Pulsatilla

Pyr. p. "has bitter tonic properties like those of Chamomile (Anthemis nobilis);

and is a popular remedy in slight fevers (whence the name 'Feverfew'). The smell of the whole

• ▸herb is said to be particularly offensive to bees" (Treas.
• ▸of Bot.
• ▸).
• ▸Some popular "insect powders"

are made of the dried flowers of Pyrethrum roseum. Radix Pyrethri, or Pellitory of Spain, which

is used as an irritant and as a toothache cure, is the root of Anacyclus pyrethrum. The roots of the

genus have a hot taste, whence the name Pyrethrum (zip, fire). One observation has been

• ▸recorded with Pyr.
• ▸p.
• ▸A boy, 3 1/2, took 50 minims of the tincture.
• ▸It nearly proved fatal, causing

diarrhoea, convulsions of a tetanic nature, twitchings, loquacious delirium, restless, rapid, and

weak pulse, and profuse sweat at night. Some observations of Cooper's will be found in the

Schema. Cooper has also cured cases of subacute rheumatism with P. roseum.

Chill. Wetting feet. Eating: Pork; Fats; Pastry; Ice-cream; Mixed diet.

Thunderstorm. Tea.

• ▸Weeps easily.
• ▸Timid, irresolute.
• ▸Fears in evening to be alone, dark, ghost.
• ▸Likes sympathy.
• ▸Children like fuss and caresses.
• ▸Easily discouraged.
• ▸Morbid dread of the opposite sex.
• ▸Religious melancholy.
• ▸Given to extremes of pleasure and pain.
• ▸Highly emotional.
• ▸Mentally, an April day.

Very excited, talked incessantly for four hours.—Lying in state of stupor; easily roused

but quickly relapsing.

Twitching of muscles of limbs (not those of face); subsided by morning of

third day.—At 12.30 violent convulsions lasting all hour and leaving the child apparently

moribund, but he gradually recovered.—Convulsive movements like those of

tetanus.—Restlessness.—Feet, legs and body, which were swollen, decidedly reduce, and next

• ▸menstrual period is dark and deficient (in a gouty woman, 50.
• ▸—R.
• ▸T.
• ▸C.
• ▸)

• ▸Wandering stitches about head; pains extend to face and teeth; vertigo; better in open air.
• ▸Frontal and supra-orbital pains.
• ▸Neuralgic pains, commencing in right temporal region, with scalding lachrymation of affected side. Headache from overwork.
• ▸Pressure on vertex.

Dizziness on entering house from open air; sudden, in afternoon with fulness of

• ▸head.
• ▸—Dull.
• ▸heavy headache, mornings; > by active exercise before breakfast.
• ▸—Flying pains in

head and feet—Dull, oppressive, frontal headache; on waking.—Hard pains in upper forehead

pass in a wave to occiput, involving whole brain.—With headache cutting pains in

• ▸epigastrium.
• ▸—Hard pain over I.
• ▸eye; as if a nail being pressed into forehead.
• ▸—Pain over r.
• ▸eye,

afternoon, > walking in open air, < in warm room, with sense of heat, fulness in head, and

• ▸dryness of eyes.
• ▸—Sharp, shooting pains through both temples; in r.
• ▸temple.
• ▸—Dull pain in r.

• ▸temple; in vertex.
• ▸—Severe throbbing on vertex.
• ▸—Full, hot feeling at cerebellum.
• ▸—Headache

arising from nape of neck and upwards.

• ▸Thick, profuse, yellow, bland discharges.
• ▸Itching and burning in eyes.
• ▸Profuse lachrymation and secretion of mucus.
• ▸Lids inflamed, agglutinated. Styes.
• ▸Veins of fundus oculi greatly enlarged.
• ▸Ophthalmia neonatorum.
• ▸Subacute conjunctivitis, with dyspepsia; worse, in warm room.

Profuse secretion of mucus from eyes.—Dull pain deep in eyes, with

• ▸smarting.
• ▸—Dryness; smarting; profuse flow of tears.
• ▸—Twitching: of 1.
• ▸brow and upper lid for half

• ▸an hour after going to bed; r.
• ▸lids < reading.
• ▸—Paralysis of lids —CEdema of |.
• ▸upper lid.
• ▸—Tarsal

edges red, dry, irritable.-—Lids agglutinated; profuse secretion of soft, yellow, or White

matter.—Profuse lachrymation with dull pains in eyeball extending to malar bone. —Neuralgic

pains in eyeballs, while walking, <r.

• ▸Sensation as if something were being forced outward.
• ▸Hearing difficult, as if the ear were stuffed.
• ▸Otorrhoea.
• ▸Thick, bland discharge; offensive odor.
• ▸External ear swollen and red.
• ▸Catarrhal otitis.
• ▸Otalgia, worse at night.
• ▸Diminishes acuteness of hearing.

Hard, drawing pains along r. Eustachian tube.—With the pains in head and eyes,

• ▸frequent drawing pains in ears from within out——Sharp pains in r.
• ▸ear and temples.
• ▸—L.
• ▸ear feels

closed; later both.—Snapping noises in ears; fluttering in r—Deafness, with cedema of |. upper

eyelid (cured).

• ▸Coryza; stoppage of right nostril, pressing pain at root of nose.
• ▸Loss of smell.
• ▸Large green fetid scales in nose.
• ▸Stoppage in evening.
• ▸Yellow mucus; abundant in morning.
• ▸Bad smells, as of old catarrh.
• ▸Nasal bones sore.

Right-sided neuralgia, with profuse lachrymation. Swelling of lower lip, which is cracked in middle. Prosopalgia towards evening till midnight; chilly, with pain.

Face red, hot, flushed—Complexion at first rough; later very clear after disappearance

of rash.—After eating, flushed, pressure of blood in face —Painful drawing in |. cheek-bone and

jaw.—Lips dry.

• ▸Greasy taste.
• ▸Dry mouth, without thirst; wants it washed frequently.
• ▸Frequently licks the dry lips.
• ▸Crack in middle of lower lip. Yellow or white tongue, covered with a tenacious mucus.
• ▸Toothache; relieved by holding cold water in mouth (Coff).
• ▸Offensive odor from mouth (Merc; Aur).
• ▸Food, especially bread, tastes bitter.
• ▸Much sweet saliva.
• ▸Alternations of taste, bitter, bilious, greasy, salty, foul.
• ▸Loss of taste.
• ▸Desire for tonics.

Frequent inclination to clear throat —After eating slight irritation in throat, with easy

expectoration of white, tough mucus.—Throat dry, smarts on waking, contains much tough

mucus hard to dislodge.—Scratchy, husky feeling in throat.—Sensation of plug in lower throat.

• ▸Averse to fat food, warm food, and drink.
• ▸Eructations; taste of food remains a long time; after ices, fruits, pasty.
• ▸Bitter taste, diminished taste of all food.
• ▸Pain as from subcutaneous ulceration.
• ▸Flatulence.
• ▸Dislikes butter (Sang).
• ▸Heartburn.
• ▸Dyspepsia, with great tightness after a meal; must loosen clothing.
• ▸Thirstlessness, with nearly all complaints.
• ▸Vomiting of food eaten long before.
• ▸Pain in stomach an hour after eating (Nux).
• ▸Weight as from a stone, especially in morning on awakening.
• ▸Gnawing, hungry feeling (Abies c).
• ▸Perceptible pulsation in pit of stomach (Asaf).
• ▸All-gone sensation, especially in tea drinkers.
• ▸Waterbrash, with foul taste in the morning.

