Kali Carb

Potassium carbonate, sometimes called "Vegetable alkali," exists in all plants,

and was originally obtained from the ashes left after burning wood and vegetable structures.

Potassium salts play a no less important part in the animal economy. Kali carb. may be regarded

as the typical member of the Kali group of homceopathic remedies, though Causticum has also

claims on the title. The Potassium salts have more specific relation to the solid tissues than to the

fluids of the body; to the blood corpuscles rather than to the blood plasma. The fibrous tissues

are particularly affected, the ligament of joints, of the uterus, of the back. It corresponds to

conditions in which these tissues are relaxed-joints give way; the back feels as if broken; the

• ▸patient feels compelled to lie down in the street.
• ▸Goullon (translation, H.
• ▸R.
• ▸, xv.
• ▸327) calls

attention to the importance of this polychrest in complaints of women, in which it rivals Sepia,

differing from the latter in having menstruation "too protracted and recurring too frequently; the

• ▸pains and troubles occur before the menses.
• ▸The climacteric flushings of K.
• ▸ca.
• ▸are associated

• ▸with disturbances of the heart.
• ▸Palpitations are most violent.
• ▸By quieting these K.
• ▸ca.
• ▸often serves

as an excellent soporific. In addition to the uterus and heart, lungs, pleura, bronchi, and larynx all

come under its action. Chronic laryngeal catarrh Goullon specially mentions as frequently cured

• ▸by it.
• ▸He places it in the front rank as a knee remedy.
• ▸Among the grand characteristics of K.
• ▸ca.
• ▸,

three stand out above the rest: (/) Stitching, lancinating pains, also called jerking pains; < during

• ▸rest, < lying on affected side.
• ▸(2) Early morning aggravation: < 2 to 4 a.
• ▸m.
• ▸(3) The occurrence of

bag-like swellings over the eyes, between the eyebrows and the upper lids. Relaxation of tissues

• ▸is a great note of K.
• ▸ca.
• ▸It is suited to persons of soft tissues with tendency to be fat.
• ▸Easy

sweating may be placed in the same category, and when there is a combination of "sweat,

backache, and weakness," the three, according to Farrington, constitute a grand characteristic.

• ▸The backaches of K.
• ▸ca.
• ▸are very important.
• ▸The pain often extends downwards to the buttock

and even to the knee. Pain from hip to knee (more especially if right sided) has led to the cure of

many cases of hip-joint disease. This symptom also led me to make a remarkable cure of another

kind. A lady, 73, stout, short, pale, and of very soft fibre, had for four months suffered from

"rheumatic pains," and an offensive vaginal discharge. A local practitioner of repute was

consulted (the patient lived in the country, and I did not see her till a year or two afterwards) and

pronounced it cancer of the womb in an advanced stage, and gave her four months to live. She

described to me the pain as being all round the lower abdomen, and a "dull, heavy, depressing,

dead pain, commencing at the inner part of the top of the right hip (iliac crest) and extending to

the knee." The pain was so severe it made her feel quite sick and faint. The discharge was very

offensive, like decaying meat. Great weakness and trembling accompanied the discharge; urine

• ▸was almost like blood at times, and had a sandy sediment.
• ▸K.
• ▸ca.
• ▸1m.
• ▸was given and at once

improvement set in. In a few months all the bad symptoms had disappeared and never returned.

The patient lived ten years after this. In connection with this case I may mention another. A man

• ▸had an ulcer of right leg with swelling of ankle, and he complained of waking at 2 a.
• ▸m.
• ▸K.
• ▸ca.
• ▸30

cured, but meantime he developed this symptom: "Great weakness of right thigh, as if it would

give out when walking." This "giving-out" feeling is very characteristic of the remedy. "Constant

backache, the patient feeling all the time that the back and legs must give out." K. ca.

corresponds to many cases of lumbago, stitching pains, pulsations; > by pressure and by lying

flat on the back. "Weakness, sweat, and backache" appear in many conditions of debility as from

loss of fluids; after confinement or abortion (puerperal mania, fever, or spasms). Complaints

after coition in males, especially complaints of the eyes. Weary and sleepy during and after

• ▸eating.
• ▸Yawns continually.
• ▸The mental state of K.
• ▸ca.
• ▸is one of peevishness and irritability.
• ▸Easily

startled by any noise (especially if unexpected). Fear is prominent; fears to be alone. Intellect

impaired, does not care for anything. Indifferent, with bodily exhaustion; when questioned does

not know what to answer. The "touchiness" of the remedy is very marked: "Cannot bear to be

• ▸touched; starts when touched ever so lightly, especially on the feet.
• ▸" K.
• ▸ca.
• ▸acts profoundly on

the tissues. It causes fatty degeneration of the heart and other muscles. It affects the blood itself

as well as the circulation, causing anzemia and hemorrhages. Throbbing of blood-vessels all over

body and to ends of fingers and toes is a marked symptom. Irregularity of heart's action. A

peculiar symptom is: sensation as if the heart were suspended by a thread. The digestion is very

much disordered; flatulence, distension, constipation. Many symptoms come on when eating:

Drowsiness; toothache only when eating. It has the fishbone sensation in the throat, which is part

of the general tendency to stitching pains. Another feature is easy choking; food easily gets into

windpipe; pain in back when swallowing. The cough has peculiarities in addition to that of time

aggravation 2-4 a.m. It is dry, paroxysmal, loosens viscid mucus or pus which must be

swallowed. Or spasmodic with gagging or vomiting of ingesta. The expectoration consists of

hard, white, or smoky masses, which fly from the throat when coughing. Globules of pus may be

contained in it. Hahnemann said that persons suffering from ulceration in the lungs could hardly

get well without this antipsoric. I have frequently had occasion to verify its value in such cases.

The stitching pains, sweat, and weakness are leading indications, also the locality of the

• ▸affection.
• ▸K.
• ▸ca.
• ▸is more a right than a left-side medicine.
• ▸The base of the right lung is more

• ▸affected than any other part.
• ▸Goullon says also the apices.
• ▸K.
• ▸ca is a remedy often called for in

sick-headache. "Violent headaches about the inner temples; violent stitching or jerking pains, on

one side of the head or both." One-sided headache with nausea. One case which I cured was > by

lying down, > by a tight band round the head. Pressure and drawing in forehead extending into

eyes and root of nose. Congestion to head and heat of face often accompany the headaches.

"Drowsy whilst eating" is a very characteristic symptom of K. ca. Ide, of Stettin, Germany, has

• ▸recorded a case (translated by McNeil, Med.
• ▸Adv.
• ▸, xxiv.
• ▸294) which well illustrates this.
• ▸A lady,

65, suffered from chronic bronchial catarrh and emphysema. In November, 1886, she had

asthmatic complaints, depriving her of sleep, with cough and mucous expectoration difficult to

raise. Always when eating she was so weary she fell asleep, and could not finish her meal. After

• ▸eating still very tired.
• ▸In the morning passed much flatulence.
• ▸K.
• ▸ca.
• ▸10 removed the condition in

a few days. The following March after a cold there was a recurrence, but without the weariness,

• ▸and K.
• ▸ca.
• ▸failed, whilst Ars.
• ▸15 rapidly cured.
• ▸In the same patient K.
• ▸ca.
• ▸manifested its power in

another set of symptoms: Toothache alternating with tearing, stitching pain in left breast and

under left false ribs. The side pains were < at night, especially in evening as soon as she lay

• ▸down; < lying down, particularly < lying on right (7.
• ▸e.
• ▸, painless) side.
• ▸Not influenced by pressure

• ▸or motion.
• ▸K.
• ▸ca.
• ▸is a chilly medicine.
• ▸There is great tendency to take cold, and < of symptoms

• ▸when body temperature is low; aversion to open air.
• ▸I have often relieved with K.
• ▸ca.
• ▸blotchy

eruptions of the face which were < in a wind or cold air. Among the notable sensations of the

remedy are: Feeling of emptiness in whole body as if it were hollow. Sensation of a lump rolling

over and over on coughing; rising from right abdomen up to throat, then back again. Lump in

• ▸throat.
• ▸Feeling as if the bed were sinking under her.
• ▸Pulsative pains and throbbings.
• ▸Burning

• ▸sensation and burning pains.
• ▸K.
• ▸ca.
• ▸appears to have alternating symptoms: it has cured a case of

toothache which alternated with tearing, stitching pains in left breast and under left false ribs. It

has also pulsations in the back alternating with pains in the back. The pains in the side were <

• ▸evening, on lying down, and especially on lying on right (painless) side (Med.
• ▸Adv.
• ▸, xxiv.
• ▸295).

The nervous excitability of K. ca. may go as far as pronounced hysteria; sudden shrieking;

cannot bear to be touched. Spasms (puerperal convulsions) and paralysis. Twitching of muscles;

rigidity of muscles; muscular atony, disposition to easy overlifting. Oppression of breathing

accompanies most complaints. Anemia with great debility, skin watery, milky white. Dropsical

• ▸affections.
• ▸Ulcers bleeding at night.
• ▸K.
• ▸ca.
• ▸is suited to the aged, rather obese, lax fibre; to dark-

haired persons of lax fibre and inclined to be fat; to diseases after parturition; after loss of fluids.

The symptoms are: < At rest; < on lying down (cannot get breath). Unable to remain lying at

night, > during the day when moving about; < lying on right side (pain in chest; heart feels

suspended to left ribs); < by stooping; > raising head. > Sitting bent forward; > raising head

(stitches in forehead). Motion = headache with vertigo; < pain in tumours of scalp; wobbling in

stomach; stitches in loins. < By sudden or unguarded motion. Walking > obstruction in nose; and

• ▸< most other symptoms.
• ▸Coughing < pain in hemorrhoids.
• ▸Debility = desire to lie down.
• ▸The

• ▸chief time aggravation is from 2 to 4 a.
• ▸m.
• ▸, or any time between.
• ▸In general the symptoms are < in

• ▸the morning.
• ▸> By day; < at night.
• ▸< Evening on lying down.
• ▸< After midnight.
• ▸Heat > most

symptoms; cold air and open air <. Open air > obstruction of nose. Change of weather and damp

• ▸weather <.
• ▸Washing face = nose-bleed.
• ▸Cold air < stitching pain in right side.
• ▸Cold and damp =

chronic bronchitis. Warm drinks < sweat. Warm applications = pain to move to other places.

Drinking cold water > jerking in head; drinking cold-water when overheated = dyspnoea and

• ▸pyrosis.
• ▸Hunger = palpitation.
• ▸Touch <.
• ▸Pressure < most symptoms; > pain in abdomen; dull

stitches in chest; glandular swelling of neck. < From coitus.

• ▸Despondent.
• ▸Alternating moods.
• ▸Very irritable.
• ▸Full of fear and imaginations.
• ▸Anxiety felt in stomach.
• ▸Sensation as if bed were sinking.
• ▸Never wants to be left alone.
• ▸Never quiet or contented.
• ▸Obstinate and hypersensitive to pain, noise, touch.

Sadness with tears.—Anxious apprehension and inquietude, esp. about the health, with

fear of not being cured.—Irresolute, timid, and apprehensive disposition.—Fear, in evening, in

• ▸bed.
• ▸—Peevish humour, discontent and impatience.
• ▸—Dread of labour.
• ▸—Changeable humour, at

one time evincing mildness and tranquillity, at another time passion and rage.—Tendency to take

alarm.—Shrieks about imaginary appearances.—Becomes easily startled; great tendency to start

when touched, esp. on feet.—Vexed and irritated mood; trifles vex one; noise is

• ▸disagreeable.
• ▸—Irascible and passionate humour.
• ▸—Loss of memory.
• ▸—Misapplying words and

syllables.

