Nux Vomica

Strychnos nux vomica is a moderate-sized tree native of the Coromandel Coast

and Cochin China. The fruit is very like an orange in appearance and contains numerous seeds of

flattened circular outline, about the size of a halfpenny, ash-grey in colour, covered with fine

silky hairs. The seeds are intensely bitter, owing to the presence of Strychnia and Brucia which

exist in the seeds together with certain peculiar acids; but the pulp is innocuous and is said to be

eaten by birds. If nitric acid be added to the seeds a deep orange-yellow colour is produced. The

wood of the tree is very bitter. It is used in India in cases of intermittent fever and snake-bites. A

• ▸decoction of the leaves is used externally in rheumatism (abridged from 7reas.
• ▸of Bot.
• ▸).
• ▸Under

Brucea antidysenterica | have told how the bark of the tree was imported into Europe in mistake

for Angustura. The tree from which the /gnatia" beans" are obtained is unknown, but it is not

doubted to be a Strychnos; the seeds actually contain a larger proportion of Strychnia than those

of Nux vomica. The difference in the character of the two remedies proves the wisdom of

Hahnemann's method of studying medicines. If there was nothing more than the chemistry of the

drugs to go by Jgnatia and Nux vomica might be used indifferently; with the knowledge

Hahnemann has given us of their characteristic features they are seldom even thought of in

connection with the same case.—In the cases of poisoning with Nux, the most marked feature is

the spasms and convulsions which cause death by arresting respiratory movements.

"Convulsions with consciousness." "Spasms with tetanic rigidity of nearly all the muscles of the

body, with interruption of a few minutes, during which the muscles were relaxed; the pulse

became soft and the patient recovered consciousness and speech; the spasm was renewed by the

slightest touch, though at times it would immediately cease when the patient was tightly grasped,

or the elbow was straightened up." "During the spasms evident relief was afforded by forcible

extension of the body." In the case of two persons, a man and wife, who both took the poison, the

reporter says: "As the convulsions came on the heads were drawn back, there was spasmodic

clenching of teeth, heels fixed to the ground, eyes as if protruding from their sockets, and both,

curiously enough, kept exclaiming, 'Hold me! Hold me!' although there was a person on either

side of each." One of the patients afterwards said that if a fire had been lit under him he could not

have moved, although at the same time he kept crying, "Hold me!" "Convulsions came on

beginning with slight twitchings in muscles of lower extremities." "Convulsions with red face

and closed eyes." The general effect of the spasms was to cause opisthotonos and throwing back

of the head, though in some the body was spasmodically drawn sideways. The tetanus of Nux

differs from traumatic or idiopathic tetanus in that the spasms of the former are less continuous,

do not invariably begin with the muscles of the jaws, but preferably in the lower extremities, and

are not accompanied by rise of temperature. "Spasm" is the first keynote of Nux and the second is

"exaggerated sensitiveness." Both are brought to the front in the poisoning cases, and the

provings bring out their developments in almost all regions of the body. The spasms affect all the

voluntary muscles of the body and the involuntary muscles as well—cesophagus, stomach,

intestines, uterus, bladder, rectum, and the spasms and irritability go through the pathogenesis.

There is irritability of bladder and rectum at the same time; constant urging and desire and very

little passed; prolapse of rectum with constipation; or there may be incontinence of both urine

and feeces. Uterine bearing down and prolapse; cramps at menstrual periods and pressure on

bladder and rectum. The irritability and excessive sensitiveness of Nux depicted in the tetanic

seizures and drawn facial expression applies to mind as well as body. Nux is especially suited to:

(/) Very particular, zealous persons, inclined to get angry and excited, or of a spiteful, malicious

disposition. (2) Ardent persons; or, disposed to anger, spite, or deception; always irritable or

impatient. (3) Nervous, melancholic people, troubled with indigestion; venous constitution with

tendency to hemorrhoids. (4) Thin, irritable, choleric persons with dark hair, who make great

mental exertion or lead a sedentary life. (5) Vigorous persons of dry habit, tense fibre, ardent and

irascible temperament and tenacious disposition. (6) Bilious temperament. (7) Persons addicted

to wine, coffee, or pepper and condiments, who live a sedentary life with much mental exertion.

(8) Debauchees, thin, irritable, venous. (9) Drugged subjects. Throughout all these classes moral,

mental, nervous, and muscular tension or spasms may be traced (but ennui, loss of energy may

also be indications for Nux: they are alternating states). There are few drugs which produce a

greater degree of irritability than Nux, running, as it does, to the verge of homicidal and suicidal

impulse. Intestinal spasm is exemplified in the spasms which follow eating unripe fruit and other

digestive irregularities; and sometimes they take the form of incipient hernia. Hernia, inguinal

and umbilical, has been cured with Nux, and I have seen a case of strangulated hernia resolved

by Nux whilst preparations for operation were in progress.—Although there are many pains in

connection with the rectum, constipation or spasm is the leading feature: "Constrictive sensation

at times as if he would be obliged to go to stool." "After a stool it seemed as if some remained

behind and could not be evacuated, with a sensation of constriction in rectum, not in anus."

"Discharge of bright blood with the feeces, with sensation of constriction and contraction in

rectum during stool." "Stool daily though always with a colicky sensation in abdomen, and with

the stool, it always seems as if it was not enough." "Frequent, ineffectual desire for stool; after

the usual evacuation." Nux is very far from being a panacea for constipation and hemorrhoids,

but its indications are perfectly clear and when they are present it will not disappoint the

prescriber. The diarrhoea of Nux is sudden and drives patient out of bed; or is involuntary; or

comes on after a meal. Alternate constipation and diarrhoea. In the dysentery of Nux the straining

ceases as soon as the motion passes. This distinguishes Nux from some other remedies. There is

tendency to faint after diarrhrceic stools; and also after vomiting. This tendency to fainting is

another example of the Nux sensitiveness. It occurs from odours; in a warm room; after eating;

after every labour pain. Nux has proved curative in epilepsy when the fit occurred during stool.

Nux 1s hemorrhagic. There is metrorrhagia (in high livers), and also menorrhagia. Menses too

early and profuse, flow dark; faints easily; irregular, cease flowing at night-time. The pains are

cramping and cause nausea and fainting; twisting, moving about in abdomen; soreness across

pubes; cramps in bladder. During pregnancy: hiccough; morning sickness; varicose veins;

hemorrhoids; false pains. Labour pains are violent and = fainting. Lochia scanty, offensive;

nipples sore, white spot in centre; tensive pains when nursing. Desire is excited in both sexes,

and here again the sensitiveness of Nux is observed—the slightest provocation suffices to excite

the sexual passion. Spasm is the chief note of Nux in the respiratory sphere, where it produces a

variety of asthmatic states, a dry, persistent fatiguing cough which = headache as if the skull

would split. The general conditions of Nux are the best guides in such cases. But it must not be

supposed that Nux cannot cure cases which are not purely spasmodic. I have cured with Nux

many cases of bronchitis with copious moist rales and expectoration. In addition to spasms, Nux

causes languor; great nervous debility (as from sexual or other excesses); trembling; excitement

with trembling; paralysis. Paralysis after apoplexy, parts cold, numb, emaciated. Hemiplegia.

Locomotor ataxy has been relieved by it. Nux is a drowsy medicine and it also produces

• ▸sleeplessness.
• ▸Wakes 3 a.
• ▸m.
• ▸and lies awake for hours, falls asleep when it is time to rise and feels

heavy and unrefreshed. It is curative in cases where sleep is unattainable except from a stimulant.

The symptoms of Nux are > after undisturbed sleep; < when sleep is disturbed. The third keynote

of Nux is Chilliness. Nux is one of Grauvog|'s chief hydrogenoids, and, like so many other

"bitters," it is a great remedy in intermittents—intermittent fevers, periodic neuralgias. Chilliness:

Cannot get warm in bed at night. Coldness of whole body with blue hands; with blue skin. Cold,

moist hands with cold tip of nose. Repugnance to cold or cold air; chilly on least movement;

from being uncovered; must be covered in every stage of fever, chill, heat, or sweat. In the fever

there is great heat, whole body burning hot, face red and hot, yet patient cannot move or uncover

• ▸without being chilly (H.
• ▸C.
• ▸Allen).
• ▸But Nux may have "Intolerance of covering during sweat with

heat." Nux has hunger with aversion to food; loss of appetite; and sudden satiety. A patient to

whom I gave Nux 30 said that immediately after each dose she felt as if she had had nothing to

eat for a week. Another patient from the same medicine developed: "Hot feeling up in throat.

• ▸Biliousness.
• ▸General heat and scarlet redness of face.
• ▸Headache.
• ▸" The red face of Nux is a

characteristic feature. Nash gives a characteristic of the menses of Nux: "Catamenia a few days

before the time, and rather too copious, or keeping on several days longer, with complaints at the

onset which remain until it is over." Nash remarks that Calc. has the same, but the temperaments

differ, and he adds this useful note: He found that patients that required Nux for this condition

could hardly ever take Pu/s. for anything. For instance, if they had a green, bland, thick

discharge, and Puls. were given, it would often bring on too early and profuse menstruation.

Sep., on the other hand, would cure the catarrh and not interfere with the menses. Nash

deservedly italicises Boeninghausen's keynote: "Feels < in morning, soon after waking; also after

mental exertion; after eating and in cold air." Sour breath I have noticed to be a very leading

indication for Nux. Hering gives the gastric disorder of Nux thus: "After eating; sour taste,

pressure in stomach an hour or two afterwards, with hypochondriacal mood, tightness about

waist; must loosen clothing, confused, cannot use mind two or three hours after a meal,

epigastrium bloated, with pressure as from a stone in stomach." The pressure two or three hours

• ▸after eating distinguishes Nux from Nux m.
• ▸and K.
• ▸bi.
• ▸, which have it immediately after.
• ▸—Nux has

many eye-symptoms. Sircar cured cases of night-blindness with Nux 6. He connected the

• ▸disorder with the liver (Calcutta J.
• ▸of Med.
• ▸, xiv.
• ▸454).
• ▸F.
• ▸A.
• ▸Griffith (H.
• ▸P.
• ▸, ix.
• ▸211) gives an

interesting example of the use of Nux in cases which have been much drugged. Living in a part

where there are no other homceopaths he had mostly heavily-drugged patients to deal with. His

plan was to give Nux 30 four times daily for four days and then see the patient again and take a

new picture. A man, 45, had had sciatica for six months and had taken a great deal of strong

medicine internally. After four days of Nux 30 Griffith was surprised to find his patient almost

well; the trouble having "got well from above downward"; at last localising in the heel. One dose

• ▸of Sep.
• ▸c.
• ▸m.
• ▸completed the cure.
• ▸—O.
• ▸W.
• ▸Smith (#7.
• ▸P.
• ▸, ix.
• ▸210) reports this symptom as having

been caused by Nux: "Sensation under middle of sternum like a lump of hot lead as large as two

fists." Among the peculiar sensations are: As if something heavy fell into head. As if his head

were immensely larger than his body. As if pressing a nail into brain; into vertex. As if brain

• ▸beaten or cleft with an axe.
• ▸As if skull pressed asunder.
• ▸As if hot water in eye.
• ▸As if eyes would

be pressed out. As if he had received a bruise over eye. As if a hot plate of iron were nearly in

contact with face. Face feels as if he were sitting before a hot fire. As if a ball or plug in throat.