Insipid mucus, putrid taste in mouth, empyreumatic, earthy, or pus-like

taste.—Taste: fatty; lost; in colds where there is an entire loss of taste—Sweetish, acid, or bitter

taste in mouth, and of food, principally meat, bread, butter, beer, and milk, substances which also

often appear insipid or cause disgust.—Bitter or sour taste in mouth immediately after eating, as

well as in morning and evening. —Wine has a bitter (beer a sweet or bitter) and meat a putrid

• ▸taste.
• ▸—Food appears either too salt or insipid.
• ▸—Want of appetite and dislike to food.
• ▸—Hunger and

desire to eat, without knowing what.—Ravenous hunger, with gnawing pain in

stomach.—Complete adipsia, or excessive thirst, with moisture on tongue, and desire for beer, or

spirituous, tart, and acid drinks.—Thirstlessness with all complaints.—Sensation of derangement

in stomach, similar to that caused by fat pork or rich pastry —Repugnance to tobacco

smoke.—After eating, nausea and eructations, regurgitation and vomiting, inflation, and aching in

pit of stomach, colic and flatulence, headache, obstructed respiration, ill-humour and melancholy

or involuntary laughter and weeping, and many other sufferings.—Bread, esp., lies heavy on

stomach.

Great hunger; rapidly returned after eating.—Loss of appetite—More thirst than

usual; cold water extremely grateful —Eructations: tasting of Pu/s.; while riding belches up food

• ▸hot and tasteless; of hot, tasteless wind; of sour air.
• ▸—Thick gulping.
• ▸—Heartburn.
• ▸—Nausea; and

dull headache, then faintness at stomach; on entering house.—Fulness in stomach preventing

eating in spite of appetite (cured in the proving).—Painful emptiness, pressure, then rising

towards cesophagus like heartburn —Emptiness: after action of bowels after eating. —Gnawing,

empty sensation.—Weight and pressure in stomach after eating; with faintness.—Distress: with

severe cutting pains in epigastrium.—Feeling as if needles being pressed through stomach.—Heat

in stomach gradually increasing to pain, < in spots under sternum; burning; pricking burning.

Painful, distended; loud rumbling. Pressure as from a stone. Colic, with chilliness in evening.

• ▸Dull pains in r.
• ▸hypochondrium; in 1——Severe pain in umbilicus 6 a.
• ▸m.
• ▸, with

desire for stool, stool dark, covered with mucus, severe pains for half an hour after—Rumbling;

after dinner of wind in distended abdomen moving from epigastrium to hypogastrium.—Aching

• ▸in one spot < by moving.
• ▸—Colicky pains after eating a ripe pear.
• ▸—Aching in 1.
• ▸groin; above I.

iliac crest on moving or bending.—Dull pains: in whole abdomen; by spells in hypogastrium.

• ▸Rumbling, watery; worse, night No two stools alike.
• ▸After fruit (Ars; Chin).
• ▸Blind haemorrhoids, with itching and sticking pains.
• ▸Dysentery; mucus and blood, with chilliness (Merc; Rheum).
• ▸Two or three normal stools daily.

Diarrheea, 5 a.m., with pain; at first profuse and exhausting, with tenesmus;

afterwards involuntary evacuations of mucus slightly tinged with blood; better next morning.

Evening and afternoon, feeling as if must go to stool immediately, with

constant distress in lower epigastrium and umbilicus.—Sudden attack of diarrhoea whilst riding

on horseback.—Stools: dark, thin, pap-like; watery, light yellow, painless; mushy; dark, slightly

covered with mucus; dry, hard, lumpy.—Constipation.

Pain on urinating; at end of urethra.—Frequent micturition —Tenesmus,

extending up ureters; uneasiness in kidneys.—Urine: pale; albuminous; excess of water; skunk-

like odour.

• ▸Increased desire; worse when lying down.
• ▸Burning in orifice of urethra during and after micturition.
• ▸Involuntary micturition at night, while coughing or passing flatus.
• ▸After urinating, spasmodic pain in bladder.

• ▸Amenorrhoea (Cimicif; Senec; Polygon).
• ▸Suppressed menses from wet feet, nervous debility, or chlorosis.
• ▸Tardy menses.
• ▸Too late, scanty, thick, dark, clotted, changeable, intermittent.
• ▸Chilliness, nausea, downward pressure, painful, flow intermits.
• ▸Leucorrhoea acrid, burning, creamy.
• ▸Pain in back; tired feeling.
• ▸Diarrhoea during or after menses.

Stinging, darting pains passing through uterus from side to

side.—Leucorrheea, bland but so profuse, and with so great depression that the prover refused to

take more of the drug although it removed a pleuritic pain.—Leucorrheea, painless, 4

• ▸p.
• ▸m.
• ▸—Feeling as if menses coming on.
• ▸—(Menses became more regular.
• ▸).
• ▸—Menses weak, too

soon (never before; but discharge, which had been formerly too dark and with pain, was this time

natural in colour and painless).—Menses, always copious, became increased to flooding and

lasted three days.—In morning on awaking found menses had returned first time since weaning

babe (two months).

• ▸Orchitis; pain from abdomen to testicles.
• ▸Thick, yellow discharge from urethra; late stage of gonorrhoea.
• ▸Stricture; urine passed only in drops, and stream interrupted (Clemat).
• ▸Acute prostatitis.
• ▸Pain and tenesmus in urinating, worse lying on back.

Distressing erection, soon subsiding.—Pain in penis on waking, < on

• ▸micturating.
• ▸—Hard, sticking pains in (I.
• ▸) spermatic cord and testes.
• ▸—Dull pains in testes, <

r.—Emission.

• ▸Capricious hoarseness; comes and goes.
• ▸Dry cough in evening and at night; must sit up in bed to get relief; and loose cough in the morning, with copious mucous expectoration.
• ▸Pressure upon the chest and soreness.
• ▸Great soreness of epigastrium.
• ▸Urine emitted with cough (Caust).
• ▸Pain as from ulcer in middle of chest.
• ▸Expectoration bland, thick, bitter, greenish.
• ▸Short breath, anxiety, and palpitation when lying on left side (Phos).
• ▸Smothering sensation on lying down.

Sharp, stabbing pain in pectoralis major muscle, followed by burning distress

• ▸therein.
• ▸—During evening severe pain under |.
• ▸arm nearer back.
• ▸—Aching pain in chest all

• ▸forenoon.
• ▸—Itching blotches on r.
• ▸breast; r.
• ▸side chest.

Shooting pain in the nape and back, between shoulders; in sacrum after sitting.

• ▸Stiffness r.
• ▸side neck, morning.
• ▸—Backache.
• ▸—Lameness in back, esp.

loins.—Woke frequently with backache —Weakness of loins; feeling its if menses coming on.

• ▸Rheumatism of r.
• ▸shoulder—Lameness in muscles of r.
• ▸upper arm.
• ▸—Muscles

stiff—Frequent momentary pains in wrists and fingers.—Fingers stiff—Hands dry and hot all

day.

