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Materia Medica

Lac Caninum

Dog's Milk
44 sectionsBoericke · 12Clarke · 29Kent · 3

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • erratic pains, alternating sides
  • Great weakness and prostration
  • Despondent
  • Visions of snakes

Essence

Prologue
Boericke

Dog's Milk

  • This remedy is of undoubted value in certain form of sore throat and diphtheria, and rheumatism.
  • Corresponds to a low-vitiated, non-feverish type of sickness.
  • The keynote symptom is, erratic pains, alternating sides.
  • Feels as if walking on air, or of not touching the bed when lying down.
  • Great lassitude.
  • Ozaena.
  • Decided effect in drying up milk in women who cannot nurse the baby.
  • Great weakness and prostration.
  • Sinking spells every morning.
  • Mastitis.
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Keynotes

Characteristics (part 1)
Clarke

Lac caninum is not a novelty in remedies. "Dioscorides, Rhasis, Pliny, and

Sextus recommended it for the removal of the dead foetus. Sammonicus and Sextus praise it in

photophobia and otitis. Pliny claims that it cures ulceration of the internal os. It was considered

an antidote to deadly poisons." (Quotation by Hering.) Hering adds that the remedy was revived

by Reisig, of New York, who used it successfully in the treatment of diphtheria. After Reisig the

remedy was used by Bayard and Swan, to whose indefatigable exertions we owe the present

status of this medicine. Swan's potencies were prepared from Reisig's 17th. The provings were

made with the 30th and upwards and are published in a little volume by Swan and Berridge. As

in the case of Bufo, Castor equi, and other remedies of ancient times, homceopathy has stepped

in to confirm the accuracy of the old observers. In the provings a large number of the symptoms

were manifested in the region of the throat, the effects being diagnosed as actual diphtheria in

some instances. It is in diphtheria, both as curative and prophylactic that Lac can. has won its

greatest fame; and the provings and clinical experience have developed a grand characteristic in

this and other affections—an alternation of sides, often very rapid. "Soreness of throat

commences with a tickling sensation which causes constant cough then a sensation of a lump on

one side, causing constant deglutition this condition entirely ceases, only to commence on the

opposite side, and often alternates, again returning to its first condition; these sore throats are

very apt to begin and end with the menses." This "alternation of sides" once led me to the cure of

an eczematous condition of the eyelids in a child. The child's aunt, who brought her to me,

casually remarked that it often left one side entirely and went to the other and then back again.

Lac can. cleared it up in a very short time. Rheumatic and other affections having this peculiarity

of changing from side to side are very likely to be benefited by Lac can. From diphtheria, with

its fetid discharges, it is not a far step to ozaena, and Lac can. has proved itself curative in a

number of cases. Corners of mouth and alz nasi cracked. It has cured a case presenting the

following characters: Crusts under which grey matter forms. Throat bad, swallowing difficult;

mucous follicles swollen, covered with cream-coloured mucus. Nose bad; feared destruction of

  • bones.
  • Bloody pus discharges several times a day.
  • Bones of nose sore to pressure.
  • In addition to

the changing sides characteristics Lac can. has: "Inflamed surfaces (of throat) glistening." The

same appearance when found on ulcerated surfaces in the skin is a leading indication for Lac

can. The mental symptoms are remarkable. One prover had delusions about snakes; imagined

she was surrounded by them; was afraid to close her eyes at night for fear of being bitten by a

large snake which she imagined was beside the bed. Awoke in the night with a sensation that she

was lying on a large snake. After menses, imagined all sorts of things about snakes. These snake-

  • symptoms led to a cure.
  • E.
  • T.
  • Balch (7.
  • P.
  • , x.
  • 286) asked for advice in this case: "Maud R.
  • , 10,

demi-brunette, of healthy parents, one and a half years before fell forward and hurt her chest

whilst playing. Nothing was thought of it at the time, but when brought to Dr. Balch she was

pale, emaciated, capricious, no desire for play. Sleep disturbed by frightful dreams, during the

Characteristics (part 2)
Clarke

day piteously begs her mother to take her, she is so afraid. She feels as though snakes were on

  • her back.
  • In response to advice tendered one dose of Lac.
  • can.
  • 50m.
  • was given, dry, and in

twenty-four hours the child became more lively and cheerful and very soon all abnormal

sensations disappeared. Another mental curiosity which has proved a useful pointer is this:

"Imagines he wears some one else's nose." Restlessness, nervousness, and prostration appear in

the provings and show the relation of the remedy to diphtheritic paralysis as well as to diphtheria

itself. In one prover the symptoms occurred periodically: < in morning of one day and < in

afternoon of next. Wandering rheumatic pains. The sensation of lightness or levitation was

noticed—seemed to walk on air; not to touch the bed when lying. Cannot bear one part of her

body to touch another; must even keep her fingers apart. The symptoms in general were < at

  • night.
  • Cold winds and cold, sharp air <.
  • Cold washing = pain in herpetic eruption.
  • Cold

application > pain in upper jaw and teeth; and cold water gave momentary > to sore throat. Pains

in ankles, forehead, and upper jaw were > by warmth. Rest and lying down > most symptoms;

  • motion <.
  • Flexion >, extension <.
  • Going up and down stairs = pain in heart.
  • Walking =

leucorrhoea, < sores between labia and thighs. Touch < (external throat; breasts, causing sexual

excitement). < After sleep. The Schema comprises both caused and cured symptoms; the latter

are bracketed or have the name of the disease in which they occurred appended in brackets.

