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Materia Medica

Syphilinum

The Syphilitic Virus - A Nosode
54 sectionsBoericke · 16Clarke · 33Kent · 5

At a glance

Cardinal features · auto-extracted from Boericke · Clarke · Kent
  • Ulceration of
  • Succession of abscesses
  • feels as if going insane or being paralyzed. Fears the night
  • despairs of recovery

Essence

Prologue
Boericke

The Syphilitic Virus - A Nosode

Utter prostration and debility in the morning.

Shifting rheumatic pains. Chronic eruptions and rheumatism.

  • Ichthyosis.
  • Syphilitic affections.
  • Pains from darkness to daylight; decrease and increase gradually.
  • Hereditary tendency to alcoholism.
  • Ulceration of mouth, nose, genitals, skin.
  • Succession of abscesses.
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Keynotes

Characteristics (part 1)
Clarke

I learnt the value of this nosode from Skinner, who has made with it some

very brilliant cures. It has been proved by Swan in the potencies, and Hering's Schema, from

which mine is taken, comprises also disease symptoms—marked "(n)"—and cured symptoms,

which have generally the name and the disease appended. Cured cases of secondary syphilis I

  • have marked "(s.
  • s.
  • ).
  • " The widespread distribution of syphilis, acquired and hereditary, and the

virulence and persistence of the virus, give this nosode a high degree of importance in

homeeopathic practice. It has been mainly, almost exclusively, employed by those who are

familiar with the use of high attenuations. I have used no potency lower than 200, and rarely

repeat the dose oftener than once a week. The leading features of the disease are the keynotes for

the use of the remedy, and (/) first in importance is the "Night <": "Pains from darkness to

daylight; begin with twilight and end with daylight." "All symptoms < at night." "Terrible dread

of night, on account of mental and physical exhaustion on awaking." This night aggravation will

be found in a large proportion of the cases needing Syph.; in ophthalmia, the pains are < at night,

and during the night the lids grow together. Neuralgia, and headache, asthma, coughs < from

sunset to sunrise, whether syphilitic or not, will be benefited by Syph. Sleeplessness is itself a

  • leading indication for Syph.
  • , which vies with Su/.
  • as a sleep restorer.
  • (2) Next to the Night <, is

Ulceration: this may affect mouth, nose, genitals, or skin, and the ulcers have greyish bases; in

the nose they produce the most offensive form of ozzena with discharge of fetid clinkers. In such

cases I have found Syph. of the greatest service. Fetid discharges from the ear come in the same

  • category.
  • (3) Abscesses with foul secretions.
  • (All pus-formations of Syph.
  • are fetid.
  • ) Succession

of abscesses is one of the grand keynotes of the materia medica. Eyes, teeth, and skin give other

  • leading indications.
  • In ophthalmia neonatorum the lids adhere during sleep; pains < 2 to 5 a.
  • m.
  • ;

pus profuse; > cold bathing. Iritis, syphilitic or rheumatic, has been cured with Syph. Ptosis;

sleepy look from drooping lids. Diplopia, one image seen below the other. Teeth decay at the

edge of the gums and break off; are cupped, have serrated edges; dwarfed in size and converge at

their tips. The typical eruption of Syph. is copper-coloured spots, but it covers many other forms,

including pemphigus. The glandular system is affected throughout and nutrition impaired,

leading to extreme emaciation. Burnett has recorded in his book on Delicate Children many

instances of the power of Syph. to free stunted children from this constitutional blight. Further

indications for Syph. are: Pains < and > gradually; are shifting, and require frequent change of

position. Leucorrhoea; profuse, soaking through napkins and running to heels. Craving for

alcohol in any form. Hereditary tendency to alcoholism. (Bacchus and Venus are close allies).

The orifices of the body are all affected by syphilis, and Syph. has a great sphere in rectal pain

Characteristics (part 2)
Clarke

and constipation. "Obstinate constipation for years; rectum seems tied up with strictures; when

enema was used the agony of passage was like labour." Bones are affected, and especially bones

  • of head and tibize.
  • Nodes on the head.
  • H.
  • C.
  • Allen says: "Syphilitics, or patients who have had

chancre treated by local means, and as a result have suffered from throat and skip troubles for

years, are nearly always benefited by this remedy at commencement of treatment unless some

  • other remedy is clearly indicated.
  • " Thomas Wildes (H.
  • P.
  • , xi.
  • 267) gives his experience with

Syph. In chancre he gives Syph. 1m (Swan)—according to Skinner's calculation this is much

lower than Im of the centesimal scale—one dose every night. The chancre increases for the first

two weeks and then gradually fades away, not being followed by secondaries. Where the edges

of the chancre assume the appearance of proud flesh in the third or fourth week, and become

everted, jagged, and angry dark red, he gives Lac can. cm (Swan) every night for ten to fourteen

days, until the sore takes on a more natural appearance, when Syph. 1m is again given to finish

  • the case.
  • For any remaining induration Nit.
  • ac.
  • 30, four times a day, is given.
  • Headaches in great

variety he cured with it; aphasia; ptosis; paralysis of tongue; facial paralysis; hemiplegia;

"persistent pains in any part of the body;" catarrhal and nerve deafness; itching of nostrils; dark

purple lines between alze nasi and cheeks. Itching scabby eruptions on face or breast; singly or in

  • clusters, looking like herpes.
  • Pain and pressure behind sternum.
  • Epilepsy.
  • Wildes cured with

Syph. 1m a bookkeeper who for many months had had a piercing, pressing, excruciating

headache over right eye extending deep into brain. It was so severe, he was losing continuity of

thought and memory. Under Syph. every night the headache disappeared entirely in ten days and

the mental faculties were fully restored; but in six weeks the whole eyebrow on that side broke

out into a sickly, yellow, syphilitic eczema with a red, angry, and oozing base extending under

the arch to the lid from canthus to canthus up into forehead and down the side of the nose. The

cure of this was tedious, because, Wildes thinks, he did not stick to Syph., but changed the

remedy. This man had had syphilis a few years before. In 1879 a lady, 26, extremely bright and

intelligent, came to Wildes with a dreadful ozzena. She had also curvature of the spine and

  • congestion of right ovary.
  • Always delicate from a child.
  • Syph.
  • cured the ozeena and improved the

health, but it "drove out a saddle to which the Sepia saddle is but a shadow"—a furious

inflammatory mass of syphilitic sores, scabs, and eczema, red and angry, with a fiery base

extending from one malar prominence to the other, across nose up to eyes and forehead. This

took eighteen months to cure. The ozcena never returned. A boy, 4, had an obstinate rash, a

combination of prurigo and herpes, on chin, lips, cheek-bone, forehead, and hairy scalp; on arms,

chest, back, bends of joints and on the joints, and on fingers and hands, nowhere profuse. In spite

of authorities to the contrary, Wildes maintains that syphilitic rashes may itch, and that prurigo is

infectious and is one of the initial stages of leprosy. This boy had a spot of eruption on the left

