repertify.ai
Materia Medica

Psorinum

Scabies Vesicle
57 sectionsBoericke · 20Clarke · 31Kent · 6

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • wants warm clothing
  • Extreme sensitiveness to cold. Debility
  • Lack of reaction
  • have a filthy smell
  • Offensive discharges
  • Melancholy

Essence

Prologue
Boericke

Scabies Vesicle

  • The therapeutic field of this remedy is found in so-called psoric manifestations.
  • Psorinum is a cold medicine; wants the head kept warm, wants warm clothing even in summer.
  • Extreme sensitiveness to cold. Debility, independent of any organic disease, especially the weakness remaining after acute disease.
  • Lack of reaction, i.
  • e, phagocytes defective; when well-chosen remedies fail to act.
  • Scrofulous patients.
  • Secretions
  • have a filthy smell.
  • Profuse sweating.
  • Cardiac weakness.
  • Skin symptoms very prominent.
  • Often gives immunity from cold-catching.
  • Easy perspiration when walking.
  • Syphilis, inherited and tertiary.
  • Offensive discharges.
Want to know if Psorinum fits your case? Repertify reads the case as the patient speaks, scores every rubric against the Kentian hierarchy, and cross-validates Psorinum against Boericke, Kent and Clarke in parallel. Open the workspace · 30 days free, no card.

Causation

Causation
Clarke
  • Emotions.
  • Over-lifting.
  • Mental labour.
  • Repelled eruptions.
  • Stormy weather.
  • Thunderstorm.
  • Injuries.
  • Blows.
  • Sprains.
  • Dislocations.

Mentals

Mind
Boericke

Hopeless; despairs of recovery. Melancholy, deep and persistent; religious. Suicidal tendency.

Symptoms — Mind
Clarke

Good-humour in morning; works with pleasure; enjoys everything.—Excitable before

  • sleep.
  • —Excitable, vexed with everything.
  • —Fear.
  • —Anxiety: when riding in a carriage; with

trembling of hands and restlessness ——Melancholy: religious; she could commit suicide, then is

full of phantasms, peevishness, and lachrymation; alternating suddenly with liveliness —Despair:

fear of failing in business; wishes to die in spite of the best hopes.—Driven to despair by

excessive itching.—Ill-humour: in morning; and constant thoughts of dying; could weep about

  • everything.
  • —Quarrelsome.
  • —Every moral emotion = trembling.
  • —Disinclination to work; to ride in

a carriage, then desire to ride all the time, even in bad weather.—Sentimental.—Inability to rid

himself of ideas which first appeared to him in a dream.—Thinking that he understood what he

had read he tried to explain it, and found that he did not understand it—Memory lost; so that she

does not recognise the room after looking out of the window.—Thoughts vanish after over-lifting.

Modalities

Modalities
Boericke
Worse
coffee; Psorinum patient does not improve while using coffee · changes of weather, in hot sunshine, from cold. Dread of least cold air or draft. Better, heat, warm clothing, even in summer

Head

Head
Boericke
  • Awakens at night with pain as from blow on head.
  • Chronic headaches; hungry during attacks; with vertigo.
  • Hammering pain; brain feels too large; worse, change of weather.
  • Dull, pressive pain in occiput.
  • Humid eruption on scalp; hair matted.
  • Hair dry.
Symptoms — Head
Clarke

Vertigo: mornings; everything turns around with him; with headache, confusion,

  • roaring in ears.
  • —Sticking in head, with weakness, had to lie down towards 7 p.
  • m.
  • , and soon fell

asleep, copious sweat at night, which >.—Thrusts in head.—Tearing in head (which he formerly

had) this time with fever and general arthritic pains.—Headache: in evening; with eructations;

with thirst, coldness, and dryness of mouth and lips; intermittent; spasmodically contracting; as if

a hammer were beating in head, esp. unilateral (in a herpetic patient); as if everything would

protrude through forehead towards evening.—Fulness during mental labour.—Congestion of

brain, > nose-bleed.—Cloudy feeling in night on waking, as if he had been intoxicated in

  • evening, with stupor and tumbling about.
  • —Heaviness in morning.
  • —Weakness of head.
  • —Pulsation
  • of blood during mental labour.
  • —Sticking in 1.
  • side of forehead; in r.
  • side extending into eye.
  • —R.

side of head and r. eye swollen and painful as if it would burst—Drawing in forehead extending

to nose.—Pinching in upper forehead beginning morning in bed, < morning and evening, with

heaviness, sometimes whole sinciput aches and then temples feel pressed in, afterwards it

alternates suddenly with pain in molars, < walking in fresh air—Pain in centre of forehead; with

weakness of it—Pain in sinciput, < temples, < steady mental exertion, > motion, esp. in open air,

< morning and evening, with heaviness in sinciput, often it suddenly passes off and attacks 1.

molars.—Pain as if brain had not space enough in morning on rising, > washing and breakfast;

  • contracting pain.
  • —Drawing in sinuses as in coryza.
  • —Stupefied feeling in 1.
  • forehead in
  • morning.
  • —Shooting from 1.
  • temple into head.
  • —Boring in |.
  • temple.
  • —Pain in temples: after mental
  • exertion; hammering; crampy, in skin of r.
  • at 7.
  • 30 p.
  • m.
  • —Fulness in vertex as if brain would

burst, with formication in head followed by heavy sleep.—Intermittent pain in a spot in

  • vertex.
  • —Strained pain in r.
  • side of occiput at noon.
  • —Pain in occiput as if a piece of wood lay

across from r. to |—Feeling as of a cord around skin, < about occiput, which feels as if pressed

outward.—Always hungry during headache.—Congestion of blood to head immediately after

dinner.—Headache < by change of weather; if it changes in night the headache wakens

him.—Hair: dry, lustreless; tangles easily; glues together —Spot of white skin with white lock of

hair becomes natural colour under Pso.—Sensation as if head separated from body.—Averse to

having head uncovered; wears a fur cap in hot weather.—Viscid sweat about head.—Humid

eruptions.—Tinea capitis et faciei—Crusta serpiginosa.—Rawness and soreness behind

ears.—Humid, scabby eruption, full of lice.

Eyes

Eyes
Boericke
  • Agglutinated.
  • Blepharitis.
  • Chronic ophthalmia, that constantly recurs.
  • Edges of lids red.
  • Secretion acrid.
Symptoms — Eyes
Clarke

Eyes: gummy; surrounded by blue rings; glassy, with pain in them; agglutination in

  • morning.
  • —Swelling of lids and of face.
  • —Inflammation of r.
  • eye.
  • —Pain in r.
  • eye as if it would
  • burst.
  • —R.
  • eye feels melting away.
  • —Ophthalmia, with pain as from sand in eyes, and
  • lachrymation at night.
  • —Sticking: in I.
  • eye; pain in r.
  • eye, < touch.
  • —Pain in eyes with burning, in

evening when looking sharply it something, and by candle-light.—Pain as from sand, or foreign

  • body (in r.
  • evening when closed).
  • —Biting in eyes.
  • —Tired in evening as from much reading by

candle-light.—Lachrymation: towards evening; on looking long at one object.—Pimples: like

hordeola on upper lid; red, like fresh hordeola on margin of upper lids, and sensation as if

something were moving before the eyes, as if one were playing with his fingers before

  • them.
  • —Itching: of r.
  • lid; 1.
  • lower lid, from one side to other; of canthi; inner canthi, with
  • heat.
  • —Vision of sparks.
  • —All objects in room appear to tremble.
  • —Dazzling in evening when

walking in street.—Vision blurred suddenly.

