Stannum

Stan. iod. has been used in preference to the metal in some phthisical cases in

• ▸which the general features of Stan.
• ▸were present.
• ▸O.
• ▸S.
• ▸Haines (Clinique, vii.
• ▸11) considers it

especially indicated where the patient "has a clear complexion and long eyelashes, and where the

• ▸progress of the disease is rapid.
• ▸" He uses the 2x trituration.
• ▸M.
• ▸D.
• ▸Youngman (H.
• ▸M.
• ▸, Jan.
• ▸1895)

finds it a deeply acting drug, chiefly of value in chronic chest diseases characterised by plastic

tissue changes. It is indicated in cases that "hang fire" and need an "alterative." He gives this

keynote: "A persistent inclination to cough, excited by a tickling dry spot in the throat,

sometimes in one place, sometimes in another, often apparently at root of tongue." This cough,

which begins as a weak-sounding cough, accompanied by shortness of breath, soon gathers

strength and sound and induces raising of a free, copious, pale yellowish expectoration, which at

first >, but is soon followed by a feeling of dryness, weakness in throat and chest, and increased

oppression. An inveterate smoker, who had a cough of this kind, said it came from his throat, and

ascribed it to his smoking. Youngman found consolidation areas in middle of right lung. There

• ▸was weak feeling in chest after coughing.
• ▸Szan.
• ▸i.
• ▸3x trit.
• ▸greatly relieved.
• ▸The man was sent to a

high altitude, where he enjoyed perfect health and was freed from his smoking habit.

Sad, anxious. Discouraged. Dread of seeing people.

Sad, hypochondriacal humour.—Great agitation and anguish, melancholy and

disposition to weep.—Sad, despondent, feels like crying all the time, but crying <—Quiet

fretfulness; answers unwillingly and abruptly —Continued restlessness with anxiety —Her

distress of mind ceases as soon as menses begin to flow.—Uneasy, does not know what to do

with himself; pains > by walking, but so weak he soon must rest.—Earnest application to

business, with inability to complete anything undertaken.—Discouragement.—Ill-humour, with

taciturnity and dislike to society and conversation; hopelessness.—Sudden fits of

passion.—Nervous excitement.

Pressive and drawing pains, esp. in limbs, gradually becoming very violent,

• ▸and decreasing in the same way.
• ▸—A ffections in general of 1.
• ▸chest; 1.
• ▸side; trachea and inner

chest; upper part of chest; inner surface of thighs.—Consumption.—< After moving; lying on

side; using the voice; from motion; when descending.—> When lying on back; from loosening

garments; from walking (except weakness).—Attacks of epilepsy (in children during dentition),

with retraction of thumbs, and tossing about of body; or else with throwing back of head,

paleness of face, convulsive movements of hands and eyes, and loss of consciousness; the attacks

come on sometimes in evening.—Excessive emaciation.—Pain as if paralysed in

• ▸extremities.
• ▸—Paralysis (of arms and legs).
• ▸—Great heaviness and indolence.
• ▸—Excessive dejection

(weakness), and physical and moral depression, with trembling, esp. during gentle exercise (or

when talking), and with disposition to perspire easily.—Profuse debilitating sweat, night and

morning; hot, even on slight movement; with mouldy, putrid smell.—Nervous

excitement.—Hysterical spasms, with pain in abdomen and in diaphragm.—Insupportable

uneasiness in body.—Excessive fatigue after conversation.—The sufferings seem to disappear

during a walk, with the exception of the depression, which is then excessive; they reappear as

soon as the patient is at rest—Extreme prostration; must sit or lie down continually.—Faintness in

going down stairs; can go up without difficulty—Pains commence lightly, increase gradually to a

very high degree, and decrease again as slowly.

• ▸Aching in temples and forehead.
• ▸Obstinate acute coryza and influenza with cough.
• ▸Pain worse motion; gradually increasing and decreasing as if constricted by a band; forehead feels pressed inwards.
• ▸Jarring of walking resounds painfully in head.
• ▸Drawing pains in malar bones and orbits.
• ▸Ulceration of ringhole in lobe of ear.