  • thigh the size of the top-joint of a man's thumb.
  • This was distinctly a leper spot.
  • Syph.
  • 1m caused

the rash to come out strongly all over the body in patches, the face was one-third covered with a

thick, yellow, scabby eruption. The remedy was continued and the boy got well, wonderfully

improved in health, no longer nervous, growing well; sleeping well; appetite good. Girl, 16, had

measles a year before which did not come out properly. A year and a half prior thereto subject to

neuralgic headaches. Ailing about two years; very despondent, wants to die, headaches growing

more violent. During the headaches the temple veins stand out, has pains all over the body, is

very irritable, restless, walking about much of the time, does not wish to be soothed, violent on

being opposed, has tremors and seems on the verge of convulsions, dazed, absent-minded, and

almost insane. Always washing her hands. Was formerly constipated, but now subject to "a kind

of diarrhoea." Menses never have come on properly, and for the past year have been very

Characteristics (part 3)
Clarke

irregular, much delayed, scanty, and always extremely painful. Often feverish. Sleep anxious,

distressed, and often wakeful and violently restless. The italicised symptoms indicated Syph., and

under this she steadily recovered. A young lady contracted "lepra-syphilis" from vaccination.

She had an immense blood-boil on her arm which would not heal. Face broken out with a lumpy

fiery rash. With Syph. 1m at bedtime she recovered rapidly; the arm healed quickly and her face

became free from eruption. Boy, 3, had cluster of yellow blotches on fingers and roots of nails,

  • distorting the nails.
  • The boy's father was epileptic.
  • The boy was helped with Fluor.
  • ac.
  • and cured
  • with Syph.
  • , the nails becoming straight.
  • Many persons, says Wildes, after taking Syph.
  • for a few

days, complained of heavy, crushing, cutting pains across the base of the cerebellum; others of

heavy aching and stiffness from base of neck up through muscles and cords of neck and into the

brain; others of a heavy, clouded, dull feeling at base of brain with physical lethargy, and

sometimes with dizziness, sometimes with confusion of thoughts and often a feeling as if going

insane or about to be paralysed. Sometimes a far-away feeling, with a feeling of indifference to

the future. Accompanying these there may come a heavy, dragging, dull feeling in lumbar

region, with stiffness and want of elasticity. Peculiar Sensations are: A seething feeling as if hot

water or hot oil running through all veins of the body, all night long. As if going insane or about

  • to be paralysed.
  • Tongue feels as if paralysed.
  • A far-away feeling with apathy.
  • As if head were

pulled back by a weight. As if blood went to right inner canthus and temples and could get no

further. As if sand in eyes. As if right eye were wide open and cold air were blowing in it.

Fluttering as of something alive in teeth. As if a worm in tooth. As if teeth had got out of place.

Distress as if in omentum. As if rectum were tied up with strictures. As if urethra had been

stuffed up and clogged. As if sternum was being drawn towards dorsal vertebrae. As if she would

suffocate with rough. As if skin were drawn up in centre of chest on drawing back head. Coccyx

  • as if swollen.
  • As if toes on right foot were disjointed.
  • Like growing-pains in limbs.
  • As if bones
  • were sawed.
  • Palms and soles as if pricked by needles.
  • As if throat tearing to pieces.
  • As if top of

head were coming off. As if teeth were loose. As of a nervous chill commencing in anus and

running down legs. As if bitten by bugs. A number of /inear pains have been observed in Syph.

  • cases.
  • G.
  • H.
  • Carr (M.
  • A.
  • , xvii.
  • 162) relates this case: An old man had been troubled two or three

winters with an intense cold pain in both legs; it came on every night on lying down; and lasted

all night, the only relief being by getting up and walking. Magnetic leggings had given most

  • relief.
  • Syph.
  • mm, one dose daily, was given.
  • He lost the pain for six weeks, when it returned in
  • milder form.
  • Syph.
  • cmm was given, and he had no more pains all the winter.
  • This medicine, he
  • said "made his genitals ache so that he couldn't sit still.
  • " This lasted over a month.
  • Syph.
  • cm

cured (ibid.) a lady of "asthma" that she had had for twenty-five years, the attack coming on only

  • at night after lying down, or during a thunderstorm.
  • Swan (M.
  • A.
  • , xxviii.
  • 239) says he gave

crying infants, when they developed the propensity immediately after birth and did not cease,

  • one dose of Syph.
  • cmm, and it was difficult to make them cry after that.
  • Yingling (IZ.
  • A.
  • , xxix.

135) reports this case: Rev. D., 30, dark, free from venereal taint, had a constant dull, heavy ache

above inner angle of right eye, very distressing, with an occasional thrust as of an iron rod from

the same spot through to lower part of occiput. This thrust was excruciating. He was due to

preach next day, but the pain quite incapacitated him, hence his appeal for help. Haggard look.

Syph. cm, one dose, was given. He was free from pain before he reached home, next morning

was perfectly well. The symptoms are < by touch (tibia; os uteri). Pressure = pain in spot middle

  • of thigh; > throat; pressing teeth together > toothache.
  • No position suits.
  • Motion <.
  • Raising arms
  • laterally <.
  • Walking > pain in hips and thighs.
  • < At night.
  • Warmth and cold < and >.
  • Warmth >

headache; of stove > pain in swollen wrist and big toe. Hot or cold things < toothache. Cold

Characteristics (part 4)
Clarke

water > ophthalmia pains. Damp weather; warm, damp weather; thunderstorm; seaside <. > In

mountains. < Winter.

Mentals

Mind
Boericke

Loss of memory; remembers everything previous to his illness. Apathetic; feels as if going insane or being paralyzed. Fears the night, and the suffering from exhaustion on awakening. Hopeless; despairs of recovery.

Symptoms — Mind
Clarke

Loss of memory (n).—Loses remembrances of passing occurrences, names, dates, &c.,

while all occurrences previous to inception of disease are remembered as distinctly as ever

  • (n).
  • —Very nervous, weeping without cause.
  • —Cross, irritable, peevish.
  • —Irritable, excited, walking

much of the time, does not want to be soothed, violent on being opposed, has tremors, seems on

the verge of convulsions, dazed, absent-minded, always washing her hands.—Periodical neuralgia

  • in head (neuralgia).
  • —Very despondent, does not think will ever get better (s.
  • s.
  • ).
  • —Terrible dread

of night; always < as night approaches; leaves her about daylight, which she prays for (spring

cough).—Feeling as if going insane, or about to be paralysed.—A far-away feeling, with apathy

and indifference to future.—Crying infants, who begin immediately after birth.