Ears

Ears
Boericke
  • Raw, red, oozing scabs around ears.
  • Sore pain behind ears.
  • Herpes from temples over ears to cheeks.
  • Offensive discharge from eczema around ears. Intolerable itching.
  • Chronic otorrhoea.
  • Most fetid pus from ears, brownish, offensive.
Symptoms — Ears
Clarke
  • Discharge of fetid pus (1.
  • ).
  • —Otorrhsa, with headache.
  • —Discharge of reddish cerumen
  • from |.
  • ear.
  • —Sticking: towards noon; in |.
  • lobe in evening; in 1.
  • after the buzzing; in meatus

internus, transiently > boring in with finger, frequently returning, < evening during

rest.—Intermittent tearing through external meatus, as from temporal muscle to styloid

  • process.
  • —Pain: in r.
  • ear, in morning; ulcerative, in |.
  • , and at the same time on r.
  • ear a pimple

appearing like healthy skin, but split into four parts by a cross like a wart, in the centre a deep

  • indentation.
  • —L.
  • concha inwardly inflamed, with suppurating pimples.
  • —Sensation as if something

burst suddenly when eating or swallowing saliva.—Sensation in |. ear as if breath came from it

instead of from respiratory organs.—Feeling as if stuffed with cotton, forenoons.—Biting in 1.

  • ear.
  • —Itching in r.
  • ear—Coldness in r.
  • ear, then sticking.
  • —Ringing: in |.
  • ear, evening; inr.
  • or L.
  • ,

with buzzing in head so that she hears hardly anything, and behind ears in region of sterno-

cleido-mastoideus, a sore pain, sometimes heat extending to vertex, < towards, evening, when

she feels as if pulled by the hair.—Roaring so that he feels stupefied —Buzzing in ears —Feeling

in r. ear as if he heard with the ears of another person, evening.

Nose

Nose
Boericke

Dry, coryza, with stoppage of nose. Chronic catarrh; dropping from posterior nares. Acne rosacea.

Symptoms — Nose
Clarke

Inflammation of septum, with white pustules —Sticking in |. nostril when boring in

  • with finger.
  • —Boring in r.
  • nostril, then sneezing.
  • —Drawing extending up to frontal sinuses, with

pain in eyes as if coryza would set in, then discharge of fluid from nose.—Dry coryza; nostrils

nearly dry, and sensitive when breathing through them.—Scratching crawling towards root of

nose as if coryza would set in—Stoppage of nose.—Sneezing; without coryza.——Coryza: with

cough and expectoration of yellowish green mucus; dry; dry with obstruction of nose; fluent;

fluent, from 1. nostril—Tough mucus, he can hardly do a minute without his handkerchief,

without coryza, with feeling of a plug high up in nose, which nauseates him, > stooping.—Clear,

watery fluid pours out, < 1. nostril, < stooping.—Nose red.

Face

Face
Boericke
  • Swelling of upper lip.
  • Pale, delicate.
  • Humid eruption on face.
  • Sickly.
Symptoms — Face
Clarke

Face pale; sickly looking; yellow.—Congestion to head, cheeks—and nose red and

hot.—Pain in zygoma on touch as if bone were suppurating, in evening.—Sticking in lower

  • jaw.
  • —Pain as if lame in condyle of jaw.
  • —Crusta lactea.
  • —Coppery eruption on face.
  • —Roughness

of skin of face; eruption on forehead between eyes; offensive stools.—Swelling of upper

lip.—Dryness of lips; and brown and black colour.—Burning of lips; painful and seem

swollen.—Pimple on upper lip.—Vesicles around corner of mouth, and outwardly above them

larger sore spots, exuding a fluid which seemed to originate from scratching the vesicles, and

cause continual scratching.—Corners of mouth sore, often ulcerated; sycotic

condylomata.—Y ellow vesicles on red edge of lower lip sore on touch.—Clear vesicles on inner

surface of lower lip.—Painful itching on r. half of upper lip as if swollen.

Mouth

Mouth
Boericke

Obstinate rhagades at corners. Tongue, gums ulcerated; tough mucus of foul taste adheres to soft palate.

Symptoms — Mouth
Clarke

Ulceration of r. gum after toothache —Inflammation of gum of a posterior r. hollow

lower molar, vith swelling and crawling pain, < touch —Tongue: coated; white; yellowish

white.—Ulceration of tongue and gums, with sore throat.—Tongue: dry; at tip, as if burnt, painful;

burnt feeling from tip to middle, so that he has hardly any taste—Thick, tough mucus from

choan¢; of nauseous taste; teeth stick together—Adhesion of tough mucus to posterior wall of

soft palate, tasting like old cheese, coming from choan¢.—Scratching in back part of mouth, and

when leaning backward asthmatic feeling —Swollen sensation in palate.—Dryness of

mouth.—Taste: bitter mornings before eating, > eating; when not eating; > eating and drinking;

bad, finally coppery; like cat's urine to bread and butter in morning; oily to the dinner; flat,

insipid; foul, she drinks to get rid of it; filthy.—Increase of the nauseous taste after eating and

smoking tobacco.—Sticky taste.

Symptoms — Teeth
Clarke

Looseness of teeth, < incisors, so that he fears they will fall out, the pain < by touch, >

open air, with much mucus of an offensive odour in mouth—Blood suddenly escapes from a

hollow molar.—Sticking from one side to the other, extending to head, then burning pain in r.

cheek, which is swollen.—Stitching in teeth on touching them in order to remove something

lodged between them.—Sticking in a carious r. upper tooth as if it would be pulled, at dinner,

then grumbling and hammering pain in all r. teeth, only in daytime, > fresh air.—Tearing; jerking

in |. molars, sometimes only slight pain alternating with headache.—Teeth seem on edge in

afternoon when smoking.

Throat

Symptoms — Throat
Clarke

Submaxillary glands swollen and painful to touch, also a painful pustule below 1.

lower jaw.—Angina, on r. side an ulcer, with sore pain deep in throat and burning in

  • palate.
  • —Painful pimple on fauces.
  • —Stitches: in |.
  • tonsil; in 1.
  • sinews on turning head.
  • —Pain in 1.

tonsil, with swollen feeling —Quinsy, intense pain to ears on swallowing, profuse, offensive

saliva; tough mucus in throat, must hawk continually; tendency to quinsy—Hawks up cheesy

balls, size of pea, of disgusting taste and carrion-like odour.—Pain on swallowing

saliva.—Intermittent pain and difficult swallowing.—Soreness with difficulty in swallowing; can

take without difficulty only cold food.—Scraping in throat as if she would become hoarse (in a

herpetic patient); with suffocation, causing dry cough—Burning in throat; extending farther

downward.—Dryness of throat: in morning, with scraping; of fauces, with moisture in

  • mouth.
  • —Swollen feeling in fauces.
  • —Sensation of plug in throat, impeding hawking.
  • —Tickling in

throat: mornings; causing cough; then empty eructations.

10. Appetite-—Hunger great; in afternoon, with thirst for beer; in evening after a walk: in

evening; for breakfast Hunger without appetite.—Appetite diminished.—Easily satiated though

he has a good appetite.—Loss of appetite, but constant thirst—Disgust for pork.—Desire to smoke

in evening, but when not smoking the desire for it ceased.—Desire for acids.—Aversion to

smoking after breakfast, but when he begins smoking is relished.—Thirst: during dinner; after the

chill, then heat in mouth; with dryness and burning in mouth; for beer—Eating (dinner) =

congestion to head.—Drinking = cough.

Throat
Boericke
  • Tonsils greatly swollen; painful swallowing, with pain in ears.
  • Profuse, offensive saliva; tough mucus in throat.
  • Recurring quinsy.
  • Eradicates tendency to quinsy.
  • Hawking up of cheesy, pea-like balls of disgusting smell and taste (Agar).

