THE RHEUMATIC REMEDIES

Aconitum napellus

Aconite is one of our most useful remedies in acute rheumatic fevers.

It is easily recognized by its great characteristics — high fever, dry hot skin,
and its dreadful apprehension and restlessness.

Without the apprehension and restlessness we should never think of

employing it.

The patient is simply overpowered and over-awed by a realization of his

danger ; he turns in every direction for relief and finally falls prostrate and
exhausted.

As a rule it is only of use early in the disease before it has localized.

In acute articular rheumatism it is of value early, when the attack is sudden,

when there is the hot dry skin, thirst and restlessness with the fever.
All the inflammation is in the cellular and serous tissues ; it has no effect upon
the joint itself.

EYES. — (Aconit)
CONJUNCTIVA RED, INFLAMED, VESSELS DEEP RED ; ON MOVING
EYES BURNING, PRESSING, SHOOTING PAIN.
OPHTHALMIA FROM EXPOSURE TO COLD DRY WINDS.

HEAD . — (Aconit)
Rheumatism of muscles of the face, with sensitiveness to touch.
FORMICATION OF THE SCALP AS IF THE HAIR WERE STANDING
ON END.

NECK AND BACK. — (Aconit)

Neck sore and painful to touch.
Drawing pains in muscles of the neck.
FEELING OF INSECURITY OF HEAD ON ACCOUNT OF PROPER
CONTROL OF MUSCLES OF NECK.
Lack of proper support of head < toward night.
Tearing pain in deep muscles of neck.
TEARING PAIN IN MUSCLES OF THE NAPE OF NECK.
Stiffness of muscles of neck < on motion ; pains run into right ear and down
to right shoulder.
BRUISED PAIN BETWEEN THE SHOULDERS AND DOWN THE BACK.
Dull heavy pain in superficial muscles of neck and back.
DULL HEAVY PAIN IN DEEP MUSCLES OF NECK AND BACK.
COLD SENSATION IS FELT BETWEEN THE SCAPULAE AND DOWN
THE SPINAL COLUMN.
Heartburn is felt down the back.
Drawing, TEARING PAIN IN SCAPULAE.
DIGGING, JERKING PAIN ALL DOWN THE LEFT SIDE OF BACK.
TEARING PAINS IN THE SMALL OF BACK, < by pressure.
SENSATION OF NUMBNESS IN SMALL OF BACK EXTENDING INTO
LEGS.
Tensive, PRESSIVE PAIN IN LUMBAR AND SACRAL REGIONS, < ON
STEPPING AND FROM JARS.
PAIN IN LAST LUMBAR VERTEBRA AS IF BRUISED ; IT FEELS AS IF
IT HAD BEEN BEATEN.
PAIN AS IF BRUISED THROUGH SMALL OF BACK, extending whole
length of back and neck.
Stinging in region of kidneys.
Stiffness of back.
FORMICATION ALL UP AND DOWN THE BACK.
VIOLENT DIGGING PAINS IN BACK AND SIDES OF CHEST
GREATLY < ON INSPIRATION.
CUTTING PAIN EXTENDING IN CIRCLE FROM SPINE TO ABDOMEN.

SUPERIOR EXTREMITIES. — (Aconit)

TEARING PAIN FROM SHOULDER down arm, FOREARM TO
WRIST and fingers.
Pain in, left shoulder joint.
ARMS HANG POWERLESS AS IF PARALYZED FROM A BLOW.
SHOULDERS ARE PAINFUL AND FEEL AS IF THEY WOULD SINK
UNDER THEIR OWN WEIGHT.
Drawing pain in shoulder joints.
(Severe tearing pain in head of left humerus.)
COLDNESS AND NUMBNESS OF ARMS.
INTENSE PAIN RUNS DOWN THE LEFT ARM WITH NUMBNESS AND
TINGLING.
(Cold sweat on arms.)
Sudden drawing, shooting pain in posterior part of right upper arm.
Paralytic stiffness of right upper arm.
Drawing, TEARING IN ELBOW JOINTS.
Dull pain in right elbow joint.
SHOOTING PAIN IN ELBOW JOINT DOWN TO WRIST, < BY FLEXING
FINGERS.
TEARING PAIN IN FOREARM.
Cramping pains in forearm.
NUMB TINGLING SENSATION IN ARMS, HANDS AND FINGERS AS
IF THE " FUNNY BONE " HAD BEEN STRUCK.
Prickling in wrist joint.
PARALYSIS OF WRIST. TEARING PAIN IN WRISTS.
Drawing pain in wrists.
(Paralytic pain in thumb.)
FEELING IN FINGERS GONE.
CREEPING PAIN IN FINGERS, < ON WRITING.
HANDS AND FINGERS COLD.
PALMS OF HANDS SWEAT.
PALMS OF HANDS HOT.
FORMICATION OF ARMS AND HANDS.

INFERIOR EXTREMITIES. — (Aconit)

HIP AND HIP JOINT (right) SWOLLEN, HOT AND EXCEEDINGLY
PAINFUL, ESPECIALLY TO SLIGHTEST TOUCH.
DRAWING TEARING PAIN IN LEFT HIP JOINT.
Drawing in tendinous expansions of limbs.
Drawing pain especially in joints of limbs.
Feeling of tension as if bandaged tightly when walking.
(Helplessness with pain in the head of the femur.)
NUMBNESS WITH LACK OF POWER IN THE LIMBS AFTER SITTING.
Trembling of limbs.
Paralytic drawing in feet WITH COLDNESS OF FEET, ESPECIALLY
TOES.
Unsteadiness of knee joints while standing or walking.
NUMBNESS OF WHOLE LIMB, ESPECIALLY AFTER SITTING.
Drawing, tearing pain in thigh.
STITCHING DRAWING PAIN IN KNEE JOINTS.
KNIFE-LIKE PAIN IN KNEE JOINTS.
KNEES SWOLLEN, THROBBING, PAINFUL, CUTTING, STINGING
PAINS, CANNOT SLEEP, HAS TO SIT UP.
Legs stiff after taking cold.
CRAMPS IN CALVES AND FEET.
NUMBNESS OF FEET and legs ; STEPPING ON FEET SENDS
TINGLING SENSATION UPWARD OVER WHOLE LIMB.
Feet and toes go to sleep while walking.
Feeling of tension about the ankles.
COLDNESS OF FEET AND ANKLES ; COLD SWEAT ON SOLES AND
TOES.
Tendo Achillis shortened.

EXTREMITIES IN GENERAL. — (Aconit)

Drawing, TEARING PAINS IN ALL THE LIMBS.
Transient bone pains in long bones and in metacarpal bones.
Crawling in upper and lower limbs.
TREMBLING AND TINGLING OF LIMBS ACCOMPANIED WITH
SHOOTING PAINS.
CONVULSIVE TREMBLING OF LIMBS.
CONVULSIVE CONTRACTION OF LIMBS.
LIMBS FEEL WEAK, HEAVY AND PAINFUL.
LIMBS FEEL TIRED DURING' REPOSE.
Lameness AND NUMBNESS OF AFFECTED PART, PAIN
INTOLERABLE.
BRUISED, HEAVY FEELING IN LIMBS.
WEARINESS AND EXHAUSTION OF ALL THE LIMBS.
HEAVINESS and stiffness of limbs.
COLDNESS OF EXTREMITIES.
HANDS AND FEET FEEL HOT.

JOINTS. — (Aconit)
Swollen, INFLAMED, HOT AND INTENSELY BRIGHT RED AND
PUFFY.

CONCOMITANTS. — (Aconit)
RAGING DELIRIUM < AT NIGHT, IN THE MORNING MORE QUIET
WITH EXCESSIVE SWEAT.
HURRIED AND RAPID CHANGES OF THOUGHT.
PAINS INTOLERABLE, DRIVING HIM WILD AND DELIRIOUS :
MOANING, ANXIOUS LAMENTATIONS.
IDEAS CONFUSED, ATTEMPTING TO FOLLOW ONE TRAIN OF
THOUGHT SOMETHING ELSE FORCES ITSELF INTO MIND. GREAT
ANXIETY AND RESTLESSNESS WITH EXCITEMENT.
VARIABLE HUMOUR.
LITTLE DIFFICULTIES ARE INSURMOUNTABLE.
ACUTENESS OF ALL THE SENSES.
VEXATION WITH ONE'S SELF.
GREAT SADNESS WITH FEAR OF DEATH.
PREDICTS THE DAY OF DEATH.
LIGHT AGGRAVATES AND NOISE IS UNBEARABLE.
CRIES OUT IF TOUCHED.
GREAT WEARINESS AND PROSTRATION.
SENSATION AS IF PARTS WERE SWOLLEN.
PARTS OF BODY MUCH SWOLLEN.
SENSITIVENESS TO COLD AIR.
SENSE OF CONSTRICTION ABOUT THE HEAD.
CANNOT BREATHE EASILY BECAUSE OF CONSTRICTION ABOUT
THE CHEST.
CONSTRICTIVE SENSATION ABOUT PRECORDIA.
DEATH-LIKE OPPRESSION ABOUT THE HEART.
GREAT AGITATION ABOUT THE HEART, WITH ANXIETY.
PULSE FULL AND STRONG.
PULSE SMALL, CONTRACTED AND INTERMITTENT.
PULSE RAPID BUT FULL AND STRONG.
GREAT THIRST FOR COLD WATER.
BAD EFFECTS OF COLD DRY WINDS.

AGGRAVATIONS.— (Aconit)
COLD DRY WINDS.
EVENING TO MIDNIGHT. LIGHT.
NOISE.
TOUCH.
Stimulants.
IN BED WITH COVERS ON.

AMELIORATIONS.— (Aconit)
WHILE SITTING STILL.

Actea spicata

Actea spicata has an affinity for the small joints, especially of hands and feet.

It resembles Caulophyllum very closely in attacking the small joints,

yet Caulophyllum almost always has derangement of the female sexual
system accompanying its rheumatic conditions, while Actea spicata has an
affinity for men.

It may be differentiated from Ledum by its hot swollen joints and

aggravations.

There is a chronic enlargement and stiffness in Actea that has frequent

exacerbations.

In acute articular rheumatism, there is almost always the sour vomiting with
the fever.

HEAD AND FACE. — (Actea spicata)

WARM SWEAT ESPECIALLY ON SIDE ON WHICH HE LIES.
RHEUMATIC PAIN IN FACE WITH PULLING TEARING FROM
DECAYED TOOTH TO TEMPLES, < BY SLIGHTEST TOUCH AND
MOTION. Face sensitive.

NECK AND BACK. — (Actea spicata)

Throbbing pain in region of kidneys.
Bruised pain in sacrum, < lying on side.
Beating throbbing in right hypochondrium ; right hypochondrium sensitive to
pressure.
Spasmodic action of bowels.

SUPERIOR EXTREMITIES. — (Actea spicata)

Fingers cold, numb, discoloured.
PARALYTIC PAIN AND WEAKNESS OF HANDS.
LAMENESS OF RIGHT ARM.
RIGHT WRIST PAINS INTOLERABLY, IS SWOLLEN, MOTION IS
IMPOSSIBLE, SLIGHTEST PRESSURE ON PALM OF HAND NEAR
LITTLE FINGER CAUSES HIM TO CRY OUT.
EXCRUCIATING PAIN IN WRIST AND FINGER JOINTS, VERY
TENDER TO TOUCH, < AT NIGHT.

INFERIOR EXTREMITIES. — (Actea spicata)

Boring pains > from stretching.
Thighs tremble when raised.
Knees weary.
Sensation of weakness after change of weather.
JOINTS OF FEET SWELL AFTER WALKING.

EXTREMITIES IN GENERAL. — (Actea spicata)

SWELLING OF JOINTS AFTER FATIGUE.
RHEUMATIC PAINS OF SMALL JOINTS, ESPECIALLY OF THE
HANDS.
WEAKNESS AND TINGLING OF LIMBS.
Numbness of feet and hands.

JOINTS. — (Actea spicata)

SMALL JOINTS SWELL, BRIGHT RED AND HOT.

CONCOMITANTS. — (Actea spicata)

Loss of consciousness.
Giddiness with reeling air as if drunk.
WARM SWEAT ON HEAD.
All food repulsive.
VERY SOUR VOMITING.
TEARING PAIN IN EPIGASTRIC REGION WITH VOMITING.
Brick dust in urine.
High fever.
Pulse 120.
RHEUMATISM FROM SUPPRESSED SWEAT.
Pressure in region of liver painful.
Beating throbbing in region of liver.
AGGRAVATIONS.— (Actea spicata)
TOUCHING OF PART.
MOTION ALMOST IMPOSSIBLE.
AFTER WALKING IN OPEN AIR.

AMELIORATIONS. — (Actea spicata)

Morning.

Aesculus hippocastanum

The pains in the back are characteristic of Aesculus, and while they are
usually caused by an engorged liver and as a result hemorrhoidal troubles are
established, yet it may be ailed for in true lumbago, when accompanied with
its characteristic symptoms.

Aesculus also shows a peculiar affinity for the left knee joint, as described
below.

NECK AND BACK. — (Aesculus hippocastanum)

Weakness and lameness in back and neck.
(Dull aching pain between the shoulders.)
(Stiffness of muscles of neck.)
SENSE OF WEAKNESS IN SPINE.
Pain in chest and scapula, < on inspiration.
SEVERE PAIN IN RIGHT CHEST.
CONSTANT DULL BACKACHE, WALKING ALMOST IMPOSSIBLE.
HARDLY ABLE TO RISE OR STOOP OR TO RISE AFTER SITTING.
WEAKNESS, LAMENESS AND WEARINESS IN SMALL OF BACK.
TEARING IN SMALL OF BACK ON WALKING.
DULL ACHING PAIN IN SMALL OF BACK < ON WALKING.
SEVERE DULL PAIN ACROSS THE HIPS AND BACK AS IF IT WOULD
BREAK.
CONSTANT BACKACHE IN SACRUM AND ACROSS THE HIPS,
GREATLY < BY STOOPING FORWARD AND BY WALKING.
PAIN AND LAMENESS IN EACH SACRO-ILIAC SYMPHYSIS, < WHEN
WALKING, WHICH IS ALMOST IMPOSSIBLE BECAUSE OF THE
LAMENESS IN BACK PAIN IS RHEUMATIC IN CHARACTER.
SUPERIOR EXTREMITIES. — (Aesculus hippocastanum)
SEVERE PAIN IN RIGHT SCAPULA AND RIGHT CHEST, < on
inspiration.
(Aching in left acromion process with shooting down the arm.)
(Left arm feels as if it had taken violent exercise.)
(Stinging sensation in right arm and fingers.)
Skin on hands crack.
Heaviness of limbs.
Sensation of paralysis of arms, legs and spine.

INFERIOR EXTREMITIES. — (Aesculus hippocastanum)

Constant aching bruised feeling in right hip joint, pain extending downward.
LEFT KNEE SWOLLEN, PAINFUL AND STIFF, UNABLE TO BEAR
THE SLIGHTEST PRESSURE UPON IT.
BACK AND LEGS WEAK ; CAN HARDLY WALK, MUST LIE DOWN.
SENSE OF HEAVINESS AND LAMENESS.
Tendon Achillis and leg sore.

EXTREMITIES IN GENERAL. — (Aesculus hippocastanum)

Muscles sore, < on walking and from motion.
Limbs feel heavy.
Joints stiff and painful.

JOINTS. — (Aesculus hippocastanum)

LEFT KNEE SWOLLEN AND STIFF.

CONCOMITANTS. — (Aesculus hippocastanum)

Mind depressed, sad and gloomy.
FRETFULNESS, IRRITABILITY.
Cloudy intellect.
CANNOT FIX MIND ON WORK.
FEELING AS IF HE WERE GOING TO FAINT.
TIRED ALL THE TIME, DOES NOT GET RESTED.
CONSTANT SEVERE ACHING PAIN FROM PIT OF STOMACH TO
LOWER LOBE OF LIVER.
TENDERNESS IN RIGHT HYPOCHONDRIUM WITH FEELING OF
FULLNESS AND WEIGHT.
DRYNESS OF FAUCES AND MOUTH.
DRY UNCOMFORTABLE FEELING IN THE RECTUM, AS IF FILLED
WITH SMALL STICKS.
HEMORRHOIDS.
URINE DARK, SCANTY AND HOT.

AGGRAVATIONS. — (Aesculus hippocastanum)

FROM MOTION ; STOOPING ; RISING FROM A SEAT OR STANDING
ERECT.

AMELIORATIONS. — (Aesculus hippocastanum)

While lying down.

Agaricus muscarius

Agaricus is a valuable remedy for rheumatic conditions of the neck and back,
especially of the dorsal region, where we have the general conditions
accompanying.

Often Agaricus conditions come on as a result of overwork or dissipation,

setting up an irritable condition in the spinal cord.

In whatever part the seat of the trouble may manifest itself, we seldom have
any swelling of the tissues.

NECK AND BACK. — (Agaricus muscarius)

STIFFNESS IN NAPE OF NECK.
(Sensation as of having sprained the neck.)
SENSATION OF WEAKNESS AND STIFFNESS BETWEEN THE
SHOULDER BLADES EXTENDING INTO THE BACK.
TEARING, SHOOTING PAINS IN BACK BETWEEN THE SHOULDERS.
VIOLENT SHOOTING, BURNING PAINS DEEP IN SPINE.
Feeling as if whole back had been bruised and sprained.
Pain in back as after continued stooping.
Spasmodic drawing pain starts from back, extending to middle of chest and
oesophagus.
Backache with heat disturbing sleep ; cannot find a position in which to lie.
SPINE PAINS AS IF TOO WEAK TO SUPPORT ITSELF WHEN
STOOPING.
PECULIAR PAINFULNESS ALONG THE SPINE ; VIOLENT SHOOTING
BURNING PAINS DEEP IN SPINE.
Crick in sacrum extending along the whole spinal column to nape of neck.
Formication along the spine.
SPINAL PROCESS VERY SENSITIVE TO TOUCH, EVEN OF SPONGE
OR LEANING AGAINST THE CHAIR.
Violent pains in first and second lumbar vertebra when turning.
Sense of coldness in first and second lumbar vertebrae and gluteal muscles
spreading down the legs with formication.
(Sensation in dorso-lumbar region as if the spinal cord were touched with ice.)
Splinter-like pain in dorso-lumbar region.
SORE, ACHING PAIN IN LUMBOSACRAL REGION WHILE SITTING
AND EXERCISING IN DAY TIME. SUDDEN VIOLENT STITCH IN
SACRUM WHILE WALKING IN OPEN AIR.
FEELS A THROBBING IN COCCYX.
Dry feeling in coccyx.

SUPERIOR EXTREMITIES. — (Agaricus muscarius)

Rheumatic pain in right deltoid, < when moving arm backward ; with great
weakness in the loins ; costiveness and scanty urine. Sprained feeling in
deltoid muscles with feeling as if splinters were in them when raising the arm
at 5 p.m.
Rheumatic gouty stiffness of left hand and elbow joint..
Severe pain in forearm extending into thumb, < afternoons and at rest.
Stitches in olecranon of each arm.
Tearing in bones of left forearm, also between the bones.
(Lameness, numbness and sense of tension in forearms.)
In right forearm sudden awful pain like a thousand splinters on extensor side.
Tearing in left wrist and in both hands.
TREMBLING OF HANDS BROUGHT ON BY WRITING.
Tearing burning in thumbs like needles.
Tearing between thumb and index finger.
(Tearing in left little finger.)
(Tearing in left thumb.)
GOUTY STIFFNESS IN FINGERS.

INFERIOR EXTREMITIES. — (Agaricus muscarius)

Very violent pain in hip joints.
PAIN IN LEGS, ESPECIALLY IN RIGHT HIP JOINT, AS AFTER
FATIGUE.
SENSE OF WEIGHT AND HEAVINESS LIKE LEAD WITH LANGUOR.
PAIN IN LEGS < WHEN STANDING OR SITTING, > FROM WALKING
OR MOTION.
PAIN IN BONES OF LEGS AS IF IN PERIOSTEUM.
VIOLENT PAINS IN LEFT HIP UNDER GLUTEAL MUSCLES.
TWITCHING OF GLUTEAL MUSCLES.
(Tearing in left hip joint to knee, with numbness.)
DRAWING PRESSIVE PAIN IN LEGS, ESPECIALLY ANKLES.
In knee joint : drawing, tearing, stinging ; weakness ; sprained feeling.
Tearing in bones most marked when sitting or standing, like syphilitic bone
pains.
Pressive pain in left tibia in morning, < at noon, > afternoon and evening.
TREMBLING OF LIMBS.
Cramps in calves.
CRAMPS IN SOLE OF FOOT.
Stiffness of tendo achillis.
PAIN AND INFLAMMATION OF FROSTBITTEN TOES AND FEET.
CHILBLAINS.
Sensation of splinters in toes.

EXTREMITIES IN GENERAL. — (Agaricus muscarius)

TREMBLING OF LIMBS. TEARING IN LIMBS, < AT REST OR
SITTING, > FROM MOTION.
Shooting in limbs, mostly in knees, right knee on going upstairs ; in fingers
and toes.
Cracking in all the joints.
SENSATION IN ALL THE LIMBS AFTER EXERCISE AS IF BEATEN.
Ulcerative pains in limbs preventing sleep at night.
PAIN IN LIMBS WITH LAMENESS AND NUMBNESS.
SUBSULTUS TENDINUM.
Bruised feeling in all the limbs and joints.

CONCOMITANTS. — (Agaricus muscarius)

FURIOUS DELIRIUM.
DELIRIUM TREMENS.
GREAT MENTAL EXCITEMENT.
Tries to injure himself.
Irritable.
VERY MUCH OUT OF HUMOUR.
DESPONDENT.
VERTIGO WITH REELING WHEN WALKING IN OPEN AIR.
DRAWING OF HEAD BACKWARD IN SPASM.
REDNESS, BURNING, ITCHING OF EARS AS IF FROSTBITTEN.
CONTRACTION OF PART AFTER INFLAMMATION.
CLONIC CONVULSIONS.
Urine scanty.
CONSTANT FEELING OF LUMP IN EPIGASTRIUM WITH PAIN
UNDER STERNUM, DRAWING IN DIAPHRAGM, SHARP PAINS IN
LEFT SIDE.
TWITCHING OF MUSCLES WITH TREMBLING.

JOINTS. — (Agaricus muscarius)

APPEAR NORMAL, EXCEPT THOSE OF FINGERS AND TOES, WHICH
ARE RED AND SWOLLEN USUALLY FROM EXCESSIVE COLD.

AGGRAVATIONS. — (Agaricus muscarius)

2 a.m.
MORNINGS AND AFTERNOONS.
Standing.
SITTING.
OPEN AIR.

AMELIORATIONS. — (Agaricus muscarius)

Walking.
Motion.

Agnus castus

We occasionally meet a case of rheumatism, especially of the hands and feet,

with gouty swelling of the small joints, in those of debauched habits who are
prematurely old.

When I hew patients suffer also from sexual debility, it is here that Agnus
castus may be of great value.
NECK AND BACK. — (Agnus castus)
Cracking noise in vertebra.
ACUTE SHARP STITCHES IN COCCYX ; on left side near coccyx and
sacrum

SUPERIOR EXTREMITIES. — (Agnus castus)

HARD PRESSURE IN RIGHT AXILLA and UPPER ARM, < BY TOUCH
AND MOTION.
Swelling of finger joints.
Tearing pain, arthritic nodes.
Gout swelling of finger joints.

INFERIOR EXTREMITIES. — (Agnus castus)

Pain in left hip > by rest.
Thighs feel tired and swollen toward evening.
Swelling of legs with fatigue toward evening.
TEARING, RENDING IN JOINTS OF FEET AND TOES < ON WALKING.
Sticking in legs and great toe. .
Fine lancinations in soles of feet and right hip joint.

EXTREMITIES IN GENERAL. — (Agnus castus)

TEARING, RENDING IN JOINTS, ESPECIALLY IN SMALL JOINTS.

JOINTS. — (Agnus castus)

INFLAMMATORY RHEUMATIC SWELLING OF JOINTS.
GOUTY NODOSITIES.

CONCOMITANTS. — (Agnus castus)

Absent mindedness.
INDIFFERENCE.
DESPONDENT.
COMPREHENSION DIFFICULT.
LOSS OF MEMORY.
IMPATIENCE.
SEXUAL POWER WEAK.
DISCHARGE OF PROSTATIC FLUID.
PREMATURELY OLD.
AGGRAVATIONS. — (Agnus castus)
By TOUCH.
MOTION.
WALKING.

Aloes socotrina

Aloes may be of use in those cases of lumbago where there is associated with
the symptoms the characteristic disturbances of the lower bowel with
protruding hemorrhoids.

It differs from Aesculus in the character of the hemorrhoids and in the

aggravations.

NECK AND BACK. — (Aloe socotrina)

(Cracking in cervical vertebra on motion.)
DULL STEADY PAIN ON EITHER SIDE, JUST ABOVE INNOMINATA,
RUNNING INTO THE RECTUM, LATER BECOMING A THROBBING,
itching, sensation of fullness, always with sense of fullness and sensitiveness
in prostate, < in wet weather.
Dull sticking pain under shoulder blades and outward pressing pain.)
(Bruised pain in whole back as after stooping.)
(Pressive sensation and drawing in right kidney.)
(Severe pain in kidney.)
LUMBAGO ALTERNATING WITH FRONTAL HEADACHE.
Stitches from sacrum to loins.
PRESSING AND HEAVINESS IN SACRAL REGION, < ON SITTING, >
FROM MOTION.
(Creeping in sacrum, in bone extending to coccyx, then in all bones of the
body.)
(Pain in coccyx as if he had fallen upon it.)

SUPERIOR EXTREMITIES. — (Aloe socotrina)

(Heaviness in right arm ; wrist joint weak.)
(Pain in right wrist joint.)

INFERIOR EXTREMITIES. — (Aloe socotrina)

(Painful weariness of limbs.)
Weariness of calves.
(Weakness of ankles.)
(Tearing in right thigh.)
(Soles of feet painful.)
(Great toes feel as if sprained.)

EXTREMITIES IN GENERAL. — (Aloe socotrina)

(Weariness of limbs.)
(Weakness of joints with abdominal disturbances.)
Cold hands and warm feet.

CONCOMITANTS. — (Aloe socotrina)

FRETFULNESS.
VERTIGO.
DULL HEADACHE ACROSS THE FOREHEAD WITH HEAVINESS AND
NAUSEA.
UNCERTAINTY OF STOOL ; CANNOT DISTINGUISH BETWEEN
FACES AND FLATUS.
SENSATION OF A PLUG WEDGED BETWEEN SYMPHYSIS PUBIS
AND OS COCCYX.
HEMORRHOIDS PROTRUDE LIKE BUNCH OF GRAPES.

AGGRAVATIONS. — (Aloe socotrina)

When standing.
WHEN SITTING.

Ambra grisea

Ambra is not often of use in rheumatic conditions, but it has done good work
in those cases that are occasionally met its nervous temperaments suffering
with hysteria and derangement of the sexual functions.

The tearing pain in the right in in and left leg are quite important and are of
value on determining its applicability.

NECK AND BACK. — (Ambra grisea)

(Burning in left scapula.)
TEARING PAIN IN RIGHT SHOULDER.
Rheumatic pains in right side of back.
Painful tension in lumbar muscles.
(Stitches in small of back.)
Pain in small of back with loss of muscular power with constipation.
(Dull pain in kidneys.)
(Stiffness in small of back.)

SUPERIOR EXTREMITIES. — (Ambra grisea)

Tearing in left shoulder.
SENSATION AS IF RIGHT SHOULDER HAD BEEN SPRAINED.
TEARING PAINS IN RIGHT SHOULDER, ELBOW, forearm and hands
(Weakness of fingers at night.)
(Drawing in fingers and thumbs)
CRAMPS IN HANDS ; AT TIMES WHEN TAKING HOLD OF
ANYTHING.
TEARING AND LANCINATING IN TIPS OF FINGERS AND THUMBS.

INFERIOR EXTREMITIES. — (Ambra grisea)

Tearing pains first in right then in left hip joint.
Sense of contraction in right thigh.
Tearing in nates, hips, knees, ankles and feet.
Heaviness of legs.
Sensation of numbness in both legs.
CRAMPS IN LEGS AND CALVES ALMOST EVERY NIGHT.
GOUTY PAINS IN LEFT GREAT TOE.

EXTREMITIES IN GENERAL. — (Ambra grisea)

TEARING RHEUMATIC PAINS IN ALL THE LIMBS.
Weariness of all the limbs.
RIGHT UPPER AND LEFT LOWER LIMBS MOST AFFECTED.

CONCOMITANTS. — (Ambra grisea)

SPASM AND TWITCHING OF MUSCLES.
NERVOUS TEMPERAMENT.
SPASMODIC COUGH.
HYSTERICAL.
MENORRHAGIA.
 Ammonium benzoicum

BACK. — (Ammonium benzoicum)

Pain across the sacrum.
Soreness in region of right kidney, when pressing back against the seat while
riding.

LOWER EXTREMITIES. — (Ammonium benzoicum)

Gout with fluid in great toe joint.

Ammonium bromidum

BACK. — (Ammonium bromidum)

Feeling over right kidney as if something pressed hard against it, > by
pressure, but leaving a pulling sensation.

SUPERIOR EXTREMITIES. — (Ammonium bromidum)

Sensation in right shoulder as if pressed by a weight.

INFERIOR EXTREMITIES. — (Ammonium bromidum)

Sensation like a cord around right leg midway between hips and knees,
causing limping and pain in forenoon ; in afternoon pain went to left leg
below the knee, in evening to the ankle then the foot, soon passing off.
Legs ache.

Ammonium carbonicum

Ammonium carb. may be of value in scrofulous children or in old people,

especially women, who lead a sedentary life and suffer as a result from
rheumatic affections, especially of a gouty nature, with marked aggravations
in winter, wet weather and from wet applications to the parts affected.

Inimical to Lachesis.

NECK AND BACK. — (Ammonium carbonicum)

Pain in nape of neck < on right side.
Pain between the scapula.
Violent pain in small of back with intense coldness.
Pressive drawing pains in small of back and loins only when at rest during day
; passes off when walking.
Stitches in coccyx.

SUPERIOR EXTREMITIES. — (Ammonium carbonicum)

Tearing, bruised pain in shoulders.
Weight and lameness in right arm, has no use of it, hangs down, hand
swollen.
Cramps in right arm drawing it backward.
Rigidity of arms and fingers as if dead at night, mornings and when grasping
things.
(Cracking in elbow joint when moved.)
Boring in olecranon.
SPRAINED PAIN IN WRIST JOINT.
PAIN IN WRISTS ; back of hand ; FINGERS AND THUMBS.
Hands swell when hanging down.
Fingers go to sleep.

INFERIOR EXTREMITIES. — (Ammonium carbonicum)

Restlessness of legs.
Great weakness and languor of lower limbs.
Violent pain in hip joints.
Boring and drawing in knees.
Legs " go to sleep " when standing or lying on them.
Drawing pain in legs.
Cramp in legs ; in sole of feet.
Ulcerative pain in heels on waking.
Heels hurt on standing or walking.
Tearing in ankles and bones of feet > when getting warm in bed.
BALL Of GREAT TOE PAINFUL AND HOT.
GREAT TOE RED, SWOLLEN AND PAINFUL, < IN BED EVENINGS.
Great toe hot and burning, by pressure of boots.
Toes swollen.

EXTREMITIES IN GENERAL. — (Ammonium carbonicum)

Pain in limbs at night.
Burning of hands and feet.
Weakness and languor of all the limbs.
Right side more apt to be affected.

JOINTS . — (Ammonium carbonicum)

GREAT TOE JOINTS RED, SWOLLEN AND HOT ; puffy.

AGGRAVATIONS. — (Ammonium carbonicum)

Mornings.
EVENINGS.
WINTERS.
WET APPLICATIONS.
WET WEATHER.
New moon.

AMELIORATIONS. — (Ammonium carbonicum)

Warmth.

CONCOMITANTS. — (Ammonium carbonicum)

ANGINA PECTORIS.
WHITLOW.
ORGASM Of BLOOD TO DIFFERENT PARTS.
DISTENSION OF BLOOD VESSELS.
GREAT CONGESTION OF RESPIRATORY TRACT WITH
ACCUMULATIONS OF MUCUS AND GREAT OPPRESSION IN
BREATHING.

Ammonium muriaticum

Suitable to those constitutions that are fat and sluggish ; fat body but thin legs.

Often of use in the treatment of chronic conditions following a sprain with the
concomitant symptoms ; also in old stumps with rheumatic pains of a like
order.

NECK AND BACK. — (Ammonium muriaticum)

Tearing pains in sides of neck alternating with tearing pain in cheek.
Stiff neck when turning, from nape to between the shoulders.
Bruised and sprained pain between the scapulae.
Stitches in left scapula.
Pinching pain in muscles of right scapula.
BACKACHE < IN NIGHT.
Pain in small of back as if bruised, < during motion or rest, AND AT NIGHT
IN BED.
Stiffness in small of back.
BRUISED PAIN IN COCCYX, < WHEN SITTING.

SUPERIOR EXTREMITIES. — (Ammonium muriaticum)

RIGHT ARM FEELS HEAVY AS IF ASLEEP.
Rheumatic pains first in right then in left shoulder.
TEARING IN LEFT ARM TO FINGERS.
Stitches in right scapula < on inspiring.
Right arm feels rigid and heavy.
PULSATIONS IN FINGERS.

INFERIOR EXTREMITIES. — (Ammonium muriaticum)

Pain in hips as if tendons were too short ; must limp when walking ; when
sitting gnawing pain in bone.
Tearing pain in front part of thighs,
WHEN SITTING, TEARING IN POSTERIOR PART OF THIGHS.
DRAWING TENSION IN LEGS WHEN SITTING.
Knees swollen and stiff.
Stitches in knee joint EVENINGS WHEN SITTING.
HAMSTRINGS PAINFUL AS IF TOO SHORT.
Violent tearing and stitches WITH ULCERATIVE PAIN IN HEELS, > BY
RUBBING, < AT NIGHT IN BED.
Feet go to sleep.
COLD FEET IN BED.
STITCHES IN TOES.
CANNOT WALK ERECT BECAUSE OF A PAIN IN GROINS AS IF
SPRAINED.

EXTREMITIES IN GENERAL. — (Ammonium muriaticum)

TENSION AS IF MUSCLES WERE SHORTENED.
Tearing jerking pain in one place, then, another, through all the limbs.
Tearing rheumatic pains in extremities.
CONCOMITANTS . — (Ammonium muriaticum)
WATERY ACRID CORYZA CORRODING THE LIPS.
CONSTIPATION ; STOOL HARD AND CRUMBLING REQUIRING
GREAT EFFORT TO EXPEL.
BRONCHITIS.

AGGRAVATIONS. — (Ammonium muriaticum)

LYING ON BACK OR RIGHT SIDE.
SITTING.

AMELIORATIONS. — (Ammonium muriaticum)

LYING ON LEFT SIDE.
RUBBING AFFECTED PART.

Anacardium orientale

Anacardium is seldom of use without the characteristic mental condition,

particularly if there is fever.

The pains are peculiar in that they have the sensation of pressure as from the
pressure of a plug or of tension as if bound tightly with a band ; these
sensations may become the key to the remedy in rheumatic conditions of
whatever nature.

Anacardium follows well after Lycopodium, Pulsatilla and Plantago major.

After Anacardium, Plantago major follows well.

NECK AND BACK.— (Anacardium orientale)

Pain in nape of neck and occiput.
Stiffness of nape of neck.
FEELING AS OF CONSTRICTION, AS IF A TAPE WERE RUN FROM
EAR TO EAR.
Dull intermittent pressure like a load on right side of neck and left acromion.
PAINFUL TEARING between and in scapulae.
Dull stitches in left scapula.
(Stiffness of small of back.)
HEART. — (Anacardium orientale)
STITCHES PIERCING THROUGH AND THROUGH AT HEART, EACH
TIME TWO QUICK DARTS FOLLOWING EACH OTHER.
Rheumatic affections of the pericardium.

SUPERIOR EXTREMITIES.— (Anacardium orientale)

Dull stitches in left scapula return slowly and radiate to all sides.
Sense of weakness of arms with trembling.
VERY PAINFUL STROKES AS FROM A HEAVY BODY IN MIDDLE OF
LEFT UPPER ARM.
LEFT ARM " GOES TO SLEEP ", also fingers.
Stitches and heaviness in forearms.
CRAMP-LIKE PAIN IN METACARPO-PHALANGEAL ARTICULATION.
WRIST SPASM.

INFERIOR EXTREMITIES. — (Anacardium orientale)

Pain in head of femur extending to groin.
SHOOTING BURNING PAIN FROM THIGH TO FOOT, CEASING AT
TIMES AND THEN SUDDENLY RETURNING
Dull pain as from a plug in gluteal muscles.
Legs tense as if too short.
LEGS TENSE AS IF BANDAGED, WITH PAINFUL RESTLESSNESS IN
THEM.
PAINFUL UNEASINESS ABOUT THE KNEES WITH TENSE FEELING
AS IF BANDAGED.
KNEES FEEL PARALYZED WITH STIFFNESS AND GREAT
LASSITUDE AND DROWSINESS ; IS SCARCELY ABLE TO WALK.
CRAMPS IN CALVES WHEN WALKING OR RISING FROM A SEAT, >
WHEN LYING DOWN.
CRAMP-LIKE PAIN IN CALVES EXTENDING TOWARD TIBIA.
CRAMP-LIKE DRAWINGS IN TENDO ACHILLIS.
Pain in ankle as if sprained.
CRAMP-LIKE DRAWING AND TEARING PAINS FROM TOE TO
DORSUM OF FOOT.

EXTREMITIES IN GENERAL — (Anacardium orientale)

TIRED FEELING IN LIMBS WITH TREMBLING WITH GREAT
RESTLESSNESS.
REPEATED TEARING PAIN THROUGH ALL THE LIMBS IN
PAROXYSMS.
Heaviness of limbs, especially knees.
WEAKNESS IN ARMS AND LEGS WITH TREMBLING.

CONCOMITANTS. — (Anacardium orientale)

ANXIETY.
RESTLESSNESS.
FRETFULNESS.
SAD AND DESPONDENT.
INTELLECT CONFUSED.
WEAK MINDEDNESS.
WEAK MEMORY.
TENDENCY TO CURSE AND SWEAR.
HYPOCHONDRIASIS ; MELANCHOLIA.
SENSATION AS IF A PLUG WERE IN DIFFERENT PARTS OF BODY
OR THE PART AFFECTED.
SENSATION AS IF THE PART AFFECTED WERE BOUND BY A HOOP
OR BAND.

AGGRAVATIONS. — (Anacardium orientale)

AFTER EATING.
Walking.
Motion.

AMELIORATIONS. — (Anacardium orientale)

WHILE EATING.

Antimonium crudum

Antimonium crudum is of importance in acute or chronic gouty conditions of

the hands and feet.

Always associated with these conditions are the gastric disturbances

mentioned as concomitants.

Antipathy to cold water is very marked, as it is in Ammonium carb., but the

symptomatology differs in all other respects.
Antimonium crud. follows well after Ipecac. and Pulsatilla.
After Antimonium crud. : Pulsatilla, Mercurius and Sulphur follow well.

NECK AND BACK. — (Antimonium crudum)

Arthritic pains in nape of neck and back.
Spasmodic stitches in right scapula while sitting.
Violent pains in small of back when rising from a seat, > while walking.
Heaviness as of a weight in coccyx.

SUPERIOR EXTREMITIES. — (Antimonium crudum)

CRACKING IN ELBOW JOINT WHEN MOVING IT.
(Drawing pains : in arms, fingers and their joints.)
Must let arms hang down because of weight.
PAIN, INFLAMMATION OF LIGAMENTS OF ELBOW JOINTS, with
intense redness and contraction of arm.
Paralytic trembling of hands on motion and when writing.
Arthritic pains in fingers.

INFERIOR EXTREMITIES. — (Antimonium crudum)

Legs " go to sleep " while sitting.
SEVERE PAIN IN HIP JOINTS.
PAIN BELOW THE KNEE AS IF IT HAD BEEN TIED TOO TIGHTLY.
DULL PAIN : knees ; in lower part of tibia ; IN HEEL WITH TEARING IN
RIGHT GREAT TOE.
LARGE HORNY PLACES ON SOLES NEAR TOES.

EXTREMITIES IN GENERAL. — (Antimonium crudum)

Arthritic pains.
LASSITUDE OF ALL THE LIMBS.
Heaviness of limbs.
CRACKING OF JOINTS.

JOINTS. — (Antimonium crudum)

Inflamed and swollen.
DEPOSITS IN TOE JOINTS.

CONCOMITANTS. — (Antimonium crudum)

FRETFUL AND PEEVISH ; DOES NOT WISH TO BE TOUCHED.
TONGUE COATED WHITE.
LOATHING, NAUSEA AND DESIRE TO VOMIT.
STOMACH WEAK ; EASILY DISTURBED DIGESTION.
ALTERNATE DIARRHEA AND CONSTIPATION.

AGGRAVATIONS. — (Antimonium crudum)

FROM WINE.
AFTER BATHING.
COLD WATER EITHER EXTERNALLY OR INTERNALLY.
HEAT OF SUN.

AMELIORATIONS. — (Antimonium crudum)

IN OPEN AIR.

Antimonium tartaricum

Antimonium tartaricum is a remedy of limited use in rheumatic conditions, yet

it has a place all its own.

The acute articular rheumatism with fever and copious sweat which does not
relieve ; the lumbago with extreme nausea and retching on the slightest
motion ; the rheumatic conditions of face and teeth which are > by cold
water ; the rheumatic conditions of the eyes ; and the frequent occurrence of
these conditions in the fall and spring ; all present a picture not seen in any
other remedy.
EYES. — (Antimonium tartaricum)
FLICKERING BEFORE EYES.
EYES REDDENED, ACHING, WITH SUPPURATION OF LIDS.
RHEUMATIC OPHTHALMIA.

FACE. — (Antimonium tartaricum)

TEARING PAIN IN WHOLE SIDE OF FACE TO HEAD AND NECK.
RHEUMATIC TEETH ACHE > BY COLD WATER.

HEART. — (Antimonium tartaricum)

DILATATION OF HEART WITH SENSATION AS IF HEART WERE
STRAINED.
WARMTH ABOUT HEART ; VELVETY FEELING IN CHEST ;
CYANOSIS.
PULSE SLOW AND SMALL ; TREMULOUS AND SOFT.

NECK AND BACK. — (Antimonium tartaricum)

(Cramp in muscles of neck.)
(Burning in back.)
Sharp stitches in region of kidneys on moving arms.
VIOLENT PAINS IN LUMBO-SACRAL REGION, SLIGHTEST EFFORT
TO MOVE CAUSES RETCHING AND COLD CLAMMY SWEAT. Most
violent pains, like dislocation of left arm, as if flesh were torn from bones
from axilla down to tips of fingers.
Could not move arm unless assisted by others.
Rheumatic pain in left elbow.
TREMBLING OF HANDS.
HANDS COLD.

INFERIOR EXTREMITIES. — (Antimonium tartaricum)

Rheumatic pain about the hips, thigh and calves.
Drawing tensive pain in lower limbs.
Tearing pain in limbs.
Limbs feel tired.
Tension in hamstrings.
Cramps in legs.
FEET GO TO SLEEP ON SITTING.
FEET COLD AND NUMB.

EXTREMITIES IN GENERAL. — (Antimonium tartaricum)

Rheumatic pains WITH SWEAT WHICH DOES NOT RELIEVE ; PAINS
ARE TEARING, beating and stinging.
NUMBNESS.
COLD EXTREMITIES.
LIMBS GO TO SLEEP.
JOINTS VERY PAINFUL ON ATTEMPTING TO MOVE.

JOINTS. — (Antimonium tartaricum)

Somewhat swollen, reddened and hot.
CONCOMITANTS. — (Antimonium tartaricum)
GREAT PROSTRATION.
CYANOTIC.
SLEEPINESS.
MUCUS RATTLES IN CHEST.
NAUSEA AND VOMITING.
FACE PALE.
TONGUE COATED WHITE WITH RED STREAKS.
Feverish heat, hot and dry.
FEVER ; COPIOUS SWEAT WHICH DOES NOT RELIEVE.

AGGRAVATIONS. — (Antimonium tartaricum)

By TOUCH.
WARMTH (the toothache).
SPRING AND FALL.
CHANGE OF WEATHER.

AMELIORATIONS. — (Antimonium tartaricum)

KEEPING WARM.
COLD WATER > TOOTHACHE.

Apis mellifica regina

In exanthematous diseases with rheumatic complications Apis is invaluable,

especially if it has the peculiar wax-like, swelling of the joints, with
prostration, fever but no thirst, together with the other concomitants.

The eye symptoms are of importance.

In chronic articular rheumatism it has proved of value with the same general
symptomatology.
In all conditions it should be carefully differentiated from Rhus
tox., because Apis and Rhus tox. are inimical.
Apis follows well after Arsenicum album.

HEAD AND FACE. — (Apis)

ARTHRITIC OPHTHALMIA WITH PHOTOPHOBIA.
Rheumatic affections of the eye, with violent stitches in eye and around it, <
at night.
RHEUMATIC AFFECTIONS-OF EYE WITH BITING BURNING PAINS.

NECK AND BACK. — (Apis)

STIFFNESS OF THE BACK.
Great weakness of whole back on both sides of spinal column, cannot lie on
back.
LOWER PORTION OF DORSAL REGION FEELS AS IF IT WERE
BRUISED.
BURNING PRESSING IN REGION OF COCCYX < FROM ANY
ATTEMPT TO SIT DOWN ; EVENINGS.
Chills run over the back.
Stitching in right side of chest at fifth rib, < on moving arm, extending to
xyphoid, impeding respiration.

SUPERIOR EXTREMITIES. — (Apis)

Sticking pain fixed in right deltoid muscle radiating to scapula and elbow
joint, < by motion.
PAINS IN ARMS INCREASING, DARTING IN CHARACTER, NO
LONGER ABLE TO RAISE RIGHT ARM TO HEAD.
Sticking pains in right forearm.
NUMBNESS OF HANDS AND FINGERS, ESPECIALLY THE TIPS.

INFERIOR EXTREMITIES. — (Apis)

(Sore pain about the left hip joint.)
BURNING PAIN IN BOTH LIMBS FROM THIGHS TO ANKLES, COULD
NOT MOVE THE FEET.
OEDEMA OF FEET AND LEGS.
Boring from thighs to ankles, could not move feet.
Knees feel as if beaten and bruised.
VIOLENT PAIN IN LEFT KNEE, MORE SWELLING AND PAIN
OUTSIDE AND TO FRONT.
SENSATION IN TOES AND FEET ON REMOVING SHOES AT NIGHT
AS IF TOO LARGE ; SWOLLEN, HEAVY AND STIFF.
RHEUMATIC LAMENESS OF LIMBS AND EFFUSION INTO JOINTS.

EXTREMITIES IN GENERAL. — (Apis)

SWELLING OF JOINTS.
Trembling of the limbs.
PAINS SUDDENLY MIGRATE FROM ONE PART TO ANOTHER.
Redness of hands, wrists, feet and ankles.
(Gouty nodes.)

JOINTS.--- (Apis)
SWOLLEN, OEDEMATOUS, HOT, WHITE AND WAXY.

CONCOMITANTS. — (Apis)
STUPID. VERTIGO, ESPECIALLY ON RISING.
IN DELIRIUM SUDDEN SHRILL CRY, GRINDING OF THE TEETH
AND BORING HEAD IN PILLOW.
OEDEMATOUS SWELLING OF DIFFERENT PARTS.
ASCITES AND ANASARCA.
TUBAL CASTS FROM KIDNEYS.
ALBUMINOUS URINE.
EXTREME SLEEPINESS.
DELIBILITY AND PROSTRATION.
EXTREME SENSITIVENESS TO TOUCH.
FEVER BUT NO THIRST.
TONGUE DRY WITH SCALDED SENSATION.

AGGRAVATIONS. — (Apis)
3 to 4 p.m.
TOUCH.

Apocynum cannabinum

Apocynum is of especial value in exanthematous diseases with rheumatic

complications, especially of the pericardium and serous membranes.

Like Apis, oedema is the greatest characteristic, but it differs from Apis in
having great thirst while Apis has none.

HEART. — (Apocynum cannabinum)

DROPSY OF PERICARDIUM ; ACTION OF HEART SCARCELY
PERCEPTIBLE, tremulous, irregular, soft pulse.
NECK AND BACK. — (Apocynum cannabinum)
Soreness in region of kidneys, < on motion.
Dull aching in region of kidneys ; WITH INCREASE OF STRAW-
COLOURED URINE ; sinking at stomach, DRY MOUTH ; sighing.

INFERIOR EXTREMITIES. — (Apocynum cannabinum)

Hard aching in both knees.
Stiffness of legs.
WEAKNESS OF LIMBS.
Pain in ball of right great toe.

CONCOMITANTS.— (Apocynum cannabinum)

EXCRETIONS DIMINISHED, BOTH URINE AND SWEAT.
OEDEMA OF WHOLE BODY, ESPECIALLY OF LIMBS AND SEROUS
MEMBRANES.
ASCITES. GREAT THIRST WITH DRYNESS OF MOUTH.

Argentum metallicum

Argentum metallicum. has rheumatic pains of limbs and back, generally <
from sitting and in the morning.
In articular rheumatism without swelling with the accompanying symptoms it
has peculiar value.
From its effect on cartilaginous tissue it becomes of value in arthritis
deformans when the symptoms correspond.

NECK AND BACK. — (Argentum metallicum)

Dull stitches in second lumbar vertebra.
Feeling in small of back as if it had been knocked away.
BRUISED PAIN IN SMALL OF BACK, LOINS AND NECK, on motion and
mornings.
Violent pain deep in left lumbo-sacral region as if sprained, greatly < upon
adduction of left thigh, compelling him to limp.
Chest feels sore to touch.
Sterno-cleidomastoid muscle hurts when turning head.

SUPERIOR EXTREMITIES. — (Argentum metallicum)

Upper arm feels powerless as after severe labour.
TENSION AND TEARING IN BONES, ARMS AND HANDS.
Paralytic drawing on outside of left tipper arm, on pressure as if
beaten ; same in wrist joint.
SEVERE PAIN ON TOUCH IN BONES OF THUMB.
JOINTS OF HANDS FEEL SORE.

INFERIOR EXTREMITIES. — (Argentum metallicum)

Stitches in hips on walking.
Cramping pain in thighs.
Ulcerative pain on inside of thighs.
Weariness after rising, mostly in region of great trochanter as if ligaments
and muscles had given way ; WITH TENSION IN GLUTEAL REGION AS
IF SPRAINED ON MOTION OR HARD STIFFNESS IN HIPS.
LIMBS FEEL AS IF BRUISED.
Calves feel too short on going DOWNSTAIRS.
When stepping feet feel sore as if ulcerated.
TEARING IN ALL THE JOINTS OF THE FEET AND TOES.
LEFT LIMB FEELS AS IF ASLEEP.

EXTREMITIES IN GENERAL. — (Argentum metallicum)

BORING TEARING PAINS IN BONES OF LIMBS.
Loss OF POWER IN LIMBS.
Burning lancinating pain like the sting of a bee at knee and elbow.
LIMBS GO TO SLEEP EASILY.
PRESSING TEARING PAINS IN BONES AND JOINTS.
ATTACKS CARTILAGE OR CARTILAGINOUS PORTIONS OF BONE,
CAUSING THEIR DESTRUCTION.

CONCOMITANTS. — (Argentum metallicum)

SEVERE HOARSENESS, ESPECIALLY OF PUBLIC SPEAKERS.
VISCID GRAY JELLY-LIKE MUCUS, EASILY RAISED.
Great debility and prostration, especially in morning.
URINE PROFUSE, TURBID AND SWEET.
SENSATION AS IF SOMETHING STUCK IN THROAT.
GREAT WEAKNESS OF THE CHEST.

AGGRAVATIONS. — (Argentum metallicum)

FROM TOUCH.
MORNING.
WHILE SITTING.

Argentum nitricum

The constitution of Argentum nit. is that of the prematurely old.

It is especially applicable to those deep, boring pains in the bones simulating
syphilitic bone pains, both in character and in the time of aggravations, when
associated with the symptomatology of the remedy.
It is not unlike Argentum met. in its symptomatology, but differs in
that Argentum met. attacks cartilaginous tissue while Argentum nit. attacks
bony structures.

NECK AND BACK. — (Argentum nitricum)

(Acute pain in dorsal region.)
Cutting pain in small of back and groin.
Pain in small of back > when standing or walking ; but severe when rising
from a seat.
Sense of weight in lower part of sacrum and coccyx > while standing, < while
sitting.
SMALL OF BACK FEELS WEARY ; HEAVINESS AND DRAWING IN
LOINS, WITH DEBILITY AND TREMBLING OF LEGS.
PAIN IN SMALL OF BACK, < EVENINGS.

SUPERIOR EXTREMITIES. — (Argentum nitricum)

Drawing pain in shoulder ; in left shoulder and arm.
(Left arm feels heavy.)
BORING PAIN IN BONES OF ARM, ESPECIALLY IN EVENING.
HANDS TREMBLE.
Rheumatic pain in right arm.

INFERIOR EXTREMITIES. — (Argentum nitricum)

Debility and weariness of lower limbs, as after walking a long distance,
accompanied by a sick feeling ; dread of work, drowsiness, chilliness and sick
appearance.
Paralytic heaviness and weakness of limbs.
BORING IN KNEES STARTS UP IN EVENING.
Calves weary as after a long walk.
EXTREMITIES IN GENERAL. — (Argentum nitricum)
TREMBLING OF LIMBS.
WEARINESS AND WEAKNESS OF LIMBS.
Paralysis of limbs.
AFFECTIONS OF BONES.

CONCOMITANTS. — (Argentum nitricum)

SAD AND DESPONDENT.
LOSS OF MEMORY.
VERTIGO.
IMPULSIVE.
WANT OF CONFIDENCE IN HIS OWN ABILITY.
TREMULOUS FEELING.
WEAKNESS.
LIMBS TREMBLE.
SENSATION AS IF A SPLINTER WERE IN DIFFERENT PARTS ; IN
MUCOUS MEMBRANES, ESPECIALLY IN THROAT.
SKIN OF A BLUISH-GRAY, VIOLET OR BRONZE TO BLACK
COLOUR.
CONVULSIVE MOVEMENTS.

AGGRAVATIONS. — (Argentum nitricum)

EVENINGS.
AT NIGHT.

Arnica montana

Arnica is one of our most valuable remedies in articular or muscular

rheumatism arising from a traumatic condition, when the accompanying
symptoms correspond.
In inflammatory rheumatism it may become of use when the great prostration,
together with the excessive sensitiveness to touch, is present.
In whatever condition, the sore bruised feeling is always present, and
paramount in importance.

It follows well after Aconite, Veratrum viride and Apis.

After Arnica, Aconite, Arsenicum album, Bryonia and Rhus tox. follow well.
HEART. — (Arnica)
STITCHES IN HEART.
PAIN FROM LIVER UP THROUGH LEFT CHEST AND DOWN LEFT
ARM, SUDDEN AS IF HEART WERE SQUEEZED.
PULSE FULL AND HARD.
QUIVERING PALPITATION OF HEART.

NECK AND BACK. — (Arnica)

ARTICULATIONS AND CARTILAGINOUS CONNECTIONS OF CHEST
FEEL AS IF BEATEN WHEN MOVING, BREATHING OR COUGHING.
VIOLENT STITCH IN LEFT CHEST.
PAIN IN INTERCOSTAL MUSCLES.
PAIN IN LEFT CHEST AT INSERTION OF PECTORAL MUSCLES AS IF
ONE HAD LIFTED A HEAVY WEIGHT WITH LEFT HAND.
Pressing pain in right side of chest in a small spot, not removed by contact or
breathing.
Weakness of cervical muscles.
VIOLENT PAIN IN BACK AS FROM SUDDEN RISING AFTER LONG
STOOPING.
GREAT SENSITIVENESS OF CERVICAL VERTEBRAE ON PRESSURE.
EXTREME SORENESS OF BACK.
SENSATION OF FULLNESS and pressure IN LUMBAR REGION.
Sensation of great weight across lower part of loins, with feeling of being
drawn in as if a cord were drawn tightly across.
PAIN IN LUMBAR REGION.
STITCHES IN SMALL OF BACK WHEN COUGHING, BREATHING
DEEPLY OR WALKING.
Right scapula painful as if beaten.
SMALL OF BACK PAINFUL AS IF BEATEN.
PRESSIVE PAIN BETWEEN THE SCAPULAE.
PAIN IN SACRUM AS AFTER A BLOW OR FALL.

SUPERIOR EXTREMITIES. — (Arnica)

Twitching pain from shoulder joint to middle finger.
BRUISED PAIN ON ANTERIOR SURFACE OF ARM.
ARM FEELS WEARY AND WEAK AS IF BRUISED BY BLOWS ;
UNABLE TO FLEX FINGERS.
SENSATION AS IF JOINTS OF ARM AND WRISTS WERE SPRAINED.
SENSATION IN ARMS ANI) HANDS AS IF KNOCKED AGAINST
SOMETHING HARD.
(Slight cracking) AND SENSATION AS IF RIGHT WRIST WERE
DISLOCATED WHEN MOVING HAND.
Drawing pain on ulnar side of right hand when at rest.
Drawing in right thumb.
BRUISED PAIN IN BALL OF THUMB.
Pressive TEARING IN JOINTS AND TIP OF RING AND LITTLE
FINGERS.
Cramps in fingers of left hand.

INFERIOR EXTREMITIES. — (Arnica)

Drawing, PRESSIVE PAIN IN LEFT HIP JOINT WHEN SITTING WITH
THIGH EXTENDED.
HIPS PAIN AS IF SPRAINED.
Boring tearing pains shifting from right hip joint to various parts, < at night,
cannot find an easy position ; > during the day and from motion.
PAIN IN THIGHS WHEN WALKING, AS FROM A BLOW.
Knee joint suddenly bends when standing, feet numb.
SENSATION AS IF KNEE WERE DISLOCATED WITH PARALYTIC
WEAKNESS OF WHOLE LIMB.
PAIN IN CALF OF RIGHT LEG AS FROM A BLOW, WITH WEAKNESS
OF LEGS.
Right lower limb immovable.
ARTHRITIC PAINS TOWARD EVENING,
FEARS IT WILL BE TOUCHED ; GREAT TOE JOINT RED, FEELS AS IF
SPRAINED.
TEARING IN RIGHT EXTERNAL MALLEOLUS AND DORSUM OF
FOOT.
VIOLENT STITCHES IN TOES WHEN WALKING.
TEARING IN TARSAL BONES.

EXTREMITIES IN GENERAL. — (Arnica)

Heaviness of all the limbs.
PARALYTIC PAIN IN ALL THE JOINTS DURING MOTION AS IF
BRUISED.
PAIN AS IF BRUISED IN ALL THE LIMBS WHETHER AT REST OR IN
MOTION.
PAINFUL SORENESS OF LIMBS.
TEARING WITH SORENESS NUMBNESS AND SWELLING OF LIMBS.
PAIN < FROM A JAR OR JOLT.
LIMBS ACHE AS IF THEY HAD BEEN BEATEN.

CONCOMITANTS. — (Arnica)
ABSENTMINDEDNESS.
ANXIETY, with restlessness.
LOW MUTTERING DELIRIUM.
UNCONSCIOUSNESS.
VERTIGO.
PUTRID EXCRETIONS.
GREAT WEAKNESS AND PROSTRATION.
HIGH FEVER with thirst.
SENSATION AS IF THE WHOLE BODY HAD BEEN BRUISED AND AS
VERY SORE.
BED SEEMS HARD TO LIE UPON.
PAINFUL AND EXCESSIVE SENSITIVENESS OF WHOLE BODY.
JOINTS VERY SENSITIVE TO TOUCH.
ECCHYMOSES.

AGGRAVATIONS. — (Arnica)
TOUCH, MOTION.
WALKING.

Arsenicum album

Arsenicum may be of value in any form of rheumatism where the

characteristic pains are shooting, burning, lancinating ; where there is the
great restlessness, peculiar thirst and extreme prostration.
Everything about Arsenicum is intense.
The heart symptoms are of importance.

After Arsenicum, Nux vomica, Sulphur and Apis follow well.

HEART. — (Arsenicum album)

RHEUMATISM AFFECTING THE HEART, WITH GREAT
PROSTRATION, WITH COLD STICKY SWEAT, GREAT ANXIETY AND
OPPRESSION, BURNING ABOUT THE HEART, PULSE SMALL, RAPID
AND FEEBLE.

NECK AND BACK. — (Arsenicum album)

Nape stiff as if sprained and bruised.
BURNING, SHOOTING PAINS IN SACRUM AS IF BROKEN.
DRAWING PAINS BETWEEN SCAPULAE NECESSITATING LYING
DOWN.
BACKACHE AFTER HARD WORK.
INSUPPORTABLE BACKACHE TOWARD NIGHT and on rising from a
seat.
BURNING IN BACK.
SENSATION AS IF SMALL OF BACK WERE BROKEN.
BRUISED PAIN IN SMALL OF BACK WITH SENSATION OF
WEAKNESS.
Loss OF STRENGTH IN SMALL OF BACK.
Stiffness of back beginning in region of os coccyx.
PAIN AS IF BRUISED ACROSS SCAPULA.
Violent periodical pains in small of back with stiffness.

SUPERIOR EXTREMITIES. — (Arsenicum album)

Violent tearing jerking pains in right shoulder joint, shoulder, arm, elbow joint
and forearm.
Rheumatic pains from elbow up to shoulder.
Pain in arm on which he lies at night.
Drawing and lancinating in arms at night.
Upper limbs weak ; flexors of fingers contracted.
Paralytic pain in arms.
DRAWING AND TEARING FROM ELBOW UP INTO AXILLA AT
NIGHT.
Violent rheumatic pains in right elbow.
Sensation of swelling in hands.
DRAWING, JERKING AND TEARING FROM TIPS OF FINGERS INTO
SHOULDER.
Cramps in fingers.
Joints of left hand and fingers deformed, contracted, immovable.

INFERIOR EXTREMITIES. — (Arsenicum album)

Pain back of great trochanter extending down thigh to knee, > by flexing the
knee.
Deep drawing boiling sensation with fainting spells from slightest motion.
Severe tearing drawing burning pain in hip, not allowing a moment's rest.
SCIATICA BROUGHT ON BY STANDING IN COLD DAMP PLACES.
TEARING SHOOTING IN HIP, THIGH AND GROIN.
Violent drawing tearing pains in hips and left foot.
CRAMPS of thighs, CALVES AND TOES, IN EVENING, FOLLOWED BY
LASSITUDE.
Gluteal muscle sore to touch.
SPELLS OF SEVERE PAIN IN POSTERIOR PART OF THIGH, CALVES,
AND HEELS, < FROM ATTEMPT TO WALK, > FROM FLEXING
MUSCLES.
PAIN IN KNEE JOINTS AS IF BEATEN.
SWELLING AND PAIN OF KNEES.
(Cracking of knees when walking.)
Stiffness and immobility of knees and feet.
Knees feel as if bandaged.
SENSATION OF SCRAPING IN LONG BONES.
PAIN IN KNEE VERY SEVERE, EXTENDING TO HIP AND ANKLE
JOINT.
Stiffness of knees and feet alternating with tearing pains.
Coldness of knees and feet.
TEARING IN TIBIA.
CRAMPS AND DRAWING IN CALVES.
RESTLESSNESS OF LEGS < AT NIGHT, CONSTANTLY CHANGING
POSITION.
LIMBS VERY WEAK, CANNOT SUPPORT THE BODY.
Numbness of limbs.
SWELLING OF FEET, EDEMATOUS, WITH GREAT WEAKNESS.
Violent tearing, drawing pain from ankle bones down over heel to sole of feet,
> by flexing limb.
Contraction of toes downward.
TEARING STICKING PAIN AS IF IN PERIOSTEUM, ALONG WHOLE
LOWER LIMB DOWN TO TIP OF BIG TOE.
TEARING IN WHOLE LOWER LIMB < AT NIGHT.
(Sensation as if feet were made of wood.)

EXTREMITIES IN GENERAL . — (Arsenicum album)

Heaviness of limbs.
Painful weariness penetrating to the marrow of the bones.
Rheumatic pains drawing and cutting, < ON LYING ON AFFECTED SIDE,
FROM MOTION.
RESTLESSNESS OF LIMBS, CANNOT KEEP THEM STILL.
TREMBLING OF ALL THE LIMBS.
LACK OF POWER IN LIMBS WITH NUMBNESS and heaviness.
EXCESSIVE WEAKNESS AND PROSTRATION OF LIMBS.
PAINS ARE SHOOTING, BURNING AND LANCINATING IN
CHARACTER.
Inflammation in periosteum.
Tearing in bones, CARIES OF BONES.
Contraction of limbs.

JOINTS. — (Arsenicum album)

PALE SWELLING OF JOINTS.

CONCOMITANTS . — (Arsenicum album)

DELIRIUM < AT NIGHT, WITH GREAT RESTLESSNESS.
GREAT ANGUISH AND DESPAIR.
DESPONDENT.
MISTRUSTS EVERYONE.
FRETFUL WITH EVERYONE AND EVERYTHING.
FEAR OF DEATH.
RESTLESSNESS, CHANGES POSITION CONSTANTLY.
GREAT DEBILITY AND PROSTRATION WITH EMACIATION.
MALAISE WITH DREAD OF EXERTION.
DIFFICULT BREATHING WITH GREAT ANGUISH.
URINE SCANTY.
HOT AND BURNING.
EXTREME THIRST FOR COLD WATER BUT TAKES ONLY A SIP AT A
TIME WHICH IS VOMITED AS SOON AS DRUNK.
TONGUE DRY AND COATED BROWN.
NO APPETITE.
FACE DRAWN, PALE OR YELLOWISH-PALE.
ASCITES.

AGGRAVATIONS. — (Arsenicum album)

AT NIGHT.
IN CLOSED ROOM.
Cold water.

AMELIORATIONS. — (Arsenicum album)

WALKING IN OPEN AIR.
Cold water.

Artemisia abrotanum

Useful in rheumatism from checked diarrhea with inability in move, with

great pain but no swelling.
Also in inflammatory rheumatism early, before swelling begins, but very
painful on slightest motion.
In gouty conditions of the wrist and ankles alternated with haemorrhoidal
troubles.
A valuable remedy in metastases of acute diseases taking a rheumatic course
upward, especially if heart is attacked.