Affections in general, occurring in r. hypochondriac region; r. abdominal ring;

1. chest; 1. upper extremity; external and internal ears; of inner surface of liver; inner region of

kidneys; lower part of chest; shoulder; shoulder-joint; elbow and elbow-joint; hollow of elbow;

wrist-joint; big toe; tips of toes; joints of legs in general; joints of toes —Disgust of food in

general.—Inflammatory swelling of the part, with characteristic (stitching or jerking)

pains.—Dryness of the skin —Painful sensibility of extremities in whatever position they are

• ▸placed.
• ▸—Pressive pains in joints.
• ▸—Spasmodic contraction of some parts.
• ▸—Drawing, tearing,

rheumatic pains in limbs, esp. during repose, with swelling of the parts affected.—Rheumatic

pains in back, chest, shoulders, and arms, < on moving them.—Shooting pains in joints, muscles,

and internal organs.—Swelling and hardness of glands.—Anzemia, with great debility; skin

watery, milky white; muscles weakened, esp. heart; hence weak pulse is a general

characteristic.—Dropsical affections of internal organs, or of whole skin of body.—The pains

often manifest themselves towards 2 a.m., and are then stronger than by day during

movement.—Shiverings immediately after pains —Remaining in open air greatly < many of the

• ▸symptoms (esp.
• ▸the febrile), while some others are > by it.
• ▸—Hectic fever.
• ▸—Burning at various

places under the skin.—Spasmodic attacks and convulsive startings of limbs and

muscles.—Nocturnal epileptic fits—Tendency to suffer a strain in loins.—Tendency in limbs to

become numbed, when lying down.—Paralysis.—Dropsical affections and paralysis of old

persons.—General sensation of emptiness in whole body, as if it were hollow.—Heaviness and

indolence.—Weakness, as if on the point of losing consciousness, and trembling, esp. after a

walk.—A short walk fatigues much.—Attacks of weakness with nausea, sensation of heat and

lassitude in pit of stomach, vertigo, and dizziness.—Violent ebullition of blood, with throbbing in

all arteries —Excessive dread of open air and of currents of air.—Great tendency to take cold, esp.

after heating exercise.

• ▸Vertigo on turning.
• ▸Headache from riding in cold wind.
• ▸Headache comes on with yawning.
• ▸Stitches in temples; aching in occiput, one-sided, with nausea, on riding in carriage.
• ▸Loose feeling in head.
• ▸Great dryness of hair; falls out (Fluor ac).

Confusion and dulness in head.—Sudden attack of unconsciousness.—Dulness of the

head; confused, stupid feeling, as after intoxication.—Vertigo as if ears were stopped up; with

darkness before eyes.—Vertigo in morning, in evening, and after a meal, as well as on turning

head or body hastily.—Vertigo, with tottering.—Vertigo, which seems to proceed from

stomach.—Headache from motion of a carriage, on sneezing, coughing, or in morning.—Semi-

lateral headache, with nausea, and vomiting, < so as to become insupportable, by slightest

• ▸movement.
• ▸—Violent headache across the eyes.
• ▸—Pressive headache in the occiput, esp.
• ▸during a

walk, with irritability, or else in forehead with photophobia.—Tearing and drawing pains in

head.—Lancinating headache, chiefly in temples and forehead; < from stooping and moving

head, eyes, and lower jaw; > when raising head and from heat.—Violent headaches about inner

temples.—Congestion in head, with throbbing and buzzing —Trembling in head, and sensation as

if it contained something movable. (Constant sensation of something loose in head, turning and

• ▸twisting towards forehead.
• ▸).
• ▸—The headaches are > by pressing the forehead.
• ▸—Sensation as of a

blow in the head, which causes it to incline to one side, with dizziness.—Strong tendency to take

cold in head, esp. when exposed to a draught after being heated (from it headache or

toothache).—Painful and purulent tumours in scalp, like beginning blood-boils; more painful

from pressure and motion, and less so from external heat; accompanied by itching, as if in bones

of head, with great dryness of hair—Wens.—Scabby eruption on scalp.—Falling off and dryness

of hair, esp. on temples, eyebrows, and beard, with violent burning-itching of the scalp in

morning, and evening; the scalp oozes if scratched —Perspiration on forehead, in

morning.—Large, yellowish, and furfuraceous spots on forehead.

• ▸Stitches in eyes.
• ▸Spots, gauze, and black points before eyes.
• ▸Lids stick together in morning.
• ▸Swelling over upper lid, like little bags.
• ▸Swelling of glabella between brows.
• ▸Asthenopia.
• ▸Weak sight from excessive sexual indulgence.
• ▸On shutting eyes, painful sensation of light penetrating the brain.

Pressive and tearing pain in eyes.—Sensation of biting, of smarting, of burning, and

shootings in eyes.—Redness and inflammation of eyes, with pain on reading by candle-

light.—Swelling of eyes and lids, with difficulty in opening them.—Pimples in

eyebrows.—Swelling (like a bag) between upper eyelids and eyebrows.—Excoriation and

suppuration in corners of eyes.—White of eye red; capillaries injected. —Sensation of coldness of

• ▸eyelids —Agglutination of eyelids, esp.
• ▸in morning.
• ▸—Lachrymation.
• ▸—Eyes dull and

downcast.—Propensity to a fixed look.—Spots dancing before sight, on reading and on looking

into open air.—Rainbow colours, spots (blue or green), and sparks before sight.—Vivid and

painful brightness before eyes, when closed, extending deeply into brain, in evening after lying

down.—Photophobia.—Dazzling of eyes by daylight.

Stitches in ears. Itching, cracking, ringing and roaring.

Shootings in ears, sometimes from within outwards.—Inflammatory swelling of ears,

with discharge of a yellow pus or of liquid cerumen.—Itching and tickling in ears —Redness,

heat, and violent itching of external ear.—Ulcer in ears.—Excoriation and suppuration behind

ears.—Inflammation and swelling of parotid.—Excessive acuteness of hearing, in evening, on

• ▸lying down.
• ▸—Weak and confused hearing.
• ▸—Dulness of hearing.
• ▸—Singing, tingling, and buzzing

in ears.—Cracking in ears.

• ▸Nose stuffs up in warm room.
• ▸Thick, fluent, yellow discharge.
• ▸Post-nasal dropping (Spigel).
• ▸Sore, scurfy nostrils; bloody nasal mucus.
• ▸Crusty nasal openings.
• ▸Nosebleed on washing face in morning.
• ▸Ulcerated nostrils.

Swelling of nose, with redness and burning heat.—Nose red and covered with

• ▸pimples.
• ▸—Ulceration of interior of nose.
• ▸—Epistaxis in morning; when washing face.
• ▸—Dull

smell.—Coryza and stoppage of nose, sometimes with secretion of yellowish green mucus, and

constant want of air—Blowing offensive matter from nose.—Fluent coryza (with excessive

sneezing; pain in back and headache), with secretion of sanguineous mucus.—Secretion of

purulent mucus from nose.—Dryness of nose.—Sore, scurfy nostrils.

Colour of face, yellow, or pale and sickly, with sunken eyes, surrounded by a livid

circle.—Haggard, exhausted look; lifeless expression.—Great redness of face, alternately with

• ▸paleness.
• ▸—Drawing pain in face.
• ▸—Tearing in bones of face.
• ▸—Flushes of face —Bloatedness of

face.—Eruption of pimples on face, with swelling and redness of cheeks.—Tearing stitches in

• ▸cheeks.
• ▸—Swelling between eyebrows.
• ▸—Pimples on eyebrows.
• ▸—Warts on face.
• ▸—Ephelides.
• ▸—Lips

• ▸thick and ulcerated.
• ▸—Lips cracked and exfoliating.
• ▸—Cramp-like sensation in the lips.
• ▸—Cramps in

jaw.—Swelling of lower jaw and sub-maxillary glands.

• ▸Gums separate from teeth; pus oozes out.
• ▸Pyorrhea.
• ▸Aphthae.
• ▸Tongue white.
• ▸Much saliva constantly in mouth.
• ▸Bad, slimy taste.

Bitter taste in mouth.—Fetid exhalation from mouth.—Sensation of dryness in mouth,

with copious accumulation of saliva.—Excoriation, with vesicles in interior of mouth and on

tongue.—Soreness of fraenum lingue.—Swelling of tongue, covered with small painful

vesicles —Painful pimple on tip of tongue.

Toothache, only on eating, or in morning on waking; or else excited by cold things

(water) in mouth.—Teeth painful when touched by, either cold or warm substances.—Toothache,

with soreness of bones of face, and drawing, jerking, or tearing pains, esp. in evening in

bed.—Lancinating pains in teeth, with swelling of cheek (with stinging pain).—Digging, piercing,

pricking, and gnawing in teeth—(Toothache alternating with stitches in |. chest.) —Looseness of

all teeth —Bad smell from teeth.—Inflammatory swelling and ulceration of gums.

Sore throat, with lancinating pain on swallowing.—Deglutition impeded by inertia of

muscles of gullet (the food descends very slowly in the cesophagus, and small particles of food

easily get into windpipe).—Copious accumulation of mucus on palate and in throat; difficult to

hawk up or to swallow, with sensation as if a lump of mucus were in throat.—Hawking up of

mucus.—Dryness in posterior part of throat.

• ▸Dry, parched, rough.
• ▸Sticking pain, as from a fish-bone.
• ▸Swallowing difficult; food goes down oesophagus slowly.
• ▸Mucous accumulation in the morning.

• ▸Flatulence.
• ▸Desire for sweets.
• ▸Feeling of lump in pit of stomach.
• ▸Gagging.
• ▸Dyspepsia of old people; burning acidity, bloating.
• ▸Gastric disorders from ice-water.
• ▸Sour eructations. Nausea; better lying down.
• ▸Constant feeling as if stomach were full of water.
• ▸Sour vomiting; throbbing and cutting in stomach.
• ▸Disgust for food.
• ▸Anxiety felt in stomach.
• ▸Epigastrium sensitive externally.
• ▸Easy choking when eating.
• ▸Epigastric pain to back.

Bitter or acid taste—Unpleasant taste in mouth, as from derangement of

• ▸stomach.
• ▸—Putrid, sweetish taste, or as of blood in mouth.
• ▸—Bulimy.
• ▸—Strong desire for sugar or

acids.—Disgust for brown bread, which lies heavy on stomach.—Milk and warm food are

unsuitable.—During a meal, sleepiness.—After a meal, drowsiness, paleness of face, shivering,

headache, ill-humour, nausea, sour risings, and pyrosis, colic, inflation of abdomen and

flatulency.—After taking hot food (pastry or soup), pinchings and uneasiness in abdomen.

Frequent risings.—Sour risings and regurgitation.—Burning acidity rising from

stomach, with spasmodic constriction.—Feeling in stomach as if cut to pieces.—Constant feeling

as if stomach were full of water, wobbling on motion.—Pressure in stomach like a heaviness after

eating.—Sensation as of a lump in stomach the size of the fist—Pyrosis.—Nausea from mental

emotions.—Nausea, as if he would faint; also with anxiety—Nausea during pregnancy.—Nausea

to such a degree as to cause loss of consciousness, sometimes during a meal.—Anxious nausea,

with inclination to vomit, esp. after a meal, or after mental emotion.—Retching in evening (for

several evenings).—Vomiting of food and acid matter, with prostration of strength, as if about to

• ▸faint.
• ▸—Nocturnal vomiting of food.
• ▸—Fulness in stomach, esp.
• ▸after a meal.
• ▸—Pressure on

epigastrium.—Tension above stomach.—Contractive cramps in stomach, renewed by all kinds of

food and drink, or else at night, with vomiting.—Pinching, digging, and shooting in

stomach.—Lancinations in epigastrium and in hypochondria, which suspend

respiration.—Pulsations in epigastrium.—Extreme sensitiveness of epigastrium.