Generals

Symptoms — Generalities
Clarke

Utter prostration and debility in morning.—Epilepsy.—Dwarfed, shrivelled-up,

old-looking babies and children.—Epileptic convulsions after menses.

Modalities

Modalities
Boericke
Worse
at night, sundown to sunrise, seashore, in summer
Better
inland and mountains, during day, moving about slowly

Head

Head
Boericke
  • Linear pains from temple across, or from eyes backward; cause sleeplessness and delirium at night.
  • Falling of the hair.
  • Pain in bones of head.
  • Top of head feels as if coming off.
  • Stupefying cephalalgia.
Symptoms — Head
Clarke

Vertigo on looking up, seems to be caused by heat.—Headache: linear, from or near

one eye backward; lateral; frontal; from temple to temple; deep into brain from vertex; as from

pressure on vertex; in either temple, extending into or from eye > by warmth; in bones of head; <

by heat of sun; after sunstroke.—Sick-headache, pains intolerable, arteries of head full and

pulsating violently; high fever, frequent retelling on trying to vomit; menses regular, but very

scanty.—Lancinating pain in occiput, invariably < at night (n)—Neuralgic headache causing

sleeplessness or delirium at night, always commencing about 4 p.m.; < at from 10 to 11 and

ceasing at daylight —Bursting sensation in vertex as from severe cold.—Pain from eyes through

to occiput, with sensation of weight in occiput drawing head back; or as if it were pulled back;

eyes ache and smart.—Constant linear headache, commencing at both angles of forehead and

extending in parallel lines backward—a precursor of epileptic attack.—Heavy, crushing, cutting

pain across base of cerebellum.—Heavy, clouded, dull feeling in base of brain.—Headache

through temples, thence vertically like an inverted letter T—Coronal headache (s.s.)—Headaches

accompanied by great restlessness, sleeplessness and general nervous erethism.—Syphilitic

headache for many months, piercing, pressing excruciating over r. eye; extending deep into

brain; losing continuity of thought and memory; makes repeated mistakes in figures.—Suffusion

and full feeling in face, throat, and head, with innumerable small enlarged cervical glands.—Sore,

one and a half inches in diameter, on occipital bone, covered with a thick, yellow-white

scab.—Dirty eruption on scalp.—Great loss of hair (n).

Eyes

Eyes
Boericke
  • Chronic, recurrent, phlyctenular inflammation of cornea; successive crops of phlyctenular and abrasions of epithelial layer of cornea; photophobia intense, lachrymation profuse.
  • Lids swollen; pain intense at night; ptosis.
  • Tubercular iritis.
  • Diplopia; one image seen below the other.
  • Feeling of cold air blowing on eye (Fluor ac).
Symptoms — Eyes
Clarke

Red papulous eruption round |. inner canthus, with isolated pimples on side of nose,

cheek and eyebrow; these pimples were red, with depressed centre, circumscribed areola,

became confluent where they were most dense; pimples bleed when scabs come off;

agglutination of lids.—Myopia (n).—Sharp, pulsating pain, occasionally at outer end of superior

  • border of r.
  • orbit, apparently in periosteum.
  • —Upper lids swollen.
  • —Ptosis: paralytica; eyes look

sleepy from lowering of upper lid.—Diplopia, one image seen lower than the other.—Strabismus

paralytica, eye turning inward, and pupil can only be turned outward as far as median

line.—Chronic recurrent phlyctenular inflammation of cornea; successive crops of phlyctenules

and abrasion of epithelial layer of cornea intense photophobia; profuse lachrymation; redness and

pain well marked delicate, scrofulous children, esp. if any trace of hereditary syphilis

  • remains.
  • —L.
  • eyeball covered with fungus-like growth, pain intense, < at night.
  • —Acute

ophthalmia neonatorum (n).—Redness and swelling of outer half of both lower tarsal

edges.—Syphilitic iritis, intense pain steadily increasing night after night; < between 2 and 5

  • a.
  • m.
  • , coming almost at the minute and ceasing same way (s.
  • s.
  • ).
  • —Pain in r.
  • inner canthus as if

blood went there and could go no farther, also in r. temple (rheumatic iritis)—Both eyes glued in

morning; conjunctiva injected; photophobia, constantly wears a shade.—Eyes dull.—Infantile

syphilis —Ophthalmic pains, < at night, > by told water.—R. eye alone affected congestion of

conjunctiva and sclerotica, with some chemosis; lids inflamed, esp. at outer canthus; sensation of

sand in eyes; lids agglutinated in morning; great photophobia (hereditary syphilis).—Neuralgia

every night, beginning about 8 or 9 p.m., gradually increasing in severity until it reached its

height about 3 or 4 a.m., and after continuing thus for two or three hours gradually decreased and

finally ceased about 10 a.m. (rheumatic ophthalmia).

Ears

Ears
Boericke

Caries of ossicles in ear of syphilitic origin.

Symptoms — Ears
Clarke

Intense earache in r. ear, incisive pains thrusting into ear; purulent watery discharge

from ear with pain.—Gathering in 1. ear which discharges a great quantity of pus (hereditary

syphilis in a child).—Deafness gradually increasing until she could scarcely hear at

all——Complete deafness; nothing abnormal to be seen.—Catarrhal or nerve deafness with marked

cachexia.—Calcareous deposit on tympanum.—Small, acrid, watery discharge occasionally from

ears, no deafness (ozzena).

Nose

Nose
Boericke

Caries of nasal bones, hard palate and septum, with perforation; ozaena.

Symptoms — Nose
Clarke
  • L.
  • side of nose, inside ala, itching.
  • —Nose stuffed up and burning.
  • —Attacks of fluent

coryza.—Offensive, thick yellow-green nasal discharge; during sleep dry scabs form in both

nostrils; following an application of salve for sore eyes; 1. submaxillary gland, which had been

swollen and indurated, softens, discharges and, after forty-five days, begins to heal

slowly.—Ozeena syphilitica; (Syph. brought out an eruption of sores with a fiery-red base on nose

and over frontal sinuses).—L. side of nose inside and out very sore, likewise lips and chin; sores

itching and scabbing over.—Itching in nostrils.

Face

Symptoms — Face
Clarke

Face drawn to one side, difficulty of speaking, masticating, blowing (n).—Spasmodic

twitching of many muscles, esp. in face (paralysis agitans), with great melancholy and

  • depression of spirits.
  • —Facial paralysis r.
  • side, thick speech, hemicrania, jactitation of r.
  • eye and

lid —An old gentleman has had for some years cancer on r. malar bone; no rest, his agony

excruciating in extreme (relieved).—Face pale.—Itching, scabby, eczematous eruptions singly or

in clusters, looking like herpes.—Nose and cheeks covered with eruptions and scabs in layers

rising to a point.—Dark purple lines between alz nasi and cheeks.—Lips and teeth covered with

  • bloody mucus.
  • —Sores on lips and chin, esp.
  • |.
  • side scabbing over.