Stomach

Stomach
Boericke
  • Eructations like bad eggs.
  • Very hungry always; must have something to eat in the middle of the night.
  • Nausea; vomiting of pregnancy.
  • Pain in abdomen after eating.
Symptoms — Stomach
Clarke

Eructations: tasting like rotten eggs; sour; rancid in evening.—Pyrosis; after

drinking water; when lying down, colic > eating.—Hiccough: after eating; when smoking a pipe

after eating. —Waterbrash on lying down, > getting up.—Nausea: during the day, a kind of

vomiting of sweet mucus every day at 10 a.m. and in evening; in morning; in pit of stomach in

morning; after all food; after supper, > eating something roasted.—Vomiting: sour; of sour

mucus, so that teeth are on edge, in morning before eating; of food, then of a sour, slimy

fluid —Bloating.—Sticking in pit of stomach.—Cramp in epigastric region;

cutting.—Oppression.—Contracting pain in epigastric region—Weakness and pressure.

Abdomen

Symptoms — Abdomen
Clarke

Deep-seated, stitching, pressing pains in region of liver, < external pressure and

lying on r. side; pain hinders sneezing, laughing, yawning, coughing, deep inspiration and

  • walking.
  • —Sticking: in sides of abdomen; r.
  • side; region of spleen; under last |.
  • rib; in hepatic

region; region of spleen, > standing still, renewed by walking, later felt even during

rest.—Swollen sensation horizontally across below short ribs when sitting—Abdomen bloated:

after eating; after eating frozen things.—Constant feeling of emptiness and looseness of

abdomen; sensation as if intestines were hanging down.—Rumbling in morning; gurgling and

roaring.—Foul-smelling flatus.—Cutting in abdomen; in evening, > passage of offensive flatus; as

from a purge.—Cramps in abdomen in morning in bed.—Griping: when driving; in women, <

pubic region.—Pinching in abdomen in morning, so that he has to run for the closet, >

stool.—Pain in abdomen towards evening, > eating; after eating, > emission of flatus, with nausea

and in lumbar vertebré, with flatulent troubles, pain in spermatic cords and testicles as if filled

with blood, a soft, difficult stool—Pain as from canine hunger, < epigastric region, an hour after

supper, with accumulation of flatus.—Frequent sticking to 1. of umbilicus during rest —Cutting in

  • umbilical region.
  • —Gurgling in small intestines ——Twitching in r.
  • groin after driving.
  • —Sticking in
  • inguinal glands.
  • —Pain in r.
  • inguinal ring.
  • —Bearing down towards pubes, with tenesmus and

painful burning micturition.

Stool

Stool
Boericke

Mucous, bloody, excessively fetid, dark fluid. Hard, difficult stool, with blood from rectum and burning piles. Constipation of infants, in pale, sickly scrofulous children.

Symptoms — Stool and Anus
Clarke

Stool: fluid, dark brown, foul-smelling; thin, watery, dirty greenish, like

carrion; horribly offensive, nearly painless, almost involuntary, dark and watery; only in night, <

towards morning.—Diarrhsa preceded by colic; green, bilious, mixed with mucus; four times a

day, without pain.—Involuntary stools during sleep.—Lienteria—Soft, difficult stool; and

copious.—Obstinate constipation, with severe pains.—Stools: either costive or mushy: of normal

consistency, in small balls, almost involuntary, at night, with violent emission of flatus; two in

forenoon; four or five a day, preceded by colic; sometimes shooting away as from a syringe, at

another time it is mushy, sometimes of normal consistency. —Stool wanting.—Spasmodic pain in

  • rectum.
  • —Burning high up in rectum.
  • —Sensitive hémorrhoidal pain in rectum.
  • —Chafed sensation
  • in rectum and anus during a drive.
  • —Ineffectual urging.
  • —Burning h¢morrhoids in anus.
  • —Itching

in anus.

Urinary

Symptoms — Urinary Organs
Clarke

Discharge of prostatic fluid before micturition —Tenesmus uriné and

discharge of a few drops when he thinks he has done.—Frequent micturition at night.—Sticking

inwardly from orifice of urethra—Burning during micturition with cutting.—Urine has a red

sediment and a pellicle of fat.

Female

Female
Boericke

Leucorrhoea fetid, lumpy, with much backache and debility. Mammae swollen and painful. Pimples oozing an acrid fluid that burns and excoriates the glands.

Symptoms — Female Sexual Organs
Clarke

Menses too late; and scanty —Amenorrh§a; in psoric subjects; with

phthisis.—DysmenorrhSa; near climaxis.—Leucorrhsa; large lumps; unbearable in odour; violent

pains in sacrum andr. loin; great debility.—Intolerable itching from anus to vagina, with knotty

  • stools, < at night.
  • —Ulcers on labia.
  • —L.
  • ovary indurated from a blow.
  • —Sensitive knotty lump
  • above r.
  • groin.
  • —Cutting in |.
  • groin.
  • —During pregnancy: congestion; fStus moves too violently;

tympanites; nausea, vomiting; obstinate cases.—Breasts swollen; nipples red; burning and itching

pimples about nipples—Mammary cancer.

Male

Symptoms — Male Sexual Organs
Clarke

Relaxation of genitals; with indifference to sexual affairs Aversion

to coitus.—Impotency.—No discharge of semen during coition—Glans inflamed, with an ulcer on

it, testes swollen and heavy.—Burning pain at tip of penis on beginning to urinate.—Chronic

painless discharge from urethra, staining linen yellow.—Chronic gleet.—Frequent tightness of

penis, with drawing.—Absence of erections; even with lascivious thoughts, afterwards morning

erections and pollutions, with satyriasis.—Drawing in testicles, but more steady in small of

back.—Painful suppurating vesicle on scrotum.—Hydrocele: from repeated inflammation caused

by pressure of truss (Puls. cured the inflammation).

Respiratory

Respiratory
Boericke
  • Asthma, with dyspnoea; worse, sitting up; better, lying down and keeping arms spread wide apart.
  • Dry, hard cough, with great weakness in chest.
  • Feeling of ulceration under sternum.
  • Pain in chest; better, lying down.
  • Cough returns every winter, from suppressed eruption.
  • Hay-fever returning irregularly every year.
Symptoms — Respiratory Organs
Clarke

Hoarseness; when talking phlegm sticks in larynx.—Talking is very

fatiguing.—Suffocating, crawling sensation in larynx, producing a paroxysmal, dry, hacking

cough.—Tickling in trachea, with cough.—Inclination to cough, with sensation of

coldness.—Cough in evening, > keeping quiet, with pain in chest and throat, talking =

cough.—Cough with weakness of chest; so that he could not remain in bed at night, with

weakness and vertigo.—Dry cough: all day, with nausea and retching and tickling in throat from

tickling in trachea, as if narrowing; with soreness under sternum with heaviness on

chest.—Cough, < morning on waking, and in evening on lying down, with expectoration of green

mucus, nearly like matter, with nausea, chest is affected and expectoration is difficult; with

copious expectoration; sometimes of mucus streaked with blood; with salivation and vomiting of

acid mucus.—Suffocation in larynx when sitting bent backward, with crawling, causing

paroxysmal, dry, hacking cough, and at same time contraction and heaviness in chest and pain in

upper part of sternum.—Dyspnsa in evening.—Short breath; in fresh air, > riding and lying

down.—Want of breath on walking in fresh air; < sitting, > lying, with pain in chest.—Whistling

respiration on waking, with constriction, again in evening whistling in chest.—Breathes easily

when doing some light work, as trimming trees.

Chest

Symptoms — Chest
Clarke
  • Twitching through |.
  • chest, anterior side.
  • —Sticking: in 1.
  • chest; 1.
  • mamma; under 1.

false ribs; in r. side on coughing or breathing; even when not breathing; in sternum on deep

breathing, and on touch a pressing and bruised pain.—Feeling as if everything in it were torn

when lifting.—Pain as if a lung had been torn loose and something were pressing it

down.—Cutting as with knives; in evening, with burnt feeling in throat, eructations, then

emission of flatus—Boring in r. chest, with oppressed breathing.—Pain under sternum when

coughing as if something would be torn away, extending to throat.—Pain on spots; ulcerative

pain under sternum; pain as from a load, < bending head forward, with want of

breath Oppression; pressure; contracted feeling in chest —Dull feeling in chest, with pain in

back.—When in bed has to remove the arms as far as possible from chest, otherwise they increase

the pain.—Hot sensation in chest—Suppuration of lungs.—Chronic blennorrhsa of

lungs.—Hydrothorax.