• ▸Stitches in region of liver.
• ▸Old chronic liver troubles, with soreness.
• ▸Jaundice and dropsy.
• ▸Distention and coldness of abdomen.
• ▸Pain from left hypochondrium through abdomen; must turn on right side before he can rise.

Pain in liver, on stooping, as if it were wrenched.—Burning pain, aching, and

shootings in liver.—Pressure and shootings in region of loins.—Pains in abdomen, with frequent

• ▸risings.
• ▸—Pressure on abdomen, esp.
• ▸on stooping.
• ▸—Tension across the abdomen.
• ▸—Great inflation

• ▸of abdomen, esp.
• ▸after a meal.
• ▸—Inquietude and heaviness in abdomen.
• ▸—Abdominal pains,

contractive and spasmodic.—Colic renewed after each meal.—Colic, resembling pains of labour,

sometimes with pains in loins —Feeling of coldness, as if a cold fluid passed through intestines;

during menses.—Lancinations throughout the abdomen.—Inertia and coldness in

abdomen.—Dropsical swelling of abdomen.—Drawing and shootings (and painful bloatedness) in

groins.—Abundant production and incarceration of flatus.—Incarceration of flatulence, with

colic.—Restricted or excessive emission of flatus, sometimes preceded by pressive pain in

rectum.

• ▸Large, difficult stools, with stitching pain an hour before.
• ▸Haemorrhoids, large, swollen, painful.
• ▸Itching, ulcerated pimples around anus.
• ▸Large discharge of blood with natural stool.
• ▸Pain in haemorrhoids when coughing.
• ▸Burning in rectum and anus.
• ▸Easy prolapsus (Graph; Pod).
• ▸Itching (Ignat).

Constipation, sometimes every second day.—Constipation during

menstruation.—Constriction of the abdomen and difficult evacuation of feeces of too large a

size.—Retarded stool from inactivity of rectum.—Obstruction from inactivity of bowels, as a want

of peristaltic motion; hemorrhoids.—Resultless inclination to evacuate, and scanty

evacuation.—Stool resembling sheep's dung.—Diarrheea, mostly in evening and at night, with

cutting pains and great physical debility —Discharge of mucus, or of blood, during

evacuation.—White mucus before and during stool.—Painless diarrhoea, with rumbling in

• ▸abdomen.
• ▸—Discharge of teniz and lumbrici.
• ▸—Anxiety before the evacuation.
• ▸—Itching in

anus.—Tearing, shooting, incisive, and burning pains in anus (and rectum), esp. after

evacuation.—Protrusion and distension of hemorrhoids during stool, with pricking and

burning.—Protrusion of hemorrhoids during micturition, emitting first blood, afterwards white

mucus.—Inflammation, soreness, stitches, and tingling, as from ascarides, in

heemorrhoids.—Heemorrhoidal pimples in anus, painful, bleeding, and with shooting

pain.—Sensation of red-hot poker being thrust up rectum, temporarily > by sitting in cold

water.—Excoriation and pustulous eruption in anus.—Stitching, pressing proctalgia (during

pregnancy).

Frequent want to make water, and scanty emission of fiery urine.—The

urine is discharged slowly.—After micturition, discharge of prostatic fluid.—Urine pale greenish;

• ▸turbid.
• ▸—Frequent emission of urine, day and night.
• ▸—Incisive pains in bladder, from r.
• ▸to

|.—Burning sensation in urethra, esp. on (and after) making water.

Obliged to rise several times at night to urinate. Pressure on bladder long before urine comes. Involuntary urination when coughing, sneezing, etc.

• ▸Menses early, profuse (Calc c) or too late, pale and scanty, with soreness about genitals; pains from back pass down through gluteal muscles, with cutting in abdomen.
• ▸Pain through left labium, extending through abdomen to chest.
• ▸Delayed menses in young girls, with chest symptoms or ascites.
• ▸Difficult, first menses.
• ▸Complaints after parturition.
• ▸Uterine haemorrhage; constant oozing after copious flow, with violent backache, relieved by sitting and pressure.

Repugnance to coition in women.—During coition, pinching and

pain, as of excoriation, in vagina.—Constant sensation of bearing down.—Burning pain and

shootings in vulva.—Erosion, itching, and gnawing in genital parts, and in interior of

parts —Difficult first menstruation —Catamenia premature, or too weak.—Suppression of

catamenia.—Suppression of menses, with anasarca and ascites.—Heemorrhage of pregnant women

(clots of coagulated blood).—Corrosive menstrual flux.—During catamenia (the menstrual blood

is acrid) itching eruption, and excoriation, between thighs.—Gastric symptoms, and agitated and

anxious sleep during catamenia.—During menses: (morning) headache; cutting pain in abdomen;

pain in small of back, like a weight: stitches in ears; coryza; itching of whole

body.—Leucorrhcea, sometimes with violent pains in loins, and pains like those of labour

(extending from back to uterus).—Yellowish leucorrhcea, with itching and sensation of burning in

• ▸vulva.
• ▸—(Uterine cancer with pain round loins extending down r.
• ▸thigh to knee.
• ▸).
• ▸—Tearing

stitches in breasts on flow of milk.—During pregnancy: sickness (only during a walk) without

vomiting, with feeling as if she could lie down and die;—pulsation of arteries, even down to tips

of toes; hollow feeling in whole body; heavy broken-down feeling, only with the greatest effort

that any exertion can be made;—back aches so badly while walking she could lie-down in the

street;—pressing, forcing pains in small of back as if heavy weight came into pelvis, low down;

also stitching, pressing proctalgia—Impending abortion with pains from back into buttocks and

thighs; discharge of Clots (2nd and 3rd month).—Weakness after abortion.—Labour pains

insufficient; violent headache, wants back pressed; bearing-down from back into pelvis.—False

pains; sharp cutting pains across loins, or passing off down buttocks, hindering labour; pulse

• ▸weak.
• ▸—Pains stitching or shooting.
• ▸—Chills after delivery —Puerperal fever; intense thirst.
• ▸—A fter

confinement, hemorrhage, heemorrhoids, peritonitis.—Hzemorrhage a week after labour.

Complaints from coition. Deficient sexual instinct. Excessive emissions, followed by weakness.

Tension, tearing, and pulling in glans and in penis.—Itching and pain,

as from a bruise in scrotum.—Hot swelling of testes and spermatic cord.—Excessive increase or

absence of sexual desire—Repugnance to coition.—Want of erections, or too frequent and painful

• ▸erections.
• ▸—Absence of, or immoderate pollutions.
• ▸—Pollutions with voluptuous dreams.
• ▸—A fter

coition and pollutions, weakness of body, but esp. of eyes.

• ▸Cutting pain in chest; worse lying on right side.
• ▸Hoarseness and loss of voice.
• ▸Dry, hard cough about 3 am, with stitching pains and dryness of pharynx.
• ▸Bronchitis, whole chest is very sensitive.
• ▸Expectoration scanty and tenacious, but increasing in morning and after eating; aggravated right lower chest and lying on painful side.
• ▸Hydrothorax.
• ▸Leaning forward relieves chest symptoms.
• ▸Expectoration must be swallowed; cheesy taste; copious, offensive, lump.
• ▸Coldness of chest. Wheezing.
• ▸Cough with relaxed uvula.
• ▸Tendency to tuberculosis; constant cold taking; better in warm climate.

Hoarseness and roughness in throat, with violent sneezing. —Aphonia

• ▸(with violent sneezing).
• ▸—Easy choking.
• ▸—Sensation as of a plug in larynx.
• ▸—Cough on moving

• ▸arm (when playing the violin).
• ▸—Cough, excited by a tickling.
• ▸—Dry cough, esp.
• ▸at night, and in

evening; in morning with expectoration —Night cough; < from 3 to 4 a.m.—Cramp-like cough,

with inclination to vomit, and vomiting, esp. in morning.—Shootings in throat, or chest, while

coughing.—Expectoration: difficult; or, small round lumps come flying from mouth without

effort.—Spasmodic cough, in short but frequently returning attacks, caused by a tickling in the

throat and larynx; during morning and day cough is loose, but the yellow pus and tough mucus

has to be swallowed again.—Cough with sourish expectoration, or of blood-streaked mucus, or of

pus.—During cough, rough pain in larynx; stinging in throat; stitches in r. side of chest (lower

part); sparks dart from eyes; asthma.—Whooping-cough (with inflammation of lungs; with

swelling between upper eyelid and eyebrows, and < from 3 to 4 a.m.).

Sensation as if heart were suspended. Palpitation and burning in heart region. Weak, rapid pulse; intermits, due to digestive disturbance. Threatened heart failure.

Difficult respiration.—Shortness of breath in morning.—Respiration impeded on

walking quickly, or in morning.—Stitches in sternum and r. side of chest through to back, when

taking an inspiration.—Tearing in sides of chest—Spasmodic asthma (in the morning); > by

sitting up and bending forward, resting head on knees).—Anxious oppression at

chest.—Obstructed respiration awakes him at night—Wheezing in chest.—Oppression at chest, as

from hydrothorax.—Pain in chest when speaking.—Cramp in chest, sometimes on

coughing.—Sensation in chest as if heart were compressed.—Pressure, burning pain, and

shootings in chest, sometimes on breathing.—Inflammation of lungs (and liver) with stitches in

• ▸chest (r.
• ▸side).
• ▸—Suppuration of lungs; abscesses of lungs.
• ▸—Weakness and faintness in chest from

walking fast—Small pimples on chest and back.—Incisive pains in chest.

Palpitation of heart (sometimes with anguish), esp. in morning on waking, with

ebullition of blood.—Frequent and violent palpitation; with anxiety.—Palpitation when he

becomes hungry.—Frequent intermissions of beats of heart—Burning in region of heart—Crampy

pain in region of heart.—Stitches about heart and through to scapula.—Pinching pain in or by

heart, as if heart were hanging by tightly drawn bands; < on deep inspiration, on coughing; not

• ▸noticed on motion of body.
• ▸—On lying on r.
• ▸side, heart feels suspended to |.
• ▸ribs —Feels pulse

over whole body to tips of toes —Pulse slow.

• ▸Great exhaustion.
• ▸Stitches in region of kidneys and right scapula.
• ▸Small of back feels weak.
• ▸Stiffness and paralytic feeling in back.
• ▸Burning in spine (Guaco).
• ▸Severe backache during pregnancy, and after miscarriage.
• ▸Hip-disease.
• ▸Pain in nates and thighs and hip-joint.
• ▸Lumbago with sudden sharp pains extending up and down back and to thighs.

Stiffness between scapulze.—Dull pain, like hot water, between

• ▸scapule.
• ▸—Stiffness of nape of neck—Weakness of muscles of neck.
• ▸—Goitre.
• ▸—Hard swelling of

axillary glands and of those of neck.—Sweat under armpits.—Pains in loins; also after a

fall—Pain, as from a bruise in back, during repose.—Drawing pains in back, which often proceed

• ▸from loins.
• ▸—Burning, tearing near r.
• ▸side of spine, above small of back.
• ▸—Sharp stitching pains

• ▸awaken him 3 a.
• ▸m.
• ▸, he must get up and walk about; pains shoot from loins into nates.
• ▸—Stitching

and shooting pains in back, shooting down into gluteal region or hips.—Stitches in

kidneys.—Back aches as if broken.—Pain across sacrum like labour-pains; feeling of tightening of

skin of lower abdomen; feeling of weight in abdomen on walking, and esp. on standing.—Pain in

small of back as from flatulent distension, morning in bed, with feeling as if bubbles

accumulated at small of back, with urgent desire for stool, all of which disappeared after passing

wind.—Violent constant drawing in small of back, alternating with pulsations in it, only > when

• ▸lying.
• ▸—Pain as if broken on moving about.
• ▸—Bruised pain in back only during rest.
• ▸—Feeling in

morning as if small of back were pressed inward from both sides.—Pressure in region of both

kidneys.—Gnawing in coccyx.