HEART.— (Artemisia abrotanum)

SHARP AND SEVERE PAIN ACROSS THE CHEST IN REGION OF
HEART.
PULSE WEAK AND SMALL.

NECK AND BACK. — (Artemisia abrotanum)

Weak back.
Drawing pain in chest muscles especially on motion.
PAIN IN SACRUM.

SUPERIOR EXTREMITIES. — (Artemisia abrotanum)

(Fugitive pains in shoulders at night preventing sleep.)
Aching pain from shoulder joint to elbow.
Numb sensation in fingers.
Dull aching in fingers.
GOUTY INFLAMMATION IN WRISTS.

INFERIOR EXTREMITIES. — (Artemisia abrotanum)

Drawing in ankle joints.
Deadness and coldness of feet.
GOUTY INFLAMMATION OF ANKLE.

EXTREMITIES IN GENERAL . — (Artemisia abrotanum)

INABILITY TO MOVE ARMS ; LEGS ONLY WITH DIFFICULTY.

CONCOMITANTS. — (Artemisia abrotanum)

VERY LAME AND SORE ALL OVER.
GREAT WEAKNESS AND PROSTRATION.
HIGH FEVER.
ALTERNATE DIARRHEA AND CONSTIPATION.
RHEUMATISM AFTER CHECKED DIARRHEA.
HEMORRHOIDS GET WORSE AS RHEUMATISM GETS BETTER.

Asa foetida

Asa foetida is not of frequent use in rheumatic conditions, yet we occasionally

have a case in hysterical or scrofulous patients that presents a picture that
reflects the remedy, especially if they have the deep burning, tearing, scraping
pains as if in the bones, with the aggravations of all conditions at night.
Asa foetida is more often indicated in females.

NECK AND BACK. — (Asa faetida)

FINE BURNING STITCHES IN AND BEHIND RIGHT SCAPULA
EXTENDING TOWARD THE RIBS.
(Drawing downward on left side of neck on motion.)
STITCHES IN MUSCLES OF THE BACK.
Dull pain below scapulae.
BURNING PAIN ALONG THE VERTEBRAE.
BORING STICKING PAIN IN LEFT GROIN FROM WITHIN OUT, > from
inspiration.
Backache < from labour.
Stitches along sacrum to anus.
Pain in sacrum < while sitting.

SUPERIOR EXTREMITIES. — (Asa faetida)

Stitching in elbow joint.
QUIVERING IN SHOULDER JOINT AND DELTOID MUSCLE.
(Jerking sticking pain in upper arm.)
(Drawing pain in upper arms down to elbows, a fine stitch in elbow.)
Tearing in forearms down to tips of fingers.
Tearing stitch in forearm FOLLOWED BY BURNING.
SCRAPING SENSATION IN STYLOID PROCESS OF ULNA.
Pain as if beaten in joints of wrist.
Aching drawing in wrist joints.
CONVULSIVE MOVEMENTS OF ARMS AND HANDS WHEN
ATTEMPTING MOTION.

INFERIOR EXTREMITIES. — (Asa faetida)

Swelling around ankle joints, cannot use foot.
Burning in roots of toe-nails preventing sleep.
Quivering in muscles of thigh.
CARIES OF BONES OF FEET WITH SWELLING.
STICKING SENSATION ON BALL OF GREAT TOE WHEN PUTTING
FOOT TO GROUND.
PAIN AS IF A SPLINTER OF BONE WERE STICKING IN FIBULA JUST
ABOVE OUTER MALLEOLUS.
SENSITIVE THROBBING IN LEFT GREAT TOE.
STITCHES IN LEFT GREAT TOE.
THROBBING IN TIP OF GREAT TOE.

EXTREMITIES IN GENERAL. — (Asa faetida)

CONVULSIVE MOVEMENTS OF ALL THE LIMBS.
PAINS MOSTLY ON FLEXOR SIDES OF LIMBS.
TEARING, BURNING WITH SCRAPING PAINS DEEP IN LIMBS AS IF
IN BONES.
Pain on inside of joints.
AFFECTIONS MOSTLY ON LEFT SIDE.

CONCOMITANTS. — (Asa faetida)

FRETFUL ; IRRITABLE MOOD.
SENSATION AS IF A BALL WERE RISING FROM STOMACH INTO
THROAT.
HYSTERIA WITH GLOBUS HYSTERICUS.
SCROFULOUS CONSTITUTIONS.
CLUMSY CHILDREN.
FEVER BUT NO THIRST.
AGGRAVATIONS. — (Asa faetida)
FROM MOTION.
AT NIGHT.

AMELIORATIONS. — (Asa faetida)

FIRM PRESSURE.

Asarum europaeum

Asarum may be of use in any form of rheumatism where the local conditions
are accompanied with the peculiar nervous symptoms.

The peculiar sensitiveness to the sound of scratching, or even to the thought of

it, is always present, and the aggravation from dry cold air is marked.

NECK AND BACK. — (Asarum)

Stiff neck with thirst in early morning.
Dull stitches under scapula.
BRUISED PAIN IN CERVICAL MUSCLES WHEN MOVING HEAD.
SENSATION IN MUSCLES OF NECK AS IF A TIGHT BAND WERE
HOLDING MUSCLES DOWN.
Burning pain with stitches in small of back while sitting.
Bruised pain in small of back.
Tearing pain from crest of one ilium to the other.
Violent pain in small of back, can hardly breathe.

SUPERIOR EXTREMITIES. — (Asarum)

Violent stitch in shoulder.
Contractive tensive pain in deltoid muscle while hand rests on table.
Drawing laming pain in left wrist.
Sudden drawing burning pain from wrist through thumb and index finger.

INFERIOR EXTREMITIES. — (Asarum)

DULL PRESSURE IN RIGHT HIP.
Drawing tensive pain in head of left femur.
SEVERE PAIN IN HIP ; JOINT AND MIDDLE OF THIGH WHEN
STEPPING ; foot feels paralyzed.
Severe rheumatic tearing stitches in knee.
Bruised feeling in tibia.
Stitches in ankles and soles.

EXTREMITIES IN GENERAL. — (Asarum)

LIGHTNESS OF ALL THE LIMBS, DOES NOT PERCEIVE HE HAS A
BODY.
Darting and tearing pains in limbs.

CONCOMITANTS. — (Asarum)
EXCESSIVE SENSIBILITY OF ALL THE NERVES WHEN MERELY
THINKING THAT SOMEONE MIGHT SCRATCH EVER SO LIGHTLY
WITH THE FINGER NAIL ON LINEN OR SIMILAR MATERIAL ; A
MOST DISAGREEABLE SENSATION THRILLS THROUGH HIM,
ARRESTING ALL HIS THOUGHTS AND ACTIONS.
GREAT WEAKNESS AND PROSTRATION.

AGGRAVATIONS. — (Asarum)
DRY COLD AIR.

Asclepias cornuti

Asclepias syriaca may be called for, in acute articular rheumatism, attacking

the great joints of the body with swelling of the joints, when associated with
the peculiar headache.

NECK AND BACK. — (Asclepias)

PAIN ABOUT LOWEST DORSAL VERTEBRA, CUTTING AND
ACHING.
Pain in left lumbar region.

SUPERIOR EXTREMITIES. — (Asclepias)

Undefined pain in arms.
Heaviness of arms.
Painful heaviness of arms.
LARGE JOINTS MUCH SWOLLEN AND PAINFUL.

INFERIOR EXTREMITIES. — (Asclepias)

Boring pain in left tibia.
Undefined pain in whole limb.
ARTHRITIC PAIN WITH SWELLING OF KNEE JOINT.

CONCOMITANTS . — (Asclepias)
NERVOUS HEADACHE ATTENDED BY DRY SKIN AND SCANTY
URINE, FOLLOWED BY PROFUSE SWEAT OR COPIOUS URINATION.
URINE SCANTY.
UREMIA.
High fever.

Asparagus officinalis

Asparagus will be of value in rheumatic conditions when associated with

functional cardiac troubles together with parenchymatous diseases of the
kidney when the peculiar pain and concomitant symptoms are present.

Asparagus stands by itself.

HEART. — (Asparagus)
UNUSUALLY LOUD THROBBING OF HEART AT NIGHT,
EXTENDING OVER A LARGER AREA THAN NORMAL ; MURMURS.
HEART'S ACTION WEAK WITH FEEBLE PULSE.

NECK AND BACK. — (Asparagus)

Arthritic pains between the scapula.
Sensation when sitting as if something were darting through small of back
toward sacrum.
Pain at beginning of false ribs.

SUPERIOR EXTREMITIES. — (Asparagus)

Arthritic pain in region of right axilla.
Pain in shoulder on touching it.
Pains on tip of left shoulder.
PAIN AT ACROMION PROCESS OF LEFT SCAPULA, UNDER
CLAVICLE AND DOWN LEFT ARM WITH FEEBLE PULSE.

INFERIOR EXTREMITIES. — (Asparagus)

Cramps in left calf on waking and stretching, > by rubbing.
Dislocated sensation in neck of right femur while walking.
Bruised pain in muscles in middle of thigh, < ascending, becoming sore pain
on touch.
Drawing pain in old scars on feet.

CONCOMITANTS — (Asparagus)
URINE SCANTY, STRAW-COLOURED AND PECULIARLY
OFFENSIVE. URINE INCREASED, BEER-BROWN, CLEAR.
WHEN VOIDING LAST DROPS OF URINE, RHEUMATIC
CONSTRICTING PAIN IN CARDIAC REGION, FORCING HIM TO CRY
OUT ; FACE TURNS BLUE.
URIC ACID CRYSTALS PASS IN SMALL QUANTITIES.
RESPIRATION RAPID AND LABOURED.
GREAT LANGUOR WITH INABILITY TO LABOUR.
OEDEMA.

Aurum metallicum

Aurum met. is to be thought of in those scrofulous, syphilitic or mercurialized

constitutions suffering from rheumatic conditions characterized by very severe
tearing boring bone pains, always greatly aggravated at night and in cold
weather, when the accompanying symptoms are present.

In inflammatory rheumatism Aurum met. is of value when there is high fever,

extreme tenderness to touch, profuse sweat, and involvement of the
endocardium with the peculiar heart symptoms.

HEART. — (Aurum metallicum)

SEVERE PAIN IN HEART ; MUST SIT UP.
SENSATION AS IF THE HEART STOPPED, THEN GAVE ONE SUDDEN
HARD THUMP.
HEART FLOUNDERS.
LOUD ENDOCARDIAL BRUITS.
PULSE IRREGULAR.

NECK AND BACK. — (Aurum metallicum)

Tension as if muscles of neck were too short.
Pain in small of back as if weary.
STINGING PAINS IN SMALL OF BACK.
(Pain in lower spine.)

SUPERIOR EXTREMITIES. — (Aurum metallicum)

Boring in left shoulder.
Arms so weary they are hard to move ; forearms heavy.
Severe boring pains in right elbow and forearm.
Cramp-like TEARING IN BONES OF BOTH ARMS.
Boring in finger joints.
BONES OF HAND SWOLLEN, ALMOST IMMOVABLE AND
SENSITIVE.

INFERIOR EXTREMITIES. — (Aurum metallicum)

KNEES FEEL AS IF TIGHTLY BANDAGED WHEN SITTING.
Right knee weak while walking.
GOUTY NODES ON LEGS.
CARIES OF BONES OF LIMBS.
BORING IN TIBIA, ANKLE AND FOOT.
SWELLING OF LEGS AND FEET WHEN GETTING UP IN THE
MORNING, > AFTER WALKING ABOUT.
TOES RED AND SWOLLEN.
FEET SWOLLEN.
Weary pains in tarsal bones shooting up toward knee, < early morning in bed.

EXTREMITIES IN GENERAL. — (Aurum metallicum)

Limbs go to sleep ; numb on waking.
PARALYTIC DRAWING PAINS IN MORNING.
SWELLING OF PERIOSTEUM OF BONES OF FOREARM AND LONG
BONES OF LEGS.
Weariness of all the limbs.
BONES OF LIMBS SWOLLEN AND PAINFUL ; JOINTS ALMOST
IMMOVABLE ON ACCOUNT OF PAIN, ESPECIALLY OF HANDS AND
FEET ; JOINTS MUCH INFLAMED.
TEARING PAINS IN ALL THE BONES.
ARTHRITIC DEPOSITS IN JOINTS.
BORING PAINS IN BONES.

CONCOMITANTS. — (Aurum metallicum)

GREAT ANXIETY AND EXCITEMENT.
ALTERNATING MOODS.
FRETFULNESS.
VERY GREAT DESPAIR WITH CONSTANT TALK OF TAKING HIS
LIFE BUT HE NEVER ATTEMPTS IT.
INCLINED TO CURSE AND SWEAR.
SCROFULOUS AND SYPHILITIC ULCERATION OF BONES AND
GLANDS.
HYSTERICAL.
HIGH FEVER WITH PROFUSE PERSPIRATION.

AGGRAVATIONS. — (Aurum metallicum)

AT NIGHT.
MORNING BEFORE RISING.
COLD WEATHER.

AMELIORATIONS. — (Aurum metallicum)

DURING DAY AND EARLY EVENING.
WARMTH.

Belladonna

Belladonna is of great value in those acute rheumatic conditions coming on

suddenly with great force, where congestion is the great and paramount
difficulty.

In acute articular troubles it is indicated by the great heat and redness of the
affected part, throbbing pain and very great sensitiveness.

It is one of the important remedies in acute inflammatory rheumatism where

there is the violent headache, pressure and delirium, together with the flushed
face, dilated pupils, staring, protruding eyes, throbbing carotids and full
bounding pulse.

The aggravations and accompanying symptoms should be carefully studied.

Belladonna is suitable after Aconite, Chamomilla, Mercurius, Pulsatilla,

Arsenicum, Hepar sulph., Lachesis, Nitric acid. and Phosphorus.
After Belladonna : Chamomilla, Conium, (Dulcamara ?), Hepar sulph.,
Lachesis and Veratrum album may follow well.

EYES. — (Belladonna)
RHEUMATIC IRITIS EARLY IN ITS DEVELOPMENT ; INTENSE
PHOTOPHOBIA, PUPILS DILATED.
Rheumatic ophthalmia.
EYES VERY MUCH CONGESTED, VERY RED.
MOVING EYES PAINFUL.

HEART. — (Belladonna)
GREAT CONGESTION OF BLOOD TO PARTS AFFECTED.
THROBBING OF CAROTID ARTERIES.
PULSE FULL, HARD AND BOUNDING.

NECK AND BACK.— (Belladonna)

PAINFUL SWELLING OF NAPE OF NECK WITH STIFFNESS.
PRESSIVE PAIN EXTERNALLY IN NECK, < WHEN BENDING HEAD
BACKWARD AND FROM TOUCH.
Drawing pressure between the right scapula and spine.
Pressing pain under left scapula, outer side.
Shooting AND GNAWING IN SPINAL COLUMN.
GNAWING IN SPINE WITH COUGH.
LANCINATING PAIN FROM WITHIN OUT IN VERTEBRAE.
Drawing, BURNING THROBBING IN BACK.
ARTHRITIC PAIN IN BACK.
PAIN IN BACK AS IF IT WOULD BREAK.
Sore pain in dorso-lumbar region.
CRAMP-LIKE PAIN IN LUMBAR REGION.
Bearing down in sacrum.
(Pain as from a sprain between the scapulae.)
Cramp-like pain in coccyx.

SUPERIOR EXTREMITIES. — (Belladonna)

Shooting pressure on to of left shoulder.
LANCINATING WITH PRESSURE IN SHOULDER, DARTING
SUDDENLY DOWN ARM AT NIGHT.
PARALYTIC DRAWING PRESSURE, WITH WEAKNESS OF RIGHT
UPPER ARM and forearm.
PARALYTIC TEARING PRESSURE IN ANTERIOR SURFACE OF LEFT
UPPER ARM.
SENSE OF STRETCHING AND TWISTING IN UPPER EXTREMITIES.
Sprained and contused pain in arms.
Paralytic pressure in left upper arm with paralytic weakness of whole arm.
HEAVINESS AND PARALYZED FEELING IN ARMS, ESPECIALLY
THE RIGHT.
VIOLENT CUTTING BELOW HEAD OF HUMERUS FROM WITHIN
OUT.
TEARING PAIN IN HUMERUS.
Bruised pain in upper arm.
Sharp shooting CUTTING pains in left elbow.
CUTTING AND TEARING IN MUSCLES OF ARMS.
Cutting pains from wrist to elbow and above, always from periphery toward
center.
SWELLING WITH REDNESS OF ARMS.
Hand does not rotate easily and freely, turns only by jerks.
CONVULSIVE MOVEMENTS OF ARMS.
Numbness of hands.
Paralytic tearing in middle joint of right index finger.
SUBSULTUS TENDINUM.

INFERIOR EXTREMITIES. — (Belladonna)

HIP GOUT, WITH BURNING AND STINGING < AT NIGHT AND BY
CONTACT.
STIFFNESS OF HIP JOINT.
Cramp-like pain in gluteal muscles with tension on bending forward.
Cutting pain in outer side of right thigh just above the knee, only when sitting.
PAIN IN THIGHS AND LEGS AS IF BRUISED ; SHOOTING AND
GNAWING ALONG THE BONES WITH VIOLENT TEARING IN JOINTS
; MUST MOVE CONSTANTLY, > FROM STANDING.
CRAMP-LIKE PAIN IN KNEE JOINT, ESPECIALLY NEAR THE
PATELLA ; ALSO WHEN SITTING.
BURNING STINGING IN KNEE JOINT < AT NIGHT.
Sensation of weakness of joints of limbs, especially on going down hill, with
fear of non-support of limbs.
DULL TEARING IN LEGS.
HEAVINESS AND LAMENESS OF LIMBS.
TEARING PRESSURE IN MIDDLE OF INSIDE OF LEG
UNINFLUENCED BY MOTION OR CONTACT.
Pain in heel as if bruised when walking.
Sensation as if dislocated in metatarsal bones.
BORING DIGGING SHOOTING PAINS IN SOLES OF FEET.

EXTREMITIES IN GENERAL. — (Belladonna)

CONVULSIVE MOVEMENTS OF LIMBS.
PRESSIVE, BURNING, STINGING PAINS IN LIMBS.
GREAT HEAVINESS OF LIMBS.
RESTLESSNESS OF ALL THE LIMBS.
Loss of co-ordination of muscles of both limbs.

JOINTS. — (Belladonna)
JOINTS SWOLLEN, SHINING, BRIGHT RED AND HOT.

CONCOMITANTS. — (Belladonna)
GREAT ANXIETY WITH GREAT EXCITABILITY.
FRETFULNESS.
FURIOUS DELIRIUM WITH RAGE, BITING, SCRATCHING AND
TEARING THINGS.
GREAT ACTIVITY OF MIND.
INTELLECT BEFOGGED.
UNCONSCIOUSNESS.
VERTIGO.
INTENSE THROBBING HEADACHE.
EXTREME SENSIBILITY OF ALL NERVES AND SENSES.
LEAST NOISE OR LIGHT GREATLY ANNOYS HIM.
PUPILS OF EYES DILATED.
EYES STARING.
FACE VERY RED.
RESPIRATION SHORT AND RAPID.
VERY VIOLENT THROBBING OF CAROTID ARTERIES.
STARTS UP SUDDENLY IN SLEEP, CRIES OUT IN SLEEP.
VERY HIGH FEVER WITH THIRST.

AGGRAVATIONS. — (Belladonna)
IN AFTERNOON AND EVENING.
AFTER MIDNIGHT TO 3 A.M.
WALKING IN WIND.
FROM SLIGHTEST TOUCH.
GETTING WET.

AMELIORATIONS. — (Belladonna)
WARM WRAPS OR WARM ROOM.
BENDING OR TURNING THE AFFECTED PART.
WHILE STANDING.

Benzoïcum acidum

Benzoic acid is useful in gouty conditions with concretions in the joints and in
syphilitic rheumatism ; useful in gout after the failure of Colchicum ; useful in
arthritic conditions.

The gouty concretions mark the depth of the conditions where Benzoic
acid may be called for.

HEART. — (Benzoïcum acidum)

PAINS CHANGE PLACE CONSTANTLY BUT REMAIN MOST
CONSTANT ABOUT THE HEART.
PALPITATION OF HEART < AT NIGHT WHILE LYING DOWN.
PAIN IN EXTREMITIES ALTERNATES WITH PALPITATION OF
HEART.
PULSE HARD, FREQUENT, WITH FEVER AND SWEAT.

NECK AND BACK. — (Benzoïcum acidum)

Stiffness in one side of neck.
Pressive pain in nape of neck.
Pulsating pain deep in posterior part of left side at sixth rib.
SORE PAIN IN BACK.
SEVERE PAIN IN BACK THAT PENETRATES THE CHEST ON
TAKING A DEEP BREATH.
Dull pain in region of kidneys with stiffness of loins.
Sensation of trembling in lumbar region.
Sensation of coldness in sacrum.
SUPERIOR EXTREMITIES. — (Benzoïcum acidum)
Tearing pains in bones of arms.
SWELLING OF ELBOW JOINT.
GOUTY CONCRETIONS IN BOTH WRISTS ; BETWEEN
METACARPAL BONES.
PAIN TEARING, SLIGHT BUT DEEP, IN UPPER PART OF
METACARPAL JOINTS OF LITTLE AND RING FINGERS WITH
ITCHING IN PALM OF HAND.
FINGERS AND HANDS DISTORTED.
Paralytic pain in fingers.
Fingers swollen with tearing pain and fine stitches.

INFERIOR EXTREMITIES. — (Benzoïcum acidum)

Sensation as if legs were tightly bandaged.
Tearing pain in anterior surface of thigh.
Pain in left hip, knees and toes, then shifts to calf, then knee, then right thigh
and ankle.
ULCERATIVE PAIN IN WHOLE LEFT LEG WITH SWELLING OF
RIGHT KNEE.
Pain shifts from right knee to left.
Cracking with sensation of dryness in knee joints.
Pain in right tendon achillis then left.
Severe pain in tendon achillis close to os calcis when supporting the slightest
weight.
TEARING AND STITCHING PAINS IN METATARSAL JOINTS OF
RIGHT GREAT TOE.
GOUT AT NIGHT GOING FROM LEFT TO RIGHT GREAT TOE.
STITCHES WITH BURNING PAIN AT RIGHT GREAT TOE,
AFTERWARD IN LEFT.
PAIN IN JOINTS OF GREAT TOE WITH TUMEFACTION AND
REDNESS.

EXTREMITIES IN GENERAL. — (Benzoïcum acidum)

GOUTY CONCRETIONS.
NODES IN JOINTS OF LIMBS WITH CRACKING ON MOTION.
TEARING PAINS WITH FINE STITCHES IN VARIOUS PARTS.
WANDERING PAINS GOING FROM RIGHT TO LEFT AND FROM
BELOW UPWARD.
JOINTS. — (Benzoïcum acidum)
GOUTY NODES AND CONCRETIONS.
JOINTS OF GREAT TOE TUMEFIED AND RED.

CONCOMITANTS. — (Benzoïcum acidum)

URINE CONTAINS URATE OF AMMONIUM.
SPECIFIC GRAVITY OF URINE HIGH.
EXCESS OF URIC ACID.
URINE DEEP RED IN COLOUR WITH STRONG ODOUR.
ASTHMA.
GREAT WEAKNESS.
FEVER WITH SWEAT ON LEAST EFFORT.

AGGRAVATIONS. — (Benzoïcum acidum)

AT NIGHT.
ON MOTION.
FROM WINE.

Berberis vulgaris

Berberis is called for in those rheumatic conditions that are associated with
urinary troubles, where the characteristic sticking, cutting, digging, tearing
pains occur in the region of the kidney and extend into the bladder and
urethra.

Berberis is useful after Arnica, Bryonia, Kali bi., Rhus tox., and Sulphur.

NECK AND BACK. — (Berberis)

(Stitch from side of neck to upper arm)
Tension in neck.
Stiffness of neck with sense of swelling.
Bruised, pain from right scapula to shoulder.
Tearing in and between the Scapula.
TEARING IN SPINE.
TEARING, PRESSING, BURNING AND TENSION IN BACK.
GREAT SORENESS AND PAIN THROUGH THE ENTIRE BACK
GREATLY INCREASED BY LABOUR.
Pain in back as if beaten.
Sticking pressive pain in one side or the other of the lumbar region.
Painful pressure and tension in lumbar and renal region with sense of
numbness, warmth, stiffness and lame feeling extending into lower limbs.
TEARING PAIN IN POSTERIOR PORTION OF ILIAC CREST,
USUALLY ON ONE SIDE, EXTENDING DOWNWARD.
STIFFNESS IN LOWER BACK ON STOOPING, < ON STANDING,
TEARING WHEN SITTING, > IN AFTERNOON.
WARM FEELING IN LOWER BACK EXTENDING DOWN INTO
SACRUM, HIPS AND POSTERIOR PART OF THIGHS.
BRUISED PAIN WITH STIFFNESS IN SMALL OF BACK, ARISES
FROM SEAT WITH DIFFICULTY.
VIOLENT STICKING TEARING PAIN IN REGION OF KIDNEYS
EXTENDING INTO THE BLADDER.
SENSITIVE TO JARS IN REGION OF KIDNEYS.
MUCH PAIN, SORENESS AND TENDERNESS IN REGION OF KIDNEY.
VIOLENT PAIN IN SMALL OF BACK < WHEN SITTING, LYING IN
MORNING ON AWAKING.
PRESSIVE OR TENSIVE PAIN IN LOINS WITH STIFFNESS,
LAMENESS OR SWELLING IN BACK and lower limbs.

SUPERIOR EXTREMITIES. — (Berberis)

Tearing sticking pains in shoulders, especially in fore part of joints.
Paralyzed pain in arms.
Tearing sticking pain in elbows.
Tearing in wrists.
TEARING IN FINGERS AND HANDS.
BURNING AS FROM HOT NEEDLES IN HAND AND FINGERS.

INFERIOR EXTREMITIES. — (Berberis)

Pain in hips.
Sensation in knees as if beaten after walking or rising from a seat.
LEFT KNEE SWOLLEN AND STIFF, SORE AND PAINFUL.
GREAT SWELLING, PAIN AND STIFFNESS OF KNEES, COULD NOT
RAISE FOOT FROM GROUND TO WALK.
Tearing, sticking and throbbing in different parts of limbs.

EXTREMITIES IN GENERAL. — (Berberis)

Tearing, stitching and throbbing in all the limbs.
GURGLING OR BUBBLING SENSATION IN MUSCLES.

CONCOMITANTS. — (Berberis)
STICKING, DIGGING, TEARING OR PULSATIVE PAIN IN EITHER
KIDNEY.
BUBBLING IN RENAL REGION.
BURNING PAIN IN BLADDER.
BUBBLING SENSATION OR SENSATION AS IF LIQUID WERE
GURGLING IN MUSCLES OR ALMOST ANY PART.
VIOLENT STICKING CUTTING PAINS FROM KIDNEY TO BLADDER
A ND URETHRA.
SENSATION AS IF DROPS OF COLD WATER WERE SPURTED ON
HANDS OR FACE WHEN in the open air.
URINE DEPOSITS A MEALY RED SEDIMENT.
VESICAL CALCULI.

Bovista

The key to Bovista is in the haemorrhagic tendency in all its manifestations.

In the treatment of rheumatic conditions this must be borne in mind.

It usually occurs in females and always associated with the rheumatic

symptoms are the peculiar menstrual derangements.

The pains are principally in the joints and are of the character described.

Alumina, Calcarea carb., Rhus tox. and Sepia follow well after Bovista.

NECK AND BACK. — (Bovista)

Stitches in neck.
Stiffness of neck in morning.
Backache with stiffness after stooping.
Shooting pain between the shoulders and borders of scapula > by
straightening up.

SUPERIOR EXTREMITIES. — (Bovista)

Sweat in arm pits smells like onions.
Tension in shoulder joint.
STITCHING, boring AND TEARING IN LIMBS.
Joints of arms and hands feel as if they had been wrenched.
AFFECTIONS OF WRIST JOINT.
Weariness of upper limbs.
NO POWER IN RIGHT HAND, LETS THE LIGHTEST THINGS DROP
FROM WEAKNESS.

INFERIOR EXTREMITIES. — (Bovista)

Sense of soreness in hip joint.
Limbs go to sleep on standing.
Stitching pain in knee.
Swelling of foot long after a sprain.
Violent stitching in outer malleolus of right foot with painfulness of the inner.
Muscles of limbs seem too short.

EXTREMITIES IN GENERAL. — (Bovista)

RHEUMATIC PARALYSIS WITH MARKED MUSCULAR ATROPHY OF
THE AFFECTED LIMB.
BRUISED, LAME, ACHING, TEARING, TENSIVE STICKING PAINS IN
LIMBS, ESPECIALLY THE JOINTS.

CONCOMITANTS. — (Bovista)
ABSENTMINDEDNESS.
STUPID.
SENSATION AS IF THE HEAD WERE MUCH ENLARGED with PAIN
DEEP IN HEAD.
INTOLERANCE OF TIGHT CLOTHES ABOUT THE WAIST.
MENSES TOO EARLY ; TOO PROFUSE, OFTEN ACCOMPANIED WITH
DIARRHOEA.
URTICARIA.

Bryonia alba

Bryonia is a major remedy in all types of rheumatic troubles where its

modalities are marked.
It is not indicated in the onset of rheumatic troubles, but after a few days of
increasing distress in acute conditions, and at any time in chronic
manifestations.

In rheumatic complaints the < from motion is not unusual, but this modality,
together with the relief from lying on the painful side, and the marked > from
perspiring, are the strongest leaders for its usefulness.

HEAD. — (Bryonia)
RHEUMATIC HEADACHE CHARACTERIZED BY VERTIGO,
HEAVINESS OF HEAD AND RUSH OF BLOOD TO THE HEAD IN
COLD WEATHER.
PAIN, TENSION AND TEARING IN HEAD, < ON MOTION, TOUCH
AND IN A WARM ROOM.

EYES. — (Bryonia)
SORENESS AND ACHING IN EYES ON MOTION.
PRESSING PAIN IN EYES ON MOTION.
PHOTOPHOBIA WITH BURNING REDNESS OF EYES AND LIDS.
RHEUMATIC IRITIS CAUSED BY COLD, WITH ACTING PAIN IN
BACK OF EYES EXTENDING TO OCCIPUT, < BY MOTION AND AT
NIGHT.
EYES-EXCESSIVELY PAINFUL TO TOUCH.
RHEUMATIC OPHTHALMIA.

STOMACH. — (Bryonia)
BURNING TENSIVE PAIN IN STOMACH WHEN TOUCHED, WITH
SORENESS.

HEART. — (Bryonia)
STITCHING PAIN IN REGION OF HEART.
ENDOCARDIAL BRUIT.
Palpitation.
PULSE FULL, HARD AND RAPID.
PULSE INTERMITTENT.

CHEST. — (Bryonia)
PAIN EXTENDING THROUGH THORAX TO LOWER STERNUM.
STITCHING, STABBING PAIN IN CHEST, < BY COUGHING AND
EVERY INSPIRATION.
RHEUMATIC STITCHES IN INTERCOSTAL MUSCLES.

NECK AND BACK. — (Bryonia)

PAIN IN NAPE OF NECK < AFTER TAKING COLD.
Painful stiffness of muscles of right side of neck on moving head toward
shoulder.
PAINFUL WEAKNESS OF NAPE OF NECK.
STIFFNESS AND TENSION IN NAPE OF NECK AND BACK.
PAINFUL STIFFNESS OF NECK.
Sharp stitching pain in left trapezius muscle on turning head to left.
Dull, stitches from behind forward between the scapulae, < lying down.
STITCHES UNDER LEFT SCAPULA THROUGH TO HEART.
Dull aching pain, sometimes sharp, at inferior angle of scapula.
Stitching jerking pain between scapula to epigastrium.
STITCHES IN BACK AND SMALL OF BACK.
DULL ACHING PAIN IN LUMBAR REGION.
TEARING PAIN WITH STIFFNESS AND TENDERNESS OF JOINTS
AND MUSCLES IN LUMBAR REGION, < BY MOTION AND STOOPING
OR SITTING, > LYING DOWN.
PAIN IN LUMBAR AND SACRAL REGIONS AS IF ONE HAD BEEN
BEATEN.
STITCHES IN SACRAL REGION AND BACK.
BRUISED PAIN IN SMALL OF BACK MAKING WALKING DIFFICULT.
STIFFNESS IN SMALL OF BACK COMPELLING HIM TO WALK OR
SIT CROOKEDLY.
Painful stiffness in small of back not allowing him to stand erect.
PRESSING DRAWING PAIN IN SMALL OF BACK AND LOINS,
MAKING TURNING DIFFICULT.
PAIN IN SMALL OF BACK, < BY EVERY MOTION.

SUPERIOR EXTREMITIES. — (Bryonia)

PAINFUL PRESSURE ON TIP OF RIGHT SHOULDER, < ON TOUCH.
DULL STITCH IN RIGHT SHOULDER EXTENDING TO JOINT ON
DEEP BREATHING.
TENSION AND PRESSURE IN RIGHT SHOULDER WHEN AT REST.
TEARING PAIN IN SHOULDER JOINTS AND ARMS, WITH TENSION
AND STITCHES AND SHINING RED SWELLING.
STITCHING PAIN IN RIGHT SHOULDER AND UPPER ARM WITH
SWELLING.
DRAWING AND TEARING PAIN IN RIGHT UPPER ARM.
RENDING PAIN WITH TIGHTNESS AND PIERCING IN SHOULDER
JOINTS AND UPPER ARM.
Arms inclined to sink to one side.
Sensation as if broken in right elbow, with paralytic pain.
SWELLING OF ELBOW JOINTS, BOTH ABOVE AND BELOW JOINT.
SWELLING ABOVE ELBOW JOINT, < LEFT ARM.
STITCHING PAIN WITH SWELLING OF RIGHT ELBOW JOINT.
Tearing pains on inner surface of forearms.
FINE STITCHES IN WRISTS.
SENSATION AS IF WRISTS WERE SPRAINED, ON MOTION.
STITCHING PAINS IN FINGERS WHEN WRITING.
SENSATION AS IF FINGERS WERE SWOLLEN ON TAKING HOLD OF
ANYTHING.
HOT PALE SWELLING OF FINGER JOINT'S AND HANDS.

INFERIOR EXTREMITIES. — (Bryonia)

WEARINESS AND STIFFNESS OF LOWER LIMBS.
Cramp-like pain in right trochanter and gluteal region ; aching and bruised
feeling on every motion.
PAIN IN LEFT LUMBAR REGION EXTENDING TO THIGH, < IN
AFTERNOON, ON SITTING UP AND ON MOTION.
STABBING PAIN IN HIP JOINTS.
SHOOTING PAIN EXTENDING TOWARD HIPS.
STITCHING IN HIP JOINT EXTENDING TO KNEE.
Hip joint feels lame and bruised.
SENSATION AS IF HIPS WERE DISLOCATED ON WALKING, WITH
CRACKING IN HIPS.
SCIATICA : PAIN < BY SITTING UP, LATE EVENING, MOTION ; > BY
COLD WATER AND LYING ON PAINFUL SIDE.
KNIFE-LIKE STITCHES IN HIP.
WEARINESS IN THIGHS.
STITCHES IN KNEE WHEN WALKING.
PAINFUL STIFFNESS OF KNEES, WITH STITCHES ON MOTION.
SENSATION IN RIGHT PATELLA AS IF HE HAD BEEN KNEELING.
SENSATION OF TENSION IN BEND OF KNEE, CHANGING TO A
WRENCHED PAIN IN CREST OF TIBIA.
SWELLING OF KNEE JOINT WITH TENSIVE PAIN IN LIGAMENTS.
RED AND SHINING SWELLING OF KNEE JOINTS, MOTION
IMPOSSIBLE.
Tearing pain in tibia.
Pinching tearing pain in calf.
Bruised pain in calves on motion, changing to numb sensation when at rest.
SENSATION AS IF DISLOCATED IN ANKLES WHEN WALKING.
SPRAINED PAIN IN FEET.
FEET TENSE AND SWOLLEN IN EVENING.
HOT INFLAMMATORY SWELLING OF FEET WITH REDNESS.
Bruised pain in tendo achillis.
GOUTY SWELLING OF HEEL WITH REDNESS, HEAT AND TENSIVE
PAIN.
SEVERE PAIN IN SOLE OF FOOT WITH LAMENESS ; COULD NOT
WALK.
SUDDEN PAIN IN BALL OF GREAT TOE.

EXTREMITIES IN GENERAL. — (Bryonia)

TENSIVE OR STITCHING PAINS IN LIMBS.
GOUTY AND RHEUMATIC PAINS IN ALL THE LIMBS, < SLIGHTEST
TOUCH, MOTION OR CONTACT.
ALL THE LIMBS SEEM BRUISED AND PARALYZED.
HEAVINESS OF LIMBS.
TEARING, STINGING, STITCHING PAINS IN LIMBS.

JOINTS. — (Bryonia)
STITCHING IN JOINTS.
PUFFY SWELLING OF JOINTS.
JOINTS HOT, RED, SWOLLEN, STINGING AND STIFF.

CONCOMITANTS. — (Bryonia)
ANXIETY.
EXCITEMENT.
FRETFUL.
MISTRUSTFUL.
COMPREHENSION DIFFICULT.
DELIRIUM, TALKING ABOUT BUSINESS ; MUST GET OUT OF BED.
VERTIGO ON STOOPING.
THROBBING IN HEAD, PRESSING HEAVINESS < ON MOTION OR
OPENING EYES.
ROUND RED SPOT ON CHEEK OVER MALAR BONE.
TONGUE COATED THICK, WHITISH-YELLOW.
LIPS AND TONGUE DRY.
THIRST FOR LARGE QUANTITIES OF COLD WATER.
NAUSEA AND VOMITING.
URINE SCANTY ; DEPOSITS A PINKISH SEDIMENT.
URINE DARK RED.
COUGH HARD, DRY.
FAINTING FROM SLIGHTEST MOTION.
GREAT WEAKNESS AND PROSTRATION.
HIGH FEVER WITH PROFUSE SWEAT WHICH >.

AGGRAVATIONS. — (Bryonia)
MOTION.
WALKING.
WALKING IN OPEN AIR.
TOUCH.
COLD.
MORNING AND EVENING.

AMELIORATIONS. — (Bryonia)
SITTING.
LYING ON PAINFUL SIDE.
WARMTH OF BED.
SWEAT.

Cactus grandiflorus

Cactus grand. is one of the most valuable of our remedies in rheumatic

affections of the heart.

It matters not what the cause or condition may be — whether it be rheumatic

endocarditis, pericarditis or valvular troubles — provided the indications for
its use are present, particularly the characteristic " iron band " constriction and
the great oppression for breath.
EYES. — (Cactus)
ACUTE RHEUMATIC OPHTHALMIA.

CHEST. — (Cactus)
SHARP PAINS SHOOTING THROUGH DIAPHRAGM AND UP INTO
CHEST ; JERKING RESPIRATION.
SENSATION AS IF CORD WERE TIED TIGHTLY ABOUT THE CHEST
MARKING THE ATTACHMENT OF THE DIAPHRAGM.
RHEUMATISM OF MUSCLES OF CHEST.
SENSATION OF CONSTRICTION IN MIDDLE OF STERNUM AS IF
COMPRESSED BY IRON PINCERS ; DIFFICULT BREATHING < BY
MOTION.
SENSATION AS IF CHEST WERE COMPRESSED BY AN IRON CAGE
NOT ALLOWING ANY EXPANSION.

HEART. — (Cactus)
DULL HEAVY PAIN < BY PRESSURE, SUFFOCATIVE RESPIRATION.
GREAT PRESSURE AT HEART GOING AROUND UNDER LEFT
AXILLA TO BACK " LIKE A BELT OF PAIN ", < midnight ; LIKE A
HAND GRASPING THE HEART with soreness to touch.
PRICKING STICKING PAIN IN HEART IMPEDING BREATHING OR
MOTION.
PAROXYSMS OF VIOLENT STITCHING PAIN IN HEART WITH ICY
COLDNESS OF LIMBS.
CONSTANT PAIN IN CARDIAC REGION WITH SENSATION AS IF
THE HEART WERE BOUND DOWN ; HAS NOT ROOM ENOUGH TO
BEAT.
SENSATION AS IF THE HEART WERE HELD BY IRON HAND FOR
HOURS.
RHEUMATIC INFLAMMATION OF HEART WITH SEVERE PAIN IN
APEX SHOOTING DOWN LEFT ARM TO FINGERS.
PALPITATION OF HEART < LYING ON LEFT SIDE, WALKING and in
night.
ENDOCARDIAL MURMURS.
VALVULAR MURMURS ; HARSH MURMUR IN PLACE OF SECOND
SOUND PULSE FEEBLE, INTERMITTENT, almost gone.

NECK AND BACK. — (Cactus)

PAINS SHOOT THROUGH BODY TO BACK AND UP INTO CHEST
WITH RUSH OF BLOOD TO CHEST.
Intolerable pain in lower part of muscles of right neck, extending to gluteal
muscles.
LUMBAR MUSCLES TENDER ON PRESSURE AND STIFF ON FIRST
MOVING.
PAIN UNDER LEFT SHOULDER BLADE.

SUPERIOR EXTREMITIES. — (Cactus)

Troublesome rheumatic condition of shoulder.
Pain in shoulders and arms of constricting character.
Tearing pains in joints, shifting from one joint to another.
SORE ACHING PAIN IN LEFT ARM DOWN TO ELBOW.
SEVERE PAIN IN LEFT ARM DOWN TO FINGER TIPS.
Numbness of left arm.
Sense of weight in arms.
Drawing tearing pain in right arm in morning on waking, afterward extends to
wrist joint.
OEDEMA OF HANDS, LEFT HAND WORSE.

INFERIOR EXTREMITIES. — (Cactus)

Numbness of legs.
(Rheumatic pains in left ankle.)
OEDEMA OF LIMBS ; SKIN SHINING ; DENTS REMAIN A LONG
WHILE.
Weariness and heaviness of limbs.
Pain in calves and soles of feet.
(Clinching pain in sole of foot lasting only a short time, but annoying.)

EXTREMITIES IN GENERAL. — (Cactus)

Rheumatic pain in all the limbs, at ease in no position, < at rest and on
motion.
OEDEMA OF LIMBS.

CONCOMITANTS. — (Cactus)
SAD AND DESPONDENT.
SUSPICIOUS.
HEADACHE AS IF A GREAT WEIGHT LAY ON VERTEX.
URINE PROFUSE, red sandy sediment.
GREAT OPPRESSION FOR BREATH ; SENSATION AS IF THE CHEST
WERE ENCASED IN AN IRON CAGE WITH NO POWER OF
EXPANSION.
IN ALL TROUBLES HAS THE SENSATION OF CONSTRICTION.

Calcarea carbonica

Calcarea carb. is a remedy of great value in chronic rheumatic conditions of

joints ; inflammation and swelling without the general symptoms of
inflammation.

In gouty constitutions with nodes on fingers.

In all rheumatic conditions the aggravations are marked, particularly that from
working in water and the change from dry to cold wet weather.

We must always bear in mind the general constitutional symptoms

of Calcarea carb.

Calcarea carb. follows well after Rhus tox.

HEART. — (Calcarea carbonica)

STITCHES IN HEART WHEN BREATHING.
TREMULOUS PULSATION OF HEART < AT NIGHT AND AFTER
EATING.
PALPITATION OF HEART ON GOING UP STAIRS.
PULSE TREMULOUS.
FATTY DEGENERATION AND CALCIFICATION OF BLOOD
VESSELS.

CHEST. — (Calcarea carbonica)

SENSATION OF SORENESS AND ACUTE SENSIBILITY TO PRESSURE
IN SMALL PLACE IN LEFT PECTORAL MUSCLE, UPPER THIRD.
PRICKING STITCHES IN MUSCLES OF CHEST.
PAIN IN CHEST CAUSES DYSPNEA AND SENSE OF CONSTRICTION
IN THORACIC WALLS.

NECK AND BACK. — (Calcarea carbonica)

Prickling on neck.
STIFFNESS OF MUSCLES OF NAPE OF NECK.
BURNING PAIN IN NAPE OF NECK AND OCCIPUT CEASING ONLY
AFTER GOING TO SLEEP.
AT TIMES, PRESSIVE PAIN IN OCCIPUT EXTENDING INTO NECK
AND BACK.
RHEUMATIC PAINS IN UPPER CERVICAL VERTEBRAE WITH
STIFFNESS.
NECK BECOMES STIFF AND RIGID AFTER OVERSTRAINING IN
LIFTING.
PAIN BETWEEN SCHOULDERS AND LOWER BACK.
VERY SEVERE SUDDEN STITCHES IN BACK ESPECIALLY IN
DORSAL REGION.
PRESSIVE PAIN IN DORSAL REGION.
DULL SHOCKS OF PAIN UPWARD FROM WALL OF CHEST TO
UNDER SHOULDER BLADES.
Sensation of numbness on side on which he has been lying.
INTOLERABLE PAIN IN SMALL OF BACK, COULD HARDLY RISE
FROM A SEAT.
LUMBAGO WITH VIOLENT BORING, BURNING, TEARING PAIN
EXTENDING DOWNWARD, WITH INCLINATION TO MOVE.
WEAKNESS OF SMALL OF BACK.
PAIN IN WHOLE BACK AS IF STRAINED.
HEAT ABOUT COCCYX.
DRAWING AND TEARING PINCHING IN COCCYX.
PAINFUL STIFFNESS OF BACK MAKING MOTION DIFFICULT.

SUPERIOR EXTREMITIES. — (Calcarea carbonica)

ARTHRITIC PAINS IN RIGHT SHOULDER JOINT.
Shooting pains under left shoulder.
STITCHES IN LEFT SHOULDER JOINT.
Pain in left shoulder down along the arm and toward the heart.
Painful aching of shoulder muscles and arms.
Internal drawing corrosive pain in right arm in joints ; can move the arm but
with pain.
PRESSING PAIN IN RIGHT UPPER ARM.
Weakness and paralytic pain of left arm ; difficult to move it, hangs helpless
at side.
WEAKNESS AND LAMENESS OF ARMS.
LANCINATING AND DRAWING PAINS IN ARMS EVERY NIGHT.
BRUISED PAIN IN ARMS ON MOVING THEM.
CRAMPS IN WHOLE OF ARMS.
ARMS GO TO SLEEP WHEN LYING UPON THEM.
Stiffness of elbows.
Spasmodic tearing pains in outer side of forearm on taking hold of anything.
SPRAINED PAIN IN RIGHT WRIST AS IF IT HAD BEEN DISLOCATED.
HANDS AND FOREARMS FEEL CRAMPED IN MORNING.
FEELING IN WRIST JOINT AS IF SOMETHING HAD BEEN BRUISED.
PAINFUL SWELLING AT CARPUS, ITCHING WHEN TOUCHED.
CRAMPS IN HANDS AT NIGHT.
Numbness of hands when grasping anything.
SWELLING OF HANDS.
FINGER JOINTS SWOLLEN, WITH PAIN.
ARTHRITIC NODES ON HANDS AND FINGERS.
STIFFNESS OF INDEX FINGER OF LITTLE USE.
PIERCING, DARTING PAIN IN LEFT RING FINGER ; JOINT
PERMANENTLY ENLARGED.
Immobility of fingers.

INFERIOR EXTREMITIES. — (Calcarea carbonica)

DRAWING AND SHOOTING PAIN IN HIPS.
Needle-like stitches in gluteal muscles.
Aching smarting in gluteal muscles.
Cold feeling in gluteal region.
Sensation in right hip as if it were brittle, small and short.
Stitches in thigh on stepping.
Weariness and sense of stiffness in anterior part of thigh in morning on
beginning to walk.
PAINFUL WEARINESS OF LOWER LIMBS.
FEELING AS IF MUSCLES OF THIGH HAD GONE TO SLEEP.
EMACIATION OF THIGHS WITH PARALYSIS OF EXTENSOR
MUSCLES.
SCIATIC PAINS FROM WORKING IN COLD WATER.
STITCHING AND TEARING IN KNEES.
TEARING AND STINGING IN KNEE.
CRACKING IN RIGHT KNEE WHICH OBLIGES HER TO STAND
STILL.
CARTILAGES OF KNEE JOINT INFLAMED.
RED BURNING SWELLING OF KNEE COMES SUDDENLY AT NIGHT.
KNEES HOT, PALE, SWOLLEN, VERY SENSITIVE TO TOUCH, < AT
NIGHT.
KNEE SWOLLEN, RED, HOT, WITH PAIN THROUGH WHOLE LIMB
ON MOTION.
GREAT SWELLING OF KNEE JOINT.
DRAWING AND STINGING IN KNEES.
WEAKNESS OF KNEE AS IF SPRAINED.
LAMENESS OF LEFT KNEE.
SPONGY SWELLING OF KNEE JOINT.
PAIN IN CALF ON WALKING OR STEPPING OR TOUCH OR BENDING
FOOT.
LEFT CALF SWOLLEN WITH LUMPS ; PAIN IN FOOT.
KNOTTY CRAMPS IN CALVES.
LEGS GO TO SLEEP WHEN SITTING EVENINGS.
JERKING STITCHES IN LEG ABOVE THE ANKLE.
Band-like pain in legs.
Spasmodic contractions of tendo achillis with violent pain.
WEARINESS OF FEET AND LIMBS SO GREAT THEY WOULD
HARDLY SUPPORT THE BODY.
COLD DAMP SWEAT OP FEET.
SENSATION AS IF COLD WET STOCKING WERE ON FOOT.
CRAMPS IN FEET AND LEGS.
Great toe very sensitive on walking, with numbness, especially at night.
CRAMPS IN LEGS, FEET AND TOES WHEN DRAWING ON SHOES.
HEAVINESS AND STIFFNESS OF LEGS AND FEET.

EXTREMITIES IN GENERAL. — (Calcarea carbonica)

TEARING IN ALL THE LIMBS.
BRUISED PAIN IN UPPER ARMS AND THIGH ; IN LONG BONES AND
JOINTS ; ON MOTION.
HEAVINESS AND WEIGHT OF LIMBS WITH GREAT FATIGUE ON
WALKING.
GREAT WEAKNESS AND WEARINESS OF ALL LIMBS.
SHOOTING PAINS THROUGH ALL THE LIMBS.
BURNING IN HANDS, KNEES AND HIPS.
CRAMPS IN ARMS AND LEGS, IN FINGERS AND TOES.
LIMBS GO TO SLEEP EASILY.
PAINS IN JOINTS OF SHOULDER, KNEE AND FOOT.
Cracking in knees and shoulder.
GOUTY NODES IN JOINTS.
LEFT LOWER AND RIGHT UPPER LIMBS MOST AFFECTED.

JOINTS. — (Calcarea carbonica)

SWELLING OF JOINTS WHICH ARE HOT AND RED AND VERY
SENSITIVE TO TOUCH.
JOINTS SWOLLEN, HOT AND PALE.

CONCOMITANTS. — (Calcarea carbonica)

GREAT ANXIETY.
DESPONDENT.
FRETFUL.
MIND CONFUSED.
VERTIGO ON SUDDENLY TURNING THE HEAD.
SENSE OF CONSTRICTION AS IF CLOTHES WERE TOO TIGHT.
SHORTNESS OF BREATH ON GOING UP THE SLIGHTEST ASCENT.
CHEST PAINFULLY SENSITIVE TO TOUCH AND ON INSPIRATION.
PROFUSE SWEAT FROM SLIGHTEST EXERTION.
PROFUSE SWEAT IN MORNING.
HARD PAINFUL SWELLING OF GLANDS THAT AFTERWARD
SUPPURATE.
FACE PALE AND CACHECTIC.
PROFUSE SWEAT OF HEAD AND NECK.
GREAT WEAKNESS AND PROSTRATION.

AGGRAVATIONS.— (Calcarea carbonica)

COLD WET WEATHER.
MORNING.
EVENING.
WHEN ASCENDING.
AFTER COITION.
AFTER EATING.
FROM WALKING.
WORKING IN WATER.
 Calcarea fluorica

Calcarea fluor. is marked by piercing, darting, grinding pains in the joints ;

this is associated with bony deposits in the articulations and on the bones.

There is crepitation of the joints from lack of synovial fluid.

In its aggravations it resembles Rhus tox., but the marked tendency to bony
deposits marks a striking difference.

Calc. fluor. follows well after Bryonia, Calc. carb., Ferrum phos., Rhus
tox. and Silica.

NECK AND BACK. — (Calcarea fluorica)

Tired aching in small of back as after a long ride ; can sit in no position to get
relief.
In afternoon much dull aching and tired feeling in lower back, with
restlessness.
LUMBAGO AFTER STRAINS, PAINS < WHILE AT REST, > AFTER
MOVING A LITTLE AND FROM WARMTH.

SUPERIOR EXTREMITIES. — (Calcarea fluorica)

OSSEOUS NODES ON SPINE OF SCAPULAE.
SWELLING OF ELBOW JOINT WITH CREPITATION FROM WANT OF
SYNOVIAL FLUID.
CREPITATION IN JOINT OF FIRST PHALANX OF LEFT THUMB.
EXOSTOSES ON FINGERS.

INFERIOR EXTREMITIES.— (Calcarea fluorica)

A ROUGH HARD BONY SWELLING COVERING WHOLE WIDTH OF
SHIN BONE SEVERAL INCHES LONG.
PATELLA SURROUNDED BY SUPERNUMERARY BONES,
IRREGULAR IN SHAPE AND SIZE FROM MILLET SEEDS TO
MARBLES ; ALSO ON TENDONS UNDER THE KNEE AND IN TARSAL
AND CARPAL ARTICULATIONS.

EXTREMITIES IN GENERAL. — (Calcarea fluorica)

PIERCING, DARTING, GRINDING PAINS IN ALL THE JOINTS.
CRAMPS IN MUSCLES OF LEGS.
INDURATED ENLARGEMENTS IN FASCIA AND CAPSULAR
LIGAMENTS OF JOINTS.
NODES AND HARD BONE SWELLINGS.
IN TARSAL AND CARPAL ARTICULATIONS OSSEOUS GROWTHS.
CREPITATION OF JOINTS.

CONCOMITANTS. — (Calcarea fluorica)

COPIOUS, OFFENSIVE, THICK, GREENISH-YELLOW NASAL
CATARRH.
TEETH DEFICIENT IN ENAMEL.
BLEEDING HEMORRHOIDS.
INDURATION OF GLANDS WITH STONY HARDNESS.
FEVER WITH THIRST ; DRY BROWN TONGUE ; RESTLESS.

AGGRAVATIONS. — (Calcarea fluorica)

COLD DAMP WEATHER.
ON FIRST BEGINNING TO MOVE.

AMELIORATIONS. — (Calcarea fluorica)

WARMTH.
Hot fomentation.
BY RUBBING AFFECTED PART.
ON CONTINUED MOTION.

Calcarea phosphoricum

Calcarea phos. is very similar to Calc. carb. but does not have as extensive
use as the former, probably because we have not appreciated sufficiently the
place of the double salts.

The relation of Calc. phos. to bodily construction is considerable, both from

the standpoint of bio-chemistry and from its homoeopathic application.

Rheumatic troubles calling for Calc. phos. are of a chronic nature, always
very much worse as cold weather comes on and practically well in summer.

The Calc. phos. patient differs from the Calc. carb. in that the Calc.
phos. patient shows marked emaciation, especially about the neck.
HEAD. — (Calcarea phosphoricum)
RHEUMATIC HEADACHE < IN NIGHT, > IN SUMMER.

NECK AND BACK. — (Calcarea phosphoricum)

RHEUMATIC PAIN AND STIFFNESS OF NECK ; FROM DRAFT OF
AIR.
Muscles of neck painful up to occiput, first right side then left.
Cramp-like pain in neck.
Drawing in back and limbs, < evening and morning.
Painful aching in and around shoulder blades.
Pain in back.
VIOLENT PAIN IN SMALL OF BACK FROM LEAST MOTION.
VIOLENT PAIN IN REGION OF KIDNEYS WHEN LIFTING OR
BLOWING NOSE ; pain jerking, cutting and rending.
NUMBNESS AND LAMENESS IN SACRUM.
VIOLENT STITCH BETWEEN LEFT ILIUM AND SACRUM FROM
SLIGHTEST MOTION.
SORENESS IN SACRO-ILIAC ARTICULATION.
Tearing, aching, shooting, pressive soreness in os coccyx.

SUPERIOR EXTREMITIES. — (Calcarea phosphoricum)

Pain and aching in shoulder and scapula.
SORE PAIN IN ARMS AND SHOULDERS.
Shooting and tearing from shoulder along whole arm.
Rheumatic pain in upper arm near shoulder ; cannot lift arm.
Arms go to sleep.
DULL, JUMPING PAIN FROM SHOULDER TO FINGERS < BY
CHANGE OF WEATHER.
(Sensation in elbow as if it had been struck.)
Shooting pain through one elbow then the other.
Cramp-like pain in forearm.
ALL BONES OF ARM ACHE, ESPECIALLY THE THUMB.
SPRAINED PAIN IN RIGHT THUMB.
GOUTY NODES ON CONDYLES OF BONES.

INFERIOR EXTREMITIES. — (Calcarea phosphoricum)

Tearing and shooting in hip.
Shooting and stitches in hip bone up or down, mostly down, with a warm
feeling.
Buttocks asleep.
IN NATES, LAMENESS AND SORENESS WANDERING FROM SIDE
TO SIDE, < AFTER A STORM.
SHARP PAINS IN TENDONS OF THIGH, < FROM WALKING.
SHOOTING PAIN FROM LEFT THIGH DOWN TO KNEE AND ANKLE.
Aching and soreness in thighs as if beaten.
Pain in knees < from walking, first left then right.
Boring in knees < at night.
KNEES PAINFUL AS IF FROM A SPRAIN WITH SORENESS.
Whole leg asleep.
LEGS TIRED, WEAK, RESTLESS, CRAWLING AND TINGLING.
PAIN IN BONES OF LEGS, ESPECIALLY THE TIBIA.
Violent pain in hollow of knees on removing shoes.
CRAMPS IN CALVES WHEN WALKING.
RENDING, TEARING, SHOOTING IN ANKLE.
Cramps in feet and ankles.
Sensation as if ankle were dislocated.
GOUTY PAIN IN GREAT TOE.
Stinging, shooting, jerking in right great toe.

EXTREMITIES IN GENERAL. — (Calcarea phosphoricum)

EXTENSOR MUSCLES MOST AFFECTED ; LAMENESS OF FLEXORS
BUT SUDDEN PAIN IN EXTENSORS.
PAIN IN ALL THE JOINTS.
ACHING WEARINESS IN ALL THE LIMBS.
PAINS FLY FROM ONE PART TO ANOTHER.
RIGHT SIDE MOST AFFECTED.

CONCOMITANTS. — (Calcarea phosphoricum)

EXTREME SENSITIVENESS TO COLD, CAUSES RHEUMATIC PAINS
AND STIFFNESS.
BONES AFFECTED AT SYMPHYSES AND SUTURES.
FRACTURES DO NOT OSSIFY.
SENSATIONS LOCALIZED IN SMALL SPOTS AND RAPIDLY
CHANGE POSITION.
GREAT WEAKNESS AND WEARINESS.
EMACIATED, especially upper parts AND NECK.
AFFECTIONS AFTER GRIEF AND DISAPPOINTED LOVE.
IN FEMALES, HYPERSENSITIVE TO ALL SEXUAL INFLUENCES,
EVEN TO NYMPHOMANIA.
DULL, TIRED MIND.

AGGRAVATIONS. — (Calcarea phosphoricum)

GETTING WET IN RAIN.
AFTER GETTING CHILLED.
CHANGE TO COLD WEATHER.
MORNING AND NIGHT.
After eating.

Camphora

Camphora is to be thought of in those cases of rheumatic troubles marked by

sudden and profound prostration, where one part after another is attacked in
rapid succession, with pains changing rapidly, but persistently returning.

NECK AND BACK. — (Camphora)

Painful drawing and stiffness in neck on walking in open air.
Sensation of stiffness in right side of neck.
(Drawing on left side of nape.)
Stitches in neck near right shoulder.
Tensive pain in muscles of nape on every motion.
Tearing pain in nape on bending forward.
PAIN IN FIFTH, SIXTH AND SEVENTH CERVICAL VERTEBRAE, < ON
MOVING THE HEAD, > by external pressure.
Heat with an inward vibration spreads from neck and between the shoulders
to limbs.
RHEUMATIC PAINS BETWEEN THE SHOULDERS.
DRAWING STITCHES IN AND BETWEEN SHOULDER BLADES.
STITCHES NEAR RIGHT SHOULDER, TEARING ON MOTION FROM
NECK UP INTO HEAD ; TENSIVE PAIN ON TURNING HEAD.
Cold sensation runs up back, then all over body followed to heat.
Pressive pain in small of back with lead-like heaviness of lower limbs.
CONSTRICTIVE PAIN FROM SHORT RIBS TO LUMBAR VERTEBRAE
COLDNESS OF SMALL OF BACK < BY WALKING.
Sensation as if cold air were blowing on back.

SUPERIOR EXTREMITIES. — (Camphora)

Tearing pressure on top of right shoulder.
Bruised pain in shoulders.
Tearing pressure in middle of right upper arm.
Tearing on inside of left arm passing to thumb.
Painful pressure in right elbow joint < by leaning upon it.
BRUISED PAIN IN RIGHT ELBOW, WRIST AND FINGERS.
Sense of weariness in arms.
Numb sensation in hands.
Sprained feeling in joints of thumb.

INFERIOR EXTREMITIES. — (Camphora)

Drawing in glutei muscles as if the thigh were paralyzed.
DRAWING BRUISED PAIN IN RIGHT THIGH.
Tearing in anterior muscles of thigh.
CRACKING AND CREAKING IN HIPS, KNEES AND ANKLE JOINTS.
STITCHES IN PATELLA.
Heaviness in the knees.
Heaviness in legs below the knee.
CRAMPS IN CALVES.
DRAWING PINCHING PAIN ON BACK OF FEET.
SPRAINED PAIN IN ANKLE JOINT.
CRAMPY PAIN IN BACK OF FEET.
TEARING IN TIPS OF TOES WHEN WALKING.
ICY COLDNESS OF FEET.

EXTREMITIES IN GENERAL.---- (Camphora)

Cracking and creaking in joints.
DRAWING IN FINGERS AND TOES.
Limbs heavy like lead.
Can move limbs only with difficulty.
COLDNESS OF LIMBS.
Trembling of limbs.
RHEUMATIC TROUBLES RETURN REPEATEDLY, ATTACKING PART
AFTER PART.
SUBSULTUS TENDINUM.
CONCOMITANTS. — (Camphora)
EXCITABLE DELIRIUM.
UNCONSCIOUSNESS.
VERTIGO.
RESTLESSNESS.
GREAT COLDNESS OF EXTREMITIES WITH SUDDEN AND
PROFOUND PROSTRATION.
COLD SWEAT.
SPASMODIC CONTRACTIONS OF VARIOUS PARTS.
TETANIC CONVULSIONS.
RHEUMATIC ATTACKS REMIT AND GO FROM ONE PART TO
ANOTHER AND THEN RETURN AGAIN.
GREAT COLDNESS OF SURFACE WITH DESIRE TO UNCOVER.

AGGRAVATIONS. — (Camphora)
AT NIGHT.
FROM COLD AIR.
MOTION.
WALKING.

Cannabis indica

Cannabis indica holds a place all its own in the therapeutics of rheumatism.

It is more apt to be indicated in those of dissipated habits.

In all the conditions calling for it, there will be associated the peculiar mental
symptoms, which tend to distinguish it even more than its characteristic and
peculiar bodily symptoms.

NECK AND BACK. — (Cannabis indica)

(Aching pain in neck and right shoulder.)
(Stunning pain between the shoulder blades.)
PAIN ACROSS THE SHOULDERS, MUST STOOP, CANNOT WALK
ERECT.
Pain and drawing through lumbar vertebra on standing.
BACKACHE < AT MENSTRUAL PERIODS.
SUPERIOR EXTREMITIES. — (Cannabis indica)
AGREEABLE THRILL THROUGH ARMS AND HANDS.
COLDNESS OF RIGHT HAND with stiffness and numbness of right thumb.
Lameness of shoulder.
Feeling in shoulder as if beaten.
Hands feel as if very large and thick.
Sharp sticking pain in fingers.
Aching in finger joints.

INFERIOR EXTREMITIES. — (Cannabis indica)

PAINLESS PARALYSIS OF LOWER LIMBS.
Weariness of both limbs almost to paralysis.
AGREEABLE THRILL IN BOTH LIMBS FROM KNEES DOWN WITH
SENSATION AS IF A BIRD'S CLAWS WERE CLASPING KNEES.
Stiffness and aching in both knees.
ON ATTEMPTING TO WALK, INTENSELY VIOLENT PAINS AS IF HE
TROD ON A NUMBER OF SPIKES WHICH PENETRATED SOLES AND
RAN UPWARD THROUGH LIMBS TO HIPS, < IN RIGHT LIMB,
ACCOMPANIED BY DRAWING IN CALVES.
Shooting pains in joints of left toes, < in great toe.
Aching and stitches in ball of left great toe.
Numbness in soles, then extending to whole limb.
Prickling in feet.

EXTREMITIES IN GENERAL. — (Cannabis indica)

Heaviness in arms and legs.
PARALYSIS of lower limbs and right arm.
Pain in wrists and ankles.

CONCOMITANTS. — (Cannabis indica)

ABSENTMINDEDNESS.
MISTRUST.
JOYFULNESS.
DELIRIUM.
HALLUCINATIONS WITH EXTREME EXCITABILITY OF
IMAGINATION.
LOQUACITY.
VERY GREATLY EXAGGERATED CONCEPT OF DURATION OF TIME
AND EXTENT OF SPACE.
GREAT ANGUISH AND DESPAIR.
SENSATION AS IF TOP OF HEAD WERE OPENING AND SHUTTING
AND AS IF BRAIN WERE LIFTED.
FREQUENT PROFUSE PALE URINE.

Cannabis sativa

Cannabis sativa finds a field of usefulness in those cases of gonorrheal

rheumatism presenting the picture given below.

NECK AND BACK. — (Cannabis sativa)

Drawing in neck.
Pain in small of back.
Pain in middle of back as if someone were pinching with pincers.
Pressure as if with a sharp point in coccyx.
PAIN IN BACK < BY SLIGHTEST EXERTION.