Sharp neuralgic pains along sciatic nerve from hip-joint to middle of

• ▸thigh —Drawing in (1.
• ▸) sartorius muscle, when walking.
• ▸—Pain in both knees; < 1.
• ▸; severe, dull in

r. for two hours in bed; rheumatic.—Legs heavy while walking; trembling weakness; nervous

• ▸pains, < 1.
• ▸—Cramp.
• ▸—Dull pain in ankles; flying pains.
• ▸—With desire to urinate, afternoon, and at

night, nervous sensation is felt, irresistible fidgets, < night.—Elevated eruption on ankles and

half-way up leg, several large blotches on back, dark red; itches all the time, < night.—Very cold

feet, evening.

• ▸Drawing, tensive pain in thighs and legs, with restlessness, sleeplessness and chilliness.
• ▸Pain in limbs, shifting rapidly; tensive pain, letting up with a snap.
• ▸Numbness around elbow.
• ▸Hip-joint painful.
• ▸Knees swollen, with tearing, drawing pains.
• ▸Boring pain in heels toward evening; suffering worse from letting the affected limb hang down (Vipera).
• ▸Veins in forearms and hands swollen.
• ▸Feet red, inflamed, swollen.
• ▸Legs feel heavy and weary.

• ▸Urticaria, after rich food, with diarrhoea, from delayed menses, worse undressing.
• ▸Measles.
• ▸Acne at puberty.
• ▸Varicose veins.

Elevated blotchy eruption on legs and back.—Slight rash on back and

• ▸shoulders.
• ▸—Itching scattered pimples r.
• ▸side of chest; light red, rash-like blotches on r.
• ▸breast,

itching severely at night; < when heated.—Red rash on body, face, neck, back, chest, abdomen,

limbs, < chest and abdomen; later erythema; later nodules, turn white after scratching (> Ant. c.

200).—Itching: intense all over; < night before bedtime; > rubbing; < riding in cold air; returned

repeatedly throughout the winter.

• ▸Wide awake in the evening; first sleep restless.
• ▸Wakes languid, unrefreshed.
• ▸Irresistible sleepiness in afternoon.
• ▸Sleeps with hands over head.

• ▸Sleepy; sleep not refreshing.
• ▸—Sleepless: for an hour 4 a.
• ▸m.
• ▸; for several hours; from

over-eating.—Restless, with frontal headache —Many dreams; confused.

• ▸Chilliness, even in warm room, without thirst.
• ▸Chilly with pains, in spots, worse evening.
• ▸Chill about 4 pm.
• ▸Intolerable burning heat at night, with distended veins; heat in parts of body, coldness in other.
• ▸One-sided sweat; pains during sweat.
• ▸External heat is intolerable, veins are distended.
• ▸During apyrexia, headache, diarrhoea, loss of appetite, nausea.

• ▸Penthorum, often indicated after Pulsatilla in later colds.
• ▸Ionesia Asoca-Saraca indica--(Amenorrhoea.
• ▸Menorrhagia-acts powerfully on female organs.
• ▸Abdominal pain).
• ▸Atriplex (Uterine symptoms, amenorrhoea; hysteria, coldness between shoulders, dislike of warm food, craves strange foods, palpitation, sleeplessness).
• ▸Pulsatilla Nuttaliana, identical effects.

Compare: Cyclamen; Kali bich; Kali sulph; Sulphur. Pimenta-Allspice--(one-sided neuralgias, parts of body hot and cold).

Anagyris (headache, amenorrhoea).

Complementary: Coffea; Chamom; Nux.

Third to thirtieth attenuation.

The Pulsatilla patient is an interesting one, found in any household

where there are plenty of young girls. She is tearful, plethoric, and

generally has little credit for being sick from her appearances ; yet she

is most nervous, fidgety, changeable, easily led and easily persuaded.

While she is jt^ld^entle and tearful, yet she is remarkably irritable,

not in the sense of pugnacity, but easily irritated, extremely touchy,

always feels slighted or fears she will be slighted ; sensible to every

social influence. Melancholia, sadness, weeping, despair, religious despair, fanatical ; full of notions and whims ; imaginative ; extremely excitable. She imagines the company of the opposite sex a dangerous

thing to cultivate, and that it is dangerous to do certain things well

established in society as good for the human race. These imaginations belong to eating as well as thinking. They imagine that milk is

not good to drink, so they will not take it. They imagine that certain

articles of diet are not good for the human race. Aversion to marriage is a strong symptom. A man takes it into his head that it is an

evil thing to have sexual intercourse with his wife and abstains from

it. Religious freaks ; an especial tendency to dwell on religious notions ; fixed ideas concerning the Scripture ; he misuses and misapplies

the Scriptures to his own detriment ; dwells on sanctification until he

becomes fanatical and Insane ; thinks he is in a wonderfuly sanctimonious state of mind, or that he has sinned away his day of grace.

This goes no until he becomes insane on other subjects, and then the

tendency is to sit day after day in a taciturn way. He will not answer

questions unless hard pressed, when all he will say is “Yes” or “No,”

or he will merely shake his head. Puerperal insanity in a woman who

was mild, gentle and tearful, later .sad and taciturn, and then she sits

in her chair all day answering nothing or merely nodding her head for

“Yes” or ‘m”

Many of the complaints are associated with weakness of the stomach and indigestion, or with menstrual disorders. Women who abort ;

various irregularities of the menstrual flow ; false conception. The

mental symptoms are often associated with the ovarian and uterine

PULSATUXA

difficulties.

Mumps and inflammation of parotid glands. If a woman suffering

with mumps takes a decided cold the breasts swell, and there is an inflammation of the mammary gland. Girls take cold, the swelling of

the parotid subsides too soon, and the corresponding mammary gland

swells ; sometimes both swell : or it may begin in one and go to the

lOther. In men it is the testicle. Pulsatilla is one of the most important remedies in this fonn of metastasis ; it breaks up complaints

• ▸that flit about.
• ▸Pulsatilla is the common remedy for enormously swollen testicles from mumps in a boy.
• ▸Carho vegetahilis is another remedy, but then you have a Carbo veg, patient.
• ▸Ahrotanum is also useful in wandering around symptoms.
• ▸Pulsatilla has wandering pains,

rheumatism goes from joint to joint, jumps around here and there ;

neuralgic pains fly from place to place ; inflammations go from gland

to gland. But here is the distinguishing feature — Pulsatilla sticks to

its own text ; it keeps jumping around, but it does not change to a new

class of disease. Ahrotamnn has this metastasis, but it changes the

whole diagnosis : that is, the allopath says, ‘This is a new disease today.’’ The patient has a violent diarrhoea today, and an ignoramus

suppresses it ; an inflammatory rheumatism comes on, and he calls it

a new disease. The suppression of a diarrhoea or a haemorrhage, or

the removal of piles, causes an out-cropping somewhere else. A child

has a summer complaint suppressed and there follow symptoms refering to the brain, kidneys, liver, or a marasmus with emaciation from!

below upwards. Such things arc in the nature of Abrotanum,

Stomach, Hours after eating the patient eructates mouthfuls of

smir, rancid, bitter fluid ; liquids roll up from the stomach ; always

belching up rancid food. Some patients cannot digest butter ; cannot

use olive oil on their food. All sorts of bad tastes in the mouth.

• ▸Several hours after eating has not finished digesting food in the stomach.
• ▸Sour vomiting and eructations.
• ▸Digestion i« slow, and the patient goes to the next meal hungry ; eating does not satisfy ; assimilation is bad.
• ▸Always bilious.
• ▸Mouth is slimy and the taste is bad.