As if skin scratched off throat with a sharp instrument. As if throat too narrow. As if a stone in

abdomen. As if abdomen raw and sore. As if bowels, bladder, and rectum were pressed with a

sharp instrument. As if hernia would occur. As if everything in region of umbilicus were being

• ▸shattered and torn.
• ▸Navel as if drawn in.
• ▸Chest as if drawn together.
• ▸As if room had been

exhausted of air. As if something torn loose in chest. As if blood would be jerked out of veins.

• ▸As of a band above knees; round body.
• ▸Stiffness.
• ▸Numbness.
• ▸Burning.
• ▸Stitches.
• ▸Symptoms are <

in morning; in open air; by motion; by mental exertion. Each of these is a characteristic; a

combination of two or three of them may be considered a keynote. < In morning is the greatly

predominating feature of Nux. [The best time to give Nux is in the evening at bedtime, that is,

well away from the time of its chief aggravations.] Cough and some other symptoms are < in

• ▸night; < after midnight; < 3 or 4 a.
• ▸m.
• ▸During day, drowsiness.
• ▸Menses return at full moon.

Although Nux is sensitive to chill, draught, and air, most symptoms being < by cold, cold water,

and by getting wet; still the symptoms generally are < in dry weather, > in wet weather. But wet

weather < facial neuralgia; and wet, warm weather = gastric and bilious fever. Warm room and

warm covering > headache. But warm room = fainting. Summer heat is insupportable; sunshine

• ▸< headache.
• ▸Open air > flatulence and asthma and < all other symptoms.
• ▸< In wind.
• ▸Rest >.
• ▸>

• ▸Lying down; on side.
• ▸Motion <.
• ▸Exertion, physical or mental, <.
• ▸< From shaking head.
• ▸Eating <.

Milk sours on stomach. When eating: heat in head. < From coffee; cold food; cold water; wine.

• ▸Alcoholic drinks both < and >.
• ▸Touch <.
• ▸Pressure >; but cannot bear tight clothing.
• ▸Rubbing >.

Riding in carriage = sickness. Coughing <; shocks are felt in pit of stomach with every cough. <

From pollutions. < From stomach derangement. < After stool; before urinating; when yawning; <

during and after menses (old symptoms are renewed and new ones occur). < On waking at night.

When it "all medicines disagree" Nux will often cure the morbid sensitiveness and other troubles

with it. < From music. There is very great > for a short time after a stool.

• ▸Very irritable: sensitive to all impressions.
• ▸Ugly, malicious.
• ▸Cannot bear noises, odors, light, etc.
• ▸Does not want to be touched.
• ▸Time passes too slowly.
• ▸Even the least ailment affects her greatly.
• ▸Disposed to reproach others.
• ▸Sullen, fault-finding.

Hypochondriacal, peevish, morose (stubborn), thoughtful and sorrowful humour,

sometimes with inclination to weep, without being able to do so.—Hypochondriac humour of

persons of sedentary habits, and of those who dissipate at night, with abdominal

sufferings.—Inclined to find fault and scold; morose; stubborn; an insane desire when alone with

her husband, whom she adores, to kill htm.—Melancholy, with great uneasiness respecting the

health, eagerness to speak of the disease, despair of a cure, and fear of approaching

death —Desire for solitude, repose, and tranquillity, with repugnance to conversation.—Anguish,

anxiety, and excessive uneasiness, often with agitation which allows no rest whatever, as from

consciousness of having committed a crime, and which urges even to suicide; but is afraid to

die.—The fits of anguish take place mostly on lying down in evening, or after midnight, towards

morning, and are sometimes accompanied by palpitation of heart, heat and sweat, nausea, and

vomiting, dilation of pupils, and oppression of heart.—After anger, chilliness alternating with

heat, vomiting of bile and thirst—Moral exaltation and excitability, with extreme susceptibility

of all organs, great sensitiveness to least pain, to least smell, noise or movement, extraordinary

readiness to take fright, and sensibility so great that music even causes tears to flow.—Light and

music unbearable.—Anxiety and restlessness in the evening.—Does not wish to be touched; wants

• ▸to be alone.
• ▸—Dizziness of the mind, i.
• ▸e.
• ▸, an unsteady, wavering condition.
• ▸—Incontrollable

irritability, and lamentations, complaints and cries (during the sufferings), sometimes with heat,

and redness of cheeks.—Timidity, mistrust, and suspicion, with wavering and

indecision.—Frightfully apprehensive about getting married, girl lies on a sofa and throws her

arms and legs about and refuses to see a doctor (cured with high potency, Skinner).—Inclination

to weep, with great susceptibility and irritability, disposition to be angry (habitual), to yield

readily to passion, to criticise, and to utter reproaches.—Spiteful, malicious.—Delirium tremens,

with over-sensitiveness, nervous excitability, and malicious vehemence.—Every harmless word

offends; every little noise frightens; cannot bear the least, even suitable medicine-—Humour

peevish and malevolent; quarrels, insults, and invectives, with immodest expressions and

excessive jealousy, mingled with tears and cries.—Fiery, excited temperament.—Ill-humour,

vexation, and anger, breaking out in acts of violence—Awkwardness and drowsiness.—The time

passes too slowly.—Ennui (great laziness), with dislike to and unfitness for bodily and mental

labour.—Incapacity for meditation; tendency to misapply words when speaking; difficulty in

finding suitable expressions; mistaking weights and measures; frequent confusion when writing,

with omission of syllables, or entire words.—Extravagant and frantic actions, frightful visions,

loss of consciousness and delirium, sometimes with murmuring.

Shooting, shaking pains, or jerking, tearing, and drawing pains, with sensation

of torpor and of paralytic weakness in parts affected Complaints in back small of back;

lumbago, rheumatism, &c., where patient cannot turn over something seeming to be in the back

which prevents turning over; strong aversion to open air, can't turn over if air is let in under

bedclothes, also makes him chilly.—Pains which are felt to be so insupportable that patient would

prefer death to the suffering.—Affections in general of knee-joint.—Pains in limbs and joints as if

they had been bruised, chiefly while in bed in morning, and during or after movement.—Tension

and rigidity, numbness and torpor, heaviness, lassitude, and paralysis of limbs.—Trembling of the

limbs.—Palpitation of muscles, or sensation as if something were moving in them.—Immobility

of joints.—Cramp-like contractions of several parts—Spasms which the patient compares to

electric shocks.—Feeling of electric shocks after each dose.—Affections in general of anus and

rectum.—Attacks of convulsions, cramps, tetanus, and other spasms, sometimes with cries,

throwing back of head, trembling of limbs, involuntary evacuation of feeces and emission of

urine, vomiting, profuse sweat, thirst, and rattling respiration.—A ffections of bladder in

general.—Every distressing emotion brings a recurrence of the epileptic fits —The attacks of

chorea are followed by sensation of torpor and numbness in parts affected.—Attacks of

uneasiness, principally after dinner, in evening, or at night, and sometimes with nausea, which

ascends from pit of stomach, anxiety, weakness, and trembling of limbs, transient heat and

paleness of face, tinkling in ears, pains in pit of stomach, tingling in feet and hands, and

• ▸necessity to lie down.
• ▸—A ffections in general of r.
• ▸hypochondrium; r.
• ▸abdominal ring; r.
• ▸side of

• ▸sexual organs; r.
• ▸side generally, /eft side of chest.
• ▸—R.
• ▸abdominal ring where there is a protruding

hernia.—Fainting fits after least exertion, principally after walking in open air, and sometimes

with vertigo, stunning, sparkling, blackness before eyes and ebullition of blood.—Bleeding in

inner parts, esp. if the blood be dark.—Great lassitude and fatigue, even in morning on waking, or

after getting up, and great exhaustion after shortest walk in open air.—Rapid and general

prostration of strength, and great weakness of muscles, with staggering gait and

prostration.—Excitability of whole nervous system, with too great sensitiveness of all the organs,

principally those of sight and hearing.—A ffections in general of larynx, trachea, gums, inner

mouth, palate, gullet, r. side of face, forehead.—Excessive sensitiveness and repugnance to the

open air, and to a current of air, with great tendency to take cold.—Heaviness of body, indolence

and dread of every movement, with great desire to remain lying down or sitting, positions in

which almost all the pains are >.—The sufferings which have appeared during repose in a room

are > by walking in the open air, and vice versd.—Coffee, wine, tobacco-smoke, meditation and

watching, as well as windy weather, also provoke or < many of the sufferings.—Patient generally

feels < on rising in morning or towards 8 or 9 p.m., as well as after dinner, and many sufferings

recur regularly at one or other of these periods.—Fainting fits; may faint after every labour pain;

or patient may have vomiting spells, and faint away after each attack; in diarrhoea may faint after

• ▸every stool.
• ▸—Emaciation of body.
• ▸—<: Waking at 4 a.
• ▸m.
• ▸; after midnight; from mental affections;

from anger; anger with anxiety; with vehemence; in open air; before breakfast; suppressed

catarrh; in cold air; dry weather; while coughing (sometimes shocks are felt in pit of the stomach

with every cough); from drinking; in drunkards; after eating (too much); from exertion of mind;

from shaking head; also from uncovering it; after intoxication; lying on back; after menstruation;

from narcotic medicine; from noise; brandy; coffee; cold food; cold water; wine; involuntary

pollutions; pressure of clothes, derangement of the stomach, after stool; before urinating; while

walking in open air; in clear, fine weather; in wind; when yawning.—On waking in night.—>:

Head symptoms better from having head wrapped up or covered; lying down; lying on side; from

loosening garments; in room; from warmth in general or hot things; on getting warm, and on

getting warm in bed; in damp and wet weather; after discharging wind; while lying in bed.

• ▸Headache in occiput or over eyes, with vertigo; brain feels turning in a circle.
• ▸Oversensitiveness.
• ▸Vertigo, with momentary loss of consciousness.
• ▸Intoxicated feeling; worse, morning, mental exertion, tobacco, alcohol, coffee, open air.
• ▸Pressing pain on vertex, as if a nail driven in.
• ▸Vertigo in morning and after dinner.
• ▸Scalp sensitive.
• ▸Frontal headache, with desire to press the head against something.
• ▸Congestive headache, associated with haemorrhoids.
• ▸Headache in the sunshine (Glon; Nat carb).
• ▸Feels distended and sore within, after a debauch.