Symptoms — Heart
Clarke

Stitches in cardiac region, low gurgling extending to heart, for a moment breathing

is impossible.—Pain in heart > lying down; thinks the stitches will kill him if they

  • continue.
  • —Gurgling in heart region esp.
  • noticeable when lying down.
  • —Pericarditis.
  • —Palpitation;

with anxious oppression.—Pulse: weak; irritable, indicating a return of abscesses on neck.

Neck & Back

Symptoms — Neck and Back
Clarke

Glands of neck swollen, and on touch bruised pain extending to

head.—Sticking in neck, with pustules ——Herpetic eruption on side of neck extending from

cheek.—Nape excoriated by discharge from eczema capitis —Tearing in nape.—Boring in nape,

with stiffness.—Pain in nape in afternoon, only in the house, when supporting head with hands it

feels as if it had no body, as if he could pass through it with the hands.—Pain in muscles of r.

neck, in their upper sinewy part, as from sudden tension, on turning head to r. backward or

sideways, > pressure.—Tensive pain in nape after waking, as if he had lain in an uncomfortable

position —Drawing pain extending to shoulder, after waking.—Sticking in back; extending

towards chest on coughing.—Boring in vertebr¢é in morning, with colic, as from

rheumatism.—Aching in back; bruised feeling in evening, cannot straighten it.—Scapul¢: sticking

between in morning; tearing; rheumatic sticking tearing in and between, down sides.—Boring in

dorsal vertebr¢é; pain between second and third in afternoon.—Sticking: in loins extending to knee

in morning; in os pubis during bodily exertion —Cutting in loins so that she could not walk

alone.—Pain in loins; and itching; like molimina h¢émorrhoidalia, < motion, so that he could not

walk straight comfortably; as if third vertebra from below were wanting or broken.—Drawing in

loins, and sometimes in testicles—Tightness in ischii when walking, extending to

  • knees.
  • —Weakness of loins.
  • —Backache: with constipation; after suppressed eruption.
  • —Spina

bifida.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Tearing in |. shoulder in afternoon and evening when resting.—Tearing in

  • arm; intermittent sticking in 1.
  • arm.
  • —Arm and shoulder swell up from an old eczema.
  • —Patch on
  • left wrist, and immediate relief follows dose of Pso.
  • (R.
  • T.
  • C.
  • ).
  • —Spasmodic pain in bones of 1.

arm in evening at rest.—Sensation in |. arm, in morning in bed, as if asleep with crawling in

fingers; with numbness of three first fingers and half of hand.—Tearing in elbow; r. in

  • evening.
  • —Sticking in |.
  • index.
  • —Tetter on arm, with small, millet-like eruption, exuding a yellow

fluid; itches intensely in heat——Eruption in bends of elbows and around wrists.—Itch-like

eruptions on wrists, with rheumatism in limbs.—Trembling of hands.—Swelling and tension of

backs of hands and of fingers —Pustules on hands, near finger-ends, suppurating.—Copper-

coloured eruption or red blisters on backs of hands.—Itching between fingers; vesicles.—Herpes

  • on palms.
  • —Sweat on palms, esp.
  • at night—Warts, size of pin's head, on |.
  • hand and

fingers.—Nails brittle.

Lower Limbs

Symptoms — Lower Limbs
Clarke

Pain in hip-joints as if dislocated, < when walking, with weak

arms.—Sciatica: tension down to knee while walking.—Paralysis of legs from suppression of

eruption on arms.—Legs, < tibi¢ and soles, pain as from too much walking, mornings in bed, >

rising, with restlessness of legs —Leg on which he lies in bed too weak to endure the pressure of

the other, he has to change his position continually.—Sensation in r. leg as if it would go to

  • sleep.
  • —Tibi¢ and soles feel bruised, as after a tiring walk, mornings in bed.
  • —Sticking in r.
  • ankle

in morning on every step with strained sensation.—Feet, trembling; inclination to turn 1. inward

when walking, with sensation as if he really had turned it the wrong way.—Pain in feet < during

rest, with itching —Gouty pain in 1. foot—Cramp or spasm in toes, < 1. great toe, when stretching

them or taking off boots.

24. Generalities——Looks pale, exhausted, thin, his clothing is too large for him.—Hot trembling

over whole body in morning during rush of business.—R. side of body full of burning

  • pains.
  • —Soreness.
  • —Gouty pains in 1.
  • toe, both knees, and back.
  • —Stormy weather affects him, =

restlessness in his blood a few days beforehand; makes him sick and = hémorrhoidal

troubles.—Weakness: towards evening, > going to bed; after riding in a waggon; from a little

labour.—Sensation when in the sun as if it pushed her down, she had to rest in the shade in order

to walk on.—Heaviness of whole body as before intermittent fever—> Morning; in fresh air;

when lying.

Extremities

Extremities
Boericke

Weakness of joints, as if they would not hold together. Eruption around finger-nails. Fetid foot-sweats.

Skin

Skin
Boericke
  • Dirty, dingy look.
  • Dry, lusterless, rough hair.
  • Intolerable itching.
  • Herpetic eruptions, especially on scalp and bends of joints with itching; worse, from warmth of bed.
  • Enlarged glands.
  • Sebaceous glands secrete excessively; oily skin.
  • Indolent ulcers, slow to heal.
  • Eczema behind ears.
  • Crusty eruptions all over.
  • Urticaria after every exertion.
  • Pustules near finger-nails.
Symptoms — Skin
Clarke

Rash: above |. brow and on |. cheek; red, on external throat, beginning with

sticking.—Nodules on face, neck, and legs.—Pimples: on forehead; on neck and mammé¢; with

black points in centre, painful when scratched; on external throat—Burning like heat-rash below

eyes; causing itching, smarting pain, burning after scratching, and feeling sore (in a herpetic

patient); and ulcers, from which watery fluid oozed for hours after being opened, < hands, wrists,

and palms.—It < herpes and causes smarting and itching.—A scab on nose which commonly fell

off when coughing is now adherent and hard.—Pustules on nape, with sticking. —Boils on chest

and loins; on buttocks, with burning itching, soon disappearing, leaving crusts.—Itch-like

eruption on face, hand, back, and leg, and agglutination of eyes.—Vesicles: on face; quickly

filling with yellow lymph, sore to touch on forehead, face, and behind r. ear; filled with lymph,

painful to touch on various parts, some forming itching papules.—An old rhagade near r. styloid

process suppurated, itched, and was surrounded by blisters filled with clear water, these soon

changed to pustules, which healed under a crust.—Crawling on all limbs, with falling asleep of

  • them.
  • —Itching: on forehead; tip of nose; |.
  • arm; biceps of 1.
  • arm; r.
  • elbow; soles in evening after a

glass of Muscat wine, with tickling and heat; of face, neck, and hands on touch; over whole body

after rubbing papules and vesicles; between fingers, and vesicles filled with lymph; on r. carpus,

with red spots; voluptuous, where a flea had bitten, with white, hard blisters on a red base —< Of

the itching, which he had had for years on knees, < 1., and the herpetic eruption begins to become

pustular.

Sleep

Sleep
Boericke

Sleepless from intolerable itching. Easily startled.

Symptoms — Sleep
Clarke

Yawning: at noon; and shivering pale blue rings, with tearing and spasmodic pains in

umbilical region in evening; in evening, with early sleepiness.—Sleepy all the time; in daytime;

  • early.
  • —Sleeps when she sits down.
  • —Sleep unusually sound.
  • —Cannot fall asleep in

evening.—Cannot sleep on the habitual r. side, but sleeps on 1—Gnashing of teeth at night, so that

  • he wakes.
  • —Restless sleep; and unrefreshing.
  • —Sleep restless but refreshing.
  • —Restless sleep on

account of disquiet dreams.—Dreams: anxious in morning, of robbers, travels, and dangers;

uneasy, earnest; that he is on the closet, and thus nearly soils his bed of his business and of his

plans.