All these symptoms are worse in the morning. “Accumulation of saliva and much mucus in the mouth.” “Flow of sweetish or tenacious

saliva,” “Constant spitting of frothy^ cotton-like mucus,”

A striking feature Pulsat illa p a tien t is that he

water. Dryness of the mouth, ^t Even in many of

the leversTie is tHimTcss, but there is at times an exception to this —

in high fevers there may be some thirst. 'Thirstlessness, with moist

or dry tongue.'’ ‘*J>esire.for sour, refreshing things." Often desires

things he cannot digest ; lemonade, herring, cheese, pungent things,

highly-seasoned things, juicy things, “Aversion to meat, butter, fat

food, pork, bread, milk, smoking." “Scraping sensation in stomach

and oesophagus like heartburn." Many pains in the stomach when

empty or when full. But the bloating, the gas and the sour stomach

• ▸are most striking.
• ▸Gastric catarrh.
• ▸Craves ice cream ; craves pastries, yet they will not digest, and make him worse.
• ▸Craves things

which make him sick. This is not uncommon. The whisky drinker

craves his liquor, yet knows it will kill him. So in Pulsatilla with

regard to pastries. Craves batter cakes, with maple syrup, yet knows

they will be vomited. Craves highly spiced sausage, yet averse to pork

alone.

Pulsatilla produces and cures jaundice. ‘Jaundice in consequence

of chronic susceptibility to hepatitis and derangement of secretion of

bile, with looseness of bowels ; duc^cnal catarrh ; disordered digestion ;

feverishness and thirstlessness ; after quinine,"

Many troubles seem to manifest themselves in the abdomen by bloating, distension of the abdomen, flart^lence, colicky pains, rumbling, fermentation of food, and from dist^ers of menstruation or diarrhoea.

Great sensitiveness, tumefaction, tetiderness ; whole abdomen, stomach

and pelvic organs sentitivc to touch, Bloating after eating, especially

after fats and rich foods. FulncSJS of the veins ; general venous stasis, It brings about especially a tumid fulness of the abdomen, such

a stuffed feeling that she cannot Weathc. In a woman about to menstruate, there is bloating of the abdomen, stuffed feeling, has to throw

pff her clothes, cannot wear stays, wants to get into a loose dress or

to go to bed — so extremely puffed is she. Associated with this abdominal tumefaction the face and lips become bloated and puffed, the eyes

red, and the feet puffed so that she cannot wear her shoes. There is

also a sensation of dragging down, a sense of great weakness, commonly related to the menstrual disturbances or uterine disorders. The

dragging down is recognized as prolapsus uteri. It is felt in the whole

abdomen and is described as a funneling sensation, as if the parts

would push out into the world, a dragging down. Oversensitiveness

of the abdomen ; especially in the lower part of the abdomen. She

cannot stand on her feet or walk around much, because of the weight

and dragging down. Labor-like pains in the uterus and back as if the

menses would come on. It is not uncommon for the Pulsatilla patient

to feel through the whole month as if she were about to menstruate,

778 FULSATtLLA

The abdominal and bowel symptoms are associated. Cutting, flitting changing pains. Pains urging to stool Griping, in the bowels

associated with dysentery or diarrhcea ; loose watery or green stools.

A striking feature of the bowel symptoms is a loose, watery, green

stool, continually changing; yellow, faecal, slimy. In summer complaints, when Pulsatilla is the indicated remedy, there will be hardly

two stools alike ; continually changing. This is characteristic of Pulsatilla in general ; the pains wander ; complaints change by metastases ;

the patient is scarcely ever twice alike. Diarrhoea alternating with

constipation. Menstru aL flow stops and sta rts ^ intcrni ij;s-^.aii(Lc hanges .

In the Pulsatilla patient you never know what you will find next.

Dysentery ; dysenteric stools ; scanty, slimy, bloody, green, watery stool

with a little spurt ; next stool might be diarrhoeic, with quite a copious

discharge ; thus you have diarrhoea and dysentery together.

T roublesom^^h rftnin .^,ot»Rti pat ion : stool large^ hard and ^ difficult to

expel . It has (like Nux) frequent urging to stool without any stool,

or frequent urging with only a scanty stool ; goes many times before

can pass a stool, Nux and Pulsatilla. Frequent unsuccessful urging in

a chronic case is looked on as a keynote to Nux, but many remedies

have it. Pulsatilla is one. The diarrhoea and bowel symptoms of Pulsatilla are worse in the evening and during the night ; that is, the stools

are worse at night. The stomach, throat and mouth symptoms are

• ▸worse in the morning.
• ▸The mental symptoms are worse in the evening.
• ▸The bowel and stool symptoms are aggravated by keeping perfectly still, and ameliorated by gentle motion.
• ▸There is much restlessness in Pulsatilla.
• ▸Amelioration from motion in the cool open air

Feels stuffed up in a close room, and wants the windows open. “Dysenteric stools of clear yellow, ted .or green slime ; pain in the back,

straining.” “Stools of deep green mucus ; pain in the abdomen ; no

thirst.” You will rememl>er the word green in Pulsatilla, as it relates

extensively to the catarrhal discharges.

Most troublesome constipation with haemorrhoids ; violent pains in

the haemorrhoids, worse lying down, ameliorated from gentle motion,

worse from the warmth of the bed, better moving about in the open

air. She becomes so nervous in a room while at rest that the pains

seem intensified and she must move about. “Haemorrhoids ; painful

protruding, blind, with itching..and stitches in anus.” The aggravation

from lying down in extremely painful haemorrhoids is contrasted with

Ammonium carb, which has violently painful haemorrhoids relieved by

lying flat on the back. In violently painful haemorrhoids, with intense

burning, think of Arsenicum and Kali carbonicum. In those with

sticking, tearing pains study ^^sculus. Looking over a number of

years I have been forced to use in these cases a remedy not yet fully

proven. In painful haemorrhoids, in a broken dpwn constitution,

where the whole disease seems to culminate in the hsemorrhoidsj bleeda mer e touch almost ^uses a convulsion ; it causes

her to scream out at the top of her voice ; it is so painful that she feels

that death would be a relief ; she lies in bed holding the nates far apart

with her hands ; after every stool she has three or four hours of extreme suffering. In these case look up the Paeony. The haemorrhoids it cures look like the flowers of the plant, they are so inflamed,

so red and bleeding ; oozing ; tender to touch ; patient is so worn out

with the pain. It has many times relieved the pain and cured these

enormous haemorroidal tumors. I have cured them after they had

been operated on, and all sorts of violence done them, without relief.

Do not go to this drug if you can find a remedy that covers all the

patient. Many patients will not confess any other symptoms, and some

of these will suffer so much from the harmorrhoids alone that you will

really need this remedy.