Mentals

Mind
Boericke
  • Very forgetful; in writing, makes mistakes.
  • Despondent; thinks her disease incurable.
  • Attacks of rage.
  • Visions of snakes.
  • Thinks himself of little consequence.
Symptoms — Mind
Clarke

Illusions or hallucinations about snakes; imagines they are all around her; that they are

creeping into her bed; fears to close her eyes.—Horrible visions, fears they will take objective

form; when sitting still and thinking —Wakes at night with a sensation that she was lying on a

large snake.—After menses, imagines all sorts of things about snakes.—Woke at daylight, feeling

that she was a loathsome, horrible, mass of disease.—Could not bear to have any one part of her

body touch another; felt if she could not get out of her body in some way, she would soon

become crazy; could not think of anything but her own condition.—Feels weak, and nerves so

thoroughly out of order, that she cannot bear one finger to touch the other (nervous throat

affection).—Is impressed with the idea that all she says is a lie; that all her symptoms are unreal,

and the result of a diseased imagination; it seems to be very difficult to speak the truth, but

continually distrusts things; when reading anything she rapidly changes the meaning, omitting or

adding things.—Imagines that he wears some one else's nose (diphtheria).—Felt very short in

morning while walking; ditto in evening.—Finds it very difficult to read understandingly

anything requiring a mental effort to follow it——Very restless; cannot concentrate her thoughts or

mind to read; wants to leave everything as soon as it is commenced.—When speaking, substitutes

the name of the object seen for that which is thought.—Cannot remember what she reads, but can

remember other things.—In writing, uses too many words or not the right ones; very

  • nervous.
  • —A bsent-minded.
  • —Cannot bear to be left alone for an instant (diphtheria).
  • —Fear: of

disease; of consumption; of heart disease; of falling downstairs.—Fits of weeping two or three

times a day (metritis).—Depression —(Thinks she is looked down upon by every one, and feels

  • insulted thereat.
  • ).
  • —Anxious.
  • —Easily excited; easily startled.
  • —Cross and irritable; while headache

lasted —(Attacks of rage, cursing and swearing at the slightest provocation.)

Modalities

Modalities
Boericke
Worse
morning of one day and in the evening of next
Better
cold, cold drinks

Head

Head
Boericke
  • Sensation of walking or floating in the air (Sticta).
  • Pain first one side, then the other.
  • Blurred vision, nausea and vomiting at height of attack of headache.
  • Occipital pain, with shooting extending to forehead.
  • Sensation as if brain were alternately contracted and relaxed.
  • Noises in ears.
  • Reverberation of voice.
Symptoms — Head
Clarke

Dizzy sensation with slight nausea.—Constant noise in head very confusing; < at night,

and much < at menses (metritis).—(Sick headaches beginning in nape; the pain settling gradually

  • in r.
  • or 1.
  • forehead.
  • ).
  • —Pain in |.
  • occipital region running up when moving head.
  • —(Headache over

eyes, < when sewing; frontal and occipital, < turning eyes up.).—Sharp lancinating pain, in a

zigzag line from r. side of forehead to an indefinite point in occiput; instantaneous, and

sometimes repeated; as soon as it is felt, she lays aside whatever she is doing and lies down, from

an indefinite dread that it will return; if at night, she goes to bed at once; has great dread of the

pain, though not very severe; recurred for several days.—Sharp, throbbing pain in r. side of

forehead; then in |. side of forehead slightly —Sharp pain like a stab in r. temple, at 7

  • p.
  • m.
  • —Throbbing pain just over r.
  • temple, then sharp pain in socket of r.
  • eye and in r.
  • temple,
  • disappearing quickly.
  • —Pain in forehead, afternoon, first on 1.
  • side, then on r.
  • , over 1.
  • eye

principally —Headache over I. eye on first waking, and great pain in pelvis, most marked at r.

  • ovary.
  • —Neuralgic pain in |.
  • side of head, followed by a film over |.
  • eye, wants to rub it off; not >

by rubbing.—Headache first on one side of forehead, then on the other.—On going into the cold

wind, felt a terrible pain in forehead as if it would split open, > on going into warm

room.—Headache in upper part of forehead, with sensation of a broad band pressed firmly across

forehead from one temple to the other.—Darting pain across forehead and over eyes.—Headache

over both eyes, extending back over |. ear.—Slight pressure on vertex and over eyes, the day

  • before menses ceased.
  • —Dull pain in r.
  • temple and r.
  • eye, with pressure on vertex during

menses.—Stiffness in occiput on turning head, with soreness on pressure.—(Occipital headache,

with shooting pains extending to forehead.).—Headache < by noise or talking, > by keeping

quiet; confused feeling in head.—Intense headache, entirely > by cold-water application, but soon

returned, not, however, as severe.—Pains in head during day, first on one side then on the other;

it seems perfectly unbearable; > on first going into the air, but soon grows <.—Sensation as if

brain were alternately contracted and relaxed, several times rapidly; generally only when lying

down; at various times all through proving.—Excessive dandriff on head for past week.—Sore

pimples on scalp, which discharge and form a scab; extremely painful when touched, or on

combing hair.—Head very sore, and itches almost all the time, < at night —Slight roughness of

skin of forehead, as of numerous pimples.

Eyes

Symptoms — Eyes
Clarke

Sharp pain in socket back of r. eye, followed by tenderness in r. temple; both

  • transient.
  • —Darting intense pain round |.
  • eye—Heaviness of upper eyelid, with pain above |.
  • eye;
  • burning in |.
  • eye; agglutination of |.
  • lids (rheumatism).
  • —Eyes slightly swollen; profuse

lachrymation; with catarrh.—Looking at different objects causes eyes to ache.—Pricking

sensation in eyeballs; eyes sensitive to cold air.—Upper eyelids very heavy, can scarcely keep

eyes open; very sleepy.—Pain in eyes when reading; followed by a film over them, apparently

requiring to be wiped off before she can see.—Tendency in retina to retain the impression of

objects, esp. of colours; or somewhat of the object last looked at is projected into the next.—(Sees

faces before her eyes, < in the dark; the face that haunts her most is one that she has really

seen.).—Small floating discs before eyes occasionally, and showing primary colours at edge of

discs.—When reading the page does not look clear, but seems covered with various pale spots of

red, yellow, green, and other colours.—Occasionally when looking at an object sees red spots on

it-—While looking at an object appears to see just beyond or out of the axis of vision, an object

passing across the field of sight; but on adjusting the eye to see it, it is gone; it always appears as

a small object, like a rat or bird, sometimes on the floor, at others in the air.