SUPERIOR EXTREMITIES. — (Cannabis sativa)

Rending pressure on shoulder.
Coldness of hands.
Formication and numb feeling in arms and hands to finger tips.
Sudden lameness of hands ; trembling of hand when grasping things.
Contraction of fingers after a sprain.
Cramp-like contractions of metacarpal bones.

INFERIOR EXTREMITIES. — (Cannabis sativa)

CRAMP-LIKE JERKING DIGGING PAIN IN RIGHT HIP.
Drawing pain in feet.
Violent pain with contractions of tendon achillis.
WHEN GOING UPSTAIRS THE PATELLA SNAPS SIDEWAYS.
Heaviness of feet.

EXTREMITIES IN GENERAL. — (Cannabis sativa)

WEARINESS OF LIMBS.
Rheumatic drawing in periosteum of long bones as if they had been bruised
from a blow, DURING MOTION.
Arthritic rheumatism with dyspnea.

CONCOMITANTS. — (Cannabis sativa)

VERTIGO WHEN WALKING IN OPEN AIR ; TENDENCY TO FALL
SIDEWISE.
PAIN EXTENDING FROM ORIFICE OF URETHRA BACKWARD,
BURNING, BITING POSTERIORLY, MORE STICKING WHILE
URINATING. ACUTE INFLAMMATORY STAGE OF URETHRITIS.
URGING TO URINATE WITH PRESSING STICKING PAINS.
FAINTNESS, SOMETIMES BECOMES UNCONSCIOUS.
WEARINESS.

AGGRAVATIONS. — (Cannabis sativa)

BEFORE EATING.
WALKING.

Cantharides

In any form of rheumatism where the pains are sharp, shooting, cutting and
burning in character, driving the patient almost to a fury, Cantharis will be
found to do good work especially if the urinary troubles are associated with
them.

CHEST. — (Cantharis)
Shooting sticking pains in chest.
Stitches in chest < on respiration.
Stitches in sternum.
Burning in chest.

NECK AND BACK. — (Cantharis)

Stiffness of neck with tensive pain on stooping.
Stiffness, tearing and lancinating in nape of neck to head.
Tearing in cervical muscles.
Tearing in back mornings.
PRESSING, GNAWING AND TEARING IN BACK WHILE WALKING or
rising from a seat.
SEVERE PAIN IN LOINS WITH INCESSANT DESIRE TO URINATE.
EXCRUCIATING CUTTING PAINS IN LOINS, KIDNEYS AND
ABDOMEN ON ATTEMPTING TO URINATE.
LANCINATING AND TEARING IN OS COCCYX.
Digging in back.
Dull pressing pain in back < BY EXTERNAL PRESSURE.

SUPERIOR EXTREMITIES. — (Cantharis)

Tearing and stitching pains in arms.
Drawing pains in shoulder joint.
Tearing in axilla.
Boring pain in middle of upper arm.
Violent pains in right forearm.
Drawing pain in right elbow.
Boring pains in bones of forearm and hands.
Burning in fingertips.

INFERIOR EXTREMITIES. — (Cantharis)

COXALGIA WITH SPASMODIC PAIN AND STRANGURY.
TEARING FROM HIP BONE DOWN to knees.
Knees totter on ascending steps.
VIOLENT PAINS IN KNEES, AT TIMES BORING.
Tearing pain in calves.
ULCERATIVE PAIN IN SOLES OF FEET.
Limbs go to sleep.
Pain in knees relieved by warmth.

EXTREMITIES IN GENERAL. — (Cantharis)

WEAKNESS AND TREMBLING OF LIMBS.
TEARING IN LIMBS.
RELIEVED BY RUBBING.
SUBSULTUS TENDINUM.

CONCOMITANTS. — (Cantharis)
FRETFUL.
FURIOUS DELIRIUM.
VERTIGO.
EXPRESSION OF GREAT SUFFERING.
GREAT HEAT AND BURNING.
VIOLENT PAIN IN BLADDER WITH FREQUENT URGING TO
URINATE.
VERY GREAT TENESMUS OF BLADDER AND RECTUM.
FEARFUL CUTTING PAINS IN URETHRA BEFORE, AFTER AND
DURING URINATION.
GREAT WEAKNESS AND DEBILITY.
RAW AND SORE PAIN IN WHOLE BODY.

Capsicum

The typical patients calling for Capsicum are the fat, the lazy, the unclean, the
refractory, the chilly and the gouty, when the concomitant symptoms
correspond ; but it may be of use in any constitution where the symptoms call
for it.

Capsicum is compatible with Bell., Lyc., Puls., Sil.

NECK AND BACK. — (Capsicum)

JERKING TEARING PAINS IN RIGHT SIDE OF NECK.
EXCRUCIATING TEARING PAINS IN BACK.
Drawing tearing pain in back and spine.
SHOOTING STICKING IN BACK AND CHEST WITH COUGH.
Pain in sacrum and small of back.
SENSATION AS IF WATER WERE DROPPING DOWN BACK.
COLDNESS BEGINS IN BACK.

SUPERIOR EXTREMITIES. — (Capsicum)

Drawing tearing pains in arms, especially forearms.
(Pain in shoulder joint as if dislocated.)
Tingling pain in left forearm.

INFERIOR EXTREMITIES. — (Capsicum)

SHOOTING, STICKING PAIN FROM HIP TO KNEE AND FOOT, < ON
COUGHING.
DRAWING PAIN IN HIP JOINT < FROM TOUCH AND STANDING
ERECT.
Tensive pain in knee.
DRAWING STITCHING PAIN DEEP IN LEFT LEG.
Pain in thigh like a sprain.
Stitches in right great toe.
Bruised pain in heel.
Paralysis of lower limbs.

EXTREMITIES IN GENERAL. — (Capsicum)

TEARING IN LIMBS.
RHEUMATIC PAIN IN LIMBS WITH COUGH.
Weakness and trembling of limbs.
STIFFNESS AND PAINFULNESS OF ALL THE JOINTS ON BEGINNING
TO WALK.
CRACKING AND CREAKING IN ALL JOINTS.
JOINTS FEEL STIFF AS IF SWOLLEN.

CONCOMITANTS. — (Capsicum)
HEADACHE AS IF SKULL WOULD BURST, WITH THE
CHARACTERISTIC AGGRAVATIONS.
EXCEEDINGLY TOUGH MUCUS IN MOUTH AND FAUCES.
TENESMUS OF BLADDER AND RECTUM.
SHIVERING RUNS UP BACK ON DRINKING.
COLDNESS OF BODY.
LACK OF REACTIVE FORCE, ESPECIALLY WITH FAT PEOPLE.

AGGRAVATIONS. — (Capsicum)
ON BEGINNING TO WALK.
ON DRINKING COLD WATER.
MOTION.
ANY CHANGE OF POSITION.

Carbo animalis

Carbo animals is to be thought of in those scrofulous patients afflicted with

rheumatic troubles, when the accompanying symptoms present themselves,
especially the indurated glands and the offensive debilitating sweats.

Carbo an. antidotes the bad effects of quinine.

It is complementary to Calc. phos.

It is compatible with most of the polychrests.

NECK AND BACK. — (Carbo animalis)

Prickling stitches in nape of neck.
PRESSING DRAWING AND STIFFNESS AS IF BROKEN IN LUMBAR
REGION.
SHARP DRAWING ACROSS SMALL OF BACK, SENSITIVE TO EVERY
STEP.
PRESSING PAIN IN SMALL OF BACK.
Coldness and aching in lumbar region with cough.
Ulcerative bruised pain in coccyx, burning when touched, < by sitting or
lying.
PAINFUL TENSION BETWEEN THE SHOULDERS.

SUPERIOR EXTREMITIES. — (Carbo animalis)

Tearing pain in left shoulder.
Sprained pain in wrists.
Hands become stiff.
HANDS AND FINGERS GO TO SLEEP.
Hands numb with numbness of fingers and tips.
Sharp pain in ball of right thumb.
Gouty stiffness of finger joints.
Swelling of bones and induration of tendons of fingers.
Boring in condyles of wrist.
Drawing in tip of elbow.
Arms painful to touch.

INFERIOR EXTREMITIES. — (Carbo animalis)

Stitches in left hip when sitting.
Violent drawing pain in hip.
Pain in hip causes limping.
Gnawing pain in tibia.
Painful tension in calves when walking.
LEGS UP TO KNEES GO TO SLEEP.
Painful contraction of tendo achillis.
WEAKNESS OF ANKLES IN LEARNING TO WALK.
Weakness and pain in ankle.
CRAMP IN FOREPART OF LEG NEAR TIBIA ON WALKING.

EXTREMITIES IN GENERAL. — (Carbo animalis)

BRUISED PAIN IN LIMBS DURING MOTION.
Numbness of limbs.
HANDS AND FEET GO TO SLEEP.
Arthritic stiffness and nodes.
HEAVINESS OF LIMBS.
Joints feel as if broken.

CONCOMITANTS. — (Carbo animalis)

NOSEBLEED IN THE MORNING PRECEDED BY VERTIGO.
WEAKNESS AND PROSTRATION.
INDURATION AND SUPPURATION OF GLANDS.
EXHAUSTING SWEATS.
OFFENSIVE' DEBILITATING NIGHT SWEATS STAINING THE LINEN
YELLOW.
FLATULENT DISTENSION OF ABDOMEN.
CHILLINESS.

Carbo vegetabilis

Carbo veg. is not frequently used in rheumatic troubles yet it has a field of
usefulness in those patients who have lost great part of their vital forces from
loss of fluids and as a result are much prostrated and suffer from rheumatic
pains at every change of weather and when beginning to walk.

It is complementary with Kali carb.

NECK AND BACK. — (Carbo vegetabilis)

TEARING IN CERVICAL MUSCLES.
Drawing pain in nape up into head.
STIFFNESS OF NAPE.
Pain in scapular region.
Rheumatic drawing in back, < on stooping.
Drawing pain in back < on sitting.
Stiffness of back ; spine is bent.
SEVERE PAIN IN SMALL OF BACK ; unable to sit, with sensation of plug
in back.
PINCHING PRESSING PAIN IN LOWER SPINE.
PRESSING CRAMP-LIKE PAIN IN SMALL OF BACK.
PRESSING PAIN BENEATH THE COCCYX.
RHEUMATIC DRAWING AND ACHING PAIN FROM LOINS TO
COCCYX.
Burning about hips and scapula with aching along spine.

SUPERIOR EXTREMITIES. — (Carbo vegetabilis)

BURNING ON RIGHT SHOULDER AND SCAPULA.
STITCHES AND TEARING IN SHOULDERS < FROM MOTION AND IN
MORNING.
Drawing rheumatic pains in right shoulder.
Cramp-like tension as if shoulders would be drawn together.
BRUISED PAIN IN BOTH ELBOW JOINTS, < BY TOUCH.
Drawing in arm on which he lies at night.
Drawing tearing in left arm from elbow to hand.
Arms weary when writing.
Paralytic weakness of right arm and shoulder.
DRAWING IN SHAFTS OF BONES, PAINFUL ON PRESSURE.
LANCINATING PAIN IN WRISTS WHEN GRASPING ANYTHING.
TEARING IN EITHER WRIST ; in fingers of left hand.
Pain in joints of hands, < in windy weather.
SENSATION AS IF TENDONS OF WRIST AND HAND WERE
SHORTENED.
Sprained pain in right hand.
Cramps in fingers drawing them out of shape.
Boring, tearing, drawing, prickling stitches and burning in fingers and joints
of fingers.

INFERIOR EXTREMITIES.— (Carbo vegetabilis)

Tearing in and beneath hip extending to the sacrum.
Drawing pain in hip joints extending to thigh.
Drawing pain from abdomen down into leg.
Tearing in right hip and thigh.
STITCHES IN THIGH PASSING DOWNWARD WHEN WALKING.
Cramp-like pain on outside of left thigh when lifting it.
BURNING AND DRAWING IN THIGH.
Tension in thigh, in morning.
Sense of constriction in thigh.
Stiffness of thigh on standing.
Stitches in patella on rising.
PARALYTIC PAINS IN KNEES.
Lack of strength in knees.
KNEES GO TO SLEEP.
Tension in knees on waking.
Cramps in lower leg when walking.
Cramps in calves at night.
Stitches in ankle joint.
Cramps in soles evenings after lying down.
Stitches in right great toe.
TEARING PAINS IN TOES < WHEN WALKING.
TOES RED, SWOLLEN, STINGING.
SENSATION OF STIFFNESS IN LEGS AFTER SLEEP IN EVENING,
ESPECIALLY ON FIRST BEGINNING TO WALK.
HEAVINESS OF LIMBS.
LIMBS GO TO SLEEP.
COLD LIMBS, ESPECIALLY THE KNEES.

EXTREMITIES IN GENERAL. — (Carbo vegetabilis)

BURNING IN LIMBS AND BONES.
HEAVINESS OF LIMBS.
Boring pains in limbs.
Drawing in limbs.
LIMBS ARE BRUISED AND GO TO SLEEP EASILY.
GREAT INCLINATION TO STRETCH LIMBS IN EVENING.

CONCOMITANTS. — (Carbo vegetabilis)

PAINFUL SENSATION AS IF HAT BAND WERE TOO TIGHT, WHICH
REMAINS FOR A LONG WHILE AFTER HAT IS REMOVED.
SEVERE NOSEBLEED ALMOST DAILY.
HEARTBURN VERY PERSISTENT.
FLATULENT DISTENSION OF ABDOMEN.
GREAT HOARSENESS AND ROUGHNESS OF VOICE, ALMOST FAILS
HIM AT TIMES.
GREAT DEPRESSION OF VITAL FORCES.

AGGRAVATIONS. — (Carbo vegetabilis)

CHANGE TO WARM DAMP WEATHER.
COLD.
BEGINNING TO WALK.

Carboneum sulphuratum

(Carbon sulphide)

Carboneum sulph. finds a field in those chronic cases of rheumatism having

frequent attacks, which recover quickly from the acute articular
manifestations, but linger along only to light up again at regular intervals.

It often has slight fever but the fever may be absent.

It is useful also in cases of gouty swellings which do not have the gouty
dyscrasia.

NECK AND BACK. — (Carboneum sulfuratum)

Rheumatic pains with stiffness of neck.
Sensation as if a heavy load were hanging on back between the shoulders.
Pain in small of back and loins.
Dislocated pain in right loin.
Tensive feeling in small of back, by going upstairs, with occasional jerking
toward hip joint.

SUPERIOR EXTREMITIES.— (Carboneum sulfuratum)

Cracking in right shoulder pant from every motion, connected with severe
stitches from shoulder to elbow, with every change of weather.
Jerking stitches in right shoulder.
Stitches from shoulder to elbow and wrist, < after midnight and during damp
cold weather.
Tearing pain in left shoulder and right elbow.
Jerking flying stitches in wrists and finger joints.
GOUT OF HANDS.

INFERIOR EXTREMITIES. — (Carboneum sulfuratum)

Jerking stitching pains in limbs.
Inflammation of left sciatic nerve from exposure to cold ; inability to walk.
CHRONIC SCIATICA IN RIGHT LEG, MOVEMENTS IMPEDED.
Dislocated pain in right knee.
Sprained pain in left metatarsal bones.
Cramps in calves and toes.
Cracking in ankle joint.
Stabbing piercing pain in metatarsal bones when walking.
Bruised pain in soles.
Slightest motion brings on severe pains, especially in hips and knees, with
redness and swelling of feet.

EXTREMITIES IN GENERAL. — (Carboneum sulfuratum)

Tearing in all the limbs changing position rapidly.
JERKING, STITCHING, TEARING, FLYING PAINS RETURNING AT
REGULAR INTERVALS.
Cracking of joints after inflammation.
CHRONIC RHEUMATIC AFFECTIONS WITH FREQUENT
EXACERBATIONS.

CONCOMITANTS. — (Carboneum sulfuratum)

VIOLENT HEADACHE.
NEURALGIA OF TEETH.
BELCHING OF SOUR FLATUS WHICH >.
FLATULENT distension of abdomen.
EXPIRATION HOT ; BREATHING DIFFICULT ; STITCHES IN CHEST.
Enlarged lymphatic glands.

Caulophyllum thalictroides

Caulophyllum is one of our most valuable remedies in rheumatic conditions

affecting the small joints, especially of the wrists, ankles, fingers and toes.

It is almost always associated with a deranged female sexual system.

Often of use in the rheumatic conditions of pregnancy.

(See Actea spicata for differentiations.)
NECK AND BACK . — (Caulophyllum)
Severe drawing in sterno-cleidomastoid muscle.
Rheumatic stiffness of nape of neck.
Dull pains in lumbar region.
Severe pains in back and loins.

SUPERIOR EXTREMITIES .— (Caulophyllum)

SEVERE DRAWING IN WRISTS AND FINGERS.
RHEUMATISM OF WRISTS AND FINGER JOINT.
WITH SWELLING, CUTTING IN JOINTS WHEN CLOSING HANDS.
Pains shift to nape of neck.
FINGERS VERY STIFF.
FLYING PAINS IN ARMS.

INFERIOR EXTREMITIES. — (Caulophyllum)

DRAWING PAIN IN ALL THE JOINTS.
Knees weak when walking.
PAIN IN FEET AND TOES.
SHARP PAIN IN KNEE JOINTS.

EXTREMITIES IN GENERAL. — (Caulophyllum)

RHEUMATISM, ESPECIALLY OF SMALL JOINTS.
PAINS SHIFTING TO NAPE OF NECK WITH RIGIDITY AND
OPPRESSION OF CHEST.
DRAWING PAINS IN JOINTS OF ARMS AND LEGS.
PAINS REMAIN ONLY A SHORT TIME IN ONE PLACE, THEN SHIFT
TO ANOTHER.

CONCOMITANTS. — (Caulophyllum)
TREMULOUS WEAKNESS OVER WHOLE BODY.
LEUCORRHOEA ACRID, WEAKENING, WITH GREAT HEAVINESS OF
EYELIDS ; HAS TO LIFT THEM WITH HAND.
MENSES TOO SOON AND VERY PAINFUL.
SPASMODIC DYSMENORRHEA.
SENSATION AS IF THE UTERUS WERE CONGESTED, WITH
FULLNESS AND TENSION.
 Causticum

Causticum is of great value in those rheumatic conditions that present a

paralytic tendency with weakness — usually single parts are affected ; there is
apt to be contractions of the flexor tendons with stiffness of joints ; the tearing
pains that shift rapidly from place to place ; all these present a picture not
uncommonly seen and one in which Causticum does wonderfully good work.

If the use of Caust. is carried to the point where the patient manifests
rheumatic contraction of the tendons of the extremities, it may be successfully
antidoted by Guaiac.

HEAD AND FACE. — (Causticum)

Pains in malar bones, zygomatic arch and superior maxillae bones.
Jaw stiff and lame.
Drawing pain extending to cheek and ear.
DRAWING PAIN IN GLENOID CAVITY OF JAW.
PROSOPALGIA AND RHEUMATISM OF FACE, ESPECIALLY OF
LOWER JAW.
STITCHES AND TEARING IN TEETH.

NECK AND BACK. — (Causticum)

STITCHES IN STERNUM FROM DEEP BREATHING OR LIFTING.
STIFFNESS AND PAIN IN NECK AND THROAT WITH PAIN IN
OCCIPUT ; muscles feel as if bound.
TEARING PAIN IN BACK OF NECK.
TENSION IN RIGHT SIDE OF NECK SO THAT IT DREW HEAD TO
RIGHT SIDE.
RHEUMATIC PAIN IN NAPE OF NECK.
STITCHES : IN BACK ; IN LEFT LUMBAR REGION.
PAINFUL STIFFNESS OF BACK AND SACRUM, ESPECIALLY ON
RISING FROM A CHAIR.
PAIN IN MIDDLE OF SPINE ON SWALLOWING AS IF A SHARP
CRUST STRUCK THERE ; STICKING IN AN INWARD DIRECTION.
PRESSING CRAMP-LIKE PAIN IN REGION OF THE KIDNEYS.
BACKACHE IN COCCYX.
Pain in loins as if bound by hands.
Pinching crampy pain in lumbar region and buttocks.
TEARING PAIN ALONG LUMBAR VERTEBRAE RUNNING
FORWARD AROUND LEFT LUMBAR REGION TO LINEA ALBA.
BRUISED OR DARTING PAIN IN OS COCCYX.
DULL PAIN IN OS COCCYX.
SPRAINED PAIN IN BACK AS IF FROM LIFTING.

SUPERIOR EXTREMITIES. — (Causticum)

TEARING AND DRAWING IN SHOULDER BLADES.
RHEUMATIC ACHING IN SHOULDER.
PARALYSIS OF DELTOID MUSCLE.
PAINS IN SHOULDER WHEN DRESSING IN MORNING PREVENTING
MOTION.
PRESSURE IN SHOULDERS.
DRAWING AND TEARING IN FOREARMS AND HANDS.
GRIPING CLAWING AS FROM A HAND ABOUT THE ELBOW ; < from
warmth.
PAIN IN ELBOW JOINTS.
TENSIVE PAIN IN FOREARMS.
PARALYSIS OF ARMS.
PARALYTIC PAIN IN HANDS. SPRAINED PAIN IN RIGHT WRIST.
TREMBLING OF HANDS.
DRAWING STICKING PAIN IN FINGER JOINTS.
Painful numbness of thumb and index finger.
FINGERS HALF-CLOSED ; CANNOT MOVE THEM BY WILL POWER.
CONTRACTIONS AND INDURATIONS OF TENDONS OF FINGERS.
PARALYSIS OF HANDS.
Gout in hands.
CONTRACTIONS OF FLEXORS AND STIFFNESS OF JOINTS.

INFERIOR EXTREMITIES. — (Causticum)

DRAWING PAIN IN HIPS.
STITCHING PAINS IN HIP JOINTS.
ACHING IN HIP JOINTS AS IF DISLOCATED.
PAIN IN LEFT HIP JOINT AS IF WRENCHED.
AT NIGHT SORE BRUISED PAIN ON SIDE ON WHICH HE LIES.
DRAWING AND TEARING IN THIGHS, LEGS, KNEES AND FEET < IN
OPEN AIR, > BY WARMTH OF BED.
BRUISED PAIN IN THIGHS AND LEGS IN MORNING.
Cracking in knees on walking.
TENSIVE PAIN IN HOLLOW OF KNEE WITH STIFFNESS, < WHEN
SITTING OR BEGINNING TO WALK, > FROM CONTINUAL MOTION.
TENDONS OF KNEES SEEM TOO SHORT.
TENSION IN KNEE AND ANKLE JOINTS.
Drawing from knee to malleolus with cutting stitches toward toes.
Nightly burning tearing in shins from above downward, with single stitches in
shin bone.
CRAMPS IN CALVES, MORNINGS IN BED ; IN SOLE OF RIGHT FOOT
AND TENDON ACHILLIS WHEN STRETCHING IT : IN TENDON
ACHILLIS AT 2 A.M.
WAKENING FROM SLEEP, HAS TO SPRING OUT OF BED.
Severe tearing in tendons underneath right calf.
TEARING BORING PAIN IN LOWER LEG WITH EVERY MOVEMENT.
Numbness of feet and ankles.
Pain in ankle when sitting, > from walking.
GOUTY TEARING IN LOWER LEG AND FEET, ESPECIALLY IN
SMALL JOINTS OF FOOT, WITH SWELLING OF PARTS.
TENSION IN HEEL.
CRAMPS IN FEET AND TOES.
ULCERATIVE PAIN IN HEELS.
SEVERE PRESSIVE PAIN IN BALL OF GREAT TOE ; BURNING
STITCHES.

EXTREMITIES IN GENERAL. — (Causticum)

GOUTY PAINS IN LIMBS.
TEARING PAINS, ESPECIALLY IN JOINTS.
GREAT UNEASINESS OF THE LIMBS.
PARALYTIC WEAKNESS OF LIMBS.
CONTRACTIONS OF LIMBS.
GOUTY DEPOSITS AND NODES.
TEARING PAINS CHANGE PLACE OFTEN.

CONCOMITANTS. — (Causticum)
ABSENTMINDEDNESS.
GREAT RESTLESSNESS IN EVENING ; CANNOT GET INTO AN EASY
POSITION.
PARALYSIS OF VARIOUS PARTS, ESPECIALLY FACE ANDS VOCAL
CORDS.
COUGH THAT SEEMS AS IF IT WOULD TEAR EVERYTHING OUT OF
CHEST, BACK OF STERNUM AND IN THROAT.
GREAT WEAKNESS AND PROSTRATION.
GREAT ABUNDANCE OF WARTY GROWTHS.

AGGRAVATIONS. — (Causticum)
EVENING.
NIGHT.
BEGINNING TO WALK.
DRY COLD AIR.

AMELIORATIONS. — (Causticum)
WARMTH OF BED.
MORNING.
AFTER CONTINUED WALKING.

Chamomilla

Chamomilla is especially adapted to those women and children of a nervous,

excitable temperament suffering from rheumatic troubles ; the patient is
peevish and irritable and
whines continually — if a child, is soothed by petting ; the adult is very
sensitive to pain, it seems unendurable and they continually whine and
complain.

The aggravations are marked, especially at night while in bed ; the pains
become unendurable driving them out of bed and compelling them to move
about.

FACE AND HEAD. — (Chamomilla)

Arthritic ophthalmia early in attack.
RHEUMATIC TOOTHACHE, ONE-SIDED ; < AT NIGHT, FROM
DRINKING COLD WATER, FROM WARMTH OF BED ; PAINS
UNENDURABLE ; ONE CHEEK RED.

HEART. — (Chamomilla)
Pain in heart as if something weighed it down.
FAINTNESS ABOUT THE HEART.
TEARING PAINS IN REGION OF CLAVICLE AND THROAT.
Whole thorax feels as if it had been beaten.

NECK AND BACK. — (Chamomilla)

Tensive stiffness of cervical muscles.
Drawing in scapulae.
DRAWING STINGING OR TEARING PAINS IN BACK.
Bruised sensation in muscles of loins and back.
BRUISED PAIN IN SMALL OF BACK.
Contractive sensation in spine.
PAINS IN BACK ARE < AT NIGHT.
BACKACHE < WHEN STOOPING or walking.
Stiffness in loins when sitting.
Unendurable pains in loins and hip joint at night when lying on opposite side.

SUPERIOR EXTREMITIES. — (Chamomilla)

Uninterrupted fine sensitive pressure in articular ligaments and periosteum of
arm and shoulder to fingers.
Electric-like jerking stitches in left shoulder and cervical region.
Stitches in right arm to shoulder.
PAIN IN ARMS, CANNOT BEAR SLIGHTEST MOTION.
Tearing pain in flexors of forearm after waking.
STIFFNESS OF ARM AS IF GOING TO SLEEP ON GRASPING
ANYTHING.
Crawling tearing in bones of arm even to fingers with numbness.
RIGHT ARM ASLEEP ON WAKING.
CANNOT HOLD ANYTHING FIRMLY BECAUSE ARMS GO TO SLEEP
AND ARE NUMB.
PARALYTIC-LIKE PAIN IN ARMS, ESPECIALLY FROM ELBOWS TO
FINGERS.
Severe stitches in forearm along the bones down to finger tips.
COLD HANDS WITH COLD PERSPIRATION IN PALMS.
FINGER JOINTS RED AND SWOLLEN.
Sprained pain in thumb and index finger.

INFERIOR EXTREMITIES. — (Chamomilla)

Sprained pain in hip joint on walking, after sitting in evening.
VIOLENT DRAWING TEARING PAINS FROM LEFT ISCHIUM TO OS
CALCIS AND SOLE OF FOOT WITH CRAMP-LIKE TENSION OF
MUSCLES.
Stitches in nates and thighs.
Bruised pain in thighs.
TEARING PAIN DOWN THE LEG.
An indescribable pain in thighs on rising from a seat or stretching the leg out.
Paralytic weakness and stiffness of thighs.
RESTLESSNESS OF LEGS AND FEET AT NIGHT.
Trembling of legs when going to sleep.
TEARING PAIN IN WHOLE LEG.
Stitches changing from knees to ankles > from motion.
Tension in knees.
Cracking in knees.
Pain in knees and calves > by drawing feet up, when stretched out feet go to
sleep.
DRAWING TEARING PAIN FROM KNEE TO ANKLE.
CRAMPS IN LEGS AND CALVES.
Crawling and heaviness of calves.
REDNESS AND SWELLING AROUND MALLEOLI.
TEARING PAIN IN FEET, MUST LIE DOWN AND KEEP QUIET, FROM
EVERY MOTION.
FEET SEEM PARALYZED < AT NIGHT.
Burning of soles of feet.
Numbness of toes.

EXTREMITIES IN GENERAL. — (Chamomilla)

PARALYTIC WEAKNESS WITH PAIN IN PERIOSTEUM.
DRAWING TEARING PAINS IN LIMBS < AT NIGHT.
TEARING PAIN, CANNOT FIND AN EASY POSITION.
ACHING IN LIMBS WITH LASSITUDE.
NUMBNESS WITH LAMENESS AT NIGHT AND TEARING PAIN.
Stiffness and heaviness of limbs.
Joints sore and bruised.
CRACKING OF JOINTS, ESPECIALLY OF LOWER LIMBS, WITH
BRUISED PAIN.
VIOLENT RHEUMATIC PAINS AT NIGHT, BECOMING
INTOLERABLE, DRIVING HIM OUT OF BED, COMPELLING HIM TO
WALK ABOUT.
CONCOMITANTS. — (Chamomilla)
ABSENTMINDEDNESS.
EASILY EXCITED.
FRETFUL.
EXCESSIVE IMPRESSIONABILITY AND IRRITABILITY OF THE
NERVOUS SYSTEM.
GREAT WEAKNESS AND PROSTRATION WHILE THE PAIN LASTS.
PATIENT WILD AND UNRULY ; HEAT AND ANXIETY WITH
RESTLESSNESS.
HEAT AND CHILLINESS MINGLED TOGETHER.
ONE CHEEK BRIGHT RED ; THE OTHER PALE.
PROFUSE HOT SWEAT, ESPECIALLY WHILE SLEEPING.
VERY RESTLESS SLEEP.
FAINTNESS.

AGGRAVATIONS. — (Chamomilla)
AT NIGHT.
AFTER BECOMING COLD.
WHILE LYING DOWN.
AFTER SUPPRESSION OF PERSPIRATION.
DURING SLEEP.
WARMTH OF BED.

AMELIORATION. — (Chamomilla)
WHILE FASTING.
AFTER PERSPIRING.
ON RISING.

Chelidonium majus

For rheumatic troubles about the chest and abdomen Chelidonium must be
considered.

It is always associated with hepatic affections.

The pain under the right shoulder blade is seldom wanting.

The patient is extremely sensitive to touch of the affected part ; this is
especially true in articular troubles of the right ankle.

Chelidonium antidotes Bryonia.

HEAD AND EYES. — (Chelidonium majus)

AMAUROSIS FROM RHEUMATIC TROUBLES.
EYES RED, BURNING, PROTUBERANT, WITH PROFUSE
LACHRYMATION.
SENSATION OF SAND IN EYE.

CHEST AND ABDOMEN. — (Chelidonium majus)

PERIODIC ATTACKS OF TIGHTNESS AND PAIN IN CHEST ALONG
THE STERNUM.
PAIN INTERNALLY BEHIND THE STERNUM, < ON INSPIRATION.
CONSTRICTIVE PRESSURE BELOW THE LEFT CLAVICLE
EXTENDING TO NECK.
VIOLENT STITCHES IN RIGHT SIDE OF THORAX, LOWER PORTION ;
< ON INSPIRATION, MOTION OR COUGH.
VIOLENT PAIN UNDER SEVENTH AND EIGHTH RIBS.
STITCHES IN WHOLE RIGHT SIDE OF CHEST.
DEEP-SEATED PAIN IN RIGHT SIDE OF CHEST.
SORENESS IN RIGHT SIDE OF CHEST.
OPPRESSION OF CHEST.
PRESSIVE PAIN IN REGION OF LIVER.
PAIN ACROSS UMBILICUS AS IF ABDOMEN WERE CONSTRICTED
WITH A STRING.
Spasmodic drawing pains in both inguinal regions.

HEART. — (Chelidonium majus)

Lancinating pains in pectoral muscles.
Lancinating pain in region of heart.
Violent palpitation with tightness of chest.
PULSE FULL AND HARD.

NECK AND BACK. — (Chelidonium majus)

Drawing in nape and occiput.
Left half of neck stiff, head drawn across to left, neck feels as if broken.
NECK FEELS AS IF CONSTRICTED BY A HAND.
Stiffness of cervical muscles.
PAIN IN CERVICAL MUSCLES AND RIGHT CLAVICLE.
Pressive pain in muscles of left side of neck.
HEAVINESS AND TENSION IN MUSCLES OF NAPE AND IN
OCCIPUT.
STIFFNESS OF NECK ; OF MUSCLES OF RIGHT SIDE OF NECK.
STITCHES BENEATH RIGHT SCAPULA.
CONSTANT PAIN UNDER INFERIOR ANGLE OF RIGHT SCAPULA
EXTENDING INTO CHEST OR STOMACH.
FIXED, PRESSING, OPPRESSIVE PAIN BENEATH INFERIOR ANGLE
OF RIGHT SCAPULA.
Severe pains under left scapula.
VIOLENT TEARING PAINS IN BACK AND LIMBS, < from least touch.
TEARING PAINS IN BACK FROM NAPE TO SACRUM.
SEVERE PAIN IN SPINE BETWEEN SHOULDERS.
SENSATION AS IF LOWER LUMBAR VERTEBRAE WOULD
SEPARATE ON STOOPING.
ACHING SORENESS IN ALL THE VERTEBRA < BY MOTION AND ON
PRESSURE OF SPINOUS PROCESSES.
DRAWING FROM SACRUM TO RIGHT SIDE OF SCROBICULUM.

SUPERIOR EXTREMITIES. — (Chelidonium majus)

VIOLENT PAINS IN RIGHT SHOULDER JOINT COMING FROM
SCAPULA.
Tearing pain in shoulder and right arm.
PAIN IN RIGHT SHOULDER.
Drawing pain from right shoulder to wrist.
Sprained pain in left shoulder with coldness of arm.
PAIN IN LEFT SHOULDER EXTENDING INTO DELTOID MUSCLE.
Paralytic pain in left shoulder and arm, often with not much freedom of use.
Cutting pain in arms.
Pain over elbow joint.
Swelling of elbows.
STIFFNESS OF WRISTS.
Stiffness of right wrist.
HANDS HOT.
TEARING IN METACARPAL BONES AND FINGER TIPS, < BY
PRESSURE.
FINGER TIPS COLD.
VEINS OF HANDS BECOME SWOLLEN.
RHEUMATIC ATTACK OF ARMS WITH JAUNDICE.
PARALYTIC HEAVINESS OF ARMS.

INFERIOR EXTREMITIES. — (Chelidonium majus)

Shooting pain in right hip extending to abdomen, LEGS AND FEET, < ON
RIGHT SIDE.
Paralytic weakness of limbs.
BURNING AND STIFFNESS OF RIGHT KNEE WITH PAIN.
Violent pain in knee and popliteal space.
HARD PRESSIVE PAIN JUST BELOW THE PATELLA.
Trembling of knees.
SENSATION AS IF WEIGHTS WERE HUNG UPON RIGHT LEG.
LEGS ARE SWOLLEN AND HEAVY.
ROSE COLOURED ELASTIC SWELLING OF ANKLE JOINTS.
STIFFNESS OP ANKLES.
FOOT OEDEMATOUS, MOSTLY ABOUT ANKLE, WHICH IS
HARDEST ON INNER SIDE.
Pain in heel as if pinched by small shoe.
Cramps in soles of feet < by putting foot down.

JOINTS. — (Chelidonium majus)

ROSE-RED ELASTIC SWELLING WITH (EDEMA.
EXTREMITIES IN GENERAL LIMBS FEEL HEAVY, STIFF AND LAME.
DRAWING AND PARALYTIC PAINS IN LIMBS.
OEDEMA OF LIMBS FROM VENOUS CONGESTION.
CUTTING PAINS IN ARMS AND CALVES.
Restlessness of limbs.

CONCOMITANTS. — (Chelidonium majus)

ANXIOUS.
INDIFFERENT.
INTELLECT DULL AND IMPAIRED.
VERTIGO.
WHITES OF EYES YELLOW.
FACE YELLOW, ESPECIALLY FOREHEAD, NOSE AND CHEEKS.
BITTER TASTE WHEN EATING OR DRINKING.
TONGUE THICKLY COATED YELLOW.
URINE DARK YELLOW, MILKY, TURBID, PROFUSE.
FULL HEAVY FEELING IN ABDOMEN.
PAIN UNDER RIGHT SHOULDER BLADE ALMOST CONSTANT.

AGGRAVATIONS.— (Chelidonium majus)

MORNINGS.
AFTERNOON.
AFTER MIDNIGHT.
AFTER EATING.

Chininum muriaticum

Chininum mur. may be of use in rheumatic affections of the sclerotic coat of

the eye and in iritis when associated with malarial troubles having the marked
aggravations of the remedy.

FACE AND EYES. — (Chininum muriaticum)

INTENSE RAIN IN AND AROUND EYES.
Lachrymation, photophobia and violent paroxysms of pain in eye daily
at 5 p.m.
Severe neuralgic pain in eye during iritis.

CONCOMITANTS. — (Chininum muriaticum)

CHILL AT 5 P.M.
PERIODIC MANIFESTATIONS.

Chininum sulphuricum

Chininum sulph. is a remedy to be used with caution, yet in inflammatory or

acute articular rheumatism with fever of a remitting or intermitting character,
with profuse debilitating sweats, with heaviness and aching of all the limbs,
especially the joints which are exquisitely sensitive to touch, together with the
other concomitants of the drug, presents a condition so similar that it will be
found of great value.

Chininum sulph. may be compared with Puls. in erratic rheumatic pains ; and
with Stann. in supraorbital neuralgia.
NECK AND BACK. — (Chininum sulfuricum)
VIOLENT PAINS DAILY AT 4 P.M. IN LATERAL MUSCLES OF NECK,
WHICH SEEM SWOLLEN AND STIFF.
SENSITIVENESS OF LAST CERVICAL AND FIRST DORSAL
VERTEBRAE.
SPINE PAINFUL ON PRESSURE.
FIRST THREE DORSAL VERTEBRAE ARE SENSITIVE TO TOUCH.
PERIODIC PAIN IN BACK RETURNING ABOUT MIDNIGHT AND
EXTENDING TO HEAD.

SUPERIOR EXTREMITIES. — (Chininum sulfuricum)

Rheumatic pain in right shoulder.
HANDS COLD WITH COLD SWEAT.
HEAVINESS OF ARMS.
Stiffness of right wrist which is painful on motion.

INFERIOR EXTREMITIES. — (Chininum sulfuricum)

SCIATIC NEURALGIA OF RIGHT SIDE OF LONG STANDING.
Acute rheumatic pain in left ankle joint after taking cold, with fever and
profuse sweat.
Paralysis of limbs.
Knee joint very painful and much swollen.
ANKLES SWOLLEN WITH CUTTING PAIN IN FEET DURING CHILL.

EXTREMITIES IN GENERAL. — (Chininum sulfuricum)

HEAVINESS OF ALL THE LIMBS, WITH ACHING, ESPECIALLY IN
JOINTS.
Stiffness of all joints, which are swollen and painful.

AGGRAVATIONS. — (Chininum sulfuricum)

SLIGHT TOUCH.

CONCOMITANTS. — (Chininum sulfuricum)

FEAR OF IMPENDING EVIL.
WHIRLING IN HEAD LIKE A MILL WHEEL.
VERTIGO WITH BUZZING IN EARS.
INTERMITTENT NEURALGIA OF SUPRAORBITAL NERVE.
FACE PALE AND ANXIOUS.
PAINFUL ENLARGEMENT OF SPLEEN.
PALPITATION AFTER SLIGHT EXERCISE.
GREAT WEAKNESS AND PROSTRATION.
PROFUSE DEBILITATING SWEATS.
PERFECTLY DEVELOPED CHILL, FEVER AND SWEAT, OCCURRING
AT SAME HOUR EVERY DAY.

Cicuta virosa

Occasionally we meet a case of rheumatism following a concussion or an

epileptic convulsion ; it is in those cases Cicuta finds a useful field if the
symptoms agree.

NECK AND BACK. — (Cicuta virosa)

Arthritic pain in nape with tendency to draw the head backward.
MUSCLES OF NECK CONTRACT AND BECOME HARD.
TENSION AND CRAMPS IN MUSCLES OF NECK; IF HE TURNS HEAD
CANNOT EASILY TURN IT BACK.
Pain on inner surface of scapula.
BRUISED PAIN ON RIGHT SCAPULA.
BACK BENT BACKWARD LIKE AN ARCH.
Tearing jerking in coccyx.

SUPERIOR EXTREMITIES. — (Cicuta virosa)

FREQUENT JERKING AND STITCHES IN ARM AND FINGERS.
Sensation of heaviness of arms with stitches in shoulder very violent so that
he dare not move. .
Trembling of hand.
NUMBNESS OF FINGERS.
Creeping and trembling in hands.

INFERIOR EXTREMITIES. — (Cicuta virosa)

Swelling and pain in left knee.
Sensation of stiffness of limbs.
Trembling of legs.
DRAWING PAIN IN THIGHS AND CALVES, WITH TETANIC
STIFFNESS.
RENDING PAIN IN MUSCLES OF LOWER LIMBS, ANTERIOR
SURFACES, DOWN TO FEET, < AT NIGHT.
Weakness, especially of knees when standing.

EXTREMITIES IN GENERAL. — (Cicuta virosa)

GREAT WEAKNESS OF ARMS AND LEGS AFTER SLIGHT EXERCISE.
BRUISED SENSATION IN FOREARMS AND LEGS.
TREMBLING OF THE LIMBS.
JERKING WITH NUMBNESS OF LIMBS.
FEARFUL DISTORTIONS OF LIMBS.

CONCOMITANTS. — (Cicuta virosa)

EXCITABLE.
STUPID.
LOSS OF CONSCIOUSNESS.
EPILEPTIFORM CONVULSIONS.
FREQUENT INVOLUNTARY JERKING AND TWITCHING OF
MUSCLES.
GREAT WEAKNESS AND PROSTRATION AFTER AN ATTACK.

Cimicifuga (actea racemosa)

Cimicifuga is a valuable remedy in muscular rheumatism affecting the belly of

the muscles, especially the muscles of the neck, back and chest ; the pains are
< on motion and toward night.

Frequently associated with these conditions is the deranged menstruation.

Cimicifuga is often called for in acute articular rheumatism affecting the joints
of the lower limbs, with swelling and heat of the part.

Compare Act. spic., Caul. and Puls. in these rheumatic affections.

HEART. — (Cimicifuga)
PAIN IN REGION OF HEART EXTENDING ALL OVER CHEST AND
DOWN LEFT ARM WITH PALPITATION.
PAIN ABOUT RIGHT CHEST < BY EVERY INSPIRATION AND
MOTION, EXTORTING CRIES.
NECK AND BACK. — (Cimicifuga)
HEAD AND NECK RETRACTED.
RHEUMATIC PAINS IN MUSCLES OF NECK AND BACK WITH
FEELING OF STIFFNESS AND CONTRACTION.
Cramp in muscles of neck on moving head.
STIFF NECK FROM COLD DRAFT, VERY PAINFUL ON SLIGHTEST
MOTION.
SPINE SENSITIVE, ESPECIALLY IN CERVICAL AND UPPER DORSAL
REGIONS ; SORENESS OF DORSAL MUSCLES.
RHEUMATISM OF DORSAL MUSCLES.
SEVERE PAIN IN SMALL OF BACK EXTENDING DOWN THIGHS.
VIOLENT ACHING IN LUMBAR REGION.
WEIGHT AND PAIN IN LUMBAR AND SACRAL REGIONS.
Weak trembling pain in small of back.

SUPERIOR EXTREMITIES. — (Cimicifuga)

Severe pain down arms with numbness as if the nerve had been compressed.
Excruciating pains in arms < AS EVENING APPROACHES.
TREMBLING OF HANDS WHEN WRITING.

INFERIOR EXTREMITIES. — (Cimicifuga)

ACHING IN SACRUM, LUMBAR REGION AND DOWN LEFT LEG.
Growing pains about lower limbs.
SORENESS, ACHING AND STIFFNESS IN TENDON ACHILLIS, <
WHEN WALKING.
DULL ACHING BURNING PAIN IN SECOND JOINT OF RIGHT GREAT
TOE.
Rheumatic pains in joints with heat and swelling.

EXTREMITIES IN GENERAL. — (Cimicifuga)

ACHING IN LIMBS.
EXCESSIVE MUSCULAR SORENESS.
BELLY OF MUSCLES AFFECTED ; CRAMPY STICKING PAINS.
Joints feel stiff, especially nights and mornings.

JOINTS. — (Cimicifuga)
SWOLLEN AND HOT.
CONCOMITANTS. — (Cimicifuga)
TREMORS ALL OVER.
SHIVERS RUN ALL OVER BODY.
FEELS GRIEVED AND TROUBLED.
BRAIN FEELS AS IF TOO LARGE.
DULL HEADACHE IN VERTEX AND OCCIPUT.
MENSES IRREGULAR, DELAYED OR SUPPRESSED.
RESTLESSNESS.
SORE BRUISED FEELING OF WHOLE BODY.

AGGRAVATIONS. — (Cimicifuga)
AFTERNOON AND EVENING.
MOTION.

AMELIORATIONS. — (Cimicifuga)
FROM REST.

Cina maritima

Cina may be of use in muscular rheumatism associated with chorea, or in

inflammatory rheumatism when taking an intermitting form, especially if the
marked aggravations and concomitants are present.

NECK AND BACK. — (Cina)

DRAWING TEARING PAIN ALONG WHOLE SPINE.
TEARING JERKING PAIN IN MIDDLE OF SPINE.
Pain in loins as after standing a long time.
BRUISED PAIN IN SMALL OF BACK NOT < BY STOOPING.
Lancinating pain in upper part of spinal column toward right scapula.

SUPERIOR EXTREMITIES. — (Cina)

Cramp-like drawing in arms and hands.
Boring pinching pains in upper arms, < from motion.
Sprained feeling in wrist joint.
Single small jerking stitches, first in one hand then in the other.
SPASMODIC CONTRACTIONS OF HANDS.
Weakness of hands.

INFERIOR EXTREMITIES. — (Cina)

PARALYTIC PAIN IN LEFT THIGH NEAR THE KNEE.
Left leg semi-flexed, both upon itself and abdomen.

EXTREMITIES IN GENERAL. — (Cina)

SPASMODIC TWITCHING OF LIMBS.
JERKING AND DISTORTION OF LIMBS.
Pain in limbs.

CONCOMITANTS. — (Cina)
FACE PALE ; WHITE ABOUT THE MOUTH ; BORING NOSE WITH
FINGER ; GRINDING TEETH AT NIGHT ; RAVENOUS HUNGER ;
FEVER.
CONVULSION OF EXTENSOR MUSCLES WITH NOISE LIKE WATER
RUNNING FROM A BOTTLE FROM THROAT TO ABDOMEN.

AGGRAVATIONS. — (Cina)
AT NIGHT.
FROM EXTERNAL PRESSURE.
MORNING.

Cinchona officinalis

(China officinalis)

Cinchona has been more or less overlooked in the study of rheumatic troubles,
yet it holds a place of no mean importance.
It is more apt to be called for in those who have lost large quantities of the
normal fluids of the body, who are attacked with muscular or inflammatory
rheumatism.

If fever is present it is either intermittent or remittent ; there is hard red

swelling of the joints ; the parts affected are excessively sensitive to touch but
> by hard pressure ; the characteristic tearing jerking pains, with the peculiar
symptoms of the hack — make a unique group of symptoms that
indicates Cinchona unquestionably as the remedy.
Cinchona is compatible with Calc. phos. and Ferrum ; it is complementary to
the latter.

HEAD AND EYES. — (China)

EVERY DAY BETWEEN 8 AND 9 A.M. AN ATTACK OF VIOLENT
PAIN IN EYE WHICH BECOMES INFLAMED ; AT NOON ALL
SYMPTOMS DISAPPEAR.
RHEUMATIC OPHTHALMIA ; CONJUNCTIVA INFLAMED AND RED ;
PHOTOPHOBIA.
RHEUMATIC HEADACHE, INTENSE WAVE-LIKE PAIN, FROM A
DRAFT OF AIR.
RHEUMATIC PAIN IN MUSCLES OF FACE.

NECK AND BACK. — (China)

SHOOTING PAINS IN NAPE OF NECK.
Drawing pain in nape and on side of spine.
PRESSURE AS FROM A STONE BETWEEN THE SCAPULAE.
SENSITIVENESS OF SPINE TO TOUCH.
STITCHES IN LEFT SIDE OF BACK.
TENSIVE PAIN IN SMALL OF BACK AS FROM A HEAVY LOAD OR
AFTER LONG STOOPING.
UNENDURABLE PAIN IN SMALL OF BACK LIKE A CRAMP OR AS IF
BRUISED, < FROM EVERY MOTION.
LAME DRAWING AND REARING PAIN IN SMALL OF BACK.
PAIN IN SIDES OF CHEST AS IF BRUISED.

SUPERIOR EXTREMITIES. — (China)

ACHING IN SHOULDER AND SCAPULAE, < FROM LEAST
PRESSURE.
PARALYTIC TEARING PAINS IN BONES OF ARMS.
Trembling of hands.
One hand cold, the other warm.

INFERIOR EXTREMITIES. — (China)

Limbs feel as if he had been on a long walk.
Darting tearing pain in limbs.
SENSATION IN BONE OF THIGHS AS IF PERIOSTEUM HAD BEEN
SCRAPED WITH A KNIFE.
PAIN IN RIGHT KNEE UP TO THIGH or down to leg.
HOT SWELLING OF RIGHT KNEE, PAINFUL TO SLIGHTEST TOUCH.
Knees weak on walking.
SENSATION AS IF GARTERS WERE TIED TOO TIGHTLY ABOUT
LEGS.
LIMBS GO TO SLEEP EASILY AND FREQUENTLY.
ARTHRITIC PAINS IN METATARSAL BONES AND PHALANGES.
HOT ARTHRITIC SWELLING OF FEET.
ARTHRITIC SWELLING AND PAIN OF GREAT TOE < BY SLIGHTEST
TOUCH AND MOTION ; < NIGHTS.
TEARING JERKING PAIN IN VARIOUS PARTS OF LIMBS

EXTREMITIES IN GENERAL — (China)

Trembling of all the limbs.
Numbness of limbs ; THEY GO TO SLEEP WHEN LYING ON THEM.
LAXITY OF LIMBS.
HEAVINESS OF LIMBS, ESPECIALLY THIGHS.
PAINFUL TENSION AS OF A BAND ABOUT LIMBS.
TEARING JERKING PAIN IN MUSCLES AND JOINTS, < BY TOUCH.
DARTING TEARING IN HANDS AND FEET.
JOINTS ARE SWOLLEN AND VERY SENSITIVE TO TOUCH.
TENSIVE DRAWING PAIN IN BONES.

JOINTS. — (China)
HARD RED HOT SWELLING.

CONCOMITANTS. — (China)
CONFUSION OF MIND.
HEADACHE AS IF IT WOULD BURST, PAROXYSMS IN WAVES.
RINGING OF EARS.
TONGUE COATED WITH BITTER TASTE.
SENSE OF WEIGHT IN HEPATIC AND SPLENIC REGIONS.
URINE SCANTY WITH BRICK DUST SEDIMENT.
GREAT WEAKNESS AND PROSTRATION.
EXCESSIVE SENSITIVENESS OF ALL THE NERVES.
EXCESSIVELY SENSITIVE TO THE SLIGHTEST TOUCH.
BODY VERY SORE.
DIRTY YELLOW SKIN.
PERSPIRATION VERY PROFUSE AND DEBILITATING, ESPECIALLY
AT NIGHT.
FEVER, CHILL AND SWEAT.
EMACIATED.
FAINTNESS.

AGGRAVATIONS. — (China)
AT NIGHT.
FROM SLIGHTEST TOUCH.
Wet weather.
FROM MOTION OF PART.

AMELIORATIONS. — (China)
WHILE FASTING.
DEEP PRESSURE.

Cistus canadensis

Cistus is not often called for in rheumatic conditions, and will be found of use
only when associated with scrofulous troubles.
It is especially valuable when the rheumatism attacks the knees and great toe
joints, and when the patient is extremely sensitive to the least cold.

Cistus antidotes Rhus tox.

Compare the carbon group, Kali bi., Phos., Sulph.

HEAD. — (Cistus canadensis)

Sharp shooting pain in right zygoma.
Drawing tearing pain in all the joints of the face, < evening.

NECK AND BACK. — (Cistus canadensis)

Rheumatic pain in small spot below right shoulder blade extending around in
front of body, later extending into left hip and groin, < from motion.
Burning pain in os coccyx preventing sitting, < from touch.

SUPERIOR EXTREMITIES. — (Cistus canadensis)

Pain in front of right shoulder.
Violent pain in left shoulder and chest.
Tearing pain in nerves of shoulder ; drawing pain in ulnar nerve extending
into point of little finger.
Periodical drawing, piercing, sensitive pain in arm extending into tip of little
finger.
Right arm and back of hand painfully sensitive to least touch.
Sprained pain in wrists, drawing and scraping.
Trembling with drawing pain in hands.
Hard pain in right hand in afternoon.
Tearing in finger joints.
Pain in right hand when writing.

INFERIOR EXTREMITIES. — (Cistus canadensis)

Pain as from a blow in left gluteal region, going down on inside of thigh bone,
felt in knee joint, with spasmodic drawing in calf of leg.
Tearing pain in sciatic nerve.
Drawing and trembling in lower limbs.
PAINS IN KNEE AND RIGHT THIGH WHEN WALKING OR SITTING.
TEARING IN KNEES EVENINGS.
PIERCING PAIN IN RIGHT GREAT TOE EVENINGS.

EXTREMITIES IN GENERAL.— (Cistus canadensis)

BRUISED PAIN AS FROM FATIGUE.
Tearing pain in joints.
Drawing and trembling in limbs.

CONCOMITANTS.— (Cistus canadensis)

HEADACHE WHEN FASTING, > FROM EATING.
SCROFULOUS INFLAMMATION AND INDURATION OF GLANDS OF
LONG STANDING.
GREAT DRYNESS AND HEAT OF THROAT.
ASTHMATIC ATTACKS WITH SENSATION AS IF TRACHEA WERE
TOO NARROW.
EXTREMELY SENSITIVE TO COLD AIR.

Copaiva officinalis

Copaiva is of value in gonorrheal rheumatism when attacking the fibrous

tissues about the knee and ankle joints, more especially the knee joints.
Copaiva follows Aconite well.

INFERIOR EXTREMITIES. — (Copaiva)

Pain and swelling of knee joints and malleoli.
Swelling is located in the fibrous tissue of knee.
Restlessness of limbs.

CONCOMITANTS. — (Copaiva)
YELLOW, PURULENT OR MUCOUS DISCHARGE FROM URETHRA.
SWELLING AND INDURATION OF TESTICLE.
BITING PAIN BEFORE AND AFTER URINATION.
SWELLING AND DILATATION OF ORIFICE OF URETHRA.

Crocus sativus

The pains of Crocus are of a heavy bruised nature with a sensation of tension
in the joints. The cracking of the joints on motion and the constant tendency
for the limb to go to sleep are marked, and when these conditions are found in
nervous, hysterical patients, with the characteristic hemorrhagic diathesis, it
will do its work well.

Crocus is compatible with Nux vom., Puls., Sulph., which are to be compared.
Compare Lach. for pains in eye to top of head ; also Rhus tox. and Ruta.

NECK AND BACK. — (Crocus sativus)

Swelling of muscles of neck.
Sensation of coldness in back.

SUPERIOR EXTREMITIES. — (Crocus sativus)

Pain on moving upper arm as if head of humerus were loose and easily
dislocated.
SENSATION AS IF ARMS, ESPECIALLY FOREARMS, WERE BRUISED
; THEY FEEL HEAVY.
SENSATION AS IF ARM AND HAND HAD GONE TO SLEEP.
Burning tingling AND TENSION IN JOINTS, ESPECIALLY OF FINGERS.
CRACKING OF JOINTS.
INFERIOR EXTREMITIES. — (Crocus sativus)
Violent cracking of hip AND KNEE JOINTS ON STOOPING.
SENSATION OF WEAKNESS AND WEARINESS OF LIMBS,
ESPECIALLY OF KNEE JOINTS.
Trembling of feet on falling asleep.
Aching of soles from standing.

EXTREMITIES IN GENERAL. — (Crocus sativus)

GREAT TENDENCY OF LIMBS TO GO TO SLEEP.
GREAT PROSTRATION WITH WEAKNESS OF LIMBS.
Jerking of single muscles or set of muscles.

CONCOMITANTS. — (Crocus sativus)

SENSATION AS IF SOMETHING ALIVE WERE JUMPING ABOUT IN
THE BODY.
SEVERE DRAWING PAIN FROM EYES TO THE TOP OF HEAD.
HEMORRHAGES FROM VARIOUS PARTS, BLOOD DARK, CLOTTED
AND STRINGY.
GREAT PROSTRATION AND WEAKNESS.

AGGRAVATIONS. — (Crocus sativus)

MORNING.
EVENING AND NIGHT.
MOTION.

AMELIORATIONS. — (Crocus sativus)

EXTERNAL PRESSURE.

Crotalus horridus

The tearing in limbs occurring at regular intervals, the violent burning pains,
the swollen tongue, the yellowness of the skin or the yellow spots on the limbs
and body, are characteristic of Crotalus, and will be the guide to its correct
use in rheumatic troubles. It is of particular value in old rheumatisms, and
frequently we find palsy as a concomitant.

NECK AND BACK. — (Crotalus horridus)

Drawing tensive pains from right shoulder along, the neck as if tendon were
tense, < by moving arm and from pressure.
Pain on top of shoulder.
Aching pain in region of right kidney.

SUPERIOR EXTREMITIES. — (Crotalus horridus)

Paroxysms of bruised pain in bones of right shoulder.
Paralysed sensation in arms WITH TREMBLING, jerking and cramps.
Tension as from a cord about arm below elbow.
Swelling of hands and forearms which are very painful.
Hands go to sleep on using them, especially the left, which soon feels as if
dead.
Spasmodic pain in left palm as from bee sting.
Throbbing pain in fingers.

INFERIOR EXTREMITIES. — (Crotalus horridus)

Starting, jerking, TREMBLING and cramps in limbs.
Legs go to sleep and tingle when sitting.
Drawing sensation ; from left hip to foot ; from sole of right foot through the
bone of leg.
Cramp-like pain in calves, heels and toes.
Paralysis of extensors of left foot.
Bruised pain in both malleoli, < from walking.
Sudden attacks of pain with throbbing in head of femur.

EXTREMITIES IN GENERAL. — (Crotalus horridus)

Painful paralytic sensation in limbs.
Starting, jerking AND TREMBLING OF LIMBS.
Bruised pain in joints and bones.
Heaviness of limbs as if made of wood.
Numbness of fingers and toes.
Violent burning pains in limbs.
TEARING IN LIMBS, AT REGULAR INTERVALS ; SAME TIME EACH
YEAR OR EVERY FEW MONTHS.

CONCOMITANTS. — (Crotalus horridus)

GREAT WEAKNESS AND PROSTRATION.
PARALYSIS OF MUSCLES.
YELLOW SPOTS APPEAR ON DIFFERENT PARTS.
WHITES OF EYES VERY YELLOW.
GREAT SWELLING OF TONGUE.
SUDDEN PROSTRATION.
PALSY.
HEMORRHAGIC TENDENCY.
GONORRHEAL RHEUMATISM.

AGGRAVATIONS. — (Crotalus horridus)

AT NIGHT.

Croton tiglium

The rheumatic indications for Croton tig. are limited to the left arm with its
tearing, shooting pains from shoulder to back of hand, and to its action upon
the feet and toes, giving rise to the peculiar sprained sensation in the feet and
the cutting pains in the toes.

Associated with these conditions may be found its characteristic diarrhea or

skin affections.
Crot. tig. antidotes Rhus tox.
Comp : are Colch., Mez., Phos., Rhus., Sil.

NECK AND BACK. — (Croton tiglium)

Stitches in region of kidney, arresting breathing.

SUPERIOR EXTREMITIES. — (Croton tiglium)

Sticking or aching pains in shoulder joints.
Tearing and shooting pain in left arm from shoulder to elbow and back of
hand with swelling of shoulder and arm, inability to move the arm or to lie
down, < at night preventing sleep.
Paralytic heaviness of arm.

INFERIOR EXTREMITIES. — (Croton tiglium)

PAIN IN SOLE OF FOOT SPREADING TO GREAT TOE, AS IF IT HAD
BEEN SPRAINED, < in afternoon and from touch.
Lancinating pain in great toe.
Prickling in toes.
EXTREMITIES IN GENERAL. — (Croton tiglium)
Shooting, tearing and sticking pains in limbs.
Lancinating pain in joints.

CONCOMITANTS. — (Croton tiglium)

NEURALGIC PAIN EXTENDING FROM LEFT EYE TO BACK OF
HEAD.
GRIPING COLIC WITH WRITHING ABOUT THE UMBILICUS.
SWASHING AS OF WATER IN THE INTESTINES.
CONSTANT URGING TO STOOL, WHICH IS SHOT OUT OF RECTUM
WITH GREAT FORCE.
VESICULAR ERUPTION ON FACE AND SCROTUM, > BY
SCRATCHING.

AGGRAVATIONS. — (Croton tiglium)

By motion.
On waking.
From touch.
Open air.
Lying down.

Cubeba officinalis

From the pathogenesis of Cubeba we should find it of value in acute

gonorrhoeal rheumatism when it attacks the wrists, as noted below.

As yet clinical experience is wanting ; therefore we do not find it rated

according to its relative importance.
Cubeba is compatible with Copaiva.
Nux vom. is its antidote.

SUPERIOR EXTREMITIES. — (Cubeba)

Acute deep-seated pain in wrists, quickly followed by redness and swelling.
Stiffness of wrists and thickening around joint.
Burning of hands and soles of feet.
Numbness of fingers and toes.
CONCOMITANTS.— (Cubeba)
GONORRHEA WITH PROFUSE, THICK, YELLOWISH-GREEN
DISCHARGE.
GLEETY DISCHARGE, THICK, YELLOW AND PUS-LIKE.

Cuprum metallicum

Cuprum met. will be found of use in those patients suffering with chorea,
when complicated with rheumatic troubles or when it can be traced to a
rheumatic diathesis. The heart is a source of distress.
The body is very sensitive to touch, and groups of muscles, mostly the flexors,
have violent contractions.

Cuprum follows Act. rac. and Agar. well.

It may be followed by Calc. c. or Caust.
It is complementary to Calc. c.
Compare Sil. for pains in the head.

HEART. — (Cuprum metallicum)

DEATHLY FEELING WITH PAIN BEHIND STERNUM.
COLD FACE, LIPS BLUE AND COLDNESS ALL OVER.
Attacks are brought on by excitement or exertion.
SUDDEN DYSPNOEA UNTO SUFFOCATION.
PULSE SLOW ; ALMOST IMPERCEPTIBLE.

NECK AND BACK. — (Cuprum metallicum)

Paralysis of muscles of back up to neck.
Great sensitiveness of spinal processes from sixth cervical vertebra to small
of back.
SLIGHTEST TOUCH INTOLERABLE, causing tearing, jerking pains in
limbs.
Broad stitches under shoulder blade near spine like a knife.
Cutting in small of back transversely.
Burning and tearing in small of back.
Stiff lame feeling in back and lumbar region.
Backache at top of sacrum.

SUPERIOR EXTREMITIES. — (Cuprum metallicum)

Ankylosis of shoulder joint.
TWITCHING OF FINGERS brought on by overwork or excitement.
JERKING OF ARMS AND HANDS.
Drawing pain in both arms.
Formication and tearing in right hand.
SENSE OF CONSTRICTION IN RIGHT ARM AND FOREARM, AND OF
GREAT INCREASE IN SIZE.
Numbness and lameness of arms AND HANDS.
Hands go to sleep.
COLDNESS OF HAND WITH BLUE FINGERS.

INFERIOR EXTREMITIES. — (Cuprum metallicum)

PARALYSIS OF LIMBS.
VIOLENT CRAMPS IN LIMBS.
TWITCHING IN LOWER LIMBS.
LAMENESS OF LIMBS, DRAWING AND CONTRACTION OF
FLEXORS.
GREAT WEAKNESS OF LEGS, KNEES GIVE WAY.
Painful drawing when walking and standing.
Weakness with sensation as if knee had been broken.
SPASM AND CRAMP IN CALVES.
Drawing and digging pain in calves.
Muscles contracted into knots in calves.
Contractions of joints, especially the knee.
Convulsive twitching of toes.
CRAMP IN LEG FROM ANKLE UP INTO CALF.
Painful heaviness in ankle.
CONVULSIVE MOVEMENTS OF LIMBS.

EXTREMITIES IN GENERAL. — (Cuprum metallicum)

SEVERE CRAMPS IN FLEXOR MUSCLES MAKING HER CRY OUT
WITH PAIN ; LIMBS HOT AND VERY SENSITIVE TO TOUCH.
CRAMPS IN FINGERS AND TOES.
WEAKNESS OF LIMBS.
TINGLING, TWITCHING AND JERKING OF LIMBS.
Numbness of limbs.
Muscles become knotted and remain so a long time.
BRUISED PRESSIVE PAIN IN BONES.
TEARING PAIN IN BONES.

CONCOMITANTS. — (Cuprum metallicum)

FACE AND LIPS BLUE.
BITTER METALLIC TASTE IN MOUTH.
VIOLENT PRESSURE AT STOMACH AND CONTRACTIVE PAINS AT
INTERVALS.
EPILEPTIFORM CONVULSIONS.
CHOREA.
CONVULSIVE COUGHS.

AGGRAVATIONS. — (Cuprum metallicum)

FROM TOUCH.
AT NIGHT.
MARKED PERIODICITY.

Cyclamen europaeum

Cyclamen is very similar to Pulsatilla in many ways, but indications for its
use in rheumatic conditions differ in the aggravations and ameliorations, and
in the decidedly saltish taste in the mouth.