Swelling of shoulder, with pain. —Swelling and sore pain of axillary

glands.—Cracking in shoulder-joint when moving or raising arm.—Pain, as from blows and

• ▸bruises, under r.
• ▸shoulder-joint, esp.
• ▸when moving and touching it.
• ▸—Tearing in 1.
• ▸shoulder-

joint.—Pressure on shoulder.—Tension, tearing, pulling, in muscles and joints of shoulders, arms,

hands, and fingers.—Cold stiffness and numbness of arms, esp. in the cold, or after violent

• ▸exercise.
• ▸—Want of energy in arms and hands, esp.
• ▸in morning in bed.
• ▸—Frequent startings in

arms.—Stiffness in joint of elbow.—Paralytic pain in wrist—Shootings in wrist and fingers during

• ▸movement.
• ▸—Trembling of hands when writing.
• ▸—Coldness of hands.
• ▸—Skin of hands rough and

cracked.—Torpor and numbness in extremities of fingers—Burning pain in extremities of

• ▸fingers.
• ▸—Gnawing vesicles on fingers.
• ▸—Startings in fingers when sewing.
• ▸—Tearing between

thumb and index finger.

Acute pullings (rheumatic pains), esp. at night, in joints and bones of hips,

legs, feet, and toes.—The limbs fall asleep while lying —Numbness and great inclination of whole

• ▸r.
• ▸limb to fall asleep, esp.
• ▸lower leg.
• ▸—Stitches in |.
• ▸hip-joint while standing.
• ▸—Tearing in hips and

• ▸knees even while sitting.
• ▸—Paralysis of thighs —Cramp in r.
• ▸thigh and calf.
• ▸—Stiff, cramped feeling

in both calves, lasting all day and coming on when walking in morning (Cooper—from Potash

• ▸water.
• ▸).
• ▸—Tearing in and on nates not far from hip-joint—Great weakness of r.
• ▸thigh, feeling as if

it would give way when walking.—Difficulty in knees on going up or downstairs.—Dull pains in

side of knee, walking or extending leg.—Frequent tearing in knees.—Pressive pullings and

tearings in legs.—Jerking of muscles of buttocks and thighs.—Burning pain and lancinations in

legs and feet.—Uneasiness (restlessness) in legs in evening.—Torpor and numbness of

legs —Crawling shuddering on tibia —Swelling of legs and feet—Swelling and redness of

soles.—Stiffness of joint of foot—Shootings in joints of foot—Cold feet, even at night in

bed.—Numbness of feet after a meal—Fetid perspiration on feet—Burning pain and shootings

(red chilblains on toes) in ball of great toe.—Corns on feet, painful when touched.—Stitches in the

painful and sensitive corns.—Sensation as if nail of big toe would grow into flesh.—Tips of toes

very painful when walking.

• ▸Backs and legs give out.
• ▸Uneasiness heaviness, and tearing in limbs and jerking.
• ▸Tearing pain in limbs with swelling.
• ▸Limbs sensitive to pressure.
• ▸White swelling of knee.
• ▸Tearing in arms from shoulder to wrist.
• ▸Lacerating in wrist-joint.
• ▸Paralysis of old people, and dropsical affections.
• ▸Limbs go to sleep easily.
• ▸Tips of toes and fingers painful.
• ▸Soles very sensitive.
• ▸Itching of great toe, with pain.
• ▸Pain from hip to knee.
• ▸Pain in knees.

Burning as from a mustard plaster.

Painful sensibility of skin, as if it were ulcerated, when pressing on it.—Skin dry, with

obstructed perspiration.—Sensation of burning, or burning and lancinating itching, in

skin.—Itching, burning, yellow, or red spots on body (over abdomen and around nipples),

sometimes with oozing after being scratched.—Miliary nettle-rash —Corrosive

• ▸vesicles.
• ▸—Chilblains of a reddish blue—Warts.
• ▸—Tetters.
• ▸—Bleeding of ulcers, esp.
• ▸at

• ▸night.
• ▸—Fissure in cicatrix of an old issue.
• ▸—Ascites and anasarca.
• ▸—Swelling and induration of

glands, after contusions.

Drowsy after eating. Wakes about two o'clock and cannot sleep again.

Drowsiness and yawning.—Great drowsiness during day and early in evening.—Falls

asleep while eating.—Half-sleep at night.—Tardy sleep —During sleep, shuddering, tears, talking,

and starts with fright—Gnashing of teeth while asleep.—Agitated sleep, with frequent, anxious,

and frightful dreams.—Dreams of robbers, death, danger, serpents, sickness, spectres, devils,

&c.—Fits of anguish at night, gastric sufferings, pains in stomach and precordial region, colic,

flatulency, diarrhoea, frequent erections and pollutions, asthmatic sufferings, nightmare and

• ▸cramps in calves of legs.
• ▸—Arrest of breath rouses him from sleep at night.
• ▸—At night 1.
• ▸leg and r.

arm go to sleep.—Waking too early, particularly at 3 or 4 o'clock in the morning; sleepiness in

evening; sleeplessness after midnight; sleeplessness in general.

Pulse very variable; frequently more rapid in morning than in evening; strong

pulsations in arteries —Chilliness generally in morning.—Shivering in evening, with thirst, often

accompanied by toothache.—The Chilliness in evening is > near warm stove and after lying

down.—Internal heat with external chilliness——Morning perspiration.—Perspiration more on

upper part of body and < by warm drinks.—Perspiration is fetid or smells sour.—Intermittent

fever; constant chilliness, with violent thirst from internal heat; hot hands; loathing of

• ▸food.
• ▸—Long yawning, with heat; pain in chest and head; pulsations in abdomen, 9 a.
• ▸m.
• ▸and 5

• ▸p.
• ▸m.
• ▸—Chills and heat alternate in evening, followed by perspiration during night.
• ▸—Evening fever;

first, chilliness with thirst (for one hour), then heat without thirst, accompanied by violent, fluent

coryza; afterwards slight perspiration with sound sleep.—Chill and fever, with oppression of

breathing, constriction of chest; pain in region of liver; most of the thirst during

chill—Intermittent fevers, with whooping-cough.—Shivering immediately after pains.—Frequent

shuddering during day.—Heat in morning, in bed, with pains in loins and chest.—Want of

perspiration and inability to perspire, or else great tendency to perspire during intellectual labour,

or during a walk.—Nocturnal sweats, every night.

• ▸Amenorrhoea.
• ▸Anemia.
• ▸Asthma.
• ▸Axilla, perspiration of.
• ▸Back, aching.
• ▸Biliousness.

• ▸Bronchitis.
• ▸Catarrh.
• ▸Change of life.
• ▸Chilblains.
• ▸Clavus.
• ▸Cold.
• ▸Consumption.
• ▸Cough.
• ▸Debility.

• ▸Dropsy.
• ▸Dysmenorrheea.
• ▸Dyspepsia.
• ▸Ear, inflammation of.
• ▸Eyes, inflammation of; cedema

• ▸around.
• ▸Face, blotches on.
• ▸Fear.
• ▸Freckles.
• ▸Gastralgia.
• ▸Hemorrhage.
• ▸Hemorrhoids.
• ▸Hair,

• ▸affections of.
• ▸Headache.
• ▸Heart, affections of.
• ▸Hip-joint disease.
• ▸Hydrothorax.
• ▸Hysteria.
• ▸Kidneys,

• ▸affections of.
• ▸Knee, affections of; white swelling of.
• ▸Larynx, catarrh of.
• ▸Leucorrheea.
• ▸Liver,

• ▸affections of.
• ▸Lumbago.
• ▸Menorrhagia.
• ▸Metrorrhagia.
• ▸Pleurisy.
• ▸Pleurodynia.
• ▸Pregnancy,

• ▸disorders of.
• ▸Proctalgia.
• ▸Sciatica.
• ▸Sleeplessness.
• ▸Spinal irritation.
• ▸Stomach, affections of.
• ▸Throat,

• ▸sore.
• ▸Toothache.
• ▸Typhoid.
• ▸Urine, frequent passage of.
• ▸Urticaria.
• ▸Uterus, cancer of.
• ▸Vertigo.

Wens. Whooping-cough.

• ▸Antidoted by: Camph.
• ▸, Coff.
• ▸, Nit.
• ▸sp.
• ▸dulcis.
• ▸[t is complementary to: Carb.
• ▸v.
• ▸, Phos.
• ▸,

• ▸Sep.
• ▸, Nit.
• ▸ac.
• ▸, Nat.
• ▸m.
• ▸/t follows well: K.
• ▸sul.
• ▸, Phos.
• ▸, Stan.
• ▸, Bry.
• ▸, Lyc.
• ▸, Nat.
• ▸m.
• ▸/s followed well

• ▸by: Carb.
• ▸v.
• ▸, Phos.
• ▸, Fluor.
• ▸ac.
• ▸, Ars.
• ▸, Lyc.
• ▸, Pul.
• ▸, Sep.
• ▸, Sul.
• ▸Compare: The Kalis, especially Caust.

(paresis; respiratory affections; hemorrhoids; rheumatism); and K. bi. (catarrh with tenacious

secretions; wandering and alternating pains; headache; affections of stout persons; dyspepsia).

• ▸Bry.
• ▸(sharp pains; bilious affections; but Bry.
• ▸is < by motion); Chel.
• ▸(pneumonia of right base);

• ▸Merc.
• ▸v.
• ▸(pneumonia of right base, but Merc.
• ▸has sweat without >); Sep.
• ▸(diseases of women—but

• ▸Sep.
• ▸has scanty menses, K.
• ▸ca.
• ▸too early and profuse; empty feeling, bloating after eating;

chronic laryngeal catarrh); Apis and Ars. (puffing of face and eyes); Spi. (stitches in heart);

• ▸Bellis, Ars.
• ▸, Nux v.
• ▸, Calc.
• ▸, and Sep.
• ▸(waking early, 3 am.
• ▸); Ip.
• ▸(constant nausea); (K.
• ▸bi.
• ▸) and

• ▸Staph (< after coitus); Ant.
• ▸t.
• ▸(capillary bronchitis); Calc.
• ▸hypophos.
• ▸(sweat, backache, and

weakness—very close analogue); Pso. (debility of convalescence; profuse sweat; hopelessness of

recovery); Calc. c. (hopelessness of recovery; irritability; chilliness, < from washing); Puls.

• ▸(erratic pains; amenorrhcea); Berb.
• ▸(bubbling sensation in back).
• ▸Phos.
• ▸ac.
• ▸(apathy); Hep.
• ▸, Nit.

