Silicea

Having seen a statement that Si/. mar. had a pronounced action on inflamed

glands, I had a specimen triturated and run up to the 30th attenuation. I had not long to wait for

an opportunity of testing it. A tall, fair young man of 24, a violinist, presented himself with a

mass of scrofulous glands on the right side of the neck softening at one point. I gave him Sil.

• ▸mar.
• ▸3, gr.
• ▸v.
• ▸, three or four times a day, and warned him not to poultice.
• ▸The mass of glands soon

began to diminish. The abscess matured and discharged itself through a minute opening, and

eventually healed without leaving a perceptible scar. The rest of the glands in the meantime

• ▸disappeared.
• ▸Si/.
• ▸mar.
• ▸3, gr.
• ▸v.
• ▸, three times a day, rapidly cured a case of gonorrheea in a patient

who had had many previous attacks, as well as stricture which had been treated with

cauterisations and strong Arg. nit. It was this history which partly led me to give the remedy on

• ▸account of the Nat.
• ▸mur.
• ▸element contained in it.
• ▸The discharge was creamy, and there was

• ▸tenderness in the middle of the urethra.
• ▸For three days after commencing the Si/.
• ▸mar.
• ▸there was a

sharp aggravation, the discharge became very profuse, was < at night and accompanied by

• ▸painful erections.
• ▸In a general way I use this preparation where Nat.
• ▸mur.
• ▸symptoms are present

• ▸in a Si/.
• ▸case.
• ▸Burnett told me an interesting experience of his.
• ▸He was consulted about a boy who

persisted, in spite of punishment, in eating sand when playing on the beach. Burnett advised the

parents to let the boy eat as much as he liked. He kept it up for a fortnight, at the end of which

time he was vastly improved in health, and he neither wanted nor ate any more sand from that

• ▸day.
• ▸W.
• ▸B.
• ▸Clarke, of Indianapolis (A.
• ▸H.
• ▸, xxvi.
• ▸237) tells of the use of Si/.
• ▸mar.
• ▸as a remedy for

constipation. He has used it in patients of all ages with excellent results, giving it crude. He

prefers the rather coarse sand taken from a river sand-bar. This is thoroughly washed and baked

in an oven. He thinks a finer variety may be better for younger patients. The sand is taken plain,

or enclosed in capsules, or made into pills. In either case it is washed down with water, and water

• ▸is to be drunk freely during the treatment.
• ▸W.
• ▸B.
• ▸Clarke mentions this case as the hardest he had

encountered: A man, 60, had suffered for thirty years with severe constipation, often sitting at

stool for an hour and nearly fainting. He took a teaspoonful after dinner daily for a week, without

particular effect. Then he took it three times a day for a week. After this he was able to return to

the one dose a day, and soon required it but once a week. "The peculiarity of this treatment is the

ease with which evacuation is accomplished after the first impression is made, the discharges

being soft, mushy, and yellow, and the regular habit then seems established, for the treatment can

then be discontinued." If there is any return of the trouble, a dose or two more will be sufficient

to put it right. This experience is of great value and interest as Si/. in the potencies (as well as

• ▸Nat.
• ▸m.
• ▸) is a great constipation remedy.
• ▸W.
• ▸B.
• ▸Clarke has never observed any ill effects of the

• ▸treatment.
• ▸In the case of a child, zt.
• ▸4, to whom Cooper gave Sil.
• ▸mar.
• ▸6x (my preparation) "a

thick mass of tartar which had accumulated behind the front teeth came away in flakes."

• ▸Vaccination.
• ▸Stone-cutting.
• ▸Loss of fluids.
• ▸Injury.
• ▸Strains.
• ▸Splinters.
• ▸Foreign

bodies.

• ▸Yielding, faint-hearted, anxious.
• ▸Nervous and excitable.
• ▸Sensitive to all impressions.
• ▸Brain-fag.
• ▸Obstinate, headstrong children.
• ▸Abstracted.
• ▸Fixed ideas; thinks only of pins, fears them, searches and counts them.

Despondency, melancholy, and disposition to weep.—Nostalgia.—Anxiety and

agitation; yielding, anxious mood.—Taciturnity; concentration in self—Inquietude and ill-humour

on the least provocation, arising from excessive nervous debility.—Scruples of conscience (about

trifles).—Restless and fidgety; great liability to be frightened, esp. by least

noise.—Discouragement.—Moroseness, ill-humour, and despair, with intense weariness of

life—Wishes to drown herself.—Disposition to fly into a rage, obstinacy, and great

irritability.—The child becomes obstinate and headstrong; cries when kindly spoken

• ▸to.
• ▸—Excitement with easy orgasm of blood.
• ▸—Repugnance to labour.
• ▸—Apathy and

indifference—Weakness of memory.—Incapacity for reflection.—Great distraction —Tendency to

misapply words in speaking.—Fixed ideas; the patient thinks only of pins, fears them, searches

for them, and counts them carefully.

[Affections in general of any kind appearing chiefly in light-haired people; in

• ▸r.
• ▸side; |.
• ▸side; back; 1.
• ▸lower extremity; scalp; external head behind the ears; external surface of

inguinal ring; inguinal ring and hernia of long standing; finger-nails, esp. if there are white spots

on the nails.—Griping pains with a tearing away feeling, of twisting or of writhing; or as if

something were being torn away.—Sensation of heaviness in inner parts.—Jerking

pains.—Debility; weakness of joints, esp. of ankle-joints—< In night, chiefly in latter part, in

open air; in children of Silica temperament where they are sickly, have worms, &c.; when single

parts are cold; from taking cold in the feet; with profuse salivation; on uncovering; from a

draught of air; after eating; after drinking; lying on painful side; looking fixedly at an object;

from wine; from outward pressure; from reading; stepping heavily on ground or floor; in

stonecutters; when the weather changes; from getting feet wet; from worm troubles of any kind;

• ▸when writing; from uncovering head.
• ▸—> From wrapping head up; in the room.
• ▸—H.
• ▸N.

• ▸G.
• ▸].
• ▸—Tendency to strain back.
• ▸—Swelling and induration of glands, generally without pain, only

sometimes with troublesome itching.—Acid, corrosive discharges——Trembling when

writing.—Epileptic fits; starting, distortion of eyes, twitching of lips, lolling of tongue, stretching

and distortion of head and limbs.—Several affections and pains are <, and manifest themselves, at

night, and in evening, also during movement.—Symptoms < at new or full moon.—Pains on

change of weather.—Feeling as if knives were running into her—Uneasiness in whole body, after

having been long seated.—Ebullition of blood, and thirst, after drinking wine.—Excessive

emaciation.—Children are slow in learning to walk —Careless, slovenly gait—General inertia and

great nervous debility.—Syncope, when lying on side.—Great fatigue, lassitude, and drowsiness,

on approach of a storm.—Strong tendency to suffer from chills, even from the mere uncovering

of the feet.—Want of vital warmth even when taking exercise.

• ▸Aches from fasting.
• ▸Vertigo from looking up; better, wrapping up warmly; when lying on left side (Magnes mur; Strontia).
• ▸Profuse sweat of head, offensive, and extends to neck.
• ▸Pain begins at occiput, and spreads over head and settles over eyes.
• ▸Swelling in the glabella.

Cloudiness.—The head is fatigued by intellectual labour (reading, writing, or

• ▸reflecting).
• ▸—Difficulty in holding head up.
• ▸—Dizziness, esp.
• ▸in the evening, as from

intoxication.—Vertigo of different kinds, esp. in the morning, and principally on lifting up the

eyes, or when riding in a carriage, and also when stooping, or after moral emotions.—Vertigo,

with nausea and retching, or proceeding from the back to the nape and head.—Vertigo: as if one

would fall forward; is obliged to walk to r. side; is obliged to sit down; when closing eyes; from

• ▸lying on 1.
• ▸side.
• ▸—Vertigo, which causes to fall backwards.
• ▸—Pain which ascends from the nape

into vertex, sometimes hindering sleep, at night.—Headache when over-heated.—Headache, with

shivering, lassitude, and necessity to lie down.—Headache every morning.—Aching in head, with

ill-humour and heaviness in all the limbs, sometimes in morning.—Heaviness of head; pressing

out in the forehead, which seems ready to split, sometimes every day, from morning till evening

(< from evening till night, from stepping hard, from uncovering head, or if head becomes cold in

open air).—Tension and pressure in the head, as if it were about to burst (ascending from the

neck to the forehead).—Drawings in the head, which seem to pass out at the forehead.—Tearing

pains in the head, often semilateral, with shootings which seem to pass out through the eyes, and

into the bones of the face and the teeth, or which manifest themselves every morning, with heat

in the head, principally in the forehead (and great restlessness; < from a draught of air and

• ▸motion).
• ▸—Lancinations (stitches) in head, esp.
• ▸in temples (principally in the r.
• ▸from within to

without; < at night, from moving eyes, from talking and writing).—Throbbing headache,

generally from congestion of blood in head (pulsating and beating, most violent in forehead and

vertex, with chilliness).—Congestion to head, with redness in face.—Painful shocks in

head.—Movements and whirling in head, as if everything in it were alive —Shaking and vibration

in brain at every step (roaring and shattering sensation when stepping hard or knocking foot

against anything).—The headaches are < principally by intellectual labour, talking, stooping,

noise, jarring, light, and cold air, and are > in warm room; from wrapping head up warmly; from

binding head tightly.—After the pains in the head, clouded sight.—Painful sensitiveness of

exterior of head to least touch.—Profuse perspiration on head in evening, on going to sleep (this

• ▸looks like Calc.
• ▸carb.
• ▸, but in Sil.
• ▸the perspiration extends lower down on the neck, and is apt to

have an offensive smell).—Burning in head with pulsation and perspiration of head; < at night,

from mental exertion and talking; > wrapping the head up warm.—Burning and itching, mostly

on back part of head; < from scratching, which causes burning and soreness; < when undressing

in evening and on getting warm in bed.—Tearing pain in scalp < at night and from

pressure.—Profuse, sour-smelling perspiration on head only (in evening), with great sensitiveness

of scalp, with pale face and emaciation—Tendency to take cold in head, which cannot possibly

be uncovered.—Tuberous elevations on scalp.—Eruption on back part of head and behind ears

dry, offensive-smelling, scabby, burning itching; when scratching it, burning feeling, more sore,

and discharging pus.—Itching pustules and bulbous swellings on hairy scalp and on neck; very

sensitive to pressure, touch, and when lying on it; > when wrapping it up warm.—Sensitiveness

of scalp to pressure (of hat) and to contact; < in evening and when lying on painful side; burning

after scratching.—Open fontanelles; head too large and rest of body emaciated, with pale wax-

colour of face; hot, swollen abdomen and fetid stools.—Violent itching in scalp.—Moist scald-

head, which itches.—Falling off of the hair.