In some of its aggravations it closely resembles Rhus tox., but differs in that it
is not apparently affected by damp weather, which is so marked a
characteristic of Rhus tox.

NECK AND BACK. — (Cyclamen)

Stiffness of neck with lame pain.
Drawing rheumatic pain in left side of neck.
Twinging pain up the back, < by stooping.
Deep dull stitches in region of right kidney < by inspiration.
Pain in small of back WITH ENTIRE > AFTER RISING FROM A SEAT.

SUPERIOR EXTREMITIES. — (Cyclamen)

Tearing ending in a stitch over scapula with laming pains in arms.
PRESSING TEARING PAINS IN ARMS AS IF IN THE PERIOSTEUM
AND DEEPER MUSCLES, extending to fingers impeding writing.
Bruised pain on outer side of arm above elbow joint < by motion of arm and
touch.
Tearing pain in elbow and wrist joints.
Painful drawing on inner side of ulna and wrist.
Lack of power to hold on to things with hands.
WRITER'S CRAMP ; CANNOT OPEN THUMB AND INDEX FINGER.

INFERIOR EXTREMITIES. — (Cyclamen)

Rheumatic drawing in gluteus maximus near spine while sitting.
CEASES WHILE STANDING.
CRAMP-LIKE PAIN IN POSTERIOR PART OF RIGHT THIGH ABOVE
THE POPLITEAL SPACE.
Drawing pain in flexors of leg, seems to start from hollow of knee and down
to tips of toes.
Sprained pain in sole of foot near the heel.
Sore pain in heel.

EXTREMITIES IN GENERAL. — (Cyclamen)

Pressing drawing in periosteum where the skin covers the bone.
Drawing and pressure in muscles and bones.
Feeling as if the mobility of the limbs were impaired.

CONCOMITANTS. — (Cyclamen)
HEADACHE WITH FLICKERING BEFORE THE EYES IN MORNING.
DIMNESS OF VISION AND SPOTS BEFORE THE EYES ; NEAR-
SIGHTEDNESS.
ALL FOODS TASTE SALTISH.
NO THIRST IN DAY, BUT COMES ON IN EVENING.
MENSES TOO EARLY.

AGGRAVATIONS. — (Cyclamen)
WHEN SITTING.
Stooping.
STANDING.
AT REST.
EVENING.

AMELIORATIONS. — (Cyclamen)
ON CONTINUED MOTION.
AFTER RISING FROM A SEAT.

Daphne odorata

Daphne odora finds its simillimum in rheumatic or gouty pains following

suppressed gonorrhoea ; it also has a marked relationship to syphilis in its
bone affections. The pains shift rapidly and continually, usually from the
extremities into the body ; they are screwing, stabbing or bruised in character.

Few remedies present more subjective symptoms, especially those introduced

by the phrase " sensation as if ".
Daphne is a remedy well worth studying when its characteristics are met in
rheumatic or gouty conditions manifesting skin conditions, as well as the bone
pains.

Compare Aurum, Mezereum, Mercurius, Pulsatilla, Staphisagria, Thuja,

Bryonia, Digitalis, Rhus tox. are among the antidotes.

NECK AND BACK. — (Daphne odora)

Screwing pain from ear to shoulder.
Pain in nape of neck with beating ; painful to touch.
Sharp pain under left scapula.
Drawing pain in spinal cord, < on stooping or bending.

SUPERIOR EXTREMITIES. — (Daphne odora)

Lightning-like pain in right shoulder.
Violent boring pain in bones of fingers.
Flying gouty pains in hands.
Sticking tearing pains in fingers of right hand.

INFERIOR EXTREMITIES. — (Daphne odora)

Sharp pain running down right hip, lasting only a short time.
Screwing pain in right hip from hip to knee.
Rheumatic stiffness in muscles of left thigh above the knee, < when walking.
Dull pain in thigh and knee.
After pain leaves part it is insensible to touch and feels very large.
Bruised pain in left toes.
BALL OF RIGHT GREAT TOE SWOLLEN AND VERY PAINFUL ; THE
PAIN SUDDENLY SHOOTS INTO THE BODY AND THEN CHANGES
AGAIN.

EXTREMITIES IN GENERAL. — (Daphne odora)

Screwing pain in muscles and bones.
Bruised pain in limbs with great weakness.
Sharp shooting pains FIRST ONE PLACE THEN ANOTHER,
CONSTANTLY SHIFTING.
GOUTY PAINS.

CONCOMITANTS . — (Daphne odora)

DESPONDENT.
PAIN FROM NAPE OF NECK TO FOREHEAD.
SENSATION AS IF OUTER PART OF BRAIN WERE INFLAMED AND
BEAT AGAINST THE SKULL.
SENSATION AS IF A MEMBRANE EXTENDED OVER EYES.
SENSATION AS IF PARTS WERE SEPARATED FROM ONE ANOTHER.
THE HEAD OR THE ARMS FROM THE BODY, ALTHOUGH UNDER
CONTROL OF THE WILL.
DRYNESS OF TONGUE.
Tongue coated on one side only.
FETID BREATH, TONGUE, URINE, PERSPIRATION.
AFTER EACH MEAL BURNING AND SORENESS IN STOMACH WITH
BELCHING OF WIND.
URINE TURBID, THICK, YELLOW, CONTAINS PUS.
PROSTATORRHOEA, WHICH IS < BY TOBACCO, WHICH HE CRAVES
(Eug.).
FEET FEEL AS LARGE AS WHOLE BODY.

AGGRAVATIONS. — (Daphne odora)

WANE OF THE MOON.
WARMTH OF BED.
COLD AIR.
TOUCH AND PRESSURE.
LYING DOWN.
Walking.
 Digitalis purpurea

Digitalis is a remedy of great value where the heart is involved and is giving
serious trouble.
When the heart symptoms are present — either in endocardial rheumatism or
in the effects of rheumatism on the valves of the heart — Digitalis may be of
great value.

Nux vomica is a useful antidote.

HEART. — (Digitalis)
OPPRESSION WITH FAINTNESS, FEEBLE AND SPASMODIC PULSE.
STRONG PULSATIONS OF HEART WITH AN INDISTINCT AND
MUFFLED SOUND, RAPID RESPIRATION.
VIOLENT BUT NOT VERY RAPID BEATING OF HEART.
SUDDEN VIOLENT BEATING WITH FEELING OF IMPENDING
DEATH.
SUDDEN SENSATION AS IF THE HEART STOOD STILL, WITH
GREAT ANXIETY.
HEART HAS LOST ITS TONE — INTERMITTENT, IRREGULAR.
SUDDEN ATTACKS OF ANGINA PECTORIS BROUGHT ON BY
MOTION.
RHEUMATIC ENDOCARDITIS, RHYTHM OF HEART IRREGULAR.
IRREGULAR PULSE IN RHEUMATIC TROUBLES.
PULSE SLOW AND WEAK.

NECK AND BACK. — (Digitalis)

Tearing, sharp stitches, aching, sharp cutting pains in nape of neck.
Drawing and pressing pain in nape of neck.
Stiffness of neck and sides of neck.
Cutting pains in small of back.
Sharp stitches in small of back.

SUPERIOR EXTREMITIES. — (Digitalis)

Sharp pain in left shoulder and arm, tingling in arm and fingers.
HEAVINESS AND PARALYTIC WEAKNESS OF LEFT ARM.
FINGERS GO TO SLEEP EASILY.
ARTHRITIC NODES IN FINGER JOINTS.
Gout in hands.

INFERIOR EXTREMITIES. — (Digitalis)

Pain in hip joint.
Paralytic pain in limbs.
Swelling of the knees with stinging pains.
SWELLING OF FEET.

EXTREMITIES IN GENERAL. — (Digitalis)

Prickling pain in muscles of extremities.
OEDEMA OF LIMBS WITH SENSE OF TENSION ON MOVING THEM.

CONCOMITANTS. — (Digitalis)
GREAT LOSS OF STRENGTH.
FAINTING AND SINKING SENSATION AS IF LIFE WERE ABOUT
EXTINCT.
RESPIRATION IRREGULAR.
SENSATION AS IF THE HEART STOOD STILL, WITH GREAT
ANXIETY.

Dioscorea villosa

Dioscorea will be found of value in rheumatic or neuralgic colic as described

above.
The pains are grinding and griping in character in whatever locality they are
found.
In sciatic rheumatism we find a well marked characteristic when there is entire
relief from pain while the patient is at rest ; this indicates Dioscorea with
peculiar emphasis.

Compare : Cimicifuga, Bryonia, Nux vomica, Silica.

ABDOMEN. — (Dioscorea)
VIOLENT TWISTING COLIC OCCURRING AT REGULAR INTERVALS
WITH REMISSIONS.
TWISTING PAINS < BY LYING DOWN, > BY PRESSURE.
GRIPING IN UMBILICAL REGION.

HEART. — (Dioscorea)
Sharp cutting pain in region of heart extending to left arm, arresting
breathing, with faintness.

NECK AND BACK. — (Dioscorea)

Lameness and stiffness in small of back.
Lameness in back in region of the liver, almost impossible to turn in bed,
> FROM MOTION.
Sharp deep pain in lower portion of left scapula.
Dull pain in back of neck extending to head and shoulders.
Dull pain in lumbar region < on bending spine.
Back seems so lame cannot support it.
Severe drawing writhing pain radiating from sacral region to whole body.
Hyperesthesia of spinal cord.
Drawing pain in sacrum.
Dull heavy pain in sacro-iliac symphysis.

SUPERIOR EXTREMITIES. — (Dioscorea)

Pain in left shoulder.
Sharp jerking pains in shoulder, left elbow stiff.
Numbness of left hand and forearm, < in little finger, as if asleep.
Grinding in middle of forearm at intervals during evening.
Grinding in elbows.

INFERIOR EXTREMITIES. — (Dioscorea)

PAIN IN REGION OF EXIT OF RIGHT SCIATIC NERVE AND ALONG
ITS COURSE, PAIN ONLY ON MOVING LIMB OR ON SITTING UP,
ENTIRE > FROM LYING STILL.
Cramping pain in posterior part of legs, < at nates and heel.
Right hip lame as if gluteal muscles were too short.
Neuralgic rheumatism of extremities.
Knees weak and trembling, painful on beginning to walk, > afterwards.
Legs and feet numb.
Sharp pain in left knee while right is lame and stiff, both are weak ; dread of
walking but is compelled to do so.
Sharp pain in ankle joint soon drifting to toes, constantly shifting pains from
one part to another.

EXTREMITIES IN GENERAL. — (Dioscorea)

Rheumatic pains at night and in the morning.
SHARP DARTING PAINS IN VARIOUS PARTS OF THE BODY
RAPIDLY SHIFTING FROM PLACE TO PLACE.
Severe pains with cramps in flexors of the fingers and toes, especially with
pregnant women.
Aching pain alternating from elbows to knees.
Limbs are weak, especially the knees.
Sharp pains in ankles and wrists on waking, shifting to fingers and toes.

CONCOMITANT S. — (Dioscorea)
RUMBLING OF BOWELS WITH DISCHARGE OF LARGE QUANTITIES
OF FLATUS.
PAINS START NEAR UMBILICAL REGION AND RADIATE TO
DISTANT PARTS.
CONSTANT TENDENCY TO FORMATION OF PANARITIUM.

AGGRAVATIONS. — (Dioscorea)
MORNING.
Afternoon.
WHEN IN THE HOUSE.
Lying down.
REST.
Stooping.
WALKING.

AMELIORATIONS. — (Dioscorea)
After lying down.
External pressure.
Standing.
Walking.
AT REST.

Drosera rotundifolia
The pains of Drosera are gnawing, stitching, stinging or bruised in character,
with an almost constant sense of pressure in the parts affected ; these with the
aggravation from lying down, after midnight, warmth of the bed and from
rest, with the ameliorations from continued motion and external pressure,
make a picture seen in no other remedy and one applicable to rheumatic
troubles whenever found.

Drosera is compatible with Calc. c., Puls., Sulph. ; and it is complementary

to Nux vom.

NECK AND BACK. — (Drosera)

NECK STIFF AND PAINFUL ON MOTION.
Nape of neck painful to touch.
Drawing pain from between the scapulae to small of back.
When sitting stitching tearing pain from spine to anterior spinous process of
ilium.
BRUISED PAIN IN SMALL OF BACK IN MORNING.
STITCHES IN COCCYX WHEN SITTING.
Painful cramp in muscles of back and abdomen on turning head or body.

SUPERIOR EXTREMITIES. — (Drosera)

Nightly pains in humerus, going off by day and motion.
Quivering on right shoulder when at rest.
FINGERS SPASMODICALLY CONTRACTED, RIGID IN GRASPING.
Sticking in right arm with pain extending from right shoulder to elbow during
rest.
Elbow joint is painful to touch as if suppurating.
Arm is painful on motion, as if the muscles would be torn loose frolic the
bones.
Bruised pain in the joints.
Violent stitches in middle of left forearm.

INFERIOR EXTREMITIES. — (Drosera)

Laming pain in right hip joint and thigh, with pain in ankle as if sprained.
Violent stitch in ischium on rising from a seat.
PRESSING PAIN IN POSTERIOR MUSCLES OF THIGH, < from
pressure AND STOOPING ; COULD NOT LIE ON THAT SIDE AT NIGHT
; PASSED OFF ON RISING.
Stitches in middle of left anterior thigh.
Fine cutting stitch in right calf when sitting, passes off on walking.
TEARING PAIN IN RIGHT ANKLE AS IF SPRAINED, ONLY WHEN
WALKING.
STIFFNESS OF ANKLES.
PARALYTIC PAIN IN RIGHT HIP JOINT, THIGH AND ANKLE
ASSOCIATED WITH A BRUISED SPRAINED SENSATION.

EXTREMITIES IN GENERAL. — (Drosera)

ALL THE LIMBS SEEM BRUISED AND LAME AND ARE
OUTWARDLY PAINFUL.
GNAWING AND STITCHING PAINS IN BONES OF LIMBS, MORE
SEVERE IN JOINTS, > FROM MOTION.
PAINFUL STITCHING PRESSURE IN MUSCLES OF LIMBS IN EVERY
POSITION.

CONCOMITANTS. — (Drosera)
SPASMODIC COUGH ACCOMPANIED BY RETCHING AND
VOMITING.
ALMOST IMPOSSIBLE TO SPEAK BECAUSE OF THE COUGH.
DROWSINESS AT NOON AND AT SUNSET.

AGGRAVATIONS. — (Drosera)
MORNING.
NIGHT.
AFTER MIDNIGHT.
LYING DOWN.
REST.
STOOPING.
WARMTH OF BED.

AMELIORATIONS. — (Drosera)
CONTINUED MOTION.
EXTERNAL PRESSURE.
RISING FROM A SEAT.
RUBBING.
WALKING.

Elaps corallinus
Transient sticking pains about the knee, when accompanied by coryza and
otorrhoea, with the peculiar concomitants, has led to the successful use
of Elaps in rheumatic conditions.

Compare : Arsenicum, Carbo veg., the snake venoms, Nit. ac., Rhus tox.

NECK AND BACK. — (Elaps corallinus)

Stiffness in right side of neck.
Lancinating in left side of neck and spinal marrow.
Painful pressure in nape of neck.
Sense of weight as of a heavy iron bar on small of back.
Pain in back with chilliness.

SUPERIOR EXTREMITIES. — (Elaps corallinus)

Crampy constriction at bend of elbow, extending to hand, as if one carried a
heavy weight.
Prickling in left upper arm.
Sensation as if right hand were paralyzed.
Pain in right shoulder.

INFERIOR EXTREMITIES. — (Elaps corallinus)

TRANSIENT STICKING PAINS AT ONE TIME ABOVE, AT ANOTHER
BELOW, THE RIGHT KNEE ; < FROM MOTION OR WARMTH OF BED.
Sensation as if knee joint were sprained and were stiff.
Cramp in calves.
Rheumatic pains in left leg.

EXTREMITIES IN GENERAL. — (Elaps corallinus)

Soreness of limbs < at night.
Sensation of numbness in whole of left side.

CONCOMITANTS. — (Elaps corallinus)

Dullness of hearing with discharge of yellowish-green otorrhoea.
Roaring in ears.
Stopped coryza ; epistaxis.
Sore throat.
FRUIT AND COLD DRINKS LIE LIKE ICE IN STOMACH.
SENSATION AS IF FOOD TURNED LIKE A CORKSCREW ON
SWALLOWING.
ULCERATED THROAT FROM EXPOSURE TO WIND OR RAIN.
HORROR OF RAIN ; NEVER HAPPY DURING WET WEATHER.
COLDNESS AFTER DRINKING ANYTHING COLD OR AFTER
PUTTING HANDS IN COLD WATER.
HEMORRHAGES OF BLACK BLOOD.

AGGRAVATIONS. — (Elaps corallinus)

WET WEATHER.
DRINKING COLD THINGS.
TOUCH OF COLD WATER.
At night.

Elaterium

Elaterium is not often indicated in these conditions, but it is one of the

remedies to be considered for painful muscular and particularly neuralgic
conditions, especially following scarlet fever or great loss of fluids from
excessive diarrhea.

Compare : Bryonia, Colocynthis, Veratrum album.

NECK AND BACK. — (Elaterium)

Pains in sterno-mastoid muscle near sternum.
PAINS UNDER SHOULDER BLADES AND SMALL OF BACK.
Sticking pains in lumbar region, < left side.

SUPERIOR EXTREMITIES. — (Elaterium)

Sharp shooting pains in left axilla near the intersection of the pectoralis
muscle.
Pains extend from shoulder to end of fingers and then shoot back up to elbow.
Dull pain in right shoulder, forearm and hand to fingers.
Sharp stitching pains in fingertips of left hand.
Sharp stitching pains in muscular parts of thumb.

INFERIOR EXTREMITIES. — (Elaterium)

TEARING AND GNAWING PAINS IN HIPS AND THIGHS.
Shooting and dull aching pains in left thigh following course of sciatic nerve
to toes.
Pain in right knee extending into instep and toes.
CRAMP IN LEGS AND SOLES OF FEET.
ARTHRITIC PAINS IN GREAT TOE.

EXTREMITIES IN GENERAL. — (Elaterium)

NEURALGIC PAINS IN WHOLE RIGHT SIDE OF BODY.
GREAT PAIN IN LIMBS DARTING DOWN INTO FINGERS AND TOES.

AGGRAVATIONS. — (Elaterium)
Standing on damp ground after exertion of the body.

Erigeron

The characteristic aching distress in elbows and wrists during rainy weather
marks Erigeron, which is not often considered in rheumatic conditions.

Compare : Copaiva, Cubeba.

NECK AND BACK. — (Erigeron)

Dull aching distress in whole dorsal region.
Severe drawing pains in lumbar region.

SUPERIOR EXTREMITIES. — (Erigeron)

Rheumatic pains in left shoulder, hand and thumb.
GREAT ACHING DISTRESS IN ELBOWS AND WRISTS DURING
RAINY WEATHER.
Rheumatic pains in thumb all evening.

INFERIOR EXTREMITIES. — (Erigeron)

Rheumatic, pains in right hip.
Dull pains in knees.
Severe drawing pains in ankle joint, < walking.

AGGRAVATIONS. — (Erigeron)
ALL SYMPTOMS ARE MARKEDLY DURING RAINY WEATHER.
 Eupatorium perfoliatum

Eupatorium perfoliatum is of use in rheumatic affections accompanied by

perspiration and great soreness of the muscles and bones.

The intense, intolerable aching deep in the muscles and bones, with a
sensation of soreness as if the parts had been beaten or the bones broken, < by
motion and in the morning, makes a clear picture that
suggests Eupatorium, under whatever circumstances it may be found.

Compatible with Nux vomica and Sepia, and both follow well.
Compare : Bryonia, Chelidonium, Lycopodium.

NECK AND BACK. — (Eupatorium perfoliatum)

Beating pain in neck and occiput, < on rising.
Pain in back of neck and between the shoulders.
TREMBLING IN BACK.
Weakness in small of back.
INTOLERABLE ACHING SORENESS AS IF BEATEN IN SMALL OF
BACK.
BRUISED PAIN IN BACK.
INTENSE ACHING PAIN IN BACK.
Deep-seated pain in loins with soreness from motion.
Severe pain and bruised sensation in sacrum.

SUPERIOR EXTREMITIES. — (Eupatorium perfoliatum)

Stiffness of arms and fingers.
SENSATION AS IF THE ARM HAD BEEN BEATEN ABOVE AND
BELOW THE ELBOW.
SORENESS AND ACHING IN ARMS AND FOREARMS ; PAIN IN BOTH
WRISTS AS IF BROKEN OR DISLOCATED.
Stiffness of fingers with obtuseness of touch.

INFERIOR EXTREMITIES. — (Eupatorium perfoliatum)

Aching pain in right hip while sitting.
Soreness and pain in small spot over left hip.
Pain with exquisite sensitiveness in left glutei muscles, passing around in front
of the great trochanter.
Rheumatic pain on inside of left knee.
SORENESS AND ACHING OF LOWER LIMBS ; stiffness and general
soreness on rising to walk.
Pain in all the joints of lower limbs.
Severe cramping pains waken out of sleep.
CALVES OF LEGS FEEL AS IF THEY HAVE BEEN BEATEN.
Sprained pain in ankle.
Soreness and swelling of feet.
Gouty swelling of big toe.
Pain in first joint of left great toe then suddenly shifts to other foot.
Intolerable pain under toe nails.

EXTREMITIES IN GENERAL. — (Eupatorium perfoliatum)

Gouty inflammation of left knee and right elbow.
INTENSE ACHING IN LIMBS AND BACK AS IF BONES WERE
BROKEN.
GREAT SORENESS AS IF LIMBS HAD BEEN BEATEN.
ACHING OF BONES OF EXTREMITIES WITH GREAT SORENESS OF
FLESH.

CONCOMITANTS. — (Eupatorium perfoliatum)

GREAT SORENESS OF WHOLE BODY.
GREAT THIRST FOR COLD WATER.
VOMITING AFTER THIRST.
HOARSE ROUGH COUGH WITH SCRAPING IN BRONCHI.
CANNOT TWIST CHEST BECAUSE OF SORENESS BACK OF
STERNUM.
WALKS CROUCHED UP.

AGGRAVATIONS. — (Eupatorium perfoliatum)

MORNING.
ON MOTION.

Eupatorium purpureum

Gnawing pains deep in the bones which are constantly changing their location,
but always from below upward, together with the urinary troubles and the
restlessness, form the key to Eupatorium purpureum in rheumatic troubles.
Compare : Cann. s., Copaiva.

NECK AND BACK. — (Eupatorium purpureum)

Lameness in nape of neck.
Wry neck.
Cutting pain in neck, running from left shoulder to occiput.
Violent cutting pain in back.
Labour-like pains in back.
NEURALGIC PAINS FROM BELOW UPWARD ; < on left side.
Distressing pain in back.
Arthritic pains in lumbar region.
Dull aching in sacrum running upward through kidneys.

SUPERIOR EXTREMITIES. — (Eupatorium purpureum)

Shifting pain in arms always from below upward.
Intense aching in arms as if the bones were broken.

INFERIOR EXTREMITIES. — (Eupatorium purpureum)

Pain from hip and back upward.
GNAWING IN HIP BONE.
Numbness of legs after severe bone pains.
Severe shooting pain in course of left sciatic nerve, producing a palsied
sensation, especially after motion.
Neuralgia of right knee, soon crossing to other side.

EXTREMITIES IN GENERAL. — (Eupatorium purpureum)

SHIFTING RHEUMATIC PAINS ALWAYS FROM BELOW UPWARD.
SEVERE BONE PAINS IN ARMS AND LEGS.
Pain in limbs as if bones were broken.
GNAWING PAINS IN JOINTS.

CONCOMITANTS. — (Eupatorium purpureum)

CONSTANT DESIRE TO VOID URINE, WHICH SMARTS AND BURNS
BADLY, PASSING ONLY A FEW DROPS AT A TIME.
URINE SCANTY, ALBUMINOUS AND FREQUENT.
RESTLESSNESS.
WANTS TO KEEP STILL BUT CANNOT.
Suitable for old people.

Euphorbium officinarum

The burning, paralytic pains are quite marked in Euphorbium, but its
aggravations from rest and beginning to move, and ameliorations from
continued motion, are the key to the remedy in whatever type of pains.
It resembles Rhus tox. in its general aggravations, but lacks the marked
aggravation from cold damp weather.

Euphorbium antidotes Arsenicum, Nux vomica.

It is compatible with Lachesis, Pulsatilla, Sepia, Sulphur.
Compare : Colchicum, Elaterium, Veratrum.

NECK AND BACK. — (Euphorbium)

Pain in back ; pressing pain in the muscles.
Paralytic pain in lumbar region.
Painfulness in coccyx, deep as if in the bone, < on rising and beginning to
move.
Jerking sticking pain in back.
Violent stitches in back when sitting.
Nightly pains in ischia.

SUPERIOR EXTREMITIES. — (Euphorbium)

Paralytic tightness of shoulder joint, mornings, from moving arms.
Pressive pain in upper arm on outer side above the elbow ; in ball of thumb.
Cramp in right hand, when writing.
Writer's cramp.
Paralytic pain in wrists on moving them.
Paralytic drawing in humerus, radius and wrist.

INFERIOR EXTREMITIES. — (Euphorbium)

BURNING PAINS IN BONES OF HIP AND THIGH AT NIGHT.
PINCHING PAIN IN POSTERIOR PART OF ILIUM.
Sprained pain in hip joint on moving it.
Tearing, stinging, pressing pains, > from motion, < from rest.
Paralytic sensation with difficulty of rising from a seat.
Sprained pain in left thigh, > from standing, < BY BEGINNING TO WALK.
Sore pain in right heel when walking.
Cramps in foot drawing toes together.
Feet go to sleep when sitting.

EXTREMITIES IN GENERAL. — (Euphorbium)

PARALYTIC PAIN OF ALL THE LIMBS.
Rheumatic pain in limbs.
Paralytic weakness in joints.

CONCOMITANTS. — (Euphorbium)
ERYSIPELATOUS SWELLING OF PARTS.
INFLAMMATION OF STOMACH.
SPASMODIC COUGH WITH ASTHMA.
Diarrhea, very painful before and during stool ; looks like glue.

AGGRAVATIONS. — (Euphorbium)
WHEN AT REST.
RISING FROM A SEAT.
AT BEGINNING OF MOTION.
WHEN SITTING.
FROM TOUCH.
TURNING OVER IN BED.

AMELIORATIONS. — (Euphorbium)
FROM CONTINUED MOTION.
AFTER RISING FROM A SEAT.
WALKING.

Euphrasia officinalis

Euphrasia is one of the valuable remedies in rheumatic iritis with the constant
aching and occasional darting pains in the eyes, always markedly worse in the
evening and night.

Associated with all its troubles is the characteristic profuse fluent discharge
which excoriates the eyelids and cheeks, but from the nose is always bland.

EYE S. — (Euphrasia)
RHEUMATIC IRITIS WITH CONSTANT ACHING AND OCCASIONAL
DARTING PAIN IN EYE, ALWAYS < AT NIGHT ; CILIARY
INJECTION, PHOTOPHOBIA, AQUEOUS HUMOR CLOUDY AND IRIS
DISCOLOURED AND BOUND DOWN BY ADHESIONS.
RHEUMATIC INFLAMMATION OF EYES ALMOST BLINDING HIM.

NECK AND BACK. — (Euphrasia)

Cramp-like pain in back.
(Constant pressive pain in back while sitting and walking.)
(Violent sticking pain along the whole spine.)
(Rheumatic drawing from uppermost dorsal vertebra to left clavicle, painful to
touch.)
(Distressing heaviness in small of back on rising in morning.)

SUPERIOR EXTREMITIES. — (Euphrasia)

Rheumatic drawing and sticking in right elbow, wrist and hand.
Cramps in wrists and hands.
Numbness of fingers.

INFERIOR EXTREMITIES. — (Euphrasia)

CRAMPS IN CALVES, < WHEN STANDING.
Painful tension in hamstrings as if too short.
Stitches in hip and knee joints when walking.

CONCOMITANTS. — (Euphrasia)
BURNING AND SWELLING OF THE MARGIN OF LIDS.
PROFUSE FLUENT CORYZA IN MORNING, WITH COUGH AND
EXPECTORATION.
PROFUSE FLUENT BLAND CORYZA.
GREAT PHOTOPHOBIA.

AGGRAVATIONS. — (Euphrasia)
EVENING.
NIGHT.
LIGHT.
WALKING IN OPEN AIR.
 Ferrum metallicum

Because of its constant abuse in physiological doses, homeopathic physicians

frequently overlook a valuable remedy in Ferrum.

In rheumatic troubles it often affects the left lower and right upper limbs,
having especial affinity for the shoulder joint and deltoid muscle, and being of
value in both articular and muscular rheumatism.
Its aggravations and ameliorations are marked, and to some extent
resemble Rhus tox., but lack the decided aggravation of Rhus in wet weather.
The anemic condition is almost always an accompanying symptom
of Ferrum — which is another marked difference from Rhus — and we do not
find in it the inflammatory swellings of Rhus tox.

NECK AND BACK. — (Ferrum metallicum)

NECK SORE AS IF BRUISED ; Stiff.
Neck and shoulder painful when lying on right side.
Pain between the shoulders.
Constant pain along the back, < on parts lain upon.
LUMBAGO ALL NIGHT, > ON RISING.
Pain in region of kidneys.
JERKING STICKING PAIN IN SMALL OF BACK WHEN WALKING,
EXTENDING TOWARD HIPS ; < AFTER SITTING OR STANDING.

SUPERIOR EXTREMITIES. — (Ferrum metallicum)

Paralytic heaviness in shoulder joint.
OMODYNIA BOTH SIDES ; PAIN IN DELTOID MUSCLE, A
CONSTANT DRAWING, TEARING, LAMING PAIN, < IN BED MUST
GET UP AND MOVE ABOUT.
Laminating pain when moving arm.
DULL TEARING OR QUICK DARTING PAINS EXTENDING TOWARD
ELBOW, BUT LESS SEVERE NEAR ELBOW, < FROM HOLDING ARM
STILL, WARMTH OF BED AND BEING COVERED.
CANNOT RAISE ARM BECAUSE OF THE SHOOTING TEARING
PAINS.
SHOOTING PAINS EXTEND DOWNWARD.
Gnawing pain in left arm, increasing so that she has to keep arm
quiet ; slightest motion of fingers causes pain in arm ; heaviness of arm.
Flesh of arm sore to touch, feels bruised.
Pinching in right deltoid.
Boring in right shoulder.
Paralytic tearing pains from shoulder to elbow.
TEARING STINGING PAINS EVERY NIGHT IN ARMS.
Cracking in shoulder joints.
Right arm lame.
Arms nearly rigid.
Swelling and stiffness of hands.
Trembling of hands when writing.
Fingers stiff and numb, CONTRACTED.

INFERIOR EXTREMITIES. — (Ferrum metallicum)

VIOLENT PAIN IN HIP JOINT, EVENINGS UNTIL MIDNIGHT,
DRIVING HIM OUT OF BED.
BRUISED PAIN WHEN TOUCHED, WITH SHOOTING AND TEARING
IN HIP JOINT ; down along the tibia.
Remitting pains < AT NIGHT, > FROM CONTINUED MOTION.
Numbness of thighs.
THROBBING PAIN AT NIGHT, < FROM REST, > FROM MOTION.
Painful drawings in legs with heaviness and stiffness.
BRUISED PAIN IN CALVES.
Cramps in calves at night when at rest.
Shooting prickling in right ankle.
CRAMPS IN SOLES OF FEET AND TOES WITH PAINFUL
CONTRACTION OF TOES.

EXTREMITIES IN GENERAL. — (Ferrum metallicum)

TEARING IN ARMS AND LEGS AT NIGHT.
STITCHING TEARING PAINS AT NIGHT, MUST CONSTANTLY
CHANGE POSITION.
Contractions of limbs.
Cramps in limbs.
SWELLING OF HANDS AND FEET.
LEFT LOWER AND RIGHT UPPER LIMBS MOST AFFECTED.

CONCOMITANTS. — (Ferrum metallicum)

VERTIGO.
SEVERE HAMMERING, BEATING, PULSATING PAIN IN HEAD.
EXTREME PALENESS OF FACE WHICH BECOMES VERY RED ON
LEAST EMOTION.
ANOREXIA.
RAVENOUS HUNGER.
INVOLUNTARY URINATION AT NIGHT AND DURING DAY.
DIFFICULT BREATHING, OPPRESSION OF CHEST AS IF SOMEONE
PRESSED UPON IT WITH HAND.
HAEMOPTYSIS.
ANAEMIC MURMUR IN ARTERIES AND VEINS OF NECK.
RESTLESSNESS.
FAINTING SPELLS.
GREAT WEAKNESS.

AGGRAVATIONS. — (Ferrum metallicum)

MORNING.
NIGHT.
CHANGE OF POSITION.
LYING DOWN.
ON BEGINNING TO MOVE.
OPEN AIR.
ABUSE OF QUININE.
REST.
WHEN SITTING.
WHEN STANDING.

AMELIORATIONS. — (Ferrum metallicum)

FROM CONTINUED MOTION.
AFTER RISING.
WALKING.

Ferrum iodatum

Ferrum iod. resembles both Ferrum and Iodum in its action.

The bruised paralytic sensation in the limbs, when associated with the
scrofulous anemic conditions, are the outstanding indications for its use in
rheumatic conditions.

NECK AND BACK. — (Ferrum iodatum)

Sides of neck sore when touched or on motion.
Pain in small of back as if broken, at night only ; as if lying in a cramped
position.
Dull pain in middle of dorsal region, extending through the chest.
Painful sensation in back and along the spine, starting from lumbar vertebra.

SUPERIOR EXTREMITIES. — (Ferrum iodatum)

A bruised paralyzed feeling in right upper arm and shoulder.
Painful drawing in tendons of right hand and left foot.
Weary paralyzed feeling in right arm when writing in evening.

INFERIOR EXTREMITIES. — (Ferrum iodatum)

Rheumatic pain extending upward from back of left foot to pelvis in evening.
Paralyzed feeling in legs.
Bruised paralyzed feeling in thighs, extending to the knees, which seem
heavy.

EXTREMITIES IN GENERAL — (Ferrum iodatum)

Weakness and bruised sensation in all the limbs, with great aversion to
motion.
Paralyzed feeling in all the limbs.

CONCOMITANTS.— (Ferrum iodatum)

SCROFULOUS SWELLING OF GLANDS ABOUT THE NECK.
ABDOMEN SWOLLEN.
URINE DARK COLOURED, DEPOSITING A THICK WHITE
SEDIMENT.
AMENORRHEA.
GREAT DEBILITY AND EMACIATION.
HAEMOPTYSIS.
ANAEMIA.
HAS NO FEVER.

Ferrum muriaticum

The rheumatic troubles of Ferrum mur. are almost entirely confined to the
right shoulder and elbow joints.
The pains are very similar to Ferrum met., but the accompanying symptoms
are quite different, especially the marked tendency to cramps of various
muscles.

SUPERIOR EXTREMITIES. — (Ferrum muriaticum)

PARALYTIC TEARING PAINS IN SHOULDER JOINT, ARM,
CLAVICLE AND MUSCLES, MAKING IT IMPOSSIBLE TO LIFT ARM ;
> FROM GENTLE MOTION.
SLIGHT DRAWING SOON BECOMING TEARING IN SHOULDER,
STITCHING PAINS EXTEND TO ELBOW ; PARALYTIC LAMENESS
OF UPPER ARM, PAIN < AT NIGHT AND FROM LEAST MOTION,
DRIVING HIM OUT OF BED ; SLIGHT > FROM WALKING ABOUT.
ACUTE ARTICULAR RHEUMATISM OF RIGHT SHOULDER JOINT,
PAIN DEEP IN SOCKET PREVENTING MOTION.
RHEUMATIC LAMENESS IN RIGHT SHOULDER AFTER INJURY.

INFERIOR EXTREMITIES. — (Ferrum muriaticum)

CRAMPS IN CALVES, ESPECIALLY AT NIGHT IN BED.
Sudden frequent cramps in limbs during day.
Tearing in feet.

EXTREMITIES IN GENERAL. — (Ferrum muriaticum)

SUDDEN CRAMPS IN LIMBS.

CONCOMITANTS. — (Ferrum muriaticum)

PALENESS OF FACE WITH RED SPOTS ON CHEEKS.
ANOREXIA.
BITTER ERUCTATIONS AFTER FAT FOODS.
SPLEEN ENLARGED AND SENSITIVE TO TOUCH.
SPASMODIC COUGH > BY EATING.
CHLOROSIS.

AGGRAVATIONS. — (Ferrum muriaticum)

MOTION (elbow pain).

AMELIORATIONS. — (Ferrum muriaticum)

MOTION.
WALKING.
 Ferrum phosphoricum

Ferrum phos. is a very valuable remedy in acute articular or inflammatory

rheumatic fever, having the restlessness, high fever and thirst with the soft full
pulse, and copious sweat that does not give relief.

NECK AND BACK. — (Ferrum phosphoricum)

Crick in the neck and back.

SUPERIOR EXTREMITIES. — (Ferrum phosphoricum)

VIOLENT PAIN IN RIGHT SHOULDER AND UPPER ARM OF A
DRAWING, TEARING NATURE, > FROM GENTLE MOTION ; sensitive
to touch ; dead feeling in right hand.
ACUTE INFLAMMATORY SWELLING OF RIGHT SHOULDER, VERY
SENSITIVE TO TOUCH.
RHEUMATIC PAINS IN RIGHT DELTOID ; UNABLE TO WORK, EVEN
PRESSURE OF COAT PAINFUL.
Rheumatism of wrists.
FINGERS CONTRACTED BY ACUTE ARTICULAR RHEUMATISM.

INFERIOR EXTREMITIES. — (Ferrum phosphoricum)

SEVERE SHOOTING PAINS IN KNEES AND DOWN THE LEGS, < AT
NIGHT AND BY MOTION.
ANKLE GREATLY SWOLLEN AND SENSITIVE TO TOUCH.
STEADY, ALMOST UNBEARABLE PAIN ABOUT FOOT AND ANKLE,
SHOOTING UP INSIDE OF LEG, THEN SHOOTING THROUGH THE
ANKLE.

EXTREMITIES IN GENERAL. — (Ferrum phosphoricum)

ACUTE ARTICULAR RHEUMATISM.
ONE JOINT AFTER ANOTHER IS AFFECTED.
Wrists and knees lame and swollen.

JOINTS. — (Ferrum phosphoricum)

SWOLLEN, PUFFY, PALE RED AND HOT.

CONCOMITANTS. — (Ferrum phosphoricum)

VERY SEVERE CONGESTIVE HEADACHE ; GREAT THROBBING IN
HEAD.
THIRST.
RESTLESSNESS.
HIGH FEVER ; FULL PULSE.
COPIOUS SWEAT, BUT DOES NOT > PAIN.

AGGRAVATIONS. — (Ferrum phosphoricum)

4 TO 6 A.M.
NIGHTS.
VIOLENT MOTION.

AMELIORATIONS. — (Ferrum phosphoricum)

VERY GENTLE MOTION (but not the articular trouble).

Fluoricum acidum

Fluoric acid will repay careful study in connection with old broken down
persons, especially hard drinkers with poor livers, and syphilitic subjects after
the abuse of mercury, when suffering from rheumatism.

Fluoric acid follows Ars. well in hard drinkers with ascites.

Compare : Kali c., Rhus, Ruta, Sil.

NECK AND BACK . — (Fluoricum acidum)

PAIN IN THIRD CERVICAL VERTEBRA.
PAIN IN NAPE OF NECK EXTENDING THROUGH HEAD TO
FOREHEAD.
Nape of neck stiff.
Lameness of back.
Aching in sacrum and lumbar region > by stretching, by bending
backward, by pressure.
PAIN IN OS COCCYX, SORE TO TOUCH, ON PRESSURE PAIN
EXTENDS THROUGH TO BLADDER, < BY MOTION.
Bruised pain in sacrum.
COCCYODYNIA WITH EXCESSIVE ACHING.

SUPERIOR EXTREMITIES. — (Fluoricum acidum)

PAIN IN RIGHT SHOULDER JOINT, SOMEWHAT STIFFENED.
Pain and sensation as if air were passing down from right shoulder toward
fingers.
ARMS AND SHOULDERS ARE LAME AND PAINFUL.
Rheumatic pain in left arm, from shoulder to elbow.
Lameness of right arm.
Trembling in biceps and triceps of right arm.
NUMBNESS OF HANDS.
HEAT AND SWEAT OF PALMS.
Pricking in fingers.
Pain in left index finger as if in the bone.
Sharp sticking pain at root of right thumb nail.

INFERIOR EXTREMITIES. — (Fluoricum acidum)

ACUTE STITCHES IN RIGHT HIP BONE.
LAMENESS OF LEFT HIP.
Left leg goes to sleep easily.
Pain in right knee joint.
KNEE JOINT SWOLLEN, VERY PAINFUL.
CHRONIC ULCERATION OF BONES OF FEET AND TIBIA.
Burning stitches in soles.

EXTREMITIES IN GENERAL. — (Fluoricum acidum)

PAIN WITH WEAKNESS AND LAMENESS IN ALL THE LIMBS.
Limbs go to sleep easily.
FEET AND HANDS VERY MOIST.
JOINTS SWOLLEN, PALE AND PUFFY.

CONCOMITANTS. — (Fluoricum acidum)

GREAT LOSS OF MEMORY.
VERY ILL HUMOURED.
PRESSURE ON BOTH SIDES OF OCCIPUT WITH PAIN.
PAIN ALONG THE SUTURES.
SENSATION OF A COLD WIND BLOWING UNDER EYELIDS.
CARIES OF TEETH.
SENSITIVE TO PRESSURE IN RIGHT HYPOCHONDRIA.
EMPTINESS IN REGION OF UMBILICUS.
VARICOSE VEINS ON LEGS ULCERATE.
SYMPTOMS GO FROM BELOW UPWARD.

AGGRAVATIONS. — (Fluoricum acidum)

WET WEATHER.
NIGHT.

Formica rufa

The sudden appearance of the pains in rheumatic and gouty conditions, and
their darting from left to right or right to left, mark the use of Formica.

These pains may be more truly described as darting rather than wandering ;
there is more rapid change than we think of in wandering.
When indicated it has a field in old chronic conditions with great weakness of
mind and body.

Compare : Apis, Bryonia, Dulcamara.

EYES. — (Formica rufa)

RHEUMATIC INFLAMMATION OF EYES.

ABDOMEN. — (Formica rufa)

Severe pains sidewise through pelvis.

NECK AND BACK. — (Formica rufa)

Sore pain in neck and up into head, < from pressure.
Sudden violent pain in left side of neck extending down arm, < bending head
back, < on least motion.
PAIN IN BACK.
Severe pain across back.
AFFECTIONS OF SPINAL CORD.

SUPERIOR EXTREMITIES. — (Formica rufa)

Pain from neck down left arm, < on motion.
Severe pain above right elbow.
Pain above left elbow.
Rheumatic pain in right elbow and wrist.
Rheumatic pain along course of ulna.
Wandering pain, suddenly leaves left arm and goes to right, where it is <.

INFERIOR EXTREMITIES. — (Formica rufa)

Bruised pain in hips, at night in bed.
Lack of power in legs, with soreness.
Lancinating pain in left knee joint waking him from sleep.
Rheumatic pain in knee joints, < from walking.
GOUTY PAINS IN LIMBS.
ARTHRITIS VAGA.
CHRONIC GOUT WITH STIFFNESS OF JOINTS.
OLD ATONIC GOUT.
Cramps in feet and toes ; cramps in soles.

EXTREMITIES IN GENERAL — (Formica rufa)

Sensation as if muscles were torn or strained from their attachments.
RIGHT SIDE MOSTLY AFFECTED.
OLD OR LOCAL RHEUMATIC AFFECTIONS.
GOUTY PAINS IN LIMBS.

JOINTS. — (Formica rufa)

STIFFNESS OF JOINTS.
Contraction of joints.
Gouty nodes in and around joints.
RHEUMATISM APPEARING MOSTLY IN JOINTS, WITH
RESTLESSNESS.

CONCOMITANTS. — (Formica rufa)

GREAT PROSTRATION.
FAINTINGS.
LIABILITY TO TAKE COLD.
SWEAT WITHOUT RELIEF.
COMPLAINTS FROM OVERLIFTING.
RESTLESSNESS.
Brain feels too heavy and large.
SENSATION AS IF A BUBBLE BURST IN THE FOREHEAD.

AGGRAVATIONS. — (Formica rufa)

FROM SLIGHTEST MOTION.
FROM COLD.
At night in bed.

AMELIORATIONS. — (Formica rufa)

FROM PRESSURE.

Gambogia

Gambogia has proven of value in coccyodynia when associated with the hard
stools, with constant urging and protrusion of rectum, and aggravation in the
night.

NECK AND BACK. — (Gambogia)

Pain down right side of neck.
Stitches in left kidney.
Bruised or sprained pain across the small of back.
Pain across the lumbar vertebra.
Cutting pain across top of sacrum and left hip, also in muscles on left side of
sacrum.
REPEATED GNAWING IN COCCYX.

SUPERIOR EXTREMITIES. — (Gambogia)

Tearing pain in shoulder joints.
Stitch on top of right shoulder.
Stitching pains in upper limbs coming on in evening.
Aching in right arm and biceps flexor cubiti.
Numb feeling in ball of right thumb.
Severe aching pain in upper joint of left little finger.

INFERIOR EXTREMITIES. — (Gambogia)

Severe aching pain in hip and severe cutting pain about great trochanter.
Aching in and about the knees.
Sharp cutting pain about midway in tibia.
Pain in right fibula just above the ankle joint.
Cramps in calves with contractions of toes.
Throbbing pain in three middle toes at night in bed.
Sticking pains and soreness about large joint of left great toe.
EXTREMITIES IN GENERAL. — (Gambogia)
Sticking aching pains in joints and muscles.

CONCOMITANTS. — (Gambogia)
VOMITING AND PURGING WITH FAINTNESS.
PROFUSE, WATERY DIARRHEA WITH COLIC AND TENESMUS.
GREAT RELIEF FELT AFTER STOOL.
HARD INSUFFICIENT STOOL, WITH URGING AND PRESSING AND
PROTRUSION OF RECTUM.
COLD STAGE PREDOMINATES IN THE FEVER ; HEAT AND SWEAT
ALMOST ENTIRELY WANTING.

AGGRAVATIONS. — (Gambogia)
EVENING AND NIGHT.

Gelsemium sempervirens

Gelsemium is of service in muscular rheumatism, but it is in inflammatory

muscular rheumatic fever that it finds its principal use in rheumatic troubles.
There its indications are clear and distinct — heavy besotted look, intellect
befogged, pulse full, soft and flowing, high fever without thirst, great soreness
and aching in all the muscles.

Gelsemium antagonizes Atropine and Opium.

NECK AND BACK.— (Gelsemium)

PAIN VERY SEVERE IN NECK.
LAMENESS AND STIFFNESS OF NECK.
Sensation of contraction in left side of neck.
Myalgic pains in sterno-cleido muscles.
PAIN IN NECK AND UNDER LEFT SHOULDER BLADE.
BRUISED PAIN IN MUSCLES OF NECK.
Cervical vertebra sensitive to touch.
DULL ACHING PAIN IN BACK EXTENDING TO OCCIPUT.
PARALYTIC CONDITION OF LUMBAR AND SACRAL MUSCLES.
DULL ACHING IN LUMBAR AND SACRAL REGION.
Sharp cutting pains from back down to hips.
SUPERIOR EXTREMITIES. — (Gelsemium)
Pain in shoulders at night.
DEEP-SEATED MUSCULAR PAINS IN ARMS.
ARMS WEAK AND NUMB.
SENSE OF FATIGUE WHILE PLAYING ON PIANO, STEADILY
INCREASING ; PAINS FROM FINGER TIPS TO SCAPULAE.
Severe aching pain in left elbow.
Sprained pain in right wrist and elbow.
Arms become powerless ; loss of voluntary motion.

INFERIOR EXTREMITIES. — (Gelsemium)

GREAT FATIGUE OF LIMBS AFTER SLIGHT EXERTION.
DIFFICULTY IN WALKING OR STANDING FROM LOSS OF CONTROL
OF MUSCLES.
HEAVINESS AND SENSE OF WEIGHT IN LIMBS.
OBSTINATE SCIATIC PAINS < AT REST AND ESPECIALLY ON
BEGINNING TO WALK ; burning pains at night ; pain in soles of feet when
walking.
DEEP-SEATED MUSCULAR PAIN IN LEGS, > FROM MOTION.
Paroxysmal shooting pains.
Drawing crampy pains from thighs into toes.
Violent lancinating pains in thighs.
Great soreness of flesh on thighs.
Rheumatic pains in knees at night.
Drawing and contractive pain in calves of legs.
Calves are sore and feel bruised.
Pain in left foot and ankle ; spasmodic contraction of toes.

EXTREMITIES IN GENERAL. — (Gelsemium)

WANT OF CONTROL OF LIMBS.
GREAT SORENESS OF LIMBS.
DEEP-SEATED, DULL ACHING PAIN IN LIMBS AND JOINTS
BROUGHT ON BY COLD.
NUMBNESS OF LIMBS.
NEURALGIC AND RHEUMATIC PAINS.

AGGRAVATIONS.— (Gelsemium)
4 TO 8 P.M.

CONCOMITANTS. — (Gelsemium)
COMPLAINTS FROM BAD OR EXCITING NEWS.
COMPLETE RELAXATION OF WHOLE MUSCULAR SYSTEM.
DIZZINESS AND BLURRED VISION ; DOUBLE VISION.
COMPREHENSION DIFFICULT.
SENSATION AS OF A BAND ABOUT THE HEAD.
HEAVINESS OF EYELIDS.
TONGUE THICK ; TALKS THICK.
GREAT RELIEF AFTER VOIDING COPIOUS CLEAR, LIMPID URINE.
PULSE FREQUENT, SOFT AND FLOWING.
HIGH FEVER WITHOUT THIRST.

Glonoinum

Glonoinum finds its principal use in rheumatic troubles following contusions,

especially when affecting the back ; always associated with it is the
characteristic throbbing in different parts, especially in the head, on the vertex
and in the temples.

Antidoted by Aconite, Nux vom.

Compare : Belladonna, Gelsemium, Natrum carb.

HEART. — (Glonoïnum)
VIOLENT PALPITATION OF HEART WITH THROBBING CAROTIDS.
LABORIOUS ACTION WITH OPPRESSION.
BLOOD SEEMS TO RUSH TO HEART AND THEN TO HEAD.
PURRING NOISE IN REGION OF HEART WHEN LYING DOWN.
SEVERE STITCHES EXTENDING FROM HEART TO BACK.

NECK AND BACK. — (Glonoïnum)

SENSATION AS IF NECK WERE GRASPED WHEN LYING DOWN,
ESPECIALLY ABOUT THE LOWER PART OF NECK.
Sensation of tension and stiffness about the neck.
Nape stiff with intense headache.
Cramps in back and side of neck on having head backward.
SENSITIVENESS IN BACK AND UPPER CHEST, COMING ON AFTER
A JAR OR BEING THROWN FROM A VEHICLE.
Sharp cutting pains across scapula.
PAIN IN BACK AFTER CONTUSION.

SUPERIOR EXTREMITIES. — (Glonoïnum)

Numbness and sense of weariness in left arm.
Pain from shoulder to back of right hand.
Rheumatic pains in fingers of left hand.
Sharp pricking pains in arms.

INFERIOR EXTREMITIES. — (Glonoïnum)

Acute pain in left knee on motion, deep in joint without heat or
swelling ; sudden twinges or pricks while at rest, obliging straightening limb.

EXTREMITIES IN GENERAL. — (Glonoïnum)

Great weakness of limbs, especially middle of thighs and arms.
NUMBNESS OF LIMBS.
Pricking in limbs.

CONCOMITANTS. — (Glonoïnum)
INTENSE THROBBING IN WHOLE BODY, ESPECIALLY IN HEAD.
RUSH OF BLOOD TO HEAD.
PRESSURE IN HEAD SO GREAT AS TO SEEM AS IF SKULL WOULD
BURST.

Gnaphalium polycephalum

Gnaphalium has the intense pain along the sciatic nerve, which alternates with
a sensation of numbness all through its ramifications.

NECK AND BACK. — (Gnaphalium polycephalum)

Lumbago with numbness in lower back.

SUPERIOR EXTREMITIES. — (Gnaphalium polycephalum)

Rheumatic pains with feeling of debility in arm.

INFERIOR EXTREMITIES. — (Gnaphalium polycephalum)

Darting or cutting pains from right hip joint to foot, posterior part of limb < on
lying down, motion or stepping ; > sitting in a chair.
INTENSE PAIN ALONG THE SCIATIC NERVE FOLLOWING ITS
LARGER RAMIFICATIONS.
SENSATION OF NUMBNESS TAKING THE PLACE OF SCIATIC
PAINS.
Rheumatic pains in knees and ankle joints.
Frequent cramps in calves.
Cramps in feet in bed.
Gouty pains in big toe.

EXTREMITIES IN GENERAL — (Gnaphalium polycephalum)

Drawing pains in all the limbs.
TEARING PAINS IN ALL THE LIMBS, ESPECIALLY THE HANDS AND
FEET.
LIMBS GO TO SLEEP QUICKLY.
HEAVINESS OF LIMBS.
LIMBS SEEM DEAD WHILE WALKING IN OPEN AIR.

JOINTS. — (Gnaphalium polycephalum)

GOUTY NODES IN FINGER AND TOE JOINTS.

CONCOMITANTS. — (Gnaphalium polycephalum)

SENSATION AS IF A COBWEB WERE ON THE FACE.
HARDNESS IN REGION OF LIVER.
PAIN IN ABDOMEN AFTER EATING.
STOOLS HARD, KNOTTY, UNITED BY MUCOUS SHREDS.
DURING CLIMAXIS.
LEUCORRHEA PROFUSE, WHITE.
CRACKS AND FISSURES OF SKIN.
ERUPTION ON VARIOUS PARTS EXUDING A STICKY, WATERY,
TRANSPARENT FLUID ; SKIN ITCHES DREADFULLY.
NAILS BRITTLE AND CRACKED.

AGGRAVATIONS. — (Gnaphalium polycephalum)

WALKING.
MOTION.
AFTER LIFTING.
ON BECOMING COLD, AT NIGHT.

AMELIORATIONS. — (Gnaphalium polycephalum)

EXTERNAL PRESSURE.
WARMTH.

Grindelia robusta

Grindelia has marked action in rheumatic troubles of the eye resulting from
exposure to cold or metastases from some other part, always with intense pain
and high fever.

Grindelia antidotes Rhus tox.

EYES. — (Grindelia robusta)

RHEUMATIC IRITIS FROM EXPOSURE TO COLD OR METASTASIS
OF RHEUMATISM ; PAIN IS INTENSE, RUNNING DIRECTLY BACK
TO THE BRAIN, < ON MOVING EYES.

CONCOMITANTS.— (Grindelia robusta)

HIGH FEVER.
FEAR OF GOING TO SLEEP ON ACCOUNT OF LOSS OF BREATH
WHICH AWAKENS HIM.

Guaiacum

Guaiacum is useful in rheumatic affections, especially after the abuse of

mercury ; in rheumatism with contractions of tendons or fibrous tissues ; in
the growing pains of children ; in women suffering from rheumatic conditions
when associated with ovarian and menstrual irregularities ; when there is a
tendency for alteration of affections of the tonsils and rheumatic troubles ; or
rheumatic symptoms associated with osteomalacea, caries or other bone
conditions, often tubercular.

Guaiacum antidotes Causticum, Rhus tox.

It is compatible after Causticum, Mercury.
Compare : Kali hydr., Mezereum, Phytolacca, Rhododendron, Stillingia.

HEAD. — (Guaiacum)
Rheumatic pains in one side of head extending to face.
Attack of gouty pains in head.

NECK AND BACK. — (Guaiacum)

AFTER RIDING IN OPEN AIR, RHEUMATIC STIFFNESS OF LEFT SIDE
OF NECK AND SHOULDERS.
Frequent stitches on left side of nape extending from scapula to occiput.
DULL ACHING PAIN IN SIDES OF NECK EACH SIDE OF
VERTEBRAE.
STIFF NECK FROM COLD ; MUSCLES OF SHOULDERS AND SPINE
AFFECTED. EXCESSIVE STIFFNESS OF LEFT SIDE OF NECK
EXTENDING TO BACK, < from motion.
CONTRACTIVE PAIN BETWEEN THE SCAPULAE.
Rheumatic stiffness along the whole of left side of back with intolerable pain
on slightest motion.
Stitches on left side of back below true ribs near spine.
LEFT SIDE OF NECK AND RIGHT SIDE OF BACK MOST AFFECTED.

SUPERIOR EXTREMITIES. — (Guaiacum)

Sharp stitches on top of right shoulder.
Rheumatic pains from shoulder to elbow or wrist in left arm.
Painful drawing and cutting in arm.
Rheumatic pains in left wrist joint.
Pain in knuckles, then the whole hand.
Stitches in right thumb.

INFERIOR EXTREMITIES. — (Guaiacum)

Pricking in nates as if sitting on needles.
TENSION IN THIGHS, ESPECIALLY THE RIGHT, AS IF MUSCLES
WERE TOO SHORT, WITH LANGUOR WHEN WALKING, < WHEN
TOUCHED, > from sitting.
SCIATIC PAINS.
PRESSING and crawling PAINS IN THIGHS WHEN SEATED.
PAINS BEGIN IN MIDDLE OF THIGH AND EXTEND TO THE KNEE.
Tearing drawing in muscles of leg from tarsus to the knee.
SWOLLEN SENSATION IN LIMBS WITH PAINS IN BONES OF LIMBS.
Violent pain in knee with gouty inflammation.
Darting pains extend from feet to knee.
Whole left leg is cramped.
RIGHT LEG SWOLLEN AND CONTRACTED STIFF, IMMOVABLE
AND DRAWN UP TO THIGH.
Violent stitches from outside the right calf down to ankle.

EXTREMITIES IN GENERAL. — (Guaiacum)

TEARING AND STINGING IN LIMBS.
TEARING prickling PAINS IN MUSCLES OF LIMBS WITH HEAT OF
PARTS.
GOUTY TEARING AND STITCHING IN LIMBS WITH
CONTRACTIONS OF AFFECTED PARTS.
Stinging pains in limbs < from the least motion.
RHEUMATIC CUTTING PAIN FOLLOWED BY CONTRACTION OF
LIMB.
SENSATION OF HEAT IN AFFECTED LIMB.
MARKED STIFFNESS OF AFFECTED LIMB.
LIMBS GO TO SLEEP.

JOINTS. — (Guaiacum)
Swelling, puffy and hot.
INTOLERANT OF PRESSURE OR HEAT.

CONCOMITANTS. — (Guaiacum)
SENSATION OF SWELLING AND PROTRUSION OF EYES ; EYELIDS
APPEAR TOO SHORT TO COVER THEM.
FLATULENCY.
OVARY INFLAMED AND TENDER.
HEAT IN PAINFUL PARTS.
VERY OFFENSIVE SWEATS.
Everything seems too tight ; clothes feel damp.

AGGRAVATIONS. — (Guaiacum)
WALKING IN OPEN AIR.
Touch.
Sitting.
AFTER RISING FROM BED.
PRESSURE.
OPEN AIR.
Motion.
FORENOONS AND EVENINGS.

AMELIORATIONS. — (Guaiacum)
RUBBING THE PART.
WHEN IN THE HOUSE.

Hamamelis virginica

Hamamelis has the bruised lame soreness of the muscles and joints in a
marked degree, while associated with this rheumatic condition is the passive
venous haemorrhages into various parts, or the varicose condition so prevalent
in the different parts of the body.

One of the remedies for rheumatic conditions of the left scapula.

NECK AND BACK. — (Hamamelis virginica)

Sore pain down cervical vertebra.
Small of back feels as if it would break ; tearing pains.
Dull dragging pain in small of back.
Severe pains in lumbar and hypogastric region extending down the legs.
Dull pain in sacrum and hips,

SUPERIOR EXTREMITIES. — (Hamamelis virginica)

Bruised pain in upper arms and shoulders, < from motion.
Stiffness in arms and shoulders
Soreness in head of humerus, extending down arm to elbow.
Tenderness in right biceps < from pressure.
Dull pains in right elbow joint.
Severe drawing pains in flexor muscles, wrists, hands and fingers.
Lancinating in left wrist joint.
Prickling sensation from wrist to shoulder.
Violent pain from back of right hand to shoulder.
Stiffness of hands and fingers.

INFERIOR EXTREMITIES. — (Hamamelis virginica)

Intense aching and soreness in thighs.
Muscles of thighs feel sore and bruised ; sore pain in right femur.
Weakness of knees.
Dull dragging pains in legs.
Dull, heavy, drawing feeling in feet and toes.

EXTREMITIES IN GENERAL. — (Hamamelis virginica)

Tired feeling in arms and legs.
Painful fullness of joints of legs as if they would burst, soon extending to all
the joints of body.
Great soreness of muscles, bruised feeling in muscles, < from motion.

JOINTS. — (Hamamelis virginica)

Swollen and painful to touch.

CONCOMITANTS. — (Hamamelis virginica)

PASSIVE VENOUS HAEMORRHAGE FROM ANY PART.
VARICOSE VEINS IN VARIOUS PARTS.
GENERAL WEARINESS.

Helonias dioica

Helonias finds its place in weak, delicate women with muscular rheumatism
of the back and hips, when associated with the menstrual and uterine troubles
which mark this remedy.

It has done good work in the course of diabetes mellitus when rheumatic
symptoms appear.

NECK AND BACK.— (Helonias)

Burning and heat in dorsal region between lower part of scapula.
Pains in back with lame stiffness and weight.
Piercing from sacrum to uterus.
Sharp spasmodic pain running to crest of left ilium.
Severe aching in lumbar and sacral region with burning and tired feeling.
Lameness and stiffness in lumbosacral region.
Aching in sacrum and down into buttock.

INFERIOR EXTREMITIES.— (Helonias)

Severe pain in right hip joint < during motion.
Numbness of feet going off by motion ; felt only when sitting still.
AGGRAVATIONS.— (Helonias)
At night.

CONCOMITANTS. — (Helonias)
PROLAPSUS UTERI.
MENORRHAGIA WITH ULCERATED CERVIX.
MENSES TOO PROFUSE.
SUGAR IN URINE.

Hepar sulphuris calcareum

Hepar is especially to be thought of after the abuse of mercury in scrofulous

patients when the marked indications for the remedy are present.

In rheumatic troubles the result of exposure to cold dry winds and in

suppurative articular arthritis it is one of the first remedies in importance.

In all articular affections the hot red swollen joint with the marked < from
touch and > from wrapping up the joint warmly, together with the general
symptoms of Hepar, make a picture not seen elsewhere in our Materia
medica.

NECK AND BACK.— (Hepar sulfur)

Drawing pains between the scapulae.
Great weakness of whole spine.
BRUISED SENSATION IN SMALL OF BACK.
Sharp pressive pain, as if from bruises, in small of back and lumbar vertebra,
< at sacro-iliac symphysis, felt constantly.
Stitches with rheumatic pains in back.

SUPERIOR EXTREMITIES.— (Hepar sulfur)

Pain in shoulder as if a weight were resting upon it.
TEARING IN ARMS EXTENDING TOWARD THE BREAST.
BRUISED SENSATION IN THE HUMERUS.
HOT RED SWELLING OF JOINTS OF FINGERS AND HANDS.
Swelling of fingers of both hands with stiffness.
Tingling in tips of fingers.
INFERIOR EXTREMITIES.— (Hepar sulfur)
SPRAINED PAIN IN LEFT HIP WHEN WALKING.
Buttocks and posterior thigh painful when sitting.
Sensation of soreness in thighs.
Bruised pain in anterior muscles of thigh.
Bruised pain in knee joint.
Swelling of knee joint.
Cramps in calves.
Swelling of foot about the ankle.
Pain in foot as if he had taken a misstep, after taking cold.
Cramps in soles and toes.
Burning, stinging pains in toes.
VIOLENT STITCH EXTENDING TO GREAT TOE.
Gout with arthritis.

EXTREMITIES IN GENERAL.— (Hepar sulfur)

BRUISED FEELING WITH WEAKNESS IN LIMBS.
Drawing pains in limbs, especially mornings.
Rheumatic pains after the abuse of mercury.
RHEUMATIC PAINS IN LIMBS WITH STITCHES IN JOINTS.

JOINTS.— (Hepar sulfur)

RED AND HOT SWELLING.

CONCOMITANTS.— (Hepar sulfur)

FRETFUL AND IRRITABLE MOOD.
FAINTING FROM SLIGHT PAIN.
SENSATION AS OF A PLUG IN ONE HALF OF THE BRAIN.
PURULENT CONJUNCTIVITIS.
STICKING IN THROAT AS OF A SPLINTER.
SWELLING AND SUPPURATION OF GLANDS.
CROUPY COUGH.
CANNOT BEAR TO BE COVERED.
GREAT CHILLINESS IN OPEN AIR.
 Helleborus

The pains of a darting, sticking, boring and tearing nature run across the
affected limb or part ; when these symptoms are found, in connection with the
concomitant symptoms, Helleborus will do good work.

NECK AND BACK. — (Helleborus)

Rheumatic stiffness of neck.
Cervical muscles stiff.
Severe pain down neck and into left side of face.
Constant dull stitches in spine.
Dull pain in scapulae becoming sharp on moving.
Cramps in spinal muscles.
Contractive pains in back.

SUPERIOR EXTREMITIES. — (Helleborus)

Pressure in muscles of arm and scapula.
Complete loss of power in muscles of arms with numbness.
BORING AND STICKING PAINS IN wrists and FINGER JOINTS.
Violent drawing in fingers and toes.

INFERIOR EXTREMITIES . — (Helleborus)

Hip and knee joints stiff.
Prickling in left hip.
Violent slow stitches as from pins.
Boring and stinging in knee and foot joints.
Sciatic pain in left hip.
SWEATS EASILY ; SOUR OFFENSIVE SWEATS.
UNHEALTHY SUPPURATIVE SKIN, SLIGHT INJURIES SUPPURATE.