Vertigo, during which all objects seem too far off.—Vertigo on sitting down, with loss

of ideas.—Headache, usually neuralgic, which comes on gradually and grows steadily < till it

reaches its height or severest point, when it begins to grow > and goes away just as gradually as

it came on—e.g., if it was twelve hours in coming on, it will be twelve hours in going

off.—Headache, with nausea and retching, sometimes with burning sensation in the sinciput, eyes

and nose, or else in the morning, with ill-humour.—Heaviness in head in evening.—Heaviness

• ▸and stunning pressure in head, esp.
• ▸traversing forehead.
• ▸—Shooting pains in head, esp.
• ▸in

forehead, and < after a fit of coughing.—Spasmodic pains in head, as from tension or squeezing

(as from a band in whole upper part of head, and in forehead, slowly increasing and

• ▸decreasing).
• ▸—Intermittent tearing pain in r.
• ▸half of forehead, < on stooping.
• ▸—Crushing pain in

• ▸forehead.
• ▸—Sharp jerking in r.
• ▸anterior lobe of brain, above orbit.
• ▸—Pressive drawing and tearing

• ▸in the head.
• ▸—Boring pains in head.
• ▸—Throbbing pains in temples.
• ▸—Painful jerks through |.
• ▸temple,

forehead and cerebellum, < during rest, > from motion.—Burning in forehead with nausea, > in

open air.—Painful shocks across head.—Pain as from suppuration in head externally —Burning

tension on scalp just above r. forehead.

Eyes sore, and, as it were, excoriated by rubbing.—Pressure in lids and

canthi—Burning lancinations in lids.—Itching, smarting, and burning sensation in

• ▸eyes.
• ▸—Nocturnal agglutination of lids.
• ▸—Pressive pain in |.
• ▸inner canthus, as from a

• ▸stye.
• ▸—Styes.
• ▸—Ulcer in the internal canthi (pustular swelling of 1.
• ▸inner canthus) like a lachrymal

fistula—Eyes dull (sunken), and clouded.—Jerking and quivering of eyes.—Convulsed or

prominent eyes.—Variegated areola round candle.

Earache, with drawing tearings.—Ulceration of holes pierced for earrings.—Tinkling in

• ▸ears.
• ▸—Ringing.
• ▸in |.
• ▸ear.
• ▸—Cries (screeching) in ears, on blowing nose.

Heaviness, and sensation of obstruction, in upper part of nose.—Inflammation of

interior of nose—Burning sensation in nose.—Epistaxis: on moving, on rising from bed;

immediately on waking.—Dry coryza on one side only, with soreness, swelling, and redness of

nostrils.—Over-sensitiveness of smell.

Pale and wan countenance, with (deep, sunken) eyes; sickly expression; features

elongated.—Pains in the face, with pressive drawing, esp. in zygomatic process, and

orbits.—Burning, lancinating pain in muscles of face.—Swelling of cheeks and upper

jaw.—Spasm in jaw.—Painful swelling of submaxillary glands.

Fetid exhalation from mouth.—Flow of acid saliva —Difficult, weak speech,

• ▸occasioned by weakness, esp.
• ▸on chest.
• ▸—Tongue coated with a yellowish mucus.
• ▸—Tongue

yellow.—Tongue red.

Toothache after a meal, with jerking pain and heat in the face.—Sensation of

elongation and looseness in teeth.—Ulcer on gums, with swelling of cheeks.—Epileptiform

convulsions from teething: child > lying with abdomen across something hard; clenching of

thumbs.