• ▸ac.
• ▸, Carb.
• ▸v.
• ▸, and Arg.
• ▸n.
• ▸(fish-bone sensation).
• ▸Rhus (pain > motion; affections of ligaments)

• ▸Hamam.
• ▸(hemorrhoids).
• ▸Mag.
• ▸c.
• ▸(nervous debility from overstrain) Bry.
• ▸and Silic.
• ▸(knee

• ▸affections).
• ▸Nat.
• ▸m.
• ▸(anzemia; amenorrhcea—"K.
• ▸ca.
• ▸will bring on the menses when Nat.
• ▸m.
• ▸,

• ▸though apparently indicated, fails.
• ▸" Hahn.
• ▸—backache: that of K.
• ▸ca.
• ▸is, in general, < lying; that of

• ▸Nat.
• ▸m.
• ▸is > by pressure and lying on back); Arn.
• ▸c.
• ▸, Graph.
• ▸(obese persons); Chi.
• ▸, Phos.
• ▸ac.
• ▸,

• ▸Pho.
• ▸, and Pso.
• ▸(complaints from loss of fluids); Ars.
• ▸, Bis.
• ▸, and Lyc.
• ▸(averse to be alone.
• ▸—Ign.
• ▸,

• ▸Nux, desire to be alone); Am.
• ▸c.
• ▸and Arn.
• ▸(nose-bleed when washing face); Phos.
• ▸(fatty

degeneration of heart); Lach. (heart as if suspended by a thread).

Complementary: Carbo; (Lowness of vitality may suggest a preliminary course of Carbo to nurse up recuperation to the point that Kali carb would come in helpfully). Follows Nux often in stomach and bladder troubles.

Compare: Kali salicylicum (vomiting, especially of pregnancy; arteriosclerosis, with chronic rheumatism); kali silicum (gouty nodosities); Kali aceticum (diabetes, diarrhoea, dropsy, alkaline urine, very much increased in quantity); Kali citricum (Bright's disease-1 gr to wine-glass of water); Kali ferrocyanatum-Prussian blue--(physical and mental prostration following infection. Inability to sustained routine work. Neuralgic affections depending on impoverished blood and exhausted nerve centers, especially spinal. Fatty and functional heart troubles. Pulse weak, small, irregular. Uterine symptoms, like Sepia, bearing-down sensation and gastric sinking; profuse, pus-like leucorrhoea and passive haemorrhage; use 6x); Kali oxalicum (lumbago, convulsions); Kali picro-nitricum and kali pricricum (jaundice, violent eructations); kali tartaricum (paraplegia); Kali telluricum (garlicky odor of breath, salivation, swollen tongue). Also compare: Calc; Ammon phos; Phos; Lycop; Bry; Natrum; Stann; Sepia.

Antidotes: Camph; Coffea.

• ▸Thirtieth and higher.
• ▸Sixth trit.
• ▸Do not repeat too often.
• ▸Use cautiously in old gouty cases, advanced Bright's and tuberculosis.

There is cracking in the joints. Rheumatic pains are very common

in the shoulders ; lameness ; there is burning in the forearms ; rheumatic pains in the elbows ; weak feeling in the hands and fingers with

much clumsiness ; spasmodic contraction of the fingers. Bones in the

hands and fingers feel bruised and very tender to hard pressure.

Rheumatic pains of the fingers are very common to this remedy. In

the lower limbs we have marked rheumatic pains through the hips and

knees, worse walking and on motion. Then comes the exception:

pains ixi the sciatic nerves very severe, worse in hot weather ; these

are better in motion, better in the warmth of the bed, worse from

changes in the weather and better on flexing the leg. Drawing pains

in the tibia are very common. It has cured ulcers on the legs, deep

as if punched out. Burning on the ankles, soreness of the heels. It

has cured ulcers on the heels.

The sleep is most restless. Starting in sleep and turning and tossing. Its chest symptoms are worse on walking.

Upon the skin we have pustules, boils, eczema, blisters, herpes,

shingles, ulcers on the skin, tubercles, suppurating tubercles and crup

tions that are syphilitic in character.

The Kali carb. patient is a hard patient to study, and the remedy

itself is a hard one to study.

It is not used as often as it sl^ould be. and the reason is that it

is a very complex and confusing remedy. It has a great many opposite

symptoms, changing symptoms, and thus it is related to patients that

withhold their symptoms and have many vague symptoms.

The patient is whimsical, irascible, irritable to the very highest

degree, quarrels with his family and with his bread and butter.

He never wants to be alone, is full of fear and imaginations when

alone, ‘Tear of the future, fear of death, fear of ghosts.'' If compelled to remain alone in the house he is wakeful, sleepless, or his

sleep is full of horrible dreams. He is never at peace, is full of

imaginations and fear. “What if the house should burn up I " “What

if I should do this or thatl" and “What if this and the other thing

should happen I"

He is oversensitive to everything, sensitive to every atmospheric

change ; he can never get the room, at just exactly the right temperature ; he is sensitive to every draft of air and to the circulation of air

in the room. He cannot have the windows open, even in a distant

part of the house. He will get up at night in bed and look around

to see where that draft of air comes from. His complaints are worse

in wet weather, and in cold weather. He is sensitive to the cold and

Rau carbonicum

is always shivering. His nerves feel the cold ; they arc all painful

when it is cold. The neuralgias shoot here and there when it is cold,

and if the part affected be kept warm the pain goes to some other place.

All his pains change place and go into the cold part ; if he covers up

one part, the pain goes to the part uncovered.

In old cases of gleet and long-standing cases of urinary troubles that

follow gonorrhoea these two medicines are useful, both suitable in -the

scanty, white, gleety discharge that remains. In both the urination

• ▸is painful.
• ▸In Nat.
• ▸mur.
• ▸the burning is after urination.
• ▸Where there

is scanty, gleety discharge and the burning is very marked and only

after urination, and the patient is extremely nervous and fidgety,

Natrum mur. will cure. If the burning is during and after urination

and you have the broken down constitution we have described

then the remedy may be Kali carb. Some of these old cases are

entirely painless, having no pain cither during or after micturition.

Then you get an entirely different class of remedies. The old chronic

discharges following a gonorrhoea; are as troublesome for the young

doctor as anything that will evear fall into his hands. The remedies

are numerous, the symptoms are scanty, and many times the patient

has not been long under the doaor’s care, therefore he does not know

the patient’s constitutional state well and the patient can only tell

him of the discharge. “Nothing but the discharge, doctor.” You

cannot get his mind on his symptoms ; he has forgotten that he wakes

at 3 o’clock in the morning and cannot get to sleep until 5 o’clock,

he has forgotten all the nervous manifestations. With the patient

you have had under control, whose constitutional state you get before

this condition comes, you ought not to have much difficulty.

One of the evidences that the Kali carb. patient is of a weakly

constitution and is on the road to a break-down is that all of his

symptoms are aroused and brought into action after coition, after

sexual excitement. Now you will take notice in practice and remember

it, that coition is a natural thing with man, when it is carried on in

order, and when that which is natural is followed by prostration, and

this has been so for a long time, there is a break in the constitution,

there is something radically wrong. All the symptoms are likely to be

worse after coition in Kali carb. He has weak vision, weakness of

KAU CAltBONlCUM

the senses, tremulousness, and is generally nervous ; he is sleepless,

and weak, and he shivers and trembles for a day or two after coition.

Similar symptoms arc observed in the woman. In spite of the fact

that the patient is weak, the sexual desire is excessive. It is not

orderly. There is a sexual erethism, which is not under the command

of the will, and in the male he is subject to copious and frequent

pollutions, nightly dreams, sexual prostration. Young men who have

abused themselves, or who have indulged excessively in sexual pleasure, go into marriage with weakened genitals, incapacitated ; and

then there comes a disgust, and it is not strange that there are so

many divorces in the world. When the patient is young, some of this

trouble can be overcome by living an orderly life and correct Homoeopathy.

In Kali carb. there are many complaints affecting the male genital

organs ; uneasiness and sensitiveness of the testicles. One is in a

state of swelling and hardness. Itching and smarting and annoying

sensations in the scrotum and sensations that constantly remind the

patient that he has genital organs. Constant irritation calling his

attention to the genitals, brought on from abuse, from vice, from

excesses. Phosphorus is a medicine that is abused in this sphere.

Many physicians look upon it as one of the great remedies for the

weakness of the genital organs. In Phos, the genital indications are

extreme excitement, too active erections, a disorderly strength of the

genital organs. Beware of giving it in impotency or in weakness,

as this is often associated with very feeble constitutions, and P/ios.

not only fails to cure, but seems to add to the weakness. It is a

weakness that you will learn is a vital weakness. Phos, will set

patients to running down more rapidly who are suffering from a

vital weakness, who are always tired, simply weak, always prostrated

and want to go to bed.

The female has a great friend in Kali carb. It is full of her

complaints and has many symptoms likely to be found in a sick

woman. It is useful in cases of uterine haemorrhages that have

been incessant in pale, waxy, haemorrhagic wamen ; incessant haemorrhage following an abortion. She has been curetted and has had

all sorts of treatment, but still that oozing keeps right on. At the

menstrual period the flow is very copious and clotted, and then aftei^

prolonged menstruation of ten days or so, during which she has

had a copious flow, she settles back into a state of oozing and flowing

until next month and then it rouses up into another ten days of copious

menstruation. Kali carb. has cured a number of cases of fibroid

tumor long before it was time for the critical period to cure. You

must remember that there is natural tendency for a fibroid to cease

to grow at the climacteric period, and afterwards to shrivel and

that this takes place without any treatment, but the appropriate

remedies will cause that haemorrhage to cease, will cause that tumor

to cease to grow and after a few days there will be a grand shrinkage

in its size.

Kali carb. is often a remedy for vomiting in pregnancy, but to

find out when it is the remedy for vomiting of pregnancy we have

to go to the whole constitutional state. Vomiting of pregnancy

is not cured, although it may be temporarily relieved, by Ipecac,,

as this is a medicine that corresponds merely to the nausea itself.

In a large number of instances gagging and nausea are only a second

or third grade symptom in the remedy that will cure. The condition

really depends upon the contitutional state, and the remedy that

is to cure must be a constitutional remedy. Sulphur, Sepia and Kali

carb. are among the remedies commonly indicated. Sometimes Arsenic

is needed. Of course, if a pregnant woman has simply disordered

her stomach and has vomited bile a few times the remedy might be

Ipecac. When a pregnant woman has no constitutional symptoms

at all, and upon examining the case you find nothing but the nausea,

overwhelming deathly nausea, with continuous vomiting day and

night, a single dose of Symphoricarpus rac. will help. That is prescribing upon very limited information, and should only be done

in circumscribed or one-sided cases. It is not a long acting remedy,

it is not a constitutional remedy and acts very much like Ipecac.

At times you will go into the eonfmement room when the woman

has pains in the back below the wkist line. The pains in the uterus

are very weak, they are not sufiidaitly expulsive to make progress in

the labor, the kind of pain that makes the woman utter the cry, ‘'My

back, my backl” The pains extend down the buttocks and legs. Pains

in the back as if the back would break. Under good prescribing these

pains are changed into contractions, which prove sufficient to expel

the contents of the uterus. When you hear such things you will look

back over the history of the case. You will look back for weeks as the

woman has been drawing near the end of gestation and see that

the vague things, the chilliness and other features in her constitutional state for which you have been trying to find a remedy now

culminate at the time of her confinement into a class of pains.