AGGRAVATIONS. — (Helleborus)
AT NIGHT.
COLD DRY AIR.
AFTER BECOMING COLD.
IN DRAFTS.
DRY WEATHER.
WHEN LYING ON PAINFUL SIDE.
AFTER ABUSE OF MERCURY.
MOTION.
WHILE RISING FROM BED.
STOOPING.
TOUCH OF PART.
UNCOVERING.
WALKING.
GETTING WET.
NORTH-WEST WIND.
WINTER.

AMELIORATIONS. — (Helleborus)
WARMTH.
WRAPPING UP WARMLY.

Hydrastis canadensis

Hydrastis is not frequently indicated in rheumatic troubles, yet with the aching
pains constantly shifting from the right to left side and associated with the
chronic inflamed liver and its concomitant symptoms, it is sometimes very
useful.

The sciatic pains of Hydrastis may be antidoted by Sulphur.

Hydrastis antidotes Mercury and Kali chlor.

NECK AND BACK.— (Hydrastis)

Muscles of neck feel sore.
Pain in back and shoulders.
Aching pain in small of back.
Debility and weakness in back, > from walking about.
Tired aching across small of back.
Stiffness of lumbar muscles after bending over for a short time, causing great
difficulty in assuming an erect posture.
Dull heavy dragging pain and stiffness across small of back, making it hard to
rise from a seat ; must walk some time before being able to straighten up.

SUPERIOR EXTREMITIES.— (Hydrastis)

Aching pain from head to shoulders, < in left.
Rheumatic pains in elbow, forearm, right shoulder and first finger of left
hand.

INFERIOR EXTREMITIES.— (Hydrastis)

Pain from right hip to knee while walking ; cannot stand nor bear one's
weight.
Aching in legs with weakness.
Outer part of left knee aches while sitting, < from walking.
Aching pain in sole of left foot, not > by change of position.
Edema of feet.

EXTREMITIES IN GENERAL.— (Hydrastis)

Shifting pains in right side, then go to left.
Tired aching pains in limbs.

CONCOMITANTS.— (Hydrastis)
FAINTNESS, " GONENESS " ; GREAT WEAKNESS AND
PROSTRATION.
SORENESS IN RIGHT HYPOCHONDRIA ; CUTTING PAINS.
SKIN YELLOW.
CONSTIPATION WITH LIGHT COLOURED STOOLS.

Hypericum perforatum

The great pain and sensitiveness of the affected part is the key to Hypericum.
The pain is disproportionately severe, showing the nerves are attacked.

In rheumatism of the cervical muscles with the characteristic pain, or in

rheumatism following amputations or contused wounds with the very severe
excruciating pains, Hypericum finds its principal use.

Chamomilla antidotes Hypericum successfully.

NECK AND BACK.— (Hypericum perforatum)

Cervical vertebra sensitive to touch.
Stinging in morning near edge of right scapula.
Cutting pain between the scapula.
BACK IS LAME AND PAINFUL.
Stitches in small of back.
Great aching pain and lameness in small of back.
Violent pains and inability to walk or to stoop after a fall ; motion greatly
aggravates.
COXALGIA AFTER CONFINEMENT.

SUPERIOR EXTREMITIES. — (Hypericum perforatum)

Flying pains in right shoulder.
Cutting pains under left scapula.
Feeling of pressure at insertion of right deltoid.
Stitches on top of shoulder at every inspiration.
Severe pain running down left median nerve.
Numbness of left arm > from rubbing.
EXCRUCIATING PAIN AFTER AMPUTATION.
Tensive pain in arms and hands.
Cutting pains in finger tips.
Severe pain in last phalanges of fingers, especially thumb, fore and little
fingers.

INFERIOR EXTREMITIES. — (Hypericum perforatum)

Sharp cutting pains darting along course of sciatic nerve after injury,
terminating in a twisting or wrenching sensation in foot.
Sciatic rheumatism.
Numbness of left leg.
Shooting pain as if in periosteum.
Severe pain in knees.
Sharp shooting, tearing pains in knee < from least touch, with effusion
around the joint.
Sensation as if left foot were strained or dislocated.

EXTREMITIES IN GENERAL — (Hypericum perforatum)

Feeling of weakness and trembling of limbs.
Bruised sensation in all the joints.
Rheumatoid inflammation of joints.
Crawling in hands and feet with numbness.

CONCOMITANTS. — (Hypericum perforatum)

EFFECTS OF NERVOUS SHOCK.
INJURIES TO NERVES ATTENDED BY GREAT PAIN.
EXCRUCIATING PAIN.

Ignatia amara

The singularly contradictory character of Ignatia, both mental and physical,

gives an insight into its sphere of usefulness in whatever condition.

The pains are acute and excruciating in character ; the aggravations and
ameliorations are peculiar and marked ; and when taken in connection with
the concomitant symptoms point unmistakably to its selection.

Use Pulsatilla to antidote Ignatia rather than Nux vomica, for the latter may
prove inimical.

EYES. — (Ignatia amara)

Rheumatic ophthalmia with feeling of sand in eye.

NECK AND BACK. — (Ignatia amara)

STIFFNESS OF NAPE OF NECK.
STITCHES IN NAPE OF NECK.
Tensive pain in back on standing erect.
SIMPLE PAIN IN BACK WHICH IS APT TO BECOME EXCESSIVE
FROM SLIGHTEST TOUCH ; jerking pain through body.
STITCHES IN SMALL OF BACK.
SHARP CUTTING STITCHES IN BACK, through loins into legs.
PAIN IN SACRUM WHEN LYING DOWN IN BED MORNINGS.
Violent pain in small of back like clawing and working together.

SUPERIOR EXTREMITIES. — (Ignatia amara)

Quivering jerks in deltoid muscle.
PAIN IN SHOULDER JOINT AS IF DISLOCATED on moving arm.
LANCINATING CUTTING PAIN IN SHOULDER JOINT when bending
arm forward.
Bruised pain in joints of arms when bending them backward.
NUMBNESS OF ARM AT NIGHT IN BED.
Drawing pains in arms.
INFERIOR EXTREMITIES. — (Ignatia amara)
Lancinating, cutting pain in hip joint.
PAIN INCISIVE, THROBBING, INTERMITTENT — AT FIRST EVERY
OTHER DAY THEN EVERY DAY ; RETURNS EVERY WINTER ALONG
THE COURSE OF SCIATIC NERVE.
Paroxysmal tearing boring digging pains along course of sciatic nerve,
preceded by intense coldness, < at night, lasting from one to three hours.
BEATING PAIN IN ischial region as though it would burst hip joint,
intermittent with chilliness and < at night.
Cracking of knee joints.
TEARING PAINS IN BACK OF BOTH LEGS, ESPECIALLY CALVES
AND TENDO ACHILLIS, AS THOUGH PARTS WOULD BE CUT OFF,
< when standing or on motion.
Numbness of feet and legs.
Bruised or stinging sensation in soles of feet.

EXTREMITIES IN GENERAL. — (Ignatia amara)

SINGLE JERKS OF MUSCLES WHEN FALLING ASLEEP.
LIMBS GO TO SLEEP EASILY.
PAIN AS IF DISLOCATED IN SHOULDER, HIP AND KNEE JOINTS.
Neuralgic pains in all the limbs.

CONCOMITANTS. — (Ignatia amara)

MELANCHOLY ; SILENT GRIEF, BROODING OVER SORROWS.
VERY SENSITIVE CONSCIENTIOUSNESS.
PAIN IN HEAD AS IF NAIL WERE DRIVEN OUT THROUGH SIDE.
SORE THROAT > FROM SWALLOWING.
Heat without thirst.
CHILL WITH RED FACE.
DURING FEVER WANTS TO BE COVERED ; DURING CHILL
THIRSTY AND DOES NOT WANT COVERING.
WEAKNESS.
EXTREME AVERSION TO TOBACCO.

AGGRAVATIONS. — (Ignatia amara)

MORNINGS.
IMMEDIATELY AFTER SLEEP.
EVENINGS AFTER LYING DOWN.
FROM SLIGHT TOUCH.
FROM TOBACCO AND COFFEE.
WALKING FAST.
WINTER.

AMELIORATIONS. — (Ignatia amara)

WHEN LYING ON BACK IN EVENING.
CHANGE OF POSITION.
Firm pressure.
EXTERNAL WARMTH.

Indigo

Rheumatic and gouty affections of nerves and joints, accompanied by slight

fever and great debility, are the sphere of Indigo.

The great characteristic is the impossibility of sitting in a chair because of the

pain in the thighs.

NECK AND BACK. — (Indigo)

Drawing, lancinating pains following course of left rhomboideus muscle.

INFERIOR EXTREMITIES. — (Indigo)

INTENSE ACHING, STINGING AND BRUISED PAIN IN MIDDLE OF
POSTERIOR OF THIGH EXTENDING TO KNEE ; BORING PAIN IN
KNEE JOINT, < SITTING, > MOTION.
INDESCRIBABLE PAIN EXTENDING FROM MIDDLE OF THIGH TO
KNEE, IN BONE, > WALKING, RETURNING DURING REST.
TEARING PAIN FOUR FINGERS’ BREADTH ABOVE LEFT KNEE
JOINT EXTENDING TO SMALL SPOT ABOVE ANKLE IN
AFTERNOON, > RISING AND WALKING.

AGGRAVATIONS. — (Indigo)
Sitting.
Rest.

AMELIORATIONS. — (Indigo)
MOTION.
Rising from a seat.
Walking.

CONCOMITANTS. — (Indigo)
DRY COUGH, ALWAYS ATTENDED BY NOSEBLEED.
SAD, DISCONTENTED, ILL HUMORED.
GLOOMY ; ENDEAVOURS TO HIDE SELF, SPENDS MANY NIGHTS
ALONE CRYING.

Indium metallicum

The symptomatology of Indium would lead to its choice in many

manifestations of rheumatic affections, but as yet it has been proven or used
only slightly in comparison with the apparent value of its discovered
symptoms.

Many of the symptoms would undoubtedly rank higher in importance if their

relative value were better known.
In many ways it closely resembles Sanguinaria and Ferrum.

NECK AND BACK. — (Indium metallicum)

Stiffness of neck and shoulders.
Drawing pain through side of head and neck to clavicle, first right side then
next day left side.
Pressive pain in upper scapular region with stiffness on sitting still, pain < on
beginning to move.
Severe dull pain under scapula.
Rheumatic drawing across shoulders up to head, < when riding, turning in
bed, moving head, and morning and evening.
Dull aching in lumbar region.

SUPERIOR EXTREMITIES. — (Indium metallicum)

Constant bruised pain in left shoulder.
Soreness with pain in left shoulder, extending down arm.
Severe pain in left shoulder ; pains run down the arms, at times so severe as to
disable the arm.
Severe lancinating pains in left biceps extending to shoulder ; pains < on
extending the arm ; paralytic weakness.
Shooting pains in fingers.
INFERIOR EXTREMITIES. — (Indium metallicum)
Drawing, strained feeling of muscles of inside of right thigh while walking.
Sharp shooting pains in right leg.
Sudden severe pressive pain in a narrow streak in the back of the left thigh
while sitting.
Severe pain and lameness in lower right leg.
Dull boring pain in left great toe joint almost unbearable, must move foot for
relief, evenings from 8 to 9.

CONCOMITANTS. — (Indium metallicum)

Dull headache in temples and forehead, with sleepiness and nausea.
Very distressing headache in forenoon ; pains commence in right occiput and
extend over head to left eye.
Violent attacks of sneezing.
Nausea.
Stitches in region of liver.
HORRIBLY OFFENSIVE SMELL OF URINE AFTER STANDING A
SHORT TIME.

AGGRAVATIONS. — (Indium metallicum)

Sitting.
On beginning to move.
Morning and evening.
Riding.

AMELIORATIONS. — (Indium metallicum)

Motion.

Inula

The sticking tearing pains in various parts indicate Inula, but the lack of
clinical verification makes it impossible to give the relative value of the
symptoms.

However, this is no reason for neglect of the remedy if the symptoms call for
it.
SUPERIOR EXTREMITIES. — (Inula)
Stitches and tearing pain in right shoulder and wrist.
Tearing cramp-like pains on tip of left shoulder ; in scaleni muscles on left
side of neck, as if pulled by pincers.
Tearing and jerking in right arm.
Tearing in palm of left hand ; unable to double fingers.
Fine stitches in index finger.
Tearing in right little linger.

INFERIOR EXTREMITIES. — (Inula)

Tensive drawing in hips extending to nates.
Sticking in right hip extending to groin ; in middle toes of right foot ; in right
heel.
Stitches : in thigh ; in left ankle while walking ; in right heel ; as if sprained.
Spasmodic sticking beneath bend of right knee.
Cramps in calves at night during sleep.

IODIUM

Bearing in mind the general condition calling for Iodine, it will be one of the
first remedies in acute septic articular rheumatism.
The aggravation at night is marked.

In rheumatism of the heart, with the general Iodine conditions, and in chronic
articular rheumatism, with the nightly pains but no swelling of
joints, Iodine holds a high place.

HEART. — (Iodium)
SENSATION AS IF HEART WERE SQUEEZED TOGETHER ; AS IF
HEART WERE GRASPED WITH AN IRON HAND.
GREAT PRECORDIAL ANXIETY OBLIGING CONSTANT CHANGE OF
POSITION.
PALPITATION OF HEART.
PERICARDITIS.

NECK AND BACK. — (Iodium)

Rheumatic stitch-like pains in small of back.
Pain in sacrum and coccyx.
SUPERIOR EXTREMITIES. — (Iodium)
Weary paralytic feeling in arms in morning, in bed.
PAIN IN BONES OF ARM ON WHICH HE LIES AT NIGHT.
Tearing in left elbow.
Pain in elbows.
Painful weakness in extensors.
Back of left hand painful as if swollen, < on pressure and turning hand ; not
when closing hands.
Fingers go to sleep.

INFERIOR EXTREMITIES . — (Iodium)

INTERMITTENT SHARP TEARING PAIN BETWEEN LEFT HIP AND
HEAD OF FEMUR, < by motion of joint.
Jerking pain in legs after taking cold.
Numbness of thighs and legs.
GREAT SWELLING OF KNEE WITH SEVERE PAIN ON ATTEMPTING
TO STAND.
Prickling and burning in knee joint < by touch or PRESSURE.
DROPSICAL SWELLING OF KNEE JOINT.
MUCH SWELLING WITH ERRATIC TEARING PAINS IN JOINTS.
Chronic hydrarthrosis of knee joint.

EXTREMITIES IN GENERAL. — (Iodium)

Subsultus tendinum of both hands and feet.
CHRONIC ARTHRITIC AFFECTIONS WITH VIOLENT NIGHTLY
PAINS IN JOINTS ; NO SWELLING.
Great weariness of arms and legs.

JOINTS . — (Iodium)
HOT BRIGHT RED SWELLING OF KNEE.
GREAT SWELLING OF KNEE JOINT, ELASTIC, FLUCTUATING
SENSATION ; PALE REDNESS OF SKIN WITH VERY BRIGHT RED
SPOTS.
SHINING RED SWELLING.

CONCOMITANTS. — (Iodium)
GREAT EMACIATION.
GREAT WEAKNESS AND PROSTRATION.
SWELLING AND INDURATION OF GLANDS.
High fever.
THIRST FOR LARGE QUANTITIES OF WATER.
RAVENOUS HUNGER.

AGGRAVATIONS. — (Iodium)
AT NIGHT.
Pressure.
Touch.
MOTION.
LYING IN BED.
WALKING.
WARMTH.
IODIUM

Bearing in mind the general condition calling for Iodine, it will be one of the
first remedies in acute septic articular rheumatism.
The aggravation at night is marked.

In rheumatism of the heart, with the general Iodine conditions, and in chronic
articular rheumatism, with the nightly pains but no swelling of
joints, Iodine holds a high place.

HEART. — (Iodium)
SENSATION AS IF HEART WERE SQUEEZED TOGETHER ; AS IF
HEART WERE GRASPED WITH AN IRON HAND.
GREAT PRECORDIAL ANXIETY OBLIGING CONSTANT CHANGE OF
POSITION.
PALPITATION OF HEART.
PERICARDITIS.

NECK AND BACK. — (Iodium)

Rheumatic stitch-like pains in small of back.
Pain in sacrum and coccyx.

SUPERIOR EXTREMITIES. — (Iodium)

Weary paralytic feeling in arms in morning, in bed.
PAIN IN BONES OF ARM ON WHICH HE LIES AT NIGHT.
Tearing in left elbow.
Pain in elbows.
Painful weakness in extensors.
Back of left hand painful as if swollen, < on pressure and turning hand ; not
when closing hands.
Fingers go to sleep.

INFERIOR EXTREMITIES . — (Iodium)

INTERMITTENT SHARP TEARING PAIN BETWEEN LEFT HIP AND
HEAD OF FEMUR, < by motion of joint.
Jerking pain in legs after taking cold.
Numbness of thighs and legs.
GREAT SWELLING OF KNEE WITH SEVERE PAIN ON ATTEMPTING
TO STAND.
Prickling and burning in knee joint < by touch or PRESSURE.
DROPSICAL SWELLING OF KNEE JOINT.
MUCH SWELLING WITH ERRATIC TEARING PAINS IN JOINTS.
Chronic hydrarthrosis of knee joint.

EXTREMITIES IN GENERAL. — (Iodium)

Subsultus tendinum of both hands and feet.
CHRONIC ARTHRITIC AFFECTIONS WITH VIOLENT NIGHTLY
PAINS IN JOINTS ; NO SWELLING.
Great weariness of arms and legs.

JOINTS . — (Iodium)
HOT BRIGHT RED SWELLING OF KNEE.
GREAT SWELLING OF KNEE JOINT, ELASTIC, FLUCTUATING
SENSATION ; PALE REDNESS OF SKIN WITH VERY BRIGHT RED
SPOTS.
SHINING RED SWELLING.

CONCOMITANTS. — (Iodium)
GREAT EMACIATION.
GREAT WEAKNESS AND PROSTRATION.
SWELLING AND INDURATION OF GLANDS.
High fever.
THIRST FOR LARGE QUANTITIES OF WATER.
RAVENOUS HUNGER.

AGGRAVATIONS. — (Iodium)
AT NIGHT.
Pressure.
Touch.
MOTION.
LYING IN BED.
WALKING.
WARMTH.

Iodoformum

Many of the Iodoformum symptoms will undoubtedly take a higher rank as

they receive clinical verification.
Compare : Iodum, the Iodides, and Mercury.
Iodoform may be antidoted by Hepar.

NECK AND BACK. — (Iodoformum)

Back of neck sore and bruised.
Sharp pain in angle of shoulder blade.
Pain in back along the spine.
Spine is sore to touch.
Pain along right side of dorsal vertebra.
Continued pain in lumbar region with weakness.

SUPERIOR EXTREMITIES. — (Iodoformum)

Stitching pain in left arm and shoulder.
Severe aching in left humerus, muscles around bone feel as if badly bruised, <
from touch.
Pain along the course of median nerve of left arm.
Sharp pains in nerves of left arm, hand and back.
Rheumatic pain in right arm when using it.
Pain in left elbow.

INFERIOR EXTREMITIES. — (Iodoformum)

Rheumatism of flexor muscles of legs.
Pain along course of left crural nerve.
Weakness and pain in knees, < when standing.
Pain on inside of knees.
Neuralgic pain in left knee.
Rheumatic pain in both gastrocnemii.
Cutting pain in left ankle when walking in open air.
Pain in left foot < when walking.
Stitching pain in right instep.

EXTREMITIES IN GENERAL — (Iodoformum)

Bruised pain in left arm and leg ; as pain increases muscles feel as if ulcerated.
Severe pain in left arm and leg, < at lower half of tibia and fibula and
extending into foot.

Ipecacuanha

The bruised, dislocated feeling in the bones of the lower limbs is marked
in Ipecac., but in order to be well indicated the constant and distressing
nausea is always present and very pronounced.

Ipecac. is complementary to Cuprum.

NECK AND BACK. — (Ipeca)

Cramp between scapulae on motion.
Much pain in back and limbs.
Shooting pains from right kidney down thigh to knee.

INFERIOR EXTREMITIES. — (Ipeca)

SENSATION IN FEMUR AS IF DISLOCATED ON SITTING DOWN.
Cramps in thighs at night.

EXTREMITIES IN GENERAL. — (Ipeca)

Sensation in joints as if they had gone to sleep, which soon becomes painful.
BRUISED PAIN IN ALL THE BONES.
PAIN AS IF ALL THE BONES WERE BEING TORN TO PIECES.

CONCOMITANTS. — (Ipeca)
PROFUSE ACCUMULATION OF SALIVA, CONSTANTLY OBLIGING
TO SWALLOW.
DISTRESSING NAUSEA WITH INCLINATION TO VOMIT.

AGGRAVATIONS. — (Ipeca)
ON SITTING DOWN.

Iris versicolor

Iris versicolor has many neuralgic and rheumatic pains associated with gastric
disturbances and headache ; pains are always burning and constantly shifting
from one place to another.

NECK AND BACK. — (Iris versicolor)

Cramping pain in right lumbar region.

SUPERIOR EXTREMITIES. — (Iris versicolor)

ACUTE RHEUMATIC PAIN IN RIGHT SHOULDER, < MOTION,
ESPECIALLY RAISING ARM.
SHOOTING PAINS IN RIGHT SHOULDER ALTERNATING WITH
GASTRALGIA.
PAINS SHIFT RAPIDLY IN PHALANGES AND METATARSAL BONES.
Fingers pain on writing.

INFERIOR EXTREMITIES. — (Iris versicolor)

SLIGHT COXALGIA IN LEFT HIP.
SCIATIC PAINS AS IF LEFT HIP WERE WRENCHED.
PAINFUL DRAWING AND LAMENESS BEHIND LEFT TROCHANTER
EXTENDING DOWN TO POPLITEAL SPACE.
SHOOTING LAMING PAIN AFFECTING POSTERIOR FEMORAL
MUSCLES.
SHOOTING ALONG LEFT SCIATIC NERVE TO FOOT, < BY MOTION,
MODERATE MOTION <, VIOLENT MOTION MAKES NO
DIFFERENCE.

EXTREMITIES IN GENERAL. — (Iris versicolor)

SHIFTING PAINS IN RIGHT HIP ; BOTH KNEES, < RIGHT, AND RIGHT
FOOT, ESPECIALLY JOINT OF GREAT TOE, ALSO AFFECTED.
Tearing shooting and rapidly shifting pains in joints and extremities,
especially the smaller joints and the right shoulder joint.

AGGRAVATIONS. — (Iris versicolor)

RAISING ARM.
MOTION, ESPECIALLY OF RIGHT SHOULDER.
SPRING AND AUTUMN.

AMELIORATIONS. — (Iris versicolor)

FROM CONTINUED MOTION.

CONCOMITANTS. — (Iris versicolor)

SICK HEADACHE.
MOUTH AND TONGUE FEEL AS IF SCALDED.
PROFUSE FLOW OF SALIVA.
WATERY STOOLS.
DIARRHEA 2 A.M.

JACARANDA CAROBA

Jacaranda has proven of value in gonorrheal rheumatism, especially of the

right knee and when > by motion of the leg.
Compare Thuja in gonorrheal rheumatism.

SUPERIOR EXTREMITIES. — (Jacaranda caroba)

Rheumatic pains in left arm in mornings.
Pain from left elbow through forearm.

INFERIOR EXTREMITIES. — (Jacaranda caroba)

Rheumatic pain in right knee, disappearing on motion.

Jacea

(Viola Tricolor)

The stitching pain in the intercostal muscles and about the joints, associated
with the milk-crust eruption (often about the joints) will call
for Jacea, especially when there is painfulness from pressure on the painless
side.
Compatible with Pulsatilla, Rhus tox., Sepia and Staphisagria.
Some authorities say the first two remedies antidote the action of Jacea.
Compare : Clematis, Graphites, Mezereum, Staphisagria.

CHEST. — (Jacea = Viola tricolor)

Stitches in chest and ribs, ESPECIALLY IN INTERCOSTAL MUSCLES.
STITCHING PAIN ABOUT SCAPULAE.

SUPERIOR EXTREMITIES. — (Jacea = Viola tricolor)

Stitches in shoulder joints, elbows, forearms and fingers.

INFERIOR EXTREMITIES.— (Jacea = Viola tricolor)

STITCHES IN PATELLA, tibia and feet.

EXTREMITIES IN GENERAL. — (Jacea = Viola tricolor)

Sticking pains in limbs, especially joints.
LEFT UPPER AND RIGHT LOWER ARE MOST AFFECTED.

CONCOMITANTS. — (Jacea = Viola tricolor)

MILK-CRUST ERUPTION ; YELLOWISH BROWN CRUSTS WITH
MUCH ITCHING AND BURNING, STINGING PAIN.
URINE PROFUSE, OFFENSIVE.

AGGRAVATIONS. — (Jacea = Viola tricolor)

In winter.
PRESSURE ON PAINLESS SIDE.

Jambos eugenia

The sticking fugitive pains, associated with the catarrhal conditions

of Jambos, are its chief indications.

Compare : Laurocerasus, the drugs containing Hydrocyanic acid,

and Pulsatilla.

NECK AND BACK. — (Jambos eugenia)

Pain in nape which hinders turning head.
Sticking pain in back as if something were sticking in spine, < on bending
back.
Pain in back which makes him bend his back inward, with heat in evening, >
in morning.
Pain in small of back and in calves.
Aching in sacrum.
Violent sticking, running obliquely forward above left crest of ilium, < when
sitting erect, standing and bending toward left side ; > from bending toward
right.

INFERIOR EXTREMITIES. — (Jambos eugenia)

Pain as if a band were drawn from crest of one ilium to the other ; hip bones
painful to pressure.
Pain in thighs and calves, he could hardly stand.
Paralytic pain in left tibia and feet.
Aching in knees.
Cramps in soles of feet when moving at night.

CONCOMITANTS. — (Jambos eugenia)

THROAT INFLAMED AND SORE.
CATARRH WITH MUCH PHLEGM AND RATTLING OF CHEST.
Thirst during chill ; heat before midnight.

Juglans cinerea

The rheumatic conditions calling for Juglans closely simulate those

for Bryonia, but in Juglans there is usually associated the erythematous or
eczematous condition of the skin.

CHEST. — (Juglans cinerea)

Great oppression in chest with cutting pains in lungs.
PAIN BEHIND THE STERNUM, ONLY FELT OR MADE MUCH WORSE
WHEN WALKING OUT OF DOORS, AFTER MEALS OR WHEN
HURRIED OR CLIMBING A HILL.
SUFFOCATIVE PAIN IN CHEST WHEN WALKING, OBLIGING HIS
STANDING STILL.
Pain in left side of chest on pressure.
SEROUS EFFUSION INTO PLEURA AND PERICARDIUM OF
RHEUMATIC ORIGIN, WITH BRIGHT RED ERYTHEMATOUS SPOTS.
NECK AND BACK. — (Juglans cinerea)
Stitch-like pain under right scapula when stooping.
Aching and shooting pain in small of back.

SUPERIOR EXTREMITIES. — (Juglans cinerea)

Aching in right shoulder.
Pain in left shoulder.
Great pain, beginning in right axilla, extending down arm, following the
course of the nerves.
Sprained pain in arms and wrists.
RHEUMATIC PAIN IN RIGHT SHOULDER EXTENDING TO
PECTORAL MUSCLES, PRODUCING INABILITY TO DRAW A DEEP
INSPIRATION.

INFERIOR EXTREMITIES. — (Juglans cinerea)

Cramp-like pain in left hip at night.

CONCOMITANTS. — (Juglans cinerea)

ERYTHEMATOUS AND ECZEMATOUS ERUPTIONS OF PARTS.

AGGRAVATIONS. — (Juglans cinerea)

WALKING.
INSPIRATION.

Kali bichromicum

The constitution of the Kali bichromicum patient is the fair and fat — what
might be called chubby.
The pains are constantly shifting from place to place, making us think
of Pulsatilla, but almost always the catarrhal manifestations of the drug will
assert themselves in connection with the rheumatic conditions.

The alternation of the gastric disturbances with the rheumatic conditions is

also peculiar, especially if one occurs in the spring and the other in the fall.

The rheumatic iritis of Kali bichromicum occupies no mean place in its

symptomatology.
EYES. — (Kalium bichromicum)
Rheumatic sclero-iritis with excessive pain and photophobia.
Iris muddy and sluggish ; cornea appears projecting ; fine sclerotic injection
around cornea ; CONJUNCTIVA INJECTED ; lachrymation on
exposure ; burning pain in upper lid when touching it.
SIGHT DIM LIKE A GAUZE BEFORE THE EYES.

NECK AND BACK. — (Kalium bichromicum)

Stiffness of nape of neck on turning head.
STABBING FROM THIRD CERVICAL TO FIFTH DORSAL
VERTEBRAE, STICKING FORWARD THROUGH CHEST TO STERNUM
; < from motion ; cannot straighten spine after stooping.
Sticking pains from back to sternum.
Pain in small of back.
Sharp shooting pains in left then right renal region extending down the
thighs, < from motion.
SHARP STINGING PAIN IN REGION OF KIDNEYS.
Aching in back and down left side to thigh.
KNIFELIKE pain through the loins, cannot walk.
Pain across the loins with coldness of extremities.
RHEUMATIC PAIN IN BACK, WHILE STOOPING FELT AS IF
SOMETHING GAVE WAY, CANNOT STOOP OR MOVE FOR PAIN
WHICH REMAINS CONSTANT BUT < ON LEAST MOTION.
Violent aching pain in sacrum, > in daytime.
Pain in sacrum, cannot straighten himself.
Cutting pain in outer side of sacrum shooting up and down.
PAIN IN OS COCCYX < from walking, TOUCH or after rising from sitting
posture.
PAIN IN COCCYX WHILE SITTING.

SUPERIOR EXTREMITIES. — (Kalium bichromicum)

Rheumatic pain in both shoulders, < at night.
Stitches at lower angle of left shoulder blade.
Stiffness of shoulder joint.
Painful stiffness of right arm.
Sensation as if right arm had gone to sleep.
BURNING PAIN IN MIDDLE OF FOREARM EXTENDING TO WRISTS.
Rheumatic pains in elbow and wrist joints ; stinging in left elbow.
Spasmodic contractions of hands.
BRUISED PAIN IN BONES OF HANDS < FROM PRESSURE.
Rheumatic pains in finger joints.

INFERIOR EXTREMITIES. — (Kalium bichromicum)

Rheumatic pains in hip and knee joints < on walking.
Pain along the course of left sciatic nerve from behind the great trochanter to
calf ; > FROM MOTION.
Stitches in left sciatic nerve.
Sciatic pains coming and going quickly ; left side, running from hip to
knee ; wandering erratic pains, becoming sharp in knee and hip joint, aching
in leg with trembling ; jerking aching pain in hip > BY WALKING AND
FLEXING LEG, < in hot weather, standing, SITTING or lying in bed ;
PRESSURE CAUSES PAIN TO SHOOT ALONG WHOLE LENGTH OF
NERVE.
Sharp pains in outer side of thigh < IN AFTERNOON AND EVENING and
from change of weather ; > in bed.
Sciatic pain after getting clothes damp, > FROM MOTION.
Pain in right hip extending to knee.
Heaviness of legs, aching in calves on walking.
Violent burning pains in shin bones extending up thighs and knees and < AT
NIGHT without swelling.
Sprained pains in tendons of muscles of calf.
Tearing in right tibia.
Sensation as if ankle were dislocated.
Soreness on heel when walking.

EXTREMITIES IN GENERAL. — (Kalium bichromicum)

Shooting prickling pains < in morning.
Frequent severe pains in limbs, especially arms, with cramps in hands,
alternating pain in stomach and malar bones.
Wandering periodical pains along bones without inflammation ; pains shift
from place to place.
Bruised pain in bones.
Stiffness all over, < in morning.
Rheumatic pain in joints ; in limbs ; in hips and fingers, < during day.
Periosteal and syphilitic rheumatism.
Cracking of joints on slight motion of wrists, ankles and spine.

CONCOMITANTS. — (Kalium bichromicum)

FETID SMELL FROM NOSE.
NOSE VERY DRY WITH FEELING OF PRESSURE IN NASAL BONES.
DISCHARGE OF TOUGH GREEN MASSES OF MUCUS FROM NOSE.
NAUSEA AND VOMITING OF DRUNKARDS.
STOMACH TROUBLES ALTERNATE WITH RHEUMATISM.
PAINS APPEAR AND DISAPPEAR SUDDENLY.
PAIN IN SMALL SPOTS, WHICH CAN BE COVERED WITH THE
POINT OF FINGER.
RHEUMATIC TROUBLES ALTERNATE WITH GASTRIC SYMPTOMS
EVERY SPRING AND FALL, ONE APPEARING IN THE SPRING, THE
OTHER IN THE FALL.

AGGRAVATIONS.— (Kalium bichromicum)

While lying down.
AFTERNOON AND EVENING.
MORNING.
COLD AIR.
SITTING.
Standing.
Touch.

AMELIORATIONS.— (Kalium bichromicum)

Walking.
Heat.
MOTION OF AFFECTED PART.

Kali carbonicum

Kali carbonicum is one of our leading remedies in metastases of rheumatic

troubles to the heart, when the characteristic heart symptoms are present.
The tearing, sticking pains < when at rest and > from warmth will serve to
bring this remedy to mind.

It is most frequently indicated in elderly people with a tendency to put on fat,

who are pale and inclined to oedematous conditions most noticeable in the
face.

HEART. — (Kali carbonicum)

STITCHES ABOUT HEART AND THROUGH TO SCAPULAE.
PALPITATION OF HEART.
INTERMITTENT HEART ACTION.
Crampy pain about heart.
Sensation as of bands about heart.
Pains < on inspiration but not exercise.

NECK AND BACK. — (Kali carbonicum)

Stiffness of nape of neck, mornings.
Back of neck stiff with shooting pain through chest.
Stiffness of left neck with pains extending to scapula, < after waking and
laughing.
Stiffness with stitching pains in right neck.
Stiffness between the shoulder blades.
TEARING PAINS IN SCAPULAE.
Stinging pains in scapulae when in motion.
Stitches from apex of scapula to pit of stomach during manual labour.
Drawing pain in small of back.
Pain in small of back < standing or walking.
Pain in small of back following a fall.
PRESSIVE PAIN IN SMALL OF BACK.
SHARP PAINS IN SMALL OF BACK.
BACKACHE, WHILE WALKING.
Bruised pain in back while at rest.
SHARP STITCHING PAINS IN BACK WAKING HIM AT 3 A.M.,
COMPELLING HIM TO GET UP AND WALK ABOUT, WHICH <.
Pains shoot from loins into nates.
STITCHING PAINS SHOOTING FROM BACK INTO GLUTEI AND
THIGH.
Backache as if it would break.
Tearing in lumbar region on respiration.
Pain across sacrum with stiffness in small of back.
GNAWING PAIN IN COCCYX.

SUPERIOR EXTREMITIES. — (Kali carbonicum)

TEARING PAIN IN LEFT SHOULDER JOINT.
Pain as from blows under right shoulder when moving or touching it.
Cracking in shoulder when moving joint.
Weakness and loss of power in arms.
WEAKNESS IN JOINTS OF ARMS, MORNINGS, arms become numb and
cold.
THROBBING PAIN IN UPPER LEFT ARM, INTERMITTENT.
DRAWING AND TEARING PAIN IN ELBOW, ESPECIALLY THE BEND
OF ELBOW.
Weakness and cramps in hands and fingers.
Numbness of hands and arms.
LAMENESS AND STIFFNESS OF WRISTS.
DULL PRESSING AND TEARING BETWEEN THUMB AND INDEX
FINGER.
Fingers cramp while sewing.
Two fingers of left hand burn like glowing coals.
STITCHING TEARING IN FINGER JOINTS.

INFERIOR EXTREMITIES. — (Kali carbonicum)

CRAMPY PAIN IN HIP and knee joints.
PARALYTIC WEAKNESS IN HIP JOINT.
PAIN IN RIGHT HIP, < every change of position.
VIOLENT STICKING PAIN IN THIGH AND KNEE.
Sharp drawing pains in right knee and thigh, < at night.
TWITCHING OF MUSCLES OF THIGH.
Numbness and falling asleep of whole leg.
DIFFICULTY IN MANAGING LEGS ON GOING UP OR DOWN STAIRS.
Dull pain in sides of knee.
TEARING PAIN IN KNEES < AT NIGHT.
RHEUMATIC PAINS < AT NIGHT, AS IF IN BONES OF LEG.
TEARING PAIN IN TIBIA WITH PAINS AS IF IN PERIOSTEUM WHEN
TOUCHED, WITH FEELING OF TENSION.
Drawing pain in tibia with aching in joints.
Ulcerative pain in tibia.
Tearing pain in ankles.
Tearing pain along inside of foot and in sole.
TEARING PAIN IN TOES.
TEARING IN GREAT TOE.
STINGING AND BURNING OF GREAT TOE AND IN BALL OF TOE.
TIPS OF TOES VERY PAINFUL WHEN WALKING.
EXTREMITIES IN GENERAL. — (Kali carbonicum)
WEAKNESS OF LIMBS PAINS MOSTLY IN UPPER ARMS AND
LOWER LEGS.
COMPLAINTS GO FROM ABOVE DOWN.
PAINS DRAWING, TEARING, STICKING IN LIMBS.
JERKING OF LIMBS ON GOING TO SLEEP.
LIMBS PAINFUL WHEN RESTING UPON ANYTHING.
TEARING RHEUMATIC PAINS IN BONES.

JOINTS. — (Kali carbonicum)

SWOLLEN AND PUFFY RED.

CONCOMITANTS. — (Kali carbonicum)

OLD PEOPLE WHO ARE FAT.
WEAKNESS WITH PALE OEDEMATOUS FACE.
DISTENSION OF ABDOMEN AFTER EATING.
PUFFY SAC-LIKE APPEARANCE BETWEEN EYE AND EYEBROW.

AGGRAVATIONS. — (Kali carbonicum)

Walking,
Warmth.
WRITING (hand).
TOUCH OF PART.
REST.
3 A.M.
WHILE LYING DOWN.

AMELIORATIONS. — (Kali carbonicum)

LYING ON BACK (lumbago).
WARMTH OF BED.

Kali cyanatum

Further provings of this remedy would doubtless give more valuable data.
Even with its fragmentary proving, it has been successfully used in the
peculiar neuralgia.
Compare : Cedron, Stannum and Platina in periodic neuralgia.

FACE. — (Kali cyanatum)

Agonizing attacks of neuralgic pains, between temporal region, ciliary arch
and maxilla, with screaming and loss of sensibility.
Severe attacks of neuralgia in left temporal region and upper jaw, coming on
at 4 a.m., increasing until 10 a.m., ceasing at 4 p.m.
In the interval anorexia, fever and headache.
Torturing neuralgic pain daily, in orbital and super-maxillary regions, at
same hour, with much flushing of that side of face.

LIMBS IN GENERAL. — (Kali cyanatum)

Acute rheumatic pain in articulations.

Kali iodatum

In chronic periosteal rheumatism of syphilitic origin with intolerable nocturnal

bone pains ; in chronic rheumatism with spurious ankylosis ; in gout with
much involvement of the synovial membranes and inability to help himself ;
any of these states with the above symptoms will repay the study of Kali
iodatum.

NECK AND BACK. — (Kali iodatum)

Chronic rheumatism of chest and back.
Motion produces intense pain in small of back.
SMALL OF BACK FEELS AS IF IN A VICE ; VERY PAINFUL, CANNOT
KEEP STILL ; MUST SIT BENT.
DARTS IN SMALL OF BACK.
BRUISED PAIN IN LUMBAR REGION < SITTING BENT.

SUPERIOR EXTREMITIES. — (Kali iodatum)

LEFT SHOULDER FEELS AS IF BRUISED.
Pain in shoulders as if lame, only during motion.
Tendons of right shoulder feel stretched, swollen, < during motion or touch.
Tearing pain in elbow, shoulder and left wrist.
Tearing and contraction in inner surface of ring finger ; it remains some time
bent ; the same in thumb and index finger.

INFERIOR EXTREMITIES. — (Kali iodatum)

GNAWING IN HIP BONES ; DARTING IN LEFT HIP AT EVERY STEP.
GNAWING, ACHING TEARING PAINS IN RIGHT THIGH AND LEG.
DARTING FROM POINT WHERE SCIATIC NERVE LEAVES THE
PELVIS TO POINT ABOVE POPLITEAL SPACE, GOING TO MIDDLE
AND OUTER SIDE' OF CALF TO HEEL.
SCIATIC PAIN > WALKING AND FLEXING THE LEG, < STANDING,
SITTING OR LYING IN BED.
TEARING PAIN IN LEFT FEMUR.
Tearing darting in thighs, joints and great toe < at night and lying on right or
painful side.
TEARING IN RIGHT THIGH AND KNEE AWAKENS HIM AT NIGHT.
TEARING IN LEFT KNEE AS IF IN PERIOSTEUM, KNEE SWOLLEN.
KNEE DOUGHY, SPONGY, NO FLUCTUATION ; SKIN RED AND HOT.
Violent gnawing pain in left leg as if in periosteum.
ACUTE GOUT IN BOTH FEET.
ULCERATIVE PAIN IN HEELS AND TOES.

EXTREMITIES IN GENERAL. — (Kali iodatum)

TEARING, DARTING PAINS, PERIOSTEUM ATTACKED.
VIOLENT RHEUMATIC PAINS IN LIMBS EVERY EVENING AND
NIGHT, PRECEDED BY CHILLINESS.
RHEUMATISM < AT NIGHT AND LYING ON PAINFUL SIDE.
JERKING OF TENDONS, CONTRACTIONS.
IN GOUT LIES ON BACK WITH KNEES BENT, ARMS DRAWN TO
THORAX, IMMOVABLE AND STIFF JOINTS.
JOINTS OF KNEES, FEET, SHOULDERS AND ELBOWS FILLED WITH
SOLID EXUDATE.
TENDONS HARD AND STIFF, DRAWN TIGHTLY TO PALMS OF
HANDS AND SWOLLEN.
COMPLETELY HELPLESS WITH GOUT.

CONCOMITANTS. — (Kali iodatum)

Chorea of rheumatic origin.
RESTLESS MOVING ABOUT.
CHILLINESS PREDOMINATES ; FEVER MARKED BY HOT FLASHES.
GLANDULAR ENLARGEMENT.
IRRESISTIBLE DESIRE FOR OPEN AIR.

AGGRAVATIONS. — (Kali iodatum)

NIGHT.
During motion.
Touch.

AMELIORATIONS. — (Kali iodatum)

WARMTH.
OPEN AIR.

Kali muriaticum

Kali mur. finds its usefulness in rheumatic fever with exudation and swelling
around the joints ; in rheumatism of shoulder and elbow, < morning on rising ;
in chronic rheumatic conditions due to exposure to wind, which has lasted
over several months.

Compare : Ferrum phos. in rheumatic conditions and mechanical injuries.

HEART. — (Kali muriaticum)

PALPITATION OF HEART WITH CONSTRICTION OF CHEST.
PALPITATION WITH SENSATION OF COLDNESS IN REGION OF
HEART.
PERICARDITIS WITH DROPSY EXUDATION.
ACUTE PERICARDITIS OF RHEUMATIC ORIGIN.

SUPERIOR EXTREMITIES. — (Kali muriaticum)

Drawing tearing in wrist joints.
Tearing in right wrist joint along the ulna.
PAIN IN RIGHT SHOULDER WHEN MOVING ARM, LASTING
SEVERAL MONTHS, EXTENDING TO WHOLE ARM AND HAND ;
PAIN CONTINUOUS, PRESSING, CANNOT BEAR LIGHT CLOTHES
OR TO LIE ON THE AFFECTED SIDE.

INFERIOR EXTREMITIES. — (Kali muriaticum)

Inflammation of hip joint.
Drawing in thigh.
Darting pain in right knee.
PERSISTENT CHRONIC SWELLING OF FEET AND LOWER LIMBS OF
ARTHRITIC ORIGIN.
EXTREMITIES IN GENERAL. — (Kali muriaticum)
RHEUMATIC PAINS WITH SHINY RED SWELLINGS, CHRONIC
RHEUMATISM OF JOINTS.
PARALYSIS CAUSED BY CHRONIC RHEUMATISM.
RHEUMATIC GOUT.

JOINTS. — (Kali muriaticum)

ACUTE ARTICULAR RHEUMATISM, ALL JOINTS SWOLLEN ;
COULD NOT STAY IN BED A SINGLE NIGHT.
CHRONIC ARTICULAR RHEUMATISM AFFECTING THE JOINTS.

AGGRAVATIONS. — (Kali muriaticum)

AFTER TAKING COLD IN A DRAFT.
MOTION.
WARMTH OF BED.
LYING ON AFFECTED SIDE.
TOUCH OF CLOTHES.
ANY FATTY FOODS.

CONCOMITANTS. — (Kali muriaticum)

WHITE TONGUE.
WHITENESS OF ALL SECRETIONS.
OFFENSIVE BREATH.
APHTHAE OF MOUTH.
CROUPOUS EXUDATE.
SPUTUM WHITE AS MILK.

Kali nitricum

Kali nit. is marked for rheumatic conditions having tearing shooting, drawing
pains.
Most symptoms occur in the evening or after midnight ; again symptoms
showing themselves during the day disappear on lying down in the evening.

HEART. — (Kali nitricum)

STICKING PAINS IN PRECORDIAL REGION.
PALPITATION, < MIDNIGHT.
ACUTE ENDOCARDITIS IN RHEUMATIC FEVER.

NECK AND BACK. — (Kali nitricum)

TEARING IN MUSCLES EXTENDING FROM RIGHT SHOULDER TO
HEAD.
Stiffness of neck and back.
Tensive pain in sternocleidomastoid muscle.
STICKING BENEATH LEFT SCAPULA IN EVENING, BENEATH
RIGHT AT NIGHT.
Sticking in right lumbar region when sitting.
PAIN IN RIGHT LUMBAR REGION WAKING AT 2 A.M., PREVENTING
LYING ON BACK, > BY WALKING AND > BY RUBBING.
BRUISED PAIN IN MORNING ON WAKING AT 3 A.M., PREVENTING
TURNING OVER.

SUPERIOR EXTREMITIES. — (Kali nitricum)

T earing pains in left shoulder < 2 a.m. to 5 a.m., > rising.
Pain in right arm extending to wrist, awaking at 3 a.m.
Drawing tearing in fingers toward evening.
Rheumatic pain in left arm, on raising arm, < moving it
backward ; rheumatic pain in right arm.
Tearing in right arm, < at shoulder.
Tearing extends to the wrist on motion, > by violent motion.
Tearing in humerus.
Drawing in left deltoid.
TEARING IN ELBOW AND WRISTS, FINGER JOINTS AND BENEATH
THE NAILS.
TEARING AND TWISTING IN ELBOWS EXTENDING TO WRISTS
AND KNUCKLES.
CRUSHING PAINS BENEATH THE NAILS, > RUBBING HANDS.
Tearing extending up dorsal surface of left forearm.
Tearing pain in bones of left hand just back of little finger.
CRAMP-LIKE PAIN IN KNUCKLES ALTERNATING WITH
HEADACHE.
SPRAINED, TEARING PAINS IN JOINTS OF FINGERS.

INFERIOR EXTREMITIES. — (Kali nitricum)

PAIN IN BONES OF RIGHT LEG FROM HIP TO TOES FROM I A.M.
TO 4 A.M., > RISING, > WALKING.
Sticking in right leg when standing, > motion.
TEARING IN PERIOSTEUM OF LEFT TIBIA IN AFTERNOON.
Sprained feeling in right ankle.

EXTREMITIES IN GENERAL — (Kali nitricum)

STICKING IN RIGHT SHOULDER, THEN IN KNEE ; IN KNEES,
ELBOWS AND SHOULDER JOINTS < IN AFTERNOON THAN IN
FORENOON, LASTING LONGER IN LEFT ELBOW, < MOTION.
Pains in right hip and left shoulder and ankles, < walking, > upward and
backward motion.

AGGRAVATIONS. — (Kali nitricum)

FROM WINE OR BEER ; AFTER EATING VEAL.
DRAFT OF AIR.
WASHING IN COLD WATER.
3 A.M.

AMELIORATIONS. — (Kali nitricum)

BY WALKING.
RUBBING.
On rising.
Motion.

CONCOMITANTS. — (Kali nitricum)

STICKING PAINS.
COUGH AT 3 A.M.
Excessive sensitiveness externally.
Menorrhagia with flow of inky blackness.
Pains are stitching, cutting, lancinating, tearing and pressing.

Kali phosphoricum

In acute or chronic rheumatism, with pains disappearing on moving about,

severe in the morning after rest and on first rising from a sitting position,
we should consider Kali phosphoricum with much greater frequency than we
usually do.

NECK AND BACK. — (Kali phosphoricum)

PARALYTIC OR RHEUMATIC LAMENESS, STIFFNESS AFTER REST,
> BY GENTLE MOTION.
Rigidity of muscles.

EXTREMITIES IN GENERAL. — (Kali phosphoricum)

Rheumatic or neuralgic affections of sciatic nerve, > from motion.
Paralyzing pains in limbs, > by motion and external warmth.
Stiffness with severe rheumatism.

AGGRAVATIONS. — (Kali phosphoricum)

Beginning to move.

AMELIORATIONS. — (Kali phosphoricum)

Motion.
GENTLE MOTION.
External warmth.

CONCOMITANTS. — (Kali phosphoricum)

Want of nerve force.

Kali sulphuricum

Kali sulphuricum finds its particular sphere of usefulness in acute rheumatic

fevers with marked tendency to wander from joint to joint.

HEAD. — (Kali sulphuricum)

Rheumatic headache < in a warm room, in evening, > in open air.

NECK AND BACK. — (Kali sulphuricum)

Pains in nape of neck, back or in limbs, periodical ; < evenings or in a warm
room, > in cool or open air.
BACKACHE AND PAINS IN LIMBS < IN A WARM ROOM AND
TOWARD EVENING, > IN COOL OPEN AIR.
Stiff neck, head inclined toward the left.

EXTREMITIES IN GENERAL. — (Kali sulphuricum)

Pains in limbs.
Acute or wandering rheumatic pains of joints.
AFTER BEING CHILLED WHEN OVERHEATED FRIGHTFUL PAINS IN
RIGHT SHOULDER, PAINS LEAVE SHOULDER AND WANDER FROM
JOINT TO JOINT ; MADDENING PAIN WITH HIGH FEVER, NO
REMISSION FROM DAY OR NIGHT.
SEROUS EXUDATION IN JOINTS.

AGGRAVATIONS. — (Kali sulphuricum)

Evenings (rheumatic headache).
Evenings.
In warm room.

Kalmia latifolia

Kalmia should never be forgotten in rheumatic states.

There are the acute pains going from joint to joint with violent fever, the
attack centering with particular violence in the ankles, which are swollen and
< from the least motion.
It should be considered in the metastasis of rheumatic fever to the heart.
The pains go from above downward in the joints.

Compare Benzoic acid and Lycopodium in gouty conditions ; Kali bi.,

Lycopodium, Pulsatilla and Rhus tox. in rheumatic conditions ; Spigelia in
rheumatic endocarditis.

OUTER HEAD. — (Kalmia latifolia)

RHEUMATIC PAINS IN SCALP.

EYES . — (Kalmia latifolia)

SCLEROTITIS ; EYEBALL PAINFUL ON MOTION, ESPECIALLY IN
RHEUMATIC SUBJECTS.
SEVERE PAIN IN RIGHT EYE EXTENDING TO FOREHEAD,
COMMENCING AT SUNRISE, < AT NOON, THEN > AND LEAVES AT
SUNSET.
SENSATION OF STIFFNESS IN MUSCLES AROUND THE EYES.

HEART. — (Kalmia latifolia)

PALPITATION OF HEART.
DIFFICULT BREATHING ; THROAT FEELS SWOLLEN ; NAUSEA.
PALPITATION UP INTO THROAT AFTER GOING TO
BED ; TREMBLING ALL OVER, < LYING ON LEFT SIDE, > LYING ON
BACK.
PALPITATION, DYSPNEA, PAIN IN LIMBS AND STITCH IN LOWER
CHEST.
PAROXYSMS OF ANGUISH ABOUT HEART, DYSPNEA, RHEUMATIC
ENDOCARDITIS ; LATER HYPERTROPHY AND VALVULAR
DISEASES.
EVERY BEAT OF HEART HAS A STRUMMING AS IF IT WOULD
BURST.
WANDERING RHEUMATIC PAINS IN REGION OF HEART
EXTENDING DOWN LEFT ARM.
SHOOTING STABBING PAINS FROM HEART TO LEFT SCAPULA.
PAINS SUDDENLY LEAVE THE EXTREMITIES AND GO TO THE
HEART, WITH ANXIOUS EXPRESSION AND DIFFICULT
BREATHING.
WHERE ARTICULAR RHEUMATISM HAS BEEN TREATED
WRONGLY AND HEART SYMPTOMS DEVELOP.
HEART DISEASE AFTER FREQUENT ATTACKS OF RHEUMATISM
OR ALTERNATING WITH IT.
IN ACUTE RHEUMATIC FEVER HAS TO BE PROPPED UP IN BED ;
ANXIOUS EXPRESSION ; VISIBLE, TUMULTUOUS AND VERY RAPID
HEART.
VERY FEEBLE AND VERY SLOW PULSE.

NECK AND BACK. — (Kalmia latifolia)

ACUTE RHEUMATIC FEVER ATTACKING MUSCLES OF BACK AND
THORAX.

SUPERIOR EXTREMITIES. — (Kalmia latifolia)

RHEUMATISM OF RIGHT DELTOID MUSCLE.
STITCHING PAIN IN LOWER PART OF LEFT SHOULDER BLADE.
RHEUMATIC PAINS IN ARMS.

INFERIOR EXTREMITIES. — (Kalmia latifolia)

TEARING PAINS FROM HIPS DOWN LEG TO FEET.
RHEUMATIC PAINS IN LEG FROM HIP DOWN.
RHEUMATIC PAINS IN RIGHT LEG EXTENDING AS FAR AS TOES, <
MORNINGS.
UNABLE TO WALK ; ANKLES SWOLLEN, PAINS SHIFT FROM JOINT
TO JOINT.

EXTREMITIES IN GENERAL . — (Kalmia latifolia)

RHEUMATISM ATTACKS HEART AND GOES FROM UPPER TO
LOWER PARTS, SHIFTING SUDDENLY.
RHEUMATIC PAINS MOSTLY IN UPPER ARMS AND LOWER LEGS, <
WHEN GOING TO SLEEP.
JOINTS HOT, RED AND SWOLLEN.
ACUTE ARTICULAR RHEUMATISM WITH PAINS SHIFTING FROM
JOINT TO JOINT, ESPECIALLY WHEN BEGINNING IN UPPER
EXTREMITIES AND THEN GOING TO LOWER ; PAINS < ON LEAST
MOTION AND DURING EVENING.
RHEUMATISM FROM SUDDEN EXPOSURE TO COLD WINDS OR
FROM SUDDEN CHILL.

AGGRAVATIONS. — (Kalmia latifolia)

LEAST MOTION.
SITTING BENT.
LYING ON LEFT SIDE.

AMELIORATIONS.— (Kalmia latifolia)

SITTING OR STANDING UPRIGHT.
LYING ON BACK.

CONCOMITANTS. — (Kalmia latifolia)

GENERAL WEAKNESS.
FEVER, CHILLINESS AND COLDNESS.
FALSE PLEURITIC PAINS DURING WINTER.

Kobaltum

Kobaltum is not frequently indicated in rheumatic conditions, but the

characteristic backache with the < from sitting and the > from motion mark it
when needed.
It is more apt to be indicated when the rheumatic symptoms are from
gonorrheal origin.

NECK AND BACK. — (Kobaltum)

Aching pain in small of back or spine < sitting ; > rising, walking or lying
down.

SUPERIOR EXTREMITIES. — (Kobaltum)

Aching in wrist joints with occasional stitches.

INFERIOR EXTREMITIES. — (Kobaltum)

Aching in legs, especially while sitting.
Aching pain from sacrum down through legs to feet.

AGGRAVATIONS. — (Kobaltum)
Sitting.

AMELIORATIONS. — (Kobaltum)
Lying.
Rising from a seat.
Walking.

CONCOMITANTS. — (Kobaltum)
SEVERE BACKACHE WITH SEMINAL EMISSIONS.
COSTIVENESS ALTERNATING WITH DIARRHEA.
FURUNCLES ON LOWER JAW.
Tingling in feet as if asleep.

Kreosotum

In gouty conditions affecting the knee and hip joints, with a general
rheumatoid condition and a tendency to alternate from one joint to another, we
find Kreosotum useful.
There is much restlessness and very severe red, hot, burning pains ; all these
are the points that call our attention to Kreosotum.

NECK AND BACK. — (Kreosotum)

Pain in back at night < when lying.
PAIN IN SMALL OF BACK AS IF IT WOULD BREAK, < DURING REST,
> FROM MOTION.

SUPERIOR EXTREMITIES. — (Kreosotum)

Pain in shoulders as if they had been uncovered all night.
STITCHES IN ARM FROM SHOULDER JOINT THROUGH TO
FINGERS.
Pain as if bruised when touching inner side of upper arm.
Pain in elbow joint as if tendons were too short.
Cramping pain in ulnar muscles extending to little finger, < left arm, with
lameness in right.
LEFT THUMB PAINS AS IF SPRAINED AND STIFF.

INFERIOR EXTREMITIES. — (Kreosotum)

PAIN IN LEFT HIP JOINT AS IF LUXATED ; AS IF LEG WERE TOO
LONG WHEN STANDING.
BORING PAIN IN RIGHT HIP ALTERNATING WITH NUMBNESS AND
LOSS OF SENSATION OF WHOLE THIGH.
Sensation as if the knee joint would suddenly give way.
Alternate swelling of knee joints and wrists with sensation of numbness and
rigidity of limbs.
Swelling and stiffness of feet.
Stitches in right ankle and left heel.

EXTREMITIES IN GENERAL. — (Kreosotum)

ALTERNATE SWELLING OF KNEES AND JOINTS OF HANDS.
PAIN IN ALL LIMBS AS IF BEATEN OR STIFF AFTER A LONG WALK.
STITCHING PAINS IN JOINTS.
RHEUMATIC PAINS IN JOINTS, ALSO STITCHES, ESPECIALLY OF
HIP AND KNEE ; NUMBNESS OF WHOLE LIMB AS IF ASLEEP.

AGGRAVATIONS. — (Kreosotum)
When lying.
DURING REST.

AMELIORATIONS. — (Kreosotum)
FROM MOTION.

CONCOMITANTS. — (Kreosotum)
GENERAL RESTLESSNESS.
ATTACKS OF NAUSEA AND VOMITING WITH RHEUMATISM.
EXCORIATING DISCHARGES.
GENERAL SENSITIVENESS TO TOUCH.

Lac caninum

We find Lac caninum useful in rheumatic throat symptoms affecting the

whole mucous surface of eyes and nose and throat ; in inflammatory types all
through body, with the great tendency for pains to shift from side to side and
from below upward, and finally affecting the heart.

In sciatica compare : Curare, Graphites, Gnaphalium, Kali bi., Iris, Lachesis,

Phytolacca, Tellurium.

EYES. — (Lac caninum)

Sensitive to light.
Burning in eyes.
UPPER EYELIDS VERY HEAVY, CAN SCARCELY KEEP THEM OPEN.
Agglutination of left eyelids.

THROAT. — (Lac caninum)

PAIN IN RIGHT SIDE OF THROAT IN REGION OF TONSIL.
SORENESS OF THROAT BEGINNING AS A TICKLING SENSATION,
CAUSING CONSTANT SWALLOWING, WITH THE SENSATION OF A
LUMP, WHEN IT SUDDENLY SHIFTS TO THE OTHER SIDE ; IT
CONSTANTLY ALTERNATES SIDES.

HEART. — (Lac caninum)

Terrible dyspnea immediately after sleep, compelling him to be lifted upright,
with violent exertion to get breath ; sharp pain in region of heart with each
attack.
Breathing laboured.
Sensation as if breath would leave her when lying down.
Sharp incisive pain between scapulae going through to sternum with a sense
of pressure and constriction.
PULSE QUICK, FULL AND STRONG WITH PAIN IN CHEST.
Pulse weak and rapid.

NECK AND BACK. — (Lac caninum)

Neck stiff.
Wandering pains in nape with stiffness.
Intense pain across supersacral region extends to nates and down right
sciatic nerve.

SUPERIOR EXTREMITIES. — (Lac caninum)

AFTER EXPOSURE TO DRAFTS IN EVENING SUDDEN VIOLENT
PAINS IN RIGHT SHOULDER PREVENTING RAISING ARM,
SENSATION AS IF DISLOCATED.
Neuralgic pain in one, then the other shoulder.
Partial paralysis of left arm ; when attempting to raise arm, is seized
with a sharp pain in arm below shoulder.

INFERIOR EXTREMITIES. — (Lac caninum)

Articular rheumatism in right hip and knee joint, < in hip, <
moving ; smarting lancinating pains in joints and lumbar region ; swelling of
joints, < touch of bedclothes, alternating from one side to the other.
RHEUMATIC PAINS IN LEFT HIP AND SCIATIC NERVE.
WANDERING PAINS IN NAPE OF NECK WITH STIFFNESS.
PAINS IN ONE SHOULDER, THEN THE OTHER, THEN BACK AGAIN.
INTENSE UNBEARABLE PAIN ACROSS SUPERSACRAL REGION.
BRUISED PAIN IN SOLES OF FEET, STIFFNESS OF ANKLES, KNEE
AND HIP JOINT ; PAINS MOVING UPWARD ; SENSATION AS OF A
DULL PLUG PUSHING IN ANKLE JOINT < FROM HEAT AND LEAST
MOTION.
ALTERNATING FROM JOINT TO JOINT AND SIDE TO SIDE.
NUMBNESS, PRINCIPALLY IN ANKLES, < WHILE QUIET,
SWELLING, VEINS DISTENDED, > BY EXTREME HEAT.

AGGRAVATIONS. — (Lac caninum)

WHILE QUIET.
HEAT.
LEAST MOTION.
LEAST TOUCH OF BEDCLOTHES.

AMELIORATIONS. — (Lac caninum)

EXTREME HEAT.

CONCOMITANTS. — (Lac caninum)

WHEN WALKING SEEMS TO BE WALKING ON AIR.
THROAT VERY SORE.
THROAT SYMPTOMS CHANGE FROM SIDE TO SIDE.
RHEUMATIC PAINS WANDER FROM SIDE TO SIDE AND FROM
BELOW UPWARD.
ERRATIC TYPE OF SYMPTOMS, CONSTANTLY FLYING FROM ONE
PART TO ANOTHER.

Lachesis

In acute inflammatory rheumatism with swelling of joints, with the marked

tendency to metastasis to the heart, and its numerous subjective symptoms, the
characteristics will bring this wonderful remedy to the fore.

Compare : Bryonia, Gelsemium, Mercury, Pulsatilla, the snake venoms.

HEART. — (Lachesis)
HEART FEELS AS IF TOO LARGE FOR THE CONTAINING CAVITY.
PALPITATION WITH NUMBNESS OF ARM, CHOKING FROM
SLIGHTEST MOTION, > BY SITTING DOWN OR LYING ON RIGHT
SIDE ; WEIGHT ON CHEST, HEART FEELS CONSTRICTED.
RESTLESS AND TREMBLING, HASTY TALKING.
GREAT OPPRESSION, ANGUISH ABOUT HEART, SUFFOCATION ON
LYING DOWN.
PERICARDITIS AND ENDOCARDITIS FROM METASTASIS OF
RHEUMATISM ; IRREGULAR BEATS IN PERICARDITIS.
RESORPTION OF EXUDATE IN PERICARDITIS.
IN RHEUMATIC TROUBLES WHERE THERE ARE DEPOSITS ON
SURFACE OF HEART AND VALVES AND IN ACUTE RHEUMATIC
FEVERS WITH THE CHARACTERISTIC HEART SYMPTOMS
MENTIONED ABOVE.

NECK AND BACK. — (Lachesis)

STIFFNESS OF NECK, MOVES JAW WITH DIFFICULTY ; TEARING
PAIN UP EITHER SIDE OF NECK TO TOP OF HEAD.
Neck stiff on right side.
PAIN IN SMALL OF BACK AS IF LAME AND WEAK.
STIFFNESS IN SACRUM ON BENDING OR BEGINNING TO MOVE
EXTENDING TO HIPS AND THIGHS, AS IF CORDS WERE TOO
SHORT.
PAIN IN OS COCCYX WHEN SITTING, SENSATION AS IF SITTING
ON SOMETHING SHARP.
SUPERIOR EXTREMITIES. — (Lachesis)
LEFT HAND AND ARM NUMB, ALTERNATING WITH PAIN AND
NUMBNESS AND REDNESS OF FOOT ; WHEN ONE TROUBLES THE
OTHER IS WELL.
RHEUMATIC SWELLING OF INDEX FINGER AND WRIST.
PAIN IN WRIST JOINTS AS IF SPRAINED.

INFERIOR EXTREMITIES. — (Lachesis)

PAINFUL STIFFNESS FROM LOINS DOWN TO SACRUM AND
THIGHS.
INTOLERABLE SHOOTING PAIN EXTENDING FROM LEFT HIP
DOWN TO FOOT FOLLOWED BY SENSE OF INTENSE HEAT.
RHEUMATIC PAINS CONSTANTLY CHANGING LOCALITY,
BURNING LIKE FIRE, ESPECIALLY IN HYPOGASTRIUM, LUMBAR
REGION AND BEHIND STERNUM, associated with nervousness and
palpitation of heart.
Sensation in right knee as if strained.
Aching pain in knees < morning on waking.
LEFT KNEE AS IF SPRAINED.
SENSATION AS IF A HOT IRON WERE GOING THROUGH KNEE
JOINTS.
Pain and stiffness in legs, especially knees, after sitting.
ACHING PAIN IN SHIN BONES ONLY.
RHEUMATIC PAINS IN LEGS AS OF A JERKING, LANCINATING
CHARACTER AS SOON AS HE FALLS ASLEEP ; IRREGULAR HEART
ACTION ; IN METASTASIS.
ARTHRITIC CONTRACTIONS OF LIMBS.

EXTREMITIES IN GENERAL. — (Lachesis)

RHEUMATIC SWELLING OF WRISTS AND ANKLES.
ACUTE RHEUMATISM OCCURRING EVERY YEAR, ESPECIALLY IN
SPRING.