Head bewildered, and confused, with cloudiness, as after a debauch, principally in

open air, and in sun.—Intoxication, stupor, and dizziness.—Intoxication from the drunkenness of

the previous day, with vanishing of sight and hearing; < after dinner and in sun.—Vertigo with

sensation of revolving and of wavering of the brain, principally during or after a meal, as well as

when walking and exercising in open air (> when wrapping head up in warm room and when at

rest), on sneezing, on coughing, on stooping or on rising up again, in morning or in evening in

bed, when lying on back, and often with cloudiness of eyes, danger of falling, staggering,

fainting, buzzing in ears, and loss of consciousness.—Heaviness and pressure in head after

dinner, esp. on moving eyes.—Congestion of blood to head (with burning in it and with heat and

redness of the bloated face; < in morning, on moving head and when walking in open air), with

humming in ears.—Loss of consciousness, with coma somnolentum, and paralysis of lower jaw,

of organs of deglutition, and extremities.—Pressing headache in forehead, with sour vomiting; <

in morning in bed, > when leaning head against something or when lying on back.—Pressing in

head as if something heavy were sinking down in forehead or head.—Tension in forehead as if it

were pressed in at night and in morning, < on exposing head to cold air.—Periodical headache in

forehead, sore as from ulceration, with constipation—Stunning headache in the morning, after

eating, and in sunshine.—Pressing headache as if skull pressed asunder.—Heaviness, pressure,

and sensation of expansion in head, as if forehead were bursting, principally above

eyes.—Burning in forehead in morning on waking and after eating; < from mental exertion and

when exercising in open air; > when at rest and in the warm room.—Bruised sensation of brain;

generally one- (r.) sided, > when lying on painless side.—Sensation as from a bruise in the back

part of the head—Tearing, drawing or jerking pains in head, or shootings, or blows or pulsative

pains, or digging, and sensation as if a nail were driven into brain, or tension and squeezing, or

pain as of ulceration.—Violent jerking or dull stitches in |. side of brain, from orbit to parietal

bone or occiput.—Pain in occiput and cervical spine with pressure as of a stone in stomach, with

vomiting of food and sour mucus, followed by languor and weariness (cured with 30th, R. T.

• ▸C.
• ▸).
• ▸—Pressing in vertex.
• ▸—Shocks and sounds in brain at every step.
• ▸—Semi-lateral headaches from

excessive use of coffee—The headaches are often deeply seated in brain, or in occiput, or on one

side only, or in forehead, as far as eyes, and at root of nose; they appear principally in morning

after waking, or rising, or after a meal, or in open air, or recurring at same hour every day, and

they are <, or renewed, by intellectual labour and meditation, by wine, coffee, rough and hot

weather, by walking, stooping, or moving head.—Rheumatic headache with nausea and acid

vomiting.—Headache with unfitness for meditation, or with loss of consciousness and delirium,

or with nausea, eructations, and vomiting, or with heat and redness of the cheeks, and shiverings

in rest of body, or with fatigue, lassitude, and great need to lie down.—Head is turned backwards,

during convulsions.—Small, painful swelling (nodes) on forehead.—Soreness of scalp, and roots

of hair, with great sensitiveness to touch.—Pain, like excoriation, in scalp, from a rough wind (>

warmly covering head).—Liability to take cold on head mostly from dry wind, draught of

air.—Small painful tumours on forehead.—Clammy sweat on forehead, when walking in open

air.—Semi-lateral, fetid sweat on head during the semi-lateral pains (head cold to touch; the pain

with anxiety and dread < from uncovering).

• ▸Photophobia; much worse in morning.
• ▸Smarting dry sensation in inner canthi.
• ▸Infra-orbital neuralgia, with watering of eyes.
• ▸Optic nerve atrophy, from habitual use of intoxicants.
• ▸Paresis of ocular muscles; worse, tobacco and stimulants.
• ▸Orbital twitching radiating towards the occiput, Optic neuritis.

Eyes surrounded by a livid circle, and full of tears.—Pressive and tensive pains in eyes,

< on opening them, and looking into the air—Tearing pains in eyes by night, or burning pain,

smarting, sensation of dryness, itching and tickling, as from salt, < in canthi (itching > from

rubbing).—Smarting, dry sensation in inner canthi, in morning in bed.—Bruise-like pain in

eye.—Eyes inflamed, with redness and swelling of sclerotica, or of conjunctiva.—Inflammation of

sclerotica, with stitches and aversion to light of sun—Yellow colour of sclerotica, principally in

lower part of eyeballs —Ecchymosis of the sclerotica, and sanguineous discharge from

eyes.—Painless, circumscribed red spots, like extravasation of blood, in white of eye-—Canthi

red, and full of humour, with nocturnal agglutination.—Pupils dilated, or contracted —Burning

itching, or sharp drawing pains, or sensation of excoriation in lids and in margins, < in morning

on being touched.—T witching of lids —Swelling and redness of the lids.—Movement of lids

difficult on account of stiffness of muscles.—Contraction of lids as from heaviness.—Eyes fixed

and brilliant—Anxious staring look.—Excessive sensitiveness of the eyes to light of day, < in

• ▸morning.
• ▸—Sparks, or black and greyish spots before eyes.
• ▸—Presbyopia.
• ▸—Amaurotic cloudiness

of eyes.—Sensation, as if all objects were brighter than they really are.—Sparks (or streaks), like

lightning before eyes.—(Night-blindness.)

• ▸Itching in ear through Eustachian tube.
• ▸Auditory canal dry and sensitive.
• ▸Otalgia; worse in bed.
• ▸Hyperaesthesia of auditory nerves; loud sounds are painful, and anger him.

Otalgia with tearing-stinging pains.—Tension in the ears when he raises his

face.—Squeezing in ear, < when chewing, and clenching teeth.—Tingling and itching in ears, esp.

at night.—Itching in the ear and through the Eustachian tube, which compels frequent

• ▸swallowing.
• ▸—Deafness from blockage of r.
• ▸Eustachian tube with hard mucus.
• ▸—The pains in the

ear are < after entering the room and in bed.—Acute and painful blows (tearing) and shootings in

ears, which extort cries, < in bed, in morning.—Stitches in ear when swallowing.—Pain in ear on

swallowing, as if it were pressed from outside —(Pain shoots from one ear to the other when

• ▸swallowing).
• ▸—Ringing, roaring and hissing in ears.
• ▸—Humming in ears.
• ▸—Sighing, whistling,

buzzing, and tinkling in ears, or cracking when masticating—Words sound loudly in the ears of

the speaker.—Swelling of parotids.

• ▸Stuffed up, at night especially.
• ▸Stuffy colds, snuffles, after exposure to dry, cold atmosphere; worse, in warm room.
• ▸Odors tend to produce fainting.
• ▸Coryza: fluent in daytime; stuffed up at night and outdoors; or alternates between nostrils.
• ▸Bleeding in morning (Bry).
• ▸Acrid discharge, but with stuffed up feeling.

Insupportable itching in nose.—Sensitiveness and inflammatory redness of the internal

nose.—Pain, as of excoriation, or ulceration, in nostrils also margins.—Obstruction of nose,

sometimes on one side only, and often with itching in nostrils, and discharge of

mucus.—Troublesome, dry catarrh of nose, which usually comes on very early in morning.—(Dry

sneezings, chronic coryza; much mucus after getting up as if cold air caught her nose, and which

• ▸lasted an hour, R.
• ▸T.
• ▸C.
• ▸).
• ▸—Obstruction in head, < in morning, or at night, and dry coryza with

heat and heaviness in forehead, and stoppage of nostrils (in infants).—Fluent coryza by day, or in

morning, with dryness and nocturnal stoppage of nose.—Tip of nose cold.—Scraping (crawling)

in nose and throat, heat in nostrils (with headache, heat in face, chilliness) and frequent sneezing

during coryza (which is fluent during day, < in warm room, > in the cold air; dry coryza during

evening and night).—Acrid discharge from the obstructed nose.—Sanguineous mucus in

nose.—Bleeding in nose, and discharge of clots of (dark) blood from nostrils —Fetid exhalation

from nose.—Great acuteness of smell.—Odour before nose, like burning sulphur, decayed cheese,

or snuff of a candle.

Sickly aspect, with livid circles round eyes, and sharpened nose.—Face pale, yellowish

(esp. round nose and mouth) and earthy.—Yellowness around mouth and nose, or around

eyes.—Reddish-yellow face.—Heat (swelling) and redness of face or (of one) of the cheeks,

sometimes alternating with paleness.—Patient feels as though sitting before a hot fire—Cold

sweat on face.—Muscular palpitations in bed, in evening, or tingling itching in face.-—Drawing in

masseter muscles, with stiffness.—Tearing and drawing pains in face, sometimes only on one

side, extending into ear, with swelling of cheek (and pain in cheek-bone).—Tension round mouth,

nose, and eyes, with swelling of the parts.—Swelling of face, sometimes only on one side,

swelling of a pale colour.—Pimples in face from the excessive use of spirituous

liquors.—Intermittent neuralgia; < in infra-orbital branch of trifacial; always < in morning; >

sometimes when lying in bed, esp. after abuse of coffee or liquors.—Small, purulent pimples on

cheeks and head.—Painful dryness, fissure and desquamation of lips——Scabs and (corroding)

ulceration on the red part of lips, and corners of the mouth.—Small, purulent pimples round lips

and chin.—Sensation of excoriation, and small ulcers, on internal surface of lips (painful to

• ▸touch).
• ▸—Tettery eruption on chin.
• ▸—Distortion of mouth.
• ▸—Side-to-side movement of

jaws.—Spasmodic clenching of jaws.—Periodical prosopalgia nervosa, < at night—Shooting

(swelling) in sub-maxillary glands, when swallowing.

• ▸Jaws, contracted.
• ▸Small aphthous ulcers, with bloody saliva.
• ▸First half of tongue clean; posterior covered with deep fur; white, yellow, cracked edges.
• ▸Teeth ache; worse, cold things.
• ▸Gums swollen, white, and bleeding.

Aphthe (of children).—Small aphthous ulcers in mouth and throat, with putrid smell;

bloody saliva runs out at night; gums scorbutic; spits coagulated blood.—Fetid, putrid, and

cadaverous smell from mouth: principally after a meal, and when fasting in morning.—Great

dryness, principally of fore part of mouth and tongue, esp. after midnight.—Pain in mouth,

tongue, and palate as if the whole were raw and excoriated.—Accumulation of yellowish white

mucus in mouth.—Ulecers of a fetid smell, pimples and painful blisters in mouth, tongue, palate,

and throat.—Inflammatory swelling of palate, throat, and gums, with difficult

deglutition.—Inflammatory swelling and stitches in palate——Accumulation of water in mouth;

nocturnal salivation; bloody saliva; hemoptysis.—Tongue covered with a (heavy) white, thick, or

yellowish coating; or tongue dry, cracked (on edges), brownish or blackish, with bright red

margins.—Great heaviness of tongue, with difficulty of speech, and sensation when speaking, as

• ▸if tongue had become thicker.
• ▸—Stuttering.
• ▸—Lisping.
• ▸—Sour taste in mouth, sour odour of breath.

Pains, as of excoriation, or ulceration, or drawing, jerking pains, with shootings, or

searching and boring in teeth, and jaws, or only in carious teeth, < at night, or in morning on

Waking, or after dinner, or when walking in open air, or when breathing fresh air, or in evening,

or from meditation and any intellectual effort; often extending into head, ears, and zygomatic

process, or with painful engorgement of sub-maxillary glands, swelling and soreness of gums,

red and hot spots on cheek and neck, plaintive disposition, and dejection.—Tearing in the teeth

extending to head through bones of face, renewed from cold drink, > by warmth.—Stinging in

decayed teeth; burning-stinging in one whole row of teeth.—Toothache often semilateral;

sometimes < by heat of room, and > in open air.—Toothache from taking cold; caused or < by

mental exertion; > heat.—Drinks and hot soups, as well as cold water, wine, and coffee, equally

• ▸renew or < the toothache.
• ▸—Loosening and loss of teeth.
• ▸—Grinding teeth—Stomacace.
• ▸—Putrid

and painful (white) swelling of gums, sometimes with pulsation, as in an abscess, burning,

pulling, and ready bleeding.—Ulcer in gums.