Fever

Fever
Boericke

Profuse, offensive perspiration; night-sweats.

Symptoms — Fever
Clarke

Coldness < evening, with hot flashes, debility, and sleepiness.—Coldness with heat,

thirst, and sweat.—Internal coldness towards noon, with shivering and horripilation.—Creeping

coldness in afternoon, with internal shivering.—Horripilations.—Feet cold all night—Heat: in

afternoon; in evening when riding in a carriage, with sweat; of whole body suddenly, at meals

and in evening, with trickling sweat all over face, frequent thirst, dryness, and burning in

mouth.—Heat in evening, as if she would lose her senses, at night delirium, thirst, and sweat, then

she feels well.—Burning: in head; in forehead; in nose, transiently > by discharge of

  • mucus.
  • —Burning in nose, then fluent coryza.
  • —Burning in face, then vesicles.
  • —Burning in r.
  • ear

with itching. —Sweat: on waking; in morning when out of doors: with consequent debility, and

taking cold easily; sweat on palms; on face; on palms at night; perincum on moving

about.—Want of sweat, dry skin.

Clinical

Clinical (part 1)
Clarke
  • Acne.
  • Adenoids.
  • Anus, itching in.
  • Asthma.
  • Backache.
  • Boils.
  • Cancer.
  • Cholera
  • infantum.
  • Cough.
  • Constipation.
  • Cornea, ulcers of.
  • Crusta lactea.
  • Crusta serpiginosa.
  • Debility.
  • Diarrhsa.
  • Diphtheria, after-effects of.
  • Dyspepsia.
  • Eczema; rubrum.
  • Enuresis.
  • Eruptions; moist;
  • itching.
  • Gleet.
  • Gonorrhsa.
  • Gout.
  • Hémorrhages.
  • Hémorrhoids.
  • Hair, dry; tangling.
  • Hay fever.
  • Headache.
  • Head, congestion of.
  • Hernia.
  • Hydrocele.
  • Impotence.
  • /nfluenza.
  • Injuries.
  • Itch.
  • Itching.
  • LeucorrhSa.
  • Lienteria.
  • Liver, affections of; chronic inflammation of.
  • Melancholia, religious.
  • Nose, redness of.
  • Odour of body, fetid.
  • Ophthalmia, scrofulous.
  • Otorrhsa; fetid.
  • Ozéna.
  • Pediculosis.
  • Peritonitis, tubercular.
  • Plica polonica.
  • Polypus.
  • Quinsy.
  • Sciatica.
  • Scurvy.
  • Skin,
  • affections of.
  • Spina bifida.
  • Spleen, affections of; induration of.
  • Sprains.
  • Syphilis.
  • Throat, mucus
  • in.
  • Tinea capitis et faciei.
  • Tonsils, concretions in.
  • Ulcers.
Clinical (part 2)
Clarke

Characteristics——As Sulphur has been the chief remedial agent in both schools in the treatment

of itch and itch-like eruptions, it is natural to find in the nosode of Psora, or constitutional itch, a

close analogue of Su/ph. Psorinum has been proved entirely in the potencies, and I know of no

more trustworthy proving in the materia medica. I have frequently seen Pso. develop some of its

own symptoms in patients whom it has benefited in other ways. A man who complained of

"cloudiness of mind and difficult thinking," and who had among other symptoms, "Left foot

colder than right," received Pso. 30. It removed these symptoms; but whilst under its influence

these new symptoms appeared: Heavy headache across the eyebrows; greasiness of face and

forehead. A woman to whom I gave Pso. 30 complained that after each dose she had a feeling

"as if something in the head were being screwed up and drawn"; one of Hahnemann's symptoms

is "Spasmodically contracting headache." A patient who took Pso. 500 complained that it had a

  • "filthy taste.
  • " From Pso.
  • 20m (F.
  • C.
  • ) I have seen produced an eruption of boil-like indurations in

both axillé, first (and worst) in left then in right. The general symptoms were very greatly

  • relieved at the same time.
  • One great mark of distinction between Su/.
  • and Pso.
  • is that the Pso.

patient is exceedingly chilly, likes to have a fur cap on in summer; whilst the Sw/. patient is

  • predominatingly hot.
  • H.
  • C.
  • Allen gives another: Pso.
  • is indicated in chronic cases when well-

selected remedies fail to relieve or to permanently improve (in acute diseases Sul.); also when

  • Sul.
  • seems indicated but fails to relieve.
  • Pso.
  • is specially suited to: (1) Scrofulous, nervous,

restless persons who are easily startled. (2) Psoric constitutions; lack of reaction after severe

diseases. (3) Complaints of psoric origin; patients emit a disagreeable odour. (4) Pale, sickly,

delicate children. (5) Peevish, unhealthy-looking children, who have a disagreeable odour about

them. (6) Dirty people in whom the body has a filthy smell which no amount of washing can

remove. (7) Those subject to diseases of the glands and skin; and who have had eruptions

suppressed. The chief of the keynotes of Pso. is: Lack of vital reaction; prostration after acute

disease, depressed, hopeless, night-sweats. Hopelessness, despair of perfect recovery is part of

the jack of reaction; emaciation and foul body odour may accompany it. "Foulness" may be

considered the second keynote of Pso. Eruptions have offensive discharges; the otorrhSa, is

horribly offensive. The diarrhsa (especially of cholera infantum) is profuse, watery, dark brown,

  • and even black, and is putrid-smelling like carrion.
  • The Med.
  • Visitor (x1.
  • 378) collected a number
Clinical (part 3)
Clarke
  • of cases illustrating the action of Pso.
  • (I italicise some of the characteristics): (7) W.
  • A.
  • Hawley

reports a case of cholera infantum which seemed to defy every remedy. Stools very thin and

watery, dirty greenish, smelt like carrion. Child very fretful, had no sleep for two days and

  • nights.
  • Pso.
  • 42m (Fincke), one dose in water.
  • In two hours the child went to sleep; in four days it

was well without repetition of the dose. (2) Another case of Hawley's: Miss N., 20, had an

eruption in bends of elbows and knees, dry, scaly, with little pointed vesicles round the reddened

edges; disappeared entirely in summer and reappeared when cold weather set in; violent itching,

  • < by warmth of bed or by scratching.
  • Pso.
  • 42m, two doses at six weeks' interval, cured.
  • No

return the following winter. Pso. also cured—(3) Headache preceded by dimness of sight or spots

before eyes (Haynel). (4) Headache and eruptions, < during changeable weather (W. P.

  • Wesselhsft).
  • (5) Always very hungry during headaches (W.
  • P.
  • W).
  • (6) Miss C.
  • , convalescing
  • from typhoid fever, reported: |.
  • Stationary, no appetite.
  • " Pso.
  • 400 produced immediate change
  • and ravenous appetite (J.
  • B.
  • Bell).
  • (7) Mr.
  • P.
  • , 50, complained of nothing but weakness; no
  • appetite; /east exertion puts him into a perspiration.
  • Pso.
  • 40 cured rapidly (J.
  • B.
  • Bell).
  • Mr.
  • X.
  • ,

21, was obliged one day to run till nearly exhausted. Though strong and well before he now

became weak, perspiring easily, severe pains right side, < by coughing, laughing, and motion.

  • Pso.
  • 40 cured rapidly (J.
  • B.
  • Bell).
  • [I have frequently verified the action of Pso.
  • in liver affections

with pains as in the last case.] (8) Extreme dulness; fears inflammation of brain; > by nose-bleed.