Ears

Symptoms — Ears
Clarke
  • Pain in r.
  • ear, sometimes intense.
  • —Very sharp pain in r.
  • middle ear, while walking in

wind; had to cover it with hand, which gave entire relief; sharp pain in r. side also.—No pain

during day, but is awakened several times during night by sore aching pains in middle and

external ear of side on which she is lying; soon passes off when the pressure is

  • removed.
  • —(Green, odourless discharge.
  • ).
  • —Reverberation of voice as if speaking in a large,

empty room; with pain in frontal region, first over one eye and then over the other.—(Sounds

  • seems very far off.
  • ).
  • —Ringing in r.
  • ear.
  • —At night a buzzing in r.
  • ear.
  • —Noises in ears; sensation as

though ears were full—(More than any other remedy, relieved deafness from hereditary

syphilis.)

Nose

Nose
Boericke
  • Coryza; one nostril stuffed up, the other free; alternate.
  • Alae nasi and corners of mouth cracked.
  • Bones of nose sore to pressure.
  • Bloody pus discharged.
Symptoms — Nose
Clarke

Sore on r. side of septum of nose; next day nose sore, constant inclination to pick at it

and get the scab off; nose still sore on sixth day, and on seventh day was very painful to touch;

but on eighth day scab came off nose, leaving it as well as ever.—L. nostril first dry, afterwards

discharging a thin, ichorous fluid, excoriating nostrils.—Stuffed feeling in nose and

throat.—Watery discharge, followed by dry sensation in nose.—Fluent catarrh from both nostrils,

with sensation of fulness in upper part of nose.—(Profuse nocturnal nasal discharge, like

gonorrhea, staining pillow greenish yellow.).—One side of nose stuffed tip, the other free and

discharging thin mucus at times and thin blood; these conditions alternate, first one nostril

stopped up and the other fluent, and vice versa (diphtheria).—Bad smell in nose.—Cannot bear

smell of flowers; they seem to send a chill over her.—All drinks return by the nose, nothing being

swallowed (diphtheria).

Face

Symptoms — Face
Clarke

R. cheek burns like fire, and is red after coming in from the cold.—Pain as from a

knife-thrust from under |. zygoma up to vertex.—Burning, flushing of face —Marked pallor of

face.—Lips dry and peeling off.—Jaw cracks while eating (dyspepsia).

Mouth

Mouth
Boericke
  • Tongue coated white with bright red edges; profuse salivation.
  • Drooling in diphtheria.
  • Cracking of jaw while eating (Nit ac; Rhus).
  • Putrid taste increased by sweets.
Symptoms — Mouth
Clarke

Tongue coated brown.—Tongue dirty, deeply coated near back and centre, except on

  • edges, which are bright red; at 9 p.
  • m.
  • tongue looks patched.
  • —Taste: putrid; of lead,

afternoon.—Swelling of 1. sublingual gland; ranula—Mouth and throat covered with aphthous

yellowish-white ulcerations, easily bleeding —Roof of mouth very sore, with blisters that break

and leave loose skin; any seasoned food causes great pain.—Inside of lower lip feels tender and

sore, and looks very red.—Mouth very dry.—Saliva: increased, slightly viscid; ran from mouth

during sleep.—Mouth constantly full of mucus, but a constant inclination to swallow, which =

pain.—Frothy mucus in mouth < by going into open air, and after eating.—Breath very offensive

(diphtheria).—Talking is very difficult, and there is a disposition to talk through nose (nervous

throat affection).

Symptoms — Teeth
Clarke
  • Pain in |.
  • upper molars, coining from |.
  • temple through |.
  • ear.
  • —Teeth sensitive to cold

water.—Gums swollen, ulcerated, retracted, bleeding, teeth loose; caused by defective nutrition

and exposure.

Throat

Symptoms — Throat
Clarke

In morning throat very sore; r. tonsil covered with ulcers and patches, which

extended over palate and covered |. tonsil; next day membrane extended across posterior wall of

pharynx; uvula elongated, accompanied by chilliness, high fever, pains in head, back, and limbs,

great restlessness, and extreme prostration. This was pronounced to be "severe diphtheria," but it

soon got well—Diphtheritic patch appeared first on r. tonsil, then on |., and frequently on

alternated sides; the swelling of submaxillary and lymphatic cervical glands also alternated in

like manner; there Was a noticeable < after a cold storm from north-east.—Quinsy; alternating

sides; thick, tough pieces of diphtheritic membrane coming away, and new membrane constantly

re-forming; swelling in throat so large and tense that mouth could not be closed.—The

diphtheritic deposits look as if varnished; exudations migratory, now here, now there

(diphtheritic croup).—Throat sore: with severe headache; pain extending to chest; dry and sore;

deep red colour on either side of throat opposite tonsils; on 1. side; painful to external pressure on

both sides.—Throat feels stiff (diphtheria) —Sore throat, alternating sides, beginning and ending

with menses.—Feeling of a lump in throat, which goes down when swallowing, but returns;

throat < r. side; < on swallowing saliva; afterwards, throat which had been getting well, suddenly

one evening grew rapidly <, but this time on |. side.—Constant inclination to swallow, which

causes pain extending to r. ear.—Tickling and sense of constriction in upper part of throat,

causing constant dry, backing cough.