Sore-throat, as from an internal swelling, with drawing and tension.—Sensation in

velum pendulum as if a foreign body were there, or some mucus which could neither be hawked

up nor swallowed; same sensation in posterior nares.—Sensation of stinging dryness in throat,

with lancinations (< when swallowing).—Cutting in pharynx and cesophagus on

• ▸swallowing.
• ▸—Ulcerated sensation in r.
• ▸—side of throat.
• ▸—Roughness and scraping in throat, esp.
• ▸in

evening.—Accumulation of thick, viscid, greyish, bloody mucus in throat and mouth, with

necessity to hawk, followed by a sensation of excoriation (efforts to expel it excite

vomiting).—A fter hawking mucus the voice for singing is higher.—Tobacco has a sharp, dry taste

in the fauces.—Permanent rawness and dryness in throat: during swallowing a painful feeling as

of being denuded.—Rawness and dryness in throat, without thirst.—Nausea in fauces and

pharynx.

Much adhesive mucus, difficult to detach; efforts to detach cause nausea. Throat dry and stings.

• ▸Hunger.
• ▸Smell of cooking causes vomiting.
• ▸Bitter taste.
• ▸Pain better pressure, but sore to touch.
• ▸Sensation of emptiness in stomach.

Bitter and sour taste.—Bitter taste of all food (except water).—Bitter, herbaceous

taste of beer—Increased hunger, which cannot be satisfied. —Increased thirst.—Nausea and

vomiting after a meal——Excessive weakness of digestion.

Bitter risings; or with a taste of rotten eggs.—Sour risings, with scraping in

throat —Frequent hiccough.—Nausea and vomiting; in the morning; from odour of cooking

• ▸food.
• ▸—Nausea, esp.
• ▸after a meal, followed by bitter and watery vomiting.
• ▸—Vomiting: of bile; of

blood.—Violent retching, followed by vomiting of (undigested) food.—Aching in stomach,

sometimes very violent—Tensive pressure at scrobiculus, which is painful when touched, as

from subcutaneous ulceration.—Cramps in stomach, sometimes with bitter risings, sensation of

hunger and diarrhoea, or else with nausea, and pale and sickly complexion.—Squeezing, as from a

claw in stomach, and umbilical region, with nausea.—Sinking, gone, feeling in epigastrium.

Cramp-like colic around navel, with a feeling of emptiness. Colic relieved by hard pressure.

Dull blows across hypochondria.—Cramps in region of diaphragm.—Pressure

and burning sensation in hepatic region.—Pressure, spasmodic pain, and shootings in the I.

hypochondrium.—Abdomen painfully distended, and sensitive to touch.—Spasms (colic) in

abdomen, with pains above and below navel.—Hysterical spasms in abdomen.—Digging,

pinching, and griping in abdomen; before every stool—Burning sensation, and shootings in

abdomen.—Feeling of excoriation in abdomen, < by touch.—Severe pain causing the patient to lie

over the sharp corner of a table or sofa, or something hard, and to press the abdomen firmly

against it, as in this way > is afforded.—Griping as of something being torn away.—Sensation as

if stretched in (r.) abdominal muscles.—Squeezing, as from a claw, in umbilical region, followed

by nausea.—Sensation of emptiness (hollowness) in abdomen; even after eating.—Incarceration

of flat us—Stitches from both sides through hips.

Hemorrhoidal pimple on 1. side of anus, with painful soreness when

touched.—Violent shooting, like needle pricks at base of rectum extending to anus.—Soreness and

smarting at anus, with fine stitches, immediately after a stool —Itching stitch in rectum.—A

corroding pain about anus, while walking and sitting —Burning in anus; constant

• ▸itching.
• ▸—Constipation.
• ▸—Frequent, ineffectual want to evacuate.
• ▸—Hard, dry, knotty feeces, or else

scanty and greenish.—Stools: green, curdy, with colic; insufficient with renewed desire

afterwards.—Slimy evacuations.—Violent dysentery, urging and tormina, stools bloody, mucous

with intolerable tenesmus.—Violent diarrhoea—Passes worms; lumbrici; tenia.