• ▸Angles of eyes affected.
• ▸Swelling of lachrymal duct.
• ▸Aversion to light, especially daylight; it produces dazzling, sharp pain through eyes; eyes tender to touch; worse when closed.
• ▸Vision confused; letters run together on reading.
• ▸Styes.
• ▸Iritis and irido-choroiditis, with pus in anterior chamber.
• ▸Perforating or sloughing ulcer of cornea.
• ▸Abscess in cornea after traumatic injury.
• ▸Cataract in office workers.
• ▸After-effects of keratitis and ulcus cornae, clearing the opacity.
• ▸Use 30th potency for months.

Pain in eyes in morning, as if arising from the great dryness, or from the presence of

sand.—Pressure and smarting in eyes and lids.—Tearing shooting pains in eyes on pressing them

together.—Shootings, which seem to pass out through eyes.—Itching, smarting, and burning in the

• ▸eyes.
• ▸—Redness of eyes, with smarting pain in canthi.
• ▸—Inflammation of eyes.
• ▸—Affections

appearing in angles of eyes, in region of tear-ducts—Swelling of lachrymal gland.—Lachrymal

fistula—Lachrymation, esp. in open air.—Agglutination of lids, at night —Fungus heematodes and

ulcers in cornea.—Cornea thick, rough, warty, as if it were a mass of hypertrophied tissue, scaled

off leaving cornea clear.—Specks and scars in cornea——Weakness; heat; quivering of

eyes.—Spasmodic closing of lid—Presbyopia.—The letters appear confused, when

reading.—Objects seem to be pale, when reading.—Confused sight, as if directed through a

greyish veil.—Blackness before eyes after headache —Momentary attacks of sudden

• ▸blindness.
• ▸—Cloudiness of crystalline lens.
• ▸—Cloudiness of the sight, as from amaurosis.
• ▸—Sparks,

and black spots before sight—Photophobia, and dazzling in broad daylight.—Encysted tumours

of lids go away after Si/. 200 (Bradshaw).

• ▸Fetid discharge.
• ▸Caries of mastoid.
• ▸Loud pistol-like report.
• ▸Sensitive to noise.
• ▸Roaring in ears.

• ▸Otalgia, with drawing pain.
• ▸—Boring and throbbing in the ears.
• ▸—Shootings in the ears.
• ▸,

• ▸from within outwards.
• ▸—Itching in ears (esp.
• ▸when swallowing).
• ▸—Inflammation and running from

edges of ears.—Scabs behind ears.—Swelling of exterior of ear, with discharge (of pus) from the

ear, accompanied by a sort of whistling.—Copious accumulation of moist (very thin)

cerumen.—Otorrhcea with great sensitiveness to cold air—Excessive sensitiveness to

noise.—Obstruction of ears, which sometimes disappears on blowing the nose, or else with a loud

report.—Hardness of hearing, sometimes without noise in ears, or else exclusively for human

voice.—Hardness of hearing, < when the moon is at the full—Paralysed auditory

nerves.—Tinkling, clucking, and noise, like the fluttering of a bird, in ears.—Roaring and singing

in ears.—Caries of the mastoid process.—Swelling and induration of parotids.

• ▸Itching at point of nose.
• ▸Dry, hard crusts form, bleeding when loosened.
• ▸Nasal bones sensitive.
• ▸Sneezing in morning.
• ▸Obstructed and loss of smell.
• ▸Perforation of septum.

Nasal bone painful when touched.—Soreness as if beaten, in nasal bones.—Gnawing

pains (and ulcers) in upper part of nose, with heaviness when stooping, and excessive sensibility

to contact and pressure.—Pulsative pain, as from ulceration in the nose, and extending into the

• ▸head.
• ▸—Drawing in root of nose and r.
• ▸malar bone.
• ▸—Inflammation in nostrils.
• ▸—Itching in

nose.—Voluptuous itching about nose, in evening.—Itching and redness of nose (at the

extremity), which is covered with scabious vesicles.—Sore, painful spots below septum of nose,

• ▸with sticking on touch.
• ▸—Furunculi on nose.
• ▸—Scabs, pimples, and ulcers in nose.
• ▸—Nose inwardly

• ▸dry, painful, excoriated, covered with crusts.
• ▸—Epistaxis.
• ▸—Anosmia.
• ▸—Frequent, violent, abortive,

interrupted sneezing.—Too frequent, immoderate, sneezing.—Obstinate obstruction of nose,

sometimes arising from (hardened) mucus.—Troublesome (painful) dryness of nose, sometimes

• ▸at night.
• ▸—Dry coryza.
• ▸—Continued coryza.
• ▸—Frequent fluent coryza; or which removes an

obstinate obstruction of nose —Alternate fluent and dry coryza.—Acrid and corrosive mucus in

nose.

Skin cracked on margin of lips. Eruption on chin. Facial neuralgia, throbbing, tearing, face red; worse, cold damp.

Pale and earthy complexion —White spots on cheeks, from time to time.—Red, burning

• ▸spots on cheeks and nose, esp.
• ▸after a meal.
• ▸—Heat in face.
• ▸—Shootings in bones of face.
• ▸—Itching

in whiskers.—Furunculus on cheek.—Cracks and rhagades in skin of face —Scirrhous induration

• ▸in face and upper lip.
• ▸—Swelling of lips.
• ▸—Ulceration of commissures of lips.
• ▸—Scabious eruption

• ▸on lips, with smarting pain.
• ▸—Ulcers on red part of lower lip.
• ▸—Furunculi on chin.
• ▸—Herpes on

chin.—Cramp in maxillary joint.—The articulation of the jaw is spasmodically closed

(lockjaw).—Nocturnal shootings and drawings in lower jaw.—Swelling and caries in bones of

lower jaw.—Swelling of submaxillary glands, with pain when touched, or also with induration.

• ▸Sensation of a hair on tongue.
• ▸Gums sensitive to cold air.
• ▸Boils on gums.
• ▸Abscess at root of teeth.
• ▸Pyorrhea (Merc cor).
• ▸Sensitive to cold water.

• ▸Dryness of mouth.
• ▸—Fetid breath, esp.
• ▸in morning —Stomacace.
• ▸—Mucus constantly in

• ▸mouth.
• ▸—Sensation, as of a hair on (forepart of) tongue.
• ▸—Excoriation of tongue.
• ▸—One-sided

swelling of tongue.—Ulcer on r. border of tongue eating into it and discharging much pus

(carcinoma).—Ulcer on the palate—Tongue coated with a brownish mucus.

Toothache from hot food, or introduction of cold air into mouth.—Drawing, jerking,

and tearings in teeth, and cheeks, < at night, or else only when eating.—Toothache at night,

commonly lancinating, which disturbs sleep, < by cold or hot things.—Toothache, with swelling

of bone or periosteum of jaw, and universal heat at night, which hinders sleep.—Digging and

boring in teeth.—Bluntness of teeth—Teeth become loose and feel elongated. —Painful

inflammation, swelling, excoriation, and easy bleeding of the gums.—Gumboils.—Gums

painfully sensitive on taking cold water into mouth.

Sore throat, with an accumulation of mucus in throat.—Severe tonsillitis ("Si/. 12x

• ▸trit.
• ▸is specific.
• ▸"—Bayes).
• ▸—Pain as from excoriation and pricking as from pins (stitches) in throat,

during deglutition (quinsy).—Swelling of the uvula—Swelling of the palate —Difficult

deglutition, as from paralysis of the gullet—Paralysis of velum palati—Tendency of food to

ascend into nasal fossee during deglutition.—Food is ejected through nose.

• ▸Periodical quinsy.
• ▸Pricking as of a pin in tonsil.
• ▸Colds settle in throat.
• ▸Parotid glands swollen (Bell; Rhus; Calc).
• ▸Stinging pain on swallowing.
• ▸Hard, cold swelling of cervical glands.

• ▸Disgust for meat and warm food.
• ▸On swallowing food, it easily gets into posterior nares.
• ▸Want of appetite; thirst excessive.
• ▸Sour eructations after eating (Sepia; Calc).
• ▸Pit of stomach painful to pressure.
• ▸Vomiting after drinking (Ars; Verat).