Throat
Boericke
  • Sensitive to touch.
  • Painful swallowing; pain extends to ears.
  • Sore throat and cough with menstruation.
  • Tonsillitis and diphtheria symptoms change repeatedly from side to side. Shining glazed appearance of deposit, pearly-white or like pure white porcelain.
  • Stiffness of neck and tongue.
  • Throat feels burned raw.
  • Tickling sensation causes constant cough.
  • Sore throat beginning and ending with menses.

Stomach

Symptoms — Appetite
Clarke

Appetite improved; increased.—Cannot satisfy her hunger.—Desire for highly-

seasoned dishes, which is very unusual; has used pepper, mustard, and salt freely.—No appetite

(diphtheria; acute rheumatism).—Considerable thirst —Great hunger for large quantities,

often.—Craves milk and drinks much of it (diphtheria).—Aversion to anything sweet.

Symptoms — Stomach
Clarke

Nausea, with headache, on waking; continuing all morning.—Nausea > by

  • eructations of wind.
  • —At 5 p.
  • m.
  • while smoking a cigar, great nausea with severe pain in stomach-
  • pit; vomiting seemed imminent, but the sensation ceased in four or five minutes —At 10.
  • 15 a.
  • m.
  • ,

empty, weak feeling in stomach-pit; next day, same at 6 p.m.—Weak, sinking feeling at stomach-

pit, on waking in morning.—Burning in epigastric region, feeling of a weight and pressure of a

stone in stomach.

Abdomen

Symptoms — Abdomen
Clarke

Pain in r. side of pelvis; while it lasted there was no pain in 1. side-—Pain and

burning in |. side of abdomen and pelvis, with weight and dragging on that side; clothes feel very

heavy.—Feeling of tension in |. groin; does not want to walk or stand, as it < the sensation; > by

  • flexing leg on abdomen.
  • —Very acute pain in |.
  • groin, extending up I.
  • side to crest of ilium; > by

stool; sometimes the pain is in track of colon.—Abdomen swollen, and sensitive to deep pressure,

which also = nausea, the nausea passes off when pressure is removed.—Felt as though abdomen

and chest were firmly compressed all over, as if the skin were contracted—Abdomen very

sensitive to pressure and weight of clothes, entirely > by removing them, during very profuse

  • menses.
  • —Pains in abdomen intermittent.
  • —Pain in pelvis, principally over r.
  • ovarian

region.—Headache (1.) on first waking, and great pain in pelvis, most marked at r.

ovary.—Pressure from within outwards, as if contents of abdomen would be forced out literally,

just above pelvis.—Sensation while walking as if abdomen would burst.

Stool

Symptoms — Stool and Rectum
Clarke

Frequent desire for stool all through provings.—When having a soft

passage great tenesmus; rectum does not act as if it had lost power, but as if it could not expel

feeces because they are soft, and adhere to the parts like clay.—Constipation; occasionally natural

passages; urgent desire for stool, but passes nothing but wind, or possibly one or two small

pieces like sheep-dung; considerable wind in abdomen, with rumbling, but never any

pain.—Profuse diarrhoea, with colic pain; diarrhoea watery, profuse, coming out with great

force.—Great constipation before and after menses; bowels very loose (not diarrhoea) during

menses.

Urinary

Symptoms — Urinary Organs
Clarke

Urination causes intense pain in urethra, soon passing off.—Sensation

after urinating, as if bladder still full; continued desire to urinate.—Frequent desire to urinate,

which if not immediately attended to causes pain in bladder; a numb, dull sensation; if not > by

urination it spreads over abdomen and I. side to ends of fingers; never in head; would frequently

wake at night dreaming of the pain, and would have to urinate to > it.—Constant desire to urinate,

passing large quantities frequently; at night she dreams of urinating, and wakes to find an

immediate necessity; a less strong and healthy person would probably have wet the

bed.—(Nocturnal enuresis, a specific.)

Female

Female
Boericke
  • Menses too early, profuse, flow in gushes. Breasts swollen; painful before (Calc c; Con; Puls) and better on appearance of menses.
  • Mastitis; worse, least jar.
  • Helps to dry up milk.
  • Sinking at epigastrium.
  • Sexual organs easily excited.
  • Backache; spine very sensitive to touch or pressure.
  • Galactorrhoea.
Symptoms — Female Sexual Organs
Clarke

Menses scanty; terribly cross and impatient first day; on second

day, severe paroxysmal pains in uterine region, causing nausea; occasional pain in |. ovarian

region, passing about half-way down thigh, on upper part of it; all these pains > by bending

backwards; pain and aching in r. lumbar region when leaning forwards (as in sewing) even for a

  • short time; entire > when bending back.
  • —Menses scanty at first; with pain in 1.
  • ovary.
  • —Menses

very profuse; abdomen very sensitive to pressure and weight of clothes, entire > by removing

  • them.
  • —(Several cases of membranous dysmenorrheea.
  • ).
  • —Dysmenorrheea, pain in |.
  • groin, with

bearing down and nervousness.—Leucorrheea all day, but none at night, even after taking a long

  • walk.
  • —Slight leucorrhcea during the day, < when standing or walking.
  • —Severe pain in r.
  • ovarian

region, completely > by a flow of bright-red blood, which lasted an hour, and did not return.—In

  • afternoon, intermittent, sharp pains in r.
  • ovarian region.
  • —Constant pain in r.
  • ovary.
  • —Pain in 1.

ovarian region, and all across lower part of abdomen.—Sharp pains beginning in |. ovary, and

darting like lightning either towards r. ovarian region, or else up |. side and down arm, or

sometimes down both thighs; but generally down 1. leg to foot, which is numb, pains like labour-

pains; accompanied by great restlessness of legs and arms, and great aching in lumbar region;