Dull stitches inward in kidney region.—Sensitive pressure in neck of

bladder and urethra after urinating; seems as though more would follow; some drops pass when

• ▸the pressure is <.
• ▸—Blister on margin of meatus.
• ▸—Retention of urine.
• ▸—Scanty emission of

urine.—Frequent want to urinate, sometimes with scanty emission.—Absence of want to urinate,

as from insensibility of bladder (only a sensation of fulness indicates the necessity to urinate).

• ▸Bearing-down sensation.
• ▸Prolapsus, with weak, sinking feeling in stomach (Sep).
• ▸Menses early and profuse.
• ▸Pain in vagina, upward and back to spine.
• ▸Leucorrhoea, with great debility.

Increased sexual desire; early orgasm.—Catamenia too

• ▸profuse.
• ▸—Before catamenia, anxiety and melancholy.
• ▸—During the catamenia, colic.
• ▸—Cramps in

uterus.—Prolapsus of the vagina, with hard stool.—Bearing down in uterine region; prolapsus

uteri et vaginee.—Prolapsus strangulated tends to gangrene —Leucorrheea of transparent or

yellowish mucus, with considerable prostration of strength.—Itching in vulva, < evening (Stan.

• ▸mur.
• ▸).
• ▸—Spasmodic labour pains; they exhaust her, she is out of breath.
• ▸—A child leaves the breast

of its mother, and will not suck.

Increase of sexual desire.—Violent and voluptuous excitement during

emission.—Frequent pollutions; with excessive prostration.

• ▸Hoarse; mucus expelled by forcible cough.
• ▸Violent, dry cough in evening until midnight.
• ▸Cough excited by laughing, singing, talking; worse lying on right side.
• ▸During day, with copious green, sweetish, expectoration.
• ▸Chest feels sore.
• ▸Chest feels weak; can hardly talk.
• ▸Influenzal cough from noon to midnight with scanty expectoration.
• ▸Respiration short, oppressive; stitches in left side when breathing and lying on same side.
• ▸Phthisis mucosa. Hectic fever.

Hoarseness and roughness in larynx, with tickling, which excites a

cough.—Catarrh, with hoarse voice, sensation of fatigue in chest, obstructed respiration, and

cough with expectoration.—Great accumulation of mucus in trachea, which is easily

detached.—The voice is louder in singing, after having hawked up the mucus.—Cough excited by

laughter, talking, and singing, or by a tickling in chest; or by warm drinks.—In chest affections,

when talking, reading aloud, singing, &c.; they cause a very weak feeling in throat and chest, an

exhausted, "given-out" sensation, and produce hoarseness; using the voice produces weakness in

the arms between the elbow and shoulder, then the weakness extends all over the body. The

above symptoms are very often found in operatic singers, actors, auctioneers—all who use the

voice a great deal.—Dry, violent, shaking cough, in bed, in evening, until midnight, or more

violent in morning.—Shattering, deep cough.—Fatiguing, paroxysmal cough, so that epigastric

region was painful, as if beaten —Short cough from weakness of chest, having a hoarse, weak

sound.—Cough concussive, with paroxysms of these coughs.—Cough excited by lying on the r.

side.—Cough, with retching and vomiting of food.—Cough, with frequent expectoration of

mucus.—(Cough coming after whooping-cough in girl, 9; very profuse, white, thick

expectoration, hoarse, tongue coated, sleepless, no appetite, rapid emaciation and debility, with

• ▸contracted chest and pleuritic adhesions.
• ▸—R.
• ▸T.
• ▸C.
• ▸).
• ▸—Expectoration when coughing (during the

day, in morning expectoration is most profuse and) is greenish, sweetish, or yellow; saltish; or

else viscid, and in lumps; or serous, and composed of liquid mucus, or of a putrid smell (after

coughing and expectorating the patient feels hollow and empty).—During and after the cough,

pain as of excoriation, and shootings in the chest.—Phthisis pituitosa.

