anus. He suffers much

from haemorrhoids which protrude after stool and are very painful.

Pain in the back with bloody urine. Shooting pains in the region

of the kidneys, also aching in the region of the kidneys with urging

to urinate in the day time. There is suppressed urine with aching in

the kidneys. Ropy mucus in the urine. Pain in the coccyx before

urination, relieved afterwards. Burning in the fossa navicularis during urination.

In the male the sexual desire is generally absent. There is a strong

constricting or contracting pain in the end of the penis and much itching of the pubes. Deep punched out chancres, very hard. Stitching

in the prostate gland when walking. Ropy, viscid, mucous discharge

from the urethra.

As there is much relaxation ilk the remedy during hot weather it

especially affects the woman. She suffers from prolapsus in the summer time, during hot weather. It is a very useful remedy in the

woman for subinvolution. In the menstrual flow there are often

membranes that cause her to suffer. The menstrual flow is too soon,

excoriates the parts, causes the labia to swell and itch. Like the

catarrhal conditions of other mucous membranes, there is Icucorrhoea

that is yellow and ropy.

It has been a most useful remedy in the vomiting of pregnancy

when the other .symptoms agree and also where the milk becomes

stringy.

There are numerous symptoms connected with the larynx and as

is usual copious, thick, ropy mucus. Chronic hoarseness, rough voice,

dry cough, swollen feeling in the larynx and sensation as if there was

a rag in the larynx. Catarrh of the larynx, croup, cough when

breathing, membranous croup, diphtheria, burning, smarting and

• ▸rawness of the larynx, rattling in the trachea.
• ▸Now these symptoms come in the cold, damp weather, in the winter.
• ▸They arc associated with much coughing and uneasiness.
• ▸Sometimes these

symptoms are entirely relieved and he is comfortable in a warm bed

at night ; and he is worse always in cold weather ; they come on

when the cold weather comes in the fall and last all winter. He has

much wheezing when breathing ; tightness at the bifurcation of the

trachea. Quite a characteristic pain in the chest is the pain from the

sternum to the back, associated with catarrhal conditions and with

cough. Cough is caused from tickling in the larynx and at thei

bifurcation ; dry, frequent, hard cough ; great soreness in the chest

when coughing and breathing deep. Cough with pain in the sternum

through to the back. Cough with stitching pain in the chest. Loud,

hard cough. When he wakes up in the morning he begins this hard

coughing. He is often ameliorated by lying down and is ameliorated

by the warm bed ; is worse undressing, from exposure to the air,

worse after eating, aggravated by taking a deep breath, ameliorated

by getting warm in bed. The irritation and the cough is increased

very much exposure to cold air. The cough is also a choking cough

at times ,* sometimes a hoarse cough. It is sometimes much like whooping cough, spasmodic and constrictive.

The expectoration connected with the chest cough is ropy, yellow,

or yellowish green, sometimes bloody ; sometimes expectorates quantities

of clotted blood. There is much rattling in the chest, catarrhal conditions in the winter, last all winter, with rattling catarrhal conditions

in old people, rattling in the chest.

It is a most useful remedy in phthisis and haemorrhages from the

lungs and cavities in the lungs. There is a cold sensation in the chest

which is generally felt in the region of the heart. There is a pressure

in the chest after eating also near the heart or supposed to be about

the heart and there is palpitation. It has cured and been a very useful

remedy in hypertrophy of the heart with palpitation.

In all parts of the body there is chilliness, in the back, especially in

the back of the neck. Stabbing pains in the neck and in the dorsal

region. Sharp pains in the region of the kidneys. Dull ache in theJ

back. Many of the symptoms in the back are of a rheumatic character

and wander from place to place. The rheumatic pains are worse

stooping, and, like other pains, worse from motion. An exception

to this is in the sacrum where there is an aching pain at night when

lying and is better in the day time on motion. There is pain in the

sacrum on straightening up from sitting. Pain in the coccyx from

rising after sitting ; pain in the coccyx on first sitting down and in

the act of sitting down.

The limbs are stiff in the morning on rising and the pains wander

about, especially in the joints. Rheumatic pains that wander about.

Pains in the limbs are worse from cold and worse from motion.

They are better from heat and better in rest. Periodical pains, coming

at regular times. The bones feel sore to the touch or on deep pressure.

Rheumatic pains in limbs.—Periodical wandering pains, also along

bones.—Cracking in joints, < by motion.