AGGRAVATIONS. — (Lachesis)
SLEEPS INTO AGGRAVATION.
SPRING.
AFTER SLEEP.
AT MENOPAUSE.
SLIGHTEST TOUCH.
LEFT SIDE.
SUNLIGHT.
EXERTION.
JARS.

CONCOMITANTS. — (Lachesis)
SENSITIVE TO TOUCH OF CLOTHING ABOUT WAIST OR NECK.
CANNOT STAND WEIGHT OF BED CLOTHING.
SORENESS IN HANDLING PARTS.

Lachnanthes tinctoria

In severe stiffness of neck, especially where it is drawn to the right side, or

where there is drawing of the muscles sufficient to draw the part from its
normal position we may find Lachnanthes indicated, especially if it is
accompanied with the characteristic loquacity.

NECK AND BACK. — (Lachnanthes)

STIFFNESS OF NECK, WRY NECK.
Pain and stiffness in neck going over whole head.
TORTICOLLIS, NECK STIFF, HEAD DRAWN TO ONE SIDE ; PAIN IN
NECK AS IF DISLOCATED.
RIGHT SIDE OF NECK STIFF AND DRAWN TO RIGHT SIDE.

SUPERIOR EXTREMITIES. — (Lachnanthes)

Tearing from shoulder extending to finger joints, < in elbow joints, sometimes
runs upward and sometimes downward.
Left index finger drawn crooked.
Thumb and index finger feel as if sprained.

INFERIOR EXTREMITIES. — (Lachnanthes)

Tearing pains : in right ischium ; in left knee when walking ; in right tibia ; in
right great toe, awakening from sleep.
Cramping pains in calves when lying in bed.

EXTREMITIES IN GENERAL. — (Lachnanthes)

Tearing pains in all limbs.
AGGRAVATIONS. — (Lachnanthes)
Waking.

CONCOMITANT S . — (Lachnanthes)
LOQUACITY .

Lacticum acidum

In acute rheumatic fever with elbows, knees and small joints affected, with the
very profuse sweat and profuse frequent urination, Lactic acid finds its field
clearly indicated.

NECK AND BACK. — (Lacticum acidum)

Rheumatic pain in right side of neck and right breast < stooping.
Neck stiff, also down between shoulders.
Pain in edge of trapezius at occipital and clavicular insertions.
Pain in lower part of back all night.
ACHING PAIN ACROSS SMALL OF BACK.
RHEUMATIC SORENESS IN MUSCLES OF CHEST, BACK AND
EXTREMITIES.

SUPERIOR EXTREMITIES. — (Lacticum acidum)

Pain in shoulder on moving arm.
Rheumatic pains in both shoulders running up muscles of the neck.
Slight rheumatic pains in wrist joint.

INFERIOR EXTREMITIES. — (Lacticum acidum)

Rheumatic pains in right knee joint on moving leg.
Pains in knee joints at times extending to the toes, as if the foot had been
asleep.
Cramp in calf early in morning after rising.
Pain in left great toe.

EXTREMITIES IN GENERAL. — (Lacticum acidum)

RHEUMATIC INFLAMMATION OF ELBOWS, KNEES AND SMALL
JOINTS OF BOTH EXTREMITIES.
AGGRAVATIONS. — (Lacticum acidum)
AT NIGHT.
MOTION.

CONCOMITANTS. — (Lacticum acidum)

ACRID SWEAT, PROFUSE.
URINE PROFUSE.

Laurocerasus

Occasionally in metastasis to the heart we find Laurocerasus useful ; where

there are the peculiar symptoms and the constant inclination to faint the
indications for it are clear.

HEART. — ( Laurocerasus)
HEART'S ACTION' SLOW, IRREGULAR ; PALPITATION.
STITCHES IN REGION OF HEART.
BEATING AND FLUTTERING SENSATION ; GASPS FOR BREATH.
SITTING POSTURE CAUSES GASPING FOR BREATH.
SPASMODIC PAIN IN CARDIAC REGION, FEARS DEATH, < ON
ATTEMPTING TO RISE.
SLIGHT EXERCISE CAUSES GASPING FOR BREATH.

NECK AND BACK. — ( Laurocerasus)

PAINS IN OUTER PART OF CHEST < MOVING.
Painful stiffness of left side of neck, nape and small of back.
PRESSURE IN NAPE OF NECK < IN OPEN AIR, COMPELLING HIM TO
BEND HEAD FORWARD.
SEVERE PAIN IN SACRAL REGION EXTENDING TO PUBIS.

SUPERIOR EXTREMITIES. — ( Laurocerasus)

Pressure on right shoulder and shoulder joint.
Pains as if lame and stitches in right shoulder.
Stitches in both elbows.
Sprained pain in right wrist.

INFERIOR EXTREMITIES. — ( Laurocerasus)

Sprained pain in left hip joint.
Sticking in left knee.
Ulcerative pains in lower part of heels.
Feet become stiff after rising from a seat.

EXTREMITIES IN GENERAL — ( Laurocerasus)

END OF FINGERS AND TOES ENLARGED, KNOB-LIKE.
STINGING AND TEARING IN LIMBS.

AGGRAVATIONS. — ( Laurocerasus)
Going upstairs.
Walking.
Before eating.

AMELIORATIONS. — ( Laurocerasus)
LYING DOWN.

CONCOMITANTS. — ( Laurocerasus)
FREQUENT FAINTING.

Ledum palustre

Ledum is a very old and well tried remedy, and one whose characteristics
stand out clearly.
With these there can be no mistake in identifying its place, where it will prove
its value.

Compare : Arnica, Hamamelis, Ruta, in conditions following injuries.

EYES. — (Ledum palustre)

RHEUMATIC OPHTHALMIA OF LEFT EYE.
EXCESSIVE PHOTOPHOBIA WITH SEVERE PAIN UPON
ATTEMPTING TO OPEN THE LIDS, PRESSING PAIN IN HEAD AND
EYE, AS IF PRESSED ASUNDER THEN OUT OF ORBIT, WITH GREAT
LACHRYMATION AND < AT NIGHT.
STICKING IN EYES AS FROM SAND IN EYE.
LEFT EYE MOST AFFECTED.

EARS. — (Ledum palustre)

RHEUMATIC STITCHES IN RIGHT EAR.
HARDNESS OF HEARING, SENSATION AS IF OBSTRUCTED WITH
COTTON.

CHEST. — (Ledum palustre)

Spasmodic constriction of chest when walking or ascending.
HEMOPTYSIS ALTERNATING WITH COXALGIA OR RHEUMATISM.

NECK AND BACK. — (Ledum palustre)

TEARING DRAWING PAINS IN NECK TO INSERTION OF DELTOID
MUSCLE.
PAINFUL STIFFNESS OF BACK AND SCAPULAE.
PAINFUL STIFFNESS OF THE LOINS ON RISING FROM A SEAT.

SUPERIOR EXTREMITIES. — (Ledum palustre)

PAINFUL PRESSURE IN SHOULDER JOINTS < FROM MOTION.
RHEUMATIC PAIN IN JOINTS OF THE ARMS.
GOUTY NODES ON HANDS AND FINGER JOINTS, DRAWING PAINS
FROM HANDS UPWARD.
BORING PAINS IN FIRST JOINT OF THUMB WITH FEELING OF
STIFFNESS.

INFERIOR EXTREMITIES. — (Ledum palustre)

PRESSURE AND LAME RHEUMATIC PAINS IN RIGHT HIP JOINT <
MOTION.
RHEUMATISM ALTERNATING WITH HEMOPTYSIS.
AFTER STANDING LONG ON FEET SUDDEN VIOLENT PAIN IN HIP
JOINT WITH SENSATION OF BOILING WATER IN JOINT, UNABLE
TO STAND FOR SOME TIME UNTIL PAIN SUBSIDES.
Sprained feeling in all positions but < by walking.
RHEUMATIC PAINS GOING FROM BELOW UPWARD ; JOINTS PALE,
SWOLLEN, TENSE ; HOT STINGING DRAWING PAINS < WARMTH
OF BEDCLOTHES, MOTION AND EVENING, GOUTY RHEUMATISM
BEGINS IN LOWER LIMBS AND ASCENDS ; JOINTS HAVE LARGE
AMOUNTS OF NODES AND EVEN STONE IN THEM ; ESPECIALLY
VALUABLE AFTER ABUSE OF Colchicum.
TEARING PRESSURE IN KNEE JOINTS AND LOWER LEG < ON
MOTION.
CRACKING AND CREAKING OF KNEES.
TENSIVE PAIN AND SWELLING IN KNEE WHEN WALKING.
STIFFNESS OF KNEES.
PAINS SEEM TO EXTEND FROM KNEE TO HIP, WANTS LEG
RUBBED FROM KNEE UPWARD TO HIP ; TREMOR OF LIMB WHEN
SITTING OR ATTEMPTING TO WALK OR STAND.
ACUTE TRAUMATIC SYNOVITIS WITH MUCH EFFUSION AND
COLDNESS OF PART ; SWELLING AND TENSION AND STITCHES IN
KNEES WITH RHEUMATIC PAINS.
PINCHING, GRASPING PAINS IN LEFT HAMSTRING < AT NIGHT.
DRAWING PAINS FROM UPPER PART OF CALF TO POPLITEAL
SPACE ; CANNOT LIE ON LEFT SIDE.
SWELLING OF LEGS EXTENDING ABOVE CALVES WITH TENSIVE
PAIN, < EVENING. RENDING PAINS IN PERIOSTEUM, SWELLING OF
FEET AND LEGS UP TO KNEES PURPLE AND MOTTLED, > WHEN
HOLDING FEET IN ICE WATER.
RHEUMATIC PAINS WITH SWELLING, > APPLYING COLD.
PRESSURE IN BONES OF ANKLE AND LOWER LEG, < MOTION, <
MORNING.
STIFFNESS AND RIGIDITY OF FEET < MORNING.
GOUTY WITH TEARING PAINS IN TOES ; GOUTY NODOSITIES IN
JOINTS.
SWELLING OF FEET ; IN ANKLES ; IN KNEES WITH VERY SEVERE
PAIN ON STEPPING.
PAIN IN ANKLES AS FROM A SEVERE STRAIN OR MISSTEP.
VIOLENT PAIN IN JOINT OF LEFT GREAT TOE WHILE WALKING IN
MORNING.
BORING IN FIRST JOINT OF RIGHT GREAT TOE.
BALL OF GREAT TOE PAINFUL, SWOLLEN, TENDONS STIFF, <
STEPPING.
BONE PAINS IN LEGS.

EXTREMITIES IN GENERAL — (Ledum palustre)

LEFT SHOULDER AND RIGHT HIP JOINT.
RHEUMATISM BEGINS IN LOWER LIMBS AND ASCENDS.
PRESSIVE PAINS IN KNEES AND WRISTS.
PAINS IN VARIOUS PARTS OF LIMBS AFTER TAKING WINE.
HARD NODES AND CALCAREOUS DEPOSITS WITH TENSE HARD
SWELLING OF JOINTS.
CAN ONLY MOVE JOINTS AFTER APPLYING COLD WATER.
HABITUAL GOUT IN ARTICULATIONS OF HANDS, FEET AND
GREAT TOE JOINTS.
AGGRAVATIONS. — (Ledum palustre)
EVENING.
BEFORE MIDNIGHT.
Motion.
HEAT OF BED.
AFTER WINE.

AMELIORATIONS. — (Ledum palustre)

PUTTING FEET IN ICE WATER.

CONCOMITANTS. — (Ledum palustre)

WARMTH OF BED INTOLERABLE.
PAINS STICKING, TEARING, THROBBING.
EMACIATION OF AFFECTED PARTS.
AFTER ABUSE OF ALCOHOLIC DRINKS.
AFTER BRUISE OF PARTS.
INTENSE COLDNESS ACCOMPANIES ITS FEVERS.

Lithium carbonicum

Lithium has been used by dominant medicine empirically but we should

consider it more often in the gouty conditions affecting the heart, and where
there are rheumatic pains at the last joints of the fingers and toes.

Compare : Ammonium phos., Benzoic acid, Berberis, Calc. c., Lycopodium.

HEART. — (Lithium carbonicum)

DULL STITCHES IN CARDIAC REGION WITH SUDDEN SHOCKS ;
THROBBING.
RHEUMATIC SORENESS IN CARDIAC REGION.
VIOLENT PAIN IN PRECORDIAL REGION < BENT OVER.
SORENESS ABOUT HEART < STOOPING, ASSOCIATED WITH PAINS
IN LIMBS ; FINGER JOINTS TENDER AND PAINFUL.
TREMBLING AND FLUTTERING OF HEART < MENTAL AGITATION
OR BEING VEXED.
BRUIT OF AORTIC VALVES.
NECK AND BACK. — (Lithium carbonicum)
Sore feeling on right side of spine < pressure, < morning on rising.
STITCHING IN SACRUM < WHEN STANDING.

SUPERIOR EXTREMITIES. — (Lithium carbonicum)

Pain near point of right pectoralis major on margin of shoulder.
Stitch burning in ball of left thumb.
Sensitive pains in all fingers, more pronounced in second and third, deep as if
in bones ; extending from hands to fingertips, only during repose ; < on
pressure and motion.
Left middle finger painful.

INFERIOR EXTREMITIES. — (Lithium carbonicum)

Pain in right hip going to left.
Burning pain in small spot on right hip, then thigh then little toe.
RHEUMATIC PAINS IN LOWER LIMBS.
Pains in and above knees, especially going upstairs.
PAINFULNESS OF FEET, ANKLES, METATARSAL AND TOES, < AT
BORDER OF FOOT AND SOLES IN GOUTY PATIENTS.
Ankle joints painful when walking, first right then left.
Rheumatic pains in right foot on waking, > on rising.

EXTREMITIES IN GENERAL. — (Lithium carbonicum)

SWELLING, TENDERNESS, SOME REDNESS OF LAST JOINT OF
FINGERS WITH GENERAL PUFFINESS OF BODY AND LIMBS.
ARTHRITIC PAINS IN LIMBS.
GOUTY AFFECTIONS WHEN HEART IS AFFECTED.
OBESITY WITH GOUT.

Lobelia inflata

In inflammatory rheumatism with heart involvement and an indescribable

feeling of nausea at pit of stomach Lobelia inflata may prove very useful.

HEART. — (Lobelia inflata)

DEEP-SEATED PAIN IN AND ABOVE HEART ; SENSATION AS IF
HEART STOOD STILL.
SENSATION OF EXCESSIVE WEAKNESS IN PRECORDIUM
EXTENDING UPWARD INTO CHEST AND DOWNWARD.
DYSPNEA AND SUFFOCATION FROM EVERY RAPID MOTION.

NECK AND BACK. — (Lobelia inflata)

Swelling and pain in left side of neck.
Rheumatic pain between scapula.
VIOLENT PAIN IN TOP OF RIGHT SHOULDER THEN IN BACK AT
FOURTH DORSAL VERTEBRA.
Pain under right shoulder blade < when bending forward.
EXTREME TENDERNESS OVER SACRUM, CANNOT BEAR ANY
PRESSURE.

SUPERIOR EXTREMITIES. — (Lobelia inflata)

Lame feeling in left upper arm.
Rheumatic pain in right shoulder joint goes to left upper arm and about elbow
joint.
Pain in right deltoid, sore to touch.
Sharp shooting pain in an old scar on right ring finger.

INFERIOR EXTREMITIES. — (Lobelia inflata)

INFLAMMATORY RHEUMATISM OF RIGHT KNEE WITH TEARING
PAINS IN FIBULA.
Painful stiffness in knees.

EXTREMITIES IN GENERAL — (Lobelia inflata)

Shooting pains through whole body into tips of fingers and toes.

AGGRAVATIONS. — (Lobelia inflata)

Motion.

AMELIORATIONS. — (Lobelia inflata)

Near fire.

Lycopersicum esculentum

(Solanum lycopersicum)
Lycopersicum has not been proven, or its clinical use recorded, sufficiently to
evaluate the symptoms properly.

However, judging from the provings that have been made and, from the use
made of the tomato by the Indians of California and Mexico, this remedy
should hold a valuable place among the so-called rheumatic remedies.

Many people react unpleasantly to ,the use of tomato in the diet, especially if
they have a tendency toward rheumatic conditions ; and this should give an
impetus toward a greater study of Lycopersicum and its possibilities in these
conditions.

NECK AND BACK. — (Lycopersicum esculentum)

Intense aching through the whole back, but especially in the lumbar region.
Heavy digging pain in right shoulder blade.

SUPERIOR EXTREMITIES. — (Lycopersicum esculentum)

Sharp pains in right deltoid and pectoralis major muscles, < on motion,
especially lifting arm upward or outward.
Rheumatic pains in right deltoid and pectoralis muscles.
Dull dragging pain in right deltoid muscle.
Gnawing pain deep in middle of right upper arm, < on motion.
Twinges in right elbow joint.
Sensation of numbness and weight, as if the arm were asleep.
Rheumatic pain in right elbow joint.
Sensation of numbness and tingling along the course of right ulnar nerve and
its ramifications.
Benumbing aching pain through right hand and wrist with occasional stitches
in ball of right thumb.
Stiffness and lameness of left wrist, hand and fingers, especially at carpo-
phalangeal articulation of little finger, where it is painful even when not
moving it.
Sharp cutting pain extending from wrist through palm to tip of ring finger of
left hand when pressing hand firmly against anything.

INFERIOR EXTREMITIES. — (Lycopersicum esculentum)

Sharp sticking pains along the course of right crural nerve.
Rheumatic pain in right knee and calf of leg > by heat.
Dull aching pain along the border of right fibula to os calcis where it is most
severe.
Dull aching pain in right lower leg, deep, as if in the bone, much < by
continued motion.
Cramps in calf of right leg when raising foot from the floor.
Right calf lame and sore.
Rheumatic pains in left ankle.

EXTREMITIES IN GENERAL.— (Lycopersicum esculentum)

Rheumatic pains in all the muscles of the right limbs.

CONCOMITANTS. — (Lycopersicum esculentum)

Irritable.
Profuse watery coryza excoriating nose ; saltish taste ; < out of doors.
Great flatulency.
Violent eructations of gas tasting of food.

AGGRAVATIONS. — (Lycopersicum esculentum)

In open air.
On motion, especially if continued.

AMELIORATIONS. — (Lycopersicum esculentum)

In warm room.
From external heat.
At rest.

Lycopodium clavatum

A remedy especially valuable in lumbago after Bryonia alb. ; a valuable

remedy in chronic rheumatism always < until evening and in Warmth ; pains,
< on right side ; in chronic gout with chalky deposits in the joints ; in chronic
rheumatism of hands and fingers, which are swollen and puffy.

HEAD. — (Lycopodium)
HEAD DRAWN TO RIGHT SIDE OR BENT BACKWARD.

EYES. — (Lycopodium)
ARTHRITIC CATARRH OF CONJUNCTIVA.

HEART. — (Lycopodium)
RHEUMATIC FEVER WITH SEVERE CARDIAC COMPLICATIONS,
INTENSE DYSPNEA, DILATATION OF ALE NAST, FLATULENCE,
CONSTRICTION IN EPIGASTRIC REGION AND PROFUSE SWEAT.
EXCITEMENT OF CIRCULATION IN EVENING WITH RESTLESSNESS
AND TREMBLING.

NECK AND BACK. — (Lycopodium)

ONE SIDE OF NECK STIFF AND SWOLLEN.
STIFFNESS OF LEFT SIDE OF NECK, HEAD DRAWN TO LEFT SIDE.
TENSIVE PAIN AND STIFFNESS IN NAPE OF NECK.
Darting in cervical muscles from below upward.
Sticking drawing pain in back.
SEVERE BACKACHE > PASSING URINE.
PAIN IN SMALL OF BACK WHILE LYING, GOING DOWN TO FEET,
VIOLENT WHILE SITTING, NOT ALLOWING TO STRAIGHTEN PART.
PAIN IN SMALL OF BACK AS IF IT WOULD BREAK.
PAIN IN SMALL OF BACK AND STITCHES IN HIPS.
PAIN AND STIFFNESS IN SMALL OF BACK AT NIGHT.
STITCHES IN BACK WHEN RISING FROM STOOPING.
PAIN IN SACRAL REGION < RISING FROM A SEAT.
LUMBAGO PAIN < FROM SLIGHTEST MOTION.

SUPERIOR EXTREMITIES. — (Lycopodium)

RHEUMATIC TENSION IN RIGHT SHOULDER JOINT.
TEARING PAINS IN SHOULDER AND ELBOW JOINTS DURING REST,
NOT IN MOTION.
TEARING PAINS FROM NECK TO ELBOW AND WHOLE ARM AND
HANDS, ONLY WHILE IN BED.
ARMS AND FINGERS GO TO SLEEP EASILY ; NUMBNESS OF
HANDS.
Drawing pains in inner surface of upper arms, extending over elbows, along
forearms to wrists.
PAIN IN RIGHT WRIST AS FROM A SPRAIN.
Inflammation with redness in all finger joints.
FINGER JOINTS MUCH DISTORTED AND FILLED WITH CHALK
DEPOSITS, PROFUSE ICY COLD SWEAT OF PART.
STIFFNESS OF FINGERS FROM ARTHRITIC NODOSITIES.
HANDS SWOLLEN AND HARD ; FINGERS STIFF.
INFERIOR EXTREMITIES. — (Lycopodium)
RHEUMATIC TENSION IN LEFT HIP.
NEURALGIA OF EXTREMITIES.
SCIATIC PAINS IN CHRONIC CASES WITH BURNING AND
STINGING.
Tearing pain in middle of right thigh.
PAIN AS FROM CONTRACTING IN CALVES WHEN WALKING AND
AT NIGHT.
TEARING PAIN THROUGH RIGHT INSTEP < 8 P.M.
Stitching in right great toe.

EXTREMITIES IN GENERAL. — (Lycopodium)

DRAWING TEARING PAINS IN LIMBS AT NIGHT < DURING REST,
AND ON ALTERNATE DAYS ; MUSCLES AND JOINTS RIGID,
PAINFUL ; FINGER JOINTS INFLAMED ; NODE IN FINGER JOINTS.
RHEUMATISM IN WET WEATHER > IN WARM WEATHER.
STIFFNESS OF ALL JOINTS.
CRACKING OF JOINTS WHEN STRETCHED.
PAINS IN RIGHT ANKLE SPREADING OVER FOOT, UP TO KNEE
AND IN LEFT LEG.
STIFFNESS OF PARTS WITH TWITCHING.
KNEES AND ANKLES SWOLLEN AND TENDER TO TOUCH.
PAIN IN PAROXYSMS COMMENCING IN RIGHT SHOULDER AND
ARM, EXTENDING DOWN RIGHT SIDE TO HIP, SHOOTS ACROSS TO
LEFT HIP AND DOWN LEG, < ON MOTION.
ALTERNATION OF HEAT AND COLD IN RHEUMATISM OR GOUT.

CONCOMITANTS. — (Lycopodium)
DESIRE FOR OPEN AIR, CANNOT TOLERATE A WARM ROOM.
EMACIATION AND DEBILITY.
AFTER EFFECTS OF SCARLET FEVER.
DEEP SEATED CHRONIC DISEASE.
IRRITABLE ON WAKING.
ONE FOOT HOT, THE OTHER COLD.
OPPRESSED RESPIRATION.
BRICK DUST IN URINE.
QUANTITIES OF GAS.
HUNGER BUT SATISFIED WITH A FEW MOUTHFULS.
AGGRAVATIONS. — (Lycopodium)
DURING REST.
REST IN SITTING POSTURE.

AMELIORATIONS.— (Lycopodium)
MOTION.

Lycopus virginicus

Lycopus is indicated in rheumatic troubles associated with tumultuous action

of the heart, either with valvular disease of the heart, cough and hypertrophy
or with simple palpitation and various nervous symptoms.

In cardiac disease following rheumatic fever, with hacking cough, palpitation,

dyspnea, small weak irritable pulse which intermits, we find a crying need for
this remedy.

CHEST. — (Lycopus virginicus)

Sense of constriction across lower half of thorax.

HEART. — (Lycopus virginicus)

Constrictive pain in cardiac region.
Acute darting pains in heart with intermittent pulse.
Throbbing pain in heart.
Sense of pressing outward in cardiac region.
Pain in heart one inch below and to the outer side of left nipple.
RHEUMATOID ACHING IN PRECORDIAL REGION AND AT APEX
ASSOCIATED WITH PAINS IN LEFT WRIST, INNER SIDE OF RIGHT
CALF AND IN SUB-CLAVICULAR REGION, AND AGAIN IN LEFT
WRIST AND REGION OF APEX.
CARDIAC IRRITABILITY WITH DEPRESSED FORCE.
CARDIAC IRRITABILITY WITH PROFUSE FLOW OF WATERY
URINE.
BEAT SLOWER, FULLER AND MORE REGULAR.
First sounds replaced by a blowing sound and a mitral regurgitation.
Diminished blood pressure.

NECK AND BACK. — (Lycopus virginicus)

Rheumatoid pain in left superscapulae muscles.
Rheumatoid pains ; in scapular and lower dorsal region ; from the friction at
apex of heart to left subscapular region then to mid-dorsal, then to apex.
Severe continuous aching in lumbar region.
Sharp pains first in lumbar region then in left leg extending up thigh, then to
right.
Severe aching pain down the spine, < from friction, < after rising.
Wandering pains in muscles with aching in loins.

SUPERIOR EXTREMITIES. — (Lycopus virginicus)

Rheumatoid pains in forearms and wrists with trembling of hands.

INFERIOR EXTREMITIES. — (Lycopus virginicus)

Rheumatoid pains in knees, legs, thighs, wandering to the back causing slight
lameness and unsteady gait.

EXTREMITIES IN GENERAL. — (Lycopus virginicus)

Muscular rheumatoid pains, affecting articulation and tendons, < motion and
cold air, not > by direct warmth but > warm room or in bed.

AGGRAVATIONS. — (Lycopus virginicus)

Lying down.
Lying on right side.
Cold air.
Motion.
Exercise.
Walking.
Going up stairs.

CONCOMITANTS. — (Lycopus virginicus)

Rheumatic pains around the heart < toward sunset, irregular and intermittent
pulse.
Pains shift about.
Pains shift from rectum to heart and head ; from heart to eyes, from heart to
left ,wrist and right calf, and back to wrist and heart.

Magnesia carbonica
Magnesia carb. is especially suitable for children of irritable disposition,
nervous temperament, lax fibres, sour smelling ; and to " worn out women "
and dark-haired, sensitive people who are spare and thin.

These patients who present the characteristic symptoms provide the

indications for the use of the remedy in these conditions.

Magnesium carb. is complementary to Chamomilla in neuralgia.

It is antidoted by Arsenicum and Chamomilla in like conditions.

CHEST.— (Magnesia carbonica)

SORENESS IN CHEST AND REGION OF HEART ; STITCHES.
Stitch from without inward in precordial region.

SUPERIOR EXTREMITIES. — (Magnesia carbonica)

MUCH PAIN IN RIGHT SHOULDER, CAN HARDLY RAISE ARM.
PAIN AS FROM DISLOCATION OF SHOULDER JOINT WHEN
MOVING IT.
RHEUMATIC PAIN IN SHOULDERS WITH TINGLING DOWN
FINGERS PREVENTS LEAST MOTION, < AT NIGHT.
LAMENESS OF RIGHT ARM, WITH PAIN IN SHOULDER, NO
SWELLING OR SORENESS.
RED SWELLING OF FINGERS.

INFERIOR EXTREMITIES. — (Magnesia carbonica)

DRAWING PAINS IN LEGS AND FEET.
PAINS AROUND LEFT KNEE AS IF SOMETHING WERE TIGHT.
CANNOT PUT FOOT TO GROUND WHEN WALKING BUT ONLY
WHEN STANDING.
SWELLING IN BEND OF KNEE VERY PAINFUL.
KNEES PAINFUL WHEN WALKING, FEET WHEN LYING IN BED.

EXTREMITIES IN GENERAL. — (Magnesia carbonica)

RHEUMATIC PAINS IN LIMBS.
PAINS INSUPPORTABLE DURING REPOSE, MUST GET UP AND
WALK.

CONCOMITANTS. — (Magnesia carbonica)

PAINS NEURALGIC, LIGHTNING-LIKE.
UNREFRESHING SLEEP, MORE TIRED IN MORNING THAN WHEN
GOING TO BED.
MANY NEURALGIC PAINS.
GREAT INTERNAL HEAT AT NIGHT ; RESTLESS.
ADAPTED TO CHILDREN OF IRRITABLE NERVOUS DISPOSITION.

AGGRAVATIONS. — (Magnesia carbonica)

AT NIGHT.
AFTER A LONG WALK.
IN BED.
RAISING ARM.
DRAFTS.
CHANGE OF TEMPERATURE.

AMELIORATIONS. — (Magnesia carbonica)

WARMTH .

Magnesia muriatica

Magnesia mur. is noted for the great restlessness when in bed evenings or
when seated, or at night, and generally the pains are relieved by motion ; these
indications point its field in rheumatic troubles.

HEART. — (Magnesia muriatica)

Stitches in heart taking away breath.
PALPITATION OF HEART WITH CARDIAC PAIN GOING OFF WITH
MOTION.

NECK AND BACK. — (Magnesia muriatica)

BRUISED PAIN ABOVE AND IN SMALL OF BACK AND BOTH HIPS.
CONTRACTIVE, SPASMODIC PAIN IN SMALL OF BACK.
STITCHES, TEARING AND BURNING IN SMALL OF BACK.

SUPERIOR EXTREMITIES. — (Magnesia muriatica)

RHEUMATIC PAIN IN SHOULDER JOINT EXTENDING DOWN TO
HAND, < FROM MOTION.
TEARING PAINS IN SHOULDERS, ARMS, WRISTS AND HANDS.
INFERIOR EXTREMITIES. — (Magnesia muriatica)
TWITCHING TEARING-IN HIPS.
RESTLESSNESS AND TENSION IN THIGHS, MUST MOVE FOR
RELIEF.
PARALYTIC DRAWING AND TEARING IN LIMBS.
JERKING FROM HEEL THROUGH WHOLE BODY AS FROM AN
ELECTRIC SHOCK.

AGGRAVATIONS. — (Magnesia muriatica)

MILK.

AMELIORATIONS. — (Magnesia muriatica)

MOTION.
OPEN AIR.
WRAPPING UP.
SEA BATHING.

Magnesia phosphorica

Magnesia phos. is best suited to thin emaciated people of a highly nervous

type, usually of dark complexion, with rheumatic pains of the character
described above, mostly confined to the right side and often having been
brought on by standing in cold water.

Compare : Arsenicum in nightly neuralgic pains.

HEAD. — (Magnesia phosphorica)

RHEUMATIC HEADACHES, > EXTERNAL APPLICATIONS OF
WARMTH ; EXCRUCIATING, SHOOTING, STINGING, SHIFTING,
INTERMITTENT OR PAROXYSMAL.

FACE. — (Magnesia phosphorica)

RHEUMATIC, NEURALGIC PAINS IN RIGHT SIDE OF FACE ;
SHOOTING PAINS, CHANGING PLACES RAPIDLY ; WHOLE
TRIFACIAL NERVE AFFECTED ; EVEN. TEETH SENSITIVE, < AFTER
GOING TO BED, > BY HEAT.

HEART . — (Magnesia phosphorica)

SPASMODIC PAINS ABOUT HEART.
NERVOUS PALPITATION.
INTERCOSTAL DRAWING NEURALGIC CONSTRICTION ABOUT
HEART.

NECK AND BACK. — (Magnesia phosphorica)

SHOOTING, BORING, SHIFTING AND REMITTING PAINS IN NAPE.
SHIFTING PAINS IN BACK.
ACUTE BORING, DARTING PAINS IN BACK.

INFERIOR EXTREMITIES. — (Magnesia phosphorica)

EXCRUCIATING SPASMODIC PAINS IN SCIATIC NERVE.
PAINS IN RIGHT LEG FROM HIP TO ANKLE, < IN JOINTS ; PAINS
SHIFT WITH LIGHTNING, LIKE RAPIDITY, > CHANGE OF POSITION
AND > WARMTH OF BED.
NIGHTLY NEURALGIC PAINS NOW IN LEFT LEG THEN IN RIGHT
LEG ; DURING DAY PERFECTLY WELL.

EXTREMITIES IN GENERAL. — (Magnesia phosphorica)

Violent rheumatic pains in joints.
PAINS IN LIMBS, NEURALGIC, RHEUMATIC, VERY SEVERE,
DARTING ABOUT, SHIFTING AND REMITTENT.

CONCOMITANTS. — (Magnesia phosphorica)

NEURALGIC PAINS SHIFTING, DARTING, EXCORIATING, IN
DIFFERENT PARTS OF BODY ; CRAMPING PAINS.

Magnesia sulphurica

The provings bring out many of the Magnesium sulph. symptoms —

tearfulness, restlessness, sensitiveness to touch and > from walking — that
indicate that Magnesium sulph. should have a wider use in rheumatic
conditions than it has had.

NECK AND BACK. — (Magnesia sulphurica)

Tension in nape of neck and between shoulders with stitches, < morning on
rising, with sensitiveness to touch, < walking.
Rheumatic pain between shoulders.
Bruised pain in small of back < sitting or standing, > walking.
SUPERIOR EXTREMITIES. — (Magnesia sulphurica)
Rheumatic pains in left elbow and wrist joint.

INFERIOR EXTREMITIES. — (Magnesia sulphurica)

Rheumatic pains in hip and left femur.
Cracking in tarsal joint at every step.

EXTREMITIES IN GENERAL. — (Magnesia sulphurica)

Rheumatic pains in limbs, especially at night.

CONCOMITANTS. — (Magnesia sulphurica)

Great lassitude and soreness in whole body with trembling and weakness of
feet.
A peculiar sick feeling as of exhaustion with dry warm skin and drawing
pains.

Manganum

In chronic rheumatism with the anemia and the wandering, shifting pains
going from joint to joint, especially if associated with too early but scanty
menstruation, or in boys during puberty, we find the field
for Manganum’s usefulness.

Compare : Ammonium mur.

Manganum is compatible with Pulsatilla, Rhus tox., Sulphur.

NECK AND BACK. — (Manganum)

Stiffness in nape of neck.
Tearing in whole Spinal column from above downward.
Pain in small of back on bending backward.

SUPERIOR EXTREMITIES. — (Manganum)

Sprained pain in shoulder joint.
Rheumatic pains extending from shoulder to fingers.
Gnawing and boring in humerus as if in marrow of bone.
Tension in elbow as if too short.
Tensive pain in joints of arms and wrists.
INFERIOR EXTREMITIES. — (Manganum)
Tensive drawing stitches in thigh.
Twitching of muscles of legs from least motion.
Jerking sticking pain above knee.
Tearing pains in knees.
Tension and stiffness in legs.
INFLAMMATORY SWELLING OF BOTH MALLEOLI WITH
STITCHING PAIN EXTENDING UP FROM EXTERNAL MALLEOLUS,
ALWAYS WHEN WALKING.
Rheumatism in feet, cannot bear weight on heel.

EXTREMITIES IN GENERAL. — (Manganum)

Drawing and tension in limbs as from shortening of tendons.
RHEUMATISM SHIFTING FROM JOINT TO JOINT, GENERALLY
CROSSWISE, RED AND SHINING SWELLING, < TOUCH OR MOTION
OR AT NIGHT.
ARTHRITIS VAGA CAUSING ONE TO GROAN AND MOAN
CONSTANTLY, WITH BURNING SPOTS ABOUT JOINTS.
INFLAMMATION OF ARTICULATING EXTREMITIES OF BONES.
BORING, GNAWING SENSATION IN MARROW OF BONE.

AGGRAVATIONS. — (Manganum)
ON TOUCHING PARTS.
AT NIGHT.
SLIGHTEST TOUCH.

AMELIORATIONS. — (Manganum)
IN OPEN AIR.

CONCOMITANTS. — (Manganum)
GENERAL ANAEMIA.
VOICE CHANGING IN BOYS.

Marum verum

(Teucrium marum verum)

Marum verum has a place in rheumatic conditions, especially of the arms,

with the relief from motion and the concomitant symptoms.
SUPERIOR EXTREMITIES. — (Marum verum)
RHEUMATIC LAMENESS OF UPPER ARM AS FAR AS ELBOW.
DRAWING AND TEARING PAIN IN WHOLE ARM.
Rheumatic pains in bones and joints.
SUDDEN CUTTING PAIN IN MUSCLES FOREARM.

INFERIOR EXTREMITIES. — (Marum verum)

PAIN AS IF A NAIL HAD GROWS INTO FLESH OF RIGHT GREAT
TOE.

EXTREMITIES IN GENERAL — (Marum verum)

Rheumatic pains mostly in bones and joints, < evening, > morning.

AGGRAVATIONS. — (Marum verum)

RAISING THE ARM ; IT SUDDENLY SINKS DOWN.
EVENING.

AMELIORATIONS. — (Marum verum)

Moving.

CONCOMITANTS. — (Marum verum)

Tingling and feeling as if the part were going to sleep when sitting.
EMACIATED CHILDREN.
INGROWING TOE NAILS.
POLYPI OF MUCOUS SURFACES.
OVERSENSITIVE AND REMEDIES DO NOT ACT WELL ; OR IN OLD
PEOPLE OR CHILDREN.
SEAT WORMS.

Medorrhinum

The sphere characteristic of Medorrhinum is marked by much disturbance and

irritability of the nervous system from centre to periphery.
Its pains are intolerable, tensive, shooting, neuralgic.
It produces tension, involuntary tension which cannot be relaxed except by
voluntary effort of will.
Its nerves are easily shocked, it is easily startled at the least sound.
Its restlessness is > by clutching the hands very tightly.
Its nerves quiver, tingle, tremble and cause spasms.
It is cold, yet throws off covers and wants to he fanned.

It is < by warmth even when too cold to be fanned, or when cold to touch, as
in collapse.
It is < by damp or wet, drafts and thunderstorms.
It is < sunrise to sunset, < mornings and bright evenings.

The functional disturbance covers a long period before organic destruction

begins. It is not to be considered as applicable because of its origin, but only
when indicated by its symptomatology ; then it will do much toward restoring
to normal in rheumatic conditions of whatever nature.

HEART. — (Medorrhinum)
Stitching pain at apex comes and goes quickly.
Intense pain in heart radiating to different parts of left chest.
Dull pain in heart and left arm ; sensation as if left hand were swollen.

NECK AND BACK. — (Medorrhinum)

Drawing in cords of neck causing desire to throw head back.
Drawing pain in sternomastoid muscle drawing chin firmly down to chest.
Pain in neck and between scapula running to either shoulder to lumbar region.
Agonizing pains across and through both shoulders.
Contractive pains across scapulae passing down spine, drawing shoulders
back tightly, as if bones would be crushed.
TENDERNESS AND STIFFNESS OF MUSCLES OF BACK EXTENDING
WHOLE LENGTH.
Lame back, lumbar and sacral, extending down legs.
Tension in lumbar region extending, down posterior thighs.

SUPERIOR EXTREMITIES. — (Medorrhinum)

Rheumatic pain in left shoulder.
Rheumatic pain in right shoulder.
Cracking in joints, especially elbows.
Cramping pains in first and second fingers of right hand.
Shooting pains in left wrist.
Rheumatism of wrists with complete loss of power.
INFERIOR EXTREMITIES. — (Medorrhinum)
Lameness and stiffness of larger joints.
RHEUMATIC PAINS HERE AND THERE.
CHRONIC RHEUMATIC PAINS IN COLD DAMP WEATHER.
RHEUMATIC PAINS IN EXTREMITIES OF EXTREME SEVERITY.
ACHING IN HIPS AND KNEE JOINTS MAKING WALKING
DIFFICULT.
ACHING AS IF IN BONES ALL NIGHT, PREVENTING SLEEP.
Sensation as if flexor muscles were too short, drawing under knees and in
ankles.
Aching pain in legs with inability to keep still in bed.
RIGHT KNEE PAINFUL, RED AND SWOLLEN.
RHEUMATIC PAINS IN CALVES AND LACK OF POWER IN LEGS.
PAINS IN CRURAL AND SCIATIC NERVES OF LEFT SIDE.
ACUTE PAINS IN TENDO ACHILLIS.
RHEUMATISM OF ANKLES WITH COMPLETE LOSS OF POWER.
SWELLING AND INFLAMMATION OF RIGHT GREAT TOE, PAINS
SHOOTING WHEN SITTING STILL.
SORENESS OF BALL OF FOOT UNDER THE TOES.

AGGRAVATIONS. — (Medorrhinum)
WHEN THINKING OF TROUBLE.
HEAT.
Covering.
STRETCHING OUT PART.
Leaning head forward.
THUNDER STORMS.
MOTION.
Away from seashore.
In the mountains.
SWEETS.
FROM 3 TO 4 A.M.
IN THE SUN.
WARMTH OF BED OR WARM ROOM.
FROM DAYLIGHT TO SUNSET.
COLD DAMP WEATHER.
WIND.
AMELIORATIONS. — (Medorrhinum)
LYING IN KNEE-CHEST POSITION.
Fresh air.
Seashore.
After sunset.

Menyanthes trifoliata

Menyanthes is noted for its spasmodic twitching and spasm of muscles in the
limbs in sciatica and gouty patients.

NECK AND BACK. — (Menyanthes trifoliata)

Stiffness in muscles of neck and throat.
Dull, boring stitches in left shoulder blade.
BRUISED PAIN IN SMALL OF BACK, < STOOPING AND WALKING.
Pain in back when sitting still, disappears on touching it.

SUPERIOR EXTREMITIES. — (Menyanthes trifoliata)

Muscular twitches in right upper arm.
Cramp-like pain in muscles of left forearm extending to palm of hand.
Tension and paralytic tearing in arms, hands and fingers.
Spasmodic stiffness of arms and fingers.

INFERIOR EXTREMITIES. — (Menyanthes trifoliata)

STITCHING, CONTRACTIVE PAIN IN REGION OF HIP JOINT.
WHEN SITTING SPASMODICALLY JERKED UPWARD, PAIN > BY
MOTION AND PRESSURE.
Cramp like pain in muscles of right leg.
PAINFUL SPASMODIC JERKING OF LOWER LIMBS IN GOUTY
PEOPLE WITH CALCAREOUS DEPOSITS IN JOINTS.

EXTREMITIES IN GENERAL. — (Menyanthes trifoliata)

Stinging pinching cramping pains.

CONCOMITANTS. — (Menyanthes trifoliata)

COLDNESS OF ABDOMEN.
ICY COLDNESS OF HANDS AND FEET WITH WARMTH OF REST OF
THE BODY.
ANXIETY ABOUT HEART.
APPREHENSION OF EVIL.

Mephitis putorius

Mephitis has shifting rheumatic pains with urgent desire to urinate,

occasionally with pains as if struck by a shock of electricity ; great dejection
and lassitude during which the muscles are painful when touched or on
exercise.
With this symptom picture we might well consider this remedy more
frequently in rheumatic states.

LIVER. — (Mephitis)
Rheumatic pain in region of liver.
Pain under the short ribs.
Rheumatic colic pain from cold, > near warm stove.

NECK AND BACK. — (Mephitis)

Stitches in back.
Rheumatic pains in back with frequent passing of clear urine.

SUPERIOR EXTREMITIES. — (Mephitis)

Rheumatic pains in right arm over deltoid muscle > by motion.
Left arm very restless with acute sensitiveness.

INFERIOR EXTREMITIES. — (Mephitis)

Rheumatic pains from hips to feet.
Arthritic pain in heel.
LEGS BECOME RESTLESS, AS IF INSENSIBLE.
Pain in great toe as if it were being pinched.

EXTREMITIES IN GENERAL . — (Mephitis)

Rheumatic wandering pains in limbs associated with much pressure and
urging to urinate.
Marked lameness with all pains.
CONCOMITANTS. — (Mephitis)
" FIDGETS " IN LEGS AND ARMS.
EXTREMELY SLEEPY DURING DAY, EVEN IN COMPANY.
CHOKING WHILE EATING OR DRINKING.
RUSH OF WARMTH TO VARIOUS PARTS.

Mercurialis perennis

In acute, subacute or chronic rheumatic affections, especially when the

pericardium or heart is sympathetically affected ; affections of a rheumatic
nature affecting the muscular coats of stomach, intestines or bladder ;
rheumatic pains in the head or limbs associated with disturbance of vision : in
such conditions Mercurialis perennis finds a useful place.

HEAD. — (Mercurialis perennis)

TENSION AND HEAVINESS IN HEAD.
SHOOTING IN LEFT FOREHEAD AND TEMPLE.
VERTIGO ON STOOPING.
RHEUMATIC ACHING IN FOREHEAD > BY COLD AND PRESSURE.

EYES. — (Mercurialis perennis)

EYELIDS SEEM PARALYZED AND COULD NOT BE OPENED UNTIL
SHE HAD RUBBED THEM.
WEAKNESS OF UPPER LIDS, AT TIMES CANNOT RAISE THEM.

HEART. — (Mercurialis perennis)

Oppressive contractions in cardiac region.
Peculiar undulating and throbbing motion in cardiac region.
Repeated palpitation of heart with oppression after stooping.

NECK AND BACK. — (Mercurialis perennis)

ACHING PAIN IN NAPE OF NECK.

EXTREMITIES IN GENERAL. — (Mercurialis perennis)

Tearing pains in limbs.
 Mercurius

The rheumatic or arthritic pains of Mercurius are tearing stinging, < at night
in bed with profuse sweat which does not relieve.

It will be of marked assistance in these symptoms, especially in syphilitic or

complicated cases affecting the joints which are red and shiny, and in old
cases of gout with shining red swellings.

EYES. — (Mercurius)
PAINS AROUND EYES, ON FOREHEAD AND TEMPLES.
THROBBING AND SHOOTING PAINS IN EYES.
SEVERE TEARING, BORING, CUTTING IN DAMP WEATHER.
ACRID LACHRYMATION ; PUPIL DILATED AND COVERED WITH A
THIN BLUISH FILM, WITH TENDENCY TO FORM ADHESIONS —
ALL THIS IN RHEUMATIC IRITIS.
TEARING PAINS IN FOREHEAD AND VERTEX, SHOOTING FROM
DEEP IN THE EYE ; CONJUNCTIVA OF RIGHT EYE GREATLY
INFLAMED AND SWOLLEN.
PHLEGMONOUS INFLAMMATION AND SWELLING OF LIDS WITH
GREAT PHOTOPHOBIA ; FLOW OF HOT TEARS ; WHITE RING
AROUND CORNEA ; IRIS DISCOLOURED ; PROFUSE SWEAT
WITHOUT RELIEF IN GOUTY RHEUMATIC PATIENTS.
RHEUMATIC, ARTHRITIC, SYPHILITIC OR GONORRHEAL
OPHTHALMIA.

HEART. — (Mercurius)
WEAKNESS AT HEART AS IF DYING ; AWAKENS WITH TREMBLING
AT THE HEART AND AGITATION AS IF FRIGHTENED.
ACHING PAIN AT APEX EXTENDING UPWARD TOWARD BASE OF
HEART WITH CARDIAC OPPRESSION.

NECK AND BACK. — (Mercurius)

RHEUMATIC STIFFNESS AND SWELLING OF NECK.
GLANDS OF NECK SWOLLEN AND PAINFUL ON SWALLOWING IN
RHEUMATISM.
Bruised sensation of scapula, back and small of back.
Stinging pain in small of back.
Sticking pain in small of back when breathing.
Sticking pain with unsteadiness in back, knees and feet.

SUPERIOR EXTREMITIES. — (Mercurius)

RHEUMATIC AFFECTIONS OF SHOULDERS AND UPPER ARMS ; OF
CAPSULAR LIGAMENTS OF ARMS WITH SENSATION AS IF ARMS
WERE TOO HEAVY.
LANCINATING IN SHOULDER JOINTS, ARMS AND WRISTS.
RED AND HOT SWELLING FROM ELBOW TO WRIST.
FINGERS OF BOTH HANDS FLEXED AND DRAWN INWARD, WHICH
CANNOT BE OPENED WITHOUT MUCH EXERTION.

INFERIOR EXTREMITIES. — (Mercurius)

TEARING IN HIP JOINT AND KNEE WITH PULSATING PAIN.
RHEUMATIC PAINS IN LEGS WITH STINGING, ESPECIALLY IN HIP
JOINT, FEMUR AND KNEE.
Painful swelling on metatarsal bones.
Pain in left thigh with soreness to touch.
TEARING AND STITCHING IN LOWER LIMBS.
BORING AND DRAWING PAIN IN TIBIA.
TARSAL BONES OF RIGHT FOOT GREATLY SWOLLEN AND ACUTE
PAIN.
Sprained pain in right tarsal joints.
SWELLING OF TARSAL BONES OF RIGHT FOOT VERY RED, VERY
SENSITIVE TO TOUCH.

EXTREMITIES IN GENERAL — (Mercurius)

ARMS AND THIGHS SORE TO TOUCH.
DRAWING AND TEARING IN ALL THE LIMBS.
PAINFUL STIFFNESS IN LIMBS.
RHEUMATIC AND ARTHRITIC PAINS TEARING, STINGING.
SUDDEN PAIN AND STIFFNESS OF NAPE OF NECK AND BOTH
UPPER AND LOWER LIMBS, BROUGHT ON BY EXPOSURE ; LIES
MOTIONLESS IN BED, HAS TO HAVE ASSISTANCE TO CHANGE
POSITION.

AGGRAVATIONS. — (Mercurius)
TOUCH.
AT NIGHT.
DAMP WEATHER.
EVENING.
AFTER MIDNIGHT.
WARMTH OF BED.
MOVING PART.
NO AMELIORATION FROM SWEAT.

CONCOMITANTS. — (Mercurius)
TREMBLING OF EXTREMITIES.
WEAKNESS AND WEARINESS.
GLANDS SWOLLEN.
DEBILITATING NIGHT SWEATS.
FETID BREATH.

Mercurius corrosivus

Merc. cor. has not been found useful in many of the rheumatic states, but it
has served well in cases following the suppression of gonorrhea from the use
of copaiba.

Merc. cor. may be antidoted by Silica.

Compare : Aurum and Kali hydr. in syphilitic
iritis ; Cantharis and Digitalis in gonorrheal conditions.

SUPERIOR EXTREMITIES. — (Mercurius corrosivus)

Rheumatic pains in left shoulder and shoulder blade.

INFERIOR EXTREMITIES. — (Mercurius corrosivus)

LOWER LIMBS DRAWN UP IN BED.
STICKING PAINS IN HIP JOINTS DURING REST, > IN MOTION.
STITCHES IN RIGHT HIP JOINT.

EXTREMITIES IN GENERAL. — (Mercurius corrosivus)

RHEUMATIC PAINS WANDERING FROM JOINT TO JOINT
COMPELLING HIM TO STAY IN BED, AFTER THE ADMINISTRATION
OF LARGE QUANTITIES OF COPAIBA FOR GONORRHEA.
 Mercurius iodatus ruber

In conditions following glandular inflammations, after the inflammation has

subsided, and we find many of the Mercury symptoms with the constantly
wandering nature, Merc. iod. ruber will sometimes be called for.

SUPERIOR EXTREMITIES. — (Mercurius iodatus ruber)

Rheumatic pains in shoulder joint.
Dull aching in middle of os humerus as if it would break.
Rheumatic pains, soreness and stiffness in left arm.

INFERIOR EXTREMITIES. — (Mercurius iodatus ruber)

Aching pains from hips to ankles felt in the bones as if one had walked too
far.
Knee joints weak.
PAINS FROM CALVES UP TO SACRUM.
Insupportable pain and aching in legs toward evening.
RHEUMATIC AFFECTIONS OF FEET AFTER WASHING FLOOR.
VIOLENT TEARING ON SOLES AND IN FOOT JOINTS.
FEET SWOLLEN AND TENDER TO TOUCH AROUND ANKLES.
WALKING ALMOST IMPOSSIBLE.
Rheumatic pains in right knee and hip in forenoon.

EXTREMITIES IN GENERAL. — (Mercurius iodatus ruber)

Rheumatic pains now here, now there, mostly muscular.
Rheumatic pains alternating in arms and hands, legs and feet.
Rheumatic pains in left arm when putting on coat.

AGGRAVATIONS. — (Mercurius iodatus ruber)

MOTION.
AFTER SCRUBBING FLOOR.

Mezereum

In periosteal rheumatism with boring, pressing pains coming like lightning

and leaving parts numb we find the classic indications for the use
of Mezereum.
It is not to be forgotten in the nightly bone pains of children or when there is
pain mostly in the long cylindrical bones as if in the marrow, and often
associated with venereal disease or from the abuse of mercury.

EYES . — (Mezereum)
RHEUMATIC OPHTHALMIA.
OPHTHALMIA AFTER THE ABUSE OF MERCURY.
NEURALGIA ESPECIALLY AFTER OPERATIONS ON THE EYE.

NECK AND BACK. — (Mezereum)

PAIN AND STIFFNESS OF NAPE, CERVICAL MUSCLES.
STIFFNESS ON RIGHT SIDE OF NAPE OF NECK.
RHEUMATIC PAIN IN SCAPULAR MUSCLES ; IN RIGHT SCAPULA.

SUPERIOR EXTREMITIES. — (Mezereum)

PAIN IN RIGHT SHOULDER JOINT.
PAIN IN SHOULDER JOINT AS IF TORN ASUNDER.

INFERIOR EXTREMITIES. — (Mezereum)

Twitching pain from hip joint to knee.
Right hip joint feels sprained on walking.
Pain deep in bones of thigh and legs.
DRAWING PAINS IN LEGS.
DEEP-SEATED PAINS AS IF IN PERIOSTEUM.
CRACKING IN, RIGHT KNEE UPON RISING.
Pressing pain in right tibia.
VIOLENT PAIN IN TIBIA AS IF PERIOSTEUM WERE TORN OFF.
PAIN IN PERIOSTEUM OF LONG BONES, ESPECIALLY TIBIA.
VIOLENT NIGHTLY PAINS IN BONES OF THE FEET.
Violent stitches in toes of right foot.
Violent tearing in ball of left little toe.

EXTREMITIES IN GENERAL. — (Mezereum)

PAINS IN PERIOSTEUM OF LONG BONES, ESPECIALLY TIBIAE.

AGGRAVATIONS. — (Mezereum)
MOTION.
MORNING ON RISING.
AT NIGHT IN BED.
LEAST TOUCH UNBEARABLE.
DAMP WEATHER.

CONCOMITANTS. — (Mezereum)
APPREHENSIVENESS AS IF EXPECTING BAD NEWS.
BURNING SENSATIONS, ESPECIALLY IN THROAT.
CONSTRICTED SENSATIONS IN DIFFERENT PARTS.
NEURALGIC PAINS IN DIFFERENT PARTS COME QUICKLY AND
LEAVE THE PART NUMB.
HYPOCHONDRIACAL AND DESPONDENT.

Naja

Naja is especially useful after articular rheumatism, with severe pain in heart
extending to shoulder, neck and arm, with intense anxiety ; the attacks come
on after sleep, with palpitation, constriction and dry cough.

HEART . — (Naja)
Shooting about precordial region.
Pain near heart extending to left scapula.
Peculiar oppression, depressed feeling.
Uneasy aching about the heart.

NECK AND BACK. — (Naja)

Cutting in nape.
Aching in nape.
Shooting pain from inner and upper angles of left scapula to front of chest.
Pain between scapula.
Rheumatic pains in muscles of scapula.

SUPERIOR EXTREMITIES. — (Naja)

Rheumatic pains in shoulders.
Drawing shooting in left elbow.
Rheumatic pains in shoulder joints.

INFERIOR EXTREMITIES. — (Naja)

Pains, especially anteriorly in thighs.
Shooting pains down the legs.
Drawing tearing in lower part of tendo achillis.

EXTREMITIES IN GENERAL. — (Naja)

Drawing, lacerating in various parts of right arm.
Aching in ankles, lower part of thighs, wrist and shoulder joints.
Rheumatic drawing pains in all limbs.

AGGRAVATIONS. — (Naja)
After riding.
Moving arms.
On waking.
Morning.

CONCOMITANTS. — (Naja)
SENSATION OF CHOKING, GRASPS THE THROAT WITH HAND.
UNEASY DISTRESS THROUGH MIND AND BODY ; AROUND HEART.
SENSATION OF AWFUL HEAT THROUGH BODY.
SENSATION OF GREAT WEIGHT ON CHEST.
SENSATION OF A HOT IRON IN CHEST.

Natrum arsenicatum

Aching in joints, wandering pains, pains running from above downward,

never staying in one place long, mark this remedy in rheumatic conditions.
Natrum ars. partakes more of the nature of the Natrum group than
of Arsenicum, yet it has the great restless traits of the latter.

NECK AND BACK. — (Natrum arsenicatum)

Neck stiff and sore.
Severe pain between scapula.
Soreness at lower cervical vertebra extending down to joints even with and
under both scapula.

SUPERIOR EXTREMITIES. — (Natrum arsenicatum)

Neuralgic pains from axilla to little finger.
Rheumatic pain in right arm < in shoulder and wrist.
Flying pains in fingers, palms and forearms.

INFERIOR EXTREMITIES. — (Natrum arsenicatum)

Lower limbs are heavy.
Shooting pains from acetabulum to knee.
Joints feel stiff.
Pains in joints and left side.
Knee joints crack.

AGGRAVATIONS. — (Natrum arsenicatum)

Pressure.
Inspiration.
Motion.
Continued motion.

AMELIORATIONS. — (Natrum arsenicatum)

Bending forward.

CONCOMITANTS. — (Natrum arsenicatum)

SURFACE COOL, COVERED WITH COLD CLAMMY SWEAT.
RESTLESS, CANNOT SIT STILL WITHOUT EFFORT.
FEELS TIRED ALL THE TIME.
MARKED EMACIATION.

Natrum carbonicum

The great heaviness of the parts and the inflammation of a gouty deposit type,
with the marked tendency for disturbance of the stomach will bring Natrum
carb. to mind in these conditions.

NECK AND BACK. — (Natrum carbonicum)

STIFFNESS OF NECK.
CRACKING OF CERVICAL VERTEBRAE ON MOVING HEAD.
Rigidity and drawing in back.
BACKACHE AFTER VIOLENT WALKING.

SUPERIOR EXTREMITIES. — (Natrum carbonicum)

RHEUMATIC PAIN OF SHOULDER, ARMS AND ELBOWS WITH
MARKED WEAKNESS.
PRESSING PAIN ON SHOULDERS.
Drawing pains in elbow.
CONTRACTION OF FINGERS.

INFERIOR EXTREMITIES.— (Natrum carbonicum)

JERKING PAINS IN LOWER LIMBS.
LEGS AND FEET VERY HEAVY WITH SENSE OF TENSION.
HOLLOW OF KNEE PAINFUL ON MOTION.
MUSCLES OF CORDS OF KNEE ON TENSION.
TENDENCY TO SPRAIN THE ANKLE.

EXTREMITIES IN GENERAL. — (Natrum carbonicum)

GREAT WEAKNESS OF LOWER LIMBS.
HEAVINESS OF ARMS.

AGGRAVATIONS. — (Natrum carbonicum)

AFTER MILK.
BEGINNING TO WALK.
LYING ON LEFT SIDE.

CONCOMITANTS. — (Natrum carbonicum)

DEBILITY FROM ANY EXERTION.
UNSTEADY WALK.
EXHAUSTION FROM MENTAL EXERTION.
PALE FACE WITH BLUE RINGS ABOUT EYES.
HEADACHES FROM SLIGHTEST MENTAL EXERTION.
INABILITY TO THINK OR TO PERFORM ANY MENTAL LABOUR.
INTOLERABLE MELANCHOLY AND APPREHENSION.

Natrum muriaticum

Natrum mur. has marked rigidity of all joints — contractions of all muscles,
especially in gout and in old sprains with contractions and adhesions after
sprains.
Natrum mur. is a remedy useful in many conditions and illustrates the power
of the potency in sickness as almost no other remedy does.
Natrum mur. is compatible after Kali mur. in articular and chronic
rheumatism ; after Calc. phos. in chronic rheumatism of joints.

NECK AND BACK. — (Natrum muriaticum)

PAINFUL STIFFNESS OF NECK.
SPINE OVERSENSITIVE TO TOUCH OR PRESSURE, TENSION AND
DRAWING.
PAIN IN BACK FROM STOOPING, < WHILE STRAIGHTENING UP.
BRUISED PAIN IN BACK.

SUPERIOR EXTREMITIES. — (Natrum muriaticum)

SENSATION AS OF A SPRAIN IN SHOULDER JOINT.
Stitches in muscles and joints of hands and fingers.
Can move finger joints with difficulty.

INFERIOR EXTREMITIES. — (Natrum muriaticum)

PAIN IN HIP AS IF SPRAINED.
Stitches in right hip joint.
SCIATICA WITH CONTRACTIONS OF HAMSTRINGS IN CHRONIC
CASES.
Drawing pain in right thigh extending to knee.
PAINFUL TENSION IN BENDS OF LIMBS.
Drawing pain in knees.
Sprained pain in ankles and knees.
GNAWING PAINS IN KNEE.
HOUSEMAID'S KNEE.
TARSAL JOINTS SWOLLEN AND BRUISED FEELING.
CHILDREN LATE IN LEARNING TO WALK.
LAMENESS IN ANKLE JOINT.
GREAT TOE RED WITH BORING AND STINGING.
PERIODICAL GOUT ATTACKS.

EXTREMITIES IN GENERAL — (Natrum muriaticum)

CONSTANTLY MOVING LIMBS.
ALL MUSCLES ARE PAINFUL AND HEAVY.
SHORTENING CONTRACTION OF MUSCLES.
STIFFNESS AND ARTHRITIC SWELLINGS.
Chronic rheumatism of joints.
AGGRAVATIONS. — (Natrum muriaticum)
SITTING.
WALKING.
NIGHT.

AMELIORATIONS. — (Natrum muriaticum)

LYING ON SOMETHING HARD.

CONCOMITANTS. — (Natrum muriaticum)

Many and varied, and usually constitutional.

Natrum sulphuricum

Natrum sulph. conditions are noted for their intense pains that compel the
patient to attempt to get relief by moving, but this does not give relief but for a
minute, then more pain ; they can hardly find a place to rest.

This is 3 markedly sycotic remedy, and is especially applicable for symptoms

coming on during damp cloudy weather or from damp situations.

Compare : Natrum mur., Pulsatilla, Rhus tox., Mercury, Stillingia, Sulphur,

Thuja.

NECK AND BACK. — (Natrum sulfuricum)

Stitches in nape of neck.
PIERCING AS FROM KNIVES BETWEEN SCAPULAE.
Soreness up and down spine and neck.
BRUISED PAIN IN SMALL OF BACK AND SACRUM.
PRESSURE IN LEFT SIDE OF BACK NEAR LUMBAR REGION.
Pain in sacrum, cannot lie on either side.

SUPERIOR EXTREMITIES. — (Natrum sulfuricum)

Piercing pains in left axilla, on humerus, back of hand, palm of right hand,
fingers and under nails.
FLEXORS OF HANDS PAINFUL WHEN GRASPING ANYTHING.
Fingers swollen and stiff.
Rheumatic arthritis of joints of fingers, pains suddenly go to heart.
INFERIOR EXTREMITIES. — (Natrum sulfuricum)
Pain in right hip joint.
SUDDEN STITCH IN LEFT HIP, IMPOSSIBLE TO CONTINUE
WALKING.
PAIN IN LEFT HIP AS AFTER LYING IN A BAD POSITION, MAKING
IT VERY DIFFICULT TO ASCEND OR SIT DOWN OR GET UP ;
AWAKES HIM AT NIGHT, COMPELLING HIM TO MOVE
CONSTANTLY YET CAUSING EXCRUCIATING PAIN.
Piercing pain in left hip and small of back, only during rest.
PAIN IN HIP EXTENDING TO KNEE.
SCIATICA WHEN GETTING UP OR SITTING DOWN OR TURNING IN
BED ; NO RELIEF IN ANY POSITION.
Pain in hip causing him to move frequently.
STIFFNESS OF KNEE AND CRACKING OF JOINTS.
GOUT IN FEET IN ACUTE OR CHRONIC CONDITIONS WITH
CONSTANT SHIFTING OF POSITION.

EXTREMITIES IN GENERAL.— (Natrum sulfuricum)

PAINS IN LIMBS COMPELLING HIM TO CHANGE POSITION
FREQUENTLY TO GET RELIEF.
RHEUMATIC PAINS IN LIMBS ASSOCIATED WITH GASTRIC
SYMPTOMS.
Cracking of joints in arthritis.

AGGRAVATIONS. — (Natrum sulfuricum)

Stooping.
MOTION.
RISING FROM A SEAT.
MOVING IN BED.
WALKING.

CONCOMITANTS. — (Natrum sulfuricum)

DIRTY GREENISH-GREY OR GREENISH-BROWN COATING ON
BACK OF TONGUE.
GASTRIC COMPLAINTS WITH MUCH ACIDITY.
IRRITABLE LIVER WITH STITCHES IN LIVER.
FLATULENCY WITH MUCH ROLLING.
NEPHRITIS.
SYCOSIS.
MARKED DYSPNEA DURING DAMP CLOUDY WEATHER.
COMPLAINTS FROM LIVING IN DAMP PLACES OR EATING FOOD
GROWN IN DAMP PLACES.
URIC ACID DEPOSITS IN FINGER JOINTS.

Niccolum

The most predominant symptom of Niccolum in rheumatic troubles is the

intense cracking in the cervical vertebrae on motion, and the rheumatic pains
from elbows and knees going downward to the hands and feet, with the
marked restlessness.

NECK AND BACK. — (Niccolum)

Cracking with wrenching pain in nape and neck when moving head back and
forth, again after rising.
Cracking of cervical vertebra on moving head.
Pain in neck as from a sprain.
Stitches in small of back.

SUPERIOR EXTREMITIES. — (Niccolum)

Pain in shoulders as if sprained.
Rheumatic pains in elbows extending to hands and fingers.

INFERIOR EXTREMITIES. — (Niccolum)

Stitches in right patella.
Rheumatic pains from knees downward.
Stitches in left heel.

EXTREMITIES IN GENERAL. — (Niccolum)

Tearing and shooting in limbs.

AGGRAVATIONS. — (Niccolum)
Motion.
Night.

AMELIORATIONS. — (Niccolum)
Open air.
CONCOMITANTS.— (Niccolum)
HEADACHE.
VIOLENT HICCOUGH.
HACKING COUGH CAUSES PAIN IN HEAD.
RESTLESSNESS.