(Sth d. after premature labour).—Sharp, lancinating pains like knives cutting upward from os

uteri, and as these were being relieved, sensation as of needles darting upwards in

uterus.—Escape of flatus from vagina.—Pressure on anterior part of vulva, entire > by sitting;

sensation as if everything were coming out at vulva; with frequent desire to urinate and smarting

  • in urethra.
  • —Itching in |.
  • side of labia, with rough eruptive condition on 1.
  • side of vagina, with

acrid leucorrhoea; excoriating severely.—Great swelling of |. labia, and terrible, pain while

urinating; (from gonorrhoea).—Itching of vulva.—Intense painful soreness of vulva, extending to

anus, coming on very suddenly about noon, and lasting for about two hours; came on again

during evening; could not walk, stand, or sit; > by lying on., back and separating the knees as far

as possible —Raw and bad-smelling sores between labia and thighs, in folds of skin; < when

walking, would rather keep still all the time; these sores are covered with a disgusting white

exudation.—Sexual organs extremely excited; very much < from the slightest touch, as putting

the hand on the breast, or from the pressure on vulva when sitting, or the slight friction caused by

  • walking.
  • —(After-pains very distressing, extending to thighs, rather < on r.
  • side.
  • ).
  • —Menses very

stringy and sticky, cannot get rid of them.—Urination caused intense pain in vulva, when even

the least drop of urine came in contact with it—Breasts very sore and sensitive to pressure for a

day or two during menses.—Breasts very sore and painful, with sharp, darting pain in r. ovarian

region extending to knee, very painful and must keep leg flexed (1st d. after miscarriage at 6th

month).—Constant pain in breasts, they feel very sore when going up or down stairs.—Breasts

seem very full—Constant pain in nipples.—Breasts sensitive to deep pressure.—Breasts painful;

feel as if full of very hard lumps, < going up or down stairs.—Loss of milk while nursing, without

  • known cause.
  • —Galactorrhcea (many cases).
  • —Dries up the milk when nursing.
  • —Given for an

ulcerated throat to a nursing woman, it cured the throat and nearly dried up the milk.—After two

doses of c.m. rapid decrease in size of breasts and quantity of milk in a lady who wanted to wean

her child.

Male

Symptoms — Male Sexual Organs
Clarke

Sexual desire quite marked.—R. spermatic cord, low down, sore to

touch.—Chancre on prepuce, |. side of frenum; penis greatly swollen; chancre like a cauliflower

excrescence, red, smooth, and glistening —(Small sore at entrance of urethra; parts of glans

around urethra an open ulcer, exhaling most fetid smell, and with most excruciating pain; red,

glistening appearance.).—Gonorrhceal pains, intermittent, in front, middle, or posterior part of

urethra; when the gonorrheea is >, catarrh sets in.

Respiratory

Symptoms — Respiratory Organs
Clarke

Slight hoarseness, with now and then a change of voice, after waking,

but soon passing away.—Cough from tickling in upper anterior part of larynx, < when talking and

also when lying.—Cough from tickling under middle of sternum.—Cough with pain and

oppression of chest; it jars her all over.—Loss of voice, cannot speak in a whisper

(pharyngitis).—Marked soreness on touching larynx (diphtheria).—Sensation as if the breath

would leave her when lying down and trying to sleep; has to jump up and stir around for an hour

or so every night.

Chest

Symptoms — Chest
Clarke

Terrible dyspnoea immediately after sleep, first on |. side of chest; the dyspnoea

compelled her to be lifted upright with violent exertion to get breath; there was sharp pain in

region of heart with each of these attacks; after the medicine had but one attack of dyspnoea, and

all the pain was referred to r. side of chest (acute rheumatism).—Lungs feel as though fast to

  • chest, < while writing.
  • —Clavicles sore to touch.
  • —Stabbing pain in r.
  • lung, just below nipple,

preceded by pain in stomach-pit as of a stone or undigested food.—Sharp pain in r. breast at 4

p.m.—Feeling of oppression and tightness behind sternum, with desire to draw a deep breath.

Neck & Back

Symptoms — Neck and Back
Clarke

Neck stiff (rheumatism, neuralgic headache; diphtheria).—Sharp neural gic

  • pain under r.
  • scapula.
  • —Lameness and cutting pain under |.
  • scapula, < turning in bed.
  • —Sharp,

cutting pain under |. scapula, shooting forwards through lung.—Backache nearly all day between

scapule, < after becoming warm, somewhat > by leaning back.—Pain in sacrum < by riding (not

by walking.).—Aching pain, < by stooping, > by leaning back, with weakness; this pain extended

around |. side of pelvis (leaving the back) to inside of thigh followed by a bloody leucorrhceal

discharge after six hours, which came all at once, leaving labia extremely sensitive.—Spine aches

from base of brain to coccyx (pharyngitis).

Upper Limbs

Symptoms — Upper Limbs
Clarke

Painful swelling and hardness, with suppuration of |. axillary gland; menses

came on at same time.—Pains down r. arm and in fingers, which feel cramped; does not seem to

  • have the same power in r.
  • hand.
  • —From draught in evening, sudden, violent pains in r.
  • shoulder,

so much so that when retiring she could not raise arm to finish toilet, as if disabled by

  • dislocation.
  • —Right wrist lame and painful.
  • —Sharp, shooting pains in ball of r.
  • thumb.
  • —Sharp

pain round |. arm, as of a cutting instrument; felt principally at the vaccination-cicatrix; passed

  • from thence to |.
  • elbow and disappeared; (forty-five minutes after first dose.
  • ).
  • —Trembling of 1.

hand, as in paralysis agitans.—Woke at night feeling very chilly, with sharp pain in 1. hand, and

  • sensation in |.
  • arm as if asleep; lasting fifteen minutes.
  • —Palms and soles burning hot.
  • —Two warts

on little finger noticed to be leaving.—Painful eruption on axillze, like moist herpes, exceedingly

painful on washing them. Veins in hands look bluer than usual, they are swollen.—Sensation as if

an insect were crawling on shoulders and neck, occasionally on hands.—Perspiration in axillze,

stains linen bright orange colour, no smell.—Very fetid perspiration in axille, staining linen

  • brown.
  • —Wrists very lame, esp.
  • r.
  • , which has sharp pains passing from thumb to little finger.