Mouth

Mouth
Boericke
  • Teeth decay at gum; edges serrated, dwarfed.
  • Tongue coated, teeth-indented; deep longitudinal cracks.
  • Ulcers smart and burn.
  • Excessive flow of saliva; it runs out of mouth when sleeping.
Symptoms — Mouth
Clarke

Tongue red and thick; two deep cracks running lengthwise in it; one on each side of

median line.—Aphasia, difficulty of finding words; debility—Tongue feels as if paralysed.—Fetid

breath —Tongue coated; white, edges indented by teeth —Putrid taste in mouth before epileptic

fit—Tongue very red and thick; covered with herpetic eruption, two deep cracks running

  • lengthwise on each side of median line, making it difficult to swallow (s.
  • s.
  • ).
  • —Tongue thickly

coated, dirty, edges indented or serrated by teeth (n.).—Twenty ulcers in mouth, every part

involved, top and under side of tongue, lips, buccal cavity, fauces and nose; septum of nose

threatened, both alze nasi very painful, smarting with burning as if on fire; pains and burning

prevented sleep; hungry but could eat nothing but fluids as mastication was impossible; tongue

heavily coated white, large quantities of stringy, viscid, saliva running from mouth of a sweetish

  • taste; a putrid, sickening odour filled whole house; all symptoms < toward night (s.
  • s.
  • ).
  • —Herpetic

eruption in mouth, tonsils, hard palate and fauces, completely covering inside of mouth and

throat, making it very difficult to swallow even liquids.—Syphilitic destruction of hard and soft

palates.

Symptoms — Teeth
Clarke

Single small lune cleft in upper incisors, permanent set, which incisors are dwarfed in

their general dimensions, and converge at their tips; inherited syphilis (n).—Children's teeth are

cupped.—Teeth decaying at edge of gum and breaking off (n).—Felt like a worm in tooth, could

not tell which tooth.—Singular feeling as if teeth had all got out of place, and on closing jaws

teeth do not come well together.

Throat

Symptoms — Throat
Clarke

Chronic hypertrophy of tonsils (hereditary syphilis)—Chancrous ulcer extending

  • across velum palati to |.
  • pillar of pharynx (s.
  • s.
  • ).
  • —Acute pharyngitis (s.
  • s.
  • ).

Stomach

Stomach
Boericke

Craves alcohol.

Symptoms — Appetite
Clarke

Appetite indifferent and capricious (psoas abscess).—Total loss of appetite for

months, little or nothing satisfies him; formerly was generally ravenous.—Thirst.—Tendency to

heavy drinking; alcoholism.—Aversion to meat.—Dyspepsia; flatulence, belching of wind;

nervous dyspepsia.

Symptoms — Stomach
Clarke

Nausea.—Heartburn with pain and rawness from stomach to throat-pit, often with

cough.—Vomiting for weeks or months due to erosion from superficial ulceration of lining of

viscus, herpetic, of syphilitic origin.

Abdomen

Symptoms — Abdomen
Clarke

Pain or distress deep in abdomen as if in omentum.—Feeling of heat internally in

  • hypogastric region.
  • —Pain in r.
  • groin followed by swelling of glands.
  • —Large painless bubo in r.
  • groin opened and discharged freely (s.
  • s.
  • ).
  • —Slight lancinating pain in one groin, < at

night—Inguinal bubo.

Stool

Rectum
Boericke

Feels tied up with strictures. Enemas very painful. Fissures, prolapse.

Symptoms — Stool and Anus
Clarke

Bowels torpid for five weeks (periodical neuralgia in head).—Obstinate

constipation for many years; rectum seemed tied up with strictures, when injections were given

agony of passage was like child-bearing.—Chronic constipation, with fetid breath, earthy

complexion, gaunt appearance.—Stools very dark and offensive (infantile syphilis).—Bilious

diarrhoea at seashore, painless, driving her out of bed about 5 a.m.; stools during day, later

causing excoriation; face red, suffers from heat; occasional painless, whitish diarrhoea when at

home, always > by going to mountains.—Fissures in anus and rectum.—Two indurated ulcers at

mouth of anus somewhat sore; slight itching of anus (primary syphilis).

Urinary

Symptoms — Urinary Organs
Clarke

Itching in orifice of urethra.—A sensation, in morning on going to urinate,

as if male urethra were stuffed up or clogged, about an inch from orifice.—Scalding

urine.—Urination difficult and very slow; no pain, but a want of power, so that he has to

strain.—Urine infrequent, not oftener than once in twenty-four hours, scanty, of a golden-yellow

colour.—Profuse urination after chill; passed during night nearly a chamberful—Rich lemon-

  • yellow scanty urine.
  • —Frequent urging to urinate all night, at least from 7 p.
  • m.
  • until 5 a.
  • m.

Female

Female
Boericke

Ulcers on labia. Leucorrhoea profuse, thin, watery, acrid, with sharp, knife-pain in ovaries.

Symptoms — Female Sexual Organs
Clarke

Uterus and all surrounding parts loose, soft and flabby; profuse,

thick, yellow leucorrhcea; constant pain across small of back.—Yellow offensive leucorrhcea,

watery or not, so profuse it daily soaks through napkins and runs to heels of stockings if much on

her feet.—Profuse yellow leucorrhcea, < at night; in sickly, nervous children (inherited

syphilis)—Soreness of genitals, and muco-purulent discharge, in a child.—Acrid discharge

causing violent itching and inflammation of external organs, < at night from warmth of bed, parts

very tender; itching and inflammation > during menses.—Nocturnal < of r. ovarian pain,

  • preventing sleep.
  • —Sore on r.
  • labium majus, extending to 1.
  • (s.
  • s.
  • ).
  • —Menstruation painful, two

weeks too soon; pink-red, bright, profuse, running free for some days; napkins wash

easily.—Painful menstruation.—Sensitiveness of os uteri, < to intolerable pain at menses, or on

introduction of finger or penis; frequently causes abortion (n).—Sharp zigzag shooting pains in

region of uterus.—Ovaries congested and inflamed; tendency to ovarian tumours.—Sore aching in

  • l.
  • ovarian region, extending to r.
  • with darting pains.
  • —L.
  • ovary swollen, during coitus, at moment

of orgasm, a sharp cutting pain like a knife, and twice there was smarting as of a sore; ovary

swelled so much that its size and shape could easily be felt through abdominal walls (caused by

Buboin).—Uterine and ovarian diseases with pronounced nervous disorders, esp. in married

women.—Mamme sensitive to touch, feeling sore; during menses, and at other times.