Scraping (as after heartburn) and pain as from excoriation, in throat, < when

swallowing, and when breathing fresh (cold) air—Sensation of swelling in palate, and pain

during empty deglutition, as if there were a tumour, or a plug in throat, or as if pharynx were

contracted.—Lancinations in throat, < when swallowing, and sometimes extending as far as

ears.—Swelling of uvula, and tonsils, with pressive and shooting pains.—Relaxed uvula with its

• ▸attendant cough (many cases cured, R.
• ▸T.
• ▸C.
• ▸).
• ▸—Choking, or spasmodic contraction in

throat —Pain from pharynx to pit of stomach in morning.—Tickling sensation in throat, with a

desire to scratch—Burning in throat, < at night, and sometimes extending to mouth and

cesophagus.

• ▸Rough, scraped feeling. Tickling after waking in morning.
• ▸Sensation of roughness, tightness, and tension.
• ▸Pharynx constricted.
• ▸Uvula swollen.
• ▸Stitches into ear.

• ▸Sour taste, and nausea in the morning, after eating. Weight and pain in stomach; worse, eating, some time after.
• ▸Flatulence and pyrosis.
• ▸Sour, bitter eructations.
• ▸Nausea and vomiting, with much retching.
• ▸Ravenous hunger, especially about a day before an attack of dyspepsia.
• ▸Region of stomach very sensitive to pressure (Bry; Ars).
• ▸Epigastrium bloated, with pressure s of a stone, several hours after eating.
• ▸Desire for stimulants.
• ▸Loves fats and tolerates them well (Puls opposite).
• ▸Dyspepsia from drinking strong coffee.
• ▸Difficult belching of gas.
• ▸Wants to vomit, but cannot.

Salt, sulphurous, sweetish, metallic, herbaceous, or mucous taste in mouth.—Acid

taste in mouth, < in morning, or after eating (and drinking).—Acid taste of food, esp. of bread (of

rye or of wheat) and of milk.—Putrid taste, < in the morning.—Bitter taste in mouth, of sputa, of

• ▸food, and esp.
• ▸of bread.
• ▸—Insipidity of food (hunger with aversion to food), esp.
• ▸of milk, bread,

meat, coffee, and tobacco.—Want of appetite, and dislike to food, esp. rye-bread, tobacco, and

coffee, and sometimes with constant thirst—No hunger.—Thirst, sometimes with dislike to all

drinks, principally water, milk, and beer, or with desire for beer or milk.—Ravenous hunger after

drinking beer.—Craving for brandy or for chalk.—Hunger, sometimes with dislike to food, or

• ▸prompt satiety.
• ▸—Tastelessness for all food.
• ▸—Periodical bulimy in afternoon.
• ▸—During a meal, heat

in head, sweat on forehead, nausea, and fainting —After a meal, risings and regurgitations,

nausea, inclination to vomit, and vomiting of food, pressure and cramp-like pains in stomach,

pressive inflation in epigastrium, colic, pyrosis, head bewildered and painful, uneasiness and

hypochondriacal humour, anxiety, vertigo, and syncope, coldness and shivering, with heat in

head and face, redness of cheeks, fatigue, and drowsiness.—Drinks oppress the stomach, and

often cause nausea, with inclination to vomit.—Rye-bread and acids equally occasion sufferings,

but fattest food is sometimes taken with impunity.—Animal food <.

Abortive risings, with painful feeling of spasmodic contraction in

cesophagus.—Frequent, and often bitter and acid risings and regurgitations.—Frequent and violent

hiccough.—They want to belch, but a kind of cesophageal constriction seems to prevent

• ▸it.
• ▸—Belching of wind, which is difficult.
• ▸—Pyrosis, < after taking acids, or fat food.
• ▸—Continual

nausea, and inclination to vomit, < in morning, or during a meal, or after eating or

• ▸drinking.
• ▸—Constant sick feelings affecting body here and there.
• ▸—Heartburn.
• ▸—Scraped sensation

in pit of stomach.—Nausea, particularly where patient feels very sick at the stomach, feels "If I

only could vomit, I would be so much better."—Waterbrash—Empty vomiturition; straining to

vomit (in drunkards).—Periodical attacks of vomiting; of food, of sour-smelling mucus, of dark,

clotted blood; and during pregnancy.—Retching, and violent vomiting of mucus and sour matter,

or of food, or insipid matter, or bile, < after having drunk or eaten, or in morning, or else at

night, and often with headache, cramps in legs and feet, anxiety, and trembling of

limbs.—Regurgitation and vomiting of blood, mixed with clots and black substances, with

cuttings, ebullition in the chest, and flow of black blood, with hard feeces.—After dinner (some

hours after), pressure in stomach, dulness of head and hypochondriacal mood.—Colic and

pressure in stomach extending to shoulders in morning, fasting, and after eating.—Pressure and

tension in pit of stomach, with tension opposite, between shoulder-blades.—Constrictive colic

generally, with waterbrash.—Colic of coffee and brandy drinkers.—Pressure on stomach and

epigastrium, as by a stone, or cramp-like, contractive, and gnawing pains; < after drinking or

eating, or in morning, or when walking in open air, or after partaking of coffee, or at night, and

often with tension and inflation of the epigastrium, oppression and constriction of chest,

eructations, retching, and vomiting.—Sinking in pit of chest with craving appetite follows an

overdose.—Disordered stomach from over-eating; from debauchery; from high living; from

drugs; from sedentary habits.—Pain, as from a bruise, pulsation, burning pain, sensation of

excoriation and distressing pains in stomach.—Painful sensitiveness in pit of stomach to least

pressure; tight clothes are insupportable.—Great uneasiness in precordial region, as if heart

would burst.—Sensation in cardia as if the food were stopped there and returned into cesophagus.

• ▸Bruised soreness of abdominal walls (Apis; Sulph).
• ▸Flatulent distension, with spasmodic colic.
• ▸Colic from uncovering.
• ▸Liver engorged, with stitches and soreness.
• ▸Colic, with upward pressure, causing short breath, and desire for stool.
• ▸Weakness of abdominal ring region.
• ▸Strangulated hernia (Op).
• ▸Forcing in lower abdomen towards genitals.
• ▸Umbilical hernia of infants.

Sensation as if everything in abdomen would fall down, obliging him to walk

carefully —A ffections in the inner belly generally; also upper belly, inner part; sense of stricture

or tightness around hypochondriac region.—Contractive pain in the hypochondria—Cannot bear

his clothes tight around hypochondria.—Stitches in region of liver; < from contact or

• ▸motion.
• ▸—Throbbing pain as from hepatic abscesses.
• ▸—Jaundice; gall-stones.
• ▸—Painful

sensitiveness of hepatic region to the slightest touch, and to every movement, with pulsative,

shooting, pressive, and tensive pains.—Pressure and stinging in region of liver.—Swelling

(inflammation) and induration of the hepatic region.—Aching, tension, fulness, and distension of

• ▸abdomen, and esp.
• ▸of epigastrium, < after a meal.
• ▸—Periodical (colic) pains in abdomen, esp.
• ▸after

eating and drinking.—Colic, with cramp-like, contractive, and compressive pains, or cuttings and

shootings, or sharp and drawing pains in the umbilical region, in sides, and in hypogastrium, <

after a meal, or after having partaken of coffee, in morning, and often with inclination to vomit,

eructations, heat of face, lassitude, and drowsiness.—Pain in abdomen in open air, as from a chill,

with sensation as of an approaching attack of diarrhoea—Sensation of heaviness, and swelling in

abdomen.—Heat and burning, or sensation of excoriation, as if parts were raw, or pain, as from a

bruise in abdomen.—Congestion of blood and ebullition in abdomen.—Movements in abdomen as

from something alive, and commotion of intestines when walking.—Labour-like spasms in

abdomen and uterus, extending into legs.—Flatulent colic, sometimes in morning, but principally

after eating or drinking, and often with pressive pains, as if caused by stones: great flatulency,

which is incarcerated in hypochondria, or mounts towards chest, frequent borborygmi, and

grumbling in abdomen, pressure on anus, perinzeum, and urinary organs (towards the genitals),

sacral pains, distension of abdomen, anxiety, fatigue, and necessity to lie down.—Pain, as from a

bruise in integuments of abdomen, < when moving, pressing on them, coughing, laughing, &c.,

with painful sensitiveness to touch.—Jerking and twitching in abdominal muscles.—Palpitation of

abdominal muscles, with sensation as if something were running about in them.—Sensation of

weakness in inguinal ring, as if a hernia were about to protrude.—Hernia; incarcerated

hernia.—Swelling of inguinal glands.—Excoriation in angle of groin.

• ▸Constipation, with frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part remained unexpelled.
• ▸Constriction of rectum.
• ▸Irregular, peristaltic action; hence frequent ineffectual desire, or passing but small quantities at each attempt. Absence of all desire for defecation is a contra-indication.
• ▸Alternate constipation and diarrhoea-after abuse of purgatives.
• ▸Urging to stool felt throughout abdomen.
• ▸Itching, blind haemorrhoids, with ineffectual urging to stool; very painful; after drastic drugs.
• ▸Diarrhoea after a debauch; worse, morning.
• ▸Frequent small evacuations.
• ▸Scanty stool, with much urging.
• ▸Dysentery; stools relieve pains for a time. Constant uneasiness in rectum.
• ▸Diarrhoea, with jaundice (Dig).

Frequent but ineffectual and anxious effort to evacuate (in infants) or

sensation as if anus were contracted or closed.—A constipated feeling, whatever the state of the

bowels.—Constant urging sensation in rectum for a stool which never comes, or a small portion

of feecal matter may be passed with this urging, leaving the sensation as though a little lump were

left behind the rectum which was yet to come away.—Obstinate constipation, often as from

inactivity or obstruction of intestines, with hard and difficult feeces (often streaked with blood) of

too large a size.—Stools like pitch, with blood.—Incomplete evacuations, with colic, and

sensation of constriction in rectum.—Constipation and loose evacuations, alternately.—Feces,

partly soft or liquid, partly hard, with much flatus.—Small, loose, aqueous evacuations, or

mucous and sanguineous, with colic and cuttings, pains in loins and tenesmus, pain as from

excoriation in rectum, and burning pain in anus.—Whitish or greenish, deep-coloured mucous

evacuations.—Dysenteric stools, with cutting at navel, pressing and straining on rectum, and

discharge of bloody mucus with feeces.—Discharge of slimy matter and of bloody mucus, or of

pure blood, also with loose evacuations.—Contractive pain in rectum during evacuations, and at

other times.—Discharge of bright-red blood with feeces with constriction and spasmodic

contraction of rectum.—Painful, spasmodically closed anus.—Swelling and closing of

anus.—Painful blind hemorrhoidal tumours.—Blind hemorrhoids; with sticking beating or

pressive pain in rectum and anus; after a stool and after a meal——Hzemorrhoids, with pain as from

excoriation, shooting, burning pain, and pressure in anus and rectum, < during meditation and

• ▸intellectual labour.
• ▸—Bloodless piles in hysterical women (R.
• ▸T.
• ▸C.
• ▸).
• ▸—Discharge of blood from

anus.—Jerking in anus when not at stool.—Itching, tickling, and tingling in anus and rectum, as

from ascarides.—Discharge of ascarides.—Aching and itching in perinzeum.