  • Headache following darkness before eyes.
  • Black spots before eyes.
  • Pso.
  • cured (Haynel).
  • (9)

Horribly offensive, nearly painless, almost involuntary, dark and watery stool; only in night and

  • most towards morning (H.
  • N.
  • Martin).
  • (J0) Mr.
  • C.
  • , 43, spare, dark.
  • Hypochondriacal.
  • "Nervous"
  • nine months.
  • Had to give up business.
  • Took much Quinine and other drugs.
  • Complains of very

disagreeable feeling about the head and manifests mental depression; thinks he will never

recover; has lost all hope. Cannot apply his mind to business. Seems confused; cannot reckon.

Numbness of legs and arms, < left side; < going to bed, formication and crawling with prickling

and smarting on scalp, and same on extremities. Tongue coated white. After three months

treatment was stationary. It was then ascertained that he sweated easily on least exertion, and

somewhat at night, and had loss of memory. Pso. 400 soon caused improvement, and enabled the

  • patient to return to business (J.
  • B.
  • Bell).
  • G.
  • A.
  • Whippy (4m.
  • Hom.
  • , xxiii.
  • 391) cured the

following case with Pso. 200, a dose every third night: Carpenter, 40, long-standing discharge of

reddish cerumen from left ear, < at night. Sensation of valve opening and shutting in left ear, <

afternoon. Buzzing in ear, which stopped suddenly and was followed by violent itching. Dull,

heavy pain in base of brain in afternoon, with sensation as though skin of abdomen was greatly

relaxed and drawn down. Face sallow and greasy; several pustules on chin and neck which itch

intensely and bleed when scratched.—Other leading indications of Pso. are: Sick babies will not

sleep day or night, but worry, fret, cry; or good and play all day, restless, troublesome, screaming

all night. Weakness from loss of fluids; after acute disease; with or without organic lesion.

Whole body painful, easily sprained and injured. Great sensitiveness to cold air, change, storms;

to sun; restless for days before a thunderstorm. A symptom not seldom met with in practice and

useful to remember is: "Feels unusually well day before attack." Headache > by eating; from

suppressed menses; > by nose-bleed. Dry, lustreless hair; plica polonica. Acne < during menses;

from fats, sugar, coffee, meat. Quinsy, throat burns, feels scalded, cutting, tearing, intense pain

on swallowing, profuse, offensive saliva; tough mucus in throat; must hawk continually;

tendency to quinsy. Profuse sweat after acute diseases, with > of all suffering. Skin has dirty look

as if never washed. Pso. has cured more cases of hay fever in my practice than any other single

remedy. Many cases have a psoric basis, and when the basic taint is corrected the irritating

Clinical (part 4)
Clarke

agents have no effect. Nasal polypus I have also cured with Pso. when the general symptoms

  • indicate the remedy.
  • Peculiar Sensations are: As if frightened.
  • As if he would lose his senses.
  • As

if stupid in left half of head. As if brain had not room enough in forehead. Eyes as if pressed

  • outward.
  • As from heavy blow on forehead.
  • As if brain would protrude.
  • Back of head as if
  • sprained.
  • Right side of occiput as if dislocated.
  • As if piece of wood lying across back of head.
  • As
  • if head separated from body.
  • As if sand in eyes.
  • As if he heard with ears not his own.
  • Cheek-
  • bones as if ulcerated.
  • Condyle of jaw as if lame.
  • Tongue as if burnt.
  • Teeth as if glued together.
  • Plug in throat.
  • Throat as if narrowing.
  • As if intestines hanging down.
  • Everything in chest as if
  • raw, scratched; torn loose.
  • Arms as if paralysed.
  • Hip-joint as if ulcerated.
  • Joints as if encased in
  • armour; as if would not hold together.
  • Hands and feet as if broken.
  • The pains of Pso.
  • may be

erratic and alternate (headache and toothache). The symptoms are < by touch; pressure (of truss);

  • rubbing; scratching; riding; bandage; blow; fall.
  • Slight emotions = severe ailments.
  • (Pso.
  • cannot

bear to have the limbs touch each other at night; or weight of arms on chest.) > When eating; <

immediately after (rush of blood to head). < After cold drinks (pain in chest). Drinking = cough.

> Lying down (most ailments, especially of chest; but < cough, and = gurgling at heart). < Lying

  • r.
  • side (liver).
  • < Riding in carriage or exercising in open air; (riding > short breath).
  • > By rest and
  • in room.
  • Overlifting = thoughts to vanish.
  • < Walking; moving.
  • < Evening and before midnight

night; morning on waking. Open air < (> taste; cough; itching) nose sensitive inhaling. < Before

  • thunderstorm (restless for days before).
  • Winter = cough.
  • Summer = diarrhSa; itching eruptions.
  • <

During full moon (enuresis). < Periodically.

Relations

Relations
Clarke
  • Antidoted by: Coffee.
  • Compatible: Carb.
  • v.
  • , Chi.
  • , Sul.
  • (if Sul.
  • is indicated but fails to
  • act give Pso.
  • ).
  • Followed well by: Alm.
  • , Borax, Hep.
  • Complementary: Sul.
  • , Bac.
  • (Bac.
  • is the
  • acute of Pso.
  • ), after Lact.
  • ac.
  • (vomiting of pregnancy); after Arn.
  • (blow on ovary); Sul.
  • after Pso.

in mammary cancer. /nimical: Lach. Compare: Sick babies fret day and night (Jalap); good all

  • day, screams all night (Lyc.
  • opp.
  • ).
  • Effect of thunderstorm, Pho.
  • Headache preceded by dim
  • vision, Lac d.
  • , K.
  • bi.
  • Headache with hunger; > while eating, Anac.
  • , K.
  • ph.
  • ; > nose-bleed, Melilot.
  • Plica polonica, Lyc.
  • , Bar.
  • c.
  • , Sars.
  • , Bac.
  • Offensive, cheesy concretions from throat, K.
  • mur.
  • > By
  • sweat, Calad.
  • , Nat.
  • m.
  • > Lying down and keeping arms stretched far apart (Ars.
  • opp.
  • ).
  • <

Mornings on waking and evenings lying down, Pho., Bac. Eruptions easily suppurate, Hep.

  • Drinking = cough (> Caust.
  • ).
  • Drinking <, Dig.
  • Teeth stick together (Tub.
  • teeth feel jammed
  • together).
  • Pediculosis, Ped.
  • , Bac.
  • , Nat.
  • m.
  • Earthy, greasy face, Nat.
  • m.
  • , Bry.
  • Erratic pains; < from
  • fats, < evening, Puls.
  • Tongue as if burnt, Sang.
  • As if parts separated, Ars.
  • (body at waist), Bap.
  • (limbs).
  • Convalescence, profuse sweat, K.
  • ca.
  • (K.
  • ca.
  • has not the hopelessness of Pso.
  • ).
  • Despair
  • of recovery, Chi.
  • , Lauro.
  • (chest), Caps.
  • , Op.
  • , Val.
  • , Amb.
  • Lack of reaction, Op.
  • (patient not
  • sensitive), Lauro.
  • (over-excitable and nervous), Carb.
  • v.
  • (emaciated, weak pulse; Pso.
  • psoric
  • diathesis).
  • Hay fever, Gels.
  • (morning sneezing), K.
  • iod.
  • Hunger at night, Chi.
  • s.
  • , Pho.
  • , Sul.
  • , Ign.
  • ,
  • Lyc.
  • Axillary affections, jug.
  • c.
  • , jug.
  • r.
  • , Elaps.
  • Crusta lactea, Melitagrinum.
  • Explosion in ear,

Alo.

Relationship
Boericke

Complementary: Sulphur.