Obstructed respiration at night, esp. when lying down; or by day, on least

movement.—Dyspncea, esp. in evening, with sensation of emptiness in scrobiculus, and anguish,

which causes the patient (to loosen or) tear his clothes —Oppression at chest when walking or

ascending.—Asthma when attacks gradually come on, culminate, and gradually decline.—Rattling

of mucus and wheezing in chest—Agreeable sensation of lightness on taking a full

• ▸inspiration.
• ▸—Contusive pain in chest.
• ▸—Heavy pressure in chest as by a weight.
• ▸—Tension in chest

(hydrothorax).—Constriction of chest, sometimes in evening, with anguish.—Lancinations in the

• ▸1.
• ▸side of the chest, during inspiration, or when lying on the r.
• ▸side.
• ▸—Sharp, cutting stitches in 1.

• ▸side of chest, < from stooping.
• ▸—Burning stitches on |.
• ▸chest, < on expectoration.
• ▸—Suddenly, a

long stitch in 1. side of chest beneath axillee, causing fright.—Pain, as from excoriation, in

chest.—Sensation of weakness in chest, as if it were empty, esp. after speaking or

expectorating.—Itching-tickling in chest.

Pain in precordial region and hiccough.—Pulse: frequent, small; indistinct,

fluttering.

Lancinations in the shoulder-blades, and nape of the neck.—Weakness of

the muscles of the nape of the neck, and cracking of the vertebrae of the neck when shaking the

• ▸head.
• ▸—Opisthotonos.
• ▸—Stitches in back, in small of back, and into limbs.
• ▸—Violent tearing in

lumbar vertebrze, from both sides into region of kidneys, < on every motion of trunk —Dull

thrusts in lumbar region with a sensation of external coldness against him.

Paralytic pain in the shoulder-joint.—Paralytic heaviness in the arms; if he

holds a light weight even a short time.—Pressive tearings in muscles of joints of the arms, hands,

• ▸and fingers —Weakness and trembling of hands.
• ▸—Swelling of hands, esp.
• ▸in evening.
• ▸—Jerking of

• ▸hands.
• ▸—Violent burning sensation in hands.
• ▸—Small red spots on backs of hands.
• ▸—Chilblains on

• ▸hands.
• ▸—Contraction of fingers.
• ▸—Retraction of thumbs.
• ▸—Shootings in joints of fingers.
• ▸—Stitches

in finger-tips—Painful flaws in nails.

Drawing and pressive tearings in hips, extending to sacrum, and also to legs

and knees.—Paralytic lassitude and heaviness of legs.—Bending of knees when

walking.—Stiffness and tension in ham.—Sensation of heat, and burning sensation in

• ▸feet.
• ▸—Swelling of ankles in evening.
• ▸—Swollen ankles in delicate girls (R.
• ▸T.
• ▸C.
• ▸).
• ▸—Tearing shocks

• ▸in ankles, extending as far as toes.
• ▸—Swelling of feet, esp.
• ▸in evening.
• ▸—Red swelling of feet.

• ▸Paralytic weakness; drops things.
• ▸Ankles swollen.
• ▸Limbs suddenly give out when attempting to sit down. Dizziness and weakness when descending.
• ▸Spasmodic twitching of muscles of forearm and hand.
• ▸Fingers jerk when holding pen.
• ▸Neuritis.
• ▸Typewriters' paralysis.

Itching (burning) shootings over skin of whole body (or 1. side).—Itching pimples; on

• ▸face, sore to touch or on washing.
• ▸—Chilblains.
• ▸—Flaws in nails.
• ▸—Painful hang-nails.

Sleeps with one leg drawn up, the other stretched out.

Tendency to sleep during day.—Frequent yawning, with oppression of chest, as if it

were encircled by a belt—Sleep retarded —Feeling, in morning, as after insufficient sleep.—Deep

sleep.—Nocturnal agitation and many vivid dreams, anxious or lascivious.—Moaning, weeping

(timid supplications), and plaintive lamentations, while sleeping.