Male

Symptoms — Male Sexual Organs
Clarke

Chancre on prepuce.—Buboes.—Burning in chancre size of a split

pea, on prepuce above corona glandis; edges raised, bottom covered with lardaceous deposit;

glans purple, on |. side covered by an exudation.—Chancre on penis, third in two years, all on

  • same spot (s.
  • s.
  • ).
  • —Aching of genitals, could not sit still for over a month.
  • —After suppressed

chancre, disease attacked testes and scrotum, which became painful and swollen; this was

supposed to be cured, but ever since, every few weeks, if exposed at all to damp weather would

be seized with pain as if in kidneys, seemingly traversing ureters, but instead of passing into

bladder followed spermatic cord, down groins and into testes; pain agonising, chiefly in cord, in

present attack in r.; pricking in chancre.—Chancroid, phagedzenic, spreading rapidly; buboes

commencing in each groin.—Inflammation and induration of spermatic cord.

Respiratory

Respiratory
Boericke

Aphonia; chronic asthma in summer, wheezing and rattling (Tart emet). Cough dry, hard; worse at night; windpipe sensitive to touch (Lach). Lancinating pains from base of heart to apex at night.

Symptoms — Respiratory Organs
Clarke

Hoarse, almost complete aphonia, day before menses.—Diseased

cartilages of larynx (tertiary syphilis)—Chronic asthma, in summer, esp. when weather was

warm and damp; most frequently in evening, passing off at daybreak —Pain and oppression at

bifurcation of bronchia and in larynx, it hurts her to breathe.—Attacks of spasmodic bronchial

asthma for twenty-five years; they come on only at night after lying down or during a

thunderstorm, producing most intense nervous insomnia, entirely preventing sleep for days and

  • nights.
  • —Violent attacks of dyspnoea, wheezing and rattling of mucus, from 1 to 4 a.
  • m.
  • —Cough:

hard cough < at night, when it is continuous, preventing sleep.—Hard, constant cough, with thick,

yellow, tasteless expectoration.—Dry, racking cough, with thick, purulent expectoration, caused

by a sensation of rasping or scraping in throat, always at night—Whooping-cough with terrible

  • vomiting.
  • —Cannot lie on r.
  • side, as it causes a dry cough.
  • —Muco-purulent expectoration, greyish,

greenish, greenish-yellow, tasteless —Expectoration without cough, quite clear, white, feels like a

round ball and rushes into mouth.

Chest

Symptoms — Chest
Clarke

Rattling in chest and throat.—Soreness of chest, with great anguish and inability to

retain a recumbent position; in winter, severe bronchial cough succeeded asthmatic attacks; a

regular type of chills and fever developed; suffered from this many years ago.—Pain in centre of

chest as if skin were drawn up, on drawing the head back.—Lack of sleep produces a sudden

faintness and sinking sensation in chest; three spells succeeded each other during a single

night——Oppression of chest to such an extent as almost to arrest breathing; asthma caused by

sensation as if sternum were being gradually drawn towards dorsal vertebra; expansion of chest

difficult; confusion of mind as if unconsciousness might follow.—Sensation of pressure under

  • upper part of sternum.
  • —Pain and pressure behind sternum.
  • —Angina; ptosis |.
  • eye; facial paralysis

1. side, slight aphasia; impotence (relieved).—Eczematous herpetic eruptions on chest.

Symptoms — Heart
Clarke

Lancinating pains in heart at night, from base to apex (Medor. has

reverse).—Valvular disease of heart.

Neck & Back

Symptoms — Neck and Back
Clarke

Heavy aching and stiffness from base of neck up through muscles and

cords into brain.—Caries of cervical spine with great curvature in same region, directly forward;

pain in curvature always < at night (no proof of syphilis).—Enlargement of cervical glands and a

number of pedunculated pin-head warts on neck, cured by Syco-syphilinum (hereditary syphilis;

girl, 10).—Enlargement of glands in different parts of body, particularly abundant about neck;

indurated and slightly painful, causing a sensation of fulness and suffusion in face, throat and

head (n).—Enormous swelling of glands of head and neck (Hodgkin's disease).—Rigidity of

muscles.—A heavy, dragging, dull feeling in lumbar region, with want of elasticity.—Great pain

  • in back in region of kidneys, < after urinating (s.
  • s.
  • ).
  • —Pains commencing in sacral regions

internally, and apparently coming around to uterus.—Pain at coccyx at its junction with sacrum,

sometimes in lower sacral vertebra; < on sitting, with a sensation as if swollen, though it is

not.—Caries of dorsal vertebrze with acute curvature, for five months, every night most intense

  • neuralgic pains, commencing generally from 5 to 7 p.
  • m.
  • , and never terminating till about 5 a.
  • m.
  • ;

< by least motion, and slightly > by warm poultices.—Psoas abscess first |. then r—Nocturnal <

of pains in back, hips and thighs.

Upper Limbs

Symptoms — Upper Limbs
Clarke

Rheumatism of shoulder-joint or at insertion of deltoid, < from raising arm

laterally —Can only raise arms to a right angle with axilla; trying to force them higher causes

muscles to suddenly become paralysed and they drop pendant (n).—Lameness and pain of arm on

motion, < on raising arm up in front as if reaching; pain located about insertion of deltoid in

upper third of humerus, not painful to pressure.—Fingers and thumbs have runarounds (infantile

  • syphilis)—Always washing the hands.
  • —Hands badly ulcerated on backs (s.
  • s.
  • ).
  • —R.
  • second finger

swollen and stiffened (s.s.).

Lower Limbs

Symptoms — Lower Limbs
Clarke

Swelling of legs from knees down, soles painful when standing on them;

swelling goes down in morning, comes back at night.—Pains in lower extremities, excruciating,

completely banish sleep; < from hot fomentations; > pouring cold water on them (n).—Cannot sit

in a low chair, or squat down, owing to loss of control over knee and hip-joints (n).—Pains in

long bones of lower extremities, also in joints (n.).—Dull pain over backs of feet to toes, began

soon after getting into bed, lasting until 4 or 5 a.m.—For two or three winters intense cold pain in

both legs, < in 1., came on every night on lying down, lasting all night; > by getting up and

  • walking, and in warm weather.
  • —Pain in three toes of r.
  • foot as if disjointed.
  • —Slight contraction

of tendons beneath r. knee (psoas abscess).—Tearing pains in hip and thighs, < at night, > about

daybreak, > by walking, not affected by weather (improved).—Redness and rawness with terrible

  • itching between toes (s.
  • s.
  • ).
  • —Bubo with pain in spot on middle of r.
  • thigh in front, only when

standing and on deep pressure, which seemed to touch spot, which was apparently on

periosteum.—Two ulcers larger than a crown piece, dirty stinking, slouching, with jagged,

elevated edges, one on thigh above patella another on head of tibia; two large pieces of bone

  • came away from head of tibia (s.
  • s.
  • ).
  • —Osteosarcoma in centre of r.
  • tibia the size of half an ostrich

egg, pains agonising at night, growth irregular, spongy, partly laminated, very hard

  • (s.
  • s.
  • ).
  • —Contracted, painful feeling in soles, as if tendons were too short.