Had you seen that six weeks before and given her Kali carb. you

would have prevented the severe labor. It is a severe labor, a prolonged labor ; the uterus appears to be weak, and the pains are feeble ;

they are all in the back, and do not go to the centre of operation as

they should. Now, this same kind of a pain may deceive you in

taking another form. The pains begin in the back, and appear to go

to the uterus and then run up the back, which would turn you aside

entirely from the Kali carb. pain into a pain that would indicate

S6o

Gehemium. Sometimes these pains are so severe that they actually

seem to prevent rather than encourage the contractions of the uterus ;

when the contractions of the uterus cease, and the woman screams

out and wants her hips rubbed, and screams out with pain in each

side of the abdomen rather than in the centre, pains in the region

where the broad ligaments ought to be, Actaea racemosa will make

the pains regular. Puls, is the medicine for absence of marked contraction, in cases inclined to do nothing ; in a case that is inactive

when the os is sufficiently dilated and the parts relaxed, and the prediction is an easy and simple labor, but the patient does not do any-'

thing. It is a state of mildness or inactivity. Puls, will very often cause

in live minutes a very strong contraction of the uterus, sometimes almost in a painless way.

The back aches so badly while she is walking that she feels

as if she could lie down on the street,’' etc.. The pain seems

to take the force and vigor all out of the patient. After delivery

there is a tendency to prolong the flooding, rousing up at every menstrual period, as descibed.

Weakness of the heart, cardiac dyspnoea ; the breath is short and the

patient cannot walk or must move very slowly. It is the coming on of a

fatty heart. With the suffocation and dyspnoea the breathing is so short

that the patient cannot stop to take a drink or eat ; the breathing is

rapid, not deep, but weak. Dyspnoea with violent, irregular palpitation

of the heart, throbbing that shakes the whole frame, pulsation that can

be felt to the ends of the fingers and toes. Violent pulsations ; patient

cannot lie on the left side ; accompanied by stitching pain through

the chest, and cough. In old asthmatic patients with weak pulse, with

the same pulsations and palpitation and cannot lie down. The only

position it seems that he can find any comfort in is leaning forward,

with his elbows resting upon a chair. The attack is violent and continuous, especially worse from 3 to 5 a.m,; and worse from lying in

bed. He is aroused at 3 o’clock in the morning with these asthmatic

attacks. Asthmatic dyspnoea, when the state is that of humid asthma

or filling up of the chest with mucus, course rattling in the chest, loud,

rattling breathing.. In patients who always have rattling in the chest,

rattling cough, stuffy breathing ; with every rainy spell or misty

spell, or in cold, foggy weather, the condition becomes that of a

humid asthma ; asthmatic breathing, with much weakness in the chest,

worse from 3 to 5 in the morning. The patient is pale, sickly and

anaemic, and complains of stitching pains in the chest.

The cough of this medicine is one of the most violent coughs of

all the medicines in the Materia Medica. The whole frame is racked.

The cough is incessant, attended with gagging and vomiting, comes

on at 3 o'clock in the morning, a dry, hacking, hard, racking cough.

5^1

'‘Suffocative cough and choking cough at 5 a. m. Great dryness in

the throat between 2 and 3 a. Think of Kali carb, when, after

troubles like measles, a catarrhal state is left behind, due to lack of

reaction, the psoric sequelae. The cough following measles is very

• ▸often a Kali carb.
• ▸cough.
• ▸Kali carb.
• ▸Sulphur, Carbo veg, and Drosera

are perhaps more frequently indicated than other medicines in such

coughs as follow measles of pneumonia.

The expedHoration is copious very offensive, tenacious, lumpy,

blood-streaked or like pus, thick yellow or yellowish-green. Very

often it has a pungent, cheesy taste, strong taste, as of old cheese.

Catarrh of the chest. Dry cough day and night, with vomiting of

food and some phlegm, worse after eating and drinking and in the

evening.

Nothing is more striking in Kali carb. than the wandering stitching

pains through the chest, and the coldness of the chest. The great

dyspnoea, the transient stitclies, the pleural stitches are important

features of this remedy. A great number of the cases in which Kali

carb. is suitable are those where the trouble has spread from catarrhal

origin and from the lower portion of the lungs upwards. It is not so

commonly indicated in those cases where the dullness has begun at

the apex of either or both lungs. It will very often ward off future

sickness where the family history if tuberculous. Do not be afraid

to give the antipsoric remedies whClj there is a histoy of tuberculosis

in the family, but be careful whei| the patient is so far advanced

with tuberculosis that there are cavides in the lung, or latent tubercles,

or encysted caseous tubercles. Ydur antipsorics might rouse him;

into a dangerous condition. Do not suppose, however, that it is

dangerous to give Sulphur because one’s father and mother have

died of phthisis. Sulphur might be just the remedy to prevent the

child from following the father and mother. Kali carb. is often

suitable, and will act as an acute remedy in the advanced stages of

phthisis in cases in which it was not indicated primarily as a constitutional remedy. In such instances it will act as a palliative in

phthisis, whereas if it were indicated primarily as a constitutional

remedy it would do damage in the last weeks. The fortunate thing is

that a great many homoeopaths are not able to find the homoeopathic

remedy. If the patient has yet lung space enough to be cured. Kali

carb. will do wonders where the symptoms agree.

I want to warn you in one respect concerning Kali carb. It is

a very dangerous medicine in gout. When you get an old gouty

subject who has big toe joints and finger joints, and they are sore

and inflamed every now and then, you might think that Kali carb.

covers the case very suitably ; he is disturbed in just such weather, he

is pallid and sickly, his complaints come on at 2 to 3 o’clock in the

56a tLAU IODATt^M

morning, he has the shooting pains. But these gouty patients are

nften incurable, and, if so, to undertake to cure them would be a

dreadful calamity, because the aggravations would last so long. If you

give Kali carb. to one of these incurable patients in very high potency

it will make your patient worse, and the aggravation will be serious

and prolonged, but the 30th may be of great service. Kali iod., when

it is indicated in the gouty state, acts as a sootliing and palliative

remedy. But Kali carb. seems to be a dreadful medreine to handle,

it is a sharp and a two-edged sword. Do not undertake to give medicine

with a view to curing these old cases of gout when the nodosities are

numerous. Do not give tliat constitutional medicine that should have

been administered to these patients twenty years ago, because there is

not reaction enough in the life of the patient to turn him into order,

and he will be destroyed. It seems paradoxical to say it, but to cure

him is to kill him. The vital action that is necessary to restore him to

health would practically tear his framework to pieces. You need not

believe these things, you are not obliged to. But think about them,

and some day after practicing awhile and making numerous mistakes

in attempting to cure incurables you will admit the awful power of

homoeopathic medicines. They are simply dreadful. In old gouty

cases, in old cases of Bright’s disease, in advanced cases of phthisis

where there are many tubercles, beware of Kali earb. given too high.

While studying the text book, look over the sensations. They are

very numerous. Of course, those most striking arc the stitching,

and tearing pains, shooting, sticking and wandering pains.

KALI lODATUM

This remedy is an antipsoric and antisyphilitic. It has been used

very extensively by the old school as an antisyphilitic, but in the

very large doses which they used it became to a great extent allopathic

to the disease, because of the tremendous effect it produced upon the

economy, and implanted its own miasm, and thereby in a measure it

suppressed many cases of syphilis. The medicines that arc the most

powerful substances are really those that sustain in homoeopathic relation to the disease in general, and of these the very smallest dose will

cure when similar. When the remedy is not similar enough to cure in

such a form the increasing of the dose does not make it homoeopathic.

There is an idea in vogue that increasing the dose makes the remedy

similar. That is going away from principle. If the remedy is not

similar there is no form of dose that can make it similar.

It affects the glandular structures and the periosteum after the

manner of syphilis. It produces catarrhal inflammations. It is a

deepacting medicine and closely related to Mercurius, It has ulcera-

KALI lODATUM 563

tions and catarrhal states and glandular affections like Mercurius. It

is similar in its action to Mercurius and is an antidote to it.

The old subjects who have always been taking Calomel or Blue^

Mass for their bilious complaints will in time become subject to frequent coryzas, constipation, pains and aches, and disturbance of the

liver, and disordered stomach, and must have another dose of Mercury,

Some of these cases need this remedy. If you practice medicine in a

neighborhood where there is a very poor homa'opath you will find

that he is giving the Biniodidcy or some other preparation of Mercury,

for almost all of the colds or sore throats. This establishes upon all

of these patients an over-susceptibility to the weather changes, and

they keep taking these red mercurial powders. Some of them carry

them around in their pockets. But the more they take of these red

powders the more frequently they have sore throats and colds. Many

times they will not get over these troubles without Kali iod. in

potentized form, or Hepar. Hepar and Kali iod. are the two principal

medicines that such patients need. Individuals with this susceptibility

to colds and sore throats and weather changes, that is, from the effects

of Mercury^ who have been led into a Mercurial state, run two wayvS*

Those who are invariably shivering and cold, and want to hover

around the fire, and cannot keep warm, will need Hepar, and those that

are always too warm, that want the covers off, and want to be in constant motion, extreme restlessness, ' very tired when keeping still, will

have their Mercury antidoted by. I^^Yi iod. The Mercurial state will

be antidoted, but it sometimes takes several prescriptions and sometimes a series of carefully selected remedies. The psora, that is, his

chronic state, will not manifest itself until you have lifted off this miasmatic state, which has been caused by Mercurius. It is astonishing

what a great number of men, women and children are bowed down by

the miasm that Mercury produces, and yet those prescribers go on

giving this form of Mercury and say it is practicing Homoeopathy.

I am led to remark that there is yet much to be learned about the art of

prescribing.

This remedy has a peculiar mental state. There is a very strong

degree of irritability, cruelty, and harshness of temper. He is harsh

with his family and with his children ; abusive. It will take all the

sense of refinement out of his mind and then he will become sad and

tearful. Extremely nervous, and must walk and be on the go. If he

remains in a warm room he becomes weak and tired, and feels as if he

could not stir, docs not want to move, and does not know what is the

matter with him. He is worse in the warmth of the house, but as

soon as he goes into the open air he feels better, and as soon as he

begins to walk he feels still better and can walk long distances without

fatigue ; goes into the house again and becomes weak and tired and

564 KAJ-I iodatum

exhausted. A nervous and mental exhaustion comes on from resting.

The head manifests some peculiar things, such as we sometimes see

in syphilis, which the remedy controls when the other symptoms agree.

Bi-parietal head pains of nerve syphilis, old, long standing cases. Pains

through the parietal bones, through the side of the head, as if crushed

in a vise; awful crushing, pulsating, pressing, rending pains on both

sides of the head. These are worse in the house, and better from

warmth and from motion, better walking in the open air. All through

the head there are pains like knife stabs, like nails driven in ; lancinating pains, cutting pains in the scalp, in the temples, over the eyes

through the eyes. The pericranium becomes sensitive and filled with

nodules. The scalp breaks out with nodular eruptions, tuberculous

eruptions, syphilitic eruptions. ‘‘Scalp painful on scratching as if

ulcerated.” “Great disposition for hair to change color and fall out.^’

Coldness of the painful parts.

In watching a syphilitic case, there is often noticed disturbance of

vision, and finally iritis. They can be treated homoeopathically. I

have seen syphilitic iritis of the most severe character cured with

Staphisagria, Hepar, Nitric acid, Mercurius, Kali iod, and many other

remedies. The inflammatory process stops at once, there are no adhesions, no deformity, and no troubles remaining behind. If you consider that a case of inflammation must run its course, and will be associated with fibrinous exudations, and adhesions most probably follow,

of course you must adopt the plan of dilating with Atropine, and hold

the iris so until the disease has run its course. But the disease does

not run its course after a proper remedy, and as that is the last symptom to appear, it will be the first to go, and you may expect the eye

symptoms to disappear within twenty-four hours after the administration of the homoeopathic remedy.

This remedy has marked conjunctival trouble, with green catarrhal

discharges from the eyes. This green character applies whenever you

can find discharges. There is copious, thick, green expectoration, green

discharges of muco-pus from the nose, from the eyes, from the ear,

thick, greenish leucorrhoea, green discharge from ulcers. These thick

green or yellowish-green discharges are sometimes very foetid.