  • Compare: Pediculus-Head-louse--(psoric manifestations in children.
  • Eruption on dorsum of hands, feet neck.
  • Prurigo; pellagra.
  • Unusual aptitude for study and work).
  • Pediculus (Cooties) transmit typhus and trench fever).
  • In lack of reaction compare Calcarea and Natrum ars. Gaertner (Pessimistic, lack of confidence, subjective troublesome eye symptoms, fear of heights.
  • Urticaria.
  • Use 30th and 200th (Wheeler).

Posology

Dose
Boericke

Two hundredth and higher potencies. Should not be repeated too often. Psorinum requires something like 9 days before it manifests its action, and even a single dose may elicit other symptoms lasting for weeks (Aegedi).

Kent's Lecture

Lecture (part 1)
Kent

Psorinum is closely allied to Sulphur. The patient dreads to be

washed. The skin over the body, especially of the face, looks filthy,

  • though it has been well washed.
  • A dingy, dirty, foul look, as if covered with dirt.
  • Skin rough and uneven, cracks easily, bleeding fissures ; it becomes rough and scaly.
  • He cannot wash it clean.
  • The

skin of the hands is rough, chaps easily, becomes thick and scaly, easily

cracks ; breaks out in little scaly eruptions ; looks unwashed ; he always

appears to have dirty hands. Many of the complaints of the skin are

worse from bathing and from the warmth of the bead. The skin itches

when warm ; itches when wearing woolens. Itching when warm in

bed ; he scratches until the part becomes raw, and then it becomes

scabby. When healing takes place there is itching and then he has to

scratch. Legs and arms raw and scabby from scratching. Violent

itching from the warmth of the bed, even without any eruption. Tlie

skin is unhealthy, looks dirty, dingy ; studded with capillary blood

vessels and enlarged veins. This is the state before the eruption appears. Scabs form from scratching and then comes the eruptiwi.

Papules, pimples, crusts, boils, vesicles, and eruptions ooze a watery

moisture. 'WTien the eruption has gone on for some time the crusty

formation and vesicles mingle ; the skin becomes thickened and indurated, and new crops come out under the old crusts ; rawness, itching,

tingling, crawling, bleeding.

Eczema of the scalp and face ; the crusts cover the scalp ; the hair

PSOMMVM

falls out ,* the oozing lifts up the crusts and exposes new vesicles ; it

looks like raw beef, and it tingles so that the child cannot keep its fingers it ; worse at night, worse from the warmth of the bed, worse

from warm applications, anything that would keep the air away from

it ; ameliorated by cool air and worse from covering. This is the opposite of the general Psorinum state, which is aggravated from the open

air. He has an aversion to the open air.

The eruption goes on, spreads, and the true skin becomes elevated,

thickened, indurated, with an increased vascularity and redness. The

oozing is offensive like carrion or decomposed meat ; nauseating odor

from the oozing fluid.

Offensiveness runs through Psorinum in such a characteristic way

that it is worth while mentioning it here ; foetid odors, foetid breath ;

discharges and oozing from the ddn smelling like carrion ; stool so

offensive that the odor permeates the whole house, in diarrhoea, summer complaint, cholera infantum ; perspiration foetid ; leucorrhoea abominably (rflensive ; eructations taste as if he had eaten hard boiled eggs

and they had spoiled, and they smell so to others ; stool flatus, and eructations smell like spoiled eggs ; offensive to sight and smell is the subject who needs this medicine.

Lecture (part 2)
Kent

The skin grows increasingly thick and bleeds, and the eruption

spreads to other parts. Eruptienw on the lips, on the genitals ; very

offensive ; soreness and rawness about the anus ; the vulva ulcerates

and is very offensive ; ulcers on the legs ; on the tibiae ; on the backs

of the hands ; on the dorsum of ^e foot ; behind the ears and upon

the ears ; over the scalp ; over thti cheek bones ; on the wings of the

nose and on the nose and eyefids. Greasy skin. The eruption is

accompanied by redness of the mucous membranes of the nose, mouth,

lips and eyes. Eyelids thickened and turned out, like ectropion ; granulation and induration of mucous membranes, so that they become

like gristle ; redness and ulceration. Ulceration of the cornea ; lachrymation ; turning out of the lids with loss of the eyelashes. He looks

frightful with his red eyes, eruption on the face, red skin oozing a

thick yellow discharge. In the early stages the oozing is a whitish

thin or whitish thick moisture. In old eruptions ulceration takes

place beneath the crusts and there is a thick, yellow, purulent discharge. Yellow green discharge from the eyes and nose. Horribly

offensive discharge from the nose ; gluey discharge from the nose ;

  • offensive like Merc.
  • , Sil.
  • , Calc, p.
  • Hep/.
  • Accumulation of foetid pus

in the eyes.

Cwyza with thick, yellow discharge. Always taking cold. In the

coryza Ae nose dries up part of the time and runs part of the time ;

he must use the handkerchief continually ; must blow the nose all the

time. In the early stages of the coryza he blows it all the time, but

there is no discharge or relief. This state is so marked that some

think of it as a continuous hay fever, which runs all the year and

ripens up in the Fall. It is closely related to hay fever; stuflSng up

of the nose in the Fall ; catarrhal state of the eyes and nose. Hay

fever is one of the ntost difficult conditions to fit a remedy to. It

belongs to a low constitution which must be built up before the hay

fever will cease. It is an expression of psora which comes once a

year, and the psoric miasm must be changed. In a few years most

subjects can be changed, but not in one season, so do not be disappointed. In catarrahal states, hay fever often dates back to low fever

improperly treated.

The Psorinum patient himself is one of debility. He wants to go

home after a short walk. He is worse in the open air. He cannot

breathe in the open air ; cannot breathe while he is standing up ; wants

to go home and lie down so that he can breathe. Asthma or cardiac

dyspnoea, when the patient wants to go home and lie down so that he

can breathe. Usually this condition is relieved by sitting up and fromi

the open air. Not so with Psorinum, he wants a warm place and to

lie down and to be let alone.

Lecture (part 3)
Kent

Psorinum is slowed down in all of its functions ; a state of paretic

weakness. He does not rally after a fever ; his digestion is slow ; the

stool is normal, yet it requires a great effort to expel it ; the bladder is

full of urine, yet it passes slowly and he feels that some remains ; he

can never finish stool or urination ; he has to go back several times.

Although the stool is soft and perfectly normal it cannot be expelled

at one sitting.

A psoric patient comes down with typhoid ; the typhoid has been

arrested or has run its course and it is time for convalescence. The

fever has subsided, but the patient has no appetite ; he does not convalesce ; he wants to lie down and does not desire to be moved ; he

is worse when sitting up, lies upon his back ; he has troublesome

breathing and lies with hts arms abducted from his side, thrown across

the bed ; this relieves his breathing and allows the chest to operate

properly ; so tired and so weak ; one dose of Psorinum will cause a

reaction, stop his sweat, increase his appetite, cause better breathing.

The Psorinum complex of symptoms is one in which remedies cause

improvement but a short time and then the symptoms change and another remedy must be selected. It is a state of feeble reaction.

The mental symptoms present some strong features. Sadness,

hopelessness ; he sees no light breaking through the clouds above his

head ; all is dark about him. He thinks his business is going to be a

failure ; that he is going to the poor house ; that he has sinned away

his day of grace. It is a fixed idea during the day and he dreams

about it at night. Overwhelming sadness ; dejection ; he takes no joy

in his family ; feels that these things are not for him. His business is

prosperous, yet he feels as if he were going to the poor house. No

joy or realization of benefit. Extremely irritable, wants to be alone.

Does not want to be washed. Full of anxiety, even of suicide. Despair of recovery if sick.

Though there is no eruption at night he is driven to despair by the

continual itching. If he throws the covers off then he becomes chilly ;

if he covers up then there is itching. Sensitive to cold yet the skin is

worse from heat. Tingling, itching, formication, crawling like ants

running over the surface, as of insects in the skin.

Especially suited to broken down individuals, who have vertigo as

soon as they go into the open air ; become dizzy and want to go home

and lie down ; afraid tliey will lose their breath.