Strangury; complaints before making water.—Abortive inclination to

urinate, with pressure on urinary organs, troublesome pains in neck of bladder, and painful

emission of urine, drop by drop.—Spasmodic contraction of urethra.—Painful emission of thick

urine.—Frequent emission of watery and pate urine, sometimes with discharge of thick mucus or

purulent matter from urethra (during and after micturition).—Tenacious mucus passes with urine,

without pain.—Urine: reddish with sediment of the colour of brick-dust; turbid, with dirty yellow

sediment in morning and when thinking.—Urine sometimes scanty, sometimes copious, flatus

• ▸passes with urination (cured, R.
• ▸T.
• ▸C.
• ▸).
• ▸—Pressure to urinate at night, with discharge of a few

drops of red, bloody, burning urine—Hzematuria.—Pains in renal region, as if a foreign body

were there, with inability to lie on side affected, scanty emission of some drops of a saturated

urine, and discharge of blood from urethra——Burning pain in neck of bladder and in anterior part

of urethra when making water.—Constriction in fore part of urethra extending

backward.—Itching, and pains as of excoriation, in urethra, before, during, and after emission of

urine.

• ▸Irritable bladder; from spasmodic sphincter.
• ▸Frequent calls; little and often.
• ▸Haematuria (Ipec; Tereb).
• ▸Ineffectual urging, spasmodic and strangury.
• ▸Renal colic extending to genitals, with dribbling urine.
• ▸While urinating, itching in urethra and pain in neck of bladder.

• ▸Menses too early, lasts too long; always irregular, blood black (Cycl; Lach; Puls) with faint spells.
• ▸Prolapsus uteri. Dysmenorrhoea, with pain in sacrum, and constant urging to stool.
• ▸Inefficient labor-pains; extend to rectum, with desire for stool and frequent urination (Lil).
• ▸Desire too strong.
• ▸Metrorrhagia, with sensation as if bowels wanted to move.

Swelling of uterus, with great sensitiveness to touch.—Prolapsus

vaginee, or prolapsus uteri—Cramp-like and contractive pains in uterus and hypogastrium,

extending to thighs, with painful pressure towards the parts (and discharge of

mucus).—Congestion to and bearing down of uterus.—Bearing-down with dysuria, cannot sit

down without pain.—Inflammation of the uterus and external parts.—Burning in

pudenda.—Burning heat in the parts, with sexual desire.—Extasis erotica on slightest excitation, <

in bed in morning.—Catamenia: premature and too scanty; too early and too profuse, with dark,

• ▸black blood.
• ▸—Metrorrhagia.
• ▸—Return of catamenia at the period of full moon.
• ▸—Menses excessive,

• ▸with much vaginal irritation (agg.
• ▸, R.
• ▸T.
• ▸C.
• ▸).
• ▸—During the catamenia, spasmodic colic, nausea and

vomiting in morning, great fatigue (attacks of faintness), cephalalgia, with shiverings and

rheumatic pains in limbs.—During and after menstruation, appearance of new and < of old

ailments.—False and inefficient labour pains, with frequent pressure to urinate and to pass

stool.—After-pains too violent and of too long duration.—Fainting away after every labour pain;

in labour where, with every pain there is a sensation as though the bowels ought to be moved; in

threatened abortion, or retained placenta, after abortion or parturition, with a constant feeling of

uneasiness in rectum, as though bowels ought to be moved; haemorrhage from uterus with the

same symptom.—Discharge of a yellowish and fetid mucus from vagina.—Internal swelling of the

vagina, with burning pain, < on touch.—Pains as from excoriation in mamme.

• ▸Easily excited desire.
• ▸Emissions from high living.
• ▸Bad effects of sexual excesses.
• ▸Constrictive pain in testicles.
• ▸Orchitis (Hama; Puls).
• ▸Spermatorrhoea, with dreams, backache, burning in spine, weakness and irritability.

Tickling and itching in glans, and biting itching in inner surface of

• ▸prepuce.
• ▸—Excoriation and retraction of prepuce.
• ▸—Prepuce sore on margin.
• ▸—Copious (increased)

secretion of smegma behind glans.—Itching, shootings, and constrictive pain in testes—Easily

excited, strong sexual desire, with painful erections (esp. in the morning; after mid-day

nap).—Increased sexual desire, with frequent erections and pollutions, < in

• ▸morning.
• ▸—Hydrocele.
• ▸—Itching of scrotum.
• ▸—Pollutions, with flaccidity of penis, sometimes

followed by coldness and weakness in lower extremities—Complaints from involuntary seminal

• ▸emissions.
• ▸—Masturbation and its consequences.
• ▸—Sexual perversion.
• ▸—Nightly emissions, with

lascivious dreams; from high living, &c.; bad effects of sexual excesses.—Dry heat of body and

dryness of mouth after coition—Inflammatory swelling of testes, with painful sensitiveness to

touch, hardness and retraction of testes (with stinging and spasmodic contraction extending to

spermatic cords).—Cramp-like pain and sensation of contraction in spermatic cord.—Flaccidity of

penis during coition.

• ▸Catarrhal hoarseness, with scraping in throat.
• ▸Spasmodic constriction.
• ▸Asthma, with fullness in stomach, morning or after eating.
• ▸Cough, with sensation as if something were torn loose in chest.
• ▸Shallow respiration. Oppressed breathing.
• ▸Tight, dry hacking cough; at times with bloody expectoration.
• ▸Cough brings on bursting headache and bruised pain in epigastric region.

Catarrhal hoarseness and painful roughness of larynx and chest, < in

morning or in bed, in evening, with scraping in throat, accumulation of tenacious mucus, which

it is impossible to detach, headache, heat and redness of face, shiverings and

constipation.—Sensation of contraction in gullet, with danger of suffocation —Inability to speak

in a loud voice.—Dry, and sometimes continued, fatiguing, and also spasmodic cough, excited

most frequently by a sensation of tickling and itching, or of roughness and scraping, in throat,

appearing principally in morning or in bed in evening or at night, esp. after midnight or after

dinner, or periodically every second day, < from exertion, from cold air, from eating and

drinking, from smoking tobacco, from becoming cold, from acids.—Dry cough, with pain, in the

head, as if it would burst, or with great soreness in the upper part of the abdomen.—The cough is

dry in the evening and at night; expectoration during the day.—Whooping-cough caused by a

tickling in the throat and larynx, with expectoration during the day of yellow, grey, cold mucus,

mostly tasting sour or sweet, and last of bright red blood.—Renewal or provocation of the cough

by movement, meditation, or reading, and lying on back.—Suffocative attacks after midnight

from spasmodic contraction of the larynx.—When coughing, shooting and pains as of excoriation

in larynx; headache, as if the cranium were about to burst, and pain as from a bruise in

epigastrium, and sometimes also vomiting, danger of suffocation, and bleeding from nose and

• ▸mouth.
• ▸—Itching in larynx.
• ▸—Acute bronchitis.
• ▸—The dry cough becomes moist, and expectoration

is established, when walking in open air.—Expectoration of coagulated blood with cough.—Tight,

dry, hacking cough; with bloody expectoration; blood dark; sour taste of expectoration.

Difficult respiration, shortness of breath, asthmatic constriction and oppression of

chest, < at night or in morning, or in bed in evening, when lying down as well as when going up

an ascent, or when walking or after dinner, and often with choking, anxiety, pressure in

epigastrium, humming in ears, quick pulse and sweat.—(The wind catches her on going out into

• ▸open air and takes away her breath.
• ▸—Hay asthma.
• ▸R.
• ▸T.
• ▸C.
• ▸).
• ▸—During the attacks of asthma all

tight clothing round the hypochondria is insupportable——Slow and wheezing respiration,

sometimes alternately with quick breathing.—Breath fetid or of an acid smell—Want to take a

full inspiration.—Pain as from constriction, and cramp-like contraction in chest—Heavy, pressing

pain in chest, as from a heavy load.—Tensive pressure in chest, as from a weight, < at night and

in open, air, and often with difficult respiration.—Dyspncea; asthma from spasmodic constriction

of lower thorax.—Shootings in chest and in sides, < by breathing and by movement in

thorax.—Sensation as if something were torn loose in chest Heat and burning in chest (with

congestion to it), sometimes, at night, with agitation, anxiety, and sleeplessness.—Pain, as of a

bruise, in chest, often with shortness of breath, and principally in the sternum and

sides.—Intercostal neuralgia, > when lying on well side.—Pulsation in chest and sides.

Shootings, blows in region of heart.—Anxious palpitation of the heart.—Palpitation <

eating; from coffee; from protracted study; when lying down or in morning, sometimes with

nausea, inclination to vomit, and sensation of heaviness in chest.

• ▸Backache in lumbar region.
• ▸Burning in spine; worse, 3 to 4 am.
• ▸Cervico-brachial neuralgia; worse, touch.
• ▸Must situp in order to turn in bed.
• ▸Bruised pain below scapulae.
• ▸Sitting is painful.

Pulling pain as from a bruise, rigidity, and sensation of heaviness in nape

of neck.—Swelling of muscles of neck, with pain as if they were too short.—Cervico-brachial

neuralgia, neck stiff, < in the morning or after eating, and from touch.—Pains, like those of a

bruise, in back and loins, with sensation of weakness in those parts, as after childbirth (also after

difficult parturition). —Pain as if bruised in the small of the back and back so violent that he

cannot move.—(Lumbago, esp. with constipation and vesical weakness, stiffness across

• ▸loins.
• ▸—Cannot turn in bed, R.
• ▸T.
• ▸C.
• ▸).
• ▸—Dreads to stoop for fear of back catching her.
• ▸—Sacral

pains at night, which do not permit turning in bed.—Wrenching pain (or tension between the

shoulder-blades), or pain like that caused by a strain, in back and shoulder-blades.—Back

spasmodically curved like an arch.—Jerks like electric shocks up spinal column, which raised up

body; respiration checked.—Rheumatic, drawing, and burning pains in back, sometimes in

evening.—Convulsions in back, with throwing back of head.—Burning, pressing, and stitches

between the shoulder-blades.—Shootings and constrictive, pains between shoulder-blades.