Great appetite; desire for beer and warm food; immediately after eating, appetite

and thirst returned.—Ravenous hunger so that it was difficult to fall asleep.—Ravenous hunger

before supper, with complete loss of appetite and trembling of all the limbs, followed by

chilliness and coldness over whole body, with heat on chest.—Ravenous hunger: morning;

evening; with collection of water in mouth.—Is very hungry; eats as usual, and then complains

that everything seems to be up in the throat—Loss of taste.—Bitter taste in mouth, also in

morning.—Taste sour after eating.—Sour, putrid taste, or as if blood or mucus were in the

• ▸mouth.
• ▸—Violent thirst, sometimes with anorexia.
• ▸—Repugnance to all food, esp.
• ▸to cooked and

hot things, with desire for cold, raw things only.—Aversion to boiled food.—Loathing of animal

food, which proves indigestible-—Aversion of a child to its mother's milk, with vomiting after

sucking.—A fter a meal, strong disposition to sleep, pyrosis, acidity in mouth, sour risings, fulness

in stomach or abdomen, or else (often consecutively) aching of stomach, water-brash, vomiting,

febrile shiverings, congestion in head, heat in cheeks.

Risings, with taste of food, sometimes after every meal.—Sour risings.—Warm

uprisings from stomach to throat—Pyrosis.—Hiccough: before and after eating; sometimes in

evening, in bed.—Nausea, every morning, with pain in head and eyes, on turning eyes, or else

followed by vomiting of bitter water.—Continuous nausea and vomiting; < in morning.—Constant

nausea and vomiting, even at night.—Water-brash, sometimes with shuddering.—Water tastes

bad; vomiting, whenever drink is taken.—Vomiting of food, even at night.—Pressure in stomach,

sometimes after every meal, or on drinking quickly.—Painful sensibility of scrobiculus, when it is

pressed.—Heaviness in stomach.—Squeezing in scrobiculus, as by claws, sometimes after a

meal.—Burning sensation in pit of stomach.

• ▸Pain or painful cold feeling in abdomen, better external heat.
• ▸Hard, bloated.
• ▸Colic; cutting pain, with constipation; yellow hands and blue nails.
• ▸Much rumbling in bowels.
• ▸Inguinal glands swollen and painful.
• ▸Hepatic abscess.

Swelling and induration of hepatic region.—Inflammation and induration of

liver.—Pain, as from ulceration, in hepatic region, with throbbing; pains are < by touch, by

• ▸walking (or when lying on r.
• ▸side, or when breathing).
• ▸—Shootings in hypochondria, esp.
• ▸on the 1.

side.—Pain in abdomen; colic in children from worms.—Colic, during which hands turn yellow,

and the nails blue.—Aching (pressing) of abdomen, esp. after a meal—Abdomen, hard, tight, hot

(also in children) and sometimes painful on being touched.—Enlargement of abdomen.—Colic,

from constipation.—Cuttings or pinching in abdomen, with or without diarrhoea.—Burning

sensation in abdomen.—The pains in the abdomen are > by application of hot linen. —Painful

inguinal hernia.—Inflammation and swelling of inguinal glands (large as peas, painful to

touch).—Incarceration of flatus—Gurgling and borborygmi in abdomen, esp. on moving the

body.—Difficult expulsion of flatus.—Very offensive flatulence.

• ▸Feels paralyzed.
• ▸Fistula in ano (Berb; Lach).
• ▸Fissures and haemorrhoids, painful, with spasm of sphincter. Stool comes down with difficulty; when partly expelled, recedes again.
• ▸Great straining; rectum stings; closes upon stool.
• ▸Feces remain a long time in rectum.
• ▸Constipation always before and during menses; with irritable sphincter ani.
• ▸Diarrhoea of cadaverous odor.

Constipation, and slow, hard, difficult, knotty feeces (composed of light-

coloured lumps).—Hard feces, with frequent tenesmus.—Constipation where the stool comes

down with great difficulty, comes a little way through the anus, and then slips back before it can

be voided; obstructed evacuation of bowels; fetid flatus.—Even the soft stool is expelled with

much difficulty —Stool remains long in rectum.—Stool like pus; with maw-worms; with

tapeworms.—Feces of consistence of pap, several times a day.—Diarrhcea (stools horribly

offensive) with colic.—Reddish faeces, or with sanguineous slime.—Frequent discharge of fetid

serum, of a corpse-like smell.—Cutting and stinging in rectum.—Burning or stinging in rectum

during stool.—Shootings and itching in anus, and in rectum, also during the evacuation.—Burning

• ▸in anus, esp.
• ▸after a dry, hard stool.
• ▸—Constriction in anus during stool.
• ▸—Constant but ineffectual

desire for stool.—Painful hemorrhoids protrude during stool.

Urinary tenesmus.—Continued want to urinate, with scanty emission (also

at night).—Strangury.—Frequent (involuntary) emission of urine, also at night (with distress from

irritable sphincter).—Wetting the bed (at night).—Reddish sand, or yellow, gritty sediment in the

urine.—Stricture of urethra.

Bloody, involuntary, with red or yellow sediment. Prostatic fluid discharged when straining at stool. Nocturnal enuresis in children with worms.

• ▸A milky (Calc; Puls; Sep), acrid leucorrhoea, during urination.
• ▸Itching of vulva and vagina; very sensitive.
• ▸Discharge of blood between menstrual periods.
• ▸Increased menses, with paroxysms of icy coldness over whole body.
• ▸Nipples very sore; ulcerated easily; drawn in.
• ▸Fistulous ulcers of breast (Phos).
• ▸Abscess of labia.
• ▸Discharge of blood from vagina every time child is nursed.
• ▸Vaginal cysts (Lyc; Puls; Rhod) hard lumps in breast (conium).

Menses too early and too feeble, or else too profuse.—Increased

menses, with paroxysms of icy coldness over whole body.—Suppression of the

menses.—Discharge of blood before proper period; menses too late; protracted; blood

• ▸acrid.
• ▸—Metrorrhagia.
• ▸—Diarrhoea, before the menses.
• ▸—During the menses, pains in the abdomen,

pale appearance of objects, or burning sensation and excoriation in vulva.—Itching in the

vulva.—Pressing-down feeling in vagina.—Itching, burning, and soreness in pudenda; during

• ▸menses.
• ▸—Discharge of blood from the uterus, while suckling.
• ▸—Abortion.
• ▸—Leucorrheea, which

flows when urinating, or after the menses.—Leucorrheea, like milk, flowing at intervals, and

preceded by gripings in umbilical region.—Acrid, corrosive leucorrhcea.—Inflammation of

• ▸nipples.
• ▸—Darting burning pain in |.
• ▸nipple.
• ▸—Sticking pain in 1.
• ▸breast.
• ▸—Painful stitches behind 1.

breast, with chilliness, all night—Suppuration of the mammee.—Abscess in breast, also with

• ▸fistulous ulcers; nipple ulcerates.
• ▸—Indurations in breast.
• ▸—R.
• ▸breast hard, painful, and swollen at

nipple, feeling as if "gathering."

• ▸Burning and soreness of genitals, with eruption on inner surface of thighs.
• ▸Chronic gonorrhoea, with thick, fetid discharge.
• ▸Elephantiasis of scrotum.
• ▸Sexual erethism; nocturnal emissions.
• ▸Hydrocele.

Itching, and red spots on glans.—Excoriation, itching, and redness of

prepuce.—Swelling of prepuce, which is covered with itching and moist pimples.—Dropsical

swelling of scrotum.—Perspiration and itching in scrotum.—Itching, and moist spots on

scrotum.—Absence of sexual desire, with weakness in genital functions; or else immoderate

excitement of sexual desire, with numerous wanton ideas, and strong and frequent

erections.—Flow of prostatic fluid during urination; and passing of (hard) stool.—After coition,

pain in limbs, as from fatigue, or sensation of paralysis on one side of head.

• ▸Colds fail to yield; sputum persistently muco-purulent and profuse.
• ▸Slow recovery after pneumonia.
• ▸Cough and sore throat, with expectoration of little granules like shot, which, when broken, smell very offensive.
• ▸Cough with expectoration in day, bloody or purulent.
• ▸Stitches in chest through to back.
• ▸Violent cough when lying down, with thick, yellow lumpy expectoration; suppurative stage of expectoration (Bals. Peru).

Hoarseness, with roughness and excoriation in larynx.—Cough, from

cold drinks, or from speaking even for a moment.—Shaking cough, excited by a suffocating

tickling in pit of throat——Cough and sore throat, with expectoration of little granules like shot,

which, when broken open, smell offensively (like Phosphor., excepting the latter remedy has a

• ▸hot feeling in throat—H.
• ▸N.
• ▸G.
• ▸).
• ▸—Fatiguing cough, day and night, < by movement, with scanty

expectoration of mucus.—Nocturnal, suffocating cough—Spasmodic cough.—Hollow,

spasmodic, suffocative cough from tickling in throat-pit, with expectoration only during day of

profuse yellowish-green pus, or of tough, milky, acrid mucus, at times of pale, frothy blood,

generally tasting greasy and offensive-smelling.—Bruised pain in chest when coughing.—Dry

cough, with pain in chest, as from excoriation.—Cough, with vomiting of mucus.—Profuse

expectoration of transparent mucus when coughing.—Cough with expectoration in the day,

without expectoration at night—Expectoration of pus, when coughing.—Expectoration of (pale,

frothy) blood, with deep, hollow cough.—Obstructed respiration, when lying on the back, or else

when stooping, running, or coughing.—Deep, sighing respiration.—Shortness of breath, during

light manual labour, or else when walking quickly, sometimes with dyspnoea during

repose.—Panting, respiration, on walking quickly.