Extremities

Extremities
Boericke
  • Sciatica; worse at night; better about day-break.
  • Rheumatism of shoulder-joint, at insertion of deltoid.
  • Run-around.
  • Severe pain in long bones.
  • Redness and rawness between toes (Sil).
  • Rheumatism, muscles are caked in hard knot or lumps.
  • Always washing the hands.
  • Indolent ulcers.
  • Muscles contracted in hard knots.

Skin

Skin
Boericke

Reddish-brown eruption, with a disagreeable odor. Extreme emaciation.

Symptoms — Skin
Clarke

Pustular eruption on different parts of body; in patches on certain places, particularly

on wrists and shins, where bones are nearest cuticle, and isolated other large pustules on other

parts, these break, discharging an ichorous fluid for one or two days, then heal, leaving

characteristic pockmark cicatrice; patches take longer to heal, discharging same fluid till healing

process commences.—A fter healing of chancre a fresh pustular eruption appears on different

parts of body, which, when pustules have discharged an ichorous liquid and healed up, leaves

fresh coppery pockmarks Medorr. removed it permanently, causing it to turn yellow-brown, dry

at edges and scale off, leaving skin permanently clear and free —Biting sensation in different

parts of body, as if bitten by bugs, at night only.—Syphilitic rash, very prominent on forehead,

chin, arms and front of thorax, an abundance of fine scales peeling off; large prominent spot on

  • centre of forehead, filled with fluid, as also are some smaller patches (s.
  • s.
  • ).
  • —Syphilitic bullz

discharging freely on cheeks, under chin, on back of shoulders, on scalp and other parts of body

  • (infantile syphilis)—Maculz; copper-coloured (s.
  • s.
  • ).
  • —Pemphigus, looking like a pock, often

confluent and persistently reappears.—Skin bluish.

Sleep

Symptoms — Sleep
Clarke

Great restlessness at night, impossible to keep leg in one position —Absolute

sleeplessness (vies with Su/. in producing quiet, refreshing sleep).—Wakes soon after midnight

and cannot sleep again till 6 a.m.

Fever

Symptoms — Fever
Clarke

Great pains in head, whole body extremely cold, looked blue; wanted to be covered

with blankets or couldn't get warm; no appetite; sleeping almost continually, could not be roused

  • (s.
  • s.
  • ).
  • —Nervous chills preceded by pains in head, esp.
  • occiput and scalp of that part; pains below

waist, in pelvis, legs, esp. tibia, which is sensitive to touch; bowels torpid; cross, irritable,

  • peevish; pains begin every day 4 p.
  • m.
  • , culminate at midnight, disappear at daylight.
  • —A fter

retiring nerve chill beginning in anus, running down legs; desire for stool, > by profuse urination

and by eructations.—Fever: dry, hot, shortly after going to bed, parted lips, great thirst; 11 to 1

daily.—Sweat: profuse at night, sleepless and restless; esp. between scapulze and down to waist,

with excessive general debility.

Clinical

Clinical
Clarke

Abscess; succession of abscesses. Alcoholism; hereditary craving for alcohol. Anus,

  • fissure of.
  • Aphasia.
  • Asthma.
  • Breasts sensitive.
  • Bubo.
  • Constipation.
  • Crying of infants.
  • Deafness.
  • Deltoid rheumatism.
  • Dentition.
  • Diplopia.
  • Dysmenorrhcea.
  • Epilepsy.
  • Headache; syphilitic.
  • Hoarseness; before menses.
  • Iritis.
  • Leucorrhoea; infantile.
  • Mouth, ulcerated.
  • Myopia.
  • Neuralgia.
  • Night-sweats.
  • Ophthalmia.
  • Otorrhoea.
  • Ovaries, affections of.
  • Ozwna.
  • Pemphigus.
  • Psoas abscess.
  • Ptosis.
  • Rectum, stricture of.
  • Rheumatism.
  • Sciatica.
  • Sleeplessness.
  • Spine, caries of.
  • Strabismus.
  • Stricture.
  • Sunstroke.
  • Syphilis.
  • Teeth, carious.
  • Throat, ulcerated.
  • Tibia, pains in.
  • Tongue, cracked,

ulcerated. Ulcers. Whitlow.

Relations

Relations
Clarke
  • Compare: In bone diseases and syphilitic affections, Aur.
  • , Asaf.
  • , K.
  • iod.
  • , Merc.
  • , Nit.
  • ac.
  • < At night, Aur.
  • , Merc.
  • , Sul.
  • (Med.
  • and Sycotics < early morning).
  • < At sea-shore; > inland
  • (Med.
  • opp).
  • < At seaside; averse to consolation, Nat.
  • m.
  • Dysmenorrhoea, Med.
  • Deep-in
  • headache, Bac.
  • Pains increase and decrease Slowly, Stn.
  • Ozzena with offensive clinkers.
  • Sep.
  • ,
  • Pul.
  • , Pso.
  • , K.
  • bi.
  • Succession of abscesses (Anthrac.
  • , succession of boils).
  • Syphilitic stomatitis,
  • Lach.
  • , Lac c.
  • , Merc.
  • Nodes, K.
  • iod.
  • , K.
  • bi.
  • , Mang.
  • , Merc.
  • Emaciation, Abrot, Iod.
  • Lancinating

pains in heart (from base to apex), Med. (from apex to base), Spi. (from base to clavicle or

  • shoulder).
  • Fears suffering from exhaustion on awaking, Lach.
  • Ptosis, Caust.
  • , Graph.
  • Hereditary
  • tendency to alcoholism, Asar.
  • , Pso.
  • , Tub.
  • , Sul.
  • , Sul.
  • ac.
  • Constipation with labour-like pains.
  • Lac
  • d.
  • , Tub.
  • Fissure in anus, Thuj.
  • Shoulder rheumatism < raising arm laterally, Rhus, Sang.
  • (r.
  • shoulder), Fer.
  • (left), Urt.
  • ur.
  • Dentition troubles < night (Med.
  • < early morning).
  • Hereditary
  • syphilis; dentition, Kre.
  • Vertigo < looking up (Sul.
  • , looking down).
  • As if teeth out of place (Tub.

as if jammed together). Thunder, effect of, Pho.

Relationship
Boericke

Compare: Merc; Kal hyd; Nit ac; Aur; Alum.