Lower Limbs

Symptoms — Lower Limbs
Clarke

A few days before menses, inside of both thighs became raw and painful

when walking, they then broke out with large, flat, red pimples; the soreness soon left; but the

  • pimples remained.
  • —Varicose veins on outer r.
  • thigh, from hip to knee.
  • —Sensation of numbness

in |. leg with great heat as if burning, but cool to touch; brought on by pressure.—Stiffness

through thighs, < on attempting to move after sitting.—Veins of feet and ankles very much

swollen.—Feet swollen and very sore, causing considerable pain while walking.—Cramps in

feet.—Numbness and paralytic feeling in inner side of both knees, extending to both big

toes.—Pain in r. hip and leg while walking, with a trembling of leg, and slight feeling of

  • uncertainty, esp.
  • on going down stairs (metritis).
  • —(Articular rheumatism in r.
  • hip and knee-

joints, esp. former; she was seated in an armchair, unable to move, complaining of bruised,

smarting, lancinating pains in both joints and in lumbar region with swelling of affected joints;

pains < by slightest motion at night; by touch and by pressure of bed clothes; next day pains and

swelling had gone to |. hip and knee joints, leaving r. almost free; the ensuing day they had

almost entirely disappeared from |. hip and knee-joints and had again attacked r. hip and knee;

complaining, moaning, and sighing on account of her sufferings and probable termination of her

illness).—Rheumatic pains in |. hip and along sciatic nerve; wandering pains in nape of neck,

with stiffness; pains in one or other shoulder; pain above 1. eye and heaviness of eyelid; burning

in eye, agglutination of eyelids; sensitiveness to light (sciatica and rheumatism).—Intense,

unbearable pain across supersacral region, extending to r. natis and down r. sciatic nerve; pain so

severe as to prevent sleep or rest (sciatica).—(Partial paralysis of r. leg from miscarriage; leg

numb and stiff, but cannot keep it still; feels > flexing it on abdomen.).—Numb pains chiefly in

ankles, < while quiet, with swelling; veins of ankles distended; > while extreme heat is applied

(rheumatism).—Ecthyma: on r. leg.

Extremities

Extremities
Boericke
  • Sciatica, right side.
  • Legs feel numb and stiff, cramps in feet.
  • Rheumatic pains in extremities and back, from one side to the other.
  • Pain in arms to fingers.
  • Burning in palms and soles.

Skin

Symptoms — Skin
Clarke

Sensation as if an insect was crawling on shoulders and neck, occasionally on both

hands.—Herpetic eruption in both axillze, with light brownish scab, extremely painful when

washing; eruption most in r. axilla, and in both instances appeared previous to pain in labiz,

which was followed by a discharge of blood from vagina.—Every scratch gets sore.—Icthyosis,

with branlike desquamation of skin.—Shining, glazed, and red appearance of ulcers on shin and

wrist (syphilis).—Crusts on skin, under which greyish yellow matter formed and was squeezed

out.

Sleep

Sleep
Boericke

Dreams of snakes.

Symptoms — Sleep
Clarke

Great desire to sleep (diphtheria).—Cried out and talked in sleep

(diphtheria).—Cannot find any comfortable position in bed; there is no way that she can put her

hands that they do not bother her; falls asleep at last on her face-—Dreamed a large snake was in

bed (tonsillitis).—Got to sleep late; profuse sweat during sleep; felt feverish all night; in morning

>in every way.—At night lies with 1. leg flexed on thigh, and thigh on pelvis; restless; < after

sleep (ovaralgia).—Dreams frequently that she is urinating, and wakes to find herself on point of

doing so, requiring immediate relief—Symptoms < after sleep (diphtheria).

Fever

Symptoms — Fever
Clarke

Chilly feeling lasting all day.—Internal chilliness with external warmth.—Cold chills

  • run down back, hands as cold as ice (on entering house 4 p.
  • m.
  • ; 6.
  • 30 entire > after a good

dinner).—Fever and chills for a few days, and up and down every few hours.—Intense fever on

waking in morning, with perspiration.—Dry, hot skin (diphtheria).—Exhausting sweats; after

sleep.—Wakes at night in cold perspiration, with fearful foreboding (metritis) —Perspired

considerably through night, sweat having a rank smell (acute rheumatism).

Clinical

Clinical
Clarke
  • Arms, varicosis of.
  • Breasts, painful.
  • Chancre.
  • Croup.
  • Diphtheria.
  • Dysmenorrheea.
  • Epulis.
  • Eyes, affections of.
  • Gonorrhoea.
  • Headache.
  • Ichthyosis.
  • Leucorrhcea.
  • Neuralgia.
  • Ovaries,
  • affections of.
  • Ranula.
  • Rheumatism.
  • Sciatica.
  • Spinal irritation.
  • Stomach, affections of.
  • Syphilis.
  • Throat, sore.
  • Ulcers.
  • Uterus, affections of.
  • Vaccinosis.
  • Varicose veins.
  • Warts.

Relations

Relations
Clarke

[ According to Nichols, Lac. can. "acts best in single dose; 1f repeated should be

given at exact intervals."] Compare: Lachesis is the nearest analogue (throat, ovaries, symptoms

changing from side to side—Lach. left to right; < after sleep; fainting on raising arms); Lac. vac.