Oppression of chest, as from constriction of throat—Aching in chest, sometimes

only when coughing or sneezing. —Shooting and pricking in chest and side, sometimes across

• ▸back.
• ▸—Throbbing in sternum.
• ▸—Phthisis pulmonalis.
• ▸—Contusive pain in chest, when drawing

breath, or coughing.

Palpitation and throbbing over whole body while sitting —Violent

palpitation on every movement.—Imperceptible pulse.

• ▸Weak spine; very susceptible to draughts on back.
• ▸Pain in coccyx.
• ▸Spinal irritation after injuries to spine; diseases of bones of spine.
• ▸Potts' disease.

Purulent ulcer in nape.—Stiffness of nape; with headache —Swelling of

glands of nape, in the neck, and under the axillze (with suppuration), sometimes with

• ▸induration.
• ▸—Pimples and furunculi in nape.
• ▸—Suppuration of axillary glands.
• ▸—Caries of

• ▸clavicle.
• ▸—Stitches between the hips.
• ▸—Coccyx painful, as after a long carriage ride.
• ▸—Stinging in

Os coccygis on rising; painful to pressure.—Scabby elevation on coccyx, above fissure of

nates.—Pain in the loins, whether the parts be touched or not.—Spasmodic drawing in loins,

which prevents rising up, and forces patient to remain lying down.—Inflammatory abscess in

lumbar region (on the psoas muscle).—Weakness and paralytic stiffness in back, loins, and

nape.—Tearings and shootings in the back.—Shootings in the loins, when seated or lying

down.—Burning in back when walking in open air and becoming warm.—Aching, shooting,

burning, and throbbing in lumbo-sacral region.—Swelling and distortion of spine (curvature of

the vertebrae).—Contusive pain between the shoulder-blades.

Drawings and tearings in arms, hands and fingers ——Heaviness and paralytic

weakness of arms, which tremble on least exertion—Numbness of the (fore-) arms when patient

is lying upon them or leaning the elbows on a table.—Throbbing and jerking of muscles of

• ▸arm.
• ▸—Restlessness and trembling in r.
• ▸arm.
• ▸—Skin cracked, on arms and hands.
• ▸—Furunculi and

warts on arms.—Paralytic weakness of the forearm; everything is dropped from the

hands.—Induration of the cellular tissue of the forearm.—Nocturnal shootings in wrist, extending

to the top of arm.—Tearing pain in wrists and ball of hand.—Spasmodic pain in the hands and

• ▸fingers.
• ▸—Numbness of hands at night.
• ▸—Paralytic weakness of hands.
• ▸—Tonic spasm of hand when

writing.—Cramp-like pain and lameness of hand after slight exertion.—Profuse sweat of the

• ▸hands.
• ▸—Ganglion on back of hand.
• ▸—Ulcer on back of hand.
• ▸—Tingling in fingers.
• ▸—Burning

sensation in ends of fingers.—Pain in joints of fingers, when pressed.—Weakness, rigidity, and

want of flexibility in fingers.—Contraction of flexor tendons; very painful when moving

• ▸fingers—Ganglion.
• ▸—(Ganglion on wrist.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Gnawing, purulent vesicles, with burning in

fingers.—Tearing, drawing, sticking pain and numbness in fingers, as if suppurating, or as if a

panaritium would form.—Numb feeling of a finger, as though it were enlarged and the bone

• ▸swollen.
• ▸—Pain as from a splinter in flexor surface of one finger.
• ▸—Panaritium, esp.
• ▸with

vegetations, cries and insupportable pains day and night.—Finger-nails rough and yellow.—Nails

dirty grey as if decayed; powder when cut and split into layers —White spots on nails.—Dryness

in tips of fingers; afternoon.

Tearing, stitching pains in hips and thighs.—Suppurating pains in hip-

joint.—Drawing, tearing, and tension in the legs (extending from the hips to the feet).—Easy

• ▸numbing of the limbs, esp.
• ▸when seated.
• ▸—Paralytic weakness of legs.
• ▸—Pressure, tearing, and

shootings in muscles of thighs.—Itching ulcers in thighs and ankles.—Furunculi on thighs and

calves of legs.—Softening and ulceration of femur.—Tearings in knee (when sitting, > from

motion).—Knee is painful, as if too tightly bound —Inflammatory swelling of knee.—Fungus in

• ▸knee.
• ▸—Drawing pain in legs.
• ▸—Coldness of legs.
• ▸—Swelling of legs as far as the feet.
• ▸—Ulcer on

leg, with sticking, burning pains.—Ulcers in the legs, often with sickly complexion.—Red,

smarting spot on the tibia.—Caries of the tibia—Ulcers on lower leg, on tibia.—Tension of calves

• ▸of legs, as from contraction.
• ▸—Cramps in calves, esp.
• ▸in evening, after corporeal labour.
• ▸—Torpor

of calves of legs.—Itching miliary eruption on calves. —Tearing and shootings in calves, heels,

and toes.—Lancination in ankle, when treading, or resting on foot—Numbness of feet in

evening.—Coldness of feet, sometimes after suppressed perspiration of feet.—Burning sensation

in feet and soles, esp. in evening and at night—Swelling of feet, generally in

morning.—Offensive smell from feet (intolerable carrion-like; without sweat, every

evening).—Profuse, offensive perspiration on feet, with excoriation (and blisters) between the

toes.—Suppressed perspiration on feet—Hard and painful callosities on soles.—Voluptuous

tickling in soles, which, when the part has been scratched a little, is almost maddening —Cramp

in the soles of feet—Gnawing vesicles in heel—Corrosive ulcer on heel, with itching.—Stiffness

of toes.—Constant, violent boring or tearing in great toes.—Ulceration of great toe, with shooting

• ▸pain.
• ▸—Bunion.
• ▸—Itching, suppurating scabs on toes.
• ▸—Ingrowing toenail; offensive

discharge —Corns in the feet, with shooting pains; also under toenails.

• ▸Sciatica, pains through hips, legs and feet.
• ▸Cramp in calves and soles.
• ▸Loss of power in legs.
• ▸Tremulous hands when using them.
• ▸Paralytic weakness of forearm.
• ▸Affections of finger nails, especially if white spots on nails.
• ▸Ingrowing toe-nails.
• ▸Icy cold and sweaty feet. The parts lain on go to sleep. Offensive sweat on feet, hands, and axillae.
• ▸Sensation in tips of fingers, as if suppurating.
• ▸Panaritium.
• ▸Pain in knee, as if tightly bound.
• ▸Calves tense and contracted.
• ▸Pain beneath toes.
• ▸Soles sore (Ruta).
• ▸Soreness in feet from instep through to the sole. Suppurates.

• ▸Felons, abscesses, boils, old fistulous ulcers.
• ▸Delicate, pale, waxy.
• ▸Cracks at end of fingers.
• ▸Painless swelling of glands.
• ▸Rose-colored blotches.
• ▸Scars suddenly become painful.
• ▸Pus offensive.
• ▸Promotes expulsion of foreign bodies from tissues.
• ▸Every little injury suppurates.
• ▸Long lasting suppuration and fistulous tracts.
• ▸Dry finger tips.
• ▸Eruptions itch only in daytime and evening.
• ▸Crippled nails.
• ▸Indurated tumors.
• ▸Abscesses of joints.
• ▸After impure vaccination.
• ▸Bursa.
• ▸Lepra, nodes, and coppery spots.
• ▸Keloid growths.

Painful sensibility of skin.—Itching over whole body, which is of a crawling or

shooting kind (< at night).—Eruption like varicella over whole body.—Tuberous spots on skin, of

a light red colour—Lymphatic swellings and abscesses, even with fistulous

ulcers.—Engorgement, induration, and suppuration of the glands.—Painless swelling of the

glands; they only cause very unpleasant itching.—Bones very sensitive and tender to touch;

bending and caries of bones.—Abscesses which do not break, but burrow under the skin;

exanthemata in general which corrode and spread; old and difficult to heal; which itch; fungus

articularis; heematodes; spongy excrescences.—Tetters in general; corroding and

spreading.—Ulcers in general, wherever pus is discharged from any part of the body, or when

appearing in the urine; ulcers burning, scabby; indolent; when circumscribed with redness; very

high, hard ulcers; with proud flesh; with corroding pus.—Ulcers of all kinds, also after the abuse

of Mercury.—Ulcers smell very offensive-—Cancerous ulcers.—Inflammation, softening

(swelling), and ulceration of bones.—Scirrhous indurations.—Ulcers, which are fistulous, putrid;

phagedenic, fungous, &c., with vegetation, or fetid and corroding sanies.—Fistulous openings;

parts around hard, swollen, bluish-red.—Mild and malignant suppurations, esp. in membranous

parts Unhealthy skin; every injury tends to ulceration —Small wounds heal with difficulty, and

suppurate profusely.—Painful pustular eruptions; at last forming suppurating ulcers; on forehead,

occiput, sternum, and spine.—Aching, itching, smarting, and boring shootings in the

• ▸ulcers.
• ▸—Furunculi.
• ▸—Carbuncles of a malignant kind.
• ▸—Ganglions.
• ▸—Warts.
• ▸—Panaritium.