Rheumatic pains, with sensation of weakness in shoulders and

arms.—Soreness in shoulder-joint.—Drawing in the arms, extending from the shoulder to the

fingers, with sensation as if the arm were asleep; loss of motion of the arm, esp. at

night.—Sluggishness, heaviness, weariness, and feebleness of arms.—Paralysis of arm, with

insensibility, and sensation as of ebullition of blood (as if the blood would start out of the

veins).—Pulling in arms, with sensation of torpor and immobility, < at night.—Itching miliary

eruption on arms.—Swelling of muscles of forearms, with pain as if they had been

• ▸burned.
• ▸—Numbness and torpor of forearms in morning.
• ▸—Wrenching pain in wrists.
• ▸—Paralytic

weakness of hand.—Tendency of hands and fingers to be benumbed.—Cold, sweaty hands, with

• ▸cold nose.
• ▸—Hands cold and chilly.
• ▸—Profuse, and sometimes cold, sweat on palms.
• ▸—Heat in

palms.—Swelling of veins in arms and hands.—Pale swelling of hands and fingers —Cramp-like

contraction of hands and fingers, with pain, as if tendons were too short, principally during the

shiverings, or after midnight.—Hot and painful swelling of thumb, which becomes an abscess at

the joint.—Redness and burning itching in fingers, as with chilblains.

Pimples, with gnawing itching on buttocks.—Shootings, wrenching pain, and

jerking in coxo-femoral joint—Sharp and shooting pains in thighs, with torpor and paralytic

weakness, < by movement and touch.—Pain in thighs as if broken.—Miliaria, with burning

itching, and furunculi on thighs and knees.—Coldness or sweating of thighs at night.—Great

heaviness, tottering, weakness, and tottering of legs, with yielding of knees, and inability to walk

or stand alone.—A child falls easily when walking.—Rigidity and tension in hams, as if tendons

too short, principally on rising from a seat.—Sensation of dryness in knee-joint, with cracking on

moving it.—Painful swelling of knee, with gouty nodosities——Tendency of (lower) legs to

become numb and dead.—Paralysis, coldness, and insensibility of legs —Tensive pain and cramps

in calves, < at night, or in evening, or after midnight, or in morning in bed.—Sensation of

paralysis of legs, with sensation of a painful stripe down on inside of thigh—Cramps in feet and

• ▸toes.
• ▸—Red swelling of leg, with black, painful spots.
• ▸—Facility of dislocation of instep.
• ▸—Swelling

in back of feet—Feet readily become numb (dead).—When he walks he drags the feet; he cannot

lift them up.—Contraction of toes.—Burning itching in toes, as from chilblains.

• ▸Arms and hands go to sleep.
• ▸Paresis of arms, with shocks.
• ▸Legs numb; feel paralyzed; cramps in calves and soles.
• ▸Partial paralysis, from overexertion or getting soaked (Rhus).
• ▸Cracking in knee-joints during motion.
• ▸Drags his feet when walking.
• ▸Sensation of sudden loss of power of arms and legs in the morning.

Body burning hot, especially face; yet cannot move or uncover without feeling chilly. Urticaria, with gastric derangement. Acne; skin red and blotchy.

Pale or yellowish colour of skin.—Yellowness, with dislike to food, and

syncope.—Jaundice; inflammation of mucous membranes; increased secretions of mucus;

scurvy.—Cold and bluish skin during shiverings.—Pricking and burning itching, in morning or

evening, when undressing, and also at night.—Sensitiveness and pain as of excoriation over the

whole skin, with sensation of numbness in any place that is touched.—Eruptions with burning

itching.—Chilblains, with burning itching, bleeding fissures, and swelling of a pale

• ▸redness.
• ▸—Furunculi.
• ▸—Bluish spots, like bruises.
• ▸—Ulcers with elevated margins of a pale red

colour.—Miliary and pimpled eruptions, with burning itching.

• ▸Cannot sleep after 3 am until towards morning; awakes feeling wretchedly.
• ▸Drowsy after meals, and in early evening.
• ▸Dreams full of bustle and hurry.
• ▸Better after a short sleep, unless aroused.

Goes to sleep late from crowding of thoughts on him.—Goes to sleep late; wakens at

3 a.m. and lies awake till break of day, when he falls into a dull sleep full of dreams, from which

it is hard to rouse, and wakens late, feeling tired —Great disposition to sleep, principally when

rising in morning, or after dinner, or early in evening, and often with sleeplessness at

night—Gentle and prolonged sleep in morning, with difficult waking.—Sleep too short, with

difficulty in going to sleep again before midnight, and inability to remain in bed after three

o'clock in morning (feels pretty well at that time, lies awake two or three hours, feels miserably,

bad taste in the mouth, &c.—Great flow of ideas in bed in evening, which often drive away sleep

till morning.—The morning sleep < all complaints —Much yawning and sleepiness during

day.—Y awning in general; yawning with stretching of limbs.—Sleeps mostly lying on the

back.—Loud snoring respiration during sleep.—Comatose state, with heavy and profound sleep

during day.—Light nocturnal sleep, with frequent waking, or like a kind of coma vigil, with

reveries full of troubles and agitation, and a sort of weariness as if the night were too

long.—Sleeplessness from flatus.—During sleep: frequent starts with fright, groans, lamentations,

much talking, weeping; delirium, with an impulsive desire to run away from the bed, stertorous

or whistling respiration, the patient lying on his back, with the arms raised over the

head.—Continual, fantastic, terrible, and anxious or voluptuous dreams, full of cruelties and

horror, or of meditation and cares; dreams of vermin, mutilated bodies, teeth falling out, of the

occupations of the day, and of urgent business.—Uneasiness in thighs, anxiety and restlessness,

heat and ebullition of blood at night.—On waking in morning pain in limbs, as if they were

bruised, great lassitude, with necessity to remain lying down, fits of stretching and of convulsive

yawning.—Nightmare.

• ▸Cold stage predominates.
• ▸Paroxysms anticipate in morning.
• ▸Excessive rigor, with blueness of finger-nails.
• ▸Aching in limbs and back, and gastric symptoms.
• ▸Chilly; must be covered in every stage of fever.
• ▸Perspiration sour; only one side of body.
• ▸Chilliness on being uncovered, yet he does not allow being covered.
• ▸Dry heat of the body.

Shivering, shuddering, and coldness, principally at night, or in evening after lying

down, or in morning, or in open air, or on least movement, even during hot weather, also after

drinking, after being angry, and on throwing off bedclothes—Chilliness and coldness, which

cannot be relieved by external heat.—After chill sleeps till hot stage sets in.—General internal

heat.—Heat precedes chill —Heat of single parts while others are chilly.—Heat ascending from

throat —Intermittent fever.—Chill in evening; then one hour's sleep, which is followed by heat,

with headache, tingling in ears and nausea.—Coldness, shiverings, and partial shudderings,

principally in the back and extremities.—Congestive intermittent fevers, with vertigo, anguish,

chills, delirtum, accompanied by vivid visions and distension of stomach; with stitches in sides

and abdomen.—Intermittent fever characterised by a sense of paralysis at beginning of

fever.—During shiverings, skin, hands and feet, face and nails, are cold and bluish; or pain,

congestion of blood, and heat in head, with redness and heat of face, or (of one) of the cheeks;

thirst for beer; cramp-like contraction of feet and toes; or shootings in side and abdomen, pains

in back and loins, pulling in limbs, stretchings, spasmodic yawning, and want to lie

down.—Anticipating morning fever; first moderate chilliness, with blue nails without thirst, then

thirst and long-lasting violent fever and heat, with stitches in temples followed by light

perspiration.—Heat, principally at night or towards morning, or when walking in open air, and

sometimes only in head or face, with redness of cheeks, or in feet and hands, with partial

coldness or shudderings and shiverings in rest of body.—Heat with aversion to be uncovered, and

from it at owe chilliness.—Heat which is < from the least exertion or motion, even in open",

air.—During heat, vertigo, headache, shivering on making least movement or becoming in

slightest degree uncovered, thirst or repugnance to drink, with dryness of mouth, nausea,

vomiting, buzzing in ears, redness of urine, and pains in chest—Heat during night, without

thirst—Febrile attacks, esp. morning or evening, or at night, and composed for the most part of

shivering, with partial heat (followed by sweat), or of heat, preceded or followed by or mixed

with shivering, or heat alternately with shivering, with continued thirst for beer sometimes,

however, before the shivering, and after the heat; type, quotidian or tertian.—Compound fevers in

general.—Febrile attacks, with congestion and pains in head and gastrico-mucous or bilious

sufferings (or with constipation), or with loss of consciousness, great weakness and prostration,

even at very commencement of attack.—Pulse full, hard, and frequent, or small, quick, feeble, or

intermittent (every fourth or fifth beat intermits).—Profuse sweat, sometimes fetid or acid, or of a

mouldy smell; cold and clammy sweat; partial or semi-lateral sweat, principally in head and

upper parts of body; nocturnal sweat, principally after midnight or towards the morning; sweat

during movement in open air; sweat alternately with shivering or followed by heat and thirst for

• ▸beer.
• ▸—Perspiration only on one (r.
• ▸) side of body, or only on upper part of body.
• ▸—Cold, clammy

perspiration in face.—During the sweats there is sometimes a remission of the pains or soreness

of the parts which press the bed in lying down, shuddering or colic when in the least uncovered,

inclination to vomit, heat in face and hands, dryness of lips and anterior portion of mouth.

• ▸Acne rosacea.
• ▸Alcoholism.
• ▸Amaurosis.
• ▸Amblyopia.
• ▸Anger, effects of.
• ▸Apoplexy.

• ▸Asthma.
• ▸Bilious attack.
• ▸Biliousness.
• ▸Bladder, affections of.
• ▸Bone, nodes on.
• ▸Bra in, affections of.

• ▸Breath, sour.
• ▸Carriage-sickness.
• ▸Catarrh.
• ▸Clavus.
• ▸Cold.
• ▸Colic.
• ▸Constipation.
• ▸Convulsions.

• ▸Cough.
• ▸Cramp.
• ▸Delirium.
• ▸Diarrhea.
• ▸Dysentery.
• ▸Dyspepsia.
• ▸Emissions.
• ▸Epilepsy.
• ▸Erotomania.

• ▸Eyes, affections of; gouty inflammation of.
• ▸Gall-stones.
• ▸Gastrodynia.
• ▸Gout.
• ▸Hemorrhoids.

• ▸Headache.
• ▸Heart, affections of.
• ▸Hernia.
• ▸Hydrocele.
• ▸Hypochondriasis.
• ▸Impotence.
• ▸Intermittent

• ▸fever.
• ▸Lisping.
• ▸Liver disorders.
• ▸Locomotor ataxy.
• ▸Lumbago.
• ▸Masturbation.
• ▸Musce volitantes.

• ▸Myelitis.
• ▸Night-blindness.
• ▸Nightmare.
• ▸Nose, affections of.
• ▸Nymphomania.
• ▸Paralysis; spastic.

• ▸Paraphimosis.
• ▸Pregnancy, affections of; spurious.
• ▸Pylorus, disease of.
• ▸Renal calculi.
• ▸Sea-

• ▸sickness.
• ▸Sexual perversion.
• ▸Sleep, abnormal.
• ▸Speech, disordered.
• ▸Spermatorrhea.
• ▸Strabismus.