Lecture (part 4)
Kent

Old chronic periodic headaches with hunger, and often the hunger

lasts during the whole headache ; must get up at night to get something to eat. The headache is sometimes improved by eating. If he

goes without a meal he has a headache. Violent rush of blood to the

head, hot face, hair wet with the perspiration, hunger. Every one,

two, or three weeks a recurrent headache. Every time the air blows

on his head it slacks up the cattarrh and a headache comes on. Either

coryza or headache from catching cold. Headache is violent, throbbing, pecking as of little hammers, red face, hot head — congestive ; at

  • times sweat.
  • Hungry headache Jn such as have a dry cough in winter.
  • Dry, teasing, racking cougfaf with no expectoration.
  • If the cough

ceases he has a periodic headaithe. So complaints alternate. Headache goes and cough appears of eruption in winter alternating with

headache.

Scalp cold ; wears fur cap in summer ; worse uncovering the head

  • (Si/.
  • ), worse from getting the hair cut {Bell.
  • , Glon.
  • , Sep.
  • ).
  • Hepar

is also worse from cold.

Salt rheum, psoriasis in winter. Dry, cold weather, cold wet

weather ; washing in cold water ; dish washing, aggravate the salt

rheum.

“Hair dry, lusterless, tangles easily, glues together ; must comb it

continually.”

Chronic offensive otorrhoea ; thick, purulent, offensive, yellow discharge from the ears ; smells like stinking meat ; continuous discharge ;

eruptions about and behind ears. Discharge resulting from scarlet

fever ; abscess in middle ear ; otitis media ; rupture of drum ; prolonged

discharge from such an abscess ; foetid discharge. “Otorrhoea with

headache ; thin, ichorous and horribly offensive like spoiled meat ; very

offensive, purulent ; brovra, offensive from left ear, for almost four

year.” Otorrhoea associated with watery, offensive diarrhoea

Scurfs in ears, and humid scurfs behind ears.

Teeth. Rigg’s disease ; the teeth became loose ; the gums settle

away, spongy, bleed easily, humid, blue, the teeth fall out. Ulcers

about the tongue and mouth ; ulcers as found in infancy ; aphthae,

thrush ; ulcerated sore mouth, sore throat, chronic ulcers of throat.

Chronic thickening and elongation of the uvula. Enlargement of tonsils, parotids and submaxillary glands : they become hard and tender to

touch ; swelling from taking cold. Glands of the neck sore.

Chronic abdominal affections with disturbances of stool. He will

strain to pass a soft stool (Nux mos,, Alumina), Chronic diarrhoea;

horribly offensive ; frequent stool day and night (unlike Sulphur, the

remedy it most resembles). He must go several times to pass a normal stool.

Lecture (part 5)
Kent

Chronic vomiting ; ulcer of the stomach, distension of stomach are

  • commonly associated.
  • Always sour l^elching, sour stomach.
  • Vomiting of blood and bloody stools.
  • This is not strange, because Psorinum has a tendency to haemorrhages, especially from the uterus.
  • All

sorts of menstrual disorders, especially a prolonged menstruation-

When a woman has passed through an abortion and the placenta has

come away, but every few days a little gush of fresh, bright red blood

and clots, or going days and weeks with a little oozing of bright red

blood ; every time she gets on her feet there is a new start of the flow ;

no tendency to permanent recovery. Two remedies that fit this state

are Sulphur and Psorinum. A marked state of relaxation, sub-involution. The uterus does not go back to its normal size and tliere is this

tendency to bleed ; a state of inertia.

“Soft stool, passed with difficulty,'’ do not forget this. Obstinate

constipation. Haemorrhage from the rectum. Cholera infantum ;

often in the early days the stool is horribly offensive, slimy, undigested ; there is vomiting and prolonged weakness and the whole child

has an offensive odor ; child dirty ; nose sunken in {Ant, /.), sunken

countenance. Psorinum causes reaction and cures, or brings the child

into such a condition that a simple remedy completes the cure. It is

not the sourness of Hepar ; in spite of washing, the child smells so

sour ; like sour milk ; the diaper, urine, and faeces and perspiration are

sour. This is a strong general feature of Hepar, The stool smells

like spoiled eggs, so also the eructations and flatus. The offensivcoiess of the stool is horrible, but not so permeating as Bapt,, which is

thick and clay-like, while the Psorinum stool is watery, brown, gushing and may be bloody. Chronic diarrhoea, early morning, urgent.

Hot flatus, burning the anus ; smells of spoiled eggs, Arn, and Staph,

Involuntary stool at night {China has a black, profuse, watery stool at

night and after meals). In Psorinum wc find the haste of Sulphur,

the flatulence of Okan, and Aloe, and difficulty of expelling a soft stool

like Alumina, China and IStAx mosch.

There is prostration in some Psorinum cases ; prostration of the

genitals. It is not such an unusual thing in the female to have aversion to sexual intercourse, but man is not often subject to the complaints that cause aversion to coition. Yet we have in man as well as

in the woman actual aversion or a state of no enjoyment. He can

perform the act and he has no difficulty in obtaining an erection, so it

is not impotence, but there is no enjoyment. Impotence comes later.

‘^Absence of erections ; parts flabby, torpid.'’ “Aversion to coition ;

impotence ; want of emission during coitus.’* “Prostatic fluid discharged before urinating.”

Lecture (part 6)
Kent

Old gleet, painless discharge ; the “last drop relaxed and cold

genitals ; a drop of white or yellow pus after a well selected remedy.

[Sepia, Sulphur^ Alumina, Psorinum.) Psorinum is indicated above

all others if there is an unusually offensive state of the genitals^

Thuja, if the odor is of a nauseating, sweet character ; warts exposed

by rolling back the foreskin ; sweet odor in spite of washing.

Psorinum cures many heart complaints. Palpitation from the least

exertion, better lying. Stiching pain better lying. Cardiac murmurs

of either side. Mitral regurgitant murmur. Pericarditis of rheumatic

origin. Heart symptoms with general weakness, dusky face, dazed look.

Weak, irregular and rapid pulse.

But mark the modalities. Aggravation in the open air, aggravation

when sitting up, aggravation when sitting at the writing table ; wants

to lie down ; wants to rest the chest and breathing apparatus by lying

down. Asthmatic dyspnoea amelfcrated by lying down, and w^orse the

nearer the arms are brought to the body. Such symptoms are found

in very few remedies and in none so marked as in Psorinum.

Febrile state. Intermittents, bilious fever, fever from a cold. The

patient is so hot that the hand under the covers feels as though in a

steam bath and the sensation of heat causes one to draw it back. It

is not the dry beat of Belladonna, yet it is as intense. It is a steam.

He is covered with a boiling sweat in fevers. Head and body hot and

hot air or steam beneath the covers. [Opium has this, but it is in a

violent congestion to the head, an apoplectic condition.) In intermittents he is taken on the street with difficult breathing. He wants to

go home ; he is weak and exhausted, crawls up stairs on the hands and

knees. The chill is not marked, but the heat is intense and the sw^eat

ct^ious. He is almost in a stupor, befogged, bewdldered, cannot answer questions ; face red, pufed, mottled. “Sweat profuse, cold,

clammy from least exertion,” This is another form which comes on

in the weak, broken down state. After typhoids, he sweats if he turns

in bed, after the least exertion, and the sweat is cold. Profuse night

sweats. Night sweats of phthisis ; when there is that tremendous heat

nndcr the covers, a copious hot sweat ; mental state as if dazed.

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
  • Trembling of hands and feet.
  • —Stretching.
  • —Tearing: in 1.
  • knee and shoulder;

intermittent, in joints, in humerus, knee, and toes, > motion.—Wandering pains, < tibi¢ and soles,

also in finger-joints, at times in r. patella, > motion—Weakness of joints as if they would not

hold together.

For practising licensed homeopaths

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