• ▸Night-walking; gets up while asleep.
• ▸Sleeplessness, with great orgasm of blood and heat in head.
• ▸Frequent starts in sleep.
• ▸Anxious dreams.
• ▸Excessive gaping.

Great sleepiness after eating.—Sleepiness all day.—Excessive sleepiness, without

• ▸being able to go to sleep.
• ▸—Frequent yawnings.
• ▸—Sleep early in the evening.
• ▸—Retarded

sleep.—Sleep too light at night, like dozing.—Not being able to sleep again after

• ▸waking.
• ▸—Sleeplessness in general, esp.
• ▸after midnight —Talking in sleep.
• ▸—Sleepless after 2 a.
• ▸m.
• ▸,

with rush of thoughts.—Sleeplessness, caused esp. by ebullition of blood, heat in head, and great

flow of ideas.—Frightful visions at night, and many anxious and fantastic dreams, with tears,

talking, cries, and frequent waking with a start—Awakens with erections and desire to

• ▸urinate.
• ▸—Jerking of body during sleep.
• ▸—Lascivious dreams (with emissions).
• ▸—Snoring while

sleeping.—Nightmare.—Somnambulism (gets up while asleep, walks about, and lies down

again).—Dreams of robbers, assassins, dogs, voyages, spectres, &c.—At night, congestion of

blood in head, with pulsative pains, and throbbing in brain, pain in stomach, nausea and

vomiting, or shootings in all the joints, dryness of nose and many other sufferings.

• ▸Chilliness; very sensitive to cold air.
• ▸Creeping, shivering over the whole body.
• ▸Cold extremities, even in a warm room.
• ▸Sweat at night; worse towards morning.
• ▸Suffering parts feel cold.

Pulse: small, hard and rapid, frequently irregular and then slow.—The circulation is

easily agitated.—Violent chill, evening, in bed, < from uncovering oneself.—Continuous internal

chill, with want of animal heat.—Chill in evening with sensation as if cold air were blowing

around waist; not > by wrapping up; followed by severe fever and perspiration —Constant

chilliness, even when exercising or in a warm room.—Excessively chilly disposition, and

shuddering, with frequent shiverings, also on the least movement.—Heat

predominates.—Frequently during day short flushes of heat, principally in face.—Violent general

heat, with violent thirst in afternoon, evening, and all night.—Periodically returning heat during

day, without any previous chill, and followed by slight perspiration.—Perspiration from slight

exercise; most profuse on head and face.—Perspiration only on the head.—Fever, with violent

heat in head; afternoons; at night, with thirst and catching inspiration.—The perspiration comes

• ▸periodically; is < 11 p.
• ▸m.
• ▸, 6 a.
• ▸m.
• ▸, or 3 to 5 p.
• ▸m.
• ▸—Intermittent fever, heat

predominating.—Frequent heat, sometimes transient.—Fever, with excessive heat, generally

• ▸without shivering, and with little perspiration, commonly from 10 a.
• ▸m.
• ▸till 8 p.
• ▸m.
• ▸—Perspiration

during a moderate walk.—Profuse perspiration at night, sometimes of an (offensive or) acid

smell.—Debilitating perspiration in morning.

Silica Marina.

• ▸Silica maritima.
• ▸Sea sand.
• ▸Trituration.
• ▸[My preparation was taken from the beach, just as

it was left by the tide, on a part of the coast many miles distant from a river estuary or a

drained town.|

• ▸Antidoted by: Camph.
• ▸, Hep.
• ▸, Fl.
• ▸ac.
• ▸Jt antidotes: Merc.
• ▸cor.
• ▸, Sul.
• ▸Incompatible:

• ▸Merc.
• ▸Follows well: Bell.
• ▸, Bry.
• ▸, Calc.
• ▸, Calc.
• ▸p.
• ▸(in rickets when Calc.
• ▸p.
• ▸fails), Cin.
• ▸, Graph.
• ▸,

• ▸Hep.
• ▸, Ign.
• ▸, Nit.
• ▸ac.
• ▸, Pho.
• ▸Followed well by: Hep.
• ▸, Fl.
• ▸ac.
• ▸, Lach.
• ▸, Lyc.
• ▸, Sep.
• ▸(If improvement

• ▸ceases under Sil.
• ▸a dose or two of Sul.
• ▸will set up reaction, and Sil.
• ▸will then complete the cure).

• ▸Complementary: Thuj.
• ▸, Sanic.
• ▸, Puls.
• ▸(Sil.
• ▸is the "chronic" of Puls.
• ▸).
• ▸Compare: Head-sweat and

• ▸open fontanelles, Calc.
• ▸(Sil.
• ▸lower than Calc.
• ▸and offensive).
• ▸Head must be kept warm, Sanic.
• ▸,

• ▸Mg.
• ▸m.
• ▸Ailments from suppressed foot-sweat, Cup.
• ▸, Graph.
• ▸, Pso.
• ▸Want of vital heat, Led.
• ▸, Sep.

• ▸Vertigo as if one would fall forward from looking up, Puls.
• ▸(from looking down, K.
• ▸ca.
• ▸, Spi.
• ▸).

Chronic sick-headaches since some severe disease of youth, Pso. Headache > pressure and

• ▸wrapping up warmly, Mg.
• ▸m.
• ▸, Stron.
• ▸Constipation before and during menses (diarrhoea before

• ▸and during menses, Am.
• ▸c.
• ▸, Bov).
• ▸Partly expelled stool recedes, Thu.
• ▸Fistula in ano alternates

• ▸with chest complaints, Berb.
• ▸, Calc.
• ▸p.
• ▸Somnambulism, Luna, K.
• ▸bro.
• ▸Vaccination: erysipelas,

• ▸convulsions, diarrhoea, Thu.
• ▸(Thu.
• ▸when the fever is high), Apis, Sul.
• ▸, Malan.
• ▸, Vacc.
• ▸, Var.

Cicatrix, fissure of anus, Graph. Offensive sweat (head, feet, axillae), Petr. Aversion to touch,

• ▸Cin.
• ▸, Hep.
• ▸, Thu.
• ▸, Lach.
• ▸, Asaf.
• ▸(Asaf.
• ▸, offensive discharge from tissues, "intolerable soreness

• ▸round the ulcer, cannot bear even the dressing").
• ▸Caries, Plat.
• ▸mur.
• ▸, Ang.
• ▸(long bones), Stron.
• ▸c.

(femur, with watery diarrhoea), Gettys. (caries with ulcers about joints, discharge excoriating),

Calc. (scrofulous subjects; sweat sour rather than offensive; foot-sweat does not excoriate; not

• ▸sensitive like Sil.
• ▸).
• ▸Sweat of head, body dry (Rhus, sweat of body, head dry).
• ▸Last stage of

• ▸phthisis, Phell.
• ▸Perforating ulcers, Nit.
• ▸ac.
• ▸, K.
• ▸bi.
• ▸Headache ascending from nape, Meny.

• ▸(bursting; > pressure; not > warmth), Paris (head feels unusually large), Stron.
• ▸c.
• ▸, Sang.
• ▸(to right

• ▸eye), Spi.
• ▸(to left eye).
• ▸Clouded sight after headache, Sil.
• ▸(before headache, K.
• ▸bi.
• ▸).
• ▸< Damp

• ▸change, Bar.
• ▸c.
• ▸Foot-sweat, scrofula, rickets, and headache > wrapping warmly, Mg.
• ▸m.

• ▸Catarrhal phthisis, Stn.
• ▸Abscess of breast, Fistulze, necrosis (of jaw), Pho.
• ▸(Pho.
• ▸has more

erythematous blush and radiating streaks round opening). Hay-fever, itching at Eustachian

• ▸orifices, Ars.
• ▸, Rosa, Ran.
• ▸b.
• ▸Nervous exhaustion, Pic.
• ▸ac.
• ▸Chronic suppuration of middle ear,

Caps. Catarrhal diarrhoea, Puls. Tetanus impending, wound suddenly ceases to discharge, Nux.

• ▸Weakness of ankles, Caust.
• ▸, Sul.
• ▸ac.
• ▸< Thunderstorms, Na.
• ▸c.
• ▸, Pho.
• ▸, Rho.
• ▸, Pet.
• ▸< From cold or

• ▸draught (FI.
• ▸ac.
• ▸, > cold applications).
• ▸Nausea when fasting, Pul.
• ▸, Lyc.
• ▸Calc.
• ▸Impatient, Cham.
• ▸,

• ▸Sul.
• ▸Motes, persistent speck before right eye (Sul.
• ▸, before left; Macrot.
• ▸, right in morning).

• ▸"Washed out," but won't give in (Pic.
• ▸ac.
• ▸, must give in).
• ▸Affections of one side of tongue, Calc.
• ▸,

• ▸Thu.
• ▸(ulcer right border, Sil.
• ▸, Thu.
• ▸; left, Apis; left side swollen with loss of speech, Lauro.
• ▸).

• ▸Hungry but cannot get the food down, Sil.
• ▸, Lyc.
• ▸Hair-sensation on tongue, Nat.
• ▸m.
• ▸, K.
• ▸bi.
• ▸(on

back part). Children are obstinate, headstrong, cry when spoken kindly to, Iod. Nipple drawn in

• ▸like a funnel, Sars.
• ▸Unhealthy skin, every little injury suppurates, Graph.
• ▸, Hep.
• ▸, Petr.
• ▸, Merc.

• ▸Crippled nails, Ant.
• ▸c.
• ▸Ingrowing toenails, Mgt.
• ▸aust.
• ▸Takes cold from exposure of feet, Con.
• ▸,

• ▸Cup.
• ▸Takes cold by uncovering head (Bell.
• ▸, by hair-cutting).
• ▸Difficulty in holding up head, Ant.