Nitricum acidum

Suitable in rheumatic troubles in persons who take cold very easily and who
suffer from frequent diarrhea.
The pains are sharp, stabbing or pricking in character, and appear most often
in those showing a syphilitic or scrofulous constitution.

HEART. — (Nitricum acidum)

NERVOUS PALPITATION.
PALPITATION WITH ANGUISH.
HEART BEAT INTERMITS EVERY FOURTH BEAT.

NECK AND BACK. — (Nitricum acidum)

STIFF NECK AND SORENESS OF NECK FROM LEAST COLD.
STITCHES IN AND BETWEEN SCAPULAE WITH STIFF NECK.
DRAWING PAIN IN SMALL OF BACK.
PAIN IN BACK, CAN LIE ONLY ON ABDOMEN.
NEURALGIC PAINS, ESPECIALLY BACK.
CRAMP-LIKE STIFFNESS OF BACK AND BODY.
PAINS IN BACK EXTENDING DOWN THIGHS.
Stitches in sacral region.

SUPERIOR EXTREMITIES. — (Nitricum acidum)

BRUISED ACHING PAIN IN RIGHT SHOULDER AND ARM.
Drawing pains in arms and hands.
RHEUMATIC PAINS IN FOREARMS AND FINGERS. SYPHILITIC
RHEUMATISM OF ARMS AND FINGERS, JOINTS SWOLLEN.
RHEUMATIC PAINS IN LEFT HAND WITH A POWERLESS FEELING.
STINGING PAINS IN SWOLLEN FINGER JOINTS.

INFERIOR EXTREMITIES. — (Nitricum acidum)

PAIN ACROSS BUTTOCK CAUSING LIMPING.
SPRAINED PAIN IN HIP.
Tension and pressure pain in right hip.
RHEUMATIC AND ARTHRITIC PAINS IN HIP JOINTS AFTER THE
ABUSE OF MERCURY.
Deep-seated gnawing pains in bones and tendons of legs.
TEARING PAINS IN BONES OF LEGS < AT NIGHT.
STICKING AS FROM SPLINTERS < BY TOUCH.
RHEUMATIC PAINS IN LEGS AND FEET.
STIFFNESS, PAINFUL, IN KNEES AS IF LEG WERE SWOLLEN.
STITCHES IN PATELLA WITH STIFFNESS OF KNEES.
SORENESS ALONG PERIOSTEUM OF TIBIA.
SYPHILITIC NODES ON SHIN BONES WITH NIGHTLY PAINS.
Cracking in ankle when walking.
REDNESS AND HEAT IN BALL OF GREAT TOE WITH STICKING
PAIN.

EXTREMITIES IN GENERAL — (Nitricum acidum)

Drawing pain in all the limbs.
RHEUMATIC PAINS IN LIMBS FROM TAKING COLD.
Contraction of joints with cracking in joints.

CONCOMITANTS. — (Nitricum acidum)

EMACIATION.
INFLAMMATION OF PERIOSTEUM.
SYPHILITIC BONE PAINS.
DISEASES SHOWING MARKED SYPHILITIC OR SCROFULOUS
STATES OR AFTER THE ABUSE OF MERCURY.

Nux moschata

In cases of rheumatism consequent upon taking cold, especially from

exposure to drafts of air if overheated from exertion, Nux moschata may
prove the simillimum.

Pains are changeable in character, now here, now there, < in cold or wet
weather, > in warm dry weather and from warm applications.
NECK AND BACK. — (Nux moschata)
Constricted in nape of neck.
DRAWING PAINS IN MUSCLES OF NECK FROM DRAFT OF DAMP
AIR.
PAIN BETWEEN SHOULDERS AND ALONG SPINE.
PAINS NOW IN ONE PLACE THEN IN ANOTHER — BACK, SACRUM,
KNEES, ESPECIALLY LUMBAR REGION, < DURING REST.
BACKACHE WHILE RIDING IN A CARRIAGE.
PAIN IN SMALL OF BACK AS IF A PIECE OF WOOD WERE PRESSING
CROSSWISE AND OUTWARD.
PAIN IN SMALL OF BACK PRESSING DOWNWARD.
ACHING PAIN IN LOWER SPINE < DAMP WEATHER.
PAIN IN BACK JUST ABOVE HIPS.
PAIN IN SACRUM WHILE RIDING IN A CARRIAGE.

SUPERIOR EXTREMITIES. — (Nux moschata)

RHEUMATISM AFFECTING LEFT DELTOID, SENSE OF GREAT
WEIGHT IN LEFT SHOULDER AS IF THESE WERE LEAD IN IT.
Pressing pain in both shoulders.
Rheumatic tearing pains in right shoulder.
Stinging pain on flexor side of upper arm and elbow joint.
Violent pain in right middle finger as if it were in the bone.
Sprained pain in joints of little finger of left hand.
Drawing pains continually from fingers to shoulders.

INFERIOR EXTREMITIES. — (Nux moschata)

Acute lumbago, pains shifting from back to sacrum with marked tiredness in
knees, < at rest.
Painful drawing in thighs here and there.
Flexor muscles of right thigh painful when walking ; when touched feel as if
they had been riding horseback.
Violent pains in right leg extending from hip to knee.
LEGS TIRED AS AFTER A LONG JOURNEY, MUST CONSTANTLY
MOVE LEGS.
Right knee joint as if sprained, < on going upstairs.
Crushing pain in legs from knee to ankle as if in bone.
Dull drawing pain in periosteum of right tibia.
BORING PAIN IN RIGHT GREAT TOE < AFTER LYING DOWN.
EXTREMITIES IN GENERAL. — (Nux moschata)
WANDERING, DIGGING, PRESSING PAIN IN SMALL SPOTS,
COMING A SHORT TIME THEN GOING ONLY TO RETURN SOON.
MUSCULAR RHEUMATISM FROM PROTRACTED EXPOSURE TO
COLD AND DAMP.
WANDERING DRAWING PAINS.
Rheumatism of left shoulder and right hip.

AGGRAVATIONS. — (Nux moschata)

AT REST.
FROM COLD.
DAMP AIR.
WET CLOTHES.

AMELIORATIONS. — (Nux moschata)

FROM WARMTH.
DRY WEATHER.

CONCOMITANTS. — (Nux moschata)

VANISHING OF THOUGHTS.
BEWILDERED UPON AWAKENING.
SENSATION AS IF VESSELS WERE PULSATING.
HICCOUGH ; EATING A LITTLE CAUSES HEADACHE.
HYSTERIA.

Nux vomica

The call for Nux vomica may be for almost any form of rheumatism, when
associated with the great leading symptoms, and when the trouble affects the
larger muscles and joints.

Nux vomica antidotes the neuralgia of Mezereum.

EYES. — (Nux vomica)

Tearing pains in eyes, lids very red and sensitive to touch, intolerance of
light ; profuse lachrymation.
Arthritic ophthalmia.
AT BEGINNING OF RHEUMATIC OPHTHALMIA.
OLD GOUTY SUBJECTS WITH RHEUMATIC OPHTHALMIA.

HEART. — (Nux vomica)

PALPITATION.
ACHING PAINS AND ANGUISH IN REGION OF HEART.
CONSTRICTIVE PAINS WITH MUCH ANGUISH.

NECK AND BACK. — (Nux vomica)

Tearing pains in paroxysms in nape of neck.
STIFF NECK IN CERVICO-BRACHIAL MUSCLES.
RHEUMATISM WITH OR WITHOUT TEARING, DRAWING PAINS,
HEAD DRAWN TO ONE SIDE, VERY DIFFICULT TO MOVE HEAD.
STIFF NECK WITH HEAVINESS.
TORTICOLLIS, HEAD DRAWN TO LEFT SIDE.
TENSION AND ACHING BETWEEN THE SHOULDER BLADES.
BURNING, TEARING, DRAWING, LANCINATING OR BRUISED PAINS
IN BACK.
PAIN IN BACK STARTS IN POSTERIOR WALL OF STOMACH AND
SPREADS TO UNDER SHORT RIBS.
SUDDEN STITCHES IN BACK WHEN TURNING.
BACKACHE, MUST SIT UP TO TURN IN BED.
BRUISED OR BROKEN PAINS IN SMALL OF BACK.
PAIN IN LUMBAR REGION FROM LIFTING.
LUMBAGO OF WHOLE BACK.
PROGRESSIVE LOCOMOTOR ATAXIA FROM ALCOHOLISM.

SUPERIOR EXTREMITIES, — (Nux vomica)

BRUISED HEAVY PAIN N SHOULDERS.
SORENESS OF SHOULDER JOINT.
DRAWING IN ARMS EXTENDING FROM SHOULDER TO FINGERS.
Sensation as of sudden loss of power in arms mornings.
ARMS AND HANDS GO TO SLEEP.

INFERIOR EXTREMITIES. — (Nux vomica)

DARTING PAINS FROM TOES TO HIPS OR FROM TROCHANTER TO
POPLITEAL SPACE.
DRAWING TEARING PAINS FROM BELOW UPWARD.
LIMB STIFF AND MUSCLES CONTRACTED.
PAINS EXTEND FROM TOES INTO HIP.
BRUISED PAINS IN MUSCLES OF THIGHS AND KNEES.
SENSATION AS OF SUDDEN LOSS OF POWER IN LEGS.
Stiffness of lower limbs after an acute sickness.
SENSATION IN HOLLOW OF KNEE AS IF TENDONS WERE TOO
SHORT.
PAINFUL SWELLING OF KNEES.
KNEE JOINTS FEEL DRY WITH CRACKING WHEN MOVING.
ARTHRITIC, INFLAMMATION OF KNEES WITH NODOSITIES.
Gout of knees following an acute fever.
PAIN IN RIGHT LEG AND CALF.

EXTREMITIES IN GENERAL. — (Nux vomica)

ACHING, DRAWING AND BRUISED PAINS IN LIMBS.
RHEUMATISM ATTACKING MOSTLY MUSCLES OF THE TRUNK
AND LARGE JOINTS ; SWELLINGS PALE, TENSIVE, WITH
NUMBNESS AND TWITCHING.

AGGRAVATIONS. — (Nux vomica)

MORNING.
AFTER EATING.
TOUCH.
FROM COLD.
FRIGHT.
3 TO 4 A.M.
MOTION.
JARS.

AMELIORATIONS. — (Nux vomica)

WARMTH.

CONCOMITANTS. — (Nux vomica)

OVER-SENSITIVENESS TO ALL REACTIONS.
GREAT LANGUOR ; WANTS TO SIT AND BE ALONE.
MARKED NERVOUS DEBILITY.
MARKED EXCITEMENT.
VERY IRRITABLE.
CONSTIPATED, WITH INEFFECTUAL URGING.
 Oleum jecoris aselli

Long lasting rheumatism caused by living in cold damp places is the peculiar
field of this remedy, especially in elderly people.

NECK AND BACK. — (Oleum jecoris aselli)

Soreness from chest to back.
Pains through back.
Sharp heavy aching pain in lower spine.
Rheumatic pains in sacrum.
CHRONIC LUMBAGO OF SEVERAL YEARS STANDING WITH
DIFFICULTY IN WALKING.

SUPERIOR EXTREMITIES. — (Oleum jecoris aselli)

Rheumatic pains in shoulders.

INFERIOR EXTREMITIES. — (Oleum jecoris aselli)

SCIATIC PAINS WITH ATROPHY OF LIMB.
CHRONIC ARTHRITIS OF ANKLE JOINT.
Rheumatic pain in left foot.
Chronic gout and rheumatic pains in elderly people.
Rigidity of muscles and tendons ; joints nearly inflexible.
Erratic pains in joints.

EXTREMITIES IN GENERAL. — (Oleum jecoris aselli)

Contraction of muscles ; musculo-fibrous rheumatism.
Rheumatism of long standing, unable to sit up, somewhat > in warm summer
months ; whole body affected but more markealy in lower limbs.
Rheumatism produced by long living in damp cold places.
Rheumatic pains mostly in joints.

AGGRAVATIONS. — (Oleum jecoris aselli)

Cold damp weather.
Exposure to cold.
DRAFTS OF AIR.
CONCOMITANTS. — (Oleum jecoris aselli)
HOARSENESS.
WEAKNESS ; EMACIATION.
MARKED NERVOUS CONDITIONS WITH SCIATIC PAINS AND
LUMBAGO.
VORACIOUS APPETITE.

Osmium

Osmium has some valuable symptoms of a rheumatic type in its proving

which have not been very much verified clinically.

SUPERIOR EXTREMITIES. — (Osmium)

Pulsating stinging pain inside right shoulder.
Severe pinching pains, often repeated, in upper arm above elbow.
Pain in middle of humerus, then fingers.
Pinching pains in left elbow and in forearm.
Drawing pains inside of right forearm.
Aching in left metacarpal and phalangeal joint of thumb.
Pain in first phalanx of right forefinger.

INFERIOR EXTREMITIES. — (Osmium)

Pinching, flying, cutting pains in bones and joints of right foot.
Pains in bones of heels.
Drawing aching in tendons on each side of patella.

EXTREMITIES IN GENERAL.--- (Osmium)

Deep pain in bones.
Aching in limbs and body deep in bones, < during day.

CONCOMITANTS. — (Osmium)
Weeping mood.
Anxious, fidgety.
HOARSENESS AFTER SINGING.
SHORT DRY IRRESISTIBLE COUGH.
 Oxalicum acidum

In articular rheumatism where the pains are confined to a small area, lasting a
short time but very violent.
Pains of rheumatic gout, made worse from sweets.

HEART. — (Oxalicum acidum)

Rheumatic pain in region of left lung < lying down.
Pain in middle of chest through to back.
HEART IN A CONTINUAL FLUTTER.
PALPITATION ; ACTION OF THE HEART IRREGULAR BOTH IN
FORCE AND RHYTHM, ALTERNATING WITH APHONIA.
RHEUMATIC PERICARDITIS ; ENDOCARDITIS OF RHEUMATIC
ORIGIN.

NECK AND BACK. — (Oxalicum acidum)

Stitching pains from chest to scapulae.
Acute pain in back, extending down thighs.
WEAKNESS IN LOINS AND HIPS EXTENDING TO LOWER LIMBS.

SUPERIOR EXTREMITIES. — (Oxalicum acidum)

Twitches in left then right deltoid.
Right wrist constantly painful as if sprained.
Right wrist feels sprained, cannot hold anything.
Right metacarpus and flesh of light thumb painful with sensation of numbness
and heat.
Arthritic pains in fingers which are flexed.

INFERIOR EXTREMITIES. — (Oxalicum acidum)

Lameness and stillness of lower limbs.
Contractions of external tendons of left knee.

EXTREMITIES IN GENERAL. — (Oxalicum acidum)

Articular rheumatism.

CONCOMITANTS. — (Oxalicum acidum)

AS SOON AS HE THINKS ABOUT PAINS THEY RETURN.
DULL HEADACHES IN SPOTS.
VANISHING OF SIGHT WITH GIDDINESS AND PERSPIRATION.
JERKING INSPIRATION AND SUDDEN FORCED EXPIRATION.
PAINS OCCUPY A SMALL SPACE AT A TIME

AGGRAVATIONS. — (Oxalicum acidum)

FROM SWEETS.
MOVEMENT.

Palladium

Rheumatic pains in different parts of the body, in right thumb then in

forefinger, then in right temple then left temple, then right shoulder and arm,
again in right temple.

Pain in small of back which extends to right hip, next right wrist, in left hip,
right hand, and lower right jaw.

The pains are of short duration and constantly changing location.

Palladium is closely related to Platina, but has not been used as much, so the
relative clinical value has not been properly estimated.
Palladium is complementary to Platin.

NECK AND BACK. — (Palladium)

Painful spasms in single muscles on right side of neck.
Muscles of neck above dorsal vertebra become stiff.
Sensation as if a solid object were slowly pressing against the vertebral
column.
Painful drawing in neck and shoulders and down left arm.
Pain as from bending forward in left trapezius muscle.
Pressing pain in lower portion of scapula.
Dull pressing backache as from sitting too long.
Pain in small of back extending to right hip.
TIRED FEELING IN SMALL OF BACK.

SUPERIOR EXTREMITIES. — (Palladium)

Drawing pains in shoulder and neck.
Drawing pains in right shoulder.
Lightning stitches in both shoulders and middle of chest.
Pain as if sprained in anterior portion of right shoulder joint.
Rheumatic pains in right shoulder, evenings.
Drawing pain in left forearm.
Pains in right wrist extending to forearm.
Jerking pains in right wrist and metacarpal bones.
Boring suddenly in metacarpal bone of left little finger.
Severe stinging pains in metacarpal bones of left hand and thumb.

INFERIOR EXTREMITIES. — (Palladium)

Rheumatic pains in right hip when walking.
Dull gnawing pains in left hip.
Sprained pain in right hip joint.
Jerking pain in left hip joint.
Rheumatic pains in left lower limb.
DARTING PAINS FROM TOES TO HIP OR FROM TROCHANTER TO
HOLLOW OF KNEE.
Sciatic pain of a dull aching nature.
Pains above left knee extending into chest.
Tension in right knee.
Tension in left calf, while walking becoming a tension in hamstring.

AGGRAVATIONS. — (Palladium)
Turning head to left.
Exertion.

AMELIORATIONS. — (Palladium)
Rest.

Petroleum

Petroleum is closely related to the carbon group and as such has the sluggish
venous conditions causing venous stasis, associated with skin manifestations
of chilblains and eczema of hands and scalp.

The stiffness is > from warm air.

It is an anti-syphilitic causing rheumatic stiffness of the shoulders and chest
muscles.
Compare : the carbons, Colchicum, Sulphur, Tabacum.

NECK AND BACK. — (Petroleum)

Drawing pains in nape of neck extending to occiput.
STIFF NECK GIVING A CRACKING NOISE ON MOTION.
SHARP PAINS SHOOTING UP DORSAL BACK INTO OCCIPUT.
PAINS IN SPINE EXTENDING OVER THE BODY.
Catching pains in rectus abdominis, external oblique and lumbar muscles
from exposure or from too much walking.
Pain in back does not allow patient to move or stand.
Rheumatic pains in back < before rising.
Weakness and stiffness of back, especially the small of the back.

SUPERIOR EXTREMITIES. — (Petroleum)

Drawing in fingers.
Rigidity of first one finger then others, the stiffness extending up arm.
Arthritic stiffness of finger joints.

INFERIOR EXTREMITIES. — (Petroleum)

Thighs stiff and heavy when walking.
Tearing pain in thighs and spots on legs painful to touch.
SWELLING OF LEFT LEG FROM KNEE TO ANKLE JOINT.
STIFFNESS IN LEGS, KNEES AND ANKLES.
Stiffness of knees.
Cramps in calves, thighs and feet all day.
Cramps in soles at night.

JOINTS. — (Petroleum)
LIMBS SEEM STIFF AND WITHOUT JOINTS IN MORNING AFTER
RISING.
Rheumatic stiffness of joints, which crack when joints are moved.
RHEUMATIC STIFFNESS OF SHOULDERS AND ANKLES.
INFLEXIBILITY OF JOINTS, THEY CRACK ON MOTION.
KNEES STIFF ; SHARP STICKING PAINS, CRACKING ON MOTION.
 Phosphoricum acidum

Characteristic are the bruised pains in all joints in morning, in arms and lower
limbs and nape of neck ; in hips, arms, thighs and nape as from growing pains,
always accompanied by much prostration.

NECK AND BACK. — (Phosphoricum acidum)

Gnawing pains in scapulae.
Burning and soreness between shoulders.
Violent pain in back on rising after stooping.
Burning pain in a spot in small of back.
Dull pains in loins, going down back of legs to lower part of calves, > by
walking, rest or pressure.

SUPERIOR EXTREMITIES. — (Phosphoricum acidum)

Tearing pains in shoulder and left hand.
Burning as from a red hot coal in different parts of arm and on shoulder.
Boring, drawing, digging pains in nerves, awaking from sleep.
Stiffness and cramps in joints.
Cramps in upper arm, forearms and wrists.
Stitches in finger joints.

INFERIOR EXTREMITIES. — (Phosphoricum acidum)

Painful spasm in hip joint.
Rheumatic pain running from gluteal muscles or hip down to left knee and
often to calf of leg or ankle.
PAIN IN TIBIA AT NIGHT.
Beating, swelling and burning in joint of great toe.

EXTREMITIES IN GENERAL. — (Phosphoricum acidum)

Drawing and twitching, tearing in limbs.
Sensation as if periosteum were being scraped with a knife.
Arthritic pains brought on by least cold, with irritable cough.
Bruised pains in all joints, in morning.
GROWING PAINS IN ALL LIMBS.
AGGRAVATIONS. — (Phosphoricum acidum)
Beginning to walk.

AMELIORATIONS. — (Phosphoricum acidum)

After sitting a while.
Slightly after walking.
Standing.
Motion.

CONCOMITANTS. — (Phosphoricum acidum)

VERY WEAK AND INDIFFERENT TO LIFE.
GREAT EXHAUSTION.
INTERSTITIAL INFLAMMATION IN SCROFULOUS, SYPHILITIC OR
MERCURIAL PATIENTS.
GROWING PAINS.
CHILDREN AND YOUNG PEOPLE HAVE GROWN TOO RAPIDLY.
WEAKNESS IN SMALL OF BACK FROM SEXUAL EXCESSES.

Phosphorus

In paralytic. weakness of a rheumatic nature ; in rheumatic conditions of left

knee, < ascending stairs ; in gout-like tension as if sprained ; with tightness of
tendons with much burning of parts, Phosphorus is clearly indicated.

HEART. — (Phosphorus)
ENDOCARDITIS OR MYOCARDITIS DURING THE COURSE OF
ACUTE INFLAMMATORY RHEUMATISM.
Pressure as of great weight over heart.
Loud friction and bellows sounds ; exceedingly petulant, drives to great
anger.
Palpitation upon exertion.
Marked bellows murmur with first sound of heart.
DILATATION OF HEART WITH RHEUMATIC ENDOCARDITIS.

NECK AND BACK. — (Phosphorus)

STIFFNESS IN NAPE OF NECK.
PAINS AS IF BROKEN, DRAGGING SENSATION, CANNOT MOVE
WHEN RISING FROM STOOPING.
WEAKNESS AND PARALYTIC FEELING AT LUMBAR AND SACRAL
VERTEBRAE.
Violent pains over whole spine, at times rheumatic joints and muscles, violent
excruciating pains from motion.

SUPERIOR EXTREMITIES. — (Phosphorus)

Tearing pains in left shoulder, especially at night.
PARALYTIC DRAWING IN MUSCLES OF SHOULDER AND UPPER
ARM.
Rheumatic pains in arms, especially in joints.
Severe pain in muscles of right shoulder extending to elbow ; pain constant,
preventing sleep at night and causing fainting.
Distressing pain in right arm and shoulder as if paralyzed from shoulder to
elbow, in paralytic rheumatism.
Left arm painful ; numbness of left forefinger extending up radial side of hand
and wrist ; sensation as if left thumb were in a vice ; GNAWING PAIN IN
LEFT forefinger as if in the bone.
DRAWING TEARING PAINS IN JOINTS OF ELBOW AND HANDS AND
FINGERS.

INFERIOR EXTREMITIES. — (Phosphorus)

Right hip joint painful.
Lumbago.
ACUTE ARTHRITIS WITH PARALYTIC WEAKNESS OF THIGHS AND
INABILITY TO FLEX THE KNEES.
DRAWING TENSIVE PAINS FROM SLIGHTEST EXPOSURE TO COLD,
WITH VERTIGO, OPPRESSION AND SENSE OF LAMENESS.
RHEUMATIC STIFFNESS OF KNEES, PAINS FROM KNEES TO FEET.
Pain as if sprained in ankle.
Sensation as if one had wrenched foot ; cannot walk over rough surface,
smooth surface causes pain in heel and tendo Achillis.

EXTREMITIES IN GENERAL. — (Phosphorus)

LOSS OF POWER OVER ALL LIMBS, ESPECIALLY IN THE JOINTS,
AS IF PARALYZED.
HANDS AND FEET FEEL NUMB AND CLUMSY, ANKLES SWOLLEN.
FREQUENT MISSTEP IN WALKING.
DRAWING PAINS IN BACK AND LEGS IN PARALYTIC
RHEUMATISM.

AGGRAVATIONS. — (Phosphorus)
AT NIGHT.
LYING ON LEFT SIDE.
Walking.
Evening.
At rest.
Exertion.

AMELIORATIONS. — (Phosphorus)
After work.

CONCOMITANTS. — (Phosphorus)
FEELS AS IF ONE HAD NOT SLEPT ENOUGH.
PARALYSIS OF A RHEUMATIC NATURE.
BURNING HEAT, ESPECIALLY UP THE SPINE.
SENSATION AS OF A HEAVY WEIGHT ON THE CHEST OR PART.
ALL-GONE FEELING IN PIT OF STOMACH.
SMALL WOUNDS BLEED EASILY

Phytolacca

Phytolacca has a definite field in rheumatic conditions and is not considered

as often as it should be.
Subacute rheumatism, pains affecting especially the long bones or the
tendinous attachments of the muscles ; sometimes the pains seem to be in the
periosteum ; they are generally burning, shooting, always worse at night and
in damp weather.

Rheumatic conditions of the back and hip joints of a chronic form, dull aching
pain, < damp weather.
Wandering gout, passing rapidly from one joint to another, with swelling and
redness.
Rheumatism affecting the periosteum, sheaths of nerves and fascia.
Rheumatic or syphilitic affections of fibrous tissues and periosteum ; only
affects the fibrous sheaths of the nerves.
Syphilitic and mercurial rheumatism ; gonorrheal rheumatism.
Rheumatism of the heels of a very obstinate nature only > by keeping the
heels higher than the body.

Rheumatism affecting the dorsal muscles.

The pains fly from one part to another ; patient is pale and puffy.
General stiffness of the extremities with tearing pains.
Glands swollen, associated with syphilitic and gonorrheal rheumatism, joints
swollen ; < damp weather.

HEAD. — (Phytolacca)
SEVERE VIOLENT PAINS ABOVE EYEBROWS, ONE-SIDED ; DULL
PRESSIVE PAIN WITH IMPAIRED VISION, RHEUMATIC OR
SYPHILITIC IN ORIGIN.
PAINFUL PRESSURE ON FOREHEAD AND UPPER PART OF BOTH
EYES.
PAIN EXTENDING BACK FROM FRONTAL REGION.
PAINS IN BACK OF HEAD AND NECK.
RHEUMATIC PAINS IN RIGHT FRONTAL REGION WITH NAUSEA,
COMING ON EVERY TIME IT RAINS.

EYES. — (Phytolacca)
RHEUMATIC PAINS IN AND ABOUT EYE.
RHEUMATIC OPHTHALMIA, LIDS MUCH SWOLLEN ; LIDS FEEL AS
IF ON FIRE.
PHOTOPHOBIA ; BURNING AND SMARTING IN LIDS.

FACE. — (Phytolacca)
PROSOPALGIA IN SYPHILITIC AND RHEUMATIC PATIENTS.
PAIN IN BONES OF FACE AND HEAD AT NIGHT.

TEETH. — (Phytolacca)
RHEUMATIC, NEURALGIC, MERCURIAL OR SYPHILITIC
TOOTHACHE.

MALE SEXUAL ORGANS . — (Phytolacca)

SYPHILIS WITH RHEUMATIC PAINS IN SPERMATIC CORDS AND
RHEUMATIC ORCHITIS.
RHEUMATIC PAINS EXTENDING TO ABDOMINAL MUSCLES.

HEART. — (Phytolacca)
Alternately shocks of pain in region of heart and as soon as it ceases a similar
pain appears in arm.
Rheumatic diathesis with suffocative attacks.
Lame feeling in left side of chest with much nervous restlessness.

CHEST . — (Phytolacca)
Rheumatism of lower intercostal muscles extending to abdominal and lumbar
muscles.

NECK AND BACK. — (Phytolacca)

STIFF NECK ON RIGHT SIDE.
BACK VERY STIFF EVERY MORNING IN DAMP WEATHER.
PAINS EXTEND UP AND DOWN BACK.
RHEUMATISM ; PAINS PASS UP NECK TO BACK OF HEAD ; IN
SMALL OF BACK ; IN LUMBAR MUSCLES.
CONSTANT DULL HEAVY PAINS IN LUMBAR AND SACRAL
REGION.
LUMBAGO, BACK IS VERY STIFF EVERY MORNING.
RHEUMATIC PAINS SHOOT FROM SACRUM DOWN BOTH LEGS.
ACHING IN SACRUM.

SUPERIOR EXTREMITIES. — (Phytolacca)

ACHING IN BOTH SCAPULAE.
Shooting pain in right shoulder joint with stiffness and inability to raise
arm ; aching and tenderness along top of right trapezius.
Rheumatism of left shoulder without fever.
RHEUMATIC AFFECTIONS OF SHOULDERS AND ARMS IN
SYPHILITICS ; PAINS FLY LIKE ELECTRIC SHOCKS FROM ONE
PART TO ANOTHER.
Pains in arms always about midway between articulations, especially about
the deltoid attachment.
RHEUMATIC PAINS IN BOTH ARMS.
INABILITY TO RAISE ARM.
RHEUMATIC DRAWING IN BOTH ARMS.
Rheumatic pain in hands.
Rheumatism in joints of all the fingers.

INFERIOR EXTREMITIES. — (Phytolacca)

SHOOTING PAINS FROM SACRUM DOWN OUTSIDE OF BOTH HIPS.
SHARP CUTTING PAINS IN HIP, DRAWING, CANNOT TOUCH THE
FLOOR.
SYPHILITIC AND GONORRHEAL SCIATICAS WITH SHARP
LANCINATING PAIN OFTEN CHANGING LOCALITY.
CHRONIC RHEUMATISM OF LEFT HIP JOINT, SYNOVIAL
MEMBRANE INVOLVED.
Severe pains in hip joint behind trochanter major, on first raising leg so
drawn up that the toe could only reach the floor, < rubbing, slightly < heat,
but energetic walking made it endurable.
Tearing pains in front and exterior surface of right thigh when standing.
ALMOST CONSTANT PAIN IN OUTER AND BACK PART OF RIGHT
LEG, DULL ACHING, AND AT TIMES LANCINATING, STARTING IN
HIP AND EXTENDING TO LOWER LEG.
Dull heavy pain in joints ; sensation like shortening of tendons.
ACHING PAINS DOWN TO KNEE AND ANKLE AND RETURNING.
SEVERE NIGHTLY PAINS IN LEG WITH BONE PAINS.
CHRONIC RHEUMATISM OF LOWER LIMBS.
RHEUMATIC PAIN IN RIGHT KNEE, < OPEN AIR AND DAMP
WEATHER.
RHEUMATISM OF LEFT KNEE, HAMSTRINGS FEEL SHORTENED.
CHRONIC GOUTY INFLAMMATION OF KNEE JOINTS.
RHEUMATIC BELOW KNEE AND IN FEET.
NIGHTLY BONE PAINS IN TIBIA AND FIBULA.
Aching pains in heels.
GOUTY PAINS IN GREAT TOE.

EXTREMITIES IN GENERAL. — (Phytolacca)

PAINS IN MIDDLE OF LONG BONES OR AT ATTACHMENTS OF
MUSCLES.
Pains in joints with great heat, constantly changing from one joint to another.
RHEUMATIC PAINS BELOW KNEES AND ELBOWS, TO FINGERS
AND TOES.

AGGRAVATIONS. — (Phytolacca)
Motion.
DAMP WEATHER.
AT NIGHT.
Sitting.

AMELIORATIONS. — (Phytolacca)
Energetic walking.
Lying down.

CONCOMITANTS. — (Phytolacca)
PAINS SHIFTING RAPIDLY ; SWELLING PALE, PUFFY.
RHEUMATIC CONDITIONS FOLLOW DIPHTHERIA, SYPHILIS,
GONORRHEA, OR THE ABUSE OF MERCURY.
IRRESISTIBLE DESIRE TO BITE TEETH TOGETHER.
WHEN RISING FROM BED FEELS FAINT.
DIFFICULT DENTITION ; THE CHILD CRYING, MOANING,
RESTLESS, FEVERISH.
THROAT SORE, CONGESTED, VERY DARK RED, ALMOST BLUE.
SWOLLEN GLANDS.

Platinum

Platinum has a few symptoms that are peculiarly adapted to rheumatism

associated with the hysterical state peculiar to this remedy.
Also in the beginning of heart involvement, in endocarditis and pericarditis, in
articular rheumatism, when associated with the mental illusions, it may be
indicated.

HEART. — (Platinum)
Incipient state of endocarditis and pericarditis in articular
rheumatism ; intense anxiety and palpitation of heart, pulse very thready.

NECK AND BACK. — (Platinum)

NUMBNESS IN NAPE CLOSE TO OCCIPUT AS IF TIGHTLY BOUND ;
CRAMPS IN MUSCLES OF THE BACK OF NECK.
Pain in back and small of back as if bruised.

SUPERIOR EXTREMITIES. — (Platinum)

CRAMP-LIKE PAINS CLOSE TO SHOULDER AS IF EVERYTHING IN
CHEST WERE CONSTRICTED.
SORE BURNING AT ELBOW AS IF SCRAPED.

INFERIOR EXTREMITIES. — (Platinum)

TIGHTNESS OF THIGHS AS IF TIGHTLY WRAPPED.
Pain in left knee as after a severe blow.
PAIN IN GREAT TOE AS IF TIGHTLY BOUND.

EXTREMITIES IN GENERAL. — (Platinum)

SENSATION AS IF LIMBS WERE TIGHTLY BOUND.
Cramp-like pains in limbs and joints.
Spasmodic jerking and drawing pains in limbs and joints.
Hysterical rheumatism, < sitting or standing, > walking.

CONCOMITANTS. — (Platinum)
ILLUSIONS OF FANCY.
PRIDE AND EXALTED STATE.
HEADACHE INCREASING TO GREAT SEVERITY THEN GRADUALLY
DECREASING.
HYSTERICAL STATES.

Plectranthus

One of the remedies having sudden shifting of pains and the peculiar one-
sided sweating ; these symptoms and the drawing tearing pains on the right
side of body and limbs mark its use in rheumatic conditions.

NECK AND BACK. — (Plectranthus)

Violent pain at night in nape and sternoclavicular region compelling him to
jump out of bed and cry out.
Pain as of needles on turning towards side.
Stiffness and pressive tension in nape, < every motion of head.
Stitches in back between scapula while walking.

SUPERIOR EXTREMITIES. — (Plectranthus)

Paralyzed sensation in upper limbs suddenly appearing and as suddenly
disappearing.
Drawing tearing in right shoulder.
Drawing tearing pain in joints of upper arms, forearms and fingers,
especially right.
Sudden pain in outer condyle of left wrist ; stitches in right wrist.

INFERIOR EXTREMITIES. — (Plectranthus)

Stitches in left hip joint.
Tension in hamstrings.
Drawing in fascia of right thigh.
Tearing beneath right patella.
Pain in both knees.
Sudden violent sticking in malleoli.

EXTREMITIES IN GENERAL. — (Plectranthus)

Sticking drawing pains in all joints.
Pain in joints of fingers and toes as if paralyzed.

AGGRAVATIONS. — (Plectranthus)
Motion.
Warmth of stove.

AMELIORATIONS. — (Plectranthus)
Open air.

CONCOMITANTS. — (Plectranthus)
Sensation as if air were passing through marrow of bones.
Sweat of right foot and both hands, no other parts ; sweat on right foot, the
left dry.

Plumbum

Plumbum is often called for in rheumatic pains of the lower extremities when
gout develops in those patients suffering from lead poisoning.

Compare : Thallium in sciatica.

INFERIOR EXTREMITIES. — (Plumbum)

Lancinating pains without redness or swelling, in forepart of thighs and knees,
< at intervals, decidedly < by motion.
Most violent pains extending from hips to knees.
Drawing pressing pain in back of thigh along course of sciatic nerve.
SCIATIC DRAWING PRESSING PAW IN COURSE OF NERVE FROM
THIGH TO KNEE, ESPECIALLY IF PAINFUL SPACE IS MORE
EXTENSIVE THAN THE NERVE.
Sharp neuralgic pains always in lower limbs though not limited to the joints or
any definite spot.
LIGHTNING-LIKE PAINS IN LOWER LIMBS.
Intense pain in great toe at night.

AGGRAVATIONS. — (Plumbum)
AT NIGHT.
FROM PRESSURE.
On motion.

AMELIORATIONS. — (Plumbum)
By RUBBING.
FROM FRICTION.

CONCOMITANTS. — (Plumbum)
PARALYSIS OF MUSCLES FROM LEAD POISONING.
MUSCULAR ATROPHY.
WANDERING PAINS, SEVERE, SHOOTING.
WRIST DROP MARKED.

Podophyllum

The marked symptom causing one to think of Podophyllum in rheumatic

pains is the location in the ulnar nerve.

NECK AND BACK. — (Podophyllum)

Nape of neck stiff with soreness of muscles of neck and shoulders.
Pain under right shoulder blade.
Pain in loins < walking on uneven ground or from a misstep.

SUPERIOR EXTREMITIES.— (Podophyllum)

PAIN IN COURSE OF ULNAR NERVE OF BOTH ARMS.
RHEUMATISM OF LEFT FOREARM AND FINGERS.
Rheumatic pains from head into neck and shoulders.

INFERIOR EXTREMITIES. — (Podophyllum)

SHARPLY DEFINED ACHING PAIN IN SACRO-ISCHIATIC FORAMEN,
TENDER ON PRESSURE.
Rheumatic pain in left hip as from cold, < going upstairs.
Knee joints crack during motion.
Severe pain and swelling of ankle joints.
RHEUMATISM IN PATIENTS HAVING HAD MUCH MERCURY.

CONCOMITANTS. — (Podophyllum)
WATERY DIARRHEA.
EXCESSIVE SECRETION OF BILE.
FAINTNESS.
GREAT DESIRE TO RUB REGION OF LIVER WITH HAND.

Psorinum

Psorinum is a remedy of great value in many cases of psoric origin, or where

rheumatic conditions arise in psoric patients.
This is especially so in very chronic conditions arising in or following
gonorrhea, and in patients showing great malnutrition.

HEART. — (Psorinum)
Stitches in cardiac region.
Pain in heart very violent, > lying down.
Palpitation in paroxysms, as if the heart had run away.
Indistinct sounds of heart, murmurs.
Rheumatic pericarditis.
PERICARDITIS OF PSORIC ORIGIN, > LYING DOWN.
EFFUSION INTO PERICARDIUM, INDISTINCT HEART SOUNDS.

NECK AND BACK. — (Psorinum)

Painful stiffness of neck.
Lancinating cutting pains with stiffness of neck and small of back.
Severe backache, cannot straighten out.
BACKACHE AFTER SUPPRESSED ERUPTION.
Drawing, tearing, tensive pains in back, small of back and nape.
Lumbar ache < standing or walking.
Pain in back > by pressure.

SUPERIOR EXTREMITIES. — (Psorinum)

Lameness and soreness of right shoulder extending to arm.
Tearing pains in arms.
Stitching pains in fingers.
Joints of fingers swollen with pressing pains, < touching or bending.
SENSE OF LOOSENESS IN JOINTS.

INFERIOR EXTREMITIES. — (Psorinum)

Pains in hip joints as if dislocated.
JOINTS SEEM LOOSE.
CRACKING OF JOINTS < ON MOTION, MAKING A SNAPPING NOISE.
WEAKNESS OF ALL JOINTS WITH A TENDENCY TO SPRAIN JOINT.
KNEES GIVE WAY SUDDENLY.
Joints painful, stiff ; ligaments seem too short, thickening and stiffening.
GOUT OF LOWER LIMBS.
ARTHRITIC RHEUMATISM IN THE MORE CHRONIC FORM.
Gouty pain in legs.
Pains, especially in tibia, as after too much walking.
Tearing pains in left knee.
Drawing, tearing, tensive pains in muscles and joints.
Sensation of tearing scraping on bones and joints with red, hot swelling, very
sensitive to touch.
Stitching pains in heels, fingers and toes.
RHEUMATIC PAINS IN JOINTS AFTER SUPPRESSED GONORRHOEA.

AGGRAVATIONS. — (Psorinum)
COLD.
OPEN AIR.
COLD BATHING.
DRAFT OF AIR.
HEAT OF BED.
CHANGE OF WEATHER.
WINTER.
APPROACH OF STORM.
NIGHT.
EMOTIONS.
AFTER INFLUENZA.
Vaccinations or serums.

AMELIORATIONS. — (Psorinum)
WARMTH.
Lying with arms spread.
Lying with head low.

CONCOMITANTS. — (Psorinum)
Restlessness of legs.
Asthma, respiration very difficult.
HEART SOUNDS INDISTINCT, MURMURS WITH FIRST SOUND.
CHILDREN FALL EASILY WITHOUT VISIBLE CAUSE.
MALAISE, FEELS TIRED OUT, EVERY LITTLE LABOUR EXHAUSTS
HIM.
FEVERISH PATIENT IS SO HOT THAT HAND UNDER COVERS FEELS
AS IF IN A STEAM BATH.
PROFUSE SWEATING < ALL SYMPTOMS.
PERSPIRES VERY FREELY, OFFENSIVE PERSPIRATION.

Pulsatilla

Rheumatism, rarely highly inflammatory ; joints may be swollen with sharp

stinging pains which are usually erratic ; they constantly change from place to
place ; pains mostly tearing, < by pressure and by moving slowly about, >
from cold and < by warmth and in the evening.

Often called for in gouty symptoms from over-eating, gonorrheal rheumatism,

or from suppressions of any kind.
Pulsatilla is one of our greatest remedies in metastases of all kinds when the
indications call for it — and the indications are pronounced to those who
would see.

HEAD. — (Pulsatilla)
RHEUMATIC HEADACHE < ON ONE SIDE, AND FROM 5 TO 10 P.M.,
CRAZING PAINS EXTENDING INTO FACE AND TEETH.
EYES. — (Pulsatilla)
EYES AFFECTED CAUSING BLINDNESS DURING INFLAMMATORY
RHEUMATISM.
AMBLYOPIA FROM METASTASIS OF GOUT OR RHEUMATISM.
Subacute cases of choroiditis in patients subject to arthritis vaga, venous
hyperemia of capillaries, tearing and throbbing pains in head, photophobia
and fiery circles before eyes.
Rheumatoid ophthalmia with stinging, tearing pains.
GONORRHEAL INFLAMMATION OF EYES FROM SUPPRESSION.

THROAT. — (Pulsatilla)
Rheumatic pharyngitis of a catarrhal type with severe pains in back and
limbs.

HEART. — (Pulsatilla)
RHEUMATIC IRRITATION OF HEART, PAINS CONSTANTLY
SHIFTING RAPIDLY FROM ONE PART OP THE BODY TO ANOTHER.
HEAVINESS, PRESSURE OR SENSATION OF FULLNESS ABOUT
HEART, ESPECIALLY EVENINGS.
PALPITATION IN VIOLENT PAROXYSMS WITH CARDIAC ANGUISH.

NECK AND BACK. — (Pulsatilla)

STIFFNESS AND PAIN IN LEFT CERVICAL MUSCLES.
RHEUMATIC DRAWING, TENSIVE PAIN IN NAPE OF NECK.
RHEUMATIC PAIN AS IF HE HAD LAIN IN AN UNCOMFORTABLE
POSITION.
BACK PAINFUL AND STIFF AS A BOARD.
FINE STICKING PAIN IN SMALL OF BACK.
PAIN IN SMALL OF BACK ON MOTION AS IF SPRAINED.
CONSTRICTED PAIN IN SMALL OF BACK.
DRAWING TENSIVE PAINS IN LOINS.
LUMBAGO COMPELLING HIM TO MOVE, YET MOVING BRINGS NO
RELIEF.

SUPERIOR EXTREMITIES. — (Pulsatilla)

SEVERE PAINS IN BOTH SHOULDER JOINTS.
HEAVINESS IN WHOLE ARMS FROM SHOULDERS TO FINGERS.
ARMS FEEL AS IF BROKEN AND DISLOCATED.
DRAWING TEARING, JERKING PAINS IN SHOULDER JOINTS AND
ARMS.
DRAWING PAINS EXTENDING FROM SHOULDER TO WRIST IN
RECURRENT ATTACKS.
TEARING PAINS IN SHOULDER JOINT COMPELLING HIM TO MOVE.
ARM PAINFUL WHEN AT REST, EXTENDING DOWN INTO THUMB.
TENSIVE PAIN IN TENDONS, IN BEND OF ELBOWS ON MOVING
ARMS.
Wrist slightly swollen and reddened, pain increased until midnight then
decreased.
RHEUMATIC SWELLING IN JOINTS OF THE HAND, WITH REDNESS.

INFERIOR EXTREMITIES. — (Pulsatilla)

HIP JOINT PAINFUL AS IF DISLOCATED.
SCIATIC PAIN WITH CONSTANTLY CHANGING POSITION.
BRUISED PAIN IN AND BELOW KNEE, UNABLE TO MOVE LEG.
ACUTE DRAWING IN LEGS AS FAR AS KNEE.
BRUISED PAIN IN THIGHS AS IF IN BONES, UNABLE TO BEND
KNEE OR KNEEL DOWN.
DRAWING AND TENSION IN THIGHS AND LEGS.
PAINLESS SWELLING OF KNEE.
PAINFUL STIFFNESS OF RIGHT KNEE WHEN WALKING, AS IF
THIGH WERE STRETCHED.
TEARING, JERKING AND DRAWING PAIN IN KNEES.
HOT INFLAMMATORY RHEUMATIC PAINS IN KNEE.
KNEE INFLAMED, SWOLLEN, WITH SHOOTING PAINS ; KNEES
SOFT, WHITE, SHINING SWELLING OF KNEES.
Jerking lancinating pain through left leg and foot, soon becoming oedematous
and numb, extreme sensitiveness to jars, touch or pressure.
Pain in calf of right leg.
FEET RED, INFLAMED AND SWOLLEN.
TEARING PAIN EXTENDING ACROSS BACK or FOOT AND HEEL.
BORING, STICKING PAIN IN HEEL ; BORING PAINS IN HEELS.
Tearing stitching pains in feet, ankles swollen and red.

EXTREMITIES IN GENERAL. — (Pulsatilla)

DRAWING, TEARING IN LIMBS WITH CHILLINESS.
DRAWING STICKING PAINS IN LIMBS, ESPECIALLY THE JOINTS.
WANDERING PAINS SHIFT RAPIDLY FROM ONE PART TO
ANOTHER WITH SWELLING AND REDNESS OF THE JOINTS.
DRAWING TEARING IN MUSCLES SHIFTING RAPIDLY FROM
PLACE TO PLACE.
Inflammatory rheumatism with racking pains in upper and lower limbs,
without swelling or redness, but very sensitive to touch.
Drawing tearing pains first in one knee then the other, then arms and hands,
nape of neck or feet.
Acute twitching pains with numbness of joints.
Chronic rheumatism brought on by working in hot rooms and cold vaults.
Acute rheumatic fever going from joint to joint.
RHEUMATISM CAUSED BY GETTING WET, ESPECIALLY THE FEET.
RHEUMATISM CAUSED BY PROTRACTED HOT WEATHER.

AGGRAVATIONS. — (Pulsatilla)
MOTION.
AFTER SITTING AND ATTEMPTING TO RISE.
FROM LONG STOOPING.
LYING ON SIDE.
TOWARD NIGHT.
IN A WARM ROOM.

AMELIORATIONS. — (Pulsatilla)
LYING ON BACK.
IN OPEN AIR.

CONCOMITANTS. — (Pulsatilla)
PAINS APPEAR SUDDENLY AND LEAVE GRADUALLY.
WANDERING PAINS SHIFT RAPIDLY FROM PART TO PART.
SYMPTOMS EVER CHANGING.
SYMPTOMS APT TO BE WORSE EVERY ALTERNATE EVENING.
PAROXYSMS INCREASE TO AN INTENSE POINT OF SEVERITY
THEN DECREASE TO COMPLETE CESSATION.
PERSONS OF INDECISIVE, SLOW, PHLEGMATIC TYPE, EASILY
MOVED TO TEARS.
FEVER WITHOUT THIRST.
DESIRE FOR OPEN AIR.

Ranunculus bulbosus
Ranunculus bulbosus has marked muscular rheumatism especially about the
chest in intercostal rheumatism, always with marked soreness to touch, as if
muscles had been pounded.
Compare : Bryonia.

HEAD. — (Ranonculus bulbosus)

HEADACHE OVER RIGHT EYE.
PRESSING HEADACHE IN FOREHEAD AND TEMPLES.

CHEST. — (Ranonculus bulbosus)

STITCHING PAINS OF A NEURALGIC OR RHEUMATIC TYPE.
RHEUMATIC PAINS OF THE DIAPHRAGM, SHARP, STITCHING.
STITCHES ABOUT CHEST WITH EVERY CHANGE OF WEATHER.
RHEUMATIC PLEURODYNIA.
RHEUMATISM OF CHEST AND ABDOMINAL MUSCLES DUE TO
EXPOSURE ; BRUISED PAIN INCREASING TO SHARP CUTTING
PAIN.

NECK AND BACK. — (Ranonculus bulbosus)

PAIN ALONG INNER EDGE OF LEFT SCAPULA.
STITCHES IN AND BETWEEN SHOULDER BLADES.
MUSCULAR PAINS ABOUT LOWER MARGIN OF SCAPULA,
BURNING.
PAIN IN BACK AS IF BRUISED, WITH BURNING.

SUPERIOR EXTREMITIES. — (Ranonculus bulbosus)

SPASMODIC RHEUMATIC PAINS IN ARMS.
STITCHES IN ARMS AND HANDS.
Jerking pain in upper arm.
Sudden tearing in right forearm and between thumb and index finger.

INFERIOR EXTREMITIES. — (Ranonculus bulbosus)

SCIATIC PAINS, STITCHING, BURNING.
DRAWING PAINS EXTENDING DOWNWARD IN THIGH.
Severe pain on inner side of left knee.
Knee joint cracking on stretching leg.
Soreness and stinging in feet and toes.
Chilblains in stump of amputated limb.

EXTREMITIES IN GENERAL. — (Ranonculus bulbosus)

RHEUMATIC AND ARTHRITIC SORENESS WITH STITCHES ALL
OVER BODY.

AGGRAVATIONS. — (Ranonculus bulbosus)

LYING DOWN.
EVENINGS.
ENTERING A COLD ROOM.
CHANGE OF WEATHER.
RAINY DAYS.
STORMS.

AMELIORATIONS. — (Ranonculus bulbosus)

WALKING OR STANDING.

CONCOMITANTS. — (Ranonculus bulbosus)

PRESSING AND SMARTING IN EYES.
HERPES ZOSTER WITH STITCHING PAINS.
PAINS STICKING, CAUSING ILL HUMOR.

Ranunculus sceleratus

The pains of Ranunculus sceleratus are of a gnawing, stitching type,

particularly in the right great toe.
These symptoms, with the liver concomitants, points the peculiar field of
usefulness of the remedy.

HEART. — (Ranonculus sceleratus)

STICKING PAIN IN REGION OF HEART.
Pressure as from a blunt piece of wood in region of heart.
GNAWING PAIN BEHIND LOWER PART OF STERNUM ARRESTING
BREATHING.

BACK. — (Ranonculus sceleratus)

JERKING PAIN IN LUMBAR REGION ARRESTING BREATHING
WHEN WALKING.
Compressive drawing pain in region of scapula.

SUPERIOR EXTREMITIES. — (Ranonculus sceleratus)

Stitches in left shoulder ; drawing in night, with drawing downward from right
as if muscles were overtaxed.
BORING STICKING ALONG LEFT FOREARM TO TIP OF INDEX
FINGER WHERE IT WAS VERY SEVERE.
Drawing sticking in ball of right hand.
GNAWING IN LEFT PALM EVENINGS.
Drawing in right metacarpal bones with pressure.
Sticking pains in index and ring fingers.
Sticking gnawing in phalanges of hands and finger bones.

INFERIOR EXTREMITIES. — (Ranonculus sceleratus)

Drawing gnawing pain in right thigh.
Gnawing in right knee with boring pain.
Gnawing of right outer malleolus ; in region of ball of left foot ; in left heel.
Stinging boring in ball of right foot.
SUDDEN STICKING PAIN IN RIGHT GREAT TOE PASSING INTO
BURNING ; SUDDEN, INTERMITTENT, IN FORE PART OF RIGHT
GREAT TOE.
BORING AND GNAWING IN RIGHT GREAT TOE.
Gnawing pain in ball of right great toe.

AGGRAVATIONS. — (Ranonculus sceleratus)

LETTING THE LIMB HANG DOWN.
Pressure.

AMELIORATIONS. — (Ranonculus sceleratus)

Extending toes.

CONCOMITANTS. — (Ranonculus sceleratus)

SENSATION AS IF FACE WERE COVERED BY SPIDER WEB.
PAIN AND SORENESS IN REGION OF LIVER.
SPLEEN SWOLLEN.
FREQUENT SENSATION AS IF DIARRHEA WOULD SET IN.
Aneurism of descending aorta.
 Rheum

Rheum finds its place in acute rheumatic conditions going from joint to joint,
right shoulder to hip, left hip to right.
Pain in all joints during motion.
Rheum is complementary to Magnesium carb., which it also antidotes.

NECK AND BACK. — (Rheum)

Stiffness in sacrum and hips ; cannot walk erect.
Violent cutting pains in lumbar region.
CUTTING DRAWING IN LEFT LUMBAR REGION.

SUPERIOR EXTREMITIES. — (Rheum)

Darting pains in arms.
Bubbling sensation in elbow joints.

INFERIOR EXTREMITIES. — (Rheum)

Twitching in muscles of thigh.
Pressive pain in hollow of left knee extending to the heel.
Stiffness in bend of knee.
Bubbling sensation from bend of knee to heel.

EXTREMITIES IN GENERAL. — (Rheum)

Dull pains in all joints on motion.

AGGRAVATIONS. — (Rheum)
Before stool.
After exertion.
From cold.
MOTION.

AMELIORATIONS. — (Rheum)
Covering up warmly.

CONCOMITANTS. — (Rheum)
SWEATS EASILY WITHOUT FEVER.
SWEAT ON SCALP AND FOREHEAD.
DIFFICULT DENTITION.
SOUR SMELL TO THE WHOLE BODY.

Rhododendron

Rhododendron has a field of usefulness in rheumatic pains brought on by

damp cold weather ; in rheumatism of a gouty nature with arthritic nodes.

In rheumatism of the cervical and thoracic muscles, or rheumatic neuralgia,

especially of the aponeuroses, with pains which do not admit of the limbs
coming to rest.
All symptoms reappear with rough weather, and mark the modalities of the
remedy.

Bryonia, Clematis and Rhus tox. antidote Rhododendron.

FACE. — (Rhododendron)
Violent faceache spreading over right side from teeth and gums, radiating
over mouth, eyes and ears.
Pains drawing, tearing, jerking.
Rheumatic, gouty pains in teeth.
ARTHRITIC TOOTHACHE.
Rheumatic toothache radiating from lower jaw to teeth.

NECK AND BACK. — (Rhododendron)

Stiffness of nape of neck, with TEARING BURNING EXTENDING DOWN
BACK.
RHEUMATIC PAINS IN BACK AND SHOULDERS.
STIFF NECK, PAINS FLY IN EVERY DIRECTION.
Pain in small of back into arms.
SMALL OF BACK PAINFUL.
Rheumatic pains in left side below short ribs, of a pressing type.

SUPERIOR EXTREMITIES. — (Rhododendron)

Rheumatic pains in right shoulder extending below elbow.
VIOLENT TEARING BORING PAINS IN LEFT SHOULDER JOINT.
Severe pain in deltoid muscle.
Drawing pains in arms.
TEARING PAIN IN LEFT FOREARM.
Tearing, cramp-like drawing in forearm as if in periosteum.
Violent tearing, boring pain in left shoulder joint with prickling of fingers.
SENSATION AS IF THE WRISTS WERE SPRAINED.
PAIN AS IF SPRAINED IN RIGHT WRIST JOINT, IMPEDING MOTION.
Intensely painful drawing and digging in left wrist joint.

INFERIOR EXTREMITIES. — (Rhododendron)

Periodical tearing pains in lower limbs, especially about the hip joint, at
times swelling and painfulness of finger joints.
Stitching pains in knee and ankle joints.
RHEUMATIC PAINS IN LOWER LIMBS AND FEET, AS IF IN THE
PERIOSTEUM.
GOUT, WHEN THERE IS A FIBROUS DEPOSIT IN THE GREAT TOE
JOINT, NOT THE USUAL DEPOSITS OF URATE OF SODA.
AFFECTIONS OF GREAT TOE JOINT OF A RHEUMATIC
CHARACTER, OFTEN MISTAKEN FOR A BUNION.

EXTREMITIES IN GENERAL. — (Rhododendron)

Sensation in the joints as if sprained, with swelling and redness, with arthritic
nodosities.
DRAWING TEARING IN PERIOSTEUM, MOSTLY IN FOREARMS AND
LOWER LEGS.
PAINS IN LIMBS WITH PAIN IN THE PERIOSTEUM, APPEARING ON
SMALL SPOTS AND REAPPEAR ON CHANGE OF WEATHER.
Tearing pains beginning in outer side of arms, extending to nape of neck,
down back and into thighs.
Severe tearing in limbs and redness of several joints — right knee, elbows,
left finger joints.

JOINTS. — (Rhododendron)
CHRONIC RHEUMATISM AFFECTING THE SMALLER JOINTS AND
THEIR LIGAMENTS.
ACUTE INFLAMMATORY SWELLING OF JOINTS, WANDERING
FROM ONE JOINT TO ANOTHER AND AT TIMES REAPPEARING IN
THE FIRST JOINT AFFECTED.
AGGRAVATIONS . — (Rhododendron)
Motion.
Vexation.
Thunderstorm.
BEFORE A STORM.
AT NIGHT.
DURING WET WEATHER.
Cold weather.
CHANGE OF WEATHER, AS IN SPRING AND FALL.
AT REST.
WIND.

CONCOMITANTS. — (Rhododendron)
NERVOUS PERSONS WHO DREAD A STORM, ESPECIALLY A
THUNDERSTORM.
NEURALGIAS GREATLY < BY A STORM.
SUDDEN DISAPPEARANCE OF THOUGHT, HAS TO MAKE AN
EFFORT TO RECALL WHAT HE WAS THINKING.
Brain feels as if surrounded by a fog.
Extraordinary sensitiveness to the action of wine.
Formication with sweat.
INDURATION AND SWELLING OF TESTICLES AFTER Gonorrhea.
SYMPTOMS FREQUENTLY ALTERNATE — LEFT THEN RIGHT SIDE,
BURNING IN UTERUS AND PAINS IN LIMBS.
PAINS GO FROM WITHIN OUTWARD.
CANNOT SLEEP UNLESS LEGS ARE CROSSED.

Rhus toxicodendron

Rhus tox. is one of the most valuable remedies in rheumatic conditions ; it

may be effective in every form of rheumatism, and is often called for because
it affects the whole body.
It may be safely chosen when the marked indications are clear ; the marked
aggravations and ameliorations of the remedy point its field of usefulness.

HEAD. — (Rhus toxicodendron)

RHEUMATIC HEADACHE, FEELS SORE IN MUSCULAR PARTS,
CAUSED BY DRAFTS AND DAMPNESS, MARKED MORE IN
OCCIPUT, < BENDING HEAD BACKWARD, BY WARMTH AND
MOTION.
VIOLENT TEARING AND DRAWING PAINS IN PERIOSTEUM OF
CRANIAL BONES.

EYES.— (Rhus toxicodendron)

RHEUMATIC IRITIS FROM EXPOSURE TO WET ; PAINS SHOOT
THROUGH THE EYES TO BACK OF HEAD, < AT NIGHT.
IRITIS IN RHEUMATIC OR GOUTY SUBJECTS WHEN EXPOSED TO
COLD DAMP.
KERATO-IRITIS OF A RHEUMATIC CHARACTER FROM EXPOSURE
TO COLD DAMP.
ARTHRITIC OPHTHALMIA FROM WORKING IN WATER OR
GETTING WET, WITH SEVERE TEARING PAINS IN EYES,
ESPECIALLY AT NIGHT.
PARALYSIS OF MUSCLES OF EYE FROM OR FOLLOWING ACUTE
RHEUMATISM.
PARALYSIS PRODUCED PTOSIS FROM EXPOSURE TO COLD AND
WET IN RHEUMATIC PATIENT.

FACE. — (Rhus toxicodendron)

PAIN IN MAXILLARY JOINTS AS IF THE JAW WOULD BREAK.
STIFFNESS OF JAWS, CRACKING IN THE ARTICULATION OF JAW
WHEN MOVING IT.
DULL ACHING, CRAMP-LIKE PAIN IN ARTICULATION OF RIGHT
LOWER JAW WHEN AT REST AND WHEN MOVED, > PRESSURE
AND WARM DRINKS.
RHEUMATISM IN MAXILLARY JOINT.

CHEST. — (Rhus toxicodendron)

HARD DRY RACKING COUGH, RHEUMATIC IN NATURE, < AT
NIGHT.
STITCHES IN CHEST AND SIDES OF CHEST WHEN SITTING,
SNEEZING OR TAKING A LONG BREATH.
MUSCULAR RHEUMATISM OF CHEST.
INTERCOSTAL MUSCLES AFFECTED ; STITCHING PAINS WITH A
SENSATION OF TENSION OF A RHEUMATIC NATURE.

HEART. — (Rhus toxicodendron)

DRAGGING AND STIFFNESS OF CARDIAC REGION UPON
BEGINNING TO MOVE.
STITCHES IN HEART WITH PAINFUL LAMENESS AND NUMBNESS
OF LEFT ARM.
PALPITATION VIOLENT WHEN SITTING STILL.
ORGANIC DISEASES OF HEART FROM RHEUMATISM WITH
STICKING PAINS AND LAMENESS OF LEFT ARM.
ACHING PAINS IN LEFT ARM WITH HEART TROUBLES.

NECK AND BACK. — (Rhus toxicodendron)

STIFF NECK WITH PAINFUL TENSION.
Pain in cervical muscles as if he had been lying for a long time.
PAINS IN SHOULDERS AND BACK WITH STIFFNESS AS FROM A
SPRAIN.
Sticking pains in back while stooping.
Violent rheumatic pains between scapula.
Painful tension between shoulder blades.
STIFFNESS IN SMALL OF BACK.
ACHING IN SMALL OF BACK WHILE SITTING, AS AFTER LONG
STOOPING.
BRUISED PAIN IN SMALL OF BACK WHEN LYING QUIETLY OR
SITTING.
HEAVINESS AND PRESSURE IN SMALL OF BACK AS IF HE HAD
RECEIVED A HEAVY BLOW.
PAINS IN SMALL OF BACK.
Sudden acute pain in small of back while lifting.
VIOLENT PAIN AS IF BACK WERE BROKEN IN LUMBAR REGION.
Lumbar pain after a strain.
STIFFNESS AND LAMENESS IN SACRUM.

SUPERIOR EXTREMITIES. — (Rhus toxicodendron)

Pressure on shoulders like a heavy weight.
Rheumatic pressive pains in left shoulder and arm in deltoid muscle.
TEARING AND BURNING IN SHOULDER, ARM LAME.
Pains in muscles of left shoulder and arm, in bones, while joints are not
affected.
Strain of left shoulder joint very painful for a long time, later becoming
immovable.
VIOLENT, TEARING PAIN IN ARM, < WHILE LYING STILL.
DRAWING, PARALYZED SENSATION IN LEFT ARM AT NIGHT.
STICKING DRAWING IN LEFT ARM EXTENDING TO FINGERTIPS.
Drawing stitches in arms from shoulders downward.
ACHING IN ARMS AS IF LUXATED.
Pain in left upper arm as if muscles and tendons were strained.
ACHING AND NUMBNESS IN LEFT ARM.
Cramping drawing in elbow joint.
CHRONIC ARTICULAR INFLAMMATION RESULTING FROM
SPRAINS.
Drawing tearing from elbow joint into wrist.
JERKING TEARING IN ELBOW AND WRIST JOINTS.
Loss of power and stiffness in forearms and fingers.
PAINS IN RIGHT WRIST.
SENSATION AS IF SPRAINED ON UPPER SURFACE OF LEFT WRIST.
Rheumatic pains through wrist joint from side to side following a sprain.
Tenderness of carpal articulation < pressure after a sprain.
RHEUMATIC PAINS IN HANDS.
Aching drawing pains in right hand with numbness extending to other parts.
RHEUMATIC SWELLING OF HANDS DURING WET WEATHER.
MOTION OF FINGERS PAINFUL, CAN ONLY MOVE THEM WITH
PAIN BECAUSE OF THE SWELLING.
Tearing pain in all joints of fingers.

INFERIOR EXTREMITIES. — (Rhus toxicodendron)

Drawing pain in right natis just below small of back.
PRESSIVE PAIN IN HIP JOINT AT EVERY STEP.
TENSION IN LEFT HIP JOINT WHEN SITTING : WHEN LYING UPON
SIDE HIP HURTS AND LYING UPON BACK SMALL OF BACK HURTS.
TEARING DRAWING FROM HIP TO KNEE WHILE WALKING OR
STANDING.
DULL ACHING PAIN IN RIGHT SCIATIC NERVE.
Repeated attacks of sciatica every few weeks.
PAIN AS IF SPRAINED IN HIP, KNEE AND ANKLE JOINT.
SENSE OF STIFFNESS IN PELVIC ARTICULATIONS ON FIRST
WALKING.
Drawing pain with crepitation in hip joints, has to move leg forward by taking
hold of trousers.
Aching, drawing, tearing, tensive pains from injuries to the leg.
ACHING PAINS IN BOTH HIP JOINTS AT EVERY STEP.
PAINS RUN IN STREAKS down the limbs.
Terrible pain in limbs from severe wetting all over, paroxysmal in character,
driving him to desperation.
After becoming thoroughly chilled gradually becoming stiff and weak until
paralyzed.
SPASMODIC TWITCHING OF LIMBS WHEN STEPPING.
LEGS FEEL BRUISED, WITH EXTREME HEAVINESS.
TEARING IN KNEE AND ANKLE.
STIFFNESS OF KNEES AND FEET.
TENSION IN KNEE AS IF IT WERE TOO SHORT.
Gnawing pains with swelling of knee in gout.
Pain in left knee joint which extends down leg, groaning with pain.
DEEP CUTTING PAINS IN LEG, SHOOTING THROUGH LEG.
ACHING PAINS IN LEGS, UNABLE TO REST FOR A MOMENT.
Tension and cramps in calves with sensation as if hamstrings were too short.
PAROXYSMAL PAINS IN LEGS FROM GETTING WET WHEN WARM.
Acute pain in ankle joint when running fast.
ACHING PAINS IN ANKLES AND ARCH OF FOOT WHEN WALKING.
Feet painful as if sprained on rising.
Sharp pain in heels as if under the skin.