At times when you examine the conjunctiva it seems to puff out as

though water were behind it, a chemosis. Iodide of potash, produces

that state, “Chemosis, purulent secretion.” In olden times when I

used to give Iodide of potash to rheumatic patients, according to the

prevailing craze, I would notice, after a day or two, chemosis coming

into the eyes and the patient beginning to ache in his bones all over,

while the rheumatism of the joints would disappear. An allopathic

effect was taking root upon that patient which would last for years.

I have noticed that a large dose of Kali iod. in syphilitics would make

KALI lODATUM

5^5

the patient get up the next morning with difficulty in opening the lids,

and upon opening the eyes the conjunctiva would form water bags,

as though water were behind them and they were bagged out. Kali

iod. also produces oedema of the lids and injection and tumefaction of

the conjunctiva. The mucous membrane becomes red, raw and bleeding. The vessels are enlarged and the surface is very sore, inflamed

and smarting. He is compelled to hold the eyelids during winking ;

the winking is painful and causes scratching, as from sand. Acute

conjunctivitis, especially when it occurs in patients who have rheumatism, who have been abused with Mercury, or those afflicted with

syphilis. Syphilitic and rheumatic affections of the eye.

Old gouty subjects who must keep in motion, and must keep in the

open air, who are always too warm, and cannot endure any degree

of warmth in the room, who suffer more from their gouty pains when

keeping quiet, those who are fatigued when keeping quiet and can

walk and move without fatigue in the open air, especially when it is

cold, with enlarged joints, with restlessness, anxiety, nervousness,

harshness of the temper and great irritability, alternating with weeping. This relief from motion will make the routinist give Rhus in

many instances, but Rhus would have no relation to the case whatever.

Remember, Rhus is a cold patient, who is always shivering and wants

to be by the fire, whose complaints are > by the heat, he is > in a

warm room and becomes fatigued from motion, whereas Kali iod.

does not become fatigued from continued motion.

The nose comes in for much t|o|ible. In old syphilitic catarrhs they

blow out great crusts and pieces of’ bone ; syphilitic ozaena ; the bones

of the nose are very sensitive to touch and become necrosed, and the

nose flattens down and becomes soft. It is deprived of the bony

framework that holds it in shape and settles down flat, leaving only

the red tip. Extreme pain at the root of the nose like Hepar, Thick,

yellowish-green, copious discharge from the nose. Every change of

the weather brings on catarrhal states. He is constantly taking cold,

sneezing continuously. Copious, watery discharge from the nose, excoriating the passage, and causing burning in the nose. This coryza

is < in the open air, but all the rest of the patient is > in the open

air. Consequently, when a patient has two such conditions that

operate against each other he suffers much, because he cannot find

quarters for relief. In a warm room his nasal catarrh, or his coryza,

is >, but in the open air he feels > as to the rest of his complaints.

'‘R^eated attacks of violent, acrid coryza from the least cold.'’ With

the coryza the frontal sinuses become involved, and there is great pain

through the forehead ; pain in the eyes, pains through the cheek-bones.

In the throat, as you might suppose from its relations to syphilis

and Mercury, there is much trouble. Deep ulcers in the throat, old

KAU lODATUM

syphilitic ulcers ; perforating ulcers, eating away and destroying all

the soft tissues, the uvula and the soft palate. Ulceration upon the

tonsils ; enlarged tonsils ; very painful sore throat. Knots and knobs

in the throat upon the mucous membranes. “Dryness of throat and

enlarged tonsils.” “Terrible pain at the root of the tongue at night.”

The whole pharynx, larynx, trachea and bronchial tubes suffer from

catarrhal conditions. Inflammatory conditions with greenish discharge.

While all the external symptoms and the rest of the body symptoms

are relieved in the cold air and by the contact of external cold, internally cold things aggravate. Cold milk, ice cream, ice water, cold

drinks and cold food, cold things in the stomach •< all the symptoms.

Though he has an excessive thirst and will drink large quantities of

water, if very cold it will make him sick.

Kali iod. has all the flatulence and belching of Carbo veg. and Lycopodium.

The glands all over the body become tumid, enlarged and hard. It

has cured enlargement of the thyroid gland ; it may take this from

Iodine.

Very characteristic is the chronic inflammation of the urethra, following gonorrhoea, where the discharge is thick and green, or greenishyellow, without pain. Inflammation of the testicles, syphilitic in character.

Pain and rawness in the larynx, with hoarseness ; awakens from constriction of the larynx. It is very useful in phthisis of the larynx.

Cough from constant irritation in the larynx. Dry, hacking cough,

hoarse cough with copious greenish expectoration. Catarrhal phthisis

• ▸with thick, copious, greenish expectoration.
• ▸Pleuritic effusion.
• ▸Fluttering of the heart.
• ▸Palpitation on slight exertion or when walking.

Rapid pulse.

Not only in old gouty troubles, but in patients threatening phthisis,

and in old malarial troubles this medicine will be of great service.

It cures sciatica when the pain is sharp from the hip down, worse

lying, sitting or standing and better walking.

You may go to the bedside of a patient who is suffering from what

she calls “hives you will find she is covered from head to foot with

an eruption that forms great nodules ; she is fairly burning up from

head to foot. She cannot endure any covering ; the heat of her body

is intense, yet she has no rise of temperature. Rough nodular manifestations all over the skin; a condition that will go away in a few

hours, but in a few days, weeks or months come back again. A single

dose of a very high potency of Kali iod. will turn things into order

in persons subject to these hives and they will not come again.

KAU PliOSPHORICUM

This remedy is full of sticking, burning, tearing pains, and these

fly around from place to place. Of course Kali carb. has pains that

remain in one place, but usually the pains fly around in every direction.

Pains cutting like knives. Pains like hot needles, sticking, stinging

and burning. These pains are felt in internal parts and dry passages.

Burning in the anus and rectum, described as if a hot poker were

forced into that passage ; burning as with fire. The haemorrhoids burn

like coals of fire. The burning of Kali carb. is like that of Arsenicum.

Again from studying the text it will be seen that it is a common

feature of this medicine to have its symptoms come on at 2, 3 or

5 o^clock in the morning. In Kali carb. the cough will come or

have its greatest < at three or four or five o’clock in the morning.

The febrile state will occur from 3-5 in the morning. The patient,

who is subject to asthmatic dyspnoea, will have an attack at 3 o’clock

in the morning, waking him out of sleep. He will wake up with

various symptoms and remain awake until 5 o'clock in the morning,

and after that to a great extent they are relieved. Of course, there

are plenty of sufferings at any time in the twenty-four hours, but this

is the worst time. He wakes up at 3 o’clock in the morning with fear,

fear of death, fear of the future, worries about everything and is kept

awake for 2-3 hours and then goes to sleep and sleeps soundly.

His body is cold and requires much clothing to keep it warm,

but in spite of the fact that he is cold he sweats copiously : copious,

cold sweat upon the body. Sweats upon the slightest exertion, sweats

where the pain is, sweat over the forehead ; cold sweat on the forehead

with headache.

Neuralgia of the scalp and the eyes and the cheek bones in association with the nervous shooting pains. Violent pains here and there in

the head, as if the head would be crushed. Cutting and stabbing in

the head. Violent congestive headaches as if the head were full. Head

hot on one side and cold on the other ; forehead covered with cold

sweat.

It has catarrhal congestive headache. Whenever he goes out in the

cold air, the nose opens up and the mucous membranes become dry

and burn ; when he returns into a warm room the nose commences

to discharge, and the nose stuffs up so that he cannot breathe through

it, and then he feels most comfortable ; so that it has stuffing up of the

nose in a warm room, and opening up of the nose iii the open air.

When the nose is open so that he can breathe through it, that is the

time the head is most painful ; it is painful to the cold air and the cold

air makes it burn. The cold air feels hot. All these patients suffer

from a chronic catairh and when they ride in the wind the catarrhal

discharge ceases and then will come on a headache, and thus he has

headache from riding in the cold wind. Whenever the discharge

ceases from taking cold in a draft on comes headache, and as the

discharge becomes free again the headache is relieved. Neuralgic

pains in eyes and scalp and through the cheek bones from a cessation

of chronic catarrhal discharge, and when the discharge starts up

again, these pain cease.

With the chronic catarrh of the nose there is a thick, fluent, yellow

disef^arge ; dryness of the nose, alternating with stuffing up. The one

who suffers from a chronic catarrh wDl also have the discharge in the

morning, which will fill up the nose with yellow mucus. In the

morning he blows out and hawks up dry, hard crusts that fill up the

nasal passage, clear over into the pharynx and down into the throat.

These crusts become dry as if they were partly formed upon the

mucous membrane and when they are blown out there is bleeding.

The bleeding starts from where the crusts are lifted up.

He is subject to sore throat, is always taking cold, and it settles

in the throat. He is also subject to enlarged tonsils and with these

has enlargement and chronic hardness of the parotid glands — one or

both. Great knots below the car, b^ind the jaw. These grow and

become hard, and at times, painful ; ^looting, darting pains when he is

moving about in the open air. air strikes these enlarged glands

they are sore and painful, and he it iirneliorated by going into a warm

place. The acute colds extend into the chest, but Kali carb. has been

found most suitable in the chronic catarrh of the chest, chronic bronchitis.

The chest is very often affected in just the same way as the nose.

There is the dryness and dry barking, hacking cough in cold air, but

a copious expectoration of mucus when it becomes warm, and that is

the time he is most comfortable, for the expectoration seems to

relieve him. He suffers mostly from a dry, hacking cough with

morning expectoration. The cough begins with a dry, hacking, increases gradually and sometimes very rapidly to a violent, spasmodic

cough with gagging or vomiting, and when coughing it feels as if his

head would fly to pieces. The face becomes puffed, the eyes seem to

protrude and then there is seen that which is commonly present in Kali

carb., a peculiar sort of a swelling between the eyelids and eyebrows

that fills up when coughing. Your attention is called to that peculiar

feature, for although there may be bloating nowhere else upon the

face that little bagging will appear above the lid and below the eyebrow. It fills up sometimes to the extent of a little water bag. Such

a swelling has been produced by Kali carb., and sometimes that

symptom alone guides to the examination of the remedy for the

purpose of ascertaining if Kali carb. does not fit all the rest of the

case. Bcenninghausen speaks of an epidemic of whooping cough in

which the majority of cases called for Kali carb., and this striking

feature was present. No remedy should ever be given on one symptom. If you are led to a remedy by a peculiar symptom, study the

remedy and the disease thoroughly to ascertain if the two are similar

enough to each other to expect a cure. Any deviation from that rule

is ruinous and will lead to the practice of giving medicines on single

symptoms.

Dry, hacking incessant, gagging cough with whooping, blowing

of blood from the nose, vomiting of everything in the stomach, and

expectoration of blood-streaked mucus, is a whooping cough that will

be commonly cured by Kali carb., but especially if there is present that

peculiar and striking feature of a bag-like swelling below the eyebrow

and above the lids, pufliness of the eyes.

There are some cases of pneumonia that need Kali carb., in the

stage of hepatization (like Sulph,), Again, when pneumonia has

passed away think of Kali carb. if every time the patient takes a

little cold it settles in the chest with these symptoms that I have

described. There is sensitiveness of the body to weather changes,

to cold air and to wet, a continuous dry, hacking cough, with gagging,

the aggravation from three to five in the morning, and the patient has

flying neuralgic pains. These symptoms gradually increase and the

patient dates them back to his pneumonia. He says : ‘‘Doctor, I have

never been quite well since I had pneumonia.'* The catarrhal state has

.settled in his chest and there is a chronic tendency to take cold. These

cases are threatening to go into phthisis and will hardly be likely to

recover without Kali carb. In this tendency for catarrhal states to

locate in the chest, Kali carb. should be thought of as well as Phosphor,, Lycopod, and Sulphur.