• ▸t.
• ▸Callosities in feet, Ant.
• ▸c.
• ▸< After coitus, K.
• ▸ca.
• ▸Evacuant of foreign bodies, Lobel.
• ▸1.
• ▸Drinking

• ▸cold water = dry cough (Caust.
• ▸, >).
• ▸Ganglion, Benz.
• ▸ac.
• ▸, Sul.
• ▸Chronic and hereditary rheumatism,

• ▸Led.
• ▸(but Led.
• ▸has < by warmth, and symptoms extend from below upward, whilst Sil.
• ▸affects

• ▸particularly the shoulders and joints).
• ▸Fibroma, Nat.
• ▸sf.
• ▸Cheloid and scars, Thios.
• ▸Homesickness,

• ▸Caps.
• ▸, Ph.
• ▸ac.
• ▸Brachial neuralgia, Calc.
• ▸(see case under CALC.
• ▸).

Complementary: Thuja; Sanic; Puls; Fluor ac. Mercurius and Silica do not follow each other well.

Compare: Black Gunpowder 3x (Abscesses, boils, carbuncles, limb purple. Wounds that refuse to heal; accident from bad food or water.--Clarke). Hep; Kali phos; Pic ac; Calc; Phos; Tabasheer; Natrum silicum (tumors, haemophilia, arthritis; dose, three drops three times daily, in milk); Ferrum cyanatum (epilepsy; neuroses, with irritable weakness and hyper-sensitiveness, especially of a periodical character). Silica marina-Sea sand--(Silica and Natrum mur symptoms. Inflamed glands and commencing suppuration. Constipation. Use for some time 3x trit). Vitrum-Crown glass--(Pott's disease, after Silica, necrosis, discharge thin, watery, fetid. Much pain, fine grinding and grating like grit). Arundo donax (acts on excretory and generative organs; suppuration, especially chronic, and where the ulceration is fistulous, especially in long bones. Itching eruption on chest, upper extremities and behind ears).

Sixth to thirtieth potency. The 200th and higher of unquestioned activity. In malignant affections, the lowest potencies needed at times.

One of Sepia’s most general characteristics is the amelioration fromviolent exercise ; worse on beginning to move but better by getting

warmed up. This condition is closely related to the back symptoms.

There is a great amount of soreness in the back, the spine aches all the

way down. Pressure on the spine reveals sore places, spinal irritation.

Aching in the back mostly from the loins to the coccyx, often coming

on from sitting, and ameliorated from violent exercise. A peculiar

feature is amelioration from hard pressure. The patient commonly

puts a book low down on the chair and presses the back against it.

Sepia does not seem to get the amelioration from lying upon the back

as Natrum mur, does. Stooping aggravates the backache. ‘'Backache

worse from kneeling.’"

Under symptoms of the lower extremities we find great numbness of

the feet. ''Coldness of the legs and feet especially in the evening in.

bed ; when the feet get wram the hands get cold ; icy coldness of the

feet ; profuse sweat of the feet or sweat of unbearable odor causing

soreness between the toes. Swelling of the limbs better while walking.’"

The sleep is full of dreams and distress ; cannot sleep Upon the left

side because of palpitation of the heart. Palpitation in sleep, with

pulsations and trembling all over the body, pulsations to the finger tips.

In old cases of suppressed malaria. Sepia brings back the chill, but

its most useful sphere is after a bad selection of the remedy and the

case becomes confused. Where a remedy has been selected for only

a part of the case and changed it a little but the patient gets no better.

It will be seen that the fever, chill, and sweat are just as erratic as can

be. Natrum mur, is one of the greatest malarial remedies, but it is

full of order like China, Sepia is full of disorder. In a case confused

• ▸by remedies think of Calc.
• ▸, Ars.
• ▸, Sulph.
• ▸, Sepia and Ipecac.
• ▸Never give

China or Natrum mur. for irregular symptoms and stages.

Sepia is complementary to Natrum mur. Aside from the stupid

condition of the mind it has an excitable condition of the general nervous system that is often marked in Natrum mur. as, for instance,

being disturbed by a noise, the slam of a door, etc. It produces jerking of the muscles in sleep ; constantly wakes from imaginary noises,

thinks someone has called her ; the last disturbance about the house

wakens her.

Worse before and during menses ; during pregnancy; after eating ;

during first sleep ; change of weather ; during a thunderstorm ; overwhelming fear.

sn.icA

Abscesses along the penis, in the pciincum, prostate gland, testes^

Chronic inllammation and induration of the testes with much pain ;

testes feel as if squeezed, sensitive, painful. Hydrocele in boys or

adults.

In the male, impotence, weakness of the genitals after coition, easily

exhausted, lacks power ; exhausted if he has coition with anything like

ordinary frecjucncy ; it takes him a week or ten days to rest up (Agar,).

Much sweating of the genitals with exhaustion, tired out in the spine,

weak back.

Involuntary discharge of urine at night ; enuresis in little boys and

girls.

In women a prostrated condition of the sexual functions. Serous

cysts in the vagina, fistulous openings and abscesses about the vulva,

w^hich heal with hard nodules or do not heal at all ; little oozing fistulae,

offensive, cheesy discharge. They heal in little nodules and theni

break out again in the same nidus. Women who are subject to these

abscesses.

Bloody discharge between the periods. In Silica there is very easy

flow of blood from the uterus ; a haemorrhagic flow comes on before

the menses from excitement, and especially when nursing ; when the

child is put to the breast a flow of blood starts. Notice the distinction

between Calc, and Silica. Calc, has a tendency to flow during lactation, but not when the child is put to the breast.

Silica cures hydrosalpinx and pyosalpinx, with copious, watery discharge from the uterus. Sometimes a woman has a lump on one or the

Other side of the uterus, which steadily increases and all at once there

is a flooding of watery, bloody, purulent fluid and the lump disappears,

soon to fill up again and empty in the same way in a gushing flow.

Such are the manifestayons of hydrosalpinx and pyosalpinx.

Entire absence of the menses for months : amenorrhoea.

Serous cysts in the vagina as large as a pea or an orange, projecting

from the vagina or projecting upwards and flail cned out in conformation with it. Many little cysts like hickory-nuts grouped together.

Rhod. and Silica have cured these even when there is a paucity ol other

symptoms.

'‘Leucorrhoea, profuse, acrid, corroding, milky, preceded by ciirting

around the navel, causing biting pain, especially after acrid food ; during urination : in gushes ; with cancer of the uterus. Hard lumps in

the mamma;.’'

Threatened abscesses of the breasts. If the remedy is given in time,

if will abort the entire trouble. Where the remedy has come too late

and suppuration is inevitable, Silica comes in for its share. There may

be throbbing, tenderness, and weight, yet the remedy controls the pain,

hastens the conclusion, and the opening comes naturally, discharges

little and closes at once. As sure as an anodyne is given, a hot poultice

applied, you will fail with your remedies. There is too much blood in

the part, and the application of a poultice increases the trouble ; it

causes an increased determination of jblood to the part, and if suppuration takes place it causes more breaking down of tissue. Instead of a

thimbleful of pus you will have cupfiils for days and half of the gland

is destroyed.

Women who are so weak they tend to abort, or no conception takes

place. It would seem if the organs were tired out and unable to

perform their functions.

The infant has all sorts of troubles. It grows up sickly ; cannot

tolerate itvS mother’s milk or indeed any kind of food ; vomiting and

diarrhoea. A healthy child will digest even unwholesome milk.

The Silica cough is a dangerous one ; the remedy suits the early

stage of phthisis, when the lung is not extensively involved ; it suits

a cough of catarrhal character when the symptoms agree. If there is

a small abscess in the lung with no tendency to heal, it brings about

repair, causes contraction of its walls. Inveterate cases of catarrh of

the chest with asthmatic wheezing, overexertion. After violent exertion

and overheating, gets in a draft, or takes cold from a bath, becomes

chilled. Humid asthma, coarse rattling, the chest seems filled with

mucus, seems as if he would suffocate. Especially the asthma of old

sycotics, or in children of sycotic parents. It competes with Natr, sul

in such cases. The patient is pale, waxy, anaemic, with great prostration and thirst.

The action of Silica is slow. In the proving, it takes a long time to

• ▸develop the symptoms.
• ▸It is, therefore, suited to complaints that develop slowly.
• ▸At certain times of the year and under certain circumstances peculiar symptoms will come out.
• ▸They may stay with the

prover the balance of his life. Such are the long-acting, deep-acting

remedies ; they are capable of going so thoroughly into the vital order

that hereditary disturbances are routed out. The Silica patient is

chilly ; his symptoms are developed in cold, damp weather, though

often better in cold, dry weather ; symptoms come out after a bath.

The mental state is peculiar. The patient lacks stamina. What

Silica is to the stalk of grain in the field, it is to the human mind.

Take the glossy, stiff, outer covering of a stalk of grain and examine

it, and you will realize with what firmness it supports the head of grain

until it ripens ; there is a gradual deposit of Silica in it to give it stamina. So it is with the mind ; when the mind needs Silica it is in a

state of weakness, embarrassment, dread, a state of yielding. If you

should listen to the description of this state by a prominent clergyman,

or a lawyer, or a man in the habit of appearing in public with self-confidence, firmness and fulness of thought and speech, he would tell you

he had come to a state where he dreads to appear in public, lie feels

his own selfhood so that he cannot enter into his subject, he dreads it,

he fears that he will fail, his mind will not work, he is worn out by

prolonged efforts at mental work. But he will say that when he forces

himself into the harness he can go on with ease, his usual self-command

returns to him and he does well ; he: does his work with promptness,

fulness, and accuracy. The peculiar Silica state is found in the dread

of failure. If he has any unusual libental task to perform, he fears

he will make a failure of it, yet he xiocs it well. This is the early

state ; of course there comes a time when he cannot perform the work

with accuracy and still he may need Silica.