Urine frequent, scanty, with urging ; wonderful tenesmus ; extremely

painful, bloody, burning, smarting urine ; there is scarely a drop collects in the bladder but it must be expelled. She cannot lie on the back

without having a desire to urinate. She may go all night without

urinating if she docs not lie on the back, but the minute she turns on

her back she is wakened by the desire to urinate and she feels that if

she does not hurry she will pass it involuntarily. Involuntary urination when coughing and sneezing or from a sudden shock or surprise,

pr from sudden joy, or from Iwghing, or from the noise of the slami

of a door or a pistol shot. Pulsktilla has dribbling of urine, dribbles

on the slightest provocation. She must keep her mind continually on

it, or she will lose her urine. As soon as she goes to sleep it flows

away. Little, mild, gentle, florid, plethoric, warm-blooded girls, who

kick the covers off at night and have noctural enuresis. Yellow, sallow, sickly girls who lose their urine in their first sleep call for Sepia,

Losing the urine in the first sleep is looked upon as a strong symptom,

but you can figure it out, and hence it is not so. All those cases that

have to make an effort to hold the urine during the day lose it in their

first sleep ; for then the mind is taken off it, and as soon as the mind

is taken off it the urine dribbles. Causticum and Sepia are remedies

looked upon as curing involuntary urination during the first sleep, but

I have cured it with many other remedies. A man past middle age

flooded the bed at night as soon as he went to sleep. The medicines

which have this are limited and he had received them all, I found I

(must figure it out on another basis. I ascertatined that when moving

about at his work he had no difficulty in holding the urine but when

he sat dowm he had to make an effort to control it. At the time this

condition developed he had been in Atlantic City and had bathed much

in the ocean. Here were the aggravation and amelioration of Rhus^

PULSAmU

j8o

and Rhus cured him. Few would think of Bryonia in urinary trouble.

When he moves the urine dribbles, when he walks it flows. He is

relieved only by keeping quiet. Bryonia is aggravated by motion ;

RJius is relieved by motion.

Pulsatilla has relief from motion. A few remedies have relief from

slow motion and of these Pulsatilla and Ferrum are the most striking.

A few remedies are relieved by hurried motion ; want to move fast.

• ▸Such are Bromine and Arsenicum.
• ▸The Arsenic child cannot be carried fast enough.
• ▸The Pulsatilla baby is content with moderate motion.
• ▸Any motion that heats up the Pulsatilla patient aggravates all

the complaints. A wood sawyer working hard said his cough was

relieved by moving about but when he became heated up from sawing

he had to sit down and rest on account of the violent spasmodic cough

that would come on.

Pulsatilla has complaints from exposure to rain ; getting feet wet.

Urinary troubles, worse when getting chilled [Dulcamara), Pulsatilla establishes a chronic, inveterate catarrh of the bladder. Copious

mucous discharge, bloody discharge, especially after taking cold.

Thick, ropy, purulent, green, offensive discharge.

Sexual desire unusually strong. “Ix)ng lasting morning erection.”

“Sexual excesses resulting in headache, backache ; limbs heavy.”

"Burning and aching of the testicles, with or without swelling.” Orchitis ; inflammation and swelling of the testicles from suppressed gonorrhoea, from mumps, from catching cold, from sitting on damp

ground, or on a cold stone when perspiring. Gonorrhcea suppressed

by injections. “Cold” settles in the testicles. Pulsatilla is the most

frequently indicated remedy in gonorrhcea. in which the discharge is

thick yellow or thick yellow and green, in those who are sensitive to

heat, ameliorated walking in the open air. But also in persons with

no other symptoms, and the gonorrhoeal discharge is thick yellow or

green; no symptoms contra-in^cating it. Troublesome lingering discharges ; an old gleet rouses into a thick yellow discharge, when he

takes cold or after coition. Frequent tenesmus ; chordee ; urging to

urinate; burning urination and yellow discharge. Tumefaction about

• ▸the penis.
• ▸Foreskin dropsical.
• ▸[Nitric ac.
• ▸, Fluor, ac,, Conn, sat.
• ▸)

Pulsatilla is useful in cases of suppressed gonorrhoea, with complaints

following. Inflammation of the prostate. In old sinners with enlarged prostate, hard, flat, packed faeces, must always use a catheter ;

especially when the trouble has been brought on by sexual abuses, sexual

excesses, vices. Pain in the testicles ; tearing in the swollen testicles.

Pain along the cord like cutting of knives ; lacerating, tearing.

Exaggerated sexual desire ; nymphomania ; wild, beside herself with

• ▸sexual thoughts ; uncontrollable sexual desire.
• ▸Inflammation of ovaries and uterus.
• ▸Suppression of menses from getting feet wet.
• ▸Menses

too late, scanty. Face pale, yellow, sallow, or green like a chlorotic

patient. It overcomes the tendency to miscarriage, false conception,

moles, etc., and stops the growth of fibroids, other symptoms agreeing.

In pregnancy and during confinement many symptoms call for Pulsatilla. Most often called for when the patient is not irritable and the

pains are very feeble, lasting for several days, and doing nothing;

irregular, flitting, changeable pains, now up the back, now down the

limbs ; a prolonged first stage or prolonged preparatory symptoms.

Chamomilla is more suitable if the woman is extremely irritable. But

in a mild, gentle, mental state, when the pains are irregular, the os

dilated and the contractions have let up, the pains too short, Pulsatilla

will terminate that labor in a short time. The next pain after the dose

will be a good one. You very often see in these cases that the outsido

parts are relaxed and the conditions are such that everything ought to

go on well, but there is inaction. For weak pains Pulsatilla stands

high.

Violent menstrual c olic, causing her to bend double : soreness in the

• ▸rcgioiToFTHe uterus and ovarjea.
• ▸;.
• ▸dytstendfid-aMomen i_ ^.
• ▸ows the covcri~6ll ; wants "the "window s op en; teatfuL:.
• ▸.
• ▸weeps.
• ▸.
• ▸withQut a cause,

' Suppression of the menstrual flow from getting feet wet. Flow slaw

in being established and the n gcar ccly more than a l eucor rheea. Menstruation that has been painful (unce puberty in plethoric girls. I have

seen Pulsatilla cure a great n^ny girls of sixteen to eighteen years

old. The mother comes to saying her daughter has suffered since

her first menses ; she went in i^imming, or got her feet wet, and has

suffered since. The doctor isalys the parts are undeveloped and she

must be operated on. Pulsatilla has established a normal flow in a

few months. Now I will give you a contrast in another remedy.

Scrawny girls who are sensitive to cold, have also taken a bath at the

time the first menses should appear, or have got the feet wet, and the

flow is partially suppressed, or has come on with an inflammation ; a

state of undevelopment is established, a stenosis ; horrible menstrual

colic ; bearing down pains, as if everything would escape into the

world, doubling the patient up ; ameliorated by heat and aggravated by

• ▸cold.
• ▸Calc.
• ▸phos.
• ▸is the remedy.
• ▸“In girls of mild disposition, when

puberty is unduly delayed, or menstrual function is defectively or irregularly performed ; they are pale and languid, complain of headache,

chillines and lassitude.” To develop these young girls Pulsatilla is a

great remedy. Most troublesome cases of prolapsus. It competes

with Sepia, Belladonna, Natrum niur., Nux vomica and Secale ; all of

these are remedies with great relaxation, bearing down ; some have

cured even procidentia. Pulsatilla cures many cases of gonorrhoea in

females. I think it is most commonly mdicated. A striking feature

is, when the menstrual flow is present there is milk in the breasts. In

girls at puberty — ^milk in the breasts ; a premature establishment of

milk. In non-pregnant women, milk in the breasts. {C^men and

Mercurius^

The chest, respiratory organs, and ocugh furnish some most troublesome symptoms. Bronchitis ; pneumonia. Dry, teasing cough and

dyspnoea ; wants the windows open, aggravated lying down. Cough

gagging and choking. Copious expectoration in the morning, of thick

yellow-green mucus. Dry, teasing cough at night, worse lying down.