Posology

Dose
Boericke

The highest potencies only, and in infrequent doses.

Kent's Lecture

Lecture (part 1)
Kent

Whenever the symptoms that are representative of the patient himself have been suppressed in any case of syphilis, and nothing remains

but weakness and a few results of the storm that has long ago or recently passed, this nosode will cause reaction and restore order and

sometimes do much curing, and the symptoms that must always be

present, that represent the disordered state of the economy will appear

to guide to a restoration of health. When a syphilitic patient has suffered from a course of typhoid he may be very slow in convalescing,

but a single dose of Syphilinum high will cause him to eat and feel

stronger and gain rapidly. How does the old school treatment of

syphilis diflFer from barbarism ? one might well ask. The strong drugging by Mercurius and iodides so debilitate that all who pass through

arc invalids and weak ; even then they are not cured of syphilis — if

they were cured we could not cause to come back the symptoms that

have been removed. Syphilinum often does bring back the ulcers in

the throat and the eruptions. When there are violent neuralgias of

the head, in sides of head and over the eyes, great soreness in bones

of legs and head, and the multitude of symptoms of nerve syphilis all

nondescript, then it is that the patieat will be made free from suffering, and given sleep, strength and appetite. But the ulcers and eruptions will come back in some cases, apd it is all the better if they do.

It is by no means limited to patients, who have had syphilis. It can

be used like any remedy against the symptoms of the provings, or such

as are similar to symptoms common to the disease or against the symptoms like the numerous verified clinical symptoms. Many symptoms

are worse at night in bed, many come on in the evening and last till

morning. From sundown to sunrise marks the time of many violent

pains and sufferings. Some are better from heat, and some are better

from cold air and cold applications. There is great prostration in the

morning on waking. It has cured many cases of epilepsy. Epileptic

convulsions after menses. Sleeplessness, V'Omctimes only one-half of

the night, again the whole night. The blood feels hot flowing through

the arteries during the night. Wandering pains here and there all

over the body. Pain in the periosteum, nerves and joints. Pains

sometimes increase gradually and decrease gradually. Sharp pains

here and there. Complaints worse in the cold weather of winter and

  • heat of summer.
  • Extreme emaciation.
  • Abscesses.
  • Paralysis of
  • limbs.
  • Caries of bone.
  • Curvature of spine.
  • Gummata.
  • Dwarfish
  • children.
  • Curvature of bones.
  • Enlarged glands.
  • Offensive odor of

the body. Soreness to touch in many parts, especially bones. It has

often been observed that in syphilized invalids remedies act but a few

days and must be changed. This always calls for the nosode. When

Lecture (part 2)
Kent

there is only great weakness and few symptoms it will act well When

there is ulceration of legs, throat, mouth or other parts with no repair.

Fistulous openings, exostoses, fissures, tubercles and warts have been

cured promptly. When it has been used against the primary manifestations of the disease and in the earlier phenomena it has generally

resulted in failure. It is seldom the best remedy for syphilis per se,

but for marked and suppressed syphilis it seems to restore a sort of

order and bring better reaction. The author has many times observed

that gummata in throat and anus will take on destructive ulceration in

old broken down cases after Sulphur has been given, and that Syphilinum will restrain it and establish repair. Sulphur often produces

prolonged aggravation when there are many tissue changes in advanced

cases of syphilis. Such changes are most likely gummata. The effort

of Sulphur is to remove the results of disease, which the patient cannot stand. It often causes suspicion of latent syphilis when such aggravations are very severe after Sulphur high. Sulphur low will not

he followed by such results. After such prolonged aggravations

Syphilinum should be considered. Latent syphilis often exists where

it is least expected. This nosode should be used only in high potencies.

Forgetful. Weak minded. Laughing and weeping without cause.

He cannot remember faces, names, dates, events, books or places. Ho

cannot calculate. Despair of recovery Melancholia. Fears he is

going insane. Imbecility. Indifferent to his friends, and feels no

delight in anything. Dreads the night and dreads the morning, as the

weakness and soreness are worse on waking. He always says he is not

himself and he cannot feel like himself. A middle-aged man who had

suffered many years from latent syphilis abandoned his business and

remained at home lamenting and sad. His wife supported the family

by keeping boarders. After receiving a few doses of Syphilinum he

took on new energy and became industrious and prosperous. Much

  • vertigo.
  • Aphasia.
  • In some of these cases of brain syphilis.
  • Sulphur

and Causticum have caused prolonged suffering and weakness. Syphilinum will act favorably.

Syphilitic invalids are often sufferers from violent neuralgic headaches. Violent pains in sides of head, forehead or temples. Pain

from temple to temple, from ear to ear, one eye to occiput ; supraorbital

  • pains.
  • Pain sometimes ameliorated by warmth.
  • Bursting pains ; fullness of head.
  • Maddening pains all night, causing sleeplessness.
  • Headache and delirium.
  • Neuralgia of head beginning at 4 p.
  • M.
  • ,

growing gradually worse until midnight and then gradually better,

ceasing at daylight. Great soreness of the pericranium. Many pains

are confined to a direct line and are called linear headaches. Violent

crushing pains in occiput. Stupefying headaches in the forehead or

cwxiput. Cutting pains in occiput. Headache through the temples,

Lecture (part 3)
Kent

thence vertically, like an inverted letter T. Headaches involving the

whole top of the head as if head would be crushed in. Violent pain

in whole head with red face, enlarged veins of face, restlessness and

sleepless nights. Aggravated nights. Tubercles all over the scalp.

Exostoses in the cranium, very sore and painful. The hair is falling out.

Paralysis of the eye muscles is common. Strabismus. Diplopia.

Amaurosis. Atrophy of the optic nerve. The retina is pale, gray and

  • spotted.
  • Myopia.
  • Iritis.
  • Ptosis.
  • Paralysis of the superior oblique.
  • Chronic recurrent phlyctenular inflammation of the cornea, Conjimctivities with ulceration.
  • Ulceration of the cornea.
  • Interstitial keratitis.
  • Spots on the cornea.
  • Left eye covered with fungus-like

growth, pain intense, aggravated at night. Acute ophthalmia neonatorum when one of the parents has had syphilis. Copious purulent

discharge from eyes. Lids enormously swollen. Eyes cannot be

opened because of swelling. Iritis with intense pain at night, and

photophobia. Pain in eye from sundown to sunrise. Scalding tears.

Sharp pains in ear. Purulent watery discharge from car. Caries

of mastoid. Paralysis of auditory nerve. Calcareous deposit on

tympanum.