  • deflor.
  • (dreams of going on a journey).
  • Lac.
  • vac.
  • coag.
  • , Lact.
  • ac.
  • [The following were mostly

supplied by Lippe to Swan's arrangement.] Weak memory for what she has read, not for other

  • things (Lach.
  • , Nat.
  • m.
  • , Staph.
  • ).
  • Absent-minded (Anac.
  • , Caust.
  • , Con.
  • , Dulc.
  • , Lach.
  • , Nat.
  • m.
  • , Sep.
  • ).
  • Crying, fearing she was contracting consumption (Calc.
  • , Guar.
  • , Sep.
  • ).
  • Exalted feeling in
  • sensorium (Plat.
  • ).
  • Headache < in cold wind, > in warm room (Aur.
  • , Nux v.
  • , Rhus).
  • Headache <

by noise > by keeping quiet; confused feeling in head (Calc.). Must have light, but intolerant of

  • sunlight (Aco.
  • , Bell.
  • , Calc.
  • , Gels.
  • , Ruta, Stram).
  • Soreness and scabbing of nostrils (K.
  • bi.
  • , Thu.
  • ).
  • Lips dry and peeling (Nat.
  • m.
  • ).
  • Throat sensitive to touch externally (Lach.
  • ); < by empty
  • swallowing (Ign.
  • ).
  • Breasts sensitive to pressure (Calc.
  • , Murex); to deep pressure (Merc.
  • ); as if
  • full of very hard lumps, very painful when going up and down stairs (Bell.
  • , Calc.
  • , Carb.
  • an.
  • ,
  • Lyc.
  • , Nit.
  • ac.
  • , Phos.
  • ); soreness and enlargement (Bell.
  • , Bry.
  • , Calc.
  • ).
  • Small, round, or irregular
  • grey white ulcers on tonsils and fauces (Merc.
  • 1.
  • ).
  • Discharges of diphtheritic matter from vulva
  • and rectum (Apis).
  • Empty, weak feeling in stomach-pit (Dig.
  • , Ign.
  • , Pet.
  • , Sep.
  • ); pain as from a
  • stone or undigested food in stomach-pit (K.
  • bi.
  • ).
  • Pain in right ovarian region (Ap.
  • , Lyc.
  • , Pallad.
  • ).

Sensation as if breath would leave her when lying down, must get up and move about (Grind.).

  • Sciatica (Cur.
  • , Graph.
  • , Gnap.
  • , K.
  • bi.
  • , Ir.
  • v.
  • , Lach.
  • , Phyt.
  • , Tell.
  • ).
  • When walking seems to be
  • walking on air; when lying does not seem to touch the bed (Asar.
  • , Chi.
  • , Coff.
  • , Nat m.
  • , Nux, Op.
  • ,
  • Rhs.
  • , Spi.
  • , Stram.
  • , Thuj.
  • , Stict.
  • pul.
  • , Phos.
  • ac.
  • ).
  • Dreams of going on a journey (Lac.
  • v.
  • deflor.
  • ,
  • Laches.
  • , Sang.
  • , Sil.
  • ).
  • Spreads fingers apart (Secale—in spasms).
  • Retina retains impressions of
  • objects (Tuberc.
  • Nicotin.
  • —Lyc.
  • , ear retains impression of sounds).
  • Red spot before vision
  • (Dubois.
  • Hyo.
  • ).
  • Flatus from vagina (Bro.
  • , Lyc.
  • , Nux m.
  • , Nux v.
  • , Sang.
  • ).
  • < Going down stairs
  • (Borax).
  • Diphtheria (Diphtherinum, Merc.
  • cy.
  • , Gels.
  • ).
  • [Hydrophobinum is a dog-engendered
  • nosode and must be compared with Lac.
  • can; Lach.
  • is one of its antidotes.
  • ] Cannot bear one

finger to touch the other (Lac. f. cannot bear one foot to touch the other).

Relationship
Boericke

Compare: Lach; Con; Lac felinum-Cat's Milk--(ciliary neuralgia; eye symptoms, photophobia; asthenopia; dysmenorrhoea); Lac vaccinum-Cows' Milk--(headache, rheumatic pains, constipation); Lac vaccinum coagulatum-Curds--(nausea of pregnancy); Lactis vaccini floc--Cream--(diphtheria, leucorrhoea, menorrhagia, dysphagia); Lactic ac.

Posology

Dose
Boericke

Thirtieth and the highest potencies.

Kent's Lecture

Lecture (part 1)
Kent

All the milks should be potentized, they are our most excellent

remedies, they are animal products and foods of early animal life and

therefore correspond to the beginning of our innermost physical

nature. If we had full provings of monkey’s, cow’s, mate’s and

human milk they would be of great value. Lac defloratum has done

excellent work, and so has this remedy. I.,ac caninum is in its beginnings yet, although it has made some marvelous cures, but many of

its symptoms are doubtful and it would take a century to confirm

them. Some may think because the milk are only food for the young

they are not medicine, but let one w^ho is made sick from milk take it

in potenized form and report the result. Provers who dislike milk

will become sick from taking it in potencies in a few days, and their

symptoms are very numerous.

This remedy abounds in nervous symptoms, although it has no doubt

tissue changes as well. It is deep and long acting ; the provers felt

its symptoms for years after the proving was made. The mental

symptoms are prolonged and distressing. It has cured enlarged glands.

It makes ulcers very red, and it has cured such ulcers. Ulcerated

areas have a dry, glistening appearance as if coated with epithelium.

It is an important remedy in complaints following badly treated diphtheria, in paralysis and other conditions dating back to diphtheria.

The greater number of its symptoms belong to the nervous system.