Chronic loose cough after measles. Whooping cough.

In the larynx we have many symptoms ; constriaion ; tickling causing cough. Dry, teasing cough, worse lying and" in a warm room.

Cough worse at night.

Bronchitis with loose morning and dry evening cough.

Dyspnoea; oppression from walking fast or becoming overheated

after eating ; stopping up nose ; after emotions. Spasmodic contraction of larynx. Tightness of chest ; dyspnoea when lying on left side ;

suffocation in the evening and during the night. Asthma of children

from suppressed rash or in women from suppressed menses. Loud

rattling in the chest when lying. Chronic loose cough after measles.

Expectoration of copious, thick, yellow-green, or bloody mucus ; salty ;

offensive. Chronic catarrh of chest. Sensation of fulness in the chest

in the evening with pulsation preventing sleep. Palpitation from lying

on the left side. Soreness in the walls of the chest. Pain in the chest

sometimes relieved by lying on the opposite side ; dryness and rawness

in the chest. Wandering tearing pains in the chest ; cutting pains in

pleurisy ; violent heat in the chest. Haemorrhage of the lungs, dark

blood. Dry cough in the evening, loose in the morning. Haemorrhage

with suppressed menses or instead of the menses. Pulsatilla is very

useful in catarrhal phthisis in chlorotic girls.

In curvature of the spine Puls, is of great value. Pain in the back,

lumbar and sacral regions ; wandering pains ; spinal irritation after

sexual excesses. Rlieumatic pains in the spine and limbs, worse during rest and better from slow motion. Pain in small of back as if

sprained ; sensation of cold water poured down back.

All the limbs are painful ; drawing, tearing pains in the limbs, better

from motion and after motion ; worse from a warm room and better

from cold applications. Swelling of the veins in the arms and hands.

Varicose veins of the limbs like FI ac. Rheumatism of joints ; pain in

joints as if dislocated. Sciatica worse in the evening and better from

slowly moving about. Drawing and tension of muscles in lower limbs

in the evening in bed. Tearing, jerking pains in the limbs, changing

place. Burning in the veins. Piirple swelling vdth violent itching of

the feet as if they had been frozen. Feet bum, and he must put them

out of bed. Soles bum and arc bruised when walking. Marked rest-

PYROGEN 783

lessncss and twitching of the limbs and feet ; numbness of the limb

lain on ; wandering pains in all the limbs.

Sleeps on the back with hands over head. Cannot sleep on the left

side as it increases the palpitation and suffocation. Confused, frightful, anxious dreams. Late falling asleep ; sleeplessness on account of

flushes of heat. Pulsatilla cures intermittent fever, coming on from

• ▸disordered stomach.
• ▸Chill morning and evening daily.
• ▸The chill begins in the hands and feet ; pains in the limbs during the chill ; onesided coldness with numb feeling ; fever one sided.
• ▸Thirst before the

chill and seldom during the heat ; heat with distended veins ; sweat profuse all over or only on one side of the body. Vomiting of mucus during the chill.

With such a mental state the general state of the body \^JpOYse in a

warm room and relived by niotion. Tearful, sad and despoiiUent^

ameliorated walking in the open air, especially when it is crisp, cool,

fresh and bright. Suffocation and an increase of the pains, ond even

chilliness in a warm room ; a nervous chilliness when the patient perspires from the heat of a room. The inflammatory symptoms, neuralgias and rheumatisms arc relieved by a cold, by eating and drinking

cold things, by cold applications, or cold hands. Cold drinks relieve,

even though the patient is not thirsty. Cold foods are digested while

hot food make the body warm from which symptoms are worse. Ice

cold water feels good going down the oesophagus, and is retained in

the stomach, though there is not thirst.

Many symptoms worse after eating. It is often only a lump in the

stomach, but the mental and nervous symptoms also are worse after

eating. The stomach symptoms are worse in che morning, the mental symptoms worse in the evening. Aggravation front fats and rich

foods. Complaints brought on by eating fat, pork, greasy things,

cakes, pastries and rich things. The Pulsatilla stomach is slow to

digest. Hours after eating there is a sense of fulness in the stomach,

a lump in the stomach, ameliorated by slow walking in the open air.

The patient is commonly relieved from slow motion in the open air,

becomes frantic when trying to kicep still, worse during rest, ameliorated by doing something, generaBy slow, moderate motion. This relief from motion and aggravation jfrom rest, relief in the open air, and

aggravation in a warm room give us a good summary of this beautiful remedy.

In Pulsatilla patients the skin feels fcvciish and hot, while the temperature of the body is normal. There is aggravation from much

clothing ; she wants to wear a thin dre.^s even in moderracly cold

• ▸weather.
• ▸Does not need to dress warmly.
• ▸Much clothing and covering aggravate.
• ▸Often he cannot wear flannels or woolen clothing

because they irritate the skin, causing itching and eruptions like Sulphur, and this ivS not surprising, as Pulsatilla and Sulphur are antidotes. There is no remedy like Pulsatilla to antidote Sulphur when

it has been used every Spring to ‘^cleanse the blood.” Some people

use Sulphur until the skin becomes red, hot, easily irritated, and aggravated by clothing. Pulsatilla is the antidote. Old cases of psoriasis ; little flat, brownish patches about the size of the thumb nail, which

itch tremendously, in old Sulphur patients are cured by Pulsatilla. A

, general feature of the skin is itching and burning, but a more marked

Pulsatilla state is a Lsichesis appearance of the skin. It is mottled,

erysipelatous ; spotted, purplish in spots ; veins engorged ; capillaries

tumid ; a vasomotor paralysis of the capillaries or veins producing a

mottled appearance. Pulsatilla has an unusually venous constitution.

The veins are engorged, in a state of stasis, hence there is over-heat

of the skin. This unusual fulness, redness and purple aspect of the

face is a false plethora. It often goes on to a puffiness and swelling,

and especially at the menstrual periods. Considerable bloating of the

face and eyes, bloating of the abdomen ; feet puffed so that she cannot wear shoes, feet red and swollen at the menstrual period, ameliorated by the menstrual flow. Many women are late and are preparing

for a week or ten days ; face purple, red, puffed and bloated; abdomen

distended ; dyspnoea ; and all this is relieved by the menstrual flow.

She feels these symptoms perhaps one or two weeks, and is relieved

by slow motion in the open air. Cannot breathe in a warm room ;

wants the windows open ; chokes and suffocates in a warm bed at

night. This increases until the menstrual flow starts. The stomach

is so full and distended that she cannot eat. No appetite or desire

for food.

With the engorgement of veins ulcers surrounded by varicose veins

are common in this remedy. Ulcers bleed black blood which coagulates early ; little black clots : bleeding is not copious ; clots easily, dark,

tarry, offensive. Ulcers bleed and ooze, discharge a bloody watery

fluid or there is a very thick yellow or green flow.