This remedy has cured many cases of offensive green or yellow discharge from nose in children with specific history. Dryness of nose ;

obstructed at night, Freejuent attacks of coryza. Always taking cold

in nose. Syphilitic ozacna. Bones of nose destroyed by caries and

nose depressed. Hie whole nose destroyed by ulceration. Epistaxis

from ulcers. Hard plugs in nose. ;

Neuralgia of face. Paralysis of esne side of face. Tubercles and

copper-colored eruption on face. It has palliated cancerous ulceration

of face. Scabby eruption on face. It has cured rupia on the cheek.

Papules and pustules. The lips are fissured and ulcerated. Ulcers on

chin, lips, and wing of nose. Wing and side of nose eaten away by

an ulcer. It has cured many cases of lupus of face.

The teeth are deformed, distorted, spotted ; decay early ; cup shaped

in children. Violent pain in teeth. Crawling in the roots of the teeth,

like a worm.

Mouth and tongue ulcerated. Breath foetid. Tongue soft, spongy,

easily indented in persons who have long taken Mercury. Paralysis

of tongue, one-sided. Tongue red, excoriated, cracked and sore.

  • Patches on tongue.
  • Denuded patches.
  • Red spots.
  • Copious viscid

saliva in mouth. Ulceration of 'soft palate. Caries of hard palate^

Soft palate entirely destroyed. Bleeding from ulcers.

Throat studded with ulcers. Inflammation of throat and tonsils.

Soft palate swollen and nodular. Post nasal catarrh and ulceration.

Posterior nares plugged with crusts.

The appetite is perverted. Longing for strong drink. Thirst.

*13

SYPHlLINt^M

Aversion to food, to meat. No desire to eat. All food disagrees.

Flatulence. Heartburn ; nausea ; vomiting. Ulceration of stomach*

Lecture (part 4)
Kent
  • The rectum is the seat of many symptoms and conditions.
  • Ulceration, fissures, piles, nodules, gummata ; copious bleeding ; cutting, burning pains.
  • Cbndylomata.
  • Constipation.
  • Par^ilysis of rectum ; prolapsus of anus.
  • Relaxed protruding rectum.

This nosode has cured nodular formations in testes, spermatic cord

and scrotum. It has cured herpetic eruptions on prepuce and scrotum.

Induration of testes and spermatic cord.

Nodular formations in vagina and labia. Ulceration of os uteri,

  • Induration of cervix uteri.
  • Copious yellow-green leucorrhoea.
  • Leucorrhoea in little girls, of specific history, acxid water, leucorrhoea aggravated nights from warmth of bed.
  • Pain in ovaries during the
  • night.
  • Itching in the vulva.
  • Sharp pains in uterus.
  • Cystic ovaries.

Ovarian tumor. Cutting pain in ovary during coition at moment of

orgasm. Uterine and ovarian complaints when there is a specific

history.

Ulceration of larynx and loss of voice. Aphonia before menses.

Continuous sharp pain in larynx from evening to sunrise every night

compelling him to walk the floor all night cured by Syphilinum very

high, one dose".

Asthma in warm damp weather during night. Dyspnoea. Attacks

of spasmodic bronchial asthma for twenty-five years : at night in bed

or during a thunderstorm, preventing sleep for many nights. Dyspnoea from I to 4 A. M.

Cough at night. Dry rasping cough during the night. Rawness in

chest. Thick purulent expectoration. Dry cough from lying on right

side. Mucopurulent expectoration, grayish, greenish, greenish-yellow,

tasteless. Clear white mucous expectoration. Rattling in the chest.

Pain and pressure behind the sternum. Eruptions on the chest.

Rheumatic stiffness and lameness in back. Aching in whole spine.

Pain in region of kidneys, aggravated after urinating. Pain in sacrum,

aggravated while sitting. Caries of cervical and dorsal vertebras, Enlarged glands of neck. It has cured indurated cervical

glands. Pain in back, hip and thighs during the night. It has cured

Hodgkin’s disease.

Inflammation of joints. Rheumatism, muscles are caked in hard

knots or lumps. Pain in limbs ameliorated by heat, aggravated from

sunset to sunrise. Stiffness of all the joints. Rheumatic pains and

swelling of joints of upper limbs. Rheumatism of deltoid, painful on.

raising the arm. Pains in arms on motion. Ulcers on back of hands.

  • Nightly pain and swelling in legs.
  • Pains in lower extremities, preventing sleep, aggravated from hot applications, ameliorated by pouring cold w^atcr on them.
  • Weakness in knees and hips.
  • Severe bone

TARENTU 1 .A HISPANiCA

Lecture (part 5)
Kent

aches in legs at night in bed. Pain in back of feet and toes at night

in bed. Pains often aggravated in warm bed at night. Pains drive

him out of bed at night. Tearing in hip and thigh, aggravated during

night, ameliorated at ^ay-break, ameliorated by walking, not affected

  • by weather (improved by Syph.
  • ).
  • Ulcers on the legs.
  • Large crusts

on the legs. Tubercles on the lower limbs. Tension of the tendons

of the legs and soles. The extremes of cold and heat often bring out

the symptoms of these old sufferers. Neuralgia of limbs gradually

increasing, aggravated as the night goes on. Extreme sensitiveness

of the tibia.

There are fevers, chilliness, but the night sweats and great weakness

are striking.

The eruptions are numerous, but may be studied better by consulting the numerous works on syphilis, as this is not a study of the disease, but the nosode.

Classical Posology

Acute
  • 30C or 200C · repeat every 1–4 h depending on intensity
  • Stop on improvement · reassess in 24–48 h
  • For sensitive / elderly / paediatric: prefer LM1 or 30C
Constitutional
  • 200C or 1M single dose · wait 4 weeks
  • Alternative: LM1 daily × 10 days · ascend on retest
  • Hering's-Law follow-up adapts the next script
Citations: Organon §246 (interval / repetition) · §161 (plussed water) · §282 (LM ascension) · Kent on selection · Vithoulkas on second prescription. Open Repertify for the case-specific dose with the rule cited inline.

Additional notes

Symptoms — Limbs
Clarke

Aching pains in limbs like growing pains.—Gradual rigidity of all joints after

eruption; flexors seem contracted—Rheumatic swelling of 1. wrist and big toe, bluish red, with

pains as if somebody sawed at his bones with a dull saw; > by heat of stove; < from sundown to

sunrise; no appetite; has lasted two weeks (rheumatism).—Feeling of numbness in palms and

soles, at times a prickly sensation as if numb parts were punctured by a great number of

needles.—Excruciating arthritis; swelling, heat, and redness intense—Rheumatism, muscles are

caked in hard knots or lumps.

For practising licensed homeopaths

You've read the picture. Now run it against your case.

Open the workspace. Type a real case from this week — one you're still chewing on. Watch Repertify rank Syphilinum against the totality, cite the rubrics, and surface the §246-correct posology with the rule inline. You'll know by the third turn.

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