Another case is illustrated in a young man who has studied for years

and is now nearing the end of his course. He dreads the final examinations but he goes through them all right, then a fatigue comes upon,

him and for years he is unable to enter his profession. He has this

dread of undertaking anything.

Irritable and irascible when aroused ; when let alone he is timid,

retiring, wants to shirk everything : mild, gentle tearful women. The

Silica child is cross and cries when spoken to. It is the natural complement and chronic of Puls, because of its great similarity ; it is a

deeper, more profound remedy. Religious melancholy, sadness, irritability, despondency. Lyc, is stupid, the dread of undertaking any

thing in from a general knowledge of inability. In Silica it is imaginary.,

Silica is not suitable for the irritability and nervous exhaustion coming on from business brain-fag, but more for such brain-fag as belongs

to professional men, students, lawyers, clergymen. A lawyer says, “I

have never been myself since that John Doe case.” He went through

StIUCA

a prolonged effort and sleepless nights followed. Silica restores the

brain.

The remedy produces inflammation about any fibrinous nidus and

suppurates it out. It acts upon constitutions that are sluggish and inflarnes fibrous deposits about old imbedded missiles. Slow nutrition ;

if the individual receives a slight injury it suppurates and the cicatrix

indurates, is hard and nodular. Along the track of a knife-cut, is a

fibrinous deposit due to inferior and slow nutrition. An old ulcer heals

with induration. Where cicatricial tissue forms, it is indurated, shiny,

glassy. If Silica is given in such cases, it will throw out abscesses in

these cicatrices and open them out. It will open up old ulcers and heal

them with a normal cicatrix.

In ordinary people if a splinter lodges in the tissues, a suppuration

will slough it out, but in these feeble constitutions a plastic deposit

takes place about it and it remains. This is not the highest state of

order. Suppuration takes place about a bullet and pushes it out, that

is the best state that can be asked for.

Silica, therefore, hastens the formation of abscesses and boils. It

suppurates out old wens and indurated tumors. It has cured recurrent fibroids and old indurated tumors.

It there is a deposit of tubercle in the lungs, Silica establishes an

inflammation and throws it out, and if the whole lung be tubercular

a general suppurative pneumonia will be the result ; hence, the danger

of giving such remedies and the danger of repeating them in advanced

stage of phthisis. Not only Silica but many other remedies have the

power to suppurate out deposits, the result of poor nutrition.

Warty growths on the skin, moist eruptions, pimples, pustules, abscesses. Suppurating cavities. It establishes healing in old fistulous

openings with indurated margins. Catarrhal suppurations ; copious

muco-piirulent discharge from the eyes, nose, ears, chest, vagina, etc.

Complaints from the suppression of discharges ; suppressed sweat.

These suppressions produce a slate in the economy that threatens what

little order is left. An offensive foot-sweat ceases after getting the

feet wet, and is followed by chills and violent complaints. Silica cures

long lasting foot-sweat when the symptoms agree, or complaints that

have lasted since the suppression of a foot-sweat. Thick, yellow catarrhal discharges. They say, '1 have had this discharge so many

years,” and when you investigate, you find that there has been some

shock, a cold, that suppressed the foot-sweat and it has not appeared

since. Silica will bring back that sweat, cause the catarrhal discharge

to cease and in time cure the foot-sweat. Catarrhal discharges from

the nose and other places, indurations, tumors, chronic gastritis, brainfag, all dating back to the suppression of foot-sweat or otorrhc 3 ea, or

to the healing up of a fistula.

SlUCA

Chronic sick-headache attended with nausea and even vomiting.

Headache commencing in the back of the head in the morning or

towards noon going to the forehead, worse towards night, from noise ;

better from heat ; supr^i-orbital neuralgias ; better from pressure and

heat and attended with profuse head-sweat. Cold, clammy, offensive}

sweat on the forehead. When a Silica patient exerts himself he sweats

on the face, the lower part of the body is, dry or nearly so. It requires

great exertion to produce general sweat. A striking feature is the

sweat about the upper parts of the body and the head. Headache once

• ▸a week (Gels.
• ▸, -Lyc.
• ▸, Sang.
• ▸, Siilph.
• ▸).
• ▸Headache up through the back

of the neck and especially to the right side of the head. Resembles

Sang. Weight in the occiput as if it would be drawn back, with a

rush of blood to the head, like Carbo veg. and Sepia. Headache worse

• ▸from cold air.
• ▸Psor.
• ▸wears a fur cap even in summer.
• ▸Magn.
• ▸mur.

is better from wrapping up the head but still wants to be in the air.

Rhus sweats on the body ; the head is dry. Puls, sweats on one side

of the head.

Vertigo to fainting ; with nausea ; vertigo creeping up the spine into

the head.

It is especially necessary for the Silica patient to avoid the cold air,

(must have the head well wrapped up, especially the part that is painful,

and this part perspires copiously.

“Headache worse from mental exertion, excessive study, noise, motion, even jarring from foot-steps, U|ht, stooping, pressing at stool,

talking, cold air, touch.’' "

Moist, scaly eruption on the scalp, eczema capitis.

Silica is suited to the phagedenic ukers of syphilis, eating and spreading ulcers on the scalp. Inflammatory conditions between the scalp

and skull, tumors forming, filled with a grumous fluid ; as in infancy,

it will remove blood tumors. Cephalatoma neonatorum, enchondroses.

Silica is especially of use in the treatment of affections of the cartilages, growths about the joints, about the fingers and toes.

The complaints of Silica are associated with hardened glands, but

especially about the neck, the cervical, salivary, and particularly the

parotid glands ; large, hard parotids. The parotids enlarge from every

• ▸cold and get hard, (Bar.
• ▸carb.
• ▸Calc.
• ▸, Sulph.
• ▸)

Puls, suits the acute inflammation of the parotid, but Silica is indicated in the more chronic forms due to psora, “scrofulous glands."

• ▸Many inflammations and conditions of the eyes.
• ▸Ulcers on the cornea ; pustujes on the lids, falling of the lashes, suppuration of the margins of the lids with burning, stinging and redness.
• ▸Intense photophobia in all eye complaints.
• ▸Scrofulous cases with sore eyes ; the

most inveterate and. chronic cases; suppuration; thin, watery, copious

discharge, or bloody, thick and yellow like pus, with ulceration.

SXUGA

Syphilitic iritis. “Perforating or sloughing ulcer on the cornea.

Spots and cicatrices on the cornea. Fungus haematodes. Eyes inflamed from traumatic causes ; foreign particles have lodged in the

eyes ; abscesses ; boils around the eyes and li^ds ; tarsal tumors, styes.

Affections appearing in the angles of the eyes ; fistula lachrymalis ;

stricture of lachrymal duct.” This is a general survey of the eye affections in Silica.

There is no deeper remedy than Silica in eradicating the tubercular

tendency, when the symptoms agree ; most tubercular cases are worse

from cold, wet weather ; better in cold dry weather.

The most inveterate cases of catarrh of the ear ; old offensive, thick,

yellow otorrhoea ; following scarlet fever ; all sorts of abnormalities in

hearing, even to deafness. Roaring in the ears associated with many

diseases and hardness of hearing ; hissing, roaring like steam ; like a

train of cars, many times from mechanical cause and other times from

a condition of the nerves. It is commonly the beginning of a dry

catarrh of the middle ear ; the remedy is especially useful when, in

catarrh of the middle car and Eustachian tube, the deafness goes on

for some time and the hearing returns with a snap, due to the escape

of the accumulation of fluids somewhere and described by the patient

as a snap or report. Sudden reports in the ear like a cannon, distant

noises with return of hearing. “Otorrhoea, offensive, watery, curdy,

with soreness of inner nose and crusts on upper lip, after abuse of

Mercury, with caries.” Caries of bone in any part of the body, but

especially of the small bones of the ear, nose and mastoid process,

“Scabs behind the ears.” Rupture of the drum of the ear. Catarrhal

conditions of the internal ear and Eustachian rube, with “feeling of

sudden stoppage in the ear, better by gaping or swallowing.”

Especially with ear troubles, there will be associated indurated parotid glands.

Accumulation of hard crusts in the nose, loss of taste and smell ;

epistaxis, thickening of the mucous membrane ; most vicious catarrh

with discharge of bone from the nose. Horrible, foetid ozaena, old'

syphilitic cases where the nasal bones are destroyed and the nose becomes a flabby bag, is sunken in or ulcerated away, leaving an opening. Silica may cure and an artificial nose be made afterwards.

Hepar competes with Silica in syphilitic nasal catarrhs where the

parts are phagedenic ; Hepar, Merc, cor, and Ars,, are the principal

antisyphilitics when there is phagedenic ulceration of the nose. Babies

suffer from bloody nasal discharge. This is often Calc, suL

The aspect of the Silica face is silky, anaemic, waxy, tired. Pustular and vesicular eruptions spread over the face, the wings of the nose

crack, the lips easily fissure ; crusts form on the margin between the

mucous membrane and the skin ; eruptions and crusts, indurations form

SIUCA

under the crusts, they peel off and there is no healing. These indurations are the same kind of inferior tissue that is found under lupus and

epithelioma, a low tissue formation, a low state of eczema that favors

infiltration. The small blood-vessels that lead to them become thicker

and thicker until they become gristly. There is a tendency to make

the soft tissues harder and the hard tissues harder.