This brings us to the catarrhal slate. Wherever there is mucous

membrane there is catarrh. The mucous membrane is covered with

purple spots, dry spots ; tumid, puffed, looks erysiipelatous. Wherever there is inflammation of the mucous membrane it looks purple ;

a venous congestion. Thick, green, yellow catarrhal discharges arc

most characteristic. The catarrhal discharges arc bland with the exception of that from the vagina, which is excoriating, causing rawness of the parts. P'rom the eyes, ears, nose and chest there are

thick, yellow, green, bland, discharges, but there is thick yellow green

excoriating Icucorrhoea. Remember, however, that Pulsatilla has a

bland leucorrhoea, in keeping with tlie general state. Discharges are

often offensive, sometimes bloody, watery, but even then mingled with

yellow green purulent fluid.

The Pulsatilla patient suffers from vertigo from affections of the

eyes, ameliorated by wearing well-adjusted glasses ; attended by nausea which is worse lying down, worse from motion, worse from the

Emotion of the eyes, and ameliorated in a cold room, and by riding in

a carriage in the cold air. As soon as she enters a room that is warm

she has nausea, even to vomiting. Vertigo with vomiting after eating.

Pulsatilla has violent headaches. Headaches in school girls who

are about to menstruate. Headache accompanying menstruation.

Headache associated with suppressed menses, with menstrual disordcrs ; not caused from them, but associated with them. Pains through

the temples and sides of the head are common Pulsatilla headaches.

Headaches before, during and after menstruation ; but more commonly

before, when there is a general stale of congestion, stasis, and tumefaction of the veins, and amelioration of the headache when the

menses set in if the flow is normal. It is common to have the head

and nervous symptoms through the menses, because the flow is so

scanty, often little more than a leucorrhoea, and for a single day a

little clot of dark blood. One-sided ^headaches and one-sided complaints arc peculiar to Pulsatilla. Perspiration on one side of head

and face ; fever on one side of the body ; one side cool and normal and

the other side hot, I rememl^er a case of puerperal fever with sweat

on one side of the body and dry heat on the other and confusion of

other symptoms. Pulsatilla was given and the patient recovered.

The Pulsatilla headache is a throbbing congestive headache ; much

heat in the head, ameliorated by the application of cold, by external

pressure, and sometimes by slow motion, aggravated by lying and

sitting quiet, ameliorated by walking slowly in the air ; becomes wwse

towards evening and gradually increases through the evening and

night, worse from the motion of the eyes and from stooping. The

pains are often constricting, throbbing and congestive. Periodic sick

headaches, with vomiting of sour food. Headache when he overeats.

Though he likes ice cream, he has headache and congestion of the

stomach after eating ice cream. J

Eyes, Catarrhal symptoms. iPustules about the lids and over the

ball ; on the cornea. Inflammiatory features. Thick, yellow-green

• ▸pus.
• ▸Granular lids.
• ▸Continued formation of little pustules.
• ▸Isolated granules on lids, grow out here and there in bunches as large as

pin leads. Eyelids inflamed and bleed easily. Every time he catches

cold it settles in the eyes and nose. Eyes red, inflamed and discharge-

In infants catarrhal diseases of the eyes of a gonorrhoeal character ;

ophthalmia neonatorum. In early days the infant often needs the

same constitutional remedy as the mother. Yellow green discharge

from the eyes ; eyes are ameliorated by washing in warm water, or

tepid water ; even cold water feels good to the eyes. The Sulphur

patient is made worse by bathing ; the eyes smart, burn and become

increasingly red after washing in water. Pulsatilla causes a tendency

to the formation of styes ; recurrent styes ; always having styes. Pustules, papules and little nodosites on the lids.

Prior to menstruation, in young girls especially, things get black

before the eyes, like a gauze or a veil. Nervous manifestations,

twitchings, spell of blindness and fainting. In the early stages of

paralysis of the optic nerve Pulsatilla is a great remedy. I'he patient

is always rubbing the eyes ; whether or not there is mucus in the eyes

77 ^

it matters not ; but it is a sensation of gauze before the eyes, ameliorated by rubbing. Pulsatilla has cured incipient cataract. Itching of

the eyes, in keeping with the skin symptoms. Itching in the ears,

nose, tickling in the throat, in the larynx.

In the cars we have the same catarrhal condition. Thick, yellow,

offensive, purulent, bland discharge ; very* foetid, sometimes bloody,

Pulsatilla is commonly indicated in earache of children ; when the child

is a gentle, fat, plump, vascular red-faced child always pitifully crying. If it is a case of earache in a nondescript child Pulsatilla will

also prove to be a temporary remedy, so closely is it related to pain in

the ear. Pains in the ears in the evening or in the night, ameliorated

by walking slowly about the room. In Chamornilla you have a snap^

ping and snarling child, never pleased, scolds the nurse and mother ;

• ▸ameliorated by walking about.
• ▸The irritability decides for Chamomilla.
• ▸You can detect a pitiful cry from a snarling mad cry.
• ▸Both

are ameliorated by motion, by being carried. Both want this and that

and are never satisfied ; they want amusement. But the Pulsatilla

child when not amused has a pitiful cry and the Chamornilla child a

snarling cry. You will want to caress the one and spank the other.

Ear troubles with a ruptured drum and no healing ; otitis media.

Abscess in the middle ear ; inllamraation of the middle car ; copious

thick bloody discharge, then ycllow-grccn. I'hc case goes on night

and day until rupture takes place. I have found this condition as an

endemic, in which Merc,, Hep., and Puls, were the most frequently

indicated remedies. Ear troubles following eruptive diseases. Offensive catarrhal discharge dating back to scarlet fever or measles :

badly treated and drugged patients. Inflammation and swelling of

the external ear ; erysipelatous purple conditions. Scabs on the tragus.

The patient is subject to repeated attacks of coryza, with sneezing

and stuffing up of the nose ; a febrile state ; sometimes with chills,

fever and sweat. Pains in the face through the nose. In the

evening considerable watery discharge with sneezing ; in the morning

stuffing up of the nose with thick yellow-green discharge. Pulsatilla

is suitable to chronic catarrhs, with thick yellow-grecn discharge which

is bland ; stuffing up of the nose ; copious discharge ; patient has a bad

smell in the nose ; smells various offensive things, sometimes like manure, but more commonly described as the offensiveness of a stinking

catarrh. Large bloody, thick, yellow crusts accumulate in the nose,

harden down and are blown out in the morning, accompanied by thick

yellow pus. In old lingering cases, loss of smell and taste. The mucous membrane is in a state of thickening and suppuration, with the

formation of crusts and ulcers. Fulness high in the nose ; stuffing

up and fulness in the posterior nares. Hawks up thick yellow mucus

in masses, with crusts in the morning, very often offensive to others.

Many Pulsatilla patients in this catarrhal state get relief from this

horrible stench by blowing out great crusts. Thick clinkers of diredup pus or dried mucus and pus accumulate for several days and this

terrible catarrhal smell comes on ; but as soon as he blows o\it these

clinkers the odor goes away and he has relief until they form again

in a few days. I'he patient himself feels better in the open air, and

worse in a warm room. He breathes better in the open air ; feels

stuffy in a warm room. But there are times when his nose stuffs up

more in a warm room, where he sneezes more in a warm room.