Another general state that belongs to this remedy is a tendency

to dropsies. It has dropsies all over the body. The feet bloat and

the fingers puff ; the back of the hands pit upon pressure, the face

looks puffy and waxy. The heart is weak. I can look back upon

quite a number of cases of fatty degeneration of the heart in which

I could have prevented all the trouble with Kali carb. if I had known

the case better in the beginning. These cases are insidious, and the

indications calling for Kali carb. must be seen early or the patient

will advance into an incurable condition. That peculiar state of

weakness and feeble circulation that finally ends in dropsy and many

other complications has its likeness in Kali carb. There is an

insidiousness about Kali carb. in the approach of all of its complaints.

He has a sort of nondescript appearance, he is withered, has much

dyspnoea upon going up. hill or even walking on the level. Examination of the lungs shows them to be in very fair condition, but finally

complications come on, there is a break down and organic changes

and you look back over these cases and say, if I had only seen in the

beginning of this case what I see now it seems as if the patient ought

to have been cured. We learn the beginnings of remedies as we learn

the beginnings of sickness. It is a prudent thing for a homoeopathic

physician to glance back over a case that he has failed on, or someone

else has failed on, to study its beginnings and see what the manifestations were. This kind of study to the homoeopathic physician is as

delightful as post mortems are to the old school.

The teeth present a peculiar state. The gums take on a scorbutic

or scrofulous character. The gums separate from the teeth and the

teeth decay and become discolored and loose, so that they have to be

extracted early in life. He suffers from pain in the teeth whenever

he takes cold from riding in the wind and raw weather. The pains

come on even when the teeth arc not yellow or decayed : stitching,

tearing, rending pains in the teeth. Offensive smell from the teeth ;

pus oozing out from around the teeth. The mouth is full of little

ulcers, little aphthous patches. The mucous membrane is pale and

ulcerates daily. The tongue is white with offensive taste ; coated gray,

with sick headaches.

While many of the symptoms of Kali carb, are aggravated after

eating, some symptoms are relieved] after eating. There is throbbing

in the pit of the stomach when the stomach is empty. There is also

throbbing all over the body, pulsation to the fingers and toes ; there is

no part that does not pulsate, and he is kept awake by this pulsation.

Pulsation even when there is often no feeling of palpitation in the

region of the heart. It has also violent palpitation of the heart.

Kali carb. fits many old dyspeptics. After eating he feels as if he

would burst, ,so bloated is he. Great flatulence ; belches wind upwards and passes flatus downwards ; offensive flatus. The belching

up is also attended with fluid eructations, sour fluids that set the teeth

on edge ; they excoriate, or cause smarting in the pharynx or mouth.

Pain in the stomach after eating ; burning in the stomach after eating.

Gone feeling in the stomach, that is not even relieved by eating. A

peculiar condition in Kali carb. is a state of anxiety felt in the

stomach, as though it were a fear. One of the first patients I ever had

expressed it in a better way than it is expressed in the books ; she

said, ‘‘Doctor, somehow or other I don't have a fear like other people

do, because I have it in my stomach.’' She said when she was frightened, it always struck to her stomach. “If a door slams, I feel it right

here" (epigastric region). Well, that is striking, that is peculiar. It

was not long before I developed another feature of Kali carb. By

a little awkwardness on my part my knee happened to hit the patient’s

foot as it projected a little over the edge of the bed, and the patient

said, “Oh 1 “ Sure enough that was Kali carb. again, for you will find in

Kali carb. a patient that is afraid and everything goes to the stomach

and when touched upon the skin there is an anxiety or fear or apprehension felt in the region of the stomach. You might imagine that it

is connected with the solar plexus, but the symptom is the all in all

to the physician. A Kali carb. patient is so sensitive in the soles

of the feet that the mere touch of the sheet brings a sensation of

thrill throughout the body. Hard pressure is all right, it does not

disturb, but something that comes unawares excites. The Kali carb.

patient is over sensitive to all the surrounding things, over sensitive

to touch ; shivering from the simplest and lightest touch, even when

hard pressure is agreeable. Violently ticklish in the soles of the feet.

1 have often examined the feet when a patient would shiver and draw

up the feet and scream out, “Don’t tickle my feet.” I had probably

touched it so lightly that 1 did not know that I had touched it at all.

In Lack, also gentle touch is painful, while hard pressure is agreeable

but here it is not so much the ticklishness. In Lack, the abdomen is

so sensitive that the touch of the sheet is painful. I have seen Lach^

patients using a hoop to keep a light sheet from touching the abdomen.

You may know then that you are in the realm of Lachesis, and that

it is like those persons who are unable to bear the slightest touch upon

the neck and suffer from uneasiness on wearing a collar. All that,

however, is different from this state of ticklishness. I have seen

patients who are really so sensitive in the skin that I would not dare

touch it, unless they knew just where I was going to touch. “Now

I am going to feel your pulse, hold still.” If I were to touch thei

hand, or reach out to feel the pulse without warning there would be a

thrill. Such a state is in keeping with Kali carb. These things often'

have to be dug out by observation in studying the nature of provings,

and associating things. These things that run into the oversensitiveness of patients are of great value clinically. The capabilities of our

Materia Medica are something wonderful, but they could be developed

much more rapidly if a number of homoeopathic physicians would

make application of the Materia Medica with accuracy and intelligence,

observing what they see and relating it literally. At the present day

there is only a very small number of homoeopathic physicians that can

come together in a body and say things that are worth listening to,

a shamefully small number when we consider the length of time

Hahnemann’s books have been before the world.

There are many old chronic liver subjects who talk about nothing

else but the liver. Every time they go to the doctor’s office they talk

about the liver, and about a condition of fullness in the region of the

liver and pain through the right shoulder blade and up through the

right side of the chest, with a good deal of oppression and distension ;

vomiting of bile and a good deal of stomach disorder, fullness after

eating ; attacks of diarrhoea, alternating with constipation lasting for

many days with great straining at stool. Periodical bilious attacks,

when a constipated state is present ; cannot lie down at night ; difficult

breathing at night or at 3 o'clock in the morning, especially when it is

in a patient over-sensitive to cold, damp weather, one who wants to

sit by the fire all the time. These liver subjects are often thoroughly

cured by Kali carb. Sometimes they have been resorting to all sorts

of liver tappings, taking such medicines as purge or cause vomiting,

drugs that really aggravate the trouble. Kali carb. goes to the bottom

of these cases, and roots out the evil.

In the abdomen we have many Kali carb. symptoms. Persons subjected to repeated attacks of colicy cutting pains, with distension, with

• ▸pain after eating, constipation or diarrhoea.
• ▸Colic, with cutting, tearing pains, doubling him up, coming on every little while.
• ▸Tremenclous flatulence.
• ▸Wlien the attack of colic is on it might remind

you of Colocynth or of some other of the acute remedies that cure

colic in two or three minutes, but you will find that these acute

remedies that relieve colic so speedily when given the second or

third time do not produce so marked an effect. You will find it

necessary to hunt for an antipsdric, a remedy that will control the

whole case. In the study of the colic alone during its attack you

only get a one-sided view of the case, and after the colic is over

(say he has been cured by Colocynth) you now study the patient and

go over the case, and behold all the symptoms are covered by Kali

carb. After giving that remedy you may expect that the patient

will not have another attack. Such is the nature of Kali carb. It is

deep-acting, long-acting, goes deep into the life. It cures conditions

due to psora, or to the suppression of eruptions in childhood, or to

the closing up of old ulcers and fistulous openings with a history

of troubles ever since. All these wandering pains and the chilliness

are again relieved by eruptions, by the outbreak of discharges, by

haemorrhages, by ulcers that eat in deep and flow freely and fistulous

openings.

'"Cutting in abdomen, as if torn to pieces/* "Violent cutting, must

sit bent over pressing with both hands, or lean far back for relief ;

cannot sit upright." "Cutting and drawing like false labor pains."

There is great coldness with the pains, with the cutting in the abdo*

fnen ; he wants heat, hot drinks, hot water bags. A chronic coldness

• ▸is felt in the.
• ▸abdomen, cold externally and internally.
• ▸It would sometimes be cruel to give a dose of Kali carb.
• ▸when the colic is on,

because if the remedy fitted the case constitutionally, if all tht

symptoms of the case were those of Kali carb., you would be likely

to get an aggravation that would be unnecessary. There are plenty

of short acting remedies that would relieve the pain speedily, and at

the close of the attack the constitutional remedy could then be

givem If the patient can bear the pain to the end, it is better to

wait until it passes off without any medicine. That sometimes is

cruel, and then the short acting medicines should be given. All

recurrent troubles, those that come periodically, or after eating certain articles, or from exposure, or with a periodicity that belongs

to time — all these states are chronic ; they are not acute troubles.

They are simply a small portion of a chronic miasm, a side view,

and all such cases must have a constitutional remedy sooner or later.

You can, it is true, relieve violent pain at the first visit, but then

you must look deeper and prevent your patient having more trouble.

Otherwise, if you should give Bell, or Colocynth or any medicine

that simply fits the colic, the trouble will come back again ; you

have not cured your patient ; you have only palliated. But, on the

other hand, you take such a colic as is described here and Kali

carb. fits just these symptoms alone and does not fit the whole constitution of the patient. Then it is that a constitutional and long-acting

remedy like Kali carb. acts in fullness. It does not take the usual long

time to act and is not attended with an aggravation.

'‘Abdominal muscles painful to touch ; swelling of glands,'’ In

the abdomen, also following troubles in the bowels, or following

peritonitis, we have effusion into the peritoneal sac, which is usually

associated with dropsy of the extremities, but not always. In liver

dropsies especially is that remedy useful.

It has a great many complaints of the rectum and anus and of

the stool. It has most persistent and enormous hcemorrhoidal tumors

that burn, that are extremely sensitive to touch, that bleed copiously,

that are extremely painfuf, making it impossible for him to sleep. He

is compelled to lie upon the back and hold the nates apart, because

the pressure is very painful to the external piles. The piles cannot

be put back ; there is great distension and swelling inside. Haemorrhoids

that come out after stool and bleed copiously and are very painful ;

they must be pushed back, and long after going to bed they bum like

fire. There is great aggravation from stool, which is hard and

knotty and requires great straining to expel. Fistulae of the anus.

Burning temporarily relieved by sitting in cold water.

It has chronic diarrhoea and also diarrhoea alternating with constipation. Many times where there are numerous particulars, we have

to rely upon the generals that are characteristic of the remedy. The

text gives , much less of diarrhoea than has been developed by clinical

uses. “Diarrhoea painless, with rumbling in the abdomen and burning

at stool, only by day ; chronic cases with puffiness under the eyebrows.”

It gives few symptoms, but it is a large and extensive remedy in

diarrhoeas that are chronic. In old, broken down subjects, in weakly,

pallid subjects, with poor digestion, with great flatulence, with much

distension, with disordered liver.

Then the kidney, bladder and urethra come in for their share

of trouble, which is of a catarrhal nature. Discharges from the

bladder, purulent discharges of a thick, tenacious, copious mucus

deposited in the urine. In keeping with this there is much burning; burning in the urethra, during and after micturition. “Urine

flows slowly with soreness and burning.” Kali carb. runs very close

to Natr. mur. in many of its old, long-standing bladder troubles.