Heat in evening; exhausting night-sweats, especially towards morning. Hectic. Perspiration, principally on forehead and nape of neck; debilitating; smelling musty, or offensive.

Shivering and shuddering in morning, with coldness in hands, and numbness of

• ▸points of fingers.
• ▸—Chill every forenoon (10 a.
• ▸m.
• ▸).
• ▸—Slight chilliness with violent chattering of

teeth.—Shivering in evening, which runs over back (preceded by heat with perspiration); or only

in head, with thirst—Burning heat in limbs, esp. in hands.—Sensation of anxious heat, on least

movement.—Heat every afternoon (4 to 5), with perspiration at the same time.—Perspiration

• ▸smells mouldy.
• ▸—Small, quick pulse.
• ▸—Debilitating perspiration from least exertion.
• ▸—Very

debilitating perspiration at night.—Profuse perspiration in morning.

Stannum Iodatum.

Iodide of Tin. Sn kl. Trituration.

• ▸Antidoted by: Puls.
• ▸Complementary: Puls.
• ▸Follows well: Caust.
• ▸, Cina.
• ▸Is followed

• ▸well by: Calc.
• ▸, Phos.
• ▸, Sel.
• ▸, Sul.
• ▸, Bac.
• ▸Compare: Sour sensation in stomach, Chel.
• ▸, Pho.
• ▸, Sep.

• ▸Weeps all the time, but crying < (Nat.
• ▸m.
• ▸< by consolation), Pul.
• ▸(menses scanty, delayed), Sep.

• ▸< Descending; can go up well enough, Brx.
• ▸(Calc.
• ▸opp.
• ▸).
• ▸Pain increases and decreases gradually,

• ▸Plat.
• ▸, Stro.
• ▸c.
• ▸(Arg.
• ▸m.
• ▸has headache increasing gradually and leaving off suddenly).
• ▸Weakness

• ▸seems to proceed from chest; (from abdomen, pelvis, Pho.
• ▸, Sep.
• ▸).
• ▸Nausea from smell of cooking

• ▸food, Ars.
• ▸, Colch.
• ▸< Laughing, Arg.
• ▸m.
• ▸< Warm drinks; (< cold drinks, Spo.
• ▸).
• ▸Weak from

• ▸talking, Coccul.
• ▸, Ver.
• ▸, Sul.
• ▸, Calc.
• ▸Prolapsus uteri < during stool, Pod.
• ▸(Pod.
• ▸with diarrhoea, stool

• ▸green and coming with a rush).
• ▸Catarrhal phthisis, Sil.
• ▸(more induration; old people), Pho.
• ▸(more

blood in sputa), Seneg. (lungs feel pushed back to spine; fat persons of lax fibre), Colch., Bals.

• ▸peruv.
• ▸, Eriodict.
• ▸, Teuc.
• ▸scorod.
• ▸, Illic.
• ▸, Pix.
• ▸, Myos.
• ▸Paralysis by emotions, Stph.
• ▸, Nat.
• ▸m.
• ▸> Hard

• ▸pressure, Coloc.
• ▸, Pb.
• ▸Pain like subcutaneous ulceration; bland discharges, Puls.
• ▸Claw sensation,

• ▸Bell.
• ▸Nausea in throat, Cycl.
• ▸, Ph.
• ▸ac.
• ▸, Val.

Complementary: Puls.

• ▸Compare: Stann iod.
• ▸3x (Valuable in chronic chest diseases characterized by plastic tissue changes).
• ▸Persistent inclination to cough, excited by tickling dry spot in the throat, apparently at root of tongue.
• ▸Dryness of throat.
• ▸Trachial and bronchial irritation of smokers.
• ▸Pulmonary symptoms; cough, loud, hollow, ending with expectoration (Phellandrium).
• ▸State of purulent infiltration.
• ▸Advanced phthisis sometimes when Stann jod has not taken effect, an additional dose of Iodine in milk caused the drug to have its usual beneficial effect (Stonham).
• ▸Compare: Caust; Calc; Sil; Tuberc; Bacil; Helon. Myrtus chekan (chronic bronchitis, cough of phthisis, emphysema, with gastric catarrhal complications and thick, yellow difficult sputum.
• ▸Old persons with weakened power of expectoration).