• ▸Taste, disordered.
• ▸Tea, effects of.
• ▸Tenesmus.
• ▸Tobacco habit.
• ▸Tongue, affections of.
• ▸Trachea,

• ▸affections of.
• ▸Urethra, spasm of.
• ▸Urine, frequent passing of.
• ▸Uterus, prolapse of.
• ▸Vagina,

• ▸prolapse of.
• ▸Vertigo.
• ▸Waterbrash.
• ▸Worms.
• ▸Yawning.

• ▸Antidoted by: Wine, Coffee, Aco.
• ▸, Bell.
• ▸, Camph.
• ▸, Cham.
• ▸, Coccul.
• ▸, Op.
• ▸, Pal.
• ▸, Plat.
• ▸,

• ▸Stram.
• ▸, Thuj.
• ▸(ineffectual desire to pass water).
• ▸—/t antidotes: Narcotic, drastic, and vegetable

• ▸remedies.
• ▸Bad effects of anomalies in foods, e.
• ▸g.
• ▸, Ginger, Nutmeg, Pepper, and so-called "hot"

• ▸medicines; Mag.
• ▸cit.
• ▸, Alcohol, Merc.
• ▸(tremors), Mez.
• ▸(neuralgia), Ether, Thuj.
• ▸(urination).

• ▸Compatible after: Ars.
• ▸, Ipec.
• ▸, Mg.
• ▸mur.
• ▸, Pho.
• ▸, Sep.
• ▸, Sul.
• ▸Compatible before: Bry.
• ▸, Pul.
• ▸, Sul.

• ▸Complementary: Sul.
• ▸(Calc.
• ▸).
• ▸Incompatible: Zinc.
• ▸[Nux and Puls.
• ▸have many symptoms in

common, but are opposite in temperament and conditions. For all that they may be required by

the same patient when temperaments and conditions are mixed. In clearly Nux cases Sep. follows

• ▸better than Puls.
• ▸] Compare: In tetanus, Picrotox, Veratrin.
• ▸, Thebain.
• ▸Cic.
• ▸, Hcy.
• ▸ac.
• ▸, Bell.
• ▸, Aco.
• ▸,

• ▸Physo.
• ▸, Phyto.
• ▸, Cura.
• ▸, Camph.
• ▸Cerebro-spinal affections, Pic.
• ▸ac.
• ▸Fainting in nervous women,

• ▸Ign.
• ▸, Nx.
• ▸m.
• ▸, Mosch.
• ▸Gastric troubles, Bism.
• ▸, Ars.
• ▸, Kre.
• ▸, Lyc.
• ▸, Pul.
• ▸, Carb.
• ▸v.
• ▸(Carb.
• ▸v.
• ▸often

• ▸follows Nux well in ill effects of debauchery).
• ▸Asthma, Zingib.
• ▸, Carb.
• ▸v.
• ▸, Lyc.
• ▸, Nat.
• ▸s.
• ▸Paralysis

• ▸of sphincters, Sep.
• ▸, Bell.
• ▸, Sul.
• ▸(Nux at any time; Sep.
• ▸in first sleep; Sul.
• ▸and Bell.
• ▸in deep sleep).

• ▸Bad temper before and during menses, Cham.
• ▸(Cham.
• ▸does not know it, Nux does), Mag.
• ▸m.

• ▸(Lyc.
• ▸, before menses).
• ▸Wakes 3 a.
• ▸m.
• ▸and cannot get to sleep, K.
• ▸ca.
• ▸, Ars.
• ▸, Calc.
• ▸, Sep.
• ▸Night-

watching effects, sensitiveness, effects of noise, travelling by land or sea, umbilical hernia,

• ▸Coccul.
• ▸Fear of losing senses, Calc.
• ▸, Lyc.
• ▸, Sul.
• ▸Desire to kill those there is most reason to love,

• ▸Hep.
• ▸, Ars.
• ▸Fainting or faints after every evacuation, Dig.
• ▸, Nx.
• ▸m.
• ▸Piles, esc.
• ▸Leucorrhoea

• ▸staining yellow, Agn.
• ▸c.
• ▸, Carb.
• ▸an.
• ▸, Chel.
• ▸, Kre.
• ▸(Nit.
• ▸ac.
• ▸), Sep.
• ▸, Pru.
• ▸sp.
• ▸, Thuj.
• ▸Bloody sweat, Nx.

• ▸m.
• ▸, Lyc.
• ▸, Calc.
• ▸Impotence from abuse, Calc.
• ▸, Sul.
• ▸Stricture of rectum, Nat.
• ▸m.
• ▸, Op.
• ▸> In wet

• ▸weather, Alm.
• ▸Renal colic, Ocim.
• ▸, Tabac.
• ▸Bad effects of masturbation, Chi.
• ▸, Nat.
• ▸m.
• ▸, Calc.
• ▸, Sul.
• ▸,

• ▸Con.
• ▸, Lyc.
• ▸, Cobalt.
• ▸Sensitiveness, Amb.
• ▸, Asar.
• ▸, Castor.
• ▸, Nux m.
• ▸Scraped feeling in throat, Apis.

• ▸"Stopped-up" nose.
• ▸, Cham.
• ▸(Cham.
• ▸feels stopped, but discharges hot water; Nux no secretion

• ▸whatever).
• ▸Pain with stool, > after Coloc.
• ▸(Merc.
• ▸pain and tenesmus continue after stool).

Nux seeds contain copper, notice the cramp-causing proclivites of both. Complementary; Sulphur; Sepia.

Inimical: Zinc.

Compare: Strychnia.

Compare: Kali carb; Hydr; Bry; Lyc; Graph.

Antidotes: Coff; Ignat; Cocc.

First to thirtieth potency and higher. Nut is said to act best given in the evening.

This remedy is especially suitable for lean women, those who have

lost flesh. The breasts are flat. I remember a case of a woman

thirty-five years old whose breasts which were once well rounded became perfectly flat. Nux mos. restored the breasts.

This is a little remedy, but when wanted nothing will take its place.

Everywhere in this remedy we observe the striking oversensitiveness of the patient ; it is brought out in all the symptoms. Irritable :

oversensitive to noise, to light, to the least current of air, to his surroundings ; extremely touchy in regard to his food ; many kinds of

food disturb, strong foods disturb ; he is aggravated by meat ; craves

stimulants, pungent, bitter, succulent things, something to brace him

up. Oversensitive to medicines. One reason why there are so many

Nux patients is because people have been overdrugged by the old

school. When a patient comes from the old school and had prescribing,

having had stimulants and tonics to brace him up, wine and stimulants

of all sorts, it is sometimes impossible to get reliable symptoms, to get

the patient settled down, until we give Nux as an antidote.

It is useful in those overdrugged by tea, coffee, wine. Old coffee

drinkers become sensitive, oversensitive to noise, their symptoms are

flitting ; they do not give their symptoms well. Such patients will do

well for a few days on Nux ; some of their symptoms will drop out

7*3

and they will settle down.

The mental state is varied, but they all show oversensitiveness ;

irritable, touchy, sensitive conditions. They are never contented, never

satisfied ; disturbed by their surroundings, and the become irritable,

so that they want to tear things, to scold. Impulses are strongly

marked at times. The woman has impulses to destroy her husband

or to throw her child into the fire ; the impulse is intermingled with

violent temper, cannot be contradicted or opposed ; if a chair is in the

way he kicks it over ; if, while undressing, a part of his clothing should

catch on a button he would pull it off because he is so mad at it.

(Like Nit, ac.). An uncontrollable state of irritability ; it is a weakness and is accompanied by physical weakness ; a lack of balance.

For example, a business man has been at his desk until he is tired out,

he receives many letters, he has a great many irons in the fire ; he is

troubled with a thousand little things ; his mind is constantly hurried

from one thing to another until he is tortured. It is not so much the

heavy affairs but the little things. He is compelled to stimulate his

memory to attend to all the details ; he goes home and thinks about

it ; he lies awake at night ; his mind is confused with the whirl of business and the affairs of the day crowd upon him ; finally brain fag

comes on. When the details come to him he gets angry and wants

to get away, tears things up, scolds, goes home and takes it out of his

• ▸family and children.
• ▸Sleeps by fits and starts ; wakens at 3 a.
• ▸m.
• ▸, and

his business affairs crowd on him so that he cannot sleep again until

late in the morning when he falla into a fatiguing sleep and wakens

up tired and exhausted. He wants to sleep late in the morning.

Melancholy, sadness, but all the time he feels as if he could fly to

pieces, jerks things about, tears things up ; wants to force things his

• ▸own way.
• ▸Driven by impulses to commit acts that verge upon insanity — the destruction of others.
• ▸Natr, sul.
• ▸has a strong impulse to

destroy himself. Arg, nitr,, also, particularly by jumping from a

height, but he avoids placing himseif in such a position.

He is oversensitive to the open air, to a draft of air ; always chilly,

always taking cold and it settles in the nose and extends to the chest.

Skin oversensitive to touch, to draft. Full of pains and aches. He

sweats easily on the slightest provocation. Brain fag, fatigue, neuralgias ; on the verge of insanity and this goes on to convulsions. Convulsions of single muscles and those of the whole body ; muscular

twitchings ; weakness, trembling, and paralysis. This paralytic weakness and disordered state of the activity of the muscles and nerves are

prominent.

Another state running through Nux is that actions are turned in

opposite directions. When the stomach is sick, it will empty its contents, with no great-^ort ordinarilfj but in Nux there is retching and

Straining as if the action were going the wrong way, as if it would

force the abdomen open ; a reversed action ; retches, gags, and strains

and after a prolonged effort he finally empties the stomach. The samo

condition is found in the bladder. He must strain to urinate. There

is tenesmus, urging. The bladder is full and the urine dribbles away,

yet when he strains it ceases to dribble. In regard to the bowels,

though the patient strains much, he passes but a scanty stool. In the

diarrhoea at times when he sits on the commode in a perfectly passive

way, there will be a little squirt of stool, and then comes on tenesmus

so that he cannot stop straining, and when he does strain there comes

on the sensation of forcing back ; the stool seems to go back ; a kind

of anti-peristalsis. In constipation the more he strains the harder it

is to pass a stool. In diarrhoea and dysentery there is straining without relief, but as soon as he passes a little stool there is relief. In

dysentery, Merc, has the constant urging ; Merc. cor. tenesmus with

great desire to urinate. The reversed action of the various functions

shows the spasmodic nature of this remedy. Pains shoot from the

rectum up ; burning.

Neuralgias about the eyes, face, and head ; neuralgic headaches ;

the pains stick, and tear ; they cause weeping, fainting ; they burn and

sting. Pains in the head and face and in the extremities, that sting

and tear, but especially draw. Sensation of tension in the muscles.

A drawing in the back like a pulling or tension in the muscles. The

pain feels as if drawing, a spasm of the muscles ; a drawing pain in

the back ; drawing pain in the back of the neck, forcing the patient

to let the head go back ; drawing pain down the spine ; lumbago.

Backache worse as soon as she lies down (pregnancy) as if it would

• ▸break (Bry.
• ▸, Phos.
• ▸— as if broken.
• ▸Kali c.
• ▸) must get up and walk.