The loss of smell is present in chronic and acute catarrhs. Much

stuffing up of the nose occurring in the evening ; he blows the nose

easily and cleans it out during the day, but it stuffs up in the evening

and he cannot clear it out. Remember that the mental symptoms arc

worse in the evening. He gets up in the morning with a stuffed up

nose, but can clean it out ; his mouth is foul, tongue coated, rancid

taste, requires much brushing of his teeth and washing out of his

mouth before he can take his breakfast. So you see the mouth and

stomach symptoms are worse in the morning, the mental symptoms are

worse in the evening and there is also a stuffing up of the nose in the

evening. Compare this with the cough. There is a dry evening cough

in Pulsatilla and a loose morning cough. Copious expectoration in

the morning, but a dry, tight, coi^tricted feeling in the chest in the

evening. Stuffed up in the evening, making breathing difficult. To

repeat, then, Pulsatilla is one of ouf sheet anchors in old catarrhs with

loss of smell, thick yellow discharge, and amelioration in the open air ;

in the nervous, timid, yielding, with stuffing up of the nose at night

and copious How in the morning.

With the catarrhs and acute colds there is often bleeding of the nose,

blowing blood from the nose ; the crusts cling tight, and when blown

out they are torn loose, and this causes bleeding ; but the nose bleeds

easily, subject to cpistaxis. Nose-bleed during the menstrual period ;

nose-bleed before the menstrual period ; nose-bleed with suppressed

menses ; bleeding dark, thick, clotted, almost black, venous blood. Especially do we find catarrhal subjects in women who have late, scanty,

light colored menses ; scarcely more than a IcucorrhaM ; if bloody,

then only a little black stain or clot. Chlorotic patients who have their

menses once every two or three months ; chlorotic girls who are irregular, and are subject to these catarrhal states,

Pulsatilla is very useful in hay fever. The management of hay

fever requires considerable study because you have to deal with thd

troublesome imaginations of the patient, he will refuse to let you study

him ; he wants the hay fever treated ; he don’t want the haemorrhoids,

the thick skin on the soles of the feet, the pains in the sacrum, the

diarrhoea which alternates with constipation, talked about or inquired

into ; these are always better when the hay fever is present. Sometimes he will tell you that he is always well except when he has hay

fever. He may feel well, but it is impossible for him to be well ; he

has always had these complaints and he does not want you to bother

with them. The hay fever will hardly ever reveal the indications for

a remedy for the patient.

Another individual has epilepsy, and if you expect to find in the fit

the remedy that cures the patient you will be mistaken. When an

acute mimicking manifestation of disease follows several times the

same beaten track the details are hard to find. He does not know

much about his hay fever. If you suggest several things he has them

all. In nearly all these acute expressions you do not find in the exaggerated attack the symptoms that will lead you to the remedy. You

will find these symptoms by getting the state of the patient before he

was taken with hay fever. These primitive symptoms are of more

importance. Sometimes it is important to know what region was affected before the nose was affected. At times you will find spinal

symptoms ; great soreness in the back relieved by lying on something

hard. Few remedies have that. They do not tell you that at first

but continue to dwell on the hay fever. In many nervous women the

attack comes on with sneezing and watery discharge and then a copious, thick, yellowish-grccn discharge. These are the natural symptoms

of hay fever, but in the ‘^back” symptoms you see something.

In Pulsatilla the menstrual symptoms and the prolapsus come in.

When the hay fever comes on, all the other symptoms are better, she

feels nothing except the hay fever, however, all the symptoms interweave with each other. The Natrum mur, symptoms will be worse in

the morning and until toward noon, while in Pulsatilla they are worse

in the evening, the nose filling up with thick, yellowish-green, ropy

mucus, and when the nose has been cleared, a dry, burning, smarting

feeling remains ; if the room is warm at night, she cannot sleep. Nairum mur, is a little like that in the smarting and inability to sleep at

• ▸night in a warm room.
• ▸In Natrum mwr.
• ▸too, the discharge may continue day and night.
• ▸We have an acute class in which Pulsatilla is

sometimes indicated — copious watery discharge which ends in sneezing. In the beginning we will think of Carbo veg,, Arsenic, Allium'

cepa, Euphrasia,

With Carbo veg, there is a watery discharge and the irritation extends into the chest, with hoarseness and rawness. In Allium cepa we

have one group of symptoms that points to this remedy. Excoriating

discharge from the nose and bland discharge from the eyes ; in the

larynx, sensation as if hooks were there, and sometimes this extends,

below the larynx ; this always means Allium cepa ; it is also worse in

a warm room like Puls. The Euphrasia looks like Cepa, only the discharge from the eyes is copious, watery and burning—thc lachrynialion burns the eyes and excoriates the cheeks ; discharge from nose is

bland like Pulsatilla ; sometimes this goes into the chest, then it is no

longer Euphrasia.

Iodine is worse in a warm room ; thick discharge from nose which

burns and excoriates and is yellowish-green ; but there is one thing

that differentiates it from all the others — the patient immediately begins to emaciate when the complaint comes on and is very hungry.

Kali hydr, with the thick yellowish discharge, worse in a warm room,

there is a great amount of rawness and burning in the nose ; external

nose very sore to pressure ; sensitiveness in the root of the nose ; whole

face aches and patient is extremely i*csfless ; wants to walk in the open

air which does not fatigue him.

Iodide of Arsenic; anxiety, restlessness and weakness; frequent

sneezing and copious watery nasal discharge that burns the lip. Burning, w'atery discharge from the eyes like Arsenic. Arsenic wants to be

very warm ; wants hot water applied to the eyes ; the only relief is

from sniffing hot water up the nose. The Iodide of Arsenic is worse

in a warm room, and, for days after sneezing, the discharge thickens

and becomes gluey, looking like thick yellow honey, this excoriates ;

much pain through the root of the nose and eyes ; often rawness in the

chest with dyspnoea. The remedks having the dyspnoea are Arsenic,

Iodide of Arsenic, Iodine, Kali hydr., and Sabadilla ; these are the ones

I have found most frequently indicted in the asthmatic forms of hay

fever. If the complaint has bew developed after being overheated

about that time, you will find tbit Silica, Puls, and Carbo veg. must

be carefully compared. There is another class of remedies having the

stuffing up of the nose not relieved by the discharge. There is a constant desire to blow the nose, yet he gets no relief. This makes me

• ▸think at once of Lack.
• ▸, Kali bi.
• ▸, Psor.
• ▸, Naja and Sticta.

Psorinum has the copious, watery, bland discharge from the nose,

it may be excoriating, it has both. The stuffing up of the nose generally takes place in the open air ; he is relieved in a warm, close roomi

and by lying down ; has some dyspnoea which is relieved by stretching

the arms at right angles with the body. Hay fever is a psoric sickness, Psorinum given in a single dose will so develop the symptoms

that the case will be more clear. The attack is not the best thing to

prescribe for. If it is too violent, a short acting remedy may be selected that will mitigate it.

Nux vomica has a free, easy breathing in the open air, but when he

goes into the warm room his nose stuffs up, which also occurs at night,

though the water drips on the pillow yet he stuffs up like Puls., Bry.,

and the Iodine preparations Iodide of Arsenic and Cyclamen. Do not

understand me to have given remedies for hay fever, we cannot lay

down remedies for diseases. The whole constitution must be most

carefully examined.

The face is sickly, often mottled, purple, intermixed with yellow and

unhealthy colors ; venous puffing ; sensation of fulness ; often a red

face, like that of health, and the patient gets no sympathy ; face often

flushes ; flushes of heat to the face ; at times a sunken look ; dark rings

about the eyes : sallow, green, chlorotic. Subject to erysipelas ; erysipelatous blotches on the face, spreading to the scalp, with stinging

and burning ; skin of face very sensitive to touch at such times.