An oversensitive state prevails, a general hyperaesthesia of the skin

and all parts. In makes women violently hysterical, and causes all

sorts of strange and apparently impossible symptoms. For example,

a woman lay in bed for days with the fingers abducted and would go

wild if they touched each other. The fingers were not aggravated

from hard pressure, but she would scream if they touched. This

  • state is difficult to cure outside of Lac can.
  • and Lack.
  • Loch, has produced a similar condition.
  • The sensitiveness of the abdomen so that

the sheet cannot be permitted to touch the skin belongs to both.

Another strange state is a peculiar vertigo, a condition, when walk-

59*

ing, in which she seems to be floating in raid-air, or, when lying, as

if she were not on the bed. Other remedies have this. The sensation

as if floating, or not touching the bed, or sinking down, belongs to

Loch. The sensation of gliding while walking is strong under Asarum

Europdsum.

Lecture (part 2)
Kent

The complaints, almost regardless of kind or quality, change sides.

The rheumatism is first found in one ankle and then in the other, and

then back again to the original site. If in the knee or hip or shoulder

the rheumatism alternates sides. The headaches and neuralgias do

the same thing. The ambulating erysipelas first attacks one side,

then the other. Inflammation and neuralgia of the ovaries the same

alternation is observed. Sore throats affect alternately the sides of

the throat or tonsils. Many cases of this sort have been cured by this

remedy. The trouble commenced on the right and went to the left

and Lyc. failed, but when it returned to the right the alternation was

noticed and the remedy revealed. Only a limited number of remedies

have alternating sides.

One or two provers had many symptoms, and so not all are reliable ;

but this remedy 5o intensifies the imagination and senses that it would

be easy for them to imagine symptoms, and that itself is suggestive.

Full of imaginations and harassing, tormenting thoughts. Wandering features in the mental sphere, wandering and alternating states.

Cannot collect the thoughts. She wants to leave everything as soon

as it is commenced, a condition <tf irresolution common to quite a

number of remedies. She is impressed with the idea that all she says

is not so, thinks everything she says is a lie, as if there is no reality

in the things that be. In this it is somewhat analogous to Alumina

in which the patient feels as if someone else and not himself were

saying everything, a lack of consciousness of the reality of things.

Every time a symptom appears she thinks it is a settled disease ;

fear and anxiety that some horrible disease has come upon her, a

delusion that she was suppurating and in a loathsome state ; infested

with snakes. Horrible sights are presented to the mental vision, nor

always snakes, and she fears the objects will take form and present

themselves to her eyes. This is analogous to Lack., which has the

feeling that the atmosphere is full of hovering spirits, although he

never sees them.

Imagines he wears someone rise’s nose. Imagines she is not herself and her properties not her own. Imagines she sees spiders, snakes,

vermin. She cannot bear to be alone. In Lack, the patient wants

to be alone to indulge the strange fancies, and when alone she feels

as if she were floating out of the window and over the grassy plains,

but a sound will bring her back to the world again. This is on the

borderland of insanity or delirium.

59 ^

Lecture (part 3)
Kent

Although the patient has all these strange feelings, yet she goes

around all day about her business, and no one knows them unless she

confesses them. Chronic sadness, everything so dark ; irritable, ugly,

hateful. Full of vertigo, but it is a sensorial symptom, unusually

refined ; not the vulgar swaying or tossing or feeling as if things were

going round. It affects the whole body, as if she were swimming or

floating in the air, spirit-like.

The headaches are violent and are mostly frontal, but it has also

occipital headaches. Headache above the eyes from riding in the

cold wind, ameliorated in a warm room. Both the frontal and occipital

headaches are aggravated by turning the eyeballs upwards and using

the eyes for fine work. Pains in the head during the day, first on one

side then on the other, either side being first affected. Pains in the

face or eyes, alternating sides, perfectly unbearable, ameliorated going

into the open air. The rheumatic symptoms arc ameliorated by cold

and cold applications, thus classifying it with Puls, and Led. Some

headaches are noted as relieved by warmth.

Sensitiveness is marked ; sensitive to light and noise. The page

is not clear when reading. She sees faces before her in the dark.

Old, troubled, distorted, disagreeable faces come to the vision or

imagination. Dark, hideous faces she has seen come up, and she is

tormented by them. This is not really a symptom of the vision, but

a state of the brain.

Sounds seem far off. Paralysis of the throat with diphtheria ; fluids

return by the nose when drinking. Coryza, with sore throat and

sneezing. Stuffed nose ; discharge of thick white mucus. Faceache ;

pain aggravated by exertion, ameliorated by warm applications, but

only cold applications relieve the soreness.

Putrid mouth is a strong feature. The mucous membrane and

teeth are coated with a fuzzy, shining, silvery substance, somewhat

like milk. In the throat there is a felt-like exudation, ashy gray or

silvery shiny deposit. It has been used in diphtheria for the class of

cases taking alternate sides, and it has also cured paralysis following

diphtheria. The pain in the throat pushes toward the left ear. Pains

take alternate sides. The throat is ameliorated by cold or warm drinking, and aggravated by empty swallowing. It is indicated especially

in a glazed, shiny, red appearance of the throat like Kali bich. The

diphtheritic membrane is also white like silver. Lac c. has cured most

alternating cases, with patches first on the right tonsil, then on the

left. Membranous croup. Wherever there is mucous membrane

there will be exudate, a gray, fuzzy coating, like that piling up on the

tongue. I once cured with Lac c. a chronic affection in which the

whole buccal cavity had a white exudate without inflammation or

ulceration, an apparent infiltration which dipped down everywhere.

Classical Posology

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

Additional notes

Symptoms — Limbs
Clarke

Aching pains in limbs and back.—Rheumatism beginning in soles flying from joint

to joint and side to side, < every evening and by movement and touch; numb pains in

ankle.—Burning of hands and feet at night (ovaralgia.)

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