Third to thirtieth potency.

Stannum is especially suited to persons who have long been grow-

8j6 STANNUM METALUCUM

ing feeble. This is so striking that it may be said that some deepseated constitutional state must be present. There is a history of

increasing weakness, cachexia, catarrhal conditions, and neuralgia dating

back over years. There is sensitiveness to pain and an increasing aversion

to doing anything, aversion to business in a man, and in a woman, to

going about her housework ; always tired, all work becomes irksome.

The countenance becomes increasingly sallow, even to a waxy,

cachectic aspect. Once who has been growing weaker and develops

neuralgia of the face, eyes, stomach, and intestines ; not the shooting,

tearing pains often described, but a pain beginning gradually, increasing steadily and then diminishing gradually. The pain sometimes begins with sunrise, increases until noon and gradually diminishes, and

ceases with sunset. On the other hand, it may begin at any time, as

• ▸often at lo a.
• ▸m.
• ▸and increasing for ten or twenty minutes, then graddiminishing, but especially worse at noon.
• ▸Cactus has a sun headaches.
• ▸Kalmia has a similar headache, not so regularly increasing and

diminishing, but especially worse at noon. Cactus has a sun headache. Natrum mur, has never been known to cause it, but has cured

• ▸it especially when beginning at lo a.
• ▸m.
• ▸and worse from 2 to 3 P.
• ▸M.

Sang, headache coming and going with the sun.

The phthisical tendency of Stannum is closely allied to the neuralgias. If these patients settle down into a neuralgic constitution, the

deposit of tubercles is postponed, but most of them then seek palliation with the inevitable result of hastening the end. If the Stannum

neuralgia is suppressed, we will see phthisis making its appearance,

particularly phthisis pituitosa. Nature seems to be able to throw off

effects through mucous discharges. If the neuralgia is not permitted

to have sway the patient becomes oversensitive to .cold, takes cold

easily. When let alone every cold settled in the nerves and every

draft caused neuralgias about the eyes, sensitive to every change in the

weather, the hydrogenoid constitution of Grauvogl. But when palliated in any way by Quinine and inappropriate homoeopathic remedies

that have the tendency to catch cold in the chest like Phos,, he after a

while does not get over his cold, but there is a continuous catarrh of

the chest, and later he will die of miliary tuberculosis. Stannum is

useful in warding off phthisi.s, and is a wonderful palliative in that

disease.

The pain has been likened to the pulling of a string, gradually increasing and gradually letting up.

The Puls, pain is somewhat similar in its first half ; it gradually

becomes intense, but suddenly lets up with a snap ; comes gradually

and stops suddenly.

Remember what is said about the Bell. pain. It comes suddenly and

reaches its intensity at once, where it may remain for hours, but ceases

8s7

suddenly.

The Stannum pain is at times so severe that there is a throbbing

pulsating intermingled with it, and the mind seems stunned.

^'Headache every morning, over one or the other eye, mostly the

left, gradually extending over the whole forehead and increasing and

decreasing gradually, often with vomiting/' “Violent, glowing, beating pain.'' It is sometimes attended with burning. “Felt as if the

• ▸head would burst with inward blows.
• ▸Neuralgia of the left eye gradually increasing from lo a.
• ▸m.
• ▸to noon, then gradually decreasing, with

lachrymation during pain. Intermittent supra-orbital neuralgia from

• ▸lo A.
• ▸M.
• ▸to 3 or 4 p.
• ▸M.
• ▸, gradually increasing and attaining its acme,

and then again gradually decreasing, after the abuse of quinine.'’