Neurities with great soreness of skin. Pains in the regions of the kidneys and liver. Pains draw so that he cannot turn over in bed, and

the only way he can get over is to lift himself up by his hands and

then turn over and lie down. Drawing pains in the sacrum and hips ;

drawing pains in the sacrum in connection with dysentery. Rending

pains in the bowels and every pain causes desire for stool. Such is

the characteristic of all the abdominal pains. Drawing pains in the

extremities, causing spasms in the calves, feet, and toes. Cramps in

the abdomen cause desire for stool; after pains in the form of cramps

urge to stool ; menstrual colic, with urging to stool ; pains in the stomach, after eating, urge to stool. After much straining no stool passes,

but after going several times a small stool passes with relief. It is

scanty and with reversed peristaltic action.

Oversensitive to stimulants. It is a routine remedy in men trying

to sober up ; even in delirium tremens. Old debauchees, broken down

with stimulantp^ sexual. excesses and the worry and fret of business;

Mtnc VCOkOtiA

1^5

they work half an hour and then go out and get a drink, and this goes

on until finally they must give up, go home and go to bed. He is on

the verge of insanity, irritable, fatigued, sweats much, is aggravated

from the air, sensitive to noise and light ; broken down. He must

have Nux, rest and no stimulants.

In those drinking too much tea, coffee and stimulants, they stay

awake day and night until the end must come ; there is tension in all

the nerves ; he feels as if he must fly, as if he could no longer hold

together ; his muscles and hands tremble ; there is jerking of the limbs

on going to sleep and in sleep.

Full of anxiety, despair, and hypochondriasis ; ‘ oversensitive to impressions all the senses are in this condition ; cannot bear reading

or conversation ; irritable, and wishes to be alone.” Everybody displeases or does something to annoy him. Everybody that attempts to

soothe only angers him. He dreads the business affairs of the day.

Finally this state comes on — “he quarrels, reproaches, scolds, insults

from jealousy, mingled with unchaste expressions ; soon afterwards

howls and weeps aloud.”

Patient is broken down sexually because he is unusually endowed

with sexual desires and he indulges until broken down ; sexually exhausted, impotent. Mental erethism but relaxation on intromission.

Driven to suicide.

Nux is an old dyspeptic, lean, hi^ngry, withered ; bent forward ; premature age ; always selecting his ;food land digesting almost none ;

aversion to meat, it makes him sidk'; craves pungent, bitter things, tonics. Weak stomach ; after meals pain in the stomach, nausea, retching ; stomach sinks in ; withers and loses flesh.

Tendency to take cold ; gets coryza. Colds settle in the nose, throat,

chest and ears. Takes cold from the least provocation ; perspires easily and the least current of air causes headache with coryza. If he is

in a heated room and is disturbed in his equilibrium he gets a coryza.

Cepa coryza is also worse in a warm room. Much stuffing up of thet

nose in the house at night ; nose feels completely filled up, particularly

out of doors, but fluent in doors ; thin, watery discharge during the

day. Sensitive to the least draft; sneezing caused by itching in the

nose. This itching goes to the throat and trachea. Cough ; burning

in the air passages ; all the mucous membranes in a state of irritation ;

nasal tone to voice ; loss of voice ; sore throat ; tickling cough. Dry^

teasing cough with great soreness of the chest, like Bry., the hea'

feels as if it would split. Coryza goes to the chest. Grippe with fev^'-'

and bone pains ; must pile on clothing ; the only relief is by keeping

unusually hot, yet a warm room aggravates the coryza before the fever

comes on ; but after the fever comes on he must have heat ; aggravated

even from the movement of air under the bed clothes ; lifting the cov-

7 >6 i4trx voMttiA

ers aggravates the pains, cough, etc.

Sharp fever and sweat, or a hot sweat like Opium (but Opium in a

hot sweat wants the covers olf, whijp Nux cannot raise the covers).

Chills and fever ; heat and sweat intermingled. In chills the fingers

and hands are cold, and purple ; cold from head to foot ; the chill begins in the extremities or back, and extends over the whole body and

the patient must be covered up. Shortly there is a reaction and heat

and sweat come on, but he must be covered through all the stages.

Thirst is not a marked feature ; sometimes it is found in the heat.

Tendency to jaundice in all the febrile states. Sclerotics become

yellow. Skin becomes very yellow. Old intermittents with yellow

skin. Runs close to Bry. in abdominal complaints with jaundice.

Nux suffers from a disordered stomach. A stasis of the portal system is present, portal congestion ; stasis in haemorrhoidal veins

with haemorrhoids ; constipation ; dysentery ; paralysis of the rectum.

Stomach symptoms like Puls. ; worse in the morning ; foul mouth in.

the morning also like Puls. Bursting sensation in the head as if a

stone crushed the vertex after disordered stomach.

Full of paralytic conditions. The bowels are in a state of excitement but this passes away and the time comes when the fasces remain

in the rectum with no warning. This extends to the bladder, so that

it becomes full of urine which cannot be voided ; dribbling of urine in

old men with large prostrate, or in gonorrhoea. Paralysis of the extremities ; of the face ; one arm ; one hand ; single muscles ; facial

paralysis not uncommonly cured by Nux. The sticking pains in paralysis are important.

At times false plethora, with flushed face ; excitement of face ;

blushing ; great weakness and exhaustion, with irritability and the

mental condition. When under no exertion with nothing to think of,

patient appears to be well, but the thought of doing something exhausts him in a moment.

Headache from sweating ; in wine dri|^kers ; in those staying out at

night ; from night watching. The greatest relief in headaches is from!

perfect quiet. Headaches as if a stone pressed upon the vertex.

Most symptoms better from heat, but the head is worse from heat.

Acne from eating cheese.

It has most violent convulsions with opisthotonos ; convulsions of

all the muscles of the body, with purple face and loss of breath from

j^e movements ; conscious or semi-conscious during the whole spasm,

aware of the sufferings and contortions which are horrible; worse

from the slightest draft of air ; tickling of the feet ; the merest touch

of the throat causes gagging.

It is given as a routine remedy for loss of appetite. It will increase

the appetite but do dangerous work to the patient. “Aversion to meat,

NUX VObdiCA 717

usual food and drink, and customary tobacco and coffee, to water, ale,

food just eaten/'

Pains particularly of the abdomen ; pains cutting, causing the patient to bend double, with nausea from overeating ; bearing down ;

spasmodic pains in the abdomen, often extend into the limbs, but more

often towards the rectum ; colicky pains which urge to stool and urination ; renal colic, especially when each pain shoots to the rectum and

urges to stool. Renal colic is caused by a stone in the ureter, which

by its irritation causes a spasmodic clutching of the circular fibres of

that canal ; the proper medicine relaxes these fibres and the pressure

from behind forces these calculi out at once. The same is true of gall

stone colic. The remedy that ameliorates, or some of its cognates,

will overcome the tendency to form stones. Healthy bile dissolves gall

stones in the sac ; healthy urine does the same to a stone in the pelvis

of the kidney. Nux runs close to Bry, in abdominal complaints with

marked yellowness of the skin, Bry. is worse from motion and not

better from heat — Nux is both and is more suited to portal congestion, the neuralgias, etc. ; is worse from slighetst pressure (Coloc.

• ▸is better from the slightest pressure, — Mag.
• ▸pli.
• ▸is better from pressure and heat).
• ▸Bry.
• ▸indicated more in peritonitis, lies with limbs

drawn up. Haemorrhoids, portal congestion, cutting pains to rectum

causing urging to stool. Cupr. h^s cutting pains from front to back

as if transfixed. Abdomen sunkeu in Nux, while in Calc, and Sepia

it is engorged. Inula resembles l^ut ; has colic with urging to stool

and to urinate.

'‘Milk sours on the stomach.” “Heat in the head when eating.”

Bad effects from coffee, alcoholic drinks, debauchery. Sensation of

phlegm in the throat ; worse from eating. Aloe has diarrhoea from

leaving off beer, Nux has diarrhoea from leaving oft alcoholic drinks.

Sensation of a lump in the stomach (Bry.). In chronic cases Sepia

is more apt to be indicated and follows Nux well, but quarrels with

Bry. ; associate this with the pressure in the vertex and you have the

typical Nux condition. Sensation of stone comes an hour after eating, showing that there has been an attempt at digestion, but in Abies

• ▸nig.
• ▸it comes at once.
• ▸Kreos.
• ▸pains do not begin until three hours

after eating and then the food is vomited.

It is closely related to Sulphur and often antidotes the overaction of

Sulpfiur. It seldom goes to the bottom and antidotes the constitutional action of Sulphur, but it will remove its exaggerated action, its

superficial action.

Menses too soon ; too long ; flow copious ; more strikingly prolonged ; flows and dribbles just enough to stain the linen, starting up

now and again with clots. One menstrual flow is prolonged into another. This will be accompanied with the mental stjatc; excitable;

7 i 8 6pwht

oversensitive to medicines. '‘Menses too early and too profuse ; occur

too soon and last too long ; flow dark/' At times attended with violent pains, cramps in the uterus, extending over the body, ameliorated

from heat and pressure ; aggravated by the slightest current of air or

cold ; pains and spasms ameliorated by the hot water bottle, clothing

• ▸and heat.
• ▸Labor pains with soreness like Arn.
• ▸— urging, etc.
• ▸Bearing down as if contents would protrude, with teasing to urinate and

urging to stool. The flow may be scant and fitful. Itching of the

vulva is prominent.

Full of hysterical manifestations. Europeans develop symptoms

more often calling for Nux in their hysterical manifestations, while

Americans oftener need Ignatia,

Has troublesome asthma. Useful in persons who say they have

asthma from every disordered stomach. They may go free for a

year after Nux is given, and then they eat something that disagrees,

and they sit up all night with asthma. They need Nux. Asthma

associated with cough ; rattling in the chest ; chest fills up with mucus ;

cough with gagging, retching ; appears as if he had taken a fresh cold.

Coryza every time he disorders his stomach. I have a patient who

has a coryza every time she eats sausage; there is no cure for her

because she places her coffee, wine, and social matters above her

health. She can eat steak ; some cannot eat any meat. After a disturbed stomach coryza which goes to the chest and then asthma

comes on.

Palpitation and excitement of the heart and circulation. Much

throbbing.

Worse in the morning — mentally and physically. The coryza and

some head symptoms are worse from the warmth of the bed like

Merc,f yet worse uncovering ; worse from eating and from motion ;

head is worse from heat.

Pressure and sense of weakness in the left inguinal ring — hence

cures hernia in babies {I^yc,, right side). Atti, relieves soreness, etc.

Conium also — ^it competes with Nux in sense of goneness in the groin.

Chills are not better from any amount of covers ; Ign, chills are better uncovering. In intermittents, the chill and heat intermingle, the

heat is short and dry, and followed by hot sweat and intense heat ;

worse in the morning, but the chill comes at any time.

Bruised pain in limbs and joints, < in morning in bed; > on rising.—Spasmodic pain

in joints after yawning and stretching, with chilliness and internal beating —Trembling of limbs

and jerking of heart—Great weariness and relaxation in all limbs after taking open

air.—Chilliness of back and limbs in morning, with pain of skin as from freezing cold, and falling

asleep of limbs.—Sensation of sudden loss of power in extremities in morning.—Falling asleep of

arms, hands, and soles of feet.