In childhood the bones become softer and even necrose or there is

an inflammation of the peristeum and a consequent necrosis. Caries

of the shaft of the long bones, the head of the bones and the cartilaginous portions ; abscesses in cartilages, enchondromata. Bones break

down and form fistulous openings. Necrosis of the jaw, the joints,

the hip-joint, the tibia, necrosis of the spine, of the vertebrae, so that

there is curvature of the spine, lateral especially. The homoeopathic

physicians may treat these affections of the bones with the help of accessory contrivances or supports.

The Silica patient has rough lips, they crack and peel ; rhagades.

Scaly appearances at the margins of the lips, fissures in the corners

of the mouth that indurate. There is often a line of fissure about the

margin of the crust. Little crusts like epithelioma form upon the

wings of the nose and when picked ofE leave a raw surface with no

tendency to heal. Crusty formations upon the ears.

The teeth break down, lose their enamel surface ; the dentine is made

up largely of the silicate of lime and the surface of the tooth becomes

rough, loses its shiny appearance and caries sets in. This often takes

place at the margin of the gum ; ulcers form on the tip of the fangs.

The teeth suffer when it is cold or damp ; toothache in wet weather,

and the teeth arc yellow, decay rapidly, and the gums settle away from

them. All the neuralgias and toothaches are better in a warm room

and from hot drinks. Abscesses about the gums and face, better by

warmth. Severe pain in the jaw, rending, tearing at night, better

from heat ; these pains often end in abscesses about the teeth. Sometimes relieved by pressure unless the part is extremely sore from inflammation.

The tongue takes on inflammation of gouty character ; inflammation with threatening abscess, it fills the whole mouth ; rending, tearing pains, worse at night and better from heat.

In the throat and neck we have inflammation and swelling of all the

glands, external and mternal, all at once or singly. Quinsy with great

pain in the tonsils, one or both ; threatening suppuration. Inflammation of the parotid, sublingual and much less frequently the submaxillary and cervical glands ; painful, tumid and hard, with pain in the

neck, shoulders and head, even in acute inflammations. But then we

have the opposite state of affairs. In an old chronic case broken down

with suffering the symptoms are worse after a bath, he wants warmth,

844 siucA

dreads the cold, is always shivering. But when in the neck there is an

acute inflammation the very opposite is present ; he suffers from flushes

of heat, an irregular, flushing fever, cold extremities while the upper

part of the body is hot, sweat about the head and neck, sensation of

heat and suffocation in a warm room. This wifl. be present in quinsy

and abscesses of the glands of the neck, if acute. Silica here shows

its relation to Puls, The latter in its chronic manifestations is overburdened with heat, but in an acute trouble is chilly. They are reversed as to their acute and chronic slates. Puls, in the beginning is

chilly and sweating.

Silica is full of throat symptoms but is seldom indicated in acute

forms because its pace is too slow ; it comes on after there has been a

series of colds, such colds as are ameliorated a number of times by

Bell, or other acute remedies, but still continue to settle in the tonsils

and in the glands of the neck. Silica breaks up the tendency. There

is a catarrhal state in the throat that is roused up by every cold into

an increased flux, with hoarseness, settling back into the chronic state

again ; chronic catarrhs of the pharynx. It competes with Natrum

mur. in inveterate sore throat.

Silica disturbs the stomach, causes hiccough, nausea and vomiting ;

disturbs the liver. All these symptoms are connected and are hard to

separate. Decided aversion to warm food, desires cold things, wants

his tea moderately cold, he is willing to have his food cold, dislikes

warm food. Sometimes there is a decided aversion to meat, but if he

does take it, he prefers cold, sliced meat. He likes ice cream, ice,

water, and feels comfortable when it is in the stomach ; it is sometimes

impossible for him to drink hot fluids, they cause sweat about the face

and head and cause hot flushes. (Bar, c,)

Silica is disturbed by the extremes of heat and cold, easily affected

in changes even of a few degrees ; he has complaints from being overheated ; he gets overheated easily, sweats easily from a slight change

in the temperature and comes down with a cold.

Case: A physician waiting on an obstetrical case, had a little difficulty in the last stage and he became overheated ; putting on his overcoat and hat he went out on the porch to cool off and was taken down

with asthma, violent cough, copious expectoration with gagging and

vomiting which lasted him for months. The acute remedies he had

taken only palliated, but a dose of Silica cured him almost as quickly

as he was taken down ; he could not tolerate a warm room ; the acute

complaints of Silica are often worse in a warm room and from heat.

Silica has an aggravation from milk. Many times the infant is unable to take any kind of milk and, hence, the physician is driven to

prescribe all the foods in the market if he does not know the right

remedy. Natrum carb, and Silica are both useful when the mother^s

SIUCA

milk causes diarrhoea and vomiting. Tlie routinist is likely to give

such medicines as ^.thusa, entirely forgetting Silica. The latter, as

well as Natrum carb., has sour vomiting and sour curds in the stool.

“Aversion the mother’s milk and vomiting.” “Diarrhoea from

milk.” Put these two together.

Although the patient has an aversion to hot things and desires to eat

cold things, yet in chest complaints cold water, ice cream and cold

things in general, increase the cough to gagging, and then the retching

is dreadful ; violent, retching, gagging cough. Retching from an endeavor to expectorate is usually controlled by Carlo veg., but Silica

has it.

“Water brash, with chilliness, with brown tongue ; nausea and vomiting of what is drunk, worse in the morning ; water tastes bad ; vomits

after drinking.”

The Silica stomach is weak, in a do-nothing state ; old dyspeptics

that have been vomiting a long time, especially those who have ani

aversion to hot food, who cannot take milk, are averse to meat, where

the mental and bodily symptoms agree.

Silica was one of the greatest remedies for the chronic diarrhoea in

the soldiers of our Civil War. It cured a fair percentage of those sick

from sleeping on damp ground, eating all sorts of food until the stomach and bowels were prostrated, from long marches, from going into

the South from the cold North, from becoming overheated. It is like

Sulphur in these symptoms.

Silica has some pain in the stomach and bowels, but there is more

soreness to pressure ; colic and flatulijnee and tenderness to pressure ;

a chronic soreness in the stomach and if it goes on too long, a tubercular state comes on. Abdominal pain relieved by heat ; distension of

• ▸the bowels with flatulence and rumbling.
• ▸Enlarged abdomen in children and adults (Bar.
• ▸c.
• ▸) ; tightness across the abdomen.
• ▸Disturbed

by the pressure of the clothes and worse after eating ; the decided

feature is the amelioration from heat.

Constipation from inability of the rectum to expel the faeces. It is

seldom that the stool lies in the rectum without urging like Alumina;

there is much urging to stool but inability to expel. The stool may

be in small balls or large and soft or large and hard, but there is much

straining and sweating about the head and great suffering while straining ; the rectum becomes impacted, he strains until he is weak and exhausted, the stool slips back ; and he gives up in despair. The only way

he can relieve himself is by some mechanical method. Great straining

at stool belongs to many remedies, but especially to Alumina, Alumen,

• ▸China, Natr.
• ▸mur.
• ▸, Nux vom.
• ▸, Nux mosch.
• ▸, and Silica.

Silica has removed tape-worm, when the symptoms agree (Calc.,

Sul.).

SIUCA

It has also cured fistulous openings. Patients who have a tendency

to phthisis are subject to abscesses about the region of the rectum, that

break inside or out and form complete or incomplete openings. These

seem to take the place of what would otherwise come, and if healed by

operation or other external means, the tendency is to end in chest

trouble, either in form of a fixed catarrh or tubercular infiltrations.

Silica is one of the remedies that turns the constitution into order and

in one to five years the opening ceases to be necessary and it will heal.

Surgeons heal it up at once, and for a time the patient is comfortable,

Init in a few years he breaks down.

• ▸Caust.
• ▸, Bcrb.
• ▸^ Calc, r.
• ▸, Calc, p/ios , Graph.
• ▸, Stdph,, etc.
• ▸, arc suitable,

in such cases. Silica here follows Thuja well.

Siij)purative conditions in the urinary tract, catarrh of the mucous

membranes ; old inveterate catarrh of the bladder with pus and blood

• ▸in the urine ; copious, stringy deposits in the urine.
• ▸Prostatitis, suppuration, thick, foetid pus from the urethra.
• ▸Gonorrhoea, pus, or puslike discharge from the urethra, slight, shreddy discharge, bloody, purulent discharge.
• ▸It is sometimes thick, or is curdy ; this is from any

mucous membrane.

Drawing, tearing, and shooting in limbs (arms and legs).—Nocturnal shooting in all

joints.—Liability of limbs to become numbed (to go to sleep easily).—Pain in limbs, as though

• ▸they had been broken, and paralytic weakness, esp.
• ▸in evening.
• ▸—Cramps in arms and legs.
• ▸—Icy-

cold legs and feet—Jerks in limbs, day and night—Weakness of joints (they give way when

• ▸walking).
• ▸—Lassitude and trembling in limbs, esp.
• ▸in morning.
• ▸—Soreness and lameness in

limbs.—Nails dirty yellow, crippled and brittle—Ulcers about nails.