This is when the body is weak, with sallow countenance and tendency

to phthisis, full of pain, and the earlier history shows that instead of

taking cold in the chest or nose, as others take cold, every cold settles

in the nerves. Finally he begins to take cold in the chest, with dyspnoea, violent, racking cough, gagging, retching, vomiting, and the most

intense sufferings. Copious, thick, yellow-green, bloody expectoration, which tastes sweetish (Phos), Retching when coughing is

marked ; thick, white, yellow or green tenacious mucus. Cannot walk,

cannot do anything without cough. Always tired ; it is an effort

to work. Wakens in the morning with the chest filled with mucus,

and coughs and expectorates, and yet some remains; he gags, retches

and vomits, and it strings out of the mouth tasting sweetish, sometimes

salty or sour. [

This great weakness is manifested |in the voice ; hoarseness, loss of

• ▸voice ; the vocal cords will not respond ; a paralytic weakness.
• ▸Talking makes him feel weak, especially !
• ▸in the chest.
• ▸“Hoarseness, weakness, emptiness in the chest on beginning to sing, so that she was constantly obliged to stop and lake a deep breath ; at times a few expulsive coughs removed the hoarseness for a few minutes.
• ▸Rawness in’

the larynx." Rawness in the trachea and smarting all the way down

when coughing. Irritation to cough, as from mucus in the trachea ;

or breathing, with cough either loose or dry, felt more while sitting

bent over than when walking. “Accumulation of great quantities of

mucus in the trachea, easily thrown off by coughing. Oppressed

breathing from ascending, from the slightest movement, when lying

down, in the evening, from coughing." “Cough in fatiguing paroxysms ; epigastric region painful as if beaten ; violent, shattering, deep,

short, from time to time, as from weakened chest, with a hoarse, weak

sound. Cough caused by talking, singing, laughing, lying on the side

and from drinking anything warm." “Sputa like white of egg ; yellow, green pus ; sweetish, putrid, sour or saltish during day. Chest so

weak that he cannot talk ; empty feeling in the chest," This remedy

io8

STAPHISAGRU

is frequently indicated in cases where the routinist would prescribe

• ▸Bry.
• ▸, etc.
• ▸, in low potencies to loosen the cough.
• ▸Stannum is not dangerous in phthisis, and will palliate the case if it is incurable.
• ▸It will

not rouse up the whole economy like Silica, but there may be an aggravation of the nervous symptoms ; if there il anything to build on

it will cause the patient to rally. If it brings back his old neuralgic

pains, and you know he has not a long time to live, and seems to suffer

much. Puls, is the natural antidote.

When a loose, easy cough is turned into one that is violent, dry and

racking under Stannum, and seems to be inclined to be prolonged,

Puls, will restore the loose cough. This is not a good action of the

remedy ; in incurable cases you can get the best results by not going too

high.

Another feature is seen in women. If you ever meet with a case

who has suffered with violent neuralgia and she says since the obliteration of these pains she has had a copious, thick, yellow, green leucorrhcea, think of Stannum. There is great weakness, which seems to

proceed from the chest. The leucorrhcea has saved her from consumption.

Menses too early and too profuse ; bearing down in the uterine region : prolapsus uteri and vaginae.

Paralytic symptoms ; writers' cramp ; women cannot let go of the

broom (Dros. cures most cases).

“Constipation ; stools hard, dry, knotty, or insufficient and green.”

Inactive rectum, i. e., a paralytic state ; even though there is much

there is inability to pass the stool, which at times is soft. Colic

better from pressure, lying on the stomach {Coloc., Cupr.); worse

from motion ; better from bending double.

“Very much exhausted from talking or reading aloud. Great lassitude from walking ; weariness of the whole body, especially when ascending stairs ; great sense of weakness in larynx and chest, thence all

over the body ; trembling worse from slow exercise.”

Great heaviness and paralytic weakness in arms and legs.—Swelling of hands and

feet in evening.—The pains in limbs < gradually and > in the same manner.—Insupportable

restlessness in all the limbs.