EXTREMITIES IN GENERAL. — (Rhus toxicodendron)

PRONOUNCED WEAKNESS OF LIMBS.
SENSE OF STIFFNESS ON FIRST MOVING THE PART AFTER REST.
LIMBS LAIN UPON GO TO SLEEP.
DRAWING OR TEARING PAIN IN LIMBS DURING REST.
BRUISED OR SPRAINED PAINS IN JOINTS.
CRACKING OF JOINTS WHEN MOVED.
RHEUMATOID PAINS IN LIMBS WITH NUMBNESS AND TINGLING ;
JOINTS WEAK, STIFF OR RED SHINING SWELLING OF JOINTS.
Inflammatory rheumatism from exposure to cold followed by paralysis of
right side ; pain almost constant in right side.
CHRONIC INFLAMMATION OF ARTICULAR STRICTURES,
ESPECIALLY IF FROM A BLOW OR STRAIN.
SYNOVITIS, FALSE ANCHYLOSIS.

AGGRAVATIONS. — (Rhus toxicodendron)

DRAFTS. WHEN BEGINNING TO MOVE.
SITTING.
LYING QUIETLY.
LYING ON SOMETHING HARD.
COUGHING.
LEAST MOTION.
AFTER MOTION.
Getting warm in bed.
AFTER RESTING FROM EXERCISE.
COLD.
WET WEATHER.
Must change position frequently.
AT NIGHT.
DAMP WEATHER.
COLD STORM.
Autumn.

AMELIORATIONS. — (Rhus toxicodendron)

BY RUBBING.
HEAT AND WHEN WARMED BY EXERCISE.
WRAPPING HEAD UP WARMLY.
DRY HEAT AND EXERCISE (head).

CONCOMITANTS. — (Rhus toxicodendron)

GREAT RESTLESSNESS, CONSTANTLY WANTING TO MOVE THE
AFFECTED PART, WAS CONSTANTLY FORCED TO GET OUT OF
BED.
GREAT DEBILITY WITH SORENESS AND STIFFNESS.
NUMBNESS OF EXTREMITIES WITH TWITCHING.
PARALYSIS AFTER SEVERE EXERTION.
TWITCHING OF LIMBS.
SPASMODIC YAWNING YET NOT SLEEPY.
SMOOTH, RED AND SHINING SWELLINGS.
RHEUMATIC DIATHESIS.

Rhus venenata
Rhus venenata is similar to Rhus tox.
One peculiar condition is the rheumatism leaving the shoulder and neck and
going to the heel, there to become more persistently chronic, and the marked
aching of the bones.

NECK AND BACK. — (Rhus venenata)

STIFF NECK.
CRICK IN NECK.
RHEUMATIC PAINS BETWEEN SHOULDERS.
LUMBAGO FROM A STRAIN OR A COLD.
Dull pain in cervical, dorsal and lumbar regions.
BACK VERY STIFF.
DULL HEAVY PAIN IN LUMBAR REGION < STOOPING.
DRAWING IN LUMBAR REGION EXTENDING TO HIPS.

SUPERIOR EXTREMITIES. — (Rhus venenata)

Paralytic drawing in right arm, especially wrist, extending to tips of fingers.
RHEUMATIC PAINS IN SHOULDERS AND ARMS.
CHRONIC RHEUMATISM.
Tearing pain in left arm extending up from elbow, as if the bones would
break.
Drawing in left arm, forearm and last three fingers.
Jerking pain in muscles of both arms.
Severe pain in left elbow joint preventing motion.
Rheumatic pains in left elbow and shoulder joint.
Dull drawing pains in wrists and fingers.
Drawing pressing pain in right wrist extending through the bones to elbow.

INFERIOR EXTREMITIES. — (Rhus venenata)

Paralyzed or bruised sensation in legs.
Pains as if in bones of left leg.
Chronic rheumatism, pain centering in heel, is very lame, < when first putting
foot down to walk on it.
Shooting pains in bones and sore pain in ball of foot.
Pain as if sprained in right hip.
Drawing pains in bones of left leg ; streaking down leg.
Wandering drawing pains.
Ankles and feet ache so as to make it painful standing or walking.
Jerk-like drawing in right foot extending from ankle to heel and shooting in
bones.

EXTREMITIES IN GENERAL. — (Rhus venenata)

Trembling of limbs with twitching of muscles.

CONCOMITANTS. — (Rhus venenata)

GREAT RESTLESSNESS.
LASSITUDE ; VERY WEAK AND LANGUID.
TONGUE RED ON TIP OR RED AND CRACKED IN MIDDLE.

Rumex crispus

When after violent attacks of inflammatory rheumatism the heart becomes

involved, with the cardiac pain and the characteristic dry cough with every
atmospheric change ; and in subacute rheumatic troubles in feeble
constitutions, we find the principal field of action indicated
in Rumex rheumatic conditions.

HEART. — (Rumex crispus)

Dull pain in region of heart, stinging, < lying down, < breathing deeply.
Violent palpitation of heart with throbbing of the carotids visible to the naked
eye.
Violent pain in region of heart with marked dyspnea.
Rheumatism of the muscles of left side of chest.

NECK AND BACK. — (Rumex crispus)

Pressing aching in back.
Burning pain in sacro-iliac symphysis.

SUPERIOR EXTREMITIES. — (Rumex crispus)

Strained lame pain in shoulder down to elbow.
Rheumatic pains above back of wrist late in evening.

INFERIOR EXTREMITIES. — (Rumex crispus)

Stitching in back of right hip.
Stitch-like pain in knee joint when standing.
Rending pain in flexure of left knee when standing.
Aching pains in right leg in afternoon.

AGGRAVATIONS. — (Rumex crispus)

CHANGE OF AIR FROM WARM TO COLD OR COOL TO WARM.
COLD AIR.
NIGHT.

CONCOMITANTS. — (Rumex crispus)

DRY COUGH.
NOSE OBSTRUCTED.
SCRAPING IN THROAT.
TICKLING, INCESSANT COUGH.
PAINS INTERMITTENT AND WANDERING.

Ruta graveolens

The cardinal points to note in this remedy are the bruised sprained pains, with
restlessness and constantly changing position, and the rheumatic paralysis of
tarsal and carpal joints.
These conditions often come on following injuries to the bones.

NECK AND BACK. — (Ruta graveolens)

RHEUMATIC PAINS IN BACK.
BRUISED PAIN IN LUMBAR VERTEBRAE.
PAIN AS FROM A FALL OR BLOW IN BACK AND COCCYX ; AS IF
BRUISED.
Cramp-like contractions ascending from thighs into small of back.
Pain as if sprained in nape and shoulders.

SUPERIOR EXTREMITIES. — (Ruta graveolens)

Pains as from a blow in left elbow joint.
Wrists feel stiff as if sprained.
Bones of wrist and back of hand painful.
Soreness through small bones of hands.
Ganglia on sheath of flexor tendons of fourth finger in the right palm.
Contraction of fingers.

INFERIOR EXTREMITIES. — (Ruta graveolens)

HIP BONES FEEL BRUISED.
PAIN DEEP SEATED AS IF IN MARROW OF BONE, HAS TO WALK
CONSTANTLY.
Shooting pains from back down outside of thigh.
HAMSTRINGS FEEL SHORTENED AND WEAK, KNEES GIVE WAY
WHEN GOING UP OR DOWN STAIRS.
SPRAINED PAIN IN ANKLES.
Bones of feet sore, cannot step heavily upon them.
Rheumatism of right leg.

EXTREMITIES IN GENERAL. — (Ruta graveolens)

Unable to bend on account of pains in all joints.
Inflammation of large joints, especially upper limbs.
Rheumatism of right wrist and both feet from heels to toes.
LAMENESS AFTER SPRAINS ESPECIALLY OF WRISTS AND
ANKLES.

AGGRAVATIONS. — (Ruta graveolens)

BEFORE RISING.
COLD DAMP WEATHER.
SITTING OR LYING.
COLD APPLICATIONS.

CONCOMITANTS. — (Ruta graveolens)

ACHING OVER BOTH EYES.
BRUISED SENSATION.
Rheumatism of right leg with ganglia of tendons in palm of right hand.
LAMENESS AFTER SPRAINS.

Sabadilla

Sabadilla is not a markedly rheumatic remedy, but the deep bone pains, as if
scraped with a sharp instrument, will call it to mind in such cases as may
require its use.

SUPERIOR EXTREMITIES. — (Sabadilla)

Stitches in muscles of arms.
Pain in right shoulder extending to chest.
INFERIOR EXTREMITIES. — (Sabadilla)
Rheumatic pain in hips, severe stitching, < during rest, < from motion.
Shooting down in front of thighs and up to scapulae.
Pain makes her twist round.
Boring tearing in thighs.

EXTREMITIES IN GENERAL. — (Sabadilla)

Paralytic drawing through limbs.
Stitches in flesh of arms and thighs.
Intense pains in all the bones, especially in joints, as if inside of bones were
scraped.
Intense but transient bruised pain in various parts.

CONCOMITANTS. — (Sabadilla)
IMAGINES HERSELF SICK.
DRYNESS OF MOUTH AND THROAT.
SWEAT ON SOLES OF FEET.

Sabina

Sabina finds its application in rheumatic gonorrhea and sycotic excrescent s,

and in gout and arthritic complaints with tearing stinging in joints after they
have become swollen, when the marked aggravations are present.

Sabina is complementary to Thuja, and is antidoted by Puls.

NECK AND BACK. — (Sabina)

Constant pain in small of back, obliging him to bend the back inward.
Paralytic pain in the small of back, > bending backward.
DRAWING PAINS IN SMALL OF BACK EXTENDING TO PUBIC
REGION.
INDESCRIBABLE UNEASINESS IN LUMBAR REGION, DRAGGING
SENSATION FROM BEHIND FORWARD.
Marked weariness in lumbar region.

SUPERIOR EXTREMITIES. — (Sabina)

Pain as if sprained in right shoulder joint.
Pressing pain in both upper arms near elbow joint from without inward.
Paralytic tearing along right upper arm as far as hand.
Aching pain in right radius, < motion and touch.
ARTHRITIC STINGING AND TEARING WITH STIFFNESS AND
SWELLING OF WRIST JOINTS, < HANGING HAND DOWN.

INFERIOR EXTREMITIES. — (Sabina)

Rheumatism of metatarsophalangeal joint of great toe, much swelling, bright
shining red, very sensitive to touch and motion, < at night ; high fever.
Pain in thighs when walking, with much heaviness.
Swelling, redness and stitches in great toe in gout.
Tearing pain with pressure in metacarpal bones of both feet.
Sharp stitches in heels from within outward.
Painful drawing in joints of toes, < walking.

EXTREMITIES IN GENERAL. — (Sabina)

Very red shining swelling of parts with excessive pain ; great heaviness of
part, wandering burning affecting one joint after another.

AGGRAVATIONS. — (Sabina)
At night.
Slightest touch or motion.
HEATED ROOM.

AMELIORATIONS. — (Sabina)
Cold air.
Cool applications.
Change of position.

CONCOMITANTS. — (Sabina)
SYCOTIC EXCRESCENCES WITH BURNING PAIN.
FIG WARTS WITH INTENSE ITCHING AND BURNING.
LEUCORRHEA COPIOUS, MILKY, CAUSING ITCHING.
Complains of marked weakness.
NERVOUSNESS SO GREAT THAT MUSIC SEEMS TO GO THROUGH
BONES AND MARROW.

Salicylicum acidum
Salicylic acid has a field of usefulness in rheumatic troubles that is clearly
indicated : rheumatic pains in fingers and little toes, drawing in left calf
extending into thigh ; then transferred to left arm.
Joints are hot, red, exquisitely sensitive; burning pains suddenly changing
about from one place to another.

Compare : Colchicum in rheumatic states and subsequent weakness.

EYES. — (Salicylicum acidum)

Inflammatory rheumatism followed by plastic iritis, nightly pain most
agonizing, temporarily > by hot applications.

SUPERIOR EXTREMITIES. — (Salicylicum acidum)

Rheumatic gout or rheumatoid arthritis, pains disappeared, the engorgement
and nodes on fingers subsided.

INFERIOR EXTREMITIES. — (Salicylicum acidum)

Rheumatic pains after suppression of foot sweat, < especially at night ; pains
drive him out of bed.
Left ischiatic nerve, going from behind forward and downward to the
knees : pains drawing, shooting.

EXTREMITIES IN GENERAL — (Salicylicum acidum)

HEAT, REDNESS, SORENESS AND SWELLING ABOUT JOINTS, <
KNEES, WITH ACUTE PIERCING PAINS, < MOTION, > DRY HEAT.
ACUTE INFLAMMATORY ARTICULAR RHEUMATISM ATTACKING
ONE OR MORE JOINTS, ESPECIALLY ELBOWS AND KNEES, WITH
GREAT SWELLING AND HIGH FEVER ; PARTS EXQUISITELY
SENSITIVE.
SEVERE PAINS IN ALL JOINTS.
LARGE JOINTS ON LEFT SIDE AND SEVERAL ON RIGHT SIDE
AFFECTED ; OR LARGE JOINTS ON LEFT SIDE ATTACKED WHILE
ON RIGHT SIDE THE WRIST JOINT AND ANKLE ONLY AFFECTED.
ACUTE ARTICULAR RHEUMATISM ; CHRONIC, GONORRHEAL.

AGGRAVATIONS. — (Salicylicum acidum)

MOTION.
AT NIGHT.
COLD AIR OR TOUCH OF COLD OBJECTS.
AMELIORATIONS. — (Salicylicum acidum)
HOT APPLICATIONS.

CONCOMITANTS. — (Salicylicum acidum)

CANKER SORES.
TONSILS RED, SWOLLEN, WITH WHITE SPOTS.
VERTIGO WITH TENDENCY TO FALL TO THE RIGHT.

Sanguinaria canadensis

Sanguinaria finds a very useful place in rheumatism of the right arm and
shoulder when the characteristic modalities and concomitants are present.

HEAD. — (Sanguinaria canadensis)

RHEUMATIC HEADACHE RUNNING UP POSTERIOR MUSCULAR
REGION.
RHEUMATIC PAIN EXTENDING UP FROM NECK AND SETTLING
OVER EYE.

HEART. — (Sanguinaria canadensis)

METASTASIS OF RHEUMATISM OR GOUT TO HEART, CAUSED BY
OUTWARD APPLICATIONS IN INFLAMMATORY RHEUMATISM.
IRREGULARITY OF HEART'S ACTION WITH COLDNESS.

NECK AND BACK. — (Sanguinaria canadensis)

RHEUMATIC PAINS IN NAPE OF NECK, SHOULDERS AND ARMS.
DULL PAIN IN INNER EDGE OF LEFT SCAPULA, < FROM
BREATHING.
Shifting pains in back, < on taking a deep breath.
LUMBAGO FROM LIFTING.
PAIN IN LARGE MUSCLES OF BACK.
SORENESS DOWN MUSCLES OF BACK, PAINS SHIFT ABOUT.
PAIN IN SACRUM WHEN LIFTING.

SUPERIOR EXTREMITIES. — (Sanguinaria canadensis)

RHEUMATIC PAINS IN RIGHT ARM AND SHOULDER, < AT NIGHT, <
ON TURNING IN BED ; CANNOT RAISE ARM.
Pain in right deltoid muscle of long standing, not felt when swinging arms.
PAIN IN TOP OF RIGHT SHOULDER ; in right shoulder and upper part of
right arm.
Pain confined to shoulder, shoulder cap and cervical region ; neck stiff.
Trapezius sore under pressure and painful at every movement.
Right arm hangs almost helpless.
Impossible to move arm without help.
Aching pain in ball of right thumb, which is swollen, extending to wrist.
Stiffness of finger joints.

INFERIOR EXTREMITIES. — (Sanguinaria canadensis)

Rheumatic pain in left hip and inside right thigh.
Pain through hips extending down right limb.
Knees are stiff.
Sharp pain in right ankle and great toe joint.

EXTREMITIES IN GENERAL. — (Sanguinaria canadensis)

Rheumatic pains < high places least covered with flesh ; on touching painful
part it leaves and appears elsewhere.
RHEUMATISM IN ALL JOINTS WITH SWELLING AND SPASMODIC
PAIN.
RHEUMATIC PAINS IN ALL LIMBS, WITH STIFFNESS AND
RIGIDITY.
ACUTE INFLAMMATORY AND ARTHRITIC RHEUMATISM.

AGGRAVATIONS. — (Sanguinaria canadensis)

TAKING A DEEP BREATH.
From lifting. At night.
When turning in bed.
Motion.
Hot weather.

CONCOMITANTS. — (Sanguinaria canadensis)

Sense of coldness ; no amount of clothing could overcome this.
BURNING OF PALMS OF HANDS AND SOLES OF FEET.
FEVER IN PAROXYSMS WITH CIRCUMSCRIBED REDNESS OF
CHEEKS.
NIGHT SWEATS.
SEVERE PERIODICAL HEADACHES ; BEGIN IN MORNING,
INCREASE DURING DAY, LAST UNTIL EVENING.

Sarsaparilla officinalis

Sarsaparilla is a deep antisyphilitic and antisycotic, and as such becomes one

of our great remedies in cases of syphilitic and gonorrheal rheumatism.

Sarsaparilla is complementary to Mercury and Sepia.

Compare : Natrum muriaticum.

MALE ORGANS. — (Sarsaparilla)

SUPPRESSED GONORRHEAL DISCHARGE FOLLOWED BY VERY
SEVERE RHEUMATIC PAINS IN LIMBS WITH EXTREME
EMACIATION.
GONORRHOEA SUPPRESSED BY COLD, WET WEATHER OR BY
MERCURY, FOLLOWED BY SEVERE RHEUMATISM.

CHEST. — (Sarsaparilla)
Arthritic tubercles in lungs.
Painful pressure on breast bone, < when touched.

NECK AND BACK. — (Sarsaparilla)

STITCHES IN BACK THROUGH INTO CHEST FROM LEAST MOTION.

SUPERIOR EXTREMITIES. — (Sarsaparilla)

Stitches in joints of arms, hands and fingers.
TIPS OF FINGERS FEEL BRUISED AND SORE.

INFERIOR EXTREMITIES. — (Sarsaparilla)

WRENCHING, EXCRUCIATING PAINS IN KNEES WHICH ARE HOT
AND TENDER TO TOUCH.
SEVERE WRENCHING PAIN CENTERING ON EACH SIDE OF
PATELLA.
Rheumatic pains at night in feet.
RHEUMATIC PAINS IN JOINTS AFTER GONORRHEA.
Rheumatism of lower limbs.
BONE PAINS SEVERE AFTER MERCURY.
Short tearing pains in first one place then the other.
Gouty pains in lower limbs.

EXTREMITIES IN GENERAL. — (Sarsaparilla)

RHEUMATISM, BONE PAINS AFTER MERCURY OR SUPPRESSED
GONORRHEA, < AT NIGHT, DURING DAMP WEATHER OR AFTER
COLD BATHING.

CONCOMITANTS . — (Sarsaparilla)
AFTER SUPPRESSED GONORRHEA.
AFTER MERCURIAL TREATMENT OF SYPHILIS.
GOUTY CONDITIONS WITH RENAL CALCULI.
SWEAT ON FOREHEAD DURING EVENING.
CRACKS ON SKIN OF HANDS.

Secale cornutum

These rheumatic conditions of Secale are usually found in cachectic

individuals with purpura haemorrhagica, affecting the joints of the lower
limbs.

NECK AND BACK. — (Secale cornutum)

Pain in small of back.
SUDDEN CATCH OR KINK IN LUMBAR REGION.

SUPERIOR EXTREMITIES. — (Secale cornutum)

CONTRACTIONS OF FINGERS.
Painful swelling of fingers.
Violent pains in tips of fingers.

INFERIOR EXTREMITIES. — (Secale cornutum)

Rheumatic pains in joints.
CRAMPS IN CALVES.

EXTREMITIES IN GENERAL. — (Secale cornutum)

CRAMPS IN HANDS AND TOES.
AFFECTS JOINTS OF LOWER EXTREMITIES.
CONCOMITANTS . — (Secale cornutum)
PURPURA HAEMORRHAGICA.
CACHECTIC FEMALES.
INTENSE ICY COLDNESS OF SKIN.
AVERSION TO HEAT OR BEING COVERED.
RESTLESSNESS WITH GREAT DEBILITY.

Sepia

Sepia nay develop great weakness of joints with grating on motion.

In all conditions there is great sensitiveness to all impressions.

It is especially indicated in people of a puffy, flabby make-up with yellow or

dirty brown blotched skin.
Sepia is not one of our great rheumatic remedies, but it is occasionally of
marked use, especially in women at the climacteric period.

HEAD. — (Sepia)
GOUTY OR NERVOUS HEADACHE FROM ABDOMINAL PLETHORA.
GOUTY PAINS, BORING IN CHARACTER, CAUSING PATIENT TO
SCREAM, ACCOMPANIED BY VOMITING.
CONGESTIVE HEADACHE OF A RHEUMATIC CHARACTER.

NECK AND BACK. — (Sepia)

Constant pain between shoulders and down back.
PRESSING AND STITCHES IN RIGHT SHOULDER BLADE.
STIFFNESS IN SMALL OF BACK AND NECK.
PAIN IN SMALL OF BACK WITH WEAKNESS.
WHEN STOOPING PAIN SUDDENLY STRIKES, AS OF A BLOW OF A
HAMMER.
STITCHES IN BACK WHEN COUGHING.
SEVERE PAIN IN BACK ACROSS HIPS.
SORENESS AND PAIN IN SACRAL REGION.
CONSTANT DULL HEAVY PAIN IN SACRUM EXTENDING TO
THIGHS AND LEGS.
PRESSING DRAGGING PAIN OVER SACRUM AND OVER HIPS,
BURNING PRESSURE IN SPINE EXTENDING ACROSS BACK.
PAINS EXTENDING FROM OTHER PARTS TO BACK.
Throbbing in small of back associated with catching when stretching, as if
something would break.
Crick in back of long standing.
HAS TO WALK STOOPING — AND PAINFUL STITCHES IN BACK IF
MAKES A MISSTEP.
SUDDEN STITCH IN BACK WHILE LIFTING.
Pains in small of back after exposure to wet and cold weather.

SUPERIOR EXTREMITIES. — (Sepia)

PAIN AS FROM DISLOCATION IN SHOULDER JOINT AFTER
EXERTION.
Paralytic drawing and tearing in arms to fingers.
DRAWING IN ARMS DOWN TO FINGERS.
BRUISED PAIN IN ARMS.
JOINTS OF ELBOWS AND WRISTS STIFF.
STITCHES IN JOINTS OF ARM, HANDS AND FINGERS.
Tensive pain in metacarpal joints of fingers, < on flexion.
HANDS SWEAT VERY PROFUSELY.

INFERIOR EXTREMITIES. — (Sepia)

Severe tearing pains in left thigh along the course of sciatic nerve extending
to calf of leg and toes.
Pains in hips and thighs extending to knees.
Bruised pain in right hip joint.
Stiffness of legs to hip joint.
PAIN IN LEGS AS IF BEATEN.
STITCHES AND STICKING DRAWING PAINS WITH COLDNESS OF
FEET OR KNEES.
CRACKING IN KNEE AND ANKLE JOINTS.
Acute attack of rheumatism in right knee which is semi flexed, stiff, swollen,
red and painful.
Aching in calves extending to knees, deep as if in bones.
TENSION IN TENDO ACHILLIS

EXTREMITIES IN GENERAL. — (Sepia)

STIFFNESS AND CRACKING OF JOINTS WITH ARTHRITIC PAINS.
WEAKNESS OF JOINTS, ESPECIALLY OF THE KNEES.
PATIENTS FEAR JOINTS WILL NOT BEAR EXERTION OF LIFTING
THE BODY.
ARTHRITIC AFFECTIONS OF JOINTS.

CONCOMITANTS. — (Sepia)
CONGESTION OF BLOOD TO CHEST WITH VIOLENT PALPITATION.
BROWN SPOTS ON CHEST.
SENSE OF BEARING DOWN IN ABDOMEN AND PELVIS.
FAINT SINKING EMPTINESS OR GONE FEELING AT PIT OF
STOMACH.
HOT FLASHES.

Silica

Silica is of value in gouty conditions and in gonorrheal rheumatism, especially

where it affects the fibrous tissue and the knee joints.

The indications for Silica, especially in chronic conditions, are characteristic

and not to be overlooked, and they stand out as sharply in the rheumatic and
gouty conditions as in any other state.

FACE. — (Silicea)
Rheumatic pains in jaws extending into temples.

NECK AND BACK. — (Silicea)

Pain in nape of neck following lumbar pain.
STIFFNESS OF NAPE OF NECK OF ONE SIDE, CANNOT TURN HEAD
BECAUSE OF PAIN.
RHEUMATISM OF LOWER CERVICAL VERTEBRAE WITH VIOLENT
TEARING PAIN BETWEEN SCAPULA.
VIOLENT PAIN IN SMALL OF BACK.
SPASMODIC PAIN NOT ALLOWING HIM TO RISE.
STIFFNESS AND PAIN ON RISING FROM A SEAT.
Violent shooting pain in back between hips.
ACHING BEATING THROBBING IN SACRO-LUMBAR REGION.

SUPERIOR EXTREMITIES. — (Silicea)

Pain in shoulder and arms at night.
Momentary sharp pain in right shoulder joint.
RIGHT ARM AND WRIST WEAK, CANNOT RAISE ANYTHING.
Anchylosis of elbow joint with swelling and pain, with every attempt to move
complete stiffness of fingers.
Tearing pains in wrist and ball of hand.
Lameness of right hand compelling him to lay pen down when writing.
CONTRACTION OF FLEXOR TENDONS PAINFUL WHEN MOVING
FINGERS.
Tearing in fingers and joints of fingers and thumbs.
Sticking pains now in one then in another finger and arm.
Stitches in ball of thumb.
Drawing in joints of right fingers as if being pulled out of sockets.
GOUTY DEPOSITS IN LARGE JOINTS OF FINGERS.
Painful hard red swelling on middle joint of little finger.

INFERIOR EXTREMITIES. — (Silicea)

Violent bruised sensation in hips and small of back.
Sciatica of years' standing.
SENSATION AS OF LOSS OF POWER IN LEGS.
Aching pains in loins.
Dragging feeling from right hip down to toes.
Femur pains as if beaten while walking, sitting or lying.
Inflammation of cellular tissue of thigh.
Knee painful as if too tightly bandaged.
Violent stinging or lancinating pains in knees from gonorrheal rheumatism.
CHRONIC SYNOVITIS OF KNEE WITH GREAT SWELLING AND
ANCHYLOSIS.
GONORRHEAL RHEUMATISM, PAINS STINGING, LANCINATING,
SWELLING DOUGHY.
After suppression of gonorrhoea pale swelling, parts very stiff, sensation of
heat.
Severe pain in one leg, the other numb.

EXTREMITIES IN GENERAL. — (Silicea)

RHEUMATIC PAINS IN LIMBS.
PAINS IN LIMBS SEVERE, < WHEN WEATHER CHANGES.
INFLAMMATION OF FIBROUS PORTION OF JOINTS, ESPECIALLY
KNEES.

AGGRAVATIONS. — (Silicea)
CHANGE OF WEATHER.
COLD.
MOTION.

AMELIORATIONS. — (Silicea)
WRAPPING UP HEAD. WARMTH.

CONCOMITANTS. — (Silicea)
EMACIATION WITH PALE SUFFERING EXPRESSION.
GOUT.
CHRONIC GOUTY NODOSITIES.
AILMENTS FOLLOWING VACCINATION.
ESPECIALLY SUITED TO CHILDREN WITH LARGE HEADS, MUCH
SWEAT.
SWEAT OFFENSIVE ; FOOT SWEAT ; EFFECTS OF SUPPRESSED
FOOT SWEAT.
TAKES COLD EASILY.
COVERS HEAD IN SLEEP.
VERY SENSITIVE TO TOUCH.
GREAT NERVOUS DEBILITY.

Spigelia

Spigelia is especially indicated in rheumatic troubles located in the left chest ;

in rheumatic inflammations of heart, both precordial and endocardial, with
violent irregular heart action and severe pain ; in pericarditis with profuse
sweat, sticking or stabbing pains, palpitation, dyspnea from lying on back ;
these mark the field of greatest usefulness in rheumatic and neuralgic
conditions.

EYES.— (Spigelia)
Cataract of left eve associated with rheumatism.
SHARP STABBING, STICKING PAINS THROUGH EYEBALLS BACK
INTO HEAD, RADIATING.
Rheumatic iritis, eyeball sensitive to touch ; muscles of eyeball stiff on
motion.
SEVERE NEURALGIC PAINS IN RHEUMATIC OR ARTHRITIC
INFLAMMATION.
Rheumatic iritis in left eye with excessive ciliary neuralgia.
Rheumatic pain very severe, as if it would drive him crazy.
RHEUMATIC OPHTHALMIA WITH OR WITHOUT PAIN.
GONORRHEAL OPHTHALMIA, NIGHTLY PAINS OF EXTREME
SEVERITY, RADIATE TO BONES OF EYE SOCKET.

CHEST AND HEART. — (Spigelia)

OPPRESSION OF CHEST WITH PALPITATION.
SUFFOCATIVE SPELLS FROM LEAST MOTION.
STITCHES IN CHEST.
Cutting, piercing pain through left chest near sternum to back.
RHEUMATIC TROUBLES ESPECIALLY IN LEFT SIDE OF CHEST.
STITCHES ABOUT HEART ; COMMENCING VALVULAR DISEASE,
ENDOCARDITIS.
PALPITATION VIOLENT.
In arthritic rheumatism with terrible palpitation.
SEVERE DYSPNEA, CANNOT GET ENOUGH AIR.
Severe stitching pains in cardiac region, pericarditis in rheumatism.
ACUTE PERICARDITIS WITH MUCH ANXIETY.
Endocarditis with insufficiency of mitral valve in acute articular rheumatism.
RHEUMATIC AFFECTIONS OF HEART WITH SYSTOLIC BLOWING
AT APEX.
PAINFUL CONTRACTIONS OF MUSCLES OF CHEST.

NECK AND BACK. — (Spigelia)

RHEUMATISM OF NAPE OF NECK WITH PAINFUL NUMBNESS.

SUPERIOR EXTREMITIES. — (Spigelia)

STITCHES IN BENDS OF ELBOWS AND JOINTS OF HANDS AND
FINGERS.
Pressive pain above right wrist.
Tearing pain in phalanges of right thumb.
Contraction of flexors of fingers.

INFERIOR EXTREMITIES. — (Spigelia)

Drawing tearing in right thigh.
Persistent stitch in left thigh.
Tearing pain in left knee as of a sprain.
EXTREMITIES IN GENERAL. — (Spigelia)
STINGING PAINS IN LIMBS.
STINGING AND STITCHING IN JOINTS.
Tearing pains in limbs with, great weakness.
Acute inflammatory rheumatism, very sensitive to cold air or touch ; slightest
jar or knock causes intense pain.
Hard nodosities of hands and toes.

AGGRAVATIONS. — (Spigelia)
MOTION.
NIGHT.
3 a.m.
WHEN TALKING.
WHEN WALKING FAST.
WHEN BENDING FORWARD.
LYING ON BACK.

CONCOMITANTS. — (Spigelia)
NEURALGIC PAINS FROM COLD DAMP RAINY WEATHER.
TONGUE COATED YELLOW OR WHITE.
DILATED PUPILS, PUTRID ODOUR FROM MOUTH, STRABISMUS,
ITCHING OF NOSE.
SENSITIVE TO SLIGHTEST TOUCH.

Spongia

Spongia has marked cardiac symptoms and will be found useful in

endocarditis with inability to lie down, and waking with a sense of
suffocation.

HEART. — (Spongia)
SPASMS OF ACUTE CARDIAC PAIN WITH OPPRESSED
RESPIRATION.
RHEUMATIC ENDOCARDITIS WITH LOUD BLOWING WITH EACH
BEAT.
STINGING PRESSING IN PRECORDIAL REGION.
PALPITATION VIOLENT WITH PAIN, GASPING RESPIRATION.
Metastasis to heart of rheumatism of lumbar region.
FIBROUS DEPOSITS ON VALVES OF HEART.
RHEUMATIC ENDOCARDITIS, VALVULAR INSUFFICIENCY.

NECK AND BACK. — (Spongia)

Painful sensation of stiffness in left side of neck.
PAINFUL STIFFNESS OF MUSCLES OF NECK.
Back of neck snaps on stooping.
Tension of cervical muscles especially right side, < on bending head.
PRESSING PAIN IN SMALL OF BACK.
Dull stitch in right lumbar muscles.

SUPERIOR EXTREMITIES. — (Spongia)

Muscular twitching about left shoulder joint.
Pain in upper arms with chills.
Boring pain at elbow.
Severe stitches, boring from within outward in internal muscles of forearm.
DRAWING STITCHES IN FOREARMS AND HANDS.
Cramp-like pain in ball of thumb.
REDNESS AND SWELLING OF FINGER JOINTS WITH TENSION ON
BENDING THEM.

INFERIOR EXTREMITIES. — (Spongia)

FEELING OF LAMENESS FROM RIGHT KNEE TO HIP.
DRAWING PAIN FROM LOWER PORTION OF RIGHT FOOT TO
THIGH.

EXTREMITIES IN GENERAL. — (Spongia)

STITCHES IN MUSCLES.
STIFFNESS OF LIMBS.
TREMBLING IN ALL THE LIMBS.

AGGRAVATIONS. — (Spongia)
LYING DOWN.
WAKING.

CONCOMITANTS. — (Spongia)
AWAKENS IN A FRIGHT, AND FEELS AS IF SUFFOCATED.
AWAKENS WITH FEAR AND TREMBLING.
FREQUENT WAKING WITH A START.
EVERY EXCITEMENT INCREASES CONDITION.
ANXIETY.
SWELLING AND INDURATION.

Squilla

Squilla is not often indicated in rheumatic conditions ; however, it may be

found useful in such conditions following acute bronchitis or pneumonia
where there is marked > from rest and corresponding < from exercise or
motion.
Squilla follows Bryonia well.

NECK AND BACK. — (Squilla)

Stiffness of neck.
Rheumatic pain in muscles on side of neck.

INFERIOR EXTREMITIES. — (Squilla)

Convulsive twitching and motion of limbs, < morning and evening and during
motion.
Soreness in bends of joints.
Dull rheumatic pain < exercising, > at rest.

AGGRAVATIONS. — (Squilla)
Motion.
Exercise.

AMELIORATIONS. — (Squilla)
Rest.

Staphisagria

Staphisagria is one of the leading remedies in chronic gout where there are
many nodes on the parts.

EYES. — (Staphysagria)
ARTHRITIC OPHTHALMIA ; PAINS EXTEND INTO TEETH, EYES
BURN ON LEAST EXERTION AS IF VERY DRY YET
LACHRYMATION IS CONSTANT.

NECK AND BACK. — (Staphysagria)

DRAWING, PRESSURE AND TENSION IN NECK WITH RHEUMATIC
STIFFNESS.
Pain as from a sprain in right shoulder, only on motion.
Violent pressing in left shoulder joint not > by any motion.
Dull sticking pain in shoulder joint < on touch and motion.
Pain as if broken in small of back in morning in bed.
PAIN IN SMALL OF BACK AS AFTER OVERLIFTING.
All joints of back are stiff in morning on rising from bed, especially shoulder,
sacral and hip joints.

SUPERIOR EXTREMITIES. — (Staphysagria)

Paralytic drawing pain in first joints of fingers, < by motion.
PHALANGES OF FINGERS AFFECTED, ESPECIALLY OF LEFT INDEX.
ARTHRITIC NODES ON FINGERS.

INFERIOR EXTREMITIES. — (Staphysagria)

Aching in small of back, sacrum and hip joints.
Aching pain around hip joint when walking or sitting.
Exceedingly severe pain in right leg.
CRURAL NEURALGIC PAIN STINGING, STITCHING, DURING
MOTION.
STITCHES IN KNEE AND KNEE JOINTS.
SENSATION OF BURNING STITCHES IN HOLLOWS OF KNEES.
Tearing pain in muscles of one or the other leg while standing or sitting.

EXTREMITIES IN GENERAL. — (Staphysagria)

All limbs are affected, everything is sore.
ARTHRITIC NODES OF JOINTS.
GOUTY RHEUMATIC PAINS WITH GOUTY NODES.
PAINS GOUTY IN SMALL JOINTS OF HANDS AND FEET WITH
MUCH SWELLING.

CONCOMITANTS. — (Staphysagria)
ACUTE ARTICULAR RHEUMATISM OF DISSIPATED OR
DEBILITATED MEN WITH SHIFTING PAINS.
SKIN AFFECTIONS ALTERNATING WITH PAINS IN JOINTS.
NERVOUS WEAKNESS ; ALL DONE AFTER MUCH HARD WORK.
NEURALGIC PAINS.
AILMENTS FROM MORTIFICATION.
STYES.

Sticta pulmonaria

In conditions with much effusion into the joints ; in inflammatory rheumatism

with redness and < from touch and > during the day, we find Sticta holds high
place.

These conditions often alternate with the characteristic cough for

which Sticta is best known.

Compare : Cimicifuga in rheumatic conditions.

HEART. — (Sticta pulmonaria)

Sudden pain reaching through chest to spinal column ; constant, <
motion ; powerless if attempts to move.
Attacks of great anxiety about the heart with strange sensation as if floating
in the air.

SUPERIOR EXTREMITIES. — (Sticta pulmonaria)

Rheumatism in right shoulder joint, deltoid and triceps, extending to forearm,
< at night cannot put on coat, < during day.
Wrists and hands swollen, < on motion ; rheumatism of wrist joints.

INFERIOR EXTREMITIES. — (Sticta pulmonaria)

Rheumatism principally of large joints ; pains dull, heavy ; restless nights.
Severe rheumatic inflammation of knee joint ; soreness to touch ; redness
followed by effusion.
Rheumatic inflammation of right ankle joint, swollen and very painful.
MUCH SWELLING ABOUT KNEE JOINT, RAISING THE PATELLA.

EXTREMITIES IN GENERAL. — (Sticta pulmonaria)

DARTING PAINS IN ARMS, FINGERS, JOINTS, THIGHS AND TOES.
SWELLING AND STIFFNESS OF HANDS AND FEET.
HEAT, SWELLING AND CIRCUMSCRIBED REDNESS OF JOINTS IN
INFLAMMATORY RHEUMATISM.
In rheumatism of joints having large amount of serous fluid.
Sharp darting, lancinating pains first in knee joints, then elbow and shoulder,
then fingers, finally involving every joint of the body.

CONCOMITANTS. — (Sticta pulmonaria)

DRY HACKING COUGH, TICKLE LEFT SIDE OF TRACHEA.
NOSE STUFFED UP.
EXCESSIVE DRYNESS OF SOFT PALATE.

AGGRAVATIONS. — (Sticta pulmonaria)

MOTION.

AMELIORATIONS . — (Sticta pulmonaria)

DURING DAY.

Stillingia sylvatica

Stillingia is seldom called for except in chronic periosteal rheumatic states,

especially if of gonorrheal or sycotic origin, or as a result of syphilis or
mercurialization.

FACE. — (Stillingia)
Periosteal affections of the malar bones, extending across the face ; with
much pain and dull aching.

SUPERIOR EXTREMITIES. — (Stillingia)

Sharp shooting pains in both arms from middle third of humerus down to
fingers.
Sharp shooting pains in upper third and inner side of forearm.
Very large rheumatic node upon the olecranon.

INFERIOR EXTREMITIES. — (Stillingia)

Aching pains in right leg.
Pains in left lower anterior third of leg.
Periostitis with rheumatic nodes on tibia.

EXTREMITIES IN GENERAL. — (Stillingia)

Pains in right elbow and leg, aching, pulsating, with much soreness.
DISTRESSING ACHING IN LONG BONES, WITH NODES.

CONCOMITANTS. — (Stillingia)
HOARSENESS AND AFFECTIONS OF THE LARYNX.
Itching of the skin on extremities only on exposure to cold air.

Stramonium

Occasionally in eruptive fevers where there is a markedly rheumatic headache

with beginning of inflammation of the joints and the marked
concomitants Stramonium will fill a void that no other remedy will cover.

HEAD. — (Stramonium)
Rheumatic headache, with dullness.
INFLAMMATORY AFFECTIONS OF BRAIN WITH CHILDREN UNDER
SEVEN YEARS, OF RHEUMATIC ORIGIN, < DURING WINTER ;
STARTING IN SLEEP, MOANING, WITH RESTLESS MOTION.
Rheumatic pain on to of head for several years.

NECK AND BACK. — (Stramonium)

Great rigidity of muscles of neck and back.
Neck stiff, cannot bend forward.
Drawing rheumatic pains from side of neck to limbs.
Pain in nape of neck.
PAIN IN CERVICAL AND UPPER DORSAL VERTEBRAE.
Tearing burning pains from neck to left axilla.

SUPERIOR EXTREMITIES. — (Stramonium)

Pain in shoulders and back.
Fine sharp stitches in forearm and constrictive rheumatic pain in deltoid
muscle.
Aching drawing pain in right arm above elbow.
Jerking of elbows ; stitches in forearm.
INFERIOR EXTREMITIES. — (Stramonium)
Drawing pains in thighs.
Sharp stitches in right shin bone.
Rheumatic drawing, pressing pain in left tarsus.
Drawing up of leg in sleep.
Jerking in thigh and knee joints.

EXTREMITIES IN GENERAL — (Stramonium)

Drawing, laming, somewhat spasmodic pains in muscles.
Fingers and heels numb, at times painful, accompanying the rheumatic
headaches.

CONCOMITANTS. — (Stramonium)
DRYNESS OF MOUTH.
FEAR OF WATER AND AVERSION TO ALL FLUIDS.
WHITE CIRCLE ABOUT MOUTH.
FACE RED AND HOT.
PUPILS DILATED.

Strontiana carbonica

Rheumatic pains deep in limbs, especially after sprains of either recent or

older date, indicate Strontiana carbonica.
Growing pains of children.
Compare : Magnesium mur., Silica.

SUPERIOR EXTREMITIES. — (Strontiana carbonica)

Constant burning pains in right shoulder joint.
Tearing rheumatic pains in shoulders and arms, especially joints.

INFERIOR EXTREMITIES. — (Strontiana carbonica)

Rheumatic, paralytic pains, tearing, drawing, jerking, gnawing, as if in the
marrow of the bone.
CHRONIC SPRAINS, ESPECIALLY OF THE ANKLE JOINT.
SWELLING OF RIGHT FOOT SOME YEARS AFTER A SPRAIN.
Icy coldness of outer side of calf.

EXTREMITIES IN GENERAL — (Strontiana carbonica)

Rheumatic pains, especially of joints, < evening and in bed.
Immovability of limbs, especially right, in evening.
All pains seem deep in marrow of the bone.

AGGRAVATIONS. — (Strontiana carbonica)

Evening.
Night.
When uncovered.
Least draft of air.
Right side.

Sulphur

Because of the wide range of usefulness where Sulphur may be called for
imperatively, it is exceedingly difficult to give a comprehensive summary in
particular conditions.

However, its usefulness in suppressions of all kinds must be stressed because

we find the results of these suppressions manifesting themselves in chronic
conditions of many types, frequently in rheumatic or arthritic conditions.

The offensive odour of the body, the aversion to washing and the aggravations
therefrom, the burning palms and soles that seek coolness, all
mark Sulphur predominantly, and while other remedies may have these
symptoms, in part, the group is small, and leads one to think of this great
polychrest as probably indicated.

EYES.— (Sulfur)
Arthritic ophthalmia, frequent attacks for years ; intense photophobia,
compelling to stay in dark room for months ; sclerotic red ; cornea
surrounded by bluish ring ; cannot bear the least exercise of eyes.
Arthritic ophthalmia, sometimes making him blind for months.

HEART.— (Sulfur)
PERICARDIAL EFFUSIONS OF RHEUMATIC ORIGIN.
SHORT STITCHES IN PRECORDIAL REGION.

NECK AND BACK.— (Sulfur)

Constant pain in small of back < motion, < stooping ; can hardly walk.
DOES NOT WALK ERECT ; STOOPS OR BENDS OVER FORWARD IN
WALKING OR SITTING.
ACUTE PAIN IN SMALL OF BACK, OBLIGED TO WALK BENT OVER,
VIOLENT ONLY ON STOOPING ; SENSATION AS IF EVERYTHING
WERE TOO SHORT, < RISING FROM A SEAT.

SUPERIOR EXTREMITIES.— (Sulfur)

RHEUMATIC PAINS IN SHOULDERS < LEFT.
LANCINATING PAINS IN SHOULDER JOINTS, < AT NIGHT.
Weakness of upper arm, could not raise it.
Stiffness of wrists, < morning.

INFERIOR EXTREMITIES.— (Sulfur)

Dull heavy pain in right hip extending to knee, producing lameness ; tendons
of muscles on each side of popliteal space contracted, sensitive to touch,
making it difficult to bear weight to floor at heel.
ARTHRITIC SWELLING OF KNEE JOINT WITH CRACKING ON
MOTION.
Tearing pains from knees to feet while walking.
GOUTY OR RHEUMATIC PAINS WITH OR WITHOUT SWELLING.
SEVERE INFLAMMATION OF THE JOINTS, MUCH REDNESS,
SWELLING, AND EXCRUCIATING PAINS ON MOTION.
INFLAMMATORY RHEUMATISM APT TO BEGIN IN FEET AND
EXTEND UPWARD, INVOLVING ONE JOINT AFTER ANOTHER, < AT
NIGHT.
CHRONIC RHEUMATIC TROUBLES WITH STIFFNESS OF JOINTS.
INFLAMMATORY STATES WHERE DEPOSITS HAVE TAKEN PLACE,
< IN FEET.
CHRONIC RHEUMATIC PAINS, TEARING STITCHING, ESPECIALLY
AFTER OF FOLLOWING Bryonia.
STIFFNESS OF ANKLE JOINTS.

CONCOMITANTS.— (Sulfur)
RHEUMATIC CONDITIONS CONTINUALLY RELAPSING.
OFFENSIVE ODOUR OF BODY.
WALKS BENT OVER, EVEN SITS BENT FORWARD.
INTENSE BURNING OF PARTS.
EXCESSIVELY SENSITIVE TO OPEN AIR.
WILL NOT BE BATHED.
BURNING FEET, WANTS TO FIND A COOL PLACE FOR THEM.

Sumbulus moschatus

HEART .— (Sumbul)
NERVOUS AFFECTIONS OF HEART ; RHEUMATIC CARDITIS.
HEART'S ACTION FULL AND SHARP, AT TIMES IRREGULAR.
BELLOWS SOUND OF HEART, < STOOPING.
Purring sounds associated with rheumatism.

AGGRAVATIONS.— (Sumbul)
STOOPING.

CONCOMITANTS.— (Sumbul)
Cannot keep warm.
Least draft felt down spine.
TENDENCY TO FAINT FROM SLIGHT CAUSE.
NERVOUS AFFECTIONS, HYSTERICAL.

Syphilinum

Syphilinum is often indicated in rheumatic conditions other than those of

syphilitic origin — and we must not make the mistake of prescribing the
remedy on the basis of the syphilitic background.

The concomitants are important ; these, with the leading modality of the pains,
beginning at twilight and ending at sunrise, mark its field of usefulness.

Another strong indication for its use is- in those cases where the pains shift,
from throat to ear, to bronchi or trachea., to teeth, as sometimes occurs
concomitantly in rheumatic conditions.

NECK AND BACK.— (Syphilinum)

Cracking in occiput and nape of neck.

Heavy aching and stiffness from base of neck up the muscles into the brain.
Rheumatic lameness and stiffness in back, whole spine aches.
Severe pain in region of the kidneys.
Pain at coccyx and sacrum.
Knots in muscles ; rigidity of muscles.
Heavy, dragging, dull pain in lumbar region with stiffness and want of
elasticity.
Pain in sacrum.
Pains in back, hips and thighs.
Rigidity of muscles of back and joints of extremities.

SUPERIOR EXTREMITIES.— (Syphilinum)

Rheumatic pains of shoulder joints and at insertion of deltoid.
Can only raise arms to right angle with axilla with loss of power if forced
higher.
Arms pain on motion.

INFERIOR EXTREMITIES.— (Syphilinum)

Neuralgia of limbs increasing as night advances.
PAINS DRIVE HIM OUT OF BED AT NIGHT.
Excruciating pains in lower limbs.
Loss of control over knee and hip joints when sitting or squatting.
Pains of long bones and stiffness of joints.
BONE PAINS COMPELLING CHANGE OF POSITION OFTEN.
BONE PAINS IN KNEES, FEET AND WHOLE LEGS.
BONE PAINS AS IF SAWED.
CONTRACTION WITH PAINS IN TENDONS, WORSE IN FLEXORS.
EXCRUCIATING ARTHRITIC SWELLING, HEAT AND INTENSE
REDNESS, GRADUAL RIGIDITY OF ALL JOINTS.

EXTREMITIES IN GENERAL.— (Syphilinum)

RHEUMATISM OF LIMBS, MUSCLES ARE KNOTTED.
ARTHRITIC SWELLING OF LEFT WRIST AND GREAT TOE WITH
PAINS AS IF BEING SAWED WITH A DULL SAW.
PAINS MORE PARTICULARLY IN MUSCLES AND JOINTS OF LOWER
LIMBS.
Rheumatism with sweating of hands, wrists and lower legs.
PAINS IN ALL THE LIMBS EVERY NIGHT, ESPECIALLY AFTER
MIDNIGHT.
CONCOMITANTS .— (Syphilinum)
UTTER PROSTRATION AND DEBILITY IN MORNING ; WEAKNESS
ON WAKING, AFRAID TO GO TO SLEEP BECAUSE OF FEAR OF
TERRIBLE WEAKNESS ON WAKING. POOR REACTION ;
CHRONICITY.
GREAT WEAKNESS WITH FEW SYMPTOMS.
PAINS GRADUALLY INCREASE AND GRADUALLY DECREASE.
THE MORE INTENSE THE PAINS, THE MORE THE REMEDY IS
INDICATED.

AGGRAVATIONS.— (Syphilinum)
On sitting.
NIGHT.
Raising arm laterally.
SUNSET TO SUNRISE.
Hot fomentation.
EXTREMES OF HEAT OR COLD.

AMELIORATIONS.— (Syphilinum)
Bending head back.
By heat.
Warmth of bed.
Pouring cold water, on parts for a short time.

Taraxacum officinale

RHEUMATIC PAINS FOLLOWING TYPHUS FEVER, WITH THE

CHARACTERISTIC MAPPED TONGUE.

Tarentula hispanica

The unexpected actions and activity of the patient ; the > from placing the
limbs in cold water — these symptoms bring Tarentula into the field where
only a few remedies could be considered on the basis of symptomatology.

HEART .— (Tarentula hispanica)

Rheumatic pains in chest extending to umbilical region with sensation as if
heart were squeezed.
Cramp in heart.

INFERIOR EXTREMITIES.— (Tarentula hispanica)

INABILITY TO KNEEL DOWN.
DIFFICULT WALKING ; WEAKNESS ON WALKING.
Rheumatic pains checked by putting extremities in cold water.

AGGRAVATIONS.— (Tarentula hispanica)

Motion.

AMELIORATIONS.— (Tarentula hispanica)

STANDING.
Putting limbs in cold water.

CONCOMITANTS .— (Tarentula hispanica)

PANTING RESPIRATION ; GREAT ANXIETY.
GREAT RESTLESSNESS.
CHOREIC RESTLESSNESS.
HYSTERICAL TENDENCY.

Terebinthina

With all the rheumatic conditions of Terebinth there is marked burning and
swelling in the gouty states ; frequent urination and pain in kidneys and
urethra ; this appertains to the iritis as well.

EYES.— (Terebinthina)
RHEUMATIC IRITIS ; FREQUENT DESIRE TO URINATE ; PAIN IN
KIDNEYS, BURNING IN URETHRA ; SUPPRESSION OF FOOT SWEAT.
CHRONIC RHEUMATIC IRITIS.

NECK AND BACK.— (Terebinthina)

BACKACHE AND SORENESS IN REGION OF KIDNEY.
Severe pains in lumbar region with fever.
Severe rheumatic pains in lumbar muscles, impossible to stoop or lie upon
back, caused by exposure.
Sharp pains in back rendering motion, when not in an erect position,
unbearable.
Lumbago.

SUPERIOR EXTREMITIES.— (Terebinthina)

Drawing pains in bones of upper arm in morning.
Sprained pain in muscles of left upper arm.

INFERIOR EXTREMITIES.— (Terebinthina)

Drawing pain in right hip joint.
SCIATICA OF RHEUMATIC ORIGIN.
SWELLING AND STIFFNESS OF RIGHT KNEE.
INTENSE PAIN IN LOWER LIMBS, < DAMP WEATHER.
TEARING PAINS IN FEET, NOW ONE PLACE THEN ANOTHER, < IN
SOLES AND HEELS.
Gout and rheumatism.

JOINTS.— (Terebinthina)
SWOLLEN AND STIFF, PAIN ON MOTION.

CONCOMITANTS.— (Terebinthina)
Sensation of sand in eye.
Smooth glossy red tongue.
Gouty conditions with much sweating and oedema of parts.

Thuja

In cases of suppressed gonorrhea with acute inflammatory processes,

especially of knees and ankles and toes, Thuja may be indicated.

SUPERIOR EXTREMITIES.— (Thuya)

Tearing, throbbing, ulcerative pains in shoulder extending to fingers.
Twitching in muscles of arms.
Forearm and fingers numb.
Pains < when left arm hangs down, < warmth of bed or placing arm over
head.

INFERIOR EXTREMITIES.— (Thuya)

GONORRHEAL RHEUMATISM LOCATED IN FIBROUS PART OF
KNEE JOINT.
Pains in feet and ankles after suppressed gonorrhea, unable to walk.
Pain in heel and in tendo Achillis.
Inflammatory red swelling of dorsum of foot and toes.
Rheumatism with numb feeling < from cold and after sweating.

AGGRAVATIONS.— (Thuya)
Motion.
Deep inspiration and talking.

AMELIORATIONS.— (Thuya)
Lying on affected side.
Lying on back.

CONCOMITANTS.— (Thuya)
SENSATION AS IF A NAIL WERE PRESSED IN VERTEX.
Shivering through and through from uncovering, even in warm air.
WHOLE BODY OR PARTS FEEL AS IF FRAIL AND WOULD BE
EASILY BROKEN.
SLEEPLESSNESS.
BREATHING SHORT AND QUICK.
AFTER SUPPRESSED GONORRHEA.
WARTS, ESPECIALLY ON HANDS.

Urtica urens

In cases of rheumatism of right arm, wrist and ankle, occurring before or after
severe cases of urticaria, or alternating with urticaria, but never both together,
we find this concomitance sufficient to call attention to Urtica wrens.

SUPERIOR EXTREMITIES.— (Urtica urens)

Continuous pains in right deltoid.
Rheumatic pains in right arm, < when lying on it.
Muscles of right arm sore as if bruised.
Rheumatic pains in right wrist.

INFERIOR EXTREMITIES.— (Urtica urens)

Rheumatic pains in right ankle.
AGGRAVATIONS.— (Urtica urens)
Evening.
When lying upon it.

CONCOMITANTS.— (Urtica urens)

VIOLENT URTICARIA.
NETTLE-RASH.
PRURITIS VULVAE WITH STINGING AND SWELLING.

Ustilago maydis

One of the remedies having a pathogenesis applicable in rheumatic troubles of

the metacarpal and metatarsal bones and phalanges, Ustilago is rarely thought
of and should be given more serious study.

NECK AND BACK.— (Ustilago)

Severe rheumatic pains in lumbar region < by walking.
Aching distress in small of back.

SUPERIOR EXTREMITIES.— (Ustilago)

Dull aching pains in shoulder joints.
Severe rheumatic pains in muscles of right shoulder all night.
Rheumatic pains in arms, hands and fingers.
Dull rheumatic pains in right elbow joint, < on motion.
Rheumatic drawing pains in finger joints, especially second joint of right
forefinger.
Severe drawing pains in joints of all fingers.
Fine sticking pains along metacarpal bone of right forefinger every few
seconds.
Sharp cutting pains along metacarpal bones of right hand.

INFERIOR EXTREMITIES.— (Ustilago)

Flying rheumatic pains in metatarsal bones of right foot.
Rheumatic pains in legs.
Rheumatic pain up and down left leg if any weight is pressed on toes.

AGGRAVATIONS .— (Ustilago)
Walking.
Motion.
Warm room.

CONCOMITANTS.— (Ustilago)
HYPERTROPHY OR LOSS OF NAILS.
LANGUOR.
Faint feeling at 11 a.m.
Hair falls out.

Valeriana officinalis

In rheumatic affections of the belly of the muscles rather than the joints, with
the drawing, jerking pains, < by standing and motion, with the tendency to
show nervous excitement and oversensitive temperament, this remedy will be
brought to mind.

NECK AND BACK.— (Valeriana)

Intense pain in left lumbar region above hip as if he had strained the part, <
standing and especially sitting.

SUPERIOR EXTREMITIES.—
Rheumatic pain in scapula.
DRAWING PAINS MIXED WITH SINGLE STITCHES IN MUSCLES OF
LEFT ARM FROM SHOULDER TO FINGERS.
CRAMPING DRAWING IN REGION OF RIGHT BICEPS MUSCLE
FROM ABOVE DOWNWARD WHEN WRITING.

INFERIOR EXTREMITIES.— (Valeriana)

Intolerable pain in hips and thighs when standing as if thigh would break.
Cramping darting pains in outer side of thigh extending to the hips.
Tearing when laying right limb across left, in calf.
Cramping in posterior calf muscles, > mornings and when rubbing, < when
quiet.
VIOLENT DRAWING, DARTING, JERKING PAINS IN LIMBS WITH
STRAINED FEELING IN LUMBAR REGION.
Drawing along tendo Achillis disappears when rising from a seat.
Transient pain as if strained in right ankle, > when walking.
Constant pain in heels.
EXTREMITIES IN GENERAL. — (Valeriana)
Rheumatic pains in limbs, rarely in joints.
Heaviness in limbs, drawing, feels as if he must move limbs but cannot.

AGGRAVATIONS.— (Valeriana)
Evening.
When quiet.
SITTING

AMELIORATIONS.— (Valeriana)
Rubbing part.
MOTION.

CONCOMITANTS.— (Valeriana)
OVER SENSITIVENESS OF ALL THE SENSES.
JERKING OF PARTS.
Hysteria.

Veratrum album

Veratrum album is a great pain producer and the pains are often accompanied
by diarrhea; vomiting, cold sweat, fainting or prostration.

It is not often called for in these rheumatic states, but in inflammatory

rheumatic fever with the pains that produce the prostration, faintness, cold
sweat, vomiting and diarrhea, it has its peculiar field.

NECK AND BACK.— (Veratrum album)

Rheumatic pains between the scapula extending from nape of neck to small of
back.

SUPERIOR EXTREMITIES.— (Veratrum album)

Severe pains in brachial plexus as if beaten.
Indescribable pains in arms arouse from sleep at 4 a.m. or 5 a.m. by the
intensity of the pain, extending from shoulder to wrist ; can hardly move arm,
> getting up and moving about.
Pain in middle of left forearm as if in the bones.
INFERIOR EXTREMITIES.— (Veratrum album)
Tearing pain in left leg from thigh to toes ; leg sensitive to touch, < while in
bed ; must arise and walk or let leg hang down.
PAINS IN LEG DURING WET WEATHER, < WARMTH OF BED, > IN
WALKING UP AND DOWN.
LEGS STIFF WHILE STANDING ; RHEUMATIC PAINS
ALTERNATELY HOT AND COLD.
PAINS IN KNEES AND FEET AS IF HEAVY STONES WERE TIED TO
PARTS.

AGGRAVATIONS.— (Veratrum album)

Wet cold weather.
Spring and autumn.
Nights.
WARMTH OF BED.

AMELIORATIONS.— (Veratrum album)

GETTING UP AND WALKING.

CONCOMITANTS.— (Veratrum album)

RAPID SINKING OF VITALITY.
TENDENCY TO FAINT.
COLDNESS OF BODY.
COLD FEELING IN ABDOMEN.
VERTIGO AS IF THINGS WHIRLED IN A CIRCLE.
CHILL AND THEN HEAT.

Veratrum viride

In eruptive fevers with much congestion, where cardiac symptoms develop of

pericarditis and endocarditis, and in acute inflammatory rheumatic conditions,
especially of the lower limbs, with the concomitant symptoms. Veratrum
viride may be called for.

HEART.— (Veratrum viride)

Pericarditis and endocarditis.
Sensation of a heavy load on chest.
Heart's action violent and tumultuous.

NECK AND BACK.— (Veratrum viride)

ACHING IN BACK OF NECK AND SHOULDERS.
Contraction of muscles of neck drawing head backward.

SUPERIOR EXTREMITIES.— (Veratrum viride)

Rheumatic pains in left shoulder.
Acute rheumatic pains in wrists and fingers, much swollen and excessively
painful.

INFERIOR EXTREMITIES.— (Veratrum viride)

Great trochanter painful lying on it.
Lancinating pains in right hip.
INFLAMMATORY CONDITION AFFECTING KNEES, ANKLES AND
HIPS.
JOINTS SWOLLEN, RED, VERY PAINFUL AND SENSITIVE.
Right ankle feels as if dislocated ; can scarcely walk going to left.
FLYING PAINS IN JOINTS CAUSING SHUDDERING.
Pains especially associated at the condyles.

AGGRAVATIONS.— (Veratrum viride)

After exanthematous fevers.
Much sweat without relief.

CONCOMITANTS.— (Veratrum viride)

HIGH FEVER.
RAPID PULSE.
Tongue coated on edges with a central red stripe.
MARKED CONGESTION OF THE PART.
PULSE SUDDENLY INCREASES AND THEN GRADUALLY
DECREASES BELOW NORMAL.

Viola odorata

In cases of very painful acute articular rheumatism of the wrists, hands, ankles
and feet of the right side, characterized by no febrile symptoms, and where
motion of the part is almost impossible ; with tremulous condition of the part
affected : this is the setting where Viola odorata is indicated.

NECK AND BACK.— (Viola odorata)

Jerking drawing in cervical muscles near nape, in evening.

SUPERIOR EXTREMITIES.— (Viola odorata)

RHEUMATIC AFFECTIONS OF UPPER LIMBS.
ACHING IN WRISTS, < RIGHT.
Drawing in elbow joint.
Rheumatic pain in deltoid muscle, wrists, hands.
Pressing pain in right wrist.
Drawing pain in left metacarpus extending toward wrist.
Cramp-like pain in first joint of left index finger.
Rheumatism of joints of right hand.
Swelling of right wrist, hand and fingers, with intense heat in parts.
Acute pains in right carpal and metacarpal joints, motion impossible, hand
being half flexed on forearm.

EXTREMITIES IN GENERAL.— (Viola odorata)

Rheumatism of right side.
Lancinating pains in joints of fingers and hands.
Right wrist joint painful, swollen, stiff, great pain, < motion.
Right foot and ankle joints painful and swollen, least motion almost
unbearable.
Right knee joint swollen and painful.

CONCOMITANTS.— (Viola odorata)

Trembling of parts.
Vertigo.
Transient burning here and there.
Sensation as if a stone were lying on chest.

AGGRAVATIONS.— (Viola odorata)

RIGHT SIDE.
Staying in a cold room.
During the fall.
 Zincum

While scarlet fever is not classed particularly as a cause of rheumatic troubles,

nevertheless we often find arthritic involvement following scarlet fever.

Zincum is a remedy not often called for in rheumatic or arthritic conditions,

but in the metastases of exanthematous diseases, especially where the heart
becomes involved, we sometimes find it indicated.

In fact, arthritic conditions from the suppression of any form of eruptions, or

arthritic conditions arising from any form of suppressions, with the marked
restlessness and fidgetiness, may indicate Zincum, which has the power of
releasing suppressions and thus brings the patient toward possible cure.

HEART.— (Zincum)
Tension and stitches in precordial region.
Stitches with every beat of the heart.
REGULAR SPASMODIC HEART, OCCASIONALLY ONE VIOLENT
THUMP.
Aortic insufficiency.
Fearful attacks of dyspnea.

NECK AND BACK.— (Zincum)

Pain in cervical muscles at night, as if head had been held in an
uncomfortable position.
Violent pain in small of back when walking, obliging him to stand still,
although it was steadily > by continuing to walk.

SUPERIOR EXTREMITIES.— (Zincum)

TEARING PAINS IN FIRST JOINTS OF PHALANGES.
Lameness and deadness of the hands ; they look blue.

INFERIOR EXTREMITIES.— (Zincum)

RHEUMATIC DRAWING IN THIGHS.
TEARING PAIN IN THIGHS.
Tearing pains in thighs, especially in thick portion, violent and persistent.
Tearing in left thigh, extending upward from knee to middle of thigh.
Gnawing and boring in left knee with tension in upper part of calf, < after
sitting down.
Tearing extending upward from knees.

EXTREMITIES IN GENERAL.— (Zincum)

RHEUMATIC TEARING LAMENESS AND TREMBLING.
Crampy pains ; twisting in affected limbs.
Acute tearing pains.
Acute darting pains through joints, especially ankles, knees, elbows, with
numbness of adjacent parts.

CONCOMITANTS.— (Zincum)
TREMBLING OF PARTS.
FIDGETINESS OF THE PART.
JERKING PAINS THROUGH WHOLE BODY DURING SLEEP.
PALPITATION.
HEART IRREGULAR.
RESPIRATION OPPRESSED AND DIFFICULT ; < IN THE EVENING.
FETID FOOT SWEAT, SORENESS ABOUT THE TOES.
EFFECTS OF SUPPRESSED FOOT SWEAT, ESPECIALLY NERVOUS
SYMPTOMS.
EFFECTS OF SUPPRESSED ERUPTIONS.

AGGRAVATIONS.— (Zincum)
FROM BECOMING OVERHEATED.
From exertion.
BY WINE.

AMELIORATIONS.— (Zincum)
Sitting.